Shashank Timilsina

[Shashank Timilsina @tmlsasank]

Today is that date!

[Shashank Timilsina @tmlsasank]

Mark the date!

[Shashank Timilsina @tmlsasank]

TL;DR:
Fly senses sweet taste → one neuron gets weaker input → releases a neurotransmitter → fly feeds

Fly senses bitter taste → THE SAME NEURON gets stronger input → now releases a neuropeptide → fly stops feeding
🤯

[Brown University @BrownUniversity]

Brown researchers identified a pair of neurons that help fruit flies weigh sweet vs. bitter signals to decide what’s safe to eat — revealing the impressive computational power of a single neuron.
https://t.co/k3pI5q0bg4

[Shashank Timilsina @tmlsasank]

https://t.co/DQ74eNmOPO

[Shashank Timilsina @tmlsasank]

What does your gut say when you overeat?
It'stomach

[Shashank Timilsina @tmlsasank]

@NepaliArmyHQ You need to make sure none of our heritage gets damaged. Make sure to keep the our temples, stupas and durbar squares safe.

[Shashank Timilsina @tmlsasank]

If your ERAS picture is cropped and your head is not visible fully, you need to adjust your head to the centre and reupload the picture. I have created a free tool for that:
#Match2026
https://t.co/I8c8l45gcW

[Shashank Timilsina @tmlsasank]

Did you know?

Carnivores don't get Atherosclerosis and humans are the rare animal species that suffer a myocardial infarction.

[Shashank Timilsina @tmlsasank]

Man: They're just 0s and 1s. Machines can't be conscious.

God: You're just ions and neurotransmitters. Humans can't be conscious.

[Shashank Timilsina @tmlsasank]

Mark the date!

[Shashank Timilsina @tmlsasank]

With Semaglutide going generic in 2026, we might be closer to solving obesity et al. worldwide.

Prices are going to be slashed by A LOT.

And by A LOT, I really mean A LOT (over 95%, according to some estimates)

Exciting days ahead! 🤩

[Shashank Timilsina @tmlsasank]

An era is over. Goodbye Ozzy. You went off the rails on a crazy train.

[Shashank Timilsina @tmlsasank]

One downside of using Anki is that important facts can be overlooked if they don't have individual cards. To address this, regularly consult other resources and either add these facts to your Lecture Notes section or create new cards for them.

[Shashank Timilsina @tmlsasank]

After more than 500 days of grinding Anki day in and day out, Step 2 is finally done. Hoping all the hard work pays off 🤞

#MedTwitter

[Shashank Timilsina @tmlsasank]

The medical LLM (AMIE) alone outperforms clinician-assisted AMIE in diagnostic accuracy by a significant margin.

[Sushan Homagain @Homezsushan]

The medical drama series "The Pitt" is awesome. Tells a lot about the US healthcare system and residency. For an IMG like me it was like an "USCE". In this tough competition of getting an actual good USCE, I think watching The Pitt should count as one. 😁 @jasonryanmd @SeeFisch

[WMS @WildMedSociety]

New in #WEMjournal: Discover healthcare hurdles at #Himalayan heights! 🏔️ See how tourism & infrastructure shifts affect altitude sickness. Insights from @tmlsasank and colleagues based on their work at @HRANepal Manang Aid Post.
https://t.co/v3tYUqtPdu
#MedTwitter @SageClinMed

[Shashank Timilsina @tmlsasank]

I think there should be something like pre-prediabetes. I'm shocked to see many ppl in 20s with prediabetes and T2DM. At-risk ppl, like 1° relatives w/ T2DM and/or high-risk groups like S. Asians, should auto get a pre-prediabetes dx and start health food & lifestyle changes.

[Shashank Timilsina @tmlsasank]

@jasonryanmd Seems like a mix-up with someone else's records. Is poor healthcare practice in the US really as widespread as your posts suggest, or is this a case of publication bias?

[Shashank Timilsina @tmlsasank]

I'm convinced free will is an illusion. The brain operates on neuronal electrical impulses, dictated by physical and chemical conditions. Each neuron is influenced by others in a chain of causality. At no point does a distinct "you" intervene or exert control.

[Shashank Timilsina @tmlsasank]

When strangers ask what I do, I say I work at a hospital. Started this because many shared medical issues & sought advice when I said I was an MD. People need to realize medicine is our livelihood, & taking advice requires a doctor-patient relationship.