Manish Motwani

Amen 🙏🏼

“The Wrong Guy?” Twenty years ago, Guy Goma was waiting for a BBC transport job interview when, in a rush of newsroom confusion, producer @ElliottGotkine mistakenly put him live on air as an expert guest. What followed was unmissable telly. Guy tried to style it out, answering questions on a court case. It became one of the great early internet memes and was covered and watched around the world. Yet at the time, it was a huge hit to Elliott’s career. Now Elliott has written a book about it and, as someone who has known him for a long time, I’m delighted to see him own it. At tonight’s launch, Guy Goma said: “We are all human. Mistakes happen.” Quite right. The key is to learn from them. Well done to them both.

Congrats @DanielMHuck on leading largest & longest F/U @MassGenBrigham #CCTA registry #JACCIMG paper. Motivated by Chest Pain Guideline, we evaluated yield and prognostic implications of CCTA by age, showing value in both younger + older populations 👉shorturl.at/YPRmn

A researcher invented a fake skin condition. Published two fake papers about it. The papers literally said 'this entire paper is made up.' Within weeks, ChatGPT, Gemini, and Perplexity were all telling patients it was real. 230 million people ask ChatGPT health questions every week. This should concern all of us.

A final piece of advice from Holly Butcher - written the day before she passed away from cancer at just 27: “It’s a strange thing knowing you’re going to die young. At 26, I thought I had time… To fall in love. Start a family. Grow old. But cancer doesn’t care about plans. Now, I understand how fragile life really is. Every single day is a gift, not a guarantee. I’m not writing this to scare you. I’m writing to remind you: really live. Stop stressing over little things. Be kind to your body- move it, nourish it, stop criticizing it. One day you’ll wish you had appreciated it. Go outside. Look at the sky. Feel the sun. Just be. Spend less time chasing “stuff” - more time making memories. Don’t skip moments with people you love. Laugh more. Write a note. Tell someone you love them. Complain less. Give more. Helping others brings more joy than anything you can buy. Be present. Put your phone down. Show up - really show up. You don’t need to have it all figured out. You don’t need a perfect body, or a perfect life. Just follow what makes your heart light up. Say no to what drains you. Make changes when you need to. And please - donate blood. I wouldn’t have had that extra year without it. And that year gave me memories I’ll hold close… forever. Thank you for reading this. Live your life well. And maybe… we’ll meet again someday.” Holly 🩷 Repost & share Holly’s important advice. ❤️

#EACVI CT Course in Nice | 16–18 April 🇫🇷✨ 3 inspiring days dedicated to cardiac CT, bringing together experts and colleagues from across the world to advance cardiovascular imaging and coronary CT angiography. Excellent discussions and outstanding faculty and an engaged international audience. A wonderful opportunity for learning, collaboration, and sharing expertise in cardiovascular imaging in the beautiful setting of Nice. @rafavidalperez @ydaryani @YBououdina @MSBBrandao @Elizabeth_antos @galzeranod @Doc_Tiger @PezelT @andgiannopmd @andgiannopmd @hrt01a @WilliamKokFaiK1 @M_Marwan_ @drahmedmohsen85 @aniela_petrescu @benayozbay @slumberbell @senguptasp @samsrivastava77 @MihaiTrofenciuc @VazyurVasquez @gpontone1 @Sarah_Moharem @s_e_petersen @denisamuraru @VictoriaDe32503 #EACVI #CardiacCT #CCT #CoronaryCT #CVImaging

🚨🫀 We could prevent >350,000 deaths per year in the US from coronary disease… and we’re not. Let that sink in. This paper lays out a bold—but realistic—vision: 👉 By 2050, the majority of deaths from atherosclerotic coronary artery disease (ACAD) could be prevented. 💡 And the shocking part? We don’t need futuristic therapies. We already have: ✔ Blood pressure control ✔ Lipid-lowering therapies ✔ Smoking cessation ✔ Basic preventive care 👉 The problem is not knowledge. 👉 It’s implementation. 📊 Today’s reality: ✔️ Millions with uncontrolled hypertension ✔️ Massive underuse of statins ✔️ Many patients having their first MI without any preventive therapy 👉 This is not a science failure. 👉 It’s a system failure. 🧠 But here’s where it gets interesting… The paper proposes a paradigm shift: ❌ From treating late-stage disease (ischemia, events) ➡️ to ✅ Treating atherosclerosis as a lifelong process Starting: ✔️ Early ✔️ Before symptoms ✔️ Before stenosis 🔥 This aligns perfectly with what imaging is showing us: 👉 Disease starts early 👉 Progresses silently 👉 Becomes visible only when it’s already advanced ⚠️ The uncomfortable truth: We’ve built a system optimized for: ✔️ Procedures ✔️ Acute care ✔️ Late-stage intervention Not for: 👉 Prevention at scale 🚀 The real opportunity Combine: ✔️ Early detection (imaging, risk profiling) ✔️ Aggressive prevention ✔️ System-level implementation 🧠 Final thought We don’t need to discover how to prevent coronary disease. 👉 We already know how. The real question is: Why aren’t we doing it?

Turns out all that was needed to put the world right again was 48hours of cardiac MRI and a Bollywood themed dinner with the best gang! Thanks @BSCMR for a great conference. #BSCMR2026 #WhyCMR - well because even the interventionalists are doing it 😉

@AlexJDeighton Why are mandatory on-calls suddenly being called ‘optional generous overtime’ in all these write-ups

Few things in this thread need sorting. 1. Can't use RPI? Government use it for my student loan interest 2. Relatively well paid? PAs earn more with less training 3. Generous overtime? Its mandatory and raises cancer risk 4. Comparing pay to the 90s, does uni cost the same?

Outstanding opening keynote from Dr Peter Kellman outlining 25 years of work on LGE and stress perfusion. Phenomenal.

I do not understand all the doctor-hating that seems to fill so much space online. I say that as a physician, yes. And also as someone who has now been on the other side of the bedrail. Of course, there are bad doctors. No profession is exempt from that. But the worst examples often consume all the attention, and in doing so, they can obscure something deeply true: great doctors bring hope, healing, and restoration into people’s lives every single day. I know that differently now. When I was the patient, lying on the ground with a shattered kneecap, staring at imaging that showed my patella in pieces, watching my knee fill with blood, feeling pain that seemed impossible to control, and fearing I might never walk normally again, I was not thinking about abstractions. I was thinking about disability. About loss. About whether life and physical ability, as I knew them, had just changed forever. Then I met the surgeon who reconstructed my knee. I will never forget Archie Heddings. He showed me the images and explained exactly what he would do. Piece by piece, he walked me through how he would reconstruct what had been broken. Screws. Tape. Sutures. Precision. Skill. Calm. He was quietly confident, never overstated. At one point I just bluntly asked, “Doc, can you fix this?” He looked at me, nodded calmly, and said, “Andrew, this is what I do. I fix broken, smashed stuff every day, all day. I will do my job, and you do your job with PT. You will walk, run, ski, and hike again.” That moment brought tears to my eyes. It also brought hope back into my soul. He booked the OR for the next day. Now, just 14 weeks after surgery, I am back seeing patients. During my last week rounding in the hospital, I climbed 160 flights of stairs. I can flex my knee to 130 degrees. I am not all the way back yet, but I am back in motion, back in purpose, and back in my life as a father and giving back to my patients and the world around me as best as I can. My surgeon is not God. But I will say this without hesitation: through his hands, his judgment, his training, and his care, he changed the trajectory of my life. So, when I hear sweeping contempt for doctors, I think now about moments like this. And it is much more personal. Sometimes the people who speak most dismissively about physicians have simply never had their moment yet, the moment when they are scared, hurting, vulnerable, and utterly dependent on someone with the training and courage to do what almost no one else can do. When that moment comes, they may understand. Doctors can do far more than treat disease or repair injury. Sometimes, they give people their lives back. Tell your doctor you appreciate him or her. A simple genuine thank you will really make a difference.

@drjohnm @rladeiraslopes And they teach us to avoid double negatives in med school 😂🤦🏻‍♂️

> 600,000 left atrial appendage devices have been placed NOT NONINFERIOR 👇🏻 Trial is large, nonindustry funded and done in experienced centers in Germany Endpoint had both efficacy and safety components and still did not make non-inferiority I tried to tell you all

This is an incredible effort. It is many fold better than anything you could read in a top medical journal. Not just for cardiologists either. A good read for economists as well.

1/3 **🚀 NEW VIDEO DROP!** Evening all 👋 February payslips dropped today 💼, so I’ve just updated my **free modeller** to accept them straight away. With only **5 weeks** left until the tax year slams shut ⏰, this is your golden window to run a *really* accurate forecast of your **adjusted net income** and **threshold income**. No more guesswork — see exactly where you sit with the £100k tax trap ⚠️ and that dreaded (and still disastrously poorly designed) tapered annual allowance 😩. In the video I walk you through, step-by-step, using your actual February payslip: ✅ Calculating your **adjusted net income** ✅ Calculating your **threshold** & **adjusted** income ✅ Estimating your pension growth with free tools 🛠️ ✅ What smart moves you can STILL make in the final month to dodge the trap, stop the taper… and keep thousands in your pocket 💰💰 Plus — I’m excited to introduce a brand-new course with **Medics Money** all about mastering pension tax traps 🎓 Video below 👇 Links in the description (including the free modeller & course details) youtu.be/1lY-b8eGtL4

I’m just about to turn 65. I’ve been employed as an airline pilot for 36 years. I’m reasonably intelligent, but admittedly far from a wunderkind, and with no offers to work for the JPL or NASA. Pretty much an average guy who’s outstanding at being humble. At at age 64, I had to learn how to fly the most complex and advanced airliner currently in service, the Airbus A350. I had flown the relatively simplistic Boeing 767 for the past 25 years, and had never flown an Airbus, which is completely different in almost every way from a Boeing. I was the oldest person to attempt going through the Delta’s A350 Initial Qualification training program. I was warned that even much younger pilots were finding the training to be extremely challenging, and that because of my age, success might not be an option. It was an extremely complex airplane. The training manual is literally 7000 pages long. Countless Training videos, 6 weeks of simulators, extremely difficult electronic and oral exams. “It can’t be done, old guy”, many said. BULLSHIT! I went through the training and actually had an easy time of it. It was no more challenging than when I went through MD-11 training in 1991, at age 34, even though the A350 was a much more difficult training program. I had no decline in my learning ability in 30 years, and aced the very challenging program without any trouble. If I can maintain my ability to easily learn complex tasks into my mid-60’s, hell, anyone can. To answer the question: For some it might be age 30, or 40, or 50, etc, etc. However, everyone is different. Some people are still extremely lucid and able to learn well into their 90’s. Don’t assume. Don’t count yourself out at any age. Don’t be prejudiced against older people and sell them short, because many of them are still as sharp or even sharper than you. Treat all people well, especially older people, because in the blink of an eye you’re going to be one of them, and you’re going to love it when someone treats YOU with dignity and a little bit of respect. Credit to the respective owner ✍️

Fellow applicants for #cardiology unmatched this year! Look at this! Don’t let this opportunity slip by!

@onco_cardiology @ErsozluSara @purviparwani @ydaryani @DrMarthaGulati @DrJenniferCo_Vu @iamritu @vineetao17 🤣…what u scared of!

@Doc_Tiger @ErsozluSara @purviparwani @ydaryani @DrMarthaGulati @DrJenniferCo_Vu @iamritu @vineetao17 The mangoes 🥭 of course. Not sharing mine. 😂

That’s what ChatGPT thinks about me when given the viral prompt “Create a caricature of me and my job based on everything you know about me.” 😅 How does yours look? @Doc_Tiger @purviparwani @ydaryani @DrMarthaGulati @DrJenniferCo_Vu @iamritu @vineetao17 @onco_cardiology @PRodriguezMD @AnnaGiuliaPavon @AKallifatidis @vass_vassiliou

@ErsozluSara @purviparwani @ydaryani @DrMarthaGulati @DrJenniferCo_Vu @iamritu @vineetao17 @onco_cardiology Fair play…got most of the key elements 🤣

@Doc_Tiger @purviparwani @ydaryani @DrMarthaGulati @DrJenniferCo_Vu @iamritu @vineetao17 @onco_cardiology Hehe, I was surprised to be honest, but the cardiac anatomy is funny, is it a situs inversus? And what’s with the collapsed lung and weird looking heart in the CT🤣. Can’t wait to see yours…must have some crazy AI things in there 🤓