Andy Szava-Kovats ๐Ÿ‡จ๐Ÿ‡ฆ
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andyszavakovats.bsky.social
Andy Szava-Kovats ๐Ÿ‡จ๐Ÿ‡ฆ
@andyszavakovats.bsky.social
1.6K followers 1.7K following 410 posts
Radiologist + Nuclear Medicine Physician ๐Ÿฉป โš›๏ธ | Clinical Assistant Professor @ UCalgary ๐ŸŽ“ ๐Ÿฅ | Environmentalist in Calgary ๐Ÿ”๏ธ ๐ŸŒฑ | Husband + dad to 2 awesome humans ๐Ÿง‘โ€๐Ÿง‘โ€๐Ÿง’โ€๐Ÿง’ #RadSky #MedSky #ClimateSky
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What heโ€™s right about is decreasing the โ€œGreen premiumโ€ (and he does acknowledges that the โ€œpremiumโ€ is already negative in many sectors, like renewable electricity production).
As you said, where I think he misses the mark, by a lot, is the risk of a false dichotomy between climate mitigation and addressing other causes of human suffering. I understand why people are wary of this framingโ€”it has been increasingly co-opted in bad faith by fossil fuel interests.
I agreeโ€”the memo was filled with nuance and solutions discussion not captured in the news headlines. Itโ€™s easy to reduce it to โ€œBill Gates says climate change isnโ€™t important after allโ€โ€”he even anticipates this response and explicitly says it IS important (in bold text!)
Why should physicians, including radiologists, talk about climate change? โ“

๐Ÿ’š It affects our patientsโ€™ health. We canโ€™t have healthy patients without a healthy planet.

๐Ÿฅ Healthcare, and radiology in particular, is a significant contributor to GHGs.

๐Ÿ“ข Our voices as physicians carry weight.
Canadian Association of Radiologists Statement on Environmental Sustainability in Medical Imaging - Kate Hanneman, Andrew Szava-Kovats, Brent Burbridge, David Leswick, Brandon Nadeau, Omar Islam, Emil...
Immediate and strategic action is needed to improve environmental sustainability and reduce the detrimental effects of climate change. Climate change is already...
journals.sagepub.com
The future and the past in one picture. ๐Ÿ”Œ โšก๏ธ
A real privilege to welcome Dr. Kate Hanneman to the University of Calgary this week as our Visiting Professor.

Her talk on sustainability in medical imaging and planetary health was both inspiring and practical.

Excited to keep pushing these conversations forward here in Calgary!๐ŸŒฑ ๐Ÿฉป ๐ŸŒŽ
Sources ๐Ÿ”Ž
[1] European Cyclistsโ€™ Federation + U.S. DOE
[2] David MacKay, Sustainable Energy โ€“ Without the Hot Air
[3] IEA + UITP benchmarks - assuming average occupancy of rail cars
[4] U.S. EPA - assumes single occupant
[5] U.S. DOE - assumes single occupant
๐Ÿšฒ ๐—˜-๐—ฏ๐—ถ๐—ธ๐—ฒ๐˜€ ๐—ฎ๐—ฟ๐—ฒ ๐—ฎ๐—บ๐—ผ๐—ป๐—ด ๐˜๐—ต๐—ฒ ๐—บ๐—ผ๐˜€๐˜ ๐—ฒ๐—ณ๐—ณ๐—ถ๐—ฐ๐—ถ๐—ฒ๐—ป๐˜ ๐˜๐—ฟ๐—ฎ๐—ป๐˜€๐—ฝ๐—ผ๐—ฟ๐˜๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ฑ๐—ฒ๐˜ƒ๐—ถ๐—ฐ๐—ฒ๐˜€ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐—ถ๐—ป๐˜ƒ๐—ฒ๐—ป๐˜๐—ฒ๐—ฑ.
๐Ÿš™ Cars? Among the least.

E-bike: 20โ€“30 Wh/km [1]
Walking: 50โ€“70 Wh/km [2]
Light rail: 80โ€“120 Wh/km [3]
EV car: 150โ€“200 Wh/km [4]
Gas car: 600โ€“800 Wh/km [5]

Imagine if we built our cities around the most efficient ride.
Early evidence suggests bi-parametric prostate MRI may bring:
๐Ÿ’ฐ lower costs
โฑ๏ธ faster scans
โš ๏ธ safer (no contrast)
๐ŸŒฑ smaller environmental footprint

Good for patients. Good for taxpayers. Good for the planet. โœ… โœ… โœ… #radsky
โ€ชREAD: New evidence suggests this streamlined imaging technique without contrast might be just as effective as traditional methods, while being safer and more cost-efficient! While more #research is needed, early results are promising.

https://journals.sagepub.com/doi/full/10.1177/08465371251342706
โ“๐—ช๐—ต๐—ฎ๐˜ ๐—ฑ๐—ผ๐—ฒ๐˜€ ๐˜€๐˜‚๐˜€๐˜๐—ฎ๐—ถ๐—ป๐—ฎ๐—ฏ๐—ถ๐—น๐—ถ๐˜๐˜† ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐˜๐—ผ ๐—ฑ๐—ผ ๐˜„๐—ถ๐˜๐—ต ๐—ฟ๐—ฎ๐—ฑ๐—ถ๐—ผ๐—น๐—ผ๐—ด๐˜†?

๐Ÿฅ Healthcare = 5% of global CO2 pollution.
๐Ÿฉป Radiology = 1/5 of that.

(โœˆ๏ธ For perspective, aviation is โ‰ˆ2%.)

โšก CTs waste ~โ…” of their energy.
โšก MRIs waste ~โ…“.

Rads, techs, industry all have a role. ๐Ÿค
Healthy planet = healthier patients. ๐Ÿฉบ๐ŸŒ
Environmental Sustainability in Radiology Playbook: Learn How to Make Medical Imaging Safer for the Environment - CAR - Canadian Association of Radiologists
The CAR and its members have consistently made environmental sustainability a priority in radiology, through research, presentations, publications, and more. Radiology departments are high consumers o...
car.ca
Even if you wrapped the entire planet in oil and gas wells,
theyโ€™d still end up as stranded assets as the world moves on to cleaner (and cheaper) energy.

One of the biggest mistakes fossil fuel execs can make is
equating SHORT-TERM PROFITS with LONG-TERM REALITY!
Itโ€™s true we canโ€™t solve climate change without big emitters like China taking action.

But itโ€™s equally true we canโ€™t solve it without smaller emittersโ€”especially wealthy ones like Canadaโ€”doing their part.

Weโ€™re not โ€œtoo small to matter.โ€ If everyone thought that way, weโ€™d never get anywhere.๏ฟผ
4๏ธโƒฃ ๐—”๐—ป๐˜† ๐—ฐ๐—ผ๐˜‚๐—ป๐˜๐—ฟ๐˜†โ€”๐—ป๐—ผ ๐—บ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ ๐—ถ๐˜๐˜€ ๐˜€๐—ถ๐˜‡๐—ฒโ€”๐—ฐ๐—ฎ๐—ป ๐—น๐—ฒ๐—ฎ๐—ฑ ๐—ฏ๐˜† ๐—ฒ๐˜…๐—ฎ๐—บ๐—ฝ๐—น๐—ฒ.

This isnโ€™t just feel-good symbolism. It pressures other to follow.

๐Ÿ‡ณ๐Ÿ‡ด Take Norway: 0.1% of global emissions. But >80% of new cars EVs sends a powerful message: If a northern petrostate can, hard for other nations to argue its โ€œnot feasibleโ€.
3๏ธโƒฃ ๐—ฅ๐—ถ๐—ฐ๐—ต ๐—ฐ๐—ผ๐˜‚๐—ป๐˜๐—ฟ๐—ถ๐—ฒ๐˜€ ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐—ฎ ๐—บ๐—ผ๐—ฟ๐—ฎ๐—น ๐—ฟ๐—ฒ๐˜€๐—ฝ๐—ผ๐—ป๐˜€๐—ถ๐—ฏ๐—ถ๐—น๐—ถ๐˜๐˜†.

COโ‚‚ lingers for decades, continuing to warm the planet. Many wealthy โ€œ<2%โ€ nations have a higher share of ๐˜ค๐˜ถ๐˜ฎ๐˜ถ๐˜ญ๐˜ข๐˜ต๐˜ช๐˜ท๐˜ฆ emissions.

Wealthy nations built their wealth by burning fossil fuelsโ€”now they have a responsibility to invest in clean energy.
โ˜€๏ธ Solar cost has dropped 99.8% since the 1970sโ€”90% in the last decade alone.

The driving force behind this? Increased deployment and economies of scale.

So Canadaโ€™s solar does more than reduce domestic emissionsโ€”it send a signal to global markets, encouraging investment in solar elsewhere.
2๏ธโƒฃ ๐—œ๐—ป๐˜ƒ๐—ฒ๐˜€๐˜๐—ถ๐—ป๐—ด ๐—ถ๐—ป ๐—ฐ๐—น๐—ฒ๐—ฎ๐—ป ๐˜๐—ฒ๐—ฐ๐—ต ๐—บ๐—ฎ๐—ธ๐—ฒ๐˜€ ๐—ถ๐˜ ๐—ฐ๐—ต๐—ฒ๐—ฎ๐—ฝ๐—ฒ๐—ฟ ๐—ณ๐—ผ๐—ฟ ๐˜๐—ต๐—ฒ ๐—ฟ๐—ฒ๐˜€๐˜ ๐—ผ๐—ณ ๐˜๐—ต๐—ฒ ๐˜„๐—ผ๐—ฟ๐—น๐—ฑ.

The โ€œweโ€™re negligibleโ€ argument assumes only domestic emissions count, which isnโ€™t the case. Global markets and politics are connected.

When countries adopt clean tech, costs go down worldwide, shaping ๐˜ฆ๐˜ท๐˜ฆ๐˜ณ๐˜บ๐˜ฐ๐˜ฏ๐˜ฆโ€™๐˜ด emissions.
If every <2% emitter countryโ€”particularly wealthy onesโ€”shrugged and said โ€œweโ€™re too small to make a difference,โ€ the biggest share of emissions would remain unaddressed.

๐Ÿ—ณ๏ธ Itโ€™s like voting: one ballot rarely decides an election. But if everyone thinks โ€œmy vote doesnโ€™t matter,โ€ democracy collapses.
1๏ธโƒฃ ๐—œ๐—ณ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ๐˜† โ€œ๐—ป๐—ฒ๐—ด๐—น๐—ถ๐—ด๐—ถ๐—ฏ๐—น๐—ฒโ€ ๐—ฐ๐—ผ๐˜‚๐—ป๐˜๐—ฟ๐˜† ๐—ฑ๐—ถ๐—ฑ ๐—ป๐—ผ๐˜๐—ต๐—ถ๐—ป๐—ด, ๐—ฐ๐—น๐—ถ๐—บ๐—ฎ๐˜๐—ฒ ๐—ฐ๐—ต๐—ฎ๐—ป๐—ด๐—ฒ ๐˜„๐—ผ๐˜‚๐—น๐—ฑ ๐—ฏ๐—ฒ ๐˜‚๐—ป๐˜€๐—ผ๐—น๐˜ƒ๐—ฎ๐—ฏ๐—น๐—ฒ.

Only 6 countries on Earth have a >2% share of emissions.

๐˜Œ๐˜ท๐˜ฆ๐˜ณ๐˜บ ๐˜ฐ๐˜ต๐˜ฉ๐˜ฆ๐˜ณ ๐˜ค๐˜ฐ๐˜ถ๐˜ฏ๐˜ต๐˜ณ๐˜บ emits <2% and might consider themselves to be โ€œnegligibleโ€. But together, these โ€œsmallโ€ emitters make up 36% of global COโ‚‚โ€”more than China.
If Canadaโ€™s COโ‚‚ emissions fell to zero, the climate would barely noticeโ€”we emit <2% of global total.

Its a familiar argument:
โ€œ๐™Š๐™ช๐™ง ๐™˜๐™ค๐™ช๐™ฃ๐™ฉ๐™ง๐™ฎโ€™๐™จ ๐™š๐™ข๐™ž๐™จ๐™จ๐™ž๐™ค๐™ฃ๐™จ ๐™–๐™ง๐™š ๐™ฃ๐™š๐™œ๐™ก๐™ž๐™œ๐™ž๐™—๐™ก๐™š. ๐™„๐™ฉ ๐™™๐™ค๐™š๐™จ๐™ฃโ€™๐™ฉ ๐™ข๐™–๐™ฉ๐™ฉ๐™š๐™ง ๐™ฌ๐™๐™–๐™ฉ ๐™ฌ๐™š ๐™™๐™ค.โ€

And I get itโ€”graphs like this ๐˜ค๐˜ข๐˜ฏ make us feel powerless.

But hereโ€™s why our actions ๐˜ฅ๐˜ฐ matter: ๐Ÿงต๏ฟผ
Lol it is and it seemed so counterintuitive I just did a second look and realized I misread the graph axes ๐Ÿคฆโ€โ™‚๏ธ
โ™ป๏ธ People ๐™ค๐™ซ๐™š๐™ง๐™š๐™จ๐™ฉ๐™ž๐™ข๐™–๐™ฉ๐™š๐™™ the benefits of recycling & efficient appliances. โœˆ๏ธ They ๐™ช๐™ฃ๐™™๐™š๐™ง๐™š๐™จ๐™ฉ๐™ž๐™ข๐™–๐™ฉ๐™š๐™™ the massive impact of skipping long flights & eating less red meat. This mismatch means effort often goes to low-impact actions while high-impact ones are overlooked.
Some context: www.nationalobserver.com/2025/08/25/n...

It seems the โ€œconspiracy theoristโ€ is one of the Grok โ€œpersonalitiesโ€ you can select, which likely led to the response featured in the video. Still quite alarming nonetheless
Is your Tesla a climate conspiracist?
Climate researcher Ken Caldeira discovered that his Tesla will enthusiastically spew pure, fact-check-free climate conspiracies on demand.
www.nationalobserver.com
Exxon in 1977 (quietly): COโ‚‚ from fossil fuels, per our own scientists, will warm the planet. ๐Ÿค

Exxon in 2000: Who can really say if fossil fuels are warming the planet, the science is just too complicated to know. ๐Ÿคทโ€โ™‚๏ธ

Exxon now: Okay you were right. But we are totally going to techno-fix it now! ๐Ÿ˜‡