Manika Jamwal was not even remotely pleasant. She dismissed everything I related to her about my symptoms. She came-up with a diagnosis based on pure conjection blaming my shortness of breath on a Parakeet bird I owned 2 decades ago. She took a brief listen to my lungs and didn't detect the blatant heart murmur. She was dismissive of the Trush in my mouth. Firtunately, I refused to see her again. I was seen by Kerlan Woolsey who detected the heart murmur. I was put on the fast track to heart surgery. I ha 3 months to live if I didn't receive a synthetic aorta and a mechanical aortic valve. The operation was a success. Dr. Manika Jamwal was a failure and totally incompetent.