SOMETIMES, there is no option to those that do not have the money to choose to go to another "Cardio who will listen", back in 2015 i was told by those the same thing, I was able to listen and did what they said to do, AND I knew then that I had to listen to them.....what did they tell me, I needed a NEW MITRAL VALVE, the advise was to get it done outside the VA system of health care! I didnt even ask why, i did it. And I knew then there were those that I could not help, and that did not have that choice that I did! Bruce Hauser, a good friend that had to deal with that, last time I saw him was in a Hospital Bed and at the VA! And No, I am not in anyway shape or form getting down on the VA.......although it is what it is! I am as I have said, I am USAF/retired federal govt/USA in 2004 and after 31 years! [and damned proud of it.....and would do it all over again, and in a heart beat, yes that was a pun.]What we are doing here is to listen to the doctor and advise here, to walk hand in hand. I advise those who are having problems with those kind of doctors, who also do not listen to the patient, to get another cardio who will listen. If you cannot talk to the doctor and he/she only listens to themselves, they make the worst kind of doctors who are in it for the money, although in America, they are not making money like they used to.