Thanks for taking the time to send this. My PCP here is a good guy overall, somewhat cardio knowledgeable and very practical. Have been with him about 18 months. My employer changed insurance coverage more than once so we've had to change PCPs more than once. However, I go to Vanderbilt Medical Center for cardio. It's 200 miles away. I had to make a change although this is not a small town with no options. I'm a Mayo patient now for something else but Mayo is too distant per cardio because I need to go for cardio care fairly often. When I had gone to Mayo years ago, I knew what the basic tests were per what they did immediately. My Mayo MD raised the issue of the vagus nerve then but not any emphasis. The local cadio MDs I had where I live weren't even doing those basic tests even when I had major concerns. Vanderbilt, within three days elapsed time, per those tests, discovered I had a heart attack. Talk about shock. I'm lucky I didn't have another one when I heard that. I am staying with them for continuity regardless of the travel costs and time but they haven't raised the vagus nerve issue. I'll raise the issue on the portal. I've had a couple of cardioversions, initially with 6 months success, the most recent with ongoing success. I started to see an Afib specialist there as well (that's been several months) but no sign of it now ... seems to be the opposite. I'm in holding pattern aside from the Rx I take but far, far better than when I first went there. Again, thanks for taking the time to send your message,