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Replies to "One of the few specialities which is more like black magic from my experience has been..."
Very few docs want to be second guessed, but it is your right to quality care. Keep doing your homework, look options over, see what works or makes sense for YOU. That's the real problem that some docs don't like to deal with-- that each person is an individual and one treatment doesn't fit all! Keep asking, hang in there.
I have experienced some poor attitudes of cardiologists and their PAs. Dismissive when you start asking questions about symptoms and remedies. To me it is like they have their minds made up about what they will or won't discuss before the appointment. That is why I went around my cardiologist and found treatment by other sources.
That is most unfortunate for you. I haven't had anything like that experience. But, it points out how important it is to educate oneself the the fullest extent and to find experts who will listen, correct ones learning or assumptions when it's right to do, and to offer several potential solutions. Responsible follow-up by that person will be important for at least one full year after any procedures or changes to medications.