@wcuro
What I have found that many small populated areas do not have a Electrophysiologist (EP). I know way back in early 2000s I had this issue and there was only one in entire area.

At lot of time electrophysiologist require a referral and most of the time even if they don't a referral from your PCP will get response far more than a personal contact.

I have been seeing a EP since 2006 and prior to that a cardiologist. I take my hat off to that cardiologist as it was he who referred me to a EP. But he warned me there was only one in entire area so be patient with appointments.

This is the time I decided to go to Mayo Jacksonville for a second opinion. It is there I met with a EP who was outstanding and recommended not only a ICD (which was my referral by cardiologist) but a dual device ICD/Pacemaker.

While there the EP picked up the phone and called the heart failure specialist there and asked if available could he see me also. I then same day saw a heart failure specialist.

It is why I mentioned asking poster to use their PCP to make referrals and came from my experience with getting appointments and the priority of doing so as an individual versus a referral. So what I do on MCC is to give my experience with a topic in hopes it can help.