if a patient with palpitations goes to cardiologist A and he evaluates him & says to observe for now, cut out caffeine, etc.(sometimes appropriate), then he goes to cardiologist B who does hits the trifecta, who d’ya think he’ll like better.

oh yeah, also cardiologist B is telling him: “what, dr. x didn’t even do an echo? that’s crazy – you definitely NEED an echo” – going through his mind is “cha-ching!”