Thanks for writing in.
I am a qualified and certified cardiologist. I read your mail with diligence
It appears indication of putting a pacemaker was definitely there in view of fainting
spells. But due to lack of rapport between the cardiac surgeons (in some states of the US it is cardiologists who put the pacemaker) the patient declined. Best course would be to prepare the lady by explaining the whole procedure in advance and then allow her to make her list of questions which can be supplemented spontaneously and re schedule the interview between the doctor who is putting the pacemaker and the patient. I am sure with a little tact on the part of doctor this will be a success.
With Best Wishes
Dr Anil Grover,
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)