My pulmonologist said tests he did indicated need for echo stress test to rule out ischemic heart disease and referred me to a cardiology practice who scheduled the test. They even got approval from ins. co. I'm having symptoms and anxious (but eager) for the test. The test was to be tomorrow. Somehow -- not clear -- my PCP inserted herself (otherwise not involved) and I got a surprise call from the cardiology office saying they cancelled my echo due to the PCP and won't perform it (maybe not at all) until I come in for a consult. What happened -- why now the consult? PCP apologized for the 'mix up' saying if this cardiologist won't do the echo, she'll try to find me someone. But I was referred to top notch doctors -- and if they for some reason decide not to re-schedule (decline) the test, my insurance coverage (and health) are at risk. Why all if a sudden only the consult? ( The pulmonologist was not in office Fridaybwhen this unfolded.)