I am having a very difficult moment. I am 46 and have had my Pacer for years. I saw my cardiologist six months ago, and explained that I was having numerous issues. A few of them being, severe pain in left arm, dizziness, and edema in limbs, accompanied by unbearable pain. My cardiologist never addressed these issues, spent a total of maybe ten minutes with me, said I needed an echo. I scrimped to Save for it, and was told two days before, the test had gone up $115.. I am self pay, denied ssi/SSDI and Medicaid. Well, long story short, I went to e.r., and got admitted. After a plethora of tests, my cardiologist didn't even v know I was his patient, told me that there was a lead slippage, but, it's not an emergency, so, he sent me home, telling me this an out patient issue, and I need to arrange it with his office. Any one has this happen? Any advice? Scared for my life here. I have a 3rd degree cardiac av back.