My first pacer was implanted 6/11, and the battery is now reaching end of service. At the point that its "elective replacement indicator" was activated to enter ERI mode, I made the decision not to have a second implant. At that point, my cardiologist of six years "fired" me and refused continuing care. Further, the Abbott Lab technician also refused to provide me with any battery status testing. I now am in hospice without any cardiology oversight or regular pacer read-outs. My wife and I are living in ignorance about how to cope with the uncertainties that have been imposed by both my cardiology practice and the pacer inidustry having deserted us. My conclusion is that the term "elective replacement" is a misnomer, as continuing care will be denied to anyone making the wrong choice.