In peds (especially babies), it's even worse b/c generally you don't order ECHOs yourself without cardiology. So a lot of it is just arguing with the cardiologists. Sometimes you end up being right, sometimes not. But you do get to act smug when you end up being right :p.
The pre-op clearance pt. is AS until proven otherwise. By chance did you check carotids (specifically right side)? If nothing else they failed to add to the profit margin by getting the echo. No way we’d let that out our doors in the late 80’s/early 90’s w/o an echo. You did right.
Stress echo was part of the plan. PCP said to give a ring to the cardiologists’ office, and kill two birds with one stone. They have all the needed equipment at their clinic. Works for me, and I am new to the area and practice, so still collecting contacts. I am just confused as to how a 3/6 disappears in 30 minutes.