I’m not sure I understand the condescending part. What do you mean?It’s a pet peeve of mine when people make these sorts of condescending counterproductive comments. What if the stress test was negative? Would be nice reassurance, no? Risk stratification has value for making an informed decision. I would like the information as a competent anesthesiologist whether or not he goes through with the cath as recommended. Patients have the right to make informed decisions. They don’t have to agree with everything you recommend.
We as physicians constantly whine about how patients and families want too much end of life care and then throw a fit when the rare one actually wants to take ownership of their decision making and informed consent.