30% Burden but Asymptomatic Getting Mixed Messages from Dr’s

Hello all and happy holidays. Well, I had to go see a new internist because my insurance changed and even though I told them that I have PVCs, which don’t cause symptoms inevitably when they do the EKG and see how wacky it looks, they all panic and freak out, this one was no exception he said I can’t believe you’re not feeling any of these and I said I’m fine. I don’t feel anything I’m active and don’t have shortness of breath or anything like that. He said you’re probably at about 30% right? And I said yep actually 35% last time I had a halter in 2022. I’ve been under the care of a cardiologist and been to an electrophysiologist, both of whom say that if I have basically no symptoms, and it doesn’t interfere with my daily life that I am fine and no further action needs to be taken. This internist could not believe that, and wanted to know why the electrophysiologist didn’t want me to have an ablation. He ordered a follow up with my cardiologist to do another halter even though I see her annually for EKGs and echoes and a stress test. My resting heart rate is around 50 so cardio hasn’t ever wanted to add a beta-blocker but internist wants to look into this. He also got worked up because I’m prescribed a low dose of adderall for ADD and it helps and doesn’t raise my Bp or bpm. I don’t use have any caffeine and I don’t drink alcohol. Is this internist overreacting? He also did a cardiology residency so he’s not totally out to lunch on the topic. He’s young, and I appreciate the concern. But now he has me freaked out too. Can I just go on with a 35% load if I’m not having symptoms and not do anything about it?