I think the onus should be on the pdoc. There should never be anything considered "wrong" or "bad" with the sufferer. But if they still have symptoms that could be managed better with medication, then the pdoc is the one who is not doing their job. Heck, in this case, I would have allot if empathy for the MI and absolutely none for the doctor. It should never be patients that are shunned, but the doctors themselves.
(Oh boy! I can see a rant coming out of me. Better stop here.)