I'm 5 weeks into clinicals, doing a total thyroidectomy for thyroid cancer. Pt is 84yo and only history he admits to is pipe smoker and neuropathy in feet. I go to see him before bringing to OR and notice his heart rate is 30 and looks like type 2 block. I ask preop nurse if he's had an EKG. She says "no he has no history and no meds". I said well based on his rhythm he probably needs one. EKG confirms. MDA asks more questions and gives 0.2mg of Robinul (no effect). Patient now says he saw cardiologist in past but doesn't remember who, why, or what they said. Denies CP, SOB, syncope, etc.

What would you do?