Hello @maryelizabethp, and welcome to Mayo Connect!
I'm so glad you found this site and made your first post. I have some questions for you...
You mention you had 'the surgery' at Mayo in Rochester, do you mean a septal myectomy?
Have you been seen by an HCM expert recently?
Have you tried to contact the cardiology department at Mayo through the patient portal?
It sounds like you really need to get an opinion from an HCM expert and find out if these issues are due to hypertrophic cardiomyopathy, if these are from the medications you are taking, or just what is causing your worsening symptoms. It must be frustrating!
Are you close to Mayo Rochester? Have you tried to contact using the patient portal?