Thank you, ngl, for your thoughtful message to my long-ago post! It is about 18 months later, and I am coming up on my 2-year 'Scadaversary,' as we survivors call these milestones. I have not had another SCAD but the chest pain comes and goes without fail. I can go several weeks with little to no funny feelings in my chest, and then all of a sudden, the pain comes on. My last ER trip was in August of this year. We were at our camp in the White Mountains of Maine when the pain + lightheadedness came on as I began a walk in the woods. My husband took me to Bridgeton Hospital, a small regional, and there I got the best and fastest care ever for chest pain. In and out in under 2 hours with the ER MD doing my EKG himself. I was fine. I have come to realize that if I don't immediately get the PTSD panic under control at the first signs of pain, it can spiral into other symptoms. But with SCAD, we never know, so we have to get checked out. And though I have had every test under the sun and a myriad of diagnoses ruled out, including hypermobility, my cardiologist and I still don't know why it happened in the first place. But as time has passed, and I have mourned the loss of my pre-SCAD self, I have begun to travel and do most of the things I did pre-SCAD. Thanks so much for taking the time to read and respond to my original post. I wish everyone on here good health!