I'm super glad you and your spouse can turn the trips into a nice adventure, and that the 2.5 hour drives seem easy - where I live, the nearest civilization is a 3 hour drive away. But bummed about you having to hope you have "just" HOCM ... what a predicament. I can't speak from any personal experience but JH certainly seems to have a huge reputation in a lot of areas; I agree that you are in good hands. And if it is "just" HOCM? Hopefully the Camzyos will be what you need. Keep the faith!