Hello @mollybo,

Welcome to Connect; thank you so much for sharing your mother-in-law's information. Before anything else, I'd like to reassure you that she is in the best hands at Mayo Clinic which is ecognized as one of the top Cardiology and Heart Surgery hospitals in the nation. Here's some information about hypertrophic cardiomyopathy care at Mayo Clinic:
https://www.mayoclinic.org/diseases-conditions/hypertrophic-cardiomyopathy/care-at-mayo-clinic/mac-20350208
You may notice that I moved your message and combined it with this existing discussion as I thought it would be beneficial for you to be introduced to the many members who have discussed much of what your mother-in-law is experiencing.
If you are replying by email, I suggest clicking on VIEW & REPLY so that you can read through some of the earlier messages and meet some of our other members talking about their or their or their loved ones' experiences.

You may also wish to view this discussion – “Diagnosed with HOCM last year. May be time for surgery” https://connect.mayoclinic.org/discussion/hello-i-was-diagnosed-with-hocm-last-year-i-have-been-told/, where you will meet @tkterrell @choochoo @debcrawford @daisygirl @quinn @lina2017 @lynnkay1956, and Mentor @cynaburst talking about HOCM.

@mollybo, it can be so stressful when loved ones have health problems, and we naturally feel a sense of urgency to get them the necessary treatment. While we wait for @cynaburst and fellow members to respond, I'd encourage you to read a bit about the Hypertrophic Cardiomyopathy Clinic at Mayo Clinic, https://www.mayoclinic.org/departments-centers/cardiovascular-medicine/overview/specialty-groups/hypertrophic-cardiomyopathy-clinic/overview, and keep talking and asking questions – the Connect community is listening.