Often when a doctor's knowledge is limited on HCM, they say things that may not be based on fact. (similar to a certain president I know). Just because he's a doctor in a big hospital does not mean he's up to date on HCM. During my pre AICD, Pre myectomy days with a lousy HMO, Thy had me see 12 doctors. Some of LA County's finest and the limited experience with HCM was shocking. It may be worse in smaller communities. Seek help at an COE.