Doctor has finally convinced me that I needed surgery so we set a date and the operation got done... now it's just a readjustment of blood pressure meds and a couple more blood tests and then we'll see... I'm sure there will be more echos and stress tests since they were not able to fix all the problems, as a matter of fact those tests might always be in the line up no matter what.... anyway they were able to increase the blood flow to the heart and I feel better for the time being...