I agree Cheryl, it can wreck a persons mind for sure. I'm going to give this a little more time and if I don't see continued improvements, then I think I just need to have the surgery... I just want my life back and I'd rather be spending my time healing after surgery then on a continual roller coaster ride. I've only been on the diltiazem for almost a month so I know I need to be patient. I'm not really in any pain just a pinchy tight feeling the past couple of days during Bm's. I just hate that feeling though. It feels like it's so close to tearing when that happens and I know it wouldn't take much.