Guys I am feeling so powerless, hopeless, and lost. I have been fighting continuous bouts of what I guess is anxiety. Dealing with ongoing shortness of breath, disconnect from reality, chest pain, back pain, and sleeplessness. I have tried to accept the anxiety, take my medication (Buspar & Zoloft) practice coping skills, and nothing seems to be working. I have been trying my best to stay away from the hospital but tonight it got to the point where could not take it. When I got to the er I was hysterically crying and thought that I was going to literally jump out of my skin. I had the typical test performed for the complaint of shortness of breath which were, EKG, Chest X-Ray, Bloodwork, D-Dimer, Enzyme, and gave urine. After waiting for about two hours, all the doctor could say was all my test were normal, that it could possibly still be an issue with my heart or lungs, or just generalized anxiety. He basically scared me half to death because I am just in fear of having heart disease which will lead to a heart attack because I am a smoker and obese (29 y/o female, 302 lbs). He set me up with an outpatient echocardiogram, told me to follow up with my PCP and request a sleep study. I have not had chest pains all day until after leaving the er. I also felt like I was not being taken seriously because of the fact that they didn't try to do anything to try and calm me down and made me sit for hours with no concern. Has anyone every had an echo before? I know that this is not an outlet for expertise but has anyone ever had a diagnosis of heart disease even after normal test results in the hospital. Please help me.