Nikita Mishra and Rohan Ganti are first-year cardiology fellows at Rutgers-Robert Wood Johnson, while Sabahat Bokhari is a recognized professor and center director. They delve into a puzzling case of a 61-year-old man experiencing refractory ventricular tachycardia, requiring extensive defibrillation efforts. The discussion covers diagnostic strategies for hypertrophic cardiomyopathy, the complexities of medication management, and the critical role of advanced imaging. They also highlight tools to enhance clinician support and the importance of multidisciplinary collaboration in patient care.