I saw the 'big cheese' on Friday (Professor Mark O'Neill, Consultant Cardiologist/EP). Just a check up. I have brady and tachycardia. I had a pacemaker implanted in August to sort the brady bit and was given Bisoprolol 2.5mg x 1 daily plus Apaxiban 5mg x 2 daily. Had trouble with settings for PM and they have been tweaked a number of times. Between these tweakings, my own GP increased the Bisoprolol to 5mg x 1 daily and as a PIP to take another 5mg if PAF occurred as I had had 3 PAF episodes 3 days in a row lasting 4-6 hours each. Since then I have been feeling much better. No PAF since end October. Now the 'big cheese' on Friday has given me Flecainide 100mg to take as a PIP when PAF happens and to take another 100mg an hour later if not any better. Opinions please on taking Flecainide. I feel a little dubious about it. He also after looking at my notes said catheter ablation is a wonderful cure for AF and suggested I should have it. If I agree, I am to phone his secretary and he will put me on his list. Again, I feel apprehensive about this as I am feeling fine at the moment apart from lots of extra beats but no PAF. I would appreciate opinions on Flecainide and also ablation. I know everyone is different and what is good for one is not necessarily good for another.