Saw my cardiologist today and went through the recent deterioration in my health, not all of which is af related. However, my sessions of af have been increasing and last much longer than they used to. As a consequence I am feeling tired and unwell a lot of the time. We went through my medication and he ruled out flecanide, and after much musing came up with amioderone, which he said would be OK in the short term. However his recommendation was for me to have an ablation. I was totally unprepared for this as in the past he has been against the procedure. So really he has removed my options somewhat and taken the wind right out of my sails. I'm feeling a bit shell shocked but am going to see an EP privately to talk it through. In the meantime cardio has ordered another echocardiogram. Have to say I am terrified by the thought of ablation and that 5% risk seems very large in this context.