I have paf and am on 7.5 Bisoprolol and warfarin, have been for years. I have never seen an e.p., only the arrhythmia nurse and once the cardiologist. I have been getting more frequent episodes (about once a fortnight) and am in bed then for a day and exhausted the next day (usual outcomes as you will all know). So I phoned the hospital and asked to see the nurse but because I had not been seen for over a year I have to go through the rigarmarole:- 1) G P appointment 2) surgery ECG (which never catches my af) 3) letter from gp to hospital 4)await app to be sent. This will take how long!!!! Very poor A F care here in North Wales. I am 79 and female. Maybe I am too old to thought worth looking after.