@koleke I am sorry; it wasn't really clear if you were still having A-fib episodes or just general arrhythmias--like PACs which can be very disconcerting but not lethal. If the ablation didn't work (and you are right, they say wait three months before you determine it was not successful) then you would naturally have to try anti-arrhythmic medication. I totally understand your frustration and concern. I have read on this site about folks who have had ablations that do not work or do not last. It seems that I am pretty lucky so far since I have had very stable rhythm since my ablation in November 2025. I was adamant after my diagnosis that I wanted an ablation vs medication control, which I think might have worked but I did not like the list of side effects. My cardiologist also pointed out to me that not everyone feels like I did, in that many people are very adverse to any surgical procedure that involves invasion of the heart or requires general anesthesia. That is, of course, a personal choice. I sincerely hope you find the right answers for you. My brother also has A-fib (they say there is a genetic correlation) and he was on the same medication that you are on for over 10 years without any serious problems. Then a new cardiologist took over and told him he'd been on it too long, took him off and he had A-fib episodes again. He recently had an ablation and has been fine so far. It seems everyone is a unique case, and of course, getting older doesn't help; it seems they blame everything on age anymore! I wish you good luck but if you feel your doc is not really listening to your concerns, I would get a second opinion. If you do look for another cardiologist, do some online research to read reviews of their practice and patient feedback. Ask around to see who others would recommend. I think more patients should not be afraid to change doctors if they feel they are not being "heard" with their concerns. I always take a list of questions with me when I go to an appointment to make sure I don't forget to cover issues that concern me. If a doctor doesn't answer your questions or is flippant, then you do need a change. My husband's doctor responded to the questions that I encouraged him to ask by saying "the next time you come, why don't you just bring your wife!" like it was some sort of bother for him to explain things to my husband who is not medically oriented. That made him annoyed and of course, really ticked me off. We "horsed" him! 🙂 It's your health so don't be afraid to speak up for your needs! Good luck.