Hi, @jddart. Thanks for making the point that there are different expressions of A-fib, ranging widely from those – like mine – that are not consciously troubling (although always apparent on an EKG) all the way up to painful, debilitating pulsations that worry and frighten others and might indicate that ablation would be appropriate. My medical team and I have agreed not to consider ablation under current conditions. However, I have two friends who had much more inconvenient pulsations and other symptoms, and they went ahead with ablations that have worked out for them. Another friend has symptoms similar to mine, and like me he is on Coumadin (without adverse consequence so far). I on the other hand had a “small stroke” last year, apparently an ischemic stroke from a small clot formed in my atrium; it has caused minor problems, but nothing that indicates surgery or medication beyond a beta blocker to regulate my pulse and Coumadin to discourage (I no longer say “prevent”) a stroke. I have the good fortune to have a medical team that considers me a member rather than just a subject for them, and we work well together. Martin