The plan is to increase my INR by increasing the Coumadin, do that for a month, then do the Electro Conversion without a Trans Esophageal Echocardiogram. I'll be started one day on Sotalol, Converted the next, then go home 48 hours after Sotalol is initiated if everything is OK. He only wants one attempt at the Electro Conversion. The one thing he mentioned I wanted to mention is that he said there is an area in the atrium, not the entire atrium, that causes the clots associated with atrial fibrillation, and that, through a complicated procedure, that area can be closed off, eliminating the risk of clots. He wasn't advocating it, just mentioning it. I've not read about that anywhere else, and the closer I get to being electro converted, the less I want to read about it. Originally I was told electro conversion was an outpatient procedure, and it is, but the initiation of the Sotalol requires a minimum of 48 hours in the hospital. Not complaining, just updating the thread.