When I had my first episode of Atrial Fibrillation at 01:30, one Sunday morning in early January 2023, I went to NRGH. The staff quickly assessed me and sent me to the treatment area. A physician saw me and patiently and thoroughly explained what was happening and what might be needed. He told me that if the medication treatment did not work, I would need cardioversion, but that he could not do it on his shift because he was the only physician in the hospital at that time, and it would be risky otherwise. Luckily, I converted to sinus rhythm and did not need that procedure; however, the realization that Nanaimo’s health services were that sparse was frightening to me.