I should’ve listened to my gut when I called to postpone my appointment and no one spoke English. Oh, wait–my gut was the reason for having this procedure, stopping my beloved reflux medicine for two weeks, giving up coffee and wine and anything that tasted good or was called “food.” I should’ve remembered having no paper gown to cover up my broad backside when I went to the gynecologist, no ugly cotton gown with a grandpa’s pajama print to cover me while waiting for my mammogram. That time, all I could muster to keep modesty tears from my eyes was my little sister’s joke: Did you know the bra was invented by a German? He called it the “Schtoppschemfromfloppshen!” (Please forgive me, my dear German friends, but it makes me laugh–every time!).

In the meantime, waiting for November 2, I did my research on WebMD and MayoClinic.com since it was difficult to translate the brochure sent by the Centre Hospitalier. From what I could decipher, sedation would be available for those who were anxious about the procedure. I’d had an endoscopy 30 years ago; I remember little about it, only that I had a bit of a sore throat the next day. When I Googled “what to expect during an endoscopy,” here’s a portion, the portion I clung to, of what I found:

Sedation. For most examinations with an endoscope, a sedative is provided. This increases the comfort of the individual undergoing the examination. The sedative, which is administered via an injection into the vein, produces relaxation and light sleep. There are usually few if any recollections of the procedure. Patients wake up within an hour, but the effects of the medicines are more prolonged, so it is not safe to drive until the next day (WebMD.com).

Oh, yes, I recall the dreamy sleep from sedation (if only I’d had it during my children’s teenage years). I knew then, without a doubt, I would be sure to ask for sedation, maybe even some in a TO-GO bag! There was my homework before the procedure: learning how to ask, in French, for sedation without seeming like a weak American. After all, I’d labored with and delivered four children without even a Tylenol! Surely I’d earned to right to a little calm and “light sleep” while a doctor rammed a hose with a camera down my throat all the way to, well, who-knows-where…

Now, here I am, a few days on the other side of the procedure. I did ask for sedation, but I was more than wide awake and a little anxious during the endoscopy. I don’t believe what they put in my vein would even earn the label “Sedation Light,” but more like “Sedation Zero.” There are definitely lessons for me in this experience:

1. Don’t always trust that the smile and murmuring in French is understanding.
2. Be prepared to wait an hour past the appointment time.
3. Appreciate the smiles and kindness of the medical staff.
4. Just ask for drugs: I have since remembered French for “I want to go to sleep.”

The truth is that the cultural differences between Luxembourg and the United States were magnified in this experience–the U.S. medical approach values patient comfort for these kind of procedures. The truth is, I was made to feel like a weak person by asking for sedation instead of just putting up with the discomfort for 15 minutes or more. The truth is, I wanted to be a good patient and trusted the medical professionals to take care of me. The truth is, I do feel a bit violated about the whole thing, and hope it never happens this way to anyone else who prefers otherwise. But, the truth is, I’m a pretty tough cookie and I endured a very uncomfortable situation–I’ll live!