Like usual I checked and reviewed the list of my endoscopy patients for morning before going to bed. Something was odd - a positive drug screen on a middle aged woman admitted with iron deficiency anemia. Her history of gastric bypass would explain the low blood count partly, but surely not her experimenting behaviour. Not sure about the answer, however, I was confident that EGD should be the least problematic adventure that she could have. I believe I jinxed myself with that thought (#1) of being an easy procedure.