When Wanda Batch, CGRN, tells you that the physicians at Gastroenterology Consultants of San Antonio perform quick, comfortable sedationless upper endoscopy, she knows what she's talking about. Ms. Batch, the administrator of the Texas facility, once arrived at her center an hour early, had her upper GI tract examined without sedation and then began preparing for the day's surgical schedule. "I was in my clothes and back behind my desk before the rest of the staff arrived," she says.