English is ok, not perfect, but you'll have a good English speaking nurse close by. On the subject of meds, you'll go to the cashier to pay (ground floor), ask for the list of meds before you pay, then you move to the right where the pharmacist is and they'll take them off. I would take a photo of the list so you can buy elsewhere easily. I didn't discuss taking the meds off with the Dr, i just did it, mine where basic bill padding stuff