Prep school

I’m not going to lie. I had a fun time coming up with different choices for the title of this post:

My Least Favorite Oscopy

Where The Sun Don’t Shine

Up The Down Staircase

The Long And Winding Road

Landing On Uranus

Aw Chute

Bottoms Up

I chose Prep school because it focuses on what, contrary to what you may think, is absolutely the worst part of the colonoscopy “journey.”

At the urging of my doctor, last week I treated myself to this diagnostic procedure. For you lucky bastards unfamiliar with it, a colonoscopy is a medical procedure where a doctor, usually a gastroenterologist (PRO TIP: never a guy in a van), inserts a long, flexible tube called a colonoscope into the rectum.

Which reminds me of a joke.

The elementary school teacher was taking roll call. “Johnny?” “Here.” “Steven?” “Here.” “Billy?” Nothing. “Billy?” Still nothing. The teacher says, “Does anyone know where Billy is?” Mikey raises his hand and says, “Billy had an accident. He was climbing one of those iron fences with the pointy tops, and he slipped. One of the pointy things went right up his asshole. The teacher said, “Michael, we don’t say asshole, we say rectum.” And Mikey says, “Rectum?! Damn near killed ‘em!”

Never gets old.

Where was I? Oh, right. So anyway, a tiny video camera at the tip of the colonoscope lets the doctor see the inside of the entire colon. And according to the twice-impeached, currently indicted, stable genius orange mango, when applied this way the camera light also cures covid.

So, win-win.

The reason the procedure is done is to check for things—none of which I had—like polyps, abnormal tissue, blockages and causes of rectal bleeding, chronic diarrhea and other intestinal problems.

In specialized GOP colonoscopies they also look for brains, hidden documents and Lindsey Graham.

Now for the prep part of our show. Two days before the procedure, I had to go on a soft diet. Then the day before, I was on a liquid diet. On Colonoscopy Eve, I celebrated in the traditional way by drinking eight ounces of a powerful laxative mixed with Gatorade every fifteen minutes until I'd had a total of forty-eight ounces.

Then, there was nothing to do but have a seat in the library and wait for the show to start.

The next morning the wife drove me to the surgical center to check in at 8:30 for a 9:15 reservation. I was done and on my way home by 10:45, still in my propofol haze and craving In-N-Out.

While it's not the most pleasant way to spend a morning, I file it under things could've been a lot worse. So now you know more about me than you probably wanted to, but at least you'll know what to expect should you ever have to roll on your left side and count backwards from a hundred. I mean for medical reasons.

That's it. And of course, there's only one way to wrap up this post.

The end.

You're soakin' in it

First things first. These are not my feet, my legs or my pink slippers. Not that I have anything against pink slippers. In fact I'm sure some pink slippers can be quite fetching, and I have no doubt were I to wear pink slippers I'd look fabulous in them.

But we're not here to talk about pink slippers. We're here to talk about my feet. Again.

In my last post, I described in more detail than anyone asked for about the minor procedure I had to remedy my ingrown toenail. In what us medical professionals like to refer to as the post-op phase, I've had to soak my recovering tootsie twice a day in luke warm water, with a half cup of epsom salts mixed in.

First, because of the water temperature, every time I fill the bin, in my head I hear James Earl Jones saying "Luke, I am your water!" Yeah, I know.

Second, I've never really known what epsom salt is. I've heard of it, I know it's something you soak in, but that's about the extent of it. Come to find out it's crystals of hydrated magnesium sulfate (pay attention class) that not only relax the feet and reduce swelling, they also draw out toxins and promote healing.

The problem is apparently epsom salt only comes in an eight-pound bag or larger. Do you have any idea what a cup a day for five days weighs? Neither do I, but it can't be much cause it doesn't make a dent in that gigantic bag.

Regardless, five days after the procedure the toe is looking swell. Not swollen, just swell. I don't know how the epsom salts do their job, I just know they are.

I know you'll be disappointed, but this is going to be the last post about my feet. Two is enough, and three would just be weird. I don't mean to be callus about it, I just want to manage your expectations.

Sorry about the callus joke. It was downright corny. Sorry again.

Foot jokes are my Achille's heel.

Ok. I'll stop now.

The take rate

Stunning picture of the earthrise as seen from the surface of the moon. I thought I'd go with this picture because when I googled the subject I'm actually going to write about, the pictures were, shall we say, less than savory.

So just gaze at the picture and enjoy while I talk about my perforated septum. As I've mentioned before here, I basically have a hole in my nose between airways that needs to get repaired.

When dealing with medical issues of any kind, especially those involving a potential surgery - major or minor - I always make it a point to find "the guy." In this case, "the guy" is the Chief of Surgery at the world-renown, major metropolitan hospital where I live. He's responsible for all the surgeries in all the specialties. And, come to find out, his specialty is Ear Nose and Throat. He was also Chief of Surgery for that particular department for six years.

Let's say confidence is high he can get the job done,

I met with him last Friday, and we discussed how he might go about performing the surgery. One way, and the way I prefer by far, is closed surgery where he just works through the nasal passages with really small instruments and precision to repair the perforation. The other far less preferable way is open surgery, where he makes a small incision in the center of my nose, then pulls it back revealing the septum more fully. It gives him a better view, and more room to move. And it only leaves a small incision when he's done that eventually heals to be unnoticeable.

See why I went with the picture of the earthrise?

Basically he has to graft a material over the hole in my septum. As we spoke about it, he told me he was going to talk to reps about which materials had the best take rate, that is the percentage of times the material is successfully grafted and holds. There's always the chance it won't take, which would just put me back where I started.

Afterwards, I started thinking about different take rates in advertising. Like the take rate of creative directors who don't want to get their fingerprints all over every idea presented to them (low). The take rate of clients buying the work unchanged (low). The take rate of planners not giving some asinine insight they think is brilliant, like "the consumer wants a better experience to engage with and advocate for."

Yeah. That's just what they want (lower than low).

I was also thinking about the take rate for people remembering this post after they read it. My take was I probably shouldn't think about that.

Two heads are better than one

Heart and lung transplants? So yesterday. Hand and feet transplants? Child's play. Post-chimpanzee attack face transplants? You're getting warmer. In fact, according to an Italian neuroscientist it's almost here.

Head transplants.

I'm not going to go into too much detail. What with spine-severing, blood-draining and tissue-fusing it gets a little...squishy. Feel free to read about it here.

When you're done reading, think about the obvious potential health applications. For example, taking someone's head off their cancer-ridden body and putting it on a healthy one.

But while that may be the most obvious and intended one, I'm thinking there are also other possibilities that could be even more lucrative. I mean, sure it'll benefit society once the cost for the procedure comes down, but I see uses for it that will turn it into a case study volume business.

Like that losing weight New Year's resolution I've had every January since I was 11 years old? Screw that work. I'll just have my head put on the 6'2", ripped body like the one I'll never have if I exercise from now until doomsday. Or maybe I'll try out for the Kings. I can't ice skate, but now I don't have to because my new body will.

I think this transplant technology is just the beginning. There are other applications I can think of to improve the quality of my life. But this is, after all, a family blog.

Discuss amongst yourselves.