Monthly Archives: October 2006


A public service announcement

As a doctor, I often forget that what is common knowledge to me may not be common knowledge to my patients, nor to many of you. Information of vital importance doesn’t always get the attention it deserves.

Thus, I’d like to draw your attention to the following study on reducing the risk factors of prostate cancer (Journal of the American Medical Association, April 7, 2004):

Men who ejaculated most often actually had a 33% lower lifetime risk of prostate cancer, and this relationship grew stronger as men grew older.

For example, men who reported 21 or more ejaculations per month in their 40s had a 32% lower risk of prostate cancer later in life compared with those who reported between four and seven ejaculations per month. Men who reported more than 21 monthly ejaculations in the previous year had a 51% lower risk of prostate cancer.

Overall, an average of 21 or more ejaculations a month during a man’s lifetime decreased the risk of prostate cancer later in life by 33%. And each increase of three ejaculations per week during a man’s lifetime was associated with a 15% reduction in prostate cancer risk.

Hmm. Let’s do the math. In order to achieve a 100% reduction in risk, I need to average only 35 ejaculations per month for the rest of my life.

That’s a lot of sperm.

In order to get the word out, I’m thinking of selling some merchandise through Cafe Press. If you’re interested, let me know.

D.

PS: YES, I know it’s Breast Cancer Awareness month, which is a buttload of controversy all unto itself; but I’m not feeling emotionally or intellectually ready to say anything intelligent about breast cancer. I have my reasons.

Prostate cancer, though . . . something I could get . . . I can work with that, particularly if it means getting out the Sex Is Good For You message.

PPS: Do you think the caption (Ask me how YOU can reduce my risk of prostate cancer) is too subtle? I dunno, maybe this would be better:

REDUCE MY RISK OF CANCER.

FUCK ME.

Yeah, no one would get confused by that.

Alchemy

Karen and I met and courted while studying in the College of Chemistry at Berkeley. Surprisingly enough, at the wedding we didn’t have to endure any hokey comments about “chemistry.” Thank God. Bad enough getting facial cramps from smiling for hours on end; it would have been far worse if we’d had to laugh at dumb jokes, too.

Our courtship ended far too quickly. My feeling of optimistic satisfaction from being around Karen, our hours-long kissing sessions, our talks into the wee hours, the simple joy from knowing I had finally clicked with someone, like finding something I hadn’t even known was lost — Karen’s illness scoured all of it away, and we hunkered down together, converted over to a wartime mentality, us against disease.

After that, we loved each other, but I don’t know if we were in love. Reality had kicked our asses and (MS being what it is) continued to kick our asses with such regularity that we came to expect the boot. Optimism has no place in such a relationship. Stubbornness, commitment, resolve — all ways of saying the same thing — those were the things that nourished us, all of it thin gruel. Now, I’m not knocking commitment. It has kept us together through things which would have sundered a lot of marriages. Commitment is a good thing, but it’s not necessarily a joyful thing.

I’ve never been a soldier, but I imagine those folks have their share of pleasure mixed with terror. The mere act of surviving together creates a bond. Time on leave together, they must enjoy those precious moments of respite, but the pleasure would always be tempered by the knowledge they must return to battle eventually. Even in the thick of it, humor counts for a lot. The two of you laugh, make a joke out of it as much as you can. You make the best of the good moments and try your best not to get crushed by the bad moments.

All of this is my half-assed way of explaining the rut we had gotten ourselves into. Honestly, I don’t know that either one of us saw any other way of being. We’d been that way for so long — over twenty years. And that whole time, we were there for each other, giving each other strength, doing what was necessary to survive, yet not really finding much joy in one another.

I never would have predicted the odd combination of events that has caused a tectonic shift every bit as profound as Karen’s illness. My birthday, our subsequent heart-to-heart, a friend’s health scare — hopefully no more than a scare, but we’re still waiting — all of that doesn’t sound like much, but I guess you never know what sort of potion will transmute lead to gold.

Now we’re in love, and it’s like courtship all over again. Crazy, huh? I’ve been hesitant to say much, pessimist that I am. I’ve been looking over my shoulder, hoping to catch sight of the boot before it kicks me in the ass; I’ve been watching myself, too, thinking, Okay, Hoffman, what are you going to do to sabotage this? But it hasn’t happened and  it isn’t going to happen. I guess that’s optimism.

The only question remaining is whether a happy man can still write humor.

D.

What’s the ICD-9 code for bat-shit crazy?

To communicate with insurance companies and the Feds, we docs use something called the ICD-9, the International Classification of Diseases 9th Revision. There’s a numerical code for everything. Lardaceous (277.3), that’s one of my favorite oddballs. Pink puffer (492.8), a synonym for emphysema, that’s another. We have nearly twelve pages of codes for neoplasms, and seven for different syndromes (blue diaper syndrome: 270.0).

But nothing for bat-shit crazy.

First, I looked under bat-shit. There’s bat ear (744.29) but no bat-shit. Surely, I thought, crazy must have an entry. Hell, there’s an entry for farts (gas, excessive: 787.3), so why not ‘crazy’? But no, the closest thing alphabetically is craw-craw (125.3 — skin inflammation by a filarial nematode).

Insanity, delusional (298.9) comes close but fails to capture the pure terror experienced by the physician and all around him, misses entirely the overwhelming desire to bug-bomb the office and take a long, hot bath in bleach.

I would diagnose myself with frustration, but there’s no code for that, either. The closest thing we have is frotteurism (302.89). Guess I’ll have to settle for irritability (nervous), 799.2.

More later, fiends, muse willing.

D.

Conversation on WoW

Slow lazy day today. And hot, too, hotter than a typical Southern Oregon summer day. We all vegged at the computer today, Jake spending hours on Wikipedia, Karen and I taking turns playing World of Warcraft.

A guy who goes by the name Theprofessor came through Felwood and gave me a couple of Druidic buffs. I thanked him, he np’d me back and moved on, like Clint Eastwood drifting through the High Plains. An hour later he reappeared and buffed me again. My character, Shewitch, whispered to him, “Thanks.”

Theprofessor: np

Shewitch: Are you a professor in real life?

Theprofessor: lol no. Are you a Shewitch in real life?

Shewitch: No, but I married one.

Theprofessor: Hah!

Shewitch: But I used to be a prof.

Theprofessor: Really? What did u teach?

Shewitch: med school. I’m an ear, nose, throat surgeon.

Theprofessor: ur doing this to relax

Shewitch: Yup. I write stories and I play WoW.

Theprofessor: cool

Shewitch: but I’m too tired to write. Rather kill stuff. Sometimes as a doc it’s fun to kill stuff for a change.

Lest you feel like reporting me to my State Medical Board, I hasten to add I’ve been killing beasts, furbolgs, and naga. No humans.

Here’s a furbolg. Wouldn’t you want to kill it?

I felt it would be worthwhile to post this so that the less technical of you would realize, not all instant messaging consists of have u stroked it 2nite?

D.

It’s not me. Really.

Disorder Rating
Paranoid Personality Disorder: Very High
Schizoid Personality Disorder: High
Schizotypal Personality Disorder: High
Antisocial Personality Disorder: High
Borderline Personality Disorder: Very High
Histrionic Personality Disorder: Very High
Narcissistic Personality Disorder: Very High
Avoidant Personality Disorder: High
Dependent Personality Disorder: Very High
Obsessive-Compulsive Disorder: High

Take the Personality Disorder Test
Personality Disorder Info

But I’ll bet my sis knows who this is.

D.

It’s still not too late

. . . to get your own World of Warcraft epic gear.

Here is the rest of O’Brien’s armor. I see she’s wearing the Legendary Wicked Cowl of the Dominatrix — nice. Who did you have to kill to get that one, O’Brien?

In other news . . .

Company this weekend. My MIL, SIL, SIL’s hubs, and their daughter are due to arrive any time now. I’ve been shopping and cleaning all morning.

I really hope I didn’t screw up the dates on this. I’d to do all this cleaning for nuthin.

D.

You know you want to.

Here’s an easy way to thank Keith Olbermann.

And, of course, the one time you have ever given us specifics about what you have kept us safe from, Mr. Bush — you got the name of the supposedly targeted Tower in Los Angeles… wrong.

Thus was it left for the previous President to say what so many of us have felt; what so many of us have given you a pass for in the months and even the years after the attack:

You did not try.

You ignored the evidence gathered by your predecessor.

You ignored the evidence gathered by your own people.

Then, you blamed your predecessor.

That would be the textbook definition… Sir, of cowardice.

(Full transcript at Crooks and Liars.)

Why thank the man? Because in a media circus crowded with cowards, it often seems that Keith is the only mensch.

D.

Losing it

When I got into the office this morning, I heard voices. No, only one voice: faint and tinny, a disk jockey, perhaps, or a TV news anchor. I scoped out the room. Radio was off, so was the computer. WTF?

You write it . . .

. . . the power of . . .

Inspirational messages? I checked our answering machine, but the voice emanated from the office Karen and I share, not the reception desk.

Gooseflesh came when I thought of John Carpenter’s Prince of Darkness. As Lucifer’s son awakens from his long slumber, everyone begins having the same dream — a broadcast  from the future, the receiver poorly tuned, image out of focus, sound quality poor.

The voice came from my refrigerator.

Lately I’ve felt like I was at the business end of a yo-yo string, but hearing voices? From my fridge?

. . . the time line . . .

. . . relief starts with you . . .

We have been known to keep food for years past its expiration, but I had thought that, in addition to nutrients, the spontaneous generation of sentient life would require heat and light. No, the relish and mustard looked quite silent and stupid.

Maybe it was the fridge itself talking. Engineers put voice chips into everything these days; maybe the fridge had a problem.

Relief starts with you?

I opened the freezer compartment just as the recording started up again . . .

You write it, they live it. As the timeline demonstrates, with the power of AcipHex, brand of Rabeprazole Sodium, you can help your patients experience relief from symptoms related to GERD throughout their treatment.

Yatta yatta. Someone had put an effing AcipHex brochure in the freezer!

Um.

Yeah, I did. Last week. Cuz I was sick and tired of hearing the damned thing yap away at me.

D.

PS: AcipHex has to have one of the worst trade names of all drugs. “Doctor, there’s something I need to know before I fill this prescription. Precisely what are the ass effects?”

Open offer

If any of my female readers would like their own legendary gear (see below), email me a photo of your panty-clad tush and I will craft phenomenal armor for you. Wouldn’t you like to be the first woman on your block to own Epic Mithril Frilly Pink Panties of the Succubus? You know you would.

If you need chest armor, feel free to send upper torso photos as well.

Email your jpg files to:

azureus at harborside

dot

com

🙂

D.

Thirteen books

Launching into this, I have no idea whether I have thirteen books in me. If I come up short, y’all are going to have to suggest a few.

Here goes nothing.

(more…)

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