Gut Reactions

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DON'T DO THAT  (VOL. 1)

There are certain things that you really shouldn’t do if you have Crohn’s.  I’m not talking about ingesting habañeros by the handful or skipping your medication or drinking martinis until your colon falls out or something.  In fact, I’m not talking about anything that has a direct bearing on the operation of your gastrointestinal tract.  Rather, I mean that there are certain activities one can undertake in life that severely limit one’s access to a restroom, which can be, shall we say, a bit of a problem. 

Frankly, as excruciating and annoying as distention, cramping and other Crohn’s symptoms can be, I think I’ll take pain over public humiliation.  Or, to put it in the most obvious way possible, I prefer not to soil myself in public.1 

As mentioned previously, I am always on the lookout for restrooms when out in public.  I look for the door marked “Men” the second I enter a restaurant; I stare at the maps in malls and airports until I see the restroom icon, even if I have no immediate need to find one. 

But there are times in life when easy access to a commode simply isn’t possible.  Imodium, a wonder drug to be sure, can help slow things down a bit and give those of us with time bombs in our gastrointestinal tract a bit more confidence that the next explosion won’t come at a particularly inopportune time.  But the little green pills only have so much power, and even if I took them by the handful, I’m not sure I could ever feel fully assured that the urge would definitely not hit.  If you have Crohn’s, even if you pretty much OD on Imodium, there is never such thing as All Quiet On the Southern Front. 

That’s probably why the latest issue of the Crohn’s and Colitis Foundation of America magazine features an ad for an in-car toilet called Indipod.  Actually, it’s a whole bathroom kit: there’s an opaque fabric bubble thing that opens when you plug it into the car’s cigarette lighter plug, and a little potty training-sized throne filled with a “perfumed fluid.  As the ad says, “Indipod is your sanitary sanctuary within your minivan or SUV.  Even though you’ll probably spill ‘perfumed liquid’ all over the place as you get the damn thing set up on top of all the crap you have in the trunk of your vehicle, and even though it will take a good 10 minutes to get everything in place, cram yourself inside the ‘bubble’ and contort yourself into position (with pants down), Indipod gives you dignity and peace of mind.”  At least, I think that’s what it said.  I may have made up part of that.  But this is a real product.  No, I do not intend to purchase it.  Desperation has its limits.

But even if I did own an Indipod, there are still certain times when I wouldn’t be able to use it, times when you simply can’t pop into a self-inflating bubble or dash on over to the nearest bathroom, outhouse or hole in the ground. 

Take, for example, rock-climbing.  For starters, it’s not exactly the fastest mode of getting from point A to point B, or more specifically, point A to point number two. 

In fact, that’s sort of the appeal – the climb isn’t about the destination so much as the journey (I think I read that on a motivational poster somewhere), and about the physical effort and mental focus required.  But – and I say this from experience – it’s easy to lose that focus when you need to use the restroom. Your mental state quickly goes from Being One With the Rock to “Oh crap, I have about 30 seconds to get off this rock and out of this *&%@!! harness and into a bathroom before I burst.”  But you certainly won’t get anywhere quickly; going up takes way too much time, and going down takes a bit of time as well, too.  (That is, going down safely takes time; one hopes that the belayer would understand that the desire to be let down quickly is not actually a plea for assisted suicide.)

Climbing harnesses are uncomfortable things, tight, constricting and difficult to get out of.  All by design, of course, all as you would expect from something that is intended to keep you from plunging to your death.  With safety comes a bit of discomfort (I think I read that on a poster somewhere, too), in this case in the groin, upper leg, and lower abdominal areas.  It’s this last part that most concerns me — the harness can get uncomfortably around the gut, and this can cause things to, you know, shift. . . . And in an instant, the bliss and focus of climbing are gone, replaced by panic and distress.   I suppose big-wall climbers, the hard-core people who spend all day or all of multiple days climbing up a large face, must have some way of dealing with this, unless they wear Depends for Climbers. There may even be a standard vocal warning to give the belayer a bit of warning.  I’d be interested to find out.  But I’m not interested in getting myself into the circumstances in which I have use the commands.  I prefer to get my rock fix in the climate-controlled, short-route environment of the climbing gym, where at the very least, after I get off the wall and out of the harness, I can use an actual porcelain toilet and genuine paper TP, not a hole in the dirt and whatever leaves are within arm’s reach.



Another thing you really shouldn’t do, but which I have done, is act.  They say all the world’s a stage, so I recall, but that’s not true because there are certain times when you don’t want an audience.  For example, when you are using the toilet.  Hence, there are no toilets, at least no functioning ones, onstage.  That said, even if you’re completely in character, your colon doesn’t know that, and, if you have Crohn’s, your gut is still completely screwy and prone to doing whatever the hell it wants whenever the hell it wants. 

Directors tend not to like it when actors flee the stage in the middle of the scene.  They tend to read over the script looking for a note that says, “Robin sprints off stage right” and see that, sure enough, it doesn’t say that.  In fact, it looks like Robin is supposed to be onstage for the rest of the scene, and is about to be ridiculed by Falstaff, so where the hell did Robin go? 

Robin had to go, see.  It may be “The Merry Wives of Windsor” to everyone else, but to Robin, or rather the person playing him, an actor whose considerable skills as a thespian do not include complete control over his gastrointestinal tract, it’s more like “The Tempest,” at least in his gut.  Things have become distinctly un-merry, and will be for everyone else, too, if he doesn’t get to a toilet right quick. 

Robin had to go.  Couldn’t you tell from his brilliant improvised line?

“Pray thee, Mistress Page, wouldst thou direct me to the nearest commode?  The ribald Master Falstaff will entertain yon audience with droll repartee whilst I sprint offstage to let nature run its foul course.”

Believe it or not, such cleverness will likely fail to appease the angry director.  They tend to live by the script; life with Crohn’s, alas, is always unscripted. 



We’ll discuss more things you shouldn’t do some other time.  Also high on the list: teaching and traveling.  Which is scarier: the prospect of leaving a room full of fifth graders alone while you sprint to the little boys’ room, or battling ignorance of local geography, custom, language and “secret police” protocol to find a commode in a foreign land? 



NOTES
1As I write this, David Sedaris is on NPR’s “This American Life,” telling of chatting with employees of clothing stores who have, they say, found evidence of shoppers using changing rooms as lavatories.  Obviously, this is disgusting, but it strikes me as downright weird.  I mean, even if I had to go really badly, as has happened at various times in my life – like, um, several times each week – it would never occur to me to just pull down my pants in any semi-private place.  Wouldn’t you think that other shoppers would notice the noise and the smell?  And what do you do about toilet paper?  Just take an extra pair of Dockers from the shelf?