Gut Reactions

 crohn's links  |  e-mail list / contact  

SEP 9, 2007

THE END IS NEAR

This is how it ends: Not with a bang, not with a whimper, but with a silent surrender to sleep.  

On Wednesday, September 12, at approximately 2:10 p.m., an anesthesiologist at the University of Minnesota hospital will fill my veins with a magical unconsciousness-inducing elixir.  When I wake up, the hidden wasteland of my gut will be gone — no more inflammation, no more infection, and no more rectum.  Just a lot of stitches and a new faux-rectum, a stoma.  This time, unlike last, permanently, as in forever. 

So it goes.  So it must — the photos from my last colonoscopy showed a landscape more bleak and war-torn than anything you’ll ever see on CNN.  Swelling, scarring, a Grand Canyon’s worth of menacing shades of red.  

It would be tempting to call it my own internal hell, given the potential for Profound Metaphor (What could be more of an underworld than the gut?), but the truth is, it lacked the moaning and groaning and fire and brimstone such imagery typically conjures.  In fact, I had not felt particularly sick; I had no idea that my infrastructure was failing.  And that was part of the problem — I was oblivious to the growing danger inside.  

It almost sounds profound: If a major organ fails and you don’t notice, did it really fail?  Well, yeah.  And if you continue to not notice, through stoicism or a high tolerance for pain or sheer stubbornness, things fall apart even more and more, and you wind up in a hospital bed for the rest of your life or six feet under. 

So it goes.  Time to cut my losses.  Time to stop worrying and love the bag.  Better a plastic bag than a pine box.

I have no idea what the next few months hold.  A lot of anxiety, a lot of pain, presumably, but also, I trust, an unlimited amount of hope.  I’m sick and tired of being sick and tired, of course, but I’m even more eager to get on with life and to finally be able to pursue my interests, passions and dreams.  (And I’m gagging over the sappiness of that sentence right now, but I’m leaving it in as an example of one the more harmful effects of chronic disease: saccharine, unimaginatively-worded prose.)  I want my time and energy back, and I’m looking forward to being an active participant in life, not just a dabbler, not just an eternal dilettante.  There are adventures to go on, triathlons to participate in, books to read, languages to learn, feasts of non-soft foods to gorge on, things to do, people to see . . . and unknown chapters of life just waiting to be written.

So it goes: Being alive is a hell of a lot more fun, so I’ve heard, when you’re actually living.  Here ends Act I; let’s get going on Act II already.  Sneak preview: our protagonist saves the world, gets the girl, and lives happily ever after.  Coming soon.