Gut Reactions

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THE THINGS I'VE CARRIED

In the left pocket of my pants, each and every day, I carry two to four tissues, two Imodium pills (in the blister wrap) and one plastic bag, the long, skinny type used for newspapers, carefully folded in a such a way that it takes up a small amount of space but can be easily unfurled in case of emergency.

In my right pocket are my keys, change, more tissues, sometimes a cell phone, and often a pen.  But these are not the necessities.  They can do little to spare me from public humiliation when the fury of Crohn’s hits.  A key is a poor stand-in for toilet paper; a cell phone cannot contain the effects of nausea; coins can do little to calm a roiling gastrointestinal tract.  

Most days, I never reach into my left pocket.  It is a minor victory, a quiet joy, to move the contents from one pair of pants to the next each morning – it is a sign that another day has passed without incident.  But though I was never a Boy Scout – I was a Cub Scout for a few months, an odd experience that need not be recounted here – I still live by their motto: Be prepared.  

And so I carry the Crohn’s kit.  Imodium, just in case I find myself in a remote location or a situation in which I will be unable to easily reach a bathroom for any lengthy amount of time, such as five minutes.  Tissues, in case I find myself in a bathroom lacking toilet paper – one would think the presence of TP would be considered a priority by most people, but apparently this is not the case.  A plastic bag, for the worst case scenario – it prevents misery from becoming spectacle, containing the effects of illness and providing disposal for soiled undergarments.  

These are the things I carry every day.  

There other things, bigger things, things of more importance and gravity, that I have carried, in a bag or on my person. 

For three months, I carried a plastic bag, dangling from my abdominal area.  For very long three months, during my freshman year of college, I had a colostomy, and therefore a colostomy bag, a plastic appendage that served as something of a prosthetic rectum, sort of, kind of.  Excrement poured into it, sometimes unannounced, which was an interesting experience in social situations or in the middle of a lecture.  

I did not tell anyone about this thing I carried on my body, but I always felt as though everyone knew.  I wore baggy clothes, but even loose-fitting shirts couldn’t always hide the fact that there was a weird-looking bulge on my body.  The glue that held it in place itched constantly and was continually threatening to fail, and I was afraid, every moment of every day, that any sudden movement would send the whole disgusting thing falling to the ground for all the world to see (and to, presumably, recoil in horror).  I carried it out of necessity, and with it carried its accessory baggage: psychological turmoil, constant anxiety and paranoia, that someone would see it, that someone would smell it, that people would stare, or that it would become infected.  Or that it would become permanent, that it would become something that I didn’t just carry, since that word implies that the item can be discarded, but that was a part of my being and my identity. 

Thankfully, my colon was eventually re-connected.  It had never occurred to me that one day I would deeply value the ability to shit out of the proper orifice.  Now, when I see the scars on my abdomen every day, evidence of those three months and the emergency surgery that preceded The Bag, I give silent thanks that my body parts are again fully-intact, with each piece properly assembled.

I have also carried an IV line in my right arm.  This was far less of a burden than a colostomy bag – less maintenance, less embarrassing – but still an enormous mental weight.  With the line came IV bags, filled with vitamins and glucose-enriched saline, a solution intended to boost my weight and energy after an extended hospitalization and a longer period of unnoticed malnutrition.  I did not carry the bags very far, having only to use them at night as I slept.  Each evening, I attached a new bag to my line, hooked up the pump, and went to sleep.  Ten hours and 1,100 milliliters of elixir-of-life later, I shut off the pump, unhooked the line, and went about my life.

With the line, as with The Bag, came paranoia and anxiety, and sense that I was, in some sense, a freak: 99 percent human, one percent robot.  With the line, I carried a massive square of clear adhesive covering the entry site, and a piece of cloth that fit neatly over my upper arm, hiding the coiled line beneath a peach-colored cotton band.  About an inch of the band showed when I wore a short-sleeved shirt, and it elicited occasional comments from acquaintances who thought perhaps I had skinned my arm.  Each morning, before showering, I had to wrap the band, dressing, and site in plastic, which greatly restricted my movement.  My scrubbing abilities diminished, I always left the shower still feeling slightly dirty, a problem compounded by the brevity of each shower.  I became Mr. Speedy and Efficient, thanks to my paranoia and hypochondria – water, soap and dirt could, potentially, seep into the dressing, which could, potentially, cause infection, which would, potentially, cause more pain and indignity. 

Eventually, the site did start to become infected, so a nurse came to my house and pulled it.  No line meant more sleep and longer (and more effective) showers.  It meant I could inline skate without worrying that a fall could cause the line – which stretched nearly to my heart – to snap, pop or otherwise break in some spectacular and dangerous manner, and that I could be patted on the back without flinching.  It meant that I would no longer have to carry in my mind the procedures for dealing with an internally broken line and for assessing whether a sudden chest pain was due to infection or other potential harmful effects of the length of tubing that had become my personal burden, a part of my identity, and one of which I was deeply ashamed.


I should note that I ripped off the title of this piece, and its underlying concept, from one of my favorite books, Tim O'Brien's The Things They Carried.