(Warning: TMI)
My GI system and I have a love-hate relationship. I love food, my GI system hates me for it. It makes it’s displeasure known by unwelcome diarrhea, and extreme flatulence. One of the first experiences as a dating couple was me accidentally farting in Log’s face. (It was mortifying and it is still brought up in discussion to this day.) The fact that he is still with me after such a heinous act is a true testament of this man’s devotion to me.
Later last year, after a bout of what I can call violent diarrhea after a God knows what, I discovered a pea-sized unwanted guest on my starfish. Small, hard, angry. And because I work in Oncology, and everything is cancer now, I naturally assumed the worst. Flushed and anxious, I went to my husband and announced I may have Farrah Fawcett Ass Cancer.
I immediately made an appointment with my provider, a Nurse Practitioner I have been seeing for years. She took a look at what I now called Bob, and said it was worth following up with a colorectal surgeon type-person.
“Could be nothing, could be something. Could be melanoma.”
Referrals sent, and because the wheels of the American health system turn ever so slowly, someone finally got back to me almost a month later. An appointment made to the doctor of my choosing, because I have worked in this field long enough to know who to seek out and who to avoid like the plague.
Meanwhile, the wheels in my brain are burning rubber. My god, what if I really do have Farrah Fawcett Ass Cancer? I’ll have to have chemo, possibly surgery.
I will end up with a colostomy bag. Will my husband still find me beautiful if I have a front butt? What about my daughter? Can I live long enough so she will remember me when I pass on?
It’s but a fraction of a glimpse of what my patients go through. I can’t even imagine what it is like for them.
So, I meet with the doctor, and he sends in his Nurse Practitioner to look in my toot-hole, with him peering over her shoulder. It’s not awkward at all. And also, he has heard every asshole joke known to the universe, so don’t even try to surprise him. Doctor decides that I do have something worth checking out, and as he puts it, “If I get to touch you, I’m doing a colonoscopy.”
You get to have your first colonoscopy when you hit 45, unless there is a problem (like mine) or there’s a colon problem history in your family. Now, I don’t hit 45 for a couple months, so my back-door birthday surprise arrives early.
Worst. Birthday. Present. Ever.
Bowel Prep Day begins, and I am given a list of what to do. Kick off the day chugging back an entire bottle of Mag Citrate. Which is like a really tart, flat, Sprite. But I like salty, tarty things, and it’s not horrible (but it does go down easier with Sonic ice to crunch on while you drink it). Take 4 Ducolax tabs (thank God they didn’t require suppositories). Drink 64 oz of fluid (usually Gatorade) with a metric fuck ton of Miralax in it.

Drink all of it. And if you are not “clear” (which is to mean you need to be peeing out of your butthole), drink more. If you are still not sure, drink more. Drink more until until you feel like a tick, and the slightest hug is going to cause you to pop. Go to bed, and hope you don’t lose control of you now cleaned out lower GI system and spray your husband, who sleeps innocently by your side.
Wake up! Today is the day!! Shower with Hibicleanse, which will wash every microbe off your body and dry you out. No lotions after. No deodorants. No makeup. No perfumes. Just you and your natural, post-bowel prep smell and itchy skin. Be at the clinic promptly at 8:15am, where you get to wait until your case which is slated for 11am. Meanwhile, you get to talk to everyone who is going to get to look at your butthole, and you hope that you don’t run into anyone you know. There’s a nurse named Bucky who has been there forever. She gets around on a shiny red scooter with a rainbow-colored license plate that says Bucky. Everyone knows Bucky. She’s more than an employee, she’s an institution. You sit on your cart, waiting your turn to get your insides turned out, watching Bucky zoom back and forth. Meanwhile, you are secretly jealous because you don’t have a cool nickname where you work, and you don’t get to race around the clinic on a scooter with your name on a license plate.
Everything else passes in a blur because you get the fun drugs and get carted back into OR with your own little entourage of nurses and residents, and thankfully, you are not awake while your doctor boldly goes where no man has gone before. My biggest fear, aside from dying on the table (because anesthesia terrifies me), was shitting on the doctor while I was out. I mean, I did the prep and was basically peeing chicken broth out of my butthole like I was supposed to, but you never know. There could be a pocket up in there, housing some horrible secret, waiting for the right man with a scope to come and poke at it, causing a torrent of foulness to stream out and splash on his shoes. Then, you have to quit your job at the Cancer Center because you can never face him again, knowing that he will never get that smell out of his Nikes. I’ve heard the stories.
In the end (heh), doc cuts out three unwelcome squatters in No Man’s Land. I come home with feeling like someone shoved a hot curling iron in my butt. (Not that I have experience with such things, but I can only imagine.) Sitting is uncomfortable, standing is uncomfortable, walking in uncomfortable. I made the mistake of bending over while getting a glass out of the dishwasher and a small fart came out. Only it wasn’t a fart. And it kept coming. I scurried to the bathroom thinking I was hemorrhaging , only to find that my chocolate starfish was putting it’s final punctuation on the day. Blurp!
I don’t trust farts anymore. From here to the day I die, I will always assume that there is more than just air waiting to come out.
Doc doesn’t think it’s Farrah Fawcett Ass Cancer, but he sent the pieces to pathology anyway because you double check at shit. I’m allowing myself to breathe a little easier now. Even if it does come back as something bad, I, with the support of my amazing husband, family and friends, will just deal with it. You just can sit and wait for The Bad to happen.
Life is what is happening meanwhile. Live it. Get your colons checked!
Just don’t trust those farts.