Posted in zany, offbeat, somewhat silly humor

The Mesentery

2016 was a big year in many ways: The Cubs won the World Series after a drought spanning more than a century, SpaceX landed a rocket on a barge in the middle of the ocean, Matt Damon ate a lot of potatoes (and I mean a lot) but the most startling news came from the world of organ politics, where the Mesentery was voted in as the newest human organ.

According to a press release from the Department of Keeping Tabs On Electing New Organs To Membership in the Human Body:

“The Mesentery came out of nowhere in the primaries last summer, to become the darling of the Undiscovered Endocrine Organ party and then continued on to startle the world in November by defeating Undiscovered Exocrine Organ party candidate, the Nasal Mucosa, considered by many to be the odds-on favorite in the thrilling race to be the newest human organ.”

mesentery-2nasal-mucosa

The picture on the right, which appears to be some kind of inter-dimensional spacetime portal is actually a picture of the inside of someone’s nostril.  The owner might be a professional Nostril Model, since that is quite a fetching tract of nasal mucosa if you ask me.  The thing on the left is a drawing of one of the three Mesenteries which all of us, professional Mesentery Models included, carry around inside our abdomens at all times.  In that drawing, the Mesentery is the yellow membrane fanning out to attach to the pink knobbly thing, which happens to be a sigmoid colon.  So this particular Mesentery is a Sigmoid Mesocolon Mesentery.

Right?  Repeat after me: “Anatomy is easy!”

The Mesenteries are layered membranes which perform a lot of functions including anchoring, secreting, storing and supplying.  That sounds like a pretty full dance card for any tissue, especially one that has just achieved organhood.

By the way, organhood is not a word. Google was pretty definite on this point, asking me if instead I was looking for: 1) orphanhood, 2) Organ Mood, 3) organoid or 4) organ food.  A couple of these options need further explanation.

Option Two:  Organ Mood is the name that a couple of really avant-garde guys from Quebec named Mathieu Jacques and Christophe Lamarche gave to themselves when they decided to create live audiovisual performances in which the audience could also participate.

Here they are (well, one of them anyway), hard at work creating a live audiovisual performance:

organmood

I guess you probably need to be there to fully appreciate this.

Option Three:  An organoid is a great name for what you get when you try to grow a little three-dimensional baby organ in a Petri dish, starting with a few stem cells.  It could also be a great name for a planet:

Organoid Alien:  “We are from the planet Organoid.  We have come here to listen to some of your avant-garde music.  Which way is Quebec?”

Anyway, where was I?  Oh yes, the Mesentery.  So like I said, the Mesenteries (all three of them) have a lot on their plates , keeping busy all day anchoring some of the intestines to the back wall of the abdominal cavity, secreting mucus to help some of the other intestines slip and slide past each other as they digest our food, storing fat and last-but-not-least, providing a scaffold for the blood and lymphatic vessels to travel to and from the intestines.  Busy, huh?

But like I always say: “If you want to get a bunch of metabolic functions performed, ask a busy collection of cells to do it.”

Speaking of busy, below we have Dr. J. Calvin Coffey, busy researcher at University Hospital in Limerick, Ireland, holding up something that looks like it might be a mesentery.

mesentery-1
Dr. Coffey inspecting his new toupee

Based on research he conducted over several years, Dr. Coffey laid out his arguments in favor of elevating the mesentery to organ status in a November 2016 article in The Lancet, in case you’re interested.

Needless to say, this turn of events generated a storm of controversy and induced many prominent individuals including actress-cum-Kleenex spokesperson-cum-political commentator Meryl Streep to hold forth, denouncing the election results, as she received a lifetime achievement award at the recent Nasal Mucosa Awards.

streep
Meryl Streep sans Kleenex, holding her award, and some flowers

She may have said something like the following (but don’t quote me):

This just isn’t fair. No one appreciates the role that the Nasal Mucosa-all 384 square metres of it- plays in health and well-being.  For example, everyone has heard of nitric oxide (NO for short) but how many of us realize that NO is actually a body-wide signaling molecule with roles in vasodilation, inhibition of platelet aggregation, prevention of neutrophil/platelet adhesion to endothelial cells, inhibition of smooth muscle cell proliferation and migration, regulation of programmed cell death (apoptosis) and maintenance of endothelial cell barrier function. NO generated by neurons acts as a neurotransmitter, whereas NO generated by macrophages in response to invading microbes acts as an antimicrobial agent.

If all that doesn’t make the Nasal Mucosa a great candidate for human organ status, I don’t know what will.  I think the Mesentery should be impeached immediately.  In fact I’m going to ask President-elect Donald Trump to intervene.  After that I plan to rip out his Transverse Mesocolon Mesentery with the handle of a butter knife.  Then I’m going to move to Sweden, or maybe  Canada.  If any country knows about the Nasal Mucosa, it’s Canada.  I hear they get a lot of colds up there.”

Well maybe she didn’t say all that, but prominent researcher Marinella Rosselli did say some of it in her 1998 article entitled: “Role of nitric oxide in the biology, physiology and pathophysiology of reproduction.”  If you don’t believe me you can check out her paper yourself.

It’s a great review article, as far as review articles go.  I plan to read it as soon as I finish reading a charming children’s book by Rebecca Sampson, entitled: A Frocodile Ate My Socks, which once-and-for-all, solves the “universal phenomenon, mystifying laundry enthusiasts for decades – where are the socks going?”  It received a five-star rating in a new book by Dave Barry: “Dave Barry’s Guide to Sorting Your Laundry.”

frocodile

But clearly, I need to get back on track here.  I just remembered that I forgot to explain exactly what an organ is, back at the beginning, so now is as good a time as any to do that, plus it will be a good way to wrap up this column.  An organ is: “A grouping of tissues into a distinct structure, such as a heart or kidney in animals or a leaf or stamen in plants, that performs a specialized task.”

Most of us are no doubt familiar with common household organs including the following:

Kidneys:  Shaped like kidney beans, these fist-sized organs do a lot of stuff like regulating the balance of sodium and potassium, activating Vitamin D and reminding you that they exist as you’re halfway up a long chairlift at the ski hill with a full bladder.

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Kidney Bean (not to scale)

Thyroid: A butterfly-shaped organ in your neck responsible for regulating your metabolic rate but also responsible for generating literally hundreds of self-help medical books, many of them urging you to eat seaweed on a regular basis, and also to stand in a cold shower with the water playing directly on your throat.

Parathyroid glands: Four pea-sized glands which flank the thyroid gland, with their main purpose being to allow ENT surgeons to bill extra for taking them out when the thyroid needs to be removed secondary to hypothermia.

parathyroid-glands
One thyroid gland and four, count ’em four parathyroid glands

Adrenal glands: Two acorn-shaped glands about the size of small mice, which sit atop the kidneys, regulating just about everything including your political preference but also responsible for generating another several thousand self-help medical books urging you to meditate frequently and breathe through your nose (thereby generating copious amounts of NO).

adrenal-glands

Pancreas: Most of this elusive and independent organ about the size of a 6-inch long baby python, happily resides behind the peritoneum (so it doesn’t need a mesentery to anchor it, thank you very much).  It helps regulate your blood sugar levels, so just remember that when you’re stranded on Mars eating a potato-based diet.  (Actually, if you’re stranded on Mars, your pancreas is probably the last thing you need to worry about.)

python
Anatomist holding a small, curled-up pancreas

I could go on, but I won’t. Instead I’ll leave you to ponder why I chose to describe all these organs in terms of various vegetables, animals, other human body parts, reptiles and insects.  There must be a name for this particular literary device, but I don’t know what it is.

But at least now you know where to look if you’re missing some socks.

Next column:

How to establish yourself as a successful Body-part Model (and also How to Live to be at least 100 years old)

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Body-part Models
Posted in zany, offbeat, somewhat silly humor

Pest Control 101

The holiday season, aka Christmas, is wrapping up (pun intended), but with all that extra food lying around over the last week or so, I should probably talk about pest control.  Pest control isn’t all that difficult if you follow a few simple rules.

Rule #1: Focus

In order to eradicate your pests, you need to focus.  This means that you need to define exactly what you are trying to eradicate.  Are you going after all your bratty nieces and nephews-or just the ones less than three feet tall?  What about those terrifying eyelash mites we heard about in Grade Six?  The ones that literally dive in and out of your eyelashes with reckless abandon, sucking the juices out of them until they (the eyelashes) wizzle up and fall off?

eyelash_mite
Demodex folliculorum (maybe)

I think this is an unretouched image of an eyelash mite contemplating diving into its next eyelash with reckless abandon. But I’m a little suspicious of the overall quality of the information on the site where I got the image (everything you wanted to know about eyelash mites).

For instance, I found this quote kind of misleading:

“Actually they (Demodex folliculorum) like to burrow into the follicles. You don’t have any symptoms. But your eyelashes can get irritated and very itchy. This can cause our eyelashes to fall out.”

Hello?  Last time I checked, irritation is a symptom.  Like when your patient says, “My eyelashes are irritated.”  That’s a symptom.  And if you’re really on your game that day, you will immediately counter with a patient-centered interviewing technique and ask,

“What do you think might be wrong with you?”

The patient will probably say, “I literally think I have eyelash mites.”

And what about itchiness?  Same story.  It’s a symptom too.

Eyelashes falling out is a symptom if the patient tells you about it, but if you happen to see eyelashes falling out on physical exam, then it’s a sign, not a symptom.  But maybe I’m splitting hairs.  And who the hell actually examines their patients these days anyway?

I’m just saying you should be a little wary of some of the stuff you read on line.  Especially the stuff in some of these would-be humor columns.

But I’m getting way off focus here, so let’s talk about spiders.  They make pretty good pests since many of us non-spiders are terrified of them.  And supposedly we’re less than three feet away from a spider  literally everywhere on Earth.

OK let’s stop right here.  I don’t know if you’ve noticed, but to me it seems like literally everyone  is misusing “literally.”  I wanted to see if anyone else was noticing this problem so I googled “overuse of literally.”  Literally less than one second later, my suspicions were confirmed.  Literally tons of people are concerned about this issue.  I found a great site that outlines the problem: stop saying literally .

The author, Liz Bureman, explains:

“When something is literally occurring, that means that it is happening exactly as described. Someone who is literally passing out from excitement has their eyes rolling back in their head, and is collapsing to the ground as we speak.

Usually, the intended word is figuratively, which means that whatever is happening is being described metaphorically. Someone who is figuratively on pins and needles with anticipation is really looking forward to something. Someone who is literally on pins and needles is currently experiencing small puncture wounds on their body.”

I literally adore the way Ms. Bureman thinks.

Note that just now I misused “literally” another way: I used it for emphasis when really, I should have been looking for some other adverb like “totally” or “absolutely” or “incontestably.”  Just saying.

Where was I?  Oh yeah, spiders.  Although I think they are great pests, it turns out that this whole less-than-three-feet-from-a-spider-almost-everywhere-on-Earth thing is another one of those pesky urban legends.  Just go to the truth about spiders where you’ll read about Norman Platnick’s tragic error back in 1995.  Norman Platnick is a famous arachnologist, in case you were wondering.

norm-platnick
Norman Platnick less than three feet away from a spider

You could also just try using some common sense.  Do you honestly think there are spiders crawling everywhere in Antarctica?  What about at the summit of Everest? Or during free-fall whilst skydiving.  Next time you are in Antarctica or on the summit of Everest, or in free-fall, take a look around, would you?

I want to move on but first I need to give you this short list of other things we’re literally never more than 3 feet from: nitrogen and oxygen molecules, our cell phones, someone bitching about Donald Trump, 20 mph playground/school zones where the nearest playground/school/person is literally 200 yards away, situated behind an 8-foot, barbed-wire fence.

Ok, we’re good.

I just realized that if we’re going to get serious about eradicating pests, right away we run up against a big problem, which is how to pluralize animals.  A good way to pluralize animals is to stick a male and female together for awhile.  You will probably wind up with more of that animal, sooner or later.

Now one platypus rooting around your yard isn’t such a big deal but what if there are more?  You will have a hard time getting anyone to take you seriously if you don’t get the terminology down pat.

You: Hello, I’d like to speak to someone about my pest problem.

Norm: Hi, this is Norm Platnick.  What can I do for you?

You: There are a bunch of platypuses rooting around my backyard.

Norm: Don’t you mean platypi?

You: Whatever.

Norm: I’d like to help you but I’m an arachnologist, not a platypusologist.  How did you get this number?

I literally just realized that I’m still in Rule #1 so I should probably make a new rule.  You need to know how to tell what kind of pest you’re dealing with, if it isn’t something obvious like a platypus or a spider.  This next rule will give some helpful pointers.

Rule #2: How to spot pests

If you have an octopus problem you’re likely going to find open jars of peanut butter out on the counter, or maybe open child-proof pill bottles.  You might find that all your combination locks are dangling open as well.  Octopodes are smart as hell and can open anything.  You really need to worry if you never had any peanut butter, child-proof pill bottles or combination locks in your house, because that means the octopus was bringing them into your house.  So that is one devilishly clever octopus.  Good luck.

Mice are easy.  Obviously you might see droppings or hear scritching sounds emanating from the walls.  More subtle signs include a note left inside the fridge:

cheese-request

Again,  good luck.  That is clearly not an ordinary mouse you’re facing although it seems to be polite.  It could have written: “More Gouda.  Or else.”  You should also probably watch “Mouse Hunt” a 1997 movie starring Nathan Lane, Lee Evans and featuring guest exterminator Christopher Walken.

mouse-hunt

Elephants are tough to spot.  Clues include random vibrations of the floor, random earsplitting trumpeting sounds, and random small mountains of dung also called “cookies.”

What about marine iguanas Piece of cake.  They’re easy to spot.

This next image depicts a marine iguana feeling quite pleased about life in general and its new hairdo in particular.

marine-iguanas_2
Marine iguana relatively free of eyelash mites but facing a fairly serious algae problem

What about snakes?  A surefire sign that there are snakes nearby is if you spot a hatchling marine iguana hauling ass and literally running for its life. If you don’t believe me you need to watch this clip: hatchling marine iguana literally running for its life.

That clip is the best thing I have ever seen.  Seriously.  Even better than that picture in which two guys are dueling with van de Graaf generator-based weaponry.  You will be on your feet cheering your heart out for that iguana.

You can literally trust me on this.

 Next month: How to tell if you have a Komodo Dragon problem when you’re not a deer.
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