“What exactly are you going to do during the operation?”
The conversation is already straining me. It’s tough to concentrate on anything but the pain.
“We’ll make a wedge-shaped incision to cut out the infected tissue.”
“I can’t really picture that—wedge-shaped? Can you draw a picture for me?”
Apparently the esteemed Dr. Notz hasn’t often been asked by patients to sketch a diagram right before an operation. He wants to leave, glances at the door, stifles a sigh.
Then he pulls a silver pen out of his chest pocket. It looks heavy. Expensive. He looks around for a piece of paper to draw on. I can’t help him and hope he doesn’t expect me to. Any movement hurts. I close my eyes. There’s rustling and I hear him ripping a piece of paper out of something. I have to open my eyes—I’m anxious to see the drawing. He holds the piece of paper in his palm and scribbles with the pen. Then he presents his creation. I read: savoy cabbage in cream sauce. No way. He’s ripped the paper out of the hospital menu. I turn the paper around. He’s drawn a circle. I figure it’s supposed to be my butthole. And out of the circle a triangular wedge has been cut, as if someone has made off with a piece of cake.
Aha, got it. Thanks, Dr. Notz. Ever thought about putting all that talent into a career as an artist? The sketch doesn’t help me at all. Though I’m still no better informed, I don’t ask any more questions. He isn’t interested in helping enlighten me.
“Surely you could cut out the cauliflower with just a little flick of the wrist?”
“It’ll be done.”
He walks out, leaving me lying in the puddle of water from the blister. I’m alone. And worried about the operation. I think of general anesthesia as something dangerous, as if every second patient never wakes up. I feel courageous for going ahead with it. The anesthesiologist comes in next.
The sandman. He pulls up a low stool and sits down with his face right in front of mine. He speaks softly and has a lot more compassion for my situation than Dr. Notz. He asks how old I am. If I were under eighteen there would have to be a legal guardian here. But I’m not. I tell him I’ve come of legal age this year. He looks incredulously into my eyes. I know. Nobody ever believes it; I look younger. I know this drill. I put on my serious you-can-trust-me face and lock eyes with him. His gaze changes. He believes me. On with the discussion.
He explains how the anesthesia works. I’ll count and then just fall asleep at some point without even noticing. He’ll sit by my head throughout the operation, monitor my breathing, and check that the anesthesia is agreeing with me. Aha. So this sitting-too-close-to-my-face thing is an occupational hazard. Most people don’t notice anyway—they’re knocked out. And he’s probably supposed to be as unobtrusive as possible and hunker down close to the patient’s head so as not to disturb the real doctors. Poor guy. The standard position while practicing his trade? Squatting.
He’s brought a contract that I’m supposed to sign. It says the operation could result in incontinence. I ask how it could affect my pissing. He grins and says this refers to anal incontinence. Never heard of it. But suddenly I realize what this means: “You mean I might lose control of my sphincter muscles and then I could just crap myself anytime and anyplace and would need a diaper and stink all the time?”
The sandman: “Yes, but that rarely happens. Sign here, please.”
I sign it. What else am I supposed to do? If that’s what it takes to have the surgery. I can’t exactly go home and operate on myself.
Oh, man. Please, dear nonexistent God, don’t let this happen. I’d be wearing a diaper at age eighteen. You’re not supposed to need those until you’re eighty. It would also mean I’d only have managed to live fourteen years of my life without diapers. And you certainly don’t look cool in them.
“Dear anesthesiologist, would it be possible for me to see what they cut away during the operation? I don’t like the idea that a part of me could end up in the trash along with aborted fetuses and appendixes without my being able to picture it. I want to hold it in my hand and examine it.”
“If that’s what you want, then sure.”
“Thanks.” He sticks a catheter into my arm and secures everything with surgical tape. This is where they’ll pump in the anesthesia later. He says that in a few minutes a nurse will come to take me to surgery. Now the anesthesiologist too leaves me lying in the puddle of moisture from my blister and walks out.
The thought of anal incontinence worries me.
Dear nonexistent God, if I manage to get out of here without anal incontinence, I’ll stop doing all the things that give me a bad conscience. Like the game I play with my friend Corinna where we run through the city drunk and grab people’s eyeglasses, break them, and then chuck them into the street.
We have to run quickly—some people get so pissed off that they come after us really fast even without their glasses.
The game is stupid anyway because we always sober up from all the excitement and adrenaline. Big waste of money. Afterward we always have to start from scratch again getting drunk.
Actually, I’d like to give that game up anyway—sometimes at night I dream of the faces of the people whose glasses we’ve just plucked off. It’s as if we’ve ripped off a body part.
I’ll give that one up right now, and I’ll try to come up with a list of some other things.
Maybe if it’s absolutely necessary I’ll give up the hookers. That would be a major sacrifice, though. It would be great if giving up the glasses game would suffice.
I’ve decided to be the best patient this hospital has ever had. I’m going to be extra nice to the overworked nurses and doctors. I’ll clean up my own messes. Like the fluid from my blister. There’s an open box of rubber gloves on the windowsill. Obviously for examinations. Did Notz have one on when he popped the blister on my ass? Shit, I didn’t notice. Next to the carton of rubber gloves is a big translucent-plastic container. Tupperware for a giant. Maybe there’s something in there I can use to clean myself up. My bed is up against the window. Slowly, gingerly, I stretch myself out a little without moving my infected bum and manage to grab it. I pull the container onto my bed. Ouch. Lifting it and pulling it tenses my stomach muscles, sending a knife of pain into the infection. I pause. Close my eyes. Breathe deeply. Lie still. Wait for the pain to subside. Eyes open. Okay.
Now I can open the container. What excitement. It’s filled to the brim with giant hygienic wipes, adult diapers, disposable underwear, toweling, and bed covers that are plastic on one side and cloth on the other.
I would like to have had one of those under me when Notz came in. Then the bed wouldn’t be all wet. Not very comfortable. I need two of them now. One, cloth side down over the puddle. It’ll soak it up. But then I’d be laying on plastic. Don’t like that. So another one with its plastic side down—plastic on plastic—and the cloth side up. Well done, Helen. Despite the hellish pain, you are your own best nurse.
Anyone who can take care of herself so well will definitely recuperate quickly. I’ll have to be a bit more hygienic here in the hospital than I am outside in my normal life.
Hygiene’s not a major concern of mine.
At some point I realized that boys and girls are taught differently about how to keep their intimate regions clean. My mother placed great importance on the hygiene of my pussy but none at all on that of my brother’s penis. He’s allowed to piss without wiping and to let the last few drops dribble into his underwear.
Washing your pussy is considered a deadly serious science in our home. It’s made out to be extremely difficult to keep a pussy really clean. Which is nonsense, of course. A little water, a little soap, scrub-scrub. Done.
Just don’t wash too much. For one thing because of the all-important flora of the pussy. But also because of the taste and scent of the pussy, which is so important during sex. Don’t want to get rid of that. I’ve experimented with long periods of not washing my pussy. My aim is to get its enticing scent to waft lightly out of my pants, even through thick jeans or ski pants. Men won’t consciously notice it but it’ll register subliminally since we’re all just animals who want to mate—preferably with someone who smells like pussy.
Then, when you’re flirting, you can’t help smiling the whole time because you know what’s filling the air with that deliciously sweet scent. It’s what perfume is supposed to accomplish. We’re always told that perfume has an erotic effect on those around us. But why not use our own much more powerful perfume? In reality we’re all turned on by the scents of pussy, cock, and sweat. Most people have just been alienated from their bodies and trained to think that anything natural stinks and anything artificial smells nice. When a woman wearing perfume passes me on the street, it makes me sick to my stomach. No matter how subtle it is. What is she hiding? Women spray perfume in public toilets after they’ve taken a shit, too. They think it makes everything smell pleasant again. But I still smell the shit. For me, the smell of plain old shit or piss is better than the disgusting perfumes people buy.
Even worse than women spraying perfume in public toilets is a new invention that seems to be spreading fast.
You go to the bathroom at a restaurant or train station and as you pull the stall door closed behind you, you’re misted from above. The first time it happened I was really horrified. I thought someone had flicked water on me from another stall. But then I looked up and saw a dispenser attached above the top of the door. It’s actually designed to spray innocent bathroom users with sickeningly sweet disinfectant as soon as they close the door. On your hair, on your clothes, on your face. If that doesn’t constitute rape by hygiene fanatics I don’t know what does.
I use my smegma the way others use their vials of perfume. I dip my finger into my pussy and dab a little slime behind my earlobes. It works wonders from the moment you greet someone with a kiss on each cheek. Another rule my mother had about pussies was that they get infected much more easily than penises. That they’re much more vulnerable to fungus and mold and whatnot. Which is why girls should never sit down on an unfamiliar or public toilet seat. I was taught to piss in an upright crouch, hovering above the rim, never touching the icky pee-pee basin at all. But I’ve figured out that a lot of the things I was taught aren’t true.
I’ve turned myself into a walking laboratory of pussy hygiene. I enjoy plopping myself down on any dirty toilet seat anywhere. That’s not all. I rub the entire seat with my pussy before I sit down, going once around with a graceful gyration of my hips. When I press my pussy onto the seat it makes a smacking noise and then it sucks up all the pubic hairs, droplets, splotches, and puddles of various shades and consistencies. I’ve been doing this on every sort of toilet for four years now. My favorites are the ones at highway rest stops where there’s just one toilet shared by men and women. And I’ve never had a single infection. My gynecologist, Dr. Broekert, can confirm that.
Once there was a time when I did think my pussy was infected. Whenever I went to the bathroom, sat down, and let my sphincter muscles relax so the piss could come out, I would notice afterward when I looked down—which I like to do—that there was a lovely, big, soft, white clump of slime in the water. With strings of champagne bubbles rising from it.
I have to admit that I’m very wet all day long—I could change my underwear several times a day. But I don’t. I like to let it collect. Back to the clump of slime. Was it possible that I’d been sick all along, and that this slimy gunk was the result of a fungal infection of the pussy I’d contracted from all my toilet experiments?
Dr. Broekert was able to allay my fears. It was the result of a healthy, very-active slime-producing mucous membrane. That’s not how he put it. But that’s what he meant.
I keep close track of my bodily secretions. The whole active mucous-membrane thing used to make me proud when I was younger, hooking up with boys. They might have barely touched my labia with a finger, but inside there was a Slip ’N Slide ready to go.
One boyfriend always sang while we were messing around: “By the rivers of Babylon…” These days I could make a business out of it, filling little containers for dry women who have problems producing mucus. It’s definitely better to get the real thing than to use some artificial lube. That way it smells like pussy, too! But maybe women would only be willing to do this with someone they knew—some might be grossed out by a stranger’s slime. You could always try it out. Maybe with a dry friend.
I really like to smell and eat my smegma. For as long as I can remember, I’ve been fascinated with my pussy’s creases. All the things you can find in there. I have long hair—on my head—and sometimes I’ll find a stray hair lodged between the folds of my pussy. It’s exciting to pull the hair out very slowly and to feel it moving in the various places it has twisted its way into. It annoys me when this sensation is over; I wish I had even longer hair so the feeling would last longer.
It’s a rare pleasure. Like another thing I get a kick out of: when I’m alone in the bathtub and I have to fart, I try to get the air bubbles to glide up between my pussy lips. It doesn’t happen very often—even less often than with the long hairs—but when it does, the bubbles feel like hard balls trying to bore their way between my warm, squishy lips. When it happens—let’s say once a month—my whole abdomen tingles and my pussy itches so much I have to scratch it with my long fingernails until I come. When my pussy itches I have to scratch it real hard. I scratch up and down between the inner labia—which I call the dewlaps—and the outer labia—which I call the ladyfingers—and at some point I fold back the dewlaps to the right and left so I can scratch right down the middle. I spread my legs wide, until the hip joints crack, so the warm bathwater can flow into my hole. Right as I’m about to come, I pinch my clit—which I call my snail tail. That makes me come so much harder. Yep, that’s how it’s done.
Back to smegma. I looked up in the dictionary exactly what smegma is. My best friend Corrina told me one time that only men have smegma.
So what’s this between my lips and in my underwear?
That’s what I thought, but not what I said. I was afraid to say it. But there in the dictionary was a long explanation of what smegma is. That’s what it’s called in women, too, by the way. So ha! One sentence has stuck with me to this day: “Only through inadequate hygiene can smegma accumulate to a level visible to the naked eye.”
Excuse me? That’s outrageous. An accumulation of smegma is definitely visible to me with the naked eye at the end of the day no matter how thoroughly I rinse the folds of my pussy with soapy water in the morning.