"All the king's horses and all the king's men can barely put Bill together again."
Remember when you were 26 and you didn't have a regular doctor? How many y'got now? I have five and counting. There's the cardiologist, the ophthalmologist, the dermatologist, the asthma & allergy guy and the Doctor of the Month at UF Health. I used to have a urologist but I shed that one after I had my prostate removed. Does that mean I'm 4-1 or 1-4? In any case, that's just the beginning.
I also have a Thai massage woman named Deborah, whose job it is to keep me from going to an orthopedist. She beats me up every third Wednesday in her lovely salon on the outskirts of Marion County to keep my back from tightening up. Sometimes it does anyway, for no apparent reason. Last Wednesday, Deborah told me I might need to see a chiropractor soon for my annual jolt. Does that put me up to six or do backcrackers not count?
Anyway, on Tuesday I tootled over to the Chance Chiropractic Clinic in Hogtown for my punishment. They must be doing something right, said Deborah, they've been around for 40 years (but then again, so has the Republican Party). When you go to this place, chances are you'll be seen by Dr. Chance because there are four or five of them. Now some people prefer what they call "gentle chiropractic" in which the doctor taps you on the spine a couple of times with a tiny hammer, waves a wand over your aching body and says a couple of prayers. Gentle chiropractic doesn't work for me. I need assault & battery chiropractic, which this particular Dr. Chance was more than willing to render. In case you've never been subjected to A&B work, it's not a walk in the park. Something in your back has moved into a bad neighborhood and the doctor must motorcycle in, grab the offending part and shove it back where it belongs without killing you or making you cry for your mother. My Dr. Chance did this with aplomb, although the scary crunching noise makes you wonder if any body parts were harmed in the process. I'm not 100% yet, but I'm doing much better. I have to go to the dermatology doctor tomorrow. I'll let you know how that works out.
| Bill's Thai massage therapist, Deborah; whiners need not apply |
Skin In The Game
Back in the days before Mohs surgery when people lived in caves and ate dirt, I noticed a spot on my left jaw that bled a little after I shaved and never seemed to scab over. Oh-oh--"sores that do not heal"--Number 16 on the list of cancer symptoms. I went to a fancy-schmancy plastic surgery place in Ocala owned by an Indian doctor to get it checked out. The main man was busy with expensive breast augmentations and butt tucks so he handed me off to one of the 16 Patel boys working there. He cut a little off and sent me home.
I was back a month later. "Didn't work," I said. He cut some more, which wasn't enough either. The skin on my jaw was rapidly diminishing and the trips to Patelville were getting tiresome. The doctor said they could only snip a bit at a time and where the cancer began and ended was tough to determine. Finally, however, it was gone. I thought next time I had a derm problem I might go somewhere else.
If you stayed out too long in the sun as a callow youth, which we all did, you've probably had basal cell carcinoma by now. If there is one cancer you'd prefer to bring home to dinner, this is it, not the dreadful Melanoma or that plug-ugly Squamous Cell. These days, Mohs surgery performed in a medical center with a lab makes it easy: cut, analyze, cut some more if necessary, all in one session. No more playing around for a month or more hoping for the best. By now, I was going to Shands Dermatology for the occasional snip and the annual once-over. During one exam, my frowny-faced doctor showed concern. "I don't like the looks of this," he said, pointing to a place on my neck. Turned out to be a slow-growing melanoma. They took it out and before you know it a squamous cell took its place. Must have been a desirable neighborhood, everybody wanted to live there.
If you get a lot of small skin cancers, UF will offer you a mysterious blue-light treatment, in which your skin is scraped clean and a special photosensitizing solution (likely aminolevulinic acid) is applied. After an excruciatingly long wait for the abnormal cells or oil glands to absorb the medication, you are given protective goggles and an large alien apparatus is slung over your head and turned on. As Ella once sang, you ain't been blue til you've had that mood indigo. "That feelin' goes stealin' down to your shoes, while you sit and sigh, 'Go 'long blues.'" Then they wrap you in swaddling clothes to protect you from the sun on the ride home and lock you in the house for the next two days. I let this happen exactly once. When someone suggested it a second time, I threw a lighted match at him.
This latest visit with the lovely and talented Dr. Stephanie at Skin Central was a laugher. We talked about the wonders of Paris and her upcoming trip to Glasgow while she blasted me with liquid nitrogen in four places. If you've never had this treatment (which would be a miracle if you're over 60), it feels like you're being assaulted by angry bees after a honey heist. Liquid nitrogen is like a last warning to basal cell: "You keep this up, Buster, and next time we cut!" In addition to the jaw, I've had surgery on my nose, back, one ear, both sides of my face and almost my butt. Say what?
Hong Kong Hattie
About eight years ago, I noticed a tiny lump under my skin right at the crack of my butt. It made sitting in certain positions uncomfortable so I showed it to Dr. Christina at the shiny new UF Dermatology headquarters at Springhill. "It might be something as simple as a hair," she said, "but you should get it taken out." That seemed a little radical, I protested.
"I've seen these things get as big as a golf ball...you don't want that." No, indeedy. All the pillows in the world would be useless in the face of the dreaded buttball. Besides, all the kids at the gym will make fun of you and you'll never get a second date with a decent woman. Dr. Christina made me an appointment at Shands on Archer Road with an "excellent" surgeon from Hong Kong. We'll call her Hattie.
I promptly reported for duty on the assigned day and Dr. Hattie, all four feet of her, showed up with her assistant, Clarence. She had big glasses, wild hair and a loud, raspy voice out of proportion to her size. She didn't mince words: "Hi! I Doctor Hattie! Hear you have butt trouble. Show us your butt! Ha ha ha!" So much for the polite and genteel manners we associate with the fastidious Chinese.
Hattie investigated site and said, "Oh-oh! Houston, we have a problem!" What's that, I wondered? "Too close to...you know...might get bad infection." But Dr. Christina said it might blow up like a balloon. "Get bigger, I fix it. Not bad now."
Mildly outraged, Christina got me another appointment, this time with a Jewish standup comedian, so now I've heard enough butt jokes for a lifetime. He demurred also. Luckily, the offending culprit one day just decided to pick up and move elsewhere. Dr. Stephanie says if it comes back we'll pound it to jelly, but I think she might be kidding.
Not Dead Yet
November 2, 2026 will be my 86th birthday. You don't get this far without some combination of excellent doctors, good genes, dumb luck and an innate ability to foil the Reaper. It takes a village. Luck certainly showed up when I rolled my t-top Toronado in a Micanopy ditch 30 years ago and again in 2024 when a certified lunatic smashed into me head-on near Fellowship. I missed meeting Jesus by 20 minutes during a long cardiac infarction when Dr. Daniel Van Roy of CVI popped a stent in just in time. Prostate cancer took a swing, cleverly keeping my PSA low, but a digital test saved the day and Dr. Li Ming Su extracted the thing with his magic da Vinci machine at Shands. And no, you will not necessarily be impotent forever after, especially if you make friends with Mssrs. Viagra and Cialis. Dr. Su offered to introduce me "to a woman downstairs who has a magic pump" but regrettably I eschewed the tryst. In retrospect, I think it might have been fun.
You have to do a few things own your own. I'm a big believer in daily exercise, even if it's just a long walk down the street. I'm not a vegetarian but I'll skip the beef, thank you, along with carbonated beverages and my favorite pastries from Mr. Dunkin's place. I've been taking a small amount of testosterone weekly via the needle since age 55. and I gobble down a few capsules from Qualia Mitochondria at lunch. By all means, secure a wife or partner with a fast car and a thorough knowledge of the best routes to the emergency rooms. Cultivate interesting friends, but stay just to the left of crazy. And remember, it doesn't hurt to give some unfortunate human a leg up when his or her world is in flames. In all honesty, it will make you feel better than the person you're helping. Finally, if you're feeling bad and all is lost, go to Paris, regeneration capital of the world. You'll leave smiling if you leave at all.
Pardon me, now, I have to get ready for my annual visit to the dentist. Does anyone know where I can get a low-interest short term loan?
That's all, folks....
bill.killeen094@gmail.com


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