Essays

Random Thoughts

Occasional essays on aging, medicine, memory, and whatever else refuses to leave the mind alone. New pieces appear here from time to time.

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I add to this collection periodically, as the thoughts arrive and the mood permits. Leave your email address and I will send word when something new turns up. No newsletter, no schedule, no fuss.

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Random Thoughts on Aging

Born to Be Mild

A song for the aging spine, with apologies to Steppenwolf. The heating pad is glowing, the vertebrae have formed a flash mob, and the internal organs have convened a committee. The liver brought a PowerPoint. The kidneys brought cupcakes.

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Random Thoughts on Aging

Gut Feelings: Aging, Microbes, and Other Indignities

A man found in a stupor for years turns out to have been brewing his own alcohol. On the hundred trillion tenants of the colon, the antibiotics that evict them, a transplant that goes in the back way, and one credential the author cannot earn.

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Random Thoughts on Aging

Watch Your Mouth, Old Timer

The ancients thought the soul made its exit through the mouth. The newspapers now suggest it is the bacteria travelling the other way that ought to worry us. On bad breath, wild animals with cavities, the great flossing scandal of 2016, and a small brush ordered from Amazon.

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Random Thoughts on Aging

Japanese Monkeys

Three monkeys carved above a stable at Nikko, a fourth quietly left off the wall, and the great man who kept a set on his desk. On guarding the gates of the senses just as the gates begin to fail, and the two saboteurs working from opposite ends of the ear.

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Random Thoughts on Aging

We Need More F-Bombs

A season of food recalls comes for the author's lunch, by way of Chile, Guanajuato, and a terrifying viva voce examiner with an unforgettable mole. What the six Fs of public health have to do with keeping a Caesar salad safe.

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Random Thoughts on Aging

Making More Expensive Stools

A diet, a leg cramp at dawn, a giant bottle of magnesium, and a blonde cardiologist on late-night television selling Coenzyme Q10. Following the money to its natural, and entirely unglamorous, conclusion.

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Random Thoughts on Aging

Medicine by the Numbers

A summons to the doctor's office, a statin prescription politely declined, and a wade into the statistics — relative risk, absolute risk, and the difference between treating a population and living a life.

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