Wednesday, February 1, 2012

Senior Party Central: Move your dorsal, shake your ventral

Dear Friends,

The Hard Taco song for February, "Senior Party Central," is dedicated to Brown Class of '97. I regret that I will not be attending the reunion this year, but please accept this reunion-themed song in my stead. And although I don't say it outright in the song, I hope it is implied: Class of '98 drools.

Ice Cream Parlours I have Known
By the way, Class of '97, I find myself wondering if you, too, are slowly morphing into fuddy duddies. As the years dribble by, do you also reminisce loudly about simpler times when a nickel would buy you a 3 oz Cherry Coke or a 200 mg PepsiColace? And don't get me started about the death of good customer service! Drug dealers these days can't be bothered to politely count the change into your hand after your purchase. And why won't strangers carry bags onto a plane for me anymore? Nobody trusts anybody else anymore, and the airlines have all these weird rules. Smaller bombs under the seat in front of you, reserving the overhead bins for larger explosive items.

But if there is one thing that proves once and for all that I'm Fogy-licious, it's this: I still use Hotmail.

A Dying Breed, Like Cowboys, or Some Breeds of Cows
I am proud to say that I am one of the last 364 million users of the Hotmail. Go ahead and chastise me for my "sad devotion to that ancient [web-based email program]," but I find your lack of faith disturbing, and I will Force-choke you. I'm a vintage emailer. My Hotmail address has been my pride AND my joy since the late 90s, when Microsoft shrewdly purchased the rights to the word 'HTML' and added vowels to it.

Bill Gates and his team of goobers were on to something big. When people see those four consonants... H T M L, they know they're in for some serious web-business. It was brilliant, but the Gates goober team never took it to the next level.

That's why I've modified that recipe just enough to stay fresh. I've purchased the rights to www.hitmule.com/.

Go ahead and click on it. Okay, there's not much to see yet, but let me paint you a picture for you. Hit Mule... A powerful web presence. Shall I keep painting? Hit Mule. It invokes images of empowerment, hard work, great music, violence against animals, but nothing too gruesome. The future is almost now and it's Hit Mule. It's simple, edgy, and simple. And that's it, I'm out of paint.

If I had gone with Hit Mule instead of Hard Taco in the first place,  I'd have 3 million followers on my blog right now instead of three. (Thanks Lauren, Mom, and our friend Becca! You're the best!) Basically, I've found the formula for success, and it's so eloquent that it chafes. Hitmule.com + nothing = success. And by the transitive property, success - hitmule.com = 0.

But what about folks who Hate Mila? If Mila Kunis really gets your goat, there's no website where you can commiserate with other Mila haters. It just makes me so sad. That's why when Hit Mule starts generating mad revenue, I won't let a penny of those profits graze the walls of my change purse until I have also registered other essential H T M L domains, including HateMila.com and HauteMila.fr.  (The latter is for Frenchmen who would like to see Ms. Kunis drizzle foie gras with truffle sauce.)

In time, we will also register OH! Tmeal, a website that targets the burgeoning demographic of people surprised by oatmeal. Ohio Tamale will be next, and finally, if I can convince you that Y is sometimes a vowel, we'll complete our web domination with Ahoy, Eat Emily!

Financial Projections
The profits from Hit Mule will be expressed in numbers with so many digits, you'll have to look through the wrong end of a telescope to see the whole thing at once. For my 16 year reunion, I'll roll up College Hill in a satin limousine with a champagne flute-shaped Jacuzzi in the back. That means the Jacuzzi will be really tall and thin, with enough room for just one person to be submerged vertically up to the neck. I will have a satin banner on the side of the satin limousine that says, "Seniors from 1998 Drool." I'm sorry, but that is just how I will be rolling at that time.

With warmest regards,
Zach

Sunday, January 1, 2012

The Sorcerer's Kidney Stone

Dear Friends,

The Hard Taco song for January, "Kentucky," tells the touching story of a journey home at the end of one's life. Traveling great distances to die at home is common to both Kentuckians and salmon. Here are some other similarities: 1. Often raised on farms.  2. Bite anything shiny.

There's Talent, Oh Yes, and a Thirst to Prove Yourself. But Where Shall I Put You?
There was a lab section during the renal pathophysiology course in medical school that had achieved quite a bit of notoriety. We heard rumors from the class ahead of us, rumors which filled us with wonder and fear. The students, they told us, would be divided into four groups: beer, Pepsi, water, and broth. We would be obligated to drink as much of the assigned beverage as we could endure, collect our urine, and run tests on it. Through this, we would learn about how the human kidney handles alcohol, caffeine, and salt.

Also, we would get to see what our classmates' pee looked like, so there was that.

When we got to the renal unit, the lab instructor read off our libation assignments. He used carefully placed pregnant pauses, ushering our anticipation to a fever pitch.

Jason Baker... Beer!
Peggy Berdelman... Water!

Jason and Peggy pumped their fists and ran over to their lab benches where their new beverage buddies waited with cheers and high fives.

Zach London....

I had recently read the first Harry Potter book, so I tried influencing the outcome the way Harry would have. I closed my eyes tightly and concentrated. Not broth, not broth.


   Are you sure? You could do great with broth. It's all there in your kidneys, and broth could help you on the way to greatness... there's no doubt about that.


Not broth, anything but broth.


   Okay, if you're sure, better be... BROTH!

The real Hogwarts Sorting Hat wasn't a jackass, but I wasn't so lucky. And so, for an entire afternoon, my six comrades and I guzzled cup after briny cup of room temperature beef bouillon. We were soon nauseated, our mouths were tacky, and our bladders were bursting with all sorts of unnatural electrolytes, but we soldiered on. When the need arose, we excused ourselves, filled up our flasks, brought them back and emptied them into a giant communal beaker reserved for broth urinators.

The short walk from the men's room to the lab was particularly humiliating.  Acquaintances passing in the other direction kept surreptitiously checking out my Erlenmeyer, probably taking note of my color, volume, turbidity, and specific gravity. They were judging me. On exactly what basis I didn't know, but I could tell by their deriding glances that something about my urine was not cool. I had the urge to stop each of them and say, "It's all the powdered meat I've been drinking, dude! That's why the pH is so low. I swear it's not usually like this!"

But the beer group, wow. They didn't seem the least bit self-conscious about any of this. They were an animated circle of good-looking, racially diverse 20-somethings clinking High Life bottles together, enjoying life and doing plenty of what beer drinkers do best... pissing a whole lot.  Other than that last part, they could have been a Miller commercial. They waved their flasks around confidently, as if each of them had brewed a unique single malt, and when they proudly pooled their efforts in the giant volumetric beaker they had concocted a fine blended whiskey.

Then there was the Pepsi group. They were energized, focused, and completed their work quickly and accurately. Encouraged by their success that day, many of them would go on to become nephrologists.

There was no swagger in the broth group, though. We couldn't even look at each other. I quietly trudged through the urinalysis, occasionally rubbing my eyes to wipe away the thin film beef stock that had begun to coat them. In the end, the tests confirmed what I had feared... my bladder was an environment conducive to raising saltwater fish.

The seven of us never spoke of that day to each other again, and ever since, I cringe a little when a waitress asks me if I want soup with my entree.

No, salad, please. Definitely salad.

With warmest regards,
Zach

Thursday, December 1, 2011

A Piggyback Ride from Batman

Dear Friends,

I. Your Hair Looks Great Today
It's true. And you know what would make this day even better? (You: Did you say something about a piggyback ride from Batman?)

No, even better. The new Hard Taco album, "Who Dares Disturb My Slumber?" It's available here, here, and here. To the stark naked eye, it looks just like any other compact disc, but if you gaze through the polycarbonate layer and reflect your laser vision back into your opto-electronic sensing organs, you will perceive combinations of zeroes and ones that will blow your tiny mind. (e.g. 1011 ker-pfff!)

And look, here comes the Dark Knight, crouching down for you to climb on his back, so you're getting both of the things you wanted!

II.  It's Called Picornavirus
Usually I try to say something positive about the monthly Hard Taco song to persuade you to listen to it, such as, It's very danceable or This song will soothe your hoof and mouth disease.

This month, I make no such claims. The December Hard Taco song, "Fancy," will speak for itself, and if your hooves are really that painful, I'm sorry, but you just need to suck it up and go into quarantine with the other infected cattle.

III. Back Off: I've Got an Iron-On
When I lived in the U.P., we had a family friend who owned a T-shirt store. One my earliest memories is flipping through a giant catalog of images to pick an iron-on for my size 3T powder blue T-shirt.  From thousands of choices, the image I selected was the Loch Ness Monster upsetting a rowboat. There was a man in the rowboat, futilely trying to fend the ferocious creature with a broken oar. It was the coolest thing I had ever seen.

I felt invincible when I wore that shirt and I was convinced that other kids were struck dumb with fear and awe.

"Here comes that preschooler with the sea monster capsizing the rowboat," they probably whispered to each other, "We'd better stand back. He's just so... macho."

After wearing it for 100 consecutive days, the transfer peeled off, but by then I had moved on. In the coming years my badass ideal would evolve from  being plesiosaurus-based to being sunglasses-based. Soon, I only wanted T-shirts of characters wearing enormous black shades, like Chester Cheetah or that one California Raisin. This was cathartic for me, you see. I've never really been able to wear sunglasses myself because my ears are affixed to my head at different heights. (It's a common problem. Like 10% of people have it.)  At best, sunglasses look foolishly askew on my face, like someone trying to do a parallel bar routine on the uneven bars. But I was at peace with that, because I could wear a T-shirt with a close-up of a surprised Marty McFly lifting his Ray-bans, and that was the next best thing.

IV. Today's Toddler T's.
My son only wears hand-me-downs from his cousins, so as much as I'd like to, I can't take credit for how badass most of  his clothes are. These are all real T-shirts I've seen on him or his contemporaries, and each one is more awesome than the last.

Image                                                           Caption:
Two helicopters                                            Tactical Team!
A tractor                                                       Total Quad Traction!
Buzz Lightyear                                             Target is on Approach!
A motorcycle at a 45 degree angle                Extreme Dirt Bike Zone!
A motorcycle, not at an angle                       Supreme Maximum Velocity!
Different kinds of balls                                 Playing Sports Every Day is Not Enough!
A giant number 80                                       Dinosaurs: 80 MILLION years ago!

None of the children who wear these shirts are old enough to read, so I assume that the captions are directed at older kids. "I'd better not pick on that toddler," a would-be bully might say, "His desire to play sports is insatiable!"

With warmest regards,
Zach

Tuesday, November 1, 2011

The Quarterback Sneak and Other Signs We've Lost Our Moral Compass

Dear Friends,

The Hard Taco song for this month is called, "Drain the Pool," and it is heavy on the synth. If you don't like synth, it might make you wynth, but you'll dance so hard you'll get shin splynth.

People, I feel sick today. Sick from the immortality and deception that blankets our society like icing on a Cinnabon. When I was watching the sports last Sunday, I saw something that registered a bad angle on my moral protractor... a quarterback pump fake. The signal caller extended his arm as if to throw the ball, but didn't let go of it. He didn't throw the ball at all!

I know how linebackers must feel when subjected this kind of footbally subterfuge. I experience the same sense of betrayal whenever I discover regular-sized crackers in a box, even though the picture on the box has been enlarged to show texture.  Both the quarterback and that cracker box make my moral litmus paper turn Pink. As. Hell.

Every culture has its own approach to the philosophy of ethics. Our moral thermostat has three settings, corresponding to the categories in 20 Questions. All ethical issues are Animal, Vegetable, or Mineral.

Animal:
Should our furry, 12-teated step-cousins enjoy the same rights as humans? I think they should, but it wouldn't hurt their case if they asserted themselves a little more. The last animal that I interacted with (who, granted, was a lamb chop) was pleasantly docile and did not stand up for itself when I tried to smear it with mint jelly.

I've heard religious justifications to support our subjugation of animals. If God didn't want us to wipe our bums with real archaeopteryx feathers he wouldn't have put nature's most luxurious toilet paper on the napes of the prehistoric birds.

But if you are a more of a secular omnivore, and aren't swayed by all this God talk, think about this. Animals have it way better than us in lot of important ways.  I heard a cockroach can go seven days without sweating, and that's utterly bad ass. And I don't know about you, but I can't beat my wings 90 times per second, or fit a whole bunch of acorns in my cheeks. Also, have you ever noticed that other than the snail and the turtle, every animal on Earth is faster than us? There are literally billions of animals that can outrun people, and only two that can't. My moral astrolabe tells me that we must eat those billions of animals in the interest of fairness. And heck, if a turtle attempted to eat me, I'd let it! Snap away, my slimy little friends, you deserve to catch a break.

Vegetable:
Grandpa had indicated in his Living Will that he does not want life sustaining interventions. Now that he's in a coma, do we have to disconnect him from life support or should we wait around a few weeks to see if someone at Mayo Clinic discovers a treatment for malignant throat worms? More importantly, does honoring Grandpa's autonomy trump the preferences of the worms? (See "Animal" above.)

This decision would be much easier if we follow the European model, which takes all control out of the hands of the family. All European patients are put on a ventilator after cardiac arrest,  and all of them die within 10 minutes. It has something to do with the fact that the outlets look weird in Europe. If you can't insert the plug in the first place, you don't have to worry about pulling it!

Mineral:
Conflict Minerals. They're so darn tempting.
Like most people, when I hear about a bargain on imported bauxite or talc, I break out the debit card and start swiping it back and forth in anything that has a slit. But what if I told me that buying those minerals was funding machete parts for Congolese ethnic cleansers? What if I proved to myself that half the cost of my wife's gypsum necklace was funneled to a Liberian slave insurrection and the other half went to the forces that put down that insurrection?

Honey, my moral Geiger counter is crackling when I point it at your neck, because you're wearing blood gypsum. 

With warmest regards,
Zach

P.S. Conflict vegetables: Not a healthy part of anyone's food pyramid.

Saturday, October 1, 2011

Flight Attendants Cross-Check and Prepare for Conniption

Dear Friends,

They say that closing your eyes heightens your other senses. With that in mind, try listening to the new Hard Taco song, "The Gem of the Argosy," with your eyes closed. It will sound like a rich symphony of lustrous tonality. It will also make that pen you're chewing on burst with the flavor of 100 pens.

I think the worst sound I ever heard was a rabbit screaming. Even with my eyes open, it was indescribably awful. Wild animals are stoic, so by time you hear them scream, it is probably too late to save them, feed them, or stop annoying them. Here's the best way to predict what a screaming animal will sound like:
1. What kind of animal is it? Take the first vowel of that word and write it ten times in a row.
2. Add an 'h' and four exclamation points.
3. If the scream continues for more than ten seconds, select the second vowel in the name of the animal, and repeat.

As you can see, there are five (and sometimes 6) different animal screams. A rabbit makes a gut-wrenching shriek, but a toad may sound pleasantly surprised or even sassy, depending on the intonation.

This rule applies to people, too
But without looking, there is no way to discriminate between the sound of a torture victim, a burn victim, the family member of burn victim, or a perfectly normal toddler. In my neighborhood, it almost always turns out to be the normal toddler. (Reminder to self: investigate whether or not any of those toddlers have burned family members.)

The coolest screaming toddler I ever met was sitting a few rows in front of me on a plane when I was coming home from college one summer. The little girl's mom was employing increasingly venomous whispers to convince her to sit down so the plane could take off, but the kid kept unbuckling her seat belt and jumping on her chair.

A flight attendant came to the aid of the beleaguered mother, hoping to prevent further delays. "She's two? No, I'm sorry," the attendant said, "You can't hold her on your lap during takeoff. She will have to stay in her own seat."

So it came to this: the mother and the flight attendant each held half of the child's body, trying to forcibly fold her midsection so they could cram her into her seat.  Even with two adult captors restraining her, the child's puerile fury gave her strength to break free for a moment. She stood up, pulled her head up over the seat back behind her, and with tears cascading down her face on both sides, let out a desperate appeal to the strangers behind her. "Somebody help me," she begged, as her mother pulled her back down from behind, "I'm only a baby!"

That story, which made me giggle for over a decade, became less amusing when I found myself in the role of the parent.

You Shall Not Pass!
Lauren and I grade tantrums on a five point scale, based on the volume, pitch, and duration of the outburst. Extremes in each of those categories can only get you up to a class four. To merit a class five rating, the tantrum must also cause small blood vessels in the face and throat to rupture. This causes the voice to adopt an inhuman timbre that is only be familiar to new parents and people who have overheard a Balrog being banished back to Hell.

My own three-year-old exhibited class five hysterics on a plane once. Most of the passengers in coach were peppered with milk, spittle/phlegm, and pages of Delta Sky Magazine. I was certain that the shrill oscillations emanating from his vibrating gorge would interfere with the aerial navigation system. I was also certain that everyone else on the plane was thinking, "What horrible parents! They won't lift a finger to prevent that child from making our plane crash into the ocean!"

When the fit finally tapered off, my heart rate normalized, and I realized that the fracas may not have been as disruptive as I thought. Evolution has provided us with several skills that are necessary for the survival of our species, and one of them is the ability to ignore screaming toddlers. In fact, the other passengers probably weren't paying attention to my son's tantrum at all.

What they were really thinking during the flight was, "I wonder if a wailing yak goes aaaaaaaaaah or yyyyyyyyyyh?"

With warmest regards,
Zach

Thursday, September 1, 2011

Jack of all Tirades

Dear Friends,

The Hard Taco Song for September is called, "Jack of Any, Jack of All." Enjoy it irresponsibly.

At the University of Michigan, doctors dictate clinic notes into a phone and within a few hours a written version comes back, ready for to be signed and mailed to the referring physician.  The voice recognition software (or Trickster God) responsible for transcribing my dictations is a cruel deceiver, bent on altering the meaning of my correspondence without me noticing.  Real example:

The patient is very frustrated by the pain from her chronic unexplained illness... I will start morphine as needed.

became

The patient is very frustrated by the pain from her chronic unexplained dullness... I will start morphing as needed.

When I was a first year neurology resident, my friends training in ophthalmology had a small wager to see if any of them could plant the phrase, "Shiver Me Timbers" in a clinic note. This concept amused us to no end, because there is no way an eye doctor could dictate that expression inconspicuously.

Slit lamp examination shows increasing cataract peripherally in the left eye. The pressures are 22 bilaterally but... Shiver Me Timbers! There is no significant evidence of optic disk cupping!

As a neurologist, though, it's as easy as falling off a velocipede. We often have patients repeat simple phrases to assess their ability to process language. When a woman with memory complaints came to my clinic, I simply said, "Please repeat after me. Shiver Me Timbers."

"Shiver Me Timbers," the patient replied, dutifully.

The patient is a 60 year old woman with a chief complaint of forgetfulness. On examination, she was awake, alert, and [insert pirate accent] could repeat the phrase, "Shiver Me Timbers!" It is my impression that she is neurologically intact. Avastin!

Avastin is the trade name of a chemotherapy drug that was obviously developed by a scurvy-riddled buccaneer. I did not suspect a brain tumor in my patient, of course, so I had to end this dictation with:

Is not indicated at this time.

Here are some other medical terms that I always dictate with a pirate accent:
1. Aricept (A dementia drug. As in, "The patient was unable to repeat Shiver Me Timbers. I will prescribe ARRRicept.")
2. Blow the Man Down (A neurologic test that indicates a patient's balance is very poor.)
3. Pillage (The act of prescribing oral medications, such as ARRRicept)
4. Hearties ("The patient has cardiomyopathy and is now on the transplant list, in case any hearties become available.")
5. Fire in the hole (Hemorrhoids)
6. Privateer ("After delivering the bad news, I stepped out of the room so she could share a Privateer with her family.")
7. Abaft ("The patient should tape a plastic bag around her foot to keep the sutures dry when she is taking abaft.")
8. Keelhaul (What Oates will have to do if he ever wants to be the front man. Surprisingly, this phrase is not commonly used in medical dictations.)

A couple years ago, I had the opportunity to to write a chapter about the neurologic examination for the Oxford American Handbook of Neurology. You can preview this book for free on Google Books, and after reading the delicious passage on the top of page 22, turn back to page 21, where you will see the London Shiver Me Timbers Test included as part of the standard neurologic examination.  I'm bolding it not because I enjoy the time-consuming act of pushing the Ctrl key (I don't), but because it is a powerful and original idea, and I must remember to pay myself royalties for mentioning it here.(1)

There's more to this story, but I must stop here because I feel the need to start morphing at this time.

With warmest regards,
Zach

Hard Taco Homepage: http://hardtaco.org/

(1) I have another great idea, but I'm not sure I'm the first person to come up with this. What if we make a velocipede that has two wheels the same size rather than a ridiculously large front wheel and a ridiculously small rear wheel?

Monday, August 1, 2011

Calling All Chain Ganglies

Dear Friends,

Great news, adolescent yardbirds! "Busting Out of Juvie," the joyful new song from your friends at Hard Taco, will walk you through the procedures for unincarcerating yourself. 

Be assured that my pedigree as an escapology coach is excellent. In the slammer they referred to me as Professor Slippery because no cell could hold me. (Before that, I was known as Adjunct Professor Slippery because I hadn't yet published enough to make tenure.) I earned those monikers by escaping from handcuffs, straightjackets, hermetically sealed coffins, barrels, a uterus, and fish-tanks. When it comes to prison breaks, I guess you could say I'm an expert.

As point of fact, I am an expert... the only reason I'm guessing you could say it is that you may have recently injured your larynx. (Perhaps in a botched prison break?) 

You Can't Practice Escapology without Apology

You all used to laugh at me when I stayed after school to untie all the knots in the soccer nets while holding my breath. Now I'm on the outside, and you're in the can. Who's laughing now? Certainly not you with your ruptured larynx. But that's all water under the bridge. You need to bust out of lockdown, and Emeritus Professor Slippery is here to help.

The most common mistake that prospective escapees make is waiting until the time is right. If you have that mindset, you'll never get out of prison. Something will always come up! First, you'll tell yourself, "I'll just wait until the trigger-happy tower guard is on vacation." When he is, you'll say, "I should probably stay until I finish a few more license plates, just to complete the series."  Next thing you know, you've served out your entire sentence, and you never even burrowed into a single sewer pipe. 

No, if you're going to take a powder, you should do it this very instant. Print out the rest of this document and take it with you, following these instructions in real time.

1. Roll up your dirty uniforms and stuff them under your sheets so it looks like there is a sleeping body in your bed.  Fill socks with cigarette butts and candy bar wrappers and lay those along side the wadded up uniforms so it looks like arms. Once the body looks believable, put a lifelike silicone replica of your head on the pillow.

2. Bribe the trigger-happy tower guard to hand deliver a sealed envelope to the warden. Surprise! The letter within the envelope orders the warden to kill the person who bore the message. This works especially well when the guard is Rosencrantz and Guildenstern, but it will ultimately backfire if he is a handsome peasant who wants to marry your daughter. 

3. Swipe a butter knife from the cafeteria and swallow it. Fake a seizure (or have a real one if you are able.) They will rush you to the infirmary. As they charge up the defibrillator paddles, cough up the butter knife and hold the medical assistant hostage until he gives you an alcohol wipe, a centrifuge, a latex glove, and a bag of normal saline. Swallow them.

3a. Fake another seizure, and then run like mad into the yard. With any luck, the trigger-happy tower guard will be dead by the warden's hand, or at least on vacation today. 

4. Cough up the centrifuge and use it to climb the inner wall. It's difficult to explain this procedure in writing, but here's an drawing of how it works.

\ /
| |
| |c \\o..
| |    / \
| |          '
| |

Legend:
c = centrifuge

Hopefully, you don't accidentally drop the butter knife when you're half way up like you do in my drawing, but if you do, DO NOT GO BACK FOR IT unless there's time.

5. Cough up the latex glove and use it to climb over the barbed wire without getting electrocuted or punctured. 

6. The last hurdle is the outer fence. By now, the alcohol wipe and bag of normal saline in your stomach have suppressed your appetite so that you have lost enough weight to slip through the bars easily.

7. You're free! Before they catch you again, enjoy the things that free people do, like going to the Farmer's Market or burrowing into a sewer pipe.

With warmest regards,
Zach