{"id":1099,"date":"2012-03-28T16:13:41","date_gmt":"2012-03-28T21:13:41","guid":{"rendered":"http:\/\/www.fanagrams.com\/blog\/?p=1099"},"modified":"2012-03-28T16:33:33","modified_gmt":"2012-03-28T21:33:33","slug":"now-thank-we-all-our-sphincters","status":"publish","type":"post","link":"https:\/\/www.fanagrams.com\/blog\/2012\/03\/now-thank-we-all-our-sphincters\/","title":{"rendered":"Now Thank We All Our Sphincters"},"content":{"rendered":"<p><strong><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Now Thank We All Our Sphincters <\/span><\/span><\/strong><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">Last week son Ned sent me a link to a blog posting with the note \u2013 \u201cMom, I thought this was funny \u2013 it seemed like something you might write.\u201d\u00a0 <\/span><span style=\"color: #000000;\">The essay was entitled:<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">\u201cOn Buttholes,\u201d authored by one Mia Warren who spends 900 words discussing the fact that she has never seen hers nor has she seen anyone else\u2019s.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Then there are a few psychosocial comments about where buttholes fit in the gamut of sexual intimacy.<\/span><span style=\"color: #000000;\">\u00a0\u00a0 <\/span><span style=\"color: #000000;\">(<\/span><\/span><a href=\"http:\/\/thoughtcatalog.com\/2012\/on-buttholes\/#.T2alGuKcjss.mailto\"><span style=\"color: #0000ff; font-family: Times New Roman;\">http:\/\/thoughtcatalog.com\/2012\/on-buttholes\/#.T2alGuKcjss.mailto<\/span><\/a><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\"> )<\/span><\/span><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">At first, I was a little miffed that Ned thought this topic was within my repertoire.\u00a0 <\/span><span style=\"color: #000000;\">It\u2019s not that I am prudish \u2013in fact I think that everyone secretly enjoys a jolt of potty humor every now and then, but it is a tricky business to write about \u2013 going for the crotch smacks of desperation and there is a fine line between insightful social commentary and gross-out shock value.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">I feltthat Ms. Warren was just a bit over the line, but I decided to take Ned\u2019s comments as a challenge \u2013 can I tackle the same subject, but be on the safe side of decorum?<\/span><span style=\"color: #000000;\">\u00a0 <!--more--><\/span><\/span><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">So I am going to take a very anatomic and physiologic approach and steer clear of the social taboos enveloping our nether regions.\u00a0 <\/span><span style=\"color: #000000;\">And in fact, I am going to broaden the subject to discuss sphincters, a collection of very hard-working but under-appreciated muscles that are sprinkled throughout our bodies.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Sphincters are circular muscles that function to create tight seals that open and close as need be.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">If you want a visual representation of a sphincter, find someone who plays a brass instrument and ask them to <a href=\"https:\/\/www.fanagrams.com\/blog\/wp-content\/uploads\/2012\/03\/sphincter-whale-blowhole1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-1101\" title=\"sphincter whale blowhole\" src=\"https:\/\/www.fanagrams.com\/blog\/wp-content\/uploads\/2012\/03\/sphincter-whale-blowhole1-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a>demo their lips when they hit a high note, or you can always purse your own lips and look into the mirror.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">For an example of the type of pressure that a sphincter must maintain think of the dramatic plume of pressurized air spouting from the blow hole of a whale.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><\/span><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">Let\u2019s take a quick tour.\u00a0 <\/span><span style=\"color: #000000;\">The iris is a sphincter, opening and closing in response to the light level.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">The story of the iris might be fascinating \u2013a tiny wisp of a muscle that somehow has acquired the wisdom to recognize just the right amount of light beaming onto our fragile retinas.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">However, I am going to focus here on our most socially important sphincters, namely those along our urinary and digestive systems.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">I can quickly dismiss the disappointing urinary sphincter, since, in women it is a flimsy and timid affair that frequently cannot stand up to the pressure of a sneeze, a heart-felt guffaw or a slumping uterus.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Surgery requires mesh or tape to hike up the sphincter and give it more oomph.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Unfortunately these implants don\u2019t work that well and cause their own problems, eroding and such \u2013 you just don\u2019t want to know.<\/span><span style=\"color: #000000;\">\u00a0\u00a0 <\/span><span style=\"color: #000000;\">In fact, late night TV is littered with ads recruiting women for a class action lawsuit against the manufacturers.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><\/span><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">The digestive tract is studded with sphincters that create different compartments.\u00a0 <\/span><span style=\"color: #000000;\">For example, there are sphincters at the entrance and exit of the stomach, which isolate the acid swill of the digestive juices from the esophagus at the top end, and the small intestine <a href=\"https:\/\/www.fanagrams.com\/blog\/wp-content\/uploads\/2012\/03\/sphincter-stomachs.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1102\" title=\"sphincter stomachs\" src=\"https:\/\/www.fanagrams.com\/blog\/wp-content\/uploads\/2012\/03\/sphincter-stomachs.jpg\" alt=\"\" width=\"265\" height=\"190\" \/><\/a>at the bottom end.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">If you have heart burn, this means your upper sphincter has sprung a leak and the acid is burning the tender lining of your esophagus. Surgery is similarly not that successful<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">\u2013 the alternative solution is just to neutralize the acid in your stomach with drugs like Prilosec.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Very occasionally this sphincter will overclench and one of the treatment options is an injection of Botox \u2013 yes, the same drug that is used cosmetically to paralyze the tiny muscles causing wrinkles can be used to paralyze a honking big sphincter.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><\/span><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">There are also sphincters between the stomach and the small intestine, and between the small intestine and the large intestine, but let\u2019s go downstream to the anus to the marvel at this structure from a purely anatomic point of view.\u00a0 <\/span><span style=\"color: #000000;\">Trust me, I have no other agenda here except to let the sun shine where it normally doesn\u2019t.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">In my work of analyzing new medical technologies, I have spent a large amount of time in this anatomy and believe me, the best minds in medicine have struggled mightily to come up with solutions to a spent sphincter,mostly to no avail.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">I have come to recognize anal sphincters as an engineering feat of staggering genius and an absolute prerequisite for any social animal living in a confined space.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">We applaud our oversized frontal lobes, bipedalism and opposable thumbs as the secret to our success as the master puppeteers atop the food chain, but just think about it \u2013 voluntary sphincter control was a key infrastructural step.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Quite simply, in the human world, you cannot shit where you live.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Even dogs realized this \u2013 they could not be human companions without a sophisticated sphincter system.<\/span><\/span><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">So here are the details.\u00a0 <\/span><span style=\"color: #000000;\">Remember set aside your squeamishness here!<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">There are two anal sphincters, the upper one that we have no conscious control over, and the lower one that we can open and close at will.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">The upper, or internal sphincter, first experiences increasing pressure from above \u2013 and this next thing just totally blows me away \u2013 somehow this muscle is able to sample the pressure to determine whether it is solid, liquid or gas.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">(I should also give props to the male urinary sphincter, which can miraculously differentiate between urine and sperm).<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Gas, in most cases, is more socially acceptable, so the upper sphincter opens to let it pass.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">The internal sphincter seems to be more circumspect about liquid or solid, but eventually the baton is passed to the external sphincter, the ultimate decision maker.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">This is where voluntary control comes in, requiring complex trafficking between the brain and the gut to choose the right time and <a href=\"https:\/\/www.fanagrams.com\/blog\/wp-content\/uploads\/2012\/03\/sphincters-woody-allen.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1103\" title=\"sphincters woody allen\" src=\"https:\/\/www.fanagrams.com\/blog\/wp-content\/uploads\/2012\/03\/sphincters-woody-allen.jpg\" alt=\"\" width=\"185\" height=\"272\" \/><\/a>place.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">I am reminded of the hilarious skit in the Woody Allen movie \u201cEverything You Wanted to Know About Sex But Were Afraid to Ask.\u201d<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Woody is dressed up as a sperm, waiting in the launch pad while his \u201cowner\u201d is on a romantic date. <\/span><span style=\"color: #000000;\">\u00a0<\/span><span style=\"color: #000000;\">Woody nervously waits while the movie cuts to the control room, filled with consoles with blinking lights and mission control specialists running around in white jackets.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">The commanders are Tony Randall and Burt Reynolds who coordinate all the elements required for a successful launch.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">They communicate with the steamy engine room where a supervisor yells at his sweaty workers struggling to keep the hydraulics up and running.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">The supervisor is wearing a tee shirt showcasing his luxurious back hair, and his men are all wearing silver hard hats.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><\/span><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">The same scenario could be applied to our sphincters down below.\u00a0 <\/span><span style=\"color: #000000;\">The sphincter opening is just the beginning, setting off an exquisite synchrony of muscle contractions throughout the floor of the pelvis.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Baseball aficionados still insist that the best example of <a href=\"https:\/\/www.fanagrams.com\/blog\/wp-content\/uploads\/2012\/03\/sphincters-Mays.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1104\" title=\"sphincters Mays\" src=\"https:\/\/www.fanagrams.com\/blog\/wp-content\/uploads\/2012\/03\/sphincters-Mays.jpg\" alt=\"\" width=\"202\" height=\"249\" \/><\/a>coordination is &#8220;The Catch&#8221; by Willie Mays &#8211; and on-the-run, over-the-shoulder catch on the warning track.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Mays then pivoted, lost his hat, and threw a laser to third base preventing the tying run.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">I submit that on a daily basis, the sphincter performs the same caliber feat.<\/span><\/span><\/p>\n<p><span style=\"font-family: Times New Roman;\"><span style=\"color: #000000;\">Unfortunately, there are a few design flaws.\u00a0 <\/span><span style=\"color: #000000;\">The brain can overthink things and the intestines sometimes have a mind of their own.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">It&#8217;s called the gut brain and refers to the extensive network of nerves running along its entire length, a remnant of the simple needs of our immobile ancestors who did nothing more than cling to a rock and hope that food dropped right into their laps.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">Misguided gray matter or a roguish gut brain can spell disaster. <\/span><span style=\"color: #000000;\">\u00a0<\/span><span style=\"color: #000000;\">There is a saying among athletes, \u201cLose your legs, lose your friends,\u201d<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">referring to the isolation when an injury or age prevents socialization through sports.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">The same could be said about a dinged up sphincter.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><span style=\"color: #000000;\">So please join me in paying homage to our sphincters, those hard-working and under-appreciated back office types that keep us in the game.<\/span><span style=\"color: #000000;\">\u00a0 <\/span><\/span><\/p>\n<p><strong><em><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Based on the Hymn: <\/span><\/span><\/em><em><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Now Thank We All Our Gods<\/span><\/span><\/em><\/strong><\/p>\n<p><em><\/em><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Now thank we all our sphincters with hearts and hands and voices<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">What wondrous things they do, in whom this world rejoices;<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">It\u2019s mother nature\u2019s gift and every day we pray<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Our sphincters stay intact until our dying day.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n<p><span style=\"color: #000000; font-family: Times New Roman;\">\u00a0<\/span><strong><em><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Based on the Hymn: <\/span><\/span><\/em><em><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Morning Has Broken<\/span><\/span><\/em><\/strong><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">My sphincter has broken, I\u2019m in mourning<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">My body has spoken, don\u2019t like what I heard<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">I pray for the doctoring, pray night and morning<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">I pray for solutions, bring me back to the world.<\/span><\/span><\/p>\n<p><strong><em><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Based on the Hymn: I Sing a Song of th<\/span><\/span><\/em><em><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">e Saints of God<\/span><\/span><\/em><\/strong><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">I sing a song of sphincters all <\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">F<\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">aithful and brave and strong<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Who toil for us deep within <\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">T<\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">he whole of our good lives long<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">You can meet them in crannies, nooks or crevasse<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">In the stomach or bladder, but that one in the ass<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">It knows what to do with a solid or gas<\/span><\/span><\/p>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">If it&#8217;s gas, it can let it pass<\/span><\/span><\/p>\n<p><span style=\"color: #000000; font-family: Times New Roman;\">\u00a0<\/span><\/p>\nFollow Liza Blue on: <a class=\"synved-social-button synved-social-button-follow synved-social-size-24 synved-social-resolution-single synved-social-provider-facebook nolightbox\" data-provider=\"facebook\" target=\"_blank\" rel=\"nofollow\" title=\"Follow Liza Blue on Facebook\" href=\"https:\/\/www.facebook.com\/fanagrams\/\" style=\"font-size: 0px;width:24px;height:24px;margin:0;margin-bottom:5px;margin-right:5px\"><img loading=\"lazy\" decoding=\"async\" alt=\"Facebook\" title=\"Follow Liza Blue on Facebook\" class=\"synved-share-image synved-social-image synved-social-image-follow\" width=\"24\" height=\"24\" style=\"display: inline;width:24px;height:24px;margin: 0;padding: 0;border: none;box-shadow: none\" 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