Books of Interest
Website: chetyarbrough.blog
REPLACEABLE YOU (Adventures in Human Anatomy)
Author: Mary Roach
Narration by: Mary Roach

Mary Roach (Author, writer who specializes in humor about popular science, has several NYT’s bestsellers.)
Mary Roach writes an irreverent history about human body parts that have been found to be replaceable with varying degrees of success. The range of her observations run from the humorous to macabre to the sadly tragic.
Humor is subject to the mind of the beholder, but Roach offers a history of nose replacements, dentures, penial replacements, ostomy bag mishaps, hair transplants, and experiments with different materials used to replace body parts. She experiences what it is like to live in a tube designed to aid breathing for one living with paralytic polio. She recounts the famous astronomer, Tycho Brahe who lost his nose in a duel, and had it replaced with a glued metal protuberance that periodically fell off. He became known as the man with the golden nose, though it may have been made of brass.

Dentures became known as “wigs of the mouth” as they came into the 19th century.
Roach alludes to George Washington’s dentures and how uncomfortable and prone they were to be falling out at times of passion (like kissing), chewing sticky or hard foods, or vociferously arguing with subordinates. Made of ivory, animal or human teeth, they were secured with gold wire, bone bases, and/or rubber fittings. Based on excavation in Egyptian times, human and animal teeth and bone were found to be teeth held together with gold wire. Either suction or straps held the dentures in place. Contrary to the myth of wooden teeth for George Washington, historians believe ivory was used in his dentures. They were fastened together by metal springs and bolts and secured to his remaining natural teeth which dwindled to one tooth as he aged.
Roach explains the history of penial transplants that is funny to some while interesting and important to others.

Fingers are sometimes amputated as the structure for penile replacement. She comically suggests an articulated finger allows the transplant to be knuckled under to mitigate appearance of a perpetual erection. Roach goes to great lengths (ahem) to explain how important an implant is to men. A man’s thoughts may wander in a different direction than the author’s view of a successful operation. In any case, Roach’s history shows how accessible and thought-provoking penial implants have become.

An ostomy is a surgically created opening to allow waste to be expelled from the body.
An ostomy can be more precisely identified as a colostomy, an ileostomy, or a urostomy. The first is an opening to the large intestine while the second is an opening to the small intestine. The third, a urostomy is a urinary opening that allows healing of the other two when surgically completed. The urostomy may also be required because of bladder cancer or infection and other maladies related to the urinary track. To keep Roaches story a little less gruesome she tells stories of inadvertent noises and sloshing that occurs with ostomy bags. Like dentures falling out of one’s mouth, ostomy bag use can make unexpected noise or inopportune leaks. They are like “portable embarrassment machines” that can either lead to mutual laughter or embarrassing incidents. Roach contrasts the seriousness of medical necessity with the absurdity of life.

Early ventilator’s first use.
The most heartbreaking issue of Roach’s stories is of polio survivors who are unable to breath without help. Severe loss of muscle function in polio victims required placement in long negative atmosphere tubes in which a patient is confined to stimulate muscle movements for one to breath. Today, a portable positive-pressure ventilator largely replaces the human iron lung. Roach briefly uses one of the iron lungs shown above, but the discomfort made her ask to be removed from the confining contraption within minutes of enclosure.

In listening to “Replaceable You, one’s thoughts go to Robert Kennedy’s belief that vaccines are a threat rather than aid to societal health.
Mary Roach implies Kennedy and America’s current President are fools. To me and presumably to Roach, downsizing the National Institute of Health that researches and tests medical treatments for presently incurable diseases and physical disabilities is a national disgrace.

