Sunday, January 31, 2010

Introduction to Cancer: Part One

On New Year’s Eve I burst into tears for no reason, which you might find hard to believe when you learn that I had just looked in the mirror and seen exactly how fat I have gotten. But I don’t think it was that. I think I was lonely.

For no reason. Noone had dumped me in at least three months, my daughters were calling me, even my ex-boyfriend Frank had been calling at regular intervals.

The next morning I was sitting at my computer minding my own business when suddenly I heard a loud click on my email system. A very loud click. Full of portents. It appeared to be a letter from some guy on a dating site that I thought I had become invisible on.

You had better be careful about that visibility option on these dating sites. This is especially true if you are a double clicker. You know what I am talking about if you are an old fashioned person over fifty who clicks twice instead of once to make things go. If you click that button twice on the dating site visibility option, then just when you think you are disappearing from the prying eyes of your colleagues, boss, employees, ex-boyfriends and every other man in Oklahoma City, Kansas, Texas and Arkansas, especially if you need some time off from having your heart broken and/or need to get some work done (which are often related exigencies), you might magically appear again. Accidently.


Laptop


Dear Diane: the email said.

For some reason we seem to have lost touch. How are you? I would be delighted to start writing to you again.

Sean

Then there was a picture of him at the bottom. Homely, nerdy, adorable. My type.

OK. Some Irish guy was oogling my accidently visible profile and he clicked on his letter to someone named Diane by accident.

This was an amazing coincidence if you think about it. I was visible by accident and now he was writing me a letter by accident. Even though I was visible. Which I should not have been.

Dear Sean: I wrote back

I received your very nice letter, and I would be delighted to correspond with you, too if I were Diane. Unfortunately for me, I am not Diane. Good luck in finding her.

Della.

Almost immediately he replied:

Dear Della:

Sorry, I thought you looked familiar, maybe we were writing to each other before and I only thought your name was Diane.

Sean

Dear Sean: I replied

Nope, I would have definitely remembered you. But if you write me back I will answer you. On the other hand, if you don’t then neither will I, and this will have to be goodbye.

Della.

He wrote me back.

I wrote him back.

He googled me.

I could tell. Some facts about me slipped out in one of his e-mails.

So the man knew how to use a computer. I googled him.

Wow. This was the first man I ever met on the internet who was a google star like me. Although, let me rephrase that. This was the first man I ever met on the internet who could be found at all with google, outside of the county court records that is. And, remarkably, he was also a google star, like me.

No kidding. He had a lot of hits. And he had his picture in some newspapers and on some billboards.

He said he was some kind of executive for an energy company that was based in Texarcana but had offices in Oklahoma City. I believed him because you could google all about it. It is easy to tell lies on the internet but it is very hard to get them googled.

Try it. Google this blog.

Sean called me on my cellphone. We started talking every night. He kept bragging about how much exercise he was doing so I started working out twice a day.

I figured I had a few weeks before we were likely to meet up, so I planned to drop at least ten pounds. And wear spanx.


spanx.















Let me tell you about my workout tape. It is called Kathy Smith and she is some kind of tall Nordic woman who videotapes herself in some gym with a roomful of happy, fit people who say “whoooooo” everytime she comes up with a new torment. For example she gets you doing deep lunges that almost crack your knees open along with the military press that almost dislocates your shoulders, and they all say "whoooooo." Then she makes you stand on one leg while holding two five pound weights and lifting your other leg in front of you and then, while leaning over at a ninety degree angle swinging the leg out behind you and squeezing your fanny without falling on it. And they all say "whooooo." Then she does this other thing where you have to do a three step jig from side to side at ninety miles an hour while everybody says “whoooooo” and after that, as I double over, gasping for air, the happy fit people applaud me. Or more likely her.

Who cares? The whole thing is over in a half an hour and if you grit your teeth and force yourself to do it twice a day you can lose a dress size in two weeks. Depending on what you eat. Which was my goal.

Kathy Smith: Build Muscle Shrink FatKathy Smith workout

I know about three diets that work.

1.) Healthy diet. This works fine if you have nine months to lose ten pounds. The advantage of it is that you can live a normal life and it is easier to stick to. Except that I don’t.

2.) No fat diet. This is great if you can’t control your appetite. As long as you stick below 1 gm fat for every 10 gm carbohydrate you will lose 30 pounds in three months. Works every time. Great for yo yo dieters who travel a lot and don’t mind gaining all the weight back between September and December.

3.) Soup diet. Just eat soup. Homemade soup, Campbell’s soup, V8 soup, Healthy Choice soup, Progresso soup, it doesn’t matter. Eat the 100 calorie/serving diet soup for lunch. Eat the hearty version (240 calories/serving) for dinner. Or eat the hearty version twice. No problem. For each meal you can have the amount of soup that is in one can of Campbell’s or Progresso. They call that two servings, but you will be full while always coming in well under 500 calories. Trust me. It is very, very hard to stay fat if all you eat is soup.

















It was wintertime and we had a string of blustery weather so I chose the soup diet.

Oh, I almost forgot. Sprinkle some hot red pepper on the soup. It curbs the appetite.

So for one week all I did was eat soup and work out to Kathy Smith and talk to Sean on the phone every night.

And work. But that goes without saying.

He was obviously very smart, and he knew a lot of facts about local history and current events and politics. More than facts, he was analytical and insightful. And he was critical about some of the dumb things I said, he called me on some of my most blatant nonsense, in a knowledgeable, thoughtful, non-egotistical way. I admired that. I don’t like to dance rings around a man. Especially when they don’t notice it.
But he did not flirt with me.

Sometimes I would say something offbeat and he would laugh, but then he would give some kind of serious reply. No flirting.

He seemed to be trying to figure out if he liked me, and even looking for things to like in me, but there was no sex involved. Nothing in his voice to insinuate he had anything on his mind but a tentative, and meaningful friendship.

Which turned me on like crazy!

Also, he said some really stodgy things that normally would have fallen very flat with me, like “My neighborhood is fun, but not prestigious” or “I drive a Lexus, but I have trouble with women who spend money without thinking,” to which I immediately had to reply “my neighborhood is rundown and my house if falling down around my ears,” and “I drive a Ford Focus with a dent in the back, and I buy a lot of worthless junk.”

But then to his stunned silence, I continued, “but I do pay my credit cards in full every month. My ex-husband taught me to do that.”

“Why did you have to be taught?” He immediately retorted, boring right through my artifices to the heart of the matter.

“Guess I had never thought about it until I got married and took out a credit card,” I demurred, leaving out the part about how, after graduating from Vassar, I was a go-go dancer in New York City and traded primarily in cash before settling down, marrying a psychologist, and applying to six Ivy League Medical Schools, most of which accepted me.

Except Harvard.

50 Successful Harvard Application Essays, Second Edition: What Worked for Them Can Help You Get into the College of Your Choice

Eventually, the go-go dancer thing might need to be discussed, but first things first. He still didn’t know that I am still legally married to my husband, or had cancer and bilateral mastectomies eight years ago. Symmetrical issues, all.

Perhaps it is time to explain about my missing breasts. I may look like a plump, 59 year old woman to you now, but I once had the most beautiful, round, perky breasts on the planet. Yeah, my nose is crooked, my chin collapsed when I was forty, my eyes crinkle into filo dough when I am screaming bloody murder at my staff, but up until eight years ago, my breasts looked like they belonged on a twenty year old.

Then I found the lump. Then they were gone.

After long negotiations with a plastic surgeon who was paranoid that if he followed my explicit instructions I would end up with a uniboob, I got a fake set put in that somewhat resemble the old glory days. In order to get silicone layered saline implants (the good kind) I had to enter a clinical trial and sign an informed consent, acknowledging the debunked myth that silicone implants might cause lupus.

Pretty amusing for a lupus doctor. Especially since I once refused to help the lawyers for the plaintiffs in that case.

Breast Implants: Everything You Need to Know

You may be wondering why I chose to get bilateral mastectomies. And a hysterectomy. And take unapproved chemo that was stronger than anything anybody had recommended. Here is what happened.

I was sitting in my office at the Ardmore Medical Research Foundation, typing on a grant, completely absorbed in my experimental plan, and I realized that I had just put my hand up to touch a very painful spot on my chest.

“What was that?” I thought, startled.

It felt like a lump. It had seemingly appeared out of nowhere. I had taken a shower just a few hours before without noticing anything.

And it really hurt.

“Oh well,” I figured. “If it pops up suddenly and really hurts it must be a benign cyst.”

Or an abcess.

But at least it couldn’t be cancer.

Then why was I so scared?

My heart was beating in my throat. I walked back from my office to the clinic which was empty, it being Saturday, and found a needle and a syringe. I stuck the needle smack into my own chest to see if the cyst would drain.

Serous fluid would mean benign cyst, and if you really poke around you can collapse it and make it go away. Pus would mean an abcess, and I could take a scalpel or a razor blade to it and....

Nothing. I poked some more. Nothing. I was close tearing it open. Nothing.

My chest was screaming in pain so I took mercy on it and ran away.

I rushed to my car and, pulling out of the parking lot, wishing I knew how to screech the tires, I saw Joe Hatfield walking towards me. At the time I, like every other woman in a two mile radius, was wild about him, but don’t worry that’s over with now, usually.

I rolled my window down.

“What are you doing on our campus?” I teased.

“Hi he said,” leaning on my car, “Did you send me your CV yet?”

There was a grant deadline coming, and all of us at Ardmore and over at the University where he works write our own grants and beg each other for CVs.

“Nope, “ I smiled. “I sent it to your secretary, since you never read your email.”

“Thanks,” he said.

Too bad this isn’t a movie. In the movie version the actors would say these lines while ravishing each other with their eyes. Except that right in the middle of me gunning my engine, but lingering with my foot on the brake under his wolfish goodbye gaze, my heart was sinking and I was wondering what that thing on my chest really was.

“See you tomorrow,” he said flirtatiously.

“Hope so,” I said in a gravelly voice, wondering to myself if I actually had cancer.

But as I drove away, I had a suspicion that he might have mistaken my sound of fear for some kind of throaty love call, because he appeared a little discomfited at last glance.

Deep emotion is deep emotion, dear reader, and if you think you can tell the cause of great passion by any facet of its display, dream on.

I spent the rest of that weekend doing extremely bizarre things, such as driving to the grocery store and driving home to get my purse and driving back to the grocery store and driving home to change into more comfortable shoes and driving back to the grocery store and leaving my full basket in Aisle Seven because I realized I could not possibly cope with the long lines snaking up to the cash register. I spent most of Sunday planting flowers in front of my house, an aberration of behavior that has never since been repeated. The flowers ended up being the scariest flowers you ever saw, some kind of hardy but hideous succulent that still comes back every year to mutilate my front yard. I have sworn to remove them, the next time I have a real crisis.

On Monday, I made an appointment at the Lutheran Hospital Women’s Center for Friday. Then I got upset about having to wait so long, and my nurse, Kathy, who found me crying in front of my computer called over there and explained “who I was” and got me added on as an extra patient at three that afternoon. She walked over there and stayed with me for the duration, a very Oklahoma thing to do. Which is how I gratefully interpreted her actions. Then.

So there I was, walking in to a large waiting room crowded with women. I wondered how many of them were there for a routine checkup, and how many were there for their routine radiation therapy. I stole surreptitious glances at the faces, but I could not pick out who might have cancer, and hoped it was not me.

The lady at the desk called my name, “Dr. Sugar,” and several people looked up. Embarrassed, I walked over to the intake area.

“Here for your mammogram?” the lady said.

“No,” I explained. “I have very dense breasts and….”

“Age?” she asked.

“Fifty two, but….”

“When was your last mammogram?”

“Three years ago, but they always do sonograms because….”

“Fifty two. Then you need a mammaogram, don’t you?”

“No,” I said. “I have very dense breasts, mammograms don’t work for that and besides….”

“You have to have a mammogram first,” she declared, handing me my papers. “If the doctor thinks you need a sonogram then that’s what you will do next. Now, I know you forced your way in here today so I hope you will have the courtesy to sit down and wait your turn while I try to get to everybody else.”

I was about to burst into tears, had not eaten all day and was too weak to fuss, so I took the papers and sat down. “She is ignorant,” I said to Kathy. “Let’s just ignore her until I can talk to the radiologist or whoever they have back there.”

After the mammogram, I was putting on my clothes and a young radiologist, maybe all of thirty years old burst into my dressing room with no preamble.

Such as knocking.

“Dr. Sugar?” she snapped tartly. “Didn’t you know your breasts are too dense to have mammograms?”

“Yes,” I said. “Which is what I told your secretary outside who told me to speak to you whom I have now met only AFTER having the unnecessary procedure.”

“Oh,” she said defensively. “Well is there any reason why you think you have any particular problem?”

“Uh huh,” I explained, opening my gown to expose the mass on my breast. It had doubled in size over the weekend and it was obviously inflamed.

“Oh,” she gulped. “You should have told me. Let’s get you a sonogram.”

They whisked me into a dark room and the Head Radiologist came in to handle me, having apparently dismissed the younger one. My breast was rapidly uncovered and exposed to the paddles, and I could see the lump on the little TV screen, which looked regular and smooth and benign.

“Shall we just biopsy it and get it over with?” the radiologist suggested briskly.

“Stab away,” I replied compliantly. Then winced because she did stab me so hard that the mass blew open and the needle slipped in her hand, I could feel it hit my chest wall.

“Ooops,” she said.

“How did it look to you?” I asked.

“Can’t tell” she said. “It could be OK, but I didn’t like the irregularity of the upper surface.”

“So you think it might be cancer?” I asked weakly.

“Let’s put it this way,” she said. “I can’t tell you for sure yet that it isn’t cancer.”

I think she believed that this would be somehow reassuring.

Kathy was staring at my breasts. She looked almost jealous.

I told you I had a great set.

“Well looks like we got a good sample,” said the radiologist, over at her counter. “We should have the path report by Friday, you can call me or I’ll call you.”

When we were walking back to our clinic, Kathy said, “You know, some people don’t like to have needle biopsies, because when they slip out the back end of the tumor like that, they can seed the cancer deeper into your breast.”

I remember thinking to myself what a terrible thing that was to say, but I had seen the lesion and I was pretty sure it was benign. Especially since the lump had gotten smaller after being punctured.

I felt badly for Kathy because I was grateful that she had taken the appointment business in hand, and had the good heartedness to accompany me on this unpleasant business. “Poor thing,” I remember thinking, without considering myself personally affected by her gaff. “She didn’t know what to say, and she must feel terrible about putting her foot in her mouth.”

I was mostly OK for the next two days, since I knew I would not find out any bad news until Friday. I worked late on Monday and Tuesday, finishing my grant, and had a lot of patients in clinic that week.

On Wednesday at 4PM there was a reception in the lobby of the Foundation for Jack Barnes, who had just been inducted into the National Academy of Science. There were some speeches and jokes, and champagne, and I was there with my friends, we were all joking around, and getting a little tipsy when my phone rang.

“Hello?” I said.

“Della.” Said Diva.

“Diva?” I said. I could not hear her very well. She was saying something odd about a malignancy.

“What?” I said. “I can’t hear very well here, let me get to a quieter place.” I was walking rapidly into my office, heart beating as if I had run a mile, “What?” I repeated.

“This is Dr. Graves,” said the person who was not, after all, Diva. “Unfortunately you have a grade 3, poorly differentiated carcinoma. Judging from the sonogram I think that mass may be at least 2.5 centimeters, which makes it a Stage II, but we need to do a workup to be sure that’s as far as it goes.”

The tears in my eyes were really salty and they burned. “OK, thanks for letting me know. I am grateful to you for calling right away,” I lied, pretending to sound calm.

“Make an appointment over here with Dr. Duke,” she instructed me. “He is the surgeon who handles later stage disease, and he will take it from there.”

“OK, thanks,” I said.

“Your’re sure you’re OK?”

“Uh yeah, I have a….great….uh….support system. I’ll take it from here.”

“Great.” She said. “Call me if you need anything.”

Sure. Like what?

Everything was a blur but I found Donna Faith in her office working diligently, as usual, on her books.

“What’s wrong?” she gasped, seeing my blubbery face.

“I have cancer,” I gasped. “I think it’s a bad kind.”

“Sit down,” she said, pushing me into a chair. “Now, what can I get you? Water? A Person? You want me to pray with you?”

“All of the above." I sobbed.

“Ok, let’s get you some water first,” she cried, rushing out of the room and rushing back before I even managed to stare at the walls. She handed me the cup and I put it up to my mouth and realized I could not drink anything.

“Ok, now we are going to pray, she said.”

“Just don’t ask for my health,” I said. “I don’t bargain with the Lord.”

“ OK, I understand that,” she said, bowing her head. “Dear Lord….Dr. Sugar has cancer and we both can accept your will, but she has a lot of work to do on this earth, which I know you sent her here to do, so all I am asking is that you give us all here the strength and wisdom to help her do what needs to be done and we have every faith that something in this time has an important meaning for us all. Amen.”

“Amen,” I repeated.

“Now who do you want to talk to? Diva?”

“No, she’s going to be hysterical. I’ll call her after I stop being hysterical.”

“How about your husband?”

“No, he will be too cold and practical, and he thinks I owe him money for the kids' college fund”

“He won’t bring that up.”

“A. Yes he will and B. I paid it in July.”

“Well we’ll just sit here until you decide,” she said patiently.

“Get Dr. Hatfield,” I sobbed. “He was at the party, but he left, he’s probably on his way home.”

A few blurry fits of frantic crying passed and Joe Hatfield was sitting calmly at Donna Faith’s desk wearing a take charge face, and she had tactfully disappeared. I sobbed and sobbed and told him exactly what the radiologist had said. “It’s poorly differentiated and huge and it might be Stage IV and I don’t know what to do.”

“First of all,” he said, “she doesn’t know all that from a biopsy. And second of all, I am not sure what you should do tomorrow, but I can’t leave you here now, and I have a job applicant to take out to dinner in five minutes with my wife, so you are coming with us.”

“What are you nuts?” I wailed. “I can’t go with you.”

“But I have to go,” he explained, “And I can’t leave you. So I guess you have to come too.”

“Donna Faith will take care of me,” I said. “Go ahead, I am sure I will still be hysterical tomorrow and you can pitch in then.”

“You don’t understand,” he said. “I can’t leave you. So we have to go now.”

“Joe, I’m in shock, I’m not in control of anything, you don’t want me crying at the dinner table with your job applicant.”

“Della,” he said, “you are one of us now. If he wants a job at this University, he has to accept us just the way we are.”

“You are nuts,” I laughed.

“Welcome to Oklahoma,” he smiled. "We take care of each other."

I was crying all the way through dinner, every few seconds new tears would well up, and I couldn’t eat more than a few bites, but my voice was remarkably steady. I engaged in pleasant, if subdued conversation with the others, and when Joe’s wife remarked about my red eyes and lack of appetite I said I had allergies. Joe winked at me when I did that.

After dinner, he told me he wanted his wife to drive me back to the Foundation where my car was. I wanted to get away by then, and I was grateful to go with someone neutral. Someone who knew nothing about me.

In the car, she said, “you sure have bad allergies, are you taking anything for them?”

So I immediately started crying again and said, “No I don’t have allergies, I have cancer, and you must be wondering what I was even doing at that dinner. But I just found out I have cancer, so I was hysterical and your husband didn’t have the heart to leave me alone.”

“I suspected something like that,” she said.

When we got back to the Foundation, she stopped the car and said, “Can I give you a hug?”

“Sure,” I said, knowing even as I said it that if I let this woman hug me, I must never think about her husband again. And yet what kind of a heartless bitch would deny another person a hug when they need to help you? Even if you have wronged that person in your mind. And thankfully it was only in my mind.

She gave me a great big, motherly hug and told me that if I ever wanted to, I must feel free to come over to her house and bang on her door even if it is the middle of the night. I accepted her kindness and her hug and…..her….errr….love…..and I got out of the car and went into the building.

And I stopped thinking about her husband. I really did. Most of the time.

Friday, January 8, 2010

Don’t Mix Politics and Strange Bedfellows

In order to earn the money to pay back the plane fares and hotel rooms that end up on my credit card no matter how careful I am to get that covered in advance when I am traveling to try to earn money to pay for the plane fares and hotels that the last bunch haven't reimbursed me for yet....well you can see how circular this gets....it is important to keep my invoices straight.

Do you think this is easy? Every Type 2 Advisory Board for every different Pharmaceutical Company and every Invited Talk at Universities and National and International Meetings requires a different contract and different honorarium and different reimbursement rules using different Meeting Planner Organizations, and there are dozens of those in a year. I have a special rolladex just for this.

You try traveling once a week during high travel season for all those different companies and universities and secretariats, then look at your credit card bills even when you had been assured by everybody that all of that would be a.) paid in advance and b.)not by you!

Fortunately I am a very well organized person, when it comes to money somebody owes me.

Here is an example of a letter that I might have to write on a normal work day in between my fifteen patients, forty phone calls, rejection letters from medical journals, emails from New York University asking me to speak at their Advanced Course in Rheumatology or from EULAR asking me to fly to Copenhagen to give a talk on lupus clinical trials, rejection letters from granting agencies, angry letters from my boss after I made the Head of HR cry because she held up a new hire in my Department by six months, emails from the Lupus Foundation of America telling me I just won a national award, letters from the CEO of our organization telling me that my Department is in debt again (or would it be more accurate to describe that as telling me AGAIN that my Department is in debt?), reporters wanting to know what I think of the recent press release on a failed clinical trial for lupus, and investors wanting to know what I think of the recent press release on a failed clinical trial for lupus, and Diva instant messaging me to tell me her career is over, her lab is bankrupt, all her papers and grants have been rejected, and asking me, by the way, to check a link to eBay and give her my honest opinion on a shabby chic dresser for her beach house....

To RKO Events, Inc.
Attention: Chelsea

(I write while swimming upstream against all of the above communications while a conference call from one of the endless working groups I belong to blares through my speaker phone....)

Hi Chelsea:

Can you give me an estimate of when I can expect to receive my honorarium for the Phenergan Pharmaceuticals Advisory Board held last August 18 at the Four Seasons Hotel in Santa Ana California? Attached is a copy of my invoice for this honorarium plus the expenses that I paid for travel first submitted Sept 1st and subsequently resubmitted Oct 1, Nov 1 and December 1.

Perhaps you were not expecting to hear from me again until Jan 1? However my policy is to cut in half the time between invoice submissions at each subsequent submission after the fourth invoice. Thus you heard from me today (two weeks after the last submission.)

If I do not receive my check, you can expect, then, to hear from me again in one week, then in three and one half days. After that I will start touching base with you by phone. Your first phone call can be expected one and three fourth days after the last letter. The second phone call will come to you one day later (give or take a few hours, it is hard to be perfectly accurate about these things once it starts getting that frequent, we are all busy, of course.

The following day I will call you twice. The day after that I will call you four times and the day after that……well you get the idea.

Looking forward to hearing from you.

Della Sugar, M.D.

PS: Have a nice day.

Then I cut and paste and edit down this letter to recycle for my next invoice which will go something like this….

To the Lewis Professional Events Group, Ltd. (I write)
Attention: Monique

Dear Monique:

Can you give me an estimate of when I can expect to receive my honorarium for the Emerson University Field Day in Rheumatology held last October 1 in Topeka? Attached is a copy of my invoice for this honorarium plus the expenses that I paid for travel first submitted October 12 and subsequently resubmitted on Nov 1 and December 1. Perhaps you were not expecting to hear from me again until Jan 1? However my policy is to cut in half the time between invoice submissions at each subsequent submission after the third invoice……

Now I hear a crisp click sounding from my computer, another email coming in. I interrupt my billing to see who is writing to me. You never know, it could be a man. Or money.

It was from Mr. Ian Umbabwe from the National Bank of Ghana, informing me that because of my reliable reputation he needed me to facilitate a transfer two million pounds of an inheritance from the former Prime Minister of Zimbabwe into my account, which must leave his country immediately because the former Prime Minister’s enemies were trying to steal it. So if I could just send my bank account number he could effect a wire transfer immediately and I could keep fifteen percent of the two million pounds and….

Two red flags. Mr Umbabwe is asking for my bank account number and I do not have a reliable reputation. I clicked the little button under my email box that reads:

REPORT SPAM.

Click, here came another email.

It is from Harvard Medical School.

Sure it is.

Dear Dr. Sooker:

At the request of Dean Forsythe, we are inviting you to join the Promotions Committee for Dr. Sally O’Malley who is a candidate for appointment as Professor of Medicine. Please let me know at your earliest convenience if you can participate in this important faculty activity.

Please forward your full address, title, and CV. We will also need your social security number in order to process your honorarium.

Sincerely,

Anna Bean
Secretary to the Dean
Harvard Medical School

Three red flags. My name is Sugar, not Sooker, I am not a member of the faculty of Harvard Medical School and they were asking for my social security number. Not to mention who in the Hell would name their daughter Sally O’Malley. Or Anna Bean.

REPORT SPAM

Click. Another incoming email.

Uh oh. It was Awwwww.

Awwwww had been sending me letters through the internet dating site for a few weeks. I was only answering one out of every four or five of his emails, and only then because he seemed so lonely and I am a sucker.

I was hoping he would eventually decide I was too difficult to get hold of and maybe he would find some other woman who wrote him more often. And who didn’t mind a guy who wrote things like “at my age why would you be interested in me?” after saying in his web profile that he was a year younger than me.

Dear Awwwww: (I had explained in one of my rare replys.)

On the internet, it is socially acceptable to understate your real age by up to three years as long as the error is less than 5% of your total age (although I am not sure whether that 5% applies to the total age you really are or the one you are pretending to be).

You do the arithmetic, allowing for those differences it is likely there would still be, by my calculations less than a year between our ages if we are both telling the truth and less than six years in the worst case scenario. I am pretty sure that I would still be younger than you, unless you are telling the truth, so you might still harbor illusions that I am beautiful. Especially if you have noticed a little trouble reading menus in dim restaurants.

Here is a little test that could clear things up between us:

What was blowin in the wind?
Name all the Beatles
Who was Tricky Dick?
Where was "Nam?"

If you score at least seventy five percent on this test it is unlikely that our age difference is significant.

You may be wondering why I am giving romantic advice to men who are trying to date me on the Internet? Once a witch, always a witch!

He had written me back:

Dear Della:

OK, this could get real tricky. Honestly, I don't know whether I lied about my age or not and I am to afraid to go look what I listed as my birthday. I am a very honest guy, but I don't want to look as I am afraid I might have lied ... well, maybe not lied, but stretched the truth a little. Still, following your 5% rule I should have sufficient leeway to be able to make it work, so, in my opinion it makes little difference whether I lied or not.

Oh, and I have 20/20 eyesight. I think you are just trying to be very modest. I think you are very beautiful inside and out. That means a lot to a guy my age, to think someone who looks like you might care.

Question: Why are you interested in me anyway?

Awwwwww

That was the whole point. I wasn’t.

Not because of his age, whatever it was, but because if you can’t think of yourself as worthy of me, why should I?

It was more than that. If you can’t flirt with me, why would I bother to go out with you? If I want a perfunctory relationship and receive endless gratitude I can take my cleaning lady out.

So here he was, trying again:

Dear Della

The communications I had received from you before you stopped writing to me was simply scintillating and was the highlight of my day. Are you still out there somewhere? Anyway, I sure want to continue exchanging email ... hoping that we eventually get down to something important.

Anyway, I do think you are cute and adorable and also with my advanced age I think it could be very important to me to have a real Dr. in my future.

Especially after President Obama and his buddies in the US Congress get through with their re-model of our health care system

So, I think I am already in love with you even though I don't really know you.

I probably should stop here as I really may have scared you off and this will probably finish the job,

Awwww

He had that one right.

I needed to stop this, cold, before I got mean. Ooops. Too late.

Dear Awwww, (I wrote.)

I am not cute and adorable.

What I am is a strong supporter of President Obama and his buddies (but I prefer to think of them as colleagues) in the US Congress. I am a real doctor and I understand how broken our current system of health care is, probably a lot better than you do.

If you happen to be receiving Medicare and are opposed to giving government-supported healthcare to younger people whose lives have been devastated by cancer, diabetes, or life-threatening injuries, then you are a hypocrite.

Furthermore, I am not intrigued by the possibility of a relationship that requires me to render medical care.

Sorry.

Della

Click. It was from Harvard Medical School again.

Dear Dr. Sugar:

I apologize for spelling your name wrong, and for sending you the letter that was intended for internal faculty. Because of your expertise in lupus, we are asking you if you can consider serving as an external member of the Promotions Committee for Dr. Sally O’Malley, candidate for promotion to Professor of Medicine.

This will entail a review of the candidates CV, a critique of her major papers and contributions to the field, and participation in two conferences with the rest of the committee. Your participation can be by telephone.

If you are able to participate on the committee please forward your CV to me at your earliest convenience.

There will be a five hundred dollar honorarium for your service.

Sincerely,

Anna Bean
Secretary to the Dean
Havard Medical School

Diva Instant Messaged me:

Did you check out my dresser on E Bay? And the vintage glass knobs?

Yup, I replied

Well?

I didn’t like the shape.

Why?

It looked like a bathtub.
















Really?

Yeah, ever heard of Sally O’Malley?

Yeah, she does mouse clinical trials at Harvard.

Is she smart?

Yeah, I read one of her grants once. I think I gave it a good score. Yeah, it was about NF kappa B and T cells and she was going to treat the lupus mice with an anti-CDR and do little mouse EKGs. Can you imagine putting little electrodes on the baby mice and doing EKGs? But she did it, she had little mouse EKGs as preliminary data in the application. She diagnosed them all with myocarditis. I wonder how she taped them down?

Wow that’s a good question.

Get it? If you can sort them out with EKGs you can have a randomized trial without killing them. I loved that grant.

I know you did, she must have gotten it funded, they are thinking of promoting her to Professor

No shit. Isn’t she a woman?

No shit. And Della Sugar from Oklahoma is gonna make it happen.

Click

It was Awwww again. Here was his reply:

OK (insert smiley face)

It is always best to get these things out of the way before they go further. I find it amazing that a highly educated person would suggest someone be a hypocrite for having a political opinion. I would have you know that I am no hypocrite. You may be a real Dr. but I am no political fool. I served in the State Legislature for 10 years and served my country as an appointed official at the highest level of our federal government and as such probably know a hell of a lot more than you do about the federal government.

It is people just like you and your Obama that are set out to ruin this country. I probably know as many "real" MDs as you as I have been involved in several studies involving health care in this country. Your views are way in the minority when it comes to true practicing MDs. This country is sitting on the verge of financial failure and you and your Obama are set on a course of action that will further drive this country into red ink.

I may be receiving Medicare benefits, but that has no impact on my ability to think and to understand issues involving dollars and sense. It is a socialist system that will simply fail as soon as you and Obama run out of other peoples money to spend.

I am way more concerned about the financial future of my children than Medicare. This health care bill Obama is supporting will turn out to be the biggest financial drain in the history of this country.

You my dear are an IDIOT if you think this will solve anything.

I am glad as hell you let your true colors come through with this email. I am a tolerant man and have always been able to respect individual thought and opinion. I have always had a healthy respect for others opinions on all issues. I have never ever referred to another human as a hypocrite for their opinion no matter how wrong I may have thought they might be.

Wow, you are really a piece of work and I am glad as hell I never ever got the chance to meet you in person as you are sure an ugly person on the inside.

YOU ARE AN UGLY UGLY UGLY UGLY person and YOU ARE FULL OF HATE.

Never discuss politics with strange bedfellows. Or strange wannabe bedfellows. Or was the political anger beside the point? I don’t know why people get so personal about rejection, but when they do.....

BLOCK HIM

Dear Ms. Bean (I wrote)

I would be delighted to serve on the promotions committee for Dr. O’Malley. Attached is my CV. I await further particulars.

Sincerely,

Della Sugar

Della Sugar, M.D.
Ardmore Medical Research Foundation
Ardmore, Oklahoma

Can you imagine that? A check for 500 bucks from Harvard. I can frame it or something.

Alternatively, if they don’t pay my third invoice....

Wednesday, January 6, 2010

How Diva and Della Changed British History

British History is a whirlwind of pageantry, poetry and splendid architecture. This is all readily available, even to to those who may be allergic to Chaucer or Milton, through the romantic novels of Phillipa Gregory and in movies.

Did you see Richard the 3rd? Shakespeare in Love? Elizabeth? Brideshead Revisted? The Queen? If so there may be no need for you to actually visit the National Gallery or read Boswell or Lord Byron at all. Or see London for that matter. You will get as hooked as I am by those incredible British.

Richard III

Shakespeare in Love (Miramax Collector's Series)

Elizabeth (Spotlight Series)

Brideshead Revisited

The Queen

Despite an unfortunate propensity, a few centuries ago, to chop each others heads off and burn each other at the stake, these people have evolved into a very good humored, fair minded sort of folk. Noble, forbearing, impeccably well behaved, and kind. You have to like them.

To me, it always feels as if the British are more alive than those of us who muddle through our exhausting lives looking for parking spots, paralyzed in traffic jams, standing in the checkout line at Walmart, staring at HDTVs and watching the rapid deterioration of our ticky tack houses in suburban USA. Well for one thing, the British talk so beautifully they can make even dreary, everyday events sound so much better than we can.

Even though, if you scratch the surface of London, most of the British live in the same flimsy houses we do, park in the same endless parking lots, and stand in line for the same cheap goods from China at the same universal stores as us, and pay more for the privilege. They only appear to be having a deeper drink of life than us because they have that evocative history, that sharp conversational wit and,I think,those charming accents.

Diva and I have always been favorites as speakers on the British Rheumatology Circuit, even though we are classic examples of the unevolved American: tactless, relatively inarticulate, flamboyant and gauche. But the British people love theatre. And theatre we do provide, wherever we go. Even if they are too respectable to behave like us, they really do admire us.

Here is an example of the cultural divide that unites in mutual admiration: One time, my friend Cowboy took me to see a Flamenco guitar dancer in London. Cowboy is a prominent, internationally respected lupus researcher with an uppercrust British accent worthy of Jeremy Irons (the actor, not the rheumatologist) in “Brideshead Revisited.” Cowboy is, in fact, quite similar to that character, being an overeducated, overachieving middle class soul with flashes of brilliance.

In fact he claims to be a nice Jewish boy from the East End. But, you may wonder, where did he get his effortless, authentic sounding Oxford accent?

That’s easy. He got it at Oxford. British society is very fluid and democratic even if everyone can’t be royal. If you are Asian or African or Jewish you can get to anything but…..as long as you go to one of the better universities so you can get the accent right.

There I sat in the middle of London in some 400 year old concert hall, listening to the bewitching melodies of a Flamenco guitar and watching a haughty young Spanish beauty billowing with ruffles throw herself around the room, tap dancing and clicking her castanets at ninety miles per hour with a stern expression on her face.

The music got faster and faster and she looked meaner and meaner, while at the same time, the undulations of her body over the tapping high heels grew more and more sensuous.

I think she had glitter around her eyes, because they sparkled like crazy. She personally stared down every man in the place, one by one, while tap dancing away with a dizzying syncopy, pausing only briefly for a toss of her body this way or that way, landing in physiologically impossible back bends which would tip her size D cups up towards the ceiling.

While she continued to sneer and tap dance without a hitch.

It was hot!

I found myself doing what any normal red blooded American who has ever been to a rock concert or a Flamenco performance would be doing, tapping my feet, swaying from side to side and snapping my fingers.

Beside me Cowboy sat perfectly quiet and still.

On the other side of him some other British person sat perfectly quiet and still.

Around us the entire audience sat perfectly quiet and still.

They were all being polite. Attentive. But the performance seemed to leave them cold. I looked curiously at Cowboy and he gave me a little sideways smile, without moving anything else, not even his neck.

I stopped snapping my fingers, but there was no way I could sit as still as the people around me. Embarrassed at first, I tried to tone down my swaying a little, but as the guitar and the lady got hotter and hotter it really got to me, and....

....my soaring spirits were merging into the magical music to the exclusion of any mindfulness for that permafrost audience surrounding me like statues. Or gravestones.

By the end of the performance, the guitar players fingers were flying over his strings with an unbelievable degree of complexity, creating intricate cascades of tunes within tunes, while the Flamenco dancer went into a red hot frenzy of tapping and bending and sneering.

Then the music stopped and she froze, holding a pose so unlikely that it would send any normal human being crashing down to the floor.

There was a deadly silence, while I pondered whether it would be rude for me to clap. I felt badly for these gifted performers who had just played and danced their hearts out.

Then suddenly everyone around me was rising to their feet with a roar of appreciation, whistling and clapping and yelling “BRAVO!” and “HUGH!” or something like that.

After what felt like ten minutes of standing ovation, when things had finally started to settle down, Cowboy leaned over to help me with my coat and said, mildly, “That was a quite a good show, wasn’t it?”

Masters of Flamenco GuitarFlamenco Guitar Music of Ramon Montoya & Nino Ricardo

Flamenco Is Hot! - Campanilleros Flamenco: You Can Do It! - Sevillanas

Which, I think, explains the English. It is not so much a natural reserve as it may be a little door that they keep closed during most of their stressful, overcrowded days, holding their raw emotions on lockdown during their commutes, while queuing in their checkout lines, or while a performance is in progress. Maybe they are worried that if they don’t keep the brakes on most of time they might start hanging and burning each other again.

But they can and will bust open the little doors in their heads at socially appropriate moments, to let off some steam or show appreciation to the Spanish sensualists they can never be. It makes you think they must all be very exciting in bed, though doesn’t it? Once the lights are off?

Cowboy at that time was the leader of SLAG which stands for Systemic Lupus Activity Group. This group is made up of 30 Lupus Doctors from Asia, Europe, North and Central America who meet twice a year, somewhere on the globe. Each member has a large clinic full of lupus patients to whom they have dedicated their entire careers, and we meet up in order to argue about how to measure lupus improvement, lupus flares, or the risks of atherosclerosis from this chronic, inflammatory disease.

In this group, some are quiet and hardworking and others are noisy and hardworking. But the key is that all must play an active role and pitch in to help each other on projects, or they don’t stay long. To be a member of SLAG you have to have respect for the other members of the group (at least from time to time) and work your scientific differences out together, even when you think the other person is addled.

Diva is probably the most passionate member of SLAG, but our friend Martha from Brooklyn would be a close second for that honor. Moira from Birmingham England is the most expert on measuring disease outcomes, Roberto Velasquez from Mexico and Sun Din from Korea are tied for having the largest clinics, Sol Gabinowitz from Canada has created the best SLAG project but also has the worst temper, I am probably the one who interrupts the most (where have you heard that before), and our friend Judy from Pittsburgh is both the smartest and the most reasonable, she is the one who almost always steers the ship back on course when the group reaches an impass. Especially if somebody is being pig-headed and illogical. Judy can clear that kind of situation up with one zinger of a comment.

Cowboy is the most famous member of SLAG. He is the King of Rheumatology in England and just to give you an idea of his international reputation, he has even more google hits than I do, and I did not earn most of mine for academic work.

Jeremy Irons (not the actor, the rheumatologist, whom I once got a date with in a castle in Spain) was invited to become a member of SLAG. Trust me, all the women delegates voted for him. But he did not last very long in this group.

He thought that the science being discussed at our meetings was not up to par. Which is a trouble with mouse doctors. They think all human science is not up to par. No wonder you can’t get an NIH grant to study actual humans with disease.

Perhaps the reader is unaware that by the dawn of the 21st Century the NIH had already cured most of the diseases known to scourge mankind. In mice.

Humans are messy, and therefore so is the science of studying them. If you are trying to design an interpretable experiment in humans, you have a huge handicap because you can’t make them do what you want. For example you can’t control who they mate with, what they eat (no matter how much they pretend they are sticking to the diet you prescribed), or how many pills they actually take after they fill the prescription you wrote them in your clinic. If you want to do more than cure mice, you need to wade into the swamp of human research where you never know what you are stepping on and where the fog of too many variables never lifts.

Jeremy Irons quit SLAG after only a year, citing other commitments. Some thought that he left because of La Petite. It is true that Jeremy went nuts at a meetings devoted to one of La Petite’s projects, and, granted, La Petite is a difficult, stubborn, inflexible, literal minded woman who believes that statistical significance is always meaningful and that patients really do everything she says, leading to overinterpretation of everything she finds out even if it contradicts what she found out last week. But we usually manage to set her straight at SLAG meetings, and she is also a heroic figure in the world of lupus, who practically invented the concept of a dedicated lupus research clinic followed by literally hundreds of publications. You have to respect that.

Jeremy could not.

Maybe he was right about some of the scientific problems he was perceiving in her work, but if we are ever to get new treatments lupus,for humans that is, he is wrong.

I think maybe Jeremy Irons quit SLAG because he is not a very good team player, unlike Diva or Martha or La Petite or Sol or me, who have equally dominating personalities, and egos that ate New Jersey, but are capable of being very good team players when somebody tells us to shut up and sit down.

It is Cowboy who does the best job of keeping us all in line. He can get me to be reasonable just by winking at me. But I have known him for a long time. If he were not so important to me, I am sure I would be in love with him.

Fortunately, I have so many other interesting and romantic men in my life, who seem to keep cropping up as if by magic (and at my age, too) with or without the internet. Which is why I sometimes fantasize, with good reason, that I am a witch.

One day soon after I first moved to Oklahoma, I was in the middle of writing an apologetic email to Cowboy, to explain why I was three months overdue on a paper for a journal he was editing, when my cell phone rang.
I had to scramble around for a while to find it because it had fallen into the carton in which my new computer had been packed.

“Hello?” I asked breathlessly.

“Waa’aal, ‘bout time you an-seered the phone, honeee,” drawled a male voice that was obviously from Oklahoma.

This was before I had met anyone socially or acquired any patients. “I think you have the wrong number,” I said.

“Well Ah will be durned, Sugah,” said the voice. “Ah guess you jest don’t rekuh-naaahze me.”

“Uh…..who are you?”

“It’s yer buddy!” He yelped. “Gosh durn, Ah was kinda hopin ah could come round with mah pickup truck and git you to climb up on the load of hay I bin movin so’s we cud crack opin some beers! Ah mean BEEEEEYURS! Ah mean COOOOOURS!

I paused, unsure of exactly how to reply, and then the voice continued....
....in his now recognizable British accent:

“It’s your Cowboy friend from London, you dotty woman, calling to find out when you are going to submit your extremely late paper!”

Which is how he earned the name of Cowboy.

The year that Diva and I changed British history forever we were at a SLAG meeting, summoned by the Cowboy for a serious stab at the problem of measuring outcomes in clinical trials. The flight over had been particularly rough because Diva is, of course, scared of airplanes and because Nota Petrosian bumped into a woman he knew on the plane, and I had to get drunk with him while Diva stole his airplane date.

These were the days when none of us in the lupus game were flying Business Class. All the rheumatoid arthritis doctors were sitting up there, because it was the dawn of the new biologic treatments for that disease, and they were being courted by every major pharaceutical company on the globe. There were not that many companies developing products for lupus, and those who had tried had all failed, so there were not enough invitations to Type 2 Advisory Boards to get us the frequent flier units needed for frequent upgrades.

But we accepted life back in steerage then, and we liked to fly together (and Diva was desperate not to fly alone) so Nota had gotten an itinerary that brought him from Los Angeles to New York so he could change planes for the same flight to London that Diva and I were taking.

This was so long ago that I was still living in New York with my husband Gary before we both decided we loved each other more in smaller doses and he started hiding his new lover in a closed off section of our apartment.

Which means it was also before the Head of Accounting at St. Elsewhere stole $275,000 from my NIH grant and my only choices became to sue the hospital and jeopardize the NIH grants of all of my colleagues, be miserable for the rest of my life, or leave. Portents of these life-changing events were already brewing at that time, such as the screaming fights I was having with Gary and the money dwindling out of my accounts at work that no one seemed to be able to explain.

We were on one of those big planes that has two seats together on each side and then six seats across the middle. We were frequent fliers enough to know better than to go for the middle seats. There is no good place to sit on a long flight in those middle seats, you are either forced to climb clumsily over people at regular intervals, stepping on their feet and elbowing their faces, or be climbed over by people with even bigger feet and sharper elbows that you have. Diva and I had selected one of the two-seaters together on the left side of the plane and Nota was right in front of us.

As soon as the plane had leveled off at some imponderably high altitude and I was able to get Diva calmed down, Nota leaned over the back of his seat to talk to us.

“Did you see that girl who waved at me when we were passing through Business Class?” he asked.

“Who was she?” I asked him, since I hadn't noticed any girl.

“I once went out with her,” he explained. “When I was doing my internship in St. Louis.”

“She was cute,” said Diva, who is always supportive of romance in any form.

“I think I might go up there and chat her up.” He mused.

The plane hit some minor turbulence and Diva shrieked. “What was that?”

“Nothing, nothing,” I murmured soothingly. “It’s completely normal.”

“How do you know, are you some kind of expert on aerodynamics?” She said suspiciously.

“See, its calming down now, its nothing.” I insisted.

“Do you think I should go up there and chat her up?” Nota asked again.

“Sure, sure, go get her!” Diva said waving him away as we hit some turbulence. “You may as well have some fun, life is short!”

“Sure, sure,” I agreed as Nota lurched away down the aisle.

“He shouldn’t be walking around with all this turbulence, though,"Diva pointed out.

“Close your eyes and try to calm down,” I said.

“No, I have to work,” she said grimly, pulling her computer bag out from under the seat in front of her. “If we get off this plane alive and I haven’t finish these grant reviews, Joe Murphy is going to kill me.”

“Whereas if we crash, nobody will ever see the work you did,” I pointed out meanly.

“Bite your tongue,” she hissed, craning her neck, rigid with stress, over her little computer.

"You know Joe Murphy is in love with you," I said to make her feel better.

Soon Nota was back with a woman he introduced to us as Sharon Glickman. I caught Diva’s eye and we smiled at each other. She looked like us.
Nota is younger than us and was making really good money at UCLA, so he could be considered quite a catch. But he always goes for women who look like us.

Not that his girlfriends are not charming. Not that we are not charming.
I am just saying....you never know who somebody is or is not going to be attracted to. If you sized up Nota, checked out his California lifestyle and his hip friends and then read his CV, you might expect him to go for some gorgeous, long legged blonde movie star. And maybe succeed.
But on the plus side, if there were ever an older version of Nota floating around, Diva and I would have it made. We always wished him well in his quest to find us the way we once were.

You might wonder why I put Diva and I in the same girlfriend category when she is a size 2 and I am...whatever size I happen to be at any given time. Let me tackle that for you.

We are both dark haired, (even if that takes some doing to maintain at our age) and we are both cute but offbeat looking New York Jewish girls even though I was raised in a small town in Virginia and Diva is from Vermont. Of course, once you buy an apartment in Manhattan you become a New Yorker, that’s the law. And Diva and I both have the credentials, hers on the East Side and mine on the West Side, where my ex-husband whom I may never divorce lives, and as long as he does, its half mine and we can both afford it.

Diva and I are equally smart and we both know most of what there is to know about lupus, and we both talk too loudly and too fast and wave our hands around a lot. It is a fact that people sometimes get us mixed up.

At the beginning of my career when Diva was a lot more well-known than I was, people used to walk up to me at the ACR meeting all the time and say “Diva, that was a great talk you just gave.” At first I would demur and try to explain the difference between us (such as about 40 pounds) but eventually I just learned to smile and graciously accept compliments on her behalf. Nobody has time, while rushing around those huge, overwhelming convention centers for long complicated explanations that don’t really matter.

But I knew that my career had arrived the day Diva came storming into our shared hotel room at EULAR and yelled that someone had complimented her for one of my talks.

Nota leaned over our seat and explained to us that he had been ignominiously kicked out of the Business Class Section by the flight attendant, but his friend Sharon was gracious enough to come back to steerage to chat with him. We smiled and nodded at them and they plunked themselves down in the two seats in front of us.

I reached down for my computer, got it disentangled from its case, and powered it up.

I love the sound of a computer testing its gears. Or whatever is in there. It hums. It vibrates. Then suddenly it bursts open into a deep world of stored music, statistical programs, all my current papers, grant applications, powerpoint slides and games. I love the balloon-popping game, Poppit. I put it on all of my laptops.

If you are faint of heart, you should not ask me exactly how many laptops I own, but I do recommend buying a new laptop every time you get dumped. It is really therapeutic to pick out your gigabytes and memory and Bluetooth features. And a laptop is a warm and vibrant friend for you on a cold airplane. If you have put all your most important music and work and games in there it is like having a date with yourself.

“I can’t believe this,” I heard beside me.

I was surprised to see that Diva wasn’t working. She was leaning her ear up near the back of Nota’s seat, straining to hear whatever they were mumbling about up there.

“Don’t eavesdrop on him!” I whispered.

“Shhhh,” she hissed. “I can barely make out what they’re saying.”

“Oh phooey,” I said, clicking open my powerpoint program. “Date’s aren’t interesting to listen to.”

Then I thought about it. “Unless he starts telling lies. That could be amusing.”

“Her name is very familiar,” Diva said. “I think I know that name.”

“Sharon Glickman is likely to be a very common name,” I pointed out. “At least in New York.”

“She looks strangely familiar too,” Diva insisted.

I leaned forward to see if I could hear anything. Nota was saying, “No, I’m not dating anybody right now....”

Lie number one. Diva and I rolled our eyes at each other.

Sharon was saying, “I think I weigh about 116 pounds.”

Lie number two. This was fun.

Now Sharon was saying, “I like to go to museums a lot. And I just finished reading War and Peace for the third time since Harvard...”

We looked at each other and we both shrugged. Hard to tell. Could be true, could be a baldfaced lie. And if she read it once, or saw the movie, who would know?

And furthermore, here is my advice to people who went to Harvard. Don’t slip it into your conversation heavy handedly. It does not make guys like you.

“....and I used to be a swimmer....” Sharon continued....”and I sometimes....”

“OH MY GOD!” screamed Diva, “YOU’RE SHARON GLICKMAN!”

“Uh, well yes, that’s my name,” came the startled voice of Nota’s date through the space between the seats.

“I told you she was Sharon Glickman,” said Nota irritably.

“FROM NEW ROCHELLE?” shrieked Diva.

“Why yes, how did you know that?” cried the young woman.

“You were a Badger. You almost made the Olympics, I am so excited to meet you!” shrilled Diva, ripping off her seatbelt and climbing over me into the aisle.

“Well, actually, I was an alternate, but then I broke my foot,” demurred Sharon.

“Nota, get up for a minute, you know I’m scared to stand up on airplanes,” Diva commanded.

Nota switched seats with her and I moved over to let him in our row.

“I can’t believe you let her do that to you,” I complained in an undertone.

“Oh chill, Della,” he smiled. “Its only for a minute.”

“You need to put your foot down, Nota. She just crashed your date,” I pointed out.

“Don’t worry, I’ll toss her out of there in a minute,” he said, self-assuredly.

Ha.

“What was your best time in the 500 freestyle?” Diva was grilling Sharon in front of us. “I mean the absolutely best time you ever got?”

I sighed. “Listen, Nota, relationships are tenuous in early dating situations,” I whispered. “Don’t let this woman think that you can be bullied by your friends.”

“What was your best time in the backstroke? 300, 500 and did you do any longer distance?” came from the front seat.

I nudged Nota. “And,” I added, “Don’t let this woman think you would let your friends bully her!”

“That that your best time?” Diva was yelling. “Your absolutely best time? Are you completely sure you didn’t ever get a better time than that?”

“I am beginning to catch your drift,” Nota said. “But it isn’t my job to protect Sharon from my friends. She is going to have to figure this out.”

“My daughter is a Badger,” Diva bragged. “I don’t know if she will even make it to Olympic tryouts but she beat you in the 500....”

“Oh really? That’s so neat. Tell me all about her,” came the enthusiastic voice of Sharon Glickman.

“I can’t believe this,” I groaned. “Diva just stole your date.”

“Yeah,” he admitted. “I guess she did. “Let’s get a drink.”

“Good idea,” I replied, signaling the flight attendant as Diva began to regale an equally enthusiastic Sharon with a shrill litany of recent Badger swim times compared to competitor teams.

“One good thing,” Nota said after a while, cradling his gin and tonic.

“What’s that?” I asked through the golden haze of my second Pinot Grigio.

“She isn’t worrying about the turbulence anymore,” he grinned.

London was cold and rainy and the SLAG meeting seemed to go on forever that year. We were still going to be stuck in an overcrowded, overheated room at University College for another day and a half, and everybody was getting cranky. We decided to break at 3PM. Nota wanted to go running in Regent’s Park before we left London, so I promised to go shopping for running shoes that afternoon, so that I could go with him. I sort of liked the idea of buying running shoes in London and wearing them home, even if they were bound to be overpriced.

“I know what,” said Diva. “We can go to Harrod’s. I’ve always wanted to go to Harrod’s.”

“Do you have any idea what Nikes are going to cost at Harrod’s?” I asked her.

“Come on, it will be worth it to see Harrod’s,” she said. “Besides, maybe we can find a cheaper store on the way.”

It was already 3:30 so we took the underground train, and, not surprisingly, there were no stores selling running shoes between Goodge Street and Knightsbridge in the London underground.

Harrods, Knightsbridge, London, England, United Kingdom Framed Art Poster Print by Adina Tovy, 25x31Furniture by Harrods

Harrod’s was utterly amazing, though. We walked through the gourmet section first. Within a few seconds I was salivating deliriously over a sensory implosion of Stilton cheeses, Turkish figs, English scones, French bread, Indian chutneys, Swiss chocolates and….well you get the picture.

White Stilton with Fruit - Apricot (8 ounce) by igourmet.com9in Cornucopia Centerpiece DecorationA Platter of Figs and Other RecipesSimply Scones: Quick and Easy Recipes for More than 70 Delicious Scones and Spreads

“Where are the bagels?” said Diva. “I want a bagel.”

We settled for a couple of muffins that cost us almost 10 pounds which, factoring in a variable exchange rate, would have been roughly 20 bucks.

“You are paying for this,” said Diva. “I can’t afford a ten buck muffin.”

“OK, OK,” I assured her. “Let’s not starve, its my treat.”

“Let’s look at handbags, next,” Diva said. “But just so you know, neither one of us can afford any of their purses.”

Chanel, Prada, Vuitton, Coach, Gucci, and only the very top of those lines, and the room where they keep this heady stuff is worth gawking at all by itself, as is the room next door with the gloves, perfumes, enamel pillboxes, crystal clocks, pearls, silk scarves....or was that in the third room? It was easy to develop sensory overload, the interior of Harrods is a Victorian masterpiece, with stamped tin ceilings here, carved moldings there, filigreed roses, spotless glass counters, original mahogany display cases and crown molding to hold up the crown molding. A person of any artistic sensitivities could go nuts in there.

AUTHENTIC COACH PARKER OP ART CLUTCH HANDBAG (Rosegold/Bronze)Prada Black "Tessuto Pietre" HandbagCris Notti Green Kimono ToteARCADIA Italian Made Red Patent Leather Designer Handbag Purse

“This is the high end of all high ends,” Diva said appreciatively.

“I think I am going to faint,” I said.

“Hey, I know,” said Diva. “Let’s go find the shrine to Princess Di.”

The shrine is in the basement of Harrods. There was a little table right at the bottom of the ornate stairwell covered with a soft white shroud. A fountain was flowing around it and candles burned in front of two portraits, one of the beautiful, if not very bright Diana, and one of Dodi, her pouting, playboy boyfriend, who would have inherited Harrod’s if he had not died in a drunken haze during a car crash in Paris.

“I wonder what the Queen thinks of this.” I said.

“I don’t think the Queen shops here,” replied Diva.

“Yeah,” I said. “I guess she gets her ladies-in-waiting to come in for her.”

“Sure,” drawled Diva, “And you think the Queen really looks like she got her clothes at a high end store like this?”

“Good point,” I acknowledged. “But how can you call it a high end store when it has this tacky shrine to a Princess who was cheating on her husband, the future King of England, with a lazy, drunken playboy?”

The Princess Diana Collection Diana: Last Days of a Princess (Full)

“Bite your tongue,” said Diva, “I identify with Princess Di.”

“You are soooooo much smarter than her.” I said loyally.

“Hey, look,” said Diva. “There’s the customer service department. What’s it doing in the basement?”

A young woman was sitting at the counter, reading a romance novel with Fabio on the front cover.

“Let’s ask her where the running shoes are,” I suggested.

We walked up to the counter and waited for a minute. She pretended not to see us, so we went back upstairs.

Eventually we made our way to the shoe department and I picked out a standard pair of Nikes that set me back more than a hundred pounds (200 bucks) about double what you could get them for at a suburban mall in the USA. But they were, I rationalized, a better bargain than the ten dollar muffins we bought or the 3,000 pound ($6,000) purses that we had been drooling over and had managed to forego.

We had tickets to the theatre with other SLAG members that evening, so it was almost time to go back to the hotel. “We better pee before we get back on the underground,” said Diva. “Where is the bathroom?”

“They call it a toilet here,” I said. “If you ask for the bathroom they will think you want to take a bath.”

“That’s stupid,” said Diva. There is a bathtub and a toilet together in our hotel room.

“Catering to the tourists,” I sniffed, enjoying my superior knowledge of cultural diversity. Even though I was not correct.

There was a line of ten or twenty people in front of the ladies room which was two floors up from the Princess Di shrine.

“Look at these English people waiting in this long line,” sniffed Diva. “Why don’t they just go cram into the bathroom and push each other around so they can get a toilet?”

“They like to wait in line,” I said, “they are very courteous people.”

“They are sheep,” said Diva, decidedly.

A large sign indicated that it would cost us 2 pounds to get in.

“Look,” Diva poked me. “Two pounds to pee. What is that in dollars?”

“That’s four bucks,” I said, appalled.

“That’s outrageous!” cried Diva. “Do we even have that kind of money?”
“I don’t think so,” I said, looking at the coins in my pocket. “50 pence is less than a pound, right?”

I had been paying for everything with a credit card.

“Four bucks,” Diva repeated, really taken aback. “That’s outrageous.

A fashionable young woman in front of us who was carrying four shopping bags turned around, ”You are absolutely right,” she said. “and I am surprised that the labor party allows it.”

“I must agree with you,” said an older lady behind us who was wearing one of those long, shapeless English tweed skirts and high boots. “Ever since the new management came in, Harrod’s has been going downhill, hasn't it?”

The fashionable young lady had reached the front of the line where a uniformed bathroom attendant was standing behind a small podium with a cashbox on top. The young lady started to hand over some coins.

But the attendant said, “Let’s have your receipts, then ducks. You seem to have quite a few purchases.”

After some juggling of the bags the young lady was able to produce three receipts. “Just as I thought,” said the attendant “you spend 214 pounds, so you may go in without paying.”

“Whew,” I said to Diva. “Good thing I bought those shoes.”
“And the twenty dollar muffins,” Diva reminded me. “Did we get the receipt for that?”

I handed over my receipts to the lady. “Sorry, ducks,” she said regretfully. “It will be two pounds each for you lot.”

“Why?” Diva squawked. “We spent a hundred twenty pounds here!”

“Look,” I said helpfully, opening my shopping bag. I bought Nikes at twice what they were worth. I think I should get to pee for free!”

“And don’t forget the ten dollar muffins,” sniffed Diva. “That’s about four times what they would go for in any normal place. After that, you expect us to pay two pounds to pee?”

“I’m afraid that is the rule,” said the attendant. “You see, the rules are right here on the sign.” She pointed to a sign on the wall of the bathroom that I had not noticed before.

LADIES’ TOILET UPGRADE was the title:

Due to our recent extensive renovation of the Ladies’s toilet, Harrods now requires all ladies pay 2 pounds for entry, unless excess of 200 pounds has already been spent in the store.

I hesitated. “Do you really think its worth two pounds to go in there?” I asked the attendant.

“Oh yes,” the attendant replied, “It is so much nicer than it used to be. They put curtains on the window, and they have cloth towlettes and some lovely lavender soap."

“Oh yeah?” said Diva. “What kind of toilet paper is in there?”

“Well….” said the lady. “I believe it is the usual paper. But I should say that not only do they have lavender soap, there is an array of lotions.”

“Is it the usual SOFT toilet paper or the usual hard European toilet paper?” asked Diva suspiciously. “Because I am not so sure I want to pay two pounds to pee if all you have is that hard toilet paper.”

“But it’s the rule,” said the lady uncertainly.

Suddenly I noticed that I really needed to use the toilet. It must have been a physiologic response to talking about it.

I emptied my pockets of coins and dumped them on the little podium. The leady helped me count it up and all we had was a little over two pounds, total. Apparently the big coins were worth even less than the little coins. “Well at least one of you can go in,” she said brightly.

Diva and I looked at each other loyally. All for one and one for all.

“Tell you what,” said Diva wheedlingly to the attendant. “How about one pound each each to pee? Since we paid half the money to get in for free. ”

Are you doing your arithmetic. Do you think Diva made a mistake? Thinking that half the money to get one person in would justify half price for two people? Trust me, she is brilliant at math. What a con!

The attendant just looked perplexed. She was not sharp enough even to fall for the con.

I looked over my shoulder. The other ladies were standing patiently behind us. If this was America we could have been lynched by now. But the English never complain about lines.

I mean queues. They call them queues. And I think they really like being in lines together, waiting for things. Just like the way my cats always get into bed with me, maybe the English line up and feel good about sharing the closeness, because maybe with all their daily forbearance that would be as close as they can get.

But how long could their patience possibly last?

“Give it up, Diva,” I sighed. “We’re just holding up the line....I mean queue. Here is my credit card.” I brandished it at the attendant.

“I am terribly sorry,” she replied worriedly, shrinking away from my card. “But we are not able to take credit cards at the toilet.”

“WHAT?” I yelped.

“Well, it is such a small charge, you see,” she hazarded meekly.

“Small charge?” Diva shrieked. “You call two pounds to pee a small charge? That’s four dollars!”

“How can you do a thing like this?” I asked, aghast. “How can you charge exhorbitant sums of money for a natural human function that nobody can go without and then refuse to take a credit card?”

“I am really suffering here,” Diva wailed. “I really need to use your toilet now, so can we cut the crap?”

“I think,” I said to Diva, that is exactly what they are NOT allowing us to do.”

“I really don’t know how to help you,” said the lady, who now seemed almost as upset as we were. “Perhaps you would like to visit the customer service department.”

“Good idea,” I retorted. “And we happen to know that the staff down there is available.”

I turned back to the other ladies in line and yelled angrily. “In case any of you don’t happen to have two pounds, the customer service department is right next to that tacky shrine to Princess Diana and her irresponsible playboy boyfriend. And they are definitely NOT BUSY down there!!!!”

But nobody followed us as we huffed away.

“Say, do you have to pay two pounds when you pee?” Diva called back to the attendant in a parting shot over her shoulder. “I’ll bet they let you go in there for free.”

“Well yes,” she called weakly after us as we headed for the stairs. “But they won’t let me use the special soap.”

“No wonder we had the American revolution,” Diva muttered as we descended to the basement. “This country is a fascist state.”

“I’ll bet she sneaks some of the soap when nobody’s in there,” I said, saluting as we passed the shrine to Princess Di. “I know I would.”

“So would I,” said Diva. “But we are not English sheep.”

The girl behind the counter did look up this time when we marched up to her counter, yelling our heads off.

“We need to register a formal complaint!” I shouted. “This is an outrage!”

“How can you call yourself a customer service department when you punish your customers who might have to pee before they finish their shopping!” cried Diva. "Who might stick around to spend the extra 100 pounds if they were not suffering so hard from an overloaded bladder?"

“Or those who don’t happen to think that your overpriced merchandise is worth 200 pounds, how about that?” I snapped.

“Let me get my supervisor,” the girl smiled at us gamely. And disappeared behind a door.

While we were waiting, we calmly discussed the situation.

“I know,” I said to Diva, “Let’s tell them if they don’t let us in the toilet, we will pee on the floor.”

“Huh,” said Diva. “I’m going to pee in Lady Di’s fountain.”

“Oh dear,” said a voice behind us, “What seems to be the problem?”

A friendly looking woman in a low end business suit and orthopedic oxfords was standing there.

“Well,” I explained, “I am stranger in this town, but I have traveled around the world and I have shopped in , Rome, Tangiers, Copenhagen….”

“….don’t forget New York,” Diva reminded me.

“Of course, and Chicago, San Francisco, Mexico City, Vancouver, Buenos Aires, Caracas, Athens, and....where we were for the Slack meeting last year, Diva? Oh yes, Lund! We have also shopped in Lund!”

“And lots of other places,” Diva said, if you want to go back a couple of years. “We were in Neiman Marcus in Dallas and we were in Givenchy in Paris….”

“True,” I agreed. “And never NEVER NEVER have I been in a store that took 120 pounds of my money and then had the unmitigated gall to require me to pay two pounds to pee.”

“Discusting,” Diva nodded vigorously.

“I quite understand,” murmured the woman, sympathetically.

“Furthermore,” I said, “When we agreed to abide by these ridiculous rules, only because we were under significant duress, or should I admit extremis, and being in immediate need of relief, we tried to use a credit card, because we did not have enough of those little coins...”

“....or any of that paper money with the Queen on it...” Diva added.

“Good point,” I nodded. “Now what do you think the Queen would think of this disgrace?”

“I’ll tell you what the Queen would think,” said Diva. “She would think that a store that begat a playboy who cuckolded the future King of England, should think twice about charging two pounds to the loyal populace to pee if they won’t even take a credit card! So that if anybody doesn’t have the cash they can just suffer! After buying things here!”

“And, so,” I explained, “we are waiting for that receptionist who used to be sitting at this counter to get her boss, so we can register a formal complaint.” I pointed at the still closed door.

“You know what?” said Diva. “I don’t think anybody is coming out.”

“I am the Manager of the Customer Service Department,” said the lady. “And I do so wish I could help you, but you must pay two pounds to go into the Ladies toilet.”

“Even if I don’t happen to have enough of the little coins?”

“Yes, and I am afraid there is nothing I can do about it.”

She gestured to us to step aside to make room for a family of four who had evidently come down the stairs to pay their respects to Di and Dodi.

“Can't you arrange for someone to take our credit cards?” Diva suggested.

“We don’t have a way to take your credit card at the toilet.”

“Hey, you can ring us up anywhere, we don’t mind.” Diva offered.

The pilgrimage family was standing a short distance away, paying more attention to us than to the shrine.

“How about the purse department?” I said helpfully. "They didn't look very busy, you can ring us up there!"

“That would be impossible. It would impair our ability to take inventory.”

Some more people were coming down the stairs and the first family stepped a little closer to us.

“Inventory? Oh come off it,” said Diva, you don’t have any purses up there for less than $3,000 pounds! It would be totally obvious on inventory day what was a purse and what was a pee.”

“I really am very sorry,” the lady insisted, beginning to look uncomfortable.

Or maybe beginning to realize who she was dealing with.

“So, let me get this straight,” I said. “Just so I can understand. You really think it’s OK for me to suffer, and I assure you I am really suffering, after I came to this store in good faith, expecting what you find in every department store around the world, that if I pay one hundred and twenty pounds...”

“....which is two hundred forty dollars,” Diva interjected.

The eavesdropping wife murmurred to her husband, “She spent a hundred and twenty pounds.....coo.”

“....exactly,” I said, including them in the discussion, “one hundred and twenty pounds, two hundred forty dollars and we even OFFERED to pay with a credit card for the outrageous toilet charges....”

“Those charges are not really outrageous,” the manager interrupted me defensively. “We have renovated the Ladies toilet extensively and we have provided an unlimited supply of luxury soaps and lotions.”

“Hey, what if we promise not to use the lotions?” Diva said.

“Or the soap,” I interjected.

“That’s not a good idea,” Diva cautioned, “we don’t want to be unsanitary if we have to come down here again to complain about the toilet paper.”

“But if we aren’t paying, I don’t think we should complain about the toilet paper,” I said graciously.

“What kind of toilet paper do you have in there anyway?” Diva asked the manager.

“I believe we are making a little bit of a scene here,” the lady answered. And, in fact, there were now nine or ten people who had paused to watch our scene.

She moved us gently, further away from the other people, who continued to watch at a distance.

“I am really very sorry,” she said even more soothingly, except that her voice was wavering. “I do wish that I could help you. But I have no authority to change these rules.”

“How can you do a thing like this?” I asked her, scandalized. “How can you live with yourself doing this to human beings? I just can’t understand it!”

“Please try to understand, then,” she said. “We used to have the wrong element coming in just to use the toilets, we were trying to eliminate this problem for our shoppers.”

“What’s the wrong element?” asked Diva suspiciously.

“Riff raff,” I explained. "Us."

“Oh,” said Diva. “Well, we may be riff raff but they were perfectly happy to let us pay 200 bucks for your shoes and ten bucks for the muffins."

The English people were gaping at us in wonderment. The manager looked close to tears.

“That’s true,” I said, “....and I’ll bet if the wrong element came in with two pounds, you would probably let them in the bathroom.”

“I am sorry,” said the lady. “Is there anything else I can help you with?”

“No,” I said, “I’d rather you help us with this problem first.”

“Listen, lady!” barked Diva loud enough for our slightly distant audience, which had grown to twenty people, to easily hear. “I don’t think you really get it. We are great human beings. In our real lives, when not shopping we are dedicated humanitarians. We only came to this store intending to shop. We weren’t even thinking about peeing when we came in here.”

“But now,” I picked it up, “After spending 120 pounds in your store, we are suffering from the vissisitudes of a natural, bodily function. Which is not our fault. Not at all. Do you know what would happen if we didn’t drink any water?”

“Our bodies are 70% water, did you even know that?” Diva cried.

The lady was shaking a little. She said something into a walkie talkie.

“That’s right!” I harangued her. “So we must drink water and we must pee! This is an imperative of nature. You should not be charging money to allow us to relieve ourselves in the first place. But if you insist on doing something that LOW CLASS, you ought to at least have the decency to take credit cards. Or at least let the riff raff in. Otherwise you are just being…..CRUEL.”

“AND OTHERWISE I AM JUST GOING TO PEE IN PRINCESS DIANA”S FOUNTAIN!” shreiked Diva.

A security quard came trotting down the stairs and approached us cautiously.

“Will you just leave quietly now?” the manager asked us softly.

“Yes, we will leave quietly,” I said sweetly. “Now that the gestapo has arrived.”

The security guard stopped a few feet away and looked musingly at the ceiling. The British cops are not threatening types, they are more like father figures. Quite laudable.

I took a few steps away, then I gave my best parting shot. “How can you live with yourself?” I asked. “How can you sleep at night treating people who spent money in your store the way you just treated us!”

There were tears in her eyes. I felt a little guilty. But not very guilty. A person is free to choose whether or not they want to work in a place that charges two pounds to pee.

Diva and I stalked angrily away with trembling sphincters. As we passed our audience several of them mumbled, “good show,” “quite right,” and “England didn’t used to be this way, please believe me.”

“We better get a taxi,” I groaned as we made our way up the stairs. “I don’t think I’m going to make it back all the way on the subway.”

“I’m not spending 20 pounds on a taxi,” huffed Diva. “That’s 40 dollars.

“But I really need a bathroom!” I wailed.

“Toilet,” she corrected me.

Retreating through the fantastically elegant upper rooms, it seemed ironic to pass under the sculpted molding, along the shining old floors, past the glittering counter of diamond tiaras in so much distress.

We were stopped by several more English people who had apparently heard various parts of our drama, and they congratulated us on our bravery and willingness to fight for what was right.

Of course none of them had stepped forward to back us up with the Harrod’s management.

“Sheep,” said Diva as we left the store in defeat.

“You can’t liberate a country that is willing to stand in a queue and pay four bucks to pee,” I sighed.

“We lost the battle.” Diva shook her head in discust. “After we pulled out all the stops, we lost.”

“ Sometimes, no matter how relentless you are, you just lose the battle,” I agreed dejectedly.

“But not until the cop came,” Diva pointed out, trying to lift my spirits.

Do you think this is the end of the story? How long have you been reading my blog? Would I leave you with no better moral from this cautionary tale than the uncomfortable image of Diva and Della about to enter the underground train station with bursting bladders?

Ever heard of losing the battle and winning the war?

It took me a number of trips to London before I could even bear to go back to Harrod’s. But as one matures, one learns to forgive. Or your memory dims. Anyway, things change.

I moved to Oklahoma, I got cancer, and, due to gross negligence on the part of two different physicians, my life was saved.

I underwent bilateral mastectomies. I had fake boobs put in for free (it’s the law).

I took a trip to Norway and gave a lecture and fell on my butt trying to learn to ski. On my way home, I stopped in Oslo to visit the Art Museum and saw some Picassos that have been hanging there for years and are in no Art book I had ever seen.

I went to Shanghai and got lost in a crowd of beggars wearing six inch heels.

I started dating again. I met a lot of very strange men and I met Frank and I met Will who both loved me and then dumped me. Then Frank dumped me again. Somehow the memory of how I suffered when I had to pee at Harrods gave way to memories of how I suffered when I had to pee during the CAT scan that proved I had no cancer in my liver. And I started to remember some other things about Harrod's. For example, how polite and understanding they all were while they were denying me access to the toilet, and how forbearing the cop was who had been summoned to boot us out of there. In New York, we probably would have been handcuffed and carried off in a squad car. I think, though, that they let prisoners pee whenever they want in the United States. I'm just saying....

Five years later I went to London with my daughter Lana and ex-husband Gary for Christmas. We had a great time, dining out, seeing theatre, and taking the tube all over the city to see the National Gallery and the British Museum and the World War II museum and the Victoria and Albert. One afternoon Lana asked me if I would go to Harrod’s with her.

“I’ve always wanted to go to that bathroom you couldn’t get into, Mom,” she said.

“Ah, Lana,” I reflected. “I believe you are a woman now. We will go back there and defeat them this time.”

“Do we have to cause another stink?” she said.

“No, no,” I replied graciously. “We don’t need to be unpleasant, I have four pounds right here in my hand. I will pay the four pounds and I will walk in like a grand duchess and walk out of there covered with luxury soaps and lotions."

“Uh, mom? Can’t we just sort of go in there and look at it?” she said.

“What and not pee?” I joked.

But then I relented. I try not to embarrass my children too often. “I will pay the money,” I said mollifyingly. “And I will behave just like a grand duchess.”

“Oh please don’t do that,” she said looking worried again. She has seen my grand duchess act a few times in her life.

“I mean like a nice lady,” I said. “A nice quiet, well behaved lady.”

“That’s better,” she said. “I’ve always wanted to see the inside of that bathroom.”

“Me too,” I admitted.

Harrods was heaven. The gourmet section was still bursting with heavenly aromas and THOSE CHEESES!!!! We bought some. The cheese was way overpriced, but we both got a lot of mileage from it by sticking our noses in the bag at regular intervals like glue sniffers.

The main rooms were set up just as I recalled them, but there were a myriad of details that I had forgotten, and it was mesmerizing to see the place again and feel the memories coming back. That store is one of the most beautiful places in the world. Unless you don’t like ornate Victoriana. But I do.

The room with the purses really floored my daughter. She inherited that from me.

After a few minutes of enraptured ogling, we recovered a little, and without even needing to formulate a precise plan, we strolled casually around the counters together, murmuring a fake conversation so we could each surreptitiously cop a feel of a 3,000 pound white satin clutch with an emerald clasp, a smooth red patent leather shoulder bag with shiny gold zippers and a suitcase sized coach bag.....and....and.....

“Oh, mom,” Laura sighed. “How could you have stayed away from here for so long, no matter what they did to you?”

“I was a stupid, grudging, misguided fool," I admitted, "....but now that I am back here, I see the error of my ways.”

“I’m afraid you wasted a lot of years,” she chided me. “and from now on you should promise yourself you will be coming to visit these purses every time you come to London.”

“That’s my girl,” I said approvingly, as we made our way to the next room. “Hey, you want another sniff of the cheese?”

We visited the shrine. The fountain was off. The white cloth was gone. There were no candles, but the pictures were still there.

“It used to have a fountain, you see,” I explained to her. “And candles. So back then it was REALLY tacky.”

“Well, I believe you mom,” she said. “But I have to be honest, it’s a little disappointing. It’s not even all that much in bad taste.”

“What are you talking about?” I screetched. That woman was cheating on the future King of England and her irresponsible playboy boyfriend killed her in a stupid blind drunken car crash!”

“Yeah, I see what you mean,” she said thoughtfully. “If she had any brains she wouldn’t have gotten into her irresponsible boyfriend’s limo with a drunk chauffer. She could have taken a cab to the airport, come back here, and gotten any purse she wanted.”

“Exactly,” I said, proud of way Lana’s mind works.

“But mom,” she said. “you go out with some pretty irresponsible men too, you know.”

“That’s true,” I said. “But I don’t ever let them drive.”

“Ready to checkout the bathroom?” Lana said wistfully, leading me to think she was really thinking about our broken family.

“I'm ready,” I said. “It’s two flights up from this spot.”

She took another look at the photographs of Di and Dodi. “It’s really very sad, you know,” she said.

On the way up the stairs, some Australian tourists wanted directions to the shrine, and Lana pointed back down the way we had come using her thumb with a cosmopolitan air.

There was no line in front of the bathroom.

“Oh, I guess the attendant stepped away,” I said. “Let’s wait a second.”

“Do you have the money?” Lana asked worriedly.

“Each of these coins is two pounds,” I said proudly whipping them out of a side pocket in my purse.

“What if the price went up?” she worried.

“Hell, sweetie, for you I’ll pay anything,” I assured her.

“It’s for you too, mom,” she said. “I think you really need some closure about this.”

“You might be right,” I agreed.

We waited a few minutes. I started tapping my foot.

“It’s OK if we use a little bit of the luxury soaps and lotions,” she assured me.

“I planned to.” I said firmly.

“Mom?” she said a few minutes later. “Do you think we could just peek inside. Maybe the attendant is in there.”

“Yeah, let’s do that,” I said. “They can’t get mad if nobody was here, and besides I have the money to pay if they find us in there.”

“We could leave the money on the counter,” she said.

“OK,then.” I replied. “We’re going in!”

It was just an old bathroom with faded chintz curtains on the soot stained windows,nondescript English toilet compartments with chain flushes and a bare vanity in front of a flat, modern mirror surrounded by cheap light fixtures.

“HUH?” I cried. “I can’t believe this.”

“Maybe it was different bathroom,” Lana suggested.

“It can’t be, it was two floors up from the shrine of Lady Di and Dodi, exactly on this landing!” I huffed.

Lana shrugged. "Well at least we got to see it. The mystery is over."

We both peed. That felt good.

We came out of our stalls and started washing our hands, using the plain white soap from the single glass dispenser and the automatic hot air driers. An attendant walked into the room, pushing a washtub with some mops in it.

“Hi,” I said. “We just came in because you weren’t out there.”

“Quite alright,” she said. “Good afternoon.”

“Do you want the two pounds now?” I asked.

She stared at me. Then she laughed. “You must have been here many years ago,” she said.

“I was here about five years ago. Yeah.” I said.

“I remember that time. They tried to charge two pounds for the use of the Ladies toilet.”

“I remember that time, too.” I said. “What happened?”

“Oh,” said the lady. “It was quite extraordinary. Apparently there were some American tourists who caused such a fuss that they stopped doing it.”

“About five years ago?” I said.

“Yes that would be about right,” the attendant replied.

“Thank you very much,” I said. “Have a nice day.”

I handed her the four pounds and we left.

“You see Lana, “ I said in my Grand Duchess voice, “Mother has changed British history forever. I have liberated the ladies toilet at the world famous Harrod’s Department store.”

“You had a little help from your friend Diva,” she reminded me.

“Well yes, of course,” I acknowledged with my most dulcet pretense of courteous noblesse oblige. ”Diva helped a little.”

There was a glint of pride in my daughters eyes. And that is worth half a million pounds to me. Which is a million bucks.