Inaugural column June 9, 2015


Many years ago, through a peculiar chain of circumstances, I found myself practicing as a Family Doctor in Emo, Ontario, Canada. For those of you who don’t know, Emo is a town of about 1000 people situated on the Rainy River, which makes up some of the border between Northern Minnesota and Northern Ontario. As alert readers may recall, one of Minnesota’s claims to fame is that it was once governed by James George Janos, also known as Jesse Ventura. Minnesota is also home to a town called Garrison, which in turn is home to a very large statue of a Walleye, which is a fish.

Walleye FishEmo, on the other hand, gets honourable mention in a book by Alec Ross, entitled Coke Stop in Emo: Adventures of a Long-Distance Paddler. I don’t have the privilege of knowing Alec Ross, the author, who is, according to reliable sources, a kind of Chaucer in a Tilley hat (a weird metaphor if I may say), but I did have the privilege of knowing and working with a canny Irish MD by the name of John O’Sullivan. John probably forgot more Medicine than I ever learned; he had a kind, generous spirit, and a wonderfully wacky sense of humour.

One day, for no particular reason, we decided to start writing a humour column for The West End Weekly, the aptly named weekly newspaper for the town of Rainy River, Ontario (population also 1,000). We called the column Emedics although I wanted to call it The Department of Lateral Thinking. Anyway, we spent the next couple of years thinking laterally about various topics (some of them related to Medicine) and extracting fishing lures from a wide variety of anatomical features belonging to shore-casters. (For the uninitiated, shore-casters are people who like to fish from shore.)

Coke Stop In EmoAnyway, more on shore-casting some other time. I need to get on with this column. As is often the case, time went forward from my sojourn in Emo until one day a few weeks ago, my wife Jeanette and I found ourselves sitting in an outdoor bar in downtown Austin, Texas, talking to Kathleen and Tom, who are the owners of I’ll have more to say about Austin too, but right now I want to point out that the four of us yakked for about two hours that night, covering a wide range of topics. A good bit of the conversation revolved around the burgeoning field of Microbiomes.

According to Wikipedia, a Microbiome is the collective genome or assemblage of DNA of the microorganisms that reside in an environmental niche, although most folks don’t distinguish between the DNA, and the actual critters (microbiota) that live in the niche. Alot of researchers these days are particularly interested in the various human microbiomes, and are busy peering intently into places like your nostrils, ear canals, mouth and other nooks and crannies, to see what lives there.

One of the nooks and crannies receiving major airtime is the large intestine or colon, in particular the distal colon or the end closest to your Nethermost Bodily Aperture (NBA). The distal colon happens to be home to a thriving community of bacteria, fungi, bacteriophages (viruses which prey on bacteria) and worms, not to mention tiny Radiofrequency Identification or RFID chips implanted in all of us by agents of The Department of Environmental Niches. It is estimated that there are at least 100- trillion bacterial cells down there amongst the RFID chips.

To put this into the proper perspective, you need to know that the average adult only has about 10- trillion bodily or somatic cells. That brings up the question of exactly who is the host and who is the colonizer. So while you’re pondering THAT, this is as good a place as any to also think briefly about Topology.

Topology is the branch of Mathematics concerned with “the study of geometric properties and spatial relations unaffected by the continuous change of shape or size of figures” and it comes in handy when you need to answer riddles like “What do a doughnut and a coffee cup have in common?” Well, if you have a doughnut made of Play DohTM and you take a Graduate level course in Topology, you eventually figure out that you can squish and deform the doughnut into a coffee cup, as long as you don’t mess around too much with the hole. (A cardinal rule of Topology!) Or you could just ask any three-year-old and they would set you straight after giggling a bit and looking at you like you suddenly grew two more heads.

This is all relevant, since a human being is essentially a long tunnel (with a few side branches) extending from the mouth to the NBA, surrounded by 10-trillion somatic cells. So all of us, including agents of The Department of Environmental Niches, are basically topologically equivalent to a 10-trillion-cell doughnut covered by a layer of icing made up of 100-trillion bacterial cells. This is a highly disturbing thought and actually I don’t even know why I brought it up.

Turns out that this thriving 100-trillion-cell colony of organisms seems to be involved in pretty much every aspect of our existence including, but not limited to: energy harvesting, clearance of toxins, immune function, mood, political preference, favourite animal and so on, although the details of how this happens are still being sorted out.

The thing a rational person is going to ask themselves at this point is: what happens if you take a sample of bacteria from the colon of one person and transplant it into the colon of another person? That is a great question, and you wouldn’t be the first person to ask it. Turns out that these fecal transplants, as they are called, have been carried out to cure intractable diarrhea in people suffering from an overgrowth of a rogue bacterium known as Clostridium difficile.

An even more interesting question you could ask yourself is: what happens if you take some bacteria from the distal colon of a skinny person and transplant them into the distal colon of a not-so-skinny person? This has already been done in mice and of course the not-so-skinny mice lost weight without doing anything different such as eating Paleo or taking up kickboxing.

I don’t recommend that you try this at home just yet, although you probably could, using just a few common household implements such as a blender and a turkey baster. Who knows where all this is headed? Maybe people will start having poo-transplant parties, sort of like Tupperware parties, or those parties from the 1950’s all the Moms brought their kids to so they (the kids) could get chickenpox at the same time.

But seriously, if you decide to go ahead with this, you should probably try to find somebody who is a triathlete and looks like he is 30 even though he is actually 83, or maybe someone who is a Pilates instructor who can eat anything she wants for her entire life without gaining a microgram, thereby earning the undying hatred of most of the women on this planet, and maybe even other planets.

Anyway, it’s up to you to choose the right donor. Just make sure you both like Walleye and vote Democrat.  At least if you live in Minnesota.


About Author

George Gillson MD PhD.

Dr. Gillson obtained a PhD in Chemistry (Analytical Atomic Spectroscopy) in 1985 and worked in Research and Development for Perkin-Elmer/SCIEX before switching to a career in Medicine in 1988. He obtained an MD from the University of Calgary in 1991, and spent six years as a Family Practitioner. From July 1999 to July 2001, he was a staff physician with Jonathan Wright, MD at the Tahoma Clinic in Kent, WA, and maintained special interests in areas including steroid hormone testing and Multiple Sclerosis.


  1. Kathleen Crandall
    Kathleen Crandall on

    LOL Oh all the micro critters living in my gut! But what about the RFID? Yikes! 🙂 Fun article, thanks for sharing.

  2. Had the coke, seen the fish, blinked and almost missed Emo and Rainy River but knowing you spent time there explains the humor.

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