homeland security reaches the anus

Tyler Durden camera_lumina at hotmail.com
Tue Feb 6 10:46:40 PST 2007

Well, walking around with an apparatus like that he's one step from being 
gay. We don't want his kind in our country. Thank goodness to the folks at 
homeland security for remembering Our Values, and taking the opportunity to 
enforce them at the borders.
Tyler S Durden

>From: Eugen Leitl <eugen at leitl.org>
>To: cypherpunks at jfet.org
>Subject: homeland security reaches the anus
>Date: Tue, 6 Feb 2007 15:29:10 +0100
>(via Lancet)
>Homeland security reaches the anus
>I wish to bring to your attention
>difficulties one of my patients recently
>encountered when entering the USA.
>He is a 48-year-old man with a fistula-
>in-ano managed with a long-term
>seton to control perianal sepsis.
>A seton consists of a length of
>suture material knotted to form a loop
>which lies in the fistula track. It passes
>through the fistula, out of the external
>opening beside the anus, into the
>anus, and re-enters the fistula through
>the internal opening. Various different
>materials can be used; in this case the
>seton was made of a turquoise braided
>synthetic suture. Many fistulas are
>treated with setons in the short
>term, and, in those that are high or
>associated with Crohnbs disease, this
>management can be long-term.
>On arrival in New York in August,
>2006, for a holiday, the patient was
>interrogated by immigration officials,
>then examined and searched. The
>presence of the seton gave rise to
>much concern, I assume because of
>a suspicion that a drug package or
>terrorist weapon was in some way
>attached to it. A rectal examination
>was done, during which the examining
>official pulled very hard on the seton,
>causing severe pain, but fortunately
>not damaging the anal sphincter
>muscles encircled by it.
>The patient was refused entry
>into the country unless the seton
>was removed. Given the somewhat
>stark choice, he chose removal of the
>seton, which was done by a doctor
>at the airport who claimed never to
>have come across one before. The
>patient now requires an examination
>under general anaesthetic to insert a
>I thought I should highlight this
>rather bizarre manifestation of
>bhomeland securityb because I suspect
>that it might become a more frequent
>problem. I suggest that any patient
>with a seton who is planning to travel
>to the USA or any other country where
>they are likely to be searched in this
>manner should carry a letter from
>their specialist explaining the nature
>of their condition and treatment.
>I declare that I have no conflict of interest.
>Sue Clark
>sue.clark at nwlh.nhs.uk
>The Polyposis Registry, St Markbs Hospital, Harrow
>HA1 3UJ, UK
>Eugen* Leitl <a href="http://leitl.org">leitl</a> http://leitl.org
>ICBM: 48.07100, 11.36820            http://www.ativel.com
>8B29F6BE: 099D 78BA 2FD3 B014 B08A  7779 75B0 2443 8B29 F6BE
>[demime 1.01d removed an attachment of type application/pgp-signature which 
>had a name of signature.asc]

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