Some stories require a little TMI in order to pack a true punch. And thus, I’ll have to cop to this: I have possibly either eczema or psoriasis. It drives me f’in crazy even as skin poachers from the east to west coasts tell me, “Oh, yours is very mild.” Easy for them to say–I suspect they all save the best treatments (eczema, acne, rosacea) for themselves in order to create some sort of bizarre ruling class of super-skinned Dr. Zizmors. They are oh-so-fond of telling me things like, “You should try and relax more, don’t stress as much, don’t take hot showers, get a bit more vitamin D.” Some years ago the woman who delivered this information and other profound thoughts on how to control it finished all of these informative tid-bits with comma sugar, baby, or honey. It was a good trick–she had me nodding along like a calf being led to slaughter. “Keep the eczema-ed reeling,” they say, in their secret posh clubhouses where they rub themselves in only the finest working lotions and creams.

The only true cure I’ve ever come upon was living in the sweet, sweet humidity and sunshine that Costa Rica provided me. Add that to the list of reasons I wish we’d never left. So far, Los Angeles hasn’t gifted me the same. So two days ago, you’d have found me making my case to yet another dermi in suite 101 of one of those classic health professional office blocks. A nice lady–aren’t they all–and I went in simply to show her the flare-up and ask that she kindly deliver me a script for the same spray I’ve been using for years with some success. It should have been a transaction as easy as ordering my daily Venti iced-coffee at StarBucks (though I’ve found that to be considerably more trying so far away from the East-Coast work ethic I admire more and more daily). Did I leave after just a short visit with the means to a medicine I so desperately craved? No.

Somehow, and as a gratefully recovering alcoholic I’ll take my part in it all, I let her talk me into experimenting with the supposedly latest and greatest snake oil. “You can just grab it at the pharmacy across the street. Super easy, and here’s a card that will let you pay nothing for the first batch.” She said. She didn’t use the word “batch.” But I am. Call it whatever you want to call it, doesn’t change the fact that the pharmacy she sent me to had to special order it. At the time this was all happening, I hadn’t the time to process it as anything more than a terrible inconvenience. With the gift of hind-sight and a quick recap of the days events with my favorite suspicious aloysius conversationalist, Ariele, I came to realize what I’d really just been signed up for:

Have you seen the film Side Effects? Doesn’t really matter. All you really need to know is: Big Pharma loves money. And part of their plan to get more of it is to sell you drugs. That’s not being conspiratorial, that’s just business. Yes sir, they’ve got something that will help you, and like the stink under your arms, they’d prefer what ever ails you never really go away because that’d prevent you from being a repeat customer. I don’t begrudge them that. That’s business. That’s as much on us for not doing due-diligence in taking care of our own shit before it becomes problematic.

Now then, back to me–this whole damn site is about me, save a post or two, and here’s what I’m getting at: My new dermi, like any other doctor, probably likes money too. And I’m quite positive that I’ve only been given this new miracle cure for free, on her recommendation, because somewhere, someone is paying her to make that selection. My tried and true Clobex isn’t filling her coffers with new shoe money. I saw her shoes. They didn’t look cheap. What really tipped me off to the fact that I’d become yet another guinea pig was when she asked me to return in just three short weeks to see how it was going with this new elixer. “Odd,” I thought. “Usually I just spray a few times a day for a few weeks and it goes away, what’s to see in three weeks?” Well, the answer seems simple now: I’m part of a clinical trial of something that might possibly have me growing a sixth toe before summer’s end. And that three week check-in is necessary for her to make sure I’m not and, far more importantly,  that three week check-in is necessary for her to document the results so she can tell the company who cranks it out how well it’s doing, so that in turn, she can get some of that shoe money.

So, in about a month, god willing or devil be damned, I’ll be either eczema free once again or still covered in it with six toes on each foot, while that elite class of fair skinned snake-oil-salesmen and the companies who pay them snarf my hard earned (now heavily taxed by the state of California–hey, where’s it all going btw California, where?) dough.