As a long time "Savage Love" fan I must congratulate you on the succinct and real and goddamn honest advice that you disseminate each week. I love your podcast and I loved your column back when they were published in the oh-so-conservative town where I live.

That said, I had to cringe a little at your advice to the butt-and-booze-enema-curious gentleman in Episode 146. I know there are probably people out there putting booze in their asses without problem and have been doing so for quite some time. I appreciated your "no no no" speech, but I really think it needed a little more urgency to it. In short, this is unbelievably FUCKING DANGEROUS. I am a paramedic in a major metropolitan area, and I can tell you; people die from this. It has very little to do with dosage. Have you ever been to a bar and had 2 drinks and been totally fucked up? Only to go out the next week and not be able to get drunk despite what you try? This is attributed to a totally unpredictable response from receptors in your brain to alcohol. And, as you said, the highly vascular rectal tissue absorbs alcohol like gang busters. Too fast, without any safety checks, i.e. vomiting, or passing out.

So, in the anal-drinking context, what got you kind of fucked up one night, could put you in a coma the next. Or if you're less lucky, you could not only end up with alcohol poisoning. But the alcohol can cause damage to your delicate and precious rectal tissue and cause it to slough off. Colostomy anyone? Ew.

Again, love your perspective, it has helped me out innumerable times. I just wanted to add my two cents and perhaps contribute.

Sara

Thanks for your contribution, Sara.