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For human guinea pigs, fasting and observing strict
dietary restrictions are basic professional responsibilities. We must fast from the night before a screening date,
and if we cheat on that, our blood sugar levels will be too high and we won't qualify. A poppy seed bagel during
the week prior to a screen will come up as a positive reading for recreational opiates (or so the wives’ tale goes).
In many studies, there will be an eight-hour fasting period after the dosing time, so that the movement of the
drug into and out of the bloodstream can be more carefully tracked. Another common thing is when they tell you to
eat only what they give you, and all of what they give you, and sometimes exactly in the half-hour time slot when
they put the tray in front of you.
The typical protocol will say that the eligible volunteer must be within 10% of his or her ideal weight.
The way they determine this is by measuring the width of your elbow joint with a caliper to get your frame size,
and then look on a chart to see how much space you should take up. If you're skinny, you'd better not be "big boned,
" because if you are, you have no right to be so thin, and you won't qualify. Likewise, if you're short and fat
or tall and skinny, forget it. I have just enough meat on me to not look funny, so I always get through this
particular hurdle. I tried to put on pounds once with those protein milk shakes that athletes drink, but they only
gave me the job of passing bigger turds.
One of my drug studies was at the Clinical Pharmacology Unit in Ben Tucker Memorial, which is no longer owned by
the hospital, but by an independent firm that underbids the competition to get its experiment contracts. They hire
their own non-union staff, cater their own meals, and buy supplies on their own. It's been this way since a few
years back, when some Kuwaiti sheik bought out every hospital in town and then trimmed some of the fat from his
empire. I only know this because I've got two sisters who are nurses, and they're always going on about how it's
all going to the dogs.
For these health care professionals, science is just a job, and they have an interest in doing it as cheaply as
possible. This becomes most apparent at meal times. I remember that only meat eaters like myself were allowed
into that particular experiment. One guy I used to chat with there had lied to get in, and always tried to eat as
little meat as possible. He would slip me the Salisbury steak, and I'd toss him a wad of macaroni in return. Once
a nurse spotted us and threatened to dock our pay if we did it again. She watched us like a hawk after that.
Another thing that galled us was that the staff had come to a decision about the food because of endless
complaints, and they had switched to a different (and much better) caterer. However, my study had begun several
months earlier, and they had to keep every new group of volunteers on the same horrible diet till the study was
complete, so as to preserve the consistency of their data. This would not have been so bad, except that there were
newer studies happening there at the same time, with the guinea pigs color coded in hospital scrubs of various
colors.
The dining room where we ate became more crowded after a nurse made a new dinner announcement: "Pfizer
guys, time to eat!"
About a dozen men hurried in wearing blue pajamas, and sat down to open the styrofoam trays that had been laid
out at certain tables for them. These fellows had just checked in, and were having their first meal in the unit.
My vegetarian buddy, wearing bright orange pajamas exactly like mine, waved to a guy that he knew who was settling
down a few feet away from us.
"Nice blues," he said.
"Yeah, thanks. I see they gave you the orange, so if you escape, they can spot you real easy," quipped his friend.
"They make the chain gang wear the same color."
"Is it true they've got gun towers on the roof here?" I asked.
"Hey, you never know," Blue said with a smile. "When are you guys getting out?"
"Tomorrow morning, between nine and eleven," said Orange. "They told us it should go quickly but they don't want to
promise... Oh, my God, what's this?"
The man in blue pajamas had broken the flow of ideas with a harsh physical maneuver: he had opened the top of his
food tray. Our eyes fixed onto on the lively colors of a rectangular square of lasagna, a heavy slice of apple pie with
big, clumsy crumbs and a dollop of whipped cream lying across it and raisins peeking out from its cinnamon-laden guts,
then to a cluster of steamy, peppered chicken slices that gleamed with an ample moisture originating from within the
pale meat itself, and finally some thickly buttered snow peas that held themselves with a firmness that told the
hungry viewer in no uncertain terms that they had been living, growing vegetables mere hours before offering
themselves up to be devoured.
We then turned our heads back to the barren fare we'd been picking at from our own table. The macaroni shells
took up most of each tray, and had on them just enough grease to help them fall away from each other, and not form
a single cake. When eaten, these cheeseless things resisted the teeth far beyond the point where an Italian family
would discuss whether the pasta had been pulled from the pot a moment too soon. This stuff had merely been softened
enough for digestion to happen without major gastric distress, and with a complete omission of the flavors one would
find in imported, or even a regular name brand macaroni. Another pocket of the tray held spinach from a can, a food
familiar enough to the reader to go without description. Lastly there was the meat loaf, with representation from
both the animal and vegetable kingdoms, in such a mixture that would evade any ingredient name such as beef or rice.
This was "meat product," and it had some gravy on it.
We in the orange pajamas looked at our plates, and our stomachs spoke together, saying that they didn't like
being treated this way. A young nurse kept eyeing us from nearby as she locked the stainless steel refrigerators
while sipping her cup of normal, caffeinated coffee. I always miss the coffee. Our noses were brought back to the
other table by wonderful smells.
"Relax, man," said the blue guinea pig as he cut into the lasagna with the side of his fork, "eighteen more hours,
and you'll be out there, having fun with your paycheck --what are you doing, the blood thinner? --eighteen hundred?
--and I'll be in here with the needles and the TV set. What's the first thing you're going to eat?"
"You're right," I said, "it's best to think about the real world. I'll be getting a double espresso, first off,
then I think I'll get lunch out at one of those Ethiopian places near the university. The injera really fills you
all the way up, and the spices are very special. Ever tried it?"
Blue nodded that he had, but I sensed that he had no immediate need to remember. The other became interested, and
said that he should discover East African cuisine sometime soon. The conversation wandered from one of the city's
exotic eateries to another as everyone ate. As we gathered up walked our trash toward the garbage can, I mused,
"If this was a nice restaurant, and I was finishing up like this, I might go outside and light up a nice cigar."
My dining companions of both colors shot me an urgent look, and discreetly glanced in the direction of the nurse.
She hadn't heard the remark.
"Careful," said my companion in orange when we got to the TV room, "a friend of mine slipped up one time, when
he was being interviewed by a rookie doctor. She asked if he was a smoker, and of course my man says 'No.' But then
he goes, 'I did smoke a cigar a few weeks ago after I ate,' and she cut the dude right out of the study. He was out
nine hundred bucks on one lousy cigar. That's nine beans!"
Almost every guinea pig in the room was a lean young fellow in orange like myself, since our group had just
finished our dreary meal. There were also a few guys in green who were trying out a new antidepressant, but they
simply stared at the monitor with their usual serene expressions. They had barely said a word between them since
I was admitted a week earlier. "Brain sluts" are pretty disgusting, when you stop to think about it, becoming
retarded for money like that.
We had walked in on the middle of the six o'clock news. "They stuff their faces for science!" The news woman
announced like a bad actress, trying to generate an amazed voice. "Chomping down ten thousand calories a day, and
getting paid to do it, in a new obesity study at Tucker Hospital, when we come right back!" The chubby face of a
blond woman shoveling ravioli into her mouth, briefly flashed on the screen, and for another moment, we saw a
close-up of a man's bearded face consuming some sort of milk shake, then wiping his mouth with a tired expression.
A long yell of "Whooaa!" came from the ten or twelve articulate throats. The boys in green raised their eyebrows
and smiled a bit more widely, looking around at their excited neighbors. As the commercials rattled past, the rest
of us traded exclamations of disbelief.
"Here I am starving half the time, and eating dog food the other half, and they're getting paid to pig out?
It's too much," I said.
"--and in the same building, no less," another guy remarked. "Maybe there's more to this study than they told
us. They might be studying the extent to which people will tolerate lousy food, while we're all really getting a
placebo in the arm."
The news program came back on the air. "Breakfast consisted of two sausage sandwiches with eggs, hotcakes with
butter and syrup, and several servings of hash browns," the reporter said as a long table filled with food appeared
on the screen. "That was for starters. As the day waddled on, the 10 volunteers in this scientific experiment also
packed away chicken, jumbo-sized cheeseburgers, French fries, two pints of ice cream and eight ounces of cashews,
for a whopping total of 10,000 calories."
We had become silent, with our sullen faces fixed on the monitor. "The experiment is not to find out who's the
biggest pig," the voice continued’ but rather to study a hormone called leptin (the Greek word for thin), which
is thought to be an important regulator of body fat." The scene broke to show a doctor measuring the fat on a
woman's arm with a skin fold caliper.
"They're making sure she's fat!" yelled a thin man. "But we had to prove we were skinny!"
"And they make us get skinnier!" shouted another. The news person went on about how mice lost weight when
they were injected with the new hormone, how a third of the US population is obese and chunkiness is getting
more common, and how they needed more time to figure out what leptin is about and how they can make money on it.
The din remained fairly loud as the camera went from scientists in white, to white rats, and back to the scientists
again.
"Hey, Yo! Look! Check it out!" shouted one of my orange buddies from the window. "There she is! That's them!"
The rest of us were momentarily confused, and not happy to be distracted from such a stimulating program, but we soon
understood that he had spotted the face-stuffer study, through the window of its research unit three floors below and
across a wide courtyard. "I thought they looked familiar," he continued. "Let me go get my specs."
He rushed out to his bedroom and came back with a small pair of opera glasses. Guinea pigs occasionally include
this in their personal travel kit in case there's a dormitory full of cute nurses nearby, or just to people-watch
the sidewalks down below.
We formed a group beside the window, and our attention was split between the fish-tank image of the other window,
some fifty yards off, and the TV screen with its talking heads. The guys started passing the glasses around, trying
to determine what was on the dining table in that happier place that was so close and yet so far away.
"I see French fries... I think that's spaghetti... What's the guy eating? Pancakes? No, waffles. They're giving
them waffles!" When my turn came, I watched the awful spectacle of a lady in an easy chair, biting into a big, sloppy
sandwich on a kind of bread I recognized. "Hogg's Deli. She's eating a spicy chicken hog!"
This meant that the researchers were ordering food from around the neighborhood. My absolute favorite lunch item,
in the entire world, perhaps, is found at Hogg's, where they carve out the inside of a loaf of homemade bread, stuff
it with a delicious assortment of peppered-up chicken, blue cheese dressing, and other salad ingredients, and then
serve it up with some long roasted peppers. The bread arrives slightly moist with water from their steam table.
All of the guys who lived in the area knew what a spicy chicken hog was. One put his hands to his temples and
started saying, "Shit. Oh, shit!" We started getting really excited.
The news person was still speaking. "Dr. Wendy Thayer, director of clinical Research, says that she's been very
discreet about the study which pays its subjects $250 per day, because 'We were afraid that we'd be overwhelmed with
calls from people who wanted to participate.'"
Upon hearing this, everyone started getting up, yelling at the top of their lungs, and slamming their fists down
on the furniture. The door of the TV room had been open all this time, and so the sounds were easily heard from twenty
paces down the hall at the nursing station. Now a nurse arrived, and not a popular woman, but a narrow-minded one who
seemed to have made a career move from a day care center. She was a no-sense-of-humor, school-marmish pain in the ass
who couldn't find your vein with a road map. For the most part we ignored her, or simply minimized interaction with
her. Most of the guys in this study were a dozen years her senior, and several were far better educated.
"OK guys, you know the rules." she proclaimed. "I'm gonna start docking paychecks if you don't quiet down!"
Everyone turned and faced her at the same moment. There were a few seconds during which no one spoke, but we all
stared straight into her face, and the sounds we made were chairs suddenly being pushed against tables, a book falling
to the floor, and some long, disgusted groans coming from the hollows of our stomachs. As it happened, the whole group
was standing.
The nurse's face lost its air of authority, and then her expression turned to actual fear, I suppose because of all
the bodies and the raw displeasure aimed at her. She stepped backward, bumping into the door frame, and started to say
"Umm, umm..."
I could not control the peal of laughter that forced its way out of my lungs. I felt as though someone were holding
me down and tickling me and I was trying to wiggle free. Then I wanted to stop laughing, but it kept getting worse, and
more hysterical after each time I paused for breath. I wanted to leave the room, but the nurse was standing in the
doorway, not yet running away, and I didn't want to give her the impression that I was advancing upon her. I felt someone
slap me on the back, and all at once everyone in the orange pajamas burst out laughing in a single roar, and even the brain
sluts added a feeble nodding to their vapid smiles. The unhappy woman took off down the hall, and opinions differed as to
whether she'd had a short cry. One couldn't be sure.
In the end she half-heartedly tried to fine us twenty-five bucks apiece, but we were able to talk the more mature
director out of it. After leaving with our pay envelopes, we walked down to the face stuffers' ward and tried to get
in to ask questions and sign ourselves in. They were somehow expecting us by then, though, and they kept refusing to
buzz us in. I wandered off with two Belgian guinea pigs to introduce them to spicy chicken hogs, and they gave me the
rundown on lab ratting in their country. They told me that when they go home to Brussels and talk about our horrible
drug study food, nobody ever believes them. Finally we said goodbye, and I went to visit my bank.


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