Wednesday, November 1, 6:00 AM

Life is strange when you don’t have a pituitary gland. Mine was removed by surgery in September 1966. On Wednesday I woke up early to go to the bathroom. After I did by business, I got up and … and … and …

B L A C K O U T

When consciousness returned, I was bleeding from a large bump on the left of my forehead and I felt as if one of my ribs was broken. Imagine Martine’s surprise when she woke up to go to the john about an hour later! There I lay, covered in blood and unable to raise myself due to (1) pain from my broken rib and (2) general weakness due to adrenal insufficiency.

Without a functioning pituitary, one has no thyroid function, no sex hormones, and—oh, yes—no adrenaline. All those have to be supplied from outside the body. Those early morning hours can be killers. Ingmar Bergman had a good reason to call it “The Hour of the Wolf.” At my request, Martine got me a glass of water and five 10mg tabs of Hydrocortisone.

Eventually Martine has to call 9-1-1 to get an ambulance. I couldn’t just lie on the bathroom floor forever. The emergency medical technicians took one look at me, hoisted me up, and trundled me of to the UCLA Medical Center, where I spent a couple of days in the intensive care unit and an observation ward.

I strongly suspect that this is how I will leave this world. At some point, the adrenal debt will be too high; and there will be a general system shutdown. Not a particularly painful exit.

For the time being, I’ll still be here. I hope.