Rich (after eating his dinner): Hello BOWEL. Do you read me BOWEL?
Perhaps, like HAL, before the inevitable ostomy it'll pipe up:
BOWEL: I know I've made some very poor decisions recently Rich, but I can only give you my complete assurance that my work will be back to normal. I've still got the greatest enthusiasm and confidence in the mission. And I want to help you.
Perhaps, like HAL, it has been the recent threat of disconnection that has caused panic in my bowel and the subsequent inability to get off the steroids. Perhaps, as Arthur C Clarke suggests, given time my bowel may slowly right itself, but continued threat of/actual action (infliximab) will lead to its continued rebellion (defending itself) against the ship and crew (er, me and my body).
Or perhaps I should be seeking less ridiculous sources of guidance about the next step...