Brenda Elsagher wants people to be able to say "rectum" without feeling uncomfortable.
At the start of each speech she gives about her fight against colorectal cancer, she asks audience members to turn to each other and say the word three times.
"It gets it out of the way and then we can move on," said Elsagher, of Burnsville.
"It's a shy area," she said. "Why is that, do you think? We have a much harder time talking about rectums than arms."
Since Elsagher, 43, had her colon removed in 1995 she has added "comedian," "Twin Cities' funniest person" and "public speaker" to her list of titles. Another title she claims is business owner of a hair salon in Bloomington.
"All my life I felt like I'm going to be talking about something important," she said. "But I never thought it would be about being rectum-free."
With an acute sense of humor and a vivacious attitude, Elsagher has made her family, her friends, her audiences (and herself) feel more comfortable talking about colon cancer.
Elsagher (nee Elsen), who grew up in Bloomington and graduated from the Academy of Holy Angels in Richfield, reached her goal of becoming a comedian by the age of 40 just in time, soon after her surgery. She performed at clubs throughout the Twin Cities, most notably Acme Comedy Club in Minneapolis.
In 1996 she was chosen from 150 amateur comedians as "the Twin Cities' Funniest Person." The audience's response was overwhelming, she said.
"I think it's because everyone's so relieved it's not happening to them at the moment," she said. "It took me a year before I would joke about my cancer."
Once she started, she couldn't stop.
Her public speaking career began by accident.
After a Sun-Current reporter wrote a feature about her in 1996, the reporter asked if she had done any public speaking.
"I don't know why, but I said, 'Yes,'" Elsagher said. "At that point I hadn't done any."
The reporter asked her the name of her speech, and the first thing that came out was "Humor in Crisis." The reporter put her telephone number in the paper, and the following week someone called Elsagher to speak at a church gathering.
"And then I had to make up a speech," she said. "And I have not shut up since."
She married her Egyptian husband, Bahgat Elsagher, 11 years ago. They have two children, Hannah, 7, and John, 10. Their relationship "is fodder for material," she said.
Bahgat said he met his future wife when his brother responded to a personals ad Elsagher had placed in the Twin Cities Reader. His brother asked Bahgat to come along to ease the pressure of the date.
"At the end of the night Brenda said, 'I'm not really interested in your brother, but if you're interested, maybe we can talk,'" Bahgat said with a laugh. "And that was the start."
Elsagher has brought her husband's "cornball humor" and sometimes-silly behavior to her comedy routine.
"One of the reasons I'm attracted to Bahgat is because he makes me laugh every day," she said.
Elsagher is the kind of person who keeps everyone laughing, but she has developed a more serious side since being diagnosed with cancer. She said she wants both sides to come through in her talks.
Elsagher said NBC's Katie Couric's live colonoscopy on TV earlier this month helped the cause, but "people are still taking it too lightly." Couric's husband died of cancer in January 1998 at age 42.
Elsagher said she wants people to realize how relatively simple the test to detect colon cancer can be compared to the pain of a life-threatening disease.
"Living with a colostomy day to day has a lot more potential for embarrassment than having one colonoscopy test every couple of years," she said.
The worst part of the test, she said, is not the test itself, but the preparation the night before. Patients have to drink a bitter liquid called "Go Lightly," which Elsagher said is "an oxymoron." But the test itself, she said, takes about 15 minutes.
The pain of cancer has taught her a lot about living. An uncle, who was diagnosed a year to the day after her own discovery, died three months later. His colon cancer had spread too far.
"If there's anything you're thinking about doing, you'd better start planning for it," she said. "If you ever wish you could tell someone you love them, call them up and tell them. Why not? What's that pride about?"
Elsagher said she hopes through her comedy and her inspirational talks she can reach as many people as possible.
She has already reached many with her wide-open sense of humor.
A while ago she gave a talk for Archbishop Harry Flynn and 400 religious educators.
She told the crowd about her attempts to explain the Catholic hierarchy to her Moslem husband by using McDonald's terminology.
"All of us Catholics are like hamburgers," she told them. "And the priests would be cheeseburgers, the bishops would be Quarterpounders, the archbishop would be the Arch Deluxe, the pope would be the Big Mac and the golden arches would be the gates of heaven."
Luckily, Flynn laughed and the others followed after carefully watching for the archbishop's reaction, she said.
In almost anyone's presence, Elsagher rattles off joke after joke, seemingly not realizing she's on a roll:
"It's not so bad having a colostomy," she said. "I just can't find shoes to match my bag."
"My doctor is respected by his peers. They refer to him as 'the Rear Admiral.'"
And then there are the true stories:
"On the morning of my surgery, the doctor came into the room and I asked him if it was really a good day for surgery," she said. "And he said, 'Why?' and I said, 'Because you have those little pieces of toilet paper stuck to your face.' I was a little bit afraid."
Elsagher is just now feeling sure about her recovery. During the seven-hour procedure she had her colon, rectum, uterus and a vaginal wall removed. Later she had two more surgeries, one to remove hernias and one to clear an infection.
In 1999 she finally was able to stay out of the hospital for a longer time and to focus on giving talks.
"I feel like my old self now," she said.
Patients can expect a complete recovery five years from the date the cancer is removed if the cancer was caught soon enough, the American Cancer Society says.
Now that Elsagher's five-year mark is approaching, she can channel her boundless energy into helping others.
"I try to take something very serious and make it palatable," she said. "[Doing comedy routines] is not really my passion anymore. I'd rather give an hour speech than 10 minutes of comedy."
Elsagher's next talk is set for 7 p.m. Tuesday, April 25, at St. John's Church in Lakeville, on Holyoke Avenue off Highway 50. The event is free and sponsored by the American Cancer Society of Dakota County, Lakeville Women of Today and Xi Alpha chapter of Phi Beta Psi.
For more information call 651-460-6546 or 952-463-1194.
Recognizing the disease
Colorectal cancer (cancer of the colon and rectum) is the second-leading cause of cancer deaths in the United States, according to the American Cancer Society. Famous people who have had the disease include Audrey Hepburn, Charles Schultz, Ronald Reagan and Darryl Strawberry.
Symptoms include:
For information on colorectal cancer and screening call the American Cancer Society at 1-800-227-2345.