The story proper begins with the eighteen-year-old narrator, Helen Memel, noting that, for as long as she can remember, she has had hemorrhoids. Then she describes what that involves. And it’s pretty much all downhill from there.
Hygiene is not a top priority for Helen. She could be described as an anti-hygienist; more to the point, she likes to describe her anti-hygienic way of life. She positively wallows in the muck — preferably her own muck, as she revels in her various bodily excretions: among other things, she describes herself as a Körperausscheidungsrecyclerin (’bodily-secretion-recycler’), happily gnawing on her scabs, consuming her pus and snot, and worse. Much worse. Much, much worse.
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