When I thought of the title Pain in the Butt, I meant it figuratively, since I do not even have sensation there As I have shared my title with people through the years, the reaction is always a laugh, as I had hoped to invoke humor. I wrote it with that in mind. I hope once you read my book, you will see despite the turn my life took on that, fateful day in December, I not only survived the tragedy but went on to live an exuberant and joyful life, "Joie de Vivre."