Yesterday, I got report on my rooms, including Room 5. Room 5 was a female, in her late 40's, and weighed somewhere between 250 - 300 lbs. She had come to the ER because her chronic back pain had gotten too intense to handle at home. She was unable to lie on a bed because of her severe pain and had been sleeping sitting up in a chair at home for a few weeks. When offered pain medication, the pt. declined. She also complained of abdominal pain and diarrhea, but since she couldn't lie flat, we weren't able to do a CT scan or MRI or pelvic ultrasound. We tested her stool and it was positive for blood. She gave a urine sample, and there was also blood in her urine. I told the doctor about these results, and he said that "we" needed to get a sterile urine sample by catheter. "We" in these situations means ME. About every 10 minutes, the patient had to go into the bathroom to have bloody diarrhea. Her sheer girth made it impossible for her to clean herself th...