I work with elderly people/disabled people in their homes, and the 90 year olds are cleaner than the fat 60-70 year olds. 90% of the fatties I care for can't seem to wipe their ass at all, so I have to do it during a strip wash.  That's another thing, the fatter my clients are, the less likely they want a shower or even a strip wash. Some are so gross. This is the only place I can vent about some of the filth I have to deal with. I know a 97 year old who only needs very basic care (meds, bed making, assisting with dressing) and yet I have a 60 year old lady who has lost a leg to diabetes and still continues to stuff her fat face with biscuits, then tells me that she's depressed. No shit, I'd be depressed if I was a sack of shit too.