I am a registered nurse and I have to take care of fatties all the time. Yes it sucks, but one of the benefits is that I get to watch fat people suffer a slow, humiliating death. Anyways, we had one fat cow who was at least 350lbs (a conservative estimate) who couldn't stand up without the assistance of at least two people and/or a mechanical lift. One of my colleagues asked her how she manages at home: How could she possibly perform ADLs ("Activities of Daily Living", ie cooking, bathing, getting dressed, going to the bathroom, etc). She replied that she usually just grabbed a towel, held it between her legs and peed into the towel because she could not use a toilet.  I'm assuming she did the same thing when she took a shit. Just imagine, since she can't use as toilet I'm assuming she can't use a washing machine either: she probably had a pile of piss soaked towels in the corner of her house somewhere. Imagine the stench.