Dispatch: "there is blood and/or feces in the thigh buttocks area" YOU. GUYS. Last night was horrendous. Other than working a stand up 24hr shift - We got all call with the above notes from dispatch. We go to a small little townhouse, where we knock on the door, and we get the ok to come in.  Immediately the smell of human, dog and cat shit and piss came in through our noses. There loose tobacco everywhere. And our patient (read: failure to thrive piece of shit) is sitting in a recliner chair. It's hair was all matted in the back of it's head. Poop splatters on it's legs, poop under it's nails and on it's hands. Grease stains on the top half of it's shirt. It says, " hey guys, why ya here?" The obese caregiver walks in from another room and says "I called 911. Mr. [so and so] hasn't moved from that chair for about 3 weeks." Our first question to that bitch was why call now? The caregiver should have called looooong ago. Don't worry, our captain reported that caregiver for neglect. And filed an APS case.  ANYWAYS. We ask the fat shit to stand up for us so we can see where he's bleeding from. And this motherfucker laughs and said, "I don't want to stand. I haven't walked in weeks! I don't need to! Well, I can just piss and shit right here, all I want, and my friend comes over to bring me food and cigs. My caregiver here kinda takes care of the cats and dogs and brings my meds. Why do I gotta stand, even for you guys?" This sack of shit WILLINGLY refused to get up and walk to perform basic tasks and WILLINGLY piss and shit all over himself for WEEKS. That shows you the mentality of fats. We told him that this type of behaviour is not okay, yada yada yada. We put the mega mover on the floor, and we all grabbed an arm and a leg to move this fucker.  Y'all. As we lifted this waste of space off of the leather recliner chair, it cries out in pain, CAUSE IT WAS ADHERED TO THE CHAIR. Its ass cheeks and thighs were adhered to the leather and we gave it one more yank, and it's flesh ripped away from the leather.  Immediately blood, fresh and old shit and small mounds of flesh were falling out of it's ass area. As we laid it on the megamover, the crew held up it's legs so I can at least see what kinda damage was down there.  It wasnt..THAT bad. However, it did had lots of sores, ulcers and just empty pockets of flesh from where we had ripped it from the couch. All of it was covered in shit. As I'm leaned over assessing the damage, the fatass says, "A lady shouldn't be looking down there, whaddya doin??" as it was flailing it's shit covered arms around.  All I had to say, "well, a grown ass man shouldn't be living in his piss and shit! Right?! This is so fuckin nasty." It just kinda grumbled and then said it wanted to refuse to go to the hospital. I wish we didn't have to take it to the hospital. It is a waste of resources, time, tax money and oxygen.  Well, it went to the hospital and demanded to not have any females present as the techs were cleaning all the shit off of it. It's laughable because it's trying so hard to have some type of decency.  Quick 2nd story: 500lbs fat sow called 911 cause it can't pee. We arrive on scene and it is walking out of it's apartment and as we are opening the ambulance doors, it climbs in and oinks, "Thanks guys, I ran out of money for a taxi, so I called you guys cause it's free." This fat fuck was 100% serious. And in the end, it could pee, but just needed a free ride across town.  And yes, in our state, being obese is a disability, and the insurance will pay for the ambulance rides. So it is free for the fat fucks. And of course, it's coming outta our paychecks to provide this service for them.  How shitty is that? We are all getting paid to do a service for our community, whether it is pizza delivery, garbage pick up, doctor, barista, EMS, whatever, we are getting taxes taken out so these fat pieces of shit can get free medical care.  Sorry for the long rant. Also, while we were with the failure to thrive fatass, another engine ran a cardiac arrest a few streets over. And after a while, they called it enroute to the hospital, while an ambulance was escourting the 3 children of the dead mom to the hospital to see what social services could do for them. :(  That is what we get paid to do, not waste our fucking time on a fat pieces of shit. Fat people absolutely have killed someone while wasting EMS and PD's time running their fat calls. There are times in our city where we have every single Ladder, Engine, Rescue and Ambulance trucks all running calls while other people that have called 911 have to wait. How fucked is that?