The fat patient who wanted every medical intervention to stay alive... As long as it didn't require him to put in any effort whatsoever. We had a 300 pound man come in to the hospital with complications from diabetes.  But that was the least of his concerns. As per his family, he would lay in bed all day and eat. He guilted family into enabling his lifestyle by telling them that if it weren't for him, they would still be living in poverty back in the country they came from (which I won't mention for confidentiality reasons). His lifestyle continued during his admission in the hospital. He lay in bed all day and had his family bring him food. He became deconditioned quickly but refused to participate in physiotherapy. He developed a coccyx ulcer, but would not allow staff to reposition him to offload the pressure, and it quickly became infected. Eventually he developed pleural effusions (fluid buildup around the lungs that prevent the lungs from expanding). The doctor offered to surgically insert a chest tube to drained it, but asked the patient if this was even worth doing since the patient seemed like he wanted to die anyways, given that he would not participate in any care. The patient claimed he wanted "everything" done to stay alive, but continued to refuse all care after the chest tube was inserted. The chest tube was inserted, but was ineffective, he still had difficulty breathing. It was explained to him countless times that if he doesn't get out of bed and start moving, he will die. This did not motivate him. One day he stopped breathing. Myself and several other health care professionals worked to attempt to revive him. Performing CPR on an obese man who has not left bed for over a month is not plesant. Im sure a bunch of you will ask why we even bothered, as health care professionals we are obligated to provide health care including life saving measures. He did not survive. I'm not sure how many tax dollars and other resources he wasted, but if there was ever a fat person to be hated, this is him.