I finally got to say it.
"Are you shitheads gonna do the same thing to me this time that you did last time?" he demanded.
"He told me that nobody would help him with his bath last time. And that the doctor wouldn't come see him. He told me he was in here ten days without a bath." she concurred.
"Ma'am, Sir," I replied, "let me be straight with you. You weren't given bed baths last time because when the aides came in, you would curse and throw things at them.
"Then you'd get up and shower.
"The doctor stopped coming in after you threatened to kill him and his family. You've been fired by every nurse on the floor except me.
"The aides have been instructed, for their own safety, not to enter your room.
"I am the only person here who is willing to take care of you. And if your behavior is anything like it was the last time you were here--any cursing, any throwing things, any threats--I have instructions to discharge you immediately. If you assault anyone, I'm going to call the police."
There was a brief silence.
"Where am I supposed to go if you discharge me?" he asked.
"You may go to any other hospital of your choice. We will assist in your transfer." I said.
"No place else will accept him," his wife said, "They've all got do-not-readmit on his chart."
Another brief silence.
Then I gave him twenty of immediate-release oxycodone, four of dilaudid, and a milligram of Xanax and went away. That was all he really wanted anyhow.