Six--count 'em--six patients last week, all of whom had neuromuscular disorders (myasthenia gravis, CIDP, MS) and all of whom, every single last one, was well north of three hundred pounds.
In fact, the lightest patient we had in the group was 166 kilos (365 pounds, more or less) at four foot eleven inches tall. She was Pickwickian to the point of near-sphericality.
Now, then: I am not of the opinion that "fat" automatically equals "unhealthy". I'm much more concerned with your mobility, your lab values, your ability to manage your daily activities, and what it is you eat. A skinny person who eats nothing but the value menu from McDonald's is going to be a much bigger pain in my ass, medically speaking, than a 300-lb guy who takes good care of himself and simply has fat genes.
However. When you're my height (five-two on a tall day, with an inch of MBTs underneath) and weigh enough that you literally cannot walk across the room without getting winded, something is very, very wrong. Add a demyelinating disorder to whatever it is that's wrong, and things will go from very, very wrong to severely jacked up in short order.
And when things do go to severely jacked up, and you're unable to move at all, the person who's going to be lifting--or, more accurately, helping to lift--you is me.
Which means, at the end of a four-day run, that I will be tireder than I can even express. Attila came over this morning and I panted through a workout, unable to curl 20 pounds more than about eighteen times. That barbell was so. damn. heavy.
Then I ate some eggs, fell over into bed, and slept until 1530. I have bean tostadas in the oven now, and plan to fall over and sleep some more after I apply them to my face. No, I have not showered. Yes, I have brushed my teeth. I think.
We have one Hoyer for the entire hospital, so every lift we did last week was a dead-man, six person affair with doubled drawsheets. The only person who got the Hoyer was the dude who weighed 800 lbs, and he only got that when it was time for him to go to the unit because his FVC was dropping fast.
Reader, I am going back to bed.