Wilcox Farms 1

Amber's first appearance: http://fatallyobese.blogspot.com/2017/02/amber-at-home-fiction.html

Amber winced as the ambulance bounced again. It had been a rough thirty minutes for her. The EMTs had been nice but her oversized body was suffering. An EMT spoke "We're here." Amber signed the paperwork and they pulled into a garage.

She was taken out and then inside. A head poked out from the security office and gave them a Look. The EMT gave it her name, and the head disappeared. It appeared again a moment later and told them, "Intake 6." The EMTs turned corners, following the signs. They moved down wide hallways, past large common areas, and as they passed the cafeteria Amber's stomach growled. They turned another corner and they were in Unit 6. The intake room was right next to the Unit 6 entrance and they turned inside. It was a big bare room with expensive medical equipment lined against a wall. Several staff members breezed inside as the EMTs set their cot up next to a medical transport stretcher with built in scale. Someone tared it. While the scale was resetting A nurse introduced herself to Amber "Hi, I'm Ruby I'll be your nurse, okay?"

The scale beeped. The hovermatt air pump was hooked up and the mattress under Amber filled with air and the eight people in the room slid her from the ambulance stretcher to the hospital bed. The air was released with a rush and the EMTs stuck around long enough to copy down the weight before they vanished. "1410 kilograms" someone mummered. The door opened and a good looking curvy woman walked in. She walked over to her and said "I'm Doctor Marlow, I'm the admitting physician. Welcome to the Farms. We're going to run down a questionnaire with you, then we'll give you a little bit of a briefing on what is going to happen and give you something to eat. Do you understand?"

"Yes."

The first questions were pretty standard questions, past surgeries, allergies, both medications and food, and then the doctor stopped. "Okay so here's where you need to be completely accurate and honest with us. Include as many details as possible. The answers to these questions are the basis for your treatment plan here. Understood?"

"Yes."

"When was the last time you left your house alone?"

"2-3 years?"

"Are you currently able to walk by yourself, without any ambulatory aids?"

"No."

"Are you currently able to stand and pivot to a wheelchair or commode alone?"

"No."

"Are you currently able to bathe yourself?"

"No."

"Can you sit up by yourself?"

"Not really. I can do it occasionally but it tires me out. Usually I use the bed remote."

"Are you currently able to clean yourself after using the toilet?"

"No."

"Are you currently able to stand by yourself?"

"No."

"Would you say you are bed confined from your weight?"

"Yes."

"Are you able to stand at all? Even with help?"

"Maybe. I couldn't stand up from the commode that's why I went to the hospital."

"It says you use a CPAP at night. Can you breath on your own when lying flat on your back?"

"Not for long. After a couple minutes it gets very difficult."

"How much food do you eat on a daily basis?"

"I..."

"Take your time and try not to miss anything."

"I drink maybe two two liter bottles of soda a day, I eat like 3 or four big meals..."

"Specify please."

"Like a big omelette for breakfast, with 4 or 5 eggs, cheese, 5 sausage links, 5 slices of bacon, and yogurt." Amber paused for thought. "Then I have snacks for the morning, it varies but a bag of chips and some candy usually. Then lunch. My husband comes home. I'll eat like a couple foot long subs, chips, and an apple or something. Usually I make him leave me with some ice cream for desert. Then for dinner it's like 5 hot dogs, or like 3/4s of a meatloaf."

"If that a typical day?"

"Yes. But there's somedays I go on binges and just can't stop eating. I ate three half pound cheese burgers the day before I went to the hospital and..." Amber was tearing up.

"Don't worry about that right now. We'll work on that. We're just trying to get an idea of how much you eat so we know how much to feed you. We don't want you to starve."

"Who is your primary caretaker?"

"My husband."

"Any children?"

"No."

"Any family members who are morbidly obese."

"My mother was, and my sister is, but she's not as big as me."

"Alright. Now we're going to do the least favorite part of the intake for every one of our new residents. We're going to clean you and give you a physical exam. It's going to be very invasive and more then likely painful. You're going to be on the bath table flat on your back but Respiratory will have you on your CPAP. We're going to be getting rather rough with you because we don't want you to bring any bacteria in that may be on your skin from the hospital."

Amber took a deep breath. "Alright."

They used the hovermatt to slid her over to the bath table. It hard durable plastic, about 8 feet wide. There were tiny holes drilled into it underneath Amber and gutters ran alongside the table to collect water. There were railings that could go up and they helped her roll onto her right side, then to her left, long enough for them to get the hovermatt out. Then they began. Under the direction of Ruby, the CBRN (Certified Bariatric Registered Nurse) they began to clean Amber. Meanwhile Dr. Marlow, had been joined by Dr. Wilcox and they began to examine every inch of Amber while the nurses cleaned. First her hair, telling her to focus on her breathing, smiling at her from behind their face masks and eye protection, disposable gowns swishings as they moved. Hair, face, chin, arms. The doctors had her do dexterity tests. The CBRN and CNAs then started with her feet. The doctors were concerned about diabetic ulcers but there were none. The wounds on her legs, where fluid had built up and her skin had split from the strain, where cleaned and redressed. They stopped and spread her legs apart gently and then two lifted her heavy double belly. Marlow immediatly began palapting around her FUPA and gave her a brief vaginal exam. The CNAs continued cleaning, the smell of the deep fat folds that hadn't been adequately cleaned in months filled the room. Doctor Wilcox examined the underside of her belly inside the folds looking for fungal infections. Once they were finished they wiped down her saddlebags and the outside of her hips, where they flowed from underneath her belly.

Amber waved to get attention and Dr. Wilcox said "Yes?"

Amber tried to talk but could only wheeze as almost all of her 650 pounds pressed on her chest.

"Say again?"

"I need to" [gasp] "piss."

Wilcox waved the CNA who was about to move her leg back to the center away. "Just go. And if you need have a bowel movement now would work too."

So she did. While the CNAs washed the surface of her belly and her breasts she emptied her bowels and her bladder onto the table, although one CNA did grab some of the urine for a urine sample. She could feel her shit smearing underneath her and against the table. When they rolled her the table and her massive ass where rinsed first then carefully washed with them forcing the massive cheeks aside to clean deeply inside.

Bathing completed they then dried her, powdered every fold, and used antifungal cream under her breasts and inside a fold on her right leg. They rolled her back onto a hovermatt, not the same one the EMTs had used, and moved her back to the transport stretcher, sitting her up. She was taken back to the Admit room. She was disconnected from the CPAP and then they started doing everything else. Labs were drawn, an EKG preformed, blood pressures taken, and lungs listened too. Then her legs were tightly wrapped to force the liquid from her legs back into her abdomin. The plan was to force it up there where it could be eliminated natrually. She was then catherized, the plastic tube stuck up her urethra and into her bladder, where it was flushed with sterile water. It was all done rapidly and with her completely nude. Finally she was covered in a massive hospital gown and the team wheeled her down the hallway. Another move and she was in a massive comfortable bariatric bed. She was rolled to get the hovermatt out from underneath her, there was another between the fitted sheet and the mattress, and left alone for a few moments to catch her breath.

A knock on the door and Doctor Wilcox, in his late 30s, tall, and muscular, with glasses and a slight stoop, walked in, tailed by a younger man carrying a tray, and shook her hand. "I'm Doctor Wilcox the Director. Welcome."

"Thank you." Amber mummered, focusing on the tray as it was placed before her. The lid was removed revealing 3 large slabs of lasagna. The young man disappeared.

"Go ahead and eat." Wilcox said with a grin. "I'll get my speech out of the way while you do. We specialize in what we call Living Large. Our goal isn't to starve you until you loose weight. We're going to start you off at quantities of food that you're used to and we'll start to scale you back. It will be healthier food then you normally eat. I find that a lot of patient's are suffering from vitamin deficiencies and we're going to give you tablets at first, but we hope to maintain healthy vitamin levels by natural means. I've got a basic plan here and we'll adjust it as we move along. Basically we want to get you out of bed, just to stand at first, and eventually to turn and pivot to a wheelchair or commode. First with assistance and then alone. We'll also start managing your health problems better then before by adjusting your medications weekly. Our long term goal is for you to walk out of here to continue your weight loss at home. All this will start tomorrow. Starting tomorrow we'll be putting you on a fluid restriction as well so we can measure urinary output. Any questions?"

Amber shook her head, still devouring the lasagna. Wilcox smiled, taking in her massive pear shaped frame one last time before heading out of the room. He was going to meet his wife for dinner.