I've recently had another spate of 400 lb + patients. I'm always amazed how these people have no concept of how hard it is to care for them. They can't fit in scanners or MRIs, they can only generate poor quality Xrays and VQ scans, IV access is very difficult and risky, airway is a nightmare and they all have sleep apnea. But they never seem to understand why they just can't get the same treatments/diagnostics as regular people. They yell at me that the scanner should be able to accommodate them. That's great. Why don't we call GE and tell them that. I'll get right on it! I feel like you should have to sign a special disclaimer stating that you understand that as a >400 lber you aknowledge that you can't get some things. We should do the same thing for anyone that claims over 3 "allergies."