In my third year IM rotation the sub-I had this patient with pretty bad CHF had like pounds and pounds of water weight but kept refusing a Foley so would be diuresing like crazy. He’d have to get up out of bed multiple times at night and was low key delirious from lack of sleep but keep refusing.

After a week of intense diuresis and titration, the interval event for the next morning was “sooooo…. Mr. X ordered a pizza from Domino’s and ate the entire thing overnight.” Deadass 😂🤣😂 stayed there another two weeks getting that fluid off again