When I was young in my career, we got a new patient in. The story was that he had some sort of chain saw accident, cut his leg really bad if I remember. Apparently his leg hurt, so he just stayed on his couch. He became increasingly weak and immobile, and his family would put a bedpan under him when he needed to defecate. He started to have a bad odor, so the family called the EMS, and they came and extracted him from the couch. The smell was a horrible infection and a stage IV decubitus ulcer (bedsore) on his backside. His buttocks were literally gone, and he had bone showing. The nurses had to help each other out taking care of him because he was so labor intensive with all his wound care. He had multiple IV antibiotics, wound care including waterpik every 4 hours around the clock, a special air rotation bed that would turn him every 15 minutes for pressure relief, and the smell. The smell on the whole floor was bad. Down his hall was worse, and when you opened the door to his room, it would nearly knock you down. Several people passed out. The story from the ER folks who had him when he first arrived was that there were maggots in his wound. When they started cleaning him up, they also discovered peanuts along with corn kernels! The sad thing about this was this was a healthy guy, only about 55, who literally quit after he got hurt and rotted away on a frikkin' couch!