I work at a hospital as well... We have a client with a dog that is 50-60lbs over weight. Yes, seriously. The dog cannot lie lateral without going purple and it cannot stand for longer than two minutes. The owner has Parkinson's so she says she can't medicate him or walk him, but she makes him peanut butter and jelly sandwiches twice a day as well as a SLEW of other crap to eat. She has to bring him in all the time for all sorts of medical problems, but won't even talk about his weight problem. The doctors are betting that he dies of heat stroke this summer. I can't even look at the owner it pisses me off so much. I think it's animal abuse.