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This was originally an acronym used by medical staff standing for [Totally Fucked] But [Unfortunately] Not Dead Yet. It can be used to describe a number of different types of patient: 1. Those patients who have a long-term medical condition which requires the expenditure of a great deal of time, effort and resources. 2. Those patients who are quite [literally dying] or in a Persistent Vegetative State or PSV. 3. Those patients who, although they may have a serious medical condition, are a total pain in the ass Believed to have started in America, the use of this acronym has become widespread.
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