It's a situation anyone could find themselves in—having to answer the call of nature in the middle of an important meeting. But when you are the US president, at a gathering of more than 150 world leaders, it is even more tricky.
While talk at the UN world summit was focused on terrorism and internal reform, George W Bush appeared to have been caught short. And, he is said to have turned to Secretary of State Condoleezza Rice for advice. "I think I may need a bathroom break? Is this possible?" a Reuters news agency photographer caught him writing in a note to Ms Rice.
Someone at the BBC has a sense of humour. The above news item was shortly followed by:
We share your pain, Mr President.