What's in a name?

Are you all wondering where the name The Big Book of Riley came from?  While Riley was admitted to the hospital, he often had to go for various tests, you name it, he likely had it.  His medical chart always had to go with him, and it came to a point where it was actually larger than him.  I believe it was his principle hemotologist that came up with the name, The Big Book of Riley.  I requested a photocopy of the chart, and the Medical Records department was going to charge me approximately $800 in copies.  Yes, it was ginormous...