I don't believe that this is real.

From Reuters: The caption says: "U.S. President George W. Bush writes a note to Secretary of State Condoleezza Rice during a Security Council meeting at the 2005 World Summit and 60th General Assembly of the United Nations in New York September 14, 2005."

And the photo shows what he's actually writing to Rice:





"I think I may need a bathroom break. Is this possible? W."

No comment.