The picture is everywhere on the web; why not here, too?

The caption at Reuters reads:

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. World leaders are exploring ways to revitalize the United Nations at a summit on Wednesday but their blueprint falls short of Secretary-General Kofi Annan's vision of freedom from want, persecution and war.

Bush's note seems to read:
"I think I may need a bathroom break. Is this possible?"