Original subtitles

Charity: WHEN I SEE MYSELF IN A MIRROR,

I FEEL LIKE SOME MONSTER.

I KNOW I'M GONNA DIE.

Man: I AM LIVING A NIGHTMARE.

I WOULDN'T WISH THIS ON MY WORST ENEMY.

Woman: I HATE THIS LIFE THAT I HAVE.

DON'T YOU DARE PUT IT ALL OFF ON ME!

LISTEN, SHE IS GOING TO DIE.

BOTH OF Y'ALL, STOP! JUST STOP!

Dr. Nowzaradan: WE GOT TO CORRECT THIS PROBLEM.

OTHERWISE, SURGERY WOULD NOT BE USEFUL FOR YOU.

[ Voice breaking ] I CAN'T DO THIS

WITHOUT SOMEBODY TO HELP ME SAY NO.

Charity: [ Crying ] WHY?

RIGHT NOW, I FEEL LIKE I'M IN A DARK PLACE,

AND I JUST CAN'T DO IT NOW.

-- Captions by VITAC -- www.vitac.com

CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS

YOU CAN LIVE YOUR WHOLE LIFE BELIEVING

THAT YOU CAN'T CHANGE THE THINGS YOU JUST DON'T LIKE.

THE DAY YOU SEE THAT FOR A LIE, ANYTHING IS POSSIBLE.

Charity: TONY.

YOU GOT TO BRING THAT TOILET OVER, BABE.

[ GRUNTS ]

OKAY. WALKER.

I'M EMBARRASSED AT MY BODY.

I DON'T WANT ANYBODY TO SEE IT.

I MEAN, I LOOK COMPLETELY DIFFERENT THAN ANYBODY ELSE,

SO...[SNIFFLES]

I'M EMBARRASSED OF ME.

I KNOW I LOOK LIKE A FREAK.

FROM THE INSIDE, I FEEL NORMAL.

BUT WHEN I SEE MYSELF IN A MIRROR,

I FEEL LIKE SOME MONSTER.

I HAVE TO HAVE THE RESTROOM BROUGHT TO ME

BECAUSE MY WEIGHT IS MORE THAN WHAT THE TOILET HOLDS.

REALLY.

[ Laughing ] SORRY! WAS THAT NECESSARY?

YEP.

AND I FEEL LIKE I CAN'T DO ANYTHING ON MY OWN.

[ KNOCKS ON DOOR ] CHARLY, YOUR MOM NEEDS YOU.

I CAN'T EVEN FIT IN THE BATHTUB, SO I HAVE TO SPONGE BATH.

OH, YOU'RE GONNA HELP ME UP?

YEAH.

[ SIGHS ]

Charity: IF MY FIANCé AND DAUGHTER DIDN'T HELP ME,

I WOULDN'T BE ABLE TO DO ANYTHING.

Charly: I NEVER USED TO TAKE HER WEIGHT SERIOUSLY

UNTIL A COUPLE MONTHS AGO,

WHEN I ACTUALLY SAW HOW MUCH PAIN SHE'S IN.

YOU GET TO HAND THEM OUT.

IT MAKES ME WORRY ABOUT HER.

[ SNIFFLES ]

I JUST WANT HER TO BE HEALTHY SO SHE CAN BE AROUND.

CHARITY MAKES ME HAPPY, AND I LIKE BEING AROUND HER.

SO I TAKE CARE OF HER MOST ALL THE TIME, EVERY DAY.

Charity: I HAVE TO MAKE SURE I STAY CLEAN EVERYWHERE...

...BECAUSE I HAVE OPEN SORES THAT CAN GET INFECTED.

I WOULD HAVE ALREADY HEALED,

EXCEPT FOR MY LYMPHEDEMA IS SO HEAVY ON MY LEFT SIDE

THAT IT TEARS IT BACK OPEN.

SO THEY START TO CLOSE, AND THEN THEY OPEN.

MY BODY IS LITERALLY FALLING APART.

I JUST NEVER DREAMED MY LIFE COULD GET THIS BAD.

I HAD A PRETTY BAD CHILDHOOD.

MY FATHER WAS A DRUNK.

I WAS SO SCARED OF HIM.

I REMEMBER RUNNING

WHEN IT WAS TIME FOR HIM TO GET OFF WORK.

HE WOULD THROW THE DISHES OUT OF THE CUPBOARD,

AND HE WOULD PUNCH US IN THE BACK OF THE HEAD.

AND IT FELT LIKE MY WHOLE LIFE WAS IN PANIC ALL THE TIME.

EVERY NIGHT, AFTER HE PASSED OUT,

MY COMFORT WAS TO GO IN THE KITCHEN AND EAT.

AND I REMEMBER

I USED TO LOVE THOSE TIMES IN THE KITCHEN BY MYSELF.

I WAS OKAY AS LONG AS I WAS EATING.

MY ONLY COMFORT WAS FOOD,

AND I NEVER WOULD EAT ONE SNACK CAKE.

I'D EAT THREE OR FOUR.

I WOULD NEVER EAT ONE DOUGHNUT. I WOULD EAT FOUR OR FIVE.

I THINK IT'S JUST 'CAUSE IT'S THE ONE THING I COULD CONTROL.

LIKE, "OKAY, LOOK, I CAN DO THIS,

AND THERE'S NOTHING YOU CAN SAY ABOUT IT."

I REALLY THINK THAT'S WHAT IT STARTED OUT AS,

BUT THEN IT ENDED UP AN ADDICTION.

IT DOESN'T MATTER IF IT'S GONNA TAKE MY LIFE,

AND IT DOESN'T MATTER IF IT'S THE WRONG THING TO DO.

AT THE TIME, IT FEELS LIKE THAT'S THE ONLY CHOICE.

OH, THE SAUCE...

IT DOESN'T EVEN FEEL LIKE ME.

IT JUST FEELS LIKE SOMETHING'S TAKEN OVER ME.

LIKE, I REALLY HAVE TO HAVE IT.

Charly: I THINK MY MOM GAVE UP ON HERSELF.

I'VE SEE MY MOM GO DOWN TO THE POINT WHERE SHE'S TOLD US,

"I DON'T WANT TO LIVE ANYMORE."

FOR A WHILE, SHE WAS BARELY HANGING ON FOR ME AND TONY.

Charity: I THINK IT WOULD BREAK CHARLY'S HEART

IF SHE FOUND ME DEAD ONE DAY.

AND THAT'S A BIG FEAR THAT I HAVE.

I DON'T WANT HER TO FOLLOW IN MY FOOTSTEPS.

I DON'T WANT HER TO BE ANYTHING LIKE ME.

THAT PIECE WAS LIKE TWO PIECES.

[ LAUGHS ]

I ALWAYS THOUGHT THAT I RAISED HER REALLY GOOD,

AND THEN I LOOK AT HER AND I THINK,

"BUT YOU TAUGHT HER ALL YOUR BAD HABITS."

I FEEL LIKE I'VE FAILED SO MUCH.

I FAILED CHARLY.

I FAILED MY MOM.

MY MOM HAS BRAIN CANCER.

AND I SHOULD HAVE BEEN THERE

WHEN SHE WAS GOING THROUGH HER RADIATION.

A BIG PART OF WHY I WANT TO LOSE THE WEIGHT

IS SO I CAN GO SEE HER.

I JUST FEEL LIKE I'M A DISAPPOINTMENT TO EVERYBODY,

THAT I'VE FAILED EVERYBODY.

AND I KNOW IF I DON'T GET HELP NOW,

I'M NOT GONNA MAKE IT.

I'M GONNA DIE. I KNOW I'M GONNA DIE.

I'M NERVOUS, SCARED.

BUT HAPPY.

I'M JUST -- I HAVE MIXED FEELINGS.

IT'S A LITTLE OVERWHELMING

TO THINK ABOUT GOING OUT AND TRAVELING TO THE HOSPITAL.

[ KNOCK ON DOOR ]

HELLO. HELLO.

FOR ME TO GET TO THE HOSPITAL, I HAVE TO RIDE AN AMBULANCE.

AND IT TAKES A LOT OF GUYS, USUALLY, TO LIFT ME UP.

[ BREATHING HEAVILY ]

IS THIS THE LOWEST?

MIGHT GO LOWER.

IT'S JUST A HARD PROCESS,

AND I DON'T WANT TO DEAL WITH IT ANYMORE.

LOVE YOU. Charly: LOVE YOU, TOO.

[ INDISTINCT CONVERSATION ]

I SPENT MY WHOLE LIFE INDOORS OR IN A HOSPITAL.

I'VE NEVER HAD A LIFE,

SO I DON'T KNOW WHAT I'M MISSING.

I DON'T KNOW WHAT'S OUT THERE.

I'M TAKING THIS RISK

BECAUSE IT'S THE ONLY OPPORTUNITY I HAVE.

IT'S MY LAST RESORT.

ALL RIGHT.

I HAVE TO TRY, OR I'M GONNA DIE.

HI. HEY.

HOW ARE YOU? I'M OKAY.

OKAY. ALL RIGHT.

LET'S GET YOU DOWN AND SEE WHAT'S GOING ON WITH YOU, OKAY?

Charity: THIS IS EMBARRASSING TO HAVE TO DO THIS.

I HOPE THIS DOCTOR CAN HELP ME.

I JUST FEEL LIKE

MY BODY IS WORSE OFF THAN THE PEOPLE HE'S SEEN.

HOW DO YOU FEEL?

I FEEL OKAY.

LET ME TAKE A LOOK AT YOUR STOMACH.

ANY PAIN OR DISCOMFORT IN HERE?

MNH-MNH.

TELL ME ABOUT YOUR EATING HABITS.

DO YOU EAT MORE FREQUENTLY, OR YOU EAT A LARGE AMOUNT?

A LARGE AMOUNT.

THERE'S NO WAY TO EVER STAY FULL.

NEVER GET FULL? WHO GET THE FOOD FOR YOU?

MY FIANCé AND MY DAUGHTER,

AND SHE HAS A PROBLEM WITH OVEREATING, TOO.

IT'S A FAMILY THING.

Dr. Nowzaradan: CHARITY IS CLEARLY IN PRETTY BAD SHAPE.

HER SITUATION IS VERY SERIOUS RIGHT NOW.

AND THIS AREA NEVER HEALED, HUH?

NO. THE MORE I WALK AROUND, THE WORSE IT OPENS.

IT BLEEDS ALL THE TIME.

SHE'S CLOSE TO LOSING THE ABILITY TO EVEN STAND UP.

IF THAT HAPPEN,

HER INFECTION IS GOING TO GET HARDER TO CONTROL,

AND THEY WILL BECOME LIFE-THREATENING.

RIGHT NOW, I NEED TO RUN SOME TESTS

BEFORE I KNOW WHAT WE CAN DO TO HELP HER.

AND I NEED TO KNOW EXACT WEIGHT FOR HER.

Charity: IT'S BEEN A LONG TIME SINCE I'VE CHECKED MY WEIGHT

TO KNOW WHERE I'M EVEN AT.

I'M KIND OF SCARED TO FIND OUT WHAT I WEIGH.

OKAY. NOW THE OTHER SIDE.

ALL RIGHT. 778.

OKAY.

Dr. Nowzaradan: CHARITY IS ALMOST 800 POUNDS.

IF I SEND HER HOME,

I'M CONCERNED THIS MAY BE THE LAST TIME I SEE HER.

WE HAVE TO INTERVENE NOW,

OR SHE'S NOT GOING TO SURVIVE MUCH LONGER.

OUR ONLY OPTION IS TO ADMIT HER TO A HOSPITAL RIGHT NOW.

PROBABLY ONE AT A TIME. MAYBE.

NOPE.

WE HAVE TO GET HER WEIGHT UNDER CONTROL BEFORE IT'S TOO LATE.

CHARITY, WE HAVE TO DO SOMETHING ABOUT YOUR WEIGHT RIGHT NOW

BECAUSE YOU DON'T HAVE MUCH LONGER LIKE THIS.

YOU'RE GONNA BE ON A STRICT DIET --

ABOUT 1,000 CALORIE.

HIGH PROTEIN DIET, LOW CARB,

AND NO OUTSIDE FOOD.

NOTHING, OKAY? I PROMISE.

NO SWEETS. NO SUGARY DRINKS, OKAY?

OKAY.

I'LL SEE YOU LATER. OKAY, THANK YOU.

OKAY.

Dr. Nowzaradan: WE ARE GOING TO KEEP AN EYE ON THEM

AND MAKE SURE THERE IS NO SNEAKING FOOD IN.

IF Y'ALL WANT TO EAT,

YOU HAVE TO EAT OUTSIDE OF THIS ROOM

SO SHE DOESN'T GET THE TEMPTATION OF THE FOOD, OKAY?

I UNDERSTAND.

Dr. Nowzaradan: RIGHT NOW, OUR FOCUS IS

TO AVOID A LIFE-THREATENING SITUATION WITH HER.

Charity: I DIDN'T EXPECT TO HAVE TO STAY HERE IN THE HOSPITAL.

I'VE NEVER BEEN AWAY FROM HOME AND ALONE.

BUT I KNOW I HAVE TO DO THIS.

COME IN!

HELLO. HI.

THANK YOU.

MY WHOLE LIFE,

I'VE BEEN USED TO EATING UNTIL YOU'RE FULL.

I'VE NEVER JUST ATE WHAT'S ON MY PLATE

AND THEN THAT'S IT.

I STILL HAVE A LOT OF CRAVINGS, BUT I HAVE NO CHOICE HERE.

I ONLY HAVE WHAT THEY BRING ME.

MY MOM'S BEEN DOING WHAT SHE'S SUPPOSED TO BE DOING.

THE CARROTS ARE GOOD. MM-HMM.

I'M NOT GONNA LET HER SABOTAGE HERSELF.

IF SHE CAN'T BE STRONG ENOUGH FOR HERSELF TO DO IT,

I'M GONNA BE STRONG FOR HER.

Charity: I'LL KEEP TRYING TO GET USED TO EATING LIKE THIS.

I JUST WANT TO MAKE PROGRESS

AND DO WHAT I NEED TO DO TO GET SURGERY

AND START TO GET MY LIFE BACK.

[ CELLPHONE RINGS ]

HELLO!

Hi. HI.

SO, WHAT'S UP WITH YOU GUYS?

Not much. How are you doing?

I'M ALL RIGHT.

Charity: I WORRY ABOUT MY MOM.

A BIG PART OF WHY I WANT TO LOSE THE WEIGHT

IS SO I CAN GO SEE HER.

I WANT HER TO KNOW

SHE DOESN'T HAVE TO WORRY ABOUT ME.

JUST DOING THE 1,000-CALORIE DIET.

AND THAT'S IT. Yeah?

Charity: MY MOM HAS BRAIN CANCER,

AND SHE'S NOT GONNA BE HERE MUCH LONGER.

I MISS YOU GUYS.

I'M ALWAYS AFRAID I'LL GET THE CALL THAT MY MOM'S GONE.

LOVE YOU.

BYE. Love you, too.

Bye.

Charity: I WANT TO PHYSICALLY BE ABLE TO GO SEE HER.

DON'T CRY.

SO I'M GOING TO LOSE THE WEIGHT AND DO THAT.

YOU'RE OKAY.

YOU GOT TO THINK, MOM, WE'RE DOING THIS TO GET BETTER

SO YOU CAN BE AROUND LONGER.

[ SNIFFLES ]

I'VE BEEN IN THE HOSPITAL FOR A COUPLE MONTHS,

AND IT'S BEEN HARD.

BUT THE DOCTOR SAID I'M DOING WELL ENOUGH TO GO HOME.

GOOD? YEP.

GET ON THERE, AND HANDS OFF.

I'M REALLY PROUD OF THE WEIGHT I'VE LOST.

WE'VE GOT CHARITY'S HEALTH AND WEIGHT

GOING IN THE RIGHT DIRECTION NOW.

BUT WE HAVE BEEN MAKING CHOICES FOR HER FOR THE LAST MONTH.

LONG-TERM SUCCESS IS FAR MORE LIKELY

FOR PATIENTS WHO SHOW

THEY CAN CONTROL THEIR EATING HABIT ON THEIR OWN.

SO I NEED TO SEE IF SHE CAN LOSE 40 POUNDS

OVER THE NEXT MONTH ON HER OWN.

IF SHE DOES, I WILL APPROVE HER FOR SURGERY.

Charity: GOING HOME,

I'M GONNA HAVE ALL THEM TEMPTATIONS IN FRONT OF ME.

AND I DON'T KNOW HOW I'M GONNA RESPOND.

I KNOW I HAVE TO DO SOMETHING DRASTIC.

I CAN'T STOP MAKING PROGRESS.

I HAVE TO GET THE SURGERY.

ALL RIGHT.

I KNOW I'M GONNA HAVE TO GET RID

OF ALL THE TEMPTATIONS IN THE HOUSE.

ARE WE KEEPING BREAD, OR ARE WE THROWING BREAD?

NOTHING I HAVE IN THE HOUSE IS GOOD FOR ME.

WAFFLE MIX?

JUST ABOUT EVERYTHING IS JUNK FOOD OR UNHEALTHY.

OH, MY LORD.

IT'S GOT 18 GRAMS OF SUGAR IN IT FOR 1 CUP.

I CAN'T HAVE IT.

YEAH, WE CAN.

DO YOU WANT THE ALFREDO SAUCE GONE?

YEAH, GET RID OF IT.

IT'S NOT FAIR TO THEM TO GET RID OF EVERYTHING.

I KNOW THAT THERE'S SOME STUFF THAT THEY LIKE,

BUT I WANT THEM BOTH TO BE HEALTHIER, TOO.

OKAY, BUT I AM.

HONEY, YOU'LL THANK ME LATER.

NO, 'CAUSE WE'RE GETTING RID OF IT.

SORRY FOR YOUR LUCK.

I'M GOING EXTREME.

I'M GOING HARD BECAUSE THIS IS MY SURGERY OR NOT.

IT'S WHAT WE HAVE TO DO.

TACO SHELLS?

TACO SHELLS ARE BAD.

THAT ONE IS DEFINITELY BAD. THROW IT IN THE GARBAGE.

I KNOW THIS ISN'T GONNA BE EASY, BUT I HAVE TO MAKE US DO THIS.

IF CHARLY AND TONY CARE ABOUT MY HEALTH,

THEY'LL DO IT.

[ SIGHS ]

Charity: REAL CHANGE WON'T EVER COME

FROM CHOICES THAT ARE FAMILIAR AND COMFORTABLE.

YOU HAVE TO STEP OUTSIDE YOUR COMFORT ZONE TO CHANGE.

[ BACK-UP ALARM BEEPING ]

I'VE BEEN WORKING REALLY HARD TO LOSE MORE WEIGHT.

[ INDISTINCT CONVERSATION ]

I KNOW I HAVE TO SHOW THE DOCTOR I CAN DO THIS ON MY OWN.

BUT I'M REALLY ANXIOUS RIGHT NOW.

YOU'RE NOT IN ANY PAIN RIGHT NOW, ARE YOU?

NO.

I CAN'T WEIGH MYSELF AT HOME,

SO I HAVE NO IDEA WHAT KIND OF PROGRESS I HAVE MADE.

I'VE BEEN WORKING REALLY HARD TO DO THIS.

I JUST HOPE IT'S ENOUGH.

I NEED TO GET THE SURGERY.

IT'S JUST YOUR BUTT.

709.

DISCOURAGING.

I WAS HOPING TO HAVE LOST MORE.

I DON'T KNOW IF THIS MEANS I'M DONE

AND THE DOCTOR CAN'T HELP ME.

HOW ARE YOU TODAY?

DEPRESSED.

UM...WELL, WHY ARE YOU DEPRESSED?

'CAUSE MY WEIGHT IS UP TO 709.

YOU DIDN'T LOSE THE AMOUNT OF WEIGHT I WANTED YOU TO,

BUT 18 POUNDS SHOWS ME THAT YOU CAN DO THIS.

Dr. Nowzaradan: IT'S IDEAL FOR CHARITY

TO BE UNDER 650 POUNDS FOR SURGERY,

BUT SHE'S SHOWN ME

THAT SHE CAN CONTROL HER EATING HABIT IF SHE CHOOSES.

SO WE'LL HELP HER TO GET DOWN TO THAT

OVER THE NEXT MONTH IN THE HOSPITAL.

WE'LL GO AHEAD,

PROCEED WITH YOUR WEIGHT-LOSS SURGERY,

AND WE'LL CONTINUE YOUR WEIGHT LOSS HERE

SO YOU CAN GET UNDER 700 POUNDS.

THE ONLY LONG-TERM CHANCE WE HAVE TO SAVE CHARITY'S LIFE

IS WEIGHT-LOSS SURGERY.

ANY OTHER QUESTIONS ABOUT THE SURGERY?

NO, I'M SUPER EXCITED. [ CHUCKLES ]

I WORKED REALLY HARD TO GET TO THIS POINT,

SO I'M EXCITED.

THANK YOU. OKAY?

[ SNIFFLES ]

IT'S A NEW START.

CAN'T BELIEVE IT'S REALLY GONNA HAPPEN.

I'M HAPPY. I'M NOT NERVOUS.

Charity: I CAN'T WAIT.

I'M GONNA FINALLY BE ABLE TO GET MY LIFE BACK.

I'LL GET YOU THIS HAT.

I'M NERVOUS, SCARED.

BUT I'M READY FOR THIS.

THIS SURGERY'S GONNA GIVE ME MY LIFE BACK.

READY? 1, 2, 3.

Dr. Nowzaradan: TODAY, CHARITY IS HAVING BYPASS SURGERY,

AND WE GOT HER DOWN TO 650 POUNDS,

SO SHE'S GOING IN FOR SURGERY.

THERE IS A LOT OF RISK WITH THIS OPERATION.

THESE PATIENTS ARE HEAVY.

THEY'VE GOT A LOT OF PRESSURE ON THE CARDIOVASCULAR SYSTEM.

SOMETIMES IT'S VERY DIFFICULT TO BREATHE FOR THEM

AFTER YOU PUT THEM TO SLEEP.

BUT IT'S NOT AS HIGH-RISK

AS NOT DOING ANY PROCEDURE ON HER.

NOW WE'RE GONNA SEE IF WE CAN GET INTO THE ABDOMINAL CAVITY.

Charly: I'M SCARED RIGHT NOW.

I KNOW ANYTHING CAN HAPPEN IN SURGERY,

SO I'LL JUST BE GLAD WHEN SHE'S DONE.

GO CLOSER.

USUALLY, THE STOMACH IS AS BIG AS A FOOTBALL,

AND WITH THE GASTRIC BYPASS,

WE MAKE IT AS SMALL AS A BASEBALL.

IT WILL CHANGE THE DIGESTIVE SYSTEM

SO SHE'LL BE ABLE TO EAT A SMALL AMOUNT

AND GET FULL REAL QUICK

AND HELP HER TO LOSE SOME WEIGHT.

THE POUCH LOOKS OKAY, AND THERE'S NO AIR LEAK,

SO WE'RE IN GOOD SHAPE.

CLOSE HER UP. OKAY.

CHARITY'S SURGERY WENT VERY WELL.

2, 3.

WE'RE GONNA GO AHEAD, PUT HER IN RECOVERY,

AND SHE SHOULD BE ABLE TO GO HOME IN A FEW DAYS.

SHE SHOULD BE ABLE TO KEEP LOSING 20 TO 25 POUNDS A MONTH.

SHE'S SHOWN ME SHE CAN DO IT.

WE HAVE TO WAIT AND SEE IF SHE CAN KEEP THAT PROGRESS.

IT'S IMPORTANT TO GET HER WEIGHT DOWN ENOUGH

TO DO SKIN SURGERY AS SOON AS POSSIBLE.

Woman: ARE YOU READY TO GET STARTED WITH YOUR WALK?

YES.

THERE YOU GO.

Charity: THEY WANT ME TO GET UP AND WALK A LOT

BECAUSE, IF I DON'T MOVE,

I COULD DEVELOP A BLOOD CLOT FROM SURGERY,

AND IT COULD KILL ME.

SO I'VE WALKED MORE THE PAST COUPLE DAYS

THAN I HAVE IN A YEAR.

2...3.

GOOD.

YOU'RE NOT FEELING DIZZY OR ANYTHING, RIGHT?

NO. OKAY. OKAY.

IT'S REALLY HARD FOR ME TO BE MOBILE AT THIS POINT.

IT HURTS REALLY BAD TO GET UP. IT HURTS TO SIT UP.

OKAY, I MIGHT WANT TO SIT.

YOU MADE IT OUTSIDE THE DOOR.

CHARLY, MOVE IT.

THIS RECOVERY HAS BEEN A LOT HARDER THAN I EVER EXPECTED.

BREATHE DEEP BREATHS.

I'M REALLY SCARED RIGHT NOW.

DEEP BREATH.

IF THIS IS WHAT IT'S GONNA TAKE TO LOSE WEIGHT,

I DON'T KNOW IF I CAN DO THIS.

DEEP BREATHS, DEEP BREATHS.

I'M STARTING TO WONDER IF I MADE THE WRONG CHOICE.

Charity: I'M HEADED HOME TODAY.

AND I'M A LITTLE SCARED TO BE GOING BACK TO DO THIS ON MY OWN.

CHARITY HAD A LITTLE BIT OF A STRUGGLE,

BUT SHE'S READY TO GO HOME.

THE GOAL NOW FOR HER IS TO LOSE ANOTHER 50 POUNDS

AND GET HER WEIGHT UNDER 600

BEFORE SHE'S GOING TO BE READY FOR SKIN SURGERY.

THIS WILL HELP CHARITY WALK MORE AND BE MORE ACTIVE.

IF NOT, HER WEIGHT LOSS WILL SLOW DOWN,

AND AT THAT POINT, SHE MAY START GAINING WEIGHT.

I'M JUST REALLY EXCITED FOR HER TO KEEP PROGRESSING.

AND I FEEL LIKE HER OLD LIFE -- THE END OF THE BOOK JUST CLOSED.

NOW THERE'S A NEW BOOK OPENING.

Charity: HOPEFULLY THIS IS THE LAST TIME

I EVER HAVE TO BE ON A STRETCHER OF THIS SIZE.

I CAN'T FAIL AT THIS.

I HAVE TO KEEP DOING EVERYTHING I CAN TO LOSE WEIGHT.

I HAVE TO GET THE SKIN SURGERY.

THIS PAST MONTH,

I'VE BEEN TRYING REALLY HARD TO WATCH WHAT I EAT.

I HAVEN'T HAD A LOT OF CRAVINGS,

SO IT HASN'T BEEN AS HARD AS I THOUGHT IT WOULD BE.

THIS IS GONNA BE CHILI

WITH NOTHING BUT A LITTLE BIT OF SPRINKLED CHEESE ON TOP.

WHAT DO YOU THINK ABOUT THAT?

GROSS.

WHY YOU GOT TO BE NASTY?

I KNOW IT'S BEEN TOUGH FOR TONY AND CHARLY.

THEY HAVE TO EAT WHAT I EAT

'CAUSE IT'S THE ONLY THING WE'RE COOKING.

SO, LET'S SEE IF THIS IS SOFT.

I HAVE A CHOICE ABOUT WHAT I EAT.

I DON'T HAVE TO GIVE IN TO TEMPTATION.

I LOVE CHILI, BUT IT'S VERY, VERY HOT.

I'M GONNA FIGHT TO DO THIS.

I GO BACK TO SEE THE DOCTOR IN A COUPLE MONTHS.

LAST TIME,

I THOUGHT I WAS MAKING MUCH MORE PROGRESS THAN I WAS.

AND I HAVE TO HAVE MADE PROGRESS.

I JUST HOPE THIS IS ALL ENOUGH.

COME HERE.

[ Crying ] WHY?

[ SOBBING ]

IT'S OKAY.

DID SOMEBODY CALL YOU?

[ SNIFFLES ]

I JUST WANTED TO MAKE SURE SOMEBODY CALLED AND TOLD YOU.

Charity: YOU'RE NEVER READY FOR YOUR PARENTS TO GO.

I WANTED TO LOSE THE WEIGHT SO I COULD GO SEE HER.

BUT THE WEIGHT STOPPED ME FROM SAYING GOODBYE TO MY MOM.

I DIDN'T LOSE ENOUGH IN TIME.

I'M ALWAYS GONNA REMEMBER THAT.

I WANT TO GO HOME, AND I WANT TO SEE MY FAMILY

'CAUSE YOU NEVER KNOW WHEN IT'S THEIR LAST DAY.

[ SNIFFLES ]

MY WEIGHT TOOK MY LAST CHANCE TO SEE MY MOM FROM ME.

I FEEL LIKE IT'S TAKEN EVERYTHING FROM ME.

AND I DON'T KNOW HOW I'M GONNA GET THROUGH THIS.

SINCE I FOUND OUT ABOUT MY MOM'S DEATH,

IT'S BEEN REALLY HARD NOT TO RUN TO FOOD.

FOOD IS WHAT I KNOW WHEN I HURT.

IT'S WHAT I'VE KNOWN SINCE I WAS A CHILD.

I COULD RESIST THE CRAVINGS WHEN THINGS ARE GOOD,

BUT IT'S TOO HARD RIGHT NOW.

AND I DON'T KNOW HOW TO CHANGE THAT.

I WANT TO KEEP MAKING PROGRESS, BUT IT'S JUST SO HARD RIGHT NOW.

I DON'T KNOW WHAT TO DO, AND I FEEL LIKE

WE'RE ALL JUST FALLING BACK INTO OUR OLD HABITS.

I KNOW THAT I COULD GET SICK IF I EAT TOO MUCH,

AND I WISH I COULD STOP.

BUT I CAN'T.

I'M SCARED I'M ABOUT TO GAIN BACK EVERYTHING

AND LOSE MY LAST CHANCE TO GET MY LIFE BACK.

IF I DON'T FIGURE THIS OUT,

THE SURGERY WILL HAVE BEEN FOR NOTHING.

I'M NERVOUS.

IT'S BEEN A FEW MONTHS SINCE I'VE SEEN THE DOCTOR.

HE NEEDED ME TO GET BELOW 600 POUNDS

TO GET THE SKIN SURGERY.

WITH MY MOM PASSING,

I KNOW I HAVEN'T BEEN EATING LIKE I SHOULD.

I'M REALLY SCARED THAT I WON'T HAVE LOST WHAT I NEEDED.

I'M NERVOUS ABOUT GETTING ON THE SCALE.

YOU NEED TO REALIZE YOU ARE NOT 787 POUNDS ANYMORE.

YOU'LL BE OKAY.

I'M JUST NERVOUS.

NICE AND SLOW.

OW. OW.

1, 2, 3, UP.

[ EXHALES DEEPLY ] EXCELLENT.

I HAVE NO IDEA WHAT THE SCALE IS GONNA SAY.

Charly: GO AT YOUR OWN PACE, MOM.

THREE. GOOD JOB.

STAND, STAND, STAND.

I JUST HOPE I HAVEN'T MESSED EVERYTHING UP.

STAND, STAND, STAND.

Charity: THIS IS NOT GOOD.

I FEEL REALLY DISCOURAGED RIGHT NOW.

I KNOW I HAVEN'T DONE GREAT THESE PAST FEW MONTHS,

BUT THAT'S A LOT LESS THAN I THOUGHT.

[ BREATHES DEEPLY ]

OKAY. EXCELLENT.

GO AHEAD AND SIT? YEP.

PERFECT.

OHH.

OKAY, THANK YOU. YOU'RE WELCOME.

I'M REALLY SCARED TO HEAR WHAT THE DOCTOR'S GONNA SAY.

HELLO.

HELLO.

SO HOW IS EVERYTHING GOING WITH YOU?

EVERYTHING'S GOING --

I'M ALL THE WAY HEALED FROM MY SURGERY.

ALL RIGHT. AND HOW IS YOUR DIET DOING?

IT'S DOING WELL.

CHARITY HAS NOT LOST MUCH WEIGHT OVER THESE PAST COUPLE MONTHS.

THAT MEANS THAT SHE'S STILL EATING WHAT SHE SHOULDN'T BE.

YOU AREN'T LOSING MUCH WEIGHT. WHY IS THAT?

I DON'T KNOW. I DON'T KNOW.

YOU HAVE TO GET UNDER 600 POUNDS

IF YOU'RE GOING TO BE ABLE TO GET THE SURGERY.

YOU NEED TO UNDERSTAND THAT.

I'M REALLY CONCERNED ABOUT CHARITY'S LACK OF PROGRESS.

ALL RIGHT, LET ME SEE HOW IS THAT SCAR TISSUE DOING?

SHE CAN EASILY DEVELOP AN INFECTION

FROM THE SORES THAT THE MASS IS CAUSING,

AND THAT COULD BE A LIFE-THREATENING SITUATION.

YOU'RE CLEARLY STILL HAVING A LOT OF ISSUES

WITH YOUR ADDICTION.

I'M GOING TO SEND YOU TO A THERAPIST

AND TRY TO SEE IF WE CAN ADDRESS THE ISSUES LEADING YOU TO FOOD.

YOU NEED TO GET THIS UNDER CONTROL RIGHT NOW.

SHE NEEDS TO MAKE MUCH MORE PROGRESS,

OR SHE WON'T BE ABLE TO GET SKIN SURGERY.

AND WE'RE UP.

Charity: I'M REALLY WORRIED.

I KNOW THE DOCTOR'S RIGHT.

BUT I DON'T KNOW HOW TO DEAL WITH THIS PAIN ANY OTHER WAY.

I JUST DON'T KNOW HOW TO BREAK FREE RIGHT NOW.

RIGHT NOW, MY MOM'S PASSING IS SO PAINFUL.

[ KNOCK ON DOOR ]

COME IN.

I'M HOPING THE THERAPIST

CAN HELP ME FIGURE OUT HOW TO DEAL WITH ALL THIS PAIN.

NICE TO MEET YOU.

NICE TO MEET YOU, TOO.

CAN YOU HELP ME UNDERSTAND

SORT OF WHERE THIS JOURNEY BEGAN FOR YOU,

OF BEING OVERWEIGHT?

MY DAD WAS A LOT OF THE REASON

THAT I'M SO OVERWEIGHT AND STUFF,

BECAUSE HE WOULD COME HOME DRUNK AND BE MEAN TO US AND...

WAS HE ABUSIVE?

VERY. PHYSICALLY AND EMOTIONALLY.

HE WOULD REALLY BEAT US, AND SO I SPENT A LOT OF MY --

A LOT OF GROWING UP IN FEAR.

WE ALWAYS HAD TO BE ON EDGE OUR WHOLE LIFE,

AND I JUST --

I REMEMBER SNEAKING FOOD AT NIGHT AFTER HE WENT TO SLEEP.

THAT'S ALL I HAD CONTROL OVER.

THAT'S THE ONLY THING I HAD CONTROL OVER.

I USED TO WANT MY DAD TO HIT ME INSTEAD OF HITTING MY MOM,

BECAUSE I FELT LIKE, WELL, IF HE WAS HITTING ME,

AT LEAST HE WASN'T HURTING MY MOM.

SO YOU STARTED PROTECTING PEOPLE EVEN THEN?

SINCE I WAS WAY LITTLE.

DO YOU HAVE A RELATIONSHIP WITH EACH OF THEM?

I HAVE ONE WITH MY MOM.

I WAS REALLY CLOSE TO MY MOM UNTIL I MOVED DOWN HERE.

BUT WHEN I LEFT THERE, SHE WAS OKAY.

SHE WAS CANCER-FREE.

AND THEN A MASS CAME BACK, AND --

SO THIS WAS A RECURRENCE OF CANCER?

YEAH. IT WAS A BRAIN TUMOR.

[ Voice breaking ] NOT TO BREAK DOWN,

BUT IT'S HARD.

SHE PASSED AWAY RECENTLY.

OH.

[ Crying ] AND I HAVEN'T SEEN HER IN SO LONG,

AND I DIDN'T KNOW WHEN I LEFT

THAT THAT WAS GONNA BE THE LAST TIME THAT I SEEN HER.

OH, GOSH.

AND SHE'S LIKE, "YOU'LL BE OKAY.

YOU'LL ALWAYS BE IN MY HEART, AND I'LL ALWAYS BE IN YOURS."

BUT IT'S JUST HARD.

IT'S GONNA BE WEIRD GOING BACK HOME AND HER NOT BE THERE.

YOU'VE HAD TO DEAL WITH A LOT.

YEAH. SOMETIMES I WONDER WHY I WAS EVEN PUT HERE.

I DON'T KNOW WHY.

[ SNIFFLES ]

TO BE TORTURED, I GUESS.

YOU KNOW, WHAT'S EVEN SADDER

THAN ALL THESE THINGS THAT YOU'VE TOLD ME --

AND THEY'RE VERY SAD, WHAT YOU'VE TOLD ME --

IS THAT YOU DIDN'T INTEND TO BE DESTRUCTIVE TO YOURSELF,

BUT THAT'S WHAT ENDS UP HAPPENING.

WHAT ARE YOU HOPES FOR YOURSELF?

I WANT TO GET HEALTHY,

AND I WANT TO TAKE CARE OF MYSELF.

I WANT TO BE ABLE TO FORGIVE EVERYTHING AND JUST MOVE ON.

WELL, I THINK THIS IS A GOOD START,

TO BEGIN TO KIND OF GET THOSE THOUGHTS AND FEELINGS

OUTSIDE OF YOURSELF

AND TO REMIND YOURSELF

THAT YOU'VE BEEN GIVEN THIS OPPORTUNITY

AND THAT YOU WANT TO TAKE ADVANTAGE OF IT

IN THE BEST WAY POSSIBLE.

MY HEAD IS STUCK IN THE PAST.

I DON'T WANT IT TO BE IN THE PAST.

I WANT TO MOVE FORWARD.

RIGHT. WELL, THAT'S WHAT THIS IS ABOUT.

THIS IS A SECOND CHANCE.

IT IS. IT REALLY IS.

AND I KNOW HOW LUCKY I AM, AND I DO TAKE IT VERY SERIOUSLY.

GOOD.

WELL, IT WAS SO GREAT MEETING YOU.

THANK YOU SO MUCH.

THANK YOU. HAVE A GOOD DAY.

Charity: I GET WHAT THE THERAPIST IS TELLING ME,

BUT IT'S A LOT EASIER TO TALK ABOUT IT

THAN IT IS TO DO IT.

ANOTHER ONE.

COUNT.

ONE...TWO...

IT'S STILL A STRUGGLE TO MAKE THE RIGHT CHOICES,

BUT I FEEL LIKE NOW I KNOW HOW TO AT LEAST START.

I'M JUST TAKING IT ONE DAY AT A TIME.

TWO...

TALKING TO A THERAPIST HAS BEEN GOOD,

BUT A LOT OF THE PAIN IS STILL THERE.

CAN YOU DO YOUR HEEL THINGY,

OR IS THAT GONNA BE BAD ON YOUR FOOT?

THAT WILL HURT MY ANKLE. OKAY, DO YOUR LEG RAISES.

YOU CAN DO IT.

ONE...TWO...

BUT I TRY TO MAKE HEALTHIER CHOICES

INSTEAD OF RUNNING TO FOOD.

I HAVEN'T DONE IT EVERY TIME, BUT I THINK I'M MAKING PROGRESS.

I'M WORKING OUT MORE

AND DOING MY BEST TO MAKE SURE I LOSE THE WEIGHT THAT I NEED.

I'M GOING TO DO EVERYTHING I CAN TO DO THIS.

I'M NOT GONNA FAIL.

YOU'RE MAKING ME SWEAT. LOOK.

[ LAUGHS ]

TODAY WE'RE GOING TO SEE DR. NOW

AND SEE IF I QUALIFY FOR SKIN SURGERY.

I KNOW I'VE MADE SOME PROGRESS

BECAUSE I CAN FINALLY FIT IN A REGULAR VEHICLE.

IT OPENS UP A WHOLE NEW WORLD FOR ME

BECAUSE I DON'T HAVE TO CALL AN AMBULANCE

JUST TO LEAVE MY HOUSE.

BUT I NEED TO BE AROUND 600 POUNDS

IF I'M GOING TO GET THE SURGERY.

I KNOW THIS MAY BE MY LAST CHANCE.

I'M SO EXCITED TO HEAR WHAT THE DOCTOR'S GONNA SAY.

HOW ARE YOU ALL DOING?

CHARITY, YOUR WEIGHT IS DOWN ENOUGH

FOR US TO DO YOUR SKIN SURGERY.

SO, I'M GONNA APPROVE YOU,

AND WE'RE GONNA SCHEDULE YOU FOR NEXT MONTH.

THIS SURGERY WILL HELP CHARITY A LOT.

IT'S GONNA HELP HER TO LOSE MORE WEIGHT AND BE MORE ACTIVE.

TRY TO ADDRESS THE UPPER MASS.

AS SOON AS THAT HEALS, WE CAN ADDRESS THE LOWER ONE.

OKAY.

ONCE WE REMOVE THESE MASSES,

THE PAIN SHE HAS FROM THE SORES THEY CREATE WILL BE GONE.

OKAY. THANK YOU.

MM-HMM.

YAY! [ CHUCKLES ]

Charity: I NEED THE SURGERY IN ORDER TO SURVIVE,

IN ORDER TO MOVE FORWARD.

SO I'M EXCITED ABOUT IT, BUT I'M ALSO NERVOUS.

I'VE BEEN WORKING SO HARD TO GET THIS SURGERY,

AND I CAN'T WAIT TILL THEY'RE GONE.

I KNOW I SHOULD BE NERVOUS NOW,

BUT THIS SURGERY IS MORE IMPORTANT TO ME

THAN ANY OTHER SURGERY,

BECAUSE I'VE BEEN CARRYING THIS MASS AROUND FOR 10 YEARS,

SO I'M READY TO GET IT REMOVED

AND BE ABLE TO WALK A LOT EASIER.

I KNOW I'M WAKING UP TO A BETTER LIFE.

Dr. Nowzaradan: TODAY, WE'RE DOING

THE SKIN-REMOVAL SURGERY ON CHARITY.

WE HAVE TO GET THESE MASSES BY MAKING LARGE INCISIONS.

I THINK RIGHT THERE.

ANY COMPLICATION WITH THIS SURGERY CAN BE DEVASTATING,

AND CHARITY MAY NOT COME OUT OF IT.

Dr. Nowzaradan: ALL RIGHT, WE ARE JUST ABOUT TO TAKE

ONE PART OF THIS MASS OFF.

WE'VE LOST A COUPLE THOUSAND CC OF FLUID FROM IT.

YOU THINK YOU CAN HANDLE IT?

I THINK SO, SIR.

Charly: I'VE BEEN THINKING ABOUT A LOT --

HOW DIFFERENT SHE'S GONNA LOOK, HOW DIFFERENT SHE'S GONNA FEEL.

IT'S LIKE A HUGE STEP FORWARD.

Dr. Nowzaradan: SO, NOW WE GOT SOME PIECES OFF.

WE'RE GONNA START CLOSING THE INCISION.

SHE'LL NO LONGER HAVE TO HAUL THIS MASS OF FLUID AND OF FAT.

OKAY. WELL DONE.

SURGERY ON CHARITY WENT VERY WELL.

WE TOOK 57 POUNDS OF FATTY TUMOR OFF OF HER,

AND IT'S GONNA TAKE A LONG TIME TO HEAL.

BUT I THINK THE RESULT WILL BE VERY GOOD FOR HER.

I'M HOPING THAT HER WEIGHT LOSS IS GONNA BE MUCH FASTER

AFTER SURGERY.

Woman: READY TO GET WEIGHED IN?

YES.

Charly: LOOK AT THAT.

Charity: IT'S JUST BEEN INCREDIBLE,

MOVING AROUND WITHOUT THESE WEIGHTS ON ME.

I THINK MY BODY FEELS RELIEF.

THAT'S A LOT. [ CHUCKLES ]

YOU'RE READY TO GO HOME.

IT'S JUST AMAZING TO SEE THAT NUMBER ON THE SCALE.

Dr. Nowzaradan: IT'S BEEN HARD,

BUT I'M PROUD OF HOW FAR CHARITY HAS COME.

IT'S GONNA BE A WHOLE NEW LIFE FOR HER.

Charity: I WAS TRAPPED FOR SO LONG WITH THOSE MASSES.

I CAN DO SO MUCH MORE NOW,

AND I PLAN TO TAKE ADVANTAGE OF IT.

Charly: MOM.

YOUR STUFF CAME TODAY.

I'M EXCITED!

MY DRESSES ARE PRETTY BAGGY NOW,

SO I HAVE TO ORDER SMALLER SIZES, AND THAT'S EXCITING.

YOU ORDERED A SKIRT?

Charity: LET'S TRY THEM ON.

OKAY. WANT ME TO GO GET THE MIRROR?

YES, PLEASE.

I LOOK AT MYSELF IN THE MIRROR, AND I SEE PROGRESS,

AND I DON'T THINK I'LL EVER STOP PUSHING FORWARD.

THAT IS CUTE!

YEAH!

I JUST FEEL LIKE I'M NOT STUCK ANYMORE.

EVERYTHING IS A POSSIBILITY NOW.

IT MAKES ME FEEL LIKE I'M STARTING A NEW LIFE.