Original subtitles

Lupe: I FEEL HELPLESS, WORTHLESS...

AND I KNOW I'M GONNA DIE.

Man: [ MOANING ]

MY WEIGHT HAS GIVEN ME A DEATH SENTENCE.

Nikki: THE THING I RELIED ON ALL THESE YEARS

IS WHAT'S KILLING ME.

IT'S BROKEN! WHAT AM I SUPPOSED TO DO?

I DON'T KNOW. I CAN'T GET OFF.

DON'T LET ME GO, PLEASE. I'M NOT.

Chad: IT'S HARD TO BE A FATHER FROM A CHAIR.

[ GRUNTS ] THANK YOU, HONEY.

I SEE THAT UNWILLINGNESS.

IF YOU WERE SERIOUS, YOU'D MAKE CHANGES.

Dr. Nowzaradan: YOU'RE PLAYING WITH EVERYBODY AROUND YOU.

NO, I'M NOT.

YOU GOT TO USE YOUR UPPER BODY AND STAY UP.

-I'M GONNA FALL. -YOU'RE NOT GONNA FALL.

YOU REFUSE TO GET OUT OF THIS CONDITION.

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

CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS

SOMETIMES WE THINK

WE DESPERATELY NEED SOMETHING IN OUR LIFE,

NEVER REALIZING IT'S THE VERY THING KILLING US.

**

[ AIR RUSHING ]

**

Gilbert: HEY, TIME TO GET UP.

GOT TO GET UP NOW.

BEING THIS OVERWEIGHT,

EVERYTHING I DO IS HARD, AND IT'S A STRUGGLE.

I NEED A RAG FOR MY FACE.

THINGS ARE SO HARD FOR ME.

I'VE LOST MOTIVATION TO DO ANYTHING FOR MYSELF.

AND MY BODY'S STARTING TO BREAK DOWN.

MY WEIGHT HAS TAKEN A TOLL

ON MY HEART, MY KIDNEYS, MY LIVER, MY LEGS --

EVERYTHING.

I'M IN PAIN, AND I FEEL HELPLESS, WORTHLESS.

[ BEEPS ]

Woman: THE BLOOD GLUCOSE IS 423.

Gilbert: DANG, 423?

Lupe: BECAUSE OF MY WEIGHT, I AM DIABETIC.

AND WHAT SCARES ME THE MOST IS THAT MY KIDNEYS WILL FAIL AGAIN.

I'VE ALREADY GONE INTO A DIABETIC COMA,

AND THERE WAS SO MUCH FAT AROUND MY NECK, IT WAS SUFFOCATING ME.

SO THEY HAD TO DO A TRACHEOTOMY

JUST SO I COULD BREATHE WHILE I WAS UNCONSCIOUS.

THEY HAD TO DO, LIKE, A CHIN TUCK RIGHT HERE

AND THEN PUT THE TRACHE IN

BECAUSE EVEN WITH THE VENTILATOR,

I STILL NEEDED IT.

AND IT'S BEEN 10 YEARS SINCE MY COMA,

AND I HAVEN'T WALKED ON MY OWN SINCE THEN.

I WALKED INTO THE E.R., AND I NEVER WALKED OUT.

READY.

IT CHANGED MY ENTIRE LIFE.

SO NOW MY BED IS MY RESTROOM, MY PLACE WHERE I TAKE A SHOWER.

[ SNIFFLES ] IT'S WHERE I DO EVERYTHING.

YOU GOOD?

WORDS CAN'T EXPLAIN HOW MUCH I HATE BEING IN THIS BED.

I NEED TO BE TAKEN CARE OF 24/7

BECAUSE I CAN'T DO ANYTHING MYSELF.

-READY FOR YOUR BATH? -YEAH.

MY HUSBAND, GILBERT, IS MY CARETAKER.

OKAY.

HE CAN'T HAVE A FULL-TIME JOB

BECAUSE HE TAKES CARE OF ME ALL THE TIME.

Gilbert: I FEEL HELPLESS.

IT'S JUST ME TAKING OF HER MORE THAN US HAVING A MARRIAGE.

YOU KNOW, I GUESS YOU COULD SAY INTIMACY IS IMPOSSIBLE.

OKAY. OHH.

THIS IS WAY HARDER THAN I THOUGHT IT WAS GONNA BE.

BUT, YOU KNOW, I LOVE HER, AND THAT'S WHAT KEEPS ME GOING.

GIVE ME ONE SECOND.

Lupe: I FEEL UNWORTHY OF HIM TAKING CARE OF ME

AND LOVING ME THE WAY HE DOES.

IT'S NOT A NORMAL LIFE LIVING THIS WAY.

IT FEELS...HUMILIATING.

I JUST... [ SNIFFLES ]

IT'S ALL BECAUSE OF MY WEIGHT.

**

WHEN I WAS YOUNG, I THOUGHT I WAS A NORMAL WEIGHT.

I WAS A LITTLE CHUNKY, BUT I WAS HEALTHY AND HAPPY.

I FELT LIKE I HAD A NORMAL FAMILY,

AND THEN EVERYTHING CHANGED.

WHEN I WAS 5, MY DAD LEFT.

I REMEMBER IT TO THIS DAY.

HE HAD PUT US IN THE BATHTUB.

AFTER THREE, FOUR HOURS, MY SISTER GOT OUT,

AND I WAITED IN THE BATHTUB EIGHT HOURS.

[ SNIFFLES ]

AND THEN I NOTICED THAT HE WASN'T COMING BACK.

I FELT LIKE MY DAD ABANDONED ME AND BROKE MY HEART.

AND THAT'S WHEN I REMEMBER STARTING TO GO TO FOOD

TO FEEL BETTER.

I MISSED HIM SO MUCH, I WANTED HIM,

I'D JUST START EATING AND EATING.

AFTER MY DAD LEFT,

THAT'S WHEN I NOTICED LUPE WAS SNEAKING FOOD INTO HER ROOM.

SHE WOULD JUST KEEP EATING.

THAT WAS THE ONLY WAY SHE KNEW HOW TO HANDLE HER EMOTIONS.

Lupe: BY THE TIME I WAS 6 YEARS OLD,

I WAS ALREADY 100 POUNDS,

AND FOOD WAS THE ONLY THING I COULD RELY ON.

I FELT LIKE FOOD WAS ALWAYS THERE FOR ME,

NO MATTER WHAT I WAS GOING THROUGH

'CAUSE I DIDN'T HAVE ANYONE.

AFTER MY DAD LEFT, MY MOM HAD A NERVOUS BREAKDOWN,

TRIED TO COMMIT SUICIDE, AND SHE STARTED USING DRUGS.

AND WHEN I WAS 8, MY MOM WENT TO PRISON.

SO I WENT TO STAY WITH MY GRANDMA.

AND THROUGH ALL THIS, FOOD STAYED MY ONLY COMFORT.

SHE STARTED GAINING WEIGHT PRETTY FAST.

IN THE NINTH GRADE, SHE WAS 400 POUNDS.

I DIDN'T KNOW WHAT TO SAY TO HER 'CAUSE I WAS YOUNGER THAN HER.

Lupe: AND THEN MY GRANDMA PASSED AWAY.

MY WHOLE WORLD IS FALLING APART.

I STARTED GETTING SO BIG THAT I COULD DO LESS AND LESS.

AND I HAD TO DROP OUT OF SCHOOL.

AFTER THAT, ALL I DID WAS EAT.

AND I MOSTLY STAYED HOME AND KEPT GAINING.

BY THE TIME I WAS IN MY LATE 20s,

I WAS OVER 500 POUNDS.

BUT THINGS GOT WORSE 10 YEARS AGO

WHEN I WENT INTO THE E.R. NOT FEELING WELL

AND FELL INTO A DIABETIC COMA.

SINCE THEN, I'VE BEEN MOSTLY TRAPPED IN MY BED.

AND FOR TWO DECADES, I'VE BEEN OVER 500 POUNDS.

BEING THIS SIZE IS THE ONLY LIFE I'VE KNOWN.

YEAH.

NOW I HAVE TO BE COMPLETELY TAKEN CARE OF.

AND THE ONLY PERSON

I HAVE IN MY LIFE TO TAKE CARE OF ME IS GILBERT.

ME MET EIGHT YEARS AGO IN A CHAT ROOM,

AND SINCE THEN, HE'S TAKEN CARE OF ME.

THANK YOU SO MUCH. HAVE A NICE DAY.

WE TALKED FOR ABOUT SIX MONTHS, AND WE JUST HIT IT OFF.

THEY DIDN'T HAVE DONUT HOLES.

SO WHAT'D YOU GET?

UH, DON'T GET MAD, BUT I HAD TO GET THE OTHER ONES.

WHICH ONE YOU WANT? I DON'T KNOW.

OKAY, GO AHEAD, PICK.

GET ME A PLATE.

I'LL GET SOME PLATES.

I LIED TO HIM, AND I TOLD HIM I WAS LIKE 200 POUNDS.

BUT WE GOT REALLY CLOSE, AND I TOLD HIM,

"I'M GONNA SEND YOU A PICTURE,

BUT I UNDERSTAND IF YOU NEVER WANT TO TALK TO ME AGAIN."

Gilbert: NORMALLY, I'M NOT ATTRACTED TO BIG PEOPLE,

SO WHEN I SAW THE PICTURE OF LUPE, I WAS UPSET.

BUT I ALREADY STARTED TO CARE ABOUT HER.

I WANT ANOTHER HALF.

BRING ME THE BOX. I'M GONNA CHOOSE IT.

I HAD DOUBTS ABOUT US BEING TOGETHER...

UNTIL SHE TOLD ME SOMETHING THAT REALLY HIT ME IN THE HEART.

SHE SAID THAT SHE WAS PRAYING TO GOD

THAT HE WOULD SEND SOMEBODY TO HER

THAT WOULD BE THERE FOR HER AND WOULD TAKE CARE OF HER

AND BE BY HER SIDE.

AND I WANTED TO BE THAT PERSON FOR HER.

I KNOW I'M EATING UNHEALTHY, BUT FOOD IS MY COMFORT.

AND I'M SCARED NOT HAVING IT THERE.

Gilbert: I LOVE HER TO DEATH, AND I DO NOT WANT TO LOSE HER.

I DON'T.

BUT I NEED HER TO LOSE THIS WEIGHT

BECAUSE IT'S KILLING THE BOTH OF US,

AND I DON'T KNOW WHAT TO DO.

**

[ DOG BARKS ]

I REALLY TRY NOT TO GIVE HER AS MUCH FOOD AS HE WANTS.

BUT IF I DON'T DO IT,

SHE'LL FIND HER NIECE OR SOMEONE DO IT FOR HER.

HI, MIJA. HI.

CAN YOU GO GET ME SOMETHING TO EAT?

YEAH.

THANK YOU.

TWO SUPER NACHOS, THE CARNE ASADA ONES.

TWO LENGUA BURRITOS, AND A BEEF TACO WITH NO LETTUCE.

OKAY.

Lupe: MOST OF THE FOOD I EAT NOW

IS EITHER TAKE-OUT OR MICROWAVABLE FOODS.

IT'S EASIER TO HAVE SOMEONE JUST BRING IT TO ME

SO I WON'T HAVE TO COOK AND BE IN PAIN.

WHEN LUPE CALLS ME, SOMETIMES I DON'T EVEN ANSWER THE PHONE

BECAUSE I KNOW THAT SHE'S GONNA WANT ME TO GO BUY HER FOOD.

AND THAT IS HARD TO SAY NO SOMETIMES

BECAUSE IT FEELS THAT SHE MIGHT THINK I MIGHT NOT LOVE HER.

Lupe: FOOD'S MY COMFORT.

I EAT OUT OF BOREDOM, AND I'M AN EMOTIONAL EATER.

HERE YOU GO.

WHEN I EAT, I FEEL HAPPY.

SOMETIMES I'LL ORDER ME AN EXTRA TACO AND PUT IT IN MY PURSE.

I DON'T KNOW HOW TO CHANGE.

[ CRYING ]

I DON'T KNOW HOW TO CHANGE NOT FEELING FULL...

AT NIGHT, I EAT LATE, AND I CRY, AND I PRAY.

GILBERT.

GO AHEAD, TAKE THE REST OF IT.

GO AHEAD.

Gilbert: I KNOW I'M NOT HELPING HER

WHEN I GIVE HER THE WRONG STUFF TO EAT,

BUT I DON'T KNOW ANYTHING ELSE THAN THAT.

**

WE NEED SOMEONE TO INTERVENE AND HELP US AND TO HAVE A CHANGE,

YOU KNOW, BECAUSE IF NOT,

I DON'T SEE US -- I DON'T SEE IT MUCH LONGER,

US BEING TOGETHER.

THANK YOU.

I DON'T WANT TO GIVE UP.

BUT...YOU CAN SAY IT'S CLOSER TO THE BREAKING POINT

OF EITHER HER PASSING AWAY OR ME LEAVING.

Lupe: I KNOW, WITH EVERY BITE OF FOOD I TAKE RIGHT NOW,

I'M RISKING LOSING GILBERT AND MY LIFE.

BABE, I'M GONNA GET THE CLOTHES REAL QUICK AND BRING IT IN!

I FEEL GUILTY. [ SNIFFLES ]

I'M AWARE THAT I MAKE BAD CHOICES.

[ SNIFFLES ]

I'M KILLING MYSELF.

[ BIRDS CHIRPING ]

AND I FEEL IT COMING.

I FEEL IT COMING SOON.

AND I DON'T WANT TO LIVE LIKE THIS ANYMORE.

I WANT A NORMAL LIFE. I WANT TO GET HEALTHY.

[ Crying ] I DON'T WANT TO LIVE THIS WAY.

[ SIGHS ]

[ WIND RUSHING ]

**

Lupe: ALL MY FAMILY AND FRIENDS HAVE COME TO SAY GOODBYE FOR NOW

BECAUSE GILBERT AND I FOUND A DOCTOR

THAT WILL HELP ME LOSE THE WEIGHT.

BUT HE'S IN HOUSTON, TEXAS.

SO WE'RE MOVING THERE FOR A WHILE TO TRY TO GET HIS HELP.

[ INDISTINCT CONVERSATIONS ]

I'M THANKFUL FOR THIS OPPORTUNITY,

BUT I'M ALSO REALLY SCARED

BECAUSE I DON'T KNOW

IF THIS IS GONNA BE LAST TIME I EVER SEE MY FAMILY.

OH, MY GOD.

WHO'S THAT?

BUT MY NIECE MARICELA IS GONNA GO WITH US AND STAY WITH US

UNTIL WE GET SETTLED IN.

I'M VERY SCARED FOR HER, ESPECIALLY IT BEING SO FAR AWAY.

BUT IF SHE DOESN'T GET HELP NOW,

SHE'S PROBABLY NOT GONNA MAKE IT TOO MUCH LONGER.

SHE'S THE ONLY ONE --

WHEN MY MOM PASSED AWAY, AND I THINK YOU TOOK IT.

ONCE WE GET SETTLED,

IT'S GONNA BE JUST ME AND GILBERT,

SO THIS IS A BIG RISK FOR US, AND IT'S REALLY SCARY.

WE WANT TO THANK EVERYBODY FOR COMING

FOR LUPE'S FAREWELL DINNER THAT WE'RE HAVING,

THAT WE'RE CELEBRATING

THIS NEW JOURNEY THAT SHE'S GONNA TAKE IN LIFE.

WHY DON'T WE ALL BOW OUR HEADS AND ACKNOWLEDGE THE LORD?

FOOD IS ALWAYS GONNA BE THERE.

I KNOW I HAVE TO FIGURE HOW TO BE AROUND IT

AND NOT EAT LIKE I ALWAYS DO.

THANK YOU FOR EVERYTHING. AMEN.

All: AMEN.

LET'S EAT.

YEAH. THAT'S WHAT I'M SAYING.

FOOD IS HOW WE CELEBRATE.

IT'S HOW WE HAVE A GOOD TIME.

IT'S HAPPINESS.

BUT AT THE SAME TIME, IT'S KILLING ME.

AND I DON'T KNOW HOW TO FIX THAT.

NOT A LOT.

THAT'S FINE NOW.

DID YOU MAKE SALSA?

ONCE I CRAVE SOMETHING,

I'M GONNA FIND A WAY TO GET IT AND EAT IT.

AND I'M NOT GONNA STOP AT A LITTLE.

BUT I'M HOPING THIS CHANGES MY LIFE,

CHANGES ME, CHANGES MY MARRIAGE, CHANGES EVERYTHING.

BUT I HAVEN'T LEFT MY HOME IN A YEAR,

AND NOW I'M GONNA GO HALFWAY ACROSS THE COUNTRY.

[ LAUGHTER ]

I WAS LIKE...

I DON'T WANT TO GO AND HAVE TO LEAVE MY HOME AND MY FAMILY.

IT'S SAD TO LEAVE THEM, BUT I KNOW IT'S FOR A GOOD CAUSE

'CAUSE IF I DON'T,

THEN I'M GONNA DIE HERE AND NOT SEE THEM AT ALL.

I KNOW.

IF I DON'T TAKE THIS CHANCE AND THE SACRIFICE

AND LEAVE TO TEXAS,

THEN I WON'T MAKE IT ANOTHER YEAR.

**

[ GRUNTING ]

TODAY, WE'RE LEAVING FOR HOUSTON.

I'M LEAVING EVERYTHING I KNOW TO SAVE MY LIFE.

I'VE TRIED SO MANY OTHER THINGS, AND NOTHING'S WORKED.

[ BREATHES SHARPLY ]

THERE YOU GO.

[ Voice breaking ] I'M NERVOUS,

AND I KNOW I'M GONNA HAVE OBSTACLES AND STRUGGLES.

[ GROANING ]

[ SNIFFLES ]

I CAN'T DO THIS.

I GOT THIS. YOU JUST GOT TO DO IT.

[ GRUNTING ]

WAIT.

[ GRUNTING ]

**

I'M READY TO HOW I'M GONNA CHANGE.

WAIT.

CHANGE IS SCARY.

YOU OKAY?

YEAH.

BUT I CAN'T CONTINUE LIVING THIS WAY.

MARI, WE NEED TO STOP AND GET SOMETHING TO EAT

WHENEVER YOU SEE SOMETHING.

Gilbert: JUST GIVE ME A SHAKE OR SOMETHING.

BUT YOU NEED TO EAT SOMETHING.

I DON'T WANT TO EAT RIGHT NOW. I CAN'T.

THANK YOU.

WHEN I GET STRESSED...

I JUST HAVE TO FIND SOMETHING THAT I WANT TO EAT

AS QUICKLY AS POSSIBLE.

BUT I KNOW THESE HAVE TO BE MY LAST UNHEALTHY MEALS.

ONCE I GET TO DR. NOW, I HAVE TO GIVE UP ALL THIS

BECAUSE I'M READY TO FIGHT FOR MY LIFE.

[ SIGHS ]

BUT BEING IN THIS SMALL CAR IS SO PAINFUL.

I CAN'T TAKE STOPS OR GET OUT AND DO WHAT MOST PEOPLE CAN DO.

I HAD AN ACCIDENT.

CAN YOU JUST HELP ME?

WHAT DO YOU WANT ME DO RIGHT NOW?

OKAY.

IT'S WET.

THANK YOU.

YOU'RE WELCOME.

OHH.

THIS IS JUST SO MISERABLE.

BABE, WHAT DO YOU WANT?

JUST GET ME WHATEVER.

Maricela: CAN I GET TWO OF THE NUMBER 1's?

I LIKE HEALTHY FOODS.

IT'S JUST...

HERE.

MY BURGER.

I'M JUST IN SO MUCH PAIN.

WE NEED TO FIND A PLACE TO STAY.

Maricela: CURBSIDE MESSENGER.

I'LL BE ALL RIGHT.

I GOT YOU.

JUST RELAX FOR A SECOND.

[ GASPING ]

I CAN'T.

DO YOU WANT ME TO HELP YOU? TíA...

YEAH.

I CAN'T STAY IN THE CAR NO MORE.

DO YOU WANT ME TO OPEN THIS TO GRAB ON?

[ BREATHING HEAVILY ]

**

WAIT, DON'T -- I GOT EVERYTHING.

I GOT TO TURN.

OKAY.

THE CHAIR, JUNIOR.

I KNOW. I GOT TO FIX THIS.

-GOD. -CALM DOWN.

PUT THE CHAIR!

[ SNIFFLES ]

[ GROANS ]

WHENEVER YOU'RE READY, LOVE.

RIGHT HERE.

I GOT YOUR BACK.

I'M JUST SITTING HERE TO TAKE ME A BREAK.

OHH.

Lupe: WE'RE ONLY A THIRD OF THE WAY THERE,

AND I'M NOT SURE I'M GONNA BE ABLE TO MAKE IT TO HOUSTON.

THE CHAIR DON'T FIT THROUGH HERE?

BUT IF IT ROLLS LEFT, RIGHT, THEN TURN...

[ BREATHING HEAVILY ]

WATCH THE BAG THERE.

GOT IT.

Lupe: I DON'T KNOW WHAT I'VE GOTTEN MYSELF INTO.

TWO.

OKAY.

[ GRUNTS ]

I'M JUST PRAYING I MAKE IT THROUGH THIS DAY.

OKAY, GO SLOW.

I GOT IT.

I'VE NEVER FELT PAIN THIS BAD.

GONNA STOP AND GET SOME BREAKFAST

AND THEN GET ON THE ROAD.

OH, THAT'S PERFECT.

HEY. LOOK AT THIS.

I JUST HAVE TO EAT SOMETHING THAT TASTES GOOD...

BECAUSE MY LEGS ARE SO SWOLLEN.

I'VE NEVER FELT THEM HURT LIKE THIS.

OKAY? SO IT'S ALL GOOD.

[ SIGHS ]

[ GROANING ]

OH, MY LEG.

[ GROANING ]

OHH!

MY LEG'S GOING NUMB.

[ GROANS ]

AY!

[ BREATHING HEAVILY ]

AND THE RAGS ARE WET.

HUH? THE RAGS ARE WET, TOO?

YEAH. OH, OHH!

WHAT AM I GONNA DO WITH THIS?

THROW IT. [BLEEP]

GOD.

Gilbert: YEAH, SO, I'M GETTING FRUSTRATED RIGHT NOW.

I'M SITTING THERE IN THE BACK SEAT OF THE CAR,

AND SHE'S MAKING ALL THESE MOANING AND GROANING SOUNDS.

MENTALLY, IT'S JUST TIRING.

I'M FEELING IT, TOO, PHYSICALLY,

BUT, MAN, MENTALLY, IT'S JUST A LOT TO TAKE IN.

Lupe: GO. GO!

ONE, TWO.

-OH! OHH! -YOU GOT IT?

**

[ GRUNTING LIGHTLY ]

I FEEL LIKE I'M AT MY LIMIT.

BUT WE'RE ALMOST THERE, SO I'M TRYING TO PUSH MYSELF

FOR THIS ONE LAST LEG OF THE TRIP.

**

[ GRUNTS ]

[ GROANING ]

WHAT'S WRONG?

I'M IN PAIN. MY LEGS HURT.

MY LEG FEELS WEIRD.

[ GRUNTS ]

Gilbert: YOU'RE GETTING ME KIND OF WORRIED, LOVE.

[ GRUNTING LIGHTLY ]

HELLO, IS THIS DR. NOW?

DR. NOWZARADAN: Yes, this is Dr. Nowzaradan.

I'M CALLING FOR MY WIFE, LUPE.

AND I THINK SHE MIGHT HAVE A BLOOD CLOT IN HER LEG, MAYBE.

YEAH.

OKAY.

THANK YOU SO MUCH.

Gilbert: I CAN'T STAND SEEING HER LIKE THIS.

IT'S KIND OF SCARING ME RIGHT NOW

'CAUSE I LOVE MY WIFE, AND I DON'T WANT HER TO DIE ON ME.

OHH!

HOW MUCH LONGER?

Maricela: 10 MINUTES.

10 MINUTES?

LUPE SHOULD BE ARRIVING ANY MINUTE NOW.

FROM WHAT THEY TOLD ME,

SHE'S BEEN IN A SMALL CAR FOR THREE DAYS.

AND THAT'S A LONG TIME FOR SOMEBODY HER SIZE

TO HAVE THAT MUCH STRESS ON HER BODY.

OHH. [ GROANING ]

SHE MAY HAVE DEVELOPED A SERIOUS MEDICAL CONDITION

THAT WE NEED TO ADDRESS IMMEDIATELY.

[ GROANS ]

Dr. Nowzaradan: HI, LUPE.

WE'RE GONNA GET YOU INSIDE RIGHT NOW,

AND WE'RE GONNA GET YOU TAKEN CARE OF.

Gilbert: ALL RIGHT, LET'S DO IT.

[ GROANING ]

Dr. Nowzaradan: IF IT IS SOMETHING

LIKE A BLOOD CLOT IN HER LEG,

SHE COULD BE MOMENTS AWAY FROM A LIFE-THREATENING EVENT

LIKE PULMONARY EMBOLISM.

SO WE'RE GOING TO TRY TO DETERMINE

WHAT'S GOING ON WITH HER.

[ BREATHING HEAVILY ]

IT'S CLEAR THAT LUPE IS IN VERY BAD STATE.

SHE'S SHORT OF BREATH.

SHE CANNOT WALK. SHE CANNOT STAND.

SHE CANNOT MOVE. SHE CANNOT BREATHE.

BUT AT HER WEIGHT, ANY NUMBER OF THINGS

COULD BE CREATING A SERIOUS MEDICAL ISSUE FOR HER.

AND IF WE DON'T FIND IT FAST, IT MAY BE TOO LATE TO SAVE HER.

[ GRUNTS ]

**

Dr. Nowzaradan: LUPE ARRIVED HERE AT THE HOSPITAL

IN A LOT OF PAIN.

SHE WAS HAVING TROUBLE BREATHING,

SO WE STARTED RUNNING TESTS ON HER IMMEDIATELY.

WE HAVE RULED OUT BLOOD CLOTS.

BUT HER HEART IS IN FAILURE,

AND IT'S ONLY FUNCTIONING ABOUT 35% CAPACITY RIGHT NOW.

Lupe: OH, MY FEET.

SHE'S LUCKY BECAUSE,

IF HER CAR RIDE WAS TWO TO THREE HOURS LONGER,

SHE WOULD NOT HAVE SURVIVED.

HER HEART IS LITERALLY BEING SMOTHERED

UNDER THE WEIGHT OF HER BODY.

WHAT SEEMS TO BE YOUR BIGGEST CHALLENGE

WITH YOUR EATING HABITS?

I'M AN EMOTIONAL EATER. I GET BAD ANXIETY.

MM-HMM.

AND THEN I'LL EAT FOOD UNTIL I GET SICK.

WHO BRINGS YOU THE FOOD?

MY HUSBAND AND MY FAMILY.

THEY DON'T REALIZE THAT THEY ARE KILLING YOU?

NO.

NO?

I THINK THEY DO, BUT THEY DO IT 'CAUSE THEY LOVE ME.

OKAY.

ALL RIGHT, LET'S SEE IF WE CAN GET YOU IN BED.

WE GOT A VERY PATHOLOGICAL SITUATION HERE.

SHE'S BEEN KILLING HERSELF,

AND HER HUSBAND HAS BEEN HELPING HER TO DO THAT.

AT HER SIZE,

SHE'S BEEN CONSUMING AT LEAST 20,000 TO 30,000 CALORIES A DAY.

I'M GONNA PUSH A LITTLE BIT.

SO WE NEED TO GET HER HEALTH UNDER CONTROL IMMEDIATELY

AND TURN THE SITUATION AROUND WITH HER HUSBAND.

WAIT, WAIT, WAIT. I KNOW.

TAKE YOUR TIME. OKAY.

[ Crying ] BECAUSE...WE'RE REALLY CLOSE TO HER, YOU KNOW?

[ SNIFFLES ]

BUT I DON'T BELIEVE THAT SHE WOULD HAVE LASTED MUCH LONGER

IF SHE WAS STILL THERE, JUST LAYING IN THE BED.

Dr. Nowzaradan: LUPE IS IN VERY BAD SHAPE.

SO I DON'T WANT TO PUSH HER TO DO ANYTHING MORE BUT REST.

AND WE'LL WEIGH HER AND RUN MORE TESTS TOMORROW.

THIS MOMENT NEEDS TO BE A WAKE-UP CALL FOR LUPE.

[ GRUNTS ] OKAY.

THIS IS A NEW BEGINNING FOR YOU,

AND YOU'RE GONNA HAVE TO MAKE SOME CHANGES, OKAY?

OKAY.

OR YOU AREN'T EVEN GONNA SURVIVE NEXT MONTH.

GET SOME REST, AND I'LL SEE YOU TOMORROW.

THANK YOU.

SHE'S SO CLOSE TO DEATH RIGHT NOW

THAT IT'S UNCERTAIN THAT SHE WILL EVEN FULLY RECOVER.

BUT WE WILL DO EVERYTHING WE CAN TO PULL HER THROUGH THIS.

**

MORNING. MORNING.

HOW YOU FEEL THIS MORNING? FEELING BETTER?

WE FINISHED RUNNING TESTS ON LUPE,

AND NOW THAT SHE'S RESTED,

WE'RE GOING TO GET HER UP AND GET HER WEIGHED

TO SEE WHERE WE ARE STARTING FROM.

[ GROANS ] I GOT TO GO FORWARD.

Dr. Nowzaradan: GIVE HER A MINUTE.

[ GROANING ]

YEAH.

642 POUNDS.

YOU SURE THAT'S RIGHT?

YEAH.

Dr. Nowzaradan: LUPE IS 5'5" TALL.

FOR HER SIZE,

THAT IS THE SAME AMOUNT OF STRAIN AND WEIGHT ON THE BODY

AS 800 POUNDS WOULD BE FOR SOMEONE 6 FEET TALL.

SHE'S IN VERY BAD SHAPE.

WE NEED TO GET HER WEIGHT TO START DROPPING DOWN IMMEDIATELY

SO WE CAN GET GIVE HER HEART A CHANCE TO RECOVER.

NOW, EVEN THOUGH YOU'RE OVERWEIGHT,

YOUR NUTRITION IS VERY POOR.

SO YOU NEED TO UNDERSTAND

THAT YOU NEED TO EAT A HIGH-PROTEIN DIET.

OKAY. OKAY.

AND WE'RE PUT YOU ON A 1,000-CALORIE-A-DAY DIET.

AND YOU'RE GONNA ELIMINATE THE CARBOHYDRATE.

WE'RE GONNA GIVE YOU SOME WRITTEN INSTRUCTION

AND CHANGE YOUR EATING HABIT.

THIS IS NOT A GAME.

ONE SMALL THING CAN PUSH YOU OVER THE EDGE RIGHT NOW,

AND YOU WON'T BE ABLE TO MAKE IT.

IF YOU WANT TO CHANGE THE SITUATION,

THE WHOLE FAMILY IS GOING TO HAVE TO COOPERATE.

DO YOU UNDERSTAND?

IT'S HARD EATING HEALTHY,

BUT I KNOW I HAVE TO DO IT WITH HER.

I DON'T KNOW HOW TO EAT HEALTHY.

I DON'T KNOW HOW TO MAKE HEALTHY.

SO THIS IS SOMETHING I GOT TO LEARN HOW TO COOK.

I KNOW IT'S NOT GONNA BE EASY,

BUT YOU'RE GONNA HAVE TO DO THAT

TO GET TO THE POINT THAT WE CAN DO YOUR SURGERY, OKAY?

Lupe: OKAY.

ALL RIGHT.

I'LL SEE YOU LATER, OKAY?

Dr. Nowzaradan: LUPE IS IN DESPERATE NEED

FOR WEIGHT-LOSS SURGERY,

BUT WE HAVE TO WORK

TO GET HER TO A PLACE THAT SHE'S READY FOR IT.

SHE'S HAD A LIFETIME OF ABUSE ON HER BODY,

AND RIGHT NOW, SHE WOULDN'T EVEN SURVIVE THE SURGERY.

IT'S OKAY, MY LOVE.

IT'S OKAY.

**

YOU READY FOR US?

YEAH.

Lupe: I'VE BEEN IN THE HOSPITAL FOR A COUPLE WEEKS NOW.

AND I'M TRYING TO ADJUST TO THE NEW DIET THE DOCTOR HAS ME ON.

BUT THE FOOD PORTIONS ARE REALLY SMALL,

AND I FEEL LIKE I'M STARVING ALL THE TIME.

I HATE THE FEELING WHEN I'M HUNGRY.

IT'S LIKE ALL THIS EMOTION THAT'S PUSHED SO FAR DOWN

STARTS TO COME BACK UP,

AND I WANT TO RUN TO FOOD.

IT'S AN ADDICTION, AND...

[ SNIFFLING ]

...I'M READY TO FIGHT THIS ADDICTION.

**

Dr. Nowzaradan: LUPE HAS DONE WELL OVER THE LAST MONTH,

AND WE HAVE HER HEART AND WHOLE BODY IN MUCH HEALTHIER PLACE.

HELLO. HOW YOU ALL DOING?

GOOD, GOOD.

YOU FEELING OKAY TODAY? YEAH, BETTER.

ALL RIGHT.

LET'S CHECK YOUR WEIGHT AND SEE WHERE YOU'RE AT.

[ BEEPS ]

YOU'RE 573 POUNDS. THAT'S GOOD.

WE HAVE WORKED TO GIVE HER THE TOOLS TO START TO DO THIS.

SO WE ARE SENDING HER HOME

TO TRY AND MAKE PROGRESS ON HER OWN.

I'M GONNA SEND YOU HOME TODAY,

AND WE'RE GONNA KEEP YOU ON THIS HIGH-PROTEIN DIET

WITH 1,000 CALORIE. OKAY.

IT'S GONNA BE IMPORTANT FOR YOU, OKAY?

OKAY.

I WANT YOU TO LOSE ANOTHER 50 POUNDS

OVER THE NEXT MONTH, OKAY?

OKAY.

THIS WON'T BE EASY FOR HER,

BUT I WANT HER TO SHOW ME SHE AND HER HUSBAND ARE READY

FOR HER TO HAVE WEIGHT-LOSS SURGERY.

OKAY. ALL RIGHT.

IF SHE'S DOESN'T,

SURGERY WILL BE POINTLESS IN THE LONG TERM,

AND WE WON'T BE ABLE TO HELP HER.

[ GROANS LIGHTLY ]

Lupe: I'M GLAD [Chuckling] TO FINALLY BE GOING HOME.

HOLD THE WALKER. READY?

GOT IT.

[ GRUNTS ]

I DON'T FEEL LIKE I'M DYING ANYMORE.

OH, OH!

OH, I'M GONNA SLIP! [BLEEP]

USE YOUR ARMS. TRY TO GRAB ON. USE YOUR ARMS.

[ GROANING ]

BUT MY BODY IS STILL IN A LOT OF PAIN.

I HAVE A LOT OF PAIN IN MY SIDE RIGHT NOW,

AND I DON'T KNOW WHY.

GO! GO! ONE, TWO.

OHH! OKAY.

I THINK I HURT MYSELF ON THE WHEELCHAIR.

I'M BLEEDING DOWN THERE.

MY PRIVATE.

CLOSE THE BACK DOOR AND PUT THE SEAT BACK.

[ BREATHING SHARPLY ]

Gilbert: THERE YOU GO.

I'M SCARED RIGHT NOW THAT I HURT MYSELF BAD.

**

[ GRUNTS ]

THE BED OKAY?

SO, SIT. SIT DOWN. I GOT IT.

Greg: YOU'RE GOOD.

GO.

AND I'M BLEEDING ALL OVER THE PLACE.

HUMILIATING BLEEDING ALL OVER THE FLOOR.

AND I KNOW I CAN'T.

I CAN'T.

[ SNIFFLES, SIGHS ]

I GOT TO BE STRONG.

**

Lupe: IT WAS SCARY LEAVING THE HOSPITAL.

I THOUGHT I HURT MYSELF,

BUT IT WASN'T ANYTHING LIKE THAT.

I HAD GAINED SO MUCH WEIGHT,

MY MENSTRUAL CYCLE STOPPED YEARS AGO.

WELL, WITH ALL MY WEIGHT LOSS, I STARTED MENSTRUATING AGAIN.

AND I'M JUST GLAD NOTHING WAS SERIOUSLY WRONG.

NOW GILBERT AND I HAVE BEEN IN THE HOTEL HERE

FOR THE PAST MONTH.

IT'S BEEN HARD, BUT TODAY IS MY 40th BIRTHDAY.

YOU'RE BEAUTIFUL, LOVE.

LOOKING ALL NICE TODAY FOR YOUR BIRTHDAY.

GILBERT'S FAMILY ARE HAVING A BIRTHDAY DINNER FOR ME.

AND I'M REALLY LOOKING FORWARD TO IT

BECAUSE I'VE BEEN GETTING A LITTLE BIT DOWN.

SO I'M HOPING THIS WOULD HELP MOTIVATE ME A LITTLE.

**

[ KNOCK ON DOOR ]

HEY.

-WHAT'S GOING ON? -HEY, GUYS.

HEY, WHAT'S GOING ON?

HAPPY BIRTHDAY, LUPITA. YOU'RE THE BIRTHDAY GIRL TODAY.

-HAPPY BIRTHDAY. -HAPPY BIRTHDAY.

Lupe: I KNOW, FOR THE MAJORITY OF THE TIME,

I NEED TO GET MY EATING UNDER CONTROL.

THANK YOU.

NOW, WHAT DO YOU WANT TO DRINK?

I'LL HAVE A LITTLE BIT OF SODA.

Man: DO YOU WANT ANOTHER ONE?

THERE ARE EXCEPTIONS IN LIFE.

ALL RIGHT.

SOMEBODY SHOULD SING "HAPPY BIRTHDAY" HERE.

ONE, TWO, THREE. All: * HAPPY BIRTHDAY... *

Lupe: THERE ARE DAYS YOU JUST HAVE TO ENJOY LIFE

AND CELEBRATE.

SO I'M JUST GONNA ENJOY TODAY.

[ LAUGHTER ]

IT DOES COUNT.

I LIKE HOW YOU GUYS DID IT ON KEY, LIKE...

[ LAUGHTER ]

I HAVE MY NEXT APPOINTMENT WITH THE DOCTOR IN A MONTH.

AND I FEEL LIKE I CAN HIT MY GOAL BY THEN.

SO I'M GONNA KEEP TRYING.

I HAVE TO GET THIS SURGERY BECAUSE, EVENTUALLY,

I KNOW I'M GONNA START GIVING IN TO MY CRAVINGS EVERY DAY.

ALL RIGHT, GUYS.

Woman: BYE, LUPE.

**

Lupe: NOW THAT THE DAY IS HERE TO SEE THE DOCTOR AGAIN,

I'M A LITTLE NERVOUS.

HE WANTED ME TO LOSE 50 POUNDS THIS PAST MONTH.

I'M JUST HOPING I'VE DONE IT

OR THAT I'M AT LEAST CLOSE ENOUGH

FOR HIM TO APPROVE ME FOR SURGERY.

NO, I DIDN'T CHECK IT.

I'LL JUST WALK RIGHT THERE.

ONE OF THE REASONS I HATE BEING OUT IN PUBLIC

IS THAT I CAN NEVER USE THE RESTROOM ANYWHERE.

WANT TO TRY IT?

IT'S A BEEN A LONG TIME

SINCE I EVEN TRIED TO USE A RESTROOM

BECAUSE I JUST DON'T FIT.

HELP ME. HELP ME.

-THERE YOU GO. -OHH!

[ GRUNTS ]

ONE, TWO, THREE.

NO. YOU'RE GONNA MAKE ME FALL.

READY.

ON THREE. WHOA!

WHOA, WHOA, WHOA.

[ CRYING ]

BABE, YOU'RE OVERTHINKING IT.

IT'S BROKEN!

THE CHAIR BROKE? YES!

YOU GOT TO GET OFF THIS DAMN --

I'M TRYING. I'M TRYING TO HELP YOU.

YOU'RE CRYING MORE THAN YOU'RE TRYING.

I'M TRYING. [ GROANS ]

WANT ME TO GET A NURSE REAL QUICK?

EXCUSE ME. CAN YOU GIVE ME A HAND REAL QUICK?

IF YOU COULD HELP HER PUSH UP...

OKAY, EASY.

[ Crying ] DON'T LET ME GO, PLEASE.

Gilbert: I'M NOT. WOULD YOU JUST COME ON?

-OKAY. -ONE, TWO, THREE.

[ BREATHES SHARPLY ] I CAN'T. I CAN'T DO IT.

ARE YOU SERIOUS?

SHE WORE HERSELF OUT.

'CAUSE SHE WORE HERSELF OUT CRYING.

-WHAT AM I SUPPOSED TO DO? -I DON'T KNOW.

I DON'T WANT TO FALL.

YEAH. JUST GET 'EM. [ GROANS ]

I CAN BRING SOMEONE ELSE IF YOU WANT.

SHE GOT STUCK. YOU OKAY?

SHE GOT STUCK IN THE TOILET. I THINK IT BROKE, THE SEAT.

OKAY.

Dr. Nowzaradan: AND THIS IS NOT A GOOD SITUATION WITH LUPE.

Man: WE'LL FIGURE IT OUT.

SHE'S PUTTING A LOT OF STRAIN ON HER HEART RIGHT NOW.

[ GROANS ]

SO WE'RE CALLING AN EMERGENCY CREW

TO HELP HER GET UP IMMEDIATELY

BECAUSE SHE CAN EASILY GO TO CARDIAC ARREST,

AND THERE'LL BE NOTHING WE CAN DO ABOUT IT.

[ SIREN WAILS ]

SO THEY NEED TO ACT FAST.

[ BREATHING HEAVILY ]

HOW'S IT GOING, MA'AM? DID YOU FALL DOWN?

Gilbert: SHE GOT STUCK ON THE TOILET.

I DON'T WANT TO FALL AND HURT MYSELF.

OKAY, THEN, WE'RE GONNA GO AHEAD

AND GET THE FIRE TRUCK OUT HERE, OKAY, JUST TO HELP US OUT.

JUST GET ME OFF THE TOILET.

OKAY. OKAY.

OHH!

-DO YOU NEED MORE SLACK? -WE'RE GONNA TRY AND MOVE HER.

OH, MY GOD, MY LEGS.

OKAY.

BUT ONCE WE GET YOU UP, YOU'LL BE ALL RIGHT.

YES.

DON'T LET ME GO. IT'S ALL RIGHT.

WE'RE NOT GONNA DO ANYTHING TILL YOU'RE READY, ALL RIGHT?

YEAH. ONE...

ONE, TWO, THREE.

Man: I GOT THE CHAIR.

[ CLATTERING ]

CAN YOU HOLD YOURSELF?

I GOT IT.

-LITTLE BIT MORE. -YOU'RE ALMOST THERE.

THERE? THERE?

SIT, YEAH, SIT. YOU GOT IT.

[ SIGHS ]

-THERE YOU GO. -THERE YOU GO.

OH, BREATHE.

YEAH, YOU DID BREAK THE TOILET.

THANK YOU, GUYS, SO MUCH.

-YOU'RE WELCOME. -GOD BLESS.

IS THAT ALL YOU NEEDED FROM US?

Dr. Nowzaradan: THIS IS VERY DISHEARTENING TO WITNESS.

LUPE GOT TO THE POINT

THAT SHE WON'T TOLERATE ANY PHYSICAL ACTIVITY.

SHE IS LESS MOBILE NOW SINCE THE LAST TIME I SAW HER.

AND TOOK A WHOLE TEAM

TO GET HER UP AND PUT HER IN THE WHEELCHAIR.

BUT RIGHT NOW, I'M VERY WORRIED

ABOUT HOW MUCH STRAIN SHE JUST PUT ON HER BODY.

HOW DO YOU FEEL?

MY CHEST HURTS.

[ GROANING ]

LUPE, I WANT YOU TO GO OVER TO HOSPITAL

TO MAKE SURE THAT THERE IS NO MAJOR CONCERN GOING ON

WITH YOUR HEART OR YOUR OVERALL HEALTH.

OKAY.

WE'LL TRANSPORT YOU THERE,

AND I'LL SEE YOU THERE REALLY SOON, OKAY?

OKAY.

Dr. Nowzaradan: ONCE WE HAVE HER HEALTH UNDER CONTROL,

WE'LL GET HER UP AND SEE HOW HER WEIGHT IS.

HOPEFULLY, SHE HASN'T GAINED TOO MUCH

OVER THE PAST TWO MONTHS.

I'M VERY CONCERNED

BECAUSE IF HER HEART GOT WORSE OVER PAST COUPLE MONTHS,

THEN MINIMAL ACTIVITY CAN PUT HER IN HEART FAILURE.

AND SHE JUST PUT FAR MORE STRAIN THAN THAT

ON HER BODY AND HER HEART.

**

JUST BRING THE SCALE OVER HERE.

LUPE HAS BEEN IN THE HOSPITAL FOR A DAY NOW.

WE'VE BEEN RUNNING TESTS ON HER TO SEE HOW SHE'S DOING.

IT SEEMS THAT HER HEALTH HAS DECLINED

SINCE THE LAST TIME SHE WAS IN THE HOSPITAL.

AND HER HEART IS IN BAD CONDITION AGAIN.

TWO, THREE.

OKAY.

Dr. Nowzaradan: ALL RIGHT. EVERYBODY, TAKE YOUR HANDS OFF.

[ GROANS ]

OKAY. OHH.

LUPE, THIS IS RIDICULOUS

THAT YOU GAINED MORE WEIGHT THAN YOU LOST IN JUST A MONTH.

SO, YOU START OVER,

BECAUSE IF YOU DON'T, YOU'RE NOT GONNA MAKE IT.

I'M KEEPING YOU IN THE HOSPITAL

TO START CONTROLLED DIET AGAIN.

YOU'RE DOWN TO YOUR LAST CHANCE.

DO YOU UNDERSTAND?

THIS IS SUCH SELF-DESTRUCTIVE BEHAVIOR,

AND HER HUSBAND, GILBERT, IS HELPING TO KILL HER.

I CAN'T BREATHE.

WE'LL NEED TO ADDRESS THEIR DYNAMIC IN THE LONG RUN,

BUT FOR NOW, WE NEED

TO GET HER HEALTH AND HER WEIGHT UNDER CONTROL AGAIN.

Gilbert: THIS HAS BEEN A BIT OF A WAKE-UP CALL FOR ME.

IT'S JUST CLARIFYING THE FACT THAT I'M MESSING UP.

AND I KNOW WE GOT TO DO THINGS A LOT BETTER

TO GET HER BACK ON THE RIGHT TRACK AND ALL.

Lupe: I FEEL LIKE I'M GOING BACKWARDS RIGHT NOW,

BEING BACK IN THE HOSPITAL TO CHECK ON MY HEART AGAIN.

I HOPE I HAVEN'T MESSED UP MY LAST CHANCE DO TO THIS

BECAUSE I CAN'T LIVE LIKE THIS ANYMORE.

**

Lupe: IT'S BEEN HARD BEING BACK IN THE HOSPITAL AGAIN.

THE DOCTOR PUT ME ON AN 800-CALORIE-A-DAY DIET,

SO IT'S EVEN LESS FOOD THAN THE LAST TIME.

GET THIS STUFF.

BUT I KNOW I MESSED UP, AND I HAVE TO FIX IT NOW.

-WHAT UP? WHAT UP? -[ CHUCKLES ]

SO, I'M TRYING TO DO EVERYTHING THEY TELL ME TO DO.

MM-HMM.

THEY'VE BEEN GETTING ME UP TO WALK A LOT.

IT'S BEEN REALLY HARD.

BUT I KNOW IT'S MY LAST CHANCE.

THERE YOU GO. GOOD JOB.

AND I'VE BEEN ABLE TO WALK MORE THAN I COULD

IN THE PAST 10 YEARS.

-OKAY. -ALL RIGHT.

[ GRUNTING ]

THERE YOU GO.

GOOD JOB! YOU DID GREAT.

HONESTLY, I NEVER THOUGHT THIS DAY WOULD COME,

THAT I COULD TAKE THESE STEPS.

LOOK HOW FAR YOU'VE WALKED. TELL ME THAT'S NOT INCREDIBLE.

NEXT THING YOU KNOW, YOU'RE GONNA BE WALKING OUT THAT DOOR.

Gilbert: IT'S GOOD FOR BOTH OF US.

YOU NEED YOUR INDEPENDENCE JUST AS MUCH AS I DO.

I'M HAPPY FOR HER.

YOU KNOW, THAT'S A GOOD START.

THERE YOU GO. LOOK AT THAT.

WE'VE BOTH BEEN IN A DARK SPOT FOR A WHILE.

NOW THAT WE HAVE THE SUPPORT,

WE'RE STARTING TO SEE THE LIGHT AT THE END OF THE TUNNEL.

THERE YOU GO. OW, MY ARMS AND LEGS HURT.

THE LEGS.

I HAVE ONE MORE MONTH TO MAKE AS MUCH PROGRESS AS I CAN.

SO THAT'S WHAT I'M GONNA DO TO TRY AND GET THIS SURGERY.

I CAN'T MESS UP AGAIN

BECAUSE I KNOW I'M NOT GETTING ANOTHER CHANCE IF I DO.

**

GOOD MORNING.

MORNING.

HOW YOU FEELING TODAY?

GOOD.

Dr. Nowzaradan: LUPE HAS BEEN IN THE HOSPITAL

FOR THE PAST TWO MONTHS ON A CONTROLLED DIET

FOR THE SECOND TIME.

AND SHE'S DOING A LOT BETTER.

WE'RE GONNA GET YOU UP TODAY AND SEE HOW YOUR WEIGHT'S DOING.

[ Chuckling ] OKAY.

ALL RIGHT.

OKAY.

-ALL RIGHT. -ALL RIGHT.

EVERYBODY ELSE, HANDS OFF OF IT.

THAT'S 128 POUNDS YOU'VE LOST NOW.

THAT'S GREAT.

THE FIRST DAY SHE GOT HERE, SHE COULDN'T EVEN STAND.

NOW SHE'S MAKING PROGRESS.

SO, I'M GONNA GO AHEAD AND SEND YOU HOME TODAY.

AND FOR THE NEXT TWO MONTHS,

I WANT TO YOU TO LOSE ANOTHER 75 POUNDS.

TAKE THIS SERIOUSLY IF YOU WANT TO GET APPROVED

FOR WEIGHT-LOSS SURGERY, OKAY? OKAY.

ALL RIGHT. ALL RIGHT.

THANK YOU.

Dr. Nowzaradan: HER HUSBAND, GILBERT,

HASN'T BEEN AROUND VERY MUCH.

AND I THINK THAT HAS HELPED HER TO STAY POSITIVE.

BUT I'M CONCERNED

WITH HER BEING BACK WITH HIM ON DAILY BASIS

AND HOW THAT'S GONNA AFFECT HER.

REGARDLESS, SHE HAS TO PROVE THAT SHE CAN DO THIS ON HER OWN.

UNTIL SHE DOES THAT,

SHE WILL NOT BE READY FOR ANY WEIGHT-LOSS SURGERY.

**

Gilbert: YOU GONNA BE OKAY? YOU GOT EVERYTHING?

Lupe: YEAH.

WATER, REMOTE.

Lupe: GILBERT AND I ARE TRYING TO EAT HEALTHIER THIS TIME.

IF YOU NEED ANYTHING AND IT'S SERIOUS, CALL ME.

I'LL RUN BACK.

SO, WE'RE NOT GETTING FAST FOOD OR EATING OUT.

WE'RE STILL IN THE MOTEL WITHOUT A CAR, THOUGH.

SO IT'S HARD BECAUSE WE CAN STILL ONLY GET FOOD

WITHIN WALKING DISTANCE.

BUT GILBERT HAS BEEN TRYING TO WALK TO THE SUPERMARKET.

Gilbert: LUPE'S NIECE MARI TOOK THE CAR WITH HER

WHEN SHE WENT BACK TO CALIFORNIA.

IF I HAD A CAR, I WOULD BE ABLE TO GRAB A LOT MORE GROCERIES

INSTEAD OF COMING LIKE EVERY OTHER DAY.

SOMEONE HAS TO GET THE GROCERIES,

AND THIS IS HOW I HAVE TO DO IT.

I'M DOING THIS FOR HER BECAUSE I LOVE HER,

AND I WANT TO SEE HER GET BETTER.

I'LL DO ANYTHING I CAN FOR HER.

I JUST WANT HER TO COMPLY,

AND I NEED TO STOP ENABLING, BRINGING THE WRONG FOODS.

THIS TIME, I'LL MAKE THE RIGHT CHOICES,

GET STUFF THAT WE NEED TO EAT...

'CAUSE I DON'T WANT TO GO TO THE DOCTOR'S OFFICE

AND FIND OUT THAT MY WIFE GAINED WEIGHT.

OKAY, HAVE A NICE DAY.

OKAY, THANK YOU. YOU, TOO.

I KNOW WE GOT TO DO THIS.

WE AND MY WIFE HAVE GOT TO BE THERE FOR EACH OTHER...

HERE WE GO. ...AND LIFT EACH OTHER UP.

[ PANTING ]

HELPING HER GET HER LIFE BACK

IS HELPING ME GET MY LIFE BACK...

...BECAUSE ALL I DO IS TAKE CARE OF HER RIGHT NOW.

AND I HAVE THINGS I WANT TO DO.

AH, SORRY I TOOK SO LONG, LOVE.

Lupe: I COULDN'T DO THIS WITHOUT GILBERT RIGHT NOW.

HE DOES EVERYTHING FOR ME.

[ SIZZLING ]

AND HE'S THE ONE WHO KEEPS ME GOING.

I KNOW THIS TAKES A LOT

FOR HIM TO CONSTANTLY BE THERE FOR ME.

AND I WANT TO BE THERE FOR HIM JUST AS MUCH SOMEDAY.

**

COME ON, I'M ASKING YOU,

WHAT ARE YOU DOING ON YOUR PHONE?

GONNA HAVE TO GO ON THERE AND FIND OUT MYSELF.

THERE'S ALL KINDS OF CHICKS.

THAT'S SO DISRESPECTFUL, YOU KNOW.

IT GETS ME. IT IRKS ME.

I'M JUST SENDING SCRIPTURES OUT

WITH NO PICTURES OF ME AND JUST OF GOD

AND, YOU KNOW, THE NEWS AND STUFF LIKE THAT.

I'M HERE CLICKING AND GRABBING ANYONE I CAN

THAT I CAN SEND THAT MESSAGE OUT.

I'M TRYING TO SPREAD THE WORD OUT,

AND YOU'RE GETTING UPSET BECAUSE I ADDED A CHICK ON THERE.

IF YOU'RE SPREADING GOD'S WORD,

WHY WOULD I GO ON THERE AND I SEE ALL KINDS OF CHICKS,

ESPECIALLY SHOWING THEIR BOOBS?

COME ON, GILBERT.

IF THERE'S SOMEONE YOU WANT TO REACH OUT TO

AND IF IT'S A WOMAN, HAVE YOUR WIFE DO IT.

IT'S CALLED RESPECT 'CAUSE YOU'RE MARRIED.

OKAY, OKAY.

SOMETIMES, I FEEL LIKE I'M OUT LOOKING FOR AFFECTION SOMETIMES

'CAUSE I DON'T GET IT FROM YOU.

WE ALL FALL SHORT.

WE ALL HAVE STRUGGLES, YOU KNOW?

AND, YOU KNOW, I GUESS MY STRUGGLE IS CHICKS AND STUFF.

YOU KNOW, I'M NOT GONNA JUST CHANGE OVERNIGHT.

YOU KNOW, IT'S A PROCESS.

JUST LIKE YOU, YOU KNOW?

YOU'RE NOT EATING RIGHT, AND YOU'RE 600 POUNDS.

THAT'S SO DISRESPECTFUL.

YOU KNOW, JUST 'CAUSE I'M FAT AND THAT,

I DON'T DESERVE LESS, YOU KNOW?

I KNOW I CAN'T CHANGE YOU.

WHEN I MARRIED YOU, I LET THAT CRAP GO,

EVEN THE DAY I MET YOU.

IT'S CALLED RESPECT.

IT'S SOMETHING THAT YOU NEED TO START HAVING.

Lupe: I DON'T KNOW WHAT TO DO WITH HIM RIGHT NOW

BECAUSE I'M SO HURT.

I KNOW I CAN BE THE WIFE HE NEEDS.

I'M NOT ABLE TO BE INTIMATE WITH HIM RIGHT NOW

BECAUSE OF MY SIZE.

BUT I DIDN'T THINK HE WAS GOING BEHIND MY BACK

AND FLIRTING WITH OTHER WOMEN.

I FEEL LIKE I HAVE NO ONE AND THAT I'M ALONE RIGHT NOW.

AND THAT'S WHAT LED ME TO FOOD IN THE FIRST PLACE.

FOOD IS ALL I KNOW WHEN I FEEL THIS HURT AND THIS ALONE.

BUT IF I GIVE IN, I KNOW I'LL LOSE EVERYTHING.

Lupe: LIFE CAN TAKE YOU ON SOME UNEXPECTED TURNS.

BUT JUST BECAUSE THE ROAD CHANGES

DOESN'T MEAN THE DESTINATION HAS TO.

**

THIS PAST MONTH HAS BEEN GOOD IN SOME WAYS

AND NOT SO GOOD IN OTHERS.

GILBERT AND I FINALLY FOUND A RENTAL HOME.

AND WE'VE BEEN ABLE TO RENT A CAR

TO HELP US MOVE OUR STUFF IN.

I'M JUST EXCITED ABOUT BEING OUT OF THE HOTEL.

[ GRUNTS ]

BUT AT THE SAME TIME,

IT'S BEEN HARDER TO HANDLE ALL MY EMOTIONS RIGHT NOW.

AND I'VE BEEN CHEATING A LITTLE.

WHOA!

IT'S NOT EVEN GONNA FIT IN THERE, JUNIOR.

I CAN'T GET YOU UP HERE,

SO I'M GONNA HAVE TO TAKE YOU AROUND FRONT.

[ BREATHES SHARPLY ]

[ GROANS ] OKAY.

AND I'M SO THANKFUL FOR EVERYTHING HE DOES FOR ME.

[ GROANING ]

BUT THAT DOESN'T MEAN

IT'S OKAY FOR HIM TO TRY TO SEE OTHER WOMEN.

ONE, TWO...

I CAN'T GET YOU UP.

BABE, YOU'RE TOO HEAVY TO GET OVER THE STEP.

I DON'T WANT TO DO THIS.

I'M SCARED I'M GONNA FALL. MOVE.

WOULD YOU STOP? SERIOUSLY. WAIT.

HE STILL MAKES ME FEEL REALLY BAD SOMETIMES.

I'M GONNA GET SOMEONE OVER HERE TO HELP ME,

SINCE YOU'RE ACTING LIKE A BABY, MAN.

NO. SHUT UP.

YOU'RE ACTING LIKE A DAMN BABY, I'M SORRY.

-I DON'T CARE. -LIKE A BIG-ASS BABY.

Gilbert: CAN YOU DO ME A FAVOR, BRO?

TWO, THREE.

ONE, TWO.

[ GRUNTING ] OKAY.

THAT'S IT.

THANK YOU SO MUCH, BRO. I APPRECIATE IT.

Lupe: THE PAIN IS REALLY HARD RIGHT NOW.

AND I FEEL ALONE... THREE. [ GRUNTING ]

...LIKE I DID WHEN I WAS YOUNGER.

OKAY. WAIT, DON'T LET GO.

[ GROANING ] OKAY.

AND THAT'S MAKING IT SO HARD NOT TO RUN TO FOOD.

I WAS FIGHTING TO DO THIS FOR A FUTURE WITH GILBERT.

AND NOW THAT THAT FEELS UNCERTAIN,

I'M JUST HAVING A REALLY HARD TIME

STAYING MOTIVATED TO DO WHAT I NEED.

**

I'M A LITTLE NERVOUS...

...BECAUSE I WAS SUPPOSED TO LOSE ANOTHER 75 POUNDS

AND GET BELOW 450 POUNDS.

AND I KNOW I'VE BEEN GIVING IN TO MY CRAVINGS

DURING SOME OF THE HARDER MOMENTS THESE PAST FEW MONTHS.

AND MY HIP HAS BEEN HURTING,

SO I HAVEN'T BEEN ABLE TO EXERCISE OR WALK AT ALL.

Woman: LUPE SAMANO.

Lupe: I'M REALLY NERVOUS ABOUT WHAT THE SCALE'S GONNA SAY,

BECAUSE I NEED THIS SURGERY.

BECAUSE THERE'S NO HANDLES,

AND I HAVEN'T STOOD OUT OF BED FOR A WHILE.

ALL RIGHT, THEN. [ PEN CLICKS ]

-OKAY. -OKAY?

I'M A LITTLE FRUSTRATED.

I KNOW I HAVE TO HAVE SOME HELP TO STAND

BECAUSE I CAN'T GET WEIGHED WITHOUT THAT RIGHT NOW.

[ KNOCK ON DOOR ]

HELLO. HOW ARE YOU BOTH?

GOOD.

SO, WHAT'S GOING ON?

YOU REFUSED TO GET WEIGHED?

I COULDN'T GET ON THE SCALE.

I COULDN'T STAND ON THAT SCALE WITHOUT BALANCE.

COME ON. YOU WERE WALKING IN THE HOSPITAL.

ARE YOU SURE THE ISSUE

IS NOT YOU DON'T WANT TO GET ON THE SCALE?

YOU'VE SEEN THAT SINCE I'VE GOTTEN HERE,

WHEN I FIRST GOT HERE TO WHEN I WAS IN THE HOSPITAL,

I'VE LOST A LOT OF WEIGHT.

I WAS WALKING IN THE HOSPITAL WHEN I GOT SICK.

I WAS GOOD. I WAS NOT.

SO I'M BARELY STARTING TO GET OUT OF BED AGAIN.

THAT'S WHAT I'M SAYING.

YOU'RE NOT WALKING AT HOME?

MY HOUSE -- IT'S NOTHING BUT CERAMIC TILE.

IT'S VERY SLIPPERY IN THERE.

I'M NOT GETTING THERAPY. I'M NOT GETTING ANYTHING.

IT'S JUST ME AND MY HUSBAND.

YOU HAVE TO GET UP EVERY DAY AND EXERCISE.

I KNOW THAT, AND THAT'S WHY I'M SAYING

I NEED MORE THAN MY HUSBAND TO HELP ME AT HOME.

I ALMOST SLIPPED BECAUSE IT'S SO SLIPPERY THERE.

YOU HAD TWO MONTHS TO TELL ME THIS TO TRY TO HELP YOU.

IT JUST SOUNDS LIKE AN EXCUSE RIGHT NOW.

WHAT LUPE IS TELLING ME IS VERY CONCERNING.

SHE HAS AN EXCUSE FOR NOT STANDING ON THE SCALE.

NOW SHE'S MAKING EXCUSES

FOR NOT BEING ACTIVE FOR THE PAST TWO MONTHS.

SHE COULD HAVE CALLED US ANY TIME FOR HELP,

BUT IF SHE HASN'T BEEN GETTING UP,

THEN THERE IS NO WAY IS SHE MAKING GOOD PROGRESS RIGHT NOW.

UNTIL I CONFIRM YOUR PROGRESS, YOU'RE NOT GETTING SURGERY.

I MEAN, I'M WILLING TO GO WEIGH IN

AT ANY SCALE YOU WANT ME TO WEIGH IN

SO YOU CAN SEE MY WEIGHT.

I WAS DISCOURAGED WHEN I COULDN'T GET ON THAT SCALE,

'CAUSE I WANT TO SHOW YOU THAT I'M DOING WHAT I GOT TO DO.

BECAUSE I DIDN'T LEAVE CALIFORNIA

AND LEAVE EVERYTHING BEHIND TO COME HERE

AND NOT COMPLY WITH WHAT YOU WANT ME TO DO.

OKAY, LUPE.

I'M GOING TO GIVE YOU BENEFIT OF DOUBT

AND BELIEVE YOU'RE HAVING TROUBLE STANDING RIGHT NOW.

THIS IS NOT AN EMERGENCY SITUATION,

SO I'M NOT RUSHING YOU TO THE HOSPITAL.

I WANT YOU TO GO THERE FOR FOLLOW-UP IN TWO WEEKS,

AND WE'LL WEIGH YOU THEN.

THIS IS YOUR LAST CHANCE.

OKAY.

SEE YOU IN A COUPLE WEEKS.

HOPEFULLY, LUPE WILL RECOGNIZE THE SECOND CHANCE

AS AN OPPORTUNITY TO TRY HARDER TO DO WHAT SHE NEEDS.

BECAUSE IF SHE DOESN'T,

THERE IS NOTHING MORE WE CAN DO FOR HER.

Lupe: I REALLY WANT THIS SURGERY...

SO I PLAN TO DO WHAT IT TAKES

TO KEEP ON MAKING PROGRESS

TO GET APPROVED WHEN I GO TO THE HOSPITAL.

I HAVE TO DO THIS.

I WANT THIS SO BAD...

SO I CAN'T FAIL.

[ BIRDS CHIRPING ]

AFTER BEING IN THE CLINIC

AND HAVING THAT FEAR THAT I'M ABOUT TO SEE MY WEIGHT

AND IT'S NOT GONNA BE LOW ENOUGH,

I REALIZED HOW HARD I NEED TO BE WORKING FOR THIS.

I STILL CAN'T REALLY WALK,

SO I'M JUST MOVING AS MUCH AS I POSSIBLY CAN IN MY BED.

[ Chuckling ] BABE, ARE YOU TIRED OVER THERE?

I'M DONE. I'M TIRED. YOU'RE DONE ALREADY?

LOOKING ALL SEXY AND STUFF WITH YOUR RED SHIRT ON?

[ LAUGHS ]

I FEEL LIKE I MADE A LOT OF PROGRESS THESE PAST TWO MONTHS,

BUT I STARTED TO FALL AWAY AT THE END.

OKAY. WAIT, WAIT.

Gilbert: IT'S FORWARD.

SO I NEED TO MAKE UP FOR THAT TIME

IN CASE IT TOOK ME SO OFF COURSE

TO WHERE I'M NOT GONNA HIT THE GOAL I NEED.

OHH!

OKAY. YOU GOT IT?

BUT I'M SO SCARED WHEN I SEE THE DOCTOR NEXT WEEK

THAT I'M NOT GONNA MAKE AS MUCH PROGRESS AS I THOUGHT.

[ GROANING LIGHTLY ]

WHOO!

GOOD JOB, LOVEY. LOVING IT.

LOVING IT, LOVING IT. OKAY.

AND I FEEL LIKE I'M RACING A CLOCK RIGHT NOW

AND THAT MY TIME IS RUNNING SO SHORT.

I JUST HOPE I MAKE IT.

**

TODAY, WE BROUGHT LUPE IN THE HOSPITAL TO CHECK HER WEIGHT,

TO SEE IF SHE MADE THE PROGRESS SHE WAS SUPPOSED TO

AND SHOW ME THAT SHE'S READY FOR WEIGHT-LOSS SURGERY.

OKAY.

Lupe: THIS IS IT.

I HAVE NO IDEA HOW MUCH PROGRESS I MADE.

I HOPE I DID ENOUGH TO GET BACK ON TRACK.

I'M JUST TERRIFIED RIGHT NOW THAT IT WASN'T ENOUGH.

**

[ GRUNTS ]

Dr. Nowzaradan: LUPE IS IN THE HOSPITAL TODAY,

SO WE CAN SEE IF SHE MADE THE PROGRESS SHE'S SUPPOSED TO.

IF SHE LOST 75 POUNDS TO GET UNDER 450 POUNDS,

WE WILL APPROVE HER FOR WEIGHT-LOSS SURGERY.

IF SHE HASN'T DONE IT THIS TIME, SHE WILL BE OUT OF CHANCES.

Woman: OKAY.

Dr. Nowzaradan: 439 POUNDS.

[ GRUNTS ]

Gilbert: HEY, OH, MY GOD. THAT'S CRAZY.

ALL RIGHT, YOU DID IT.

Dr. Nowzaradan: LUPE HAS DONE WELL.

IT TOOK HER A LITTLE BIT

TO COME AROUND AND START MAKING PROGRESS,

BUT SHE'S DONE IT, AND I'M VERY PROUD OF HER.

DO YOU FEEL ANY BETTER?

OH, YES. I FEEL...AMAZING.

I FEEL ALIVE.

OKAY. I'M APPROVING YOU FOR WEIGHT-LOSS SURGERY.

[ CHUCKLES ]

GOOD JOB, AND I'LL SEE YOU SOON.

Dr. Nowzaradan: I KNOW THE DYNAMIC AT HOME

WASN'T EASY FOR HER TO BALANCE.

BUT SHE MADE A LOT OF PROGRESS.

AND SHE STILL HAS A LONG WAY TO GO.

BUT THIS IS A HUGE STEP FOR HER TODAY.

[ SNIFFLES ]

Lupe: I KNEW I HAD THIS.

I KNEW I LOST THE WEIGHT.

[ Voice breaking ] I PUSHED, AND I'VE BEEN PUSHING SO HARD.

AND I DESERVE IT.

I KNOW I DESERVE IT.

**

Dr. Nowzaradan: WE'VE BEEN RUNNING TESTS ON LUPE

TO PREPARE HER FOR SURGERY.

AND TEST RESULTS ON HER HEART ARE A LITTLE BIT CONCERNING.

I'M HERE FOR YOU, LOVE. I'M HERE.

Lupe: I'M REALLY NOT SURE WHAT'S GOING ON.

I JUST KNOW THE DOCTOR HAD SOME CONCERNS ABOUT MY HEART.

AND I'M SO SCARED WHAT HE'S GONNA FIND.

IT'S GONNA MEAN I DON'T GET SURGERY.

Dr. Nowzaradan: IF HER HEART IS WEAKER THAN I THOUGHT,

THEN THERE IS NO WAY THAT SHE WILL SURVIVE A MAJOR PROCEDURE,

LIKE WEIGHT-LOSS SURGERY.

PULL YOUR HAIR OUT.

THIS IS A PROCEDURE THAT WE LOOK TO THE ESOPHAGUS

SO WE CAN SEE THE HEART

MUCH BETTER THAN WE CAN SEE THROUGH THE CHEST WALL.

[ MONITOR BEEPING ]

SHE'S BEEN OVERWEIGHT AND IMMOBILE FOR SO LONG

THAT IT HAS TAKEN A SIGNIFICANT TOLL ON HER HEART.

OKAY. GO DOWN.

I NEED TO MAKE SURE THAT IT'S STRONG ENOUGH

TO UNDERGO WEIGHT-LOSS SURGERY

OR STAND TO BE UNDER ANESTHESIA FOR SO LONG.

LET ME TAKE A LOOK THERE.

Gilbert: I'M WORRIED, BUT I WANT HER TO HAVE THE SURGERY

BECAUSE OF THE SIMPLE FACT THAT IT'S BEEN SO MANY YEARS,

AND I'M TIRED OF THE LIFE THAT WE'RE LIVING.

AND I JUST WANT TO HAVE A HAPPY LIFE.

I WANT TO BE ABLE TO GO PLACES WITH HER

INSTEAD OF BEING IN PRISON AT MY HOME.

[ AIR RUSHING ]

Dr. Nowzaradan: THAT'S IT.

OKAY. LET'S GET HER TO RECOVERY.

YOU'RE ALL FINISHED. ALL GOOD.

OHH.

**

OHH.

Lupe: THEY FINISHED RUNNING ALL THE TESTS ON MY HEART,

AND DR. NOW SAID HE'S COMING TO TALK TO ME ABOUT IT.

IF HE SAYS I CAN'T GET THE SURGERY,

THEN I'M GONNA BE COMPLETELY DEVASTATED.

AND I REALLY DON'T KNOW HOW I'M GONNA HANDLE IT.

Gilbert: HEY. GOOD MORNING.

HOW ARE YOU ALL DOING? GOOD MORNING.

HOW DO YOU FEEL TODAY? GOOD.

WE FINISHED RUNNING ALL THE TESTS,

AND THEY'RE SHOWING THAT YOUR HEART IS TOO WEAK

FOR GASTRIC BYPASS. OKAY.

SO THERE IS A VERY HIGH RISK

THAT YOU WOULD NOT SURVIVE A PROCEDURE THAT EXTENSIVE.

HOWEVER, GASTRIC SLEEVE IS STILL AN OPTION.

IT WOULD BE A MUCH SHORTER OPERATION

THAT WOULD NOT STRAIN YOUR BODY AS MUCH,

AND GIVE YOU MUCH OF THE BENEFIT

OF GASTRIC BYPASS IN SHORT TERM.

SO I'M APPROVING YOU FOR THAT PROCEDURE.

OH, MY GOD. THANK YOU, JESUS.

OH! THANK YOU.

CONGRATULATIONS. I'LL SEE YOU TOMORROW.

OKAY. THANK YOU.

[ CRYING, SNIFFLING ]

FINALLY, OUR PRAYERS HAVE BEEN ANSWERED.

Lupe: OH, MY GOSH.

I WAS SO SCARED I WASN'T GONNA GET THE SURGERY,

EVEN AFTER ALL THAT WORK.

I'M JUST THANKFUL TO GOD THAT I'M GETTING SURGERY STILL

AND THAT I HAVE THIS CHANCE.

AND THIS APPROVAL MEANT EVERYTHING TO ME.

I'VE BEEN WAITING FOR THIS DAY FOR A LONG TIME.

THIS IS THE BEGINNING, RIGHT NOW.

Gilbert: IT'S GIVEN ME A LOT OF HOPE.

I WAS LIKE, LITERALLY, JUST...BARELY HANGING IN THERE.

I'M NOT GONNA LIE, BUT IT JUST MADE THINGS BETTER.

IT'S REALLY GREAT.

**

[ METAL CREAKS ]

Woman: OKAY.

Lupe: I'M NOT SCARED RIGHT NOW BECAUSE I WANT THIS SO BAD,

AND I KNOW EVERYTHING'S GONNA BE ALL RIGHT TODAY.

I HAVE COMPLETE FAITH IN GOD AND IN THE DOCTORS --

THAT THEY'RE GONNA TAKE CARE OF ME

TO GIVE ME THIS SECOND CHANCE.

**

Dr. Nowzaradan: TODAY,

WE ARE GOING TO PERFORM GASTRIC-SLEEVE SURGERY ON LUPE.

SHE'S STILL A VERY HIGH-RISK PATIENT,

AND HER HEART WILL NOT BE ABLE TO TOLERATE MUCH ADDED STRAIN

BEING UNDER ANESTHESIA TOO LONG.

[ INDISTINCT CONVERSATIONS ]

SO WE'RE GOING TO TRY TO DO THE OPERATION QUICKLY

AND PUT AS LITTLE STRAIN ON HER BODY AS POSSIBLE.

I MEAN, THIS IS A HUGE STOMACH.

GO AHEAD AND PUT ONE HERE.

ON A PATIENT THIS SIZE,

GASTRIC BYPASS IS THE MOST EFFECTIVE METHOD

OF WEIGHT-LOSS SURGERY.

BUT IN SOME CASES, DOING SURGERY IS VERY DANGEROUS,

AS FAR AS THE HEART IS CONCERNED,

SO TAKING PART OF THE STOMACH AND DOING A SLEEVE GASTRECTOMY

WILL BE A MUCH QUICKER, BETTER OPTION FOR THIS PATIENT.

WHEN WE PERFORM A GASTRIC-SLEEVE OPERATION,

WE USE A STAPLING DEVICE TO REMOVE 90% OF CELLULITE.

SO WE HAVE A SIGNIFICANT REDUCTION

OF THE FOOD INTAKE IN THIS PATIENT.

THE RESULT IS THEY WILL LOSE WEIGHT QUICKLY.

Gilbert: IT'S A WAITING GAME NOW.

I'M JUST -- JUST PRAYING WHILE I'M SLEEPING.

[ AIR RUSHING ]

ALL RIGHT. WE COMPLETED THE SLEEVE.

NOW WE GOT TO CLOSE HER UP.

THAT LOOKS GOOD.

[ MONITOR BEEPING ]

WELL, LUPE'S SURGERY WENT VERY WELL,

SO WE'RE GONNA WAKE HER UP NOW.

Man: LUPE, DO YOU REMEMBER YOU HAD SURGERY?

DO YOU REMEMBER YOU HAD SURGERY?

I'M ENCOURAGED BY LUPE'S RECENT PROGRESS,

AND THIS SURGERY WILL HELP HER MAKE EVEN MORE.

MY PRIMARY CONCERN NOW IS CHANGING

THE UNHEALTHY DYNAMIC SHE HAS WITH HER HUSBAND.

HER FOCUS NEEDS TO BE TO BECOME MORE MOBILE

AND BREAK DEPENDENCE ON HIM.

IF SHE DOESN'T DO THAT, SHE'LL START TO DECLINE AGAIN.

AND IF THAT HAPPENED,

WE MAY NOT BE ABLE TO BRING HER BACK THIS TIME.

MM. I LOVE YOU.

**

Lupe: YESTERDAY, GILBERT WENT HOME,

AND HE WAS SUPPOSED TO COME RIGHT BACK.

BUT I HAVEN'T SEEN HIM OR HEARD FROM HIM.

SO, AND TODAY, I CALLED HIM, AND HE DIDN'T REALIZE IT WAS ME.

HE THOUGHT I WAS THIS OTHER WOMAN,

AND HE WAS ASKING HER TO MEET HIM.

I FEEL SO BETRAYED AND SO HURT,

AND I DON'T KNOW WHAT TO DO,

BECAUSE IF I CAN'T TRUST GILBERT,

IT'S GONNA TEAR ME APART,

AND THAT'S GONNA LEAD ME RIGHT BACK TO FOOD.

AH. [ SNIFFLES ]

HOW YOU FEELING?

**

[ GROANS ]

BUT ALL I CAN SAY IS THAT I KNOW WHAT I DID WAS WRONG.

IT'S JUST SAD THAT YOU'RE IN A RUSH TO LEAVE,

TO GET HOME AND STUFF, AND I'M IN THE HOSPITAL.

AND THEN, WHEN YOU DO ANSWER, I HEAR YOU TELL THIS CHICK THAT,

"OH, I'LL SHOW YOU A GOOD TIME,

AND THEN WE'LL GO ON FROM THERE."

I DON'T KNOW HOW YOU GOT ON THE PHONE

RIGHT WHEN THAT HAPPENED, BUT...

YOU'RE TOO HARD ON ME! HOW AM I SUPPOSED TO TRUST YOU?

YOU'RE TOO [BLEEP] -- YOU'RE TOO HARD ON ME.

HOW AM I SUPPOSED TO TRUST YOU?

COME ON. THE BEDROOM IS NOT LIKE IT NEEDS TO BE, ALL RIGHT?

I JUST WANT TO FLIRT HERE AND THERE.

IF YOU WOULD HAVE SAID THAT TO THAT CHICK

AND SHE WOULD HAVE SAID, "OKAY,"

A MAN'S GONNA BE A MAN, AND HE'S GONNA GO FOR THE CHICK.

YEAH. BULLCRAP.

OKAY, YEAH.

IT WOULD HAVE WENT FURTHER.

YEAH, IT PROBABLY -- YEAH. YES.

BABE.

LOVE.

WE CAN MOVE ON FROM THIS, OKAY?

JUST LIKE THE LAST FEW TIMES, YOU KNOW,

I NEED YOU TO GET YOUR MIND OFF THIS.

AND YOU CAN'T LET SOMETHING LIKE THIS JUST DESTROY EVERYTHING.

-I KNOW THAT, LOVE. -OKAY, THEN.

Gilbert: OUR SEXUAL RELATIONSHIP IS DIFFICULT.

I GET SEXUALLY FRUSTRATED, AND I TEND TO SLIP.

BUT, YOU KNOW, I LOVE MY WIFE,

AND I KNOW IT'S GONNA CHANGE, SO...

LOOK, THE POINT IS, LET'S JUST GET OVER IT.

-IT'S A GOOD DAY, OKAY? -OKAY.

PEOPLE ARGUE, ALL RIGHT? I'M SORRY.

I LOVE YOU. I DO LOVE YOU.

IF I DIDN'T,

I WOULD NOT STILL BE HERE, BUSTING MY ASS.

Lupe: I DON'T KNOW WHAT TO DO,

BECAUSE IF I CAN'T TRUST GILBERT,

PART OF ME WILL JUST WANT TO GIVE UP,

AND I'M SO SCARED RIGHT NOW ABOUT WHAT'S GONNA HAPPEN.

IF I GIVE IN AND START TO GO BACK TO FOOD,

THEN I'M GONNA END UP DYING SOON.

**

Lupe: SINCE LEAVING THE HOSPITAL,

THINGS HAVE BEEN REALLY HARD.

GILBERT AND I HAVEN'T BEEN DOING WELL.

IT'S LIKE THIS CLOUD HANGING OVER US,

AND I'M STRUGGLING WITH STAYING MOTIVATED.

[ SPEAKING INDISTINCTLY ]

I'VE BEEN TRYING NOT TO BE SO DEPRESSED ABOUT EVERYTHING,

BUT I'M JUST SO HURT BY GILBERT.

ARE YOU HUNGRY? DO YOU WANT ME TO MAKE SOMETHING?

HOPEFULLY, WE HAVE SOME STUFF.

CREAM OF MUSHROOM?

YEAH.

IT MADE ME FEEL SO WORTHLESS

WHEN I FOUND OUT HE'S TRYING TO BE WITH OTHER WOMEN

BECAUSE I'M NOT ENOUGH LIKE THIS.

IF I'M NOT ENOUGH RIGHT NOW,

THEN I DON'T THINK LOSING THE WEIGHT WOULD CHANGE THAT.

[ SMACKS LIPS ]

NOT BAD.

NOT ALL THAT GOOD, EITHER, THOUGH.

WELL, I WOULDN'T EAT THAT.

I JUST FEEL LIKE I CAN'T RELY ON HIM RIGHT NOW.

AND I WON'T FEEL LIKE HE'S SORRY.

GET A STRAINER TO STRAIN THE MUSHROOM.

OKAY.

I'M STILL STICKING TO MY LIQUID DIET,

BUT I HAVE NO CHOICE RIGHT NOW BECAUSE OF THE SURGERY.

BUT I'M FINDING IT VERY HARD

TO STAY MOTIVATED TO GET UP EVERY DAY.

SO I'VE MOSTLY BEEN STAYING IN BED.

THAT'S GOOD, MAN.

IF THE MUSHROOMS ARE ON THEM, I'M NOT GONNA EAT THEM.

I CAN'T EAT THEM.

EVEN ONE LITTLE PIECE IS GONNA KILL YOU?

I DON'T KNOW. ASK DR. NOW THAT.

ARE YOU IN PAIN RIGHT NOW?

IS THAT WHY YOU'RE ACTING LIKE THAT?

[ Chuckling ] NO, I'M FINE.

OH, YOU'RE GETTING ME FRUSTRATED, THOUGH.

[ BOWL CLINKS ]

YOU'RE JUST TRYING TO THROW ANYTHING EASY OUT THERE TO ME

JUST TO EAT.

-GOSH. -WHAT ARE YOU SO UPSET FOR?

-GOSH. -NEVER MIND.

PATIENT. [ EXHALES DEEPLY ]

YES. [ SCOFFS ]

WELL, YOUR SOUP'S RIGHT THERE.

I'LL STRAIN THE REST WHEN I GET BACK.

I'M GONNA GO GET MY BURRITO.

I'LL BE BACK. GOING TO THE CORNER REAL QUICK.

YOU SIT THERE AND PRAY TO GOD

TO CHANGE YOUR FRICKIN' ATTITUDE.

[ DOOR OPENS ]

Lupe: I DON'T KNOW HOW TO REPAIR EVERYTHING WITH GILBERT.

AND THAT MAKES ME FEEL LIKE GIVING UP RIGHT NOW.

**

THINGS ARE STILL REALLY BAD BETWEEN ME AND GILBERT.

[ MONITOR BEEPS ]

WE'VE STILL BEEN FIGHTING A LOT,

SO HE'S BEEN AROUND LESS AND LESS.

I MOSTLY JUST STAYED IN BED THE LAST MONTH.

AND LAST WEEK,

I STARTED HAVING A LOT OF PAIN ON MY LOWER BACK.

[ MONITOR BEEPING ]

Dr. Nowzaradan: LUPE HAS SPENT THE LAST TWO MONTHS IN BED,

BARELY EVEN MOVING,

WHICH IS EXTREMELY DAMAGING TO THE BODY.

SO SHE HAS DEVELOPED A HUGE BEDSORE

THAT IS IN RISK OF BECOMING INFECTED.

IF IT DOES, IT WILL CERTAINLY BE LIFE-THREATENING TO HER.

SO WE NEED TO ADDRESS IT IMMEDIATELY.

[ INDISTINCT CONVERSATIONS ]

Lupe: I'M SCARED ABOUT GOING INTO SURGERY AGAIN,

AND I DON'T EVEN KNOW WHERE GILBERT IS RIGHT NOW.

ONE, TWO, THREE.

Dr. Nowzaradan: LUPE SEEMS TO BE VERY DEPRESSED.

THERE ARE ISSUES AT HOME,

AND SHE'S NOT DEALING WITH THEM AT ALL.

SO SHE HAS BECOME COMPLETELY IMMOBILE AGAIN.

[ AIR RUSHING ]

THERE'S ABSOLUTELY NO EXCUSE FOR LUPE TO BE DECLINING

AND FOR THIS TO HAPPEN.

SO, AFTER SHE HAS SOME TIME TO RECOVER FROM THIS,

I'M STARTING HER ON AN EXTENSIVE PHYSICAL-THERAPY PROGRAM,

AND THEN WE'RE GOING TO TRY TO GET HER UP AND WALK.

THE LONGER SHE STAYS IMMOBILE IN BED,

THE HARDER IT WILL BE FOR US TO GET HER UP AGAIN.

GAINING MOBILITY AGAIN

AND BREAKING THIS DYNAMIC WITH HER HUSBAND

IS GOING TO BE HER ONLY CHANCE FOR LONG-TERM SUCCESS.

**

WANT TO DO SOME BOXING?

Lupe: AFTER SURGERY, GILBERT SHOWED UP

AND HAS BEEN HELPING ME WITH MY EXERCISES.

[ SIGHING ]

EVERYTHING'S STILL A LITTLE TENSE BETWEEN US.

BUT I'M HAPPY TO HAVE HIS HELP RIGHT NOW.

PRESS YOUR WRIST FORWARD.

HE'S BEEN MY SUPPORT FOR SO LONG,

AND IT'S HARD TO EVEN DO IT WITHOUT HIM.

[ CHUCKLES ]

BUT I JUST FEEL SO WEAK RIGHT NOW.

I'M JUST NOT READY TO GET UP AND STAND AGAIN.

ALL RIGHT.

IT'S TOO HARD, AND IF I FALL,

NOBODY'S GONNA BE ABLE TO CATCH ME OR PICK ME UP.

LET ME KNOW WHAT YOU WANT ME TO DO SO I CAN GET YOU TO STAND.

YOU KNOW, I DON'T THINK I'M GONNA STAND TODAY.

MY LEGS ARE VERY NUMB.

YOU CAN DO IT, THOUGH. YOU CAN STAND.

I'M NOT GONNA STAND AND FALL, OKAY,

IF I KNOW -- MY LEGS ARE RIGHT NOW.

THEY'RE WEAK. I CAN'T EVEN FEEL THEM.

WHAT'S THE DIFFERENCE BETWEEN NOW

AND TWO DAYS AFTER TODAY?

I'M NOT GONNA STAND TODAY AND FALL AND GO BACKWARDS

'CAUSE YOU WANT TO SEE ME STAND.

I'M SORRY.

YOU CAN STAND. YOU JUST DON'T WANT TO STAND.

HERE. I CAN BARELY GET MYSELF TO THE EDGE OF THE BED.

BUT YOU HAVE TO WORK THROUGH THE PAIN.

IT'S NOT AMOUNT OF PAIN -- I'M NOT SAYING THE PAIN.

MY LEGS ARE NUMB! OKAY?

SO I'M NOT GONNA STAND AND FALL

BECAUSE YOU OR ANYBODY ELSE WANT TO SEE ME!

YOU NOT GETTING THERE IS MESSING ME UP.

YOU KNOW WHAT I MEAN?

I WANT US TO HAVE A HAPPY LIFE.

WE CAN'T HAVE A HAPPY LIFE

IF YOU CONTINUE TO JUST BE STUCK.

Lupe: I'M NOT READY.

AND WHEN GILBERT TRIES TO PUSH ME RIGHT NOW,

IT MAKES ME FEEL LIKE HE'S NOT LISTENING

AND MAYBE THAT HE JUST WANTS ME TO GET UP

SO HE DOESN'T HAVE TO TAKE CARE OF ME ANYMORE.

THIS IS SO MUCH HARDER FOR ME

THAN GILBERT OR ANYONE REALIZES,

AND THEY CAN'T PUSH ME TO GET UP UNTIL I'M READY.

TOMORROW MORNING, WE'LL GET ON THIS

BREAKFAST, LUNCH, AND DINNER, OKAY?

AND RIGHT NOW... I'M NOT READY.

**

OW, MY LEGS HURT, MAN.

THE DOCTOR SAID HE WANTS TO KNOW MY PROGRESS

AND THAT I HAVE TO STAND UP ON A REGULAR SCALE

TO GET MY WEIGHT TODAY.

I KNOW EVERY DAY I DON'T GET OUT OF THIS BED,

I GET WEAKER AND WEAKER.

BUT I'M SCARED RIGHT NOW,

AND I DON'T FEEL LIKE I'M READY FOR THIS.

Dr. Nowzaradan: SCALE.

TODAY, I TOLD LUPE THAT SHE NEEDED TO GET OUT OF THE BED.

Man: OVER HERE.

IT IS IMPERATIVE TO GET HER UP.

IF SHE DOESN'T,

THEN HER HEALTH IS GOING TO CONTINUE TO DECLINE RAPIDLY,

AND HER BODY IS NOT GOING TO BE ABLE TO HANDLE THAT.

WHOA!

YOU'RE GONNA BE FINE. JUST COME ON.

WHOA!

LUPE, YOU'VE BEEN IN BED SO LONG,

YOU'RE LOSING YOUR STRENGTH, OKAY?

I KNOW. [ CRYING ]

AND YOU DON'T KNOW, BECAUSE IF YOU KNEW,

YOU WOULD DO SOMETHING ABOUT IT.

-YEAH. -COME ON.

I CAN'T. MY LEGS ARE NUMB.

THAT'S BECAUSE YOU HAVEN'T BEEN TRYING.

LUPE IS NOT DEALING WITH THE ISSUES IN HER LIFE

IN THE RIGHT WAY,

AND THAT IS CREATING A VERY DANGEROUS SITUATION FOR HER.

YOU'VE BEEN MONTHS AND MONTHS OF STAYING IN THE BED

AND ASKING FOR PAIN MEDICINE,

AND YOU'RE GONNA HAVE TO GET UP AND MOVE.

SHE'S CONVINCED HERSELF

TO STOP DOING ANYTHING AND MAKING PROGRESS

BECAUSE SHE'S SCARED RIGHT NOW.

I'M GONNA FALL.

Man: YOU'RE NOT GONNA FALL.

LUPE, DO YOU WANT TO STAND UP, OR YOU DON'T?

I DO, BUT I'M SCARED.

YEAH, JUST TELL ME THE TRUTH.

THIS IS ALL BY YOUR DESIGN.

THIS IS WHERE IT GOT YOU TO BE ALMOST 600 POUNDS.

THIS IS WHAT GOT YOU IN THE BED.

YOU REFUSE TO GET OUT OF THIS CONDITION.

YOU'RE PLAYING WITH EVERYBODY AROUND YOU.

NO, I'M NOT.

COME ON.

THIS IS YOUR LIFE, AND WE'RE TRYING TO HELP YOU,

AND YOU DON'T WANT ANY HELP. I KNOW YOU ARE.

AND I'M VERY THANKFUL FOR THAT.

NO, BUT YOUR ACTION SPEAKS LOUDER THAN WHAT YOU SAY.

YOU KNOW WHAT YOU NEED TO DO,

BUT YOU DON'T WANT TO DO IT.

[ CRYING ]

PUT HER BACK IN THE BED.

OH, OW!

BREATHE, BREATHE, BREATHE. OKAY.

Dr. Nowzaradan: THIS IS A VERY BAD SITUATION.

LUPE IS AT A CROSSROAD, AND SHE'S CHOOSING A PATH

THAT IS GOING TO LEAD HER TO HER DEATH.

**

Dr. Nowzaradan: LUPE IS REFUSING TO GET UP AND DO ANYTHING,

SO THERE'S NOTHING MORE WE CAN DO FOR HER HERE.

Lupe: I'M SO SCARED BECAUSE I'M STARTING TO FEEL

LIKE I'M NEVER GONNA BE ABLE TO GET BACK UP.

ALL RIGHT, LUPE.

SO, I'M GOING TO GO AHEAD AND SEND YOU HOME.

YOU KNOW THAT YOU GOT A VERY BAD HEART.

YOU KNOW YOU'RE A DIABETIC.

IF YOU DON'T MOVE AROUND

AND IF YOU DON'T CHANGE YOUR LIFESTYLE,

YOUR BODY IS GONNA GIVE OUT.

RIGHT NOW, THE BATTLE FOR LUPE'S LIFE

IS NOT PHYSICAL -- IT IS PSYCHOLOGICAL.

THE LAST THING WE'RE GONNA TRY

IS TO SEND A PSYCHOLOGIST TO MEET WITH YOU AND GILBERT

TO TRY TO DEAL WITH THE ISSUES

THAT ARE KEEPING YOU IN THE BED.

AFTER SURGERY, WHEN A PATIENT HITS THE WALL LIKE THIS,

A PSYCHOLOGIST MAY BE THEIR ONLY HOPE.

YOU NEED TO FIGURE OUT,

WHAT IS THE THING THAT IS MAKING YOU AFRAID TO STAND NOW?

AND HOW ARE YOU GONNA CHANGE THE DYNAMIC THAT IS KILLING YOU

BEFORE IT'S TOO LATE?

ALL RIGHT.

-OKAY. -[ SNIFFLING ]

**

COME HERE, MY LOVE.

THAT HAD ME CRYING. STOP IT.

[ SMOOCHES ]

YOU'RE GONNA HAVE ALL MY SUPPORT,

EVEN MORE NOW, WHEN WE GET HOME.

I'LL BEND OVER BACKWARDS FOR YOU, LOVE.

I'LL TAKE A BULLET FOR YOU -- YOU KNOW THAT.

I'M SORRY, MY BABY.

**

Lupe: TODAY, THE THERAPIST IS COMING OVER

TO TALK TO ME AND GILBERT ABOUT ALL OUR ISSUES.

I KNOW MY BIGGEST ONE IS HOW GILBERT MAKES ME FEEL

WHEN HE TRIES TO MEET UP WITH OTHER WOMEN

AND HOW HARD IT IS FOR ME TO TRUST HIM RIGHT NOW.

WHEN I THINK ABOUT IT,

I FEEL LIKE I JUST START TO LOCK UP,

AND I DON'T WANT TO DO ANYTHING.

[ KNOCK ON DOOR ]

HEY. COME IN.

THANK YOU.

HEY, LUPE, GOOD TO SEE YOU. HI. [ CHUCKLES ]

SO, HOW ARE BOTH OF YOU?

-HANGING IN THERE. -HANGING IN THERE.

I JUST GOT OUT OF THE HOSPITAL.

WHERE ARE YOU AT TODAY,

IN TERMS OF JUST RECOVERING, YOU KNOW, PHYSICALLY?

I'VE BEEN OKAY.

I STILL HAVE A LOT OF THOUGHTS IN MY MIND, YOU KNOW?

YEAH.

I REALLY WANT TO GET OUT OF BED AND THAT, BUT...

YOU KNOW, 'CAUSE I KNOW I'M A BURDEN ON MY HUSBAND.

YOU KNOW, IT'S HARD FOR HIM TO DO EVERYTHING AND THAT.

HOW'S THE RELATIONSHIP GOING?

ME AND MY HUSBAND -- WE HAVE OUR UPS AND DOWNS.

THERE'S TIMES, YOU KNOW, I'VE CAUGHT HIM,

YOU KNOW, FLIRTING AND TRYING TO GET GIRLS' NUMBERS AND...

OKAY. I WANT TO HAVE AN HONEST CONVERSATION ABOUT THAT,

BECAUSE WE NEED TO GET ON THE SAME PAGE...

YES, WE DO.

...AND IT SOUNDS LIKE MAYBE WE'RE NOT THERE YET.

SO, LUPE, FOR YOU,

WHEN DOES THE BEHAVIOR BECOME SOMETHING THAT CROSSES THE LINE?

I'M GONNA SPEAK UP AND SAY WHAT I GOT TO SAY.

I'VE CAUGHT HIM TALKING TO FEMALES --

A FEMALE IN THE ROOM, SAYING SHE'S PRETTY,

EVEN MADE UP WITH HER AND THAT.

I WAS ASLEEP, AND I WOKE UP,

AND HE THOUGHT I WASN'T HEARING HIM.

HE WAS IN THE ROOM. OH, YEAH, SHE'S PRETTY.

HE'S GONNA MEET HER. HE'S GONNA BE WITH HER.

THAT'S WHY I HAVE TO SPEAK UP NOW

BECAUSE THAT'S WHY I DON'T TRUST HIM.

AND THIS IS RECENTLY -- WHEN I GOT OUT OF THE HOSPITAL.

YEAH. MM-HMM.

SO HOW DO YOU EXPECT ME TO TRUST HIM, LIKE, IF HE'S DOING IT?

THAT'S WHERE WE ARE NOW.

I'M NOT GONNA SIT HERE AND ARGUE WITH HER OR NOTHING,

'CAUSE SHE'S RIGHT -- YOU KNOW, IT'S TRUE.

BUT HER NOT GETTING UP, NOT TRYING TO PUSH

IS MAKING ME FEEL LIKE SHE DON'T VALUE OUR MARRIAGE,

AND I'M STARTING TO BE RESENTFUL.

I WANT OUR MARRIAGE TO WORK.

I WANT YOU TO GET UP. I WANT YOU TO WALK.

COME ON, SERIOUSLY.

I'VE BEEN THERE -- EVERYTHING.

I'M YOUR BREATH.

I NEED YOU TO GET UP. I'M TIRED.

'CAUSE RIGHT NOW, IT FEELS LIKE I VALUE YOUR LIFE

MORE THAN YOU VALUE YOUR OWN LIFE.

JUST TO PUT SOME PERSPECTIVE --

INDIVIDUALLY, YOU ALL HAVE BEEN UNDER

AN INSANE AMOUNT OF STRESS. [ SCOFFS ] YEAH.

AND THE RELATIONSHIP, AS WELL.

UNFORTUNATELY, WHAT HAPPENS IS,

WHEN TRUST IN A RELATIONSHIP IS BROKEN,

IT IS VERY, VERY HARD TO GET THAT BACK.

YOU CAN GET THAT BACK, BUT IT TAKES A LOT OF WORK.

IT'S A PROCESS OF SAYING WHAT YOU MEAN

AND MEANING WHAT YOU SAY

AND FOLLOWING THAT UP WITH BEHAVIOR.

I THINK YOU BOTH ARE WELL-INTENTIONED.

I MEAN, YOU OBVIOUSLY LOVE ONE ANOTHER.

BUT TRUST HAS TO BE BACKED UP WITH BEHAVIOR.

YOU ALL REALLY NEED TO WORK ON JUST REBUILDING THINGS,

AND RIGHT NOW, IT'S AS SIMPLE AS,

"I NEED TO STAY FAITHFUL -- FIND WAYS TO DO THAT,"

AND, "I'VE GOT TO FIND WAYS TO CONTINUE TO WORK ON MYSELF,"

AND TO HELP HIM,

BECAUSE HE'S AT A POINT WHERE HE CAN'T HELP ANYMORE.

AND THEN, THAT'S HOW YOU REBUILD TRUST --

LITTLE BY LITTLE BY LITTLE.

I THINK THAT WILL GIVE US A LOT OF WORK TO START WITH, OKAY?

OKAY. ALL RIGHTY.

THANK YOU. BYE. TAKE CARE.

NICE TO SEE YOU. SAME HERE. BYE-BYE.

Lupe: GILBERT'S BEEN MY ROCK FOR SO MANY YEARS.

IF I DON'T HAVE A FUTURE WITH HIM,

THEN I DON'T HAVE THE MOTIVATION I HAD

WHEN I STARTED THIS JOURNEY.

SO I WANT TO WORK ON THINGS

[ BIRDS CHIRPING ]

Lupe: WHEN YOU LIVE FOR SO LONG WITHOUT HOPE,

ONCE YOU HAVE IT,

YOU'LL CLING TO IT AND NEVER LET GO.

**

Gilbert: I GOT SOMETHING FOR YOU.

FOR DOING SO GOOD THIS PAST YEAR AND MAKING ME SO PROUD.

THINGS HAVE BEEN A LITTLE BETTER BETWEEN GILBERT AND I.

WE HAVE BEEN TRYING TO WORK ON OUR RELATIONSHIP.

THANK YOU.

AND THAT'S MEANT TALKING MORE ABOUT THINGS.

I FEEL LIKE GILBERT'S UNDERSTANDING HOW HE HURT ME,

AND THAT'S BEEN A BIG STEP FOR US.

MY LEGS. OH, GEEZ.

THIS ONE? YES.

I KNOW WE STILL HAVE A LOT OF THINGS TO WORK THROUGH,

BUT I FEEL LIKE WE CAN FIGURE IT OUT TOGETHER

AND GROW OUR MARRIAGE FROM HERE.

I THOUGHT WE'D DO SOMETHING SPECIAL TODAY.

I THOUGHT WE'D COOK TOGETHER,

HAVE A NICE, ROMANTIC DINNER TOGETHER.

Gilbert: YOU KNOW, I'VE BEEN KIND OF A FLIRT

IN THE PAST TIMES OF THIS YEAR,

BUT IT MADE ME REALIZE HOW MUCH I LOVE MY WIFE

AND THAT, YOU KNOW, I NEED TO HONOR MY VOWS WITH HER.

[ SIZZLING ]

Lupe: I'VE BEEN WORKING ON GETTING OUT OF BED,

AND GILBERT'S BEEN HELPING ME GET UP.

BUT I'M STILL NOT ABLE TO STAND.

NICE DAY, BABE.

I HAVE MY NEXT APPOINTMENT WITH DR. NOW IN A MONTH.

I WANT TO SHOW HIM HOW MUCH I'M TRYING TO GET UP.

BUT I KNOW I'VE ALREADY MADE SO MUCH PROGRESS.

LOVE YOU, TOO.

AND I'M REALLY PROUD OF THAT.

**

THE DOCTOR'S GONNA CHECK OUT MY LEGS TODAY

TO SEE WHAT WE CAN DO TO GET ME UP AND WALKING FASTER.

HI, LUPE. HI.

NOW, LET ME JUST CHECK AND SEE HOW YOUR LEG IS DOING.

THE FEELING DOWN HERE IS NORMAL?

YEAH, WHEN I STAND UP, I CAN FEEL IT --

I CAN FEEL, LIKE, THAT RIGHT NOW.

OKAY.

Dr. Nowzaradan: UNFORTUNATELY, LUPE GOT TO THE POINT

WHERE SHE'S PHYSICALLY LOSING THE ABILITY TO STAND.

THAT HIP JOINT NEEDS TO BE PROBABLY REPLACED,

AND THEN SHE NEEDS THE TENDON TO BE WORKED OUT.

BUT THE FACT THAT SHE'S WILLING TO TRY IS A GOOD SIGN.

SO, WE'LL ADDRESS THIS ISSUE

AS YOU START LOSING SOME MORE WEIGHT, OKAY?

OKAY.

AND SHE STUCK TO HER REDUCED DIET,

AND SHE'S STILL LOSING WEIGHT.

ALL RIGHT, LET'S CHECK YOUR WEIGHT.

OH, MY GOSH. [ CHUCKLES ]

[ SIGHS ]

360. [ LAUGHS ]

WHOO!

[ LAUGHTER ]

WE STILL HAVE A LOT OF WORK TO DO WITH HER,

BUT SHE IS A FIGHTER, AT THE END OF THE DAY.

I'M PROUD OF YOU. YOU LOST ALL THAT WEIGHT.

THANK YOU.

BUT I WANT YOU TO KEEP THIS UP,

AND EVERY DAY, TRY TO STAND UP AND DO YOUR EXERCISE.

OKAY. OKAY.

KEEP IT UP, AND I WILL SEE YOU LATER, OKAY?

OKAY. THANK YOU, DR. NOW.

ALL RIGHT. YEP.

**

[ SPEAKING INDISTINCTLY ]

NOW GILBERT AND I ARE TRYING TO SPEND MORE TIME TOGETHER

AND GET OUT OF THE HOUSE AS MUCH AS POSSIBLE.

[ SMOOCHING ]

NOW THAT I'M DOWN 300 POUNDS,

EVEN WITH THE PAIN IN MY LEGS,

I CAN START TO GET OUT AND DO THINGS.

IT'S BEEN OVER 10 YEARS

SINCE I COULD JUST GO TO A PARK OR DOWN THE STREET

OR ANYTHING LIKE THAT.

THIS JUST FEELS AMAZING.

OH, MY GOD, BABE.

IT FEELS SO GOOD TO BE OUT HERE

WITH THAT BREEZE IN MY HAIR.

AND YOU KNOW, THIS IS THE FIRST TIME

WE EVER BEEN TO A PARK TOGETHER IN -- WHAT? --

ALMOST NINE YEARS WE'VE BEEN TOGETHER.

YEAH, THIS IS OUR FIRST STEP.

I COULDN'T BE MORE HAPPY ABOUT IT.

I'M PROUD OF YOU. THANK YOU.

I'M SO ENCOURAGED BY EVERYTHING THAT'S HAPPENED LATELY,

THAT IT'S HELPING DRIVE ME TO WANT TO DO MORE.

I LOVE YOU, MY LOVE.

MWAH! MM, OH!

JUST TO HAVE OPTIONS OF MY FUTURE...