All language subtitles for My 600-lb Life S05E11

Ow.

I've never been to jail but I
feel like that's what I'm in.

And it's horrible.

Not for one minute I thought
my life would end up like this.

Ow, my legs.

I'm so far gone.

I absolutely need help
or I am going to die.

I can't do this.

[SOBBING]

I feel like I've
let my kids down.

Instead of me
taking care of them,

they've been taking care of me.

It's you.

You are the one killing you.

JAMES (VOICEOVER): My
chest is killing me.

I feel like my time has ran out.

When just being alive
becomes the greatest burden

in your life, then
it is time to look

for anything that can save you.

The second I open my eyes,
I'm just in so much pain.

But I'm still just
grateful to be alive.

And I tell the lord, thank
you, lord, for another day.

Because I don't know
how many I have left.

But even though I still
open my eyes each day,

I'm not living life
because I'm just

trapped in this bed all day.

I can't even get up anymore.

And it scares me.

Because I want to get up.

I want to get up so bad.

But I can't because my
body is literally falling

apart now because I'm so big.

And it feels like my legs
are just starting to rot.

But I've been bed bound
close to three years now.

I've never been to jail, but I
feel like that's what I'm in.

And it's horrible.

And I'm at a point
where I don't even know

if I'll be able to walk again.

Lisa.

LISA: Huh?

Did you call me?

Yeah.

I need to--

I went to the bathroom.

I need to be cleaned up.

OK.

All right.

Give me a minute.

I'll going to get
Bayley to help me, OK?

JAMES (VOICEOVER): I just can't
do anything myself anymore.

So I've got to depend
completely on my girlfriend

Lisa or my daughter
Bailey to help me out.

LISA: You got gloves, Bayley?

BAYLEY: Mm-hm.

LISA: All right.

Lift with your legs, honey.

BAYLEY: Go slow, mom.

James cannot take
care of himself at all.

He cannot bathe himself.

He cannot use the restroom.

He has to wear a catheter.

And it breaks my heart to say
that James is trapped in a bed

and can't do the things
that he loves to do.

JAMES: Don't let me down hard.

LISA: I'm not.

I've got you.

You comfy?

JAMES: Yeah.

So Lisa is my full
time caretaker now.

And she has to do
everything for me,

except for some jobs
that are just too

much for her like bathing me.

So there are a couple of my
friends that come to help.

What's up, old man?

JAMES (VOICEOVER): But I feel
like I'm a burden because they

all have to cater to me.

And it shouldn't be like that.

Go.

JAMES (VOICEOVER):
But I have no choice

because I have to
stay clean or things

would get much worse for me.

Ow.

Easy, Lisa.

I'm sorry.

JAMES (VOICEOVER):
Because I have cellulitis

draining out of both
legs so bad that I

have fluid coming out all over.

You're hurting my leg.

Ow.

Ow, my leg.

- I got it.
- Let go.

You've got
fingernails in my leg.

Sorry

Mom was trying to
let you down easy.

JAMES (VOICEOVER):
So all I can do

is lash out, even
though everyone

is just trying to help me.

And I know my family doesn't
want to have to deal with this.

There you go.

I can tell that it
bothers Bayley a lot

by the way she looks at me.

My mom pulled me out
of school because I

have to help with my dad.

I don't feel like I should have
to be a caretaker to my dad

because a father is
supposed to protect

and take care of his daughter.

But it's my dad
and I'm not going

to let him just lay there.

I can't breathe good.
Ow.

I'm sorry.

JAMES: [BLEEP]
- Sorry.

Tried to get it in there.

JAMES (VOICEOVER):
It's very humiliating,

having my own child
have to do this.

LISA: It's bleeding.

JAMES (VOICEOVER): But she
does it cause she loves me.

And I know that.

There you go.

BAYLEY (VOICEOVER):
My dad's gotten worse.

And I'm worried.

He's close to losing it all.

He basically already has.

Me and Bayley's going to
go to the grocery store.

Love you.

Love you too.

BAYLEY (VOICEOVER):
And I don't have

no idea how to help my dad.

JAMES (VOICEOVER): I've let
my body get to this point.

And not for one minute
did I thought my life

would end up like this.

Early on in my childhood, I have
a lot of good memories of me

and my older brother having fun.

And I was maybe a little chubby.

But I really didn't
struggle with my weight.

Things were pretty good.

But my dad took
me and my brother

because my mother drank a lot.

So my dad's the
one that raised us.

And I only saw my mom three
times during my childhood.

And she was drunk every time.

So my dad took care of us.

And things were good until
he met my step mom Lolita

and got remarried.

DON: James was a good
boy, a good child.

But raising James
and his brother

was real difficult
because, you know,

you can't hardly be a mother
and a father both, you know.

It was rough.

JAMES (VOICEOVER): She had
four kids of her own already.

So all of the sudden
we were a family eight.

But my dad didn't make enough to
provide for a family that big.

And we went from having what
we needed to being really poor.

And I never know if we was
going to have enough to eat.

So I just started to
eat as much as I could

when I got the chance.

And I remember the joy and
safety there was in food.

So I started gaining some.

And I was around 250 when
I started high school.

But things got really
bad when I was 15.

I was able to reconnect
with my real mom.

And we finally started
to have a relationship.

And I felt like something that
had been missing from my life

wasn't missing as much anymore.

But in a matter of
just a few months

my mom died of liver cancer
because she drank so much.

I was devastated because
I missed the chance

to reconnect with my mom.

And at the same time as
we was burying my mother,

we get a phone call that our
family home had burned down.

And I lost just about everything
I had in a single day.

I just couldn't handle all that.

You know, I was just
so depressed, tore up

that, you know, I couldn't
even go to school.

Seemed like all I
wanted to do was eat.

And food was what had
made me safe for all

these years growing up.

So that's what I turned to.

And by the time I was 18, I
was just about 400 pounds.

But even though I was
still gaining a lot,

things got a little
better when I was 20

because that's when I met Lisa.

She lived just two
houses down from mine.

And she was married
with four kids,

but her husband
was very abusive.

And we started to get
closer and we had an affair.

LISA: What started it we
were setting on his porch,

I was crying, and he reached
over and kissed me on the cheek

and told me everything
was going to be all right.

And so I knew at that time
that he head a big heart

and he was a good listener.

JAMES (VOICEOVER): We eventually
fell in love with each other.

My weight was never a factor.

She loved me for who I was.

And we'd go do
things all the time.

LISA: When me and James
first started dating,

he was still active,
rode four wheelers,

took the kids riding to the
lake area, went fishing a lot.

You know, he was a
very active person.

JAMES (VOICEOVER): Over time as
we continued seeing each other,

Lisa got pregnant with Austin.

And then she got
pregnant with Bayley.

But I wasn't raising
either of them

because Lisa was still married
to her husband at the time.

But I tried to stay
in my kids' lives,

even though they didn't
know I was their father.

And all this time, I was still
steadily putting on weight.

And I hit 540 right
around when I turned 30.

But Lisa finally separated
from her husband when I was 32.

And we were able to
be together then.

And I could finally be a
father to Austin and Bayley.

But even though that
was a happy time for me,

I didn't stop with
how much I was eating.

So I was still getting bigger.

DON: I think James's weight come
on in five or six years ago.

And I tried to
mention it to James

a few times about his weight.

That don't always seem to
not do no good, you know?

But it got out of hand.

JAMES (VOICEOVER): So I
was still getting bigger.

But things got worse when
I was 42 because I fell.

And I was so big
the fire department

had to come and get me up.

It was one of the lowest
moments in my life.

And I hurt my ankle
really bad and had

to stay in a bed and rest.

But I'm not even sure
if it ever healed

because that's the last
time I put weight on it.

And that's when I
became bed bound.

And now I'm not
sure how big I am.

All I know is I'm stuck
in this bed every day.

- Hey, James.
- Hey, daddy.

We're back.

JAMES (VOICEOVER):
And I just feel

like I'm this burden on my
family, that's waiting to die.

Because I won't stop eating.

LISA: I worry about James
because every year it

seems like he gains
20 or 30 more pounds.

It's breaking my heart.

And I can't--

I can't really take
it much longer.

But he's bedridden,
so I'm an enabler.

I bought this food and
I carry the food to him.

But I don't know how to stop.

I got your cookies.

You want one?
Hold you over?

Yes.

LISA: And if I
take him something

healthy then we argue, because
that's his comfort zone.

JAMES (VOICEOVER): I know
my family is really worried

but how much I eat.

But when I'm hungry,
I just don't care.

I better get what I
want or I'm really

going to be upset, especially
in the morning at breakfast.

Once I'm up and the day is
started, all I'm waiting on

is sausage, eggs, and
biscuits all covered in gravy.

After he gets his eggs
and his sausage on there,

I put the biscuits
and gravy in a bowl.

Because he's not
going to have room.

BAYLEY: How many, mom?

Probably about four.

I've got you six eggs and about
five or six pieces a sausage.

Is that OK?

JAMES: Yeah.

Mom, he really doesn't
need that much, seriously.

That's what it takes
to make him full.

BAYLEY: Can I give these to him?

LISA: Yeah.

He can get started.

BAYLEY (VOICEOVER): I always
feel guilty because we

just keep giving food to him.

That looks good, baby.

BAYLEY (VOICEOVER): When I
tell him he doesn't need it,

he'll get mad and he'll yell.

It makes me angry and
sad at the same time.

I'm so frustrated.

JAMES: Put that gravy on my
plate with a new biscuit.

LISA: One, for now?

No, two.

I want gravy all over the top.

It's almost all of it anyway.

There you go.

JAMES (VOICEOVER):
To get to taste

something you're
craving in the morning

is one of the best things ever.

Here.

It's hot.

Thank you, baby.

When I take that first
bite, it's heaven.

I just love it.

Good breakfast.

Don't worried about
daddy eating so much.

JAMES (VOICEOVER): I
can never get full.

And as soon as I'm done,
all I can think about

is when I'm going to
be able to eat again.

If I have my way each day,
my day would begin with food

and just end with food.

LISA: Hey, all right.
Bye.

I love you.

JAMES: I love you, too.

LISA: By the time I get
done taking care of James

during the day, I'm very tired
and I'm hurting all over.

So it's just a lot
easier to get fast food.

Also, that's what
he usually wants.

VOICE OVER SPEAKER: Hi.

May I take your order?

I want to get the
half pound combo.

And can you make that large?

And then a couple
double cheeseburgers.

James has gotten really
hard to get along with.

So anything that I can do
to make him happy, I do.

When I bring fast food home,
I know that I'm giving James

something that he doesn't need.

James, I'm back.

But I know that if I don't
bring him what he wants,

we're going to get
into an argument.

It's a big burger.

There you go.

Will you take the paper off?

Oh, yeah.

Sorry.

Here you go.

I don't mind giving
care to James.

But it's hard on me.

It's breaking me down,
mentally and physically.

And I don't know how
much longer I can do it.

But I feel like if I don't get
James help soon that he might

not make it through this year.

Can I have my other burger?

Yes.

LISA (VOICEOVER): And if
I lost my best friend,

the man that I love,
I think that I would

be lost the rest of my life.

JAMES (VOICEOVER): Food
is what I live for.

And it makes me feel guilty.

Because I know it
frustrates Lisa

when she has to keep
feeding me and doing

everything else for me.

But it still doesn't
stop me from eating.

LISA: You done?

Yeah.

At this point, it's so
important now for me

to change my life because
I know if I don't that I

won't be around much longer.

Me dying in this bed one
night, it's not an if.

It's a when.

And that has me so
scared right now.

Good night.

Good night.

I desperately want
to change that.

But I don't know how.

Are you nervous?

Yep.

Lisa and I have reached out
to Dr. Nowzaradan in Houston

to try and get help.

But there's no way for
me to travel to him,

so he set up a video
conference call with a meeting.

Weight loss surgery is probably
my best and only chance

I'm going to have to survive.

And so I'm really
hoping this goes well.

Hello.

DR. NOWZARADAN (ON
SPEAKER): James.

I'm Dr. Nowzaradan.

How're you doing?

I guess I'm doing
the best I can

for what the
situation is, doctor.

DR. NOWZARADAN (ON
SPEAKER): So how

is your general health doing?

Well, I've been having a
lot of pain in my lower back.

And I have some severe
cellulitis drainage.

I mean, my legs are
draining pretty bad.

DR. NOWZARADAN
(ON SPEAKER): When

was the last time
you saw a doctor

and checked in with things?

JAMES: It's been almost a year.

I know I've gained some weight.

DR. NOWZARADAN (ON
SPEAKER): So what do

you think your weight is now?

I want to guess around 750.

DR. NOWZARADAN (ON SPEAKER): OK.

So have you been able
to get out of the bed.

No.

I ain't been out of
bed in over two years.

So if you're bed bound,
then who is your enabler?

JAMES: Lisa, my girlfriend.

DR. NOWZARADAN (ON
SPEAKER): So you're

the one that brings him food.

What's going on with
his eating habit?

I guess I've brought
him too much food.

I mean, his appetite was
just out the roof, I believe.

You know, I think he was
eating out of boredom.

I don't know.

But he would eat
several times a day

and he would over
eat every time.

DR. NOWZARADAN (ON
SPEAKER): Lisa, be bedridden

and super obese
is very dangerous.

So I want you to
stop enabling him.

Do you understand me?

Yes, sir.

DR. NOWZARADAN (ON SPEAKER): In
your current situation, James,

it is just a matter
of time before one

simple thing pushes your body
over the limit, then you die.

So you need to act
on this immediately.

And the only chance you've
got is with our surgery,

with regard you need
to come to Texas.

OK?
- OK.

DR. NOWZARADAN (ON
SPEAKER): You do look

to be well over 600 pounds.

And you probably are over 700.

And that's got to be a
major issue in transport.

So what option we got for you
to bring you down to Texas?

Really, the only option I
have is riding in the van.

That wouldn't be
a good idea, James.

OK.

DR. NOWZARADAN (ON
SPEAKER): All right, James.

Here is your homework
in the meantime.

Now I'm going to
email you a diet

and I want to start you
on 1,200 calorie a day.

That's in three meals,
400 calories each.

And no snacking
between the meals.

And I want you to
start to exercise

your upper body every day.

OK.

DR. NOWZARADAN (ON SPEAKER): So
when you get down here I want

you to be under 600 pounds.

If you are, I'll
approve you for surgery

if there are no other medical
issues we need to resolve.

OK.

Thank you, doctor.

All right.

You're welcome.

I'll talk to you later.

LISA: OK.

Bye bye, sir.

You have a good night.

Well, what do you think?

I'm excited.

I am too.

I'm just nervous because
it's still hills to climb.

LISA: I know.

I don't know how I'm
going to get him to Texas.

But this is James's last chance.

If this doctor doesn't
help him, I don't think

that he'll be around very long.

So I'm just scared.

JAMES (VOICEOVER): I'm glad that
the doctor wants to help me.

But at the same time,
I don't know how

I'm going to do any of this.

I know I need his
help so I have to try.

It's been a couple weeks
since I talked to Dr. Now

about coming to Houston.

And we've been fighting
our insurance company

but they just keep
giving us the run around.

They said they need a letter
from my doctor about the need

for the transport.

So Dr Now wrote them saying it
was a matter of life and death.

And they still denied it.

LISA: I'm going to get Bayley
and we're going to get started

on that fund raising page.

Holler at me if you
need anything, OK?

All right.

So me and Lisa decided
to do an online campaign

to try and raise the money.

Because we don't
know what else to do.

LISA: We're going
to set up a donation

page so that we can
get an ambulance

to transport him to Texas.

OK, our goal would be $10,000.

How about in case you have
any extra medical bills,

we'll just set it at $15,000.

It's not like you're going
to get that much anyway.

That's what I
was thinking, too.

OK.

James's medical
transport and funding.

It is difficult always
to ask for money

but I know in James's
situation, we need it.

So you just have to
do what you got to do.

And I'm hoping and
praying that we're

going to have a good
response from the community

since he's lived
here all his life.

We know it's short
notice but we're

trying to get to Texas ASAP.

Asking for money is hard to do.

We are so thankful for
anything you can do.

And James will be, too.

Sounds good to me.

I don't feel like I can
stay here much longer.

I have to get to Texas.

Things are going to
get worse if I don't.

OK.
Save it.

JAMES (VOICEOVER): I
would just drive it,

but the doctor thinks it's just
too much of a risk at my size.

And now you've got to share it.

I just hope people help us out.

Because I know I'm
running out of time.

TV REPORTER: As he watches
the world from his window--

I look outside,
you know, dreaming

that I want to go out there.

It don't happen.

TV REPORTER: James King's
mind is somewhere else.

I see myself back on my
feet, driving, being normal.

There's days that I cry.

And I just would like
to throw in the towel.

TV REPORTER: His girlfriend
Lisa Raiser and her daughter

are the ones caring
for him most.

LISA (VOICEOVER): I've got
to see him get on his feet.

Otherwise he's going to die.

TV REPORTER: Trying
to keep him on track,

taking care of his daily
needs, doing exercises daily,

and keeping him on a diet.

Some hope has come now
that an out-of-state doctor

has offered to help.

But there's still a lot of
details to be worked out.

So for now, he
watches, dreaming.

LISA: Hey, baby, I got you a
steak that's got a lot of fat

on it.

You said it makes
it taste better.

JAMES (VOICEOVER):
It's been about a month

since we started
our online campaign.

And we've only been able to
raise a little over $300.

That's nowhere near what I need.

So I'm really
depressed right now.

And I don't know what
to do except eat.

Because what's the point
of being on any diet

if I can't get help?

LISA: The plate's a little full.

So I hope you can eat it.

I might have to get you
something to hold it up with.

JAMES (VOICEOVER):
Wev tried everything.

Dr. Nowzaradan has
tried everything,

including fighting and arguing
with the insurance company.

Is it good?

Mm-hm.

JAMES (VOICEOVER): So
I'm out of options.

And the only thing that's got
to make the days enjoyable

is to keep eating what I
want and as much as I want.

Because there's no point in
trying to stop right now.

Would you like some more?

Yeah.

Sometimes it feels like my
dad cares more about the food

than it does his own family.

And the path that my
dad is on right now

is headed towards death.

There's no where else it
could be headed towards.

Don't eat too much and get sick.

JAMES (VOICEOVER): I've been
handed a death sentence.

So I can't see any
other way than to just

give up and accept my fate.

And nothing is going to
change that right now.

LISA: You done?

I'm done.

So I'll just eat.

How's that look?

Bayley, is breakfast ready?

JAMES (VOICEOVER): I've been
pretty depressed that I haven't

been able to raise any of
the funds we needed to get

a transport to go to Dr. Now.

And it's been pretty
discouraging to know I

have no other option right now.

But my dad is coming over
to try and cheer me up.

Hey, son.

Hey, dad.

How you feeling?

Pretty good.

You're doing all right?

Yeah.

JAMES (VOICEOVER): My
dad is worried to death.

When he comes over
at times, he just

gets so stressed out looking
at me and checking on me.

Back's still hurting?

Not too bad.

It's mainly my legs today.

DON: Mainly your legs?

Every day, I worry about James.

I worry about him
being in that bed.

And I'm afraid James is
getting worse every day.

How's this leg look?
Man, it looks--

It's worse than the other one.

DON: It is.

And I feel like I'm helpless
and I can't help James more.

JAMES: It hurts.

I know it hurts.

I don't know what I could do.

It's just awful.

JAMES: I miss that farming,
riding the tractors and stuff.

I miss you coming down
there and helping me.

Did you all get anything
done with tractors or anything?

DON: I couldn't even get the
trailer hooked onto the truck.

I want to get better
so I can help you.

DON: I'd give anything if I
could get James some help,

get him back walking,
and bring him back to me.

Lisa.

I don't know if he
got too hot, nerves,

or something ain't right.

When I'm stuck in his bed and
something happens to my dad,

it makes me very mad
that I can't get up.

I want to be there for him.

I don't know.

It just felt like
somebody's turned my--

like my head was just
going around and, you know.

EMT: You feel OK?

I feel nauseous
when I stand up.

JAMES (VOICEOVER):
My dad is my rock.

If I was to lose my dad,
it would destroy me.

This is my worst
nightmare come true.

My father needs me, and all
I could do was sit there.

They're taking dad
to the hospital.

I don't know.

They don't know yet.

He already hung up.

I know my dad.

He wouldn't have
went if didn't think

something was wrong, because
he's stubborn and I know him.

That's why we've got to
get you out of this bed.

My chest is hurting.

LISA: You're shaking.

JAMES: That's why I hate
not being able to get

out of the damn bed.

Seeing him get sick makes me
want to get out of this bed

and get this weight off.

I want to be there for him
like he has been for me.

Last night was really scary
for me, because it turned

out my dad had a small stroke.

He's doing better now.

But it shook me big time.

I was too big to
even help my dad.

So I decided no
matter what it takes,

I have to get to Houston.

But the only option I really
have is to go in our van.

So Lisa and me called
the fire department

to see if it'd be possible to
get them to move me out there.

They said they would
stop by right now

to determine what was needed.

Come in.

Come in.

How's it going, Mr. King?

All right.

DOUG COOPER: How
are you feeling?

JAMES: I'm making it.

I'm ready to start
walking again.

The doctor told us that we
needed to get him to Texas

so that he can help him out.

We talked it over and the
only way we can get him there

is in the back of my van.

In my opinion, for
his medical welfare,

we'd definitely prefer him
go with a medical team.

LISA: Since we don't have funds
for that, we have no choice.

We're just going to try
to put him in the van.

I know it's not
going to be healthy

and it's going to
be very dangerous.

But we're just worried
about how we're

going to get him
out the door and be

able to get him in the van.

CHRIS PEELER: When's the
last time you walked?

JAMES: Too long.

CHRIS PEELER: Have you stood?

CHRIS PEELER: That's
definitely going

to make a challenge getting him
out the door and down the ramp

and--
DOUG COOPER: And into the van.

CHRIS PEELER: But as
far as lifting him,

it's going to be a challenge to
get that many guys in this room

and outside to get
him down there.

We can take a look at the
van, do some measurements.

LISA: OK.

CHRIS PEELER: Looking
at almost 5 feet.

More than I thought.

CHRIS PEELER: How
wide is that door?

So you'll definitely
have to go on your side.

And you're talking
six to eight guys.

That's a narrow space to
get you through initially

with six to eight guys.

Would you all mind
measuring the van

and seeing if it
will work for us?

DOUG COOPER: Sure.
We can check the van out.

4 foot 2 1/2.

See his legs were almost 5
feet or right at 5 feet wide.

I don't believe he's going to
fit in this, not comfortably.

So you don't think I should
take the van and put him in it?

I wouldn't recommend it.

I'm really stressed out now
that I know that the van's not

going to work.

So I've got to think
of a different plan

to get James to Texas.

Got some bad news, brother.

What's that?

The back of the van
was a little over 4 feet.

And you're talking
riding 12 to 13

hours in the back of that van.

I'd be hurting.

LISA: Both of them
recommended that I

don't take you down in the van.

I don't think it's safe
for you or your girlfriend

to ride in that
van for that long.

Try to have to
figure out something.

I'm just need to get down there.

CHRIS PEELER: I wish I had
better news for you, brother.

Appreciate you all
coming out, though.

No problem.
No problem.

We'll be in contact.

Just give us a call
if you need something.

All right.

Good luck to you.
- All righty.

Thanks.
- Thank you all.

You all have a good day.

JAMES (VOICEOVER): I'm so
frustrated and discouraged

right now.

It just feels like every
time I try to get up,

I get knocked right
back down again.

LISA: I don't know what
my next step will be.

If I can't get James
to Texas, I don't think

that he has very long to live.

JAMES (VOICEOVER): When my dad
told me he refinanced his home,

I was speechless.

He has always been
there for me, even when

I can't give that back to him.

So everyone is
coming over to help

us pack tonight because
my medical transport is

coming in the morning.

I am nervous.

But I'm excited
at the same time.

Because this is a big
change in my life.

The only thing I worry about
is being closed up because, you

know, anxiety builds up.

But you've got two choices--

get to Texas and hopefully you
get help or lay here and die.

Come in.

Hey, son.

Hey.

How you doing?

I'm just ready to get started.

DON: How far is it there?

It's, I think, 13 or 14 hours.

You get down there, get to
do what the doctor says, be OK.

Can't wait to get up and
walk, be able to get on my feet.

I'm going to come back walking.

That's the spirit.

That's the spirit
I want to hear.

So is everybody pretty
clear on what we're doing

and what needs to be done?

Yep.

JAMES (VOICEOVER): I
know it's going to be

rough getting out of the house.

That long drive, I'm
going to have a lot

of pain in my legs and stuff.

But the reason I'm
moving to Houston

is to try and get my
life back on track

and get the surgery I need,
and pray that everything's

going to be all right.

And if something prevents me
from being able to do this,

then I'll have hit rock bottom.

Because that would mean
that I'm beyond all hope.

All right.

Love you, James.

Love you, too.

JAMES (VOICEOVER): My
family got everything we're

taking packed up last night.

And now the fire
department is going

to get me into the ambulance
and take me to Houston.

All right, buddy, hey.

Just let us do all the work.

But it's going to be a little
rough here for a little bit.

We'll be as easy
as we can but we're

going to get out of this place.

Yeah?
CHRIS PEELER: Sound good?

Yeah.

JAMES (VOICEOVER):
It's so painful

to move even just a little.

So doing something like
this is going to hurt a lot.

But the hardest part of
moving is my legs because I

can't close them at all.

So my biggest fear is
getting through the door

to get outside.

And I just hope I
can do this and make

it all the way to Houston.

EMT: Grab his hand and
try to roll yourself

on your side that
way as far as you can

so I can get this
under you to make

it easier to slide you over.

CHRIS PEELER: All right, buddy.

They're pushing down
on my legs too much.

EMT: All right, not so
much pressure on the legs.

Use the sheets.

CHRIS PEELER: Pull on
me all you need to.

I'm not going anywhere.

EMT: All right.

Coming back.

Now we need to
roll him this way.

Let's see if you all
can pull the pink slip

under him a little further.

Let's go one more this way.

That's good.

All right.

On the count of three.

Everybody ready?

BAYLEY: The last time they
took him in the ambulance

and got him out the door,
they scratched his leg.

And I don't even think
it's healed up yet.

So one of my biggest worries
was getting him out of the house

and not hurting him.

1, 2, 3.

CHRIS PEELER: I
don't think he moved.

EMT: He's on on this side.

OK.

Whoa, whoa, whoa, whoa.

JAMES: My legs is
hurting a little bit.

CHRIS PEELER: Yeah.

We've got them
squeezed together.

And we'll probably
cinch your legs some

more to get you out the door.

All right?

So when we get this
tight, we're going to go.

EMT: Going to need you to
suck in, hold your breath

while we go through this door.

CHRIS PEELER: All
right, James, keep

your elbows in as best you can.

Watch my legs please.

We've got your legs.

There you go.

Keep your hands inside.

Keep your hands on
your chest, buddy.

Hug yourself, man.

Oh, my legs.

We've got you, brother.

We got you.

We're almost there.

Ow.

Ow.

My legs is stuck.

Ow.

You're outside of this door.

You're good.

You're good.

CHRIS PEELER: I told you we
were going to be rough on you.

1, 2, 3.

Keep going.

- We made it, man.
- We're here.

You're in.
- Oh, my legs.

Let her come in there.

LISA: Hey.

It's going to be all.

Right?

Yeah.

LISA (VOICEOVER): I'm looking
at James in the ambulance today.

And he looks very scared.

He's in pain.

But I just want to push forward
and get his life back together.

I'll be behind you.

JAMES: All right.

LISA: OK, baby.

We're here, finally.
I'm excited.

But I'm so nervous.

I know James has been
in pain the whole trip.

He's been in the ambulance
for about 16 hours.

Oh.
Oh, man.

That is so rough.

We are fixing to
be at the hospital.

Oh, thank god.

LISA: It's been a long ride
up here, hadn't it, baby?

BAYLEY: Yeah.

LISA: I know he's getting ready
to go to through some more

pain, you know, getting lifted.

This is making me a
nervous wreck, Bayley.

EMT: We're going to squeeze your
legs together a little bit, all

right, to get you out of here.

OK?

Oh, don't let my leg drop.

EMT: I'm trying not to, James.

JAMES: Oh, don't let my legs go.
Ow.

EMT: We'll have
the straps on them.

No.
No.

Pick them up.
Ow.

Ow.

Oh, man, I'm hurting so bad.

EMT: OK, sir, we're coming out.

They can't let my legs go.

Tell them.
Tell them.

LISA: Don't let his--
they got you, baby.

Baby, they got you.

JAMES: Oh.

Oh, my legs.
Oh.

EMT: Keep your hands in, James.

JAMES: Don't drop me.

Don't drop me.

Don't drop me.
BAYLEY: Hey.

It's OK.

It's OK.

I'm falling off the stretcher.

BAYLEY: No, you're not.

It's OK.

I'm falling off.

EMT: You're not
falling off, buddy.

You're not falling off.
- Yes, I am,

BAYLEY: It's OK.

JAMES: Oh, my legs.

EMT: Put it against the
wall as close as you can.

Just put it right here.

So sort of tilt that side up.

[INTERPOSING VOICES]

Hello.

How're you all doing?

James, I'm Dr. Nowzaradan.

I want you to calm down
right now because we

are taking care of you.

OK?

And how are you doing?

Terrible pain.

I can't hardly move
I'm hurting so bad.

JAMES: Oh.
EMT: Relax, relax, relax.

JAMES: Oh.

EMT: On three.

1, 2, 3.

LISA: Don't let his leg fall.

James, how do you feel now?

Oh, hurting.

OK.

Let me take a look at you.

Now that James has finally
arrived in Houston,

we can do a full examination
on him and see how he's doing.

But just looking at him,
you can tell that he's

in a pretty bad state.

His cellulitis is
out of control.

And he doesn't look to
have lost any weight

in the past four months.

So how is your eating
habit coming since I

talked to him last time?

Much better.

James need to
take responsibility

for his behavior.

DR. NOWZARADAN: All right.

We'll get you situated.

We're going to get some
blood tests on you.

OK?
All right.

But majority of this all
falls on his girlfriend

who has been enabling him.

Let me explain the
situation to you.

James is not going to
survive much longer

and since I've been working with
you two, he's not lost any way

and he's worse off now.

We're going to just have to
stick to the plan of making

the change and going to the--
- There's no we.

It's you.
There's no we.

It's you.

You are bringing the food.

You're helping him to kill him.

So why are you doing that?

LISA: Because if I
don't bring it to him,

I will pay hell all
the rest of the day.

How the hell he's going to
raise the hell in the bed?

If we don't give
him what he wants--

He can scream all he wants to.

Don't tell me that.

You are the one that
got him in his bed

and you're the one making
his life miserable right now.

I've been trying to
get him out that bed--

No, you are not.

If you did then last
time I talked to you,

you would change his diet.

He doesn't look like
he lost any weight?

Is this the life style
of a human being?

This is a miserable lifestyle.

And you got him into this shape.

And you blaming
everybody and him.

I'm not blaming everybody.

I'm not blaming him.
- Look.

If you all don't change
the diet right now,

he's going to go
back to Kentucky.

I'm not going to
take care of him.

I have brought
him in the food.

But I didn't get
him in that shape.

You got him in this shape.

He broke his ankle,
and got in the bed.

And the bed broke,
and so the fluid

started retaining in the legs.

Look.

You're feeding him,
got him to this point.

LISA: I'm feeding
him like he wants

me to but I'm not doing it
purposely because I love him.

All right.

Let's talk to him.

James?

If they don't bring you food,
what are you going to do them?

Scream?

Yell?

Usually argue with her.

That's all?

Well, I get mad.

What did you come
to Houston for?

We don't have a miracle for you?

I talk to you.

I talk to her.

And what I see here, this
is not a weight loss.

I just talked to you for
the first time, I think,

what, four months ago?

Four months is enough
to lose 100 pounds,

to get under 600 pounds.

Really?

Yes.

You know, there's not
much we can do for you,

no medically no surgically.

You need to change.

And she need to stop
bringing you food.

I have to eat something.

No, you don't have
to eat something.

You eaten 800 pounds
of food in you.

I don't see that he has made
any changes in his weight

and there is no ending
to the situation

unless we make the
changes on people

around him that bring him food.

But I don't know how
we're going to do that.

This is a very difficult
situation here With the two

key people unwilling to change.

But we need to make sure James
is not having any complications

from the travel.

And with his size,
there is no testing

we can do to determine that.

So we admitted James
to the hospital

to make sure he's OK and
stable before we send him out.

But James is very lucky
to be alive right now.

He has a chance for help.

And instead of trying, they
all continue doing what

they have been doing for years.

1, 2, 3, let's go.

DR. NOWZARADAN: This
is unacceptable.

735 pounds.

And hopefully James
is not at the point

of no return with his body.

JAMES (VOICEOVER):
Coming to Houston

has been one of the hardest
things I have ever done.

But I'm just glad
to be down here

and have the trip behind me.

And now I'm just
waiting for the doctor.

And I'm really nervous.

Because I'm so scared that
he's going to come in and say,

there's nothing
he can do for me.

Hi, James.

Hey.

How are you
feeling this morning?

I feel like I've been
beat with a hammer.

OK.

Some good news
and some bad news.

Everything is stable, but your
body is barely functioning.

If you continue with this path
that you're doing right now,

I don't think you're going to
live more than a month or two.

So I need you and your
family to understand

how serious this situation is.

Everything about how you're
taking your food has to change.

And it has to change now.

I'm ready.

You didn't do well with
a 1,200 calorie a day diet.

So I'm going to start you
on an 800 calorie a day diet

immediately so you can
start to get used to it.

There'll be no sugary food, no
pizza, no bread, no potatoes,

stick with a high protein diet.

And I want you to lose 135
pounds to get under 600 pounds.

And we'll help you
to get started.

So we're going to keep
you here for a month.

Sounds good.

If you stick with
the diet, you should

easily be able to lose that.

OK?

It was a pretty big risk for
James to come down to Houston.

To transport could have
easily turned tragic even

with medical personnel with him.

And if James and his family
don't start to understand

how dangerous his
situation is, then he's

not going to survive for long.

He's 735 pounds.

He's 550 pounds overweight.

Take this seriously, James.

Thank you, Doc.

We will do everything
that you say.

All right.

I'll see you all later.

LISA: Thank you.

JAMES (VOICEOVER):
Hearing the doctor tell me

all the things that are wrong
with me and how close to death

I am is scary.

But at least there's still hope.

So I'm going to
work hard as I can

and try to turn my life around.

Today I'm finally getting out
of hospital and I'm so excited.

I've been here on a controlled
diet for a month now.

And I'm ready to be out and
be with my family again.

I've lost around
50 pounds already.

So all I had it to
do over the next two

months is lose the last 85
pounds to get under 600.

Ow, that's too much.

EMT: Now we're here.

Ow.

Ow, my foot.

I can tuck them in.

EMT: When we got through
the door at the apartment,

we're going to have
to shove everything in

to get it in the door.
OK?

I know.
I know.

Lisa found an apartment about
a week after we got to Houston.

And she's moved
all our stuff in.

And I'm excited to see it.

But I'm also really nervous
about being moved again.

It's just always so painful.

I'm all right, baby.

I just want to get
to the apartment

and get into a normal bed.

You OK?

JAMES: I'm all right.

EMT: How you doing, James?

Oh, rough.

Is this it?

Are we here?

Ow.
EMT: Wait, wait, wait.

Ow.

Something just--

Now, it just touched you.

It just touched you.

You've got about this much.

You're going to have to
let some stuff touch.

Put your arm up here, OK?

Put your arm up there.
- Watch my feet.

Watch my feet.
Watch my feet.

EMT: He's got your foot.

Ow.

EMT: Let go.
Don't grab.

It's cutting my side, man.

You've got to let go or you're
going to have stay right here.

JAMES: Ow.

I can't get in.

EMT: Don't worry about it.
We're getting there.

Roll.
OK.

Come on.
Come up.

Come up.

Put your hand up.

1, 2, 3.

JAMES: Ow.

Ow.
Ow.

Ow.

EMT: 1, 2, 3.

They scared me
because I thought

they was going to literally
tear the skin off my sides.

And it end up did
tearing my sides.

It was rough.

Thanks, guys.

Yeah, thank you.

EMT: Have a good
one, all right, man?

JAMES (VOICEOVER): I'm
really happy to be here

and have all that over with.

And now I just want to
focus on my weight loss.

This has been so hard but
I'm determined to do this.

I have to succeed.

Because if I don't, I'm
losing my last chance to get

help from the only place I can.

I've been working hard over
the last couple of weeks.

It's been a bit of an
adjustment dropping to the diet

the doctor wants me on.

That one's good.

I just need to get
this one over here

because it's got some drainage.

JAMES (VOICEOVER): But
we've done this as a family.

And I feel really
good about that.

Bayley?
- What?

Bring daddy his weights.

I'm going to work
out a little bit.

The doctor now wants me lose
85 pounds in two months.

So I've worked really hard to
exercise like he wanted me to.

And the more I do it,
the easier it becomes.

Only try to go up.

My dad's very big right
now, but he's working

out more now that we're here.

And I know my dad can
accomplish the goals he's set.

JAMES (VOICEOVER):
And I'm exercising

my legs the best I can.

Oh, my legs are so sore.

Keep going.

JAMES (VOICEOVER): I stay
motivated by thinking

about the future,
thinking about doing

things with Bayley and Lisa.

The main thing is
I want to walk.

LISA: You ready to eat?

JAMES: Yeah, when you are.

Changing my diet has been
the bigger struggle, though.

I feel like I'm hardly eating.

And some of the food
doesn't taste that great.

But I'm sticking to
it no matter what.

Because I know I'm on
borrowed time right now.

What'd the doctor
called the other type

of foods we were eating?

- Toxic.
- Toxic.

JAMES (VOICEOVER): I'm literally
in a race with my body.

And it could give
out at any moment.

And I have to get better
before that happens.

I'm so scared right now.

My chest is killing me.

And I feel like this is it.

I've only cheated
a couple of times.

So I don't know
what the problem is.

I thought I was doing better.

I just really hope that
I'm not out of time.

I was so scared that
my time had ran out.

James had congestive
heart failure,

which was fluid around
his lungs and heart.

She's just taking out
the stitches right now.

So they had to put a
central line in his artery,

in his throat, to get
the meds to him fast.

Take a deep breath.

No.

LISA: It's out.

It wasn't that bad, was it?

Am I going to bleed out?

He is feeling much better
now and he's ready to go home.

JAMES (VOICEOVER): I'm
just so thankful to be OK.

Because I know this
may be my last chance.

I have to get my
act together now.

I can't afford to
wait any longer.

It's been almost two
months since Dr. Now

told me to lose 85
pounds on my own.

And I've been working
really hard to do that.

But ever since I've
had my heart failure,

all that stress and stuff
has been making it hard

for me to resist my cravings.

The biggest setback has been
losing the use of our car.

Lisa was driving
down the freeway.

and a tire started to come off.

And we can't afford
to pay for a cab.

So we had to order
out a lot right now.

LISA: While I was out
there getting the drinks,

the security man told me
that they've ticketed my car

and they're going to tow it.

I can't pay for
no impound fees.

LISA: I know.

And I told them it'd
be a couple weeks

before we could get it fixed.

You hungry?

Yeah, I'm starving.

My head's hurting.

What do you think you want?

I have some fish.

I don't want that [BLEEP].

I'm tired of the same stuff.

Since I don't have
a way to get anything,

I don't know what we can order
that's going to be healthy.

You don't want fish or shrimp?

No.

I don't want that.

Order me Chinese.

Egg rolls and fried rice.

I don't know about
the rice though.

That's what I want though.

But rice is on that paper
that we're not supposed to have.

It's fried.

It's still rice.

And frying it's worse.

Well, that's what I want.

I'm tired of fish
and chicken, Lisa.

I'm sick of it.

I'll get my phone and see
if we can get it delivered.

With all the stress, we've
ordered out a few times.

How long you going to be?

My head is pounding.

I'm going to get it right now.

It'll only take me a minute to
walk up there and walk back.

JAMES (VOICEOVER):
I'm supposed to go

see the doctor for my follow
up appointment tomorrow.

But I think I've got too much
going on right now to do that.

Food.

Got it.

Well at least maybe that'll
take care of your headache.

You going to give me
one little [INAUDIBLE]..

I gave you two.

This stuff is good.

Man, I've got to save
room for my dessert.

It's good for a change.

I just hope this
doesn't set you back.

I don't think
it'll set me back

because I'm just going to have
to exercise more, double up.

Cool.

Do you want some dessert?

Yeah.

I hope this don't spoil you.

I can't let it.

I know.

Because then I will
mess up what I've done.

Mm.

Can you not eat it?

Are you kidding?

Life is meant to be enjoyed.

So I just have to find a balance
between the things I enjoy

and what I need to do.

I just have to stay
on top of it all

and make sure I don't overdo
it one way or the other.

I know I'm making good progress.

So surgery's the next step.

And I'm hoping I get approved
the next time I see the doctor

and he sees how far I've come.

It's been a hard month.

I haven't made it
back to the doctor

yet because we've had so much
to deal with as a family.

But I'm excited to
show him my progress

and get approved for
weight loss surgery.

Hey, baby.

Are you ready for bed?

Yeah, I'm getting tired.

I washed your legs earlier.

You think I need
to wash them again?

You need to check this one.

But I just can't commit
to something like surgery

until Lisa figures
out her car and we

pay all the bills we have.

So surgery is the
last thing we all

need to deal with right now.

LISA: Let me rinse them
off real quick, OK?

James has been really
stressed lately.

And he's not been sticking
to the diet as much.

And I've been doing pretty
good up until about a month

ago and emotionally I'm
just going downhill.

Physically and
mentally, I am worn out.

Even though I feel like
I'm at my breaking point,

I can't give up on him.

I have to keep going.

I have to.

I feel trapped
because I can't leave

and sometimes I
don't want to stay.

That should feel better.

Sometimes I feel like
as soon as he starts

to walk that I'll be gone.

I'm fixing to go to bed.

You're not going
to sleep in here?

What if I have to
go to the bathroom?

You won't wake up.

You won't be able to hear me.

I'll hear you.

You know I've been
having a lot of trouble

breathing and stuff at night.

My anxiety's been up.

OK.

I'll just make a pallet
in here and sleep in here.

Why am I wasting my
life to help somebody

that doesn't appreciate me?

You sure you don't
need anything else?

No.

I'm fine.

All right.

I can't take it.

I can't.

I don't know what to
do because I am stuck.

DR. NOWZARADAN: Today
I'm going to visit James.

He's been here for
four months now.

I gave him a challenge to get
under 600 pounds in two months,

but he has not been back
to see me since then.

So I guess he's
not doing too well.

He has already suffered
from heart failure

since he's been here.

And he won't survive
another episode like that.

So I'm going to find out
what's going on with him.

Hey.

- Hi, Lisa.
- Hi.

How are you doing?

I'm doing OK.

How're you doing, James?

Hello, doctor.

I'm making it.

All right.

How are we doing with your
diet and activity and exercise?

Diet's going good.

Exercise is going great.

So do you feel like
you've lost any weight?

Yeah, I feel like I've--

I feel loose, you
know, a lot looser.

It doesn't look like
you have lost much weight.

Well, I didn't think you
can tell by looking, you said.

DR. NOWZARADAN:
Well, I can tell.

For being here for
a couple months,

you should have a noticeable
change in your body.

Well I'm on a new
mattress too and it's making

my back stick out farther too.

If you followed the
800 calorie a day diet,

you would have easily lost
the weight you should have

and more.

So on a typical day,
tell me what he's eating.

LISA: For breakfast, two eggs.

And then he's been having like
two pieces of turkey bacon

or turkey sausage.

He hasn't been having lunch.

He's been eating supper.

And it will be like
four ounces of meat.

And he does have a salad.

If he eat that, he should
have shown on his body

and lost a lot of weight.

But he doesn't look
like he's lost much.

I know.
I understand that.

But I count the calories.

And I look at the packages.

I mean, he's had steak.

But he usually don't eat
over four or five ounces.

DR. NOWZARADAN: There is
no way that James is eating

only 800 calories a day
because he looks bigger

now than the day I met him.

And if he followed the diet, he
would lose at least 300 pounds.

James has a delusional
view of things.

But you can't lie your
way out of a heart attack.

I don't know what
we're doing wrong.

He's getting some
extra calories somewhere.

And we need to figure that out.

I don't know.

I ain't eating
that many calories.

I know.

DR. NOWZARADAN: All right.

Let's cut to the chase.

I'm putting you back in
the hospital immediately.

And if you actually think he
lost weight, we can see there.

OK.

We'll see you in the hospital.

OK?

LISA: Thank you, Dr Now.

DR. NOWZARADAN: This is a
very unfortunate situation.

And if the heart failure was
not enough to wake him up,

I'm not sure what will.

But I'll try to
see what we can do.

JAMES (VOICEOVER): I don't
think the doctor is being fair.

And I don't know why he
thinks I look bigger.

But he's wrong
because I feel better

and I know I'm smaller than
when I started doing this.

So hopefully when I get into
the hospital and get my weight,

I can prove it to him there.

Now is really not the best
time for me to leave my family.

But I'll go if the doctor
wants to check my weight.

So that I can show
him I am doing this.

EMT: You can use this
right here to help.

Oh, I've been missing this.

We've got to get
a weight on you.

382.6 kilograms, 840 pounds.

Oh, my gosh.

No way this is possible.

Something is wrong.

She's not reading it
right or something.

Are you sure that's accurate?

Yeah.

From the bed scale.

I can't believe I've
gained that much weight.

I'm going to have to
tell Lisa that, you know,

I've gained weight.

And I don't think she's
going to like that.

Sorry.

I got lost getting here.

How did it go?

They weighed me
when I got here.

Have you lost more?

No.

You haven't?

You haven't lost no more weight?

I've gained.

You've gained weight?

A bunch.

You're kidding me.

They said I weigh
840 pounds now.

No it's not.

That's what it's saying.

Are you sure that
they didn't say 740?

No.

I'm positive.

Very discouraging, I know that.

I know.

I know the doctor
ain't going to be happy.

I know that.
- No.

He's not going to be happy.

And he's especially not
going to be happy with me

because I'm the one that
brings you the food.

JAMES (VOICEOVER): I'm
real nervous about Dr. Now

knowing what I weigh
because he's probably

going to be very upset.

So I really don't know what
to expect from him really.

I just hope he has a
lot of patience with me.

And gives me another chance.

We'll figure it out.

Somehow.

JAMES (VOICEOVER): I've
never been this big before.

And I'm scared right now
about what's going to happen.

Dr. Now is coming by
here soon to see me.

And I'm not sure how he's
going to react when he

finds that I'm 840 pounds now.

And I'm scared he's going
to say he's done with me.

I still can't believe
that's accurate.

I think the scale has to
be wrong or something.

I've been working at this
for like seven months.

Time to get your lecture.

Get ready to buckle down.

OK.

Well, we cheated because
we had the van messed up.

I already know that.

I ain't worried about that.

I just don't know how
much my nerves can take.

LISA: When James told me
that he weighed 840 pounds,

it devastated me.

I felt like we're
failing this whole trip.

Hello.

Hello.

How're you all doing?

Doing OK.

All right, James.

You're 844 pounds.

So we are both finally
on the same page.

You're not sticking to the diet.

We have slipped a few times.

I had car trouble.

We didn't have a way to get
food so we had to order food in.

Doesn't matter what you say.

OK?

The scale is going to tell
me what I need to know.

And what you're
telling me it is not

the reality about
his eating habits

because that doesn't
make any sense.

Things are so bad.

They're really-- if
you continue like that,

I don't think you're going
to live til the end of year.

You know, that I'm just
now getting the resources

that I've been needing.

We're talking about your food.

We're not talking
about anything else.

All of it--

I've needed all of it
though, to start with.

I haven't had home health.
I've had nothing.

Are you telling
me not to start?

What does that have to do
with your eating habits?

You should have lost right now--

I asked for a nutritionist
when I first got here, too.

And I didn't get it.

James, this is ridiculous.

What nutrition do you need
except the instruction

that I gave you that
works for everybody else

can follow them except you.

I had to retrain my body
from eating cheeseburgers.

You gained 100
pounds and you're

saying it's not
your fault, that you

needed to retrain your body.

Seriously?

You're eating yourself
to death and you

don't want to quit that.

And that's your responsibility.

Nobody else's in here.

You got yourself in this bed.

Now you're overeating and
she's bringing it to you.

And then you come in here,
oh, we have been following,

maybe we slipped a couple times.

Yeah.

You really think you can
lie your way out of this?

You can't gain over 100 pounds
by cheating just a little.

You've been eating almost
10,000 calories a day.

That's almost 13 times of what
you should be eating in a day.

I mean this is
just mind boggling.

Why won't you stop
overfeeding him.

I don't know
what the issue is.

I know, like I said,
that he has cheated some.

But I will not bring
him nothing else.

The some is not.
It's not some.

It's every day and every
hour and every meal.

Is not some.

What do you expect
us to do for you?

Tell me.
- I don't know.

What do you do with your life?

You want to stay in
your bed until you die?

No.
I want to get out of it.

How?

JAMES: Lose weight.
- How?

Eat right.

So why haven't you
done it up to this point?

I don't know.

You may as well go back home.

Because there's nothing
we can do for him.

Please don't give up on us.

I won't bring
him another thing.

I promise you that.

If you just won't
give up on James.

You're one of the best
doctors in this world.

We cannot lose you.

OK.

While you're here, we're
going to keep you on 800

calories a day control diet.

After that what happens
will be up to you.

No outside food for him, OK?

OK.

OK.

Nothing so far has
worked with James.

And I'm not sure how I'm
going to get through to him

at this point.

But if I send him
home right now,

I'm concerned that
he's not going to be

able to survive much longer.

So I'm going to keep
him here in the hospital

so we can get everything
back under control.

And it's going to take
a while to do that.

And after that, if
the fails again,

then there is nothing
more we can do for him.

I know you're upset.

I don't want to talk
about it right now.

OK.

JAMES: Look at them forearms.

Boy, they are getting
solid as a rock.

I've been in the
hospital a while now.

It hasn't been easy
but Dr. Now's finally

letting me go home today.

And I'm really looking forward
to getting out of here.

Hello, Dr. Now.

Hello, doctor.

James, how are you?

Feeling a little bit better.

So we're ready
to send you home.

And the past year I've
been working with you

and her to lose some weight.

And your weight
has gone up to 844.

I know.

DR. NOWZARADAN: We had you here
in the hospital for a month.

And at that time we
have you down to 786.

So hopefully you
see the difference

between what you were doing
and how you should be doing it.

But we still haven't resolved
the issue for almost a year.

You gain weight every
time you're on your own.

And neither of you have taken
the responsibility for that.

So you need to lose 100 pounds
over the next two months

on your own.

All right.

Here's what I need
you to understand.

If you don't, we are finished.

This is your last chance, OK?

I know.

You can do this, James.

All right.
Good luck.

I'll see you soon.

Thank you, doctor.

You're welcome.

We've been able to get
James help to the point

that he's not in imminent
danger being on his own.

So now what happens
is up to James.

We always have hope
for every patient.

But he either chooses to do
this or he chooses to die.

JAMES (VOICEOVER): I'm
so scared right now,

because I know if I haven't
lost the weight I need,

that I'm going to lose the
chance to get Dr. Now's help.

[KNOCK AT DOOR]
LISA: Come in.

Hi, James.

How are you doing?

Pretty good, doc.

Feeling OK?

Yeah, just a little
sore from the ride.

OK.

You left here 786 a
couple months ago.

And I'm wanting you
to lose 100 pounds

to get it under 686 pounds.

Let's see what
your weight is at.

So you are at 788.

This is mind boggling.

You're still not losing weight
and you're gaining again.

I understand he had
some ups and downs,

but he's been really
trying now doctor.

I don't know what
else we can do for you.

I think the best thing for
you is to go back to Kentucky.

He is trying now.

And I swear to you doctor,
he has not cheated at all.

He's going to lose this weight.

I don't want to
hear any more excuses.

I'm done.

If you want to be considered
at all ever again,

when you show up you need
to be under 600 pounds.

OK.

Thank you, doctor.

DR. NOWZARADAN: OK.

Good bye.

James has had every
chance and opportunity

to lose the weight he needs to.

And he has not
wanted even to try.

Until he stops with
the excuses and lies,

no other stage of the
program will happen.

Therapy won't and
he wouldn't survive

an emergency weight loss
surgery like sleeve gastrectomy.

So there is absolutely
nothing I can do to help him.

But hopefully, he'll work
to get under 600 pounds.

If he does, I'll continue
him on this program.

But until then, James is done.

I knew if I said anything, I
was going to disrespect the man

and lose it.

So I just kept my mouth shut.

I just know I'm going
to hit the 600 mark.

I know that.

BAYLEY: Dr. Now told my dad
that if he doesn't change

his eating habits
then he's going to be

dead by the end of this year.

And that makes me mad at my
dad because he didn't take

it serious when he first
got here, like I've

been trying to get to.

He didn't give us an
appointment to come back.

That's what scares me.

When I get down to 600
pounds, come back and see him,

is basically what
I got out of it.

Yeah, once he loses the
weight he's supposed to then

he needs to come
back and see him.

He mentioned going back
to Kentucky three times.

I'm not going
back to Kentucky.

I know.

I'm just saying,
that's what he said.

I'm tired.

It would be a lot easier
just to walk away.

But then I remember that
James is a human being too.

And he deserves to have somebody
help him get back on his feet.

And there's nobody
else except for me.

And so I have to make sure
that he gets back on its feet.

I thought you was honestly
going to tell me that you're

ready to go back to Kentucky.

And it scared me.

All he did was fire
my ass up even more.

I'm going to add exercises
to what I'm doing already.

That's one thing
I'm going to do.

You want to do
some weights now?

Not right this minute.

I don't feel like it.

I'm not going back
to Paducah now

because I am determined
to prove that I'm

going to lose the weight.

That's why I'm not
going back right now.

And that's what I'm going to do.

Maybe he can still give me
physical therapy or something,

so I can try and prove
to him I understand

and I'm going to do it now.

No matter what it takes,
I'll figure this out.

We contacted Dr.
Nowzaradan's office

and asked him if I could keep
the physical therapy that I had

in the hospital so
I could keep working

with him to try and get active.

He said that it was OK.

And today, I told them I
wanted to try and sit up.

- Hey, Rudy
- Hi, Lisa.

How are you?
- Good.

How are you doing?
- Good.

Good to see you again.

Hey, Rudy.

How are you doing?

Good.

Are you glad you're home?

Yeah, I'm glad.

Today we're going
to get you to sit up.

Oh, my foot.

I'm twisted.

Go slow.

Go slow.

Go slow.

Pull on me.

You're doing good.

I can't get a grip.

There you go.

Push.

James, if I can clear
this leg, we're good, OK?

Come on.

All right.

Grab my other arm.

You're sitting up.

Squeeze my hand.

Breathe.

Take a deep breath.

You're sitting up.

You've got it, man.

JAMES (VOICEOVER): It's
been three years since I've

been able to do that.

You're doing it.

JAMES (VOICEOVER): And
it feels really good.

Let me see how much
I can hold myself.

I hear Dr. Nowzaradan now.

And I'm not taking any
of this for granted.

I'm going to rise
to the challenge.

and get under 600 pounds
so I can go back to him

with my head held high and
get that weight loss surgery.

LISA: James, look at me
and say hi to your dad.

Hi, dad.

I love you.

I know it's going to be hard,
but mark my words, this time

next year I'm
going to be walking

around and half of my weight.

So I'm going to do this
no matter what it takes.