All language subtitles for My 600-lb Life S05E13

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**

**

Female Reporter:
AN 800-POUND MAN FROM CRANSTON

DESPERATE FOR HELP AFTER,
HE SAYS,

RHODE ISLAND HOSPITAL
TOLD HIM TO LEAVE.

Male Reporter:
FOR THE PAST 80 DAYS,

STEVEN WAS GETTING
THE HELP HE NEEDED

AT RHODE ISLAND HOSPITAL,

BUT AFTER STEVEN VIOLATED
HIS CARE PLAN BY ORDERING PIZZA,

STEVEN SAID THE HOSPITAL
TOLD HIM HE CAN NO LONGER STAY.

STEVEN'S FATHER SAYS
TAKING HIS SON HOME

WILL BE A DEATH SENTENCE,

SO THE TWO MEN SAY
THEY'LL CONTINUE TO DRIVE

UNTIL THEY FIND A PLACE
THAT CAN HELP.

I JUST DON'T KNOW
WHERE TO TURN TO.

I'VE CALLED EVERYBODY --

EVERYBODY YOU COULD THINK OF
IN THE STATE OF RHODE ISLAND,

AND NOBODY CAN HELP ME.

Dr. Nowzaradan: STEVEN ASSANTI
IS BEING TRANSPORTED

TO MY CARE IN HOUSTON RIGHT NOW,

AND I'M NOT SURE WHAT TO EXPECT.

FROM WHAT I UNDERSTAND,

HE SUFFERS
FROM SEVERE PSYCHOLOGICAL ISSUES

THAT MAKE IT PROBLEMATIC
TO TREAT HIM,

SO HE'S GOING TO BE
A UNIQUE CASE.

THIS LOOKS REALLY YUMMY!

[ MUFFLED GRUNTING ]

DA-DA-DA-DA-DA-DA!

* DA-DA-DA-DA-DA-DA *

* DA-DA-DA-DA-DA-DA *

* DA-DA-DA-DA-DA-DA *

Dr. Nowzaradan: HIS BROTHER,
JUSTIN, IS OVER 600 POUNDS,

AND HE'S ALSO COMING WITH HIM.

SO IT SOUNDS LIKE

A PERFECT STORM OF DYSFUNCTION
IS COMING,

AND WE MAY BE FACING
THE HARDEST CHALLENGE YET

TO TRY TO HELP THE ASSANTIS.

**

**

[ WATER RUNNING ]

[ WATER STOPS ]

Steven:
I'M AT KENT HOSPITAL RIGHT NOW.

I WAS LIVING IN MY DAD'S TRUCK

FOR APPROXIMATELY A WEEK
BEFORE I CAME HERE

BECAUSE I GOT KICKED OUT
OF A PREVIOUS HOSPITAL

FOR ORDERING A PIZZA.

AND NOW THIS HOSPITAL
IS ASKING ME TO LEAVE

BECAUSE THEY CAN'T HELP
PEOPLE MY SIZE

BECAUSE I'M TOO MORBIDLY OBESE.

BUT KENT HOSPITAL HAS BEEN
TRYING TO MAKE THE ARRANGEMENTS

FOR TRANSPORT FOR ME
TO MOVE OUT OF STATE TO HOUSTON

AND SEE DR. NOWZARADAN.

NOWHERE ELSE
WILL TAKE ME ANYMORE,

SO HE'S MY LAST HOPE.

BUT THE FACT THAT I MOVE
FROM HOSPITAL TO HOSPITAL

IS FRUSTRATING, BECAUSE
NO ONE CAN HANDLE MY WEIGHT.

1...2...3.
UP AND IN.

Woman: THANKS, GUYS.
ALL RIGHT.

Steven: AND SOMETIMES
I GOT FRUSTRATED WITH THE STAFF,

AND I GET CRAZY UPSET.

SO I HAVE MOMENTS
WHERE I YELL A LITTLE BIT,

OR I'LL JUST HAVE TROUBLE
CONTROLLING MY ATTITUDE.

HELLO.
ARE YOU MY NURSE?!

I AM [BLEEP] A BEDPAN!

I DON'T LIKE THAT [BLEEP]!

I DON'T LIKE-A!

YOU [BLEEP] [BLEEP]
YOU WANT TO HANG UP?!

YOU SON OF A [BLEEP]!

DAD!

I'M ON THE BEDPAN
FOR A HALF AN HOUR.

I GOT PISS ALL OVER
MY [BLEEP] BED.

-SIR, I'M SO SORRY.
-THE [BLEEP] OUT OF HERE.

Woman #2: OKAY.

I NEED HELP,
I'LL CALL THE [BLEEP] COPS.

DON'T [BLEEP] WITH ME, BROAD.
DO NOT.

MR. ASSANTI, I CAN'T HELP YOU
IF YOU'RE HOLLERING AT ME.

I JUST CAME IN
AT 7:00 --

I HAVE BEEN ON THIS THING
FOR A HALF AN HOUR.

HEAR IT, PEOPLE --
A HALF AN HOUR.

SO IF YOU'RE NOT IN HERE
IN FIVE [BLEEP] MINUTES,

THE POLICE WILL BE CALLED!

'CAUSE I GOT PROOF,
MOTHER [BLEEP]

SO, HOPEFULLY, IF I MEET
DR. NOWZARADAN, HE CAN HELP ME.

**

[ SIGHS ]

THIS IS THE HOUSE
WHERE STEVEN USED TO LIVE IN

WHEN HE WAS AT HIS BIGGEST.

HERE'S THE BATHROOM
THAT I HAD TO GET HIM INTO,

WHERE HE BROKE THIS
BEING SO HEAVY

THAT ALL HIS WEIGHT CRACKED
THIS WHOLE PIECE RIGHT OFF.

AND THEN,
WHEN HE USED THE BATHROOM,

HE LEANED UP AGAINST THIS,

AND SOMEHOW, SOME WAY,
THIS CRACKED.

SO I'M SURPRISED
HE DIDN'T BREAK THIS --

HE BROKE THIS PART.

HERE, I'LL SHOW YOU THE BEDROOM
THAT HE SPENT 24-7 IN.

THIS IS BASICALLY
ALL HIS STUFFED ANIMALS

AND HIS TV, HIS VIDEOS.

HE JUST COULDN'T GET OUT OF BED

AND WALK AROUND LIKE A REGULAR,
NORMAL PERSON WOULD.

SO THIS IS THE ROOM
HE WOULD EAT IN,

USE HIS URINALS
TO GO TO THE BATHROOM.

HE ONLY TIME HE WENT
TO THE REGULAR BATHROOM

WAS WHEN HE HAD
TO GO NUMBER TWO.

HE USED TO EAT IN THIS ROOM
CONSTANTLY,

AND HE WAS SNEAKING PIZZA
ALL THE TIME

AND HIDING THE EVIDENCE.

ONE DAY, I HAPPENED
TO OPEN UP THAT CLOSET,

AND I SEE 10 PILES
OF EMPTY PIZZA BOXES IN HERE,

WHERE HE TRIED
TO HIDE 'EM FROM ME.

I SAID, "LET ME TELL YOU
SOMETHING -- IT'S GONNA STOP,

BECAUSE I DON'T WANT TO SEE THAT
EVER AGAIN."

AND THEN HE SAYS TO ME, LIKE,
"OH, ALL RIGHT.

UH, WELL, WHAT ARE YOU GONNA
GET ME TO EAT NOW?"

I SAID, "ARE YOU SERIOUS, DUDE?"

I SAID, "HOW DO I KNOW YOU JUST
DIDN'T HAVE A PIZZA TODAY?

AND YOU WANT SOMETHING
TO EAT AGAIN?"

BUT HE WANTED HIS WAY.

HE USED TO THREATEN ME AND SAY,
"LOOK, IF I DON'T EAT,

I'M GONNA CALL THE POLICE
ON YOU,

AND I'LL TELL THEM YOU HIT ME."

I SAID, "OH, HERE WE GO."

HE KNOWS HOW TO BULLY
[BLEEP] PEOPLE.

SO HE WOULD ALWAYS TRY TO GET
EVERYONE TO DO WHAT HE WANTS,

BUT NOW HE DOESN'T EVEN
LIVE HERE ANYMORE,

AND SO IT'S JUST ME
AND MY OTHER SON,

STEVEN'S YOUNGER BROTHER,
JUSTIN.

BUT EVERY DAY THAT PASSES,

JUSTIN ENDS UP MORE AND MORE
LIKE STEVEN.

HE'S GAINING
JUST LIKE HIS BROTHER DID

AND IS ALREADY OVER 600 POUNDS,

AND I AM WORRIED
HE'S GOING TO END UP

THE SAME WAY STEVEN IS NOW.

**

**

[ WHISTLES ]

Justin: SINCE STEVEN LEFT,
ABOUT FOUR MONTHS AGO,

THINGS HAVE BEEN BETTER HERE.

I DON'T REALLY LIKE HIM MUCH
BECAUSE WE JUST DON'T GET ALONG.

GOOD BOY.

HE'S A BIG BULLY
THAT JUST TORTURED ME ALL DAY.

BUT NOW I CAN DO WHAT I WANT...

WHICH IS MOSTLY PLAY GAMES,
BECAUSE I DON'T GO OUT.

I'M A PERSON THAT LIKES
TO DO NOTHING BUT HAVE FUN,

JUST PLAYING MONOPOLY
OR VIDEO GAMES.

SO, I'M HAPPY WITH HOW THINGS
ARE, EXCEPT FOR MY WEIGHT.

I KNOW I'M GAINING A LOT,
AND I AM GETTING WORRIED THAT

I'M GOING TO END UP LIKE STEVEN,
STUCK IN A BED EVERY DAY.

I DON'T WANT THAT
TO HAPPEN TO ME,

BUT I DON'T REALLY SEE TOO FAR
IN THE FUTURE FOR MYSELF.

ALL I DO IS GO DAY BY DAY.

AND I DON'T REALLY LIKE
SETTING BIG GOALS --

I JUST TAKE
WHAT LIFE THROWS AT ME.

BUT I'M GLAD STEVEN IS GONE.

AND IF HE EVER COMES BACK
TO LIVE HERE AGAIN,

I DON'T KNOW IF I'M GONNA
BE ABLE TO HANDLE IT.

I HOPE HE CAN GET HELP,

BUT I WANT HIM
TO STAY OUT OF OUR HOME,

BECAUSE EVER SINCE
WE WERE REALLY YOUNG,

WE JUST NEVER HAVE GOTTEN ALONG.

OUR CHILDHOOD WAS ROUGH,

AND STEVEN JUST MADE IT
A LOT ROUGHER.

I JUST WISH I COULD PRESS
"REWIND" AT THE YOUNG STEVEN

AND FIX THE MISTAKES THAT I MADE

SO I DIDN'T END UP
THE WAY I AM TODAY.

I STRUGGLED WITH MY WEIGHT
ALMOST ALL MY LIFE...

...BECAUSE MY CHILDHOOD WASN'T
GOOD, TO SAY THE LEAST.

MY MOM IS AN ALCOHOLIC,

AND MY PARENTS' RELATIONSHIP
WAS PRETTY ROCKY.

SO ME AND MY YOUNGER BROTHER,
JUSTIN,

PUT UP WITH A LOT OF ABUSE
BECAUSE OF THAT.

IT WAS ARGUMENTS ALL THE TIME
AND FIGHTING.

Steven Sr.: WHEN STEVEN
AND JUSTIN WERE SMALL,

THEIR MOTHER DID HAVE
A DRINKING PROBLEM,

AND I JUST OVERLOOKED IT.

BUT JUSTIN WAS ABOUT 5,

AND STEVEN WAS AROUND 11

WHEN WE SEPARATED BECAUSE OF IT.

MY BROTHER AND I WENT
TO GO LIVE WITH MY MOM,

BUT, AT THAT TIME,

MY MOM CARED MORE ABOUT
THE ALCOHOL AND HER BOYFRIENDS

THAN US.

Justin: OUR MOTHER
ALWAYS TOOK OFF AT NIGHT.

SHE USED TO GO CLUBBING,
DRINKING,

AND SHE USED
TO LEAVE FOOD OUT FOR US

BECAUSE SHE WAS NEVER THERE.

AND STEVEN IS VERY GREEDY.

AND EVERY TIME
THERE WAS FOOD AROUND,

BEFORE I COULD EAT IT, HE WOULD
ALREADY HAVE GOBBLED IT DOWN.

Steven: FOOD WAS MY COMFORT
THROUGH GOOD AND BAD SITUATIONS,

BUT IT DIDN'T HELP WITH SOME OF
THE [BLEEP] THAT WAS GOING ON.

I MEAN,
I WAS STILL REALLY UPSET

BECAUSE MY MOM'S BOYFRIEND
WAS VERY VIOLENT.

Justin: I WAS BEATEN PHYSICALLY
BY HER BOYFRIENDS.

BUT MY MOM KNEW,
AND SHE DIDN'T CARE.

SHE WAS TOO BUSY GETTING DRUNK.

AND I THINK THAT'S WHY
I STARTED TURNING TO FOOD.

Steven:
SO, ME AND MY BROTHER ATE A LOT,

AND WE GAINED A LOT
OVER THE NEXT COUPLE OF YEARS.

LET'S GO BACK
TO MY CHILDHOOD DAYS --

HOW MY MOM USED TO LEAVE ME
AND MY BROTHER AT HOME

AND GO OUT CLUBBING
ALL THE TIME.

MIND YOU, WE WERE YOUNG.

MY MOTHER ABANDONED ME
AND MY BROTHER

FOR THE PERSON SHE'S WITH NOW.

SHE USED TO BUY ME
AND MY BROTHER FAST FOOD,

CEREAL, CUPCAKES --
ANYTHING WE WANTED --

TO KEEP US QUIET

WHILE SHE GOES OUT DRINKING
EVERY SINGLE NIGHT.

WHEN JUSTIN WAS ABOUT 9

AND STEVEN WAS ABOUT 15,
THEIR MOTHER --

SHE WENT OUT ONE NIGHT
AND NEVER CAME HOME,

SO STEVEN AND JUSTIN
CAME TO LIVE WITH ME.

Steven: MY MOM DECIDED
TO START A NEW LIFE

WITH THE NEW BOYFRIEND
AND LEAVE US.

AND THAT WAS A TRAUMATIC MOMENT
FOR ME,

SO I STARTED TO EAT MORE
AND MORE TO GET RID OF THE HURT.

AND BY THE TIME
I WAS IN HIGH SCHOOL,

I WEIGHED ABOUT 250 POUNDS,

AND JUSTIN WAS 9 THEN

AND PROBABLY CLOSE
TO 200 POUNDS.

SO WE WERE BOTH ADDICTED
TO FOOD AT THAT POINT.

I TRIED TO KEEP LESS FOOD
IN THE HOUSE,

BUT STEVEN WANTED PIZZA
ALL THE TIME.

HE JUST FELL IN LOVE WITH PIZZA.

AND SOMETIMES
STEVEN WOULD TAKE A TANTRUM FIT

IF HE DIDN'T GET WHAT HE WANTED.

HE WAS OUT OF CONTROL.
I JUST COULDN'T CONTROL HIM.

Steven: ONE TIME, MY DAD AND I
GOT IN AN ALTERCATION.

HE HIT ME, AND THEN I HIT HIM,
AND THEN I CALLED THE POLICE.

HE GOT ARRESTED.

AND HE TOLD ME
TO DROP THE CHARGES

AND HE WOULD GET ME
A LARGE PIZZA IF I DID,

AND SO I DID.

SO, ME AND JUSTIN JUST ATE
AND DID NOTHING

FOR A NUMBER OF YEARS
AND GAINED EVEN MORE.

AND I WAS 350 POUNDS
WHEN I WAS 17 YEARS OLD,

AND JUSTIN WAS 300 POUNDS
AND WAS AROUND 12 YEARS OLD.

I TOLD STEVEN A HUNDRED TIMES,
"WHY?

WHAT ARE YOU DOING TO YOURSELF?
YOU'RE YOUNG."

AND THEN, WHEN STEVEN WAS 25,
THE MOTHER CALLED HIM UP,

AND SHE SAID SHE WAS
GONNA TAKE CARE OF HIM.

Steven: SHE OFFERED TO PAY
FOR ME TO MOVE TO MASSACHUSETTS

TO BE CLOSE TO HER...

SO I DID.

BUT I DIDN'T SEE HER
ONCE I MOVED THERE.

I FINALLY GAVE UP ON HER
AT THAT POINT.

SO I STARTED TO EAT MORE --
MORE AND MORE --

TO MASK THE FEELINGS,

ALTHOUGH THE HURT
WAS STILL THERE.

AND I ATE, BASICALLY,
WHAT I LOVE -- PIZZA.

AT THAT TIME, I WAS EATING
ABOUT SIX LARGE PIZZAS A DAY.

I USED FOOD, BUT I ALSO STARTED
POSTING VIDEOS ONLINE

BECAUSE I WAS TRYING TO DEAL
WITH A LOT OF ANGER

ABOUT MY LIFE AND MY MOM.

I LASHED OUT AT PEOPLE
AND DID THINGS TO GET ATTENTION.

AND I FEEL BAD ABOUT
SOME OF THEM,

BUT WHEN I LOSE IT,
I CAN'T CONTROL MYSELF.

[ LAUGHS ]

THIS VIDEO
IS JUST FOR YOU TAXPAYERS --

THANK YOU FOR PAYING TAXES,

BECAUSE, WITHOUT YOU,

I WOULD NOT HAVE THIS URINAL
TO PEE IN.

WITHOUT YOU, I WOULD NOT HAVE
THESE CANS OF FOOD TO EAT.

WITHOUT YOU, I WOULDN'T HAVE
PILLS TO TAKE TO KEEP ME ALIVE!

STEVEN REALLY, REALLY GOT
OUT OF CONTROL BEING BY HIMSELF.

WHEN HE COULDN'T MOVE AROUND
NO MORE LIKE HE WANTED TO,

AND HE JUST DIDN'T CARE
ABOUT LIFE ANYMORE.

Steven:
AND THEN, I WAS 31 YEARS OLD

WHEN I MOVED BACK IN
WITH MY DAD,

AND I WAS IN THE UPPER 600s
AT THAT TIME.

BUT HE USED TO POUND ON MY WALL
OVER AND OVER AGAIN

TILL I FINALLY GAVE HIM
WHAT HE WANTED.

Steven: AND I LIVED AT HOME
UNTIL JUST RECENTLY.

I'VE HAD TO STAY
IN A HOSPITAL --

BECAUSE I JUST CAN'T WALK OR
GET AROUND ON MY OWN ANYMORE --

UNTIL THE LAST ONE
KICKED ME OUT.

AND NOW I HAVE TO FIND A WAY
TO GO TO HOUSTON

BECAUSE DR. NOWZARADAN IS THE
LAST PERSON THAT I CAN GO TO.

I'M REALLY GLAD
THIS IS HAPPENING.

SO, NO MATTER WHAT HAPPENS,
I'M NOT GONNA MESS THIS UP.

**

**

[ GRUNTS ]

TODAY, MY DAD AND I
ARE PACKING OUR BAGS,

AND WE'RE GONNA LEAVE
THE HOSPITAL

AND THEN DOWN TO HOUSTON.

MY SON STEVEN IS GONNA BE
TRANSPORTED IN A MEDICAL R.V.

TO HOUSTON,
AND I'M GONNA FOLLOW HIM.

AND MY SON JUSTIN
WANTS TO COME WITH ME.

Justin: I'M GOING TO HOUSTON

TO MAKE SURE MY BROTHER
GETS SETTLED IN ALL RIGHT

AND TO MEET THE DOCTOR, AS WELL,

BECAUSE I WANT HELP
WITH MY WEIGHT, TOO.

BUT I'VE NEVER BEEN
ON A ROAD TRIP THIS LONG.

THE FURTHEST I EVER WENT
WAS FOUR HOURS,

AND I'M VERY NERVOUS

BECAUSE I'M NOT SURE
HOW I'M GONNA REACT.

THESE DAYS, WHEN I JUST GO,

I STILL GET PARANOID
ON THE ROAD,

AND THAT'S ONLY
FOR LIKE 30 MINUTES.

YEAH, THIS IS A SHIRT.
I THOUGHT IT WAS PANTS.

I GOT TO BRING THESE.

HUH?
THIS IS RIDICULOUS.

ACTUALLY, I'M GONNA
WEAR THESE ON THE WAY.

I'VE BEEN WAITING FOR STEVEN
TO GET HELP FOR, I WOULD SAY --

OH, MY GOD -- 10 YEARS OR MORE,
TO TRY TO GET HIM HELP

UNTIL HE GOT TOO FAR
OUT OF CONTROL,

LIKE HE IS NOW.

ALL RIGHT,
HAND IT TO ME.

ALL RIGHT,
LET'S GO.

JUSTIN DOES HAVE
A WEIGHT PROBLEM,

BUT NOT AS BAD AS STEVEN DOES.

BUT HE WANTS
TO LOSE WEIGHT, TOO,

AND THAT'S WHY HE WANTS
TO SEE THIS DOCTOR,

TO TALK TO HIM.

BUT GOING TO HOUSTON

WILL BE STEVEN'S LAST CHANCE
IN GETTING HIS HELP,

AND I HOPE HE STICKS WITH IT
'CAUSE HIS LIFE DEPENDS ON IT.

**

Steven: TODAY, I'M BEING
DISCHARGED FROM KENT HOSPITAL,

AND A MEDICAL R.V.
IS PICKING ME UP,

AND WE'RE HEADING TO TEXAS.

I'M FEELING
A LITTLE BIT NERVOUS.

WHEN WE FINALLY ARRIVE TO TEXAS
AND I MEET WITH THE SURGEON,

I JUST HOPE THAT HE ACCEPTS ME
FOR THE GASTRIC BYPASS SURGERY.

Man: UP.
1...2...3.

I'M PRETTY EXCITED ABOUT
GOING TO TEXAS

BECAUSE I'VE HAD A LOT OF TIME
TO MENTALLY PREPARE MYSELF,

SO I THINK I'M READY
FOR EVERYTHING WHEN I ARRIVE.

[ WHIRRING ]

AND I'M WILLING TO DO
WHATEVER THEY ASK ME TO DO.

BUT I'M FEELING A LITTLE BIT
NERVOUS FOR THE TRIP

BECAUSE I'M GONNA BE STUCK
IN AN R.V. FOR LIKE 29 HOURS.

AND THE ROAD TRIP CAN BE RISKY

BECAUSE THERE'S A LOT OF THINGS
THAT CAN HAPPEN, HEALTH-WISE.

SO JUST HOPE THINGS GO SMOOTHLY.

READY?
1, 2, 3.

ALL RIGHT,
ALL RIGHT.

-HOW YOU DOING BACK THERE?
-YEP.

YOU GOOD?

Steven: I'VE NEVER HAD
TO DO ANYTHING LIKE THIS,

BUT I'VE LET MYSELF
GET TO A PLACE

WHERE I HAVE TO GO HALFWAY
ACROSS THE COUNTRY

'CAUSE I HAVE NO OTHER OPTIONS
AFTER THIS.

**

**

**

Steven:
I HAVE NO IDEA WHERE WE ARE.

WE'VE BEEN ON THE ROAD
FOR A FEW HOURS NOW.

I'M TRAVELING TO HOUSTON
IN A MEDICAL R.V.,

AND I STILL HAVE
A LONG WAY TO GO --

LIKE, 25 TO 30 HOURS, AT LEAST.

BUT I'M ALREADY REALLY HUNGRY,

AND I NEED TO START
EATING SOMETHING,

OR I'M GONNA FEEL REALLY BAD.

[ CELLPHONE RINGS ]

[ Groaning ] OH, GOD.

HELLO?

I WANT
TO GET SOMETHING TO EAT.

Already, you're hungry.

YEAH, ALL RIGHT.
BYE.

WHEN I CRAVE SOMETHING,
I HAVE TO EAT.

NO MATTER WHAT, I'M GONNA EAT,

AND SOMEONE IS GOING
TO GET IT FOR ME.

I HAVE AN ADDICTION TO FOOD.

THANK YOU.

IT'S BAD.

WHEN THAT FEELING
OVERWHELMS YOU,

IT'S ALMOST IMPOSSIBLE
NOT TO GIVE IN.

YOU CAN'T RESIST THE CRAVINGS.

AND I'VE NEVER BEEN
ON THE ROAD LIKE THIS

WHERE I'M NOT SURE
WHEN I CAN EAT NEXT,

AND IT MAKES ME WANT TO EAT

EVERY TIME
WE PASS A PLACE WITH FOOD...

OH, MY GOD.

...BECAUSE I DON'T KNOW
HOW LONG IT'S GONNA BE

UNTIL WE SEE ANOTHER PLACE.

[ BELCHES ]
EXCUSE ME.

[ CLATTER ]

OH!

AHH.

THE BED.

THE BED JUST HIT A BIG, HUGE
BUMP, AND IT BROKE.

-RIGHT?
-NO.

OH, OKAY.

THE WHOLE BED IS BROKE,
UNFORTUNATELY.

WHERE'S
THAT SPARE TIRE AT?

IT'S RIGHT UNDER HERE,
AND I'M TRYING TO THINK HOW TO

PUT SOME SUPPORT
RIGHT WHERE HE'S AT.

-THAT'S WHAT --
-YEAH.

WE'LL PUT THAT SPARE TIRE
UNDERNEATH THERE.

Steven: A SPARE TIRE?

YEAH,
TO HOLD THAT FRAME UP.

IS THAT EVEN GONNA BE SAFE,
THOUGH?

IT'S BETTER THAN WHAT
YOU'RE ON RIGHT NOW.

WE'RE, LIKE,
STUCK IN THE MIDDLE OF NOWHERE

ON A HIGHWAY, RAINING --

NOT SAFE NO MORE.

OKAY.

**

[ METAL SCREECHES ]

Steven: OHH.

THOSE AIR BAGS
MUST HAVE COLLAPSED.

EEH.

Steven:
THIS IS ALL MESSED UP,

AND NOW THERE'S SOMETHING WRONG
WITH THE TRUCK, TOO.

THERE IS?

MAYBE CINDER BLOCKS.

CINDER WHO?

CINDER BLOCKS
WOULD BUILD THIS BED UP.

YOU'RE GONNA HAVE
TO GET UP.

ARE YOU FORGETTING
MY LEGS ARE FAT?

MAYBE YOU COULD PUT YOUR LEG
OVER THIS -- OVER THE TIRE.

WELL, HE ALSO NEEDS
SOME KIND OF SUPPORT.

WELL, WE HAVE NO CHOICE.
I MEAN...

YEAH, YOU GOT TO TRY.
GOD.

WE NEED SOMEONE TO RUN
TO GET SOME CINDER BLOCKS.

YEAH,
YOU CAN BYPASS THAT TIRE.

SHUT UP!
I'LL JUST --

OKAY.

SIDESTEP OVER THIS WAY.

Steven: I'M NOT GONNA
BREAK THE FLOOR?

-NO.
-I HOPE NOT.

YEAH, BUT IT SOUNDS LIKE
I'M GONNA BREAK THE FLOOR.

Steven Sr.:
NO, JUST GO, PLEASE.

YOU'RE NOT GONNA
BREAK THE FLOOR.

Justin:
I AM REALLY ANNOYED RIGHT NOW

BECAUSE MY BROTHER
BROKE THE BED...

**

Together: 1, 2, 3.

-OKAY.
-OH, YEAH.

Nurse Steven: MOVE IT DOWN SOME
AND SLIDE IT IN.

Steven Sr.: THERE YOU GO.
SON OF A [BLEEP]

ALL RIGHT, LET'S TRY TO GET
YOUR [BLEEP] UP THERE.

ALL RIGHT,
TRY TO PUSH YOURSELF UP.

I'LL HOLD THESE BRICKS
FROM SLIDING.

LITTLE MORE.

WHEW!

Steven: NOW COVER ME UP.

OKAY, I'LL GET IT.

[ INDISTINCT CONVERSATION ]

WELCOME TO NEW YORK.

WE ONLY GOT ABOUT NINE MORE
STATES TO GET THROUGH.

I JUST HOPE NOTHING HAPPENS
TO THIS BED AGAIN

ON THE WAY DOWN THERE.

Steven: I DON'T LIKE HOW THINGS
ARE GOING SO FAR.

I JUST WANT TO GO TO HOUSTON
SO I CAN GET THE SURGERY...

AND SO I CAN LOSE THE WEIGHT
AND THEN GO HOME.

BUT WHAT I REALLY WISH

IS THAT I NEVER ENDED UP
LIKE THIS IN THE FIRST PLACE.

BUT, THEN, MY CRAVINGS COME,
AND I DON'T CARE.

I HAD 4:00 A.M. BREAKFAST,

AND THEN I PRETENDED LIKE I
DIDN'T HAVE 4:00 A.M. BREAKFAST,

AND THEN I HAD BREAKFAST AGAIN.

VáMONOS. LET'S GET THIS SHOW
ON THE ROAD, PEOPLE.

THAT'S HOW I MANIPULATE MY WAY
INTO GETTING EXTRA FOOD.

OH, MY GOD.
1,156 MORE MILES.

[ CELLPHONE RINGS ]

HELLO?

STEVEN: Yeah, hey.

WHAT?

EXCUSE ME.
I WANT TO GET SOMETHING TO EAT.

ALL RIGHT,
DO ME A FAVOR.

SAVE THE MINUTES.
QUIT CALLING ME.

Um, okay.
Don't forget I'm here. Bye.

I WILL FORGET.
BYE.

I CAN'T BELIEVE
HE'S ASKING FOR FOOD AGAIN.

HE JUST ATE TWO HOURS AGO.

Steven: I DON'T FEEL ENTITLED,
BUT I WANT WHAT I WANT,

AND WHEN I DON'T GET IT,
I GET PISSED OFF

AND I START RANTING AND RAVING
TILL I DO GET WHAT I WANT.

I JUST WANT WHAT I WANT --
THAT'S IT.

[ CELLPHONE RINGS ]

Justin: WHAT'S HE THINK --
YOU'RE MADE OF MONEY?

HELLO?

I AM FEELING VERY WEAK,

AND IF SOMETHING HAPPENS TO ME,
YOU'RE GONNA BE VERY SORRY.

THAT'S WHAT I HEARD EVERY DAY
OF THE WEEK AT MY HOUSE --

HIM EATING.

"WHAT AM I GONNA EAT?
WHAT AM I GONNA EAT?

WHAT AM I GONNA EAT?"

OH, MY GOD.

HERE. I GOT YOU WHAT YOU WANTED,
YOU BIG BABY.

THERE.
[ CHUCKLES ]

ALL RIGHT, THAT'S IT
TILL TOMORROW MORNING, BUDDY.

I KNOW.

I'M NOT SURPRISED THAT
HE GOT HIM THE LARGE.

MY FATHER ALWAYS CAVES IN
TO MY BROTHER'S DEMANDS.

WE'VE BEEN TRAVELING
FOR ABOUT 38 HOURS RIGHT NOW.

AND THEN, EVERY 100 MILES,
WE HAD TO STOP,

'CAUSE WHO WANTED TO EAT?

YOU KNOW, I UNDERSTAND THAT,
BUT NOT EVERY 100 MILES.

IT'S RIDICULOUS.

100 MILES ONLY TAKES YOU
TWO HOURS TO DO.

CAN YOU TURN --
[ LIGHT SWITCH CLICKS ]

THANK YOU.

Steven: I THINK I'M GONNA
MAKE IT TO HOUSTON TODAY,

AND I AM ABSOLUTELY HAPPY
ABOUT THAT.

I AM ABOUT READY
TO GET OUT OF THE R.V.

AND INTO THE HOSPITAL.

**

HOW THE HELL YOU GET IN
THIS JOINT?

GOD.

DUDE,
I'M EXHAUSTED, DUDE.

OKAY, DUDE.

YOU STILL GOT
ANOTHER 400 MILES.

OH, WAIT TILL
YOU SEE THE FOOD

YOU'RE GONNA GET
AT THAT HOSPITAL.

WHOO-HOO-HOO-HOO-HOO.

THEY'RE GONNA GIVE YOU
A HAMBURGER

ABOUT THE SIZE
OF A HALF A DOLLAR...

UH-HUH.

...AND A PEA ON A PLATE,

AND THAT'S 300 CALORIES
RIGHT THERE.

I'M JUST TELLING YOU.

I CAN'T WAIT
TO SEE YOUR FACE

WHEN YOU GET
THAT LITTLE HAMBURGER

AND THAT ONE LITTLE PEA.

BE CAREFUL, THOUGH,
WITH THE PEA,

BECAUSE YOU MIGHT
TIP THAT PLATE,

AND IT MIGHT ROLL OFF,
AND THERE GOES YOUR LAST SUPPER.

GOODBYE.

THERE'S EXACTLY 30 MILES LEFT
TO THE HOSPITAL.

THANK THE LORD.

Justin: I'M HOPING THAT,
WHEN WE GET THERE,

STEVEN DOESN'T MESS IT UP,
BECAUSE I NEED HELP, TOO.

BUT I THINK HE WILL, BECAUSE
THAT'S WHAT HE ALWAYS DOES --

HE MESSES IT UP
AND TAKES US ALL DOWN WITH HIM.

**

Dr. Nowzaradan: STEVEN ASSANTI
AND HIS BROTHER, JUSTIN,

HAVE BEEN ON THE ROAD FOR
A LITTLE BIT OVER TWO DAYS NOW,

AND THEY'RE JUST ABOUT
TO ARRIVE.

THERE SEEMS TO BE
A VERY UNHEALTHY DYNAMIC

AT PLAY WITH THE WHOLE FAMILY.

BUT UNTIL I ASSESS THEM,

I'M NOT SURE WHAT THE EXTENT
OF THE DYSFUNCTION MIGHT BE

AND WHAT THE OPTIONS ARE
FOR TREATMENT.

BUT IT'S PROBABLY SAFE TO SAY

THIS FAMILY IS GOING TO BE
ONE OF THE HARDEST CHALLENGES

WE HAVE FACED YET.

**

**

STEVEN ASSANTI
HAS MADE IT TO HOUSTON

AFTER A TWO-DAY DRIVE.

HIS FATHER AND HIS BROTHER
ARE WITH HIM, TOO.

BUT RIGHT NOW,
I NEED TO ASSESS THE SITUATION

BECAUSE BEING TRANSPORTED
AT HIS WEIGHT

IS ALWAYS A DANGEROUS SCENARIO,

SO WE HAVE TO MAKE SURE
THAT THERE ARE NO ISSUES

THAT ARE AFFECTING THE SYSTEM

THAT MAY LEAD
TO A LIFE-THREATENING EVENT

IN THE NEXT 24 HOURS.

STEVE.

HI.

I'M DR. NOWZARADAN.

HI.
HOW ARE YOU?

NICE TO MEET YOU.
YOU DOING OKAY?

YEAH.

IN A LOT OF PAIN
FROM THE TRIP, THOUGH.

IT WAS QUITE THE RIDE.

THE BED BROKE,

AND THEY HAD TO PUT, LIKE,
CINDER BLOCKS UNDER ME.

I SEE THAT.

WHERE IS YOUR PAIN?

MY LEGS, BUT MORE SO
ON THE RIGHT SIDE.

OKAY. LET'S GET YOU IN
AND CHECK YOU OUT.

CAN YOU GET UP OVER THERE
AND WALK HERE

TO GET IN
ON THE WHEELCHAIR?

YEAH.

THEN WE'RE GONNA
LOWER DOWN,

AND WE'LL GET YOU
IN THE BED, OKAY?

-THANK YOU.
-ALL RIGHT.

I'VE BEEN WAITING FOR THIS DAY,
BELIEVE ME.

ALL RIGHT.
AND WE'LL TAKE CARE OF YOU.

I UNDERSTAND YOUR BROTHER
IS HERE, TOO?

YEAH, HE IS.
HE'S THE OTHER BIG GUY.

Steven Sr.: NO, GO AHEAD.
GIVE ME YOUR HAND.

ALL RIGHT, GO AHEAD.
BEAUTIFUL.

Man: GRAB THAT.

ALL RIGHT.

WE GOT TO GO BACK
A LITTLE BIT MORE.

GIVE ME YOUR HAND.

I'M JUST TIRED OF FEELING BUMPS
RIGHT NOW AND PAIN, ACTUALLY,

FROM ALL THE TRAVELING.

AND BEING ON THE ROAD
FOR A FEW DAYS

MEANS I HAVEN'T HAD
A FEW THINGS I NEED.

I'VE BEEN WITHOUT PAINKILLERS,

AND I HAVEN'T BATHED
THE WHOLE TIME.

SO I'M REALLY LOOKING FORWARD
TO FINALLY GETTING CLEANED UP.

OKAY.

-ALL RIGHT, READY?
-YEAH.

I'M IN A LOT OF PAIN,

AND I CAN REALLY USE
SOME PAIN MEDICINE.

LET ME LISTEN
TO YOUR HEART.

OKAY.

TAKE A DEEP BREATH.

[ MONITOR BEEPS ]

OKAY.

SO, WE'RE GOING TO RUN
SOME TESTS ON YOU,

MAKE SURE THAT THERE ARE
NO ISSUES, OKAY?

OKAY.

STEVEN IS CASUALLY ASKING
FOR SOME PAIN MEDICATION,

BUT HIS BODY LANGUAGE SHOWS
THAT HE REALLY WANTS IT.

YEAH,
THIS IS DILAUDID...

YEAH.
...THE PAIN MEDICINES.

HAVE YOU HAD THIS BEFORE?
YEAH.

SO, HE'S EITHER
IN A LOT OF PAIN RIGHT NOW

OR WE ARE DEALING WITH

A VERY ADDICTIVE AND
PATHOLOGICAL PERSONALITY HERE.

HOPEFULLY, HIS BROTHER, JUSTIN,
IS NOT GOING TO BE THE SAME WAY.

Justin:
I'M NERVOUS ABOUT BEING HERE.

I DON'T LIKE HOSPITALS.

I WAS HOPING THAT I COULD GO
TO THE HOTEL FIRST.

BUT MY DAD WANTS ME
TO GET MY LEG CHECKED OUT

TO MAKE SURE THERE'S
NOTHING SERIOUSLY WRONG
WITH ME RIGHT NOW.

JUSTIN'S LEG STARTED HURTING
BECAUSE OF THE LONG TRIP HERE,

SO I ASKED THE DOCTOR,
COULD HE CHECK HIM FOR ME?

-HI, JUSTIN.
-HI.

I'M DR. NOWZARADAN.

SO, LET'S CHECK YOU OUT.

JUSTIN LOOKS TO BE
AROUND 600 POUNDS,

AND COULD HAVE
ANY NUMBER OF ISSUES

THAT WE NEED TO ADDRESS
RIGHT NOW.

SO HE NEEDS TO BE ADMITTED
TO THE HOSPITAL

AND FIGURE OUT
WHAT EXACTLY IS GOING ON.

DO YOU FEEL OKAY,
JUSTIN?

I HEAR THAT
YOUR LEG HURTS, HUH?

-YEAH.
-WHICH ONE?

MY RIGHT ONE.

WHAT'S WRONG
WITH THE RIGHT LEG?

I'M JUST IN PAIN EVER SINCE
I STARTED THE ROAD TRIP.

AND I HEAR YOU HAD A MURMUR
IN YOUR HEART.

OKAY.
LET ME LISTEN TO YOUR HEART.

WE HAVE AN INTERESTING DYNAMIC
UNFOLDING HERE.

ALL RIGHT, I'M GONNA GET
SOME TESTS ON YOU, OKAY?

-OKAY.
-ALL RIGHT.

TWO BROTHERS THAT --
THEY HAVE A PATHOLOGICAL DRIVE

TO OVEREAT TO THE POINT
ONE OF THEM IS IMMOBILE,

AND, PRETTY SOON,
THE OTHER BROTHER

IS GOING TO BE THE SAME WAY.

SO, WE NEED TO START
TO GET TO THE BOTTOM

OF WHY THEY ARE
AT THE POINT THAT THEY ARE

AND SEE WHAT WE CAN DO
TO TURN THE SITUATION AROUND

BECAUSE, RIGHT NOW,
THIS WHOLE FAMILY

IS IN A DOWNWARD
DEATH SPIRAL TOGETHER.

OW!
EASY, EASY, 'CAUSE THE RAIL.

JUST -- IT WON'T SLIP OFF,
OKAY?

STEVEN'S DOING GOOD.
HE'S HAPPY ABOUT WHERE HE IS.

HE'S HAPPY ABOUT -- WE FINALLY
GOT HERE AFTER THAT LONG TRIP.

BUT JUSTIN WANTED TO COME DOWN
JUST TO MEET THE DOCTOR,

AND COME TO FIND OUT
THE DOCTOR ADMITTED JUSTIN

BECAUSE HE WANTED TO TAKE
A LOT OF TESTS ON HIM.

DID YOU HEAR ME?

YEAH, I HEARD YOU.

AND JUSTIN DIDN'T WANT THAT,
'CAUSE HE WANTS TO GO BACK HOME.

THAT'S WHY HE'S UPSET.

YOU WANT TO STAY?

NO.

THEN TELL THEM.

HI. WHEN IS MY DAD GOING
TO ACTUALLY BE IN?

HE'S OVER THERE,
BY YOUR BROTHER'S ROOM.

MY BROTHER?

HE'S UP HERE, TOO?

MM-HMM.
YEAH.

YEAH, I WILL HAVE
TO SEE JUSTIN,

AND WE WANT TO DO
THE ECHOCARDIOGRAM

TO SEE WHAT'S GOING ON WITH THAT
MURMUR HE HAS AND ALL THAT,

AND HE SUDDENLY
CHANGED HIS MIND?

HE WANTS TO LEAVE NOW.

BUT THE PROBLEM IS THAT,
IF WE'RE GONNA HELP HIM,

WE NEED TO KNOW WHERE WE STAND,
WHAT WE NEED TO DO.

AND AT THIS POINT,
WE NEED TO DO HIS ECHO

AND FIND OUT
IF WE CAN DO ANYTHING.

LET'S GO TALK TO HIM.

YEAH, LET ME TALK TO HIM FIRST.
HOLD ON.

Dr. Nowzaradan: JUSTIN'S
SOCIAL ANXIETY IS VERY ADVANCED,

BUT HE'S RESPONDING TO
A SITUATION THAT HE DOESN'T LIKE

BY THROWING A TANTRUM.

HE DOESN'T WANT
TO TALK TO ME ANYMORE,

SO HE'S TRYING TO DETACH

SO HE DOESN'T HAVE
TO DEAL WITH ANYTHING.

AND THIS IS SOMETHING THAT
PROBABLY WORKED WITH HIS FATHER,

BUT THAT BEHAVIOR
IS NOT GOING TO WORK HERE.

Justin: I WANT TO GO HOME.
I DON'T WANT TO STAY HERE.

COME IN, DOC.

FIRST OF ALL,
WE GOT ALL THE LAB WORK BACK,

AND EVERYTHING
LOOKED OKAY.

OKAY, JUSTIN?

HE'S TALKING TO YOU.

HE'S LOOKING AT US
INTO THE CAMERA.

ALL RIGHT, JUSTIN.

WHEN YOU'RE READY TO TALK,
LET ME KNOW.

BUT WE'LL GET THE ECHOCARDIOGRAM
AND SEE WHAT HIS HEART IS DOING.

YEAH.
AND THEN HE CAN GO HOME,

AND WE'LL GIVE YOU
THE SEPARATE RESULTS LATER.

OKAY.
ALL RIGHT.

WE'LL GET ALL THAT TAKEN CARE OF
FOR YOU, OKAY?

JUST GET HIM -- MY OTHER ONE --
DOWN TO 250.

YEAH, I'LL GO
AND CHECK ON HIM, OKAY?

-ALL RIGHT.
-ALL RIGHT.

ALL RIGHT.

Steven: EXCUSE ME.

[ INTERCOM BEEPS ]

WOMAN: How may we help you?

YES.
CALL FOR THE NURSE,

'CAUSE I'D LIKE TO GO
FOR A WALK, PLEASE.

Justin: I'M JUST READY TO GO
AND GET BACK HOME.

AND I DON'T NEED HELP
LIKE THIS -- STEVEN DOES.

SO I'M NOT STAYING HERE

AND GETTING ADMITTED
TO THE HOSPITAL.

WHATEVER HAPPENS,
I'M GOING HOME TOMORROW.

**

NOW, WHEN WILL
MY DAD BE IN HERE?

GET OUT.

HUH?

GET OUT.

YOU WANT ME OUT?

GET OUT.

ALL RIGHT.
WELL...

GET OUT.

GET OUT.

YOU SHOULD STAY.
DON'T BE AN IDIOT.

I DON'T WANT HIM HERE.

I'M GOING.

I'M JUST SAYING
YOU SHOULD STAY --
DON'T BE AN IDIOT.

Steven: YEAH.

DO YOU HAVE A CHAIR?

COULD WE GET A CHAIR RIGHT NOW?
UNTIL HE WALKS AGAIN.

JUST LEAN ON THAT.

MY ROOM'S
ALL THE WAY DOWN THERE.

SIT DOWN...

I'M SCARED ABOUT
BEING ALONE HERE IN TEXAS,

AND HEARING THAT
MY BROTHER WAS ADMITTED

MADE ME THINK THAT I DIDN'T HAVE
TO STAY DOWN HERE ALONE.

BUT HE WON'T EVEN GIVE ME
A CHANCE TO DISCUSS IT WITH HIM.

HE JUST WANTS TO GO BACK,
AND THAT'S DISAPPOINTING TO ME,

BECAUSE IT WOULD BE BETTER
IF WE COULD DO THIS TOGETHER.

SO, THE REALITY OF ALL THIS

AND THAT I'M GONNA BE ALONE
IS SINKING IN,

AND IT'S JUST ALL GETTING
REALLY, REALLY SCARY.

I'M NOT STAYING BECAUSE
I WASN'T SUPPOSED TO STAY.

AND I SHOULDN'T HAVE COME HERE,

AND I SHOULDN'T HAVE PUT MYSELF
INTO A POSITION

WHERE MY BROTHER COULD
PRESSURE ME FOR ANYTHING.

THIS IS HIS DEAL,
AND THIS HELP IS ALL FOR HIM.

AND I JUST WANT TO GET
AS FAR AWAY FROM HIM

AS POSSIBLE RIGHT NOW.

**

**

Steven: I'VE BEEN
IN THE HOSPITAL FOR A DAY,

AND I'M FEELING VERY OPTIMISTIC
ABOUT THINGS RIGHT NOW.

Dr. Nowzaradan: STEVEN, DO YOU
THINK YOU CAN STAND ON A SCALE

AND GET
YOUR ACCURATE WEIGHT?

-ABSOLUTELY.
-ALL RIGHT.

LET'S BRING THE SCALE
AND GET YOU OVER THERE.

OKAY, SIR.

WE FINISHED ALL THE TESTS
ON STEVEN,

AND THERE ARE NO MAJOR ISSUES
RIGHT NOW.

SO I WANT TO GET
HIS ACCURATE WEIGHT

AND START HIM
ON A CONTROLLED DIET.

Dr. Nowzaradan: 730.

-730?
-730.

VERY GOOD.

WELL, IT'S NOT GOOD.

YEAH.
730 IS THE STARTING POINT,

SO WE'RE GONNA
GET YOU DOWN TO 250.

ALL RIGHT.
I'M READY.

OKAY, STEVEN,
WE'RE GOING TO START YOU

ON A CONTROLLED DIET
HERE IN THE HOSPITAL

THAT'S GOING TO BE
1,000 CALORIES A DAY --

HIGH-PROTEIN, LOW-CARB.

WE SHOULD BE ABLE
TO GET YOU

TO LOSE AT LEAST
50 POUNDS A MONTH.

THANK YOU, DOCTOR.
ALL RIGHT.

NICE SEEING YOU AGAIN.
ALL RIGHT.

WE'LL BE BACK.
Steven: CAN I SHAKE YOUR HAND?

THANK YOU.

ALL RIGHT. YOU'RE WELCOME.
THANKS.

STEVEN HASN'T BEEN
TOO DIFFICULT SO FAR,

BUT HE DOES SHOW
SOME ERRATIC BEHAVIOR,

AND THAT MAY MEAN,
AS HE GETS COMFORTABLE IN HERE,

THAT THE HONEYMOON PERIOD
WILL BE OVER

AND WE'LL SEE
A WHOLE-NEW STEVEN.

BUT WE'RE GONNA STAY OPTIMISTIC

AND ASSUME
EVERYTHING WILL GO WELL,

AND WE'LL SEE HOW STEVEN WILL DO
WITH HIS NEW DIET.

**

Steven: I'M NOT LOOKING FORWARD
TO THIS DIET,

BUT I KNOW I GOT TO DO IT.

BUT I'M NOT GONNA LIE --

IF SOMEONE WOULD HAVE BROUGHT ME
SOME FAST FOOD OR SOMETHING,

I'D PROBABLY EAT IT...

BECAUSE I'M A FAST-FOOD JUNKIE.

IT'S JUST MY ADDICTION.

BUT I'M TRYING TO FIX IT.

BUT MAYBE MY DAD
WILL ORDER ME SOMETHING

AS A GOING-AWAY PRESENT,

BECAUSE HE AND MY BROTHER
ARE GOING BACK TODAY.

AND IT'S KIND OF SAD.

[ Voice breaking ] I'M JUST USED
TO SEEING THEM EVERY DAY.

IT'S VERY HARD.

I'M HOPING I CAN TALK JUSTIN
INTO GETTING HELP, TOO.

UM, BASICALLY, JUSTIN AGREED
THAT HE WOULD ACCEPT THE HELP

FROM DR. NOWZARADAN
AND COME BACK TO TEXAS

TO THIS HOSPITAL,
RIGHT, JUSTIN?

YES.
YOU WILL DO THAT.

[ CHEWING LOUDLY ]

Justin: I'M REALLY JUST READY
TO GO HOME.

WHERE YOU GOING?

Justin:
I DON'T NEED ANY OF THIS

OR TO DEAL WITH MY BROTHER
ANYMORE,

AND I SHOULDN'T HAVE COME DOWN.

QUIT CHEWING LIKE A COW.

SO, I JUST WANT MY TEST RESULTS,
AND I JUST WANT TO LEAVE.

I DON'T CARE ABOUT
GETTING HELP HERE.

I'LL TRY TO DO IT ON MY OWN,

AS LONG AS IT'S AWAY
FROM MY BROTHER.

-GOOD MORNING.
-GOOD MORNING.

HOW YOU DOING TODAY?

I'M FEELING A LOT BETTER.
YOU DOING ALL RIGHT?

DOING OKAY?
YEAH.

JUSTIN, ALL YOUR TESTS
LOOK GOOD.

YOUR ECHOCARDIOGRAM
IS GOOD,

AND THERE IS NO ENLARGEMENT
OF THE HEART

OR ANY PROBLEM
WITH THE VALVE.

SO I THINK YOU'RE GONNA BE
A GOOD CANDIDATE

FOR WEIGHT-LOSS SURGERY
IF YOU CONSIDER THAT.

BUT I HEAR
FROM YOUR FATHER

THAT YOU NO LONGER ARE
INTERESTED IN ANY HELP.

YEAH.

THAT'S UNFORTUNATE,
BUT, CERTAINLY, YOUR CHOICE.

SO, I'M GOING TO GIVE YOU
A DIET PLAN BEFORE YOU GO.

TRY TO STICK TO IT.

AND IF YOU CHANGE YOUR MIND,
YOU LET ME KNOW, OKAY?

-OKAY.
-ALL RIGHT.

LET'S CHECK
YOUR WEIGHT TODAY.

WE HAVE TWO BROTHERS
WITH VERY SIMILAR ISSUES --

JUST, ONE OF THEM IS
MORE ADVANCED THAN THE OTHER

BY A SHORT MARGIN.

BUT IF JUSTIN DOESN'T START

TO TURN THINGS AROUND
FOR HIMSELF,

HE'S GOING TO BE BEDBOUND SOON,

BECAUSE HE'S A TICKING CLOCK

WITH POTENTIALLY JUST A LITTLE
BIT MORE TIME THAN STEVEN.

SO, IF YOU COME BACK HERE
AND YOU LOST 50 POUNDS,

I WILL CONSIDER YOU
FOR WEIGHT-LOSS SURGERY

IF YOU CHANGE YOUR MIND.

YOU'RE HEADING TO BE
IN THE SAME SITUATION
LIKE YOUR BROTHER

IN THE NEXT
COUPLE OF YEARS,

SO YOU NEED
TO TAKE THIS SERIOUSLY,

AND YOU CAN'T IGNORE IT
FOR TOO LONG.

YOU'RE ALL GONNA LEAVE STEVEN
HERE ON HIS OWN, HUH?

-YEAH.
-YOU GOT HIM.

[ LAUGHS ]

ALL RIGHT.
WE'LL TAKE CARE OF HIM, OKAY?

I'LL SEE YOU ALL LATER.

THANK YOU.

Justin: I'M REALLY GLAD
THERE ARE NO MAJOR ISSUES

WITH MY HEART
OR ANYTHING BAD RIGHT NOW.

COME ON.
LET'S GO.

BUT I THINK THE BEST THING
FOR ME IS TO DO THIS ON MY OWN

AND GO BACK TO RHODE ISLAND.

WELL, I'M LEAVING.
DON'T START.

[ SOBS ]

JUST THINK
ABOUT SOMETHING --

YOU'RE GONNA BE 250 POUNDS
WHENEVER YOU GET BACK.

IF I DIE, I LOVE YOU.

YOU AIN'T GONNA DIE.

I KNOW. I NEVER SAID THAT,
THOUGH, OKAY?

I'M SORRY.
YOU AIN'T GONNA DIE.

I'M SORRY FOR EVERYTHING I DID,
THOUGH, IN THE PAST, OKAY?

DON'T WORRY ABOUT IT.

SAY "BYE" TO YOUR BROTHER.

GO.
I'M NOT GOING IN.

JUST WALK UP TO THERE.

YOU CAN WALK UP TO THERE.

-JERK.
-STUPID.

BYE.
WANT A HANDSHAKE.

SURE.
BYE.

BYE.

Steven: I'VE NEVER BEEN
MORE THAN A COUPLE HOURS AWAY

FROM MY FAMILY,

AND I'M TERRIFIED AT THE THOUGHT

OF BOTH OF THEM LEAVING
RIGHT NOW.

WHAT IF SOMETHING HAPPENS

AND THEY CAN'T GET TO ME
IN TIME?

IT'S JUST HARD TO TRY
TO SAY GOODBYE TO THEM,

KNOWING THAT MAYBE THIS IS
THE LAST TIME I SEE THEM.

**

**

THANK YOU.

YEAH.

OKAY, I'M GONNA NEED HELP
WITH MY RIGHT LEG --

BACK INTO THE BED.
I CAN GET THE LEFT ONE IN.

-RIGHT.
-THEY CAME.

-THEY...
-YEAH.

[ STEVEN SPEAKING INDISTINCTLY ]

I'VE BEEN IN THE HOSPITAL NOW
FOR A LITTLE OVER A MONTH,

AND IT HASN'T BEEN TOO BAD.

IT'S HARD, BUT IT FEELS GOOD

TO DO WHAT
I'M SUPPOSED TO BE DOING.

THANK YOU.

SO, FOR THE MOST PART,
I'M FEELING REALLY GOOD.

OH, MY GOD.

BUT THERE HAVE BEEN
SOME FRUSTRATING MOMENTS

THAT HAVE BEEN HARDER
FOR ME TO DEAL WITH --

MOSTLY, HOW LONG IT TAKES

FOR PEOPLE TO RESPOND
TO THE CALL BUTTON.

[ CALL BUTTON DINGING ]

OH, HE JUST LEFT JUST NOW?

ALL RIGHT,
SO IT SHOULD BE HERE, THEN?

OKAY.
THANK YOU.

I GET FRUSTRATED SOMETIMES.
THAT'S WHAT'S GOING ON.

YEAH.

I'M NOT TRYING TO BE MEAN --
TRUST ME, I'M NOT.

-I'LL BE OKAY.
-THANK YOU.

YOU'RE WELCOME.
THANKS.

CH-CHH, CH-CHH.

WHEN I HIT MY CALL BUTTON,
I KNOW THAT A BING GOES OFF

AND THERE'S
A BLINKING GREEN LIGHT.

SO THEY KNOW WHEN I'M WAITING

AND WHEN THEY'RE TAKING
TOO LONG.

AND THEY SHOULD REALLY
RESPOND FASTER, BUT THEY DON'T.

**

[ CALL BUTTON DINGS ]

I AM CALLING
FOR THE NURSE.

I NEED TO INFORM HER
OF SOMETHING.

WHAT YOU NEED?

I'M CALLING FOR
MY PAIN MEDICINE -- MY NURSE.

-YOUR NURSE?
-YES, MA'AM.

OKAY.
LET ME TELL HER.

THESE PEOPLE ARE
REALLY, REALLY, REALLY

GETTING
ON MY LAST NERVE.

IT'S VERY FRUSTRATING HOW LONG
I HAVE TO WAIT FOR EVERYTHING.

COME ON.

[ CALL BUTTON DINGS ]

I HAVE TO CALL THEM
AND CHECK ON THINGS,

OR NOTHING HAPPENS.

HEY, HONEY.

THANK YOU, NURSE.

I DO EXPRESS MYSELF.

IF I FEEL LIKE
SOMETHING'S NOT RIGHT,

THEN I'LL POINT IT OUT AND SAY
IT'S NOT RIGHT, YOU KNOW?

**

I TRIED TO STAY ON MY BEST
BEHAVIOR FOR THE PAST MONTH.

I KNOW I'M STILL HAVING
MY BAD DAYS,

AND THE HOSPITAL ISN'T HAPPY
ABOUT THAT,

BUT IT'S RIDICULOUS
WHAT I HAVE TO DO

TO GET PEOPLE
TO RESPOND AROUND HERE.

[ CALL BUTTON DINGING ]

WE'RE STARTING TO DEVELOP
SOME ISSUES WITH STEVEN.

OVER THE PAST MONTH, A LOT
OF HIS PATHOLOGICAL BEHAVIOR

HAS STARTED TO COME OUT.

HE'S BECOME ABUSIVE
TO THE HOSPITAL STAFF,

AND HE EXPECTS EVERYBODY
TO WAIT ON HIM HAND AND FOOT.

I NEED SOMEBODY
IN MY ROOM IMMEDIATELY.

I HAVE BEEN WAITING.

[ CALL BUTTON DINGS ]

I WANT THIS LIGHT OFF!

HE THINKS THE WORLD
SHOULD REVOLVE AROUND HIM

LIKE A CHILD DOES,

AND THAT IS NOT
ACCEPTABLE BEHAVIOR.

STEVEN.

HEY.

HOW ARE YOU TODAY?
OKAY.

HOW ARE YOU?

ALL RIGHT.

SO, YOU SEEM LIKE
YOU HAVE AN ISSUE

GETTING ALONG
WITH HOSPITAL STAFF,

AND I'M NOT LIKING
WHAT I'M HEARING.

AT TIMES, YOU KNOW, UM, I --
SOMETIMES, I GET FRUSTRATED.

I TELL THEM,
"IF I ACT LIKE A KID,

I WANT YOU TO TREAT ME
LIKE A KID."

HOW OLD ARE YOU?

I'M 33 YEARS OLD.

SO IT'S TIME
FOR YOU TO GROW UP.

IT SEEMS LIKE
THE NURSES

ARE GETTING AGITATED
WITH YOUR BEHAVIOR.

I DON'T KNOW WHAT,
PARTICULARLY, IT IS,

BUT YOU NEED TO WORK
ON THAT, TOO.

EVERYBODY HAS FEELINGS.

I'M -- YEAH, THAT'S TRUE.
I'M GLAD YOU REALIZE THAT.

AND THE PEOPLE --
LET ME PUT IT IN PLAIN THINK.

YOU CAME FROM UP NORTH,
BUT THIS IS TEXAS.

YES, IT IS.

YOU'RE GONNA HAVE
TO SHAPE UP IN TEXAS

AND BEHAVE
LIKE PEOPLE HERE.

ALL RIGHT?
YES, SIR.

I DON'T WANT TO HEAR
OF THIS ISSUE AGAIN.

YES.

AND IF I DO,

THEN THIS IS GOING TO BE
A VERY DIFFERENT CONVERSATION.

-ALL RIGHT.
-ALL RIGHT.

NICE TO SEE YOU,
DR. NOWZARADAN...

-ALL RIGHT. OKAY.
-THANK YOU.

AT THIS POINT, STEVEN IS HAVING
A BEHAVIORAL PROBLEM,

BUT IN THE MEANTIME,
HE IS VERY SICK,

AND HE NEEDED MEDICAL HELP.

AND WHEN THEY'RE GONNA --

[ CALL BUTTON DINGS ]

THAT IS STEVEN.

WE'LL CONTINUE TO TREAT HIM,

BUT IF HE DOESN'T SHOW
SOME CHANGE IN HIS BEHAVIOR,

THEN WE WILL BE UNABLE

TO CONTINUE HIS TREATMENT
IN THE HOSPITAL.

SO IT'S HIS CHOICE.

[ CALL BUTTON DINGING ]

SO, WHAT'S UP?
WHAT DO YOU NEED?

HENRY.

HENRY FOR...?

'CAUSE I NEED TO TALK
TO HIM FOR A SEC.

OKAY.
'CAUSE...

I NEED TO TALK TO HENRY.

OKAY.

Henry: STEVEN.

THEY TOOK MY TRAY SOMEWHERE

BECAUSE MY TABLE'S A MESS --
AND MY URINE.

IS MY TRAY
STILL OUT THERE?

YEAH, YEAH.
I THINK I SAW IT ON THE STATION.

WHAT THE HELL?
THIS IS SO ANNOYING.

DID SOMEONE
BRING IN MY TRAY?

[BLEEP]
ARE YOU [BLEEP] SERIOUS?

Magdalena: AFTER DR. NOWZARADAN
TALKED TO HIM,

STEVEN DIDN'T CHANGE AT ALL.

HE KEEPS BOTHERING.
HE KEEPS CALLING.

[ CALL BUTTON DINGS ]

DAMN IT!

ARE THEY SERIOUS?

I HIT THAT BY AN ACCIDENT,
'CAUSE I DON'T FEEL GOOD --

YOU KNOW WHAT I'M SAYING?
YOU KNOW THAT.

I'VE NEVER SEEN
ANY PATIENT LIKE STEVEN.

HE'S ASKING FOR PAIN MEDICINE
EVERY 15 MINUTES,

AND THEN HE SPILLED URINE
ON THE FLOOR.

I'M JUST REALLY UPSET,
OKAY?

**

[ CALL BUTTON DINGS ]

STEVEN, WHAT'S GOING ON
WITH YOUR BEHAVIOR?

WE HAD A WHOLE HOST
OF COMPLAINTS FROM THE NURSES

THAT YOU NEED TO CHANGE
YOUR BEHAVIOR --

YOU HAVEN'T.

I KNOW THAT,
AND I APOLOGIZE FOR YOU.

APOLOGIES MEAN NOTHING.

YOU COME HERE FOR HELP,
AND AT THIS POINT,

THERE'S NOTHING I CAN DO
TO HELP YOU.

SO YOU'RE DONE HERE.

I'VE BEEN DOING GOOD AND
EVERYTHING. PLEASE.

AND UNLESS YOU HAVE
AN EMERGENCY,

YOU WILL NOT
BE ADMITTED BACK.

I'VE BEEN GOOD.
I-I SWEAR.

I APOLOGIZE
TO EVERYBODY.

IF YOU WANT TO STAY
IN THE PROGRAM,

YOU NEED TO FIND
A PLACE TO STAY,

BECAUSE YOU'RE NOT
STAYING HERE ANYMORE.

SO YOUR FATHER NEEDS
TO SET YOU UP SOMEWHERE ELSE.

I DON'T HAVE
ANYWHERE ELSE TO LIVE.

IF YOU SAY YOU HAVE
NOWHERE AT ALL,

I WILL HAVE YOU DROPPED
IN A HOMELESS SHELTER

IN A FEW MINUTES.

YOU ARE FINISHED.

CAN I PLEASE HAVE
ANOTHER CHANCE?

NO. YOUR BEHAVIOR
AT THIS POINT DICTATES

THAT NOBODY CAN
HELP YOU IN HERE.

[ Voice breaking ] PLEASE.
I DON'T WANT TO LEAVE.

[ SOBS ]

STEVEN, THERE IS NO ROOM
FOR NEGOTIATION IN HERE.

THIS IS NOT GONNA BE
TOLERATED BY ANYBODY.

I'LL DO ANYTHING
FOR ANOTHER SHOT.

YOU WANT HELP HERE, YOU DON'T
ABUSE PEOPLE AROUND YOU.

I'LL TRY TO CALL --
AND YOU CALL YOUR DAD --

COME PICK YOU UP.

CAN YOU CALL HIM?

VERY WELL.

WE'LL CALL YOUR FATHER
TO FIND OUT

WHERE WE WILL TAKE YOU.

**

EVERY PROGRAM HAS TO BE TAILORED
TO THE PATIENT,

BUT STEVEN
IS SO FAR OFF THE CHART

FROM WHAT
WE HAVE EVER EXPERIENCED

THAT THERE IS NO SYSTEMATIC
APPROACH TO HIM,

ASIDE FROM HOW YOU TEACH
A CHILD TO BEHAVE.

BUT HE ALSO IS VERY SMART,

AND HE KNOWS HOW TO MANIPULATE
EVERYBODY AROUND HIM,

AND HE'LL DO WHATEVER IT TAKES
TO GET HIS WAY.

SO HE WILL CRY AND HE'LL BEG,

BUT THE REALITY IS,

HE DOESN'T CARE
ABOUT CHANGING.

NO MATTER WHAT
YOU'RE ADDICTED TO,

IT ALL COMES DOWN TO A CHOICE.

EITHER HE WANTS TO CHANGE
AND HE'S WILLING TO TRY,

OR HE ISN'T.

[ MONITOR BEEPS ]

Steven: I'M REALLY SAD
AND SCARED RIGHT NOW,

AND I CAN'T BELIEVE
THIS IS HAPPENING TO ME.

**

**

Justin:
IT'S BEEN A COUPLE OF MONTHS

SINCE WE TOOK STEVEN DOWN
TO HOUSTON TO LEAVE HIM THERE.

AND WHEN I GOT BACK, I WENT OVER
THE DOCTOR'S DIET PLAN,

BUT I'M MOSTLY STILL
EATING WHAT I WANT.

I WANT TO LOSE WEIGHT,
BUT RIGHT NOW, I'M MAINTAINING,

BECAUSE I DON'T THINK
I'VE GAINED ANYTHING.

SO I FEEL LIKE I'M DOING WELL.

[ CELLPHONE RINGTONE BLARING ]

HELLO?

YEAH?

WHEN DO YOU WANT ME DOWN?

WHEN HE GOES
TO HIS OWN APARTMENT, NOW,

HE'S GONNA HAVE TO CHECK IN
WITH YOU, RIGHT?

OKAY. I'M HOPING THAT I CAN GET
A FLIGHT IN TOMORROW MORNING,

SO I CAN BE THERE
BY TOMORROW.

DR. NOWZARADAN: Okay.

WELL, DR. NOW,
THANK YOU FOR CALLING.

-All right. Bye-bye.
-OKAY. BYE.

Steven Sr.: WHY?

WHY IS HE DOING THIS,

WHEN HE KNOWS THIS IS HIS
LAST OPPORTUNITY TO GET HELP?

I TOLD YOU.
WHAT?

HE WAS GONNA DO
SOMETHING STUPID.

I'LL TELL YOU
THE TRUTH --

I DON'T KNOW HOW
THIS IS GONNA TURN OUT

WHEN I GO DOWN THERE.

EITHER HE WANTS TO LIVE,
OR HE DON'T WANT TO LIVE.

THAT'S THE CHOICE
HE'S GOT TO MAKE,

AND I CAN'T MAKE IT FOR HIM
BECAUSE HE'S AN ADULT.

YEAH, GEE, THANKS.

I REALLY HAVE DOUBTS
THAT IT'S GONNA WORK FOR STEVEN

IN THE APARTMENT,

BUT I'M PRAYING TO GOD
THAT IT DOES.

Justin: I CAN'T BELIEVE
MY BROTHER DID THIS.

HE DOESN'T EVEN DESERVE
THE CHANCE HE HAS.

SO I DON'T CARE THAT
HE'S MESSING UP AGAIN,

BECAUSE THAT'S WHAT HE DOES --

HE MAKES PEOPLE MISERABLE
AND SCREWS UP EVERYTHING.

**

**

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

AND I'VE MADE GOOD PROGRESS,

BUT THEY'RE KICKING ME OUT NOW

BECAUSE OF HOW
I'VE BEEN BEHAVING,

AND I'M NOT HAPPY ABOUT IT.

I PHYSICALLY CAN'T
TAKE CARE OF MYSELF,

SO I CAN'T LEAVE
THE CARE OF A HOSPITAL,

AND I DON'T THINK
THEY UNDERSTAND THAT.

GOOD MORNING, SIR.

HELLO.

WHAT'S GOING ON TODAY --
ANYTHING?

NOTHING.
DON'T FEEL GOOD.

-DON'T FEEL GOOD?
-NOPE.

DIDN'T EAT BREAKFAST,
DIDN'T EAT LUNCH.

MY DAD MADE IT INTO TOWN
A LITTLE WHILE AGO,

AND HE HAD TO COME DOWN
ALL THE WAY FROM RHODE ISLAND

TO HELP MOVE ME
INTO AN APARTMENT.

SO, I DON'T SEE WHY ALL THIS
HAS TO BE SUCH AN INCONVENIENCE,

BECAUSE THIS IS NOT A GOOD IDEA,
MEDICALLY.

-HI, STEVEN.
-HELLO.

HOW ARE YOU TODAY?

I HAVE NO APPETITE.

-YOU'RE NOT HUNGRY?
-NO.

DID YOU DRINK ANYTHING?

NO.

YOU GOING ON A FOOD STRIKE,
OR WHAT?

[ CHUCKLES ]

NOT A FOOD STRIKE --
I JUST DON'T FEEL GOOD.

WELL, THAT'S THE CONSEQUENCE
OF YOUR OWN CHOICES.

BUT YOU CAN USE
THIS OPPORTUNITY

TO LEARN TO DO THINGS
ON YOUR OWN.

STEVEN NEEDS TO LEARN
HOW TO TAKE CARE OF HIMSELF

AND THEN TAKE CONTROL
OF HIS DIET

AND SHOW ME HE'S WILLING TO WORK
AND LOSE WEIGHT ON HIS OWN.

ALL RIGHT.
I'M GONNA CHECK YOUR WEIGHT

FOR A FINAL WEIGHT
GOING ON...

OKAY.
...SO WE CAN MONITOR

YOUR PROGRESS AT HOME.

THANK YOU.

**

Dr. Nowzaradan:
YOU'VE LOST OVER 100 POUNDS.

OKAY, SO, NOW, I WANT YOU
TO LOSE ANOTHER 60 POUNDS

OVER THE NEXT MONTH.

YOU DO THAT AND START
TO BEHAVE YOURSELF,

YOU'LL BE READY
FOR WEIGHT-LOSS SURGERY.

OKAY.

STEVE,
I'LL SEE YOU LATER.

THANK YOU,
DR. NOWZARADAN.

-ALL RIGHT.
-THANK YOU.

STEVEN IS VERY GOOD
AT MANIPULATION,

SO THIS IS NOT GOING TO BE
AN EASY PROCESS AT ALL.

HOPEFULLY, HE WILL STICK
TO THE PROGRAM AND COOPERATE

NOW THAT HE KNOWS THAT THERE
IS CONSEQUENCE TO HIS BEHAVIOR,

BUT IT'S LIKELY GOING
TO BE HARDER THAN THAT.

**

**

Steven: I DON'T LIKE THIS.

-THERE WE GO.
-PERFECT.

BUT I AM A LITTLE CURIOUS

ABOUT WHAT MY NEW PLACE
LOOKS LIKE.

[ Sighing ] OKAY.

WOW.

Man: OKAY.
THANK YOU.

-THERE YOU GO.
-THANKS, GUYS.

-HAVE A GOOD NIGHT.
-ALL RIGHT?

I LOVE RUG.

[ SIGHS ]

GIVE ME A PHONE
AND GET THE NUMBER.

FOR WHAT?

[ Chuckling incredulously ]
FOR WHAT?

OH, MY GOD.

Steven: ALL RIGHT, DAD.
I WANT PIZZA.

AND I-I REALLY DON'T
WANT YOU TO HAVE IT.

IT'S THE ONLY TIME
I WANT TO HAVE IT, SO...

WELL, WHAT DO YOU WANT?

JUST A LARGE PIZZA
WITH CHEESE AND PEPPERONI

AND A 2-LITER BOTTLE OF COKE.

Steven Sr.:
I LEARNED A LONG TIME AGO

THERE'S NO POINT
IN FIGHTING STEVEN.

IF HE WANTS PIZZA,
HE IS GOING TO GET IT.

WOMAN:
Is this for delivery or pickup?

FOR DELIVERY.

I NEED A LARGE
CHEESE AND PEPPERONI.

I KNOW,
BUT I NEED TO FIND SOMETHING --

[ KNOCK ON DOOR ]
OH.

THOSE GUYS ARE GONNA
KNOCK THE DOOR IN.

-HI.
-ALL RIGHT.

-THANK YOU.
-ALL RIGHT.

ALL RIGHT.
THANK YOU.

THERE. YOU HAPPY?
YEP.

HAVE A PARTY.

I WILL.

I KNOW YOU WILL.

**

OH, CAN I HAVE A PIECE?

BUDDY, I HAVEN'T EATEN
SINCE 6:00 THIS MORNING.

CAN I HAVE A SLICE?
YOU NEED TO SAY "YES" OR "NO."

NO.

YEAH.

I'M NOT GONNA MESS UP
MY WEIGHT LOSS.

AFTER THIS, I'M GOING BACK
ON THE DIET PLAN

AND STICKING WITH IT.

BUT IN HONOR OF BEING
IN MY NEW HOME,

I'M GONNA HAVE THIS MEAL.

**

**

I'VE BEEN IN MY OWN APARTMENT
FOR A MONTH NOW.

MY DAD WENT BACK
THE DAY AFTER I MOVED IN,

AND IT WAS REALLY SCARY AT FIRST

BECAUSE I HAD TO DO THINGS
ON MY OWN.

BUT I FEEL...

FREE.

WHAT I WAS REALLY NERVOUS ABOUT

WAS THAT THE HOLIDAYS
ARE COMING UP,

AND I HAVE NEVER BEEN ALONE
ON THANKSGIVING OR CHRISTMAS.

SO IT WAS JUST SCARY,
KNOWING I'D BE ALONE.

WELL, HELLO!

BUT I'VE HAD A PERSONAL-CARE
ASSISTANT HELP TAKE CARE OF ME,

AND I LIKE PRINCESS SO FAR.

SHE COMES OVER AND BATHES ME,
PREPARES FOOD FOR ME,

AND SHE MAKES SURE
I'M DOING OKAY.

I SEE THAT YOU GOT THAT
CRANBERRY-JUICE CONTAINER

RIGHT NEXT TO YOU,

WHICH MEANS THAT
YOU DRUNK JUICE.

WHEN?

I DON'T KNOW,
BUT YOU DRUNK IT.

THAT IS BULLCRAP.

WE'RE GONNA DO WATER TODAY.
OKAY.

I KNOW. I SEE.
[ CHUCKLES ]

Princess: I'VE BEEN TAKING CARE
OF STEVEN FOR A MONTH NOW,

AND HE CAN BE A HANDFUL
AT TIMES,

BUT I LIKE CHALLENGES,
AND HE IS A CHALLENGE.

SO, YOU'RE FIGHTING
MY TEMPTATION FOR ME.

I'M TRYING TO.
WE'RE GONNA DO IT TOGETHER.

SEE?
THANK YOU.

Steven:
BASICALLY, I ASKED PRINCESS

IF SHE CAN HELP ME STICK
TO DR. NOWZARADAN'S PLAN

BY KEEPING ME
ON A 1,000-CALORIE DIET

AND NOT MAKING IT
GO OVER THAT.

OKAY. SO, YOUR DINNER
WAS 340 CALORIES.

HA!

WHAT YOU SHOULD HAVE
SUBSTITUTED WAS WATER.

I DID NOT KNOW WHAT I WAS DOING
WITH THE JUICE,

SO I JUST
KEPT POURING IT.

I WAS LIKE, "MMM!"

I HAVE AN APPOINTMENT TO SEE
THE DOCTOR HERE SOON,

AND WHEN I DO, I KNOW I NEED
TO HIT MY WEIGHT-LOSS GOALS

TO SHOW HIM I CAN DO THIS,

OR I KNOW HE'S NOT GONNA
APPROVE ME FOR SURGERY.

**

**

[ TELEPHONE RINGS ]

Steven Sr.:
WHAT DO YOU WANT?

I want to talk to him.

-HE'S RIGHT --
-WHAT DO YOU WANT?!

I ain't got no food here,

and if you don't believe me,
ask Princess.

THAT'S NOT
MY [BLEEP] PROBLEM!

THAT'S YOUR PROBLEM,
NOT MINE.

So, I did not get
any food today.

WELL, YOU HAD THREE MEALS
DELIVERED. SORRY.

No, I did not!

YES, YOU DID!

No, I didn't.

WELL, GUESS WHAT -- I DON'T HAVE
NO MONEY, AND I AM BROKE.

SO YOU CAN THREATEN ME
ALL YOU WANT.

Well, then,
there's gonna be issues.

THEN THERE'S GONNA
BE ISSUES.

I'M GONNA SHUT MY PHONE OFF,
AND SO IS JUSTIN.

[ Shouting indistinctly ]

GOODBYE!

Don't come down here.

BYE.

Never!

BYE!

Never, ever and ever and ever!

BYE!

**

**

**

Princess: I AM ON THE WAY
TO STEVEN'S HOUSE.

I RECEIVED A CALL THAT
HE WASN'T ANSWERING THE DOOR,

NOR IS HE RESPONDING
TO PHONE CALLS.

THAT'S NOT LIKE HIM.

IT'S BEEN
A LITTLE OVER TWO MONTHS

SINCE STEVEN LEFT THE HOSPITAL,

AND HE MISSED
HIS LAST DOCTOR'S APPOINTMENT.

I'M NOT SURE IF IT'S BECAUSE
HE'S HIDING SOMETHING

OR IF HE'S IN TROUBLE,

SO I'M TRYING TO FIND OUT.

[ KNOCKING ON DOOR ]

STEVEN!

STEVEN?!

STEVEN, IT'S PRINCESS.
THIS IS NOT ACCEPTABLE BEHAVIOR.

NOW, I'M GOING TO TRY
WITH MY KEY, OKAY?

I'M COMING.
HAVE IT YOUR WAY.

WELL...
STEVEN!

OKAY.
STEVEN ASSANTI IS NOT HERE.

STEVEN NEVER LEAVES HERE
WITHOUT TAKING HIS TABLET.

HE ALSO DON'T GO ANYWHERE
WITHOUT ONE OF THOSE WALKERS,

SO HE GOT OUT OF HERE
BY A WHEELCHAIR.

STEVEN JUST GOT
A PRESCRIPTION FILLED,

AND IT'S HYDROCODONE,

AND IT WAS 100-COUNT,
AND THEY'RE GONE.

SO HE TOOK THE EQUIVALENT
TO KNOCK OUT AN ELEPHANT.

I THINK THAT
HE HAS A SLIGHT PROBLEM.

AH, WHAT I SHOULD DO IS --
I'M GONNA PRESS "REDIAL"

AND SEE THE LAST NUMBER
THAT HE CALLED.

HELLO.
WHICH HOSPITAL IS THIS?

HI. I WAS TRYING TO SEE
IF Y'ALL HAVE A PATIENT THERE.

ASSANTI.

SO, YOU DO SEE HIM
IN THE E.R.?

ALL RIGHT,
I SURE THANK YOU, MA'AM.

BYE-BYE.

ALL RIGHT.

SO, IT LOOKS LIKE STEVEN CALLED
FOR AN EMERGENCY PICKUP

TO GET TO ANOTHER HOSPITAL
TO GET HIS PAIN MEDS REFILLED.

SO I'M GOING TO REPORT BACK
TO DR. NOWZARADAN,

AND THEN WE'LL SEE
HOW HE WANTS TO HANDLE THIS,

BECAUSE STEVEN'S
GOING TO KILL HIMSELF

IF THIS IS WHAT HE'S DOING.

**

STEVEN IS HAVING
SOME ABNORMAL BEHAVIOR

THAT IS CONCERNING.

PRINCESS CALLED ME TO TELL ME

HOW STEVEN IS ABUSING THE SYSTEM
TO GET PAINKILLERS.

HE ALSO MISSED
THE LAST APPOINTMENT WITH ME

AND HAS BEEN TURNING AWAY
THE PSYCHOLOGISTS

WHEN THEY HAVE COME TO SEE HIM.

SO I'M STOPPING IN
TO HAVE A TALK WITH HIM TODAY.

[ KNOCKS ON DOOR ]

STEVEN.

-HI.
-HOW YOU DOING?

OKAY.
HOW ARE YOU?

I'M DOING OKAY.
YOU'RE PULLING YOUR HAIR OUT.

WELL, I'M NOT PULLING IT OUT
LIKE BIG, HUGE PIECES,

BUT THEY'RE LIKE LITTLE STRANDS
THAT ACCUMULATE.

MOST PEOPLE JUST SAY
THEY'RE PULLING THEIR HAIR OUT

AS AN EXPRESSION,

BUT YOU ACTUALLY DO IT.

YOU MISSED YOUR APPOINTMENT
WITH ME LAST WEEK.

DO YOU THINK
YOU LOST ANY WEIGHT?

WELL, I, UH, I-I MEAN...

[ STAMMERS ]
I MEAN...

I MEAN, YOU KNOW.

I SEE PIZZA IN HERE.

HOW MANY TIMES DID YOU ORDER
PIZZA SINCE YOU'VE BEEN HERE?

PROBABLY LIKE TWO.

TWO -- TWO TIMES
THAT SHE KNOWS.

HOW MANY TIMES THAT SHE DIDN'T
KNOW THAT YOU ORDERED PIZZA?

DON'T LOOK AT HER.

WELL, WHEN I FIRST GOT HERE
TO THE APARTMENT, I HAD A PIZZA.

I FEEL THE GUILT EVERY TIME
I EAT IT -- I DO.

I DON'T WANT TO HEAR ABOUT
YOUR GUILT.

SO, YOU MISSED
YOUR DOCTOR'S APPOINTMENT,

AND YOU ARE ABUSING
YOUR PAIN MEDICATION

AND GOING
TO ALL THESE HOSPITALS.

WHY ARE YOU DOING THAT?

I SHOULDN'T.

AND WE HAVE DISCOVERED
YOU HAVE DONE THIS

ABOUT 20 TIMES
THIS PAST MONTH.

DO YOU KNOW
HOW DANGEROUS IT IS?

YOU NEED TO STOP THAT.
YEAH.

THIS IS TIME RIGHT NOW
TO STOP ALL THAT.

YES.

AND I NEED TO SEE
WEIGHT LOSS FROM YOU.

IF YOU HAVE NO WEIGHT LOSS,
WE'RE GONNA DROP YOU, OKAY?

YES.
YOU'RE GONNA BE ON YOUR OWN,

AND THIS IS GONNA BE
THE END OF THE ROAD.

-OKAY.
-OKAY?

ALL RIGHT.
SO, WE'LL GET YOU

A PSYCH DOCTOR
TO COME IN AND VISIT YOU.

STOP PULLING YOUR HAIR

AND DOING
ALL THESE WEIRD THINGS.

AND WE'LL SEND SOMEBODY
TO CUT YOUR HAIR SHORT

SO YOU DON'T
PULL IT OFF.

GET YOUR ACT TOGETHER,
STEVEN,

AND YOU'RE NOT GOING TO MISS
YOUR NEXT APPOINTMENT.

ALL RIGHT,
I'LL SEE YOU NEXT WEEK.

OKAY.

PULLING HAIR OUT
IS A NERVOUS TIC

THAT WE SEE IN A CHILD.

THERE IS SOME PART OF STEVEN
THAT ACTS LIKE AN ADOLESCENT

AND REFUSES TO MATURE
TO BE AN ADULT,

AND THAT BEHAVIOR
IS NOT ACCEPTABLE

BECAUSE, RIGHT NOW,
HIS ADDICTION TO PAIN MEDICATION

IS GOING TO KILL HIM
BEFORE HIS OVEREATING DOES.

Steven: I THOUGHT DR. NOWZARADAN
WAS GONNA GIVE UP ON ME AGAIN,

SO I'M GLAD I STILL HAVE
ANOTHER CHANCE TO DO THIS.

BUT I DON'T KNOW HOW MUCH I LOST
OR IF I LOST AT ALL.

SO I KNOW I NEED TO WORK HARDER
AND DO BETTER

BEFORE I SEE HIM AGAIN.

**

[ CAR WHIRRING ]

Justin:
IT'S BEEN ABOUT FIVE MONTHS
SINCE I'VE MET DR. NOWZARADAN

AND HE GAVE ME
HIS WEIGHT-LOSS PLAN.

I STILL DON'T THINK
I NEED ANY SURGERY,

AND I HAVEN'T HAD MUCH TIME
TO WORK ON MY DIET.

BUT I THINK I'M DOING WELL
BECAUSE I GET OUT.

I MAKE SURE I'M DOING EXERCISE
AND STAYING ACTIVE.

**

I NEED TO WALK
TO GET TO THE PARK

BECAUSE I DON'T DRIVE RIGHT NOW.

IT'S ABOUT A COUPLE-MILE WALK.

AND YOU KNOW WHAT?
IT'S HARD, BUT I GOT TO DO IT.

[ BREATHING HEAVILY ]

AND IT'S BEEN REALLY NICE
TO HAVE STEVEN AWAY, BUT...

SOME WAYS, IT'S STILL LIKE
HE'S RIGHT HERE,

BECAUSE STEVEN STILL CALLS
MY DAD ALL THE TIME,

AND HE ALWAYS GIVES IN

AND ORDERS A PIZZA
TO BE DELIVERED TO STEVEN.

Steven Sr.:
WHY ARE YOU -- WHY ARE YOU
ASKING FOR PIZZA AGAIN?

I CANNOT AFFORD IT!
[ EXHALES ]

STEVEN: All right. That's
the last time I'll do it, then.

Thanks for calling.
This is Jeanette.
How can I help you?

YEAH, COULD I HAVE A LARGE
CHEESE AND PEPPERONI, PLEASE?

THANK YOU.

IF I DON'T ORDER STEVEN
THIS PIZZA,

HE WILL GO TO THE HOSPITAL,

AND I DON'T WANT
TO SEE HIM DO THAT.

THAT'S WHEN
HE USUALLY BUSTS MY...

TO ORDER HIM FOOD.

I WANT HIM TO STAY HOME
WHERE HE BELONGS.

E-MAIL HIM.

WHAT?

STEVEN: I'm here.
I'm on the other line.

WELL, I'M TELLING YOU
RIGHT NOW --

WHY'D YOU THREATEN ME
IF I DIDN'T GET THE PIZZA?

'CAUSE YOU WANTED IT.

HE SOUNDS HIGH.

IS HE TAKING DRUGS?

HUH?

YOU [BLEEP] UP, IT'S OVER --
YOU KNOW THAT.

YOU QUIT THREATENING ME.

HELLO?

[ Chuckling incredulously ]
HE HUNG UP ON ME.

I KNOW WHAT TO DO.
CALL HIM UP.

TELL HIM
YOU'LL CANCEL IT.

YOU ORDERED HIM PIZZA
ABOUT EIGHT TIMES THIS WEEK.

EVERY TIME I DO
SOMETHING FOR HIM,

YOU ALWAYS GOT
TO JUMP DOWN MY THROAT.

THAT'S RIGHT, 'CAUSE YOU'RE
DOING THE WRONG THING.

YOUR SON HAS ENOUGH DRUGS IN HIM
TO OPEN UP A PHARMACY.

I KNOW
I SHOULDN'T BE DOING IT,

BUT I'M JUST KEEPING HIM
OUT OF THE HOSPITAL.

YOU KNOW, JUST BECAUSE
I DO SOMETHING FOR HIM,

THAT'S REALLY
NONE OF YOUR BUSINESS.

YOU KNOW WHAT I MEAN?

BUDDY, YOU HEAR ME?
YEAH.

ALL RIGHT.
THINK ABOUT IT.

SEE YOU LATER.

Justin: MY DAD WILL ALWAYS
ENABLE STEVEN,

AND STEVEN WILL ALWAYS
TAKE EVERYTHING HE HAS

AND EVERYTHING I HAVE.

THAT'S THE WAY IT'S ALWAYS BEEN,

AND THAT'S THE WAY
IT'LL ALWAYS BE.

AND UNLESS MY DAD CHANGES,
STEVEN NEVER WILL.

**

OOH!

TODAY, I'M GOING BACK
TO SEE DR. NOWZARADAN.

BUT I'M NERVOUS BECAUSE
I DON'T KNOW HOW MUCH I WEIGH,

BUT I REALLY HOPE I'VE LOST
SOME OF THE WEIGHT.

I WAS 624
WHEN I LEFT THE HOSPITAL,

AND THE DOCTOR WANTED ME
TO LOSE 60 POUNDS

TO GET UNDER 564.

I CHEATED A FEW TIMES.
I'M A LITTLE WORRIED.

SO PRINCESS TOLD ME
SHE'D COME WITH ME

TO BE THERE FOR SUPPORT.

HOW WAS THE RIDE?

IT WAS GOOD.
IT WAS ALL RIGHT.

Woman: STEVEN ASSANTI.

Steven: MISTAKES HAPPEN --

IT'S JUST A PART OF LIFE,
YOU KNOW?

BUT I'M REALLY NERVOUS
RIGHT NOW.

-GOOD?
-I'M GOOD. YEP.

OKAY.

BECAUSE I DON'T WANT
THE DOCTOR TO GIVE UP ON ME,

SO I HOPE I SHOW HIM ENOUGH
TODAY

TO PROVE TO HIM
THAT I CAN DO IT.

706.

THAT IS NOT GOOD.

I THINK DR. NOW'S
GONNA BE REALLY MAD.

[BLEEP]

[ KNOCK ON DOOR ]

Dr. Nowzaradan: STEVEN.

HI.

WHAT'S GOING ON?

GAINED
ALL THE WEIGHT BACK.

AND DO YOU REMEMBER
HOW MUCH YOU WEIGHED

WHEN YOU LEFT
THE HOSPITAL?

I WAS 624, I THINK.

YOU MANAGED TO GAIN
80 POUNDS.

SO, TELL ME WHAT'S GOING ON
WITH YOUR EATING HABITS.

I WOULD KIND OF HAVE A PIZZA
EVERY NOW AND THEN AND STUFF.

ALL RIGHT.

SO, IF THIS IS NOT
WORKING FOR YOU,

I'M NOT GONNA BE THE ONE
TO WRITE YOUR DEATH CERTIFICATE.

THIS IS YOUR LAST CHANCE.

YOU LOSE 60 POUNDS
THIS NEXT MONTH,

STOP ABUSING
YOUR PAIN MEDS,

AND DO THIS RIGHT,
OR YOU CAN GO HOME.

I DO HAVE A QUESTION,
THOUGH.

YES?

UM, I...

I-I DO NEED ONE MORE PAIN
SCRIPT, THOUGH, FOR MY PAIN,

'CAUSE I AM
IN A LOT OF PAIN.

YOUR PAIN SCRIPT WENT AWAY

WHEN YOU CALLED YOUR DAD
TO BRING YOU FOOD.

I PROMISE, OKAY?

NO.
NO.

YOU WANT TO GO
TO AN EMERGENCY ROOM

AND CRY TO SOMEBODY WHO'LL
WRITE YOU PAIN MEDICATION,

BE MY GUEST,

BUT I'M NOT GONNA
GO DO THAT.

YOUR PAIN IS BECAUSE
OF YOUR WEIGHT.

IF YOU DON'T WANT THE PAIN,
LOSE THE WEIGHT.

AND WE GOT AN OPPORTUNITY
FOR YOU TO LOSE THE WEIGHT.

RIGHT. SO I HAVE TO GO HOME
AND BE IN PAIN, THEN?

WHAT DO I DO?
[ SCOFFS ]

WATCH YOUR DIET.
THAT'LL REMIND YOU TO EAT LESS,

REMIND YOU NOT
TO ORDER PIZZA, OKAY?

THE DRAGON'S BEEN UNLEASHED,
AND I WANT TO DO IT NOW,

'CAUSE I KNOW
I CAN DO IT NOW.

HAVE YOU SEEN
THE PSYCH YET?

I DIDN'T YET,

BECAUSE I FELT LIKE EVERYTHING
WAS RUNNING SMOOTHLY RIGHT NOW.

MAKE THAT APPOINTMENT
AND SEE THEM.

DO YOU UNDERSTAND ME?

SO, YOU GOT A LOT OF CHANGES
OF BEHAVIOR TO DO.

FROM THIS POINT ON,
STEVE,

YOU'RE GONNA HAVE
TO MAKE PERMANENT CHANGES.

IF YOU DON'T, I'M NOT GONNA
BE ABLE TO HELP YOU.

ALL RIGHT?

YES.

Dr. Nowzaradan:
I AM VERY CONCERNED

ABOUT STEVEN RIGHT NOW.

HE IS PLAYING GAME AFTER GAME,

AND HE HAS
A SYSTEM OF MANIPULATION

WHERE HE KNOWS
HOW TO GET FOOD HE WANTS

AND HE KNOWS HOW TO GET
HIS PAIN MEDICINE.

YOU TRIED
TO SELL YOUR WALKER.

IF YOU WOULD HAVE
HAD A BUYER,

YOU WOULD HAVE HAD
SOME MORE PIZZA.

Steven:
PIZZA AND CHEESY FRIES.

BE NICE.

MY BIG CONCERN, THOUGH,

IS THAT THIS IS ALL JUST
A PERFORMANCE FOR STEVEN

AND THAT HE STILL THINKS

THAT HE CAN MANIPULATE
THE WHOLE SYSTEM

AND GET AWAY WITH IT.

AT THIS POINT, HE'S WRITTEN
HIS DEATH CERTIFICATE,

AND ALL WE NEED IS A DATE.

HE HAS ONE WINDOW
TO TURN THIS AROUND,

AND THE CHANCE TO DO THAT
IS NOW.

Steven: I WANT TO DO BETTER,
AND I'M PLANNING TO CHANGE.

BUT WHEN I WANT WHAT I WANT,
IT'S NEVER THAT SIMPLE.

I DON'T CARE,
AND SOMETHING ELSE TAKES OVER,

AND I DO WHAT I WANT.

AND I DON'T KNOW
HOW TO CHANGE THAT.

**

**

**

I TOLD DR. NOWZARADAN
MY LEG HURTS SO BAD,

I NEEDED PAINKILLERS.

BUT HE DIDN'T LISTEN,
AND THE PAIN GOT UNBEARABLE,

SO I HAD NO CHOICE.

I HAD TO COME HERE
TO GET MY PAIN MEDS.

[ SIGHS ]

I GOT TO FIND ANOTHER WAY
TO GET MY PAIN MEDS.

OH, GOD.

[ CHUCKLES ]
THERE'S OTHER WAYS,

BUT IF YOU TRY TO BUY
ON THE COMPUTER,

YOU CAN BUY THEM FROM A COP
OR SOMETHING, THOUGH.

LIKE,
YOU DON'T EVEN KNOW.

IT CROSSED YOUR MIND.

Carlos: MR. ASSANTI...

HOW ARE YOU?

I'M GOOD.

NOT IN ANY PAIN
OR ANYTHING?

OH, OBVIOUSLY, YEAH.

SAID THAT YOU WAS HURTING
A LITTLE BIT.

WHERE ARE YOU HURTING?

MY RIGHT LEG, NATURALLY.

-RIGHT.
-YEAH, THIS LEG HERE.

OKAY. ON A SCALE OF 1 TO 10,
COULD YOU RATE YOUR PAIN?

IT'S ABOUT A 9.

9 ON A SCALE OF 1 TO 10.

HOW WOULD YOU DESCRIBE
THE QUALITY OF THE PAIN?

IT JUST HURTS.

LIKE, IS IT AN ACHING,
SHARP, STABBING,

DULL, GNAWING, BURNING, SHARP,
SHOOTING -- WHAT TYPE?

IT'S REALLY HARD TO DESCRIBE.
IT JUST HURTS REALLY BAD.

JUST PICK ONE OF THOSE FOR ME.
UH, STAB?

-STABBING, GREAT.
-BURNING.

STABBING AND BURNING.
STABBING AND BURNING AND A 9.

GREAT.

Princess:
YOU ACTUALLY THINK DR. NOW
IS NOT GONNA FIGURE THIS OUT?

A 9?
AND YOU'RE JUST SMILING.

LET ME BE IN A 9 OF PAIN.
I'M GONNA BE ON THE FLOOR.

THAT'S HOW I ALWAYS ACT,
THOUGH.

I ALWAYS SMILE THROUGH
BAD THINGS, MAN.

IT'S NOT PAIN --
IT'S DISCOMFORT.

CALL IT WHAT IT IS.

THAT'S HOW YOU KNOW
IT'S AN ADDICTION.

SHUT UP.

Princess: TWO MONTHS
OF WORKING WITH STEVEN,

AND I DONE FOUND OUT
ALL HIS LITTLE KINKS AND TRICKS

AND EVERYTHING ELSE.

BYE.

MENTALLY, HE IS NOT READY
TO LOSE WEIGHT.

STEVEN IS FULL OF GAMES,

AND THE GAME THAT HE PLAYS
IS FOR NARCOTICS.

WE'RE ALL TRYING TO HELP HIM,

BUT WITH HOW STEVEN IS ACTING,
HE'S ABOUT TO LOSE EVERYTHING.

**

**

Steven: RIGHT NOW, I'M WAITING
ON DR. NOW TO COME SEE ME

BECAUSE HE WANTS TO TALK TO ME,

AND I DON'T THINK
IT'S GONNA BE GOOD.

[ KNOCK ON DOOR ]

-HI, STEVEN.
-HI.

HOW ARE YOU
THIS MORNING?

I'M OKAY.

SO, STEVEN, YOU DON'T SEEM
TO LISTEN OR CARE TO LISTEN.

AFTER BEING SIX MONTHS
IN HOUSTON,

YOU'RE STILL PLAYING
THE SAME GAME.

THE MOMENT
THE DILAUDID SHOT WAS GIVEN,

YOU SIGNED A PAPER
TO GET OUT OF HOSPITAL

AGAINST MEDICAL ADVICE,

SO THAT TELLS ME THE ONLY REASON
YOU CAME HERE --

TO GET THE DRUGS

AND YOU HAVE ABSOLUTELY NO NEED
FOR BEING IN THE HOSPITAL.

NO, I DON'T --
YOU'RE USING THIS LYMPHEDEMA

AS A VEHICLE TO GET
YOUR DRUG-HABIT SUPPORT.

YES. I AM.

WELL, YOU KNOW?

WELL, WHAT ARE YOU
GONNA DO ABOUT IT?

I...DON'T KNOW.

[ CHUCKLES ]

YOU HAVE NO INTENT
TO CHANGE RIGHT NOW,

AND YOUR DRUG ADDICTION
IS GONNA KILL YOU

FASTER THAN
YOUR FOOD ADDICTION.

SO THAT'S THE TOP PRIORITY
FOR US TO ADDRESS.

YEAH.

I MEAN, I'M GONNA TRY TO STOP,
BUT IT'S HARD.

YOU'RE LYING ABOUT
EVERYTHING YOU'RE DOING,

SO WHY I SHOULD BELIEVE YOU
AT THIS MOMENT

THAT YOU'RE GONNA
TELL ME THE TRUTH?

YOU SHOULDN'T.

I WANT TO TRY TO STOP,
BUT IT'S HARD.

AND I ADMIT THAT
I DO HAVE A PROBLEM.

IT'S A BIG PROBLEM.

WELL...

YOU KNOW, YOU'RE AT THAT POINT
THAT YOU HAVE BEEN BEFORE,

AND YOU LIED ABOUT IT.

AND RIGHT NOW, AT LEAST,

YOU GOT TO THE POINT
THAT YOU'RE HONEST ABOUT IT.

BUT HERE'S
THE SITUATION --

THIS IS THE END OF YOUR ROAD
FOR NOW.

OKAY.

YOU'RE DONE MANIPULATING
THE SYSTEM WITH ME INVOLVED.

SO, HERE'S WHAT
WE'RE GONNA DO.

I'M SUSPENDING YOU
FROM THE WEIGHT-LOSS PROGRAM,

AND YOU'RE GOING FROM HERE
TO A DRUG-ADDICTION PROGRAM

BECAUSE, RIGHT NOW,

THERE'S NOTHING WE CAN DO
TO WAKE YOU UP.

I'M NOT GONNA
TURN THE NEWS ON

AND HEAR ABOUT
A 700-POUND MAN OVERDOSING,

SO WE NEED TO TRY
SOMETHING DIFFERENT, OKAY?

-YEAH.
-ALL RIGHT.

I WISH YOU THE BEST.

THANK YOU.

AND RIGHT NOW,
HIS ADDICTION TO PAINKILLERS

IS GOING TO KILL HIM
BEFORE HIS OVEREATING DOES.

IT IS JUST A MATTER OF TIME
BEFORE HE OVERDOSES.

SO THAT ADDICTION
IS THE HIGHEST PRIORITY

TO TREAT RIGHT NOW.

HE'S PLAYING GAMES,

DEVISING WAYS TO MANIPULATE
THE HOSPITAL

AND A SYSTEM
THAT CAN EASILY BE ABUSED

IF YOU KNOW HOW TO DO IT.

SO HE NEEDS TO MAKE A CHOICE

TO BREAK FREE FROM THAT
IMMEDIATELY,

BECAUSE HE'S TAKING ENOUGH
TO EASILY KILL HIMSELF

EACH AND EVERY DAY.

AND JUSTIN HAS BEEN
REFUSING TREATMENT SO FAR,

AND HIS FATHER HAS NOT GIVEN ME
AN UPDATE ON HIS WEIGHT,

WHICH MEANS THIS IS
NOT IMPORTANT FOR THEM.

SO WE HAVE A LONG WAY TO GO
TO TREAT THE WHOLE FAMILY

AND TRY TO SAVE THE LIVES
OF THE ASSANTI BROTHERS.

HOPEFULLY, WE HAVE FOR STEVEN,

AND WE'LL START TO TURN AROUND
THINGS FOR HIM.

MAYBE OVER THE NEXT FEW MONTHS,

WE'LL START TO SEE
MORE POSITIVE RESULTS,

BUT WE'LL HAVE TO WAIT
AND SEE HOW THINGS GO.

Steven:
I DON'T WANT TO GIVE UP,

BUT GOING
INTO A DRUG-REHAB PROGRAM

SEEMS LIKE A WASTE OF TIME.

I DON'T LIKE BEING IN PLACES
WHERE I DON'T HAVE CONTROL,

BUT I'LL GO
'CAUSE I DON'T WANT TO DIE

AND I'M SCARED TO BE ON MY OWN.

I KNOW I'M KILLING MYSELF.

SO IF I HAVE TO DO THIS TO LIVE,
THEN I WILL.

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