All language subtitles for My 600-lb Life S05E16

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

Milla: I CAN'T EVEN
TAKE CARE OF MYSELF.

MY CHILDREN HAVE TO DO
EVERYTHING FOR ME.

Charity:
I FEEL LIKE SOME MONSTER.

Woman:
I'M IN SO MUCH PAIN.

[ Crying ]
IT'S MISERABLE.

Brittani: MY BODY IS THE MOST
DISGUSTING THING IN THE WORLD.

**

Woman #2:
I'M TERRIFIED RIGHT NOW.

June: I'M RISKING MY LIFE
FOR A BETTER LIFE.

I LOVE YOU, MOMMY.

-OOH, CHILD!
-PULL. GOOD. THERE YOU GO!

GOOD JOB.

Teretha:
I'M GETTING STRONGER, BUT I KNOW
I HAVE A LONG WAY TO GO.

Paula: I CAN'T WAIT TO SEE
WHAT THE FUTURE HOLDS.

**

Susan: I AM NOW EXPRESSING
MYSELF AND LIVING MY OWN TRUTH.

Milla: I'M SO HAPPY
ABOUT THE PROGRESS I'VE MADE.

June: I AM LIVING LIFE, AND
I'M LOVING EVERY SECOND OF IT.

Brittani:
I'VE COME A LONG WAY.

I'M LESS THAN HALF
THE PERSON I USED TO BE.

Sean: THAT'S AMAZING!

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

Brittani:
I DON'T REMEMBER A TIME
WAKING UP THAT I DIDN'T HURT.

AND A HUMAN BODY SHOULD NOT LOOK
THE WAY MY BODY LOOKS.

MY HUSBAND DOESN'T SEE ME NAKED,

BECAUSE I'M AFRAID THAT HE WILL
BE ABSOLUTELY DISGUSTED

IF HE SEES ME.

AND I'M SO BIG,
I'M ALMOST TO THE POINT

WHERE I CAN'T EVEN
TAKE CARE OF MYSELF.

**

I THINK ABOUT FOOD NONSTOP,

FROM THE MOMENT I WAKE UP
TILL THE MOMENT I GO TO BED.

I KNOW THAT'S NOT NORMAL.

I'M KILLING MYSELF.

AND NOW I RARELY GO OUT
AND DO ANYTHING.

I'M BEYOND DESPERATE.

I'M, LIKE, SCRAPING THE BOTTOM
OF THE BARREL RIGHT NOW.

AND I KNOW THAT
IF I DON'T DO THIS,

THERE WON'T BE
ANYTHING LEFT OF ME.

I AM LEAVING EVERYTHING I KNOW
TO SAVE MY LIFE.

Bill: THIS JOURNEY IS THE
BIGGEST RISK WE'VE EVER TAKEN.

AND I'M AFRAID
THIS IS THE LAST OPTION.

THERE'S NO OTHER OPTIONS
FOR HER.

Brittani: I AM STEPPING WAY
OUTSIDE OF MY COMFORT BUBBLE,

BECAUSE I NEED HELP.

WHAT DO YOU THINK
GOT YOU TO THIS WEIGHT?

STRESS,
DEPRESSION, ANXIETY,

BUT I ALSO EAT WHEN I'M HAPPY
AND WHEN THINGS ARE GOING GOOD.

BRITTANI CLEARLY IS
A COMPULSIVE EATER.

IF YOU CHANGE YOUR HABIT,

YOU SHOULD BE ABLE
TO LOSE 40 POUNDS IN ONE MONTH.

-OKAY.
-THIS IS GOING TO BE

VERY DIFFICULT FOR THEM BOTH,

BUT I HAVE TO SEE
IF BRITTANI HAS THE ABILITY

TO GET CONTROL OF HER
COMPULSIVE EATING HABIT.

IF SHE DOESN'T,
SURGERY IS NOT GOING TO HELP.

Brittani: I'VE NEVER, EVER
LOST WEIGHT IN MY LIFE,

SO TO TRY TO LOSE 40 POUNDS
SEEMS IMPOSSIBLE.

IT'S JUST HARD, AND IT IS SCARY.

BUT I KNOW
THIS IS WHAT I HAVE TO DO.

AND I HOPE THAT IS THIS HAS
ALL BEEN ENOUGH,

BECAUSE I NEED
THIS SURGERY TO LIVE.

Dr. Nowzaradan:
BRITTANI HAS DONE VERY WELL.

SHE SHOWED ME THAT SHE'S ABLE
TO CONTROL HER EATING HABIT,

AND THAT TELLS ME
THAT SHE'S VERY SERIOUS

ABOUT WEIGHT-LOSS SURGERY.

THIS SURGERY IS GONNA HELP HER
TO MAKE MUCH MORE PROGRESS.

ALL RIGHT. WE'RE DONE.

WE WERE ABLE
TO DO HER GASTRIC BYPASS,

AND SHE'S DOING FINE.

Woman: ALL THE WAY OVER,
ALL THE WAY OVER.

Brittani:
WHEN I WOKE UP FROM SURGERY, I
WOKE UP TO A WHOLE NEW REALITY.

AND FOR THE FIRST TIME
IN MY LIFE,

I DIDN'T HAVE CRAVINGS.

MY WHOLE WORLD
TURNED UPSIDE-DOWN,

AND I WASN'T SURE
HOW TO DEAL WITH IT.

**

MY MOM CONVINCED ME
TO GO SEE A THERAPIST.

I WENT THROUGH SEXUAL ABUSE
WHEN I WAS YOUNGER.

-MM-HMM.
-AND I DIDN'T FEEL SAFE,

AND SO FOOD MADE ME SAFE.

WHEN YOU WERE 5, YOU NEEDED
A COPING STRATEGY TO SURVIVE.

AND IT'S KEPT YOU
BOTTLED UP INSIDE,

AND IT'S TIME FOR YOU
TO COME OUT.

AFTER TALKING
WITH THE THERAPIST,

I DECIDED TO WORK
ON SOME THINGS.

IT HASN'T BEEN EASY,

BUT I'M PUSHING MYSELF
TO DO MORE.

AND I HAVEN'T WALKED THROUGH
A GROCERY STORE

IN LIKE FIVE YEARS.

SO THIS IS REALLY A BIG DEAL.

I'M MAKING IT TO MY GOALS,

AND MY BIGGEST GOAL IS FOR BILL
AND I TO GROW OUR RELATIONSHIP.

Bill: BRITTANI'S DOING BETTER
IN PUBLIC,

'CAUSE SHE'S MORE FOCUSED
ON GETTING OUT

'CAUSE SHE KNOWS
THAT'S WHAT SHE NEEDS TO DO.

SO, I THINK THINGS ARE
DEFINITELY GETTING BETTER.

Brittani: AND FOR THE FIRST TIME
IN OUR MARRIAGE,

WE CAN START TO GET CLOSER.

I'M GONNA DO EVERYTHING IT TAKES

TO KEEP LOSING WEIGHT
AND MAKING PROGRESS.

AND, STOP.
GOOD JOB!

I'VE HAD MOMENTS OF FEAR,

BUT I'M STARTING
TO LET THOSE FEARS GO.

375. THAT'S AWESOME.

I AM SO PROUD
OF MYSELF RIGHT NOW,

AND I FEEL LIKE
I CAN DO ANYTHING.

**

OH, MY GOSH. THIS TOOL BOX
JUST KEEPS GETTING HEAVIER.

HI, PAPA!

I CAN'T BELIEVE MY LIFE NOW,

COMPARED TO WHAT IT WAS
A YEAR AGO.

I'VE GONE FROM BARELY
BEING ABLE TO MOVE

AND JUST SITTING
AND EATING ALL DAY

TO BEING CONSTANTLY
ACTIVE ALL DAY LONG

AND NOT EVEN THINKING
ABOUT FOOD ANYMORE.

THIS LAST YEAR WAS A LOT HARDER
THAN I THOUGHT,

BUT EVERYTHING I'VE BEEN THROUGH
HAS BEEN SO WORTH IT,

'CAUSE MY LIFE IS SO MUCH BETTER
NOW THAN IT WAS.

AND NO MATTER HOW HARD IT GETS,

I WOULDN'T TRADE THAT
FOR ANYTHING.

-HEY, HUSBAND?
-YES.

WILL YOU COME TELL ME
IF THIS IS STRAIGHT?

-NO.
-NO?

WHICH WAY?

MOVE IT TO THE LEFT
A LITTLE BIT.

-THERE YOU GO.
-YEAH?

-YES.
-I THINK I LIKE IT.

THAT'S GOOD.

DONE WITH THAT.

EVERYTHING ABOUT
MY LIFE IS BETTER.

MENTALLY, PHYSICALLY,
EMOTIONALLY,

I'M JUST A DIFFERENT PERSON NOW.

SO I'M COMPLETELY FOCUSED

ON MAKING MORE
AND MORE PROGRESS.

SHELDON, WANT TO GO OUTSIDE?

COME ON, LET'S GO.

AND I LIKE MY LIFE NOW,

BUT THE ONLY THE ISSUES
THAT ARE HOLDING ME BACK

ARE MY KNEE PAIN
AND MY EXCESS SKIN.

MY KNEE IS THE BIGGER ISSUE
RIGHT NOW, THOUGH.

BECAUSE I JUST PUT
SO MUCH WEIGHT ON IT

FOR SO MANY YEARS,

IT'S COMPLETELY TORN UP.

SO STAYING AS ACTIVE AS I NEED

CAN GET REALLY PAINFUL
AFTER A LITTLE WHILE.

OH, MY GOODNESS.

I THINK I CAN MAKE IT
TO THE GARBAGE CANS.

I DON'T WANT TO SLOW
DOWN RIGHT NOW.

I WANT TO DO MORE.

AND NOW THAT I HAVE
SO MUCH ENERGY,

I DON'T WANT ANYTHING
HOLD ME BACK.

I MADE IT!

SO DR. NOW REFERRED ME
TO AN ORTHOPEDIC SPECIALIST

TO SEE IF THERE WAS SOMETHING
THAT COULD BE DONE.

AND I WENT TO SEE HIM LAST WEEK,

AND HE ACTUALLY SCHEDULED ME
FOR SURGERY IN A MONTH.

I'M A LITTLE NERVOUS TO BE GOING
INTO ANOTHER MAJOR SURGERY SOON,

BUT I KNOW THIS IS THE NEXT STEP
I HAVE TO TAKE

TO KEEP MY PROGRESS
AND MY NEW LIFE ON TRACK.

AFTER THAT, I'M HOPING
I LOSE ENOUGH WEIGHT

TO GET MY FIRST
SKIN-REMOVAL SURGERY.

I PRETTY MUCH HAVE
EXCESS SKIN EVERYWHERE.

THERE'S STILL A LOT OF FAT, TOO.

THE MAIN REASON
I WOULD LIKE IT TO BE GONE

IS JUST BECAUSE, UM,

IT JUST IS A REMINDER
OF WHERE I CAME FROM.

I THINK IT IS GROSS.

AND I DON'T FEEL
LIKE IT'S GOTTEN

TO A REALLY BAD PLACE YET,

BUT I KNOW IT WILL SOON.

LIKE, MY ARMS ARE ALL WRINKLY.
[ CHUCKLES ]

[ Chuckling ]
IT'S LIKE A FLAG.

I WANT IT REMOVED
BASICALLY SO I'M NORMAL.

I DON'T FEEL LIKE
LESS OF A WOMAN WITH IT.

I JUST WANT TO BE ABLE
TO BE A NORMAL WOMAN.

I DO WANT TO LOOK GOOD FOR BILL,
BUT I'VE DONE ALL THIS FOR ME.

I MEAN, IT'S NOT ABOUT
ANYONE ELSE.

IT'S MOSTLY ABOUT ME.

LOSING THE WEIGHT
HAS BROUGHT ME AND BILL

CLOSER THAN WE'VE EVER BEEN,

AND I WANT THAT
TO GROW EVEN MORE.

I FEEL LIKE WE FALL MORE
AND MORE IN LOVE EVERY DAY,

AND I DIDN'T THINK
THAT WAS POSSIBLE,

'CAUSE WE ARE MORE HUSBAND
AND WIFE, AND I LOVE THAT.

BUT RIGHT NOW, MY FOCUS IS
GETTING MY KNEE-REPAIR SURGERY.

SO I WANT TO DO MY PART
AND KEEP MAKING PROGRESS.

**

Sean:
EVERY DAY I WAKE UP,

I HAVE TO FACE THE REALITY

OF WHAT MY LIFE HAS BECOME.

MY WEIGHT HAS GIVEN ME
A DEATH SENTENCE.

I CAN'T DO ANYTHING
FOR MYSELF ANYMORE.

SEAN HAS TO JUST TOTALLY BE
TAKEN CARE OF FROM HEAD TO TOE.

YOU KNOW, EVERYTHING
HAS TO BE DONE FOR HIM.

Sean: I KNOW IT'S BECAUSE
OF MY EATING.

ALL RIGHT, KIDDO.
EAT WHAT YOU WANT TO EAT.

[ Voice breaking ] AND LOSING
WEIGHT IS THE ONLY WAY

I CAN SURVIVE THIS,

BUT I CAN'T STOP EATING.

SO, SOMETHING HAS TO CHANGE.

TODAY, MY MOM AND I
ARE TRYING TO MOVE TO HOUSTON

TO GET HELP FROM DR. NOW.

[ GRUNTING ]

LAST TIME I LEFT THE HOUSE
UNDER MY OWN POWER

WAS YEARS AGO.

[ GROANS ] GO.

AND I AM EXTREMELY NERVOUS
ABOUT THIS TRIP.

-GRAB THE CHAIR.
-HELP ME WITH MY LEG!

-ONE.
-ONE. OH!

OH, MY KNEE!

-OHH.
-OH, OKAY.

I'M HOPING THAT THIS
IS ALL WORTH IT,

'CAUSE IT'S REALLY DIFFICULT.

OHH!

THE ONLY THING THAT REALLY
HELPS CALM ME DOWN IS FOOD.

HERE'S A DRUMSTICK.

Dr. Nowzaradan:
RIGHT NOW, WE ARE EXPECTING
THE ARRIVAL OF SEAN MILLIKEN.

HE'S CLEARLY AT LEAST
800 POUNDS FROM LOOKS OF IT.

LET'S BRING HIM IN.

Dr. Nowzaradan:
SEAN, YOU FEELING OKAY?

[ Crying ]
NO, I'M IN EXTREME PAIN!

SEAN IS THROWING
A LITTLE TANTRUM

BECAUSE HE'S UNCOMFORTABLE.

HE'S LIKELY USED
TO GETTING HIS WAY.

HE LIVES WITH HIS MOTHER,

AND I DON'T THINK IT'S HARD

TO START TO UNDERSTAND
THEIR UNHEALTHY DYNAMIC.

YOU'RE KILLING HIM
RIGHT NOW.

THIS HAS TO STOP.

ALL RIGHT, SEAN,
I NEED TO KNOW YOUR TRUE WEIGHT

SO WE'RE GONNA GET YOU
INTO A BED SCALE.

LOOKS LIKE
YOU'RE 919 POUNDS.

AT YOUR WEIGHT, IT'S A MIRACLE
THAT YOU'RE ALIVE,

AND YOU MAY BE THE HEAVIEST
PERSON ALIVE RIGHT NOW.

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

AND I WANT YOU TO LOSE
AT LEAST 100 POUNDS

OVER NEXT COUPLE MONTHS.

Sean:
DOCTOR WANTS ME ON 800 CALORIES,

AND I HAVE NO IDEA WHAT THAT
WOULD BE IN ACTUAL FOOD.

I'VE CUT BACK A LOT.

I'M TRYING TO KEEP IT DOWN
TO ONE BURGER

OR FAST-FOOD MEAL A DAY.

SO I FEEL LIKE
IT'S A GOOD COMPROMISE

TO SHOW THE DOCTOR
I CAN DO THIS.

Dr. Nowzaradan:
SEAN LOOK LIKE HE MAYBE
PUT ANOTHER 100 POUNDS ON.

AT THIS POINT, HE MAY BE
APPROACHING 1,000 POUNDS,

AND VERY FEW PEOPLE MAKE IT
TO THAT WEIGHT AND SURVIVE LONG.

YOU AND YOUR MOM HAS NOT MADE
A SINGLE POSITIVE CHANGE

AS FAR AS I CAN TELL.

SO I'M BRINGING YOU
TO THE HOSPITAL IMMEDIATELY

SO WE CAN GET YOUR HEALTH
UNDER CONTROL.

THIS IS GOING TO BE
YOUR LAST CHANCE.

**

WHEN SEAN ARRIVED HERE,
HE WAS 1,003 POUNDS.

BUT WE STARTED

ON A 800-CALORIE-A-DAY
CONTROLLED DIET,

AND HE STARTED
LOSING WEIGHT RAPIDLY.

744.

YOU DID GOOD.

ALL RIGHT, SEAN,
I'M SENDING YOU HOME.

I WANT YOU TO LOSE 100 POUNDS
OVER NEXT COUPLE MONTHS.

Sean: I WANT A LIFE,

SO I'M GONNA DO
WHAT THE DOCTOR NEEDS ME TO

SO I CAN GET
THIS WEIGHT-LOSS SURGERY.

636. YOU DID IT.

SO WE'RE GONNA APPROVE
YOU FOR SURGERY.

THANK YOU.

I'M JUST SO HAPPY
AND PROUD RIGHT NOW.

Dr. Nowzaradan:
SEAN IS AMONG THE LARGEST
PATIENT WE HAVE OPERATED ON,

BUT THE SURGERY
IS GOING TO HELP HIM

TO MAKE MORE PROGRESS
IN THE LONG RUN.

SEAN'S SURGERY WENT VERY WELL.

HE STILL NEEDS TO LOSE
A LOT OF WEIGHT,

BUT FOR NOW,
HE'S DOING REALLY GOOD.

YOU'RE DOWN TO 583.

THIS IS GOOD.

Sean: I WAS BARELY ABLE TO MOVE
A YEAR AGO.

NOW I CAN GET AROUND
A LOT EASIER.

I STILL HAVE A WAYS TO GO,

BUT I'M CLOSER
THAN I'VE BEEN IN 10 YEARS

TO BEING BACK OUT THERE
LIVING LIFE.

**

THE PAST YEAR
WAS REALLY HARD FOR ME.

BUT I'VE LOST AROUND 400 POUNDS,

SO I'VE MADE SOME GOOD PROGRESS.

AND I'VE BEEN ABLE TO GET OUT OF
THIS BED AND START WALKING SOME.

-HEY, MOM?
-YEAH, HONEY.

I THINK
WE SHOULD DO OUR WALK.

OKAY.

I'M TRYING
TO BECOME MORE INDEPENDENT

SO MY MOM DOESN'T HAVE
TO KEEP DOING THINGS FOR ME.

BUT IT'S A SLOW PROCESS,

AND I THINK
IT'S GONNA BE A WHILE

BEFORE I GET TO THAT POINT.

AND RIGHT NOW, THE BIGGEST
CHALLENGE FOR ME IS WALKING.

BUT I'M MAKING PROGRESS,
AND I'M PROUD OF THAT.

SO, MY FOCUS IS
ON BEING ABLE TO GET UP

AND WALK A LITTLE MORE EACH DAY.

JUST A FEW MONTHS AGO,
I COULD BARELY EVEN STAND.

SO I'M REALLY PROUD
OF MY PROGRESS RIGHT NOW.

AND SO FAR, I'M ABLE TO WALK
TO THE NEXT ROOM AND BACK.

BUT MY MOM'S WORRIED
I'M PUSHING MYSELF TOO HARD

BECAUSE MY LEG
HAS BEEN HURTING A LOT,

SO I DON'T WANT
TO OVERDO IT AT ALL.

HOPEFULLY, MY MOM AND I THINK
I CAN GET TO THE POINT

WHERE IT'S SAFE TO PUSH MORE.

MAYBE I COULD START
TAKING WALKS OUTSIDE

AND SEE HOW FAR I CAN GO.

BUT FOR RIGHT NOW, JUST WALKING
TO THE BATHROOM AND BACK

COMPLETELY WIPES ME OUT,

AND MY MOM HAS TO HELP ME
GET BACK IN BED.

I KNOW DR. NOWZARADAN
THINKS WE'RE NOT DOING ENOUGH,

BUT ME AND MY MOM
ARE TRYING OUR BEST.

-HEY, MOM.
-YEAH, HONEY?

YOU ABOUT READY
FOR DINNER?

-SURE. YEP.
-WHAT DO YOU WANT TO DO?

I THINK I'M GONNA DO,
UM, CHICKEN AND MUSHROOMS

WITH MARINARA SAUCE.

-OKAY.
-OKAY?

WE'RE EATING A LOT HEALTHIER
THAT I USED TO.

WE DON'T STICK TO THE
1,200-CALORIE-A-DAY DIET,

BUT I THINK WE STICK
PRETTY CLOSE,

LIKE AT 1,400 OR 1,500,

WHICH IS A HUGE DROP
FROM HOW MUCH I USED TO EAT.

AND I HAVE CHEAT JUST A LITTLE,

BECAUSE IT HAS TO
TASTE GOOD SOMETIMES.

A LITTLE EXTRA ON THE MARINARA,
THOUGH, PLEASE.

LAST TIME WASN'T ENOUGH.

THE MUSHROOMS
KIND OF OVERPOWERED IT.

I'M EATING A LOT BETTER,

SO I FEEL LIKE
I'M MAKING GOOD PROGRESS.

CAREFUL WITH
THE MARINARA SAUCE, SEAN.

IT'S KIND OF HIGH
IN CALORIES,

SO I CAN ONLY USE
A LITTLE BIT OF IT.

OKAY.

**

HERE, SQUIRT.

-THANK YOU.
-UH-HUH.

SOMEDAY, IT WOULD BE NICE

TO ACTUALLY EAT
AT A TABLE AGAIN TOGETHER.

THAT WOULD BE NICE.

DR. NOWZARADAN WANTED ME TO LOSE
AT LEAST 30 POUNDS A MONTH,

AND I THINK I'M DOING THAT.

I HAVE ANOTHER APPOINTMENT
WITH HIM IN A MONTH,

AND WE'LL SEE
IF I HIT MY GOALS THEN.

BUT I'M CONFIDENT I AM.

**

Brittani: MY HUSBAND AND I
ARE HEADED TO THE HOSPITAL

TO CHECK IN
FOR MY KNEE-REPAIR SURGERY.

THEY'RE GOING TO REPAIR
ALL MY DAMAGED CARTILAGE

FROM ALL THE YEARS OF MY WEIGHT
JUST WEARING IT AWAY.

ANY TIME I HAVE PROCEDURES DONE,

UM, THERE'S ALWAYS
THAT SCARY CHANCE

THAT YOU MIGHT NOT WAKE UP
FROM ANESTHESIA.

I MEAN, THAT'S A SCARY THING.

SO I'M REALLY STARTING
TO GET NERVOUS NOW,

JUST BECAUSE I DON'T KNOW
WHAT'S GOING TO HAPPEN.

I'M NOT LOOKING FORWARD
TO THE RECOVERY,

BECAUSE I KNOW
IT'S A DIFFICULT SURGERY

TO RECOVER FROM.

BUT WITH HOW ACTIVE I'M GETTING,

THE PAIN IS STARTING
TO GET REALLY UNBEARABLE,

SO I HAVE TO GET THIS SURGERY.

-SEE YOU LATER.
-BYE.

-I LOVE YOU.
-LOVE YOU.

IF I DON'T, I KNOW MY ACTIVITY'S

GOING TO START TO DECREASE.

AND IF I END UP
SITTING AROUND ALL DAY,

THE NEXT STEP
IS TO START EATING MORE,

AND THEN I'LL BE GAINING AGAIN.

AND I DON'T WANT THAT.

THIS IS MY NEXT BIG STEP,

AND I'M READY FOR IT.

Dr. George: WE'RE GOING
TO OPERATE ON BRITTANI TODAY.

SHE'S HAD SOME PAIN AND SWELLING
THAT HAS LIMITED

HER ABILITY
TO MOVE AROUND AND BE ACTIVE.

THE WHOLE PURPOSE
OF THE PROCEDURE

IS TO HELP GET FUNCTION
BACK TO THE KNEE

SO SHE CAN GET RANGE OF MOTION
WITHOUT PAIN,

WITHOUT SWELLING,
WITHOUT CATCHING.

AND WHEN SHE'S ABLE TO USE
THE KNEE MORE NORMALLY,

SHE'S ABLE TO RETURN
TO MORE NORMAL ACTIVITY.

AND THAT MORE NORMAL ACTIVITY

WILL ALLOW HER TO DO
THE ACTIVITIES THAT SHE NEEDS

TO HELP WITH THE WEIGHT LOSS
AND TO KEEP MOVING.

BRITTANI IS EVERYTHING TO ME.

THERE'S NOTHING ELSE
IN THE WORLD THAT MEANS MORE,

BUT I HAVE FAITH
THAT SHE'S DOING WELL.

Dr. George: OKAY.

WE WERE ABLE
TO TRIM THE TORN TISSUE,

SO IT SHOULDN'T BE AN ISSUE
WITH HER ANYMORE.

OKAY, WE ARE DONE.

BRITTANI'S SURGERY WENT FINE.

IT DIDN'T HAVE
ANY COMPLICATIONS.

SHE DID HAVE A LOT
OF SCAR TISSUE,

WHICH IS PROBABLY
LIKELY SECONDARY TO THE FACT

THAT SHE HASN'T BEEN
USING IT VERY MUCH.

BUT SHE CAN START WALKING,

DOING RANGE-OF-MOTION THINGS
RIGHT AWAY.

GIVEN HER BODY HABITUS,

AND YOU ALWAYS HAVE TO WORRY
ABOUT BLOOD CLOTS AFTERWARDS,

SO THAT'S WHERE
INCREASING THE ACTIVITY QUICKLY

TO KEEP THE BLOOD MOVING
REALLY HELPS.

FOR NOW, BRITTANI NEEDS
TO JUST RECOVER FROM HER SURGERY

AND GET HER STARTED
ON FORMAL PHYSICAL THERAPY,

WHICH WILL GET HER
ON THE ROAD TO RECOVERY.

**

[ SIREN WAILING ]

Sean: MY LEG PAIN HAS BEEN
GETTING WORSE AND WORSE

OVER THE PAST MONTH.

AND THEN I STARTED
GETTING A FEVER.

NOW MY MOM THINKS

IT'S A REALLY BAD
CELLULITIS INFECTION.

SO SHE CALLED 911
TO TAKE ME TO THE HOSPITAL.

HE'S BEEN GETTING COLD ALL DAY,
AND THEN HE GOT CHILLS,

AND THEN HE GOT A FEVER
A COUPLE HOURS AGO.

AND HE'S GOT A LOT OF PAIN,
HE SAID, IN HIS LEG.

HELLO.
HOW ARE YOU TODAY?

HORRIBLE.

SO, WHAT'S GOING ON?

I ACHE HORRIBLY.

SO, YOU'RE IN PAIN AGAIN?
IS IT IN YOUR LEG?

I HURT EVERYWHERE NOW.

JOINTS --
EVERYTHING ACHES BAD.

ALL RIGHT, HOW LONG
HAS THIS BEEN GOING ON?

MOM, WHEN?

-HE'S HAD AN EAR INFECTION.
-UH-HUH.

LAST NIGHT, HE STARTED
GETTING VERY, VERY SICK.

HE STARTED GETTING
FEVERS AND CHILLS,

SO THAT'S WHY
I CALLED 911.

AND I'M AFRAID AT THIS POINT
HE'S GETTING SEPTIC,

'CAUSE HE'S STARTING
TO GET REALLY ACHY,

AND THAT'S USUALLY WHAT HAPPENS
WHEN HE GETS SEPSIS.

SEAN HAS MADE A LOT
OF PROGRESS OVER LAST YEAR,

BUT WE HAVEN'T SEEN ANY PROGRESS

UNDOING THE UNHEALTHY DYNAMIC
HE HAS WITH HIS MOTHER.

AND THAT IS A SIGNIFICANT ISSUE.

THE REALITY IS THAT HIS MOTHER
IS PREVENTING HIM

FROM EVER MAKING
ANY REAL PROGRESS,

AND THEN SHE TRY
TO CREATE THE PERCEPTION

THAT HE'S CONSTANTLY SICK,

AND SHE'S THE ONLY ONE
CAN TAKE CARE OF HIM.

IT IS STARTING TO RESEMBLE

MUNCHAUSEN SYNDROME BY PROXY,

WHERE THE PARENTS ALLOW A CHILD

TO BE HURT OR HURT THE CHILD

SO THAT THEY GET SYMPATHY.

AND IT HAS TO STOP IMMEDIATELY.

DR. NOWZARADAN,
I'D REALLY LIKE TO KNOW

WHAT HIS LACTIC ACID
IS RIGHT NOW.

WELL, WHAT IS THE LACTIC ACID
GONNA TELL YOU?

LACTIC ACID USUALLY LETS ME KNOW
HOW SICK HE IS,

LETS ME KNOW WHETHER OR NOT

HE'S GOT A MILD INFECTION
OR A MAJOR INFECTION.

OKAY, DR. MILLIKEN.

I'M NOT A DOCTOR, AND I DON'T --
I NEVER SAID THAT I'M A DOCTOR.

[ Crying ]
BUT I AM HIS MOTHER,

AND I HAVE A LOT OF EXPERIENCE
IN DEALING WITH MY SON.

HE HAS ALMOST DIED ON ME
SEVERAL TIMES NOW, AND HE --

I FEEL LIKE WE'RE NOT
EVEN GETTING

THE NORMAL,
STANDARD CARE HERE!

YOU KNOW, HE'S USUALLY
ON I.V. FLUIDS.

THEY USUALLY HAVE MASSIVE
ANTIBIOTICS RUNNING THROUGH HIM.

-WE JUST GOT HIM UP HERE.
-I'M NOT TRYING TO BE A DOCTOR!

-AND HE --
-BUT HE'S SICK!

ALL RIGHT, YOU NEED
TO STOP, OKAY?

DON'T TELL THAT YOU KNOW WHAT'S
GOING ON, AND YOU KNOW HIM,

AND WE'RE NOT
TAKING CARE OF HIM!

-YOU HAVEN'T DONE LAB TESTS...
-I DON'T WANT TO HEAR THAT.

...ON HIM. HOW DO YOU KNOW
WHAT'S HAPPENING WITH HIM?

WE -- WE'VE SEEN THOUSANDS
OF PEOPLE LIKE HIM.

-OKAY.
-ALL RIGHT?

SO, HE'S NOT THAT DIFFERENT
THAN EVERYBODY ELSE.

OKAY. HE IS DIFFERENT
TO ME, THOUGH, DOCTOR.

I UNDERSTAND, NOT TO YOU.
HE IS DIFFERENT TO ME.

WELL, YOU REALLY ARE NOT
HELPING HIM, OKAY?

WE HAVEN'T
SEEN HIM IN MONTHS, OKAY?

-MM-HMM, RIGHT.
-HE'S NOT FOLLOWING HIS DIET.

OKAY.
HE SHOULD HAVE LOST MORE WEIGHT.

-YES, I AGREE.
-ALL RIGHT.

-I AGREE.
-WHAT DO YOU MEAN YOU AGREE?

YOU'RE KILLING HIM,
AND YOU'RE BLAMING

OTHER PEOPLE
NOT TAKING CARE OF HIM!

-NO, I'M NOT.
-YOU'RE HARMING HIM.

YOU ARE WORST THING
FOR HIM, AND --

-I AGREE.
-WHAT DO YOU MEAN, YOU AGREE?

I AGREE. I AM THE WORST THING
FOR HIM. I AGREE.

YEAH, BUT YOU KNOW
WHAT'S GOOD FOR HIM,

AND THE DOCTOR
DOESN'T KNOW CRAP!

NO, I'M NOT SAYING THAT, DOCTOR.
ALL RIGHT.

I DON'T WANT TO HEAR ANY MORE
WHAT KIND OF TEST YOU WANT HERE,

WHAT KIND OF ANTIBIOTIC
YOU WANT,

WHAT KIND OF TREATMENT
WE WANT FOR HIM, OKAY?

-ALL RIGHT. OKAY.
-AND ONCE WE FINISH OUR TESTS,

WE'RE GONNA CHECK HIS WEIGHT
AND SEE WHERE HE IS AT.

AND IF HE GAINED,
AND HE LOOK LIKE HE HAS,

THEN THERE'S GONNA BE
SOME NEW RULES AROUND HERE.

YOU UNDERSTAND ME?

-OKAY, AS LONG AS --
-IS THAT CLEAR TO YOU?

THAT'S FINE.
AS LONG AS MY SON GETS BETTER,

THAT'S JUST FINE.
OKAY.

YOUR SON WILL GET BETTER
NOT BECAUSE OF YOU --

-IN SPITE OF YOU.
-I AGREE.

-I'M NOT DENYING THAT, DOCTOR.
-ALL RIGHT.

SEAN, WE'LL START YOU
ON ANTIBIOTICS TO BE SAFE.

AND ONCE WE FINISH
ALL THE TESTS, WE'LL TALK.

-ALL RIGHT, WE'LL SEE YOU LATER.
-ALL RIGHT.

**

Sean: I DON'T THINK DR. NOW'S
BEING FAIR TO MY MOM.

SHE JUST GETS WORRIED ABOUT ME

AND DOESN'T WANT ME
TO PUSH MYSELF

TO A PLACE WHERE I GET HURT
AND MAKE THINGS WORSE.

NO ONE KNOWS ME LIKE MY MOM,

AND SHE COULD BE HELPFUL

FIGURING OUT
WHAT'S WRONG WITH ME SOMETIMES.

AND I WISH DR. NOW
UNDERSTOOD THAT.

**

TODAY, DR. NOWZARADAN

IS SUPPOSED TO BE COMING
TO GIVE ME MY TEST RESULTS

AND TELL ME WHAT'S
BEEN WRONG WITH ME.

I'M HOPING THEY DID EVERYTHING
MY MOM ASKED THEM TO,

'CAUSE I DON'T WANT THEM
MISSING SOMETHING

AND THINKING I'M OKAY
WHEN I'M NOT.

[ KNOCK ON DOOR ]

-HI, SEAN.
-HI, DR. NOW.

HOW'S YOUR DAY GOING?

IT'S GOING ALL RIGHT.

OKAY, WE FINISHED
OUR TESTS.

THERE IS NOTHING
SERIOUSLY WRONG WITH YOU,

SO LET'S GET UP
AND CHECK YOUR WEIGHT.

555 POUNDS.

SO, 555 POUNDS MEANS
THAT YOU STARTED GAINING AGAIN.

IF YOU WERE STICKING
TO THE DIET,

YOU SHOULD BE AROUND
480 POUNDS BY NOW.

SO, THINGS ARE GOING BACK
TO THE SAME WAY THEY WERE.

NOW THAT SEAN'S
STARTING TO GAIN AGAIN,

HIS WEIGHT WILL START
TO SNOWBALL QUICKLY

IF WE DON'T INTERVENE
OR DO SOMETHING ABOUT IT.

SO I'M KEEPING SEAN
IN THE HOSPITAL FOR A MONTH,

AND I'M PUTTING A LIMIT
ON HIS VISITATIONS

SO HIS MOTHER
CAN ONLY SEE HIM ONCE A WEEK.

IF I LET YOU GO BACK HOME,

I GUARANTEE YOU'LL BE BACK
TO YOUR HIGHEST WEIGHT

IN THREE TO FOUR MONTHS.

SO I'M GOING TO KEEP YOU
IN THE HOSPITAL

ON A CONTROLLED DIET
FOR A MONTH,

AND WE'RE GOING TO LIMIT
YOUR VISITOR TO ONCE A WEEK.

SO THAT MEANS YOU MOM
WILL NOT BE ALLOWED HERE

EXCEPT ONCE A WEEK.

YOU BOTH UNDERSTAND?

-OKAY.
-OKAY, GOOD.

IT'S TIME TO GET
YOUR SITUATION UNDER CONTROL.

SEAN NEED TO START TO SEE

WHAT IT'S LIKE TO BE
INDEPENDENT OF HIS MOTHER.

IT WON'T FIX THEIR DYNAMIC,

BUT HOPEFULLY
IT WILL BE A START,

BECAUSE HE DOESN'T THINK
FOR HIMSELF RIGHT NOW.

HE JUST THINKS
WHAT HIS MOTHER TELLS HIM.

-OKAY?
-YEAH.

-OKAY, SEAN. I'LL SEE YOU SOON.
-ALL RIGHT.

SO HOPEFULLY,
OVER THE NEXT MONTH,

THIS WILL SPARK SOMETHING.

HE MAY NOT LIKE IT RIGHT NOW,

BUT I THINK AFTER A LITTLE BIT,

BEING AWAY FROM HIS MOTHER

WILL START TO GROW ON HIM.

Sean: I THINK THIS IS REALLY
TOO HARSH OF DR. NOW.

I'M NOT REALLY SURE I WANT TO
AGREE TO ANY OF THIS RIGHT NOW.

AND MAYBE THIS WHOLE PROGRAM

JUST ISN'T GONNA WORK
FOR ME ANYMORE.

Brittani: IT'S BEEN A MONTH
SINCE MY KNEE-REPAIR SURGERY,

AND NOW MY KNEE IS STARTING
TO FEEL SO MUCH BETTER.

IT WAS FRUSTRATING, BECAUSE
I HAD LOST SO MUCH WEIGHT,

AND I SHOULD HAVE BEEN ENJOYING
HOW MUCH MORE I COULD DO.

AND NOW FOR THE FIRST
TIME IN YEARS,

I FEEL LIKE I'M BECOMING
THIS NORMAL, FUNCTIONAL PERSON.

AND I'VE DECIDED THAT
I'VE MADE ENOUGH PROGRESS

THAT I'M READY TO TAKE
AT TRIP BACK HOME TO OREGON

TO SEE MY FAMILY AGAIN

AND SHOW THEM I CAN DO
SO MUCH MORE NOW.

BUT BILL IS STAYING HERE,

AND HE'S STAYING
BECAUSE HE HAS TO WORK.

SO I'LL BE TAKING
THE TRIP ON MY OWN.

A YEAR AGO,

I COULDN'T EVEN GO OUTSIDE
WITHOUT HIS HELP.

AND NOW...

THANK YOU.

...I'M PLANNING ON TRAVELING

HALFWAY ACROSS THE COUNTRY
ALL ON MY OWN,

AND I'M FOCUSED
ON MY NEXT BIG STEP

OF GETTING SKIN SURGERY.

DR. NOWZARADAN SAYS I NEED
TO GET IN UNDER 340 POUNDS

IF I'M GOING TO BE READY
FOR SKIN REMOVAL,

SO THAT'S WHAT
I'M WORKING TOWARD.

AND I'M NOT LETTING ANYTHING
SLOW ME DOWN ANYTIME SOON.

**

Sean:
I'VE HAD TIME TO THINK ABOUT
EVERYTHING DR. NOWZARADAN SAID,

AND I DECIDED I DIDN'T WANT
TO LOSE THIS CHANCE

SO I STAYED
AND AGREED TO HIS RESTRICTIONS.

AND IT WASN'T EASY GOING BACK
ON A CONTROLLED DIET,

BUT I'VE LOST ABOUT 50 POUNDS.

AND AT THE LAST WEIGH-IN,
I WAS 503,

SO I'M LOOKING FORWARD
TO BEING IN THE 400s SOON.

WHAT WAS HARDER WAS NOT SEEING
MY MOM AS OFTEN AT FIRST.

BUT AFTER THE FIRST WEEK,

I STARTED TO SEE HOW I'VE BECOME
TOO DEPENDENT ON MY MOM.

NOW I HAVE TO START
DOING THINGS FOR MYSELF.

SO I'M EXCITED TO FINALLY
BE GOING HOME TODAY

TO START TO WORK ON THAT.

YOU STILL GOOD
WITH STANDING AND...

YEAH.

MIGHT NEED HELP
GETTING MY LEFT LEG UP.

IS THERE ANY WAY
TO SIT ME UP MORE?

Man:
YEAH, WE SURE CAN.

WHAT'S THE WEIGHT
LIMIT ON THIS?

WELL, THEN, I'M DEFINITELY
WITHIN THE WEIGHT LIMIT.

NOTHING?

YEAH, IT'S NOT
COMING ON AT ALL.

GREAT. THE GURNEY'S DEAD.

I'M GONNA GO
CALL A SUPERVISOR.

THAT'S UNFORTUNATE.

I'M STILL OVER THE WEIGHT LIMIT
OF A REGULAR GURNEY,

SO THEY WON'T BE ABLE
TO LIFT ME INTO AN AMBULANCE.

IT'S A LITTLE EMBARRASSING TO BE
SO BIG I CAN'T GET AROUND.

AND THAT'S ONE OF THE THINGS
I WANT TO CHANGE,

AND I KNOW I HAVE
A LONG WAY TO GO,

ESPECIALLY WITH MY MOTHER.

ALL SHE'S EVER DONE
IS TAKE CARE OF ME,

AND ALL SHE WANTS
IS FOR ME TO BE OKAY.

AND I DON'T WANT HER
TO FEEL LIKE ALL OF A SUDDEN

I DON'T NEED HER. I DO,

'CAUSE I STILL CAN'T
TAKE CARE OF MYSELF.

SO, I'M GOING TO FOCUS
ON THE WEIGHT LOSS

TO TRY TO GET MORE
ACTIVE AND MOBILE.

IT'S THE ONLY WAY THINGS
ARE GOING TO CHANGE

LIKE IT NEEDS TO.

**

Brittani: I'M HEADED TO SEE
DR. NOW FOR MY NEXT APPOINTMENT,

AND I'M REALLY HOPING
TO GET APPROVED

FOR SKIN-REMOVAL SURGERY TODAY.

MY KNEE SURGERY HAS MADE
SUCH A HUGE DIFFERENCE

WITH HOW I CAN GET AROUND.

I JUST WANT TO KEEP GOING
AND MAKE EVEN MORE PROGRESS,

AND I WANT TO TAKE
THE NEXT BIG STEP

THAT WILL MAKE ME
EVEN MORE MOBILE.

MY ONLY CONCERN
IS HOW INACTIVE I WAS

FOR A LITTLE WHILE
AFTER KNEE SURGERY.

SO I'M HOPING THAT DIDN'T
SET ME BACK AT ALL.

AND I'M REALLY HOPING
THAT I'VE LOST ENOUGH WEIGHT

TO GET APPROVED TODAY.

Brittani: AT MY LAST APPOINTMENT
WITH DR. NOW A FEW MONTHS AGO,

I WAS DOWN TO 375.

AND HE WANTED ME
TO GET BELOW 340

BEFORE HE FELT I WAS READY
FOR SKIN-REMOVAL SURGERY,

AND I'M HOPING I'VE STAYED
ON TRACK TO HIT THAT GOAL.

Woman: 337.

[ LAUGHS ]

I FEEL REALLY GOOD ABOUT
MY PROGRESS RIGHT NOW.

SINCE MY LAST APPOINTMENT,

I'VE LOST 40 POUNDS.

I'M STILL NOT OF AVERAGE SIZE.

I'M STILL NOT 100% HEALTHY.

BUT I FEEL LIKE ALL MY HARD WORK
IS JUST STARTING TO PAY OFF,

AND THE BODY AND LIFE I WANT
IS WITHIN REACH.

[ KNOCK ON DOOR ]

-HI.
-HI, BRITTANI. HOW ARE YOU?

-I'M GOOD. HOW ARE YOU DOING?
-ALL RIGHT, THERE.

SO, YOU'RE DOWN TO 337.

-YES.
-THAT'S VERY GOOD.

THAT'S ABOUT 270 POUNDS
THAT YOU'VE LOST.

-UH-HUH.
-SO YOU'RE DOING VERY GOOD.

IS YOUR KNEE FEELING
A LOT BETTER?

OH, YEAH.
IT'S LIKE NIGHT AND DAY,

LIKE I'M A COMPLETELY
DIFFERENT PERSON.

-IT'S AMAZING.
-THAT'S GREAT.

OKAY, LET ME SEE
YOUR EXCESS SKIN.

IS IT BOTHERING YOU
A LOT?

I WEAR SPANDEX,
BUT WHEN I DON'T,

IT HANGS DOWN
LIKE TO MY KNEE.

OKAY, WELL, LET GET YOU
TO STAND UP

AND SEE HOW IT LOOK LIKE.

YEAH, SEE.
SO, I MEAN, LIKE, THAT,

I MEAN, IT COMES DOWN
REALLY FAR.

AND, LIKE, IT'S HEAVY.

I SEE THAT. YOU KNOW,
IT'S GOT TO BE A CHALLENGE

FOR YOU TO WALK
WITH THAT,

AND THAT'S GOING TO KEEP
HOLDING YOU BACK.

Dr. Nowzaradan:
BRITTANI IS DOING VERY WELL.

HER KNEE SURGERY
HAS HELPED HER A LOT,

AND SHE CAN BE MUCH MORE ACTIVE.

NOW THE ISSUES IS ALL
THE EXCESS SKIN ON HER STOMACH,

WHICH IS BECOMING
EXTREMELY UNCOMFORTABLE

AND PAINFUL FOR HER.

AND SHE WOULD LIKELY NEED
THREE SKIN-REMOVAL SURGERIES

FOR HER STOMACH,
HER ARMS, AND HER LEGS.

BUT HER STOMACH
IS THE BIGGEST THING

AND WILL MAKE A HUGE
IMPROVEMENT FOR HER.

SO, I THINK YOU'RE READY
FOR SKIN SURGERY.

OKAY.

AND WE'LL GET YOU SCHEDULED
NEXT MONTH FOR THAT.

I'M ACTUALLY LEAVING
TO OREGON IN A MONTH,

AND I WON'T BE BACK
FOR THREE MONTHS.

OKAY, I DON'T WANT YOU
TO TRAVEL EXTENSIVELY

AFTER SURGERY LIKE THIS.

SO MAINTAIN
YOUR WEIGHT LOSS.

AND WHEN YOU COME BACK
FROM OREGON,

IF YOU HAVEN'T GAINED
ANY WEIGHT,

THEN I'LL LET YOU KEEP
YOUR APPROVAL FOR SKIN SURGERY.

-NO PROBLEM.
-BUT BE CAREFUL,

BECAUSE TRAVELING
AN EXTENDED PERIOD OF TIME

WILL MAKE IT DIFFICULT
TO STAY ON A HEALTHY DIET.

AS LONG AS BRITTANI
DOESN'T GAIN ANY WEIGHT,

IT'LL BE FINE TO DO
HER SKIN REMOVAL SURGERY

AFTER SHE RETURNS
FROM TRAVELING.

BUT I'M A LITTLE CONCERNED,

BECAUSE TRAVELING MAKES IT HARD

TO STICK TO A HEALTHY DIET,

BECAUSE YOU'RE OUT
OF SELF-CONTROL ENVIRONMENT

WITH YOUR HEALTHY PATTERNS.

AND IT CAN BECOME
A BIG STUMBLING BLOCK

FOR PROGRESS.

ALL RIGHT, YOU'RE DOING GOOD,
AND I'LL SEE YOU SOON.

-BYE. THANK YOU SO MUCH.
-YOU'RE WELCOME.

Brittani: THE APPOINTMENT
WENT REALLY WELL.

DR. NOW APPROVED ME
FOR SKIN SURGERY

WHEN I GET BACK FROM OREGON,

SO THAT MAKES ME VERY HAPPY.

I'M VERY PROUD OF MYSELF.

I'M WORKING HARD EVERY DAY,

AND I'M WORKING THROUGH
ANY STRUGGLES I HAVE,

BECAUSE I'VE COME TOO FAR,
AND IT'S GONNA MAKE IT

SO I CAN LIVE MY LIFE
THE WAY I WANT TO LIVE IT.

**

Sean: I'VE BEEN HOME FROM
THE HOSPITAL FOR A MONTH NOW,

AND I'VE BEEN WORKING HARD
TO STICK TO MY DIET.

AND MY BODY FEELS
A LITTLE LIGHTER,

AND THE SKIN'S GETTING
A LITTLE LOOSER.

MY MOM HAS BEEN
TRYING TO FIGURE OUT

A WAY I CAN KEEP TRACK
OF MY WEIGHT AT HOME,

BUT THERE IS NO SCALE THAT
CAN HANDLE SOMEONE AS BIG AS ME.

SO SHE THOUGHT OF THE IDEA

OF PUTTING TWO SCALES
TOGETHER TO WEIGH ME.

MAYBE THE TOTAL
WILL SHOW ME MY PROGRESS.

IS THAT OKAY?

-MOVE IT THIS WAY?
-YEAH.

OKAY.

OKAY, ALL RIGHT.

SO, STAND,
GET YOUR BALANCE,

AND THEN YOU
HAVE TO STAND BACK

-OFF THE SCALE, OKAY?
-I KNOW, I KNOW, I KNOW.

I JUST WANT TO DO ANYTHING

TO HELP ME MAKE MORE PROGRESS
AND KEEP LOSING WEIGHT.

OKAY, THAT'S GOOD ENOUGH --
270 AND 370.

OH, NO, I DON'T KNOW
IF THAT'S RIGHT.

WHAT'S WRONG?

WELL, IT'S JUST, THAT'S PRETTY
CLOSE TO WHAT I HAD LAST TIME,

SO I'M NOT REAL SURE
HOW ACCURATE IT IS.

BUT IT'S STILL GOOD,
YOU KNOW.

IT ALSO HASN'T BEEN THAT LONG
SINCE WE DID IT LAST.

NO, IT HASN'T.
IT HASN'T, YEAH.

YEAH, THAT'S TRUE.
THAT'S TRUE.

YEAH.

SO, THAT COULD BE ACCURATE.

YEAH.
OKAY. WELL, THAT'S COOL.

YOU'RE DOING GOOD.

I MEAN, THAT'S --

-BUT HAVE YOU NOTICED?
-WHAT?

I STOOD LONGER WITHOUT
THE WALKER THIS TIME.

YEAH, YOU DID.
YOU DID GOOD ON THAT.

YOU DID.

-SO...
-THAT MEANS MY BACK

AND MY LEGS
ARE GETTING STRONGER.

THAT'S ALMOST --
IT'S ABOUT 70 POUNDS, THOUGH,

SINCE YOU
HAD SURGERY, SEAN.

I FEEL LIKE I'M MAKING
REALLY GOOD PROGRESS.

I'M STILL MAKING SOME
EXCEPTIONS TO MY DIET,

BUT CAN'T SAY I DON'T HAVE

THE OCCASIONAL SMALL,
LITTLE SOMETHING.

WE ALLOW OURSELVES,
LIKE, A SLICE OF PIZZA,

BECAUSE I AM HUMAN.

BUT I'M FEELING REALLY CONFIDENT

ABOUT SEEING DR. NOW NEXT MONTH,

AND THAT HE'S GOING TO BE
REALLY HAPPY WITH MY PROGRESS.

**

Brittani: TODAY, I'M PACKING UP
AND HEADED TO THE AIRPORT

TO BACK TO OREGON
AND SEE MY FAMILY.

I'VE LOST ALMOST
HALF MY BODY WEIGHT

SINCE I'VE SEEN A LOT OF THEM,

SO I'M REALLY EXCITED RIGHT NOW,

AND I CAN'T WAIT
TO SHOW THEM HOW I LOOK.

I'LL BE STAYING THERE
FOR A COUPLE MONTHS,

BUT BILL'S STAYING HERE
BECAUSE HE HAS TO WORK.

AND AS MUCH
AS I'M GOING TO MISS HIM,

I'M A LITTLE EXCITED
TO BE TRAVELING BY MYSELF...

...BECAUSE I NEVER
WOULD'VE THOUGHT

I WOULD HAVE EVER BEEN ABLE

TO DO SOMETHING LIKE THIS
ON MY OWN.

LAST TIME I WAS ON A PLANE,
I WAS 600 POUNDS.

BUT I'M TRYING TO REMIND MYSELF
I'M NOT THAT PERSON ANYMORE,

AND I'VE COME SO FAR.

ONE OF THE REASONS
I WANTED TO LOSE THE WEIGHT

WAS TO BE ABLE TO DO THINGS

AND GIVE BACK TO MY FAMILY,

TO THANK THEM FOR ALL THE YEARS
THAT THEY DID THAT FOR ME.

SO I'M GONNA HAVE SO MUCH FUN

JUST DOING THINGS
LIKE CHORES AROUND THE HOUSE.

I KNOW IT SOUNDS CRAZY,

BUT THAT'S BEEN ONE OF MY DREAMS
WITH LOSING THE WEIGHT.

SO I'M NOT MISSING THE CHANCE
TO DO THIS FOR ANYTHING.

Woman: PLEASE REMAIN SEATED
WITH YOUR SEAT BELT FASTENED,

LEAVING YOUR SEAT BACK
AND TRAY TABLE

IN AN UPRIGHT
AND LOCKED POSITION.

**

Brittani:
I'VE ARRIVED IN PORTLAND,

AND I'M SO EXCITED
TO SEE MY FAMILY.

MY DAD IS PICKING ME UP
AT THE AIRPORT,

AND HE HASN'T SEEN ME SINCE
I LEFT A YEAR AND A HALF AGO,

AND I WAS OVER 600 POUNDS.

SO I DON'T EVEN KNOW
IF HE'S GOING TO RECOGNIZE ME.

DADDY!

-[ Laughing ] OH, JESUS.
-HI.

-HI.
-HOW ARE YOU?

OH, GEEZ,
YOU'RE REALLY SMALL!

BRITTANI LOOKS AMAZING.
SHE'S COME A LONG, LONG WAY.

I'M REALLY, REALLY PROUD OF HER.

Brittani: I'M SO EXCITED BECAUSE
I GET TO GO SEE EVERYONE ELSE,

INCLUDING MY MOM.

BRITTANI'S MOM WILL BE
SUPER EXCITED TO SEE HER,

AND I THINK SHE'S LIKE ME --

SHE WON'T BELIEVE
THE WEIGHT LOSS

ONCE SHE ACTUALLY
GETS TO SEE HER.

Brittani: OKAY.

I'M VERY, VERY EAGER
TO SEE MY MOM.

I HAVEN'T SEEN HER
SINCE RIGHT AFTER SURGERY.

I AM NOT THE SAME PERSON
WHO LEFT OREGON OVER A YEAR AGO.

I'M STRONGER, AND I'M HAPPIER,
AND I'M HEALTHIER.

AND SO I CAN'T WAIT TO SHOW HER
HOW FAR I'VE COME.

HI. HI. HI. YEAH, HI.

OH, GIRL, YOUR PANTS
ARE WAY TOO BIG!

-HI, MOM.
-OH!

-I LOVE YOU.
-I LOVE YOU, TOO.

-OH, MY GOSH.
-SPIN AROUND FOR ME.

LET ME SEE.

WE'RE ABOUT
THE SAME SIZE NOW, HUH?

I THINK I'M SMALLER.

WHAT ARE YOU
TALKING ABOUT?

HI, MAMA! HI.

-DID YOU GUYS HAVE A GOOD DRIVE?
-YEAH.

Brittani:
JUST SEEING MY MOM'S FACE

AND KNOWING IN THAT MOMENT
HOW PROUD SHE IS OF ME

MAKES ME WANT TO DO EVEN MORE

AND WORK EVEN HARDER
TO GET TO MY GOALS.

AND SO THAT'S
WHAT I INTEND TO DO.

**

Sean: TODAY, I'M GOING
TO SEE DR. NOWZARADAN

FOR MY NEXT APPOINTMENT.

HE IS GOING TO CHECK MY WEIGHT

AND SEE HOW MUCH
PROGRESS I'M MAKING.

BUT LATELY, IT'S BEEN
DIFFICULT TO GET UP,

BECAUSE I'M HAVING A HARD TIME
BREATHING AS OF LATE.

I'M HOPING HE'LL LISTEN TO ME
WHEN I TELL HIM THAT

AND HELP ME FIGURE OUT
WHAT'S GOING ON.

I'M A LITTLE WORRIED
ABOUT GETTING THERE,

BECAUSE I'M NOT TAKING
AN AMBULANCE TODAY.

MY MOM RENTED A MINI VAN
AND PUT A MATTRESS IN IT.

A MEDICAL-CARE ASSISTANT
IS GOING TO HELP ME IN

SO THAT I CAN TRY AND RIDE THERE
IN A NORMAL VEHICLE

INSTEAD OF HAVING TO TAKE
AN AMBULANCE EVERY TIME.

Renee: I'M VERY NERVOUS, YES.
IT'S ALWAYS AN ORDEAL,

AND THIS IS EXTREMELY
PAINFUL FOR SEAN.

IT'S VERY DIFFICULT FOR HIM.

OKAY, YOU READY TO GO?

OKAY, SWEETIE.

AND I'M VERY CONCERNED ABOUT
SEAN'S BREATHING RIGHT NOW.

HE'S BEEN GETTING
PROGRESSIVELY WORSE.

I JUST HOPE DR. NOW

IS ABLE TO FIGURE OUT
WHAT'S GOING ON.

I'VE HAD DISPUTES WITH DR. NOW
FOR THE LAST FEW MONTHS,

BUT WE'RE COMMITTED
TO THIS PROCESS.

WE JUST HAVE TO GO FORWARD
AND JUST SEE WHAT HAPPENS.

Sean: BUT I'M GLAD I MADE IT
WITHOUT INCIDENT.

GOOD JOB.

OKAY, LET'S GET
SOME MOMENTUM HERE.

GET YOU UP THIS RAMP.

I WANT TO FIND OUT MY WEIGHT,

'CAUSE I'M HOPING
IT'S A LOT OF PROGRESS.

BY MY ESTIMATE, I'VE LOST

70, MAYBE 80 POUNDS.

OKAY, 553.

GEEZ.

I'VE GAINED.

**

OKAY, KIDDO.

I DON'T KNOW HOW
THAT'S POSSIBLE AT ALL.

MY MOM HAS TRACKED EVERYTHING
I'VE BEEN EATING.

SO I DON'T UNDERSTAND RIGHT NOW.

I JUST DON'T GET IT.

Renee:
I HAD HOPED HE'D LOSE,

AND WE'VE REALLY BEEN TRYING
TO STICK WITH THE PROGRAM.

THE DOCTOR,
WHEN WE LEFT THE HOSPITAL,

GAVE US A PIECE OF PAPER
WITH A 1,000-CALORIE DIET ON IT.

HE GETS JUST A LITTLE TOO HUNGRY
WITH 1,000 CALORIES,

SO WE BUMPED IT UP
A LITTLE BIT MORE.

I GUESS THE 200 CALORIES
REALLY MAKES THE DIFFERENCE.

[ KNOCK ON DOOR ]

-HELLO.
-HELLO, DR. NOWZARADAN.

-HOW YOU ALL DOING?
-I'M HURTIN'.

I'VE BEEN TRYING TO WALK
FOR THE LAST WEEK OR SO,

AND EVERY DAY,
MY BREATHING GETS WORSE.

MY CHEST HURTS.

ALL RIGHT, LET ME
CHECK YOUR HEART AND BREATHING

AND SEE WHAT'S GOING ON.

TAKE A DEEP BREATH.

AGAIN.

YOUR LUNG SOUNDS
PRETTY CLEAR.

SO THERE'S NOTHING
REALLY WRONG WITH YOU, SEAN.

AND YOU GAINED
ALL THE WEIGHT BACK

THAT YOU LOSE
IN THE HOSPITAL.

SO WHAT HAPPENED?

I'VE BEEN TRYING TO STICK
TO ABOUT 1,200 CALORIES...

NO, YOU'RE NOT.

...WHICH --
WE HAVE BEEN, RIGHT?

YOU GAINED
ALL YOUR WEIGHT BACK

BECAUSE YOU AND YOUR MOTHER

WENT RIGHT BACK
TO YOUR UNHEALTHY DYNAMIC,

WHERE SHE FEEDS YOU,

AND SHE TELLS YOU
WHY YOU CAN'T GET UP.

AM I WRONG ABOUT THAT?

Dr. Nowzaradan:
SEAN HAS ONCE AGAIN

REGAINED ALL THE WEIGHT
HE LOST IN THE HOSPITAL,

AND THE BIG DIFFERENCE
FROM WHEN HE WAS IN THE HOSPITAL

IS THAT NOW
HIS MOTHER IS IN CONTROL.

SO AS LONG AS SHE'S AROUND
AND CONTROLLING HIM,

SEAN WON'T GET ANY BETTER.

SO WE NEED TO START TO ADDRESS
HER PSYCHOLOGICAL ISSUES,

AS WELL AS SEAN'S.

IF YOU PUT HIM
ON 1,200 CALORIES,

HE SHOULD LOSE AT LEAST
20 TO 30 POUNDS A MONTH.

AND I WAS SURPRISED
THAT HE DIDN'T.

-I WAS VERY SURPRISED.
-YOU'RE NOT SURPRISED.

YOU KNEW EXACTLY
WHAT YOU WERE DOING.

THIS IS A SITUATION
THAT MOSTLY YOU CONTROL, RIGHT?

SO, YOU BOTH NEED TO HAVE
YOUR ISSUES ADDRESSED.

I'M VERY DISAPPOINTED
IN BOTH OF YOU TODAY.

AND WE NEED TO WORK
TO TURN HIS SITUATION AROUND

BEFORE YOU KILL HIM,

SO WE HAVE TO GET BOTH OF YOU
TO WAKE UP RIGHT NOW.

I WANT YOU BOTH TO START
SEEING THERAPISTS SEPARATELY,

AND THIS IS NOT OPTIONAL

IF YOU WANT TO STAY
ON MY PROGRAM.

I WANT TO SEE HIM IN ONE MONTH.
BUT IN ONE MONTH,

HE NEEDS TO LOSE
AT LEAST 30 POUNDS, OKAY?

OKAY.

I'LL SEE YOU NEXT MONTH.

I DON'T DOUBT SEAN'S MOTHER

WANTS THE BEST FOR HIM
ON SOME LEVEL,

BUT SHE REFUSES
TO GIVE UP THIS CONTROL

WHERE SHE PRACTICALLY KEEPS HIM
AS A PRISONER IN HIS BED

AND TALKS ABOUT IT
LIKE IT'S FOR HIS OWN GOOD.

HIS MOTHER IS THE MOST
DESTRUCTIVE THING IN HIS LIFE,

AND SHE'S THE ONE THAT
WE HAVE TO DEAL WITH RIGHT NOW.

Sean:
I DON'T THINK ALL THIS IS FAIR.

SOMETHING'S WRONG, AND I'M
HAVING TROUBLE BREATHING.

AND I'M IN CONSTANT PAIN.
I'M JUST TIRED OF THIS.

BUT I DON'T HAVE A CHOICE.

BECAUSE I DON'T WANT TO DIE,
LIKE DR. NOWZARADAN SAID.

AND IT'S EXTREMELY UPSETTING.

**

FLAPPY BIRD!
[ BOTH LAUGH ]

OOH! AND UP!

Brittani: I'VE BEEN IN OREGON
FOR A COUPLE OF MONTHS,

AND I'VE REALLY BEEN
ENJOYING MY TIME HERE.

GO!

[ HUMMING ]

I'VE BEEN ABLE TO DO
SO MUCH FOR MY MOM

AND THE REST OF MY FAMILY.

BUT AT THE SAME TIME,
IT'S BEEN REALLY HARD

TO AVOID A LOT OF TEMPTATION

WHILE I'VE BEEN HERE.

THERE'S COOKIES,
AND THERE'S LICORICE,

AND THERE'S EVERY SINGLE
TRIGGER FOOD YOU CAN THINK OF.

BUT I'VE HAD TO REMIND MYSELF

WHAT'S WAITING FOR ME
BACK IN HOUSTON.

I'M APPROVED FOR SKIN SURGERY
AS LONG AS I DON'T MESS THAT UP.

IT'S NOT EASY, THOUGH.

I'M HEADED
TO DR. NOWZARADAN'S OFFICE

TO GET MY WEIGHT CHECKED.

I'VE BEEN BACK FROM OREGON
FOR A COUPLE DAYS NOW.

IT WAS SUCH AN INCREDIBLE
AND LIFE-CHANGING TRIP,

BUT I'M READY TO BE BACK,

AND I'M READY
FOR MY SKIN-REMOVAL SURGERY.

THE LAST TIME I WAS HERE,

I WAS DOWN TO 337,

AND DR. NOWZARADAN APPROVED ME
FOR SKIN REMOVAL

BUT HE DIDN'T WANT
TO DO MY SURGERY

BEFORE ALL OF MY TRAVELING

AND WANTED TO WAIT
UNTIL I WAS BACK.

AND HE TOLD ME ALL I HAD TO DO
WAS NOT GAIN

IF I WANTED TO KEEP
THE APPROVAL FOR SURGERY.

SO THAT'S WHAT I'M HERE
TO FIND OUT TODAY.

AND I'M A LITTLE NERVOUS,

BECAUSE THERE WAS
A LOT OF TEMPTATION

WHEN I WAS BACK HOME.

BRITTANI FULFER?

AND THERE WERE TIMES
THAT I RESISTED.

BUT THERE WERE TIMES
WHERE I GAVE IN.

SO I'M HOPING THAT I DIDN'T
GET TOO FAR OFF TRACK

AND THAT I'M STILL APPROVED
FOR MY SKIN REMOVAL.

ALL RIGHT, YOU CAN GO AHEAD
AND GO TO THE ROOM.

HE'S GONNA YELL AT ME.

I'M JUST REALLY
DISAPPOINTED RIGHT NOW,

AND I'M IN
A LITTLE BIT OF SHOCK.

I DIDN'T THINK I WOULD'VE
GAINED THAT MUCH.

I HONESTLY DON'T KNOW

WHAT DR. NOWZARADAN'S
GONNA SAY TO ME.

I HAVE A FEELING HE'S GONNA BE
A LITTLE BIT UPSET,

BUT I'M OPTIMISTIC

THAT HE'LL STILL CONTINUE
WITH THE SURGERY PLAN.

[ KNOCK ON DOOR ]

-HI.
-HELLO.

-HI.
-HOW ARE Y'ALL DOING?

-PRETTY GOOD.
-GOOD. HOW ARE YOU?

I'M DOING OKAY.
AND YOU?

I DON'T KNOW.
I'M GOOD, I GUESS.

WHAT DO YOU MEAN,
YOU DON'T KNOW?

I GAINED SOME, AND I'M
A LITTLE DISAPPOINTED RIGHT NOW.

SO, I'M NERVOUS.

WELL, THERE MUST BE
A REASON FOR IT, RIGHT?

I WAS IN OREGON,
AND I DIDN'T EAT VERY WELL.

BUT SINCE I'VE BEEN
BACK IN TEXAS,

I'VE BEEN DOING REALLY WELL.

SO, LET ME TAKE A LOOK
AT YOUR SKIN AND SEE.

THIS IS SO EMBARRASSING.
I HATE THIS.

SO, LEGS, TOO.

I MEAN, THEY'RE GROSS,
BUT THE STOMACH IS LIKE THAT.

WELL, YOU'VE GOT
A LOT OF EXTRA SKIN

-BUT A LOT OF FAT, TOO.
-YEAH.

AND SO IF WE GET YOU
TO LOSE SOME WEIGHT,

WE CAN TAKE
ALL THAT EXTRA SKIN OFF.

SO, NO SURGERY NOW,
OR WHAT?

-YOU HAVE GAINED TOO MUCH BACK.
-ARE YOU KIDDING ME?

IF YOU LOSE 30 POUNDS
IN ONE MONTH...

OKAY.

...THEN WE'LL CONSIDER
DOING SKIN SURGERY.

-OKAY.
-OKAY?

-SOUNDS GOOD.
-SO, I'LL SEE YOU NEXT MONTH.

-OKAY.
-AND HOPEFULLY,

YOU'LL BE
30 POUNDS LIGHTER

SO WE CAN DO
YOUR SKIN SURGERY, OKAY?

-OKAY, SOUNDS GOOD.
-ALL RIGHT.

I'M JUST DISAPPOINTED

THAT I DIDN'T GET
MY SKIN SURGERY SCHEDULED.

BUT IT IS WHAT IT IS,
AND IT'S NOT GONNA STOP ME

FROM DOING
WHAT I NEED TO DO, SO...

I'M JUST UPSET.

BRITTANI HAS BEEN DOING
VERY WELL FOR A WHILE NOW,

BUT I THINK
SHE WASN'T FULLY PREPARED

TO BE OUT OF HER ELEMENT
AND PATTERN

AND BEING AWAY FROM HOME.

BUT HOPEFULLY, THIS WILL BE
A GOOD LEARNING MOMENT FOR HER,

BECAUSE SHE'S VERY DETERMINED,

AND SHE'S DOING
VERY WELL OVERALL.

SHE JUST WASN'T EXPECTING
THE TEMPTATION

TO CREEP BACK INTO HER LIFE
SO EASILY.

Brittani:
30 POUNDS A MONTH IS DOABLE,
AND IT'S WHAT I HAVE TO DO.

THIS IS NOT THE END
OF THE WORLD,

AND I JUST HAVE TO CONTINUE
WITH MY PROGRESS,

AND I HAVE TO GET BACK
ON THE STUPID DIET

AND DO WHAT I HAVE TO DO.

**

TODAY, I AM GOING TO BE
TALKING TO THE THERAPIST

ABOUT WHAT KIND OF THINGS
ARE HANGING US UP

ON SEAN'S WEIGHT LOSS.

WE SEEM TO BE LACKING SOMETHING.

I DON'T KNOW IF IT'S ENERGY
OR MOTIVATION OR WHAT,

BUT WE NEED SOMETHING
TO HELP US MOVE AHEAD.

I THINK A LARGE PART OF SEAN'S
PROBLEM IS HIS COMFORT ZONE.

PART OF THAT COMFORT ZONE
IS HAVING MAMA CLOSE BY.

I REALLY STRUGGLE WITH THAT.

I WISH I HAD A MAGIC PILL
I COULD TAKE

TO MAKE ME THE PERFECT MOM,
BUT I DON'T.

-HI.
-I'M DR. PARADISE.

-COME ON IN.
-THANK YOU.

SO, TELL ME WHAT
BROUGHT YOU IN TODAY.

UM, MY SON, SEAN,

IS TRYING
TO CONTINUE TO LOSE

A SUBSTANTIAL AMOUNT
OF WEIGHT.

AND WE SEEM
TO HAVE STALLED.

SO, WHAT DO YOU
THINK'S GOING ON?

WELL, WITH SEAN,
HE'S GOT A LOT OF ISSUES.

HE'S GOT A BAD LEG
FROM HIS INJURY YEARS AGO.

-MM-HMM.
-HE'S GOT A BAD LEG.

HE'S GOT
THE TORSION WOUND,

CAUSES HIM
TREMENDOUS PAIN.

AND THAT'S WHAT
WE'RE BATTLING.

WE'RE BATTLING THAT PAIN
ELEMENT EVERY SINGLE DAY.

BUT WHEN HE SAYS,
"I'M IN PAIN,"

IT FEELS LIKE
YOU'RE IN PAIN.

-YEAH.
-WHICH ANY PARENT CAN RELATE TO.

AND THE SAME KIND OF
GOES FOR THE FOOD.

IT'S JUST THAT
IT'S THAT DAILY BATTLE.

AND FOR ME AS A MOM,

WHEN YOU'RE TRYING REAL HARD
TO REIN IN THE CALORIES

AND YOU'RE KID'S GOING,
"MOM, I'M REALLY HUNGRY" --

I'M SORRY. I'M REALLY AGITATED,
SO BEAR WITH ME.

-OKAY.
-SO, UM,

I MEAN, I WISH
I COULD SIT HERE AND SAY

WE JUST MAKE
100% EFFORT

ALL THE TIME.
WE DON'T.

WE TRY, THOUGH,
EVERY SINGLE DAY.

-YOU KNOW WHAT I'M NOTICING?
-WHAT?

YOU ALWAYS USE
THE PRONOUN "WE."

YEAH, YEAH.

WHEN YOU GET EMOTIONAL,
WHEN YOU SAY, "OUR PAIN,"

"WE'RE SUFFERING,"

IT PREVENTS YOU FROM BEING
THE MOST EFFECTIVE MOM...

-OKAY.
-...AND REALLY,

THE MOST EFFECTIVE
CAREGIVER TO HIM.

I AGREE WITH YOU
100% ON THAT.

SO, I WANT YOU TO CREATE
A BIGGER SEPARATION

BETWEEN THE TWO OF YOU,

'CAUSE I THINK IT'S ONE
OF THE BIGGEST BARRIERS YOU HAVE

TO KEEPING HIM
ACCOUNTABLE...

-OKAY.
-...AND RECOGNIZE THAT YOU CAN

PROVIDE THAT ACCOUNTABILITY
TO HIM.

WELL, IT'S NICE
THAT YOU TELL ME THAT,

BECAUSE IT GIVES ME
PERMISSION,

YOU KNOW, TO DO THAT.

IT HELPS ALLEVIATE
A LITTLE BIT OF THE GUILT.

RIGHT.
I THINK I'M GONNA GO SEE HIM,

AND I'M GONNA REINFORCE
THAT IDEA,

'CAUSE WHAT I WANT HIM
TO THINK IS,

"MOM'S DOING GREAT.
SHE'S DOING HER OWN THING,

AND IF I DON'T
FIGURE THIS OUT..."

-YEAH.
-"...IF I DON'T LOSE THE WEIGHT,

-I'M NOT GONNA HAVE MUCH FUN."
-RIGHT, RIGHT.

I WANT BEING HOME WITH YOU
TO NOT BE VERY MUCH FUN

-FOR HIM...
-RIGHT, RIGHT.

...SO THAT HE HAS SOME
MOTIVATION TO GET OUT.

YEAH, YEAH.
RIGHT. EXACTLY.

-IT WAS REALLY GOOD TO MEET YOU.
-SAME HERE, DOCTOR.

-THANK YOU.
-GREAT. OKAY.

THANKS.

ONE OF THE BIG THINGS
THAT WE HIT ON WAS THE --

IF SHE WERE TO DO A BETTER JOB
TAKING CARE OR HERSELF

AND IF SHE CAN SEPARATE
HERSELF FROM HIM,

SHE'LL ACTUALLY BE MUCH
MORE HELPFUL TO SEAN.

THE ABILITY TO SAY NO TO HIM
IS PROBABLY MUCH MORE HELPFUL

THAN THE ABILITY
TO SAY YES RIGHT NOW.

WE'RE REALLY TALKING ABOUT
HIS LIFE AND DEATH HERE.

THIS THERAPY SESSION
WITH DR. PARADISE WAS OKAY.

IT'S KIND OF HARD TO SAY
I FELT HE GAVE ME GOOD ADVICE,

'CAUSE HE BASICALLY TOLD ME
WHAT I ALREADY KNOW.

BUT I DON'T THINK
IT'LL HELP SEAN.

SO IT'S SOMETHING
WE'LL JUST HAVE TO LOOK AT

AND ADDRESS ON OUR OWN.

Sean: THE THERAPIST
DR. NOWZARADAN IS SENDING

IS COMING OVER TO SEE ME TODAY,

AND I'M NOT REALLY
LOOKING FORWARD TO IT.

[ KNOCK ON DOOR ]

-HI, DR. PARADISE.
-HI, RENEE. HOW ARE YOU?

GOOD. HOW ARE YOU?

HI, SEAN.
I'M DR. PARADISE.

NICE TO MEET YOU.

-HOW'S IT GOING?
-ALL RIGHT.

Renee: MAKE YOURSELF COMFY,
HOWEVER YOU...

GREAT.

SO, UM, RENEE,
ARE YOU GONNA TAKE OFF

-WHILE WE'RE TALKING?
-I AM, RIGHT NOW.

-AWESOME.
-EXACTLY WHAT I PLANNED TO DO.

GOOD. GREAT!
GOOD. HAVE FUN!

OKAY.

SO, IT'S GOOD
TO MEET YOU IN PERSON.

-NICE TO MEET YOU, TOO.
-I MET YOUR MOTHER LAST WEEK,

SO I KNOW A LOT
ABOUT YOU FROM HER.

TELL ME ABOUT YOUR
RELATIONSHIP WITH MOM.

IT'S A PRETTY
GOOD RELATIONSHIP.

OKAY.
YOU MOM STRUGGLES.

SHE HAS A HARD TIME
SEPARATING HERSELF

ENOUGH FROM YOU
TO PUSH YOU,

AND THAT WHEN YOU'VE BEEN
IN THE HOSPITAL

IT'S BEEN MUCH EASIER
FOR YOU TO STICK TO A DIET.

WHAT DO YOU THINK IT IS
ABOUT THE HOSPITAL

THAT HURTS
YOUR APPETITE LESS?

PERSONAL REASONS.

SOUNDS LIKE A SECRET.

IS IT RELATED TO DIGESTION
OR SOMETHING,

OR USING THE BATHROOM?

NO.

OH, OH. SO,
HE'S INTIMIDATING TO YOU.

YEAH. WHEN YOU'RE
ACCOUNTABLE TO SOMEBODY,

MAYBE SOMEBODY STRONG,

THAT SEEMS
TO HELP YOU GUYS.

IS WHAT WE'RE TALKING ABOUT
MAKING YOU UNCOMFORTABLE?

-NO, I'M HOT. I'M REALLY HOT.
-IT'S KIND OF INTERESTING

HOW WHEN WE TALKED
ABOUT ACCOUNTABILITY --

NO, IT'S NOT THAT.
I'M LITERALLY ROASTING.

OKAY.
'CAUSE IN THE LONG RUN,

SEAN, YOU HAVE TO BE
ACCOUNTABLE TO YOURSELF.

-LOOK, I DO WANT TO LOSE WEIGHT.
-MM-HMM.

I REALLY AM TRYING
TO WATCH WHAT I EAT.

WHEN'S THE LAST TIME
YOU WERE UP AND WALKING AROUND,

YOU WEREN'T STUCK IN A BED?

[ SIGHS ]
IT'S BEEN MAYBE

FIVE, SIX YEARS,

BACK BEFORE THE WOUNDS
STARTED HURTING LIKE CRAZY.

SO, THE WOUNDS ARE JUST STOPPING
YOU RIGHT IN YOUR TRACKS?

PRETTY MUCH, BASICALLY.

SO WHAT WOULD HAPPEN
IF YOU WALKED

AND SORT OF PUSHED
THROUGH THE PAIN?

COULD YOU DO THAT?

LONG TERM, PROBABLY...

WOULD HAVE TO TRY AND FIND
A WAY THROUGH THE PAIN.

-YEAH.
-I'M NOT SURE HOW.

I WANT WANT TO HEAR
YOU SAYING SOMETHING LIKE,

"I'M JUST GONNA GET UP AND WALK.
I KNOW I NEED TO WALK."

OKAY, I KNOW
I DO NEED TO WALK,

AND I DO WANT TO WALK.

OKAY.

BUT I REALLY CAN'T YET.

IT'S JUST TOO HARD TO DO.

-AT THE MOMENT.
-AT THE MOMENT.

WHAT ELSE
ARE YOU GONNA DO?

MORE CALORIE REDUCTION.

THE THING THAT
I WANT YOU TO FOCUS ON,

SEAN, IS THE STUFF
THAT YOU HAVE CONTROL OVER.

HEY, I'M LOOKING FORWARD
TO GETTING UP AND MOVING.

GOOD. I'M GLAD TO HEAR THAT.
THAT'S A GOOD GOAL.

BELIEVE ME, I'M BORED
OUT OF MY SKULL.

THERE'S A LOT OF STUFF
OUTSIDE OF THIS APARTMENT

THAT WOULD BE VERY
INTERESTING TO YOU.

YEAH. YOU, TOO.

I'LL TALK TO YOU LATER.

-IT WAS A PLEASURE MEETING YOU.
-TAKE CARE, SEAN.

Sean: I DO WANT TO WORK TOWARD
THE GOALS WE TALKED ABOUT.

SO I'M GOING TO THINK A LOT
ABOUT WHAT WE DISCUSSED,

AND MAYBE DISCUSS IT
WITH MY MOM,

'CAUSE WE BOTH JUST
WANT ME TO FIGURE OUT

HOW TO LOSE WEIGHT AND DO MORE.

**

Brittani:
AFTER MY LAST DOCTOR VISIT,

THIS FEAR JUST STARTED
TO SET IN,

BECAUSE I REALIZED JUST HOW EASY
IT IS TO START GAINING AGAIN.

IT'S THE SMALL COMPROMISES
YOU KEEP MAKING OVER TIME

THAT START TO ADD UP

AND GET YOU TO A PLACE
THAT YOU DON'T WANT TO BE.

NOW THAT I SEE IT,
I CAN DO SOMETHING ABOUT IT.

SO I'M STARTING BACK UP
WITH A TRAINER AGAIN.

-HI.
-HI.

-I'M BRITTANI.
-I'M DOMINIC.

-NICE TO MEET YOU.
-NICE TO MEET YOU.

SO, YOU COMING
TO DO PILATES TODAY?

-YEAH.
-ALL RIGHT.

EVEN IF IT TAKES ME OUTSIDE
MY COMFORT ZONE LIKE THIS,

I'M NOT LETTING A SINGLE
EXCUSE HOLD ME BACK.

STRAIGHT DOWN AND AROUND.

IN A WAY,
I'M SEEING THIS SETBACK

AS A BLESSING IN DISGUISE,

BECAUSE IT MAY HAVE
SLOWED MY PROGRESS NOW,

BUT IT'S HELPING ME SEE HOW
TO SET A COURSE FOR MY FUTURE

SO THAT IT NEVER HAPPENS AGAIN.

AND THAT, TO ME, IS STRENGTH.

**

I'M AT DR. NOWZARADAN'S OFFICE,

AND I'M ABOUT TO GET
MY NEXT WEIGH-IN.

-BRITTANI FULFER.
-LAST TIME,

I MESSED UP MY APPROVAL
FOR SKIN-REMOVAL SURGERY

BY GAINING WEIGHT,
AND DR. NOWZARADAN TOLD ME

IF I WANT TO GET APPROVED AGAIN,

I HAD ONE MONTH
TO LOSE 30 POUNDS

AND GET UNDER 335 POUNDS.

SO I REALLY HOPE
I HIT THAT GOAL TODAY.

TOLD YOU! I TOLD YOU!

THAT'S EXACTLY WHAT I SAID
I WAS GONNA BE, EXACTLY.

I KNEW I HAD MADE GOOD PROGRESS,

BECAUSE I WAS WORKING SO HARD.

BUT IT'S STILL GOOD TO SEE IT
ACTUALLY ON THE SCALE

AND FIND OUT HOW MUCH I LOST.

AND I'M JUST REALLY PROUD
OF MYSELF RIGHT NOW.

[ KNOCK ON DOOR ]

-HELLO.
-HI.

HOW YOU ALL DOING?

-GOOD.
-OKAY.

ALL RIGHT.

WELL, YOU'RE DOWN TO 329 POUNDS.
YES.

SO YOU LOST 36 POUNDS
THIS PAST MONTH.

-YES.
-WELL, THAT'S GREAT.

SO, YOU FEEL YOU'RE READY
FOR SKIN REMOVAL?

YEAH? SUPER.
HOW'S YOUR EXTRA SKIN FEEL?

-IT'S PRETTY CRAZY.
-OKAY. ALL RIGHT.

WELL, LET'S TAKE A LOOK AT IT
AND SEE.

-[ CHUCKLES ]
-OKAY.

EVERYTHING DOWN?

YEAH, PLEASE.

ALL RIGHT. SO THAT'S
A WHOLE LOT OF EXTRA SKIN.

-YEAH.
-YOU'RE PROBABLY GOING TO LOSE

AROUND 30 POUNDS
OF EXCESS SKIN.

I'M PROUD OF ALL
YOUR WEIGHT LOSS,

AND YOU'VE DONE VERY WELL.

WAIT, HOLD ON,
HOLD ON, HOLD ON.

SO, THIS IS A GO?
LIKE, WE'RE GOOD TO GOOD?

LIKE, APPROVAL -- LIKE,
WE'RE GONNA PLAN ON THIS?

YES, YOU'RE GONNA BE
APPROVED FOR THE SURGERY.

-OKAY.
-SO WE'LL TAKE IT OUT

-WITH THE LOWER PART...
-OKAY.

...AND ALSO, WE'RE GONNA
TAKE IT OUT THIS WAY, TOO.

-OH, JESUS. OKAY.
-SO, WE'RE TAKE ALL THAT SIDE

AND PULL IT IN,

AND TAKE ALL THIS
EXTRA SKIN OUT...

-OKAY.
-...AND ALL THAT STUFF.

OKAY, WE'LL GET YOU
IN THE SCHEDULE FOR NEXT MONTH,

AND THEN I'LL SEE YOU THEN.

-SO, I'M -- I'M GOOD?
-GOOD, AND I'M GLAD

YOU CAME ALL THAT WAY
AND YOU DID DO WELL.

-THANK YOU, SIR.
-ALL RIGHT.

-WE'LL SEE Y'ALL LATER.
-THANK YOU, DOCTOR.

YOU'RE WELCOME.

SO, THAT WAS, LIKE,
CLEAR-CUT, CONCISE.

YEAH.

I'M PROUD OF BRITTANI,

AND I FEEL LIKE SHE HAS HER
WEIGHT LOSS BACK UNDER CONTROL,

AND SHE'S READY
FOR HER FIRST SKIN REMOVAL.

THIS REMOVAL WILL TAKE
A GOOD AMOUNT OF SKIN

THAT WILL ALLOW HER
TO MOVE AROUND

AND DO MORE WITHOUT
ALL THE PAIN AND DISCOMFORT

THAT IS CAUSED BY HER STOMACH
HANGING OVER HER LIKE THAT.

Brittani: THIS SURGERY IS GOING
TO BE LIFE-CHANGING FOR ME,

AND I CAN'T WAIT.

IT'S STILL KIND OF SINKING IN

ABOUT HOW MUCH THIS IS GOING
TO CHANGE MY LIFE.

AND I'LL BE IN THE 200s THEN.

AND THIS JUST ALL SOUNDS
TOO GOOD TO BE TRUE.

Dr. Nowzaradan:
TODAY WE ARE DOING

BRITTANI'S FIRST
SKIN-REMOVAL SURGERY.

I'M GOING TO BE REMOVING

ALL THE EXCESS SKIN
AROUND HER STOMACH,

WHICH SHOULD BE
ABOUT 25 TO 30 POUNDS

IN TOTAL OFF HER BODY.

BUT THIS IS GOING TO BE
A VERY EXTENSIVE PROCEDURE,

AND IT'S GOING TO TAKE ANYWHERE

BETWEEN FIVE TO SIX HOURS
TODAY TO COMPLETE.

OKAY.

BRITTANI HAS SPENT MOST
OF HER LIFE BEING OVERWEIGHT

AND DOESN'T REMEMBER
WHAT IT'S LIKE

TO HAVE A FLAT STOMACH.

SO THAT'S WHAT WE ARE
HOPING TO GIVE HER TODAY.

SHE'LL BE ABLE
TO MOVE AROUND

WITHOUT HER STOMACH
GETTING IN HER WAY

AND CAUSING HER
A LOT OF DISCOMFORT.

WAITING FOR BRITTANI TO COME OUT
OF SURGERY IS ALWAYS HARD,

'CAUSE YOU JUST NEVER
KNOW WHAT'S GOING ON.

SO I'M NERVOUS JUST 'CAUSE
ANYTHING CAN HAPPEN IN THERE.

Dr. Nowzaradan:
ALL RIGHT, WE CAN SUTURE HER UP.

ALL RIGHT, ALL FINISHED.

ALL RIGHT, LET'S WEIGH IT
AND SEE HOW MUCH WE REMOVED.

OKAY, 27.4 POUND.

Man:
OPEN YOUR EYES FOR ME.

BRITTANI'S SURGERY
WENT VERY WELL,

AND WE WERE ABLE TO REMOVE

ALL THE EXCESS SKIN
AROUND HER STOMACH.

ONCE SHE HEALS,
THIS IS GONNA BE

A SIGNIFICANT IMPROVEMENT
FOR HER,

AND SHE'LL BE ABLE
TO DO A LOT MORE

AND FEEL BETTER ABOUT HERSELF.

THIS KIND OF SKIN SURGERY

TAKES ABOUT TWO MONTHS
TO COMPLETELY HEAL.

BUT WHEN SHE DOES,

SHE'S GOING TO HAVE
A LOT MORE ENERGY

AND FEEL A WHOLE LOT BETTER.

**

Sean: AFTER TALKING TO THE
THERAPIST, MY MOM AND ME TALKED,

AND WE DECIDED I DO NEED
TO START DOING MORE ON MY OWN.

SO WHAT WE CAME UP WITH

WAS THAT WHILE SHE GOES
TO THE GROCERY STORE TO SHOP,

I'LL CLEAN UP AROUND THE HOUSE.

SHE SHOWED ME A FEW THINGS,

LIKE HOW THE WASHING MACHINE
WORKS AND STUFF LIKE THAT.

SO I'M DOING LAUNDRY,

AND THAT WILL GET ME
MOVING AROUND MORE.

I THINK IT'LL HELP ME
BURN CALORIES AND STUFF

AND HELP GET MY METABOLISM UP.

I'M ALSO MAKING MY OWN FOOD
DURING THE DAY.

MY MOM STILL COOKS DINNER,

BUT I'M RESPONSIBLE
FOR MY OWN FOOD CHOICES NOW

FOR BREAKFAST AND LUNCH.

FRANKLY, RIGHT AT THE MOMENT
I CAN ONLY DO A SANDWICH

OR A SMALL TV DINNER,

BUT EVEN THOSE ARE, AT MOST,

ABOUT 300 CALORIES.

AND I'M TRYING TO STAY
WITHIN MY CALORIE LIMITS,

BUT IT'S A LOT HARDER
WITHOUT MY MOM TRACKING IT ALL,

SO I'M TRYING TO BE
REALLY CAREFUL RIGHT NOW.

MY MOM AND I
BOTH WANT TO FIND WAYS

FOR ME TO MAKE MORE PROGRESS,

AND RIGHT NOW,
WE KNOW THAT MEANS

WE HAVE TO START
SPENDING SOME MORE TIME APART.

AND IT'S NOT EASY
FOR EITHER OF US,

BUT WE KNOW
IT'S WHAT HAS TO BE DONE

IF I'M GOING TO GET MY LIFE BACK
AND START LIVING AGAIN.

**

Brittani:
I'VE BEEN HOME FROM THE HOSPITAL
FOR A COUPLE WEEKS NOW,

AND IT STILL HURTS
TO MOVE AROUND TOO MUCH.

BUT I'M REALLY EXCITED ABOUT
HOW MY BODY IS STARTING TO LOOK.

-YOU IN THERE? YOU GOT IT?
-YEAH.

BILL'S BEEN TAKING CARE OF ME,
BUT WHEN HE'S AT WORK,

MY FRIEND KAYCEE'S BEEN
STAYING WITH US TO HELP.

EVERY DAY THAT PASSES,
I START TO HEAL A LITTLE MORE,

AND I START TO SEE
MORE OF A GLIMPSE

OF WHAT MY BODY'S
GOING TO LOOK LIKE.

BUT DR. NOWZARADAN SAYS I NEED
TWO MORE SKIN SURGERIES

AFTER THIS ONE
FOR MY ARMS AND LEGS.

AND AFTER THAT, I THINK
I'LL BE AT MY TARGET WEIGHT,

AND I'M EXCITED ABOUT THAT.

Sean:
IT'S BEEN A REALLY HARD MONTH.

I'M DOING A LOT MORE,
AND I'M MOSTLY ON MY OWN.

A FEW WEEKS AGO,
MY MOM WAS RESTING

AND STARTED FEELING SICK,

AND NOW SHE'S IN THE HOSPITAL,

AND THEY DON'T KNOW
IF IT'S REALLY SERIOUS OR NOT.

I'M SO SCARED RIGHT NOW,
AND I DON'T KNOW WHAT TO DO,

SO DR. PARADISE IS COMING OVER
TO TALK TO ME.

-HEY, SEAN.
-HELLO.

-WHAT'S HAPPENING?
-NOTHING MUCH.

SO, TELL ME
WHAT'S GOING ON WITH YOU.

UH, MY MOM'S
IN THE HOSPITAL,

SO I'M FENDING
FOR MYSELF.

WHAT DO YOU KNOW
ABOUT YOUR MOM?

SHE JUST STARTED
GETTING SICK.

HER STOMACH
STARTED SWELLING UP.

OH, WOW. OKAY.

AND IT GOT TO THE POINT
WHERE SHE COULDN'T MOVE.

SHE WAS IN SO MUCH PAIN.

SO SHE WAS
IN HER OWN BED, STUCK.

-YEAH.
-WOW.

IT'S KIND OF
A ROLE REVERSAL, RIGHT?

-YEAH.
-WHAT WAS THAT LIKE

TO WATCH YOUR MOM
GET THAT SICK?

IT'S REALLY SCARY.

YEAH, IT MUST
HELP YOU UNDERSTAND

WHAT IT'S LIKE TO WATCH YOU
SOMETIMES, RIGHT?

-YEAH.
-SO MAYBE THAT WILL

BE MOTIVATION TO LOSE WEIGHT.
YOU THINK?

-YEAH.
-YEAH.

SO, HOW DOES THAT
MAKE LIFE DIFFERENT FOR YOU?

I GOT TO GET UP

AND MAKE FOOD AND STUFF.

HOW ARE YOU EATING
NOW THAT YOUR MOM'S NOT HERE

TO BRING THE FOOD TO YOU?

I'M KIND OF JUST DOING
SANDWICHES AT THE MOMENT.

SO YOU GET UP
AND MAKE YOURSELF A SANDWICH?

-YEAH.
-THAT'S GREAT.

INTERESTINGLY, I ACTUALLY
TOUCHED THE FLOOR.

-FIRST TIME IN A WHILE.
-YEAH.

I DROPPED A PACKAGE
OF DELI MEAT.

SO YOU HAD
TO REACH DOWN FOR IT?

YEAH, AND I WAS LIKE,

"OH, I'M IN TROUBLE."

-YEAH.
-I'M LIKE, "EH, I'LL JUST TRY,"

AND I ACTUALLY MANAGED
TO GRAB IT.

THAT'S GREAT.

FOR A FAT GUY OF MY SIZE
TOUCH HIS TOES...

IT'S A BIG DEAL.

...THAT'S QUITE
THE ACCOMPLISHMENT.

SO YOU'RE PROBABLY
UP MORE.

HOW MANY TIMES DO YOU THINK
YOU GET UP A DAY NOW?

THREE OR FOUR
TIMES A DAY.

OKAY. AND ONE OF MY HOPES
IS THAT YOU CAN KEEP THIS

EVEN WHEN YOUR MOM
COMES BACK.

I'M GOING TO.

SO, IT SOUNDS LIKE
YOU'VE GOT A WHILE

OF TAKING CARE OF YOURSELF,
EVEN UNDER THE BEST SCENARIO.

SO I WANT TO SET SOME GOALS
FOR YOU BEFORE I LEAVE.

I WOULD REALLY WANT YOU TO USE
THIS TIME TO DO THINGS

THAT WOULD IMPRESS YOUR MOM
AND IMPRESS YOURSELF.

WHAT WOULD YOU LIKE
TO BE ABLE TO DO

IF YOU WERE GONNA BE
MORE INDEPENDENT, OR --

JUST STANDING
A LITTLE BIT MORE EVERY DAY.

-MM-HMM.
-AND I DON'T MEAN WALKING,

BUT JUST STAND.

CAN YOU DO IT
BY YOURSELF RIGHT NOW?

-YEAH.
-YOU WANT TO SHOW ME

WHAT IT LOOKS LIKE TO STAND?
I'D JUST LIKE TO SEE IT.

[ SPEAKS INDISTINCTLY ]

WELL, LET'S SEE
WHAT IT LOOKS LIKE.

THAT'S AMAZING!

LOOK AT YOU.
SEAN, THAT'S GREAT.

HOW HARD IS IT FOR YOU
TO GET BACK INTO BED?

YOU DID THAT
ALL BY YOURSELF.

I DON'T THINK ANYBODY
EVEN NEEDED TO BE HERE FOR THAT.

I THINK YOUR MOM
WOULD BE REALLY HAPPY

TO SEE YOU
STAND UP LIKE THAT.

OKAY, SO I'M GONNA
SEE YOU LATER?

-YEAH.
-TAKE CARE.

SEE YA.

GLAD TO SEE YA.

Sean: TALKING TO DR. PARADISE
HELPED SOME TODAY.

I DON'T FEEL QUITE AS TRAPPED.

BUT I'M STILL OBVIOUSLY
REAL WORRIED ABOUT MY MOM.

I HAVE NO CHOICE --

I HAVE TO LOSE MORE WEIGHT
SO I CAN DO MORE

AND TAKE CARE OF MYSELF NOW.

BRITTANI FULFER?

Brittani:
IT'S BEEN ABOUT SIX WEEKS
SINCE MY SKIN-REMOVAL SURGERY,

AND I'M REALLY EXCITED TO SEE
WHAT MY WEIGHT IS TODAY.

OKAY.

I WEIGHED 329
LAST TIME I WAS HERE,

AND I'M HOPING TO BE AT LEAST
IN THE 280s TODAY.

I HAVE NOT BEEN THIS SIZE SINCE
I WAS A SENIOR IN HIGH SCHOOL,

SO I'M REALLY STOKED ABOUT IT.

-HELLO.
-HI.

-HOW Y'ALL DOING?
-DOING ALL RIGHT.

I'M OKAY.

WELL, YOU'RE DOWN
TO 272 POUNDS TODAY.

THAT'S OVER 330 POUNDS
THAT YOU LOST.

-WOW. THAT'S GREAT.
-IT'S CRAZY.

ALL RIGHT, LET'S SEE
HOW YOUR STOMACH LOOKS LIKE.

LOOKS LIKE
IT'S HEALING WELL.

THE HOLES FROM THE DRAIN

NEED TO CLOSE
A LITTLE BIT MORE,

AND THE INCISION
WILL START TO BLEND IN

OVER THE NEXT FEW MONTHS.

SO THAT'S ANOTHER
PROBLEM, HUH?

YEAH, BUT I CAN
DEAL WITH MY ARMS.

AND THOSE ARE JUST
THE BAT WINGS THAT, UH...

[ LAUGHTER ]

YOU DID NOT JUST
CALL MY ARMS "BAT WINGS."

WELL, IT'S NOT
A TECHNICAL TERM.

[ LAUGHTER ]

WELL, YOU KNOW?

Dr. Nowzaradan:
BRITTANI HAS WORKED VERY HARD

AND HAS STAYED ON TRACK
FOR ALMOST AN ENTIRE YEAR.

AND WHEN SHE HAD
A MINOR SETBACK,

SHE GOT RIGHT BACK UP,
AND SHE LOST HER WEIGHT.

SHE IS HEALING WELL
WITH NO ISSUES,

AND SHE'S TAKING CARE
OF HER SUTURES LIKE SHE NEEDS,

SO I FEEL CONFIDENT

THAT SHE'S READY
FOR HER NEXT BIG STEP.

SO, YOUR LEGS WILL BE READY
IN A COUPLE MONTHS

AS YOU LOSE MORE WEIGHT.

BUT I THINK YOU CAN
HAVE YOUR ARMS DONE.

-OKAY. SOUNDS GOOD.
-OKAY?

SO WE'LL SET YOU UP
FOR YOUR SURGERY,

AND WE'LL GO FROM THERE.

-OKAY.
-I HAVE NO DOUBT

THAT SHE'LL BE AT HER FINAL
TARGET WEIGHT OF 160 POUNDS

IN THE NEXT FOUR TO SIX MONTHS.

THANK YOU.

DR. NOW TOOK ME BY SURPRISE.

I THOUGHT HE WAS GONNA SAY,

"GET UNDER 200 POUNDS,
I'LL DO YOU LEGS."

SO I'M THINKING I HAVE,
YOU KNOW, TWO, THREE MONTHS.

SO I'M EXCITED, BECAUSE THIS IS

WHAT I'VE WANTED
FOR 20-PLUS YEARS.

I'VE JUST WANTED TO BE
A NORMAL PERSON.

AND I'M NOT QUITE THERE YET,

BUT I'M CLOSER NOW
THAN I HAVE EVER BEEN.

I'VE NEVER BEEN THIS SIZE.
I'VE NEVER BEEN THIS SMALL.

I'VE NEVER BEEN THIS HEALTHY.

AND I AM SO EXCITED EVERY DAY,

AND I'M JUST HAPPY.

I'M HAPPIER NOW
THAN I'VE EVER BEEN.

**

Sean: I CAN'T GO OUTSIDE
ON MY OWN YET,

SO DR. NOWZARADAN GOT ME
A MEDICAL-CARE ASSISTANT

TO HELP ME LEAVE THE HOUSE
SO I CAN GET OUT AND DO THINGS.

AND SO TODAY,
I'M GOING SHOPPING,

BECAUSE I'M OUT FOOD.

I'M NOT EXACTLY SURE
WHAT I'LL BE BUYING TODAY,

BUT I AM DEFINITELY GOING TO BE
AIMING FOR HEALTHIER FOODS.

MY MOM ALWAYS DID
ALL THE SHOPPING,

AND I NEVER REALLY WENT OUT.

SO I'M AMAZED BY ALL THE STUFF
HERE IN THE STORE.

-WE HAVE EGGS --
-WHAT THE HECK ARE THESE?

YOU LIKE THESE MANGOS?

-OH, THAT'S A MANGO?
-YEAH.

IT'S FUN TO BE ABLE
TO CHOOSE WHAT I WANT.

OKAY, THAT'S A FIRST.

-THE CACTUS IS KIND OF WEIRD.
-MM-HMM.

NEVER ACTUALLY SEEN CACTUS
BEFORE IN A STORE.

ONE THING I LIKE
ABOUT BEING IN THE HOUSE

AND HAVING FOOD BROUGHT TO ME --

I DON'T HAVE TO DEAL WITH THE
TEMPTATION OF ALL THE JUNK FOOD.

[ Sighing ]
OKAY, THAT'S JUST NOT FAIR.

BUT IT'S NOT AS HARD
AS I THOUGHT IT WOULD BE.

I STILL DON'T KNOW WHEN MY MOM
MAY BE GETTING BETTER

AND COMING HOME,
AND I'M WORRIED ABOUT HER.

BUT I'M ALSO FOCUSED
ON DOING WHAT I NEED TO

TO TAKE CARE OF MYSELF.

THE LAST TIME I CHECKED
MY WEIGHT WITH DR. NOW,

I WAS DOWN TO 500 POUNDS.

IT'S LIKE A 60-POUND WEIGHT LOSS
I DID ALL ON MY OWN.

AND A YEAR AGO, THIS WOULDN'T
HAVE EVEN BEEN POSSIBLE.

-OKAY, KIDDO.
-THERE WOULD HAVE BEEN NO WAY

I COULD EVEN TRY AND GET OUT
OF MY BED, MUCH LESS ON MY OWN.

I'M STARTING TO SHAKE, MOM.

ALL RIGHT, YOU SHOULD BE GOOD,
HONEY. THERE YOU GO.

I THINK MY MOM WOULD BE PROUD
OF ME RIGHT NOW.

I'M NOT JUST TRAPPED
TO MY BED ANYMORE.

I'M STARTING TO HAVE
A FUTURE TO LOOK TOWARD,

AND THAT'S AN AMAZING FEELING.

**

Brittani:
THE LAST COUPLE OF MONTHS

HAVE BEEN SOME OF
THE MOST AMAZING OF MY LIFE.

I HAD MY SECOND SKIN SURGERY
ABOUT FIVE WEEKS AGO,

AND ONCE DR. NOWZARADAN SAID
I WAS HEALED ENOUGH TO TRAVEL,

BILL AND I DECIDED TO DO
A ROMANTIC GETAWAY TO CHICAGO.

AND SO FAR,
IT'S BEEN INCREDIBLE.

I'VE ALWAYS LOVED
SPENDING TIME WITH BILL,

AND NOW THAT WE'RE ABLE TO BE
MORE OF A TYPICAL COUPLE,

OUR MARRIAGE IS JUST GETTING
STRONGER AND STRONGER.

Bill:
BEING OUT WITH BRITTANI,

WE'RE JUST LIKE
EVERY OTHER COUPLE NOW.

WE DON'T HAVE TO WORRY
ABOUT WHERE WE'RE GONNA STOP,

HOW FAR WE CAN WALK.

WE'RE JUST OUT AND ABOUT
LIKE EVERYBODY ELSE.

OH, LORD.
OKAY.

Brittani:
TWO YEARS AGO, I COULD HARDLY
GO ANYWHERE OR DO ANYTHING.

AND NOW I FEEL LIKE
JUST A NORMAL, EVERYDAY PERSON

DOING WHAT ANY TOURIST WOULD DO.

AND I'VE ALWAYS WANTED
TO GO TO THE SKYDECK,

AND NOT ONLY STAND ON IT

BUT LAY ON IT
AND TAKE A PICTURE.

OH, MY GOD.
THIS IS SO COOL.

LAYING ON THE SKYDECK
AND GETTING PICTURES,

THAT WAS AMAZING.

I'VE NEVER BEEN ABLE
TO DO ANYTHING LIKE THAT.

AND PEOPLE WERE LOOKING AT ME,

BUT IT WASN'T
BECAUSE OF MY WEIGHT.

IT WAS BECAUSE, "WHAT IS THIS
CHICK DOING LAYING ON THE FLOOR,

AND WHY IS SHE
LAYING ON THE FLOOR?"

I HAVE LOST
APPROXIMATELY 400 POUNDS,

AND THAT NUMBER
IS JUST INCREDIBLE TO ME.

I FEEL AMAZING NOW,

AND I'M FINALLY STARTING TO
SEE MYSELF AS A NORMAL PERSON.

**

HOW DO I LOOK?

-YOU LOOK GREAT.
-THANK YOU.

NOW I FEEL LIKE A PRETTY WOMAN,

AND I'VE NEVER REALLY TRULY
FELT THAT WAY.

THE TRANSFORMATION BRITTANI'S
DONE OVER THIS JOURNEY

FROM BEING ALMOST 600 POUNDS
TO WHERE SHE IS NOW

IS JUST AMAZING.

I'M JUST SO PROUD OF HER.

Brittani: I FEEL LIKE
BILL AND I ARE IN A PLACE

WHERE WE CAN START
TO LOOK TO THE FUTURE.

YOU WANT THE VIEW?

AND THE FUTURE WE WANT
IS ONE WITH KIDS.

THAT HAS BEEN
THE BIGGEST MOTIVATION

FOR ME TO LOSE THE WEIGHT.

SO AFTER MY NEXT SKIN SURGERY,

WE ARE GONNA TRY
TO START A FAMILY,

AND I'M SO EXCITED.

AND I'M SO GRATEFUL
TO BE WHERE I AM

TO HAVE HAD THIS CHANCE
TO HAVE THE LIFE I DREAMED OF.

AND I WOULDN'T CHANGE
THE PAST TWO YEARS FOR ANYTHING.

AND I CAN'T WAIT TO SEE
WHAT TOMORROW HOLDS.

I'M HAPPY.
ARE YOU HAPPY?

I'M HAPPY.

-I LOVE YOU.
-LOVE YOU, TOO.