All language subtitles for My 600-lb Life S06E05

Karina: MY BODY
LOOKS DISGUSTING TO ME.

NO NORMAL PERSON SHOULD
BE REALLY LIKE THIS.

**

[ GROANING ]

Woman #1: MY LIFE IS WASTING
AWAY, AND I HATE IT.

Karina: I TRIED TO CHANGE, BUT
SOMETHING ALWAYS KNOCKS ME DOWN.

**

**

Man: MY LIFE, IT'S LIKE
LIVING A DEATH SENTENCE.

[ GROANING ]
UH, OH, OW!

THIS IS NO LIFE FOR ANYONE.

**

Woman #2: OH, JUST PRAY FOR ME.

OH, MY LEG!

SIT DOWN RIGHT THERE.

WAIT, YOU'RE MAKING ME MAD.

ALL RIGHT, THIS IS
COMPLETELY UNACCEPTABLE.

[ DOOR SLAMS ]

**

Woman #3: YOU'RE OLD ENOUGH
TO FEND FOR YOURSELF.

I KNOW.

YOU CAN KNOW ALL YOU WANT,

BUT IF YOU DON'T DO IT,
IT'S NOT GONNA MATTER.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

Karina: DEALING WITH
THE STRUGGLES OF THE PAST

CAN HEAL THE PRESENT.

BUT THE ONLY WAY TO GET
THERE IS MOVING FORWARD.

**

**

**

**

**

MY FIRST THOUGHT
IN THE MORNING WHEN I WAKE UP

IS "I'M STILL ALIVE."

**

"I DIDN'T DIE WHILE I'M ASLEEP."

**

I DREAD GETTING OUT
OF BED IN THE MORNING.

**

AND 'CAUSE OF MY WEIGHT,

I FEEL LIKE MY BODY'S
ALREADY GIVING UP.

I HAVE LOST MOST OF MY MOBILITY

AND I CAN'T STAND ON MY OWN.

BECAUSE OF THAT, I CAN
NO LONGER LIVE ALONE.

[ SIGHS ]

EVEN WORSE, I HAVE
TO LIVE IN THE MIDDLE

OF MY PARENT'S LIVING ROOM.

IT IS THE ONLY ROOM WHERE I FIT.

AND IT'S CLOSE TO THE BATHROOM.

I KNOW I SHOULD BE
LIVING IN MY OWN HOUSE.

I SHOULD BE WORKING INSTEAD
OF BEING STUCK IN THIS HOUSE.

**

**

SHOWERING HAS
BECOME SO DIFFICULT.

**

FIRST I HAVE TO PUSH MY SHOWER
BENCH INTO THE BATHROOM.

AND THEN I USE ROPES
TO TURN IT UPRIGHT.

**

**

I'M TRYING TO DO
EVERYTHING MYSELF,

BUT IT'S GETTING HARD.

**

I'M VERY AFRAID OF
LOSING MY INDEPENDENCE.

I'M VERY AFRAID THAT
HERE IN A YEAR OR LESS,

I WOULDN'T BE ABLE
TO WIPE MY OWN BUTT.

ONCE I DO THAT,
WHAT IS THERE NEXT? DIAPERS?

I DON'T WANT THAT.

BATHING BECOMES SO TIRING FOR ME

THAT SOMETIMES I DON'T
EVEN WANT TO TAKE A SHOWER

FOR THE WHOLE WEEK.

I'D RATHER JUST GIVE
MYSELF A SPONGE BATH

IN MY PORTA-POTTY
WITH BABY WIPES.

BUT I HAVE TAKEN TO THE SHOWER

BECAUSE I WORRY THAT I'M
GONNA START TO SMELL.

I'M GONNA START BREAKING
OUT INTO RASHES.

MY BODY LOOKS AND FEELS

LIKE A BIG OLD OF BAG OF JELLY,

JUST SOFT AND MUSHY
AND DISGUSTING TO ME.

**

**

I HATE SEEING MY BODY.

I AM SO ASHAMED OF
WHAT IT LOOKS LIKE.

I JUST DON'T FEEL NORMAL.

'CAUSE NO NORMAL PERSON
SHOULD BE REALLY LIKE THIS.

BY MOVING JUST A FEW
FEET, I LOSE MY BREATH.

[ PANTING ]

MY LIFE HAS BECOME A LIVING HELL

BECAUSE MY WEIGHT ISOLATES
ME FROM EVERYTHING

THAT I USE TO LOVE DOING.

**

I SAY TO MYSELF,

WHERE'S THAT GIRL
THAT USED TO BE HAPPY?

WHERE IS SHE?

**

I FEEL SOMETIMES, CAN
I JUST CUT IT OPEN

AND PULL MYSELF OUT OF THERE?

**

WHAT DID I DO TO GET TO THIS?

[ PANTING ]

**

I AM THE OLDEST OF THREE KIDS.

AND MY SISTER AND I ARE
ONLY 10 MONTHS APART,

BUT WE DIDN'T SPEND MUCH
TIME TOGETHER AS KIDS

BECAUSE I WAS VERY SICK
AS A CHILD.

I HAD ASTHMA REALLY BAD.

SO I WAS IN AND OUT OF THE
HOSPITAL WITH ASTHMA ATTACKS.

AND I WAS IN AN OXYGEN TENT
MOST OF THE TIME.

I REMEMBER THEM HOLDING
ME DOWN, PINNING ME DOWN,

STICKING I.V.s IN ME.

I FELT LIKE I WAS SUFFOCATING.

BUT MY FAMILY WAS ALWAYS
THERE WHEN I WAS SICK.

AND I REMEMBER
LOOKING OVER AT MY MOM

AND SEEING HER SITTING THERE,

CRYING AND WATCHING ME SUFFER.

AND THEN, BY THE TIME
I WAS AGE FIVE OR SIX,

MY ASTHMA WAS CONTROLLED.

FOR THE FIRST TIME IN MY LIFE,

I WAS FEELING HEALTHY

AND I THOUGHT THIS
WOULD BE A HAPPY TIME.

BUT MY ILLNESS TOOK
A FINANCIAL TOLL ON MY FAMILY.

SO MY PARENTS WERE
ALWAYS WORKING.

AND MY MOM WAS WORKING TWO JOBS.

SHE WOULD LEAVE
EARLY IN THE MORNING

AND WE WOULD HARDLY
EVER SEE HER.

MY DAD WAS IN THE MILITARY,

SO HE WOULD BE GONE FOR
LONG STRETCHES OF TIME,

AND THAT REALLY
STARTED TO MESS ME UP.

BECAUSE WHEN I WAS YOUNGER
AND IN THE HOSPITAL,

EVERYONE PAID ATTENTION TO ME.

AND NOW IT WAS LIKE
I DIDN'T EXIST AT ALL.

BUT I REALLY JUST WANTED
A LITTLE ATTENTION.

I WANTED A HUG.

BUT THEY WERE TOO
BUSY TO GIVE IT.

SO FOOD WAS MY HUG.

AND I GOT AWAY WITH
A LOT OF EATING

BECAUSE NO ONE PAID ATTENTION.

KARINA'S MOTHER REALLY
FEEL A LOT OF GUILT.

BUT WE HAD TO WORK
IN ORDER TO TRY

TO PROVIDE A BETTER
LIFE FOR THEM.

**

AT THAT TIME, ANY
STRESS OR LONELINESS,

I RAN TO FOOD.

I JUST STARTED GAINING
AND GAINING AND GAINING.

AND WHEN I WAS 10 YEARS OLD,

I PROBABLY WAS A HUNDRED POUNDS.

BEFORE SCHOOL,
WITH MY ALLOWANCE,

I WOULD BUY JUNK FOOD --

CHIPS, SODA, COOKIES, CUPCAKES.

FOOD WAS ALWAYS THERE TO
COMFORT ME NO MATTER WHAT.

Marisabel:
WHEN WE WERE GROWING UP,

I DID NOTICE THAT
KARINA LOVED FOOD.

SHE WOULD EAT ALL THE TIME.

SHE HAS ALWAYS BEEN A LITTLE
BIT HEAVIER THAN NORMAL.

AND AS TIME PROGRESSED,

KARINA JUST GOT
BIGGER AND BIGGER.

Karina:
I WANTED TO BE WITH MY SISTER,

BUT SHE DIDN'T
WANT TO BE WITH ME.

AND I DIDN'T HAVE ANY FRIENDS.
I WAS REALLY LONELY.

AND WHEN YOU'RE ALONE AND DON'T
HAVE NOTHING TO DO, YOU EAT.

NO ONE REALLY GOT
WORRIED ABOUT MY EATING

UNTIL I WAS 14
AND I HIT 200 POUNDS.

THAT'S WHEN MY DAD WAS
LIKE, "DON'T EAT THAT."

AND THAT JUST MADE ME
WANT TO EAT MORE AND MORE.

AND I WOULD.

I SAW THAT SHE WAS
JUST OUT OF CONTROL.

AND I DON'T FIND ANY WAY

THAT I CAN STOP HER.

**

AROUND THIS TIME, I WAS
JUST STARTING HIGH SCHOOL.

AND I STARTED TO MAKE FRIENDS
FOR THE FIRST TIME IN MY LIFE.

AND I FELT HAPPY.

AND THEN, WHEN I WAS 15,

MY WHOLE WORLD
TURNED UPSIDE DOWN.

BECAUSE MY DAD MOVED US
FROM CHICAGO TO SAN ANTONIO.

**

I DIDN'T WANT TO GO.

FOR THE FIRST TIME IN MY LIFE,
I HAD FRIENDS,

AND NOW WE HAD TO LEAVE.

I WAS IN A NEW SCHOOL.
I DIDN'T KNOW NOBODY.

AND I HATED IT.

**

I FELT LONELY, SO I ATE
AS MUCH FOOD AS I COULD.

AND WITHIN SIX MONTHS,
I WAS ALREADY AT 250, 260.

AND THEN JUNIOR YEAR,

I FELL IN WITH THE
WRONG CROWD OF PEOPLE.

I WAS BEING REALLY,
REALLY REBELLIOUS.

I STARTED SKIPPING SCHOOL,
DRINKING, PARTYING.

I WAS EATING TONS OF GREASY,
FAST FOOD,

AND THE WEIGHT
STARTED PACKING ON.

SO WHEN I WAS 17,

MY PARENTS SENT ME AWAY
TO MEXICO TO LIVE WITH MY AUNT

TO TRY TO GET MY
BEHAVIOR ON TRACK.

AND TO LOSE WEIGHT
AND GET HEALTHY.

IN MEXICO, MY AUNT
CONTROLLED MY DIET.

SHE CONTROLLED EVERYTHING.

AND I LOST A 125 POUNDS
AND NOW WAS AROUND 175.

AND I CAME BACK HOME.
I WAS WEARING JEANS.

I WAS WEARING HEELS.

I FELT GOOD.

BUT THEN I STARTED WORKING
IN FAST FOOD RESTAURANTS

WHEN I CAME HOME.

SO FAST FOOD WAS THE ONLY
THING I ATE EVERYDAY.

AND I GAINED ALL THE
WEIGHT BACK AND MORE.

BY THE TIME I WAS 23,
I WAS OVER 400 POUNDS.

I STARTED WORKING
IN THE MEDICAL FIELD

AS A NURSE ASSISTANT.

BUT BEING ON MY FEET ALL DAY
WAS HARD BECAUSE OF MY WEIGHT,

SO I HAD TO LEAVE MY JOB.

AFTER THAT, I BECAME DEPRESSED

AND DIDN'T HAVE ANY
WHERE TO TURN TO.

SO I MOVED BACK IN
WITH MY PARENTS.

AND THEN BY THE TIME
I WAS 32, I WAS 480.

I STARTED LOOKING AT WHAT I ATE,
TRIED SO MANY DIFFERENT DIETS.

I WOULD GO UP AND DOWN,
UP AND DOWN.

BUT IT NEVER WORKED.

FOOD OR WEIGHT --
FOOD ALWAYS WINS.

ONCE I WAS OVER 500 POUNDS,
I WAS FALLING.

I COULDN'T KEEP MY BALANCE.

I COULDN'T KEEP MY WEIGHT UP

BECAUSE MY LEGS WERE GIVING OUT.

SO THAT'S WHEN I STARTED
BEING IN THE WHEELCHAIR.

I FEEL THAT KARINA IS USING
THE WHEELCHAIR AS A CRUTCH NOW.

AND SHE STOPPED DOING
THINGS FOR HERSELF.

EVERYTHING IS HANDED TO HER.

Karina: I REACHED 600 POUNDS
WHEN I WAS 37.

AND I DECIDED TO HAVE
A BALLOON PROCEDURE DONE

TO HELP ME WITH MY EATING.

THE SURGEON INSERTED
A BALLOON IN MY STOMACH

TO TRY TO CONTROL MY APPETITE

TO MAKE MY STOMACH SMALLER.

HAVING THE BALLOON IN MY STOMACH

HELPED ME LOSE A 120 POUNDS.

BUT THEN I HAD AN ACCIDENT.
I FELL THROUGH THE DECK.

BROKE MY LEG,
AND EVERYTHING WENT DOWNHILL.

I THEN FELL BACK
INTO MY OLD HABITS.

AND STARTED TO GAIN
THE WEIGHT RIGHT BACK.

AND NOW I'M AFRAID, I'M
ALREADY BACK AT 600 POUNDS

AND I JUST FEEL LIKE
I'M TRAPPED AGAIN.

AND I FEEL LIKE I'M A BURDEN
TO EVERYONE IN MY FAMILY.

BECAUSE I NEED MY PARENTS TO
DO ALMOST EVERYTHING FOR ME,

INCLUDING TAKING ME
TO THE GROCERY STORE.

**

IT IS SO DIFFICULT FOR ME TO
ACTUALLY GET OUT OF THE HOUSE.

[ PANTING ]

JUST TO GET OUT
OF THE FRONT DOOR

IS A HUGE CHALLENGE FOR ME.

AND BY THE TIME THAT I DO,
I'M OUT OF BREATH.

[ PANTING ]

BUT I PREFER TO PICK UP MY
OWN FOOD AT THE GROCERY STORE

BECAUSE I'LL GET
WHAT I KNOW I LIKE

VERSUS IF I TELL MY MOM
OR MY DAD,

SOMETIMES THEY WON'T GET IT.

MY PARENTS HAVE TO DRIVE ME.

AND I SIT IN THE BACK
OF THE VAN ON THE FLOOR.

SO THEY LITERALLY
HAVE TO FOLD THE SEATS

IN THE VAN DOWN,
PUT A BLANKET ON THE FLOOR.

**

RIDING IN THE BACK OF THE VAN
MAKES ME FEEL LIKE I'M CARGO.

LIKE I'M AN ANIMAL
BEING TRANSPORTED SOMEWHERE.

**

AND I FEEL LIKE
I AM AN EMBARRASSMENT.

Ezequiel:
COME ON, MIJA.

AND GETTING OUT OF THE VAN
IS JUST AS HARD,

IF NOT HARDER THAN
GETTING INTO THE VAN.

SOME GROCERY STORES
HAVE ELECTRIC CARTS

AND I'LL GET ON
THE ELECTRIC CART.

SOME OF THEM DON'T.

SO I HAVE TO WHEEL MYSELF.

AND I'M ALREADY EXHAUSTED FROM
GETTING IN AND OUT OF THE VAN.

THEN PUSHING MYSELF
AROUND THE STORE,

IT'S MORE EXHAUSTING.

OKAY.

I NEED THE PINEAPPLE NECTAR.

...IS JUICE, CHIPS,

MY SNACK CAKES, ICE CREAM.

THOSE ARE THE MAIN THINGS
THAT I NEED TO HAVE.

CAN YOU GET BANANA SPLIT?

GET THE DOUBLE STRAWBERRY.

-THAT'S IT?
-THAT'S IT.

[ PANTING ]

WHEN I GO THE GROCERY STORE,
IT WEARS ME OUT.

AND EVERY DAY'S GETTING HARDER
TO BREATH, HARDER TO MOVE,

HARDER TO DO ANYTHING
THAT I USED TO DO.

**

Ezequiel: IT'S SAD TO SEE KARINA
GETTING BIGGER AND BIGGER.

IT'S GETTING HARDER
TO TAKE CARE OF HER.

I REALLY HAVE NO IDEA
FOR HOW LONG

MY WIFE AND I KEEP DOING THIS.

I WOULD LOVE FOR KARINA
TO BECOME INDEPENDENT.

YOU KNOW, BE ABLE TO WORK
AND GO GET HER OWN GROCERIES,

DO HER OWN COOKING,
HAVE HER OWN PLACE.

LET ME GET IN FIRST
AND PUT THE WHEELCHAIR IN.

-THEN PUT EVERYTHING IN.
-OKAY.

BUT IT'S JUST A WISH.

[ GRUNTING ]

**

MY PARENTS, THEY DO
ALMOST EVERYTHING FOR ME.

AND I HATE THAT.

IT SHOULD BE VICE VERSA.

MOM, SHE WANTS ME
TO GO TO THE STORE

TO GO GET HER SOME
EGGS AND MILK.

BUT MY WEIGHT IS
COMING BETWEEN ME

AND PEOPLE I LOVE AND PEOPLE
I CARE AND EVERYTHING.

**

[ PANTING ]

**

**

**

-OKAY, JUST LOCK THE DOOR.
-YES, I WILL.

-ALL RIGHT, BYE.
-BYE.

-HAVE FUN.
-OKAY.

YEAH, YEAH.

**

Karina: MY FAMILY
DOESN'T EVEN ASK ME

TO GO OUT TO DINNER ANYMORE

BECAUSE THEY KNOW
IT'S TOO DIFFICULT

FOR ME TO LEAVE THE HOUSE.

AND REALLY, I CAN'T
WAIT FOR THEM TO LEAVE.

BECAUSE IT'S THE ONLY WAY I CAN
EAT WHAT I WANT WITHOUT SHAME.

[ Ringing ]

MAN: Thank you for calling,
Would you like to try

our Two medium sausage pizzas
for $6.99 each?

I'LL HAVE TWO MEDIUM PIZZAS
WITH PEPPERONI AND SAUSAGE...

Okay.

...ONE ORDER
OF YOUR CHEESE STICKS,

24 CHIPOTLE HONEY WINGS,

AND THE DOUBLE
CHOCOLATE CHIP BROWNIE.

Delivery or carry out?

UH, THIS WILL BE
FOR DELIVERY.

THANK YOU.

[ BEEPS ]

Karina: AROUND MY PARENTS,
I TRY TO KEEP A SMALL PORTION.

WHEN THEY'RE NOT AROUND,
I EAT WHATEVER I WANT.

I KEEP SNACKS, LIKE, HIDDEN
AWAY FROM MY FAMILY TO SEE.

USUALLY I HIDE MY STASH
IN THE RECLINER.

CHOCOLATE IS VERY
IRRESISTIBLE FOR ME.

I WANT IT ALL THE TIME.

[ KNOCKING ON DOOR ]

**

THAT'S THE PIZZA.

HELLO.
HELLO.

HOW ARE YOU?

FINE.

ALL RIGHT, GOT IT.

THANK YOU.

MY PARENTS KNOW I EAT A LOT.

BUT THEY DON'T KNOW
I EAT THIS MUCH.

[ SIGHS ] OKAY.

**

WHEN I'M EATING, SOMETIMES
I FEEL LIKE I'M OUT OF CONTROL.

BUT EACH BITE IS SO SATISFYING.

IT MAKES ME FEEL
WARM AND GOOD INSIDE,

IF ONLY FOR A SHORT WHILE.

BUT I'M AFRAID THAT ONE DAY,
I'M JUST GONNA EAT TOO MUCH.

I'M PROBABLY GONNA DIE
FROM A HEART ATTACK

OR I'M GONNA SUFFOCATE.

BUT I CAN'T STOP MYSELF.

MY FOOD ADDITION IS KILLING ME,
LITTLE BY LITTLE.

I MADE MYSELF GET LIKE THIS
BECAUSE OF MY EATING DISORDER

AND EVERYTHING
AND I HATE MYSELF MORE

AND THAT MAKES ME
JUST WANT TO EAT MORE

'CAUSE THAT COMFORTS ME.

SOMETHING HAS TO
CHANGE DRASTICALLY.

I NEED HELP.

**

**

**

[ WATER RUNNING ]

Karina: TODAY WE'RE HAVING
OUR WEEKLY FAMILY DINNER,

AND I'M USING TODAY
TO LET MY FAMILY KNOW

THAT I'M GOING TO
TRY TO GET HELP.

I'VE TRIED A LOT OF
THINGS TO LOSE WEIGHT.

SO I'M WORRIED MY FAMILY'S
GOING TO THINK

THIS IS JUST ANOTHER THING
THAT'S GOING TO FAIL.

THEY ALL PAID FOR ME TO GET
MY FIRST WEIGHT LOSS SURGERY

OPERATION WITH THE BALLOON.

AND I KNOW MY SISTER
FELT I WASTED MONEY.

SO I'M JUST NERVOUS TO
TALK TO THEM ABOUT IT.

BECAUSE I DON'T KNOW HOW
THEY'RE GOING TO REACT.

THE CHICKEN'S READY.
THE ONIONS, AVOCADOS ARE WASHED.

TOMATOES READY.

DOOR SQUEAKING OPEN ]

[ DOOR SQUEAKS CLOSED ]

-HELLO, GIRLS.
-HEY.

MWAH, MWAH.

GO GET YOUR GRANDPA.
TELL HIM DINNER'S READY.

**

Marisabel:
FAMILY DINNER'S THE ONLY TIME

I SPEND WITH MY SISTER.

IT'S IMPORTANT FOR THE FAMILY
TO GET TOGETHER ALL THE TIME

FOR THE CHILDREN'S SAKE.

I KNOW MY PARENTS WILL
PROBABLY SUPPORT ME.

BUT I'M NOT SURE HOW MY SISTER
WILL REACT BECAUSE SHE ALREADY

FEELS LIKE I'M TAKING AWAY
FROM THE WHOLE FAMILY

WITH HOW MUCH EVERYONE
HAS TO HELP ME.

BUT THIS IS SOMETHING I JUST
HAVE TO DO NO MATTER WHAT.

BEFORE EVERYONE IS FINISHED,
I WAS GOING TO SAY,

THERE'S A DOCTOR IN HOUSTON

WHO MIGHT TAKE ME
FOR WEIGHT LOSS SURGERY.

REALLY?
HOW DID YOU FIND OUT ABOUT HIM?

ONLINE.

MNH.

SO WHAT DO YOU THINK
ABOUT IT?

GOOD IF YOU CAN FIND SOMEBODY
THAT WILL DO IT FOR YOU, YEAH.

BUT THAT MEANS THAT
ONE OF YOU HAS TO TAKE ME

TO HOUSTON WHEN
THE APPOINTMENT COMES UP.

WE'LL WORRY ABOUT THAT
WHEN THE TIMES COME.

YEAH?
WHAT DO YOU THINK?

YEAH.

OKAY.

NO, SHE'S STILL EATING.

YEAH, ON THE LAST ONE.

**

Marisabel: I THINK IF MY SISTER
FOUND SOMEONE THAT CAN ACTUALLY

HELP HER, IT WOULD BE GREAT.

BUT WE'VE TRIED SO MUCH
AND FOR SO LONG TO HELP HER

WITH HER EATING HABITS
THAT I'M JUST DONE TRYING.

COME ON, SAY GOODBYE
AND LET'S GO.

ALL RIGHT, BYE.
I'LL SEE YOU.

-SLEEP TIGHT.
-OKAY, THANK YOU.

Karina: I WAS REALLY
HOPING THAT MY FAMILY

WOULD BE MORE EXCITED FOR ME.

I KNOW WE'VE BEEN THROUGH THIS
BEFORE WITH MY BALLOON SURGERY.

BUT IF THIS TIME'S
GOING TO BE DIFFERENT,

THEN I NEED MY FAMILY'S SUPPORT.

AND RIGHT NOW, IT DOESN'T
FEEL LIKE I HAVE IT.

**

**

[ DOG BARKING ]

TODAY IS MY FIRST CONSULT
WITH DR. NOW.

AND MY PARENTS HAVE AGREED
TO DRIVE ME TO HOUSTON.

I'M A LITTLE NERVOUS BECAUSE

IT'S A THREE-HOUR DRIVE
TO HOUSTON.

AND IT'S TOO LONG OF A TRIP FOR
ME TO LAY IN THE BACK OF THE VAN

LIKE I USUALLY DO.

-OKAY, MIJA, WE'RE READY.
-YEP.

SO TODAY, I'M GOING TO
TRY TO GET INTO A CAR SEAT

FOR THE TIME SINCE I BROKE
MY LEG ALMOST A YEAR AGO.

AND I'M SCARED
THAT I WON'T BE ABLE TO GET

ALL THE WAY UP INTO THE SEAT.

BECAUSE IF I CAN'T,

I WON'T BE ABLE TO MAKE
THE TRIP TO HOUSTON.

SO I HAVE TO FIND A WAY
TO FIT IN THIS SEAT,

NO MATTER HOW BAD IT HURTS.

IF I DON'T DEAL WITH
THE PAIN AND DO THIS,

THEN IT MEANS I STAY HERE
AND DON'T GET HELP

AND DIE IN BED SOME DAY SOON.

[ PANTING ]

**

Ezequiel: BE CAREFUL.

**

[ GRUNTING ]

[ PANTING ]

**

**

IT'S A RELIEF THAT I WAS
ABLE TO GET IN THE CAR.

BUT NOW, I'M SCARED OF HOW
PAINFUL THIS CAR RIDE WILL BE.

-READY?
-YEAH.

I JUST HOPE I MAKE IT.

**

I'M THANKFUL MY PARENTS
ARE HELPING ME DO THIS.

AND I'M GLAD TO HAVE
THIS CHANCE FOR HELP.

BUT I'M REALLY SCARED, TOO,

BECAUSE I TRIED THIS BEFORE
AND FAILED.

AND THERE'S A PART OF ME
THAT IS TERRIFIED

THAT THIS ISN'T GOING
TO BE DIFFERENT.

I HAVE DONE SO MANY THINGS
TO TRY TO LOSE WEIGHT.

I LOSE WEIGHT,
BUT THEN I GAIN IT BACK.

AS TERRIBLE AS I FEEL
WHEN I PUT THE WEIGHT BACK ON,

I KNOW IT HURTS MY FAMILY
THE MOST.

THIS TIME HAS TO BE DIFFERENT.

I CAN'T KEEP PUTTING
MY FAMILY THROUGH THIS.

**

Ezequiel: DO I EXIT?

YES, IT'S A STRAIGHT
ROAD ALL THE WAY

TILL PASSING ALL THIS TRAFFIC.

WE'LL STILL BE THERE
WITH EIGHT MINUTES

BEFORE THE DOCTOR'S APPOINTMENT.

HMM.

MY FEAR IS THAT DR. NOW
WILL SAY HE CAN'T HELP ME

AND I'LL BE OUT OF OPTIONS.

I SHOULDN'T BE DOING THIS
RIGHT BEFORE I SEE THE DOCTOR.

BUT I'M JUST NERVOUS
AND I HAVE TO EAT SOMETHING.

I FEEL LIKE I'M AT A POINT WHERE
IF THINGS DON'T CHANGE,

BEFORE LONG, I'LL BE BEDBOUND.

I NEED TO GET MY LIFE BACK.

**

DR. NOW IS MY LAST HOPE
TO HAVE A LIFE.

IF HE WON'T TAKE
ME AS A PATIENT,

WHAT AM I GONNA DO NEXT?

PUSH.

**

KARINA GARCIA?

Karina: IT'S BEEN SO LONG
SINCE I STOOD ON A SCALE.

AND I WAS SCARED TO
EVEN SEE THE NUMBER.

BECAUSE I STOPPED SEEING WHAT
MY WEIGHT WAS A WHILE AGO.

I'VE BEEN IN THE CAR FOR SO LONG
THAT I DON'T THINK I CAN EVEN

USE MY LEGS TO STAND RIGHT NOW.

AND IF I CAN'T, I DON'T
KNOW IF THAT'S GOING

TO MAKE DR. NOW FEEL LIKE
I'M JUST A LOST CAUSE.

ONE, TWO...

[ GRUNTING ]

[ PANTING ]

WHERE'S THE CHAIR?

[ SIGHS ]

**

WHERE'S THE CHAIR?

I CAN'T DO IT.

[ PANTING ]

OKAY, SINCE YOU'RE HAVING
TROUBLE WITH THIS ONE,

WE'RE GONNA TRY TO
SEE IF WE CAN GET YOU

TO STAND ON THAT ONE,
OKAY?

OKAY.

I AM SO EMBARRASSED.

I CAN'T EVEN STAND UP WITHOUT
SOMETHING TO HOLD ON TO.

SO I REALLY HOPE
THE OTHER SCALE WORKS

AND I'M ABLE TO DO IT.

BECAUSE I DON'T WANT TO START
EVERYTHING OUT LIKE THIS

WITH DR. NOW.

I HAVE TO DO THIS.

ONE, TWO.

[ PANTING ]

GOOD.

**

[ PANTING ]

**

THAT'S HIGHER THAN I WAS HOPING.

**

**

BUT PART OF ME KNEW IT
WAS GOING TO BE LIKE THIS.

BUT IT'S STILL A SHOCK
TO SEE THAT NUMBER

AND KNOW THAT'S
REALLY WHAT I WEIGH.

BUT I'M HOPING TO HEAR
FROM THE DOCTOR TODAY

THAT HE'LL TAKE ME ON.

AND GIVE ME A CHANCE TO SHOW HIM

THAT I COULD FOLLOW HIS PROGRAM

BECAUSE I WANT TO
GET MY LIFE BACK

AND NOTHING ELSE HAS WORKED.

AND IF HE GIVES ME THE CHANCE,
YES, I'M READY TO DO IT.

HELLO, HOW Y'ALL DOING?

FINE AND YOU?

I'M DOING OKAY.

I'M DR. NOWZARADAN.

I'M KARINA.

NICE TO MEET YOU.

-EZEQUIEL.
-NICE TO MEET YOU.

-MY WIFE.
-AND YOU, TOO.

ALL RIGHT.
SO, AS OF TODAY,

YOU ARE 633 POUNDS.

YES, SIR.

CAN YOU TELL ME HOW
YOU GOT TO THIS WEIGHT?

WELL, I EAT A LOT
OF WHAT I SHOULDN'T.

AND IF I DON'T EAT,
I START GETTING HEART BURN.

HEART BURN?

SO YOU HAVE TO EAT 8,000
TO 10,000 CALORIES A DAY

BECAUSE IF YOU DON'T,
THEN YOU'LL GET HEARTBURN?

SO YOU JUST GIVE INTO
YOUR DESIRE TO EAT?

AND YOU HAVEN'T TRIED TO LOSE
ANY WEIGHT BECAUSE OF THAT?

I DID TRY TO GET HELP
LAST YEAR.

I GOT A GASTRIC BALLOON
PUT IN MY STOMACH.

AND I WAS LOSING WEIGHT.
AND THEN I HAD AN ACCIDENT.

I BROKE MY LEG.
SO I WAS BEDBOUND.

AND SO I STARTED GAINING AGAIN
BECAUSE I WASN'T DOING NOTHING,

JUST LAYING IN BED AND EATING,

AND THEY WOULDN'T DO
ANY SURGERY ON ME

BECAUSE OF MY ASTHMA.

AND IT JUST NEVER HEALED?

YES, AND I WAS JUST IN BED
THE WHOLE TIME.

OKAY. SO ACCORDING TO YOU,
YOU HAVE BEEN IMMOBILE.

THEN WHO IS BRINGING YOU FOOD
WHEN YOU HAVE BROKEN LEG

AND YOU CANNOT WALK?

MY PARENTS MOSTLY.

OKAY, SO YOUR PARENTS
ARE FEEDING YOU,

AND YOU STILL HAVE
THE BALLOON IN YOUR STOMACH.

BUT YOU'RE STILL OVEREATING
AND GAINING WEIGHT.

YES.

SO YOU ARE MAKING EXCUSES

THAT ARE ACCEPTABLE TO YOURSELF,
BUT NOT TO EVERYONE ELSE.

I'M VERY CONCERNED ABOUT
THE DEGREE THAT KARINA

IS ABLE TO MAKE EXCUSES.

SHE JUST HAS THIS LONG LIST
OF REASONS

WHY EVERYTHING ISN'T HER FAULT.

AND HER PARENTS DON'T SEEM
TO CHALLENGE HER ON THAT

WITH ANY REALITY WHATSOEVER.

SHE CLAIMS HER LEG IS BROKEN
AND THAT'S WHY SHE CAN'T WALK.

BUT THERE DOESN'T APPEAR TO BE

ANY SIGNIFICANT ISSUES
WITH HER LEG.

AND THE FACT THAT SHE ALREADY
HAD A WEIGHT LOSS PROCEDURE

AND IT FAILED
IS NOT A GOOD SIGN.

SO THERE IS A LOT WE HAVE
TO ADDRESS WITH KARINA.

AND THE EXCUSES ARE
WHERE WE HAVE TO START.

ALL RIGHT, KARINA.

WE NEED TO REMOVE
THE GASTRIC BALLOON

BEFORE WE CAN DO
ANYTHING ELSE ON YOU.

OKAY.

THE BALLOON HAS ALREADY
BEEN IN YOUR STOMACH

FOR AT LEAST TWICE AS LONG
AS IT'S SUPPOSED TO.

WE ALSO NEED TO ADDRESS
YOUR LEG.

BUT THE FACT IT HASN'T HEALED
DOESN'T MAKE ANY SENSE.

BONES DON'T JUST NOT HEAL.

SO I THINK THESE ARE ALL
JUST EXCUSES.

SO NOW, YOU'RE 633 POUNDS

AND YOU'RE 38 YEARS OLD.

HOW LONG DO YOU THINK
YOU'RE GONNA LIVE?

I'M NOT GONNA LIVE MUCH LONGER
IF I'M CONTINUING THIS WAY.

-I ALREADY KNOW THAT.
-SO YOU ALREADY KNOW THAT?

SO, YOU'RE GONNA HAVE
TO MAKE SOME CHANGES.

YOU HAVE TO STOP
MAKING EXCUSES.

AND YOUR PARENTS HAVE
TO STOP ENABLING YOU.

ARE THEY OKAY WITH THAT?

YES.
TO ME, IT'S FINE.

I COOK FOR...

FOR US THREE.

SO IN OTHER WORDS,
SHE'S NOT GONNA EAT

NO RICE, NO BEANS, NO.

NO PASTA, NO TOMATO
AND NO BREAD, NO RICE.

Karina: NO TORTILLAS.

ALL RIGHT, I'M PUTTING YOU
ON A 1,200-CALORIE

LOW-CARB, HIGH-PROTEIN DIET
THAT YOU NEED TO FOLLOW NOW.

I WANT YOU TO EAT
ONLY THREE TIMES A DAY.

THEY'LL BE NO SNACKING,
OKAY?

SO WE ARE ALL
ON THE SAME PAGE.

OKAY.

IN ONE MONTH, YOU
SHOULD BE ABLE TO LOSE

AT LEAST 40 POUNDS, OKAY?

OKAY, 40 POUNDS IN A MONTH.

RIGHT.

**

**

I'M REALLY NERVOUS ABOUT
HOW HARD IT'S GOING TO BE

TO MAKE SUCH A BIG CHANGE
IN HOW I EAT.

I'M USE TO EATING
WHENEVER I WANT.

AND I HATE THE THOUGHT OF NOT
BEING ABLE TO DO THAT ANYMORE.

I CAN'T SNACK ANYMORE.

I'M WORRIED THAT I MIGHT
SNEAK IN HERE AND THERE

A SLICE OF BREAD
OR A SLICE OF CHEESE.

BUT I NEED TO STICK TO
THE 1,200 CALORIE LIKE HE SAID.

**

I'M SCARED OF HOW HARD
THIS IS GOING TO BE.

**

BUT IF I WANT TO GET
THE WEIGHT LOSS SURGERY,

I HAVE TO FOLLOW DR. NOW'S PLAN.

I HAVE TO DO IT
IF I WANT TO CONTINUE LIVING.

**

**

IT'S BEEN A FEW WEEKS
SINCE I SAW DR. NOW.

AND I'M REALLY TRYING
TO STICK TO THE PLAN.

BUT ADJUSTING TO THIS NEW DIET
HAS BEEN REALLY HARD.

**

I'M SUPPOSE TO ONLY EAT
1,200 CALORIES A DAY.

SO I CUT OUT A LOT OF
STUFF THAT I USED TO EAT,

ALL THE CARBS, ALL THE SWEETS.

I MISS ALL THE FOOD I
USE TO BE ABLE TO HAVE.

BUT EVEN THOUGH THIS
DIET HAS BEEN SO TOUGH,

I'M STICKING TO IT.

I HAVE NOT CHEATED AT ALL.

AND TRUST ME, THERE'S
BEEN TEMPTATIONS.

EVERYTHING I EAT,
I CHECK CALORIES.

I WEIGH EVERYTHING NOW.

MY MAIN THING IS EATING PROTEIN

WITH MY YOGURT
AND MY 200 GRAMS OF GRAPES.

MY CALORIE INTAKE

FOR THE WONDERFUL LUNCH
I'M HAVING.

SO IN TOTAL, IT'S 393 CALORIES.

SO IT'S BEEN A COMPLETELY
DIFFERENT LIFESTYLE

BUT I'M TRYING TO ADAPT TO IT.

**

THAT REALLY LOOKS GOOD.

BUT I FEEL LIKE I'M DOING
THIS ON MY OWN RIGHT NOW

BECAUSE MY FAMILY HASN'T
REALLY BEEN SUPPORTIVE.

AND IT'S NOT THAT I EXPECT THEM
TO ONLY EAT HEALTHY LIKE ME,

BUT THEY COULD AT LEAST
DO IT AWAY FROM ME.

BECAUSE IT MAKES IT
SO MUCH HARDER TO RESIST

GIVING IN AND JUST EATING
WHATEVER I WANT.

**

**

IT'S THE DAY BEFORE MY NEXT
APPOINTMENT WITH DR. NOW.

AND MY PARENTS ARE DRIVING
ME TO HOUSTON AGAIN.

SO IT'S GOING TO BE A LONG DAY.

[ SPEAKING SPANISH ]

MWAH!

Marisabel: I CAME JUST
CAME TO SEE IF YOU ARE GOING

TO KATALINA'S LAST
GAME TOMORROW.

MY DOCTOR'S APPOINTMENT.

SO YOU'RE GOING TO
THE DOCTOR FOR WHAT?

A WEIGH IN.
I HAVE TO LOSE 40 POUNDS.

WHAT HAVE YOU DONE
TO LOSE THE WEIGHT?

KEPT ON MY DIET.

WHAT IS YOUR DIET?

1,200 CALORIES A DAY.

SO YOU STILL
CAN'T WALK OR WHAT?

NO.

HMM.

I'M NOT HERE TO PICK ON YOU.

IT'S JUST THAT,
I CAME HERE TO TELL HER

IT'S HER GRANDDAUGHTER'S
LAST GAME.

AND THIS IS THE THIRD TIME
I COME TO TELL HER

SOMETHING ABOUT THE KIDS
AND SHE CAN'T GO

BECAUSE SHE'S
DEALING WITH YOU.

AND I'M SORRY,

BUT YOU'RE OLD ENOUGH
TO FEND FOR YOURSELF.

IT'S A DOCTOR'S APPOINTMENT.

IF IT WASN'T
A DOCTOR'S APPOINTMENT,

I'D TELL HER TO GO
THE SOCCER GAME.

YEAH, WELL THIS IS
THE LAST ONE.

AND THEN NEXT TIME,
IT'S GONNA BE ANOTHER

DOCTOR'S APPOINTMENT
OR IT'S GONNA BE,

"I GOTTA TAKE HER THERE.
I GOTTA TAKE HER HERE."

YOU'RE OLD ENOUGH
TO DO FOR YOURSELF.

I KNOW, BUT IT'S JUST
SOMETHING WE HAVE TO DO.

BUT IT'S ALWAYS THE
SAME THING, I KNOW.

I KNOW. YOU CAN KNOW
ALL YOU WANT,

BUT IF YOU DON'T DO IT,
IT'S NOT GONNA MATTER.

SO, WHAT YOU NEED
TO DO IS DO IT.

I'M PUTTING EVERYTHING I HAVE
NOT TO FALL INTO TEMPTATION.

TRUST ME, THERE'S BEEN
A LOT OF TEMPTATIONS HERE.

OKAY.
WELL, I HAVE TO GO.

BUT THAT'S WHAT IT
IS TO HAVE KIDS.

-YEAH?
-TO HAVE RESPONSIBILITIES

WHICH IS SOMETHING
THAT YOU SHOULD HAVE

AS AN ADULT, TOO.

ALL RIGHT,
LET ME GET THE KIDS.

I KNOW MY SISTER'S FRUSTRATED
ABOUT HOW MUCH I NEED HELP.

BUT I DON'T THINK SHE
UNDERSTANDS HOW HARD

I'M TRYING TO CHANGE ALL THIS.

I FEEL LIKE SHE JUST WANTS
TO TEAR ME DOWN SOMETIMES.

AND WHEN SHE DOES, IT MAKES ME
JUST WANT TO GO BACK TO FOOD.

I'M NERVOUS WHAT THE SCALE'S
GOING TO SAY TOMORROW.

BECAUSE I DON'T KNOW
IF I CAN DO THIS.

AND I JUST HOPE
I'M GOING TO HIT MY GOAL.

**

**

**

**

Karina: MY PARENTS AND ME
ARE ON OUR WAY TO HOUSTON

TO SEE DR. NOW
FOR MY FOLLOW-UP APPOINTMENT.

HE WANTED ME TO LOSE
40 POUNDS IN A MONTH.

BUT I'M NERVOUS.

MY FEAR IS THAT I DIDN'T
MAKE THE 40 POUNDS

AND THAT THIS IS MORE
THAN JUST ABOUT ME

BECAUSE MY WEIGHT HAS
TAKEN A TOLL ON OUR FAMILY.

MY PARENTS ARE MISSING OUT
ON SEEING THEIR GRANDCHILDREN

TO TAKE ME TO SEE DR. NOW.

AND I KNOW THAT IS HARD ON THEM

AND REALLY UPSETS MY SISTER.

**

**

I REALLY HOPE I GET APPROVED
FOR WEIGHT LOSS SURGERY

BECAUSE I KNOW MY BODY

CAN'T KEEP FUNCTIONING THIS WAY
MUCH LONGER.

I DON'T KNOW WHAT I WOULD DO

IF MY PARENT'S DIDN'T HELP ME
THE WAY THAT THEY DO.

**

**

KARINA GARCIA?

I WANT DR. NOW TO TELL ME
I HAVE LOST THE WEIGHT

THAT I NEEDED TO
AND THAT HE WILL ACCEPT ME

AS A PATIENT FOR SURGERY.

BUT I'M A LITTLE NERVOUS

THAT I WON'T BE ABLE TO
STAND UP ONTO THE SCALE.

**

OKAY.

ONE, TWO.

[ GRUNTING ]

[ PANTING ]

**

I REALLY NEED TO SEE SOME
PROGRESS ON THIS SCALE.

**

[ PANTING ]

YOU GOT 42 POUNDS.

I DID IT.

HE WANTED 40?
HE GOT HIS 40 PLUS TWO.

[ PANTING ]

IT FEELS GOOD.
IT'S A LOT OF SACRIFICE.

I STUCK TO THE DIET,

AND IT WAS REALLY REALLY HARD,

BUT IT PAID OFF.

[ SIGHS ] 42 POUNDS.

THAT WAS PRETTY GOOD,
MIJA.

I WAS KIND OF SURPRISED THAT YOU
WERE ABLE TO DO IT, YOU KNOW?

THAT'S ONLY TELLING
ME ONE THING,

THAT IF YOU PUT YOUR MIND
TO IT, YOU WILL DO IT.

I KNOW THAT MY PARENTS
REMAIN VERY SKEPTICAL,

EVEN THOUGH MY DAD SAID
IT WAS VERY GOOD,

THEY DIDN'T SEEM EXCITED
AS I THOUGHT THEY WOULD,

WHICH MAKES ME SAD.

I WANT THEM TO BELIEVE IN ME.

[ KNOCKS ON DOOR ]

-HELLO.
-HELLO.

-HI.
-HOW Y'ALL DOING?

-FINE.
-GOOD, DOCTOR.

DID Y'ALL MAKE A GOOD TRIP
DOWN TO HOUSTON?

YOU CAN SAY THAT.
[ CHUCKLES ]

SO I SEE THAT YOU
LOST 42 POUNDS.

YES, I DID.

WELL, I'M IMPRESSED.

SO HOW WAS IT
ADAPTING TO THE DIET?

GOOD. I MEAN,
I'M WATCHING WHAT I EAT.

I'M WATCHING THE CALORIES.
I'M WATCHING EVERYTHING.

AND HOW ABOUT YOUR
ENABLING PARENTS?

DID THEY HELP YOU DO IT?

HMM, NO, I'M THE
ONLY ONE DOING IT.

THEY'RE STILL DOING
WHAT THEY WANT TO DO.

THEY STILL EAT IN FRONT
OF ME AND EVERYTHING.

I WANT IT, BUT THEN I GO,

THAT'S TOO MANY CALORIES.

YOU DID IT DESPITE THEM?

YES.

OKAY, FOR NOW, YOU
HIT THE GOAL I SET,

SO I'M APPROVING YOU
FOR WEIGHT LOSS SURGERY.

[ INHALES DEEPLY ]

[ CHUCKLES ]

-OKAY?
-SO I'M APPROVED?

IS EVERYBODY IN THE FAMILY
AGREEABLE WITH THAT?

YES.

BUT FIRST, WE HAVE TO TAKE
CARE OF A COUPLE OF THINGS.

FOR WEIGHT LOSS SURGERY,
WE DEFINITELY NEED YOU

TO BE ABLE TO WALK AROUND
BECAUSE THE RISK

OF DEVELOPING BLOOD CLOTS
IS GONNA BE VERY HIGH.

SO WE'RE GONNA HAVE
TO WORK TOWARD

GETTING YOU TO THAT POINT.

SO I'M GOING TO START YOU
ON PHYSICAL THERAPY.

OKAY.

AND THEY WILL ALSO
BE ABLE TO IDENTIFY

IF THERE ARE ANY ISSUES
WITH YOUR LEG

OR IF YOU STILL HAVE
ANY INJURIES

THAT WE HAVE TO CHECK OUT.

OKAY.

BUT AFTER THIS MUCH TIME,

I THINK YOUR LEG IS HEALED.

AND IT'S TIME
TO LET THAT GO.

BECAUSE YOU NEED TO
GET UP AND WALKING.

MM-HMM.

WE ALSO NEED TO DO
AN ENDOSCOPY

TO SEE WHAT'S GOING ON
WITH YOUR GASTRIC BALLOON.

BECAUSE THAT HAS TO BE
REMOVED BEFORE ANY OPERATION.

OKAY.

BECAUSE YOU HAVE THE BALLOON
IN YOUR STOMACH

LONGER THAN ANYBODY ELSE HAS.

SO I DON'T KNOW
WHAT TO EXPECT.

SO I WILL SCHEDULE THAT,
AND WE GET THAT DONE.

AND WE'LL GET P.T. TO START
WITH YOU IN A COUPLE DAYS.

-MM-HMM.
-OKAY, GOOD JOB.

I'M HAPPY WITH YOUR PROGRESS.

AND I THINK YOU'RE READY
FOR YOUR NEXT STEPS.

SO IT'S NOT THE TIME
TO TAKE IT EASY.

YES.

OKAY, KEEP IT UP,
AND I'LL SEE YOU SOON.

-OKAY.
-YES, DOCTOR.

-OKAY?
-THANK YOU.

**

Dr. Nowzaradan: I'M HAPPY
TO SEE KARINA'S PROGRESS

AND THAT SHE'S WILLING
TO SHOW SOME LEVEL

OF SELF CONTROL AT TIMES.

BUT SHE SEEMS LIKE THEY
HAVE A DYSFUNCTIONAL FAMILY.

THE VIBE SEEMS TO BE THAT
THEY HAVE GIVEN UP ON KARINA.

IT COULD LEAD HER
EVEN FURTHER OFF TRACK.

SO THAT IS A SITUATION
THAT WE WILL NEED TO ADDRESS.

BUT RIGHT NOW, THE PRIORITY

IS DETERMINING HER SITUATION

AND TRY TO REMOVE
HER GASTRIC BALLOON

SO THAT WE CAN DO SURGERY

AND GETTING HER WALKING AGAIN.

**

**

Karina: MY
APPOINTMENT WITH DR. NOW

WENT AS WELL AS I
COULD HAVE HOPED FOR.

**

BUT THIS IS A BIT OF A SET BACK
BECAUSE I NEED TO HAVE

THE BALLOON INSIDE MY STOMACH
REMOVED.

AND DR. NOW SAID THERE
COULD BE COMPLICATIONS.

Ezequiel: OKAY.

WHICH REALLY SCARES ME.

**

BECAUSE THERE'S A CHANCE

THAT IF THE BALLOON
REMOVAL DOESN'T GO WELL,

I WON'T BE ABLE TO HAVE
THE SURGERY AND EVERYTHING

I'VE BEEN WORKING FOR
WILL ALL BE FOR NOTHING.

**

**

**

DR. NOW APPROVED ME FOR SURGERY,

BUT I NEED TO MAKE SIGNIFICANT
PROGRESS WITH MY LEG.

AND HE SET ME UP WITH A
PHYSICAL THERAPIST TO HELP ME.

BUT THAT'S NOT GOING TO BE EASY.

I HAVE BASICALLY
BEEN WHEELCHAIR BOUND

FOR THE LAST YEAR,
AND AS A RESULT,

I DON'T HAVE THAT MUCH STRENGTH.

**

THERE'S BEEN LOTS OF TIMES
I JUST WANT TO

THROW IN THE TOWEL
AND JUST GIVE UP.

AND THAT'S WHAT MY SISTER
EXPECTS ME TO DO.

AND EVEN IF MY PARENTS
DON'T SAY IT,

I KNOW THEY EXPECT ME
TO QUIT, TOO.

BUT NOW I'M SO CLOSE TO
HAVING MY WEIGHT LOSS SURGERY,

I CAN'T GIVE UP.

-READY?
-I'M READY.

COME ON DOWN.

GOOD, GOOD.

[ PANTING ]

LET'S GO AHEAD AND LAY FLAT.

WE'LL DO HAMSTRINGS
AND HIP FLEXERS

AND ALL THAT GOOD STUFF.

[ PANTING ]

WE'RE JUST TRYING TO
LOOSEN UP THOSE HAMSTRINGS

AND THE KNEE RIGHT?

YEAH.

SO IT DOESN'T FIGHT YOU
QUITE SO MUCH

WHEN YOU'RE STANDING?

OKAY.

LET ME KNOW
IF I'M HURTING YA.

TRUST ME, I'LL LET YOU KNOW.

[ BOTH LAUGH ]

IN MY MIND, I WAS THINKING,
"I HOPE IT DON'T HURT.

I HOPE IT DON'T HURT."

AND THEN IT STARTED TO HURT.

OKAY, THERE'S PAIN
RIGHT THERE WHEN YOU DO THAT.

-YEAH?
-UH-HUH.

-JUST IN THE KNEE?
-UH-HUH.

OKAY.

IT IS THE WORST FEELING
BECAUSE IN THE BACK OF MY MIND,

I AM SCARED THAT I CAN'T DO THIS

BECAUSE ALL MY LIFE,
I HAVE FAILED.

ALL RIGHT, GONNA HIT
THE PARALLEL BARS NOW?

-MM-HMM.
-YEAH, ALL RIGHT, LET'S DO IT.

BUT I'M DOING THIS FOR A REASON.

I'M DOING THIS TO
IMPROVE MY HEALTH.

AND I'M DOING THIS
TO GET THE LIFE

THAT I'VE ALWAYS WANTED
AND NEVER HAD.

DR. NOW WANTS ME
TO BE ABLE TO WALK.

BUT I FEEL I'M STILL A LONG
WAYS FROM BEING ABLE TO DO THAT.

NOT TOO SNUG?
IT'S OKAY?

-YOU'RE FINE.
-ALL RIGHT.

SO STATIC STANDS?

ALL RIGHT, READY TO GO.

ONE, TWO.

[ MACHINE BEEPS ]

KEEP YOUR POSTURE,
RIGHT, HEAD UP.

THERE YOU GO.

THERE YOU GO, DEEP BREATHS.

STANDING IS STILL
A BIG CHALLENGE FOR ME.

AND I CAN ONLY STAND
FOR A LITTLE WHILE.

AND I NEED SOMETHING
TO HOLD ON TO.

OKAY.

YOU GOOD? ALL RIGHT.

THERE YOU GO.
[ LAUGHING ] GOOD JOB.

[ MACHINE BEEPING ]

COUNT IT.
121, GOOD JOB.

WE BEAT OUR RECORD.

I KNOW IT. THAT'S AWESOME.

LET ME GET THIS
OFF OF YOU.

PHYSICAL THERAPY
WENT FINE TODAY.

I FEEL GOOD.

THE THERAPIST WAS PROUD OF ME.

BUT I KNOW I'M STILL NOT EVEN
CLOSE TO STANDING ON MY OWN.

AND DR. NOW SAYS IT'S IMPORTANT
FOR ME TO BE MOBILE

AFTER MY WEIGHT LOSS SURGERY.

SO I'M SCARED THAT IF I HAVEN'T
SHOWN ENOUGH IMPROVEMENT,

DR. NOW WILL CHANGE HIS
MIND AND DELAY THE SURGERY.

**

**

**

Karina: RIGHT NOW, MY PARENTS
ARE TAKING ME TO SEE DR. NOW

FOR MY ENDOSCOPY TO SEE
IF THERE ANY ISSUES

TAKING MY GASTRIC BALLOON OUT.

SO WE'RE JUST GOING TO
SEE WHAT CAN BE DONE.

AND I'M NERVOUS THAT
WORST CASE SCENARIO,

HE FINDS A PROBLEM
THAT NOT ONLY PREVENTS ME

FROM GETTING WEIGHT
LOSS SURGERY,

BUT CREATES ANY SORT
OF HEALTH THREAT TO ME

SINCE I WAS ONLY SUPPOSED TO
HAVE THIS BALLOON FOR SIX MONTHS

AND IT'S BEEN MUCH LONGER
THAN THAT.

SO I'M A LITTLE SCARED ABOUT
WHAT HE'LL FIND OUT TODAY.

**

**

-HI, KARINA.
-HELLO.

ALL RIGHT, SO THEY GOT
YOUR WEIGHT AFTER CHECKING,

AND YOU'RE ONLY
SIX POUNDS SMALLER,

SO THAT'S GOING TO BE AN ISSUE
IF YOU DON'T PICK UP THE PACE

BEFORE YOUR
WEIGHT LOSS SURGERY.

BUT WE'RE GOING TO SEE IF
THAT'S EVEN POSSIBLE TODAY.

HOWEVER, I HEAR FROM
PHYSICAL THERAPY

THAT YOU STILL DIDN'T WALK
AT YOUR SESSION WITH THEM.

WHY IS THAT?

MY LEG IS NOT
STRONG ENOUGH YET

'CAUSE I HAVE ARTHRITIS
IN BOTH OF MY KNEES.

YOU SAID YOU BROKE
YOUR LEG BEFORE.

AND THAT YOU NEEDED A SURGERY
THAT THEY COULDN'T DO.

NOW IT'S ARTHRITIS.

SO IT SOUNDS LIKE
A BUNCH OF EXCUSES.

SO AFTER YOUR ENDOSCOPY,

WE WILL DISCUSS
YOUR LACK OF WEIGHT LOSS

THIS PAST MONTH, OKAY?

MM-HMM.

I'M NOT TOO HAPPY WITH HOW
KARINA HAS DONE THIS PAST MONTH.

SHE HAS QUICKLY FALLEN BACK
INTO MAKING EXCUSES.

AND STILL CLAIMING
THAT SHE CAN'T WALK

WHEN THERE IS NO
PHYSICAL REASON FOR THAT.

BUT MY BIGGEST CONCERN RIGHT NOW

IS IF I'M ABLE TO REMOVE
THE BALLOON TODAY.

BECAUSE IT'S GOING TO FREE UP
ALL THAT SPACE IN HER STOMACH

AND SHE'LL BE ABLE TO OVEREAT
EVEN MORE.

ALL RIGHT, WE'RE GONNA GO AHEAD
AND LOOK AT YOUR STOMACH

AND SEE IF WE CAN
TAKE THE BALLOON OUT

AND SEE WHAT OTHER OPTIONS
WE GOT FOR YOU, OKAY?

OKAY.

ALL RIGHT, WE'LL GET YOU
SITUATED SHORTLY, OKAY?

OKAY.

**

I'M FEELING NERVOUS ABOUT
WHAT'S GOING TO HAPPEN TODAY.

BECAUSE IF THIS DOESN'T GO WELL,

I WON'T BE ABLE TO HAVE
THE WEIGHT LOSS SURGERY.

AND ALL THE HARD WORK I'VE DONE
OVER THE LAST THREE MONTHS

WILL BE FOR NOTHING.

ALL MY LIFE, I'VE BEEN
A FAILURE TO MY FAMILY.

AND I JUST WANT TO PROVE TO THEM
THAT I CAN DO THIS,

THAT I CAN LOSE THE WEIGHT.

BUT FOR THAT TO HAPPEN, I
NEED THIS BALLOON TO COME OUT

AND EVERYTHING TO BE OKAY.

**

KARINA HAD HER GASTRIC BALLOON

PUT IN HER STOMACH
OUT OF COUNTRY,

SO IT IS NOT DESIGNED
WITH THE HEALTH STANDARDS HERE.

A GASTRIC BALLOON
IS ONLY INTENDED TO BE

A TEMPORARY SOLUTION
FOR WEIGHT LOSS.

AND THE LIMIT TO KEEP IT WITHIN
THE STOMACH IS SIX MONTHS.

Woman: ROOM LIGHTS.

AND KARINA RIGHT NOW IS OVER
DOUBLE THAT AMOUNT OF TIME,

SO THERE IS NO TELLING
WHAT COULD BE WRONG.

**

UH-HUH.

[ MACHINE BEEPING ]

OKAY, 50.

[ AIR HISSING ]

**

[ MONITOR BEEPING ]

OKAY, ROOM LIGHT ON.

**

KARINA'S ENDOSCOPY
WENT WELL TODAY.

WHEN SHE RECOVERS
FOR A LITTLE WHILE,

THEN, WE'LL BE ABLE TO DO
HER WEIGHT LOSS SURGERY.

BUT BEFORE THAT,
WE NEED TO ADDRESS

KARINA'S SLOWED DOWN
IN HER WEIGHT LOSS.

AND HER BELIEF THAT THERE'S
SOMETHING WRONG WITH HER LEG.

SO, I'M GOING TO
HAVE AN X-RAY DONE

TO FIGURE OUT WHAT'S
GOING ON THERE.

AND IF SHE DOESN'T KEEP
LOSING THE WEIGHT SHE NEEDS

OVER THE NEXT MONTH,
THEN I WON'T MOVE AHEAD

WITH ANY WEIGHT LOSS SURGERY
WITH HER.

**

**

TODAY, I'M HOPEFULLY BEING
DISCHARGED FROM THE HOSPITAL.

YESTERDAY, THEY REMOVED THE
GASTRIC BALLOON FROM MY STOMACH,

AND WHEN I WOKE UP AND FOUND
OUT, I WAS SO EXCITED

BECAUSE I KNOW THAT MEANS I CAN
GET MY WEIGHT LOSS SURGERY SOON.

[ KNOCKS ON DOOR ]

HELLO.

HI, GOOD MORNING, DR. NOW.

HOW YOU DOING, KARINA?

FINE.

SO WE GOT THE BALLOON OUT.

BUT I NEED YOU TO UNDERSTAND
HOW SERIOUS THIS SITUATION IS.

NOW THAT ALL THE ROOM IN
YOUR STOMACH IS FREED UP,

YOU CAN OVEREAT AGAIN

BECAUSE YOUR WEIGHT LOSS
SLOWED SIGNIFICANTLY.

SO I NEED YOU TO SHOW ME
THAT YOU'RE WILLING

TO WORK HARD
LIKE YOU NEED TO.

AND IT WASN'T THE BALLOON
THAT DID MOST OF THE WORK

THE FIRST MONTH.
SO TO DO THAT,

I WANT YOU TO LOSE 40 POUNDS
AGAIN THIS NEXT MONTH.

-OKAY.
-AND IF YOU DO THAT,

I WILL MOVE AHEAD WITH
YOUR WEIGHT LOSS SURGERY.

AND IF NOT, YOU WILL
NO LONGER BE APPROVED

FOR THE OPERATION.

-YOU UNDERSTAND?
-OKAY.

BUT I'M GOING TO GET X-RAY
IN HERE FOR YOUR LEG.

SO I CAN SEE WHAT'S
GOING ON WITH THAT.

AND IN THE MEANTIME, I WANT
YOU TO KEEP GOING TO P.T.

AND I WANT YOU TO GET
UP AND WALK, OKAY?

ALL RIGHT.

ALL RIGHT,
I'LL SEE YOU SOON.

KARINA HAD A HUGE BALLOON
THAT PREVENTED HER

FROM HAVING HARDLY ANY FOOD
IN HER STOMACH AT ONE TIME.

SO SEEING THAT COMBINED
WITH HER LACK OF WEIGHT LOSS

THIS PAST MONTH,

I STILL NEED HER TO SHOW ME
THAT SHE'S WILLING TO DO THIS.

BECAUSE IF SHE'S NOT,
SURGERY WILL BE A WASTE

BECAUSE SHE WILL FAIL.

SO THIS NEXT MONTH WILL BE
AN EVEN BIGGER TEST FOR KARINA.

**

MIJA, YOU READY?

YES, I'M READY TO GO.

THE WHEELCHAIR'S
IN THE BATHROOM.

OKAY.

Karina: I'M A LITTLE
DISAPPOINTED TO HEAR

THAT DR. NOW STILL NEEDS ME
TO PROVE TO HIM I CAN DO THIS.

BECAUSE I FEEL LIKE
I DID THAT ALREADY,

AND I DON'T FEEL
LIKE THAT'S FAIR.

BUT I DON'T WANT
TO LOSE HIS HELP.

-OKAY?
-YEAH.

SO I'M GOING TO STICK WITH IT
LIKE I DID THE FIRST MONTH.

BECAUSE I'M NOT LETTING
THIS CHANCE GET AWAY FROM ME.

**

**

**

[ MICROWAVE BEEPS ]

SINCE MY ENDOSCOPY
AND HAVING MY BALLOON REMOVED,

I'M FEELING A LOT BETTER.

I KNOW WITHOUT THE BALLOON,
IT'S MUCH EASIER TO OVEREAT.

SO I'M TRYING TO
MARK MY PORTIONS OUT.

**

AND I'M TRYING TO USE
MY LEGS AS MUCH AS POSSIBLE,

BUT THEY STILL HURT A WHOLE LOT.

**

I KNOW DR. NOW SAYS I HAVE TO
GET UP AND OUT OF THIS CHAIR,

BUT I'M REALLY STRUGGLING.

I JUST HOPE THAT
I'VE DONE ENOUGH

FOR DR. NOW TO SCHEDULE
MY WEIGHT LOSS SURGERY.

HOW WAS YOUR DAY TODAY?

FINE.

SOME VEGETABLE SOUP
LIKE WITH BEANS AND CORN

AND CELERY AND CARROTS
AND BELL PEPPERS.

IT'S LIKE ONLY 120 CALORIES,
LIKE I TOLD YOU.

MM-HMM.

I'M HOPING HE TELLS ME,
"LET'S DO THE SURGERY NEXT WEEK

AND LET'S GO."

I'M READY.

THAT AIN'T GONNA HAPPEN...
ANY TIME SOON.

I COULD BARELY TAKE STEPS
WITHOUT SITTING DOWN.

**

Karina:
I KNOW DR. NOW WANTS ME TO WALK,

BUT I'M STILL SO BIG

AND THE LEG INJURY
HAS MADE IT SO DIFFICULT

TO EVEN TRY TO MOVE.

AND WHEN I TALK TO MY FAMILY
ABOUT MY PROGRESS,

IT USUALLY DISCOURAGES ME.

I KNOW THEY LOVE ME
AND WANT ME TO DO WELL.

BUT THE THINGS THEY SAY
MAKE ME FEEL LIKE

THEY DON'T THINK I CAN DO THIS.

I NEED THEM TO BELIEVE IN ME.

BECAUSE I'M GONNA DO THIS
WITH OR WITHOUT THEM.

**

**

**

TODAY, WE'RE GOING TO
DR. NOWZARADAN'S OFFICE.

I'VE BEEN WATCHING WHAT I EAT
AND COUNTING CALORIES,

BUT THE BALLOON WAS THERE
TO HELP ME LOSE WEIGHT,

AND NOW IT'S GONE.

SO I REALLY DON'T KNOW WHAT
THAT SCALE'S GOING TO SHOW.

KARINA GARCIA?

AND I'M NERVOUS BECAUSE I HAVE
TO HAD LOST SOME WEIGHT.

OTHERWISE, I DON'T THINK
DR. NOW'S GOING TO APPROVE

MY WEIGHT LOSS SURGERY.

BUT IF I KEPT THE WEIGHT LOSS
GOING, THEN AT LEAST I STAND

A CHANCE AT HAVING MY GASTRIC
SLEEVE SURGERY SCHEDULED.

**

OKAY.

[ PANTING ]

**

I FEEL GOOD ABOUT THAT
NUMBER ON THE SCALE.

[ SNIFFLES ] SO HAPPY.

OKAY.

[ CHUCKLES ]

IT'S A RELIEF TO SEE I'M STILL
GOING IN THE RIGHT DIRECTION.

BUT AT THIS POINT, I DON'T KNOW
IF LOSING MORE WEIGHT IS ENOUGH

BECAUSE DR. NOW WANTED ME TO BE
ABLE TO MOVE BETTER ON MY OWN.

AND I'VE BEEN SCARED TO
PUSH MYSELF PHYSICALLY.

SO, I'M WORRIED HE'S GOING TO
SAY, "LET'S WAIT A BIT LONGER."

AND THAT THIS WEIGHT LOSS
WAS OKAY, BUT NOT GOOD ENOUGH.

[ KNOCKS ON DOOR ]

-HELLO.
-HELLO.

HOW ARE Y'ALL DOING?

-FINE AND YOU?
-ALL RIGHT.

SO, YOU'RE DOWN TO
541 POUNDS.

MM-HMM.

AND THAT'S A WEIGHT LOSS
OF 44 POUNDS.

THAT'S EXCELLENT.

HOW YOU FEEL WITH THAT?

LIGHTER ON MY FEET.

BETTER BREATHING, AND I'M
ABLE TO MOVE MORE FASTER.

HOW WERE YOU FASTER?
YOU'RE STILL NOT WALKING.

AND THAT BRINGS UP ANOTHER
ISSUE WE NEED TO DISCUSS.

I'VE REVIEWED YOU LEG X-RAY.

AND THERE IS ABSOLUTELY
NOTHING WRONG WITH YOUR LEG.

SO, THIS ISSUE IS EITHER
ALL IN YOUR MIND

OR JUST AN EXCUSE
YOU HAVE BEEN MAKING.

EITHER WAY, YOU'RE DONE
SAYING YOU CAN'T WALK.

IF YOU WANT
WEIGHT LOSS SURGERY,

THEN WHAT I NEED FROM YOU
IS AN ACKNOWLEDGEMENT

THAT YOU'RE DONE
WITH THIS EXCUSE.

ALL RIGHT. OKAY.

ALL RIGHT, I'LL BE EXPECTING
A GOOD REPORT

AT YOUR NEXT
PHYSICAL THERAPIST SESSION.

IF YOU DON'T KEEP TO THAT,

THIS IS GOING TO BE
A SIGNIFICANT ISSUE

IF YOU EXPECT TO STAY
IN THIS PROGRAM, OKAY?

OKAY.

I'M GLAD WE
UNDERSTAND EACH OTHER.

SO YOU HAVE COME A LONG WAY.

SO WE'RE GONNA SET YOU UP
FOR SURGERY IN ONE MONTH.

-OKAY?
-OKAY.

Ezequiel:
OKAY, THAT'S PRETTY GOOD.

ALL RIGHT, I THINK THIS IS
GOING TO BE EASIER FOR YOU

TO CONTROL YOUR
EATING HABIT, OKAY.

I'M VERY IMPRESSED WITH KARINA

AND THE PROGRESS
SHE MADE SO FAR.

SHE'S SHOWN ME SHE'S COMMITTED

TO THIS PROGRAM
AND GETTING HEALTHY.

BUT THIS IS JUST THE BEGINNING
OF THE HARD ROAD

KARINA HAS AHEAD.

THE ODDS ARE STACKED AGAINST HER

SINCE THIS WILL BE
HER SECOND ATTEMPT

AT A WEIGHT LOSS PROCEDURE.

AND SHE CAN'T STAY
AS INACTIVE AS SHE IS

AND EXPECT TO KEEP MAKING
PROGRESS DOWN THE ROAD.

BUT OVERALL, I'M PLEASED
AND CONFIDENT THAT SHE'S READY

FOR HER WEIGHT LOSS SURGERY.

ANY QUESTIONS?

NO, I'M EXCITED NOW.

-[ CHUCKLES ]
-ALL RIGHT, I'LL SEE YOU THEN.

-OKAY DOCTOR, THANK YOU.
-MM-HMM.

WOW.

-RELIEF, HAPPY.
-GOOD.

Maria: SHE'S FINALLY GET
THE SURGERY SHE ALWAYS DREAM OF.

AND I FEEL HAPPY FOR HER.

I'M RELIEVED, BUT HOPEFULLY
HER BODY CAN TAKE IT.

AND AFTER THAT,
SHE GONNA HAVE TO START

BECOMING A PRODUCTIVE CITIZEN.

**

Karina: DR. NOW HAS APPROVED
ME FOR SURGERY.

BUT HE SAID FOR THE
WEIGHT TO REALLY COME OFF,

I WOULD NEED TO BE MORE MOBILE.

**

I'VE BEEN WORKING HARD
TO SHOW HIM AND MY FAMILY

THAT I'M SERIOUS ABOUT THIS.

AND I KNOW THERE'S
A LOT MORE FOR ME TO DO.

BUT I REALLY THINK I'M GOING
TO BE ABLE TO STAY ON TRACK

AND USE THIS OPPORTUNITY
WITH THE SURGERY

TO MOVE BETTER AND DO
MORE THINGS ON MY OWN...

**

...SO MY FAMILY DOESN'T
HAVE TO TAKE CARE OF ME.

**

**

**

**

Karina: TODAY, DR. NOW IS DOING
MY GASTRIC SLEEVE SURGERY.

AND I'M REALLY NERVOUS
BECAUSE IT'S A BIG PROCEDURE.

BUT I'VE BEEN WORKING
TOWARDS THIS MOMENT,

AND MORE THAN
ANYTHING IN MY LIFE,

I WANT IT TO GO WELL.

IN THE BACK OF MY MIND,

I'M ALWAYS AFRAID SOMETHING'S
GOING TO GO WRONG.

BECAUSE BAD THINGS KIND
OF ALWAYS HAPPEN TO ME.

BUT IT'S A RISK
THAT I HAVE TO TAKE

IF I WANT TO GET MY LIFE BACK.

BECAUSE I DON'T HAVE
ANY OTHER CHOICE

AND I DON'T HAVE
A LIFE RIGHT NOW.

SO I JUST HOPE AND PRAY
IT GOES OKAY.

**

Dr. Nowzaradan: KARINA SHOULD
HAVE HAD ENOUGH TIME TO RECOVER

FROM HER GASTRIC
BALLOON REMOVAL.

AND, SO, TODAY, WE ARE DOING
A SLEEVE GASTRECTOMY ON HER.

PATIENTS HER SIZE ARE VERY
HIGH RISK TO DO SURGERY ON.

AND WITH KARINA,
THE CONCERN IS WITH THE FACT

THAT SHE CARRIES
MOST OF HER WEIGHT

AT THE FRONT OF HER ABDOMEN.

WE CAN TURN THE ROOM LIGHT OFF.

AND THE WEIGHT ALSO MAKES
IT EXTREMELY DIFFICULT

TO MANEUVER ANY INSTRUMENT
TO PERFORM THIS SURGERY.

SO THIS IS GOING TO BE
A COMPLICATED PROCEDURE.

GET THE SUCTION UP THERE SO
I CAN SEE WHERE THE BLEEDING IS.

AND ALSO, LAYING HER DOWN
ON HER BACK IS GOING TO

PUT PRESSURE ON HER
PULMONARY SYSTEM,

AND IF WE AREN'T CAREFUL,

SHE MAY STOP BREATHING
JUST FROM THE FACT

THAT THERE'S GOING TO BE
A SIGNIFICANT AMOUNT OF WEIGHT

ON HER CHEST AND LUNGS
THAT IT CAN'T HANDLE IT.

THEN WE'LL HAVE TO STOP.

BUT HOPEFULLY
THAT WON'T BE THE CASE

BECAUSE KARINA WON'T BE ABLE
TO MAINTAIN HER PROGRESS

WITHOUT THIS SURGERY.

**

Ezequiel:
KARINA MEANS A LOT TO ME.

SHE'S MY FIRST BORN DAUGHTER.

SHE'S AN IMPORTANT PART
OF MY FAMILY, OF MY LIFE.

WAITING HERE FOR HOURS,
NOT KNOWING ANYTHING

AND JUST WAITING TO SEE WHAT'S
GOING ON IS NERVE-RACKING.

ALL RIGHT,
KEEP PUSHING FORWARD.

ALL RIGHT, YOU'RE GOOD.

-GOOD?
-JUST LEAVE IT THERE.

Man: OKAY.

Dr. Nowzaradan: GASTRIC SLEEVE
IS AN EFFECTIVE PROCEDURE

TO LOSE WEIGHT.

IT IS AN OPERATION THAT REDUCES
THE SIZE OF THE STOMACH

70% TO 80% AND PATIENT

WILL BE ABLE TO EAT LESS
AND WILL BE ABLE

TO LOSE SOME WEIGHT.

**

ROOM LIGHT BACK ON.

**

ALL RIGHT, WE'RE DONE.

ALL RIGHT, KARINA'S
SURGERY WENT VERY WELL.

IT WAS A LITTLE BIT STRUGGLE
BECAUSE OF HER SIZE

AND HER STOMACH,
BUT WE WERE ABLE TO COMPLETE

THE SLEEVE GASTRECTOMY ON HER.

THE SURGERY TODAY WILL HELP
KARINA TO STAY ON TRACK

FOR THE LONG TERM.

AND SHE SHOULD BE ABLE
TO LOSE 40 POUNDS

IN THE FIRST MONTH
AFTER SURGERY.

THEN AROUND 20 POUNDS
IN THE FOLLOWING MONTHS

UNTIL SHE GETS CLOSE
TO HER TARGET WEIGHT.

BUT EVEN THOUGH KARINA DID WELL
WITH HER GOAL BEFORE SURGERY,

THIS IS HER SECOND
WEIGHT LOSS PROCEDURE.

AND PATIENTS HER SIZE
THAT HAVE FAILED

AT LEAST ONE WEIGHT LOSS
OPERATION

HAVE ONLY A 2% CHANCE
OF LONG-TERM SUCCESS,

AND TO MAKE HER SITUATION
EVEN MORE DIRE,

SHE DOESN'T HAVE STRONG SUPPORT
AT HOME.

SO THAT'S NOT A GOOD OUTLOOK.

**

**

**

Karina:
IT'S HARD TO BE HERE RIGHT NOW.

I'VE MISSED OUT ON
SO MUCH OF MY LIFE

AND IT FEELS LIKE THE CHANCE
TO BE BACK OUT THERE

AND ACTIVE AND LIVING LIFE
IS SO CLOSE.

BUT I'M STILL STUCK HERE IN THIS
CHAIR AT MY HOUSE RIGHT NOW.

SO IT'S FRUSTRATING.

BECAUSE I JUST WANT
TO GET OUT THERE,

AND I DIDN'T EXPECT
IT TO BE SO HARD.

AND I STILL FEEL LIKE MY FAMILY

DOESN'T THINK I'M GONNA DO IT.

BUT I KNOW IF I STICK TO IT
AND KEEP WORKING HARD,

THEN I'LL GET THERE.

AND ALL OF THIS WILL
CHANGE SOON ENOUGH.

[ SIGHS ]

I JUST HOPE I DON'T START
TO MESS IT UP LIKE BEFORE,

LIKE I DID WITH
THE GASTRIC BALLOON,

AND I ENDED UP GIVING MY
FAMILY ONE MORE REASON

NOT TO BELIEVE IN ME.

MY PARENTS AND MY SISTER ARE
STILL PUSHING ME TO GET A JOB,

BUT I DON'T KNOW HOW
I CAN DO THAT.

I DESPERATELY WANT TO,
BUT I STILL CAN'T GET AROUND.

I HAVE A LONG WAYS TO GO STILL.

AND IF THEY KEEP
PUSHING ME LIKE THIS,

THEN I KNOW I'M NOT
GOING TO MAKE IT.

THE STRESS IS GOING
TO BE TOO MUCH FOR ME.

AND I'M GOING TO
START GIVING IN.

**

**

**

**

Karina: IT'S BEEN TWO MONTHS
SINCE MY SURGERY

AND ONE MONTH SINCE MY LAST
APPOINTMENT WITH DR. NOW.

AND I'M NERVOUS THAT
THIS CHECKUP WON'T BE AS GOOD

AS THE LAST ONE.

BECAUSE IT'S BEEN MORE OF
A STRUGGLE WITH ALL THE STRESS

AND GOING BACK ON SOLID FOODS.

SO I'M JUST ANXIOUS RIGHT NOW.

AND I REALLY HOPE THAT
DR. NOW ISN'T UPSET WITH ME.

**

KARINA GARCIA?

I WAS 494 AT MY
LAST APPOINTMENT.

DO YOU NEED HELP?

I GOT IT.

AND DR. NOW SAYS
I SHOULD BE LOSING

AT LEAST 20 POUNDS A MONTH.

SO HOPEFULLY, I'M ON TRACK.

AND I LOST THE WEIGHT
I NEED TO DO THAT.

**

**

**

COME WITH ME.

THAT'S NOT THE NUMBER
I WAS HOPING TO SEE.

IT'S A LITTLE SCARY TO SEE
MY PROGRESS SLOWING DOWN.

BECAUSE THAT'S WHAT HAPPENED
WITH MY LAST PROCEDURE.

AND I CAN'T LET
THAT HAPPEN AGAIN.

'CAUSE THIS IS THE LAST CHANCE
TO GET ANY SORT OF HELP

TO LOSE WEIGHT.

[ KNOCKS ON DOOR ]

-HELLO.
-HELLO.

-HI, DOCTOR.
-HOW Y'ALL DOING?

GOOD, YOURSELF?

ALL RIGHT. SO YOU ONLY LOST
SEVEN POUNDS THIS PAST MONTH.

AND I SEE STILL YOU
ARE IN THE WHEELCHAIR.

SO WHAT'S GOING ON?
HOW IS YOUR ACTIVITY?

IT'S INCREASING,
LITTLE BY LITTLE.

ARE YOU ABLE TO WALK?

UM, I'M TRYING TO DO EVERYTHING
WHAT THEY TELL ME TO DO

AT THE PHYSICAL THERAPY.

I DON'T THINK THAT'S
COMPLETELY ACCURATE.

BECAUSE PHYSICAL THERAPY
SAYS YOU'RE STILL NOT

WALKING WITH THEM.

AND THERE IS NO REASON
FOR THAT OTHER THAN

YOU CHOOSING TO BE LAZY.

I'VE BEEN UNDER THE WEATHER,
SO...

I'VE BEEN LIKE,
KIND OF, LIKE, MORE WEAK.

SO IT'S TIME TO STOP
WITH THE EXCUSES.

YOU'RE STARTING TO
RUN TO FOOD AGAIN.

YOU'RE STILL NOT WALKING,
AND YOU'RE LYING TO ME.

MM-HMM.

IF WE DON'T GET AHEAD
OF THESE ISSUES,

THEN YOU'LL HAVE NO
WEIGHT LOSS THE NEXT MONTH.

SO I'M MAKING AN
APPOINTMENT FOR YOU

TO START PSYCHOTHERAPY.

OKAY.

SO WE CAN START TO GET AT
SOME THESE UNDERLINED ISSUES.

DO YOU UNDERSTAND?

OKAY, AND BY YOUR
NEXT APPOINTMENT,

I WANT YOU WALKING
AND DOWN 60 POUNDS.

OKAY.

ALL RIGHT, SUPER.

**

KARINA'S PATTERN SEEMS TO BE
THAT SHE STAYED DETERMINED

FOR A WHILE AND THEN SHE STARTS
GIVING IN TO HER EMOTIONS

AND STARTS MAKING EXCUSES.

HER FAMILY DOESN'T SEEM
TO OFFER HER MUCH SUPPORT.

AND THE LACK OF SUPPORT
IS A FACTOR

THAT PLAYS INTO
HER EMOTIONAL STATE.

AND WE NEED TO CHANGE THAT.

**

Karina: I KNOW DR. NOW
WAS DISAPPOINTED IN ME.

AND I KNOW THAT I REALLY
NEED TO GET UP AND WALK.

IF DR. NOW THINKS
THAT SEEING A THERAPIST

WILL HELP ME TO DO THAT,
I'M WILLING TO DO IT.

**

I WANT TO PROVE EVERYONE WRONG.

NOBODY BELIEVES IN ME.

AND I'M GOING TO DO
WHATEVER IT TAKES

TO SHOW THEM I CAN DO THIS.

**

**

**

TODAY, I'M HEADED
TO SEE A THERAPIST.

DR. NOW THINKS I HAVE ISSUES

THAT ARE HOLDING ME
BACK FROM WALKING.

**

I'VE NEVER REALLY DONE
ANYTHING LIKE THIS.

**

SO I JUST DON'T
KNOW WHAT TO EXPECT.

**

I'M JUST HOPING IT'S NOT GOING
TO BE WEIRD OR UNCOMFORTABLE.

**

-GOOD MORNING, KARINA.
-GOOD MORNING.

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

-YOU READY TO COME ON BACK?
-MM-HMM.

OKAY.

YOU CAN GO
RIGHT OVER HERE.

SO, WELCOME.

I'M GONNA GET STARTED BY

JUST KIND OF ME GETTING TO KNOW
YOU A LITTLE BIT BETTER.

-OKAY.
-OKAY.

SO TELL ME ABOUT YOUR BACKGROUND
WITH YOUR FAMILY.

UM, I WAS MORE CLOSER
TO MY GRANDPARENTS

THAN TO MY PARENTS 'CAUSE
MY PARENTS WERE ALWAYS WORKING.

AND MY SISTER WAS ALWAYS --
SHE WAS THE POPULAR ONE.

SHE WAS MORE WITH
THE FRIENDS THAN WITH ME.

OKAY. I KNOW THAT YOU WERE
DEALING WITH SOME ASTHMA.

TELL ME ABOUT THAT
WHOLE PROCESS.

WHEN I WAS ALMOST
LIKE AN INFANT,

I WAS IN AND OUT
OF HOSPITALS.

-OKAY.
-I DO REMEMBER THAT.

AND I DO REMEMBER MY MOM
ALWAYS BEING THERE.

AND AS I GOT OLDER,

MY ASTHMA JUST KIND OF, LIKE,
WENT AWAY OR...

OKAY. THAT OFTEN HAPPENS
WITH KIDS.

HOW DID THAT CHANGE IN TERMS
OF THE ATTENTION FROM YOUR MOM?

PROBABLY, I MEAN, 'CAUSE SHE
WAS ALWAYS MORE WORKING NOW.

OKAY.

SO WHAT I SEE A LOT WITH
KIDS AND WITH ADULTS

IS THAT WHEN THEY'VE GONE
THROUGH A PROCESS

OF HAVING A CHRONIC
MEDICAL CONDITION,

THEY DO GET A LOT OF
ATTENTION FROM PARENTS.

BUT THEN AS THEY START
TO FEEL BETTER,

THE RELATIONSHIP CHANGES.

AND SOMETIMES, PEOPLE
START FINDING OTHER WAYS

SO THAT THEY CAN REGAIN
THAT RELATIONSHIP.

HMM, I DIDN'T,
WHEN I WAS LITTLE,

I DIDN'T THINK I WASN'T
GETTING THE ATTENTION

OR ANYTHING LIKE THAT.
OKAY.

IT CAN HAPPEN SOMETIMES IN
A VERY DEEPLY UNCONSCIOUS WAY,

SO IT'S SOMETHING TO
KIND OF PAY ATTENTION TO.

SO, HOW'S YOUR RELATIONSHIP
WITH YOUR SISTER NOW?

SHE HAS MENTIONED THAT SHE
FEELS ANGRY SOMETIMES

THAT MY PARENTS CAN'T
BE THERE FOR HER

'CAUSE THEIR DEALING WITH ME.
HMM.

SO DO YOU FEEL LIKE
RECONNECTING WITH YOUR SISTER

IN A POSITIVE WAY IS SOMETHING
THAT WOULD BE HELPFUL FOR YOU?

I WISH WE COULD BE
CLOSER LIKE WE WERE

WHEN WE WERE YOUNGER.
MM-HMM.

BUT I KNOW IT'S NOT GOING
TO HAPPEN RIGHT NOW.

SO MAYBE A POSSIBLE GOAL
IS TO FIND A POSITIVE WAY

TO RECONNECT WITH
YOUR SISTER?

-MM-HMM.
-OKAY.

ANY FINAL QUESTIONS
OR THOUGHTS?

-NO.
-NO, OKAY.

IT WAS A JOY MEETING YOU.

I WISH YOU WELL
ON YOUR JOURNEY.

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

ALL RIGHT, AFTER YOU.

**

Karina: I WAS NERVOUS COMING IN
HERE TODAY, BUT I'M GLAD I DID.

I SPENT SO MUCH TIME ISOLATING
MYSELF FROM THE WORLD.

SO IT WAS NICE TO HAVE
SOMEONE TO TALK TO.

-BYE.
-BYE.

-THANKS FOR COMING OUT AGAIN.
-THANK YOU.

I DO THINK ABOUT MY PARENTS
AND MY SISTER, A LOT.

AND HOW MUCH MY WEIGHT HAS PUT
A STRAIN ON OUR RELATIONSHIPS.

I DON'T WANT TO BE A BURDEN.

AND I WANT THEM TO KNOW
HOW MUCH I APPRECIATE

WHAT THEY'VE DONE FOR ME.

I JUST HOPE I CAN TAKE WHAT
WE'VE TALKED ABOUT TODAY

AND DO SOMETHING WITH IT.

[ PANTING ]

**

**

**

-HI, MIJA.
-HEY.

WHAT ARE YOU DOING?

JUST WRITING
SOME STUFF DOWN.

SINCE SEEING THE THERAPIST,

I'VE DECIDED THAT I NEED
TO START DOING MORE.

SO I'VE STARTED A JOURNAL,
AND IT FEELS LIKE IT'S HELPING.

BUT I REALIZED THIS HAS TO
JUST TO BE A STARTING POINT.

SO I KNOW I'M GONNA HAVE
TO START TALKING ABOUT

SOME OF IT TO MY FAMILY.

**

IT'S BEEN A LONG PATH
THIS YEAR.

YOU KNOW I'M VERY GRATEFUL
THAT YOU GUYS HAVE BEEN THERE

WITH ME THROUGH THE WHOLE
PROCESS OF EVERYTHING

SINCE MY ACCIDENT
AND THEN THROUGH THE SURGERY

AND THROUGH EVERYTHING.

HOPEFULLY, I WASN'T MUCH OF...

...HAVING ME AROUND
THAT MUCH, RIGHT NOW.

WHAT CAN WE TELL YOU MIJA,
I MEAN, YOU'RE OUR DAUGHTER.

YEAH.

BUT I KNOW I TOOK
A LOT OF YOUR TIME

THAT YOU COULD BE DOING
SOMETHING ELSE.

AND I JUST WANT
TO SAY THANK YOU.

YOU'RE QUITE WELCOME.

I FEEL GOOD RIGHT NOW.

I THINK TALKING WITH
MY PARENTS WENT WELL,

AND I FEEL LIKE
THEY'RE PROUD OF ME.

BUT I STILL NEED TO
START TALKING TO MY SISTER

ABOUT SOME OF THE ISSUES
WE'VE HAD.

AND THAT'S MAKING ME NERVOUS.

[ KETTLE WHISTLING ]

I SEE DR. NOW AGAIN SOON.

SO I'M TRYING HARD TO
DO EVERYTHING I CAN

TO CHANGE THINGS
AND DEAL WITH WHAT I NEED

TO STAY ON TRACK.

AND I'M REALLY HOPING THAT
I HIT MY WEIGHT LOSS GOAL.

BECAUSE I NEED HIS HELP,
AND I DON'T WANT TO LOSE IT.

**

**

**

I'M HEADED TO MY NEXT
APPOINTMENT WITH DR. NOW.

AND I'M REALLY NERVOUS.

LAST TIME DIDN'T GO SO WELL.

SO I'M HOPING TODAY GOES BETTER

AND THAT I HIT DR. NOW'S GOAL.

**

BECAUSE I KNOW IF I DIDN'T,
IT'S NOT GOING TO BE GOOD.

I'VE STARTED STANDING
AND TRYING TO GET UP

A LITTLE BIT AT A TIME.

I JUST HOPE IT'S ENOUGH
FOR DR. NOW.

I KNOW THAT EVERYTHING
IS DEPENDING

ON THIS WEIGH IN TODAY.

**

**

KARINA GARCIA?

AND IF I'M NOT LOSING LIKE
I NEED OR IF I'M GAINING,

THEN I'M LIKELY GOING TO LOSE

ALL OF DR. NOW'S HELP.

**

SO I'M HOPING THAT THE NUMBER
IS AT LEAST CLOSE

BECAUSE I DON'T WANT TO GIVE UP.

I WANT MY LIFE BACK, AND THIS
IS MY LAST CHANCE TO GET IT.

**

**

Karina: I'M AT DR. NOW'S
FOR MY WEIGHT CHECK.

HE TOLD ME I HAD TO LOSE
60 POUNDS BY THIS VISIT

IF I WANTED TO STAY ON TRACK.

SO THAT MEANS I NEED TO
AT LEAST BE DOWN TO 427.

427.

-HMM, 427.
-[ LAUGHING ]

-WOW.
-LOOK AT YOU.

[ PANTING ]

I WAS SURPRISED THAT I LOST
THAT MUCH WEIGHT.

I'M LIKE, STILL IN SHOCK.

I KNOW MY PARENTS ARE PROUD
THAT I'M STICKING TO THE DIET

AND I'M CONTINUALLY
LOSING WEIGHT

BECAUSE THEY WANT TO SEE ME
BE A MORE PRODUCTIVE PERSON

AND THEY'RE SEEING THAT.
AND I'M HAPPY.

[ KNOCKS ON DOOR ]

-HELLO.
-HELLO.

-HELLO, DOCTOR.
-HOW Y'ALL DOING?

FINE AND YOU?

ALL RIGHT.

SO YOU'RE DONE TO
427 POUNDS.

YOU TOOK ME VERY LITERALLY
AND LOST EXACTLY 60 POUNDS, HUH?

YES, SIR.

WELL, GREAT JOB,
YOU'RE BACK ON TRACK.

AND OVERALL, YOU'VE
LOST 206 POUNDS

AND PHYSICAL THERAPY SAYS
YOU STARTED TO JUST BARELY

WALK AGAIN.

NOT FULLY,
BUT YOU STARTED FINE.

SO THAT'S EXCELLENT.

I'VE BEEN FOLLOWING
YOUR ORDERS.

HOW DO YOU FEEL NOW?

LIGHTER AND HAPPY
THAT I'M DOWN THAT MUCH WEIGHT.

SO NEXT TIME I SEE YOU,
I WANT YOU TO WALK IN

AND NOT TO BE IN WHEELCHAIR
ANYMORE, OKAY?

ALL RIGHT.

SHE DOING BETTER AT HOME?

YEAH, SHE DOES. VERY HAPPY
THAT SHE'S LOSING THE WEIGHT.

THIS IS LIKE A MIRACLE.
THANK YOU VERY MUCH, DOCTOR.

YOU'RE MORE THAN WELCOME.

I'M VERY HAPPY TO SEE
KARINA IS BACK ON TRACK.

SHE HAD A SETBACK,
BUT SHE PUSHED THROUGH,

AND SHE'S SHOWING US ALL SHE
CAN DO IS JUST LIKE SHE SAID.

HER FAMILY SEEMS TO
BE COMING AROUND.

AND IF THEY CAN START TO BE
THAT EMOTIONAL SUPPORT FOR HER,

THAT'S GOING TO HELP EVEN MORE.

SO I'M VERY ENCOURAGED
BY HER TODAY.

SO IF YOU STICK WITH IT,

WITH SOME SKIN REMOVAL
SURGERIES,

YOU CAN BE AT YOUR
TARGET WEIGHT OF 170

WITHIN THE NEXT YEAR.

SO DON'T LOSE FOCUS, OKAY?

OKAY.

I'M PROUD OF YOUR EFFORT.

AND STICK WITH IT.
NICE TO SEE YOU ALL AGAIN.

BYE.

**

OKAY, LET'S...

LET'S GET UP
AND LET'S GO.

**

I'M SO IN SHOCK THAT
ALL THIS WEIGHT I HAVE LOST.

I'M JUST PROUD OF MYSELF
THAT I'M SHOWING THE DOCTOR

THAT I WAS GONNA STICK
TO THE DIET

AND I WAS GONNA FOLLOW
WHAT HE SAID.

AND I DID IT.
SO I'M HAPPY THAT HE'S PROUD.

THE DOCTOR SAID
MY GOAL WEIGHT'S 170.

AND IT'S STILL HARD
FOR ME TO BELIEVE.

I KNOW I'M HEADING THAT WAY,

AND I'M THRILLED WITH
EVERYTHING THAT'S HAPPENING.

IT'S BEEN A LONG ROAD
AND A SACRIFICE.

BUT IT'S JUST A SACRIFICE
THAT I HAVE TO DO

IF I WANT TO HAVE THE LIFE
I WANT TO HAVE.

**

**

I'M PROUD OF MYSELF
FOR HOW FAR I'M COMING.

AND I'M PUSHING MYSELF
TO GO EVEN FURTHER.

I KNOW THAT MEANS I STILL
HAVE TO KEEP DEALING

WITH THE EMOTIONAL STUFF
IN ME, TOO.

SO TODAY, I'M PLANNING ON
TRYING TO TALK TO MY SISTER.

BECAUSE MY SISTER HAS
ALWAYS BEEN THE ONE

WHO'S THE HARDEST ON ME.

AND I KNOW IT'S BECAUSE
OF ALL THE FRUSTRATION

AND BITTERNESS SHE HAS
FROM HOW MUCH THE FAMILY

HAS HAD TO TAKE CARE OF ME
AND ALL THE ATTENTION

I TOOK WITH THAT.

-HEY.
-HEY.

-WHAT ARE YOU DOING?
-LAUNDRY.

OH, WHERE'S MOMMY?

IN HER ROOM WITH PAPI.
THEY ARE BOTH UNDER THE WEATHER.

OH, THEY ARE?

YEAH.

LET'S GO TO THE OTHER ROOM.

YOU GOT IT?

YEAH.

AND THERE'S A PART OF ME THAT
UNDERSTANDS HER FRUSTRATION

AND CONCERN WITH ME.

BUT THERE'S ALSO A PART OF ME
THAT GETS SO HURT BY THAT.

AND IT'S HARD NOT TO
BE NERVOUS RIGHT NOW.

**

SO HOW HAVE YOU BEEN?
I HAVEN'T REALLY TALKED TO YOU

SINCE THE WHOLE SURGERY THING.

I'M DOING MUCH BETTER.

I MEAN I'M ABLE TO MOVE
MORE THAN USUAL.

WELL, THAT'S GOOD.

WHEN ARE YOU GONNA
PHYSICALLY BE ABLE

TO START WALKING
WITHOUT A WHEELCHAIR?

HOPEFULLY
IN A MONTH OR TWO.

IS THAT LIKE YOUR GOAL,
OR IS THAT WHAT THEY TOLD YOU?

THAT'S MY GOAL.

ONE THING IS SETTING GOALS,
AND ANOTHER THING IS DOING.

AND WE ALL SET GOALS.

BUT WE DON'T ALWAYS
ACCOMPLISH EVERY GOAL.

TRUE.
BUT I'M GONNA TRY.

AND I HOPE WE CAN
GET TO A BETTER PLACE

AS I SHOW YOU
THAT I'M CHANGING.

HOPEFULLY, THAT WILL MAKE OUR
RELATIONSHIP BETTER BETWEEN US.

YEAH. MAYBE WE CAN HANG OUT
AND RECONNECT

AND DO WHATEVER IT IS
THAT WE NEED TO DO

TO BETTER THE RELATIONSHIP.

I'M VERY HAPPY THAT YOU'RE
DOING SOMETHING FOR YOURSELF.

I'M PROUD.

I FEEL LIKE THE CONVERSATION
WENT WELL.

IT WASN'T HOW I PICTURED IT,
BUT I THINK IT WAS PROGRESS.

I HAVE TO GO
PICK UP THE KIDS.

OKAY.

ALL RIGHT, WELL,
IT WAS NICE SEEING YOU.

ALL RIGHT.

-BYE.
-BYE.

HOPEFULLY, I'LL PROVE TO HER
THAT I'M CHANGING

AND THAT THIS TIME,
I'M GOING TO DO IT.

**

**

**

I'M EXCITED BECAUSE I FINALLY
MADE IT BELOW 400 POUNDS

AND, SO, TODAY, I'M CELEBRATING

BY MOVING FROM THE LIVING ROOM
TO A BEDROOM.

I HAVEN'T BEEN IN
A BEDROOM IN YEARS.

AND THAT'S BEEN PART OF
THE BURDEN TO MY FAMILY.

SO I'M TAKING THE STEP
TO CHANGE THAT TODAY.

AND I'M ABLE TO GET AROUND
IN A WALKER NOW.

SO I FINALLY FEEL LIKE I'M
NO LONGER STUCK IN THIS HOUSE.

I'M NOT OUT IN THE WORLD YET.

BUT WITH ALL MY PROGRESS,
I FINALLY BELIEVE

THAT I'M GOING TO DO THIS AND
THAT I'M GETTING BACK OUT THERE.

I MISSED OUT ON TOO MUCH.

AND I FINALLY CHANGED THAT.

I'M EXCITED ABOUT
WHAT TOMORROW HOLDS

BECAUSE FOR THE FIRST TIME
IN A LONG WHILE,

I ACTUALLY HAVE A FUTURE.

SO I HAVE HOPE, AND THAT'S
AN AMAZING FEELING.