All language subtitles for My 600-lb Life S06E15

HI, MY NAME
IS ROSHANDA PERRIO.

I'M 30 YEARS OLD.

I LIVE IN
LAFAYETTE, LOUISIANA.

I'M CURRENTLY 783 POUNDS,

MAYBE A LITTLE BIT MORE.

I'M TO THE POINT NOW WHERE...

I CAN'T HARDLY MOVE AROUND
LIKE I WANT TO ANYMORE.

IT'S GETTING REAL DIFFICULT,
AND...

IF I EVER GET TO WHERE
I CAN'T DO NOTHING FOR MYSELF,

I DON'T THINK
I WANT TO BE HERE ANYMORE.

HEY, GUYS.
MY NAME IS BRANDIE PERRIO.

I'M FROM ST. MARTINVILLE,
LOUISIANA,

BUT I LIVE
IN LAFAYETTE, LOUISIANA.

I'M 29 YEARS OLD,

AND I WOULD SAY MY WEIGHT
IS ABOUT...

BETWEEN 600 AND 650.

I JUST FEEL LIKE
I'M JUST WAITING TO DIE,

LIKE, I'M JUST HERE
JUST WAITING TO PASS,

AND IF I COULD SEE --

LIKE, IN THE NEXT FIVE YEARS,

I CAN SEE IF NOTHING CHANGES,
IF I DON'T GET ANY HELP,

I CAN SEE MYSELF
NOT BEING HERE ANYMORE.

GOOD AFTERNOON.
MY NAME IS CLARENCE PERRIO.

I'M THE OLDEST BROTHER
OF BRANDIE AND ROSHANDA.

I'M NOT QUITE AS BIG AS THEM,
BUT I'M BIG, YOU KNOW?

I THINK ROSHANDA ALWAYS HAD
ASPIRATIONS OF DOING MORE THINGS

THAN SHE'S BEEN ABLE TO DO,

AND HER WEIGHT HAS BEEN
HOLDING HER BACK, YOU KNOW?

I'VE TRIED MY BEST,
AND I DO WHAT I CAN TO HELP.

YOU KNOW, ALL I CAN DO
IS KEEP ON HOPING AND PRAYING

AND KEEP ON COMING EVERY DAY.

Dr. Nowzaradan: FOR THE FIRST
TIME IN HUMAN HISTORY...

AND THE MAJOR CONTRIBUTING
FACTOR TO THAT IS OBESITY.

AND NOW I'M TRAINING
OTHER DOCTORS TO UNDERSTAND

HOW THEY CAN TREAT
THOSE WHO ARE OVER 600 POUNDS

BECAUSE UNFORTUNATELY,

SEVERE OBESITY IS NO LONGER
LIMITED TO A SMALL POPULATION.

IT'S STARTING TO AFFECT
MORE RANGES OF PEOPLE,

INCLUDING CHILDREN
AND WHOLE FAMILIES AT ONE TIME.

I HAVE A BIG SWEET TOOTH.
PIES, COOKIES, CHOCOLATES.

I LOVE ICE CREAM.

I HAVE A HALF A GALLON
OF COOKIES AND CREAM RIGHT NOW,

AND I MIGHT FIX ME A LITTLE BIT
BEFORE I GO TO SLEEP.

Dr. Nowzaradan:
AND IN SITUATIONS

THAT WE FIND WHOLE FAMILIES

GAINING SIGNIFICANT AMOUNT OF
WEIGHT BY ENABLING EACH OTHER,

IT CAN BE EXTREMELY DIFFICULT

TO BREAK THROUGH THAT DYNAMIC
TO SAVE THEIR LIVES.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

♪♪

♪♪

Roshanda: EVERY DAY,

I WONDER TO MYSELF HOW COULD I
LET THINGS GET SO BAD...

...AND HOW I'VE GOTTEN SO BIG

TO WHERE JUST DOING ANYTHING
IS SUCH A STRUGGLE.

BUT THAT'S MY LIFE NOW.

AND SOME DAYS I WONDER HOW MUCH
LONGER I CAN KEEP DOING THIS...

♪♪

...BECAUSE I'M AT THE POINT NOW

WHERE I AM NO LONGER
INDEPENDENT.

♪♪

SO, MY BROTHER CLARENCE
HAS HAD TO BECOME MY CARETAKER,

BUT IN THE MORNINGS,
HE'S HELPING MY YOUNGER SISTER

BRANDIE BECAUSE OF HER WEIGHT,
TOO.

WE ALL LIVE ABOUT A BLOCK
FROM EACH OTHER,

AND UNTIL THEY CAN HELP ME,

MY NEIGHBOR MISS MARIE HELPS ME.

[ Ringing ]

MARIE: Hello?YOU BUSY?

Unh-unh.

I'M HAVING TROUBLE
PUTTING MY PANTS ON.

CAN YOU COME HELP ME?

All right.

[ KNOCKING ]

COME ON.

HEY.HOW YOU DOING, BABY?

I NEED...WHAT YOU NEED ME TO DO?

IT'S GETTING SCARY
BECAUSE EVERY DAY IT FEELS LIKE

I CAN DO LESS
AND LESS ON MY OWN,

AND I KNOW SOON
I'M GONNA BE BEDRIDDEN

AND COMPLETELY HELPLESS.

OKAY.

AND THAT TERRIFIES ME.

I DON'T WANT TO GET TO THAT
POINT BECAUSE THAT'S NOT A LIFE,

BUT RIGHT NOW I HAVE NO IDEA

HOW I CAN STOP IT
FROM GETTING TO THAT POINT

BECAUSE I CAN'T STOP EATING.

IT'S ALL I WANT TO DO.

YOU GO, GIRL.

♪♪

SO ONCE I'M DRESSED,

I GO WAIT BY THE FRONT DOOR

FOR CLARENCE AND BRANDIE
TO SHOW UP WITH OUR MEAL,

AND I JUST CAN'T WAIT FOR THEM
TO GET HERE WITH MY FOOD

SO WE CAN EAT.

♪♪

♪♪

Clarence: IT'S GETTING HARD TO
KEEP DOING WHAT I DO EVERY DAY

BECAUSE I'M THE ONE WHO'S
RESPONSIBLE FOR MY SISTERS.

SO, THE FIRST THING I DO
WHEN I WAKE UP

IS I TEXT ROSHANDA AND BRANDIE
TO MAKE SURE THEY'RE OKAY

BECAUSE I GET WORRIED THAT
SOMETHING'S GONNA HAPPEN TO THEM

DURING THE NIGHT...

ESPECIALLY ROSHANDA,

SINCE OVER THE YEARS,
SHE'S GOTTEN BIGGER.

I WORRY SHE JUST WON'T WAKE UP
ONE MORNING.

BUT IF THEY'RE GOOD,
I GET DRESSED...

...AND GO GET MY SISTER BRANDIE
SO WE CAN EAT.

♪♪

BUT IT'S STARTING TO GET TOUGH
FOR ME, TOO,

BECAUSE MY WEIGHT
IS STARTING TO GET TO THE POINT

WHERE IT'S HARD FOR ME
TO GET AROUND.

AND THAT SCARES ME...

...BECAUSE I'M THE ONLY ONE
THAT MY SISTERS ARE RELYING ON

TO TAKE CARE OF THEM.

AND IF I'M NOT THERE FOR THEM,
NO ONE WILL BE.

SO, NO MATTER WHAT,

I CAN'T LET MYSELF
GET TO THE POINT

TO WHERE I CAN'T BE THERE
FOR THEM.

♪♪

♪♪

Brandie:
WHEN I WAKE UP IN THE MORNING,
I CAN'T WAIT TO EAT.

SO, I USUALLY
START OFF MY DAY WITH A SNACK...

...AND THEN I JUST WAIT
FOR CLARENCE TO COME GET ME

SO WE CAN GO GET MORE FOOD.

[ EXHALES ]

♪♪

Clarence:
READY TO ROLL, MAN?

ALL RIGHT.

AND AS SOON AS HE GETS HERE,

I JUST WANT TO GO
AND GET OUR MEAL...

♪♪

...'CAUSE IT'S THE MOST EXCITING
PART OF MY DAY.

♪♪

BUT WE ALL EAT PRETTY MUCH
THE SAME THING,

AND WE KNOW
WHAT WE ALL LIKE.

REALLY, ANYTHING FRIED
OR PIZZA OR HAMBURGERS

ARE GOOD WITH ALL OF US.

WOMAN: Hi, can I help you?

TWO ORDERS OF THE 10-PIECE
CHICKEN TENDERS.

ALSO, A FAMILY FRY
AND A SLICE OF PECAN PIE.

First in line.
Come to the window.

ALL RIGHT.

♪♪

Brandie: WE TRY TO HURRY 'CAUSE
WE KNOW ROSHANDA'S WAITING, TOO,

BUT WE ALL CAN'T WAIT TO EAT.

AND WE USUALLY GET A LOT
'CAUSE WE ALL CAN EAT A LOT.

♪♪

Roshanda:
WHEN CLARENCE AND BRANDIE
BRING ME SOMETHING TO EAT,

I GET SO EXCITED...

HONEY, I'M HOME.

Roshanda: ...BECAUSE FOOD'S
WHAT MAKES ME HAPPY.

IT'S WHAT MAKES US ALL HAPPY

BECAUSE FOOD
HAS ALWAYS BEEN THERE FOR US,

AND IT'S NOT ONLY BROUGHT US
CLOSER TOGETHER --

IT'S HELPED US
GET THROUGH A LOT.

IT'S WHAT MAKES US FEEL GOOD...

...AND IT'S WHAT WE DO
AS A FAMILY,

AND IT'S BEEN THAT WAY
FOR A WHILE.

♪♪

FOOD HAS BEEN A REALLY BIG PART
OF ALL THREE OF OUR LIVES

SINCE WE WERE YOUNG.

THERE IS FOUR OF US --

ME, BRANDIE, CLARENCE,
AND OUR OTHER BROTHER, BRANDON.

BUT BRANDON'S
ALWAYS DONE HIS OWN THING,

SO IT'S BEEN THE THREE OF US.

WE HAVE STUCK TOGETHER
AND FORMED THE BOND WE HAVE.

I WAS HAPPY
WHEN I WAS A LITTLE GIRL.

WE WERE ONE BIG FAMILY --

MY MOM AND MY BROTHERS
AND SISTER AND MY DAD.

Brandie:
WHEN WE WERE ALL REALLY YOUNG,

IT WAS ALWAYS,
LIKE, A CLOSE-KNIT FAMILY.

WE ALWAYS HAD, LIKE,
FAMILY GATHERINGS AND STUFF.

I MEAN, IT WAS NORMAL,

BUT THINGS STARTED TO CHANGE
AS WE GOT OLDER.

I REMEMBER MY MOM AND DAD
STARTING TO FIGHT A LOT

WHEN I WAS AROUND FIVE

BECAUSE HE STARTED TO DO DRUGS,

AND AS HIS ADDICTION
STARTED TO GET WORSE,

HE STARTED TO SET A LOT OF RULES
IN THE HOUSE,

LIKE RESTRICTING WHAT WE ATE.

AND BACK THEN, ME AND BRANDIE
WERE THE ONES WHO WERE CLOSE,

AND WHAT WE WOULD DO TOGETHER
WAS FIND WAYS TO SNEAK FOOD.

YOU KNOW, MY DAD,
HE PUT ALL THE JUNK --

THE SWEETS, THE SODAS,
ANYTHING LIKE THAT --

IN THE CLOSET, AND HE HAD,
LIKE, A LOCK ON THE CLOSET,

BUT WHENEVER WE WANTED
SOMETHING, WE JUST --

MY MOMMA HAD THIS CANE THAT WE
WOULD TAKE

AND WE WOULD OPEN UP THE CLOSET
A LITTLE BIT

'CAUSE IT STILL COULD OPEN
A LITTLE BIT

EVEN WITH THE LOCK ON IT.

AND WE WOULD JUST, LIKE,
KNOCK STUFF DOWN

AND GRAB IT OUT LIKE THAT.

SO, I KNOW THAT ME AND ROSHANDA
STARTED GAINING AROUND THEN.

AND THE EARLIEST I REMEMBER
STARTING TO REALIZE

THAT I WAS GETTING BIG
WAS AROUND WHEN I WAS SEVEN,

AND I WAS GETTING CLOSE TO
100 POUNDS.

WHEN WE WERE EATING,

THAT'S WHEN WE FELT BETTER
AND HAPPY AND SAFE.

AND WE HAD OTHER WAYS
OF GETTING FOOD, TOO.

ME AND MY SISTER WOULD GO AND
WE WOULD PUT WHAT WE WANTED --

WE WOULD SNEAK
WHAT WE WANTED IN A BASKET,

AND THEN WHEN IT WAS TIME
TO TAKE THE GROCERIES DOWN,

WE WOULD HIDE WHAT WE WANTED.

WE WOULD GO TAKE THAT
OUT OF THE CAR FIRST

AND GO RUN
AND HIDE IT IN THE ROOM.

SO, WE KEPT SNEAKING FOOD AND
GAINING FOR THE NEXT FEW YEARS,

AND BY THE TIME I WAS 12,
I WAS OVER 300 POUNDS.

BUT AT THAT TIME,
EVERYTHING CHANGED FOR US

BECAUSE MY DAD KICKED MY MOM
AND ALL OF US OUT.

Brandie: THINGS GOT WORSE
BETWEEN MY MOM AND DAD.

MY DADDY WAS GOING THROUGH
SOME THINGS.

I WOULDN'T SAY
HE PUT US OUT THE HOUSE.

HE PUT MY MOM OUT THE HOUSE,
AND WE DECIDED TO GO WITH HER.

I MEAN, SHE'S MY MOMMA.

BUT THAT'S WHEN ALL OF US
STARTED TO GET MUCH CLOSER --

BECAUSE WE HAD TO.

WE ALL HAD TO BE A TEAM,
AND MY MOMMA,

SHE DID WHAT SHE HAD TO DO
TO TAKE CARE OF US.

SO, WE WENT AND STAYED
WITH MY AUNT FOR ABOUT A MONTH.

THEN MY MOM
GOT HER OWN APARTMENT.

BUT WE ALL WORKED TOGETHER.

SO, WE HAD WHAT WE NEEDED.

BUT AFTER MY PARENTS BROKE UP,
LIKE, WE DID WHAT WE WANTED.

DIDN'T KNOW
WHO THE BOSS WAS.

MY DADDY RAN THE SHOW.

ONCE HE WAS GONE,
IT WAS LIKE...

ALL HELL BROKE LOOSE.

...WE FELT LIKE
HE HAD NO SAY SO ANYMORE.

WE ESPECIALLY
DIDN'T LISTEN TO HIM.

AND THE ONE BIG THING
THAT WE ALL GOT AWAY WITH

WITH NO WATCHING
OR DISCIPLINING US WAS EATING.

IT WAS THE THREE OF US --
ME, ROSHANDA, AND BRANDIE --

WHO STARTED EATING MORE,

AND THAT'S THE WAY IT WAS
FOR A FEW YEARS

UNTIL WE ALL
GRADUATED HIGH SCHOOL.

AND BY THEN, EVERYBODY
HAD PUT ON A LOT OF WEIGHT.

BY THE TIME I WAS 18,
I WAS ALREADY 600 POUNDS,

AND BRANDIE
WAS AROUND 17 THEN,

AND SHE WAS GETTING TO
500 POUNDS AT THE TIME.

BUT CLARENCE WAS ALWAYS
THE SMALLEST BETWEEN US THREE

AND WAS JUST AROUND 350
AT THE TIME.

SO, HE STARTED TO
HAVE TO DO THINGS FOR US

AND TAKE CARE OF US.

I REMEMBER LOOKING AT MY SISTERS
AND BEING, YOU KNOW --

I KNOW WE COME
FROM A HEFTY FAMILY.

WE ALWAYS GONNA BE CHUNKY,
BUT, I MEAN,

TO BE CONTINUOUSLY GROWING
EVERY COUPLE OF YEARS

AND REACHING A NEW NUMBER
IN THE 100-SYSTEM, YOU KNOW,

I MEAN,
IT'S NOT A GOOD THING.

AND I REALIZED
THAT IT WOULD FALL ON ME

TO START TO PROVIDE
FOR EVERYONE,

SO I KIND OF BECAME
THE MAN OF THE FAMILY.

ON TOP OF ROSHANDA AND BRANDIE
GETTING BIGGER AND DOING LESS,

OUR MOM PASSED AWAY,

AND I WAS TRULY THE ONLY ONE
LEFT THEN TO TAKE CARE OF THEM.

Roshanda: WHEN WE STARTED
GETTING OUR OWN PLACES,

ME, BRANDIE, AND CLARENCE
STUCK TOGETHER

AND DIDN'T GO FAR
FROM EACH OTHER

BECAUSE CLARENCE
WAS TAKING CARE OF US,

AND I REALIZED
THAT I COULDN'T DO

HALF OF THE THINGS
THAT I USED TO,

AND I COULDN'T WALK
TO THE CORNER STORE ANYMORE.

WHEN I TRIED
TO GET ON THE BUS,

I HAD TO SQUEEZE
THROUGH THE AISLE.

AND I WASN'T EVEN ABLE TO GO OUT
AND DO THINGS LIKE SHOP.

AND I GOT REALLY DEPRESSED
FOR A WHILE,

AND THAT MADE IT ALL WORSE

BECAUSE I JUST WANTED TO EAT

MORE OF THE THINGS
THAT WERE BAD FOR ME.

AND BY THE TIME I WAS 23,
I WAS OVER 700 POUNDS.

THAT'S WHEN I COULD TELL MY
HEALTH WAS GETTING REALLY BAD,

AND THE SAME WAS HAPPENING
WITH BRANDIE.

Brandie: WHEN I WAS 22,
I GOT SICK,

AND I ENDED UP IN THE HOSPITAL
FOR ABOUT A WEEK.

I WAS HAVING
A LOT OF BREATHING ISSUES

AND I WAS STILL HAVING A LOT
OF BREATHING PROBLEMS, LIKE...

I HAVE PAIN
IN MY BACK AND MY KNEES.

I CAN'T REALLY WALK
THAT FAR.

AND NOW I FIGURE
I'M OVER 600 POUNDS,

AND I'M SCARED ROSHANDA
MAY BE AS HIGH AS 800 POUNDS,

BUT I'M NOT HOPING NOT.

BUT BOTH OF OUR HEALTH
IS REALLY BAD NOW.

I ALWAYS TOLD MYSELF
ONCE I WOULD REACH 800 POUNDS,

I DIDN'T WANT TO BE HERE
ANYMORE.

AND WHEN MY 28th BIRTHDAY CAME
AROUND AND I SAW I WAS 749,

I DECIDED TO HAVE A BIG PARTY
AND INVITE EVERYONE

BECAUSE I DIDN'T THINK

I WAS GOING TO BE ABLE TO
SURVIVE LIKE THIS

FOR ANOTHER YEAR.

SO IT WAS MY WAY OF SAYING
GOODBYE TO EVERYONE.

BUT NOW I'M 31,
AND I'M EVEN WORSE OFF,

SO I KNOW I CAN'T HAVE MUCH
LONGER LIKE THIS.

Clarence:
IT'S GETTING TO THE POINT

TO WHERE I'M VERY WORRIED
ABOUT ROSHANDA AND BRANDIE,

AND IT SCARES ME TO THINK

THAT THEY MAY NOT BE ABLE TO
LIVE MUCH LONGER LIKE THIS.

BUT THEN I REALIZE
THAT I'M GETTING THAT WAY, TOO.

IT'S BEEN A FEW YEARS
SINCE I WAS WEIGHED,

AND IT WAS A BIG SHOCK
THE LAST TIME I WAS.

AND WHEN I SAW THE SCALE...

WHEN I SAW THE SCALE TIPPING
OVER 500 POUNDS,

IT'S A SLAP IN THE FACE,

BUT IT'S REALITY, YOU KNOW?

BUT I CAN'T LET MYSELF
GET SO BIG

THAT I CAN'T WORK
TO PROVIDE FOR THEM

AND TO TAKE CARE OF THEM

BECAUSE THEN
THEY'LL HAVE NO ONE.

I FEEL BAD
AND SAD FOR CLARENCE

BECAUSE I KNOW...

THAT HE WAS REALLY A "GO OUT
AND GET IT" TYPE OF PERSON,

ACTIVE.

AND RIGHT NOW,

HE'S, YOU KNOW,
ON THAT ROAD TO WHERE WE WAS,

AND I KNOW HE'S NOT HAPPY
WITH HIMSELF.

Clarence: SO, I CAN'T LET
MY WEIGHT GET TO THAT POINT.

AND OUR FATHER HAD RECENTLY
RECONNECTED WITH US,

AND WE'RE SLOWLY STARTING TO TRY
TO LET HIM BACK IN OUR LIVES.

SO, I KNOW THINGS
HAVE TO CHANGE.

Roshanda: WE ALL KNOW HOW BAD
IT IS FOR US RIGHT NOW,

BUT WE'VE BEEN TO DOCTORS
OVER THE YEARS

WHO HAVE TOLD US THERE IS
NOTHING THEY CAN DO TO HELP US

BECAUSE WE'RE TOO BIG.

BUT NOW, WE'RE SEEING
SOMEONE HERE IN LOUISIANA,

AND TOMORROW
WE HAVE OUR NEXT APPOINTMENT

TO FIND OUT
WHAT OUR NEXT STEPS ARE

AND IF THEY CAN HELP US.

BUT WE'RE ALL SCARED TO FIND OUT
WHAT THEY'RE GONNA SAY,

AND THAT THEY WON'T BE ABLE TO
HELP SOME OF US OR ALL OF US.

SO, I'M JUST REALLY HOPING
THAT WE GET GOOD NEWS TOMORROW

BECAUSE ALL THREE OF US
ARE OUT OF OPTIONS,

AND IF WE DON'T GET HELP,

I DON'T KNOW
HOW WE'RE GONNA SURVIVE.

♪♪

♪♪

Brandie: ALL OF US
ARE HERE AT THE DOCTOR'S

FOR OUR
FOLLOW-UP APPOINTMENT.

WE CAME IN FOR A CHECK-UP,

AND NOW WE'RE GONNA FIND OUT

WHETHER OR NOT WE'RE GONNA BE
ABLE TO GET WEIGHT-LOSS SURGERY

OR ANY HELP TO LOSE WEIGHT.

IF Y'ALL WOULD LIKE TO COME WITH
ME, I'LL SHOW YOU TO THE ROOM.

I KNOW WE'RE ALL SCARED
RIGHT NOW

BECAUSE IT JUST FEELS LIKE OUR
LIVES ARE HANGING IN THE BALANCE

AND THAT THE REST OF OUR LIVES

ARE ABOUT TO BE DETERMINED
HERE TODAY.

Clarence:
I'VE BEEN TRYING TO GET HELP
FOR ROSHANDA AND BRANDIE

FOR A WHILE NOW,

AND THIS IS LITERALLY
THE LAST PLACE IN LAFAYETTE

THAT CAN HELP US.

SO, IF THEY CAN'T,
THEN I'M SCARED

'CAUSE I DON'T KNOW
WHAT WE'RE GONNA DO.

-HEY, GUYS.
-HOW YOU DOING TODAY?

I'M DOING WELL.
THANKS FOR COMING IN TODAY.

AND I UNDERSTAND
THAT YOU GUYS ARE INTERESTED

IN WEIGHT-LOST PROCEDURE.YES, SIR.

AND NO PRIMARY DOCTORS WERE ABLE
TO HELP YOU LOSE ANY WEIGHT.

THEY NEVER REALLY TRIED.

ALL THEY WOULD DO IS, LIKE,
TELL YOU TO LOSE WEIGHT...

AND THAT'S ALL YOU HEAR
EVERYWHERE YOU GO.

RIGHT. RIGHT.
IT'S VERY FRUSTRATING.

HOWEVER, ONE OF THE ISSUES
THAT'S IN OUR CENTER,

MUCH LIKE OTHER CENTERS
AROUND THE COUNTRY,

IS THAT WE HAVE A LIMITATION
ON THE SIZE OF OUR PATIENTS,

AND YOU'VE
PROBABLY HEARD THAT.

YEAH, THAT'S EVERYWHERE I WENT.
THAT'S WHAT I HEARD.

YEAH.I TRIED EVERYTHING.

I CALLED ALL OVER.

SO, SOMETIMES
IT'S JUST NOT SAFE ENOUGH

TO HAVE SURGERY IN A FACILITY
LIKE THIS.

CURRENTLY, MY CENTER LIMITS
US TO ABOUT 450 POUNDS.

SO, UNFORTUNATELY,
AT YOUR SIZE TODAY,

OUR SYSTEM DOESN'T HAVE
THE CAPACITY OR THE RESOURCES

TO SAFELY GET YOU THROUGH
THAT OPERATION.

SO, I WANT TO REFER YOU TO
A SPECIALIZED CENTER IN HOUSTON

OR MAYBE NEW ORLEANS THAT HAS
ALL THE RESOURCES THAT YOU NEED,

EQUIPMENT,
AND EXPERTISE OF THE SURGEON

TO GET YOU
THROUGH THE PROCESS SAFELY.

OKAY.

THEY STILL MAY WANT YOU
TO LOSE WEIGHT BEFORE SURGERY,

SO YOU GUYS DON'T -- I DON'T
WANT YOU TO BE FRUSTRATED.

THAT'S NOT A PROBLEM.

THE PROBLEM IS TELLING ME
I GOT TO LOSE 200, 300 POUNDS

BEFORE YOU EVEN,
LIKE, SEE ME.

THEY NOT SAYING, "OH,

YOU CAN'T HAVE SURGERY
UNLESS YOU LOSE THIS".

-YEAH.
-THEY WON'T EVEN SEE YOU.

I UNDERSTAND COMPLETELY.

OFTENTIMES, OUR PATIENTS ARE
ENCOURAGED TO LOSE WEIGHT

BEFORE SURGERY
BECAUSE, NUMBER ONE,

THE MORE WEIGHT YOU LOSE
BEFORE SURGERY,

THE SAFER IT'S GOING TO BE.

NUMBER TWO,
WE WANT TO SEE COMPLIANCE

BECAUSE THIS IS
A RISKY PROCEDURE.

YOU'RE GONNA BE
GOING THROUGH THIS,

AND WE WANT TO SEE HOW MUCH
YOU'RE WILLING TO INVEST

IN YOUR HEALTH.

OKAY.

WELL, I'M GLAD
THAT WE GOT YOU IN TODAY,

AND I'M REALLY EXCITED
THAT I'LL GET YOU TO A PLACE

THAT HAS THE HIGHER LEVEL
OF RESOURCES AND EXPERTISE

TO TAKE CARE OF YOU.

-OKAY.
-ALL RIGHT, GUYS.

MY OFFICE WILL BE CONTACTING
YOU ABOUT YOUR REFERRAL,

AND I'M HAPPY
TO ANSWER ANY QUESTIONS.

OKAY.

THANK YOU.
YES, SIR.

THIS WAS
REALLY DISAPPOINTING.

I DON'T UNDERSTAND
WHY WE CAN'T GET HELP HERE,

AND I DON'T EVEN KNOW IF WE ALL
CAN TRAVEL SOMEWHERE THAT FAR.

WE HARDLY EVEN GO OUT.

SO, I'M JUST
REALLY UPSET RIGHT NOW.

Clarence:
I'M REALLY CONCERNED FOR
ROSHANDA AND BRANDIE RIGHT NOW

BECAUSE TAKING THEM
TO ANOTHER CITY

DOESN'T SOUND LIKE
A GOOD OPTION.

SO, THIS IS
REALLY DISAPPOINTING,

AND I KNOW
WE'RE ALL UPSET RIGHT NOW.

♪♪

♪♪

♪♪

♪♪

IF I DIDN'T HAVE TO ASK YOU,
I WOULDN'T ASK YOU, TRUST ME.

'CAUSE I AIN'T GOT
NO CHOICE.

BUT RESPECT MY MIND
JUST LIKE I RESPECT YOURS.

-YOU DON'T RESPECT --
-HOW DON'T -- YOU SEE WHAT --

YOU WORRY ABOUT
JUST YOU.

YOU AIN'T GOT TO DO A [BLEEP]
THING FOR ME,

AND YOU ALREADY KNOW THAT.

I'M NOT GONNA BEG NOBODY
TO DO NOTHING.

YOU SEEM LIKE YOU'RE MAKING IT
GO SOMEWHERE ELSE, THOUGH.

YOU REACT A CERTAIN WAY,
SHE REACTS A CERTAIN WAY,

I REACT A CERTAIN WAY.

HOW WE ALL GONNA
MAKE SOMETHING WORK

IF SHE'S SHUTTING DOWN
ABOUT WHAT I SAY?

'CAUSE Y'ALL WON'T LISTEN TO MY
REASON WHY I DIDN'T WANT TO GO.

YOU DIDN'T HAVE A REASON.
YOU JUST SAID NO.

I DID HAVE A REASON.OKAY, OKAY.

BUT YOU JUST SAID NO
IN THE BEGINNING.

IT WAS
A SPLIT-SECOND FEELING.

DON'T TRY TO HAVE ME FEELING
SOME TYPE OF WAY,

MAKING IT LIKE I'M THE BAD
PERSON BECAUSE YOU SHUT DOWN,

AND WHEN YOU SHUT DOWN,
IT'S "F EVERYBODY."

Brandie: [ CHUCKLES ]

YEAH, I'M MAD BECAUSE

IT SEEMS LIKE Y'ALL DON'T
APPRECIATE A [BLEEP], EITHER,

YOU KNOW WHAT I'M SAYING?

YOU'RE SITTING HERE
JUST TAKING HER SIDE.

I'M TAKING HER SIDE?

THIS IS THE STUFF
THAT WE GO THROUGH!

Y'ALL GOING THROUGH
WHAT Y'ALL GOING THROUGH,

BUT, I MEAN, I GOT MY OWN
[BLEEP] I GO THROUGH, TOO.

NOBODY'S SAYING YOU DON'T.

AND I STILL GONNA DO
FOR Y'ALL.

I DO IT 'CAUSE I LOVE Y'ALL.
YOU KNOW WHAT I'M SAYING?

BUT IF YOU AIN'T APPRECIATE
NOTHING,

THEN THERE'S ONLY SO MUCH
SOMEBODY CAN DO

BECAUSE I GOT A LIFE
JUST LIKE YOU GOT A LIFE.

PERIOD, POINT BLANK.

BUT I'M THE ONE
THAT'S BEEN HERE.

YEAH, YOU BEEN
GOT TO CATCH MY SLACK, TOO,

YOU KNOW WHAT I'M SAYING?

BUT NOT LIKE I BEEN HERE
GOT TO CATCH YOURS.

-WHAT SLACK YOU [BLEEP] CATCH?
-YOU SEE WHAT I'M SAYING?

YOU DON'T APPRECIATE
A [BLEEP] THING.

'CAUSE YOU CAN TELL ME [BLEEP],
BUT I CAN'T TELL YOU [BLEEP].

THIS [BLEEP]
JUST STARTING!

IT'S NOT GONNA BE
AN EASY ROAD.

I KNOW. YOU ACT LIKE YOU FINE.
AIN'T NOTHING WRONG WITH YOU.

YOU DON'T NEED
NONE OF THIS HELP.

DID I SAY --YOU ALWAYS SAYING THAT!

THE ONLY REASON YOU HERE
IS FOR US.

THAT'S WHAT YOU SAY.
"I DON'T NEED THIS [BLEEP]!

I CAN LOSE WEIGHT ON MY OWN!"

[ BLEEP ]

WELL, WHY YOU
AIN'T LOST IT YET?

GET OUT OF HERE.

[ BLEEP ]
ROSHANDA, LOOK, MAN.

LOOK.

IT'S ON YOU.
YOU MADE YOUR OWN BED.

NO, YOU MADE YOURS.NO, I DON'T GIVE A...

Clarence: IT'S ALWAYS Y'ALL TWO.
YOU KNOW WHAT I'M SAYING?

WHY IS IT ME AGAINST Y'ALL?IT'S NOT EVEN LIKE THAT.

YOU NOT [BLEEP] SEEING
THE WHOLE PICTURE, THOUGH.

HOW IN THE HELL I AIN'T SEEING
THE WHOLE PICTURE?

YEAH, I'M BIG, FAT,
AND I'M JUST LIKE Y'ALL.

I'M HEADED DOWN THE SAME [BLEEP]
PATH, BUT I AIN'T THERE YET.

I CAN STILL TAKE CARE
OF MY [BLEEP] SELF!

AND GUESS WHAT?

I'M GONNA DO THE [BLEEP]
I NEED TO DO.

IF YOU DON'T WANT TO BE HERE,
SO WHY BE HERE?

THIS AIN'T THE FIRST TIME
YOU'VE DONE THIS, MAN.

I ALWAYS GOT TO BE THE ONE
TO COME APOLOGIZE TO YOU.

-BLAME YOURSELF. DON'T BLAME --
-YOU GONNA SIT THERE AND CRY.

DON'T BLAME NOTHING ON ME.
BLAME YOURSELF.

I AIN'T GOT NOTHING TO BLAME
MYSELF FOR!

-WE'LL SEE.
-ALL RIGHT, THEN YEAH.

MAN, I AIN'T GOT TIME
TO DEAL WITH THIS, MAN.

♪♪

[ CRYING ]

Brandie: YOU LEAVING,
THAT'S HURTING ME, TOO.

YOU TELL HER TO SPEAK HER MIND,
BUT NOW SHE'S SPEAKING HER MIND,

YOU DON'T WANT HER
TO SAY [BLEEP]?

CLARENCE, YOU STARTED
SOMETHING UP IN THERE.

[ ROSHANDA WAILS, SOBS ]

YOU CAN FEEL HOW YOU FEEL,

BUT YOU AIN'T
GOT TO QUIT THIS [BLEEP].

NO, YOU SAY YOU'RE DONE
WITH THIS [BLEEP].

ARE YOU DONE WITH US? 'CAUSE IF
YOU'RE DONE WITH THAT...

[ CRYING ]

[ WHIMPERS ]

WELL, GO MAKE IT, [BLEEP]!

GO MAKE IT WITHOUT US

'CAUSE YOU AIN'T GOT
NO MORE FROM ME, THOUGH.

[ ENGINE STARTS ]

♪♪

♪♪

Brandie:
AFTER EVERYONE CALMED DOWN SOME,

CLARENCE APOLOGIZED
FOR HOW HE ACTED,

AND WE ALL DID
FOR THE STUFF WE SAID.

IT'S JUST HARD FOR US BECAUSE
WE KNOW HOW BADLY WE NEED HELP,

AND IT'S DISAPPOINTING

THAT WE HAVE TO GO TO
ANOTHER CITY TO TRY AND FIND IT.

WE ALL WANT TO GET BETTER
AND LOSE THE WEIGHT

'CAUSE WE ALL STILL
HAVE A LOT OF HOPES AND DREAMS

AND THINGS WE WANT TO DO,

AND MY BIG DREAM
IS TO BE A PERFORMER ONE DAY,

BUT I'VE NEVER
BEEN ABLE TO GET ON STAGE

BECAUSE I'VE ALWAYS
BEEN SO BIG

THAT I COULDN'T
STAND THERE LONG.

♪ 'CAUSE I'M STILL HERE ♪

♪ YEAH, I'M STILL ALIVE ♪

♪ I GOT TO MAKE ENDS MEET ♪

♪ JUST TRYING TO SURVIVE ♪

♪ WITH SO MUCH AGAINST ME ♪

♪ YEAH, WITH SO MUCH
AGAINST ME ♪

I'VE NEVER GIVEN UP
ON LOSING THE WEIGHT

AND BEING ABLE TO DO THAT
SOMEDAY.

BUT I CAN'T DO THAT
ON MY OWN.

NONE OF US CAN.

SO, WE ALL AGREE
THAT WE HAVE TO TRY,

AND IF OUR ONLY OPTIONS

ARE EITHER IN NEW ORLEANS
OR HOUSTON,

THEN THAT'S
WHERE WE HAVE TO GO.

♪ I DON'T WANT TO CRY♪

♪ I'M SO TIRED
OF ALL THESE TEARS♪

♪ I'M STILL HERE♪

♪ YEAH, I'M STILL ALIVE♪

♪ I GOT TO
MAKE ENDS MEET♪

♪ JUST TRYING TO SURVIVE♪

♪ WITH SO MUCH AGAINST ME♪

♪♪

Clarence: I FEEL BAD FOR
LOSING MY COOL WITH MY SISTERS.

THERE'S JUST A LOT OF PRESSURE

KNOWING THAT THEY HAVE TO
DEPEND SO MUCH ON ME,

AND IF THEY GET THIS HELP,
THEY MAY HAVE TO MOVE,

AND THAT WOULD MEAN
THAT I WOULD HAVE TO GO, TOO.

BUT WITH OUR FATHER
BACK IN OUR LIFE,

HE'S BEEN NEEDING SOMEONE
TO TAKE CARE OF HIM

BECAUSE HE'S BEEN
GETTING ALONG IN HIS YEARS,

AND HIS HEALTH'S
STARTING TO DECLINE, TOO.

PLUS, I HAVE TO WORK,
AND MY JOB IS HERE.

BUT I APOLOGIZED TO THEM,

AND I AGREED TO TAKE THEM
TO THE DOCTOR IN HOUSTON

AND SEE WHAT HE HAS TO SAY.

Brandie: WHEN COMPARING
FACILITIES AND DOCTORS,

WE THINK THE OPTIONS IN HOUSTON
WITH DR. NOWZARADAN

ARE THE BEST CHANCE
TO GET HELP IF WE CAN,

AND HOPEFULLY
WE'RE RIGHT ABOUT THAT.

WE HAVE AN APPOINTMENT
SET FOR TOMORROW.

SO, WE'RE PACKING TO GO DOWN
THERE AND MEET DR. NOW

AND SEE
IF HE'S WILLING TO HELP US.

Roshanda: THE REASON
WE'VE BEEN LOOKING SO HARD

TO FIND A DOCTOR HERE
IN LAFAYETTE

IS MOSTLY BECAUSE I'M TOO BIG
TO TRAVEL VERY FAR.

SO, I DON'T EVEN KNOW
IF I CAN DO THIS

OR IF I'M GONNA
EVEN MAKE IT...

YEAH.

...AND I DON'T WANT TO RUIN THIS
FOR EVERYONE.

Clarence:
I KNOW I'M PRETTY NERVOUS

THAT WE'RE ABOUT TO TAKE
THIS LONG DRIVE TO HOUSTON.

THREE HOURS AT THE MINIMUM IS
A LONG TIME TO STAY IN THE CAR.

I'M JUST GONNA BE POSITIVE AND
TAKE IT AS IT COMES, YOU KNOW?

Roshanda: CLARENCE'S IDEA
IS THAT WE HALFWAY TODAY

AND STOP OFF AT A HOTEL,

AND THEN WE FINISH
THE REST OF THE TRIP TOMORROW.

SO, I JUST HAVE TO MAKE IT
FOR AN HOUR AND A HALF,

BUT THAT'S STILL
GONNA BE A LOT.

♪♪

♪♪

I'M IN SO MUCH PAIN RIGHT NOW.
I HAVE TO GET OUT.

IT'S TOO MUCH.

Clarence: THIS WAS MY BIG FEAR
FOR ROSHANDA,

THAT SHE WOULDN'T BE ABLE TO
MAKE IT ALL THE WAY TO HOUSTON.

BUT WE'RE ALREADY
AN HOUR DOWN THE ROAD,

SO THERE'S
NO TURNING BACK NOW.

Roshanda:
I NEED YOU TO STOP.

I -- I NEED
TO GET OUT OF HERE.

WE'RE JUST ABOUT HERE.

ALL RIGHT, LET'S GET YOU OUT
AND INTO A BED SO YOU CAN REST.

Roshanda:
THIS HAS ALREADY BEEN SO MUCH
MORE PAINFUL THAN I THOUGHT.

♪♪

AND I JUST NEED TO LIE DOWN.

♪♪

I'M IN A LOT OF PAIN,
AND MY BODY'S SHAKING,

AND I FEEL LIKE
I'M GONNA PASS OUT,

SO I JUST WANT TO GET IN
AND GO TO SLEEP.

AND HOPEFULLY IN THE MORNING,
I'LL FEEL BETTER.

♪♪

♪♪

Clarence:
BRANDIE TOLD ME THAT ROSHANDA
GOT REALLY BAD LAST NIGHT,

BUT SHE DIDN'T TELL ANY OF US.

SO, I'M WORRIED
WHETHER SHE CAN DO THIS AGAIN.

Clarence:
YOU DIDN'T TELL US HOW BAD
YOU WERE REALLY FEELING.

BUT WHAT IS HURTING NOW?

MY KNEES,
THE SIDE OF MY LEGS,

BUT MY MAIN PROBLEM --
THAT WAS NOTHING.

MY MAIN PROBLEM I WAS
CONCERNED ABOUT LAST NIGHT

WAS I WAS HAVING TROUBLE
BREATHING LAYING DOWN.

I WANTED TO CALL 911
LAST NIGHT.

I WANTED TO CALL.

SHOULD'VE SAID SOMETHING.

THAT WAS
THE WORST RIDE EVER.

THAT WAS
VERY UNCOMFORTABLE.

YOU THINK
YOU CAN DO THIS?

I JUST HAVE TO DO
WHAT I'VE ALREADY DONE,

AND THEN I'LL BE SOMEWHERE
WHERE I CAN GET HELP.

THEN WE CAN LOAD UP.

Roshanda:
I JUST HAVE TO FIND THE STRENGTH
TO MAKE IT THE LAST BIT,

AND I HAVE NO CHOICE.

LET'S GO, TEETY.
IT'S TIME TO GO.

IT'S THE SAME AMOUNT OF TIME
THERE AS IT IS TO GO BACK HOME.

Brandie: I'M REALLY WORRIED
ABOUT ROSHANDA RIGHT NOW.

I KNOW YESTERDAY
WAS HARD ON HER.

AND I'M SCARED
SHE'S PUSHING HERSELF TOO HARD.

SO, I'M PRAYING
THAT SHE CAN HOLD UP

UNTIL WE GET THERE
AND SEE THE DOCTOR.

♪♪

I'VE NEVER SEEN HER STRUGGLE
THIS MUCH, SO IT'S SCARY.

♪♪

Clarence:
WELCOME TO HOUSTON, GUYS.

♪♪

I JUST NEED US TO GET THERE
SO I CAN GET OUT OF THIS CAR.

I JUST HURT SO MUCH
RIGHT NOW.

ROSHANDA, YOU MADE IT.

AND WE'RE FINALLY HERE.

I'M PROUD OF YOU.

Roshanda: I'M REALLY CRAMPING
UP, EVEN MORE THAN YESTERDAY.

BUT NOW THAT WE'RE HERE,
I'M GETTING A LITTLE SCARED

BECAUSE WE ALL KNOW
THIS IS OUR LAST CHANCE...

...AND WHAT
I'M MOST SCARED ABOUT

IS I'M GONNA GET ON THAT SCALE

AND FIND OUT
THAT I'M TOO BIG TO GET HELP.

AND IF THE DOCTOR
CAN'T HELP US,

IT'LL MEAN IT'S ALL OVER.

♪♪

♪♪

Clarence:
WE FINALLY MADE IT HERE
FOR OUR FIRST APPOINTMENT,

AND WE'RE ALL EXTREMELY NERVOUS

BECAUSE NONE OF US
KNOW HOW THIS IS GONNA GO

OR WHETHER THE DOCTOR'S
GONNA BE WILLING TO HELP US.

SO, I'M HOPING
THAT THIS GOES WELL

BECAUSE IF WE CAN'T GET HELP
HERE,

THEN I DON'T THINK OUR OPTION
IN NEW ORLEANS WILL PAN OUT,

EITHER.

SO, THIS IS IT.

PERRIO FAMILY.

AND WE DIDN'T COME ALL THIS WAY

AND PUT ROSHANDA
THROUGH ALL SHE'S BEEN THROUGH

JUST TO HEAR WE'RE BEYOND HELP,

SO I'M EXPECTING
SOME GOOD NEWS TODAY.

582.

[ SIGHS ]

THAT'S A LITTLE HIGHER
THAN I THOUGHT.

I'M SURE I'M STILL SMALLER
THAN BRANDIE AND ROSHANDA,

BUT I GUESS
I'M CATCHING UP TO THEM SOME.

BRANDIE.

Brandie: I WOULD SKIP THIS PART
IF I COULD.

WOULDN'T IT BE NICE
TO SEE IF I WAS I THE 500s?

BUT THAT MAY BE
WISHFUL THINKING.

620.

THAT NUMBER IS EMBARRASSING,

BUT THE ONLY OTHER NUMBER
I'M MORE WORRIED ABOUT

IS ROSHANDA'S WEIGHT.

CLARENCE AND ME
ARE JUST NERVOUS

TO FIND OUT
HOW HIGH IT'S GOTTEN FOR HER

AND IF SHE COULD BE GETTING
CLOSE TO 800 POUNDS.

Roshanda: I REALLY
DON'T WANT TO DO THIS...

...BECAUSE
I THINK OUT OF ALL OF US,

I'M THE MOST LIKELY TO BE SO BIG
THAT THE DOCTOR CAN'T HELP ME.

803.

DAMN.

THAT'S WHAT I WAS AFRAID OF.

I DON'T KNOW WHAT TO SAY.

♪♪

IT FEELS LIKE A MISTAKE.

♪♪

I DON'T SEE HOW MY WEIGHT
CAN BE THAT HIGH.

OKAY, YOU GUYS CAN GO AHEAD
AND FOLLOW ME,

AND WE'LL HEAD
TO THE ROOM.

I'M REALLY SCARED NOW
THAT THE DOCTOR CAN'T HELP ME...

...AND THAT THE ONLY OPTION
HE'S GONNA HAVE FOR ME

IS TELL ME TO LOSE WEIGHT.

BUT I NEED SOMEONE
TO HELP SAVE ME FROM MYSELF.

HELLO.

-HI.
-GOOD AFTERNOON.

HOW Y'ALL DOING?

HOW WE DOING TODAY?

ALL RIGHT, I'M DR. NOWZARADAN,
AND YOU ARE?

BRANDIE.BRANDIE, NICE TO MEET YOU.

I'M CLARENCE.
NICE TO MEET YOU.

CLARENCE.

ROSHANDA.

ROSHANDA, NICE TO MEET YOU.SAME TO YOU.

ARE YOU ALL COMING
FROM LOUISIANA?

-YES, SIR.
-YES, SIR.

WELL, THEN WELCOME TO
THE GREAT STATE OF TEXAS.

-THANK YOU.
-ALL RIGHT,

SO YOU'RE SIBLINGS LOOKING
TO LOSE WEIGHT TOGETHER?

-YES, SIR.
-YES, SIR.

BECAUSE ROSHANDA,
YOU ARE 803 POUNDS?

YES.
THAT'S WHAT THE SCALE SAYS.

CLARENCE,
YOU ARE 582 POUNDS.

YES, SIR.

AND BRANDIE IS...
620, HUH?

SO, ALL TOGETHER AS A FAMILY,
YOU ALL WEIGH OVER A TON.

OH, WOW.

[ ROSHANDA AND CLARENCE
CHUCKLE ]

SO, AS A FAMILY,

YOU HAVE CLEARLY
GOTTEN TO A CRITICAL POINT

WITH THE STATE OF YOUR HEALTH
WHERE THE REALITY IS,

NONE OF YOU ARE GOING TO
SURVIVE MUCH LONGER

IF THINGS DON'T
DRASTICALLY CHANGE VERY SOON.

AND THE FACT THAT YOU ALL HAVE
BEEN ENABLING EACH OTHER

MAKES THE SITUATION
EVEN WORSE

BECAUSE YOU ALL
USED EACH OTHER

AS AN EXCUSE TO OVEREAT
AND FEED EACH OTHER.

IS THAT ABOUT RIGHT?

WE COME FROM A BIG FAMILY.

LIKE, ALL OUR FAMILY MEMBERS
ARE ON THE HEAVY SIDE.

MY DAD IS ON THE HEAVY SIDE,
MY MOM WAS ON THE HEAVY SIDE.

SO, EVERYBODY IN FAMILY
IS OVERWEIGHT?

ESPECIALLY
ON MY MOM'S SIDE.

IT'S MOSTLY FROM
MY MOMMA'S SIDE.

OKAY. HERE'S AN ISSUE THAT WE
NEED TO GET YOU TO UNDERSTAND.

THE REASON YOU ARE THE SIZE YOU
ALL ARE IS BECAUSE YOU OVEREAT.

THAT'S THE PRIMARY ISSUE.

YES, SIR.

SO, WE NEED TO GET A HANDLE
ON EATING HABITS FIRST.

SO, I'M GOING TO
PUT ALL OF YOU

ONTO A 2100-CALORIE
HIGH-PROTEIN LOW-CARB DIET.

AND I'M GONNA GIVE YOU SOME
STUFF TO READ,

AND WE'RE GONNA LOOK AT IT
EVERY DAY.

WE'RE GONNA FOCUS
ON THREE THINGS

THAT CONTROL
YOUR EATING HABITS.

ONE IS YOUR FREQUENCY
OF FEEDING.

WE WANT TO GET THAT TO
TWO OR THREE TIMES A DAY

WITH NO SNACK IN BETWEEN,
OKAY?

YEAH.

THEN, WE'RE GONNA FOCUS
ON THE SIZE OF PORTION

OF FOOD WE'RE EATING.

WE'RE GONNA
ADJUST THE AMOUNT

TO ALMOST GETTING CLOSE
TO 400 CALORIES PER MEAL.

AND THE THIRD THING
IS TYPE OF FOOD.

I'M GONNA GIVE YOU A LIST OF
FOOD THAT WE NEED TO AVOID,

AND THOSE ARE THE FOOD
THAT WE NEED TO

START ELIMINATING
FROM YOUR DIET.

AND THAT'S LIKELY
GOING TO BE THE HARDEST PART.

SO, WHEN DO WE HAVE TO
START THIS NEW DIET?

WELL, I DON'T WANT YOU TO LOOK
AT IT AS A FORM OF A DIET, OKAY?

BECAUSE DIET
IS A TEMPORARY EFFORT

TO CHANGE TO HELP
YOU LOSE SOME WEIGHT.

-YES, SIR.
-BUT THIS IS SOMETHING THAT

YOU'RE GONNA HAVE FROM HERE
TO END OF YOUR LIFE.

THIS IS NOT A DIET.
THIS IS JUST EATING PROPERLY.

MM-HMM.

BUT IF YOU DO THIS,
YOU SHOULD HAVE NO PROBLEM

HITTING THE WEIGHT-LOSS GOAL
YOU NEED.

BRANDIE, YOUR GOAL
IS TO LOSE 100 POUNDS

OVER NEXT THREE MONTHS.

OKAY?
-YEAH.

AND YOU, CLARENCE,
I WANT YOU TO LOSE 80 POUNDS

OVER NEXT THREE MONTHS.
-YES, SIR.

AND, ROSHANDA, I NEED YOU
TO LOSE 120 POUNDS

OVER THE TIMEFRAME.

I'M ALSO GOING TO GIVE YOU
SOME BASIC EXERCISES

I WANT ALL OF YOU
TO START DOING.

BUT I KNOW THIS IS GOING TO HAVE
TO BE A LITTLE BIT OF A PROCESS

FOR YOU ALL TO ADAPT

SO YOU'RE GETTING
EXTRA HELP FROM ME

BECAUSE I KNOW HOW HARD IT IS
GOING TO BE AS A FAMILY,

BUT YOU ALL NEED TO UNDERSTAND
HOW IMPORTANT IT IS

THAT YOU ALL DO THIS NOW.
-MM-HMM.

BECAUSE BETWEEN YOU THREE,

IT IS ONLY MATTER OF TIME

BEFORE ONE OF YOU IS NOT GOING
TO BE ABLE TO GO ON

AND YOUR BODY JUST GIVES OUT
AND YOU WON'T MAKE IT,

ESPECIALLY YOU, ROSHANDA.

NOT VERY MANY PEOPLE IN THIS
PLANET MAKE IT TO 800 POUNDS

AND SURVIVE FOR TOO LONG.

HOW MUCH LONGER DO YOU THINK
YOU CAN GO LIKE THIS?

NOT LONG.
EVERY DAY I GO TO SLEEP

WONDERING IF I'M GONNA WAKE UP
THE NEXT DAY.

OKAY, SO WE'RE GOING TO
GET SOME BLOOD WORK

AND MAKE SURE NONE OF YOU HAVE
ANY LIFE-ENDING ISSUE CURRENTLY.

BUT, ROSHANDA, I THINK WE NEED
TO DO MORE THOROUGH EXAM ON YOU.

SO, I'M GOING TO GO AHEAD

AND SEND YOU TO CHECK IN
THE HOSPITAL, OKAY?

YES.

IF EVERYTHING LOOKS OKAY,
THEN I WILL SEND YOU HOME.

BUT WE NEED TO MAKE SURE.

AND FOR YOU TWO,

LET ME DO A LITTLE CHECK
AND SEE HOW THINGS ARE.

TAKE A DEEP BREATH.

AND I'M GONNA LISTEN
TO YOUR LUNG IN THE BACK.

TAKE A DEEP BREATH.

OKAY.

CLARENCE, YOU SEEM FINE
AT THE MOMENT

ASIDE FROM THE IMPENDING ISSUES
WE DISCUSSED.

BUT, BRANDIE, I'M CONCERNED
ABOUT HOW YOUR LUNGS SOUND,

SO I WANT TO CHECK YOU
IN THE HOSPITAL, AS WELL,

TO RUN SOME
TEST ON YOU, TOO.

OKAY?
-OKAY.

ALL RIGHT, I'LL SEE YOU ALL
IN THE HOSPITAL.

OKAY, ONCE THE TESTS ARE DONE,
BRANDIE MAY BE OKAY,

ROSHANDA MAY BE A LITTLE WORSE
OFF OR VICE VERSA,

IS THERE A CHANCE THAT BRANDIE
WILL GET OUT OF THE HOSPITAL

BEFORE I LEAVE
TO GO BACK HOME?

WELL, IT ALL DEPENDS ON WHAT
WE FIND WHEN THEY'RE TESTING.

-RIGHT.
-BUT IF YOU HAVE TO GO BACK...

OH, YES. I HAVE TO
BE BACK HOME

BECAUSE I HAVE TO
GO CHECK ON MY DAD.

YEAH, AS SOON AS
WE CAN RELEASE THEM, WE WILL.

WORST COMES TO WORST,
YOU CAN GO BACK ON YOUR OWN

AND WE'LL KEEP THEM HERE

UNTIL YOU'RE READY
TO COME PICK THEM UP.

-OKAY.
-BUT IF WE MOVE AHEAD

WITH WEIGHT-LOSS SURGERY --
WHAT YOU WANT --

THEN ALL OF YOU WILL
NEED TO MOVE TO HOUSTON,

SO YOU WILL NEED TO START
TO ARRANGE THAT, OKAY?

-YES, SIR.
-OKAY. ALL RIGHT.

SEE YOU ALL
AT THE HOSPITAL.

THE PERRIO FAMILY IS CLEARLY
A FAMILY IN CRISIS RIGHT NOW,

AND GOING FROM
A DYSFUNCTIONAL DYNAMIC

BETWEEN TWO PEOPLE
AND A THIRD PERSON

TAKES IT TO A LEVEL

THAT IS GOING TO BE
EXTREMELY DIFFICULT TO ADDRESS.

BUT THEY, UNFORTUNATELY,
DON'T HAVE A LOT OF TIME.

ROSHANDA
IS MY BIGGEST CONCERN,

BUT I'M ALSO
EXTREMELY WORRIED ABOUT BRANDIE

AFTER HEARING HER HEART
AND LUNG.

SO, THE PRIORITY
IS MAKING SURE

THAT THEY CURRENTLY
AREN'T FACING ANY ISSUES

THAT WILL LEAD
TO THEIR BODY GIVING UP

IN THE NEXT FEW MONTHS.

Roshanda:
I'M REALLY RELIEVED THAT
DR. NOW IS STILL GONNA HELP ME,

BUT AT THE SAME TIME,

TO HAVE TO LOSE ALL THE WEIGHT
IS A BIG CHALLENGE.

IT'S NOT
A 200-300 POUND CHALLENGE

LIKE THE OTHER DOCTORS
WE'VE SEEN,

BUT IT'S STILL A LOT.

SO, I'M REALLY HOPING
I CAN DO IT.

Brandie:
I'M SO HAPPY THAT ALL OF US
HAS THIS CHANCE TO GET HELP,

BUT IT WAS A LITTLE CONCERNING

THAT THE DOCTOR WANTED ME
TO GO TO THE HOSPITAL.

SO, I'M REALLY HOPING THAT
THERE'S NOTHING WRONG WITH ME

OR ROSHANDA.

♪♪

♪♪

Dr. Nowzaradan:
AFTER THE APPOINTMENT YESTERDAY,

I ADMITTED ROSHANDA
AND BRANDIE TO THE HOSPITAL

AND WE HAVE BEEN
RUNNING TESTS ON THEM

TO SEE HOW THEY'RE DOING
AND WHAT THEIR CONDITION IS.

BUT THE RESULTS SO FAR
HAVE ME A LITTLE CONCERNED,

SO I'M GOING TO KEEP THEM
FOR AT LEAST ANOTHER WEEK,

AND IF WE FIND
ANYTHING CONCERNING,

THEN WE'LL HAVE TO
KEEP THEM HERE LONGER.

♪♪

BOTH OF THEM ARE PHYSICALLY
IN VERY BAD SHAPE

AND I'M ACTUALLY MORE CONCERNED
ABOUT BRANDIE RIGHT NOW

BECAUSE EVEN THOUGH
SHE'S THE SMALLER ONE,

HER BODY IS LOOKING TO BE
FAR WORSE OFF THAN ROSHANDA'S.

SHE HAS SOME HEART ISSUES,
DIABETES, AND ASTHMA,

AND RIGHT NOW, SHE'S THE CLOSEST
TO HER BODY GIVING UP.

THEIR BROTHER CLARENCE
WENT BACK TO LOUISIANA

AND HE PLANNED TO COME AND
GET THEM WHEN WE RELEASE THEM.

BUT HOPEFULLY NEITHER OF THEM
HAVE ANY SIGNIFICANT ISSUES

RIGHT NOW

BECAUSE IF THEY DO,
AND IT'S BAD ENOUGH,

IT IS POSSIBLE THEY MAY
ALREADY BE TOO FAR GONE

FOR US
TO BE ABLE TO DO ANYTHING

AND THEY WON'T SURVIVE
MUCH LONGER.

♪♪

♪♪

♪♪

♪♪

♪♪

♪♪

Brandie:
WE'RE GLAD THEY CHECKED US OUT
AND MADE SURE WE'RE DOING OKAY,

BUT IT WAS REALLY SCARY AT FIRST
WITH HOW WORRIED EVERYONE WAS.

AND BEING ON A DIET HERE
HAS BEEN HARD,

SO WE'RE GLAD TO BE ABLE
TO GO HOME TODAY.

I'M READY TO GO.

I AIN'T LIKE THE FOOD
AT ALL.

IT WAS EDIBLE, BUT IT WASN'T
NOTHING TO BRAG ABOUT.

A FEW OF THE VEGGIES
I AIN'T NEVER ATE BEFORE.

IT WAS, LIKE, MY FIRST TIME
TASTING IT.

SO, I GUESS IT WAS
1,200 CALORIES?

1,200 CALORIES A DAY
WASN'T -- IT WASN'T TOO BAD.

LIKE, I WASN'T REALLY WAKING UP
HUNGRY AND STUFF LIKE THAT.

I WAS, I GUESS, FULL OFF IT,

AND I DON'T KNOW IF
THAT'S BECAUSE I AIN'T HAD

NOTHING ELSE TO EAT,
I AIN'T HAD NO CHOICE.

BUT AT HOME,
I'MA HAVE A CHOICE.

WHEN WE GO HOME,
IT'S GONNA BE EVEN HARDER.

IT'S GONNA BE ON US TO TRY
TO MAKE THE MEALS UP

AND STUFF LIKE THAT, SO...

WE NEED A GAME PLAN.

♪♪

Roshanda: I'M HOPING WE
HAVE OTHER WAYS OF EATING

SOME OF THE THINGS WE LIKE

AND STILL STICKING
TO 1,200 CALORIES.

BUT CLARENCE SHOULD BE HERE
SOON TO PICK US UP,

AND THEN DR. NOW IS SUPPOSED
TO COME DISCHARGE US.

♪♪

Clarence: BEING AWAY FROM
MY SISTERS FOR TWO WEEKS,

I DIDN'T REALIZE THAT I MISS
THEM SO MUCH, BUT I REALLY DO.

I'M JUST HAPPY THAT THEY'RE
TAKING THE FIRST STEP

TOWARD GOING THE HEALTHY ROUTE

BECAUSE SOME DAYS,
I DID THINK ABOUT,

"WHAT IF WE WAKE UP
AND ONE OF US ARE GONE?"

-OOH, SMELL GOOD IN HERE.
-HEY!

-DAMN!
-BOY, I FEEL LIKE IT BEEN...

-FOREVER.
-IT'S BEEN A LITTLE MINUTE, HUH?

FOR REAL.

SMELL GOOD IN HERE,
DON'T TASTE GOOD IN HERE.

NO? WHAT Y'ALL EATING?

Roshanda:
SOME GINGER CHICKEN.

TASTE LIKE GINGER?

NO, I'M EATING
SOME DRY CHICKEN.

I'M GETTING TIRED
OF SEEING FOOD ON TV

AND SEEING PEOPLE
POST FOOD I CAN'T HAVE.

-GET USED TO IT.
-I KNOW.

♪♪

HELLO.

-HEY.
-HELLO.

-HOW Y'ALL DOING?
-ALL RIGHT.

ALL RIGHT, SO I SEE
YOU RIDE IS HERE.

YES, SIR.

SO, WE'RE SENDING YOU TWO HOME
TODAY NOW THAT WE HAVE MADE SURE

THAT YOU TWO ARE HEALTHY ENOUGH

AND WITH BOTH YOUR WEIGHT GOING
IN THE RIGHT DIRECTION NOW.

HOPEFULLY CLARENCE
IS DOING THE SAME.

CLARENCE, HOW ARE YOU
DOING SINCE YOU LEFT?

HOW IS YOUR EATING HABIT COMING?

I'VE BEEN MEAL PREPPING
THE WHOLE WEEK.

UH-HUH.

AND I HAVEN'T TOUCHED
A CARBONATED DRINK

OR ANYTHING WITH SUGAR IN IT
SINCE I LEFT HERE.

SO, I THINK I GOT
A GOOD START.

THAT'S GREAT. MAKE SURE
Y'ALL STICK WITH THE DIET.

-YES, SIR.
-AND START MORE EXERCISE.

OKAY.

BECAUSE IT'S TIME FOR YOU THREE
TO WORK TOGETHER

AND TO SHOW ME
THAT YOU CAN DO THIS.

BUT WE'LL CHECK YOUR WEIGHT NOW

AND SEE WHAT PROGRESS
YOU MADE SO FAR.

-OKAY?
-OKAY.

WELL, LET'S START
WITH YOU, CLARENCE,

AND SEE WHAT
YOUR WEIGHT IS AT.

OKAY.

ALL RIGHT.

♪♪

♪♪

SO, YOU'RE AT 577.

SO, YOU ONLY LOST
5 POUNDS, HUH?

WELL, THAT'S NOT A LOT.

SO, YOU'RE GOING TO
NEED TO WORK HARDER.

LET'S SEE HOW
YOUR SISTERS ARE DOING.

OOH, LORD.

ALL RIGHT, BRANDIE,
YOU'RE NEXT.

[ CHUCKLES ]

♪♪

♪♪

ALL RIGHT,
YOU ARE DOWN TO 589.

THAT'S 31 POUNDS
IN TWO WEEKS.

THAT'S EXCELLENT.
AND YOU'RE BELOW 600 NOW.

-GO BRANDIE.
-GOOD.

THAT'S A VERY GOOD START.

ALL RIGHT.

OKAY, ROSHANDA,
NOW IT'S YOUR TURN.

DO I HAVE TO?

Clarence: DRUM ROLL PLEASE.

IN THE LONG RUN, YOU'RE GOING
TO LOSE MORE THAN ALL OF US.

♪♪

♪♪

765. THAT'S A WEIGHT LOSS
OF 38 POUNDS.

SO, YOU'RE DOING GREAT,
AND WE HAVE YOU IN THE 700s.

SO, YOU AND BRANDIE
ARE DOING WELL

AND GOING IN
THE RIGHT DIRECTION,

BUT THIS WAS ALL ON
A CONTROLLED DIET.

AND GOING HOME, YOU TWO
ARE GOING TO HAVE TO WORK

A LOT HARDER TO DO THIS.

BUT YOU HAVE TO
STICK WITH IT,

AND CLARENCE, YOU HAVE
TO PICK UP THE PACE,

BECAUSE YOUR RATE OF PROGRESS
IS NOT GOING TO CUT IT.

-ALL RIGHT.
-OKAY?

YOU ALL NEED TO UNDERSTAND
HOW IMPORTANT IT IS

TO GET YOUR WEIGHT DOWN
SIGNIFICANTLY

IN THESE NEXT
TWO AND A HALF MONTHS

BECAUSE YOU'RE
RUNNING OUT OF TIME,

AND THIS IS YOUR CHANCE
TO SAVE YOUR LIFE.

AND IF YOU ALL HIT
YOUR WEIGHT-LOSS GOALS

AND ALL YOUR TESTS LOOK GOOD,

THEN WE'LL MOVE AHEAD
WITH WEIGHT-LOSS SURGERY

FOR EACH OF YOU.

SO, RIGHT NOW, YOU ALL
HAVE A LOT OF PROGRESS

TO MAKE, AND IF YOU
HAVE ANY QUESTIONS,

PICK UP THE PHONE
AND CALL US. OKAY?

-YEP.
-YES, SIR. THANK YOU.

-ALL RIGHT.
-THANK YOU.

I'LL SEE YOU ALL SOON.

ROSHANDA AND BRANDIE
HAVE MADE GOOD PROGRESS

THESE PAST COUPLE WEEKS

AND HOPEFULLY THEY KEEP
THE MOMENTUM GOING

AND ENCOURAGE CLARENCE
TO DO MUCH BETTER, TOO,

INSTEAD OF ALL OF THEM GOING
BACK TO ENABLING EACH OTHER,

BECAUSE NONE OF THEM
HAVE ANY TIME TO WASTE.

Roshanda: I'M REALLY EXCITED
TO BE GOING HOME.

CLARENCE SAID HE'S RENTING
A BIGGER VEHICLE

AND IT'LL BE A LOT LESS
PAINFUL FOR ME GOING BACK.

BUT HE HAS WORK TOMORROW,
SO WE'RE GOING TO TRY AND DRIVE

STRAIGHT THROUGH
TO GET HOME TONIGHT

WITHOUT ANY STOP,

AND I'M NOT SURE IF I'M GONNA
BE ABLE TO HANDLE IT.

♪♪

♪♪

♪♪

♪♪

♪♪

IT'S BEEN, LIKE, TWO
AND A HALF HOURS.

SO, WE'RE GETTING THERE.

AND I'M HOLDING UP OKAY, BUT I'M
STILL IN A GOOD AMOUNT OF PAIN.

AND I'M TRYING TO PUSH
AND JUST GET HOME.

AND I THINK I CAN DO IT
IF WE TAKE A BREAK TO EAT.

BUT I DON'T KNOW WHAT
HEALTHY OPTIONS THERE ARE

AT THE FAST FOOD PLACES
WE CAN STOP.

THE DOCTOR HAD A NUTRITIONIST
COME TALK TO US IN THE HOSPITAL

AND SHE EXPLAINED
HOW ALL THE CALORIES

AND STUFF FROM RESTAURANTS
ARE ONLINE

AND WE CAN RESEARCH IT ALL TO
MAKE SURE WE STICK TO THE DIET.

I REALLY NEED TO EAT,

AND WE NEED TO FIND SOMEWHERE
WITH A SALAD OR SOMETHING.

I WAS LOOKING AT THE TACO SALAD,
BUT NOT THE TACO SHELL.

-JUST DON'T EAT THE SHELL.
-SO, I WONDER IF THE SHELL

IS PART OF THE CALORIES.

-PROBABLY.
-IT IS.

THE SHELL IS THE BOWL.

SO, THAT'S PROBABLY WHERE
MOST OF THE CALORIES AT?

-MM-HMM.
-OH, MY GOD.

WHAT'S WRONG?

I NEED TO EAT SOMETHING.

SO, LET'S JUST DO TACO SALADS

BECAUSE THE SHELL HAS TO BE
COUNTED AS PART OF THE CALORIES.

SO, IT'LL BE 700 CALORIES,
AND WE HAVEN'T EATEN MUCH TODAY.

SO, THAT SHOULD BE OKAY.

HELLO, HOW YOU DOING?

UH, WHAT KIND OF SALADS
DO YOU OFFER?

CAN I HAVE TWO STEAKS
AND ONE CHICKEN?

THANK YOU.

HELLO.

WELCOME TO "WHO WANTS
TO DATE A FAT GUY?"

-HUH?
-[ LAUGHS ]

THANK YOU.

♪♪

♪♪

THIS TRIP BACK WASN'T THAT BAD,
BUT I'M STILL REALLY SORE.

AND I'M GLAD WE DON'T HAVE TO
DO THAT AGAIN FOR A WHILE.

BUT I JUST WANT TO GET IN
AND EAT AND GO TO BED.

WANT TO TURN IT SOME MORE?

YOU'RE SLIPPING.

Clarence: PART OF ME IS
IMPRESSED WITH HOW CAREFUL

ROSHANDA WANTS TO BE RIGHT NOW.

BUT I HAVE TO MAKE MY OWN WAY
AND DO THIS FOR MYSELF

WHEN IT COMES TO MY DIET.

-HOW MUCH WAS IT WITH THE SHELL?
-700 AND SOMETHING CALORIES.

BUT THAT WAS WITH THE SHELL,
THE RICE, AND THE SOUR CREAM.

I'M EATING MY SHELL.

Roshanda: FIGURING OUT WHAT
MEALS HAVE IN IT

AND HOW MANY CALORIES THEY ARE,

IT'S A LOT HARDER THAN
I THOUGHT IT WAS GOING TO BE.

SO, WE'LL JUST KEEP TRACK OF
OUR CALORIES AS BEST WE CAN.

BECAUSE WE HAVE TO
LOSE THIS WEIGHT

AND GET WEIGHT-LOSS SURGERY
WHEN WE GO BACK TO SEE DR. NOW.

BECAUSE I KNOW IF WE DON'T,
IT WON'T BE GOOD.

♪♪

♪♪

♪♪

♪♪

Brandie:
WE ALL TALKED AND DECIDED

THAT IT'S TOO RISKY
TO KEEP EATING OUT.

BECAUSE SOME OF THE SITES
ARE CONFUSING

ABOUT HOW MANY CALORIES
ARE IN THE FOOD.

SO, WE CAN'T REALLY TRACK
OUR CALORIES ACCURATELY.

SO, WE'RE GOING TO DO
MEAL PREP FOR THE WEEK,

AND I AGREED TO GO GET ALL
THE FOOD AND DO THE SHOPPING,

AND ROSHANDA'S GONNA PREPARE
AND COOK ALL THE MEALS FOR US.

SO, WE MADE A LIST, AND I'M HERE
TO TRY AND GET EVERYTHING.

BUT THIS IS ALL
A LITTLE NEW FOR ME.

UH...

SO, THIS IS GONNA BE A BIT
OF A LEARNING CURVE FOR ME

TO FIGURE OUT
WHAT'S HEALTHY OR NOT.

BUT AT LEAST I HAVE MY FRIEND
TEE TOT HERE HELPING ME.

THAT'S THE RIGHT WATER?

THAT'S GOOD.

AND TOGETHER, I THINK THAT
WE CAN FIGURE THIS OUT

AND GET THE RIGHT STUFF.

BECAUSE THIS TAKES
SOME LEARNING TO FIGURE OUT

HOW TO GET HEALTHY STUFF.

-I LIKE ASPARAGUS.
-COLLARED GREENS.

Y'ALL DON'T WANT TO TRY
ASPARAGUS?

-THAT'S WHAT THAT IS?
-YEAH.

THAT GO GOOD WITH, LIKE,
CHICKEN OR SHRIMP.

IT'S A GOOD SIDE.

I THINK I'M SUPPOSED TO
STICK TO BASICS RIGHT NOW,

BUT I'MA TRY IT ONE DAY.

I'MA DO IT AND I'MA BRING
YOU SOME TO SEE IF YOU LIKE IT.

YEAH.

I DON'T KNOW HOW TO LOOK
AT THE CABBAGE.

LIKE,
WHICH ONE LOOK BETTER?

I THINK WHATEVER ONE
PRETTY TO ME.

I SHOULD'VE LISTENED
WHEN MY GRANDMOTHER TRIED

TO TEACH ME THAT.

OH, YEAH! IT'S BY HOW
HARD IT IS, I THINK.

[ CHUCKLES ]

BUT THIS IS A LOT OF WORK
TO GO OUT AND DO EVERY WEEK.

SO I JUST HOPE
IT ALL TASTES GOOD.

I'M JUST HOPING IT'S NOT AS BAD
AS THE HOSPITAL FOOD.

-THANK YOU.
-THANK YOU.

ALL RIGHT.

BUT IF ANYONE CAN MAKE THIS
TASTE GOOD, IT'S ROSHANDA.

♪♪

♪♪

♪♪

Roshanda: I'VE BEEN STUDYING
DR. NOW'S DIET

AND WORKING TO LEARN WAYS
TO MAKE HEALTHY MEALS FOR US.

BUT I COULD ONLY USE VERY
SMALL AMOUNTS OF THE STUFF

THAT MAKES IT TASTE GOOD,

AND IT'S A FRACTION
OF WHAT I WOULD NORMALLY USE,

BUT IT'S NOT EASY TO MAKE
SOMETHING THAT TASTES GOOD

AND IS HEALTHY FOR YOU.

BUT I KNOW I'LL GET
BETTER AT IT.

Clarence: ME AND BRANDIE
ARE REALLY THANKFUL THAT

ROSHANDA'S DOING THIS FOR US.

'CAUSE WE KNOW THIS IS GOING
TO HELP US STAY ON THE DIET.

THANK YOU,
THANK YOU.

SO, EVEN IF IT'S NOT
THE MOST FLAVORFUL,

IT'S WHAT WE HAVE TO EAT
AND STICK TO RIGHT NOW.

[ WHISTLES ]

Roshanda: THIS IS A LITTLE
TOUGHER THAN I THOUGHT.

BUT I JUST HOPE ALL THIS
WILL BE ENOUGH FOR US

TO LOSE ALL THE WEIGHT WE NEED.

♪♪

♪♪

Brandie: ME AND ROSHANDA
HAVE BEEN EXERCISING

FOR THE LAST FEW WEEKS.

BUT CLARENCE CAN'T PICK US UP
TO MEET EVERY DAY,

SO WE JUST VIDEO CHAT EACH OTHER

TO MAKE SURE
WE'RE BOTH STICKING TO IT

AND DOING WHAT WE NEED.

-HEY, BIG SEXY.
-HEY, SHON.

IT'S FEELING
A LITTLE BETTER OUTSIDE.

I'M ABOUT TO TRY
TO DO SOME WALKING.

[ CHUCKLES ]
ALL RIGHT.

TOODLES!

I FEEL LIKE WE'RE BOTH
DOING WELL AND I'M FOCUSING ON

WALKING AROUND OUTSIDE AND
SEEING HOW MANY LAPS I CAN DO.

WHEN I STARTED, I COULD DO ONE.

BUT NOW I CAN DO ABOUT 10
BEFORE I START TO GET TOO TIRED.

SO, I'M MAKING PROGRESS, AND
ROSHANDA'S MAKING PROGRESS, TOO.

CLARENCE IS, TOO,
BUT HE'S BEEN REALLY BUSY

BECAUSE HE'S STILL HAVING
TO TAKE CARE OF US.

AND OUR FATHER
IS LIVING WITH HIM,

SO HE HAS A LOT
ON HIS PLATE,

AND HE'S HAVING TO
DO HIS OWN THING.

BUT WE'RE EACH DOING IT
IN OUR OWN WAY

AND MAKING GOOD PROGRESS.

♪♪

♪♪

Roshanda: I DON'T HAVE THE
STAMINA THAT BRANDIE HAS YET,

SO I CAN'T WALK AS MUCH.

SO I'VE BEEN USING A BAND
THAT HELPS ME STRETCH

AND A VARIETY OF ARM LIFTS.

AND IT GIVES ME
A GOOD WORKOUT.

BUT THE HARDEST THINGS ARE
THE SIT-TO-STAND EXERCISES.

THEY'RE PAINFUL,
AND I DON'T LIKE THEM.

BUT I KNOW THIS IS WHAT
I NEED TO DO, SO I AM,

AND I'M NOT
CHEATING ON ANYTHING,

BECAUSE WE'RE A MONTH OUT
FROM SEEING THE DOCTOR.

AND NO DOCTOR I'VE EVER SEEN HAS
GIVEN ME THE CHANCE TO DO THIS.

SO, I KNOW HOW IMPORTANT
IT IS TO ME

BECAUSE I CAN'T AFFORD
TO LOSE THIS OPPORTUNITY.

AND I'M SCARED THAT I IF I
SHOW UP FOR MY APPOINTMENT

AND I HAVEN'T HIT MY GOAL,

THAT'LL MEAN
I'LL LOSE EVERYTHING.

SO, MY WHOLE LIFE IS DEPENDING
ON ME DOING THIS.

♪♪

♪♪

♪♪

WE'RE ON OUR WAY FOR OUR
SECOND APPOINTMENT WITH DR. NOW

AND I'M HOPING
WE ALL DID WELL TODAY.

I KNOW I WORKED MY HARDEST,

SO I'M HOPING THE SCALE
SHOWS THAT TODAY.

♪♪

♪♪

IT JUST NEEDS TO BE ENOUGH

SO I CAN GET APPROVED
FOR WEIGHT-LOSS SURGERY.

BUT IF I DON'T HIT MY GOAL,
IT'S GONNA BE DEVASTATING,

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

♪♪

♪♪

♪♪

Brandie: ALL THREE OF US
ARE IN HOUSTON

FOR OUR FOLLOW-UP APPOINTMENT
WITH DR. NOW

AND WE'RE ALL A LITTLE NERVOUS.

PERRIO FAMILY.

BUT I THINK OVERALL,
WE FEEL CONFIDENT

IN THAT WE'RE GONNA SEE
SOME GOOD RESULTS TODAY.

Clarence:
I'M NOT WORRIED ABOUT ME TODAY.

BECAUSE I FEEL LIKE
I'M DOING WELL.

THE DOC WANTED ME TO LOSE A LOT
TO GET UNDER 502 TODAY

IF I HIT MY GOAL.

SO, I THINK I DID THAT.

♪♪

♪♪

IT'S A LITTLE DISAPPOINTING
BECAUSE I WANTED TO LOSE MORE

BECAUSE I'M NOT SURE WHAT
THE DOCTOR IS GOING TO SAY.

YOU READY?

Brandie:
IT'S THE MOMENT OF TRUTH.

I WAS 620 AT OUR FIRST VISIT,

SO I NEED TO BE AROUND 520

AND HAVE LOST 100 POUNDS
TO HIT DR. NOW'S GOAL.

♪♪

565.

I'M REALLY DISAPPOINTED
I DIDN'T HIT THE DOCTOR'S GOAL.

I JUST HOPE ROSHANDA DID WELL.

Roshanda: I'M EXTREMELY NERVOUS
ABOUT WHAT MY NUMBER

IS GOING TO BE BECAUSE I NEED
TO LOSE AT LEAST 120 POUNDS

TO GET BELOW 683.

♪♪

PBBT! [ CHUCKLES ]

I CAN'T BELIEVE IT.

I DID SO MUCH BETTER
THAN I THOUGHT.

I KNOW I WORKED HARD,

BUT YOU STILL HAVE THAT FEAR

THAT IT'S NOT
GOING TO BE ENOUGH.

THEN TO SEE THAT NUMBER
AND HOW WELL I DID

IS JUST AN INCREDIBLE FEELING.

SO, I REALLY HOPE THIS MEANS
I'M ABOUT TO GET APPROVED

FOR WEIGHT-LOSS SURGERY.

-HELLO.
-HI.

-HOW Y'ALL DOING?
-GOOD EVENING.

-HELLO.
-HOW WE DOING TODAY?

ALL RIGHT. WELL,
IT'S BEEN THREE MONTHS,

SO LET'S SEE WHERE
YOU ALL ARE AT.

AND BRANDIE,
WE'LL START WITH YOU.

OVER THE LAST FEW MONTHS,
YOU LOST 55 POUNDS.

YES.

AND YOUR GOAL WAS TO LOSE
AT LEAST 100 POUNDS.

SO, THAT IS A GOOD BIT
BELOW YOUR GOAL,

ESPECIALLY FOR THE AMOUNT
OF TIME YOU WERE GIVEN,

AND THE FACT WE DID MOST
OF THAT IN THE HOSPITAL

ON A CONTROLLED DIET.

SO, WHAT HAPPENED?

I KNOW I ATE SOME STUFF
I SHOULDN'T, BUT WE STILL

WAS DOING -- FOLLOWING
THE SAME KIND OF --

THE 1,200-CALORIE DIET.

NO, YOU DIDN'T STICK
TO THE DIET.

IF YOU STUCK TO IT, YOU
WOULD HAVE LOST DOUBLE THAT.

SO, THIS IS SOMETHING
THAT WE HAVE TO WORK ON.

ALL RIGHT, CLARENCE,

YOU LOOK TO BE EVEN WORSE
THAN BRANDIE BECAUSE

YOU ONLY LOST 15 POUNDS.

THAT IS ALSO WELL BELOW
YOUR GOAL TO LOSE 80 POUNDS.

SO, WHAT HAPPENED WITH YOU?

MY FIRST COUPLE OF WEEKS
WAS VERY GOOD,

I DID EXACTLY
WHAT YOU SAID TO DO.

THEN IT GOT TOUGH, AND THEN
I KNOW I GOT A LITTLE STRESSED.

I FELT LIKE I WAS TRYING,
AND I THOUGHT I DID BETTER.

WELL, YOU DIDN'T. YOU JUST
KEPT EATING LIKE YOU WANTED.

AND NOW YOU'RE JUST 2 POUNDS
HEAVIER THAN BRANDIE,

SO YOU'RE NO LONGER
THE SMALLEST ONE.

SO, IT'S CLEAR YOU
AREN'T VERY SERIOUS

ABOUT THIS YET
AND ARE NOWHERE NEAR READY

FOR WEIGHT-LOSS SURGERY.

BUT WHAT HAS ME
VERY ENCOURAGED

RIGHT NOW IS YOUR PROGRESS,
ROSHANDA.

YOU LOST 152 POUNDS.

WOW, THAT'S GOOD,
IMPRESSIVE.

I'M GLAD TO SEE ONE OF YOU
TOOK THIS SERIOUSLY.

SO, WHAT DID
YOU DO DIFFERENTLY

THAT YOUR BROTHER
AND SISTER DIDN'T?

Roshanda: I WAS THE ONE WHO
COOKED FOR EVERYONE

AND I ONLY MADE
HEALTHY MEALS.

I DID GROCERY SHOPPING.

OH, YOU DID THE SHOPPING,
AND SHE DID COOKING?

YEAH.

BUT YOU TWO CLEARLY

DIDN'T STICK TO JUST
EATING THOSE MEALS.

ALL RIGHT, ROSHANDA,
YOU HIT YOUR GOAL,

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

AND IF EVERYTHING LOOKS GOOD,

THEN WE'RE GOING TO APPROVE YOU
FOR WEIGHT-LOSS SURGERY.

SO, CONGRATULATIONS.

AND BRANDIE, YOU NEED
TO LOSE 100 POUNDS,

BUT INSTEAD OF THREE MONTHS,
I'M GIVING YOU ONLY TWO.

SAME FOR YOU, CLARENCE.

YOU NEED TO LOSE 80 POUNDS
IN TWO MONTHS,

AND YOU BOTH SHOULD
HAVE NO PROBLEM DOING THIS

IF YOU STICK TO THE DIET.

AND THEN IF ROSHANDA IS GOING
TO GET WEIGHT-LOSS SURGERY

AND YOU ALL PLAN
TO DO THIS TOGETHER,

THEN YOU NEED TO START THE
PROCESS OF MOVING TO HOUSTON.

I'M NOT MOVING.
IT'S GONNA BE IMPOSSIBLE

FOR ME TO MOVE TO HOUSTON.

I GOT STUFF I GOT TO
WORRY ABOUT AT HOME.

MY LIFE DON'T STOP
EVERYWHERE, YOU KNOW?

I STILL GOT TO FIGURE OUT
HOW TO DO WHAT I NEED TO DO

WITH EVERYTHING ELSE
THAT'S ON MY PLATE.

ALL RIGHT, SO I'M NOT SURE
WHAT YOU'RE DOING HERE, THEN,

BECAUSE I EXPLAINED
WHAT THIS ALL WOULD REQUIRE.

WELL, I TOLD YOU I UNDERSTAND.
I KNOW THAT I NEED TO BE HERE.

I JUST GOT TO FIGURE OUT
HOW TO BALANCE

WHAT'S GOING ON
ON MY PLATE.

MY LIFE'S STILL GOT
TO GO ON, YOU KNOW?

OKAY, WELL,
HOW ABOUT YOU TWO?

YOU THINK YOU'RE READY TO BE
HERE IN HOUSTON TO DO THIS?

I MEAN, EVENTUALLY,
THAT'S THE PLAN.

ALL RIGHT, I CAN MAKE
THIS DEAL WITH YOU.

I CAN AGREE TO YOU ALL ONLY
STAYING SIX MONTHS IN HOUSTON

AFTER YOUR SURGERY.

SOUND FAIR?

YEAH.

ROSHANDA, I'LL MEET YOU
IN THE HOSPITAL

SO WE CAN RUN SOME TESTS.

BUT IF Y'ALL DON'T
FIGURE OUT MOVING HERE,

THEN WE'RE NOT GONNA BE
ABLE TO MOVE AHEAD

WITH WEIGHT-LOSS SURGERY
UNTIL YOU ALL DO.

NICE TO SEE YOU,
BRANDIE.

-SAME.
-CLARENCE.

AND NICE TO SEE YOU AGAIN.

I'M REALLY PROUD OF ROSHANDA.

SHE DID VERY WELL,

AND SHE HAS SHOWED ME THAT SHE

IS WILLING TO WORK HARD
AND READY FOR THIS.

BUT HOPEFULLY THEY'LL WORK OUT
WHAT THEY NEED

TO MOVE TO HOUSTON
TO SUPPORT ROSHANDA RIGHT NOW.

SO, THE PERRIOS STILL HAVE
A LOT OF WORK AHEAD OF THEM,

AND I THINK IT'S TIME
THAT I START TO BRING IN

MORE SUPPORT TO HELP THEM.

♪♪

Roshanda:
I'VE WANTED THIS SINCE I WAS 18.

SO, THIS FEELS LIKE
A DREAM COME TRUE.

AND I'M STARTING TO REALLY
BELIEVE I CAN DO THIS.

♪♪

♪♪

♪♪

♪♪

DR. NOW SAYS THERE'S
TOO MUCH STRAIN ON MY HEART

AND MY LUNGS RIGHT NOW
AND THAT I CAN'T HAVE SURGERY

UNTIL I ALLEVIATE THAT BY LOSING
AS MUCH WEIGHT AS POSSIBLE.

SO, I'M REALLY DISAPPOINTED
AND DISCOURAGED RIGHT NOW,

BUT WE STILL PLANNING
ON MOVING TO HOUSTON

BECAUSE BRANDIE AND I
WANT THIS SURGERY.

Brandie: BUT THE FIRST COUPLE
OF WEEKS AFTER WE GOT BACK,

CLARENCE WASN'T INTERESTED
IN MOVING TO HOUSTON.

BUT WE WERE ABLE TO COME UP
WITH A PLAN FOR ME

AND ROSHANDA TO BE ABLE
TO MOVE DOWN.

AND CLARENCE IS GOING TO ADD
TO WHAT HE HAS ON HIS PLATE

TO DO THIS FOR US.

BECAUSE PART OF THE PROBLEM
WITH MOVING US,

IT'S GOING TO TAKE, LIKE,
FOUR OR FIVE DAYS TO GET STUFF

PACKED UP AND DRIVE DOWN
AND THEN GET STUFF IN STORAGE

BECAUSE WE DON'T HAVE
A PLACE YET.

AND ALL THAT'S NOT QUICK.

BUT CLARENCE CAN'T LEAVE
OUR FATHER,

SO HE FIGURES OUR FATHER
CAN COME WITH US

AND WE'LL JUST ALL
DO THIS AS A FAMILY.

WATCH YOUR STEP.

SO, THIS IS GOING
TO BE INTERESTING.

AND I'M EXCITED TO GO,

BUT THE NEGATIVES I THINK
ABOUT MOVING TO HOUSTON

IS NOT KNOWING ANYBODY
OVER THERE WHERE I'M MOVING TO.

BUT THE POSITIVE IS BEING THERE

AND GETTING THE HELP
THAT I NEED.

I MEAN, IT'S ALL GOING TO BE...

IT'S GONNA BE GREAT IN THE END.

OUR WHOLE LIVES HAVE
BEEN HERE IN LAFAYETTE,

AND IT'S NOT EASY JUST
TO PICK UP AND MOVE SOMEWHERE.

SO, IT'S A LITTLE STRESSFUL
RIGHT NOW,

BUT I'M THANKFUL THAT
WE'RE FIGURING IT OUT.

IT'S JUST A LOT OF WORK,
AND IT'S NOT EASY.

LET'S GO.

I'M HOPING THE STRESS OF THIS
MOVE AND EVERYTHING GOING ON

DOESN'T ADD TOO MUCH
FOR ALL THREE OF US.

WE CAN'T LET ANY OF THIS
MESS US UP NOW

BECAUSE IF WE START TO GAIN
OR EVEN MISS OUR GOALS

AND CAN'T GET SURGERY, THEN ALL
THIS WORK IN MOVING TO HOUSTON

WILL END UP BEING
A WASTE AND FOR NOTHING.

♪♪

♪♪

♪♪

Roshanda:
IT'S BEEN A LITTLE ROUGH
MOVING DOWN HERE TO HOUSTON.

WE GOT ALL OUR STUFF MOVED DOWN
AND PUT IN A STORAGE UNIT,

BUT WE STILL DON'T HAVE A PLACE,

SO WE ALL CRAMMED INTO
A HOTEL ROOM TOGETHER.

BUT THE BIGGER PROBLEM IS
WE CAN'T PREPARE OUR MEALS

SINCE I DON'T HAVE A KITCHEN.

SO, WE'RE EATING OUT A LOT.

I'M HUNGRY.
I WANT CHICKEN.

YOU WANT CHICKEN?

-BAKED CHICKEN?
-FRIED CHICKEN.

♪♪

LET ME TRY THE NUMBER 13.

CAN I HAVE TWO GRILLED
CHICKEN SALADS?

I'D LIKE TO TRY
A PRIME RIB CHEESE STEAK.

UH, GIVE ME THE CURLY FRIES.

ALL RIGHT, THANK YOU.

♪♪

-THANK YOU.
-DADDY WANT HIS FOOD, THOUGH.

SO, WE'RE GONNA DO
THE BEST WE CAN.

BUT IT'S STILL HARD
TO FIGURE OUT

HOW MANY CALORIES ARE IN THINGS.

♪♪

SO, I KNOW I'VE BEEN
GIVING IN AT TIMES.

♪♪

IT'S JUST REALLY HARD RIGHT NOW.

SO, I'M MAKING SURE
I DON'T OVERDO IT.

BUT I CAN'T WAIT TILL
WE FIND OUR OWN PLACE

AND GET SETTLED IN.

AND I'M GLAD WE'RE HERE
IN HOUSTON.

♪♪

♪♪

♪♪

Brandie:
WE'RE HEADED TO SEE DR. NOW
AGAIN FOR OUR THIRD APPOINTMENT,

AND I KNOW IT'S BEEN A HARD
COUPLE OF MONTHS ON US ALL.

BUT WE'VE STUCK WITH IT.

SO I'M HOPING OUR HARD
WORK PAYS OFF TODAY.

Roshanda:
WITH THE MOVE AND EVERYTHING,
IT'S BEEN REALLY STRESSFUL.

SO, I'M JUST HOPING I'VE BEEN
ABLE TO STAY ON TRACK.

BUT I'VE BEEN TRYING.

PERRIO FAMILY.

Clarence:
I'M OPTIMISTIC TODAY.

I NEED TO HAVE LOST 80 POUNDS,

AND I'M HOPING TO BE AT MY GOAL,
WHICH IS 487 TODAY.

SO, I WANT TO BE
AT OR BELOW THAT.

♪♪

-BOOM! YEAH!
-WHOO!

I'LL TAKE THAT.

I DID WHAT I NEEDED,
SO I'M HAPPY WITH THAT.

Brandie:
I'M REALLY PROUD OF CLARENCE.

I KNOW THAT WAS A LOT
OF HARD WORK FOR HIM,

ESPECIALLY WITH ALL HE HAS
TO DO AND TAKE CARE OF.

I JUST HOPE I DID THE SAME.

TO HIT MY GOAL,
I NEED TO HAVE LOST 100 POUNDS

TO GET BELOW 465.

♪♪

I'M REALLY EXCITED RIGHT NOW.

IT'S NOT QUITE MY GOAL,
BUT IT'S ALMOST RIGHT THERE,

AND I HOPE DR. NOW SEES
THIS PROGRESS AND KNOW HOW HARD

I'M TRYING AND THAT HE KNOWS I'M
READY TODAY TO GET THIS SURGERY.

♪♪

Roshanda:
I DID SO WELL LAST TIME,

DR. NOW REALLY DIDN'T GIVE ME
A GOAL THIS TIME

OTHER THAN TO LOSE ENOUGH
TO TAKE THE STRAIN

OFF MY HEART AND MY LUNGS.

AND HE SAID THAT'S LIKELY
UNDER 600 POUNDS,

SO I KNOW I JUST NEED TO BE
MOVING IN THAT DIRECTION.

I DON'T BELIEVE THIS [BLEEP]

THAT'S LIFE.

I'M REALLY DISAPPOINTED
IN MYSELF

AND DISCOURAGED RIGHT NOW.

AND I'M SCARED ABOUT HOW
DR. NOW IS GONNA REACT.

I HOPE THIS DOESN'T MESS UP ANY
OF MY CHANCES TO GET SURGERY.

♪♪

♪♪

HELLO.
HOW Y'ALL DOING?

HELLO!

I WANT YOU ALL TO MEET
DR. ETTER.

HE'S ONE OF MY COLLEAGUES,
AND WE'VE BEEN WORKING TOGETHER,

AND HE'S GOING TO ASSIST ME
WITH SOME OF MY SURGERIES

AND WITH YOUR ALL'S CASE.

BECAUSE YOU THREE HAVE
A LONG ROAD AHEAD,

BUT WITH MY CONCERN ABOUT
HOW MUCH WORK WE ALL HAVE TO DO

TO START TO ADDRESS YOUR FAMILY
DYNAMIC IN THE LONG RUN.

YOU EACH ARE GOING TO NEED
A LOT OF ATTENTION,

AND BETWEEN TWO OF US, WE'RE
GONNA STAY AVAILABLE FOR YOU.

SO, YOU'LL HAVE TWO GREAT
DOCTORS WORKING WITH YOU

TO GET YOU
WHERE YOU NEED.

OKAY.

I LOOK FORWARD TO WORKING
WITH DR. NOWZARADAN

TO HELP YOU THREE GET DOWN
TO YOUR TARGET WEIGHTS

AND STAY THERE IN A WAY
THAT WILL MAKE YOU SUCCESSFUL

FOR A LIFETIME.

AND IF YOU WORK WITH ME,
I'LL WORK WITH YOU.

YES, SIR.

SO, I UNDERSTAND THAT YOU TWO
MOVED TO HOUSTON?

-YES.
-YES.

WELL, I'M GLAD THAT YOU WERE
ABLE TO MOVE DOWN HERE,

BUT OBVIOUSLY, I'M CONCERNED
ABOUT THE FACT THAT YOU GAINED

HALF OF THE WEIGHT
YOU LOST, ROSHANDA.

WHAT HAPPENED?

IT WAS HARDER THIS TIME
WITH THE MOVE AND EVERYTHING.

I THINK IT'S ALWAYS GONNA BE
EASIER IN THE BEGINNING,

YOU KNOW?

YOU MISSING THE POINT.

WHAT POINT I'M MISSING?

WHAT HAPPENED?

I SAID THERE WAS SOME UNIQUE
CIRCUMSTANCES, LIKE THE MOVE.

BUT THEY DID BETTER THAN ME
SOMEHOW, SO GOOD JOB!

-I'M NOT FAT LIKE YOU.
-IT DOESN'T MATTER.

I STILL WORKED HARD.

I KNOW YOU PROBABLY
THINK YOU DID,

BUT USING STRESS
TO JUSTIFY THE FACT

THAT YOU DIDN'T STICK
TO THE DIET THIS TIME.

SO, AS SOON AS YOU GET UPSET,
YOU'RE GOING TO GO RIGHT BACK

TO YOUR OLD BEHAVIOR, AND IF YOU
CAN'T FOLLOW THE INSTRUCTIONS,

DON'T YOU THINK SHE'S GOING
TO HAVE A LOT OF PROBLEMS?

NO, IT JUST WON'T WORK
BECAUSE BARIATRIC SURGERY

IS A THREE-PRONGED APPROACH.

BASICALLY, ONE OF
THE PRONGS IS US,

WHICH IS THE SURGERY
AND MEDICATION,

BUT THE OTHER TWO ARE YOU.

THAT MEANS CHANGING
YOUR LIFESTYLE.

-THAT MEANS CHANGING HOW YOU --
-I DID CHANGE MY LIFESTYLE.

YOU'RE GOING TO HAVE TO
CHANGE IT MORE

IF YOU WANT A GOOD RESULT.

ROSHANDA, YOU NEED TO GET
YOUR WEIGHT DOWN BELOW 600,

AND YOU NOW NEED TO LOSE
AT LEAST 170 POUNDS TO DO THAT.

BUT I DON'T UNDERSTAND.
MY THING IS -- I FEEL LIKE

IF I HIT THE GOAL, IF I ALREADY
DID IT, WHY DO IT AGAIN?

WHAT YOU LOST WAS A RESULT
OF TEMPORARY CHANGE.

SO, ROSHANDA, YOU HAVE
TO WORK AND TRY HARDER.

THAT'S YOUR OPTION
IF YOU WANT TO DO THIS.

YOUR HEALTH HAS BEEN
EXTREMELY POOR

AND YOU'RE HIGH RISK
AT YOUR WEIGHT.

SO, EVEN IF THERE IS
ONE ISSUE OF CONCERN,

IT WILL BE ENOUGH TO KILL YOU,
AND WE CAN'T ALLOW FOR THAT.

YOU UNDERSTAND?

OKAY, CLARENCE, I'M HAPPY TO
SEE THAT YOU LOST 83 POUNDS.

THAT IS A BIT OF SURPRISE,

BUT I'M GLAD YOU MADE IT DOWN
TO 484, AND THAT'S EXCELLENT.

SO, I'M APPROVING YOU
FOR WEIGHT-LOSS SURGERY.

THAT WORK FOR YOU?

-YES, SIR.
-CONGRATULATIONS.

THANK YOU.

OKAY, BRANDIE.

YOUR PROGRESS HAS IMPROVED
SIGNIFICANTLY,

AND YOU DID WELL, TOO.

AND YOU'RE DOWN TO 473,
AND YOU LOST 92 POUNDS.

YEAH, THAT SHOULD BE ENOUGH.

CAN YOU TELL THE DIFFERENCE?

WHAT? YEAH.
I FEEL A LOT BETTER

AND I CAN GET AROUND
A LOT BETTER.

BUT I FEEL LIKE IT'S
ABOUT TO STOP, THOUGH.

IT'S ABOUT TO GET TO THAT POINT

WHERE I'M GONNA STOP
LOSING WEIGHT LIKE ROSHANDA.

WELL, YOU'VE SHOWN ME THAT
YOU'RE WILLING TO WORK HARD,

AND YOUR WEIGHT LOSS
HAS IMPROVED.

SO, I FEEL THAT YOU'RE CLOSE
ENOUGH TO YOUR WEIGHT-LOSS GOAL,

SO I'M APPROVING YOU TODAY
FOR WEIGHT-LOSS SURGERY AS WELL.

DOES THAT SOUND GOOD?

[ CHUCKLES ]
THAT SOUNDS GREAT.

BUT, CLARENCE, I THINK
IT WILL BE GOOD FOR US

TO DO YOUR WEIGHT-LOSS
SURGERY FIRST.

AND ONCE YOU RECOVER,
WE CAN DO BRANDIE.

WE CAN GO TOGETHER,
I DON'T MIND.

OUR HOPE WAS THAT
HE WAS GOING TO HELP

TAKE CARE OF YOU
ALL AFTERWARDS.

YOU DON'T KNOW. HE MIGHT NOT BE
HERE WHEN WE HAVE THE SURGERY.

WELL, I DON'T THINK IT'S
A GOOD IDEA FOR BOTH OF YOU

TO HAVE IT AT THE SAME TIME

BECAUSE OF HOW BIG
YOU ALL STILL ARE.

SO, CLARENCE,

WE'LL SCHEDULE YOU
FOR SURGERY IN TWO WEEKS.

AND BRANDIE, AS SOON
AS CLARENCE HAS RECOVERED,

WE'LL SCHEDULE YOU AS LONG
AS YOU'RE LOSING WEIGHT

AND YOU PASS
YOUR MEDICAL TESTS.

BUT, CLARENCE, REMEMBER,
IF YOU'RE GETTING SURGERY,

THEN WE'RE GONNA NEED YOU
TO STAY IN HOUSTON FOR A WHILE

SO WE CAN DO PROPER
FOLLOW-UP WITH YOU.

YES, SIR.

ALL RIGHT, WE'LL SEE
YOU ALL LATER.

-ALL RIGHT.
-ALL RIGHT.

Dr. Nowzaradan: I'M REALLY
HAPPY TO SEE THE PROGRESS

THAT CLARENCE AND BRANDIE
MADE IN THE PAST TWO MONTHS,

BUT IT'S OBVIOUSLY DISAPPOINTING
TO SEE ROSHANDA'S WEIGHT GAIN.

SHE'S BLAMING THE STRESS OF
THE MOVE DOWN HERE TO HOUSTON,

BUT I THINK THE REALITY
IS SHE GOT DEPRESSED

WHEN HER TESTS REFLECTED

THAT SHE WASN'T PHYSICALLY
READY TO UNDERGO SURGERY.

AND INSTEAD OF THAT MOTIVATING
HER TO TAKE HER SITUATION

MORE SERIOUSLY,
SHE USED IT AS AN EXCUSE

TO GO BACK TO OVEREATING.

SO, THERE IS A LOT
WE STILL NEED TO ADDRESS.

AND ONCE WE GET CLARENCE
AND BRANDIE THROUGH SURGERY,

THE WHOLE FAMILY NEEDS
TO START TO UNDERGO

EXTENSIVE PSYCHOTHERAPY.

THE PERRIO FAMILY CERTAINLY
HAS A UNIQUE DYNAMIC

AND OVERALL SITUATION.

BUT AS WE GET THEM
THROUGH SURGERY

AND START THEM GOING
TO PSYCHOTHERAPY,

WE HOPEFULLY WILL BE ABLE
TO ADDRESS THE DEEPER ISSUES.

WE'LL GET THEM THERE.

Clarence:
I'M REALLY PROUD OF BRANDIE
FOR HER GETTING HER APPROVAL.

AND I'M PROUD FOR THE WORK
THAT I DID TO GET APPROVED.

Brandie:
I WISH ROSHANDA WAS IN A HEALTHY
ENOUGH PLACE TO GET SURGERY,

BUT SHE KNOWS IT'S NOT SAFE
FOR HER RIGHT NOW.

BUT I'M JUST GLAD I'M GETTING
SURGERY AND I REALLY CAN'T WAIT.

Roshanda: I'M REALLY UPSET
AT MYSELF RIGHT NOW,

AND THIS APPOINTMENT
WAS DISCOURAGING.

AND I'LL BE HONEST,
THIS IS HARD FOR ME RIGHT NOW.

AND THERE ARE MOMENTS WHERE
I'M NOT SURE I CAN MAKE IT.

♪♪

♪♪

CLARENCE PERRIO.

♪♪

Clarence: I'M HAVING SOME
SECOND THOUGHTS ABOUT SURGERY.

I DON'T THINK I NEED IT.

SO, I'M GONNA TALK TO DR. NOW

BECAUSE IT'S NOT THE RIGHT TIME

AND IT'S NOT THE RIGHT
MOVE FOR ME,

SO I NEED TO KEEP WORKING
AT IT IN MY OWN WAY.

AND I KNOW THAT'S WHAT'S
GONNA WORK FOR ME.

♪♪

♪♪

FOLLOW ME.

I JUST GOT TOO MUCH GOING ON
IN MY LIFE RIGHT NOW TO DO THIS.

THANK YOU.

♪♪

-GOOD AFTERNOON.
-HI, CLARENCE.

-HOW YOU DOING TODAY?
-I'M DOING OKAY.

-HOW ABOUT YOURSELF?
-ALL RIGHT, ALL RIGHT.

SO, WHAT'S GOING ON?

SINCE I HEARD ABOUT
HAVING SURGERY,

I'VE BEEN HAVING
SOME CONCERNS AND I...

I DON'T WANT TO DO THE SURGERY.

SO, YOU'RE FEELING
LIKE THE SURGERY IS NOT

THE RIGHT TIMING FOR YOU?

NO, SIR, I DO NOT THINK
I'M IN THE MENTAL PLACE

TO HANDLE THE SURGERY,

AND I'M AT THE POINT TO
WHERE IT'S THE LAST HOPE FOR ME,

YOU KNOW? AND, OBVIOUSLY, IF
I DO WHAT YOU TELL ME TO DO,

AND I FOCUS ON MYSELF,

THE WEIGHT CAN COME OFF,
YOU KNOW?

I'M AT A PLACE IN MY LIFE WHERE
I'M NOT ON DISABILITY

AND I'M NOT HANDICAPPED YET,

BUT I JUST WANT TO GIVE IT
A SHOT

TO BE ABLE TO TRY AND DO IT
ON MY OWN.

IT'S A GOOD TIME FOR ME
TO FOCUS ON ME

AND ACTUALLY GIVE IT A SHOT
AND BE SERIOUS ABOUT IT.

ALL RIGHT, WE DON'T WANT
TO MOVE AHEAD WITH ANYONE

IF YOU DON'T FEEL
THAT YOU ARE READY.

SO, WE TAKE YOU
OFF THE SCHEDULE

AND MOVE BRANDIE
UP IN YOUR PLACE.

BUT YOU'RE TELLING ME
THAT YOU WANT TO TRY

AND DO THIS ON YOUR OWN.

BUT IT'S BEEN A WEEK,
AND YOU GAINED 7 POUNDS.

THAT DOESN'T ADD UP.

WELL, IS THERE ANY OTHER THING
THAT YOU OFFER?

I HEARD ABOUT
THE GASTRIC BALLOON.

WOULD THAT BE SOMETHING
I QUALIFY FOR?

THAT IS AN OPTION AS LONG
AS YOU'RE NOT GAINING,

BUT I THINK YOU'RE NOT
BEING UP FRONT

ABOUT WHAT IS REALLY
THE ISSUE RIGHT NOW.

I CAME IN TODAY TO LET YOU KNOW

THAT I DIDN'T WANT
TO HAVE THE SURGERY.

AND MY MAIN REASON
IS BECAUSE MY MOM DIED

UNDER THE HANDS OF A SURGEON,
YOU KNOW?

IT'S SOMETHING I'VE BEEN
DEALING WITH FOR A WHILE.

I DON'T KNOW HOW BRANDIE AND
ROSHANDA DEALT WITH IT, BUT...

IT'S -- IT'S SOMETHING
THAT CHANGED ME OVER TIME.

SO, IT'S BEEN A BIG ISSUE.

I SEE. SO, WE'LL HELP YOU
WORK THROUGH THAT.

YES, SIR.

OKAY, I'LL SEE YOU IN
THE NEXT APPOINTMENT THEN,

AND I EXPECT YOU
TO BE BACK ON TRACK.

YES, SIR.

AND IF YOU GET
YOUR WEIGHT DOWN

AND SHOW ME THAT YOU'RE
ABLE TO CHANGE THAT,

MAYBE WE'LL CONSIDER
THE BALLOON FOR YOU.

YES, SIR.

OKAY, I'LL SEE YOU SOON.

♪♪

CLARENCE IS CLAIMING HE WANTS
TO LOSE WEIGHT ON HIS OWN,

BUT HE'S GAINING AGAIN.

SO, IT'S ALL CLEARLY
EXCUSES FOR THE FACT

THAT HE'S SCARED RIGHT NOW.

THE EVENT WITH HIS MOM
DYING AFTER SURGERY

SEEMS TRAUMATIC FOR HIM,

AND THAT MAY BE LEADING HIM
TO SELF-SABOTAGE RIGHT NOW,

AND THAT COULD BE BEHIND
HIS RECENT WEIGHT GAIN.

SO, WE WILL GO AHEAD
AND MOVE BRANDIE'S SURGERY UP,

AND HOPEFULLY SHE DOESN'T
HAVE THE SAME ISSUE.

BUT IF ALL GOES WELL,

BRANDIE WILL BE ABLE TO TAKE
HER FIRST BIG STEP

WITH THIS OPERATION.

AND AFTER THAT, WE WILL
HOPEFULLY BE ABLE

TO GET ROSHANDA BACK ON TRACK

TO LOSE ENOUGH WEIGHT
TO HAVE SURGERY.

AND THEN WE'LL WAIT TO SEE

WHETHER CLARENCE DECIDES
TO BE PART OF THE PROGRAM.

SO, THE PERRIOS ARE
MAKING GOOD PROGRESS,

BUT WE STILL HAVE A LOT OF WORK
TO GET THE WHOLE FAMILY

TO WHERE THEY NEED TO BE.

♪♪