All language subtitles for My 600-lb Life S06E16

♪♪

♪♪

Roshanda: 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

TO FIND OUT WHAT OUR NEXT STEPS
ARE AND IF THEY CAN HELP US.

UNFORTUNATELY, OUR SYSTEM
DOESN'T HAVE THE CAPACITY

TO SAFELY GET YOU
THROUGH THAT OPERATION.

SO I WANT TO REFER YOU
TO A SPECIALIZED CENTER

IN HOUSTON OR NEW ORLEANS.

COMPARING FACILITIES
AND DOCTORS,

WE THINK THE OPTIONS
IN HOUSTON WITH DR. NOWZARADAN

ARE THE BEST CHANCE
TO GET HELP IF WE CAN.

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.

I'M IN SO MUCH PAIN
RIGHT NOW.

I HAVE TO GET OUT.

IT'S TOO MUCH.

Clarence: ROSHANDA, YOU MADE IT.

AND WE'RE FINALLY HERE.

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

BECAUSE WE ALL KNOW
THIS IS OUR LAST CHANCE.

AND IF THE DOCTOR CAN'T HELP US,
IT'LL MEAN IT'S ALL OVER.

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

AND THE REALITY IS, NONE OF YOU
ARE GOING TO SURVIVE MUCH LONGER

IF THINGS DON'T DRASTICALLY
CHANGE VERY SOON.

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

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

♪♪

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.

Dr. Nowzaradan:
SO, BRANDIE AND CLARENCE,

IT'S CLEAR YOU AREN'T
VERY SERIOUS ABOUT THIS YET

AND ARE NOWHERE NEAR READY
FOR WEIGHT-LOSS SURGERY.

BUT, ROSHANDA,
YOU HIT YOUR GOAL.

SO, WE'RE GONNA APPROVE YOU
FOR WEIGHT-LOSS SURGERY.

♪♪

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.

IT'S BEEN A LITTLE ROUGH
MOVING DOWN HERE TO HOUSTON,

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

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

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

TO GET BELOW 465.

Roshanda: 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.

♪♪

I DON'T BELIEVE THIS [BLEEP]

I WANT YOU ALL
TO MEET DR. ETTER.

HE'S GOING TO ASSIST ME
WITH YOU ALL'S CASE.

OKAY.

OKAY, CLARENCE, I AM APPROVING
YOU FOR WEIGHT-LOSS SURGERY.

THANK YOU.

AND, BRANDIE.

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

YES!

BUT, ROSHANDA, I'M CONCERNED
ABOUT THE FACT

THAT YOU GAINED HALF
OF THE WEIGHT YOU LOST.

SO YOU NEED TO GET
YOUR WEIGHT DOWN BELOW 600.

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

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

TO DO YOUR WEIGHT-LOSS
SURGERY FIRST.

AND ONCE YOU RECOVER,
WE CAN DO BRANDIE.

♪♪

MY MOM DIED UNDER THE HANDS
OF A SURGEON, YOU KNOW?

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

SO, I DON'T THINK I'M IN
THE MENTAL PLACE

TO HANDLE THE SURGERY,

AND I JUST WANT
TO GIVE IT A SHOT

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

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.

♪♪

♪♪

Brandie: I'M TRYING TO WRAP
MY HEAD AROUND

ALL THAT'S HAPPENING
RIGHT NOW,

AND THAT THIS IS REALLY
HIGH-RISK SURGERY.

BUT I'M JUST CHOOSING
TO FOCUS ON THE FACT

THAT I'M FINALLY GETTING
THE HELP I NEED.

BRANDIE!

AS LONG AS I COME OUT.
[ LAUGHS ]

ON THE GREEN MILE.LOVE YOU.

WE'LL BE WAITING FOR YOU
TO COME OUT.

OH, MAN, THERE'S NOT
ENOUGH ROOM FOR US.

OH, LORDY,
THAT'S AROUND MY NECK.

I LOVE YOU,
TEETER BUTTER.

Roshanda: I'M TERRIFIED RIGHT
NOW, BECAUSE WE ALL LOST OUR MOM

TO A SIMPLE SURGERY
WHEN WE WERE YOUNG.

SHE GOT AN INFECTION
AND SHE DIDN'T SURVIVE IT.

SO THIS IS REALLY SCARY,
BECAUSE NONE OF US HAVE HAD

MAJOR SURGERY IN ALL OUR LIVES.

AND NOW BRANDIE IS.

SO, I'M JUST SCARED AT
THE POSSIBILITY OF LOSING HER.

♪♪

Dr. Nowzaradan:
TODAY, WE ARE DOING A GASTRIC
SLEEVE PROCEDURE ON BRANDIE.

SHE'S STILL LOSING
AND STAYING ON TRACK,

SO WE ARE MOVING AHEAD
WITH HER SURGERY TODAY.

AND, FORTUNATELY, SHE PASSED
ALL HER MEDICAL TESTS,

BUT BECAUSE SHE STILL HAS A VERY
HIGH BMI, SHE'S VERY HIGH RISK.

OKAY, READY FOR
THE FIRST INCISION.

WE CAN TURN THE ROOM LIGHT OFF.

SO WE WILL KEEP A CLOSE WATCH
ON HOW SHE'S DOING

TO MAKE SURE NOTHING IS
PUSHING HER BODY TOO HARD.

Dr. Etter: ALL RIGHT, LET'S HOLD
THERE FOR A MOMENT.

BECAUSE ANY NUMBER
OF SMALL ISSUES

COULD CAUSE HER BODY
TO START TO FAIL VERY QUICKLY.

AND IF THAT HAPPENS, WE MIGHT
NOT BE ABLE TO PULL HER OUT

OR DO ANYTHING TO SAVE HER.

SO, IF WE ENCOUNTER ANY ISSUES,

THEN WE'LL HAVE TO STOP
THE OPERATION EARLY.

BUT WE'RE GOING TO DO
EVERYTHING WE CAN

TO SAFELY COMPLETE
THE SURGERY TODAY,

BECAUSE BRANDIE REALLY
NEEDS THIS OPERATION.

GO FORWARD WITH CAMERA.

JUST A LITTLE BIT BACK.

ALL RIGHT.

THE SLEEVE GASTRECTOMY
IS AN OPERATION

THAT REDUCES SIZE OF THE STOMACH
BY 70 TO 80 PERCENT.

AND AFTER THE SURGERY,
THEIR FOOD DESIRE WILL DIMINISH,

AND SHE'LL BE ABLE TO EAT
LESS AND LOSE SOME WEIGHT.

Roshanda: IT'S AGGRAVATING,
SITTING HERE, WAITING.

AND I'M WORRIED BECAUSE
ANYTHING COULD GO WRONG

DURING THE OPERATION.

BUT IT'S IMPORTANT
THAT SHE HAS SURGERY

SO SHE CAN BETTER
HER LIFE, LIVE LONGER

AND DO WHATEVER IT IS
THAT SHE DESIRE TO DO.

SO I JUST HOPE THAT NOTHING
HAPPEN IN THE PROCESS.

♪♪

Dr. Nowzaradan: PULL IT OUT.
PULL IT OUT.

ALL RIGHT.

ROOM LIGHT ON.

Dr. Etter: ALL RIGHT,
WE CAN BEGIN SUTURING HER UP.

OKAY, WE'RE DONE.

BRANDIE'S SURGERY
WENT WELL TODAY.

WE HAD SOME TROUBLE WORKING
WITH HER THICK ABDOMINAL WALL,

BUT WE WERE ABLE TO MANAGE
AND COMPLETE THE OPERATION

WITHOUT ANY COMPLICATIONS.

Dr. Nowzaradan:
BRANDIE SHOULD BE ABLE
TO GO HOME IN A FEW DAYS.

THEN SHE SHOULD BE ABLE TO LOSE

AT LEAST 30 POUNDS
FOR FIRST MONTH,

AND THEN 20 POUNDS
FOR THE FOLLOWING MONTHS,

UNTIL SHE GETS CLOSE
TO HER TARGET WEIGHT.

SO BRANDIE TOOK HER
FIRST BIG STEP TODAY.

AND NOW WE JUST NEED TO GET
THE REST OF THE FAMILY

TO THE SAME PLACE.

BUT THEY ALL STILL HAVE
A LONG ROAD AHEAD.

♪♪

♪♪

Roshanda: SINCE WE HAVE
AN APARTMENT NOW,

CLARENCE IS GOING BACK
TO LOUISIANA WITH OUR FATHER.

SO THAT MEANS I'M THE ONE
WHO HAVE TO TAKE CARE OF BRANDIE

WHILE SHE'S RECOVERING.

BUT I'M SCARED I'M NOT GONNA BE
ABLE TO HANDLE ALL THIS

ON MY OWN.

AND I'M A LITTLE
OVERWHELMED RIGHT NOW,

BECAUSE I'VE NEVER REALLY
BEEN WITHOUT CLARENCE.

SO I CALLED ON MY FRIEND
TYLISA TO SEE

IF SHE CAN COME STAY
WITH US AGAIN

TO HELP GET THE PLACE
SET UP FOR ME AND BRANDIE,

BECAUSE I WANT IT TO BE READY
WHEN SHE COMES HOME SOON.

I WAS A LITTLE DOWN FOR A BIT

AFTER OUR LAST DOCTOR'S
APPOINTMENT,

BECAUSE NOW I HAVE NO IDEA
WHEN I'M EVEN GETTING SURGERY,

OR IF ALL OF THIS
IS FOR NOTHING.

HAVE YOU TALKED TO TEETER
TODAY?

YEAH.

WHAT'S SHE SAYIN'?

I JUST ASKED HER
IF SHE STARTED WALKING.

SHE WALKED WHEN SHE WENT
TO THE BATHROOM.

SHE'S NOT IN, LIKE, NO PAIN
OR NOTHIN', LIKE, SHE...?

SHE WAS YESTERDAY.

I DON'T KNOW ABOUT TODAY.
SHE DIDN'T SAY.

SO WHAT YOU THINK
ABOUT CLARENCE, YOU KNOW --

HOW YOU THINKIN'
ABOUT THE SURGERY THING?

HE CLAIMS HE'S GONNA
DO HIS OWN THING.

SAYS HE IS SCARED
OF SURGERY.

MM-HMM.
THAT'S WHAT IT IS.

BUT HIS MIND IS MADE UP,

AND I BELIEVE HE GONNA DO
WHAT HE WANT TO DO.

HE JUST REAL STUBBORN
AND STUFF, THAT'S ALL.

CLARENCE'S JUST...

CLARENCE.

YOU SCARED?

OF COURSE.

ANY DAY, I COULD DROP DEAD.

EVERY NIGHT LATELY,

I'VE BEEN THINKING SOMETHING
GONNA HAPPEN TO ME.

I'M MORE SCARED FOR ME
THAN FOR TEETER,

BECAUSE I'M BIGGER THAN HER.

LIKE, SHE GOT SURGERY
AT A LITTLE BIT OVER 500.

I'M STILL CLOSER TO 700
THAN I AM TO 500.

AND THAT'S A BIG DIFFERENCE.

I'M REALLY HAPPY
TY'S HERE HELPING ME,

BUT I MISS MY FAMILY,

I MISS MY FRIENDS AND COMMUNITY
BACK IN LOUISIANA,

AND I FEEL LIKE I AM NEVER
GONNA LOSE THE WEIGHT.

AND THAT JUST MAKES ME
REALLY DEPRESSED

AND WORRIED THAT SOON,
SOMETHING'S GONNA HAPPEN

AND MY BODY'S
JUST GONNA GIVE OUT.

THERE'S A CHANCE
I COULD DIE.

SO EVERYTHING JUST FEELS
MESSED UP RIGHT NOW,

BECAUSE I'M STARTING TO FEEL
SO ALONE AND HOPELESS.

ROSHANDA, I KNOW THAT SHE'S
GOING THROUGH A DEPRESSION MOOD

SOMETIMES,

AND I THINK IT'S WEARING
DOWN ON HER RIGHT NOW.

BUT SHE DON'T WANT
TO TALK TO ME.

ROSHANDA?

YOU GONNA LOCK ME OUT?

YOU DON'T WANT TO TALK
TO ME?

♪♪

COME ON.

LET ME CALL HER
ON THE PHONE, MAYBE.

WHAT?

I'M GONNA CALL HER.

♪♪

[ Line ringing ]

[ Voicemail message plays ]

CALL AGAIN.

SHE'S NOT ANSWERING.

SHE IS ANSWER.

NO, SHE'S NOT.

ROSHANDA DO HAVE A TOUGH
TIME EXPRESSING HOW SHE FEEL.

SHE REALLY KEEPS A LOT
OF THINGS IN,

AND IT CONCERNS ME A LOT
THAT SHE HOLDS ALL THIS IN.

ROSHANDA.

Fayden: ROSHANDA.

OKAY, I'M GONNA BE COMIN' IN
IN ABOUT TWO MINUTES.

RO!

SAY IF YOU'RE OKAY.

Tylisa: I'M TELLIN' HER
TO TALK TO ME,

YOU KNOW, SEEMS LIKE
A LOT ON YOU,

IT'S JUST WEARING DOWN,
TEARING DOWN ON YOU.

BUT SHE WON'T TALK.

THE ONLY THING SHE'S
GONNA DO IS SCREAM.

YOU ALL RIGHT?

YEAH, I DID NOT ASK YOU
TO COME IN THAT -- COME ON.

WHY YOU OPEN THE DOOR?

I LOCKED MYSELF IN THE ROOM
FOR A [BLEEP] REASON!

[ SCREAMS ]

[ WAILING ]

[ SOBBING ]

[ WAILING ]

♪♪

♪♪

Roshanda: NOW THAT I'M GETTING
A LITTLE BIT MORE SETTLED

IN OUR APARTMENT,

I HAD SOME TIME TO GET MY HEAD
AND THOUGHTS STRAIGHT,

AND I'M FEELING A LITTLE BETTER
AND LESS STRESSED.

BUT, WITH CLARENCE GONE
AND BRANDIE IN THE HOSPITAL,

IT JUST FEELS LIKE A LOT'S
ON MY SHOULDERS RIGHT NOW,

AND IT'S HARD, BUT TYLISA
HAS BEEN A BIG HELP.

AND IT'S ALSO BEEN A BIG
HELP TO HAVE A STOVE

AND TO BE ABLE TO
COOK HEALTHY MEALS.

SO I'M STILL STICKING
TO THE DIET,

EVEN THOUGH IT'S BEEN
A STRUGGLE NOT TO KNOW

WHEN I'M GETTING SURGERY.

BUT WHAT I DO KNOW IS,
I DON'T WANT TO GIVE UP.

SO I'M DOING WHAT I NEED.

♪♪

BRANDIE IS GETTING OUT
OF THE HOSPITAL TOMORROW,

AND I'M REAL HAPPY ABOUT THAT.

AND I'M EXCITED, BECAUSE SHE
DOESN'T KNOW THAT TYLISA'S HERE,

ND WE'RE GONNA GO SURPRISE HER
WHEN SHE GETS DISCHARGED.

SO RIGHT NOW, I'M GONNA TRY
AND GET THE PLACE

IN ORDER A BIT MORE
SO IT'S READY FOR HER

AND IT'S A COMFORTABLE PLACE
WHERE SHE CAN RECOVER

AND KEEP MAKING PROGRESS.

AND HOPEFULLY,
I'LL MAKE IT WITH HER

SO WE CAN BOTH HIT OUR GOALS
WHEN WE GO BACK TO SEE DR. NOW.

♪♪

♪♪

♪♪

Clarence: I'M REALLY GLAD
I WAS ABLE TO FIND AN APARTMENT

FOR THE GIRLS,

BECAUSE ALL THAT TRAVELING
AND STAYING IN A HOTEL ROOM

TOGETHER WAS STARTING
TO WEAR ON MY DAD.

SO, ONCE I GOT ROSHANDA SET UP

AND SHE AND BRANDIE
HAD WHAT THEY NEEDED,

I JUST HAD TO GET HIM BACK HOME.

BUT IT'S HARD BEING IN
ANOTHER CITY WITHOUT THEM

AND NOT BEING ABLE TO GET
TO THEM IF THEY NEED ME.

I KNOW THIS IS SOMETHING
THEY HAVE TO DO RIGHT TO GET

THE HELP THAT THEY NEED,

BUT I'M NOT SURE DOING A PROGRAM
WITH THEM IS WHAT'S GOOD FOR ME.

ONE, TWO...

I'M HAPPY I WAS
APPROVED FOR SURGERY,

BECAUSE I WORKED HARD
TO GET TO THAT POINT.

THAT'S PART OF WHAT CONVINCED ME
THAT I CAN DO IT ON MY OWN

WITHOUT SURGERY.

THAT DOESN'T MEAN I'M GIVING UP

AND NOT TRYING
TO STICK TO THE DIET.

IN FACT, I'M TRYING HARDER
TO DO THIS ON MY OWN,

BECAUSE I THINK I CAN DO THIS.

AND IF I LOSE THE WEIGHT
WITHOUT SURGERY,

THEN I DON'T SEE
THE NEED FOR IT.

SO, RIGHT NOW, I'M TAKING
A BREAK FROM DR. NOW'S PROGRAM

TO WORK AT IT ON MY OWN.

ONE MORE.

SO I'M EATING RIGHT
AND I'M GOING TO A NEARBY PARK

TO GET BACK INTO
EXERCISING AGAIN.

I USED TO COME TO THIS PARK
ALL THE TIME.

I WOULD COME TRAIN AND PLAY
BASKETBALL FOR HOURS.

BUT ONCE I GOT INJURED,
THAT ALL CHANGED.

AND THIS IS THE FIRST TIME

I'VE BEEN BACK IN AS LONG
AS I CAN REMEMBER.

BECAUSE WHEN YOU'RE AN ATHLETE
AND YOU CAN'T PLAY ANYMORE,

THAT IS REALLY HARD
ON A PERSON, ESPECIALLY ME.

I WAS ALWAYS THE BIG DUDE IN
PLAYING FOOTBALL AND BASKETBALL,

AND THAT'S HOW PEOPLE KNEW ME.

NOW I'M JUST A BIG GUY.

AND TO SEE GUYS
PLAYING BALL AND KNOW

THAT I CAN'T JUST
GO UP AND JOIN IN LIKE

I USED TO BE ABLE TO DO,
WELL, IT'S A LITTLE SAD.

BUT IT'S WHY I NEED TO WORK HARD
TO DO THIS AND GET HEALTHY.

BECAUSE I KNOW I'LL END UP LIKE
BRANDIE AND ROSHANDA IF I DON'T,

AND I DON'T WANT THAT.

SO I WANT TO PROVE TO EVERYONE
THAT I CAN DO THIS,

'CAUSE I KNOW I CAN.

I WANT MY LIFE BACK.

♪♪

♪♪

Brandie: THE PAST FEW DAYS
HAVEN'T BEEN THAT HARD.

IT'S WEIRD NOT HAVING
NO APPETITE

AND NOT WANTING TO EAT AT ALL.

AND IT JUST FEELS LIKE
SOMETHING'S MISSING,

OR LIKE SOMETHING'S WRONG.

BUT I GUESS THAT'S WHAT THE
WHOLE POINT OF THE SURGERY IS.

SO, IT'S JUST AN ADJUSTMENT,
MENTALLY,

BECAUSE FOOD ISN'T
THE SAME TO ME RIGHT NOW.

BUT I GET TO GO HOME TODAY

AND SEE HOW ROSHANDA'S HANDLED
OUR NEW APARTMENT ON HER OWN.

SO, I'M EXCITED ABOUT THAT.

I KNOW IT'S GONNA BE TOUGH
WITHOUT CLARENCE,

BUT I'M NOT WORRIED ABOUT IT.

ROSHANDA AND ME CAN MANAGE.

[ KNOCK ON DOOR ]

♪♪

OKAY, BRANDIE, WE ARE
DISCHARGING YOU TODAY.

AND I SEE YOU'RE ALREADY DRESSED
UP AND READY TO GO HOME.

Brandie: YES.

ALL RIGHT, GOOD.

SO REMEMBER, YOU ARE ON LIQUID
DIET FOR THE NEXT FEW WEEKS.

YEAH.

SO, TRY TO DRINK EVERY 5,
10 MINUTES, SOME LIQUID, OKAY?

YES.

AND KEEP IT NUTRITIOUS
WITH HIGHER PROTEIN, LIKE BROTH.

BUT YOU WON'T HAVE MUCH OF
AN APPETITE FOR A BIT.

SO YOU SHOULD HAVE A LOT
OF GOOD WEIGHT LOSS

THIS NEXT MONTH.

ALL RIGHT.

BRANDIE HAS DONE WELL
WITH HER RECOVERY,

AND ROSHANDA WILL BE
TAKING CARE OF HER.

SO, SHE HAS THE SUPPORT SHE
NEEDS TO GO HOME AND RECOVER.

AND HOPEFULLY, BRANDIE BEING
ON A LIQUID DIET

AND NOT EATING MUCH
WILL INFLUENCE ROSHANDA

TO EAT LESS RIGHT NOW.

ALL RIGHT,
YOU'RE DOING GOOD.

AND BE SURE THAT
YOU STAY ACTIVE.

AND IF YOU NEED ANYTHING,
CALL US.

ALL RIGHT.

ALL RIGHT, I'LL SEE YOU
IN A MONTH.

♪♪

IT IS UNFORTUNATE
THAT CLARENCE DECIDED

TO LEAVE BRANDIE AND ROSHANDA,

BUT HE'S LIKELY PLANNED TO TRY
AND DO THIS FOR HIS SISTERS,

SO HE MAY HAVE NEVER
SERIOUSLY CONSIDERED SURGERY.

BUT, IN THE MEANTIME, WE'LL
FOCUS ON ROSHANDA AND BRANDIE,

AND HOPEFULLY,
AT THE NEXT APPOINTMENT,

BRANDIE HAS SOME GOOD
PROGRESS AND ROSHANDA

IS BACK ON TRACK
AND LOSING, AS WELL.

♪♪

Roshanda: WE'RE HEADED TO THE
HOSPITAL TO PICK UP BRANDIE

AND GET HER HOME.

RIGHT NOW, I THINK WE
ALL NEED EACH OTHER,

BECAUSE THIS IS
ALL REALLY HARD.

AND THERE'S A LOT
OF CHANGE AND TRANSITION.

AND IT'S IMPORTANT WE STAY
ON TRACK AND DO WHAT WE NEED.

AND IT'S GONNA BE MUCH EASIER
IF WE DO THIS TOGETHER.

SO I'M GLAD I GET TO
TAKE HER HOME TODAY.

I'M REALLY EXCITED TO SURPRISE
BRANDIE WITH TYLISA.

AND I THINK JUST HER KNOWING
WE HAVE SOMEONE ELSE TO RELY ON

WHILE SHE'S RECOVERING,

AND IF WE NEED ANY MORE,
IT'LL BE A BIG RELIEF TO HER,

LIKE IT IS TO ME.

SO, I THINK SHE'S GONNA LOVE
THIS AND BE SO EXCITED

ONCE SHE SEES HER.

SHE JUST THINKIN'
THAT SHE COMIN' HOME.

SHE DIDN'T ASK IF WE
WAS COMIN' OR NOT.

I GUESS SHE FIGURE JUST WAS
GONNA CATCH A CAB HOME

OR SOMETHING

AND DIDN'T KNOW THAT NOBODY
WAS GONNA BE THERE WAITING.

♪♪

♪♪

HEY! [ LAUGHS ]

THEY LIED TO ME.

[ LAUGHS ]

SO YOU HAVEN'T BEEN OUTSIDE
THAT WHOLE TIME?

[ LAUGHS ]

HEY.

Brandie: I'M SO HAPPY TO SEE
ROSHANDA AND TYLISA.

SHE TOLD ME THAT CLARENCE
WENT BACK TO LOUISIANA

TO TAKE CARE OF DAD,
SO I JUST ASSUMED

I'D HAVE TO FIGURE
OUT MY WAY HOME.

BUT I AM SO HAPPY
THEY FIGURED OUT A WAY

TO GET HERE TO PICK ME UP.

I KNOW IT HASN'T BEEN LONG,
BUT RIGHT NOW,

I FEEL LIKE WE NEED EACH OTHER.

IT'S JUST THE TWO OF US
FOR A LITTLE BIT.

SO WE NEED TO STICK TOGETHER
AND BE THERE FOR EACH OTHER.

AND ROSHANDA NEEDS SURGERY,

AND I WANT TO MAKE SURE
SHE GETS THERE.

SO I KNOW WE'RE GONNA BE ABLE
TO DO THIS TOGETHER,

AND WE'RE FIGHTING
TO GET THIS SECOND CHANCE

BECAUSE OUR LIFE
DEPENDS ON THIS.

♪♪

♪♪

Brandie: IT'S NICE TO BE OUT OF
THE HOSPITAL AND AT HOME.

BUT AT THE SAME TIME,
THIS PLACE IS NEW FOR ME.

AND WITH THE SURGERY,
IT'S JUST A LOT OF TRANSITION.

BUT BEING BACK WITH ROSHANDA,
AND HAVING TYLISA HERE,

MAKES THIS A LOT EASIER.

Y'ALL BAKING THAT CHICKEN?HUH?

Y'ALL BAKING IT, OR ARE
Y'ALL, LIKE, SAUTéING IT?

BAKING IT.

SAVE ME SOME JUICE.

Roshanda: TY AND I ARE GONNA
MAKE SOME FOOD

FOR BRANDIE AND OURSELVES.

FOR TEETY, BECAUSE SHE'S
ON A LIQUID DIET,

WE ARE MAKING HER
CHICKEN-BONE BROTH,

AND FOR TY AND I, RED BEANS
AND RICE AND CHICKEN.

SOMETIMES I WISH THE CHICKEN
WE WERE MAKING WAS FRIED,

BUT I KNOW I HAVE
TO STICK TO MY DIET.

BUT LATELY, I HAVE HAD
CRAVINGS FOR THINGS I KNOW

I SHOULDN'T BE EATING.

I DON'T THINK I COULD EVER BE
ON A LIQUID DIET LIKE BRANDIE.

IT JUST LOOKS GROSS,
AND IT CAN'T TASTE GOOD.

Brandie: I HAVE TO LIVE OFF
A LIQUID DIET

FOR THE NEXT FEW WEEKS,

BUT IT IS REALLY HARD KNOWING
THAT ROSKI AND TYLISA

ARE GONNA BE EATING
RED BEANS, RICE, AND CHICKEN.

Tylisa: YOU READY
FOR YOUR SUPPER?

STILL SMOKIN'.

DON'T DO ME THAT.

HERE'S YOUR SUPPER, BABY.

IT'S A LOT OF SUPPER.

YOU SEE THAT BAG
DOWN THERE?

YOU'RE GONNA BE FULL.

I'M TRYING TO GET ONE OF THEM
OTHER LITTLE CUPS.

MAN,
THIS IS LIKE AN OUNCE.

THAT CUP IS AN OUNCE?

MM-HMM.

I CAN'T BELIEVE THAT I'M FULL
FROM JUST A LITTLE BIT OF BROTH.

THAT IS WHAT DR. NOW TOLD ME.

I JUST DIDN'T BELIEVE IT.

IT TASTES A LOT BETTER
THAN IT SMELL.

THAT IS THE SMALLEST
AMOUNT OF FOOD

I CAN REMEMBER EATING
AND FEELING FULL.

BUT IF THAT IS WHAT
MY BODY IS SAYING,

I NEED TO LISTEN
TO WHAT MY BODY IS SAYING.

I JUST CAN'T WAIT FOR THE DAY
WHEN I CAN CHEW ON SOMETHING

AND NOT DRINK IT.

I'M NOT JOKING.

I'M LOOKING FORWARD
TO SOME HEALTHY [BLEEP] TOO,

LIKE CHICKEN AND VEGGIES.

I'M GONNA CHECK THE POT.

IT'S SMOKIN'.

Roshanda: I'M WAITING FOR THE
FOOD TO BE DONE, BUT I'M HUNGRY.

SO, I BROKE DOWN AND
I'M HAVING SOME PUDDING.

IT'S JUST SOMETHING
SMALL TO GET ME ALONG.

AND THE THOUGHT OF NOT
EVEN BEING ABLE TO DO THAT

IS NOT SOMETHING I REALIZED
UNTIL WATCHING BRANDIE.

SO IT'S HARD TO WATCH
AND IT'S SCARY TO REALIZE.

THIS IS WHAT I'LL BE
GOING THROUGH, TOO,

IF I GET THE SURGERY.

♪♪

♪♪

ARE YOU GONNA COME OUT,
DAD?

I AM REALLY STRUGGLING
RIGHT NOW,

AND I'M STILL TRYING TO DO
MY BEST ON MY DIET AND EXERCISE.

BUT SOMETIMES I JUST
GET TIRED OF IT ALL.

I GET SICK OF HAVING
TO GO TO THE STORE.

I GET SICK OF
COMING HOME TO COOK.

SOMETIMES I JUST WANT
FAST FOOD OR SOMETHING EASY.

[ LAUGHS ]
HOW YOU BEEN DOING?

I'M FEELING A LOT OF PRESSURE
BEING AT HOME,

TAKING CARE OF MY DAD.

AND ME AND THE GIRLS HAVEN'T
BEEN TALKING MUCH LATELY.

BUT I'M GLAD TO HEAR BRANDIE'S
STILL RECOVERING WELL,

AND THAT SHE'S WITH
ROSHANDA AND TYLISA.

I KNOW THAT THEY'RE A LITTLE
UPSET AT ME RIGHT NOW,

ESPECIALLY ROSHANDA,
SO SHE'S NOT REALLY CALLING.

BUT I WANT TO GO DOWN THERE
AND SMOOTH THINGS OVER

WITH THEM SOON,
BECAUSE I DO REALLY MISS THEM.

WE'VE ALWAYS BEEN AROUND
EACH OTHER, AND NOW WE'RE NOT.

AND THAT JUST MAKES ME
WANT TO EAT.

YOU KNOW WHAT YOU GOT
A TASTE FOR?

YOU WANT SOME TENDERS?

YEAH.
CHICKEN TENDERS?

YOU WANT RICE OR FRIES?

ALL RIGHT, SEE Y'ALL LATER.

I'VE BEEN WORKING HARD,
BUT DIETING IS HARD,

ESPECIALLY WITH THIS
500-CALORIE-A-DAY DIET

THAT DR. NOW WANTED.

AND WITH THE STRESS AND ALL
I'M RESPONSIBLE FOR,

OVER MY DAD AND THE WORK I DO,

SOMETIMES YOU JUST WANT
SOMETHING TO PICK YOU UP

AFTER A HARD DAY.

THIS CHICKEN PLACE
IS ONE OF MY FAVORITES.

RO, BRANDIE, AND I HAVE BEEN
COMING HERE FOR YEARS.

BEFORE I GOT INJURED,
I COULD EAT HERE

AND NEVER GAIN NO WEIGHT.

AND NOW IT IS NOT LIKE THAT,

BECAUSE IF I EAT LIKE THIS
A FEW DAYS IN A ROW,

I KNOW I'M GONNA GAIN WEIGHT,

AND DR. NOW WILL NEVER GIVE ME
A SHOT AT SURGERY.

BUT IT'S REALLY HARD,
BECAUSE EVEN THOUGH I KNOW

I NEED TO EAT WELL,

I REALLY LIKE THIS FOOD,
AND MY POPS DOES, TOO.

EVEN THOUGH I HAVE MY BAD DAYS
AND I MAY MESS UP,

I FEEL CONFIDENT
I'M GONNA SEE SOME PROGRESS.

♪♪

IT'S GOOD BEING HERE
WITH MY POPS, YOU KNOW,

'CAUSE OUR CHILDHOOD
WAS DIFFICULT.

MY DAD DEALT WITH HIS OWN ISSUES
WHILE WE WERE GROWING UP,

AND HE WASN'T ALWAYS THERE.

BUT NOW HE'S GETTING OLD,

AND I DON'T KNOW HOW LONG
HE'S GONNA BE AROUND.

BUT IT JUST MAKES THINGS HARD,
BECAUSE I KNOW

BRANDIE NEEDS
MY HELP LOSING WEIGHT,

AND MY DAD NEEDS ME HERE
AT THE SAME TIME.

AND THAT'S PUTTING
A LOT OF PRESSURE ON ME.

BUT I'M GONNA SHOW EVERYONE
THAT I CAN DO THIS ON MY OWN,

WITHOUT THE NEED
FOR ANY SURGERY.

♪♪

♪♪

Brandie: IT'S BEEN A MONTH
SINCE MY SURGERY,

AND WE'RE HEADED
TO SEE DR. NOW AGAIN

FOR A FOLLOW-UP APPOINTMENT,

AND FOR ROSHANDA TO SEE
HOW MUCH PROGRESS SHE MADE.

I THINK I'M PROBABLY MAKING
THE PROGRESS I NEED,

BECAUSE I'VE BEEN STUCK
ON THE LIQUIDS THIS WHOLE TIME.

BUT ROSHANDA HAS ME
A LITTLE WORRIED,

BECAUSE I KNOW SHE NEEDS
TO MAKE A LOT MORE PROGRESS.

SO I'M HOPING SHE IS
AND THAT TODAY

WILL BE A GOOD DAY FOR HER.

Roshanda: I'M HOPING THAT I'VE
LOST ENOUGH WEIGHT TO PROVE

THAT I'M SERIOUS
ABOUT WEIGHT LOSS,

AND SO THAT DR. NOW
WILL APPROVE ME FOR SURGERY.

PERRIO FAMILY.

I'VE BEEN WORKING REALLY HARD,
BUT I SLIPPED UP A LITTLE.

AND THAT SCARES ME, BECAUSE
I REALLY WANT TO DO THIS.

AND MY BIGGEST FEAR IS THAT
IF I'M NOT LOSING WHAT I NEED

OR MAKING THE PROGRESS I SHOULD,
THAT HE'S GONNA TELL ME I'M DONE

AND THAT SURGERY IS NOT
AN OPTION FOR ME ANYMORE.

IF I DON'T GET SURGERY SOON,

I DON'T KNOW
WHAT WILL HAPPEN TO ME.

BUT I KNOW
I'M RUNNING OUT OF TIME.

♪♪

Roshanda: ME AND BRANDIE ARE
AT DR. NOW'S OFFICE TO SEE

HOW BRANDIE'S DOING
AFTER HER WEIGHT-LOSS SURGERY

AND TO SEE IF I'M MAKING
THE PROGRESS I NEED.

BUT AT MY LAST WEIGH-IN,
I WAS AT 722.

SO THAT MEANS I SHOULD BE
AT ABOUT 661 TODAY.

♪♪

THAT'S A LITTLE DISAPPOINTING.

I'M STILL ALMOST 100 POUNDS AWAY
FROM BEING WHERE I NEED TO BE

BEFORE I CAN GET SURGERY.

Brandie: I KNOW ROSHANDA'S
DISAPPOINTED IN HER PROGRESS,

AND I'M CONCERNED
ABOUT HER, TOO.

BUT THE ONLY THING
THAT WOULD MAKE THIS WORSE

IS IF I DIDN'T HIT
MY GOAL, EITHER.

I WAS AROUND 464
WHEN I HAD MY SURGERY.

SO, THAT MEANS I SHOULD BE DOWN
TO AT LEAST 434 TODAY.

♪♪

I'M HAPPY WITH THAT.
[ CHUCKLES ]

AND DR. NOW SHOULD BE HAPPY
WITH THAT, TOO,

BECAUSE I'M DOING EVEN BETTER
THAN I'M SUPPOSED TO.

♪♪

Roshanda: PART OF ME JUST
WANTS TO GO HOME,

BECAUSE I KNOW
I NEED TO LOSE MORE,

AND I'M TRYING TO DO THAT.

BUT I NEED SURGERY
TO HELP ME TO DO THAT.

SO IT ALL FEELS
A LITTLE HOPELESS.

[ KNOCK ON DOOR ]

-HELLO.
-HI.

HELLO.

HOW ARE Y'ALL DOING?

WE'RE BOTH DOING GOOD.

OKAY, GREAT.

LET'S SEE HOW YOU TWO
ARE DOING THIS MONTH.

BRANDIE, YOUR WEIGHT
IS DOWN TO 430,

AND YOU WERE AT 464
WHEN YOU WENT INTO SURGERY.

YEAH.

SO THAT IS A WEIGHT LOSS
OF 34 POUNDS SINCE THEN,

AND THAT'S IN THE RANGE
THAT IT SHOULD BE.

SO YOU'RE DOING WELL.

AND STICK WITH IT.

ALL RIGHT, LET'S SEE,
HOW IS ROSHANDA DOING?

IT LOOKS LIKE
YOU'RE DOWN TO 709,

SO THAT IS WEIGHT LOSS OF
13 POUNDS OVER LAST MONTH.

I'M GLAD THAT YOU'RE
NOT GAINING,

BUT THAT'S NOT A LOT
OF WEIGHT LOSS, ROSHANDA.

SO YOU HAVE TO DO MUCH BETTER,
BECAUSE AT THIS RATE,

IT'S GOING TO TAKE
SIX TO SEVEN MONTHS

TO GET TO WHERE YOU CAN
HAVE WEIGHT-LOSS SURGERY.

OKAY.

AND YOU DON'T HAVE
THAT TIME.

YOU NEED TO WORK HARDER,
BECAUSE, RIGHT NOW,

YOU'RE VERY FAR

FROM BEING READY
FOR WEIGHT-LOSS SURGERY.

BOTH, PHYSICALLY,
YOU'RE NOT READY,

AND MENTALLY, NOT READY.

WHY YOU SAY MENTALLY?

WITH CLARENCE HAVING SUCH
A SIGNIFICANT FEAR OF SURGERY,

TO THE POINT THAT
HE COULDN'T MOVE AHEAD

WITH THE WEIGHT-LOSS SURGERY,

AND THEN WHEN BRANDIE
HAD HER SURGERY,

YOU SHARED THAT YOU
HAVE THE SAME FEAR.

I'M CONCERNED IT'S GOING TO BE
A SETBACK FOR YOU

IF WE DON'T ADDRESS IT.

SO, IF I'M AFRAID
OF SURGERY,

THAT MEANS I SHOULD NEVER
HAVE IT THEN, RIGHT?

NO, IT MEANS THAT WE NEED
TO ADDRESS THIS ISSUE NOW

SO WE CAN GET YOU
TO SURGERY.

YOU UNDERSTAND?

SO WHAT WE ARE GOING TO DO
IS START YOU GOING TO THERAPY

SO YOU CAN START TO WORK
PAST THIS ISSUE,

AS WELL AS OTHER EMOTIONAL
AND CORE ISSUES

THAT ARE HOLDING YOU BACK,

SO WE CAN GET YOU
LOSING MORE WEIGHT

AND READY FOR SURGERY SOON,

BECAUSE YOU CAN'T AFFORD
TO LOSE ANY MORE TIME

WITH MINIMAL PROGRESS.

AND YOU HAVE COME A LONG WAY,
ROSHANDA, FROM 803 DOWN TO 709.

SO, YOU FEEL
THE DIFFERENCE, RIGHT?

MM-HMM. YES.
YEAH.

SO DON'T RISK MESSING THAT UP
AND LOSING THAT PROGRESS.

ALL RIGHT, BRANDIE,
STAY ON TRACK

AND KEEP DOING
WHAT YOU'RE DOING.

OKAY.

BUT, ROSHANDA, YOU NEED TO
WORK HARDER ON YOUR DIET

AND WE'RE GOING TO SET YOU UP
AN APPOINTMENT TO START THERAPY,

AND I WANT YOU
TO START GOING.

DR. ETTER IS IN SURGERY,

SO HE COULDN'T BE HERE
TODAY,

BUT REMEMBER,
HE'S AVAILABLE, TOO,

IF YOU NEED ANYTHING
AND YOU CAN'T GET HOLD OF ME.

ALL RIGHT, GREAT.
I'LL SEE YOU ALL SOON.

OKAY?

♪♪

Dr. Nowzaradan: I'M GLAD BRANDIE
IS STAYING ON TRACK

AND THERE ARE NO ISSUES
WITH HER PROGRESS RIGHT NOW.

BUT I'M VERY CONCERNED
ABOUT ROSHANDA,

BECAUSE SHE NEEDS TO START
WORKING THROUGH ISSUES

THAT ARE DRIVING HER TO EAT,

AND THE CHILDHOOD TRAUMA
THAT SHE HAD

THAT IS GOING TO MAKE HER
TOO AFRAID TO GET SURGERY,

JUST LIKE HER BROTHER.

SO, WE'LL START HER
GOING TO THERAPY,

BECAUSE EVERY DAY THAT PASSES

WHERE SHE DOESN'T
MAKE MUCH PROGRESS,

SHE'S ROLLING THE DICE
ON HER BODY GIVING OUT.

SO, WE DON'T HAVE
ANY TIME TO WASTE.

Roshanda: I'M FRUSTRATED
RIGHT NOW

BECAUSE I FEEL LIKE
I'M LOSING AS MUCH AS I CAN,

AND I DON'T KNOW HOW
TO DO ANY BETTER,

ESPECIALLY WITHOUT SURGERY.

SO, I DON'T KNOW
WHY IT'S NOT ENOUGH.

AND THIS IS JUST
REALLY DISCOURAGING.

AND I'M TIRED AND SCARED I'M
NEVER GONNA GET THE HELP I NEED.

♪♪

♪♪

Roshanda: I DECIDED TO GO
TO THERAPY LIKE DR. NOW WANTS.

I KNOW I'M STRUGGLING
WITH STAYING MOTIVATED,

BUT EVERY DAY THAT PASSES
WHERE I DON'T GET TO

WHERE I NEED JUST MAKES IT ALL
FEEL FURTHER AND FURTHER OFF.

I'M JUST STARTING TO FEEL
LIKE WEIGHT-LOSS SURGERY

IS NEVER GONNA HAPPEN.

IT'S JUST TAKING SO MUCH
LONGER THAN I THOUGHT.

I HIT MY GOAL ONCE,
AND THEN, TO GET ANOTHER GOAL

TO WHERE I'M GONNA HAVE
TO LOSE 200 POUNDS

BEFORE GETTING SURGERY,
MAKES IT ALL FEEL IMPOSSIBLE.

AND, TO BE HONEST, I DON'T SEE

HOW TALKING ABOUT THIS
IS GONNA HELP,

BECAUSE WHAT I NEED IS SURGERY
TO HELP ME LOSE MORE WEIGHT,

NOT TO TALK ABOUT MY EMOTIONS.

I KNOW I HAVE SOME CONCERNS
ABOUT SURGERY,

ESPECIALLY WITH WHAT
I SEEN WITH BRANDIE.

THAT'S GIVING ME
SECOND THOUGHTS.

BUT I DON'T THINK IT'S FAIR
TO GO ALL THE WAY

AND SAY I'M SCARED
OF SURGERY BECAUSE OF IT.

I STILL WANT SURGERY,
SO I'M DOING THIS,

BUT I DON'T KNOW HOW
IT'S GONNA CHANGE ANYTHING.

HI.
I'M LOLA.

HOW ARE YOU TODAY, LADY?

ALL RIGHT.

COME ON BACK, MISS ROSHANDA,
AND HAVE A SEAT.

♪♪

♪♪

HI, ROSHANDA.

HI.
HOW ARE YOU DOING?

IT'S NICE TO MEET YOU.

I'M LIVING.

[ GIGGLES ]

TELL ME A LITTLE BIT ABOUT
WHAT YOUR EMOTIONS ARE LIKE.

CRAZY.
CRAZY?

OKAY.

EXPLAIN THAT TO ME
A LITTLE BIT.

THEY JUST BE
ALL OVER THE PLACE.

OKAY.

SO, DR. NOWZARADAN
TELLS ME

YOU HAVE A SISTER
NAMED BRANDIE

THAT JUST COMPLETED SURGERY.

YEAH.

HOW'S THAT BEEN FOR YOU?

GOOD.
GOOD?

I'M GLAD SHE GOT IT
OVER WITH.

YEAH.

SO, HAS BRANDIE
HAVING YOUR SURGERY

INCREASED YOUR ANXIETY AT ALL
ABOUT HAVING SURGERY?

I WOULD'VE FELT BETTER IF I WAS
HER SIZE HAVING IT,

AND NOT ALMOST 200 POUNDS
HIGHER THAN HER.

BECAUSE DR. NOW DID TELL ME

IT WOULD'VE BEEN SAFER FOR ME
TO BE UNDER 600 POUNDS.

WHAT ARE YOU MOST FEARFUL OF?

I HAVE ISSUES WITH
PUTTING THINGS ON MY FACE.

I GET LIKE -- I DON'T LIKE
OXYGEN ON MY FACE AND...

SO, IT CAUSES YOU
TO GET FLUSTERED

AND ANXIOUS AND PANICKY?

AND SCARED, YEAH.

AND NINE OUT OF 10,
MY BLOOD PRESSURE GONNA BE HIGH,

JUST THINKING
ABOUT NOT WAKING UP.

MY THING IS, BEING THE SIZE
THAT I AM, ANESTHESIA IS A RISK.

I MEAN, LIKE, IF THEY GIVE ME
TOO MUCH, I MAY NOT WAKE UP.

I'M JUST WORRYING ABOUT, LIKE,
WHEN MY SISTER WOKE UP,

I SEEN SHE WAS LAYING
DOWN IN THE BED,

SHE WAS BASICALLY OUT OF IT
AND SHE HAD OXYGEN ON HER FACE.

I CAN'T DEAL WITH THAT

BECAUSE MY MOM PASSED AWAY
FROM MEDICAL COMPLICATIONS.

SO, SOME OF YOUR CONCERNS
STEM FROM THE FACT

THAT YOUR MOTHER'S DEATH

RESULTED FROM MEDICAL ISSUES
IN SURGERY?

YES, DEFINITELY.

I'M GONNA JUST SAY
THAT I KNOW THAT...

PEOPLE HAVE BEEN GIVEN
TOO MUCH MEDICINE BEFORE

AND DIDN'T WAKE UP
FOR DAYS.

IT'S A RISK,
BUT IT'S ALWAYS A RISK.

WHAT DO YOU FEEL LIKE ARE GONNA
BE THE BENEFITS FOR YOU

IN HAVING THE SURGERY?

THE WEIGHT GONNA
COME OFF FASTER.

YEAH.

THAT I SEE MORE RESULTS, LIKE,
I SEE LITTLE THINGS,

BUT I'M NOT GONNA BE
REALLY SATISFIED

TILL I SEE BIGGER,

LIKE, YOU KNOW, LIKE 100 POUNDS
OR 105 POUNDS IS AWESOME.

A LOT OF PEOPLE THINK
IT'S REALLY GREAT,

BUT TO ME, IT'S JUST LIKE
LOSING 10 POUNDS, YOU KNOW?

REALLY?
YEP.

800 POUNDS IS A LOT.

SO 100 POUNDS IS
LIKE NOTHIN' TO ME.

WELL, IT OUGHT TO BE
SOMETHING TO YOU

BECAUSE THAT'S NO EASY FEAT,

AND YOU MUST'VE HAD
A LOT OF DISCIPLINE

AND DETERMINATION
TO DO THAT.

YEAH.

BUT IT'S STILL REALLY
IMPORTANT FOR YOU

TO TAKE TIME AND PAT YOURSELF
ON THE BACK AND SAY,

"WOW, ROSHANDA, YOU DID IT.

YOU LOST OVER 100 POUNDS."

AND, LIKE, SAY THAT
AND LET THAT BE IT.

DON'T DIMINISH IT, DON'T SAY,
"I DON'T SEE IT AS A BIG DEAL."

AND YOU DON'T WANT TO
TRAIN YOURSELF, MENTALLY,

TO DIMINISH YOUR
ACCOMPLISHMENTS.

YEP.

SO, ROSHANDA, TODAY,
YOU'VE IDENTIFIED

THE BENEFITS
OF HAVING THE SURGERY

AND ALSO A LOT
OF YOUR FEARS

ASSOCIATED WITH
HAVING THE SURGERY.

I REALLY WANT YOU TO GIVE
A LOT OF THOUGHT

AND REFLECTION
TO YOUR LIFE AS IT WAS,

AS IT IS,

AND WHAT
IT MAY POSSIBLY BE.

I KNOW SOME PEOPLE,
OF COURSE, LIKE YOU,

THINK TALKING HELPS
A LOT OF PEOPLE.

AND, TO ME, I MEAN,
I AGREE WITH THAT,

BUT IN MY SITUATION,
FOR SOME REASON,

TALKING DOESN'T
ALWAYS HELP FOR ME.

OH, OKAY.I THINK IT MAKES IT WORSE.

I WILL SAY THIS,
THAT OFTEN TIMES,

PROCESSING DIFFICULT FEELINGS
CAN FEEL REALLY HORRIBLE.

THAT'S PART OF THE
THERAPEUTIC PROCESS.

AT TIMES, IT GETS WORSE
BEFORE IT GETS BETTER.

I DEFINITELY WANT US TO CONTINUE
HAVING THIS DIALOGUE.

SO, THANK YOU FOR BEING
HERE TODAY AND SHARING.

ALL RIGHT.
YOU'RE WELCOME.

IT WAS GREAT SEEING YOU
TODAY.

♪♪

THANKS SO MUCH FOR COMING
TODAY,

AND I'LL SEE YOU
REAL SOON.

Roshanda: I GUESS I HAD A FEW
MORE ISSUES AND CONCERNS

ABOUT SURGERY
THAN I THOUGHT.

AND I'M GLAD I GOT THE CHANCE
TO REALIZE THAT

AND TO TALK THROUGH SOME OF IT

BECAUSE I CAN SEE HOW
THOSE FEARS COULD HAVE GROWN.

I THINK THIS IS SOMETHING
I COULD CONTINUE DOING.

AND I'M WILLING TO GIVE
THIS A CHANCE.

AND I'M FEELING BETTER
ABOUT MY JOURNEY SO FAR

AND HOW FAR I'VE COME.

AND THAT MAKES ME FEEL LIKE
I CAN MAKE IT.

LIKE DR. NOW SAID,
I DID IT ONCE,

SO I CAN DO IT AGAIN.

I KNOW THIS ISN'T GONNA BE EASY.

I HAVE 100 POUNDS TO GO

BY MY NEXT APPOINTMENT
IN TWO MONTHS.

♪♪

♪♪

Brandie:
AFTER HER THERAPY APPOINTMENT,

ROSHANDA CAME BACK
REALLY MOTIVATED

TO WORK HARD AND DO MORE,

AND I'M ALL ON BOARD WITH THAT.

SO ME AND ROSHANDA HAVE DECIDED
TO TAKE OUR WORKOUTS UP A NOTCH

AND TO GET A TRAINER

AND START TO REALLY WORK OUT
AND PUSH OURSELVES.

I MAY CHANGE MY MIND
ONCE WE START, BUT RIGHT NOW

I'M EXCITED ABOUT IT

BECAUSE I THINK IT'LL
REALLY BE GOOD FOR US.

SO I'M LOOKING FORWARD TO
PUSHING MYSELF TO A NEW LIMIT,

BUT WE'LL SEE HOW IT GOES.

HEY, HOW YOU GUYS DOING?
DOING ALL RIGHT?

-HEY, I'M THOMAS.
-BRANDIE.

-HEY. THOMAS.
-ROSHANDA.

SO, I'M YOUR GUY'S
TRAINER FOR TODAY.

FIRST WE'RE GONNA START
WALKING BY THE TREADMILL,

AND WE'LL START OVER THERE
FOR MANY A FEW MINUTES,

AND WE'LL GO FROM THERE.

Roshanda:
I'M EXCITED RIGHT NOW BECAUSE
I WANT TO PUSH MYSELF HARDER,

BUT I'M SCARED IT'S GONNA
BE REALLY TOUGH AND HURT.

ALL RIGHT, SO --

BUT I WANT TO MAKE START
MAKING EVEN MORE PROGRESS,

AND I'M PLANNING ON DOING THAT

BY STICKING TO THE
1,200-CALORIE-A-DAY DIET

AND BY STARTING SOME REAL
WORKOUTS WITH THE TRAINER

THAT'LL PUSH US BOTH
TO GET EVEN MORE FIT.

SO I KNOW THIS MAY BE HARD,
BUT I'M READY.

THIS IS HIGH.

START HERE.

ALL RIGHT, SO WE'LL DO,
LIKE, A MINUTE,

AS SOON AS YOU GET TIRED.

IF YOU WANT TO STOP,
YOU PRESS "STOP" HERE,

AND YOU CAN HAVE A SEAT ON
THE BENCH WHEN YOU GET DONE.

I'LL BE RIGHT BACK.

HEY, SO YOU'RE
STARTING RIGHT HERE.

WHEN I GOT HERE, HE WANTED ME
TO GET ON THE TREADMILL

BUT I WASN'T
COMFORTABLE WITH THAT,

SO I JUST WALKED AROUND.

I KNOW THIS ISN'T EASY
FOR ROSHANDA,

BUT SHE NEEDS TO PUSH HERSELF
BECAUSE IF SHE DOESN'T,

SHE WON'T LOSE
THE WEIGHT SHE NEEDS TO.

YOU FEEL ALL RIGHT?
YOU GOOD?

SO NOW WE'LL GO TOWARDS THE BACK
AND GET STARTED BACK THERE.

♪♪

TRY TO KEEP IT
A LITTLE BIT CLOSER.

YOU'RE DOING GOOD, THOUGH.
JUST LIKE THAT.

YEAH, PERFECT.

DO ABOUT 10 OF THOSE.

AND...REST.
GOOD JOB.

SO, WE'LL COME OVER HERE.

CAN YOU GET THIS ONE?

AND...

SO, BASICALLY IT'S ROPE SLAM.

YOU CAN DO FIVE
WITH ONE ARM, FIVE HERE.

FIVE.
GOOD JOB.

YEAH.

FOUR.
FIVE -- SWITCH ARMS.

ONE, TWO, THREE, FOUR,
FIVE, SWITCH.

Roshanda: THIS WAS A LOT HARDER
THAN I THOUGHT,

BUT I'M NOT REGRETTING
DOING THIS

BECAUSE I KNOW IT'S GOOD PAIN

AND IT'S HELPING ME
GET TO WHERE I NEED.

Thomas: TWO, THREE, FOUR, FIVE.

GOOD. REST.
GOOD.

Roshanda: SO I'M PLANNING ON US
DOING THIS EVERY WEEK

UNTIL WE GET STRONG ENOUGH
TO DO IT EVEN MORE.

THIS WAS TOUGH,
AND I'M HURT RIGHT NOW.

I KNOW THIS IS GONNA
PUSH ME HARD,

BUT IT PUSHED ME
HARDER THAN THAT.

BUT I STILL LIKED IT,

AND I'M LOOKING FORWARD
TO DOING IT AGAIN.

EIGHT, SEVEN, SIX --

I'M FEELING OPTIMISTIC
ABOUT THIS NEXT MONTH,

NOT JUST BECAUSE
OF THE PROGRESS

I KNOW I'M GONNA MAKE
BUT BECAUSE

CLARENCE IS COMING
DOWN TO VISIT US.

RIGHT NOW, WE JUST WANT TO KNOW
THAT HE'S STAYING ON TRACK

LIKE HE NEEDS,

BECAUSE WE SET OUT
TO THIS AS A FAMILY,

AND THAT MEANS WE NEED
CLARENCE TO DO IT WITH US.

BUT IF ANYTHING, I'M GONNA
WORK AS HARD AS I CAN

SO WHEN I STAND ON THAT SCALE
AT THE NEXT APPOINTMENT

I HIT MY GOAL, AND I FINALLY GET
MY WEIGHT-LOSS SURGERY

'CAUSE I KNOW I HAVE
NO MORE TIME TO WASTE,

AND I'M RISKING GETTING
TO A DANGEROUS POINT

WITH ALL THE STRAIN ON MY BODY.

AND IF I DON'T DO THIS,
I MAY JUST RUN OUT OF TIME,

AND I'VE COME TOO FAR AND WORKED
TOO HARD TO LET THAT HAPPEN.

♪♪

♪♪

Clarence: RIGHT NOW,
ME AND MY FRIEND ALICIA

ARE GOING TO THE PARK
TO PLAY SOME BASKETBALL.

SHE'S BEEN WORKING WITH ME
TO HELP KEEP ME MOTIVATED,

AND HAVING SOMEONE TO DO THIS
WITH HELPS A LOT.

OVER THE LAST COUPLE OF MONTHS,

I KNOW I HAVEN'T BEEN PERFECT
WHEN IT COMES TO MY DIET,

BUT I'VE BEEN PUSHING MYSELF
TO TAKE ALL THIS MORE SERIOUSLY.

I'VE BEEN GOING TO THE PARK
AND WALKING AND RUNNING,

BUT IT'S BEEN A LONG TIME

SINCE I EVEN FELT GOOD ENOUGH
TO TRY AND PLAY BALL.

♪♪

ONCE I GOT INJURED AND STARTED
PUTTING ON THIS WEIGHT,

I STOPPED ALTOGETHER
BECAUSE I WAS IN SO MUCH PAIN,

AND ONCE YOU STOP IT'S
REALLY HARD TO GET BACK TO IT.

BUT I'M WORKING EVEN HARDER NOW.

I JUST DIDN'T REALIZE HOW HARD
IT WAS GONNA BE OVER TIME.

AT FIRST IN THE BEGINNING,
IT'S A LOT EASIER

BECAUSE YOU HAVE THIS GOAL
AND YOU'RE MOTIVATED

AND YOU ONLY HAVE TO
PUSH YOURSELF FOR SO LONG,

BUT EVENTUALLY IT TAKES
MORE WORK TO STICK TO IT

BECAUSE THE CRAVINGS
GET STRONGER,

AND IT'S ESPECIALLY HARD
NOT TO WANT TO EAT SOMETHING

TO MAKE YOU FEEL GOOD
WHEN THINGS ARE STRESSFUL

OR YOU HAVE A HARD DAY.

SO I'M STILL WORKING
TO FIND A BALANCE.

BUT I'VE BEEN THINKING
ABOUT GOING BACK DR. NOW

AND SEE IF HE'LL CONSIDER ME
FOR THE BALLOON

OR SOMETHING TO HELP ME...

HELL YEAH.

BECAUSE I'M SEEING THE NEED FOR
THAT AND HOW THAT CAN BE HELPFUL

TO KEEP ME ON TRACK LIKE I NEED,

AND IF I DON'T GET IT, THEN
I KNOW I'M NOT GONNA BE ABLE

TO STICK TO THIS
FOR THE LONG TERM,

AND EVENTUALLY I'LL END UP
NEEDING THE SAME HELP

THAT BRANDIE AND ROSHANDA
NEED TO GET THEIR LIFE BACK.

AND I CAN'T LET IT GET THAT FAR.

AND THAT IS WHY I HOPE
I'VE DONE ENOUGH TO PROVE

TO DR. NOW THAT I'M READY...

SO THAT DR. NOW IS WILLING
TO LET ME DO MY SURGERY AGAIN.

SO I'M HEADED TO HOUSTON
IN A FEW WEEKS TO SEE MY SISTERS

AND GO WITH THEM
ON THEIR APPOINTMENT.

BUT I'M REALLY LOOKING
FORWARD TO SEEING THEM,

AND I HOPE BY THEN I'VE MADE
ENOUGH PROGRESS

FOR DR. NOW AND I'M READY
TO HAVE SURGERY AGAIN.

♪♪

♪♪

Brandie: WE'RE ALL REALLY
EXCITED ABOUT TODAY

BECAUSE CLARENCE
IS COMING TO VISIT US,

AND THIS IS THE LONGEST
WE'VE ALL GONE BEING APART.

WE WERE A LITTLE UPSET AT HIM
FOR LEAVING US,

ESPECIALLY ROSHANDA

BECAUSE SHE WOULDN'T EVEN
TALK TO HIM FOR A WHILE,

BUT NOW THAT I'M PAST SURGERY
AND TYLISA HAS STAYED DOWN HERE

TO HELP ME AND ROSHANDA,
WE'RE DOING BETTER,

AND WE JUST WANT US ALL
TO GET THE HELP WE NEED.

[ KNOCK ON DOOR ]

Clarence: USE YOUR KEY!
[ LAUGHS ]

-HEY.
-WHAT'S UP?

MADE IT SAFE AND SOUND
IN ONE PIECE, HUH?

CLARENCE, GET ME A WATER?

WHAT?!

[ LAUGHTER ]

I SMELL YOUR COOKING.
YO, WHAT Y'ALL COOK?

MY FAMOUS CHILI.

YOU SAVE ME SOME CHILI?

YEAH, I FROZE IT
FOR YOU.

OH.
LET'S DEFROST IT.

SO YOU FEELING LIKE
YOU'RE RECOVERED?

-WHERE'S MY COLD WATER?
-YEP.

-WATCH YOUR STOMACH.
-SHE WATCHING IT?

NO, IT'S ALL RIGHT.

HOW YOU FEELING?
FEELING LIKE YOU CHEATED DEATH?

I'M TIRED.

SHUT UP!

A FEW MORE MONTHS, I'M GONNA
BE RIGHT ALONG WITH YOU.

[ LAUGHTER ]

Brandie: I'M WORKING
EXTREMELY HARD TO GET APPROVED

FOR WEIGHT-LOSS SURGERY
THIS NEXT TIME,

AND HOPEFULLY CLARENCE
WILL MAKING GOOD PROGRESS, TOO,

AND THIS APPOINTMENT
WILL BE GOOD FOR ALL OF US.

GIVE ME A POPSICLE, TYLISA,
THE TROPICAL BOX.

Tylisa: ALL RIGHT.

WE SET OUT TO DO THIS
AS A FAMILY

AND FOR ALL OF US
TO GET HEALTHY TOGETHER

AND STAY THAT WAY
FOR A LIFETIME.

SO HOPEFULLY TOMORROW
OUR APPOINTMENT GOES WELL,

AND ROSHANDA GETS APPROVED
FOR WEIGHT-LOSS SURGERY

AND CLARENCE GETS BACK
ON THE PROGRAM WITH US.

♪♪

Roshanda: WE'RE ALL AT DR. NOW'S
FOR OUR NEXT APPOINTMENT,

AND I CAN'T HELP
BUT BE NERVOUS RIGHT NOW

BECAUSE I HAVE TO HAVE
GOOD PROGRESS TODAY.

Brandie: IT'S NICE TO ALL BE
GOING TOGETHER AGAIN.

SO I'M STAYING POSITIVE
THAT WE ALL LEAVE

THE APPOINTMENT FEELING GOOD AND
HEADED IN THE RIGHT DIRECTION.

PERRIO FAMILY.

Clarence: IT WAS ABOUT
FOUR MONTHS AGO

THAT I HAD MY LAST APPOINTMENT,

AND SINCE I'VE DECIDED
TO DO THIS ON MY OWN,

DR. NOW DIDN'T REALLY GIVE ME
A WEIGHT-LOSS GOAL.

AND I WAS DOWN TO 491 THEN,
BUT I FEEL CONFIDENT

I'M GONNA HAVE SOME
GOOD PROGRESS TODAY.

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

THAT'S ALL RIGHT.

I'M HAPPY WITH THAT, AND I THINK
THAT'S SOME GOOD PROGRESS,

BUT HOPEFULLY DR. NOW AGREES.

Brandie: IT'S BEEN TWO MONTHS
SINCE MY LAST

DOCTOR'S APPOINTMENT,

AND I'M SUPPOSED TO BE
LOSING 20 POUNDS A MONTH.

I WAS AT 430 LAST TIME,
SO IF I STAYED ON TRACK,

TODAY I SHOULD BE UNDER 390.

SO HOPEFULLY I DID THAT.

THAT'S NOT BAD.

IT'S PRETTY MUCH
WHERE I NEED TO BE.

Roshanda: I CAN'T HELP BUT BE
NERVOUS RIGHT NOW

BECAUSE IT'S BEEN
ANOTHER TWO MONTHS

AND I JUST NEED MY WEIGHT
TO BE UNDER 600.

♪♪

THAT'S NOT BAD, BUT IT DOESN'T
GET ME UNDER 600,

AND I DON'T KNOW IF THIS
IS GONNA BE ENOUGH.

SO WE'RE SCARED THIS IS STILL
TOO FAR TO GET APPROVED TODAY.

BUT IT'S GETTING TOO HARD
TO DO THIS ON MY OWN,

AND I FEEL LIKE NO ONE GETS THAT
AND THAT MAKES ME FEEL SO ALONE.

HELLO.

-HI.
-HELLO.

HOW ARE YOU
ALL DOING?

-ALL RIGHT.
-ALL RIGHT.

CLARENCE, IT'S GOOD
TO SEE YOU AGAIN.

I HOPE YOU'VE BEEN
STICKING TO YOUR DIET.

YES, SIR.

AND IT LOOKS LIKE YOU HAVE
SOMEONE ELSE WITH YOU,

SO IT'S A PARTY TODAY, HUH?

[ LAUGHS ]

OKAY, LET'S START
WITH YOU, BRANDIE.

TODAY YOU'RE DOWN 392.

SO THAT IS 38 POUNDS IN WEIGHT
LOSS OVER THE LAST TWO MONTHS.

THAT'S JUST A COUPLE POUNDS
SHY OF YOUR GOAL,

SO YOUR WEIGHT LOSS
IS SLOWING A LITTLE,

BUT NOT ENOUGH TO BE
CONCERNED RIGHT NOW.

SO YOU'RE DOING WELL.

WITH ALL THIS WEIGHT OFF YOU,
HOW'S YOUR ENERGY LEVEL?

IT'S ACTUALLY
GOTTEN BETTER NOW.

SO ARE YOU ABLE TO BE
A LOT MORE ACTIVE NOW?

BETTER THAN BEFORE --
DEFINITELY, YEAH.

ANY PROBLEM?

MNH-MNH.
GREAT.

SO STICK TO YOUR DIET,
AND TRY TO MAINTAIN AT LEAST

20-POUND WEIGHT LOSS
A MONTH, OKAY?

YES, SIR.ALL RIGHT.

ROSHANDA, YOU'RE DOWN TO 632
WHICH IS 77-POUND WEIGHT LOSS

OVER THE PAST TWO MONTHS.

YES.

SO YOU'RE NOT
QUITE TO 600,

BUT YOU YOU'RE MAKING
YOUR PROGRESS

AND YOU'RE GETTING THERE,
SO I THINK YOU'RE DOING WELL.

I THINK SO, TOO.

SO, CAN I GET THE BALLOON
TO KEEP ME ON TRACK

UNTIL I GET SURGERY?

WELL, THE BALLOON
IS GONNA BE A --

I DON'T WANT --
NO, I WANT THE SURGERY.

I JUST WANT IT WHEN YOU --
YOU TOLD ME

THAT I NEEDED TO BE
UNDER 600 POUNDS

FOR ME TO BE SAFE,
SO THAT'S ALL I EVER WANTED.

BUT WHEN YOU TOLD ME
I WAS APPROVED THE FIRST TIME,

I DON'T SEE WHY
I DIDN'T GET THE BALLOON

AND WHY IT CAN'T HELP ME
LOSE THIS LAST BIT OF WEIGHT.

THE BALLOON HASN'T BEEN
AN OPTION FOR YOU

BECAUSE IT'LL STILL PUT
YOUR BODY UNDER STRAIN

TO PERFORM THE PROCEDURE,
WHICH IS THE PRIMARY ISSUE.

THE OTHER ISSUE IS THAT YOU NEED
WEIGHT-LOSS SURGERY

TO DO THIS FOR LONG-TERM,
NOT THE BALLOON.

AND ON TOP OF ALL THIS,
I KNOW YOU CAN DO IT.

BUT THIS IS WHAT WE WILL DO --
WE WILL GO AHEAD,

AND RUN ALL THE TESTS
ON YOU AGAIN,

AND IF YOUR HEALTH DOES IMPROVE

AND IF YOU STAY ON TRACK
THIS NEXT ONE,

THEN I'LL APPROVE YOU
FOR WEIGHT-LOSS SURGERY.

DOES THAT SOUND GOOD?

YES.
YOU'RE SO CLOSE.

JUST DON'T GET DISCOURAGED.
YOU CAN DO IT.

Clarence: YOU CAN DO IT, RO.
I THINK YOU CAN DO IT.

YOU CAN DO IT, YEAH.

YOU'VE BEEN DOING GREAT.

DON'T YOU THINK?

I THINK IT SAYS SOMETHING ABOUT
YOUR MENTAL TOUGHNESS

IF YOU DO IT, BECAUSE
IN ORDER TO BE SUCCESSFUL

TO GET TO THE WEIGHT
THAT YOU WANT TO BE

FOR THE REST
OF YOUR LIFE

IS GONNA REQUIRE
A COMMITMENT FROM YOU,

AND I THINK YOU'VE
ALREADY DEMONSTRATED THAT.

IT'D BE DIFFERENT IF YOU HAVEN'T
BEEN ABLE TO LOSE ANY WEIGHT

AT ALL UP TO THIS POINT,
BUT YOU'VE SHOWN YOU CAN DO IT

AND SO THIS IS
JUST ONE MORE STEP

TO GET WHERE
YOU NEED TO GO.

AND I THINK YOU HAVE
THE BEST ADVANTAGE,

'CAUSE YOU'RE GONNA
BE ABLE TO LOOK AT TY,

AND IT'S GONNA
BENEFIT YOU.

I KNOW IT'S NOT EASY,
BUT YOU CAN DO IT

'CAUSE YOU'VE PROVEN IT.

ALL RIGHT, SO, CLARENCE,

LET'S GO BACK
TO TOUCH ON A FEW THINGS.

FIRST WE APPROVED YOU
FOR SURGERY

BEFORE BRANDIE
HAD THE SURGERY,

AND THEN YOU CAME BACK HERE

AND SAID YOU DON'T WANT
TO HAVE SURGERY

BECAUSE YOU HAD A FEAR
FROM YOUR MOM DYING,

SO YOU QUIT THE PROGRAM
AND YOU WENT BACK TO LOUISIANA.

SO ARE YOU BACK NOW
BECAUSE YOU DECIDED

THAT YOU MIGHT
WANT AN OPERATION?

YES, SIR.

SO YOU HAVE NO CONCERN
ABOUT MOVING AHEAD WITH THAT?

NO, SIR.

OKAY, LET'S SEE
HOW YOU'VE DONE, FIRST.

SO, IT'S BEEN FOUR MONTHS
SINCE YOU WERE LAST HERE,

AND YOU WERE AT 491 THEN,
AND NOW YOU'RE DOWN TO 437.

SO YOU LOST 54 POUNDS.

THAT NOT A WHOLE LOT OF
WEIGHT LOSS IN THAT TIME,

BUT IT SHOWS ME THAT YOU'VE BEEN
WORKING HARD ON YOUR OWN

AND TRYING TO
MAKE IT PERMANENT.

RIGHT.

SO IF YOU FEEL
LIKE YOU'RE READY,

I'M APPROVING YOU
FOR WEIGHT-LOSS SURGERY.

THANK YOU, SIR.

SO WE WILL SCHEDULE YOUR SURGERY
FOR A MONTH FROM NOW

TO GIVE YOU TIME TO GET
YOUR FATHER TAKEN CARE OF

AND FIGURE ALL YOUR
RESPONSIBILITIES OUT.

OKAY.BECAUSE, CLARENCE,

REMEMBER IF YOU DO THIS,

YOU'RE GOING TO HAVE TO
STAY IN HOUSTON

FOR A PERIOD OF TIME.

YES, SIR.ALL RIGHT.

I'M PROUD
OF ALL THREE OF YOU.

I KNOW THIS ISN'T EASY, BUT EACH
OF YOU HAS COME A LONG WAY.

I COMPLETELY AGREE.

THIS HAS BEEN A LONG ROAD
FOR YOU ALL,

AND YOU STILL HAVE
A WAYS TO GO,

BUT YOU SHOULD BE PROUD OF
THE PROGRESS YOU EACH HAVE MADE,

AND I'M CONFIDENT THAT
THIS IS JUST THE BEGINNING.

SO YOU ALL KEEP UP
THE GOOD WORK,

AND WE GET YOU ALL
TO YOUR TARGET AS A FAMILY.

OKAY.ALL RIGHT, SUPER.

I'LL SEE YOU ALL LATER.

-BYE.
-BYE.

Dr. Etter: I THINK THE PERRIO
FAMILY IS DOING WELL OVERALL.

ALL THREE OF THEIR WEIGHT LOSS
COULD BE A LITTLE BETTER,

BUT THE PROGRESS
THEY'VE MADE IS PROMISING.

SO HOPEFULLY SOON WE'LL GET THE
POINT WHERE ALL THREE PERRIOS

WILL HAVE HAD
WEIGHT-LOSS SURGERY.

RIGHT NOW BRANDIE'S DOING WELL,
AND I THINK ROSHANDA IS, TOO.

IF SHE WAS STICKING TO THE DIET,
SHE WOULD HAVE LOST A LOT MORE,

BUT I SEE THAT SHE'S TRYING
SO WE'LL SET UP A TIME

IN THE NEXT WEEK
TO HAVE HER GO TO THE HOSPITAL

SO WE CAN RUN THE TEST

AND SEE IF SHE'S GETTING TO
THE SAFER PLACE WE NEED.

BUT ROSHANDA IS VERY EMOTIONAL,
AND IF SHE GETS TOO UPSET

IT COULD LEAD HER
TO OVEREAT AGAIN,

SO HOPEFULLY SHE STAYS ON TRACK
BECAUSE SHE'S SO CLOSE.

AS FOR CLARENCE,
SEEING THAT HE HAD A LOSS,

EVEN THOUGH IT WASN'T AS MUCH
AS IT SHOULD HAVE BEEN,

SHOWED ME THAT HE IS SEROUS
AND WORKING HARD.

BUT HE HASN'T HAD ANY THERAPY
TO HELP HIM DEAL

WITH HIS FEARS YET.

SO THE DEADLINE I'M GIVING HIM
IS NOT JUST SO HE CAN GET

ALL HIS RESPONSIBILITIES
SQUARED AWAY,

BUT TO GIVE HIM ENOUGH TIME
TO PROCESS MOVING AHEAD.

AND IF HE CANCELS AGAIN, MAYBE
WE CAN USE THAT TO CONVINCE HIM

TO START GOING TO THERAPY
MORE THAN ONCE.

Clarence: I FEEL
REALLY GOOD RIGHT NOW.

I TRIED ON MY OWN,
AND IT SHOWED ME HOW HARD IT IS

TO DO THIS OVER
A PERIOD OF TIME.

SO I KNOW THIS IS WHAT I NEED,

AND I FEEL READY
FOR IT THIS TIME.

BUT I HAVE TO GET
MY FATHER SET UP FIRST,

SO THE ONLY THING I CAN FIGURE
IS I HAVE TO BRING HIM

BACK HERE TO HOUSTON
TO STAY WITH US WHILE I RECOVER.

SO ONCE I DO THAT AND I'M BACK,
THEN I'LL BE READY.

♪♪

♪♪

Roshanda: IT'S BEEN HARD LATELY,
AND I'M STRUGGLING RIGHT NOW.

IT FEELS LIKE I'M NEVER GONNA
GET TO WHERE I NEED,

SO IT'S DISCOURAGING.

BUT WITH CLARENCE
GETTING THE SURGERY,

HE HAS TO BE DOWN HERE
FOR A WHILE

SO HE BROUGHT MY FATHER DOWN
TO STAY WITH US FOR A BIT.

SO IT'S BEEN NICE
HAVING CLARENCE

AND MY FATHER DOWN HERE.

AND IT'S BEEN NICE
GETTING TO TALK TO HIM

AND SPEND MORE TIME WITH HIM.

I KNOW AS A FAMILY
WE HAVE A LOT OF HISTORY,

BUT WE GOOD BECAUSE WE ALL
HAVE GOOD RELATIONSHIPS NOW,

SO I'M HAPPY ABOUT THAT,

AND IT'S BEEN NICE
HAVING MORE FAMILY WITH US

BECAUSE IT WAS GETTING
REALLY LONELY BEING AWAY

FROM EVERYONE FOR SO LONG.

ROSHANDA, WHAT YOU THINK
ABOUT YOUR SISTER AND BROTHER

GETTING SURGERY
BEFORE YOU?

I'M GLAD THEY GETTING IT.
I GET TO SEE WHAT HAPPENS.

[ LAUGHS ]

THEY GONNA DEMONSTRATE
ON THEM FIRST

SO I GET TO SEE
WHAT'S GONNA HAPPEN.

HEY, THAT'S -- IF THAT'S
HOW IT HAPPENS,

THEN IT WASN'T MEANT FOR ME.

I AIN'T GONNA BE MAD.

I MIGHT BE NEXT
AFTER YOU.

[ CHUCKLES ]

YOU AIN'T GONNA BE ABLE
TO PUT THEM COOKIES DOWN.

THAT'S FOR SURE.

IT'S GONNA HURT
YOUR STOMACH.

THAT'S WHAT THEY GONNA DO.

THEY GONNA MAKE
YOUR STOMACH THIS BIG.

THAT MEANS YOU'RE ONLY GONNA
BE ABLE TO EAT ONE COOKIE.

UH-HUH.
NOT ME -- YOU.

NO, I'M NOT GONNA BE
EATING NO COOKIES.

YOU JUST SAID YOU
WERE GONNA BE NEXT.

I WAS JOKING.

I NEVER
HAD SURGERY BEFORE.

I HAD A COLONOSCOPY,
AND THEY HAD TO PUT ME TO SLEEP.

WHEN I WOKE UP MY HEART
START GOING CRAZY.

THEY CHECKED ME OUT.
NOTHING WRONG WITH MY HEART.

I WAS JUST NERVOUS
GOING IN THAT ROOM.

AND AFTER,
WHEN YOU WAKE UP?

OH, WASN'T
FEELING NOTHING --

I LAID DOWN THERE A WHILE,
THEN I GOT UP AND WALK AWAY.

OKAY, WHAT'S
THE NEXT GOAL?

MY NEXT GOAL
IS TO KEEP THIS --

KEEP LOSING
TILL I HAVE ENOUGH --

TILL I LOST ENOUGH
TO REMOVE SOME SKIN.

OKAY.

I WANT MY STOMACH
GONE FIRST -- GOT TO GO.

OH, AND THEY'LL START
CUTTING THAT SKIN.

THEY JUST USE
A RAZOR BLADE.

[ LAUGHS ]

QUICK.

SO, YOU KNOW YOU GONNA
HAVE PLENTY OF SKIN HANGING?

LIKE THAT?
YEAH.

[ LAUGHS ]

I'M GONNA WORK IT OUT.

YEAH, PUT THEM
MUSCLES ON, GIRL.

YES, I'M GONNA HAVE SKIN,

BUT I'M GONNA TRY TO HAVE
AS LESS AS POSSIBLE.

LIKE MINE?

LOOK, IT'S EVEN --
IT'S SHRIVELING UP ALREADY, TOO?

ROSHANDA, WHEN YOU USED
TO BE 800 POUNDS, I WORRIED.

I STILL WORRY.

I GUESS I'M GONNA WORRY
A LONG TIME.

I'M GONNA WORRY TILL I DIE,
BUT I'M GONNA WORRY.

I HATE TO SEE MY CHILDREN
BIG LIKE THAT, YOU KNOW?

DR. NOW SAYS WE'RE DOING
MY MEDICAL TESTING AGAIN SOON

AND THAT I NEED
TO MAKE SURE TO MAKE IT

AND TO GO TO MY
NEXT THERAPY APPOINTMENT

TO KEEP WORKING
ON THINGS, SO I WILL.

BUT I'M WORRIED THE RESULTS
ARE GONNA BE THE SAME,

AND IF I GO TO
MY NEXT APPOINTMENT

AND DR. NOW TELLS ME
THAT I'M STILL NOT

READY FOR WEIGHT-LOSS SURGERY,

THEN IT'S GONNA BE
SO DISCOURAGING,

AND IT'S ALREADY
HARD ENOUGH AS IT IS.

AND I DON'T KNOW HOW
TO KEEP DOING THIS,

SO I HAVE TO GET
APPROVED NEXT TIME.

OR THIS MAY BE IT FOR ME.

AND BECAUSE I CAN'T KEEP
MOTIVATING MYSELF,

IT FEELS LIKE THERE'S
NO END IN SIGHT

AND THAT I'M NEVER GONNA
GET THE HELP I NEED.

♪♪

♪♪

Clarence: I'M NERVOUS ABOUT
TODAY BECAUSE ALL I THINK ABOUT

IS HOW MY MOM WENT IN
FOR A SIMPLE PROCEDURE,

AND BECAUSE OF A COMPLICATION,
SHE DIDN'T MAKE IT.

SO I HAVE THAT SAME FEAR
THAT I DID LAST TIME,

AND I'M JUST READY
TO GET IT OVER WITH

BEFORE I CHANGE MY MIND.

-GOOD MORNING.
-GOOD MORNING.

MORNING, GENTS.
HOW YOU ALL DOING?

GOOD.
HOW ARE YOU DOING?

I DIDN'T REALLY GET
NO SLEEP LAST NIGHT.

ARE YOU NERVOUS?

OH, YEAH.

YOU ARE NERVOUS, HUH?MM-HMM.

THE MENTAL PREPARATION --
YOU KNOW, JUST KNOWING,

JUST KNOWING
IT'S ABOUT TO HAPPEN.

THAT'S NORMAL, OKAY, BUT TODAY'S
GONNA BE A BIG DAY FOR YOU.

YES, SIR.

AND IT'S GONNA CHANGE
YOUR LIFE FOR GOOD,

AND YOU'RE GONNA BE ABLE
TO GET DOWN TO 200.

I THINK I MIGHT 250,
THOUGH, 'CAUSE...

[ LAUGHS ]

ALL RIGHT. WE'LL GET YOU IN
A FEW MINUTES, OKAY?

YES, SIR.ALL RIGHT, GREAT.

SEE YOU IN A BIT.

LOVE YOU, SIS.
SEE YOU IN A FEW.

Brandie: IT'S HARD NOT TO BE
A LITTLE NERVOUS RIGHT NOW,

EVEN THOUGH I'M CONFIDENT

CLARENCE IS GONNA
COME THROUGH JUST FINE.

DEUCES.

IT'S JUST STILL MAJOR SURGERY
THAT'S HIGH-RISK,

AND ALL OF US KNOW
THAT ANYTHING CAN HAPPEN

TO ANY OF US GOING THROUGH
WITH A SURGERY.

BUT BEFORE WE EVEN STARTED
ALL THIS, WE ALL TALKED

AND DECIDED THAT THIS
RISK IS WORTH IT,

BECAUSE WE HAVE MORE
TO LOSE NOT DOING IT.

BUT KNOWING ALL THAT
STILL DOESN'T MAKE IT

ANY LESS SCARY TO GO THROUGH --

I WATCHED SOMEONE
I CARE ABOUT GO THROUGH.

SO I'M JUST GONNA
THINK POSITIVE,

AND I HOPE HE COMES OUT SAFE
AND AS QUICK AS POSSIBLE.

Dr. Etter: TODAY WE'RE
PERFORMING A GASTRIC SLEEVE

ON CLARENCE THAT WILL HELP
HIM STAY ON TRACK

WITH THIS WEIGHT LOSS.

Dr. Nowzaradan: CLARENCE HAS
LOST A GOOD AMOUNT OF WEIGHT,

AND HE'S UNDER 500 POUNDS.

BUT HE'S STILL
SUPER MORBIDLY OBESE,

AND I'M CONCERNED ABOUT THE FACT

THAT HE HOLDS A LOT OF HIS
WEIGHT IN HIS ABDOMEN.

Dr. Etter: WE'RE MAKING
THE FIRST INCISION.

AND HE LIKELY HAS
A VERY THICK ABDOMINAL WALL,

SO IT MAY BE EXTREMELY
TOUGH TO MANEUVER

AN INSTRUMENT
IN HIS ABDOMEN TODAY,

AND THAT COULD EXTEND
HOW LONG THE SURGERY IS TAKING.

BUT CLARENCE IS STILL A
HIGH-RISK PATIENT AT HIS WEIGHT,

SO WE HAVE TO BE CAREFUL NOT TO
PUSH HIS BODY TO ITS LIMIT,

AND KEEPING HIM
ON THE ANESTHESIA

FOR TOO LONG WILL DO THAT.

SO IF WE ENCOUNTER
TOO MUCH OF A DELAY,

THEN WE NEED TO STOP
THE PROCEDURE EARLY.

BUT WE'LL KEEP
A CLOSE EYE ON HIM

AND MAKE SURE THAT
HE'S DOING OKAY

AND WORK AS FAST
AS WE SAFELY CAN

BECAUSE THIS SURGERY IS GOING TO
BE A NECESSARY HELP FOR CLARENCE

TO KEEP HIM LOSING WEIGHT
BECAUSE THE GASTRIC SLEEVE

IS AN OPERATION THAT
REDUCES THE STOMACH BY 90%,

LEAVING A SKINNY, LONG TUBE
THAT LOOKS LIKE A SLEEVE

THAT CONNECTS THE ESOPHAGUS
TO THE SMALL INTESTINE.

A GASTRIC SLEEVE WILL CHANGE
THEIR METABOLISM TO SOME DEGREE

AND WILL GIVE THEM
AN OPPORTUNITY

TO BEGIN LOSING WEIGHT

BECAUSE THE PATIENT'S FOOD
INTAKE IS PHYSICALLY LIMITED.

Brandie: WAITING AROUND DOING
NOTHING -- IT'S JUST HARD,

AND UNTIL I CAN SEE HIM
AND KNOW HE'S ALL RIGHT,

I'M JUST GONNA BE WORRIED.

SO I'M HOPING IT ALL GOES WELL.

♪♪

Dr. Etter: ALL RIGHT,
HOLD IT THERE.

OKAY.
LET'S PULL IT OUT.

Dr. Nowzaradan:
A COUPLE MORE STITCHES,

AND WE'RE GONNA BE CLOSING.

OKAY.
WE'RE DONE.

ALL RIGHT.

CLARENCE'S SURGERY
WENT VERY WELL.

IT WAS A LITTLE HARD
TO MANEUVER,

BUT THAT DID NOT
SLOW US DOWN TOO MUCH,

SO WE HAD NO ISSUES
FINISHING HIS OPERATION

WITHOUT ANY COMPLICATION.

SO WE'LL GET HIM TO RECOVERY,

AND THEN WE'LL GET HIM
HOME HERE IN A FEW DAYS.

Dr. Etter: WITH CLARENCE'S
GASTRIC SLEEVE SURGERY,

WHAT WE SHOULD SEE FROM HIM
IS A WEIGHT LOSS

OF 20 TO 30 POUNDS A MONTH

UNTIL HE STARTS TO GET CLOSE
TO HIS TARGET WEIGHT.

SO HE'LL START HAVING MORE
CONSISTENT WEIGHT LOSS

RIGHT NOW,
ESPECIALLY IN THE FIRST MONTH

WHEN HE'S ON A LIQUID DIET.

Dr. Nowzaradan: WITH THIS
SURGERY, CLARENCE SHOULD HAVE

AN EASIER TIME STAYING ON TRACK
WITH HIS WEIGHT LOSS

UNTIL WE HAVE THE OPPORTUNITY

TO START HIM GOING
TO PSYCHOTHERAPY,

AND HOPEFULLY HE WILL NOT
ONLY BE WILLING

TO COOPERATE WITH THAT
BUT ALSO START GOING TO

GROUP THERAPY WITH HIS SISTER
SO WE CAN ADDRESS

THE FAMILY DYSFUNCTION
LIKE WE NEED TO MAKE SURE

THE PERRIO FAMILY IS SUCCESSFUL
FOR THE LONG TERM.

♪♪

♪♪

♪♪

Brandie: YEAH.

I KNOW THIS ALL HAS BEEN
HARD FOR ROSHANDA,

BECAUSE IT'S TAKEN SO LONG FOR
HER TO GET WEIGHT-LOSS SURGERY,

AND SHE WAS STARTING TO GET
A LITTLE LAX WITH HER DIET

AND EVERYTHING AFTER HER
LAST APPOINTMENT.

BUT LATELY I'VE BEEN
REALLY IMPRESSED

BECAUSE SHE'S FOUND A WAY
TO MOTIVATE HERSELF AGAIN,

AND SHE'S EATING RIGHT.

SO I'M REALLY PROUD OF HER,

AND I'M EXCITED TO SEE
HER DRIVE RIGHT NOW

BECAUSE SHE'S MAKING SURE
WE STICK TO

300-, 400-CALORIE MEALS A DAY.

TEETY, WHAT'S HAPPENING, PEACH?

BUT WE'RE MOSTLY EATING
HER LOW-CALORIE CHILI.

THANK YOU.

IT CAN GET A LITTLE OLD,
BUT I'M NOT COMPLAINING,

AND I'LL KEEP EATING
THIS CHILI FOR EVERY MEAL

IF IT MEANS SHE'S GONNA DO THIS.

Roshanda: NOT GETTING SURGERY
AGAIN GOT ME DOWN,

AND IT'S JUST BEEN HARD
TO FIND THE MOTIVATION

TO KEEP DOING THIS

WHEN IT FEELS LIKE MY GOAL
IS ALWAYS JUST OUT OF REACH.

BUT AFTER TALKING WITH MY DAD
AND SHARING A LITTLE BIT OF

HOW I FEEL AND HAVING
ANOTHER THERAPY SESSION,

I KNOW I'M GETTING TO A PLACE

WHERE IT'S GONNA
BE HARDER FOR ME

TO RESIST TEMPTATION
AND GIVING IN.

SO I'M MOTIVATING MYSELF
THIS NEXT MONTH TO DO THIS

ONE LAST PUSH
TO TRY AND MAKE IT.

SO THE FIRST THING
I'M MAKING SURE TO DO

IS TO COMPLETELY STICK
TO JUST 1,200 CALORIES A DAY.

I MADE SOME LOW-CALORIE CHILI,
AND ONE 1/2 BOWL SERVING

IS EXACTLY 400 CALORIES.

AND WE'RE EATING IT
FOR BREAKFAST, LUNCH, AND DINNER

RIGHT NOW TO MAKE SURE WE STICK
TO EXACTLY 1,200 CALORIES.

BUT I KNOW EATING THE SAME
THING OVER AND OVER

IS NOT BRANDIE'S
FAVORITE RIGHT NOW,

AND I KNOW SHE'S JUST OKAY
WITH IT TO SUPPORT ME.

BUT THE OTHER THING I'M DOING
IS WORKING OUT

THREE TIMES A WEEK NOW.

♪♪

BUT THAT'S ACTUALLY BEEN
A LOT TOUGHER

THAN STICKING TO THE DIET.

STRAIGHT UP HERE.

AND START.

'CAUSE I'M PRACTICALLY
SORE EVERY DAY NOW.

9 AND 10.

GOOD JOB.

BRANDIE'S STILL COMING
WITH ME ONCE A WEEK,

BUT SHE FEELS LIKE SHE'S NOT
READY TO JUMP TO THIS LEVEL,

SO I'M HERE BY MYSELF,
BECAUSE IF I LOSE THIS CHANCE

AND IF I DON'T GET
APPROVED FOR SURGERY,

THEN AT LEAST
I CAN KNOW IT'S NOT

BECAUSE I DIDN'T TRY MY HARDEST.

6, 7, 8, 9, AND 10.

GOOD JOB.

ALL RIGHT, NEXT SET.

I KNOW
IF I'M GETTING TO A PLACE

WHERE I PHYSICALLY
CAN'T KEEP DOING THIS,

SO I'M WORKING AS HARD AS
I CAN RIGHT NOW TO PUSH MYSELF

AND MAKE AS MUCH PROGRESS

AS I CAN BY MY NEXT
DOCTOR'S APPOINTMENT.

4, 3, 2, 1.

REST.
GOOD JOB, GOOD JOB.

THAT WAS GOOD.

BECAUSE EITHER I DO THIS OR THIS
WILL LIKELY BE IT FOR ME.

Thomas: 1...

SO, WE'VE DONE ABOUT
EIGHT EXERCISES.

LAST TIME, WE DID ABOUT
MAYBE THREE OR FOUR.

SO YOU'VE DOUBLED
WHAT YOU DID LAST TIME.

ALL RIGHT, GOOD JOB,
GOOD JOB, GOOD JOB.

KEEP UP THE GOOD WORK,
MAN.

SO THIS IS MY LAST CHANCE.

I HAVE TO MAKE THIS WORK.

♪♪

♪♪

WE'RE BACK TO SEE THE DOCTOR
FOR OUR NEXT APPOINTMENT,

AND I'M TERRIFIED RIGHT NOW,

BECAUSE I FEEL LIKE
I CAN'T KEEP DOING THIS

IF I'M NEVER GONNA GET SURGERY.

AND I'M SO SCARED THAT I'M GONNA
STILL GET THE SAME ANSWER,

THAT I'M NOT READY

'CAUSE I NEED TO LOSE
MORE WEIGHT TO GET HEALTHY.

BUT I'M GETTING TO MY BREAKING
POINT, AND I JUST NEED SURGERY.

Brandie:
I KNOW ROSHANDA'S EXTREMELY
NERVOUS BECAUSE IT FEELS LIKE,

FOR HER, EVERYTHING IS
RIDING ON THIS APPOINTMENT,

AND IF SHE DOESN'T GET IT, I
DON'T KNOW WHAT'S GONNA HAPPEN.

SO I'M REALLY SCARED
IF THAT HAPPENS,

THEN THAT MAY BE IT FOR HER.

Roshanda: IF I DON'T GET
THIS HELP, THEN I KNOW

I'M NOT GONNA BE ABLE
TO KEEP GOING MUCH LONGER.

SO THIS IS MY LAST CHANCE,

AND I'M JUST TERRIFIED
RIGHT NOW.

♪♪

Brandie: WE'RE BACK AT DR. NOW'S
TO FIND OUT

IF ROSHANDA
MADE IT TO HER GOAL THIS TIME.

AND I KNOW HOW IMPORTANT IT IS
FOR HER TO DO THIS,

BECAUSE I KNOW
SHE'S GETTING TO A PLACE

WHERE SHE FEELS LIKE
SHE CAN'T GO ON.

PERRIO FAMILY?

SO I'M REALLY HOPING SHE'S GONNA
HAVE A GOOD WEIGH-IN TODAY

AND HIT HER GOAL.

BUT I'M NOT WORRIED
ABOUT MYSELF.

I THINK I'M ON TRACK.

SO ALL I CARE ABOUT TODAY
IS HER PROGRESS.

I MADE IT
DOWN TO 392 LAST TIME,

AND MY GOAL NOW
IS TO KEEP LOSING

20 POUNDS A MONTH
UNTIL I GET TO MY TARGET WEIGHT.

SO I SHOULD BE DOWN
TO 372 TODAY.

♪♪

IT'S A LITTLE LOWER THAN
IT'S SUPPOSED TO BE,

BUT ALL I REALLY
CARE ABOUT RIGHT NOW

IS WHETHER ROSHANDA
HITS HER GOAL OR NOT.

ROSHANDA, YOU'RE NEXT.

Roshanda: I'M SO SCARED THIS IS
GONNA JUST BE ANOTHER TIME

I STILL DON'T GET
UNDER 600 POUNDS,

AND IF THAT HAPPENS,
THEN I THINK I'M DONE,

BECAUSE I FEEL LIKE I'VE DONE AS
MUCH AS I CAN WITHOUT SURGERY.

♪♪

I DON'T KNOW
IF THIS IS GOOD OR BAD,

SO I'M SO SCARED RIGHT NOW,

'CAUSE I HAVE NO IDEA
WHAT DR. NOW'S GONNA SAY

OR WHAT'S GONNA HAPPEN.

BUT THIS HAS TO BE ENOUGH
BECAUSE I'M WORKING SO HARD

AND I NEED TO JUST
FINALLY GET THERE.

[ KNOCK ON DOOR ]

HELLO.
HOW'S IT GOING?

-ALL RIGHT.
-ALL RIGHT.

-HOW Y'ALL DOING?
-OKAY.

SO, BRANDIE,
DOING ALL RIGHT?

YES.
ALL RIGHT.

LET'S START WITH YOU.

TODAY, YOU'RE DOWN
TO 382 POUNDS,

WHICH IS WEIGHT LOSS OF
10 POUNDS FOR THIS PAST MONTH.

SO YOUR WEIGHT LOSS HAS SLOWED
EVEN MORE NOW,

BECAUSE YOU'RE PROBABLY EATING
A LITTLE BIT MORE DURING THE DAY

AND IN SMALLER DOSES.
THAT'S SLOWING YOUR WEIGHT LOSS.

SO I THINK IT'S TIME YOU START
PSYCHOTHERAPY TO GET

AT WHAT'S DRIVING YOU
TO EAT RIGHT NOW.

IS THAT SOMETHING
YOU THINK YOU CAN DO?

YEP.

OKAY, GREAT.

YOU'RE STILL LOSING WEIGHT,
AND YOU HAVE COME A LONG WAY

WITH A TOTAL WEIGHT LOSS OF
238 POUNDS OVER THE LAST YEAR.

BUT WE WANT YOU TO KEEP GOING
AND GET TO WHERE YOU NEED.

SO, YOU'RE FEELING GOOD?FEELING GREAT.

ALL RIGHT, GREAT.

LET'S SEE
HOW ROSHANDA'S DOING.

SO, ROSHANDA, TODAY
YOU'RE DOWN TO 605 POUNDS,

AND THAT'S 127 POUNDS
YOU LOST THIS PAST MONTH.

IT'S NOT QUITE BELOW 600,
BUT THE MOST IMPORTANT THING

IS THAT WE HAVE GONE OVER
YOUR MEDICAL TESTS,

AND YOU HAVE LOST
ENOUGH WEIGHT FOR US

TO APPROVE YOU
FOR WEIGHT-LOSS SURGERY.

HOW'S THAT SOUND?

[ CHUCKLES ]

THAT SOUNDS GOOD.

Dr. Etter: ROSHANDA, WE KNOW
THIS WASN'T EASY FOR YOU,

BUT YOU WORKED HARD.

AND, BRANDIE, SINCE YOU HIT
YOUR FIRST WEIGHT-LOSS GOAL,

YOU'VE NOT GAINED WEIGHT,

SO WE'RE REALLY PROUD
OF BOTH OF YOU.

YOU'VE TAKEN SOME STEPS
THAT ARE GONNA CHANGE YOUR LIFE.

DON'T EVER GO BACK.

AND WHEN YOU THINK
ABOUT GOING BACK,

REMEMBER WHAT IT WAS LIKE
TO CARRY AROUND ALL THAT WEIGHT

AND WHERE YOU ARE NOW,
AND THAT'LL HELP YOU GET

WHERE YOU WANT TO GO.

RIGHT NOW, I'M REALLY HAPPY
WITH THE PERRIOS' PROGRESS,

AND I'M PROUD OF THEM
FOR HOW FAR

ALL OF THEM HAVE COME
INDIVIDUALLY AND AS A FAMILY.

BUT THERE IS STILL
A LOT OF WORK TO DO.

THE BIGGEST ISSUE BEING THE NEED
FOR THE WHOLE FAMILY

TO GO THROUGH PSYCHOTHERAPY

TO START TO ADDRESS
THE ENABLING DYNAMIC

THAT IS STILL THERE AND WILL
DERAIL THEM IN THE LONG RUN

IF WE AREN'T ABLE TO DO THAT.

SO ONCE CLARENCE RECOVERS,

HOPEFULLY HE WILL BE WILLING
TO START BACK WITH THEM

SO WE CAN DO GROUP THERAPY

AND BE ABLE TO MOVE AHEAD WITH
ROSHANDA'S WEIGHT-LOSS SURGERY.

SO WE STILL HAVE A LOT OF WORK
AHEAD OF US TO GET THE FAMILY

TO WHERE THEY NEED TO BE.

ALL RIGHT,
SO KEEP UP THE GOOD WORK,

BUT REMEMBER TO KEEP AT IT
AND STICK TO YOUR DIETS

SO YOU LOSE MORE WEIGHT.

OKAY.

AND, BRANDIE,
YOU STAY ON TRACK,

AND WE'LL BE ABLE TO TAKE
YOUR NEXT BIG STEP HERE

SOON WITH A SKIN REMOVAL
IN NEXT FOUR MONTHS OR SO.

BUT RIGHT NOW, FOCUS ON
YOUR PSYCHOTHERAPY

AND WORKING ON THAT.

SOUNDS LIKE A PLAN.

ALL RIGHT, WE'LL SEE YOU
FOR SURGERY

AND SEE YOU FOR
A FOLLOW-UP, OKAY?

-OKAY.
-YES, SIR.

HAVE A GREAT DAY.

Both: YOU, TOO.

♪♪

Roshanda: I'M SO EXCITED
RIGHT NOW,

BECAUSE THIS MEANS
I'M FINALLY GONNA BE ABLE

TO GET WHAT I NEED TO
KEEP LOSING WEIGHT

AND TO TURN MY LIFE AROUND.

AND I REALLY CAN'T WAIT.

THIS WAS SO HARD,
BUT TO FINALLY GET HERE

AND GET MY APPROVAL
MAKES IT WORTH IT.

AND I'M SO PROUD OF MYSELF
AND EXCITED RIGHT NOW.

♪♪

Brandie: ME AND ROSHANDA ARE
GOING SHOPPING TODAY

TO CELEBRATE HOW FAR WE'VE BOTH
COME AND HOW MUCH WEIGHT WE LOST

AND BECAUSE ALL OUR CLOTHES
ARE GETTING REALLY BAGGY.

BUT IT'S EXCITING
TO BE ABLE TO DO

BECAUSE ME AND ROSHANDA
HAVE BEEN SO BIG

THAT WE HAD TO ORDER
ALL OUR CLOTHES,

BECAUSE NO PHYSICAL STORE
HAS HAD OUR SIZE.

SO I'M EXCITED ABOUT THIS.

WE BOTH KNOW WE STILL HAVE
A LOT OF WEIGHT TO LOSE,

SO WE'RE NOT OVERDOING IT
AND BUYING TOO MUCH,

BECAUSE THERE'S NO SENSE IN THAT
WHEN IT'S NOT GONNA FIT SOON.

WE JUST WANT A FEW OPTIONS
RIGHT NOW

BECAUSE WE CAN BOTH
FINALLY GO TO A STORE.

Cassandra:
HELLO, HOW ARE YOU?

IT'S A DRESS THAT YOU'RE
LOOKING FOR OR TOPS?

Brandie: DRESS, TOPS, TOO,
AND BOTTOMS.

OKAY, SO, THE TOPS WILL BE RIGHT
HERE, WHERE I HAVE -- HERE.

AND I HAVE MORE
OVER DOWN HERE.

BUT IT'S HARD NOT TO WANT TO BUY
EVERYTHING THAT LOOKS CUTE

AND THAT FITS,
BECAUSE I WAS OVER A 10X.

BUT NOW I'M AROUND A 6X,

AND THEY HAVE THAT SIZE
IN SOME STORES.

OH!

AND BRANDIE WAS AN 8X, AND NOW
SHE'S DOWN TO HALF THAT SIZE

AND CAN FIT IN A 4X.

SO IT FEELS GREAT
TO BE ABLE TO DO THIS

AND START TO FEEL NORMAL AGAIN

INSTEAD OF SOMEONE WHO'S
JUST DISQUALIFIED FROM LIFE

BECAUSE OF HOW BIG WE ARE.

AND I'M INTO FASHION.

I LIKE WHAT'S OUT RIGHT NOW,
WHAT'S POPPIN',

SO IF THEY GOT IT IN MY SIZE,
I'MA WEAR IT.

Tylisa: GO AHEAD, ROSKI.

WHEN I LOOK IN THE MIRROR,
I SEE A MUCH HAPPIER PERSON.

SELF-ESTEEM IS, YOU KNOW, BACK
UP THERE WHERE IT USED TO BE.

BUT COMING HERE,
I WAS KIND OF DOUBTING IT,

THINKING THAT IT WOULD'VE BEEN
HORRIBLE,

BUT IT WASN'T THAT BAD.

GO 'HEAD, TEETY.

GIRL, YEAH.
WOW.

IT'S A LITTLE SNUG,
BUT STILL, I MEAN...

STILL ROOMY, LIKE...

Brandie: I HAVEN'T BEEN IN A
CLOTHING STORE IN OVER 10 YEARS.

EVERYTHING WAS ALWAYS
ONLINE SHOPPING.

THAT'S A TOGA.
UNH-UNH.

[ LAUGHS ]

-WHAT'S THE MATTER?
-NO, SHE -- HUH?

THAT SHE CAN FIT IT.

Casssandra: OH, OKAY.

Roshanda: I CAN'T REALLY
EXPLAIN IT, BUT SEEING BRANDIE

GET INTO A SMALLER SIZE,
SHE LOOKS WEIRD,

BUT, YOU KNOW, YOU'RE SO USED TO
SEEING SOMEBODY A CERTAIN WAY.

BUT, I MEAN, I'M HAPPY FOR HER.

SHE'S, LIKE, TRYING ON 4Xs

AND MAYBE EVEN 3Xs
AND GETTING INTO IT.

I MEAN, IT'S BETTER THAN HER
WEARING THEM BIG-ASS CLOTHES

SHE'S BEEN WALKING AROUND
THE HOUSE FALLING OFF ANYWAYS.

LET ME TAKE THOSE FOR YOU.

THANK YOU.

Brandie: THIS IS NOT SOMETHING
EITHER ME OR ROSHANDA

WOULD'VE BEEN ABLE
TO DO LAST YEAR.

SO THIS WAS REALLY GREAT
AND A HUGE ENCOURAGEMENT

FOR BOTH OF US
TO KEEP WORKING HARD

TO GET TO OUR TARGET WEIGHTS,

BECAUSE WE BOTH WANT
TO EXPERIENCE LIFE AND GO OUT

AND BE ABLE TO DO THINGS
ON OUR OWN AND AS A FAMILY.

SO THIS WAS A NICE TASTE OF
THE LIFE WE'RE WORKING TOWARDS.

♪♪

♪♪

Clarence: IT'S BEEN A MONTH
SINCE MY SURGERY,

AND I'M FEELING GOOD,

ESPECIALLY NOW SINCE
I'M BACK ON SOLID FOODS.

DR. NOW SAYS I'M DOING WELL,

AND SINCE I HAD
MY ONE-MONTH APPOINTMENT,

HE THINKS IT'S OKAY IF I START
GOING BACK TO LOUISIANA

AS LONG AS I KEEP UP WITH
MY APPOINTMENTS AND WEIGHT LOSS.

SO ME AND MY FATHER ARE HEADED
BACK TO LOUISIANA SOON,

BUT THE GIRLS KNOW I'M GONNA
BE BACK OFTEN TO SEE THEM

AND MAKE IT TO MY APPOINTMENTS.

BUT TODAY, WE'RE ALL
ABOUT TO CELEBRATE

HOW FAR WE'VE COME AS A FAMILY.

1, 2, 3, GO.

Brandie: YOU SHOULD'VE BEEN
CATCHING THAT.

YOU'RE ABOUT TO WRECK.

OOH!
POW!

ALL TOGETHER, WE'VE LOST ALMOST
700 POUNDS THIS PAST YEAR,

AND THAT'S AMAZING
TO THINK ABOUT.

SO OUR LIVES ARE
COMPLETELY CHANGING.

[ LAUGHTER ]

IT'S BEEN A TOUGH JOURNEY
FOR ALL OF US,

AND WE EACH KNOW
WE STILL HAVE A LOT TO DO,

BUT WE KNOW WE CAN DO IT,
BECAUSE WE ALREADY ARE.

IT LOOKED LIKE HE ALMOST
WENT IN THERE, TOO.

Brandie:
WE'VE HAD OUR UPS AND DOWN,

BUT WE'VE HAD A LOT
OF VICTORIES THIS PAST YEAR,

AND WE SET OUT TO ALL GET
WEIGHT-LOSS SURGERY.

AND NOW
ME AND CLARENCE HAVE IT,

AND ROSHANDA'S ABOUT TO GET IT,
SO IT'S BEEN A REALLY GOOD YEAR.

AND I'M SO THANKFUL THAT
WE'VE HAD THIS OPPORTUNITY

AND THAT WE'VE BEEN ABLE
TO DO THIS AS A FAMILY.

OH, SHE ROLLED IT.
SHE'S CHEATING.

SHE CHEATING.

YO, THAT'S A STRIKE, BRO.

GO!

Roshanda: NOW THAT CLARENCE IS
FEELING RECOVERED,

DR. NOW PUT MY SURGERY ON THE
SCHEDULE FOR TWO WEEKS FROM NOW,

AND I'M EXTREMELY EXCITED.

AND CLARENCE SAID HE'LL BE
BACK DOWN FOR THAT.

UH-OH.
WHERE YOU GOING?

CLEAR IN THERE, SHONDA.

DAMN, THAT'S --

[ CHEERING ]

Roshanda: I KNOW
IT WILL GET SCARIER

AS I GET CLOSER TO MY SURGERY,

BUT I WANTED IT SINCE I WAS 18,
NOT JUST THIS PAST YEAR.

AND I WAS TRULY
GETTING TO THE POINT

WHERE I THOUGHT IT WAS JUST
NEVER GONNA HAPPEN FOR ME.

AW, LOOK AT YOU.

SO THIS IS GONNA BE
A TURNING POINT IN MY LIFE.

Tylisa: THEY A CHEAT, MAN.

AND IT'S BECAUSE
I WORKED SO HARD

AND STUCK WITH IT
FOR THE WHOLE YEAR.

BUT WE EACH HAVE COME SO FAR,
AND I'M REALLY PROUD

OF WHAT WE HAVE ACCOMPLISHED
TOGETHER AS A FAMILY.

WE ALL KNOW WE STILL HAVE
A LOT OF HARD WORK AHEAD,

BUT I KNOW WE'RE READY FOR IT,
AND WE CAN HANDLE IT.

AS A FAMILY, WE'VE BEEN
THROUGH A LOT,

BUT NO MATTER
WHAT'S HAPPENED TO US,

THICK AND THIN,
WE STUCK TOGETHER.

SO I HAVE NO DOUBT WE'RE GONNA
BE STRONG ENOUGH TO DO THIS

AS LONG AS WE'RE
WORKING TOGETHER

AND SUPPORTING ONE
ANOTHER AS A FAMILY.

AND THE WINNER
IS BIG TEETY!

[ LAUGHS ]

♪♪