All language subtitles for My 600-lb Life S07E01

Octavia: I'VE GOTTEN SO BIG NOW
THAT I'M AT THE POINT

WHERE MY WEIGHT
IS LITERALLY KILLING ME.

♪♪

Man: AT THIS POINT,
I'M KILLING MYSELF.

Woman: IT'S TERRIFYING TO THINK
THAT AT ANY MOMENT

YOUR HEART COULD EXPLODE.

♪♪

♪♪

Woman #2: I DON'T WANT TO DIE.

I HAVEN'T EVEN GOTTEN
TO LIVE YET.

I HAVE TO CHANGE.

I KNOW IT'S HARD
BECAUSE THIS IS THE WAY

WE'VE HAD TO COPE WITH LIFE.

I CAN'T BREATHE.

PLEASE, SOMEONE HELP ME.

GOD, I'M GONNA DIE.

Dr. Nowzaradan:
YOU DON'T REALIZE HOW DANGEROUS
THE SITUATION IS.

ANYTHING HAPPEN TO YOU --
YOU GET A COLD OR ANYTHING --

THAT'LL BE THE END.

NOBODY CAN HELP YOU.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

♪♪

♪♪

Octavia: MY LIFE IS MISERABLE

BECAUSE I'M SO BIG
THAT I'M BEDRIDDEN NOW.

AND THE ENTIRETY OF MY BODY
JUST HURTS NONSTOP ALL DAY LONG.

AND IT'S SO BAD THAT I HAVEN'T
BEEN ABLE TO GET UP

FOR OVER A YEAR NOW.

SO I'VE HAD TO LEARN TO LIVE

IN A WHOLE DIFFERENT WAY
THAT'S DEMEANING.

EVEN WHEN I USE THE RESTROOM,
I CAN'T GET UP,

SO I HAVE TO USE UNDERPADS.

I FEEL LIKE A DOG.

AND WHEN I'M DONE, MY ROOMMATE,
TYISHA, COMES TO GET IT.

BUT I HATE IT BECAUSE
IT'S EMBARRASSING

TO HAVE TO HAVE
SOMEONE DO THAT FOR YOU.

BUT I HAVE NO CHOICE

BECAUSE I CAN HARDLY
DO ANYTHING ON MY OWN.

OKAY.

WHAT DO YOU NEED?
DO YOU NEED TOWELS?

OKAY. OKAY.

ONE OF THE ONLY THINGS
I'M STILL ABLE TO MANAGE

IS CLEANING MYSELF.

Tyisha: WHEN I FIRST MOVED IN,

OCTAVIA WAS AT LEAST MOBILE
INSIDE THE HOUSE.

SHE WOULD COME FROM THE BEDROOM
TO THE LIVING ROOM,

BUT ABOUT A YEAR AGO,
OCTAVIA GOT STUCK IN THE BED,

AND THE FIRE DEPARTMENT
HAD TO COME AND GET HER OUT.

SO NOW WE MOVED OCTAVIA'S BED
TO THE LIVING ROOM

BECAUSE WE DIDN'T WANT IT
TO BE A SITUATION

WHERE SHE NEEDED HELP
AND COULDN'T GET OUT.

Octavia: I TRY MY BEST TO
CLEAN MYSELF AS MUCH AS I CAN.

AND THERE ARE SOME DAYS
I WANT TO JUST SKIP IT.

BUT IT'S SOMETHING
THAT I HAVE TO DO.

BECAUSE IT'S DANGEROUS
AT MY SIZE

IF YOU DON'T STAY CLEAN
BECAUSE YOUR BODY CHAFES EASILY.

AND THOSE AREAS
CAN GET INFECTED.

BUT WHEN I'M BATHING,
MY BACK IS JUST ON FIRE.

IT REALLY FEELS LIKE
IT'S JUST BURNING.

ANY TYPE OF MOVEMENT,
THAT ALL ADDS STRESS ON MY BACK,

AND IT'S EXCRUCIATING.

I HATE IT.

YOU TAKE FOR GRANTED
THOSE LITTLE THINGS

LIKE BEING ABLE TO SHOWER
AND BATHE YOURSELF,

AND I MISS FEELING HOT WATER

AND JUST BEING ABLE TO ENJOY
SIMPLE THINGS LIKE THAT.

BUT THAT'S NOT MY LIFE ANYMORE.

MY LIFE IS THIS BED,

AND ALL I HAVE THE ENERGY
TO DO EVERY DAY IS THIS.

I CAN MAYBE SIT UP ONCE.

BUT MOST OF THE TIME, ALL I CAN
DO IS LAY HERE IN BED ALL DAY.

AND ALL I DO IS EAT.

YOU READY
FOR BREAKFAST?

YES, MA'AM.

THANK YOU, BABE.

EATING IS MY HAPPINESS.

IT MAKES ME FEEL SAFE.

AND IF I COULD,
I JUST WOULDN'T STOP.

BECAUSE I LOVE TO EAT.

Tyisha: EATING FOR OCTAVIA
MEANS COMFORT.

IT'S SOMETHING SHE DOES
TO EASE THE PAIN

AND THE SADNESS
THAT IS INSIDE OF HER,

AND IT'S HARD TO WATCH.

IT KILLS ME.

BECAUSE HOW DO YOU SAY TO HER WE
HAVE TO DO SOMETHING DIFFERENT?

Octavia: AFTER I FINISH MY MEAL,

I'M ALREADY THINKING
ABOUT EATING AGAIN

AND WHAT I'M GONNA HAVE NEXT,
AND I CAN'T WAIT.

I'M DONE.

THANK YOU.

Tyisha: WELCOME.

SO FOOD AND MY FAMILY
ARE WHAT I LIVE FOR.

♪♪

MY SISTER HAS THREE CHILDREN,
AND I LOVE BEING THEIR AUNT.

AND THE ONLY TIMES I EVER FEEL
HAPPY ARE EITHER WHEN I'M EATING

OR WHEN I SEE THEM.

THEY LIVE NEARBY
AND COME OVER ONCE A DAY.

-TITí.
-TITí.

-HI!
-HI.

OH, LOOK AT YOU GUYS!
COME HERE.

HI, TITí.

Octavia: AND IT'S THE ONLY
OTHER THING OUTSIDE OF FOOD

I LOOK FORWARD TO.

AND THEY'RE THE ONLY ONES

I'M EVER WILLING TO SHARE
MY SNACK STASH WITH.

LET'S SEE.

HERE.
THOSE ARE FOR YOU.

-YAY!
-[ LAUGHS ]

I KNEW
YOU WERE GONNA BE HAPPY.

I LOVE SEEING THE LOOKS
ON THEIR FACES

WHEN I GIVE THEM
SOMETHING GOOD TO EAT.

FOOD IS HOW I'VE KNOWN LOVE
AND IS HOW I SHOW LOVE.

SO THIS MOMENT IS ONE OF
THE FEW HIGHLIGHTS OF MY DAY.

THE ONLY DOWN SIDE
IS THAT MY SISTER

USUALLY WANTS TO LECTURE ME.

SHE LOOKS AFTER ME FOR A BIT
WHILE TYISHA RUNS ERRANDS,

AND SHE'LL TRY TO PUSH ME
TO EAT STUFF

I DON'T WANT.

Desire: OKAY, GIVE HER A HUG.
ME AND TITí NEED TO TALK.

I WANT YOU GUYS TO GO
IN THE BACK ROOM.

-GROUP HUG.
-OW.

AND SHE PUSHES ME TO GET UP.

BUT SHE DOESN'T UNDERSTAND
HOW MUCH PAIN I'M CONSTANTLY IN.

SO WHEN SHE HAS
ONE OF HER TALKS WITH ME,

IT HAS AN OPPOSITE EFFECT.

DID YOU GET UP TODAY?

DON'T START WITH ME.

I'M JUST SAYING.

NO, I DIDN'T GET UP.

LEAVE ME ALONE.

MM.

SO, WHAT ARE WE GONNA HAVE
FOR LUNCH?

A SOUTHWEST SALAD
SOUNDS AMAZING.

I WANT SOME BARBECUE.

DON'T YOU WANT SOME?

I WOULD RATHER HAVE A SALAD,
YOU KNOW.

I WANT
THE BARBECUE PLACE,

SO THAT'S WHAT
I'M GONNA GET.

YOU CAN BURN IT OFF
TOMORROW.

DON'T GET CUTE WITH ME.

EITHER YOU CAN GET IT,
OR I CAN HAVE TYISHA GET IT,

BUT THERE'S NO REASON
YOU CAN'T DO IT.

Desire:
I WORRY ABOUT HER A LOT.

SO MUCH SO I KNOW
PEOPLE WOULD SAY,

"WELL, WHY DO YOU BRING HER
THE STUFF,"

OR,
"YOU KNOW SHE HAS A PROBLEM,"

BUT WHEN YOU'RE CONFINED
TO YOUR HOME

AND YOU REALLY CAN'T
DO ANYTHING ELSE,

THIS IS THE LITTLE BIT OF JOY
THAT SHE DOES HAVE,

AND WHATEVER I DON'T GET,
SHE'LL FIND SOMEONE ELSE TO GET.

SO WHAT DO YOU WANT
FROM THE BARBECUE PLACE?

I WANT THAT COMBO
WITH THE RIBS.

EXTRA PICKLES.

SOMETIMES THEY'RE SKIMPY
WITH THE FRENCH FRIES.

SO YOU WANT A SIDE ORDER
OF FRIES?

I DO.
OKAY, THANKS, BABY.

MM.

OKAY.
I'LL BE BACK.

-ALL RIGHT, BABE.
-ALL RIGHT.

-BYE.
-BYE.

BYE!
WE'RE LEAVING NOW -- GOING.

Octavia: I'M JUST AS SCARED
ABOUT HOW I AM AS MY SISTER IS.

BUT THIS IS HOW I'VE BEEN
FOR A LONG TIME,

AND I DON'T KNOW
HOW TO CHANGE THAT.

IF I CAN GO BACK IN TIME
AND UNDO IT ALL,

I WOULD IN A HEARTBEAT,
BUT I CAN'T.

THE PAST IS THE PAST.

MY EARLY CHILDHOOD WAS HAPPY,

AND I WAS KIND OF A NORMAL SIZE
UNTIL AROUND THE THIRD GRADE.

BECAUSE WHEN I WAS AROUND 8,

THAT'S WHEN I REMEMBER THINGS
GETTING HARDER FOR ME.

IT STARTED WHEN
MY PARENTS SEPARATED,

AND IT WAS VERY,
VERY DIFFICULT.

BUT AFTER THAT, IT WAS JUST ME,
MY SISTER, AND MY MOM.

MY MOM, NOW BEING
A SINGLE MOTHER,

SHE WORKED A LOT
TRYING TO SUPPORT US

BECAUSE MY DAD WASN'T
AROUND MUCH AFTER THAT,

AND I JUST COULDN'T SEE
HOW HE COULD JUST VANISH

FROM OUR LIFE LIKE HE DID.

IT WAS HURTFUL, AND I CAN
REMEMBER CRYING MYSELF

TO SLEEP MANY NIGHTS,
WONDERING WHERE MY DAD WAS.

BUT FOOD MADE ME FEEL BETTER,

AND THAT'S WHEN
MY WEIGHT GAIN STARTED.

I REMEMBER THE NEXT YEAR
GOING TO THE DOCTOR

AND FINDING OUT
I WAS UP TO 130 POUNDS.

I WAS MORE THAN DOUBLE
THE WEIGHT

I WAS SUPPOSED TO BE AT
FOR MY AGE,

AND THAT WAS A BIG SHOCK.

BUT IT DIDN'T STOP ME FROM GOING
TO FOOD AND GAINING EVEN MORE,

BECAUSE THINGS CONTINUED
TO GET WORSE FOR ME,

AND FOOD WAS THE ONLY ESCAPE
I HAD,

BECAUSE AT 9, MY MOM
STARTED DATING SOMEONE NEW,

AND IT WAS
AN ABUSIVE RELATIONSHIP.

SO I WAS CONSTANTLY SCARED
FOR HER

'CAUSE I DIDN'T KNOW
WHAT WAS GONNA HAPPEN NEXT.

AND I REMEMBER I'D HIDE BUTCHER
KNIVES ALL AROUND THE HOUSE

SO I COULD HAVE SOMETHING
TO DEFEND MYSELF

AND MY MOM IF I HAD TO.

AND TO DEAL WITH ALL MY FEAR,

I JUST ATE CONSTANTLY
DURING THAT TIME,

AND I JUST REMEMBER GETTING
BIGGER AND BIGGER AND BIGGER.

AND I WAS UP TO 200 POUNDS
BY THE TIME I WAS 11.

BUT THE ONLY THING I'M THANKFUL
FOR FROM ALL THAT

IS MY MOM GOT PREGNANT

AND HAD MY SISTER DESIRE
WHEN SHE WAS WITH HIM.

BUT OTHER THAN THAT,
NOTHING GOOD CAME OUT OF

HER BEING WITH HIM,

AND IT ACTUALLY GOT TO A POINT
WHERE HE TRIED TO KILL HER,

AND AT THAT POINT,
MY MOM FINALLY KNEW

THAT SHE NEEDED TO LEAVE HIM.

SO, ONCE AGAIN, MY MOM HAD
TO TAKE CARE OF ME

AND MY SISTER ON HER OWN,
AND IT MEANT SHE'D HAVE TO START

WORKING LONG HOURS AGAIN
TO PROVIDE FOR US.

BUT OUR NEIGHBOR, WHICH WAS
A FRIEND OF THE FAMILY,

AGREED TO WATCH US WHEN SHE DID,

AND HE STARTED TO RAPE ME

EVERY TIME
WE WENT OVER TO HIS PLACE.

HE TOOK MY VIRGINITY.

AND WHEN HE WAS DONE,
HE GAVE ME $50.

I COULDN'T TELL ANYBODY.
I FELT SO ASHAMED.

I FELT LIKE,
"WHY DID THIS HAPPEN TO ME?"

I'M NOT UNDERSTANDING
WHAT'S GOING ON.

AND AFTER EACH INSTANCE,
HE GAVE ME MONEY

TO TRY AND MAKE IT BETTER.

I'M LOOKING AT MY MOM,

WHO'S WORKING HARD
TO SUPPORT US.

I HAVE ENOUGH MONEY IN MY POCKET
TO PAY A BILL,

AND I CAN'T TELL HER
WHERE THAT MONEY CAME FROM.

MY WAY OF HIDING THE MONEY
WAS TO BUY FOOD,

AND I REMEMBER
HAVING BAGS OF CANDY --

LIKE A LUNCH BAG
FULL OF CHOCOLATE,

AND AT NIGHT WHEN I'M ALONE,

I WOULD JUST EAT CANDY.

I JUST WANTED TO ESCAPE.

ALL THAT GUILT
AND SHAME AND FEAR,

AND ALL THAT WENT ON
FOR A FEW YEARS,

AND IN THAT TIME,
I PUT ON ANOTHER 100 POUNDS

AND WAS OVER 300
BY THE TIME I WAS 13.

BUT THE ABUSE STOPPED
WHEN I WAS 13

BECAUSE THAT'S WHEN
MY MOM FOUND OUT.

BUT I COULDN'T EVER GET BACK
WHAT HAD BEEN TAKEN FROM ME.

SO I GAINED ANOTHER 100 POUNDS
OVER THREE YEARS AGAIN

AND GOT OVER 400 WHEN I WAS 16.

MY WEIGHT WAS STARTING
TO SPIRAL OUT OF CONTROL.

BUT IT WAS ONLY GONNA GET WORSE.

AT 16, I HAD NO CONTACT
WITH MY DAD,

AND MY MOM EXPLAINED TO ME
THAT MY DAD WASN'T MY DAD.

SO THIS PERSON
THAT I LOVED SO MUCH,

THIS PERSON THAT I HAD BEEN
CRYING FOR WASN'T MY FATHER.

I HAD NEVER EVEN MET
MY REAL FATHER.

AFTER SHE TOLD ME THAT,
I WAS JUST ANGRY.

I WAS SO MAD.

BECAUSE AT THIS POINT, I FELT
ABANDONED BY TWO DADS, YOU KNOW?

AND EVERYONE KNEW.

I FELT LIKE EVERYONE ALLOWED ME
TO JUST CONTINUE TO LIVE A LIE.

SO I FELT BETRAYED BY MY FAMILY.

SO I JUST KEPT EATING AND
GETTING EVEN BIGGER EVERY DAY.

AND BY MY EARLY 20s,
I WAS 500 POUNDS,

AND I STARTED TO OUTGROW CLOTHES
THAT COULD FIT ME.

BUT I DIDN'T HAVE TIME
TO WORRY ABOUT THAT,

BECAUSE WHEN I WAS 23,

MY MOM SUDDENLY PASSED AWAY
IN HER SLEEP.

AT THAT TIME, MY SISTER, DESIRE,
WAS STILL IN HIGH SCHOOL,

AND IT FELL ON ME TO SUPPORT HER
BECAUSE I WAS ALL SHE HAD.

SO I DIDN'T GRIEVE FOR MY MOM

BECAUSE I HAD TO TAKE CARE
OF A 15-YEAR-OLD.

OUR LIVES CHANGED
AFTER MY MOM DIED.

BUT MY SISTER, SHE WENT,
AND SHE GOT A JOB,

AND SHE TOOK GREAT CARE OF ME.

I NEVER WANTED FOR ANYTHING.

Octavia: STEPPING UP AND TAKING
CARE OF MY LITTLE SISTER

IS ONE OF THE THINGS IN MY LIFE
THAT I AM MOST PROUD OF

BECAUSE MY SISTER, SHE MADE IT.

SHE WASN'T A STATISTIC.

BUT ONCE DESIRE
GRADUATED HIGH SCHOOL

AND DECIDED TO MOVE OUT
ON HER OWN,

I STARTED FEELING THE BLOW
OF LOSING MY MOM.

I WAS 30 AT THAT TIME,

AND THAT'S WHEN
I STARTED GAINING AGAIN,

AND IT STARTED TO GET HARDER
FOR ME TO GET AROUND.

SO DESIRE SAID I COULD MOVE IN
WITH HER AND HER FAMILY.

SHE HAD GOTTEN MARRIED

AND HAD A CHILD
DURING THAT TIME,

AND THE DEAL WAS I COULD
HELP OUT WATCHING MY NEPHEW,

AND SHE WOULD HELP ME
WHEN I NEEDED A HAND

DOING ANYTHING
THAT WAS TOO HARD FOR ME TO DO.

WHEN OCTAVIA MOVED IN,

I NOTICED THAT
THE AMOUNT OF ACTIVITY

THAT OCTAVIA WAS GETTING
DIMINISHED,

AND IT WAS MORE DIFFICULT
FOR HER TO MANEUVER AROUND.

Octavia:
OVER THE NEXT FIVE YEARS,

DESIRE HAD TWO MORE KIDS,

AND LOOKING AFTER THEM
AND SPENDING TIME WITH THEM

WAS THE BEST PART OF MY DAY
ASIDE FROM EATING.

BUT WHEN I HIT 39,
MY WEIGHT GOT OVER 600 POUNDS,

AND I GOT TO WHERE IT WAS HARD
TO GET OUT OF BED.

SO I REALLY COULDN'T WATCH THEM
ANYMORE,

AND AS MUCH AS I DIDN'T WANT TO,
I MOVED OUT.

BUT WITH MY WEIGHT GETTING WORSE

TO THE POINT WHERE I'M NOW
COMPLETELY BEDRIDDEN,

DESIRE HAD TO START COMING BY
EVERY DAY TO TAKE CARE OF ME,

WHICH IS WHAT I DIDN'T
WANT TO HAPPEN.

BUT, EVENTUALLY,
MY BEST FRIEND, TYISHA,

SAID SHE'D MOVE IN WITH ME
AND HELP ME,

AND MY FRIEND NICHELLE
WOULD HELP OUT SOMETIMES, TOO.

SO THE RESPONSIBILITY
OF TAKING CARE OF ME

WASN'T ALL ON MY SISTER.

BUT MY WORLD IS THIS BED
AND THIS ROOM NOW.

OKAY, SISTER.

I GOT YOUR BARBECUE.

THANK YOU.

THIS ISN'T A LIFE.

I'M NOT REALLY LIVING.

I'M EXISTING.

I'M NOT ABLE TO EXPERIENCE
THE THINGS

THAT I WANT TO DO,
PLACES I WANT TO GO.

I FEEL LIKE
I'M IN JAIL.

BUT I'M STILL GAINING,
AND AT THIS POINT,

I DON'T KNOW
WHERE MY WEIGHT'S AT.

AND I'M SCARED TO FIND OUT.

I JUST KNOW IT'S WORSE
THAN EVER.

'CAUSE I CAN'T STOP EATING.

FOOD IS WHAT I'M LIVING FOR
RIGHT NOW

EVEN THOUGH I KNOW
IT'S KILLING ME.

SO ONCE I FINISH ONE MEAL,

I'M ALREADY WORKING ON
GETTING THE NEXT ONE.

[ Line ringing ]

-Hello.
-HEY, NICHELLE.

-Hi.
-HOW ARE YOU DOING?

NICHELLE:
Good. I'm okay.

YOU GONNA BRING ME
SOMETHING?

Yeah, I'll bring you
some snacks.

Be there shortly.
-OKAY, BABE.

[ KNOCK ON DOOR ]

COME IN.

HEY, BABY.
-HEY. HOW ARE YOU?

I'M OKAY.

I GOT SOME SNACKS
FOR YOU.

WHEN I FIRST MET OCTAVIA,

SHE WOULD BUY ALL THE KIDS
TREATS AND CANDY.

I WAS ONE OF THOSE KIDS
SHE BOUGHT THE TREATS

AND THE CANDY FOR,

SO I THINK THAT'S KIND OF
WHERE WE CONNECTED AT.

WE LOVE FOOD, SO IF OCTAVIA
CALLS ME AND WANTS SOMETHING,

I WILL FIND A WAY
TO GET IT TO HER

BECAUSE I WANT TO
SEE HER HAPPY.

OH, I BROUGHT YOU SOME CHIPS
AND SOME POP.

I GOT CHOCOLATE
IN THE BOTTOM.

WHAT IS THIS?

-PIZZA.
-PIZZA?

WE MADE.

-YOU MADE IT?
-YEAH.

Octavia: THERE'S NEVER A MOMENT
I DON'T WANT TO EAT.

I EAT WHEN I'M HAPPY.

I EAT WHEN I'M SAD.

I DON'T CARE HOW MANY CALORIES
I'M PUTTING IN MY BODY

OR WHAT I'M DOING TO MYSELF.

BUT I KNOW I CAN'T KEEP
DOING THIS

BECAUSE I'VE GOTTEN SO BIG NOW

THAT I'M AT THE POINT
WHERE MY WEIGHT

IS LITERALLY CRUSHING MY BODY.

I KNOW BECAUSE I CAN FEEL IT
EVERY DAY,

AND IT'S GETTING WORSE.

Nichelle: FOOD --
IT'S BEEN A COMFORT FOR HER,

AND IT JUST HAS DROVE
OCTAVIA'S WEIGHT

TO THE POINT
WHERE IT IS NOW.

BUT I'M AFRAID MY FRIEND
IS GONNA DIE.

I DON'T WANT TO HAVE
TO BURY HER.

Octavia: FOOD HAS ALREADY
TAKEN EVERYTHING FROM ME.

THE ONLY THING THAT'S LEFT
IS MY ACTUAL LIFE.

AND I DON'T WANT TO DIE.

♪♪

♪♪

Octavia: I KNOW MY BODY'S
GETTING TO A BREAKING POINT.

I CAN FEEL IT GETTING WORSE
EVERY DAY.

SO I'M RUNNING OUT OF TIME,
AND I'M NOT READY TO DIE.

I REACHED OUT TO
DR. NOW'S OFFICE IN HOUSTON,

AND THEY SET A VIDEO CALL
WITH ME TO TALK TO HIM

BECAUSE HE MAY BE
MY ONLY HOPE AT THIS POINT.

FOR YEARS, I WAS TERRIFIED
TO GO TO THE DOCTOR.

LIKE, I WOULD GO
WITHOUT HEALTHCARE FOR YEARS

BECAUSE ANY TIME YOU GO
TO THE DOCTOR,

EVERYTHING'S YOUR WEIGHT,
OR THEY'RE MEAN TO YOU.

YOU KNOW, THEY JUST
GIVE YOU A PILL.

NOTHING EVER HELPS
OR THERE'S NO SOLUTIONS.

BUT I KNOW DR. NOW
ISN'T LIKE THAT,

AND I DEFINITELY WANT
THIS PHONE CALL TO BE IT FOR ME,

BUT IF DR. NOW TURNS ME DOWN,
I DON'T KNOW WHAT I'LL DO.

DR. NOWZARADAN: Hi, Octavia.

HI, DR. NOW.

How are you?

I'M PRETTY GOOD.

It's good to meet you.

SAME.

So, let's talk
about some things

so I can understand
your situation.

OKAY.

How is your mobility?

UM, RIGHT NOW,
IT'S VERY LIMITED --

ALMOST NONEXISTENT.

I CAN'T REALLY GET AROUND
OR ANYTHING.

So you're staying in the bed
most of the time?

YES.

Are you able to stand up
or walk?

-NO, NOT AT THIS TIME.
-Okay.

How long have you
been bedridden?

A FEW YEARS.

Do you know
how much you weigh now?

THE LAST TIME I WAS WEIGHED,
I WAS 652.

How long ago was that?

A FEW YEARS.

You think you've gained
since that time

or you have lost
any weight?

I'VE PROBABLY GAINED.

You look to be close
to 700 pounds.

So I would agree
that you've been gaining.

What do you eat
right now?

CHIPS, CANDY.

Who buys those chips?

MY BEST FRIEND.

If your friend buying
those chips for you,

I wouldn't call her
best friend.

That's not best friend,
okay?

A best friend will help you
to lose weight,

not give you bad food.

YEAH.

Who does your cooking
and preparing the food?

MY BEST FRIEND.
SHE DOES.

SHE'S MY CARETAKER,
AS WELL.

So you're likely between 650
to 700 pounds,

and you've been bedridden
for a few years,

and you have an enabler
taking care of you all day.

RIGHT.

Statistically, we know
that you only have a year

or so left to live
at this point, okay?

This is a very bad situation if
we don't correct it right away.

RIGHT.

So, do you think you need
to make some changes?

YES. I WANT TO.

All right, so I'm going to
send you a list

of all healthy foods
that you should be eating,

And, basically, you need to be
on a 1,200-calorie-a-day diet,

high protein, low carb,
and only eat three times a day.

No snacking.
-MM-HMM.

Okay?
And if you stick with this diet,

you're gonna be able to lose
50 pounds easily in one month.

Okay?
-OKAY.

And we are gonna find
a local clinic

so we can check your weight
to track your weight loss

and get some tests
run on you

before we consider
bringing you to Houston.

I DEFINITELY WOULD LIKE
TO COME AND MOVE TO HOUSTON

AND JOIN YOUR PROGRAM.

You live in Kansas City,
Missouri?

-YES.
-Okay.

Well, that looks to be
an 11- to 12-hour drive,

and that's gonna be too
risky in your situation.

You could easily
develop blood clots in your leg

that would likely
be deadly for you,

and being bedridden increases
those odds significantly.

So I'm going to send you
some exercises that you can do.

OKAY.

You need to start to build up
your stamina

and make sure that you can
be mobile during the transport

and you're not gonna be
fully stationary

and laying down
for 12 hours.

Okay?
-OKAY.

So that is important
that we make sure

that we provide a safe transport
to Houston.

-OKAY.
-But if we bring you down,

you're also gonna need someone
to move down here with you.

Because you're gonna need
some support system

because you're not mobile,

and you won't be able to handle
everything by yourself.

RIGHT.

Do you have someone other
than your enabling best friend

who can do that?

-YES.
-Okay.

All right.
I have to get back.

If you have any issues, call me,
and I'll be checking on you

and see what kind of progress
you're making.

Okay?
-ALL RIGHT.

THANK YOU SO MUCH,
DR. NOW.

You're welcome,
and I'll talk to you later.

Okay?
-ALL RIGHT. THANKS.

I THINK THE CALL WITH
DR. NOW WENT WELL

BECAUSE HE'S GIVING ME A CHANCE.

IT'S ALMOST LIKE I HAVE THIS
SENSE OF PEACE, WHERE, AT FIRST,

I WAS LITTLE JITTERY
AND NERVOUS.

BUT I JUST FEEL GOOD
BECAUSE I KNOW

THINGS ARE GONNA CHANGE FOR ME.

I FEEL LIKE THIS IS
MY LAST CHANCE FOR MY LIFE,

AND IF I DON'T DO THIS NOW,
I DON'T THINK I'M GONNA MAKE IT.

♪♪

Octavia: IT'S BEEN A WEEK
SINCE I TALKED TO DR. NOW,

AND I'VE DECIDED TO GO AHEAD
AND MOVE TO HOUSTON.

BUT I'M TERRIFIED.

I HAVEN'T BEEN OUT THE HOUSE
IN YEARS,

AND I HAVEN'T BEEN IN A CAR
IN EVEN LONGER.

SO IT IS VERY, VERY FRIGHTENING
TO LEAVE EVERYTHING I KNOW.

BUT I TALKED TO
MY FRIEND NICHELLE,

AND SHE'S WILLING TO MOVE
DOWN TO HOUSTON WITH ME

BECAUSE DR. NOW
DIDN'T THINK IT WAS A GOOD IDEA

FOR TYISHA TO BE THE ONE
THAT COMES WITH ME

BECAUSE SHE'S BEEN
MY BIGGEST ENABLER.

SO I'VE GOT TO DO WHAT I NEED
TO GET MY LIFE BACK ON TRACK.

MY FAMILY AND EVERYONE IS ALMOST
DONE PACKING EVERYTHING UP,

AND WE HAVE THE VAN
THAT I'M GONNA BE

RIDING DOWN TO HOUSTON IN.

SO I'M JUST ABOUT READY TO GO.

WE JUST NEED TO GET
THE MATTRESS IN IT,

AND THEN I NEED
TO BE CARRIED TO IT.

SO EMTs ARE COMING TO HELP ME
WITH ALL THAT.

BUT I'M A LITTLE NERVOUS
ABOUT IT

BECAUSE IT'S BEEN A LONG TIME

SINCE I'VE BEEN OUT
OF THIS APARTMENT.

SO I JUST HOPE THAT
THERE ARE NO ISSUES,

AND IT ALL GOES WELL.

-HELLO.
-HI, HI, HI.

I'M CANDACE.
I'M WITH THE FIRE DEPARTMENT.

AND WE ARE HERE TO HELP YOU
GET TO YOUR VAN.

IS THAT CORRECT?
-YES.

OKAY. YOU'VE BEEN ON A STRETCHER
BEFORE?

I HAVE, YEAH.

OKAY.
THEN WE'LL GET ROLLING.

OKAY?
-ALL RIGHT.

I'LL JUST SIT UP
ON THE SIDE OF THE BED.

OH, GEEZ.

WHOA.
GEEZ.

NOW, THAT AIN'T NEVER HAPPENED.
-WE GOT YOU. WE GOT YOU.

JUST SIT LIKE THAT.
-OKAY.

HELP ME.
-RIGHT THERE.

-ALL THE WAY.
-YEAH, JUST STAY RIGHT THERE.

OKAY. COOL.

-COUNT IT OUT FOR US.
-TWO, THREE.

I GOT YOU.
I GOT YOU.

YOU AIN'T GOING NOWHERE.

COME ON DOWN.
-YOU GOT IT.

Candace: WELL DONE.

PUT YOUR HEAD
IN THE MIDDLE.

Octavia: IT'S EMBARRASSING
TO HAVE ALL OF THIS

JUST TO BE ABLE TO
LEAVE MY APARTMENT.

-LET ME GET YOU OVER HERE.
-THERE YOU GO.

BUT I'M DOING THIS TO MAKE SURE
THIS ISN'T MY LIFE.

OOP!
-YOU DON'T TRUST US?

Man: DON'T REACH.

SWING AROUND THIS BREEZEWAY.

OVER HERE.

OHH!

OKAY, TURN.

-ONE.
-LET'S GET HER CENTERED.

TWO.
THREE.

PASSING THE HEAD.
PASSING THE HEAD.

GOT IT.

-GOOD. GOOD.
-KEEP GOING.

-GOOD LUCK TO YOU.
-THANK YOU ALL. APPRECIATE IT.

Octavia:
I KNOW I'M FIGHTING FOR MY LIFE,

BUT IT'S HARD TO BE
LEAVING MY FAMILY.

I LOVE YOU.

BE GOOD, OKAY?

-OKAY.
-PROMISE ME?

YOU GONNA MISS US?

I LOVE YOU.

BYE.

[ CRYING ]

Desire: I'M DEFINITELY GONNA
MISS MY SISTER.

IT'S TOUGH TO SEE HER GO.

I WISH SHE COULD STAY HERE
AND SOME WAY

SHE CAN FIGURE IT OUT,

BUT I KNOW IT'S GOD'S WILL
THAT SHE GOES DOWN HERE

AND DOES THIS,
AND HE'S GONNA TAKE CARE OF HER.

GRANDMA?

-Yes.
-OKAY.

WE'RE GETTING READY
TO GET ON THE ROAD.

SO I WAS JUST CALLING FOR YOU
TO PRAY FOR US.

OCTAVIA'S GRANDMOTHER:
You ready now?

-YES, MA'AM.
-All right.

Lord, I just thank You
right now.

We pray, Lord, that you give
a safe journey over the highway.

Keep her encouraged
and inspired, oh, God.

In Jesus' name we pray.

Amen and amen.
-AMEN.

I LOVE YOU.

I love you, too,
sweetheart.

Octavia: I KNOW THIS TRIP
ISN'T GONNA BE EASY,

AND I HAVE TO BE CAREFUL
NOT TO PUSH MYSELF TOO HARD,

BECAUSE THERE ARE
A LOT OF UNKNOWNS,

LIKE HOW IT'S GONNA BE
LAYING DOWN IN A MOVING VEHICLE,

AND WHAT KIND OF STRAIN
IT WILL BE ON MY BODY.

BYE, Y'ALL.
I LOVE YOU.

[ SPEAKS INDISTINCTLY ]

BUT I'M CONFIDENT I CAN MAKE IT
AS LONG AS I'M CAREFUL.

I JUST HAVE TO BRAVE THE JOURNEY
AND GET THERE,

AND ONCE I DO,
I'LL HAVE HOPE WAITING FOR ME.

♪♪

THIS IS DAY THREE OF BEING
ON THE ROAD TO HOUSTON FOR ME.

I WAS HOPING TO BE DONE
WITH ALL THIS TRAVELING

ON THE SECOND DAY,

BECAUSE BEING LOADED
AND UNLOADED

SO MANY TIMES
TOOK SO MUCH OUT OF ME,

AND I DIDN'T REALIZE
HOW HARD THIS WAS GONNA BE.

SO I'M JUST REALLY GLAD
I'M GONNA BE THERE SOON.

BUT EARLIER THIS MORNING,

I CALLED DR. NOW
SINCE I'M SO CLOSE TO HOUSTON,

AND TOLD HIM THAT
I'LL ACTUALLY BE THERE SOON.

BUT WHEN HE HEARD THAT I DID
THIS WITHOUT MEDICAL TRANSPORT,

HE WASN'T TOO HAPPY ABOUT THAT.

SO HE TOLD ME
THAT WHEN I GET THERE,

HE WANTS ME TO GO
TO THE HOSPITAL IMMEDIATELY

SO THAT HE CAN MAKE SURE
NOTHING'S WRONG WITH ME.

SO MY FAMILY WILL TAKE
ALL MY AND NICHELLE'S STUFF

TO OUR NEW APARTMENT
AND MOVE IN FOR ME

WHILE I HAVE ALL MY TESTS
BEING RUN,

AND I'LL BE DONE
WITH ALL THIS TRAVELING,

AND HOPEFULLY I'LL BE ABLE
TO GET WEIGHT-LOSS SURGERY SOON.

♪♪

Dr. Nowzaradan: I'M NOT TOO
HAPPY WITH OCTAVIA RIGHT NOW.

I HAVE WANTED HER
TO HIT HER GOAL

AND GET TO A HEALTHIER PLACE
TO MAKE THIS TRIP SAFER,

BUT IT SEEMS SHE HAD
TAKEN THIS UPON HERSELF

TO DO IT HER OWN WAY.

HOW YOU FEELING,
OCTAVIA?

-I'M FEELING OKAY.
-OKAY.

I WANT TO GET YOU INSIDE
AS QUICKLY AS POSSIBLE

SO WE CAN MAKE SURE
YOU'RE OKAY.

ARE YOU ABLE TO GET UP
AND STAND?

NO.

OKAY, WELL,
LET'S GET YOU INSIDE.

NOT ONLY HAS SHE RISKED HER
HEALTH AND HER LIFE DOING THIS,

BUT IF SHE HASN'T HIT HER GOAL,

THIS WHOLE TRIP
MAY BE POINTLESS FOR HER

BECAUSE SHE WON'T GET BYPASS
SURGERY UNTIL THAT HAPPENS.

SO RIGHT NOW, I HAVE A LOT
OF CONCERNS ABOUT OCTAVIA,

AND I'M HOPING
THIS IS NOT A GLIMPSE

OF WHAT WE CAN EXPECT WITH HER
GOING FORWARD.

Octavia:
I'M ALL THE WAY ON?

-YES.
-OH.

Dr. Nowzaradan: BUT OUR PRIORITY
IS TO GET HER IN

AND MAKE SURE SHE DOESN'T HAVE
ANY LIFE-THREATENING ISSUES.

♪♪

YOU FEELING ALL RIGHT?

-YEAH.
-LITTLE SHORT OF BREATH?

YEAH.
I'M JUST HOT.

I'M HOT AND I'M COLD.
I DON'T KNOW.

LET ME CHECK AND SEE
HOW YOUR HEART IS DOING.

EVERYTHING SOUNDS OKAY.

THANK YOU, BABY.

I'M NOT TOO HAPPY
WITH THIS LITTLE STUNT

COMING DOWN HERE
BEFORE WE KNEW IT WAS SAFE.

SO THIS IS VERY RECKLESS,
BUT WE'LL TALK ABOUT THAT LATER.

OKAY.

YOU WERE LUCKY YOU DIDN'T
DEVELOP ANY ISSUES

BEFORE YOU GOT HERE,
BECAUSE IF YOU HAD,

THERE WOULD HAVE BEEN NO WAY
YOU WOULD HAVE MADE IT.

RIGHT.

BUT WE WILL RUN OUR TESTS
AND SEE HOW YOU'RE DOING,

AND WE GO FROM THERE.

-OKAY.
-ALL RIGHT?

-THANK YOU.
-OKAY.

Dr. Nowzaradan: THERE ARE
A LOT OF THINGS I'M SEEING

THAT CONCERN ME RIGHT NOW.

AND THERE'S A GOOD CHANCE
OCTAVIA

COULD STILL BE
AT A GREAT RISK

BECAUSE SHE STILL MAY BE
SUFFERING FROM ISSUES

SHE DEVELOPED ON THE ROAD.

THAT COULD BE LIFE-THREATENING
FOR HER,

AND IF THAT'S HAPPENING,

HER CONDITION COULD BECOME
MUCH WORSE VERY QUICKLY.

SO WE HAVE TO MAKE SURE
WE ADDRESS ANYTHING WE NEED

WITH HER
BEFORE IT'S TOO LATE.

♪♪

♪♪

Octavia: I'VE BEEN IN THE
HOSPITAL FOR A COUPLE DAYS NOW.

DR. NOW PUT ME ON
A CONTROLLED DIET.

HE SAYS THAT I MAY END UP
BEING HERE

OR ANOTHER FACILITY
FOR A WHILE LONGER.

BUT I HAD NO IDEA
THAT I WOULD BE HERE THIS LONG.

I THOUGHT THEY'D JUST
GIVE ME A CHECKUP.

SO I'M REALLY NOT HAPPY
RIGHT NOW.

Dr. Nowzaradan: WE FINISHED
RUNNING OUR TESTS ON OCTAVIA,

AND SHE CAN CONSIDER
HERSELF VERY LUCKY.

SHE HAS NO LIFE-THREATENING
ISSUES CURRENTLY

OTHER THAN HER OVERALL WEIGHT.

SO WE STARTED HER

ON A 1,200-CALORIE-A-DAY DIET
ALREADY,

BUT SHE'S BEEN VERY VOCAL ABOUT
HOW UNHAPPY SHE IS ABOUT THAT.

BUT WE NEED TO
GET HER WEIGHT DOWN

AND GET HER UP
AND OUT OF THE BED.

HELLO.

Octavia:
HI, DR. NOW.

HOW ARE YOU TODAY?

I'M BETTER.

-DOING ALL RIGHT?
-MM-HMM.

OKAY.

WE FINISHED RUNNING
ALL THE TESTS,

AND, THANKFULLY, ALL YOUR TESTS
ARE LOOKING PRETTY GOOD.

OKAY.

YOU DON'T HAVE ANY SERIOUS
ISSUES RIGHT NOW

THAT WE NEED TO ADDRESS
OTHER THAN YOUR WEIGHT

AND LACK OF ABILITY
TO GET UP AND MOVE.

OKAY?
-OKAY.

ALL RIGHT.

LET'S CHECK YOUR CURRENT WEIGHT
AND SEE WHERE YOU ARE.

692 POUNDS.

ALMOST 700 POUNDS.

THAT'S VERY CONCERNING.
-MM-HMM.

SO WE HAVE
A LOT OF WORK TO DO.

WE STARTED YOU ON
A 1,200-CALORIE-A-DAY DIET

SO WE CAN GET
YOUR WEIGHT DOWN.

RIGHT.

AND IT'S GOING TO BE
VERY IMPORTANT

FOR YOUR WEIGHT LOSS
THAT WE GET YOU ACTIVE.

SO WE'RE GOING TO GET YOU TO GO
TO REHAB FOR A COUPLE MONTHS

AND SEE IF WE CAN BUILD UP
SOME STRENGTH ON YOUR LOWER BODY

THAT YOU CAN GET UP AND WALK
AND TAKE SOME STEPS.

OKAY?
-OKAY.

BUT AFTER WE DO THAT,
THEN YOU NEED TO SHOW ME

THAT YOU'RE WILLING TO WORK HARD
LIKE YOU NEED AT HOME.

SO IT'S IMPORTANT FOR
YOUR FRIEND TO GET INSTRUCTION

SO SHE UNDERSTANDS
WHAT'S GOING ON

BECAUSE SHE STILL HAS SOME ISSUE
WITH HER OWN WEIGHT,

AND I DON'T WANT HER
ENABLING YOU WHEN YOU GO HOME.

SO THIS IS GONNA BE AN ISSUE
THAT BOTH OF YOU NEED

TO WORK AT IT
AT THE SAME TIME.

YEAH.

BUT IF YOU'RE STICKING
WITH THE DIET,

BE ABLE TO LOSE AT LEAST
50 POUNDS A MONTH.

OKAY.

AND IF YOU DO THAT,
THEN I WILL APPROVE YOU

FOR WEIGHT-LOSS SURGERY.

OKAY?
-OKAY.

BUT AT THE END
OF THE DAY,

EVERYTHING IS GONNA BE
UP TO YOU.

-BE UP TO ME. YEAH.
-OKAY?

YOU'RE RIGHT.
LIKE YOU SAY.

YOU BRING THE HORSE TO THE WELL,
BUT YOU CAN'T MAKE HIM DRINK.

SO I GOT IT.

AND WE'LL GET THE AMBULANCE
TO TAKE YOU TO REHAB,

AND YOU'RE GONNA START
WORKING WITH THEM EVERY DAY

AND GET UP
AND DO YOUR EXERCISES,

AND HOPEFULLY HERE, VERY SOON,
WE'LL GET YOU OUT OF THIS BED.

-OKAY.
-I'LL SEE YOU OVER THERE.

ALL RIGHT.
THANK YOU SO MUCH.

AND WE'LL TAKE CARE OF YOU.
OKAY?

ALL RIGHT.
THANKS, DR. NOW.

MM-HMM.

Dr. Nowzaradan:
OCTAVIA'S CONTINUED IMMOBILITY

AND SEDENTARY LIFESTYLE

SIGNIFICANTLY DECREASES
HER LONG-TERM OUTLOOK.

BUT WITH THE REHAB FACILITY,
WE WILL BE ABLE TO WORK

ON BUILDING UP HER STAMINA
AS QUICKLY AS POSSIBLE.

BECAUSE OCTAVIA DOESN'T HAVE
A LOT OF TIME TO WASTE

BEFORE HER CONDITION
GETS MUCH WORSE.

Octavia:
I'M GLAD DR. NOW'S HELPING ME

AND THAT I HAVE
THIS OPPORTUNITY.

BUT RIGHT NOW I'M FEELING SCARED
BECAUSE I'M BEING TRANSFERRED.

I HAVE NO IDEA
WHERE I'M GONNA BE.

SO MY ANXIETY IS SUPER HIGH,

AND I'M A LITTLE FRUSTRATED
RIGHT NOW.

THIS IS JUST A LOT HARDER
THAN I THOUGHT IT WAS GONNA BE.

♪♪

10, 11, 12.

I'VE BEEN IN THE REHAB FACILITY
FOR ALMOST A MONTH,

AND I'VE BEEN WORKING HARD
TO DO ALL MY EXERCISES.

I USE A POLE WITH WEIGHTS ON IT,

EXERCISING MY ARMS AND MY LEGS,
DOING LEG LIFTS, TOE CURLS,

SOME STRETCHING --
DIFFERENT THINGS LIKE THAT.

IT'S VERY PAINFUL,

BUT I THINK I'M GETTING THERE
TO BE ABLE TO WALK AGAIN.

SO I'M FEELING REALLY GOOD
ABOUT MY PROGRESS

AND HOW FAR I'M COMING.

I KNOW I'M NOT WHERE DR. NOW
WANTS ME TO BE YET,

BUT I'M GETTING CLOSE,

BECAUSE I'M ALREADY ABLE
TO DO A LOT MORE,

AND I'M ABLE TO STAND UP
AND GET INTO MY WHEELCHAIR.

[ KNOCK ON DOOR ]

HEY, MISS OCTAVIA.

WE'RE THINKING ABOUT
GETTING YOU FOR A SHOWER.

-OKAY.
-SOUNDS GOOD?

SOUNDS GOOD.

LET US KNOW IF YOU NEED
ANY HELP.

OCTAVIA, WE WANT YOU TO SIT
ON THE EDGE OF THE BED HERE,

AND ONCE YOU GET SEATED,

WE'LL TRANSFER
INTO YOUR WHEELCHAIR.

Octavia:
IT'S DEFINITELY SCARY

BECAUSE I HAVE THAT FEAR
OF I CAN'T DO IT.

ALL RIGHT.

I'M SCARED THAT I'M GONNA FALL
OR HURT MYSELF

IN SOME TYPE OF WAY.

♪♪

BUT NOW THAT I CAN
GET OUT OF BED,

ONE OF MY FAVORITE THINGS TO DO
IS TO TAKE A SHOWER,

AND THAT'S BEEN INCREDIBLE,

BECAUSE WHEN YOU HAVE
TO SPONGE-BATH EVERY DAY,

THE WATER'S NOT REALLY HOT.

WHEN YOU GET TO MY SIZE
AND BEDRIDDEN,

YOU REALIZE ALL THE THINGS
YOU TAKE FOR GRANTED

BEFORE YOU GOT TO THAT POINT,
AND A HOT SHOWER,

IT'S BEEN A NICE REWARD
FOR ALL MY HARD WORK.

SO YOU CAN TAKE A STAND
FROM HERE.

OKAY.

SO I'M REALLY HAPPY
WITH ALL MY PROGRESS

BECAUSE I'M WORKING
AS HARD AS I CAN.

I DON'T WANT TO
MISS MY GOALS

WHEN DR. NOW COMES BACK
TO SEE ME.

IF THAT HAPPENS, I'M NOT SURE
I'M GONNA BE ABLE TO HANDLE IT.

BECAUSE THIS IS MY ONLY CHANCE
TO GET THE HELP

I NEED TO SAVE MY LIFE.

AND I CAN'T LOSE IT.

♪♪

♪♪

Octavia: IT'S BEEN TWO MONTHS
I'VE BEEN HERE IN REHAB,

AND TODAY IS THE DAY DR. NOW IS
COMING TO SEE IF I HIT MY GOALS.

I'VE BEEN WORKING REALLY HARD
TO GET TO WHERE I NEED,

AND I'M EXCITED AT THE CHANCE
TO FINALLY GO GET SETTLED

INTO MY APARTMENT
WITH NICHELLE.

I'VE HARDLY SEEN HER
BECAUSE SHE'S ONLY BEEN ABLE

TO VISIT ME A FEW TIMES.

SO I'M REALLY HOPING DR. NOW

TELLS ME I'M GONNA BE ABLE
TO GO HOME TODAY.

BUT HE WANTS ME TO SHOW HIM

THAT I'VE AT LEAST MADE
ENOUGH PROGRESS WITH MY STAMINA

TO BE ABLE TO STAND
TO GET MY WEIGHT CHECKED.

BUT THAT MAKES ME
REALLY NERVOUS,

BECAUSE I'VE BEEN ABLE
TO GET UP,

BUT I'VE STILL NEEDED
MY WALKER TO STAND.

SO I HOPE I CAN DO IT.

[ KNOCK ON DOOR ]

HI, OCTAVIA.

Octavia: HEY, DR. NOW.

ALL RIGHT.

SO ARE YOU READY TO SHOW ME
WHAT YOU CAN DO NOW?

BECAUSE YOU ARE ANXIOUS
TO GET HOME?

YEAH.
I'M READY.

ALL RIGHT.

LET'S FIRST SIT ON THE SIDE
OF THE BED.

OKAY.

♪♪

HELLO.
-HELLO.

TAKE YOUR TIME.

♪♪

ALL RIGHT. JUST STAND THERE
FOR A SECOND, OKAY?

-MM-HMM.
-EVERYTHING'S FINE.

GET BACK UP THERE.

♪♪

NOW IS WHEN
YOU NEED TO LET GO

AND STAND ON YOUR OWN
FOR ABOUT FIVE SECONDS.

MM-HMM.

OKAY.

OKAY.
YOU'RE DOWN TO 584.

THAT'S WEIGHT LOSS
OF 108 POUNDS.

OKAY.

ALL RIGHT.

I'M PROUD OF YOU.

SO WE'LL GO AHEAD
AND SEND YOU HOME TODAY.

-OKAY.
-BUT NOW IT'S TIME TO SHOW ME

THAT YOU'RE READY
TO DO THIS ON YOUR OWN.

MM-HMM.

SO I WANT YOU TO LOSE 50 POUNDS
IN A MONTH,

AND WE'RE GONNA SEND PHYSICAL
THERAPY TO YOUR APARTMENT

TWO DAYS A WEEK TO CONTINUE
WORKING WITH YOU

AND MAKE SURE YOU CONTINUE
TO GET OUT OF BED.

-OKAY.
-AND NEXT TIME I SEE YOU,

I WANT IT TO BE IN MY CLINIC,
WALKING IN.

-OKAY.
-IF YOU DO ALL THAT,

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

-OKAY.
-OKAY?

THANK YOU SO MUCH.

ALL RIGHT, OCTAVIA.

MY HANDS ARE SWEATY.
SORRY.

YOU'RE MAKING
GOOD PROGRESS.

Dr. Nowzaradan: I THINK OCTAVIA
HAS DONE A GREAT JOB

THESE PAST COUPLE MONTHS.

BUT A BIG FACTOR IN THE WEIGHT
SHE'S LOST

HAS BEEN A RESULT OF HER ENABLER

NOT BEING ABLE
TO VISIT VERY MUCH.

SO THE BIG QUESTION NOW IS HOW
SHE'S GONNA DO ON HER OWN

AND IF SHE'S GONNA
STICK WITH IT.

SO THIS WILL BE EXTREMELY HARD
FOR HER,

BUT IF SHE TRULY WANTS
TO SAVE HER LIFE

AND GET HEALTHY
LIKE SHE NEED,

SHE WILL HIT HER GOAL
BY THE NEXT TIME I SEE HER.

ARE WE GOING OUT?
OUT.

Octavia: I'M EXHAUSTED,
BUT I FEEL REALLY GOOD.

AND I'M PROUD OF MYSELF
FOR GETTING THIS FAR.

BUT I'M REALLY THANKFUL
THAT IT'S PAID OFF

AND THAT I'M MORE ACTIVE THAN
I'VE BEEN IN A REALLY LONG TIME.

AND I AM EXCITED TO GO HOME.

I HAVEN'T SEEN MY HOUSE,
I HAVEN'T SEEN MY FRIEND,

SO I'M EXCITED TO JUST
START MY NEW LIFE HERE.

♪♪

YEAH.
WE NEED TO MOVE.

ALL RIGHTY.
YOU'RE GOOD TO GO.

THANK YOU, GUYS,
SO MUCH.

NO PROBLEM.

OH, MY GOD,
AUNTIE!

I'M SO GLAD TO BE HOME.

OHH.

FINALLY, FINALLY,
FINALLY YOU'RE HERE.

FOREVER.

WHAT DO YOU THINK
OF THE PLACE?

-I LIKE IT.
-ALL RIGHT.

OH, GOD.
IT FEELS SO GOOD TO BE HOME.

NOW WE GOT TO STAY ON TRACK.I KNOW.

SO I TALKED TO DR. NOW TODAY,
AND HE TALKED ABOUT

YOU COMING INTO THE CLINIC,
AND HE WAS LIKE,

"YOU GUYS CAN'T ENABLE
EACH OTHER" AND STUFF, SO.

YEAH. I'VE BEEN DOING
PRETTY GOOD BY MYSELF.

YEAH.
SO WE HAVE TO, UM, YOU KNOW,

REALLY JUST STAY ON TRACK,

BE MORE ACTIVE
AND STUFF LIKE THAT, SO.

I'M LIKE, "WE'LL BE OKAY."

WE GOT IT.
MY BABIES.

OCTAVIA, WE GOT IT.

YEP.

SEXY, SLIM COMING 2020.

[ LAUGHTER ]

OH, MAN.

THIS IS TOO COOL.

♪♪

Octavia: I'VE BEEN HOME
FOR A COUPLE WEEKS NOW,

AND I'M STILL WORKING HARD
TO DO MY EXERCISES AND DIET.

BUT I'VE EASED UP A LITTLE
ON HOW MUCH I WAS DOING

AND HOW STRICT OF A REGIMEN
I WAS FOLLOWING IN THE FACILITY.

NOT A LOT, BUT I JUST FEEL LIKE

WHAT I'M DOING NOW
IS MORE BALANCED.

HEY.

YOU WANT
TO EAT SOMETHING?

OKAY.
THANKS, BABY.

MM-HMM.

NICHELLE IS DOING HER PART
BY MAKING ME HEALTHIER MEALS.

THEY MAY NOT BE COMPLETELY
FREE OF BUTTER

AND EVERYTHING
THAT GIVES GOOD FLAVOR,

BUT THEY'RE MUCH HEALTHIER
THAN WHAT I WAS EATING.

HERE YOU GO.

WHAT'D YOU MAKE?

EGGS AND --
SOME PICO.

YES.

MY ONLY REAL WEAKNESS
IS CHIPS,

AND I'VE ONLY GIVEN
IN A FEW TIMES AND HAD SOME.

SO I'M STICKING TO THE
1,200-CALORIE-A-DAY DIET

WITH ONLY MINOR EXCEPTIONS.

SO I KNOW I'M STILL ON TRACK,
AND I'M FEELING CONFIDENT

I'M GONNA HIT MY GOAL.

♪♪

♪♪

TODAY, ME AND NICHELLE
ARE GOING TO SEE DR. NOW

FOR THE FIRST TIME
IN HIS OFFICE.

HE SAID THAT NOW THAT
I'M GETTING OUT OF BED

THAT I SHOULD HAVE NO PROBLEM
GETTING IN A REGULAR VEHICLE,

AND HE'S NOT SENDING
MEDICAL TRANSPORT FOR ME.

SO NICHELLE CALLED ME A CAB
WITH A RAMP

SO I CAN TRY AND GET
IN THE BACK OF THE VEHICLE.

BUT I'M REALLY NERVOUS BECAUSE
IT'S BEEN A VERY LONG TIME

SINCE I'VE BEEN ABLE TO FIT
IN A NORMAL CAR.

♪♪

TO GET IN THE CAR?

I DON'T KNOW IF I COULD
LIFT UP THERE.

I CAN TRY.

HOW ARE YOU GONNA LIFT UP
THAT HIGH?

I DON'T THINK YOU --
I DON'T KNOW.

I DON'T KNOW.

THAT'S KIND OF HIGH
FOR HER.

DO YOU WANT TO TRY TO GET
IN MY CAR

OR DO YOU WANT TO TRY
TO WALK UP THIS RAMP?

OKAY.
YOU WANT ME PULL MY CAR,

TRY TO SEE
IF YOU CAN GET IN THERE?

OKAY.

OCTAVIA, WE'RE ON.

♪♪

HERE WE GO.

ONE, TWO, THREE.

OH.

I GOT YOU.

TAKE YOUR TIME, OCTAVIA.

BREATHE.

YOU GOT THIS.

I LET THE SEAT BACK.

IT'S UP HIGH.

WELL, LAY BACK.

ALL RIGHT.
HOLD ON. HOLD ON.

ONE, TWO, THREE.

YOU GOT IT UP THERE.
SLIDE IT ON IN.

YOU GOT IT.

-OKAY.
-OKAY.

CLOSE THE DOOR.

Octavia: I WAS HOPING
WITH ALL MY PROGRESS

THIS WOULD BE EASIER,
BUT IT'S NOT.

AND I'M IN SO MUCH PAIN
RIGHT NOW.

I JUST HOPE I CAN MAKE IT.

BECAUSE I CAN'T MISS
MY APPOINTMENT WITH DR. NOW.

♪♪

♪♪

Nichelle: WE ARE HERE.

THANK YOU, JESUS.

♪♪

[ GRUNTING ]

[ GRUNTING ]

YOU GOT IT, OCTAVIA?

I DON'T KNOW.

THE CHAIR'S RIGHT THERE.

[ GRUNTS ]

ALL RIGHT.
YOU DID IT.

GOOD JOB.

OKAY.

I'M REALLY STRUGGLING RIGHT NOW.

BECAUSE I'M JUST
COMPLETELY DRAINED,

AND I'M NOT GONNA BE ABLE
TO STAND ON MY OWN

AND GET MY WEIGHT CHECKED

WITHOUT SOMETHING
TO LEAN ON FOR SUPPORT

BECAUSE I JUST DON'T
HAVE IT IN ME.

BUT I HAVE TO TRY.

OCTAVIA GAHAGANS.

WHEN I LEFT REHAB,
I MADE IT DOWN TO 584,

AND DR. NOW SAID I HAD TO LOSE
50 POUNDS THIS MONTH.

SO THAT MEANS I NEED TO BE
BELOW 534 TODAY.

OKAY.

AND I THINK I DID THAT.

I JUST HAVE TO STAND
TO GET MY WEIGHT CHECKED.

♪♪

♪♪

♪♪

OH, IT HURTS.

I DON'T UNDERSTAND THAT,
AND I'M REALLY UPSET RIGHT NOW.

IT'S OKAY.

GOT TO TRY A LITTLE HARDER
NEXT TIME.

YOU'RE GONNA GET IT.

YEAH.
-OKAY.

YOU GUYS CAN GO TO ROOM 5.

-THANK YOU.
-YOU'RE WELCOME.

Octavia: I THOUGHT I HAD LOST
MORE THAN THAT, AND I HAVEN'T.

I KNOW I FELL SHORT
WITH MY STRESS EATING,

AND I'VE HAD ISSUES TO WHERE,
YOU KNOW,

I HAVEN'T DONE CORRECTLY, SO.

DR. NOW, I'M SURE,
IS GONNA BE UPSET

BECAUSE I DIDN'T MEET MY GOAL,

SO I WON'T BE APPROVED
FOR SURGERY TODAY.

I KNOW THAT.

WE MADE IT. WE'RE HERE.
CAN'T GIVE UP NOW.

I'M DISAPPOINTED.

YOU WIN SOME.

YOU WIN SOME LATER.

I DIDN'T MAKE IT.

WE'LL SEE WHAT HE SAYS
WHEN HE COMES IN HERE.

-HELLO.
-HELLO.

HI, DR. NOW.

HOW ARE YOU ALL DOING?

OH.
WE'RE HERE.

ALL RIGHT, OCTAVIA.

SO YOU'RE ALMOST
100 POUNDS OFF

FROM WHERE YOU'RE
SUPPOSED TO BE.

WHAT HAPPENED?

THINGS HAVE BEEN HECTIC
FOR ME.

I'M STRESSED OUT.
-WHAT DO YOU MEAN "BEEN HECTIC"?

IT'S JUST BEEN A LOT.
I'VE BEEN STRESSED.

SO, YOU KNOW, WHEN I'M STRESSED,
I EAT.

SO WE'RE GIVING YOU THIS CHANCE
TO SAVE YOUR LIFE,

AND YOU TELL ME
YOU CAN'T DO IT RIGHT NOW

BECAUSE YOU'RE STRESSED?

BECAUSE THAT'S NEVER
GONNA CHANGE.

LIFE IS FULL OF STRESS.I KNOW.

SO YOU MAKE ALL THOSE CHANGES TO
COME HERE TO CHANGE YOUR LIFE,

AND NOW YOU'RE
NOT CHANGING.

BOTH OF YOU ARE TOGETHER.

SHE'S OVERWEIGHT.
YOU'RE OVERWEIGHT.

YOU'RE NOT LOSING WEIGHT
BECAUSE YOU HAVE

AN ENABLER
TAKING CARE OF YOU,

AND YOU BOTH SEEM TO HAVE
NO DESIRE TO CHANGE.

SO WHAT'S THE POINT
OF COMING DOWN HERE

AND NOT FOLLOWING
OUR DIET?

DR. NOW, I NEED THERAPY.

I NEED HELP.
IT'S NOT SOMETHING --

THIS IS SOMETHING
THAT I'VE BEEN STRUGGLING WITH.

IT'S AN ADJUSTMENT,
DR. NOW.

WE'VE BEEN THROUGH A LOT
SINCE WE'VE BEEN HERE.

NOTHING YOU ARE SAYING
MATTERS.

SO WHY EVEN SAY ANYTHING?

IT'S AN ADJUSTMENT
FOR US.

WHAT ARE WE WAITING FOR?

THIS IS AN ADJUSTMENT FOR US --
BOTH OF US.

THIS IS SOMETHING THAT WE'VE
DEALT WITH OUR ENTIRE LIVES,

AND WE'RE TRYING
TO MAKE A DIFFERENCE,

AND SHE'S NOT A PET,
SO I CAN'T TREAT HER LIKE A PET.

SHE'S A HUMAN BEING TO ME,
SO I TRY TO TALK TO HER --

WE DON'T WANT HER
TO BE TREATED LIKE A PET.

NOT FEEDING HER WHATEVER SHE
WANTS DOESN'T MAKE HER A PET.

THAT'S ENABLER LOGIC.

I WANT YOU TO BE SUPPORTIVE --I AM SUPPORTIVE.

AND BEING SUPPORTIVE,
THAT MEANS THAT YOU STOP

BRINGING HER UNHEALTHY FOOD
THAT'S KILLING HER,

AND YOU BOTH DO THE SAME THING
AND BOTH LOSE WEIGHT.

YES.
YOU'RE RIGHT.

BUT WE UNDERSTAND THAT.

BUT WHAT I'M TELLING YOU IS,
YOU HAVE TO LOOK AT THE WHY.

YOU'RE LOOKING
AT THE RESULT.

NOBODY'S FIXING THE WHY.

IF YOU'VE BEEN ADDICTED
TO SOMETHING YOUR WHOLE LIFE,

AND YOU GIVE ME
A PIECE OF PAPER, AND YOU SAY,

"HEY, DO THIS,"
THE PAPER'S NOT GONNA CHANGE ME.

EVERYTHING
THAT I'VE BEEN GIVEN

IS STILL NOT HELPING ME
TO THE WHY.

ALL RIGHT, OCTAVIA.

DO YOU WANT TO START THERAPY
TO ADDRESS THE WHY?

THEN WE'LL START YOU
ON THERAPY.

BUT LET ME TRY
TO CLEAR SOMETHING UP.

RIGHT NOW, FOR THIS FIRST
WEIGHT-LOSS GOAL,

IT IS A MATTER OF CHOICE.

STICKING WITH IT
IS WHAT THERAPY ADDRESSES.

THE WHY HAS TO BE ADDRESSED
FOR THE LONG-TERM.

BECAUSE DISCIPLINE WILL
EVENTUALLY FALL TO TEMPTATION

IF YOU HAVEN'T ADDRESSED
A CORE ISSUE AT PLAY.

SO DOING IT FROM SIX MONTHS
TO A YEAR,

AND FOR A LIFETIME,
THAT'S THE STRUGGLE.

MARK TWAIN SAID,
"QUITTING SMOKING IS EASY.

I'VE DONE IT
A THOUSAND TIMES."

HIS POINT WAS,
STICKING TO IT

AND RESISTING TEMPTATION
IS HARD.

MAKING A CHOICE
TO CHANGE ISN'T.

OKAY?
MM-HMM.

SO IF YOU WANT TO START
WITH THERAPY,

THEN WE'LL START
TO GO INTO THAT.

AND WHAT I'M GOING TO DO
IS GIVE YOU ANOTHER MONTH

TO LOSE 50 POUNDS
LIKE YOU SHOULD HAVE DONE.

OKAY?
AND IF YOU HAVE ANY ISSUES,

YOU PICK UP THE PHONE
AND CALL ME.

OKAY.

THANK YOU, DR. NOW.

-ALL RIGHT?
-ALL RIGHT.

NICE TO SEE YOU AGAIN,
AND BE GOOD SUPPORT FOR HER.

I HAVE BEEN.
[ CHUCKLES ]

♪♪

I JUST WANT TO BE BETTER.

Dr. Nowzaradan: INSTEAD OF
TAKING RESPONSIBILITY,

OCTAVIA IS BLAMING HER EMOTIONS

AND MAKING EXCUSES
TO JUSTIFY HER CHOICES.

BUT IF SHE AND NICHELLE DON'T
START TO TAKE THIS SERIOUSLY,

THEN IN ANOTHER MONTH, SHE WILL
BE BACK UP TO ALMOST 700 POUNDS,

AND SHE WILL CONTINUE
TO GAIN FROM THERE

AND BECOME IMMOBILE AGAIN.

SO THEY'RE BOTH PLAYING
A DANGEROUS GAME RIGHT NOW,

AND THEY NEED TO WAKE UP.

-ALL RIGHT.
-I'M SO READY TO GO.

I CAN'T GET OUT OF HERE
FAST ENOUGH.

♪♪

♪♪

Octavia: THE PAST COUPLE WEEKS
HAVE BEEN HARD.

NICHELLE HAS BEEN REALLY UPSET
AFTER THE DOCTOR'S APPOINTMENT.

DR. NOW SAYING SHE'S MY ENABLER
UPSET HER,

AND SO THINGS HAVE BEEN
A LITTLE TENSE BETWEEN US,

AND SHE'S THINKING IT'S BEST
IF SHE GOES BACK TO KANSAS CITY.

BUT I DON'T HAVE ANYONE ELSE
DOWN HERE,

AND THE STRESS OF IT ALL
HAS BEEN TOO MUCH FOR ME.

SO I'M REALLY STRUGGLING.

AND WITH EVERYTHING GOING ON,

I HAVEN'T BEEN ABLE TO START
GOING TO THE THERAPY

DR. NOW SET UP FOR ME,

AND I KNOW
HE ISN'T HAPPY ABOUT THAT.

SO I JUST HAVE TO GET THIS
ALL FIGURED OUT WITH NICHELLE.

BUT IF SHE DOESN'T WANT
TO BE HERE,

THEN I DON'T WANT TO MAKE HER
FEEL LIKE SHE HAS TO.

HELLO.
HI.

WHAT YOU DOING?

[ SIGHS ]
JUST THINKING.

HERE'S THE THING.
THIS IS WHAT I FEEL LIKE.

I KNOW WHAT DR. NOW
IS SAYING --

I DON'T WANT
TO TALK ABOUT IT.

JUST -- PLEASE.I KNOW IT'S HARD TO HEAR,

AND I KNOW YOU DON'T WANT TO BE
A PART OF THE PROCESS.

I'M ALREADY A PART
OF THE PROCESS. I JUST --

BUT YOU'RE NOT HAPPY
ABOUT IT,

AND, ULTIMATELY, YOU KNOW,

A LOT OF WHAT HE'S SAYING
IS TRUE, AND I GET IT.

YOU KNOW, IT'S HARD
TO TAKE CRITICISM,

AND I KNOW
IT'S STRESSFUL FOR YOU.

I JUST DON'T WANT
THAT DYNAMIC.

BECAUSE IF HE SAYS
SOMETHING TO YOU,

IT UPSETS YOU,
THEN I FEEL BAD

BECAUSE I FEEL LIKE
I PUT YOU IN THIS POSITION.

YOU SHOULDN'T FEEL
LIKE THAT.

WELL, I CAN'T HELP IT.YEAH.

I JUST DON'T WANT
THE TENSION.

IT'S HURTING ME,
AND IT'S HURTING YOU.

AND I DON'T WANT THAT.

I'M DAMNED IF I DO,
DAMNED IF I DON'T.

IF I DO RIGHT,
YOU STILL GET ATTACKED.

IF YOU DO WRONG,
YOU STILL GET ATTACKED.

BUT WE DIDN'T DO RIGHT,
CHELLE.

I'M NOT LOSING WEIGHT.

BUT WE DIDN'T DO WRONG
ALL THE WAY EITHER, OCTAVIA.

WE DIDN'T DO RIGHT.
IT'S NOT RIGHT.

OKAY, SO WHAT DO YOU FEEL
LIKE WE DID WRONG?

IT'S NOT LIKE EVERY DAY
WE GO OUT AND LIKE,

"OH, WE GONNA EAT THIS,
THIS, THIS."

RIGHT.
I GET THAT.

BUT YOU HAVE TO LOOK AT, OKAY,
WE DID GOOD FOR BREAKFAST,

WE DID GOOD FOR LUNCH,
WE JACKED UP ON DINNER.

RIGHT.
OKAY.

WE'RE DOING THIS
EVERY DAY.

SO, BASICALLY, YOU KNOW HOW YOU
SAY THE GOOD OUTWEIGH THE BAD.

BUT THAT BAD IS
KEEPING ME STUCK.

I UNDERSTAND.SO I'M NOT LOSING WEIGHT.

SO WE ARE MESSING UP.

YOU KNOW, THAT'S ALL I'M SAYING
IS WE HAVE TO OWN IT.

I OWN THAT, AND I FEEL
RESPONSIBLE,

AND THAT'S ONE REASON
I WAS LIKE,

"FROM THIS POINT ON, MAYBE WHAT
I'M DOING AIN'T RIGHT."

THAT'S WHAT I FEEL LIKE.

DAMNED IF I DO,
DAMNED IF I DON'T.

BUT IT'S BOTH OF US.
I'M NOT SAYING --

BUT YOU'RE NOT BEING BLAMED
FOR IT.

YES, I AM.

IT'S NOT LIKE HE'S JUST SAYING,
"NICHELLE, NICHELLE, NICHELLE."

HE BLAMES ME, TOO.

I HAVE TO CHANGE.
I KNOW IT'S HARD.

I KNOW IT'S HARD FOR ME,
IT'S HARD FOR YOU

BECAUSE THIS IS THE WAY
WE'VE HAD TO COPE WITH LIFE.

AND NOBODY'S GONNA UNDERSTAND
THAT FOR US.

BUT IF WE KEEP DOING THE WAY
THAT WE'RE DOING,

WE'RE NOT GONNA BE HERE.

WE'VE BEEN IN SURVIVOR MODE
SINCE WE WERE LITTLE GIRLS.

THE SAME STUFF HAPPENED
TO ME HAPPENED TO YOU.

[ Voice breaking ]
WE'VE HAD THE SAME STUFF.

BUT WE GOT TO CHANGE THIS.

WE DON'T HAVE TO KEEP ON
DOING LIKE WE'RE DOING.

WE GOT TO STOP.

WE GOT TO CHANGE.

THIS AIN'T ABOUT ME.
THIS IS ABOUT YOU RIGHT NOW.

NO, CHELLE, IT IS.

IT IS FOR YOU.

YOU GOT TO DO IT, TOO.

OCTAVIA,
THIS AIN'T ABOUT ME.

THIS IS ABOUT YOU.NO, NO, NO.

I'M TALKING ABOUT LIFE.

I UNDERSTAND WHAT YOU'RE
TALKING ABOUT.

I'M JUST SAYING.
WE GOT TO DO BETTER.

OKAY.

SO IF YOU WANT TO KEEP GOING,
FINE.

IF NOT, I PROMISE
I'M NOT GONNA BE MAD.

I DON'T WANT YOU GONE,

[ Normal voice ] BUT I DON'T
WANT YOU TO GO THROUGH THIS,

AND YOU DON'T WANT TO DO IT.
THAT'S WHAT I'M SAYING.

OCTAVIA, YOU ACT LIKE YOU
DON'T GET UPSET, TOO.

I DO, TOO.
OKAY, THEN.

I TAKE THE RESPONSIBILITY
ON MY PART.

I [BLEEP] UP WITH YOU.

I [BLEEP] UP WITH MYSELF.

SO I TAKE THAT RESPONSIBILITY
FULL-FLEDGE ON MY SHOULDER.

SO, YOU KNOW,
LET ME BE HOW I AM.

THAT'S JUST ME.

ALL RIGHT.

MM.

Octavia:
I CAN'T DO THIS ON MY OWN.

AND I CAN'T QUIT
AND GO BACK HOME.

IF I DO THAT,
THEN I'LL LOSE EVERYTHING.

SO I JUST HAVE TO SETTLE THINGS
WITH NICHELLE.

BECAUSE I KNOW THIS IS
MY LAST CHANCE.

♪♪

♪♪

IT'S CONTINUED TO BE
A DIFFICULT TIME

BECAUSE ME AND NICHELLE ARE
STILL TRYING TO WORK THINGS OUT.

IT SEEMS LIKE ALL WE'RE DOING

IS EITHER AVOIDING
EACH OTHER OR ARGUING.

SO I TOLD HER THAT I THINK
WE BOTH DESERVE

TO JUST TAKE A BREAK AND THAT
WE'VE EARNED A CHEAT DAY.

♪♪

[ KNOCK ON DOOR ]

HELLO.
THANK YOU.

HERE YOU GO.
CHICKEN, CHICKEN, CHICKEN.

[ LAUGHS ]

THAT'S MY NAME
FOR THAT STUFF.

LIKE, OH, MY GOD.

ALL RIGHT.
WHAT'D YOU GET US HERE?

SOME CHICKEN STRIPS.

AND THE DEVIL.

THAT BISCUIT IS THE DEVIL.

Nichelle: FOR OCTAVIA
AND MYSELF, THE ADJUSTMENT

HAS BEEN VERY HARD TO GO

FROM EATING WHAT YOU WANT
TO 1,200 CALORIES,

AND IF I'VE ENABLED OCTAVIA

BECAUSE THAT'S JUST
WHAT I'VE DONE, THAT'S MY BABY.

I LOVE HER SO MUCH
THAT I GIVE TO HER.

IT'S HARD TO TELL HER NO.

BUT THIS IS ALL WE KNOW.

I WONDER HOW MANY CALORIES
IS THIS?

A WHOLE DAY.

YEAH, RIGHT.

THIS IS MY LAST PIECE OF CARB
FOR THE REST OF MY LIFE.

I KNOW.

THEN EAT IT!
I AM.

THAT'S HOW I EAT.

Octavia: I THINK THIS IS EXACTLY
WHAT WE NEEDED,

BUT I KNOW THERE'S STILL A LOT
WE HAVE TO FIGURE OUT,

AND I'M STRESSED AND SCARED
ABOUT WHAT WE'RE GONNA DO.

BECAUSE IF NICHELLE DOES DECIDE
TO GO BACK,

THEN I'M NOT SURE
IF I CAN DO THIS.

♪♪

♪♪

Dr. Nowzaradan:
IT'S BEEN TWO MONTHS SINCE
OCTAVIA'S LAST APPOINTMENT,

AND SINCE THEN, SHE MISSED TWO
APPOINTMENTS WITH PSYCHOTHERAPY,

AND SHE MISSED
HER FOLLOW-UP WITH ME.

SO THIS ISN'T LOOKING GOOD.

SO I'M CALLING HER TO FIND
OUT WHAT'S GOING ON.

♪♪

[ Line ringing ]

Octavia: Hello?

OCTAVIA,
HOW ARE YOU DOING?

I'm in a lot of pain.

I am hurting so bad.

I went to resume my psych,

and, like, in the front of it
is steps, and then it's a ramp,

and I was trying
to go up the ramp,

and my body just started
breaking down on me.

I couldn't make it,
and it's my hip.

My hip is hurting real bad.

DID YOU MAKE IT TO YOUR
PSYCHOTHERAPY AND GO IN,

OR YOU COULDN'T MAKE IT?

No, I didn't.
It was hard.

SO IF I UNDERSTAND EVERYTHING
YOU'RE SAYING CORRECTLY,

YOU HURT YOUR HIP
SOMEHOW IN YOUR WHEELCHAIR,

AND YOU'RE HOME
WITH A SERIOUS INJURY

THAT YOU'RE JUST HOPING
GET BETTER

INSTEAD OF CALLING US
FOR HELP?

I don't know.

WHAT DO YOU NOT KNOW?

YOU KEEP MISSING
YOUR APPOINTMENTS

AND YOU'RE MAKING EXCUSES.

I'M NOT SURE IF THOSE EXCUSES
ARE REAL

OR YOU'RE MAKING THEM UP.

IF THEY'RE REAL, THEN YOU SHOULD
GO TO A HOSPITAL

AND HAVE A CHECK AND MAKE SURE
THERE'S NOTHING WRONG WITH YOU.

BUT IF NOT, YOU NEED
TO COME IN TODAY

SO WE CAN SEE WHERE
YOUR WEIGHT IS AT.

Dr. Now,
my hip hurts.

I can't hardly stand on it.

Unless somebody at your end
come pick me up

and bring me
to the appointment, yes.

But it still hurts.

IF IT HURTS THAT BAD,

THEN WE NEED TO GET YOU
IN THE HOSPITAL TO CHECK IT OUT.

BECAUSE WHAT YOU ARE DESCRIBING
IS SERIOUS.

SO I'LL SEND AN AMBULANCE
TO PICK YOU UP

AND TAKE YOU
TO THE HOSPITAL TODAY.

-Okay.
-OKAY.

BYE-BYE.
-Bye, Doctor.

ONCE WE GET OCTAVIA
TO THE HOSPITAL,

WE'LL CHECK HER HIP
AND SEE WHAT'S GOING ON.

BUT I THINK THIS IS
JUST MORE GAMES

BECAUSE SHE'S STILL BEEN
OVEREATING,

AND SHE WANTS
TO AVOID THE SCALE.

BUT WE WILL GET HER
TO THE HOSPITAL AND SEE.

♪♪

♪♪

Octavia: AFTER I TALKED
TO DR. NOW,

MY HIP STARTED
TO FEEL BETTER.

SO I'VE BEEN ABLE TO GET UP
AND MOVE AROUND AGAIN.

BUT HE SAID HE WANTS ME TO COME
TO THE CLINIC

FOR A FOLLOW-UP IMMEDIATELY.

SO THAT'S WHERE WE'RE HEADED.

BUT I DON'T FEEL LIKE I'M READY
FOR A WEIGH-IN.

THE PAST COUPLE MONTHS
HAVE BEEN HARD.

BUT I'M FINALLY IN A PLACE
TO START MAKING THE PROGRESS

I NEED TO HIT MY GOALS
BECAUSE I'VE BEEN FOCUSING ON

TRYING TO WORK THINGS OUT
WITH NICHELLE.

AND I JUST RECENTLY GOT
A HEALTHCARE ASSISTANT

TO TAKE ALL THE PRESSURE
AND RESPONSIBILITY OFF OF HER.

SO THINGS ARE GETTING BETTER.

BUT I HAVEN'T HAD A CHANCE
TO DO WHAT I NEED.

SO I'M HAVING TO DO THIS WAY
TOO EARLY.

OCTAVIA GAHAGANS.

Nichelle: HELLO.
EXCUSE US.

THE LAST TIME I WAS HERE,
I WAS 646,

AND I WAS SUPPOSED
TO LOSE 50 POUNDS.

SO THAT MEANS I SHOULD BE DOWN
TO 596 TODAY,

AND I'M NOT SURE
HOW CLOSE I AM TO THAT.

♪♪

♪♪

I KNEW I WASN'T READY
FOR A WEIGH-IN,

SO I DON'T THINK
THIS IS FAIR TO HAVE TO DO.

'CAUSE IT'S BEEN HARD.

LIKE, EVERY WEEK
IT'S SOMETHING GOING ON.

I'M A STRESS EATER, AND I'VE
BEEN UNDER TREMENDOUS STRESS

SINCE I'VE BEEN HERE --
NOT JUST THE WEIGHT LOSS,

BUT MOVING
AND TRYING TO GET ADJUSTED.

I MEAN, IT'S JUST BEEN HECTIC.

SO, YOU KNOW, I DEFINITELY KNOW
HE'S NOT GONNA APPROVE ME.

PREPARE YOURSELF
FOR WHATEVER DR. NOW HAS TO SAY.

IT IS WHAT IT IS.

-HELLO.
-HI, DR. NOW.

-HOW ARE YOU ALL DOING?
-PRETTY GOOD.

I'M FINE.

Dr. Nowzaradan:
ALL RIGHT, OCTAVIA.

IS YOUR HIP STILL
FEELING BETTER?

YEAH. I THINK THE PAIN MEDICINE
STARTED TO KICK IN.

OKAY.
WELL, AT LEAST YOU'RE ABLE

TO GET BACK OUT OF BED
AND BE HERE.

SO THAT'S A GOOD IMPROVEMENT.
-MM-HMM.

UNFORTUNATELY, WHAT HASN'T
IMPROVED IS YOUR WEIGHT LOSS.

YOU'RE LESS THAN 10 POUNDS
FROM THE WEIGHT YOU ARRIVED AT.

SO, WE GIVE YOU
ALL THE TOOLS,

ALL THE OPPORTUNITY,
ALL THE RESOURCES,

BUT YOU'RE STILL OVEREATING,
AND YOU STILL HAVE AN ENABLER,

AND NOW YOU'VE GOT, WHAT,
TWO PEOPLE TAKING CARE OF YOU?

NO, IT'S NOT TWO PEOPLE
TAKING CARE OF ME.

SHE'S HOME HEALTH.

LIKE CLEANING AND --MY HOME-HEALTH PERSON.

THAT'S WHO SHE IS.
-WHY DO YOU NEED SO MUCH HELP?

THERE IS NO REASON YOU SHOULD
STILL BE RELYING

ON EVERYONE ELSE
TO TAKE CARE OF YOU.

SO THE QUESTION IS,
WHAT ARE YOU DOING FOR YOURSELF?

I HAVE BEEN TRYING,
DR. NOW.

-WHAT DO YOU MEAN YOU'RE TRYING?
-I SAID I TRY.

IF YOU DIDN'T TRY,
YOU'RE GONNA BE 700 POUNDS?

EVEN THOUGH I GAINED
SOME WEIGHT,

IT'S NOT LIKE
I HAVEN'T LOST ANYTHING.

YOU LOST IN THE HOSPITAL,
NOT BY YOURSELF.

DR. NOW, NO, I --
NO.

SOME OF THAT IS ME.

THE THINGS YOU'RE SAYING
DON'T LINE UP WITH REALITY.

IF YOU GO HOME, AND YOU DECIDED
YOU'RE GOING TO CHANGE

YOUR EATING HABIT,

YOU WOULD HAVE
LOST WEIGHT, RIGHT?

SO WHAT ARE WE GONNA
DO DIFFERENT THIS TIME?

I'M GONNA HAVE TO BE
MORE COMMITTED TO DO

WHAT I NEED TO DO.THAT'S A FIGURE OF SPEECH.

THAT'S NOT ACTION.

YOU DON'T REALIZE HOW DANGEROUS
THE SITUATION IS.

ANYTHING HAPPEN TO YOU --
YOU GET A COLD OR ANYTHING --

THAT'LL BE THE END.

NOBODY CAN HELP YOU.

YOUR LIFE IS ON THE LINE,

AND PEOPLE AROUND YOU
ARE HELPING YOU KILL YOURSELF.

SO THE ONLY SOLUTION I SEE,
IF WE PUT YOU IN THE HOSPITAL,

GET YOU
ON A CONTROLLED DIET,

GET YOU AWAY FROM THE PEOPLE
THAT BRING YOU FOOD

AND GET YOUR WEIGHT
BACK DOWN.

OTHER THAN THAT, YOU GO HOME
HOPING AND PRAYING

FOR SOMETHING
THAT'S NEVER GONNA HAPPEN.

-CAN I SAY SOMETHING?
-SURE.

I JUST STARTED WITH HER FRIDAY,
AND I'VE BEEN SPEAKING WITH HER,

AND THE PLAN WAS, I WAS GONNA
START A MEAL PREP FOR HER

TO WHERE I COULD MANAGE
AND LIMIT, YOU KNOW,

THE THINGS THAT SHE'S TAKING IN,
AND I WAS GOING TO GO

TO THE STORE AND GET
THE THINGS THAT SHE NEEDS.

YEAH, BUT YOU'RE NOT GONNA
BE THERE 24 HOURS A DAY.

CORRECT.

-YOU KNOW, A PERSON LIKE THAT --
-UH-HUH.

IN 10 MINUTES, THEY CAN
CONSUME 6,000 CALORIES.

OKAY.

SO YOU MAY NOT REALIZE
EVERYTHING YOU'RE UP

AGAINST TO HAVE TO DO THIS.

WHEN YOU GET
IN THE SITUATION

THAT THERE IS NO CONTROL
IN EATING HABIT,

THERE'S A PERSON IN THE HOUSE
THAT HAS THE SAME PROBLEM,

THAT'S GONNA BE
VERY DIFFICULT TO CORRECT.

UH-HUH.

SO, HOW DO YOU SEE THAT YOUR
ROLE IS GONNA MAKE A CHANGE?

I SEE MY ROLE MAKING A CHANGE
BY GIVING HER THE PUSH

IF SHE'S WILLING
TO ACCEPT THE PUSH.

SO YOU'RE GONNA HELP HER
TO ADJUST HER

EATING HABIT
AND STICK WITH IT?

YES.

SO, WHAT IS GONNA HAPPEN
WITH NICHELLE?

WHAT -- WITH HER?
YES.

I'M WILLING TO TAKE
ON THE CHALLENGE

WITH NOT ONLY OCTAVIA,
BUT MISS NICHELLE, ALSO.

AND ALL I'M ASKING FOR
IS GIVE HER

TILL HER NEXT VISIT
AND JUST SEE.

IF SHE STILL WENT OVER,
THAT'S HER.

THAT'S ALL I'M ASKING.ALL RIGHT.

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

WE'RE GONNA GIVE YOU
TWO MONTHS,

BUT IF SHE'S NOT DOING
WHAT SHE NEEDS THIS NEXT MONTH,

THEN YOU NEED TO TELL ME
BECAUSE WE NEED TO INTERVENE.

BUT IF YOU FEEL YOU'RE
MAKING PROGRESS WITH HER,

AND SHE'S NOT GAINING
AND MAKING EXCUSES,

THEN I EXPECT TO SEE
AT LEAST

100 POUNDS WEIGHT LOSS
IN THAT TIME.

BUT, OCTAVIA,
THIS IS YOUR LAST CHANCE.

YOU GOT IT?

AND YOU'RE GOING TO THERAPY.

NO MORE EXCUSES.MM-HMM.

SO, WE'RE GONNA RELY ON YOU
TO MAKE THE CHANGES,

BUT IF AFTER THIS,
WE HAVEN'T LOST ANY WEIGHT,

THEN AT THAT POINT,
OUR CHOICES WILL BE HERE

AND GIVE UP OR PUT HER
IN THE HOSPITAL

AND ISOLATE HER FROM EVERYBODY,
PUT HER ON CONTROLLED DIET.

ARE WE CLEAR
ABOUT EVERYTHING NOW?

-YEAH.
-ALL RIGHT.

CALL ME IF YOU NEED ANYTHING.
-ALL RIGHT.

THANK YOU, DR. NOW.

NICE TO MEET YOU.SAME HERE.

THANK YOU.

Dr. Nowzaradan: OCTAVIA
AND NICHELLE CONTINUE

TO PLAY A DANGEROUS GAME

WITH OCTAVIA'S LIFE
HANGING IN THE BALANCE.

BUT I'M HOPING CALITA IS ABLE
TO HANDLE

ADDRESSING THE DYNAMIC WITH THEM

AND HELP GET THINGS GOING
IN THE DIRECTION

THEY NEED BEFORE IT'S TOO LATE.

BUT IF SHE DOESN'T,

THEN OCTAVIA'S NOT GOING TO BE
ABLE TO SURVIVE MUCH LONGER.

♪♪

♪♪

Octavia: THIS PAST MONTH
HAS BEEN GOOD.

BECAUSE FOR THE FIRST TIME
IN A LONG WHILE,

I TRULY FEEL LIKE I HAVE IT
IN ME TO CHANGE MY LIFE.

I'VE BEEN GOING TO THE THERAPY
DR. NOW SET UP FOR ME,

AND IT WAS THE FIRST TIME
I'VE EVER BEEN ABLE

TO TALK ABOUT SOME OF THE THINGS
I DID.

I'VE LEARNED A LOT ABOUT MYSELF,

AND I REALIZE THAT I HAVE ALWAYS
BEEN THE BACKBONE FOR EVERYONE,

BUT I CAN'T BE THAT FOR MYSELF.

BECAUSE I FEEL LIKE MY HURDLES
ARE MOUNTAINS,

WHEREAS, IF I'M HELPING
SOMEBODY ELSE, IT'S NOT AS HARD,

AND I HAVE TO FIGURE THAT OUT
AND NOT GIVE UP ON ME.

BUT I PLAN TO KEEP FACING WHAT
I NEED NO MATTER HOW HARD IT IS.

I KNOW IT'S GONNA BE
A LOT OF WORK, BUT I'M READY.

BECAUSE I WANT A NEW LIFE.

SO RIGHT NOW, I'M MAKING SURE
I'M DOING WHAT I NEED

AND WORKING AS HARD AS I CAN
TO TAKE THE NEXT BIG STEP

AND GET WEIGHT-LOSS SURGERY.

AND THE ONLY WAY TO DO THAT
IS TO HIT THE GOAL

DR. NOW GAVE ME BY MY NEXT
APPOINTMENT IN A COUPLE WEEKS.

SO I'M STICKING TO HIS DIET
COMPLETELY.

AND NICHELLE IS
DOING IT WITH ME.

BUT WHEN I FIRST
CAME BACK HOME,

ACTUALLY, NICHELLE WAS LIKE,
"I WANT SOME PIZZA,"

AND WE DID EAT PIZZA,
AND THEN I WAS LIKE,

"I WANT SOME CHIPS,"
AND I ATE THEM.

I DID, YOU KNOW.

BUT CALITA HELPED US
PUT TOGETHER A HEALTHY MEAL PLAN

THAT FOLLOWS THE DIET.

SO THAT'S WHAT WE'VE BEEN USING,
AND, AS OF NOW,

I'M FOLLOWING MY DIET,

AND NICHELLE MAKES STEAMED
VEGETABLES, ROASTED VEGETABLES,

LOTS OF CHICKEN, TUNA,
AND SALAD.

GOOD OL' JUICY SALAD.
[ LAUGHS ]

AND, AT FIRST, IT WAS A BIT OF
AN ADJUSTMENT

BECAUSE IT FELT LIKE I WAS BACK
IN THE HOSPITAL ON THEIR DIET.

BUT ME AND NICHELLE DECIDED
NO MATTER WHAT,

WE NEED TO KEEP A RIGHT MIND-SET
AND FOCUS ON THE POSITIVE,

AND IF WE DO THAT,
WE KNOW WE'LL BE ABLE TO STICK

TO WHAT WE NEED
AND MAKE IT TO OUR GOALS.

Nichelle: I WANT YOU TO KNOW
I SUPPORT YOU 100%,

AND I KNOW I'M DOING
THE RIGHT THINGS BY YOU

AS FAR AS YOUR EATING,

TRYING TO GET YOU
THE RIGHT THINGS TO EAT

BECAUSE IT'S NOT JUST
FOR YOU,

IT'S FOR ME,
YOU KNOW WHAT I'M SAYING?

SO I TRY TO APPLY
THAT WHEN I'M COOKING,

I'M COOKING FOR BOTH OF US.

I'M NOT JUST LETTING YOU
EAT HEALTHY BY YOURSELF.

WE'RE BOTH EATING HEALTHY,
AND I NEVER WILL GIVE UP ON YOU.

IT DIDN'T TAKE A DAY TO GAIN
ALL THE WEIGHT

THAT YOU'VE GAINED,
THAT I'VE GAINED.

IT'S NOT GONNA TAKE YOU A DAY
TO LOSE IT,

BUT WE CAME DOWN HERE TOGETHER,
WE'RE GONNA LEAVE TOGETHER.

SO, FOR THAT,
YOU GOT MY SUPPORT.

ALWAYS.
AND I APPRECIATE IT.

YOU'RE MY SISTER.

WELL, HOPEFULLY,

THINGS ARE GETTING READY
TO START GETTING BETTER.

AND WE'LL BE WALKING OUT
THE SURGERY ROOM

TOGETHER, POP-LOCKING.

[ LAUGHS ]

SEXY, SLIM 2020.
YEAH.

Nichelle:
EVEN AFTER A COUPLE SLIP-UPS,

I'M ALWAYS GONNA BE THERE
FOR OCTAVIA.

THROUGH THICK AND THIN,
WE'VE BEEN EVERYWHERE TOGETHER.

WE GOT FAT TOGETHER,
WE'RE GONNA GET SKINNY TOGETHER.

SO MOVING FORWARD,
I HOPE THAT

DR. NOW APPROVES HER FOR SURGERY
SO THAT WE CAN GO FORWARD

FROM THERE
AND GET ON OUR JOURNEY.

Octavia: THIS JOURNEY
IS DEFINITELY A LOT MORE

THAN I EXPECTED IT TO BE.

I KNOW THAT MY WEIGHT IS NOT
GONNA MAGICALLY FALL OFF.

I'M NOT GONNA MAGICALLY BE,
YOU KNOW, HEALED.

I CAN'T PRAY IT AWAY.

I CAN'T DO NONE OF THAT.

I HAVE TO WORK FOR IT,
AND, YOU KNOW,

I REALIZE THAT, AND I HAVE TO
STOP FEELING SORRY FOR MYSELF

AND JUST DO IT.

SO THE NEXT TIME I SEE DR. NOW,

I HOPE AND PRAY

THAT I'M SUCCESSFUL
WITH MY WEIGHT LOSS

AND THAT I HIT MY GOAL.

♪♪

♪♪

ME, NICHELLE, AND CALITA
ARE AT DR. NOW'S

FOR MY NEXT APPOINTMENT,
AND I'M EXTREMELY NERVOUS.

THIS IS GONNA BE
THE MOST IMPORTANT WEIGH-IN

I'VE HAD YET BECAUSE MY FUTURE
AND MY LIFE ARE RIDING ON ME

HITTING THIS GOAL
AND GETTING APPROVED TODAY.

OKAY.

I KNOW I'VE BEEN WORKING AS HARD
AS I CAN

AND THAT I'VE MADE PROGRESS,

AND I HAVE NO IDEA HOW MUCH,
AND IF IT'S ENOUGH.

IF I HAVEN'T HIT MY GOAL, I KNOW
THAT MEANS IT'S ALL OVER FOR ME.

I HAVE FAILED AND LOST THE LAST
CHANCE I HAD TO SAVE MY LIFE.

♪♪

Octavia: I'M AT DR. NOW'S
TO FIND OUT

IF I HIT MY GOAL OR NOT,
BUT I'M EXTREMELY NERVOUS

BECAUSE THIS IS MY LAST CHANCE
TO GET SURGERY.

AT MY LAST APPOINTMENT,
I WAS AT 684,

AND DR. NOW TOLD ME
TO LOSE 100 POUNDS

BY THE TIME I CAME BACK.

THAT MEANS I SHOULD BE BELOW
584 TODAY.

♪♪

♪♪

I KNOW.

[ CRYING ]

LOOK AT YOU.

YOU DID IT.

[ LAUGHS ]

I'M PROUD OF YOU.
LOOK AT YOU.

I'M HERE.

DR. NOW STATED
THAT IF I DIDN'T LOSE

THAT HE WOULD PUT ME
IN THE HOSPITAL

ON A CONTROLLED DIET
OR JUST BE DONE.

SO I HAVE BEEN STAYING
UNDER MY 1,200 CALORIES.

I'VE BEEN EXERCISING.

SO I'M HOPING THAT DR. NOW

WILL BE OKAY WITH THE AMOUNT
OF WEIGHT THAT I LOST,

AND I'M PRAYING THAT I GET
APPROVED FOR SURGERY TODAY.

-HELLO.
-HELLO.

HOW ARE YOU ALL DOING?

PRETTY GOOD.

ALL RIGHT.

SO, OCTAVIA, YOU'RE DOWN TO 585,
HUH?

SO FINALLY YOU'VE FIGURED OUT
WHAT TO DO.

RIGHT?
YES.

DO YOU FEEL ANY BETTER?

I DO.SO THIS IS GOOD.

AND A BIG THANKS IS DUE
TO CALITA FOR COMING IN

AND HELPING YOU AND NICHELLE
TO GET BACK ON TRACK.

ABSOLUTELY.

SO, GOOD JOB, CALITA.

I'M ALL SMILES.

THE MEAL PREP --
EVERYTHING WENT WELL,

AND WE'RE STICKING TO IT.

-YEP.
-ALL RIGHT.

SUPER.

YOU ALL ARE DOING GREAT,
AND, OCTAVIA,

WITH THE RECENT WEIGHT LOSS,

WE CAN GO AHEAD AND APPROVE YOU
FOR WEIGHT-LOSS SURGERY.

[ CALITA CLAPPING ]

-OKAY?
-THAT'S A GOOD THING.

ALL RIGHT. SO WE'RE GONNA SET
YOU UP FOR TWO MONTHS FROM NOW,

AND I WANT YOU TO KEEP
LOSING UNTIL THEN.

OKAY.

AND IF YOU DO THAT,
THEN WE'LL MOVE AHEAD

WITH YOUR WEIGHT-LOSS
SURGERY.

BUT IF YOU GAIN, WE'RE NOT
GONNA DO YOUR SURGERY, OKAY?

I KNOW.
I KNOW HOW IT GOES.

AND I ALSO EXPECT TO SEE YOU
WALK IN HERE SOON, OKAY?

OKAY.

ALL RIGHT.
GOOD JOB.

GOOD JOB TO YOU, TOO, NICHELLE,
AND GOOD JOB, ALL OF YOU.

YOU HAVE ALL DONE GREAT.

SO, KEEP UP THE GOOD WORK.ALL RIGHT.

WELL, THANK YOU SO MUCH,
DR. NOW.

-OKAY.
-I APPRECIATE IT.

I'M GLAD YOU MADE IT.

GOOD.
THANK YOU.

OKAY?
NICE TO SEE YOU AGAIN.

NICE TO SEE YOU AGAIN.

I'LL SEE YOU
ALL IN TWO MONTHS.

-ALL RIGHTY.
-THANK YOU.

[ LAUGHS ]

I'M EXCITED.

FINALLY I'M NOT CRYING.

♪♪

Dr. Nowzaradan:
OVER THE PAST COUPLE MONTHS,

OCTAVIA HAS STAYED ON TRACK

LIKE SHE NEEDS
AND LOST ANOTHER 58 POUNDS.

SO SHE'S DOWN TO 527
AND DOING WELL.

SO WE ARE MOVING AHEAD WITH HER
WEIGHT-LOSS SURGERY TODAY

AND ATTEMPTING TO DO
A GASTRIC SLEEVE ON HER.

BUT EVEN WITH ALL HER PROGRESS,

OCTAVIA'S WEIGHT
IS STILL VERY HIGH.

SO DOING ANY OPERATION ON HER
IS VERY RISKY.

SO WE ARE GOING TO MONITOR HER
VERY CLOSELY

TO MAKE SURE WE DON'T LET HER
GET TO THAT POINT,

AND IF THERE IS ANYTHING
THAT CAUSES US CONCERN,

WE'LL STOP THE SURGERY.

BUT IF WE ARE SUCCESSFUL,
THIS GASTRIC SLEEVE

IS GOING TO BE
AN IMPORTANT TOOL THAT WILL HELP

OCTAVIA MAKE MORE PROGRESS
OVER THE LONG-TERM.

BECAUSE WHAT THE OPERATION
DOES IS REMOVE 80%

TO 90% OF THE STOMACH,

LEAVING A LONG, SKINNY TUBE
THAT LOOKS LIKE A SLEEVE.

SO THE PERSON'S FOOD INTAKE
IS PHYSICALLY LIMITED,

AND THE PATIENT IS LESS HUNGRY,
AND IT WILL GIVE THEM

AN OPPORTUNITY
TO BEGIN LOSING WEIGHT.

ALL RIGHT.

WE'RE DONE.

OCTAVIA'S SURGERY
WENT VERY WELL,

AND WE WERE ABLE TO DO
THE SLEEVE GASTRECTOMY.

BUT SHE HAD A VERY
LARGE STOMACH,

AND WE GREATLY REDUCED
THE SIZE OF THAT TODAY.

ACTUALLY GOT VERY SKINNY STOMACH
LEFT,

AND SHE'S GONNA BE ABLE
TO LOSE WEIGHT.

OCTAVIA'S GONNA BE
GOING TO RECOVERY NOW,

AND SHE SHOULD BE ABLE
TO GO HOME IN A FEW DAYS.

THEN SHE'LL BE ON LIQUID DIET
FOR A MONTH.

IN THIS TIME, SHE SHOULD
LOSE ANOTHER 40 POUNDS,

AND THEN AFTER THAT, SHE SHOULD
LOSE AT LEAST 25 POUNDS A MONTH

UNTIL SHE GETS CLOSE
TO HER TARGET WEIGHT.

AND AS SHE LOSES WEIGHT,
SHE SHOULD HAVE NO PROBLEM

STARTING TO WALK
SHORT DISTANCES.

BUT THE MOST IMPORTANT THING
FOR OCTAVIA'S LONG-TERM SUCCESS

WILL BE TO GET HER
LIVING ON HER OWN.

CALITA WON'T BE ABLE
TO HELP THEM FOREVER.

SO, BEFORE OCTAVIA'S HOME
SITUATION GOES BACK TO BEING

JUST HER AND NICHELLE AGAIN,

WE NEED TO MAKE SURE
THAT DYNAMIC IS SHIFTED,

AND IF WE DON'T, IT WILL LIKELY
JUST SET OCTAVIA UP

TO FALL BACK TO HER OLD HABITS
AND START GAINING AGAIN.

SO WE STILL HAVE A LOT
OF WORK TO DO.

BUT SHE'S COME A LONG WAY,
AND SHE'S DOING GREAT RIGHT NOW.

♪♪

♪♪

Octavia: IT'S BEEN A COUPLE
MONTHS SINCE MY SURGERY,

AND I'VE BEEN MAKING
A LOT OF PROGRESS.

AND WITH ALL MY WEIGHT LOSS,

IT'S BEEN EASIER
AND EASIER TO GET UP.

AND UP TO THIS POINT,
I'VE BEEN ABLE TO USE MY WALKER

TO STAND
AND GET IN A WHEELCHAIR.

BUT TODAY I FEEL LIKE
I'M IN A PLACE

WHERE I'M READY
TO TRY AND WALK AGAIN.

CHELLE?

CAN Y'ALL BRING THE CHAIR
RIGHT HERE TO THE DOOR

SO I CAN GET IN THERE?

THANK YOU.

IF I CAN DO THIS,

THEN A WHOLE NEW WORLD
WILL START TO OPEN UP FOR ME.

I JUST HOPE I'M READY.

OKAY.

READY?

I'LL TRY.
OKAY.

ONE, TWO, THREE.

OH.

COME ON.
MOVE THE CHAIR.

♪♪

JUST PUSH AGAINST THE WALL.

PUT IT AGAINST THE WALL.

RIGHT HERE, BABY.

♪♪

♪♪

I'M ALMOST THERE.

ALMOST THERE. ALMOST THERE.
ALMOST THERE.

SIT DOWN. YOU GOT IT.
SIT ON DOWN.

YAY.

I MADE IT.

I'M SO PROUD OF YOU!

[ LAUGHS ]

♪♪

♪♪

TO BE ABLE TO FEEL STRONG
AND TO GET UP AND DO THAT,

IT DEFINITELY MOTIVATES ME
TO KEEP GOING,

AND I'M GONNA KEEP
PUSHING MYSELF

'CAUSE I WANT A LIFE FOR MYSELF.

I DON'T WANT TO BE JUST STUCK IN
THE HOUSE AND CAN'T DO ANYTHING.

♪♪

Nichelle:
I'M SO PROUD OF OCTAVIA.

SHE'S BEEN WORKING OUT
ON HER OWN, DOING HER EXERCISES,

AND SHE DID WONDERFUL
TAKING STEPS TODAY,

AND SHE'S COME A LONG WAY,
SO I'M PROUD OF HER.

[ SNIFFLES ]

I NEED A PAPER TOWEL
OR SOMETHING.

I'VE LIVED HERE FOR NINE MONTHS,
AND THIS IS THE FIRST TIME

I'VE BEEN IN MY LIVING ROOM.

I'M TAKING STEPS
TO A BETTER LIFE.

YAY.

SO FOR THE FIRST TIME IN A LONG
WHILE, I FINALLY HAVE HOPE.

AND WHEN YOU HAVE HOPE,
YOU CAN DO ANYTHING.