1 00:00:02,633 --> 00:00:04,000 Pauline: [ Voice breaking ] I'M PRAYING 2 00:00:04,000 --> 00:00:06,300 FOR SOMETHING TO SAVE MY LIFE 3 00:00:06,300 --> 00:00:09,900 BECAUSE I'LL PROBABLY DIE IN MY BED ONE DAY. 4 00:00:14,267 --> 00:00:15,833 Man: I AM LIVING A NIGHTMARE. 5 00:00:15,833 --> 00:00:18,467 I WOULDN'T WISH THIS ON MY WORST ENEMY. 6 00:00:20,233 --> 00:00:23,333 Woman: I HATE THIS LIFE THAT I HAVE. 7 00:00:32,367 --> 00:00:34,633 DON'T YOU DARE PUT IT ALL ON ME. 8 00:00:34,633 --> 00:00:36,867 SHE IS GOING TO DIE. 9 00:00:36,867 --> 00:00:38,600 BOTH OF Y'ALL, STOP! 10 00:00:42,733 --> 00:00:44,667 Dr. Nowzaradan: WE GOT TO CORRECT THIS PROBLEM. 11 00:00:44,667 --> 00:00:47,800 OTHERWISE, SURGERY WOULD NOT BE USEFUL FOR YOU. 12 00:00:47,800 --> 00:00:50,100 [ Voice breaking ] I CAN'T DO THIS 13 00:00:50,100 --> 00:00:52,567 WITHOUT SOMEBODY TO HELP ME SAY "NO." 14 00:00:57,867 --> 00:01:00,900 YOU SAID YOU LOST 30 POUNDS SINCE LAST TIME I SAW YOU. 15 00:01:00,900 --> 00:01:03,567 THIS IS BULL[BLEEP] 16 00:01:03,567 --> 00:01:06,567 -- Captions by VITAC -- www.vitac.com 17 00:01:06,567 --> 00:01:09,600 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 18 00:01:12,067 --> 00:01:16,800 IT'S HARD WHEN YOU SEE HOW YOU'RE HURTING PEOPLE YOU LOVE. 19 00:01:16,800 --> 00:01:20,733 BUT YOU CAN'T STOP MAKING THE CHOICES THAT HURT THEM. 20 00:01:31,233 --> 00:01:33,267 [ BED CREAKS ] 21 00:01:35,067 --> 00:01:38,267 I AM ABSOLUTELY TRAPPED IN THIS BODY. 22 00:01:38,267 --> 00:01:42,833 I LET MYSELF GET WAY OUT OF CONTROL. 23 00:01:42,833 --> 00:01:44,467 OHH. 24 00:01:44,467 --> 00:01:46,433 AND I FEEL LIKE I'M DYING EVERY DAY. 25 00:01:49,300 --> 00:01:53,267 I CAN'T EVEN MOVE WITHOUT HELP. 26 00:01:53,267 --> 00:01:55,367 I CAN FEED MYSELF AND I CAN WIPE MYSELF, 27 00:01:55,367 --> 00:01:58,633 BUT ANYTHING ELSE AFTER THAT, I NEED HELP. 28 00:01:59,733 --> 00:02:01,333 MY NIECE COMES OVER A COUPLE TIMES A WEEK 29 00:02:01,333 --> 00:02:03,300 AND HELPS ME IN THE BATHROOM. 30 00:02:04,600 --> 00:02:08,667 PAULINE IS VERY LIMITED ON WHAT SHE CAN DO. 31 00:02:08,667 --> 00:02:12,100 SO I COME HERE TO HELP HER. 32 00:02:12,100 --> 00:02:14,467 I NORMALLY WILL COME IN AND WASH HER HAIR 33 00:02:14,467 --> 00:02:17,600 AND GIVE HER A BED BATH. 34 00:02:17,600 --> 00:02:19,633 Pauline: WHAT I WISH FOR EVERY DAY 35 00:02:19,633 --> 00:02:23,667 IS THAT I CAN JUST GET UP, 36 00:02:23,667 --> 00:02:27,333 HOP IN THE SHOWER, GET DRESSED, AND WALK OUT THE FRONT DOOR. 37 00:02:27,333 --> 00:02:31,633 [ Voice breaking ] I JUST WONDER IF I'LL EVER HAVE A NORMAL LIFE. 38 00:02:32,533 --> 00:02:34,167 Megan: DIL, CAN YOU BRING ME A TOWEL? 39 00:02:35,167 --> 00:02:37,300 DILLON IS HER ONLY CHILD. 40 00:02:37,300 --> 00:02:42,133 HE'S ALWAYS TAKING CARE OF PAULINE SINCE I CAN REMEMBER. 41 00:02:42,133 --> 00:02:45,067 Pauline: HAVING MY SON TAKE CARE OF ME IS 42 00:02:45,067 --> 00:02:47,067 ONE OF THE WORST THINGS EVER. 43 00:02:47,067 --> 00:02:50,433 DILLON IS 21, 44 00:02:50,433 --> 00:02:52,433 AND HIS FULL-TIME JOB IS TAKING CARE OF ME. 45 00:02:52,433 --> 00:02:55,300 HE HAS TO HELP ME PUT MY PANTS ON MY LEGS 46 00:02:55,300 --> 00:02:57,733 'CAUSE I CAN'T BEND OVER TO DO IT. 47 00:02:57,733 --> 00:02:59,200 MY LEGS ARE TOO BIG. 48 00:03:04,100 --> 00:03:05,667 I DO FEEL BAD FOR DILLON, 49 00:03:05,667 --> 00:03:08,933 JUST BECAUSE IT SEEMS LIKE HE HASN'T HAD MUCH OF A LIFE. 50 00:03:08,933 --> 00:03:11,600 EVEN WITH ME, HE'S VERY CLOSED OFF 51 00:03:11,600 --> 00:03:14,867 AND DOESN'T REALLY SPEAK HIS MIND VERY MUCH. 52 00:03:14,867 --> 00:03:17,333 IT'S NOT A HEALTHY RELATIONSHIP 53 00:03:17,333 --> 00:03:20,500 BECAUSE IT'S NOT A MOTHER/SON RELATIONSHIP. 54 00:03:20,500 --> 00:03:24,067 IT'S MORE LIKE A CLIENT AND A CAREGIVER. 55 00:03:24,067 --> 00:03:26,367 HEY, DIL? 56 00:03:26,367 --> 00:03:28,267 GO GRAB SOME BREAKFAST, HONEY. 57 00:03:28,267 --> 00:03:31,833 I TOTALLY FEEL LIKE HE'S THE PARENT AND I'M THE KID. 58 00:03:36,367 --> 00:03:39,100 THANKS, BABE. APPRECIATE IT. 59 00:03:39,100 --> 00:03:43,500 Dillon: I LOVE MY MOM, BUT SINCE SHE'S THIS HEAVY, 60 00:03:43,500 --> 00:03:45,167 WHATEVER I'M DOING, I HAVE TO STOP 61 00:03:45,167 --> 00:03:47,633 AND JUST TAKE CARE OF HER AND HELP HER. 62 00:03:50,067 --> 00:03:51,233 Pauline: ALL HE HAS EVER KNOWN 63 00:03:51,233 --> 00:03:54,867 IS A MOTHER THAT WEIGHED AT LEAST 500 AND THEN 600 64 00:03:54,867 --> 00:03:57,567 AND THEN 700. 65 00:03:57,567 --> 00:04:01,333 I REALLY DO FEEL LIKE I AM A BURDEN. 66 00:04:01,333 --> 00:04:04,067 Dillon: I JUST WISH THAT SHE COULD WALK LONGER 67 00:04:04,067 --> 00:04:05,267 AND STAND UP LONGER 68 00:04:05,267 --> 00:04:08,733 SO I WOULDN'T HAVE TO HELP HER WITH EVERYTHING. 69 00:04:08,733 --> 00:04:12,167 Pauline: THERE IS NOT ONE GOOD THING ABOUT BEING IN BED. 70 00:04:12,167 --> 00:04:15,800 THE ONLY GOOD THING THAT I GET OUT OF IT IS WHEN I'M EATING. 71 00:04:15,800 --> 00:04:18,900 THE BIGGEST HIGHLIGHT OF MY DAY IS EATING. 72 00:04:18,900 --> 00:04:21,300 HOW IS THAT POWERFUL ENOUGH 73 00:04:21,300 --> 00:04:25,633 TO KEEP ME THIS WAY FOR YEARS AND YEARS? 74 00:04:25,633 --> 00:04:30,367 I HAVE STRUGGLED WITH MY WEIGHT SINCE STARTING AT ABOUT AGE 6. 75 00:04:30,367 --> 00:04:33,300 MY MOM AND DAD, THEY GOT A DIVORCE. 76 00:04:33,300 --> 00:04:36,967 MY MOM WAS A HOMEMAKER, SO WHEN THEY SPLIT UP, 77 00:04:36,967 --> 00:04:38,500 SHE HAD TO GO LIVE ON HER OWN, 78 00:04:38,500 --> 00:04:40,933 AND THERE WAS NO WELFARE OR ANYTHING BACK THEN, 79 00:04:40,933 --> 00:04:44,867 SO WE STARVED. 80 00:04:44,867 --> 00:04:46,533 WE WENT HUNGRY A LOT. 81 00:04:46,533 --> 00:04:49,733 THE FEELINGS THAT CAME WITH BEING HUNGRY 82 00:04:49,733 --> 00:04:51,533 WAS A HELPLESS FEELING, 83 00:04:51,533 --> 00:04:53,300 LIKE THERE WAS NOWHERE YOU CAN GET FOOD. 84 00:04:53,300 --> 00:04:54,567 LIKE, YOU CAN SEARCH EVERY CUPBOARD, 85 00:04:54,567 --> 00:04:56,067 AND THEY WERE ALL EMPTY. 86 00:04:56,067 --> 00:05:00,767 BECAUSE OF THAT, AS AN ADULT, I STILL WANT TO EAT. 87 00:05:02,867 --> 00:05:05,800 WHEN MY PARENTS GOT BACK TOGETHER 88 00:05:05,800 --> 00:05:08,167 AND FOOD WAS PLENTIFUL AGAIN, 89 00:05:08,167 --> 00:05:11,933 THAT'S THE POINT WHERE I STARTED OVERDOING IT 90 00:05:11,933 --> 00:05:15,067 AND SNEAKING INTO THE KITCHEN TO GET FOOD AT NIGHT. 91 00:05:15,067 --> 00:05:17,667 AND I WAS GETTING CHUBBY AROUND AT AGE 8, 92 00:05:17,667 --> 00:05:21,167 AND IT JUST KIND OF PROGRESSED A LITTLE BIT MORE EACH YEAR. 93 00:05:21,167 --> 00:05:24,133 WHEN I WAS 17 AND I WAS A SENIOR IN HIGH SCHOOL, 94 00:05:24,133 --> 00:05:27,733 I WEIGHED ALMOST 300 POUNDS. 95 00:05:27,733 --> 00:05:30,800 AND WHEN I WAS 29 AND I GAVE BIRTH TO DILLON, 96 00:05:30,800 --> 00:05:33,733 I WAS 400 POUNDS. 97 00:05:33,733 --> 00:05:38,067 AND THEN BY THE TIME HE WAS 2 YEARS OLD, I WAS 500. 98 00:05:38,067 --> 00:05:41,367 NOW MY WEIGHT IS JUST OUT OF CONTROL. 99 00:05:41,367 --> 00:05:46,100 I KNOW THAT I'M OVER 600 POUNDS, AND I STILL CAN'T STOP EATING. 100 00:05:50,300 --> 00:05:53,500 BECAUSE I HAVE SUCH LIMITED ACTIVITIES IN MY LIFE, 101 00:05:53,500 --> 00:05:56,067 FOOD IS ONE OF MY ACTIVITIES, 102 00:05:56,067 --> 00:05:59,367 SO I LOOK FORWARD TO IT AS AN EVENT. 103 00:05:59,367 --> 00:06:03,933 Dillon: WE'RE GOING TO OUR GROCERY STORE. 104 00:06:03,933 --> 00:06:05,767 BECAUSE SHE CAN'T FIT IN THE CAR THAT GOOD, 105 00:06:05,767 --> 00:06:08,533 IT'S JUST EASIER FOR HER TO GET IN THE CHAIR 106 00:06:08,533 --> 00:06:10,733 AND FOR ME TO JUST GO IN THE CAR. 107 00:06:18,067 --> 00:06:20,067 COME ON, DILLY. 108 00:06:21,433 --> 00:06:22,900 DO YOU HAVE TAMALES TODAY? 109 00:06:22,900 --> 00:06:23,933 YES. OKAY, GOOD. 110 00:06:23,933 --> 00:06:26,233 FOUR PORK, PLEASE. 111 00:06:26,233 --> 00:06:28,967 I ENJOY EVERYTHING ABOUT FOOD. 112 00:06:28,967 --> 00:06:31,100 SEE THESE TONGS, HONEY? 113 00:06:31,100 --> 00:06:33,500 WHAT I WANT YOU TO DO IS I WANT YOU TO USE THE TONGS 114 00:06:33,500 --> 00:06:34,633 AND TAKE THE TOP ONE OFF 115 00:06:34,633 --> 00:06:36,300 AND GET ME THE BOTTOM UNDERNEATH, 116 00:06:36,300 --> 00:06:38,700 'CAUSE IT'LL BE FRESHER. 117 00:06:38,700 --> 00:06:40,900 THE SMELL, THE TASTE, THE TEXTURE -- 118 00:06:40,900 --> 00:06:44,900 THERE IS JUST SOMETHING ABOUT IT THAT EXCITES ME. 119 00:06:44,900 --> 00:06:46,967 ALL RIGHT, LET'S GO GET A DRINKY. 120 00:06:46,967 --> 00:06:51,233 I LOVE FOOD SO MUCH THAT I WANT TO EAT IT ALL. 121 00:06:51,233 --> 00:06:54,467 THE ONLY THING I'M GETTING IS THE JOY AND SATISFACTION 122 00:06:54,467 --> 00:06:57,667 OF THE FOOD FOR THOSE 10 MINUTES. 123 00:06:57,667 --> 00:07:00,333 I'M LIVING TO EAT INSTEAD OF EATING TO LIVE. 124 00:07:00,333 --> 00:07:03,300 I SAID I DON'T KNOW WHAT KIND OF DRINKS THEY HAVE. 125 00:07:03,300 --> 00:07:06,833 I AM VERY AWARE OF THE DAMAGE I AM DOING TO MY SON 126 00:07:06,833 --> 00:07:08,133 THROUGH OVEREATING. 127 00:07:08,133 --> 00:07:10,167 THESE LAST SIX YEARS 128 00:07:10,167 --> 00:07:12,933 HAVE PROBABLY BEEN PRETTY MISERABLE FOR HIM. 129 00:07:12,933 --> 00:07:14,967 I JUST CAN'T WAIT FOR THE DAY 130 00:07:14,967 --> 00:07:16,800 THAT I DON'T HAVE TO HELP HER EVERY DAY. 131 00:07:16,800 --> 00:07:19,367 PLEASE DON'T LET ME WRECK. OH, GOD. 132 00:07:19,367 --> 00:07:21,167 [ INHALES SHARPLY ] 133 00:07:21,167 --> 00:07:22,167 [ WHIMPERS ] 134 00:07:22,167 --> 00:07:23,933 YOU'RE GETTING TOO CLOSE TO THE EDGE. 135 00:07:23,933 --> 00:07:25,633 [ SIGHS ] 136 00:07:25,633 --> 00:07:26,700 OKAY, NOW I JUST HAD A HEART ATTACK. 137 00:07:26,700 --> 00:07:28,067 THANK YOU, HONEY. 138 00:07:28,067 --> 00:07:33,400 I COULD GET ON WITH MY OWN LIFE AND LIVE ON MY OWN. 139 00:07:33,400 --> 00:07:39,967 I FEEL LIKE I POSSIBLY COULD RUIN MY SON'S LIFE. 140 00:07:39,967 --> 00:07:41,933 I GOT TO GET THIS UNDER CONTROL. 141 00:07:44,467 --> 00:07:46,800 [ Voice breaking ] I THINK THAT... 142 00:07:46,800 --> 00:07:52,067 BY ME GETTING RESCUED, IT'S GONNA RESCUE HIM, TOO. 143 00:07:52,067 --> 00:07:58,800 I'VE SAT HERE AND PRAYED FOR SOMETHING TO SAVE MY LIFE, 144 00:07:58,800 --> 00:08:00,200 AND I DON'T KNOW WHAT WILL 145 00:08:00,200 --> 00:08:02,567 [ SNIFFLES ] 146 00:08:02,567 --> 00:08:08,367 BECAUSE [SNIFFLES] I'LL PROBABLY DIE IN MY BED ONE DAY. 147 00:08:08,367 --> 00:08:11,900 AND I DON'T WANT MY SON TO FIND ME. 148 00:08:11,900 --> 00:08:16,133 I FEEL LIKE I'VE DONE ENOUGH DAMAGE TO HIM THAT 149 00:08:16,133 --> 00:08:19,700 THAT WOULD BE THE FINAL STRAW. 150 00:08:25,300 --> 00:08:27,100 WOULD YOU BE ABLE TO REACH OVER ME 151 00:08:27,100 --> 00:08:29,867 AND GET THESE BOXES, OR DO I HAVE TO TRY TO GET UP? 152 00:08:36,733 --> 00:08:38,267 THERE'S A DOCTOR IN HOUSTON 153 00:08:38,267 --> 00:08:41,067 THAT DOES WEIGHT-LOSS SURGERY ON PEOPLE MY SIZE. 154 00:08:41,067 --> 00:08:42,500 HE'S MY LAST HOPE. 155 00:08:42,500 --> 00:08:43,567 READY. 156 00:08:43,567 --> 00:08:45,233 YEAH. GOOD JOB. 157 00:08:45,233 --> 00:08:46,867 OH, GOOD JOB, BABY. 158 00:08:46,867 --> 00:08:48,700 BUT HE DEFINITELY WON'T DO SURGERY 159 00:08:48,700 --> 00:08:51,067 IF HE CAN'T DO FOLLOW-UPS, 160 00:08:51,067 --> 00:08:54,667 SO WE ARE GOING TO GO AHEAD AND MOVE TO HOUSTON. 161 00:08:54,667 --> 00:08:57,400 [ GROANS ] 162 00:08:57,400 --> 00:08:59,067 OHH. 163 00:08:59,067 --> 00:09:01,933 WILL YOU BE ABLE TO SQUEEZE ME THROUGH THE VAN? 164 00:09:01,933 --> 00:09:03,833 LET ME SIT DOWN FOR A MINUTE. 165 00:09:03,833 --> 00:09:05,467 OHH. 166 00:09:05,467 --> 00:09:08,467 I'M NEVER GONNA BE ABLE TO GET IN AND OUT OF THIS VAN. 167 00:09:08,467 --> 00:09:10,500 YOU'RE THINKING ABOUT IT TOO MUCH. 168 00:09:10,500 --> 00:09:11,767 JUST DO IT. 169 00:09:11,767 --> 00:09:13,667 [ GRUNTS ] 170 00:09:13,667 --> 00:09:16,833 I'VE NEVER DONE ANYTHING LIKE THIS, BUT I KNOW I HAVE TO. 171 00:09:16,833 --> 00:09:18,133 OUCH. 172 00:09:18,133 --> 00:09:22,433 [ GRUNTS ] 173 00:09:22,433 --> 00:09:23,567 ONE AT A TIME. 174 00:09:23,567 --> 00:09:25,333 OKAY, NOW THE OTHER ONE. 175 00:09:25,333 --> 00:09:28,300 THIS IS A GAMBLE BECAUSE WE'VE NEVER MET 176 00:09:28,300 --> 00:09:31,467 AND I HAVE NO IDEA IF HE'LL HELP ME OR NOT. 177 00:09:31,467 --> 00:09:36,367 BUT WE HAVE TO DO IT IF I'M GONNA LOSE THE WEIGHT. 178 00:09:36,367 --> 00:09:37,733 HE IS MY LAST HOPE. 179 00:09:50,267 --> 00:09:53,067 Pauline: I AM READY FOR THIS TRIP TO BE OVER. 180 00:09:53,067 --> 00:09:55,400 DILLON, YOU WANT SOME BEEF JERKY, BABY? 181 00:09:55,400 --> 00:09:56,500 NO. 182 00:09:56,500 --> 00:09:57,867 [ DOG BARKS ] 183 00:09:57,867 --> 00:10:00,100 I WANT TO EAT SOME, TOO. 184 00:10:00,100 --> 00:10:02,767 THERE AREN'T A LOT OF HEALTHY OPTIONS ON THE ROAD. 185 00:10:02,767 --> 00:10:05,767 AND I CAN'T REALLY GET IN AND OUT OF THE VAN, 186 00:10:05,767 --> 00:10:07,867 SO WE HAVE TO GO WITH FAST FOOD. 187 00:10:09,467 --> 00:10:11,800 AND NOW I'M REALLY HUNGRY. 188 00:10:11,800 --> 00:10:16,100 UM, I THINK I WANT CHILI CHEESE FRIES AND A DRINK. 189 00:10:16,100 --> 00:10:20,100 I GUESS A DELUXE DOG WITH A PRETZEL BUN, OKAY? 190 00:10:20,100 --> 00:10:21,800 CAN I GET A DELUXE DOG... 191 00:10:21,800 --> 00:10:23,400 AND CHILI CHEESE FRIES. 192 00:10:23,400 --> 00:10:25,900 ...AND CHILI CHEESE FRIES? 193 00:10:34,833 --> 00:10:37,500 I JUST WANT TO GET TO HOUSTON AND MEET THE DOCTOR 194 00:10:37,500 --> 00:10:40,267 SO I CAN TRY TO GET SURGERY. 195 00:10:49,667 --> 00:10:51,933 WE ARE FINALLY HERE. 196 00:10:51,933 --> 00:10:55,433 I HAD A MEDICAL BED DELIVERED AND SET UP, 197 00:10:55,433 --> 00:10:58,967 AND I JUST WANT TO GET IN AND LAY DOWN. 198 00:10:58,967 --> 00:11:02,233 I WOULDN'T BE DOING THIS IF THERE WERE OTHER OPTIONS. 199 00:11:02,233 --> 00:11:03,633 THIS IS MY LAST OPTION. 200 00:11:08,633 --> 00:11:10,200 [ GRUNTS ] THANK YOU. 201 00:11:10,200 --> 00:11:11,800 I SEE THE DOCTOR TOMORROW, 202 00:11:11,800 --> 00:11:13,767 AND I AM REALLY ANXIOUS AND EXCITED 203 00:11:13,767 --> 00:11:15,067 BECAUSE HE CAN HELP ME. 204 00:11:15,067 --> 00:11:17,233 BUT I DON'T KNOW WHAT HE'S GONNA TELL ME. 205 00:11:17,233 --> 00:11:21,067 I HOPE IT'S NOT GONNA BREAK. 206 00:11:21,067 --> 00:11:22,067 [ GRUNTS ] 207 00:11:22,067 --> 00:11:23,733 OH, GOODNESS SAKE. 208 00:11:23,733 --> 00:11:26,067 WHEW. SUCH A RELIEF TO BE HERE AND JUST BE... 209 00:11:26,067 --> 00:11:30,500 I AM GOING FULL FORCE AHEAD, AND I WILL DO THIS. 210 00:11:39,867 --> 00:11:42,667 SO, TODAY I GET TO MEET DR. NOW. 211 00:11:42,667 --> 00:11:45,967 HOPEFULLY HE WILL FIND ME HEALTHY ENOUGH 212 00:11:45,967 --> 00:11:48,667 THAT I CAN HAVE SURGERY. 213 00:11:48,667 --> 00:11:49,667 OH, BOY. 214 00:11:49,667 --> 00:11:51,267 IF THIS APPOINTMENT DOESN'T GO WELL, 215 00:11:51,267 --> 00:11:54,400 I DON'T THINK THERE'S ANYONE ELSE OUT THERE THAT CAN HELP ME. 216 00:11:54,400 --> 00:11:56,367 Woman: MS. POTTER? 217 00:11:56,367 --> 00:12:00,067 I'M NOT EVEN SURE WHAT I WEIGH RIGHT NOW. 218 00:12:00,067 --> 00:12:02,167 OH, GOSH. 219 00:12:02,167 --> 00:12:05,267 [ BREATHING HEAVILY ] 220 00:12:05,267 --> 00:12:09,100 I DON'T KNOW IF I'VE GAINED OR LOST OVER THE LAST YEAR. 221 00:12:12,100 --> 00:12:13,167 OH, MY GOODNESS. 222 00:12:15,333 --> 00:12:17,533 [ EXHALES SHARPLY ] 223 00:12:17,533 --> 00:12:19,233 OH, GOD. 224 00:12:19,233 --> 00:12:20,600 OH, GOD. 225 00:12:20,600 --> 00:12:23,900 I CAN'T BELIEVE THAT I WEIGH ALMOST 700 POUNDS. 226 00:12:23,900 --> 00:12:25,067 OH, GOD. 227 00:12:25,067 --> 00:12:27,167 I'M NOT SURE WHAT THE DOCTOR'S GONNA THINK 228 00:12:27,167 --> 00:12:28,500 OF MY CURRENT WEIGHT. 229 00:12:28,500 --> 00:12:30,333 I JUST HOPE HE CAN DO MY SURGERY. 230 00:12:30,333 --> 00:12:31,867 [ KNOCK ON DOOR ] 231 00:12:31,867 --> 00:12:33,200 HELLO. HI. 232 00:12:33,200 --> 00:12:35,200 I'M DR. NOWZARADAN. I'M PAULINE. 233 00:12:35,200 --> 00:12:40,800 SO, I SEE THAT YOU'RE 670 POUND. 234 00:12:40,800 --> 00:12:42,400 TELL ME ABOUT YOUR EATING HABIT. 235 00:12:42,400 --> 00:12:44,600 EVEN WHEN I'M NOT HUNGRY, 236 00:12:44,600 --> 00:12:46,733 I'M STILL WANTING TO REACH FOR SOMETHING. 237 00:12:46,733 --> 00:12:49,633 COULD BE CHIPS OR IT COULD BE COOKIES 238 00:12:49,633 --> 00:12:50,967 OR IT COULD BE ICE CREAM. 239 00:12:50,967 --> 00:12:52,400 EVEN IF I'M PHYSICALLY FULL, 240 00:12:52,400 --> 00:12:55,800 I'M STILL WANTING TO SNACK ON, YOU KNOW, SOMETHING. 241 00:12:55,800 --> 00:12:57,467 COOKIE, CHIPS, ICE CREAM. 242 00:12:57,467 --> 00:13:00,100 THE NEXT QUESTION IS, WHO BUYS THOSE? 243 00:13:00,100 --> 00:13:03,700 I'LL SEND MY SON, BUT I KNOW WHAT YOU'RE GONNA SAY, 244 00:13:03,700 --> 00:13:05,633 AND IT'S REALLY NOT HIS FAULT. 245 00:13:05,633 --> 00:13:08,200 I KNOW HE'S PROBABLY CONSIDERED AN ENABLER, 246 00:13:08,200 --> 00:13:10,533 BUT I ABUSE MY POSITION AS HIS MOTHER, 247 00:13:10,533 --> 00:13:12,333 AND I TELL HIM, "GO GET MY FOOD," 248 00:13:12,333 --> 00:13:13,633 AND I FORCE HIM TO DO IT. 249 00:13:13,633 --> 00:13:16,333 YOU KNOW THE SOLUTION IS NOT TO BUY IT. 250 00:13:16,333 --> 00:13:17,533 RIGHT. OKAY. 251 00:13:17,533 --> 00:13:19,767 SO, YOU ALREADY KNOW THE SOLUTION. 252 00:13:19,767 --> 00:13:21,067 YOU ALREADY KNOW THE ANSWER. 253 00:13:21,067 --> 00:13:22,367 YOU ALREADY KNOW THE PROBLEM. 254 00:13:22,367 --> 00:13:24,067 BUT YOU HAVE NO CONTROL OVER IT. 255 00:13:24,067 --> 00:13:27,067 PAULINE DOESN'T SEE HER RESPONSIBILITY 256 00:13:27,067 --> 00:13:29,067 IN HER CURRENT SITUATION. 257 00:13:29,067 --> 00:13:33,267 SO, THE QUESTION IS IF SHE EVEN WANT TO CHANGE RIGHT NOW. 258 00:13:33,267 --> 00:13:37,267 UNLESS WE GET A HANDLE ON THE COMPULSIVE EATING, 259 00:13:37,267 --> 00:13:40,300 WE'RE NOT GONNA BENEFIT FROM SURGERY 260 00:13:40,300 --> 00:13:43,967 BECAUSE WEIGHT-LOSS SURGERY IS ONLY GONNA LIMIT 261 00:13:43,967 --> 00:13:47,067 WHAT YOU'RE GONNA EAT IN ONE SITTING. 262 00:13:47,067 --> 00:13:50,067 THIS IS GONNA BE VERY HARD TO TREAT. 263 00:13:50,067 --> 00:13:51,667 FOR YOUR CONDITION, 264 00:13:51,667 --> 00:13:54,833 YOU SHOULD GO TO A ZERO-CARB DIET, 265 00:13:54,833 --> 00:13:57,833 AND I WANT YOU TO LOSE 50 POUNDS 266 00:13:57,833 --> 00:14:01,133 OVER THE NEXT COUPLE OF MONTHS. 267 00:14:01,133 --> 00:14:03,767 Dr. Nowzaradan: IF SHE HASN'T LOST ANY WEIGHT 268 00:14:03,767 --> 00:14:05,833 WHEN I SEE HER NEXT, 269 00:14:05,833 --> 00:14:08,567 WE MAY HAVE TO TAKE MORE DRASTIC STEPS 270 00:14:08,567 --> 00:14:12,367 BECAUSE SHE CANNOT SURVIVE MUCH LONGER LIKE THIS. 271 00:14:12,367 --> 00:14:13,533 HOW OLD ARE YOU? 272 00:14:13,533 --> 00:14:14,533 I'M 50. 273 00:14:14,533 --> 00:14:16,900 DO YOU THINK YOU'RE GONNA MAKE IT TO 60? 274 00:14:16,900 --> 00:14:18,300 THAT'S WHAT I'M WORRIED ABOUT. 275 00:14:18,300 --> 00:14:20,100 EVERY DAY I'M WORRIED THAT I WON'T WAKE UP THE NEXT DAY. 276 00:14:20,100 --> 00:14:22,333 Dr. Nowzaradan: IT'S ALL HER CHOICE, 277 00:14:22,333 --> 00:14:24,833 AND I DON'T THINK SHE GETS THAT. 278 00:14:24,833 --> 00:14:28,600 THIS IS TOTALLY ON YOUR SHOULDER 279 00:14:28,600 --> 00:14:30,433 TO BREAK THE EATING HABIT, OKAY? 280 00:14:30,433 --> 00:14:33,167 WE DISCUSSED IT BEFORE WE CAME, AND HE'S ON BOARD, TOO. 281 00:14:33,167 --> 00:14:34,433 WE'RE BOTH GONNA DO THIS. 282 00:14:34,433 --> 00:14:35,700 ALL RIGHT. THANK YOU. 283 00:14:35,700 --> 00:14:37,800 SURE. 284 00:14:40,100 --> 00:14:43,500 [ SOBS ] 285 00:14:43,500 --> 00:14:46,333 I WAS SO SCARED HE WAS GONNA SEND ME AWAY, 286 00:14:46,333 --> 00:14:48,767 BUT HE DIDN'T. 287 00:14:48,767 --> 00:14:50,900 ARE YOU IN? 288 00:14:50,900 --> 00:14:51,900 YEAH. 289 00:14:51,900 --> 00:14:53,300 GOOD. I'M IN. 290 00:14:55,433 --> 00:14:59,900 I'M NOT HAPPY THAT HE DIDN'T SAY THAT I'M APPROVED. 291 00:14:59,900 --> 00:15:03,800 BUT I AM HAPPY THAT HE'S WILLING TO GIVE ME A CHANCE. 292 00:15:03,800 --> 00:15:05,733 [ DOG YIPPING ] 293 00:15:05,733 --> 00:15:07,067 OUCH. 294 00:15:07,067 --> 00:15:08,867 PUSH IT. OW. 295 00:15:10,067 --> 00:15:12,800 I'M GONNA LOSE THE WEIGHT I NEED TO GET THE SURGERY. 296 00:15:12,800 --> 00:15:16,433 AND I MAY NOT HAVE A LOT OF TIME LEFT. 297 00:15:26,467 --> 00:15:29,667 IT'S BEEN A HARD MONTH. 298 00:15:29,667 --> 00:15:30,967 MY DAYS ARE SO BORING 299 00:15:30,967 --> 00:15:33,567 'CAUSE I FEEL LIKE I'M NOT ESTABLISHED HERE 300 00:15:33,567 --> 00:15:35,067 LIKE I WAS IN CALIFORNIA. 301 00:15:35,067 --> 00:15:37,400 SO, I AM DOING NOTHING ALL DAY. 302 00:15:37,400 --> 00:15:39,567 IT'S BORING AS HECK. 303 00:15:39,567 --> 00:15:41,167 MY ONLY PHYSICAL ACTIVITY IS 304 00:15:41,167 --> 00:15:43,400 WALKING TO THE BATHROOM FROM MY BED. 305 00:15:45,667 --> 00:15:47,933 I'VE MOSTLY BEEN STUCK IN THIS CHAIR. 306 00:15:47,933 --> 00:15:49,600 HOW ABOUT SOME CHICKEN SALAD? 307 00:15:49,600 --> 00:15:52,267 WITH RANCH AND A COKE, PLEASE. 308 00:15:52,267 --> 00:15:54,567 I'VE BEEN TRYING TO EAT BETTER, 309 00:15:54,567 --> 00:15:56,633 BUT THERE STILL IS MOSTLY JUST FAST FOOD AROUND, 310 00:15:56,633 --> 00:15:57,700 SO THAT MAKES IT TOUGH. 311 00:16:00,300 --> 00:16:02,800 Dillon: IT WORRIES ME A LITTLE BIT 312 00:16:02,800 --> 00:16:04,500 THAT SHE'S JUST GONNA FALL BACK 313 00:16:04,500 --> 00:16:07,233 INTO HER OLD EATING HABITS AGAIN. 314 00:16:07,233 --> 00:16:09,400 SHE GETS MAD WHEN I TELL HER NO, 315 00:16:09,400 --> 00:16:12,600 LIKE, IF SHE EVER DOES HAVE ANY CRAVINGS OR ANYTHING. 316 00:16:12,600 --> 00:16:14,067 THANK YOU. 317 00:16:14,067 --> 00:16:18,267 BUT I JUST HOPE THAT SHE'LL KNOW THAT WE CAME HERE FOR A REASON, 318 00:16:18,267 --> 00:16:19,933 AND IF SHE MESSES IT UP, 319 00:16:19,933 --> 00:16:22,567 THEN ALL OF THIS WILL BE FOR NOTHING. 320 00:16:22,567 --> 00:16:24,333 THANKS, HONEY. 321 00:16:24,333 --> 00:16:27,167 Pauline: I SEE THE DOCTOR NEXT MONTH. 322 00:16:27,167 --> 00:16:31,533 AND I'M GONNA TRY AND DO WHAT I CAN TO LOSE THE WEIGHT I NEED. 323 00:16:31,533 --> 00:16:34,300 BUT IT'S HARD. 324 00:16:42,167 --> 00:16:44,200 WE'RE HEADED BACK TO THE DOCTOR'S OFFICE 325 00:16:44,200 --> 00:16:47,133 TO SEE HOW I'VE DONE IN THE LAST COUPLE OF MONTHS. 326 00:16:47,133 --> 00:16:49,333 I'VE BEEN REALLY ANXIOUS TO GET APPROVED. 327 00:16:51,967 --> 00:16:54,333 PUSH IT, BABY. 328 00:16:54,333 --> 00:16:55,567 OKAY. 329 00:16:55,567 --> 00:16:58,667 I REALLY FEEL LIKE I'M GONNA PASS OUT ALREADY. 330 00:16:58,667 --> 00:17:01,700 IT'S GONNA BE BAD HAVING TO WALK TO THE SCALE. 331 00:17:01,700 --> 00:17:05,067 I'VE BEEN TRYING TO DO WHAT I NEED TO LOSE THE WEIGHT. 332 00:17:08,433 --> 00:17:09,767 LET ME HOLD YOUR HAND. 333 00:17:09,767 --> 00:17:10,867 I JUST WANT TO... 334 00:17:10,867 --> 00:17:12,567 [ WHIMPERING ] 335 00:17:16,667 --> 00:17:18,500 OKAY. 336 00:17:23,267 --> 00:17:24,533 UH, YOU WENT UP. 337 00:17:33,767 --> 00:17:37,467 I CAN'T BELIEVE THAT I GAINED A COUPLE OF POUNDS. 338 00:17:37,467 --> 00:17:40,867 I'VE HAD A FEW THINGS NOT GOOD FOR YOUR DIET, 339 00:17:40,867 --> 00:17:44,100 BUT I CERTAINLY DON'T FEEL LIKE I'VE OVEREATEN. 340 00:17:44,100 --> 00:17:47,500 [ BREATHING HEAVILY ] 341 00:17:47,500 --> 00:17:49,600 [ KNOCK ON DOOR ] 342 00:17:49,600 --> 00:17:52,400 ALL RIGHT, HOW IS EVERYTHING GOING? 343 00:17:52,400 --> 00:17:57,067 JUST BEEN FEELING KIND OF NAUSEOUS AND DIZZY. 344 00:17:57,067 --> 00:18:00,067 HOW IS EVERYTHING GOING WITH YOUR ACTIVITY? 345 00:18:00,067 --> 00:18:03,267 I HAVEN'T DONE A LOT OF ACTIVITY IN THE LAST WEEK 346 00:18:03,267 --> 00:18:05,133 BECAUSE MY STOMACH HURTS. 347 00:18:05,133 --> 00:18:08,967 I DON'T THINK YOU'RE GETTING HOW SERIOUS THIS SITUATION IS. 348 00:18:08,967 --> 00:18:10,800 WELL, I DO HAVE A PROBLEM WITH WATER RETENTION. 349 00:18:10,800 --> 00:18:12,233 IT MAY NOT HAVE BEEN WATER WEIGHT. 350 00:18:12,233 --> 00:18:14,200 PAULINE, YOU GAINED WEIGHT. 351 00:18:14,200 --> 00:18:16,533 YOU'RE GETTING TO BE 700 POUND. 352 00:18:16,533 --> 00:18:18,800 THINGS NEED TO BE CHANGED NOW. 353 00:18:18,800 --> 00:18:20,300 YEAH. 354 00:18:20,300 --> 00:18:24,400 Dr. Nowzaradan: I'M REALLY CONCERNED FOR PAULINE RIGHT NOW. 355 00:18:24,400 --> 00:18:26,367 OVER THE LAST COUPLE MONTHS, 356 00:18:26,367 --> 00:18:27,967 SHE SHOULD'VE LOST OVER 50 POUNDS. 357 00:18:27,967 --> 00:18:30,800 SHE CANNOT GO MUCH LONGER LIKE THIS. 358 00:18:30,800 --> 00:18:33,300 IT SEEMS LIKE YOU ARE NOT GOING TO 359 00:18:33,300 --> 00:18:36,300 FIGURE THIS OUT ON YOUR OWN. 360 00:18:36,300 --> 00:18:38,633 SO I AM ADMITTING YOU TO THE HOSPITAL RIGHT NOW. 361 00:18:38,633 --> 00:18:40,167 I'M GONNA PUT YOU ON A MONITORED DIET. 362 00:18:40,167 --> 00:18:41,600 OKAY. 363 00:18:41,600 --> 00:18:44,700 Dr. Nowzaradan: SHE'S NOT GOING TO DO ANYTHING DIFFERENT 364 00:18:44,700 --> 00:18:47,533 UNLESS THERE IS SOME SORT OF MEDICAL INTERVENTION. 365 00:18:47,533 --> 00:18:51,267 [ BREATHING HEAVILY ] 366 00:18:51,267 --> 00:18:53,467 SOMETHING DRASTIC HAS TO BE DONE. 367 00:18:53,467 --> 00:18:57,533 IF SHE DOESN'T LOSE ANY WEIGHT IN THE HOSPITAL, 368 00:18:57,533 --> 00:19:00,833 THERE IS NOTHING MORE WE CAN DO FOR PAULINE. 369 00:19:00,833 --> 00:19:02,967 Pauline: I DIDN'T THINK I'D BE GOING TO THE HOSPITAL 370 00:19:02,967 --> 00:19:04,400 TODAY AT ALL. 371 00:19:04,400 --> 00:19:05,400 OHH. 372 00:19:05,400 --> 00:19:07,500 I WAS NOT EXPECTING THIS. 373 00:19:07,500 --> 00:19:10,500 I STILL THINK I CAN DO IT ON MY OWN 374 00:19:10,500 --> 00:19:12,667 ONCE I GET SETTLED INTO THINGS A LITTLE BETTER. 375 00:19:18,267 --> 00:19:23,867 IT FEELS WEIRD TO VOLUNTARILY GO THERE SINCE I DON'T WANT TO. 376 00:19:23,867 --> 00:19:26,500 I THINK HE MAY BE OVERREACTING A LITTLE BIT. 377 00:19:44,267 --> 00:19:46,467 Pauline: I'M REALLY HUNGRY. 378 00:19:46,467 --> 00:19:49,433 I'VE BEEN IN THE HOSPITAL FOR A WHILE NOW. 379 00:19:49,433 --> 00:19:52,133 AND THEY'VE HAD ME ON A RESTRICTED DIET. 380 00:19:52,133 --> 00:19:53,833 [ SIGHS ] 381 00:19:53,833 --> 00:19:56,300 SOMETIMES, THE FOOD ISN'T THAT GREAT. 382 00:19:56,300 --> 00:19:58,700 BUT I'M DEALING WITH IT. 383 00:19:58,700 --> 00:20:03,267 I DON'T THINK I REALLY NEEDED TO BE IN THE HOSPITAL TO DO THIS. 384 00:20:03,267 --> 00:20:07,133 I KNOW I CAN DO THIS ON MY OWN. 385 00:20:07,133 --> 00:20:08,700 AND THERE ARE TIMES I FEEL LIKE 386 00:20:08,700 --> 00:20:10,633 I'M BEING PUSHED A LITTLE TOO HARD. 387 00:20:15,333 --> 00:20:16,933 THAT'S PRETTY GOOD. 388 00:20:16,933 --> 00:20:20,233 I HAVEN'T HAD BAKED CHICKEN FOR A WHILE. 389 00:20:20,233 --> 00:20:22,567 I AM JUST READY TO BE HOME. 390 00:20:30,133 --> 00:20:31,300 [ KNOCK ON DOOR ] 391 00:20:32,633 --> 00:20:33,633 HELLO. 392 00:20:33,633 --> 00:20:34,967 HI, DOCTOR. 393 00:20:34,967 --> 00:20:36,633 HOW ARE YOU? I'M OKAY. 394 00:20:36,633 --> 00:20:38,600 AND HOW IS YOUR DIET COMING ALONG? 395 00:20:38,600 --> 00:20:40,100 GOOD. I'M DOING SO GOOD. 396 00:20:40,100 --> 00:20:43,467 I'VE BEEN EATING ONLY SALADS AND MEAT 397 00:20:43,467 --> 00:20:44,800 AND NO SNACKS IN BETWEEN. 398 00:20:44,800 --> 00:20:46,800 LIKE, I'M DOING REALLY GOOD ON THAT. 399 00:20:46,800 --> 00:20:47,833 OKAY. SUPER. 400 00:20:47,833 --> 00:20:50,767 WE'RE GONNA GO AHEAD AND WEIGH YOU NOW. 401 00:20:50,767 --> 00:20:53,100 IF YOU LOST AT LEAST 40 POUNDS, 402 00:20:53,100 --> 00:20:55,367 WE CAN GO FORWARD WITH THE SURGERY. 403 00:20:55,367 --> 00:20:56,367 THANK YOU, DOCTOR. 404 00:20:56,367 --> 00:20:59,533 ALL RIGHT. SEE YOU LATER. 405 00:20:59,533 --> 00:21:02,233 YOU GOT TO PUT THE LEG RESTS ON THE WHEELCHAIR. 406 00:21:06,267 --> 00:21:08,067 I DON'T KNOW MY CURRENT WEIGHT 407 00:21:08,067 --> 00:21:10,400 AND I AM ANXIOUS TO SEE WHERE I'M AT. 408 00:21:10,400 --> 00:21:13,067 DO YOU THINK IT WILL HOLD -- LIKE, I WON'T BREAK IT, RIGHT? 409 00:21:13,067 --> 00:21:14,433 NO. 410 00:21:14,433 --> 00:21:15,833 AWESOME. THANK YOU. 411 00:21:15,833 --> 00:21:18,233 I APPRECIATE YOU BEING SO NICE. 412 00:21:18,233 --> 00:21:21,100 OKAY, WE'RE GONNA PRESS IT ON. 413 00:21:21,100 --> 00:21:23,700 OKAY, SO, MINUS FROM 678. 414 00:21:23,700 --> 00:21:25,567 THAT'S NOT BAD. 415 00:21:25,567 --> 00:21:28,300 60 WOULD HAVE BEEN BETTER, BUT I'LL BE HAPPY WITH 44. 416 00:21:28,300 --> 00:21:29,800 YEAH. 417 00:21:29,800 --> 00:21:33,167 PAULINE IS LOSING WEIGHT BECAUSE OF HER CONTROLLED DIET. 418 00:21:33,167 --> 00:21:38,400 NOW THAT WE HAVE HER WEIGHT GOING IN THE RIGHT DIRECTION, 419 00:21:38,400 --> 00:21:40,900 WE'RE GONNA GO AHEAD AND DO A BYPASS ON HER. 420 00:21:40,900 --> 00:21:44,100 BUT SHE STILL HAS TO MAKE DECISION 421 00:21:44,100 --> 00:21:46,333 TO BE HEALTHY ON HER OWN. 422 00:21:46,333 --> 00:21:49,100 IF SHE DOESN'T, THE SURGERY WILL BE A WASTE. 423 00:21:49,100 --> 00:21:51,633 THIS IS HER LAST CHANCE. 424 00:21:51,633 --> 00:21:54,300 I HOPE SHE TAKES IT. 425 00:22:01,600 --> 00:22:03,067 Man: ALL RIGHT, MISS PAULINE, ARE YOU READY? 426 00:22:03,067 --> 00:22:04,067 Pauline: YES. 427 00:22:05,533 --> 00:22:07,367 OH, OUCH. 428 00:22:15,300 --> 00:22:17,067 HELLO. 429 00:22:17,067 --> 00:22:18,067 SO, ARE YOU READY FOR YOUR SURGERY? 430 00:22:18,067 --> 00:22:19,500 I AM SCARED TO DEATH. 431 00:22:19,500 --> 00:22:21,367 COULD YOU MAKE SURE I WAKE UP? 432 00:22:21,367 --> 00:22:23,333 YOU WILL WAKE UP. I'M SO SCARED. 433 00:22:23,333 --> 00:22:25,967 YOU HAVE THE BOOK I GAVE YOU TO READ AND -- 434 00:22:25,967 --> 00:22:27,767 I BROUGHT IT WITH ME, YES. 435 00:22:27,767 --> 00:22:29,467 THIS IS GONNA BE VERY IMPORTANT, 436 00:22:29,467 --> 00:22:31,233 BECAUSE IF YOU DON'T FOLLOW THAT, 437 00:22:31,233 --> 00:22:34,133 YOU'RE GONNA BE HAVING SERIOUS COMPLICATIONS. 438 00:22:34,133 --> 00:22:36,133 I'M GONNA FOLLOW EVERYTHING. 439 00:22:36,133 --> 00:22:37,133 OKAY? OKAY. 440 00:22:37,133 --> 00:22:38,433 THANK YOU. MM-HMM. 441 00:22:38,433 --> 00:22:39,967 RIGHT BEHIND ME. 442 00:22:39,967 --> 00:22:42,333 Pauline: I WOULDN'T BE DOING THIS 443 00:22:42,333 --> 00:22:44,200 IF THERE WERE OTHER OPTIONS. 444 00:22:45,767 --> 00:22:50,633 DILLON IS THE REASON WHY I'M DOING THIS. 445 00:22:50,633 --> 00:22:54,733 I'M SO TIRED OF BURDENING HIM TO HELP ME. 446 00:22:54,733 --> 00:22:56,800 WHAT THIS SURGERY IS GONNA DO FOR DILLON 447 00:22:56,800 --> 00:23:00,400 IS MAYBE GIVE HIM HIS OWN LIFE BACK. 448 00:23:00,400 --> 00:23:02,233 THIS IS MY LAST OPTION. 449 00:23:02,233 --> 00:23:04,700 Man: TAKE A BIG, DEEP BREATH. 450 00:23:04,700 --> 00:23:07,133 Dr. Nowzaradan: PAULINE IS HAVING GASTRIC BYPASS TODAY. 451 00:23:07,133 --> 00:23:08,900 WE GOT HER TO LOSE SOME WEIGHT, 452 00:23:08,900 --> 00:23:11,833 BUT SHE WILL NOT CONTINUE TO BE SUCCESSFUL 453 00:23:11,833 --> 00:23:14,400 WITHOUT WEIGHT-LOSS SURGERY. 454 00:23:14,400 --> 00:23:17,900 WE'RE MAKING THE FIRST INCISION. 455 00:23:17,900 --> 00:23:21,133 THESE MORBIDLY OBESE PATIENTS -- 456 00:23:21,133 --> 00:23:24,600 THEIR STOMACH MAY BE AS BIG AS A LARGE WATERMELON. 457 00:23:24,600 --> 00:23:28,333 AND WE GOT TO REDUCE IT TO THE SIZE OF A SMALL ORANGE. 458 00:23:28,333 --> 00:23:31,367 GO AHEAD AND TURN THE ROOM LIGHTS OFF. 459 00:23:31,367 --> 00:23:32,900 FROM THIS POINT ON, 460 00:23:32,900 --> 00:23:35,567 PAULINE SHOULD EAT JUST ONE MODERATE MEAL, 461 00:23:35,567 --> 00:23:37,067 AND SHE'LL BE FULL. 462 00:23:37,067 --> 00:23:39,800 THAT'S GONNA BE A TREMENDOUS REDUCTION 463 00:23:39,800 --> 00:23:41,833 ON CALORIE INTAKE FOR HER. 464 00:23:41,833 --> 00:23:45,600 THIS IS PAULINE'S LAST OPPORTUNITY 465 00:23:45,600 --> 00:23:48,133 TO TURN HER LIFE AROUND. 466 00:23:48,133 --> 00:23:52,333 I'M HOPING THE SURGERY GIVE HER MOTIVATION 467 00:23:52,333 --> 00:23:56,067 TO START TAKING OPPORTUNITY FOR HERSELF. 468 00:23:56,067 --> 00:23:58,400 ALL RIGHT, ROOM LIGHT ON, PLEASE. 469 00:23:58,400 --> 00:23:59,833 EVERYTHING LOOK GOOD. 470 00:23:59,833 --> 00:24:02,333 PAULINE'S BYPASS SURGERY WENT VERY WELL. 471 00:24:16,633 --> 00:24:19,067 DID ANYONE TELL MY SON I'M OKAY? 472 00:24:23,267 --> 00:24:26,067 Dr. Nowzaradan: AS SOON AS SHE GETS STABLE, 473 00:24:26,067 --> 00:24:28,067 WE'RE GONNA START TO GET HER UP 474 00:24:28,067 --> 00:24:30,333 AND MOVE AROUND A LITTLE BIT... 475 00:24:31,867 --> 00:24:33,367 WE ARE GOING TO WATCH HER 476 00:24:33,367 --> 00:24:36,067 TO MAKE SURE SHE'S DOING WHAT SHE NEED TO DO. 477 00:24:36,067 --> 00:24:37,567 I DON'T FEEL GOOD, HONEY. 478 00:24:37,567 --> 00:24:41,500 WE MUST GET HER TO KEEP MAKING PROGRESS. 479 00:25:00,167 --> 00:25:01,667 GOOD MORNING. 480 00:25:01,667 --> 00:25:03,167 GOOD MORNING. 481 00:25:03,167 --> 00:25:04,767 HOW YOU DOING THIS MORNING? 482 00:25:04,767 --> 00:25:06,067 OKAY, I GUESS. 483 00:25:06,067 --> 00:25:08,933 WHAT DO YOU MEAN OKAY, YOU GUESS? 484 00:25:08,933 --> 00:25:11,867 WELL, I'M STILL HAVING SOME PAINS. 485 00:25:11,867 --> 00:25:14,600 WELL, PAIN AFTER SURGERY IS NORMAL, OKAY? 486 00:25:14,600 --> 00:25:16,467 YOU NEED TO BE UP AND WALKING. 487 00:25:17,833 --> 00:25:22,133 IF PAULINE DOESN'T MOVE AROUND, A BLOOD CLOT CAN FORM, 488 00:25:22,133 --> 00:25:24,467 AND THAT CAN BE FATAL. 489 00:25:24,467 --> 00:25:26,700 SHE HAS TO GET UP AND MOVE. 490 00:25:26,700 --> 00:25:28,333 IF YOU DON'T WALK, 491 00:25:28,333 --> 00:25:30,100 YOU'RE GONNA DEVELOP A BLOOD CLOT IN THE LEG, 492 00:25:30,100 --> 00:25:31,700 AND WE'RE GONNA HAVE A PROBLEM WITH IT. 493 00:25:31,700 --> 00:25:34,467 WELL, I PULLED A MUSCLE IN MY STOMACH. 494 00:25:34,467 --> 00:25:35,633 EH, NO EXCUSES. 495 00:25:35,633 --> 00:25:37,167 I KNOW -- YOU ALWAYS THINK IT'S EXCUSE, 496 00:25:37,167 --> 00:25:39,300 BUT IF IT'S HURTING ME, IT'S THERE. 497 00:25:39,300 --> 00:25:40,500 BUT IT'S HURTING YOU 498 00:25:40,500 --> 00:25:43,133 DOESN'T MEAN THAT YOU SHOULD STAY IN THE BED. 499 00:25:43,133 --> 00:25:45,433 I'M ONLY ON DAY 5 OF A REALLY BIG SURGERY. 500 00:25:45,433 --> 00:25:48,267 EVERYBODY GOES HOME ON DAY 2. 501 00:25:48,267 --> 00:25:51,800 YOU'RE MAKING EXCUSES THAT ARE NOT ACCEPTABLE. 502 00:25:51,800 --> 00:25:56,067 I WANT TO SEE YOU WALKING OUTSIDE OF THIS ROOM 503 00:25:56,067 --> 00:25:58,467 AND WALK BACK, OKAY? 504 00:25:58,467 --> 00:25:59,800 I CAN'T DO IT THAT FAST. 505 00:25:59,800 --> 00:26:01,767 OKAY. WE GOT TO BE SLOW WITH YOU. 506 00:26:01,767 --> 00:26:03,767 IT'S GONNA TAKE A WHILE. ALL RIGHT. 507 00:26:03,767 --> 00:26:05,633 HERE COMES THE TEAR AGAIN, OKAY? 508 00:26:05,633 --> 00:26:08,600 I KNOW, BECAUSE YOU CAN'T EXPECT IT THAT FAST OUT OF ME. 509 00:26:08,600 --> 00:26:12,367 YOU'RE GONNA BE MOBILE AND YOU'RE GONNA GET UP AND MOVE. 510 00:26:12,367 --> 00:26:13,433 [ GROANS ] 511 00:26:13,433 --> 00:26:15,533 LATER, OKAY? LATER. 512 00:26:15,533 --> 00:26:19,567 HER LIFE AND FUTURE ARE IN HER HAND. 513 00:26:19,567 --> 00:26:20,900 I'LL BE BACK. 514 00:26:20,900 --> 00:26:24,333 SHE CAN CHOOSE TO GET UP AND DO WHAT SHE NEED TO DO NOW 515 00:26:24,333 --> 00:26:26,900 OR SHE CAN GIVE UP AND DIE. 516 00:26:26,900 --> 00:26:29,333 [ EXHALES DEEPLY ] 517 00:26:51,633 --> 00:26:53,600 OKAY. 518 00:26:55,633 --> 00:26:58,400 PAULINE IS USED TO BEING IN CONTROL 519 00:26:58,400 --> 00:27:00,667 OF EVERYONE AND HER SITUATION. 520 00:27:00,667 --> 00:27:02,933 STAY CLOSE, HONEY. OKAY. WE ARE. 521 00:27:02,933 --> 00:27:06,567 SHE'S NOT RESPONDING VERY WELL TO CHANGES IN THIS DYNAMIC. 522 00:27:06,567 --> 00:27:08,200 YOU GOT IT. 523 00:27:08,200 --> 00:27:09,533 GIVE IT. 524 00:27:09,533 --> 00:27:15,400 [ GROANING ] 525 00:27:15,400 --> 00:27:16,800 THANK YOU. 526 00:27:16,800 --> 00:27:19,133 Dr. Nowzaradan: THIS IS NOT A GOOD SITUATION RIGHT NOW. 527 00:27:19,133 --> 00:27:21,867 SHE NEED TO DO MUCH MORE. 528 00:27:21,867 --> 00:27:24,933 IF SHE WON'T GET UP AND WALK, 529 00:27:24,933 --> 00:27:27,400 I WILL HAVE TO TAKE PREVENTIVE MEASURES. 530 00:27:27,400 --> 00:27:30,967 I'M ABOUT TO PASS OUT. 531 00:27:30,967 --> 00:27:32,700 OH, GOD. 532 00:27:32,700 --> 00:27:37,833 SHE'S PUTTING HER LIFE IN JEOPARDY BY REFUSING TO MOVE. 533 00:27:37,833 --> 00:27:40,533 [ GROANS ] 534 00:27:47,567 --> 00:27:52,067 PAULINE REFUSE TO TAKE RESPONSIBILITY FOR HERSELF. 535 00:27:52,067 --> 00:27:54,533 THIS IS REALLY DISAPPOINTING. 536 00:27:54,533 --> 00:27:58,067 SHE ONLY HAS GOTTEN UP TO WALK ONCE. 537 00:27:58,067 --> 00:28:00,600 SO SHE'S PRONE TO DEVELOP BLOOD CLOT, 538 00:28:00,600 --> 00:28:02,500 WHICH CAN MIGRATE TO HER LUNG, 539 00:28:02,500 --> 00:28:05,133 AND THAT CAN BE A FATAL CONDITION. 540 00:28:05,133 --> 00:28:09,333 SO I HAVE TO PUT THE AIR FILTER IN THE LEG TO PREVENT THIS. 541 00:28:09,333 --> 00:28:10,467 ALL RIGHT, PAULINE. 542 00:28:10,467 --> 00:28:12,967 NOW WE'RE GOING TO PUT THAT FILTER IN, OKAY? 543 00:28:12,967 --> 00:28:14,167 OKAY. ALL RIGHT. 544 00:28:14,167 --> 00:28:17,700 Man: SLOW, DEEP BREATHS, PAULINE. 545 00:28:17,700 --> 00:28:19,267 Dr. Nowzaradan: WE HAVE TO BE VERY CAREFUL 546 00:28:19,267 --> 00:28:22,833 BECAUSE THIS IS A HIGH-RISK SURGERY. 547 00:28:32,933 --> 00:28:34,767 LET ME HAVE A SYRINGE. 548 00:28:51,800 --> 00:28:53,667 HOLD IT RIGHT THERE. 549 00:28:53,667 --> 00:28:54,733 OKAY. 550 00:28:59,300 --> 00:29:03,900 ...WHICH IS THE MAIN VEIN THAT TAKE THE BLOOD INTO THE HEART. 551 00:29:04,800 --> 00:29:07,433 MAYBE A LITTLE BIT TOO LOW, HUH? 552 00:29:07,433 --> 00:29:08,533 ONE MORE TIME. 553 00:29:16,533 --> 00:29:19,200 ALL RIGHT, HOLD IT RIGHT THERE. 554 00:29:19,200 --> 00:29:21,167 ALL RIGHT, WE'LL GET IT. 555 00:29:23,400 --> 00:29:26,067 IT'S A LITTLE BIT CHALLENGING 556 00:29:26,067 --> 00:29:27,900 TO PUT THE FILTER IN THE RIGHT PLACE 557 00:29:27,900 --> 00:29:30,500 WITH THIS SIZE PATIENT, BUT EVERYTHING WENT VERY WELL. 558 00:29:30,500 --> 00:29:32,300 Man: 1, 2, 3... 559 00:29:34,400 --> 00:29:40,067 SO FAR, PAULINE IS A VERY SELF-DESTRUCTIVE PERSON 560 00:29:40,067 --> 00:29:45,233 AND SHE DOESN'T SEEM TO WANT TO CHANGE THAT. 561 00:29:45,233 --> 00:29:50,233 ULTIMATELY, YOU CANNOT MAKE THE CHOICE FOR HER. 562 00:29:50,233 --> 00:29:54,067 NO MATTER HOW MUCH WE HELP, 563 00:29:54,067 --> 00:29:56,900 TURNING AROUND HER LIFE IS UP TO HER. 564 00:30:14,967 --> 00:30:15,967 GOOD MORNING. 565 00:30:15,967 --> 00:30:16,967 GOOD MORNING. 566 00:30:16,967 --> 00:30:18,200 HOW ARE YOU TODAY? 567 00:30:18,200 --> 00:30:19,467 OKAY. HOW ARE YOU? 568 00:30:19,467 --> 00:30:21,733 ALL RIGHT. YOU READY TO GO HOME TODAY? 569 00:30:21,733 --> 00:30:22,933 I GUESS SO. 570 00:30:22,933 --> 00:30:25,333 I NEED TO SEE WHAT YOU WEIGH BEFORE YOU GO HOME. 571 00:30:25,333 --> 00:30:27,767 I WILL. NOT RIGHT NOW, NOT THIS MINUTE. 572 00:30:27,767 --> 00:30:28,900 WHY NOT? 573 00:30:28,900 --> 00:30:30,667 BECAUSE I'M NOT DRESSED. 574 00:30:30,667 --> 00:30:32,433 THIS IS NOT FASHION SHOW, OKAY? 575 00:30:32,433 --> 00:30:33,733 NO, NO. DOCTOR, NO. 576 00:30:33,733 --> 00:30:36,233 YOU'RE NOT HEARING ME. I'M NOT DOING IT RIGHT NOW. 577 00:30:36,233 --> 00:30:38,633 I'M NOT DOING IT RIGHT NOW. I CAN GET YOU OUT. 578 00:30:38,633 --> 00:30:40,400 NO. I'M NOT DOING IT RIGHT NOW. 579 00:30:40,400 --> 00:30:42,767 THIS IS NOT A PICKING-AND-CHOOSING THING. 580 00:30:42,767 --> 00:30:46,100 PAULINE HAS BEEN IN THE HOSPITAL FOR A COUPLE MONTHS, 581 00:30:46,100 --> 00:30:50,333 BUT SHE STILL IS A VERY DIFFICULT PATIENT. 582 00:30:50,333 --> 00:30:53,433 AND HER ATTITUDE IS THE BIGGEST PROBLEM RIGHT NOW. 583 00:30:53,433 --> 00:30:55,033 ARE YOU READY? 584 00:30:55,033 --> 00:30:56,367 OUCH. 585 00:30:56,367 --> 00:30:58,933 I HURT MY TOE. 586 00:30:58,933 --> 00:31:00,633 OUCHIE. 587 00:31:00,633 --> 00:31:01,933 OOH. 588 00:31:05,400 --> 00:31:06,700 Dr. Nowzaradan: ALL RIGHT. 589 00:31:06,700 --> 00:31:08,933 SO, YOU'RE GONNA FOLLOW YOUR DIET, 590 00:31:08,933 --> 00:31:10,833 AND IF YOU FOLLOW YOUR DIET, 591 00:31:10,833 --> 00:31:14,167 YOU'RE GONNA BE ABLE TO LOSE 10, 15 POUND A WEEK, OKAY? 592 00:31:14,167 --> 00:31:15,967 YEAH. 593 00:31:15,967 --> 00:31:18,767 WE HAVE BEEN ABLE TO MAKE A LOT OF PROGRESS 594 00:31:18,767 --> 00:31:19,867 WITH PAULINE'S WEIGHT LOSS. 595 00:31:19,867 --> 00:31:21,967 SO I'M GONNA DISCHARGE HER NOW. 596 00:31:21,967 --> 00:31:25,667 WE HAVE HELPED HER AS LONG AS WE CAN HERE. 597 00:31:25,667 --> 00:31:27,833 I'M VERY CONCERNED 598 00:31:27,833 --> 00:31:31,133 THAT SHE'S GOING TO END UP UNDOING HER SURGERY. 599 00:31:31,133 --> 00:31:33,533 PUSH IT UP. 600 00:31:33,533 --> 00:31:35,067 [ GROANS ] 601 00:31:35,067 --> 00:31:36,800 IF SHE STAYS THIS WAY, 602 00:31:36,800 --> 00:31:40,433 THEN SHE'S NOT GONNA LOSE ANY MORE WEIGHT. 603 00:31:40,433 --> 00:31:44,900 SHE'S GOING TO HAVE TO LEARN TO DO THINGS ON HER OWN. 604 00:32:01,367 --> 00:32:04,967 Pauline: WE ARE GOING TO THE WARM-WATER REHABILITATION POOL, 605 00:32:04,967 --> 00:32:07,233 WHERE I CAN DO SOME WATER-WALKING 606 00:32:07,233 --> 00:32:09,900 AND INCREASE THE STRENGTH IN MY LEGS. 607 00:32:22,467 --> 00:32:24,167 I THINK I'M GOING AT A GOOD PACE. 608 00:32:24,167 --> 00:32:26,667 I'M MAKING THE PROGRESS I WANT. 609 00:32:30,900 --> 00:32:33,200 AND THE DOCTOR CAN'T TELL ME WHAT'S GOOD FOR ME, 610 00:32:33,200 --> 00:32:36,267 'CAUSE I KNOW MY BODY. 611 00:32:37,933 --> 00:32:41,833 THE POOL IS MUCH SAFER THAN THE PHYSICAL THERAPIST 612 00:32:41,833 --> 00:32:43,700 PUSHING ME TO DO MORE THAN I SHOULD. 613 00:32:43,700 --> 00:32:45,933 IF I FALL, IT WOULD BE A DANGEROUS SITUATION, 614 00:32:45,933 --> 00:32:49,700 AND THEY DON'T GET THAT. 615 00:32:49,700 --> 00:32:52,167 SWIMMING IS ONE OF THE BEST EXERCISES. 616 00:32:52,167 --> 00:32:54,833 YOU USE EVERY MUSCLE WHEN YOU'RE SWIMMING. 617 00:32:54,833 --> 00:32:57,833 SO THIS WILL HELP ME MAKE GOOD PROGRESS. 618 00:32:57,833 --> 00:33:00,100 THEY WANT ME TO MOVE PAST THE PAIN. 619 00:33:02,467 --> 00:33:04,500 I THINK THE POOL IS A GOOD SOLUTION 620 00:33:04,500 --> 00:33:07,133 SO I CAN DO THINGS THE WAY THEY NEED TO BE DONE. 621 00:33:14,067 --> 00:33:17,133 Woman: MISS POTTER. 622 00:33:17,133 --> 00:33:19,800 THIS IS MY FIRST CHECKUP AFTER LEAVING THE HOSPITAL. 623 00:33:19,800 --> 00:33:24,833 SO I'M ANXIOUS TO KNOW HOW MUCH I'VE LOST. 624 00:33:24,833 --> 00:33:27,900 I KNOW I WILL HAVE A LOSS OF SOME TYPE. 625 00:33:27,900 --> 00:33:29,967 I JUST DON'T KNOW HOW MUCH. 626 00:33:29,967 --> 00:33:31,533 OH, GOSH. 627 00:33:33,900 --> 00:33:36,800 THAT'S PRETTY AWESOME. 628 00:33:36,800 --> 00:33:40,133 OH, GOSH. 629 00:33:40,133 --> 00:33:41,267 OKAY. 630 00:33:41,267 --> 00:33:44,067 I'M FEELING GOOD ABOUT SEEING DR. NOWZARADAN. 631 00:33:44,067 --> 00:33:46,133 I AM ANXIOUS TO SEE IF HE'LL BE HAPPY. 632 00:33:46,133 --> 00:33:47,400 [ KNOCK ON DOOR ] 633 00:33:47,400 --> 00:33:48,400 HI. 634 00:33:48,400 --> 00:33:50,233 HOW Y'ALL DOING? GOOD. HOW ARE YOU? 635 00:33:50,233 --> 00:33:51,367 ALL RIGHT. 636 00:33:51,367 --> 00:33:52,433 HOW IS YOUR DIET COMING ALONG? 637 00:33:52,433 --> 00:33:53,633 GOOD. 638 00:33:53,633 --> 00:33:55,967 I HAVEN'T BEEN IN THE LOW 5s IN A LONG TIME. 639 00:33:55,967 --> 00:33:57,933 PAULINE, IN POUND LOSS, 640 00:33:57,933 --> 00:34:01,100 MEAN THAT YOU'RE STILL EATING WHAT YOU WANT. 641 00:34:01,100 --> 00:34:02,867 I'VE DONE GOOD. YOU COULD SEE BY THE SCALE. 642 00:34:02,867 --> 00:34:04,433 YOU TOLD ME, "ONLY BELIEVE THE SCALE." 643 00:34:04,433 --> 00:34:06,367 THAT'S BECAUSE YOU HAD WEIGHT-LOSS SURGERY. 644 00:34:06,367 --> 00:34:07,733 I KNOW, BUT I'M EATING GOOD, TOO. 645 00:34:07,733 --> 00:34:09,500 THAT DOESN'T MEAN THAT YOU'RE EATING HEALTHY. 646 00:34:09,500 --> 00:34:13,133 YOU SHOULD HAVE LOST AT LEAST 60 TO 80 POUNDS. 647 00:34:13,133 --> 00:34:15,167 Dr. Nowzaradan: PAULINE'S PLAYING DUMB. 648 00:34:15,167 --> 00:34:18,067 THIS LACK OF PROGRESS MEANS 649 00:34:18,067 --> 00:34:21,200 THAT SHE'S STILL OVEREATING AND DOING NOTHING. 650 00:34:21,200 --> 00:34:23,433 NO CARB MEANS NO CARB. 651 00:34:23,433 --> 00:34:24,867 OKAY, I'LL DO NO CARBS. 652 00:34:24,867 --> 00:34:29,800 YOU NEED TO GET RID OF BREAD, RICE, AND PASTA. 653 00:34:29,800 --> 00:34:30,967 HOW IS YOUR WALKING? 654 00:34:30,967 --> 00:34:32,767 I WALK BACK AND FORTH IN MY LIVING ROOM. 655 00:34:32,767 --> 00:34:33,900 I DO THAT SEVERAL TIMES. 656 00:34:33,900 --> 00:34:35,367 YOU DON'T GO OUTSIDE TO WALK? 657 00:34:35,367 --> 00:34:36,367 NOT YET. 658 00:34:36,367 --> 00:34:38,067 I DON'T FEEL COMFORTABLE ENOUGH. 659 00:34:38,067 --> 00:34:39,967 I FEEL LIKE I'M GONNA FALL DOWN IF I GO TOO FAR. 660 00:34:39,967 --> 00:34:43,300 Dr. Nowzaradan: WE NEED TO GET PAULINE UP 661 00:34:43,300 --> 00:34:45,167 AND MOVING AROUND MORE. 662 00:34:45,167 --> 00:34:46,867 SHE SKIPPED HER PHYSICAL-THERAPY APPOINTMENT. 663 00:34:46,867 --> 00:34:50,467 SO I'M GOING TO SEND THEM TO HER APARTMENT 664 00:34:50,467 --> 00:34:52,533 TO MAKE SURE SHE'S ACTIVE. 665 00:34:52,533 --> 00:34:55,733 FIRST STEP OF BEING INDEPENDENT IS WALKING. 666 00:34:55,733 --> 00:34:59,167 SO I WANT YOU TO INCREASE YOUR WALKING DISTANCE 667 00:34:59,167 --> 00:35:02,067 AND WALK WITH WALKER AT LEAST THREE TIMES A DAY. 668 00:35:02,067 --> 00:35:03,200 OKAY. 669 00:35:03,200 --> 00:35:04,400 ALL RIGHT. 670 00:35:04,400 --> 00:35:06,100 Dr. Nowzaradan: IF, NEXT TIME SHE COME IN, 671 00:35:06,100 --> 00:35:08,567 SHE HAS NOT MADE ANY PROGRESS, 672 00:35:08,567 --> 00:35:11,967 THEN THERE IS NO REASON TO CONTINUE THIS PROCESS 673 00:35:11,967 --> 00:35:13,067 WITH PAULINE. 674 00:35:15,600 --> 00:35:17,533 Pauline: I'M FEELING GOOD ABOUT MY PROGRESS, 675 00:35:17,533 --> 00:35:19,333 AND IT'S DISAPPOINTING THAT HE DOES NOT. 676 00:35:19,333 --> 00:35:21,333 THANK YOU. SURE. 677 00:35:21,333 --> 00:35:23,767 I DON'T KNOW WHAT HE EXPECTS FROM ME. 678 00:35:23,767 --> 00:35:25,067 [ GRUNTS ] 679 00:35:25,067 --> 00:35:26,833 I'M WORKING HARD AND DOING WHAT I SHOULD, 680 00:35:26,833 --> 00:35:29,067 AND I DON'T FEEL LIKE HE'S BEING VERY FAIR RIGHT NOW. 681 00:35:44,700 --> 00:35:47,167 HEY, DIL, HONEY, COULD YOU BRING ME MY LUNCH, PLEASE? 682 00:35:47,167 --> 00:35:50,067 'CAUSE IT'S BEEN SO LONG SINCE I ATE, 683 00:35:50,067 --> 00:35:52,700 I'M FEELING A LITTLE BIT NAUSEOUS. 684 00:35:52,700 --> 00:35:54,067 IT'S BEEN A HARD MONTH. 685 00:35:54,067 --> 00:35:56,333 I'M STILL TRYING TO BALANCE THE CRAVINGS. 686 00:35:56,333 --> 00:36:00,567 I'M EATING SOME THINGS I'M NOT SUPPOSED TO, 687 00:36:00,567 --> 00:36:02,267 BUT I'VE DRASTICALLY CUT DOWN ON THE AMOUNT. 688 00:36:02,267 --> 00:36:08,433 YOU KNOW, DR. NOWZARADAN REALLY DISCOURAGES EATING CARBS. 689 00:36:08,433 --> 00:36:13,700 BUT I'M REALLY NOT WORRIED ABOUT HOW MUCH CARBS IS IN THE RICE. 690 00:36:13,700 --> 00:36:15,767 IT'S NOT GONNA HURT ME. 691 00:36:15,767 --> 00:36:19,333 THE KEY IS TO EAT SMALLER PORTIONS. 692 00:36:20,567 --> 00:36:22,133 I HAVEN'T MOVED AROUND VERY MUCH 693 00:36:22,133 --> 00:36:24,100 BECAUSE OF THE PAIN STILL BEING THERE, 694 00:36:24,100 --> 00:36:27,067 BUT I'M DEFINITELY FINDING MY OWN PACE. 695 00:36:30,233 --> 00:36:33,200 I'M DONE. CAN YOU TAKE THIS? 696 00:36:35,267 --> 00:36:38,567 I KNOW I HAVE ANOTHER DOCTOR'S VISIT COMING UP NEXT MONTH. 697 00:36:38,567 --> 00:36:42,833 NO MATTER THE NEGATIVITY, A SMALLER NUMBER IS PROGRESS. 698 00:36:42,833 --> 00:36:45,400 BUT I DON'T KNOW IF THE DOCTORS WILL AGREE WITH THAT. 699 00:36:56,067 --> 00:37:01,733 I'M A LITTLE NERVOUS ABOUT SEEING THE DOCTOR TODAY. 700 00:37:01,733 --> 00:37:05,133 AND I'M HOPING I MADE ENOUGH PROGRESS FOR HIM THIS TIME. 701 00:37:06,567 --> 00:37:07,867 I FEEL PRETTY GOOD. 702 00:37:07,867 --> 00:37:10,800 I FEEL LIKE I'M SURE I'LL HAVE A WEIGHT LOSS. 703 00:37:10,800 --> 00:37:12,633 I DON'T KNOW IF IT'S GONNA FIT OR NOT. 704 00:37:12,633 --> 00:37:13,867 WE'LL SEE. 705 00:37:22,700 --> 00:37:24,300 [ LAUGHS ] WHAT'S THE MATTER? 706 00:37:24,300 --> 00:37:26,233 THE WAY THAT YOU'RE SITTING HERE AFTER SURGERY, 707 00:37:26,233 --> 00:37:29,600 AND YOU WANT TO ROLL WITH THIS THING INSTEAD OF WALKING? 708 00:37:29,600 --> 00:37:31,400 THE ONLY REASON I HAVE THIS CHAIR 709 00:37:31,400 --> 00:37:34,800 IS BECAUSE I CAN'T WALK THAT FAR WITHOUT GETTING DIZZY. 710 00:37:35,733 --> 00:37:38,833 Dr. Nowzaradan: PAULINE IS FULLY CAPABLE OF WALKING, 711 00:37:38,833 --> 00:37:41,667 BUT SHE JUST DOESN'T WANT TO DO IT. 712 00:37:41,667 --> 00:37:43,433 OKAY. 713 00:37:48,067 --> 00:37:49,567 THAT'S NOT BAD, I GUESS. 714 00:37:49,567 --> 00:37:52,200 THAT'S WHAT YOU SAY, AND THAT'S NOT WHAT I SAY. 715 00:37:52,200 --> 00:37:53,467 WHAT DO YOU SAY? 716 00:37:53,467 --> 00:37:56,200 I DON'T THINK YOU REALIZE THE ONLY WEIGHT YOU HAVE LOST 717 00:37:56,200 --> 00:37:58,733 HAS BEEN WHEN WE PUT YOU IN THE HOSPITAL. 718 00:37:58,733 --> 00:38:01,733 YOU SHOULD HAVE LOST 30 POUNDS SINCE LAST TIME I SAW YOU. 719 00:38:01,733 --> 00:38:03,800 YOU'RE NOT LOSING ANY MEANINGFUL WEIGHT. 720 00:38:03,800 --> 00:38:06,433 BUT THIS IS NOT WORKING FOR ME. 721 00:38:06,433 --> 00:38:08,067 THIS IS BULL[BLEEP] 722 00:38:21,800 --> 00:38:23,500 Dr. Nowzaradan: TELL ME ABOUT YOUR EATING HABIT. 723 00:38:23,500 --> 00:38:25,433 WHAT DO YOU EAT FOR A TYPICAL DAY? 724 00:38:25,433 --> 00:38:29,633 I HAVE TO EAT LIKE EVERY THREE HOURS OR I GET NAUSEOUS. 725 00:38:29,633 --> 00:38:33,800 I WANT TO GET AWAY FROM THIS EATING THREE HOURS, OKAY? 726 00:38:33,800 --> 00:38:36,267 YOU ONLY EAT BREAKFAST, LUNCH, AND DINNER. 727 00:38:36,267 --> 00:38:38,333 RIGHT, BUT I'M JUST EATING SOMETHING LITTLE, 728 00:38:38,333 --> 00:38:39,633 LIKE A LITTLE CUP OF YOGURT. 729 00:38:39,633 --> 00:38:42,233 THAT'S BINGE EATING. THAT'S GONNA ESCALATE. 730 00:38:42,233 --> 00:38:45,867 YOU HAVE THE SURGERY TO CHANGE YOUR EATING HABIT, 731 00:38:45,867 --> 00:38:49,067 AND YOU'RE NOT GONNA DO WHAT WE TELL YOU, 732 00:38:49,067 --> 00:38:51,733 YOU'RE GONNA BE EXACTLY WHERE YOU STARTED. 733 00:38:51,733 --> 00:38:54,200 I'M NOT EATING ENOUGH TO GAIN WEIGHT. 734 00:38:54,200 --> 00:38:56,667 WELL, THAT'S YOUR PERCEPTION, 735 00:38:56,667 --> 00:38:59,633 BUT, YOU KNOW, THE SCALE DOESN'T WEIGH IN PERCEPTION. 736 00:38:59,633 --> 00:39:02,367 HOW IS YOUR PHYSICAL THERAPY COMING ALONG? 737 00:39:02,367 --> 00:39:04,067 THEY HAVEN'T CALLED ME YET. 738 00:39:04,067 --> 00:39:05,667 WELL, I GOT A MESSAGE THEY CALLED, 739 00:39:05,667 --> 00:39:07,900 AND YOU WERE NOT READY FOR THEM. 740 00:39:07,900 --> 00:39:09,133 THEY NEVER CALLED. 741 00:39:09,133 --> 00:39:11,300 LET ME CHECK ON THE PHYSICAL-THERAPY SETUP. 742 00:39:16,667 --> 00:39:18,800 [ Ringing ] 743 00:39:18,800 --> 00:39:20,667 I WAS CALLING ABOUT PAULINE POTTER. 744 00:39:20,667 --> 00:39:24,067 SHE SAID THAT NOBODY CALLED HER. 745 00:39:24,067 --> 00:39:25,433 MAN: Well, we did, sir. 746 00:39:25,433 --> 00:39:27,833 We called her three times, and she said she didn't need us 747 00:39:27,833 --> 00:39:29,467 and she had someone else helping her. 748 00:39:29,467 --> 00:39:30,700 She turned us away each time we called. 749 00:39:30,700 --> 00:39:32,067 OKAY. 750 00:39:32,067 --> 00:39:35,433 I WANT YOU TO CALL HER BACK AGAIN AND SET IT UP THIS TIME. 751 00:39:35,433 --> 00:39:38,233 MAKE SURE THAT SHE'S NOT GONNA REFUSE IT, OKAY? 752 00:39:38,233 --> 00:39:40,967 Dr. Nowzaradan: PAULINE IS LYING TO ME. 753 00:39:40,967 --> 00:39:44,233 SHE WANT THE MAGIC PILL TO SOLVE HER PROBLEM 754 00:39:44,233 --> 00:39:46,200 WITHOUT HER DOING ANY WORK. 755 00:39:46,200 --> 00:39:49,367 PAULINE, I GOT THE MESSAGE FROM PHYSICAL THERAPY. 756 00:39:49,367 --> 00:39:51,567 THEY SAID THAT THEY CALLED YOU, 757 00:39:51,567 --> 00:39:54,833 AND YOU TOLD THEM YOU HAVE SOMEBODY ELSE COMING IN, 758 00:39:54,833 --> 00:39:56,600 THAT YOU DON'T NEED HIM. 759 00:39:56,600 --> 00:39:57,733 THAT WAS THEM? 760 00:39:57,733 --> 00:39:59,367 I THOUGHT IT WAS ABOUT SOMETHING ELSE. 761 00:39:59,367 --> 00:40:00,633 THEY SPECIFICALLY TOLD YOU 762 00:40:00,633 --> 00:40:02,700 THAT THEY WERE GOING TO DO THIS PHYSICAL THERAPY. 763 00:40:02,700 --> 00:40:04,400 THEY DID NOT SAY THE WORDS "PHYSICAL THERAPY," 764 00:40:04,400 --> 00:40:05,600 'CAUSE AFTER YOU TOLD ME THAT, 765 00:40:05,600 --> 00:40:06,900 I'VE BEEN WAITING FOR THEIR CALL. 766 00:40:06,900 --> 00:40:09,167 YOU ALWAYS HAVE CERTAIN EXCUSES, 767 00:40:09,167 --> 00:40:10,433 BUT NONE OF THEM MAKE ANY SENSE. 768 00:40:10,433 --> 00:40:12,200 BECAUSE IT'S TRUE. IT'S NOT AN EXCUSE. 769 00:40:12,200 --> 00:40:15,167 I'M NOT TRYING TO SKIP THE PROGRAM 770 00:40:15,167 --> 00:40:18,467 OR, YOU KNOW, NOT LISTEN TO YOUR RULES. 771 00:40:18,467 --> 00:40:19,700 I'M NOT. 772 00:40:19,700 --> 00:40:22,367 I DON'T KNOW HOW ELSE WE'RE GONNA BE ABLE TO HELP YOU. 773 00:40:22,367 --> 00:40:24,400 THERE'S NOT MUCH I CAN DO FOR YOU 774 00:40:24,400 --> 00:40:26,767 UNLESS YOU START TAKING RESPONSIBILITY 775 00:40:26,767 --> 00:40:28,900 FOR YOUR SITUATION. 776 00:40:28,900 --> 00:40:31,467 SO LET'S TRY TO EAT EFFICIENTLY, 777 00:40:31,467 --> 00:40:34,000 THREE TIME A DAY, HIGH PROTEIN, 778 00:40:34,000 --> 00:40:36,033 AND GET ON WITH YOUR PHYSICAL THERAPY 779 00:40:36,033 --> 00:40:38,033 AND SEE IF WE CAN MAKE SOME HEADWAY. 780 00:40:38,033 --> 00:40:40,200 OKAY. 781 00:40:40,200 --> 00:40:44,200 PAULINE WANT TO MANIPULATE EVERYBODY AROUND HER 782 00:40:44,200 --> 00:40:46,400 TO THINK THAT SHE'S RIGHT. 783 00:40:46,400 --> 00:40:49,800 SHE HAS NO INTENTION TO CHANGE RIGHT NOW. 784 00:40:51,500 --> 00:40:53,800 Pauline: I DON'T LIKE HOW HE RESPONDED 785 00:40:53,800 --> 00:40:55,500 AND I DON'T THINK IT WAS FAIR. 786 00:40:55,500 --> 00:40:56,833 IT MADE ME SHUT DOWN 787 00:40:56,833 --> 00:40:59,900 AND IT MADE ME NOT TO EVER WANT TO TALK TO HIM AGAIN. 788 00:40:59,900 --> 00:41:02,633 I THINK HE'S TOO HARD ON ME. 789 00:41:20,667 --> 00:41:24,767 AT THIS TIME, THERE IS NOT MUCH MORE I CAN DO FOR PAULINE. 790 00:41:24,767 --> 00:41:28,567 SHE'S NOT WALKING WHEN SHE SHOULD BE. 791 00:41:28,567 --> 00:41:34,900 PAULINE GOES OUT, BUT SHE STAYS IN THE MOTORIZED WHEELCHAIR. 792 00:41:34,900 --> 00:41:37,233 THAT'S NOT BEING ACTIVE. 793 00:41:39,767 --> 00:41:42,667 Pauline: I DON'T AGREE WITH ALL THE DOCTOR SAYS, 794 00:41:42,667 --> 00:41:46,400 BECAUSE I'M DOING MORE AND I AM GOING OUT AND DOING THINGS. 795 00:41:46,400 --> 00:41:50,567 Dr. Nowzaradan: PAULINE SAYS SHE'S EATING HEALTHY, 796 00:41:50,567 --> 00:41:51,900 BUT SHE'S NOT. 797 00:41:51,900 --> 00:41:52,967 SHE'S EATING WHATEVER SHE LIKES 798 00:41:52,967 --> 00:41:55,767 AND TELLING HERSELF SHE IS DOING BETTER. 799 00:41:55,767 --> 00:42:00,233 SHE'S PUSHED HER BODY TO THE LIMIT SO LONG THAT 800 00:42:00,233 --> 00:42:03,233 I AM CONCERNED SHE MAY NOT BE ABLE 801 00:42:03,233 --> 00:42:05,800 TO LIVE ANOTHER YEAR LIKE THIS. 802 00:42:07,367 --> 00:42:09,933 YOU WANT EVERY PATIENT TO BE A SUCCESS, 803 00:42:09,933 --> 00:42:12,533 BUT THAT'S NOT REALITY. 804 00:42:12,533 --> 00:42:15,100 Dillon: I STILL HAVE TO DO A LOT FOR MY MOM, 805 00:42:15,100 --> 00:42:19,067 BUT WE'RE BOTH HOPING THAT WE CAN BOTH BE MORE INDEPENDENT 806 00:42:19,067 --> 00:42:20,667 AND SHE WON'T HAVE TO RELY ON ME SO MUCH. 807 00:42:20,667 --> 00:42:25,867 HOPEFULLY DILLON WON'T END UP BURYING HIS MOTHER SOON. 808 00:42:25,867 --> 00:42:28,733 Pauline: I FEEL LIKE I'M MAKING THE PROGRESS I WANT, 809 00:42:28,733 --> 00:42:31,833 AND I DO HAVE TO TAKE IT AT MY OWN PACE. 810 00:42:31,833 --> 00:42:32,300 I KNOW THAT I WILL GET THERE THAT WAY.