1
00:00:03,767 --> 00:00:05,400
Marla: I'M MISERABLE.

2
00:00:05,400 --> 00:00:08,333
MY WEIGHT
HAS TRAPPED ME IN THIS BED,

3
00:00:08,333 --> 00:00:10,400
AND IT'S KILLING ME.

4
00:00:15,233 --> 00:00:17,333
Man:
I AM LIVING A NIGHTMARE.

5
00:00:17,333 --> 00:00:21,367
I WOULDN'T WISH THIS
ON MY WORST ENEMY.

6
00:00:21,367 --> 00:00:24,433
Woman:
I HATE THIS LIFE THAT I HAVE.

7
00:00:33,267 --> 00:00:35,233
DON'T YOU DARE
PUT IT ALL OFF ON ME!

8
00:00:35,233 --> 00:00:37,800
LISTEN,
SHE IS GOING TO DIE.

9
00:00:37,800 --> 00:00:40,100
BOTH OF Y'ALL, STOP!
JUST STOP!

10
00:00:44,033 --> 00:00:45,633
Dr. Nowzaradan: WE GOT
TO CORRECT THIS PROBLEM.

11
00:00:45,633 --> 00:00:49,033
OTHERWISE, SURGERY
WOULD NOT BE USEFUL FOR YOU.

12
00:00:49,033 --> 00:00:50,600
[ Voice breaking ]
I CAN'T DO THIS

13
00:00:50,600 --> 00:00:53,867
WITHOUT SOMEBODY
TO HELP ME SAY NO.

14
00:00:56,567 --> 00:00:59,000
Man: GET UP AND WALK.
PUSH!

15
00:00:59,000 --> 00:01:00,500
WHOA! AAH!

16
00:01:00,500 --> 00:01:02,133
AAH! I'M FALLING!

17
00:01:02,133 --> 00:01:04,933
WHEN SHE ACTS LIKE A KID,
YOU TREAT HER LIKE A KID.

18
00:01:04,933 --> 00:01:07,933
-- Captions by VITAC --
www.vitac.com

19
00:01:07,933 --> 00:01:10,967
CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

20
00:01:11,700 --> 00:01:15,100
Marla: YOUR WHOLE LIFE
CAN CHANGE IN AN INSTANT.

21
00:01:15,100 --> 00:01:17,800
YOU CAN EITHER ACCEPT IT

22
00:01:17,800 --> 00:01:21,400
OR TRY AND WORK HARD
TO GET BACK WHAT YOU LOST.

23
00:01:31,833 --> 00:01:33,600
Adele: READY?
Marla: YEAH.

24
00:01:33,600 --> 00:01:36,300
1, 2.

25
00:01:36,300 --> 00:01:37,800
1, 2, 3.

26
00:01:40,767 --> 00:01:44,067
Marla: I HAVE NO LIFE.

27
00:01:45,967 --> 00:01:50,567
MY LEGS CAN'T EVEN HOLD
MY WEIGHT ANYMORE.

28
00:01:54,067 --> 00:01:56,867
I CAN'T GET UP.
I CAN'T WALK.

29
00:01:56,867 --> 00:01:58,367
I'M TRAPPED.

30
00:02:04,067 --> 00:02:08,200
MY WEIGHT
HAS CONDEMNED ME TO THIS BED.

31
00:02:08,200 --> 00:02:11,200
I CAN'T DO ANYTHING.

32
00:02:11,200 --> 00:02:13,700
I CAN'T EVEN BATHE MYSELF.

33
00:02:17,367 --> 00:02:20,767
MY KIDS HAVE TO DO THAT FOR ME.

34
00:02:25,433 --> 00:02:27,433
I HAVE THREE DAUGHTERS,

35
00:02:27,433 --> 00:02:31,633
AND I DEPEND ON THEM
FOR EVERYTHING.

36
00:02:31,633 --> 00:02:35,167
IT MAKES ME FEEL LIKE
A BURDEN TO THEM.

37
00:02:35,167 --> 00:02:36,533
Adele: I'M 24,

38
00:02:36,533 --> 00:02:38,933
AND I HAVE TO
TAKE CARE OF MY MOM.

39
00:02:38,933 --> 00:02:42,467
I WIPE HER, BATHE HER,
MAKE SURE SHE'S CLEAN.

40
00:02:42,467 --> 00:02:44,600
AND I DO GET TIRED.

41
00:02:44,600 --> 00:02:47,100
Marla: IT'S EMBARRASSING,

42
00:02:47,100 --> 00:02:50,633
BUT I HAVE NO OTHER CHOICE
WHEN I'M THIS BIG.

43
00:02:50,633 --> 00:02:52,833
I HATE LIVING LIKE THIS.

44
00:02:52,833 --> 00:02:58,467
I HAVE ARTHRITIS, GOUT,
LYMPHEDEMA, DIABETES...

45
00:02:58,467 --> 00:03:02,400
I'LL CHECK MY SUGAR LEVEL.

46
00:03:02,400 --> 00:03:05,133
152 -- THAT'S HIGH.

47
00:03:05,133 --> 00:03:07,700
...AND I AM ON OXYGEN AT NIGHT,

48
00:03:07,700 --> 00:03:10,067
OR I'LL STOP BREATHING.

49
00:03:10,067 --> 00:03:14,533
MY BODY IS JUST BREAKING DOWN.

50
00:03:14,533 --> 00:03:15,700
I HATE THIS.

51
00:03:15,700 --> 00:03:17,733
I HATE LIVING LIKE THIS.

52
00:03:20,200 --> 00:03:23,233
NO MATTER WHERE YOU THINK
YOUR LIFE IS GOING,

53
00:03:23,233 --> 00:03:26,500
YOU NEVER IMAGINE IT
BEING THIS BAD.

54
00:03:29,700 --> 00:03:33,267
AS A KID,
I WAS NEVER OVERWEIGHT.

55
00:03:35,767 --> 00:03:38,567
IT WASN'T UNTIL MY EARLY 20s

56
00:03:38,567 --> 00:03:42,600
THAT MY WEIGHT
STARTED TO BE A PROBLEM.

57
00:03:42,600 --> 00:03:47,833
SOMETHING DRASTIC HAPPENED,
AND THIS IS THE OUTCOME.

58
00:03:50,400 --> 00:03:54,367
I TRIED TO BREAK UP WITH
MY BOYFRIEND AT THE TIME.

59
00:03:54,367 --> 00:03:57,533
HE LOST IT,
AND HE TOOK ME HOSTAGE.

60
00:04:00,133 --> 00:04:02,433
HE HELD ME AT GUNPOINT,

61
00:04:02,433 --> 00:04:05,333
AND I THOUGHT I WAS GONNA DIE.

62
00:04:08,467 --> 00:04:11,367
WHEN THE POLICE
TRIED TO RESCUE ME,

63
00:04:11,367 --> 00:04:14,067
HE SHOT TWO OFFICERS
AND ESCAPED.

64
00:04:16,933 --> 00:04:20,967
KNOWING THAT
HE WAS STILL OUT THERE

65
00:04:20,967 --> 00:04:23,567
AND THAT HE WANTED TO KILL ME,

66
00:04:23,567 --> 00:04:25,900
I WAS TOO SCARED
TO LEAVE THE HOUSE.

67
00:04:25,900 --> 00:04:29,833
AND I LIVED IN CONSTANT FEAR,
AND I JUST ATE.

68
00:04:33,067 --> 00:04:36,067
Sierra: AFTER THE INCIDENT,
SHE WAS NOT THE SAME.

69
00:04:36,067 --> 00:04:37,700
MY MOM --
SHE JUST STOPPED CARING.

70
00:04:37,700 --> 00:04:40,133
SHE JUST STARTED EATING MORE.
SHE DIDN'T GO OUTSIDE.

71
00:04:40,133 --> 00:04:42,800
SHE DIDN'T DO NOTHING.
SHE CLOSED HERSELF UP.

72
00:04:42,800 --> 00:04:45,800
Marla:
EVENTUALLY, THEY CAUGHT HIM.

73
00:04:45,800 --> 00:04:49,133
BY THEN,
MY LIFE WAS ALREADY RUINED.

74
00:04:49,133 --> 00:04:52,733
I WAS ALREADY OVER 700 POUNDS.

75
00:04:52,733 --> 00:04:55,133
THE FOOD MADE ME HAPPY,

76
00:04:55,133 --> 00:04:57,300
AND THAT JUST
WASN'T GONNA CHANGE.

77
00:04:57,300 --> 00:04:59,767
I COULDN'T GO BACK,

78
00:04:59,767 --> 00:05:04,233
SO I KEPT EATING
AND I KEPT GAINING.

79
00:05:04,233 --> 00:05:06,467
THE KIDNAP
CHANGED MY LIFE FOREVER,

80
00:05:06,467 --> 00:05:10,067
AND I WISH
I COULD TAKE THAT DAY BACK.

81
00:05:13,133 --> 00:05:14,567
Marla:
YOU MADE IT, BABY.

82
00:05:14,567 --> 00:05:15,700
MM-HMM.

83
00:05:15,700 --> 00:05:18,100
WHAT DID YOU GET ME?

84
00:05:19,900 --> 00:05:22,133
I LOVE FOOD.

85
00:05:22,133 --> 00:05:25,400
I'M A JUNK-FOOD JUNKIE.

86
00:05:25,400 --> 00:05:29,200
Adele:
WHEN YOU GO SHOPPING FOR HER,

87
00:05:29,200 --> 00:05:30,867
IT'S NOT WHAT
SHE NEEDS TO BE EATING

88
00:05:30,867 --> 00:05:33,533
OR WHAT SHE SHOULD BE EATING,

89
00:05:33,533 --> 00:05:35,300
IT'S ABOUT
WHAT SHE WANTS TO EAT.

90
00:05:35,300 --> 00:05:37,800
AND IF YOU AIN'T GOT
WHAT SHE WANTS, SHE'S MAD.

91
00:05:37,800 --> 00:05:39,833
GO AND COOK ME TWO BOXES.
YOU WANT ONE, BABY?

92
00:05:39,833 --> 00:05:41,333
YES.

93
00:05:41,333 --> 00:05:42,867
I BRING HER STUFF

94
00:05:42,867 --> 00:05:45,067
'CAUSE I KNOW THAT'S WHAT'S
GONNA MAKE HER HAPPY.

95
00:05:45,067 --> 00:05:46,967
SHE LOVES FOOD.

96
00:05:46,967 --> 00:05:48,733
FROM MY BABY.
THANK YOU.

97
00:05:48,733 --> 00:05:51,867
THAT'S HER BEEN
HER BIGGEST ISSUE, PERIOD.

98
00:05:51,867 --> 00:05:53,167
SHE LOVES FOOD.

99
00:05:55,233 --> 00:05:57,500
Marla:
WHEN I START EATING THOSE FOODS,

100
00:05:57,500 --> 00:05:58,933
I CAN'T STOP.

101
00:05:58,933 --> 00:06:00,200
MMM.

102
00:06:03,067 --> 00:06:07,933
I LOVE THE WAY IT ALL TASTES.

103
00:06:07,933 --> 00:06:10,300
I LOVE THE WAY IT MAKES ME FEEL.

104
00:06:10,300 --> 00:06:12,567
IT'S MY COMFORT,

105
00:06:12,567 --> 00:06:17,400
BUT I KNOW
THE FOOD IS KILLING ME...

106
00:06:25,567 --> 00:06:27,133
...AND THAT IT'S KEEPING ME

107
00:06:27,133 --> 00:06:29,367
FROM BEING A PART
OF MY KIDS' LIVES.

108
00:06:32,933 --> 00:06:35,300
Adele:
IF SHE DON'T LOSE THE WEIGHT,

109
00:06:35,300 --> 00:06:39,067
I'M AFRAID THAT SHE'LL PASS.

110
00:06:40,533 --> 00:06:43,567
I'M AFRAID
THAT I'M GONNA LOSE MY MOM.

111
00:06:43,567 --> 00:06:46,900
Marla: I'M WORRIED
MY KIDS ARE GONNA COME HERE

112
00:06:46,900 --> 00:06:48,400
AND FIND ME DEAD ONE DAY.

113
00:06:48,400 --> 00:06:52,267
THE IDEA OF THAT HORRIFIES ME.

114
00:06:52,267 --> 00:06:55,600
I NEED TO DO SOMETHING FAST,

115
00:06:55,600 --> 00:06:58,500
OR THAT'S WHAT'S GONNA HAPPEN.

116
00:07:00,333 --> 00:07:03,467
I NEED TO CHANGE...

117
00:07:04,867 --> 00:07:07,367
...OR I'M GONNA DIE.

118
00:07:24,533 --> 00:07:26,933
WHEN YOU GET TO MY SIZE,

119
00:07:26,933 --> 00:07:30,833
THERE'S NO GETTING UP
OR DOING ANYTHING WITHOUT HELP.

120
00:07:30,833 --> 00:07:33,967
I CAN'T WALK,

121
00:07:33,967 --> 00:07:36,933
SO WE CALLED THE E.M.S.

122
00:07:36,933 --> 00:07:39,467
TO TRY TO HELP ME GET
INTO THE VAN.

123
00:07:44,833 --> 00:07:48,067
I'M NOT SURE
HOW THIS IS GONNA GO.

124
00:07:48,067 --> 00:07:49,900
DO YOU WANT TO DO IT
ALL IN ONE?

125
00:07:49,900 --> 00:07:52,300
LET'S GO.
1, 2, 3.

126
00:07:54,067 --> 00:07:55,633
I DON'T LEAVE MY HOUSE.

127
00:07:57,633 --> 00:07:59,600
BUT I KNOW I HAVE TO DO THIS

128
00:07:59,600 --> 00:08:03,900
IF I WANT TO GET A CHANCE
TO GET MY LIFE BACK.

129
00:08:03,900 --> 00:08:07,367
ALL I'VE KNOWN IS MY BED
FOR SO MANY YEARS.

130
00:08:07,367 --> 00:08:10,267
EVERYBODY READY?
1, 2, 3.

131
00:08:11,833 --> 00:08:13,600
Britney: ALL RIGHT, MAMA.

132
00:08:13,600 --> 00:08:16,367
Marla: THIS IS
A WHOLE NEW WORLD FOR ME.

133
00:08:19,533 --> 00:08:20,633
OKAY.

134
00:08:22,767 --> 00:08:23,967
I'M REALLY CONCERNED

135
00:08:23,967 --> 00:08:26,433
ABOUT HOW LONG I'M GONNA
HAVE TO BE IN THIS CAR.

136
00:08:26,433 --> 00:08:28,833
IT'S A 13-HOUR DRIVE,

137
00:08:28,833 --> 00:08:32,100
AND I'VE NEVER BEEN IN A CAR
THAT LONG.

138
00:08:32,100 --> 00:08:35,900
AND I'M ANXIOUS ABOUT
WHAT THE DOCTOR'S GONNA SAY.

139
00:08:35,900 --> 00:08:38,567
WHAT IF HE CAN'T HELP ME?

140
00:08:40,067 --> 00:08:42,100
I KNOW THIS IS MY LAST CHANCE,

141
00:08:42,100 --> 00:08:44,833
AND I DON'T WANT TO DIE.

142
00:08:53,433 --> 00:08:56,733
Marla: WHEN YOU LET YOUR LIFE
GET COMPLETELY OUT OF CONTROL,

143
00:08:56,733 --> 00:09:00,467
IT CAN SEEM LIKE AN IMPOSSIBLE
TASK TO GET IT BACK,

144
00:09:00,467 --> 00:09:02,767
BUT YOU HAVE TO TRY.

145
00:09:17,233 --> 00:09:20,267
I'M REALLY NERVOUS.

146
00:09:22,067 --> 00:09:23,400
I DON'T KNOW WHAT KIND OF TOLL

147
00:09:23,400 --> 00:09:25,200
THIS TRIP IS GONNA TAKE
ON MY BODY.

148
00:09:32,433 --> 00:09:34,967
I'M MOVING AROUND A LOT
FROM THE ROAD.

149
00:09:34,967 --> 00:09:36,900
I HAVE TO SIT UPRIGHT
TO BREATHE,

150
00:09:36,900 --> 00:09:39,067
AND IT'S HARD TO DO THAT
IN THIS VAN.

151
00:09:39,067 --> 00:09:43,633
I JUST HOPE THIS ALL
ISN'T TOO MUCH FOR ME.

152
00:09:52,067 --> 00:09:53,433
OH, ME CAREFUL, MAMA.

153
00:09:53,433 --> 00:09:55,767
OHH!

154
00:09:55,767 --> 00:09:58,100
Girl: OW!

155
00:09:59,567 --> 00:10:01,933
I CAN'T DO THIS MUCH LONGER.

156
00:10:06,167 --> 00:10:10,200
Dr. Nowzaradan: WE'RE EXPECTING
THE ARRIVAL OF MARLA McCANTS.

157
00:10:10,200 --> 00:10:13,933
FROM WHAT I UNDERSTAND,
SHE MAY BE CLOSE TO 800 POUNDS.

158
00:10:13,933 --> 00:10:15,467
IF SHE'S THAT BIG,

159
00:10:15,467 --> 00:10:18,533
THEN SHE SHOULD HAVE USED
BARIATRIC AMBULANCE

160
00:10:18,533 --> 00:10:21,200
WITH MEDICAL CARE
TO GO WITH HER.

161
00:10:21,200 --> 00:10:24,433
SHE SHOULD NOT HAVE COME
TO HOUSTON ON HER OWN.

162
00:10:24,433 --> 00:10:26,300
SHE SHOULD HAVE WAITED
FOR A SAFER OPTION.

163
00:10:26,300 --> 00:10:28,100
WHEN SHE GETS HERE,

164
00:10:28,100 --> 00:10:29,967
WE SHOULD GET HER
OUT OF THE CAR,

165
00:10:29,967 --> 00:10:32,333
GET HER INSIDE
AS SOON AS POSSIBLE

166
00:10:32,333 --> 00:10:33,967
AND QUICKLY ASSESS
HOW SHE'S DOING.

167
00:10:33,967 --> 00:10:36,933
Marla:
I GOT TO GET OUT OF HERE NOW.

168
00:10:38,800 --> 00:10:40,800
Dr. Nowzaradan:
HELLO, MARLA.

169
00:10:40,800 --> 00:10:42,267
HI, DR. NOW.
HOW ARE YOU?

170
00:10:42,267 --> 00:10:44,033
WE'RE GONNA GET YOU IN,
OKAY?

171
00:10:45,900 --> 00:10:48,133
Dr. Nowzaradan:
MARLA IS NOT LOOKING GOOD.

172
00:10:48,133 --> 00:10:49,767
YOU ALL READY?
1, 2, 3.

173
00:10:53,900 --> 00:10:55,200
I CAN ALREADY SEE

174
00:10:55,200 --> 00:10:57,967
THAT SHE IS ONE OF THE WORST
CONDITIONS HEALTH-WISE

175
00:10:57,967 --> 00:10:59,167
I HAVE EVER SEEN.

176
00:10:59,167 --> 00:11:00,500
Man: 1, 2, 3.

177
00:11:00,500 --> 00:11:02,633
AND SHE HAD A LONG TRIP,

178
00:11:02,633 --> 00:11:05,900
AND THAT HAS TAKEN
ITS TOLL ON HER.

179
00:11:07,667 --> 00:11:09,633
THANKS, GUYS.
YOU'RE WELCOME.

180
00:11:09,633 --> 00:11:12,167
Marla: SOMETHING'S NOT RIGHT.

181
00:11:12,167 --> 00:11:14,767
IT'S GETTING HARD TO BREATHE.

182
00:11:22,333 --> 00:11:25,800
HOW ARE YOU DOING?

183
00:11:27,567 --> 00:11:31,100
I THOUGHT WHEN I CAME IN,
I WAS GONNA BE FINE,

184
00:11:31,100 --> 00:11:33,067
BUT I'M NOT.

185
00:11:33,067 --> 00:11:34,300
WHAT'S GOING ON?

186
00:11:34,300 --> 00:11:36,200
I CAN'T MOVE MY LEGS.

187
00:11:36,200 --> 00:11:37,600
YOUR LEG HURT?

188
00:11:39,500 --> 00:11:40,967
[ GROANS ]

189
00:11:40,967 --> 00:11:43,500
YOU GOT A LITTLE BIT
OF SWELLING, HUH?

190
00:11:43,500 --> 00:11:44,733
MM-HMM.

191
00:11:44,733 --> 00:11:47,300
OKAY, MARLA,
WE'RE GONNA RUN SOME TESTS

192
00:11:47,300 --> 00:11:49,067
TO FIND OUT WHAT
MAY BE GOING ON WITH YOU.

193
00:11:49,067 --> 00:11:51,133
ALL RIGHT.

194
00:11:51,133 --> 00:11:53,700
MARLA'S IN EXTREMELY BAD SHAPE
RIGHT NOW.

195
00:11:53,700 --> 00:11:56,667
I'M NOT WORRIED ABOUT
WEIGHT-LOSS SURGERY

196
00:11:56,667 --> 00:12:01,533
AS MUCH AS MAKING SURE THAT SHE
WILL SURVIVE THE NEXT 24 HOURS.

197
00:12:01,533 --> 00:12:04,233
THIS IS A VERY A DANGEROUS
SITUATION.

198
00:12:04,233 --> 00:12:09,433
SHE IS AT THE END OF HER LIFE
IF WE CANNOT DO ANYTHING.

199
00:12:21,967 --> 00:12:24,600
[ MONITOR BEEPING ]

200
00:12:24,600 --> 00:12:29,267
YEAH, THIS IS DR. NOWZARADAN.
WHO IS THIS?

201
00:12:29,267 --> 00:12:33,433
I'M CALLING YOU
ABOUT MARLA'S CONDITION.

202
00:12:33,433 --> 00:12:36,600
HER CONDITION WORSENED,

203
00:12:36,600 --> 00:12:39,333
AND EARLY THIS MORNING,
SHE STOPPED BREATHING.

204
00:12:39,333 --> 00:12:42,600
AND WE MOVED HER TO I.C.U.

205
00:12:42,600 --> 00:12:46,967
MARLA'S HEALTH
HAS CONTINUED TO DECLINE.

206
00:12:46,967 --> 00:12:50,433
WE PUT HER
ON A BREATHING MACHINE,

207
00:12:50,433 --> 00:12:54,567
AND WE HAVE HER STABLE
RIGHT NOW.

208
00:12:54,567 --> 00:12:58,167
MARLA POTENTIALLY HAS DEVELOPED
A BLOOD CLOT IN HER LEG

209
00:12:58,167 --> 00:13:00,867
FROM BEING IMMOBILE FOR SO LONG,

210
00:13:00,867 --> 00:13:03,600
AND ALL THE TRAVELING
MAY HAVE DISLODGED IT.

211
00:13:03,600 --> 00:13:05,833
ONCE THAT HAPPENS,

212
00:13:05,833 --> 00:13:07,967
THE CLOT WILL TRAVEL
TO THE LUNG,

213
00:13:07,967 --> 00:13:10,267
AND THE SITUATION
WILL BECOME DEADLY.

214
00:13:12,533 --> 00:13:16,267
SHE PUSHED HER BODY TO THE LIMIT
FOR YEARS,

215
00:13:16,267 --> 00:13:18,167
AND THE CAR RIDE DOWN

216
00:13:18,167 --> 00:13:21,500
WAS JUST TOO MUCH
FOR HER TO HANDLE.

217
00:13:21,500 --> 00:13:23,467
PUT HER ON A DRIP.
OKAY.

218
00:13:23,467 --> 00:13:26,100
HER BODY IS SHUTTING DOWN.

219
00:13:26,100 --> 00:13:30,533
IF MARLA WASN'T IN THE HOSPITAL
WHEN THAT HAPPENED,

220
00:13:30,533 --> 00:13:32,067
SHE WOULD HAVE DIED.

221
00:13:32,067 --> 00:13:35,500
WE NEED TO GET HER
TO SURGERY IMMEDIATELY

222
00:13:35,500 --> 00:13:37,400
TO PUT A FILTER IN HER

223
00:13:37,400 --> 00:13:41,700
AND PREVENT IT
FROM HAPPENING AGAIN.

224
00:13:41,700 --> 00:13:45,067
IF ANOTHER CLOT DISLODGES
AND GOES TO HER LUNG,

225
00:13:45,067 --> 00:13:48,333
SHE WON'T BE ABLE TO SURVIVE
A SECOND TIME.

226
00:13:48,333 --> 00:13:52,300
IT'S A RACE AGAINST THE CLOCK
RIGHT NOW.

227
00:14:01,400 --> 00:14:04,067
WE HAVE GOT MARLA STABILIZED

228
00:14:04,067 --> 00:14:07,067
AND HEALTHY NOW
FOR FILTER SURGERY.

229
00:14:27,567 --> 00:14:32,067
WE HAVE TO BE VERY CAREFUL
WITH MARLA RIGHT NOW.

230
00:14:34,600 --> 00:14:37,400
HER BODY CANNOT TAKE
ANY FURTHER STRAIN.

231
00:14:42,233 --> 00:14:44,567
IN HER CONDITION,

232
00:14:44,567 --> 00:14:46,933
IT'S VERY EASY FOR
A LIFE-THREATENING SITUATION

233
00:14:46,933 --> 00:14:49,400
TO DEVELOP DURING THE SURGERY.

234
00:14:51,367 --> 00:14:55,333
WE MAY NOT BE ABLE TO SAVE HER,
AND SHE'LL DIE.

235
00:15:20,633 --> 00:15:23,800
Dr. Nowzaradan:
OKAY, NOW GO UP A LITTLE BIT,

236
00:15:23,800 --> 00:15:26,133
JUST RIGHT THERE.

237
00:15:27,700 --> 00:15:30,067
THE PROCEDURE IS GOING WELL.

238
00:15:38,933 --> 00:15:40,767
THIS IS A DELICATE OPERATION,

239
00:15:40,767 --> 00:15:44,500
SO WE HAVE TO DO THIS
VERY CAREFULLY,

240
00:15:44,500 --> 00:15:47,633
BUT IT WILL HELP SAVE
MARLA'S LIFE.

241
00:15:56,100 --> 00:15:58,133
NOW HOLD IT RIGHT THERE.

242
00:15:59,767 --> 00:16:03,233
ALL RIGHT, WE GOT
THE VENA CAVA FILTER IN,

243
00:16:03,233 --> 00:16:05,700
AND THAT WENT VERY SMOOTH.

244
00:16:08,367 --> 00:16:09,833
WE'RE DONE WITH THAT.

245
00:16:09,833 --> 00:16:14,567
1, 2, 3, GO.

246
00:16:14,567 --> 00:16:16,867
NOW WE GET MARLA TO RECOVERY

247
00:16:16,867 --> 00:16:19,467
AND START HER
ON A RESTRICTIVE DIET

248
00:16:19,467 --> 00:16:21,800
BECAUSE SHE NEEDS TO START
LOSING WEIGHT RIGHT NOW.

249
00:16:23,700 --> 00:16:27,167
WE NEED TO DO EVERYTHING WE CAN
TO GET HER UP AND WALKING

250
00:16:27,167 --> 00:16:28,500
AS SOON AS POSSIBLE.

251
00:16:28,500 --> 00:16:32,367
THIS IS GONNA BE
A VERY DRASTIC CHANGE FOR HER,

252
00:16:32,367 --> 00:16:34,533
AND WE'LL SEE HOW SHE DOES.

253
00:16:34,533 --> 00:16:37,600
MARLA IS LUCKY SHE'S
IN THE HOSPITAL RIGHT NOW.

254
00:16:37,600 --> 00:16:40,833
SHE WAS MONTHS OR EVEN WEEKS
FROM DEATH.

255
00:16:42,533 --> 00:16:46,600
SHE COULDN'T EVEN PHYSICALLY
HANDLE THE CAR RIDE DOWN HERE.

256
00:16:46,600 --> 00:16:47,733
SHE HAS TO CHANGE NOW.

257
00:16:47,733 --> 00:16:51,267
SHE HAS TO DO THIS
IF SHE WANTS TO LIVE.

258
00:17:18,100 --> 00:17:21,100
Marla:
THIS HAS BEEN EXTREMELY TOUGH.

259
00:17:21,100 --> 00:17:24,067
I'VE BEEN THROUGH A LOT.

260
00:17:27,267 --> 00:17:31,100
I DIDN'T REALIZE HOW MUCH
I HAD ONE FOOT IN THE GRAVE.

261
00:17:32,633 --> 00:17:36,333
AND GETTING HERE,
IT DAMN NEAR KILLED ME.

262
00:17:36,333 --> 00:17:38,700
SO I'VE BEEN TRYING
TO GET HEALTHY.

263
00:17:38,700 --> 00:17:40,633
I HAVE YOUR DINNER
FOR YOU, OKAY?

264
00:17:40,633 --> 00:17:43,067
OH, THANK YOU.

265
00:17:43,067 --> 00:17:44,900
COME ON, SIERRA.

266
00:17:44,900 --> 00:17:47,067
GOT YOU.
YOU GOT IT?

267
00:17:47,067 --> 00:17:48,133
YES.

268
00:17:48,133 --> 00:17:49,367
AND THAT'S YOUR YOGURT.

269
00:17:49,367 --> 00:17:51,233
EW.

270
00:17:51,233 --> 00:17:53,433
Marla: I'VE BEEN EATING
LIKE THIS FOR A MONTH NOW,

271
00:17:53,433 --> 00:17:55,767
BUT I DON'T REALLY LIKE IT.

272
00:17:57,833 --> 00:18:00,900
AFTER I EAT, I'M STILL HUNGRY.

273
00:18:06,400 --> 00:18:07,633
HERE YOU GO.
MM-HMM.

274
00:18:07,633 --> 00:18:09,067
SHE SAID,
"THE FISH'S NASTY."

275
00:18:09,067 --> 00:18:12,300
THE FISH IS NASTY?

276
00:18:12,300 --> 00:18:14,067
Sierra:
MY MOM HASN'T BEEN LIKING

277
00:18:14,067 --> 00:18:15,467
THE FOOD THEY'VE BEEN
GIVING HER,

278
00:18:15,467 --> 00:18:17,167
BUT I THINK THAT'S GOOD
THAT THEY'RE PUSHING HER.

279
00:18:18,633 --> 00:18:22,800
Marla: I'VE BEEN EATING
JUNK FOOD MY ENTIRE LIFE,

280
00:18:22,800 --> 00:18:25,800
AND THIS IS GONNA TAKE
A LOT OF GETTING USED TO.

281
00:18:32,467 --> 00:18:34,667
I HOPE I CAN DO THIS.

282
00:18:47,367 --> 00:18:51,067
IT'S BEEN A ROUGH COUPLE
OF MONTHS IN THIS HOSPITAL.

283
00:18:52,900 --> 00:18:56,967
OUTSIDE OF HAVING TO ADJUST
TO A CONTROLLED DIET,

284
00:18:56,967 --> 00:19:00,233
THEY'VE BEEN TRYING
TO GET ME UP TO WALK.

285
00:19:00,233 --> 00:19:03,167
I FEEL LIKE
THEY'RE PUSHING ME TOO HARD.

286
00:19:04,967 --> 00:19:09,133
THEY DON'T UNDERSTAND NOTHING.

287
00:19:09,133 --> 00:19:12,800
HEY, MISS McCANTS.
HOW ARE YOU?

288
00:19:12,800 --> 00:19:14,900
OH, I'M FINE.

289
00:19:14,900 --> 00:19:17,067
GOOD MORNING.

290
00:19:17,067 --> 00:19:18,333
Woman: ALL RIGHTY,

291
00:19:18,333 --> 00:19:20,967
SO WE'RE GONNA NEED TO DO
SOME PHYSICAL THERAPY.

292
00:19:20,967 --> 00:19:22,767
ARE YOU READY FOR US?

293
00:19:22,767 --> 00:19:25,667
NO?
WHAT THAT A YES OR A NO?

294
00:19:25,667 --> 00:19:27,700
NOT YET?

295
00:19:32,433 --> 00:19:33,900
Marla: THEY NEED TO UNDERSTAND

296
00:19:33,900 --> 00:19:35,800
THAT IT HAS TO HAPPEN
IN MY OWN TIME.

297
00:19:35,800 --> 00:19:39,200
ALL RIGHT, MISS MARLA,
I'LL SEE YOU LATER, OKAY?

298
00:19:39,200 --> 00:19:40,400
BYE.

299
00:19:40,400 --> 00:19:42,633
OKAY.

300
00:19:42,633 --> 00:19:46,400
SKIPPING
PHYSICAL THERAPY.

301
00:19:46,400 --> 00:19:47,933
MAMA, WHAT DID I SAY?

302
00:19:50,433 --> 00:19:52,533
Sierra:
I JUST STARTED NOTICING TODAY

303
00:19:52,533 --> 00:19:55,067
THAT MY MAMA'S
REALLY NOT TRYING HER HARDEST.

304
00:19:55,067 --> 00:19:59,633
IT'S REALLY FRUSTRATING FOR ME
TO WATCH HER BEING LIKE THIS.

305
00:19:59,633 --> 00:20:02,433
I CAME DOWN HERE TO HELP HER
AND TO BETTER OUR RELATIONSHIP.

306
00:20:10,533 --> 00:20:14,067
THESE LAST TWO MONTHS,
IT'S BEEN HELL, SIERRA.

307
00:20:14,067 --> 00:20:16,667
YOU'RE SUPPOSED TO BE
ON THIS WITH ME.

308
00:20:26,600 --> 00:20:28,567
...SHE'S NOT CHANGING AT ALL.

309
00:20:28,567 --> 00:20:30,267
YOU NEED TO WORK ON
YOUR ATTITUDE.

310
00:20:34,100 --> 00:20:37,867
I JUST FEEL LIKE IF SHE DON'T
PUT FORWARD THE EFFORT,

311
00:20:37,867 --> 00:20:40,233
I HAVE NO MORE HELP FOR MY MOM.

312
00:20:47,067 --> 00:20:49,800
Dr. Nowzaradan:
WE HAVE A SITUATION

313
00:20:49,800 --> 00:20:52,100
THAT HAS BEEN DEVELOPING
WITH MARLA.

314
00:20:52,100 --> 00:20:55,767
SHE HAS NOT BEEN ABLE
TO GET UP AND STAND,

315
00:20:55,767 --> 00:20:58,700
AND SHE HAS BEEN REFUSING
TO DO PHYSICAL THERAPY.

316
00:20:58,700 --> 00:21:04,267
WE HAVE TO GET MARLA UP
AND WALKING AS SOON AS POSSIBLE.

317
00:21:04,267 --> 00:21:06,067
SHE DOESN'T SEEM TO UNDERSTAND

318
00:21:06,067 --> 00:21:10,300
JUST HOW SERIOUS
THE SITUATION IS.

319
00:21:10,300 --> 00:21:12,200
HOW ARE YOU ALL DOING?

320
00:21:12,200 --> 00:21:13,867
Marla: ALL RIGHT.

321
00:21:13,867 --> 00:21:17,700
SO, HOW WAS YOUR DAY
WITH THE PHYSICAL THERAPY?

322
00:21:17,700 --> 00:21:18,933
WE STILL DIDN'T STAND,

323
00:21:18,933 --> 00:21:21,367
AND WE'RE GONNA TRY TO STAND
HE SAID SUNDAY.

324
00:21:21,367 --> 00:21:24,633
WHAT SEEMS TO BE THE ISSUE
WITH STANDING UP?

325
00:21:24,633 --> 00:21:26,400
THE PAIN.

326
00:21:26,400 --> 00:21:28,867
WHAT'S GONNA HAPPEN SUNDAY
WITH YOUR PAIN?

327
00:21:28,867 --> 00:21:30,200
UM...

328
00:21:30,200 --> 00:21:31,867
OKAY.

329
00:21:31,867 --> 00:21:34,333
SO, NOTHING IS GONNA HAPPEN
BETWEEN NOW AND SUNDAY.

330
00:21:34,333 --> 00:21:37,700
TOMORROW, PHYSICAL THERAPY
IS COMING BACK HERE TO SEE YOU.

331
00:21:37,700 --> 00:21:39,667
YOU'RE GOING TO GET TODAY
TO FEEL BAD,

332
00:21:39,667 --> 00:21:41,800
AND THEY'RE GONNA HELP YOU
TO STAND UP.

333
00:21:41,800 --> 00:21:43,467
YOU GOT IT?

334
00:21:43,467 --> 00:21:45,633
ALL RIGHT.

335
00:21:45,633 --> 00:21:48,833
Marla: I DON'T APPRECIATE
THE DOCTOR'S ATTITUDE.

336
00:21:48,833 --> 00:21:53,667
HE JUST -- HE DOESN'T UNDERSTAND
I JUST CAN'T DO IT.

337
00:21:53,667 --> 00:21:55,500
Dr. Nowzaradan:
MARLA'S CONVINCED HERSELF

338
00:21:55,500 --> 00:21:57,067
THAT SHE CANNOT WALK.

339
00:21:57,067 --> 00:22:01,233
THE REALITY IS THAT
SHE DOESN'T WANT TO WALK.

340
00:22:01,233 --> 00:22:04,567
IF SHE WANTS TO BE HERE,
SHE HAS TO TRY.

341
00:22:04,567 --> 00:22:06,067
IT IS THAT SIMPLE.

342
00:22:06,067 --> 00:22:07,233
AND THERE IS NO REASON

343
00:22:07,233 --> 00:22:10,400
SHE SHOULDN'T BE
UP AND WALKING BY NOW.

344
00:22:23,533 --> 00:22:24,933
HI.
HI.

345
00:22:24,933 --> 00:22:27,667
Dr. Nowzaradan:
WHEN SOMEONE'S BECOMES IMMOBILE,

346
00:22:27,667 --> 00:22:30,567
THEY GET USED TO OTHERS
DOING EVERYTHING FOR THEM.

347
00:22:30,567 --> 00:22:31,933
ALL RIGHT, ARE WE READY?

348
00:22:31,933 --> 00:22:34,333
THAT CAN BE A TOUGH DYNAMIC
TO CHANGE...

349
00:22:34,333 --> 00:22:35,500
YOU READY?
YEAH.

350
00:22:35,500 --> 00:22:37,167
OKAY, I'M GONNA BRING
THIS ONE FIRST.

351
00:22:37,167 --> 00:22:41,100
Dr. Nowzaradan: ...BUT WE'RE
GOING TO DO WHAT WE CAN TO TRY.

352
00:22:41,100 --> 00:22:42,933
YOU READY?
ALL RIGHT.

353
00:22:42,933 --> 00:22:45,067
THE REST WILL BE UP TO MARLA.

354
00:22:49,500 --> 00:22:50,867
THERE YOU GO.

355
00:22:50,867 --> 00:22:53,700
VERY GOOD.

356
00:22:53,700 --> 00:22:59,900
THE LAST TIME I SAW MY MAMA WALK
WAS A YEAR AGO.

357
00:22:59,900 --> 00:23:01,400
[ SIGHS ]

358
00:23:01,400 --> 00:23:04,067
Sierra: I'M REALLY GLAD
MY MAMA'S AT LEAST TRYING TODAY.

359
00:23:05,567 --> 00:23:09,400
1, 2, 3.

360
00:23:09,400 --> 00:23:12,733
PUSH!
WHOA! AAH!

361
00:23:12,733 --> 00:23:14,467
AAH! I'M FALLING!
PLEASE!

362
00:23:14,467 --> 00:23:17,067
IT'S OKAY. WE GOT YOU.
OH! AH!

363
00:23:17,067 --> 00:23:18,600
ALL RIGHT.

364
00:23:18,600 --> 00:23:20,900
PUSH ME BACK, PLEASE.
IT'S OKAY. WE GOT YOU.

365
00:23:20,900 --> 00:23:22,333
YOU OKAY, MISS McCANTS?

366
00:23:22,333 --> 00:23:24,067
READY FOR US
TO GET YOU INTO BED?

367
00:23:24,067 --> 00:23:28,267
IF MARLA WON'T GET UP,
THEN WE CAN'T TREAT HER.

368
00:23:28,267 --> 00:23:32,067
SHE CANNOT CONTINUE LIKE THIS.

369
00:23:32,067 --> 00:23:34,867
THIS IS
A LIFE AND DEATH SITUATION.

370
00:23:54,700 --> 00:23:58,400
Dr. Nowzaradan: MARLA HAS TO
START LOSING MORE WEIGHT

371
00:23:58,400 --> 00:23:59,700
AND NEEDS TO GET UP AND WALK.

372
00:23:59,700 --> 00:24:03,133
IF SHE DOESN'T,
SHE'S GOING TO DIE SOON.

373
00:24:03,133 --> 00:24:07,400
SO WE HAVE TO SOMETHING,
AND AT THIS POINT,

374
00:24:07,400 --> 00:24:11,467
I'M GOING TO GO AHEAD
AND PERFORM WEIGHT-LOSS SURGERY

375
00:24:11,467 --> 00:24:13,900
BECAUSE OUTSIDE OF THIS,
SHE HAS NO HOPE.

376
00:24:13,900 --> 00:24:16,067
ARE YOU READY FOR
YOUR WEIGHT-LOSS SURGERY TODAY?

377
00:24:16,067 --> 00:24:17,367
YES, I AM.

378
00:24:17,367 --> 00:24:19,200
HOPEFULLY, WE'RE GOING TO
GET YOU UP AND WALKING...

379
00:24:19,200 --> 00:24:20,233
MM-HMM.

380
00:24:20,233 --> 00:24:21,900
...IN A SHORT PERIOD
OF TIME.

381
00:24:21,900 --> 00:24:23,533
RIGHT.
OKAY?

382
00:24:27,767 --> 00:24:30,633
DON'T YOU START CRYING.

383
00:24:30,633 --> 00:24:33,800
SINCE SHE HASN'T BEEN ABLE
TO STAND UP AND WALK,

384
00:24:33,800 --> 00:24:36,067
WE STILL DON'T HAVE
A WEIGHT ON HER.

385
00:24:36,067 --> 00:24:39,533
SO WE HAVE NO IDEA
WHAT HER PROGRESS MAY BE.

386
00:24:42,233 --> 00:24:45,200
HER RECOVERY
WILL BE A LOT MORE RISKY

387
00:24:45,200 --> 00:24:47,133
IF SHE DOESN'T GET UP

388
00:24:47,133 --> 00:24:49,867
AND PREVENT MORE BLOOD CLOTS
FROM FORMING.

389
00:24:49,867 --> 00:24:51,500
ALL RIGHT.

390
00:24:51,500 --> 00:24:53,700
BUT SHE'S RUNNING OUT OF TIME,

391
00:24:53,700 --> 00:24:55,100
AND WE HAVE TO GET
HER WEIGHT DOWN.

392
00:24:57,933 --> 00:25:00,133
[ SOBBING ]

393
00:25:02,867 --> 00:25:06,667
Dr. Nowzaradan: SOME SORT OF
MEDICAL INTERVENTION LIKE THIS

394
00:25:06,667 --> 00:25:08,067
IS HER LAST HOPE.

395
00:25:08,067 --> 00:25:09,800
[ INDISTINCT CONVERSATIONS ]

396
00:25:16,367 --> 00:25:19,500
1, 2, 3.

397
00:25:19,500 --> 00:25:21,333
JUST RELAX YOUR HEAD BACK.

398
00:25:24,533 --> 00:25:28,067
Dr. Nowzaradan: MARLA IS
ONE OF THE LARGER PATIENTS

399
00:25:28,067 --> 00:25:30,767
WE HAVE DONE
GASTRIC BYPASS SURGERY.

400
00:25:30,767 --> 00:25:35,467
WE ESTIMATED PROBABLY MARLA IS
AROUND 700 TO 800 POUNDS.

401
00:25:44,067 --> 00:25:47,967
GO AHEAD AND TURN
THE ROOM LIGHTS OFF.

402
00:25:47,967 --> 00:25:50,167
WE HAVE TO BE VERY CAREFUL

403
00:25:50,167 --> 00:25:52,967
NOT TO PUT TOO MUCH STRAIN
ON THEIR BODIES.

404
00:25:52,967 --> 00:25:56,467
ALL RIGHT, SO NOW
WE STARTED DOING THE BYPASS.

405
00:26:03,500 --> 00:26:06,467
THE STOMACH IS
AS BIG AS A WATERMELON.

406
00:26:14,700 --> 00:26:17,167
THIS WILL GIVE THE OPPORTUNITY

407
00:26:17,167 --> 00:26:18,733
FOR THE PERSON
TO EAT SMALL AMOUNTS

408
00:26:18,733 --> 00:26:21,367
AND START LOSING WEIGHT.

409
00:26:21,367 --> 00:26:24,067
ALL RIGHT, THAT LOOKS GOOD.

410
00:26:24,067 --> 00:26:25,200
ROOM LIGHT ON, PLEASE.

411
00:26:25,200 --> 00:26:27,400
CLOSE HER UP.

412
00:26:29,200 --> 00:26:31,767
EVERYTHING LOOK GOOD?

413
00:26:31,767 --> 00:26:34,167
MARLA'S SURGERY WENT VERY WELL.

414
00:26:34,167 --> 00:26:36,267
THERE WERE NO COMPLICATIONS,

415
00:26:36,267 --> 00:26:39,467
AND MARLA IS GOING TO RECOVERY
RIGHT NOW.

416
00:26:39,467 --> 00:26:42,833
THIS BYPASS SHOULD HELP HER
TO LOSE WEIGHT

417
00:26:42,833 --> 00:26:45,200
SO SHE CAN GET UP AND WALK.

418
00:26:45,200 --> 00:26:47,167
WE'RE IN RECOVERY HERE,
OKAY?

419
00:26:47,167 --> 00:26:49,800
SHE'S GONNA HAVE TO MOVE AROUND
AFTER SURGERY

420
00:26:49,800 --> 00:26:51,700
WHETHER SHE WANTS OR NOT.

421
00:27:13,667 --> 00:27:17,933
WHAT IS THE PAIN LEVEL 1 TO 10,
10 IS THE HIGHEST.

422
00:27:17,933 --> 00:27:20,900
WHAT'S YOUR NUMBER?

423
00:27:20,900 --> 00:27:22,467
HUH?

424
00:27:33,100 --> 00:27:37,367
AT THIS POINT,
I'M VERY CONCERNED ABOUT MARLA.

425
00:27:39,067 --> 00:27:43,133
RECOVERING, BUT SHE STILL
WON'T GET UP AND WALK.

426
00:27:43,133 --> 00:27:46,733
THIS IS
A LIFE AND DEATH SITUATION,

427
00:27:46,733 --> 00:27:49,067
AND SHE'S NOT EVEN TRYING.

428
00:27:53,933 --> 00:27:57,133
SHE EXPECTS EVERYONE
TO DO WHAT SHE NEEDS,

429
00:27:57,133 --> 00:27:59,600
SO WE ARE HAVING TO DO IT
FOR HER.

430
00:27:59,600 --> 00:28:01,333
LET ME RAISE YOUR LEG.

431
00:28:01,333 --> 00:28:04,367
WE CAN'T LET HER
RISK HER LIFE LIKE THIS.

432
00:28:04,367 --> 00:28:08,900
THE PHYSICAL THERAPISTS
WILL HAVE TO MOVE HER LEG AROUND

433
00:28:08,900 --> 00:28:11,633
SO SHE WILL NOT DEVELOP
ANY MORE CLOTS.

434
00:28:11,633 --> 00:28:15,400
BUT IF THIS IS HOW
MARLA WANTS TO BEHAVE,

435
00:28:15,400 --> 00:28:19,300
THEN THERE IS NO REASON
TO KEEP HER HERE.

436
00:28:19,300 --> 00:28:20,733
4...

437
00:28:20,733 --> 00:28:22,833
ONCE SHE'S FULLY RECOVERED
FROM SURGERY,

438
00:28:22,833 --> 00:28:26,400
SHE HAS TO GET UP
AND TRY TO WALK.

439
00:28:26,400 --> 00:28:29,500
IF SHE DOESN'T WANT TO COOPERATE
WITH THE PROGRAM,

440
00:28:29,500 --> 00:28:31,533
I'M GOING TO REMOVE HER
FROM THE HOSPITAL

441
00:28:31,533 --> 00:28:33,167
AND SEND HER HOME

442
00:28:33,167 --> 00:28:36,900
BECAUSE THERE WILL BE NOTHING
MORE WE CAN DO FOR HER HERE.

443
00:28:56,533 --> 00:28:59,567
THERE IS NO REASON
FOR MARLA TO CHOOSE

444
00:28:59,567 --> 00:29:02,200
NOT GET UP FROM HER BED
RIGHT NOW.

445
00:29:03,567 --> 00:29:06,567
IF SHE DOESN'T WANT
TO GET UP AND WALK,

446
00:29:06,567 --> 00:29:08,700
THEN WE WILL HAVE TO
SEND HER HOME.

447
00:29:08,700 --> 00:29:11,067
THE CHOICE IS HERS.

448
00:29:12,567 --> 00:29:15,467
MARLA, CAN YOU SIT UP?

449
00:29:15,467 --> 00:29:19,600
YOU HAVE TO MAKE PROGRESS,

450
00:29:19,600 --> 00:29:23,667
AND THERE'S ABSOLUTELY NO REASON
FOR YOU NOT TO BE ABLE TO WALK.

451
00:29:28,500 --> 00:29:29,733
HUH?
NO.

452
00:29:29,733 --> 00:29:31,933
WHY NOT?
'CAUSE I DON'T FEEL GOOD.

453
00:29:31,933 --> 00:29:33,100
WHY ARE YOU
NOT FEELING GOOD?

454
00:29:35,600 --> 00:29:36,900
WHERE IN YOUR LEG HURTS?

455
00:29:36,900 --> 00:29:37,967
YOU DON'T UNDERSTAND,

456
00:29:37,967 --> 00:29:39,600
AND I DON'T WANT TO
ARGUE WITH YOU.

457
00:29:39,600 --> 00:29:43,300
I HEARD A LOT OF THINGS
BUT NOT THIS KIND OF EXCUSE.

458
00:29:43,300 --> 00:29:46,700
YOU NEED TO BE PROACTIVE
FOR YOURSELF,

459
00:29:46,700 --> 00:29:49,933
AND YOU NEED TO GET UP
AND WALK.

460
00:29:49,933 --> 00:29:54,267
Dr. Nowzaradan: MARLA IS
DEMONSTRATING VERY POOR ATTITUDE

461
00:29:54,267 --> 00:29:56,067
AND VERY POOR RESPONSE.

462
00:29:56,067 --> 00:29:59,567
THIS IS A VERY DYSFUNCTIONAL
BEHAVIOR,

463
00:29:59,567 --> 00:30:03,100
BUT THIS IS TYPICAL FOR MARLA.

464
00:30:03,100 --> 00:30:04,800
DON'T GIVE US ATTITUDE.

465
00:30:04,800 --> 00:30:06,633
WE'RE TRYING TO HELP YOU,

466
00:30:06,633 --> 00:30:08,967
AND YOU DIDN'T RESPOND TO IT,
OKAY?

467
00:30:08,967 --> 00:30:12,133
SO, THIS IS THE LAST TIME
I'M TELLING YOU.

468
00:30:12,133 --> 00:30:14,400
[ SIGHS ]

469
00:30:14,400 --> 00:30:16,533
WHY ARE YOU
GIVING US ATTITUDE?

470
00:30:16,533 --> 00:30:18,633
WE'RE TRYING HERE
TO HELP YOU.

471
00:30:18,633 --> 00:30:20,600
GET UP AND GET ON THERE

472
00:30:20,600 --> 00:30:23,000
AND DO WHAT YOU NEED TO DO
TO WALK.

473
00:30:29,367 --> 00:30:31,067
Sierra: ALL YOU GOT TO DO
IS STAND UP.

474
00:30:31,067 --> 00:30:33,433
YOU'RE SITTING THERE
SAYING DON'T TOUCH YOU.

475
00:30:33,433 --> 00:30:34,933
DON'T TOUCH YOU FOR WHAT,
MAMA?

476
00:30:34,933 --> 00:30:36,767
DON'T TOUCH ME.

477
00:30:40,267 --> 00:30:41,867
MAMA.

478
00:30:41,867 --> 00:30:44,267
IS SHE ALWAYS
LIKE THAT AT HOME?

479
00:30:44,267 --> 00:30:45,333
YES.

480
00:30:46,600 --> 00:30:49,867
IF SHE'S STUBBORN LIKE THAT
AND SHE ACTS LIKE A KID,

481
00:30:49,867 --> 00:30:51,733
YOU TREAT HER LIKE A KID.

482
00:30:51,733 --> 00:30:52,867
DON'T BRING HER ANYTHING.

483
00:30:52,867 --> 00:30:55,400
IF SHE WANTS WATER,
GET UP AND GET IT YOURSELF.

484
00:30:55,400 --> 00:30:57,467
SHE WANTS FOOD,
GET IT YOURSELF.

485
00:30:57,467 --> 00:31:01,100
THIS IS A VERY BAD BEHAVIOR,
AND YOU SHOULDN'T REWARD IT.

486
00:31:01,100 --> 00:31:03,200
IF YOU DO THAT TO YOUR KID
A COUPLE TIMES,

487
00:31:03,200 --> 00:31:05,067
THEY UNDERSTAND
WHAT THE RULES ARE.

488
00:31:08,300 --> 00:31:11,300
Dr. Nowzaradan:
DID YOU HEAR THAT?

489
00:31:11,300 --> 00:31:14,300
MARLA, YOU'RE JUST PLAYING
A GAME WITH US.

490
00:31:14,300 --> 00:31:16,600
I'M GLAD YOU THINK
I'M PLAYING A GAME.

491
00:31:16,600 --> 00:31:18,200
YEAH, YOU ARE.
OKAY.

492
00:31:18,200 --> 00:31:22,100
Dr. Nowzaradan: MARLA IS
THROWING A TANTRUM RIGHT NOW.

493
00:31:22,100 --> 00:31:24,933
BAD BEHAVIOR --
YOU NEED TO HAVE REPERCUSSIONS.

494
00:31:24,933 --> 00:31:26,767
AT THIS POINT,

495
00:31:26,767 --> 00:31:29,400
THERE IS NO REASON FOR MARLA
TO BE HERE ANY LONGER.

496
00:31:30,833 --> 00:31:32,667
SHE HAS MADE HER CHOICE,

497
00:31:32,667 --> 00:31:35,633
AND HER CHOICE IS
TO STAY IN BED.

498
00:31:37,800 --> 00:31:42,300
UNFORTUNATELY, SHE CAN'T SURVIVE
MUCH LONGER LIKE THIS.

499
00:31:42,300 --> 00:31:44,600
MAMA, WHAT DID YOU
COME DOWN HERE FOR?

500
00:31:46,367 --> 00:31:48,500
WHAT DID YOU COME
DOWN HERE FOR, MA?

501
00:31:50,100 --> 00:31:52,667
Sierra: I'M REALLY IRRITATED
WITH MY MOM RIGHT NOW.

502
00:31:52,667 --> 00:31:57,100
I DON'T THINK OUR RELATIONSHIP
IS GONNA GET BETTER AFTER TODAY.

503
00:31:57,100 --> 00:31:58,900
SHE DIDN'T EVEN TRY.

504
00:32:01,100 --> 00:32:04,067
ONLY WAY SHE CAN FIX THIS,
IF SHE GETS UP AND WALK.

505
00:32:04,067 --> 00:32:05,700
OTHERWISE,
I'M NOT GONNA COME BACK.

506
00:32:05,700 --> 00:32:07,467
WE DON'T HAVE
NO RELATIONSHIP ANYMORE.

507
00:32:07,467 --> 00:32:09,567
IT'S JUST A WASTE OF MY TIME.

508
00:32:09,567 --> 00:32:11,133
[ SNIFFLES ]

509
00:32:12,833 --> 00:32:15,433
IT'S A WASTE OF MY TIME
COMING DOWN HERE.

510
00:32:39,533 --> 00:32:41,367
Dr. Nowzaradan:
MARLA HAS LEARNED

511
00:32:41,367 --> 00:32:43,433
HOW TO MANIPULATE
THE SYSTEM AROUND HER

512
00:32:43,433 --> 00:32:45,467
AND GET EVERYBODY
TO DO EVERYTHING FOR HER.

513
00:32:45,467 --> 00:32:47,167
HELLO.

514
00:32:47,167 --> 00:32:50,300
I'M HOPING THAT SENDING HER HOME
WILL BE A WAKE-UP CALL.

515
00:32:52,100 --> 00:32:56,367
BUT THAT WILL ALL DEPEND
ON SIERRA.

516
00:32:56,367 --> 00:33:01,067
IF SHE KEEPS DOING EVERYTHING
FOR HER MOTHER AT HOME,

517
00:33:01,067 --> 00:33:03,067
THEN NOTHING WILL CHANGE.

518
00:33:04,767 --> 00:33:09,067
SHE HAS TO LEARN
TO TELL HER MOTHER NO

519
00:33:09,067 --> 00:33:12,133
SO THAT SHE WILL START
TO REALIZE

520
00:33:12,133 --> 00:33:15,967
PEOPLE WILL NO LONGER
DO EVERYTHING FOR HER.

521
00:33:16,867 --> 00:33:20,800
HOPEFULLY, SHE WILL START
TO HAVE A DIFFERENT PERSPECTIVE

522
00:33:20,800 --> 00:33:23,200
ON THINGS SOON.

523
00:33:25,167 --> 00:33:28,267
Marla: I HAVE BEEN PUSHED
FOR FOUR OR FIVE MONTHS,

524
00:33:28,267 --> 00:33:29,900
AND I'M READY FOR A BREAK.

525
00:33:29,900 --> 00:33:35,067
SIERRA MOVED INTO AN APARTMENT
WHEN WE CAME TO HOUSTON,

526
00:33:35,067 --> 00:33:39,533
SO I'M GONNA MOVE IN WITH HER
WHILE I'M RECOVERING.

527
00:33:41,700 --> 00:33:45,067
I JUST NEED MY OWN SPACE
AND MY OWN TIME.

528
00:33:45,067 --> 00:33:46,067
WE GOT IT.

529
00:33:46,067 --> 00:33:47,367
ALL RIGHT?
YEP.

530
00:33:47,367 --> 00:33:50,900
WATCH HER ELBOWS 'CAUSE
WE DON'T WANT TO GET CLOSE.

531
00:33:50,900 --> 00:33:54,067
I CAN MAKE HEALTHY CHOICES
ON MY OWN.

532
00:33:54,067 --> 00:33:55,233
THANK YOU.

533
00:33:55,233 --> 00:33:56,500
I CAN THIS MUCH BETTER

534
00:33:56,500 --> 00:33:59,367
WITHOUT EVERYONE
ALWAYS PUSHING ME

535
00:33:59,367 --> 00:34:01,767
TO DO THINGS BEFORE I'M READY.

536
00:34:01,767 --> 00:34:04,567
HOME SWEET HOME.

537
00:34:04,567 --> 00:34:07,433
I KNOW I'LL DO A LOT BETTER
ON MY OWN.

538
00:34:16,300 --> 00:34:20,067
IT'S BEEN
A HARD COUPLE OF MONTHS.

539
00:34:20,067 --> 00:34:24,233
I REALLY HAVEN'T HAD THE ENERGY
TO GET UP AND TRY TO WALK.

540
00:34:24,233 --> 00:34:27,500
MY LEGS HAVE BEEN HURTING
A WHOLE LOT.

541
00:34:27,500 --> 00:34:30,733
I KNOW MY LIMITS,
AND I'M NOT READY.

542
00:34:37,967 --> 00:34:41,100
Sierra: IT'S BEEN REALLY HARD.

543
00:34:41,100 --> 00:34:43,333
MY MOM STILL ASKS ME
FOR EVERYTHING.

544
00:34:43,333 --> 00:34:44,967
WHAT?

545
00:34:51,633 --> 00:34:55,133
SHE DOESN'T PUT ANY EFFORT
INTO TRYING TO WALK.

546
00:34:56,833 --> 00:34:59,400
I'M JUST REALLY CONCERNED
RIGHT NOW.

547
00:34:59,400 --> 00:35:00,733
HERE YOU ARE.

548
00:35:00,733 --> 00:35:02,533
MM, THANKS.

549
00:35:02,533 --> 00:35:04,267
MAMA.

550
00:35:05,833 --> 00:35:07,533
MNH-MNH.

551
00:35:09,500 --> 00:35:10,967
YEAH.

552
00:35:14,333 --> 00:35:16,467
[ LAUGHS ]

553
00:35:19,900 --> 00:35:21,200
BACK UP.

554
00:35:21,200 --> 00:35:25,400
Sierra:
I DON'T KNOW WHAT TO DO.

555
00:35:25,400 --> 00:35:27,567
I THOUGHT THE SURGERY
WAS GONNA CHANGE

556
00:35:27,567 --> 00:35:29,567
HER WHOLE MIND-SET
AND EVERYTHING.

557
00:35:29,567 --> 00:35:32,233
I THOUGHT SHE WAS GONNA BE
A WHOLE NEW PERSON,

558
00:35:32,233 --> 00:35:35,900
BUT I FEEL LIKE
SHE'S NOT CHANGING AT ALL.

559
00:35:35,900 --> 00:35:38,067
HER LIFE DEPENDS ON THIS,

560
00:35:38,067 --> 00:35:41,567
AND I FEEL LIKE SHE'S
THROWING IT ALL AWAY RIGHT NOW.

561
00:36:00,933 --> 00:36:05,233
MY MOM CAN'T KEEP DOING THIS.

562
00:36:05,233 --> 00:36:09,200
I KNOW SHE'S GONNA DIE SOON
IF THAT'S THE CASE.

563
00:36:09,200 --> 00:36:12,200
HEY, IS THIS DR. NOW'S OFFICE?

564
00:36:12,200 --> 00:36:16,067
YES, CAN I LEAVE HIM A MESSAGE?

565
00:36:16,067 --> 00:36:18,600
HEY, DR. NOW, THIS IS SIERRA,
MARLA'S DAUGHTER.

566
00:36:18,600 --> 00:36:21,367
SHE REALLY HASN'T BEEN FOLLOWING
THE ORDERS YOU GAVE HER

567
00:36:21,367 --> 00:36:22,733
ONCE SHE LEFT THE HOSPITAL.

568
00:36:22,733 --> 00:36:24,767
SHE'S NOT MAKING AN EFFORT
TO STAND UP,

569
00:36:24,767 --> 00:36:27,133
SO I'M JUST REALLY, REALLY
CONCERNED ABOUT HER.

570
00:36:27,133 --> 00:36:29,100
CAN YOU PLEASE TALK TO HER
WHEN YOU GET A CHANCE?

571
00:36:29,100 --> 00:36:30,267
THANK YOU.

572
00:36:33,433 --> 00:36:36,800
I'M REALLY SCARED MY MOM
DOESN'T HAVE MUCH MORE TIME.

573
00:36:42,400 --> 00:36:46,067
Dr. Nowzaradan:
ACCORDING TO MARLA'S DAUGHTER,

574
00:36:46,067 --> 00:36:49,367
MARLA HASN'T BEEN
GETTING UP AND WALKING

575
00:36:49,367 --> 00:36:52,700
AND SHE HAS BEEN STAYING IN BED
FOR THE PAST FOUR MONTHS.

576
00:36:52,700 --> 00:36:57,067
SIERRA IS CONCERNED THAT HER
MOTHER IS RUNNING OUT OF TIME.

577
00:36:57,067 --> 00:36:59,733
I'M NOT BRINGING MARLA BACK
TO THE HOSPITAL

578
00:36:59,733 --> 00:37:02,133
UNTIL I KNOW
THAT SHE'S COOPERATING.

579
00:37:02,133 --> 00:37:05,067
SO MY ONLY OPTION
IS TO GO TO HER

580
00:37:05,067 --> 00:37:07,900
AND TRY TO GET HER
UP AND WALKING.

581
00:37:07,900 --> 00:37:10,100
SIERRA IS RIGHT --

582
00:37:10,100 --> 00:37:13,100
MARLA IS RUNNING OUT OF TIME.

583
00:37:13,100 --> 00:37:15,533
SHE NEEDS TO DO THIS NOW.

584
00:37:15,533 --> 00:37:17,767
HELLO.
HOW ARE Y'ALL DOING?

585
00:37:17,767 --> 00:37:19,367
GOOD.

586
00:37:19,367 --> 00:37:22,167
SO, IT SEEMS LIKE
SINCE YOU LEFT THE HOSPITAL,

587
00:37:22,167 --> 00:37:24,333
YOU HAVEN'T LOST
MUCH WEIGHT, HUH?

588
00:37:24,333 --> 00:37:27,067
I'VE LOST A LOT OF WEIGHT.

589
00:37:27,067 --> 00:37:28,800
BUT NOT SINCE
YOU LEFT THE HOSPITAL.

590
00:37:28,800 --> 00:37:33,633
SO IF WE GET A COUPLE OF E.M.T.,
WE CAN HELP YOU TO STAND UP?

591
00:37:37,667 --> 00:37:40,967
YEAH. I'LL TRY.

592
00:37:40,967 --> 00:37:43,367
THIS IS DR. NOWZARADAN.

593
00:37:43,367 --> 00:37:47,067
I WONDER IF YOU CAN COME HELP
TO GET MARLA UP.

594
00:37:47,067 --> 00:37:49,100
MAN: Okay.
ALL RIGHT, THANKS.

595
00:37:49,100 --> 00:37:51,800
ALL RIGHT,
SO I CALLED THE E.M.T.

596
00:37:51,800 --> 00:37:54,667
THEY'RE COMING TO HELP US
WITH THAT.

597
00:37:54,667 --> 00:37:57,500
Marla: I HATE THIS.

598
00:37:57,500 --> 00:38:00,067
I REALLY FEEL LIKE
I'M BEING PUSHED

599
00:38:00,067 --> 00:38:02,867
TO DO SOMETHING
THAT I'M NOT READY TO DO.

600
00:38:02,867 --> 00:38:07,067
Dr. Nowzaradan:
THIS IS MARLA'S LAST CHANCE.

601
00:38:07,067 --> 00:38:10,833
IF SHE DOESN'T GET UP RIGHT NOW,
THEN SHE HAS FAILED

602
00:38:10,833 --> 00:38:14,533
AND THERE IS NOTHING
WE CAN DO FOR HER.

603
00:38:14,533 --> 00:38:16,533
HEY,
THANKS FOR COMING BY.

604
00:38:16,533 --> 00:38:18,533
SO, WE WANT TO GET HER UP.

605
00:38:18,533 --> 00:38:21,067
IF YOU JUST SLIDE
THIS LEG...

606
00:38:21,067 --> 00:38:22,633
OKAY, BRING THAT LEG.

607
00:38:22,633 --> 00:38:23,867
OH!

608
00:38:23,867 --> 00:38:25,600
AAAH!

609
00:38:25,600 --> 00:38:29,100
MY LEGS ARE NOT GONNA BE ABLE
TO HANDLE THIS.

610
00:38:29,100 --> 00:38:32,367
THERE IS NO WAY
I'M GONNA BE ABLE TO DO THIS.

611
00:38:51,867 --> 00:38:55,900
Dr. Nowzaradan:
THIS IS MARLA'S LAST CHANCE.

612
00:38:55,900 --> 00:38:58,467
IF SHE DOESN'T STAND UP NOW,

613
00:38:58,467 --> 00:39:00,600
SHE'LL BE IN THIS BED
UNTIL SHE DIES.

614
00:39:05,267 --> 00:39:09,200
1, 2, 3.

615
00:39:09,200 --> 00:39:12,867
THERE WE GO.

616
00:39:12,867 --> 00:39:14,067
ALL RIGHT.

617
00:39:14,067 --> 00:39:16,333
KEEP PUSHING
YOUR WEIGHT ON IT.

618
00:39:16,333 --> 00:39:18,400
OH.
OKAY.

619
00:39:18,400 --> 00:39:20,433
ALL RIGHT.
OKAY.

620
00:39:20,433 --> 00:39:21,567
GOOD JOB, MARLA.

621
00:39:21,567 --> 00:39:22,733
YEAH.

622
00:39:22,733 --> 00:39:25,067
I DIDN'T THINK
I COULD GET UP.

623
00:39:25,067 --> 00:39:26,633
YOU WANT TO TRY IT AGAIN?

624
00:39:26,633 --> 00:39:28,567
YEAH, WE CAN.

625
00:39:28,567 --> 00:39:30,733
Dr. Nowzaradan: WHEN A PATIENT
CONVINCES THEMSELVES

626
00:39:30,733 --> 00:39:33,767
THEY CANNOT DO SOMETHING,
THEY ARE SCARED TO EVEN TRY.

627
00:39:33,767 --> 00:39:35,167
PUT YOUR WEIGHT IN MORE.

628
00:39:35,167 --> 00:39:38,067
BUT IF YOU SHOW THEM THEY CAN,

629
00:39:38,067 --> 00:39:40,967
THEY WILL USUALLY START DOING IT
ON THEIR OWN.

630
00:39:40,967 --> 00:39:42,567
OKAY.

631
00:39:42,567 --> 00:39:43,633
YOU'RE DOING GOOD.

632
00:39:43,633 --> 00:39:45,367
PUT YOUR WEIGHT
ON YOUR ARMS.

633
00:39:45,367 --> 00:39:46,400
OKAY.

634
00:39:46,400 --> 00:39:48,100
PUT YOUR WEIGHT
ON YOUR ARMS.

635
00:39:48,100 --> 00:39:50,600
I'M TRYING, SIERRA.
I'M TRYING.

636
00:39:50,600 --> 00:39:53,167
Dr. Nowzaradan: YOU JUST HAVE TO
GET THEM TO TRY ONCE

637
00:39:53,167 --> 00:39:56,767
AND SHOW THEM
THAT THEY ARE ABLE.

638
00:39:56,767 --> 00:40:00,200
Marla: FOR THE FIRST TIME
IN A LONG WHILE,

639
00:40:00,200 --> 00:40:03,000
I STOOD
ON MY OWN TWO FEET AGAIN.

640
00:40:03,000 --> 00:40:05,433
I'M GLAD TO SEE
THAT YOU'RE TRYING.

641
00:40:05,433 --> 00:40:07,567
I'M PROUD OF YOU
YOU'RE GIVING IT A SHOT.

642
00:40:07,567 --> 00:40:09,333
I DIDN'T THINK I COULD GET UP.

643
00:40:09,333 --> 00:40:12,333
I DIDN'T THINK MY LEGS WERE
GONNA HOLD UP, BUT THEY DID.

644
00:40:12,333 --> 00:40:15,133
Sierra: FOR HER TO GET UP TODAY
AND TO STAND,

645
00:40:15,133 --> 00:40:17,233
THAT MADE ME FEEL REALLY GOOD.

646
00:40:17,233 --> 00:40:18,667
LIKE, SHE'S TRYING.

647
00:40:18,667 --> 00:40:21,633
ONCE YOU GET ON YOUR FEET,
NOBODY CAN STOP YOU.

648
00:40:21,633 --> 00:40:23,100
[ LAUGHS ]

649
00:40:23,100 --> 00:40:27,033
Marla: THIS IS HUGE FOR ME.
I'M REALLY EXCITED RIGHT NOW.

650
00:40:27,033 --> 00:40:29,767
ALL RIGHT,
I'LL SEE YOU ALL LATER.

651
00:40:29,767 --> 00:40:33,133
I'M ENCOURAGED TO SEE HER TRYING
FOR THE FIRST TIME.

652
00:40:33,133 --> 00:40:37,100
AND HOPEFULLY WE CAN GET HER
IN THE HOSPITAL SOON

653
00:40:37,100 --> 00:40:41,133
AND TRY TO GET HER WEIGHED TO
SEE HOW MUCH PROGRESS SHE MADE.

654
00:40:46,633 --> 00:40:49,467
Marla: HERE I'M GET READY
TO DO MY LEG EXERCISES.

655
00:40:49,467 --> 00:40:51,133
2...

656
00:40:51,133 --> 00:40:52,333
GETTING UP AND STANDING

657
00:40:52,333 --> 00:40:55,567
IS ONE OF THE MOST ENCOURAGING
THINGS I'VE DONE.

658
00:40:55,567 --> 00:40:59,333
AND NOW I DON'T WANT TO STOP.

659
00:40:59,333 --> 00:41:02,167
I'M GONNA KEEP WORKING
AND DOING THIS

660
00:41:02,167 --> 00:41:04,667
AND MAKE AS MUCH PROGRESS
AS I CAN.

661
00:41:04,667 --> 00:41:06,467
I THINK I'VE COME A LONG WAY.

662
00:41:06,467 --> 00:41:08,633
DESPITE ALL THE SETBACKS
I HAVE,

663
00:41:08,633 --> 00:41:12,500
I'M STILL GONNA CONTINUE TO DO
WHAT I HAVE TO DO.

664
00:41:12,500 --> 00:41:14,067
I SEE THE DOCTOR SOON,

665
00:41:14,067 --> 00:41:16,800
AND I'M REALLY EXCITED TO SEE
WHAT I WEIGH.

666
00:41:23,533 --> 00:41:25,433
Woman:
SO, WHENEVER YOU'RE READY.

667
00:41:31,200 --> 00:41:32,400
THERE YOU GO.
KEEP GOING, KEEP GOING.

668
00:41:32,400 --> 00:41:33,467
KEEP GOING.
YOU'RE ALMOST THERE.

669
00:41:33,467 --> 00:41:34,700
KEEP GOING.
YOU'RE ALMOST THERE.

670
00:41:34,700 --> 00:41:35,767
ALL RIGHT.

671
00:41:35,767 --> 00:41:38,733
THERE YOU GO!

672
00:41:38,733 --> 00:41:40,567
GOOD JOB!
[ APPLAUSE ]

673
00:41:40,567 --> 00:41:42,800
Marla: I'M SO PROUD OF MYSELF.

674
00:41:42,800 --> 00:41:45,133
MAKES ME FEEL LIKE
I CAN DO ANYTHING.

675
00:41:45,133 --> 00:41:47,133
Dr. Nowzaradan:
ABOUT 300 POUNDS LESS, HUH?

676
00:41:47,133 --> 00:41:48,733
CAN YOU TELL THE DIFFERENCE?

677
00:41:48,733 --> 00:41:50,233
YEAH.

678
00:41:50,233 --> 00:41:52,067
JUST A LITTLE BIT, HUH?

679
00:41:52,067 --> 00:41:55,067
Dr. Nowzaradan: MARLA IS GOING
IN THE RIGHT DIRECTION,

680
00:41:55,067 --> 00:41:58,533
AND I'M CONFIDENT SHE'LL
BE ABLE TO KEEP MAKING PROGRESS.

681
00:41:58,533 --> 00:41:59,867
WONDERFUL.

682
00:41:59,867 --> 00:42:01,267
Woman: SHE DID REALLY GOOD.

683
00:42:01,267 --> 00:42:03,300
YOU'RE IN GOOD SHAPE.

684
00:42:03,300 --> 00:42:05,433
Marla: I REALIZED THAT
NO ONE WAS GONNA THIS FOR ME.

685
00:42:05,433 --> 00:42:07,433
I HAD TO DO IT MYSELF.

686
00:42:07,433 --> 00:42:10,267
I GOT MYSELF IN IT.
I CAN GET MYSELF OUT OF IT.

687
00:42:11,633 --> 00:42:15,600
IT'S A WONDERFUL FEELING.

688
00:42:15,600 --> 00:42:18,767
Sierra: I'M ENCOURAGED
THAT SHE'S LOSING WEIGHT,

689
00:42:18,767 --> 00:42:19,967
AND I'M HAPPY FOR HER.

690
00:42:19,967 --> 00:42:22,733
I'M HOPEFUL,
AND I'M LOOKING FORWARD

691
00:42:22,733 --> 00:42:25,067
TO HAVING
A GREAT RELATIONSHIP WITH HER.

692
00:42:25,067 --> 00:42:27,433
Marla:
IT TOOK A WHILE TO GET HERE,

693
00:42:27,433 --> 00:42:29,933
BUT NOW NOTHING'S GONNA STOP ME.

694
00:42:29,933 --> 00:42:33,233
AND I'M TRULY SO THANKFUL.