All language subtitles for My 600-lb Life S08E12

Coliesa: ONE OF THESE DAYS, I'M
REALLY JUST NOT GONNA WAKE UP.

MY KIDS ARE GONNA COME IN
AND FIND ME DEAD.

Woman:
SOMEWHERE IN ME IS
THIS LITTLE GLIMMER OF HOPE.

I JUST WANT TO BE
A NORMAL PERSON.

YOU CAN'T DO IT,
AND THEN I JUST GET MAD.

Woman #2:
IF I DON'T MAKE A CHANGE NOW,

I'M SCARED
IT'S GONNA BE TOO LATE.

IT HURTS!

Woman #3:
I REFUSE TO STOP FIGHTING.

I HAVE TO DO THIS
FOR MY CHILDREN.

I DON'T UNDERSTAND
WHAT I DID WRONG.

THEN LET'S HELP YOU TRY
TO UNDERSTAND IT

INSTEAD OF CRYING
AND THROWING A TANTRUM.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

I'M GONNA FALL OFF THE BED.

NO, YOU'RE NOT.

Coliesa:
I NEVER WOULD'VE THOUGHT

I WOULD'VE ENDED UP HERE
IN MY LIFE...

...WHERE I'M SO BIG, MY SISTER
HAS TO HELP ME OUT OF BED

AND HELP ME GO TO THE BATHROOM
IN A BUCKET.

IT'S JUST HUMILIATING,

AND I HATE
THAT I'VE DONE THIS TO MYSELF

AND LET THINGS GET THIS BAD.

BUT I HAVE NO CHOICE.

I HAVE TO HAVE HELP
TO EVEN CLEAN MYSELF,

AND SO ME
AND TWO OF MY DAUGHTERS

LIVE WITH MY SISTER MENDI
AND HER DAUGHTER LILLY

SO MY SISTER CAN TAKE CARE OF ME

BECAUSE I JUST CAN'T DO IT
ANYMORE WITH ALL OF THE WEIGHT

THAT'S ON MY BODY NOW.

COLIESA ISN'T ABLE TO TAKE CARE
OF HERSELF FULLY IN ANY WAY.

I KNOW SHE NEEDS ME BECAUSE
COLIESA'S KIDS WOULDN'T BE ABLE

TO TAKE CARE OF HER
IF I WEREN'T HERE.

BUT I DON'T MIND
BEING HER CARETAKER

BECAUSE I LOVE HER
AND SHE'S FAMILY.

ARE YOU READY TO SHOWER?

YEAH, I'M READY
TO GO TAKE A SHOWER.

ALL RIGHT.

Coliesa:
TO CARRY THIS AMOUNT OF WEIGHT,

PEOPLE DON'T UNDERSTAND
THE PAIN.

IT -- IT HURTS.

I MEAN, IMAGINE BACKPACKING
600 POUNDS OF WEIGHT

EVERY DAY
WITH EVERY MOVE THAT YOU MAKE.

YOUR KNEES HURT, YOUR BACK
HURTS, YOUR NECK HURTS.

I ALREADY HAVE TO USE
MY WHEELCHAIR IF I HAVE TO BE UP

FOR TOO MUCH MORE
THAN A SHORT DISTANCE.

AND THE ONLY REASON
I EVEN TRY TO GET OUT OF BED

IS TO TRY TO GET CLEAN

BECAUSE HYGIENE
IS VERY, VERY IMPORTANT TO ME

BECAUSE A LOT OF PEOPLE MY SIZE,

THEY DON'T SMELL TOO GOOD,

AND I'M NOT ABOUT TO STINK.

THERE'S ALSO RASHES
THAT CAN DEVELOP WITH MY SKIN

IF I DON'T WASH UP
EVERY COUPLE OF DAYS,

SO THIS IS SOMETHING I JUST
HAVE TO PUSH MYSELF TO DO,

NO MATTER HOW HARD
AND PAINFUL IT IS FOR ME.

CAN YOU GET UP?

Coliesa:
AND IT'S PROBABLY THE HARDEST

AND MOST HUMILIATING PART
OF MY DAY.

OKAY. I KNOW.

BUT I CAN'T STAND LONG

BECAUSE MY BACK
STARTS LOCKING ON ME.

SO AFTER MAYBE
JUST FIVE MINUTES,

I NEED TO GET OUT
AND TRY TO GET BACK TO MY BED.

BECAUSE I'M JUST TOO EXHAUSTED
TO DO MORE.

I'M JUST THANKFUL I HAVE MENDI

TO DRY MY SORES
AND POWDER MY BOILS.

I'M JUST TOO BIG TO DO EVEN
BASIC THINGS MYSELF ANYMORE,

AND THAT MAKES ME SAD

BECAUSE THAT SHOULDN'T BE
MY FAMILY'S RESPONSIBILITY.

THEY HAVE TO HAVE A LIFE, TOO,

AND I CAN'T KEEP STOPPING
EVERYBODY ELSE'S LIFE

JUST BECAUSE I LET MINE
GET SO OUT OF CONTROL.

OHH. HELP ME, MENDI.

MM-HMM.

OHH! ALL RIGHT.

I'M GONNA GO START
COOKING BREAKFAST.

ALL RIGHT. GET SADIE.

SADIE, COME HELP YOUR MAMA.

-OKAY.
-WHAT...

ALL RIGHT. UM...

GET THE BLACK FLOWER
THAT'S DOWN THERE.

-THIS?
-NO, DOWN.

ALL RIGHT. UM...

Coliesa: MENDI CAN'T EVEN HANDLE
EVERYTHING I NEED,

SO MY DAUGHTERS,
HANNAH AND SADIE,

HAVE TO HELP ME OUT, TOO.

IT WEIGHS ON ME A LOT.
IT REALLY DOES.

I JUST FEEL THAT MY KIDS DESERVE

FOR THEIR MOM TO GET BETTER.

Sadie: I FEEL LIKE MY MAMA
DESERVES A NORMAL LIFE,

AND IT HURTS ME BECAUSE
I JUST WANT HER TO DO BETTER

AND I WANT HER
TO BE THERE FOR US.

CAN YOU BRING ME
SOME COFFEE AND A SODA?

OKAY.

Coliesa:
I WISH THINGS WASN'T LIKE THIS

AND THIS WASN'T MY LIFE NOW.

BUT IT IS,
AND I HAVE TO FACE THAT.

THIS IS HOW IT IS FOR ME
UNLESS I LOSE WEIGHT,

BUT TO DO THAT MEANS
THAT I'D HAVE TO GIVE UP FOOD,

AND I DON'T KNOW HOW TO DO THAT

BECAUSE I LOVE FOOD WAY TOO MUCH
AND I NEED IT.

IT'S WHAT MAKES MY DAYS BRIGHT,
NO MATTER WHAT MY LIFE IS LIKE.

AND NOW EATING
IS PRETTY MUCH ALL I DO.

EVERY OCCASION TRIGGERS ME
TO WANT TO EAT.

I COULD BE HAPPY, AND I WANT
TO CELEBRATE WITH FOOD.

I COULD BE SAD, AND I WANT TO
SOAK THE SADNESS DOWN WITH FOOD.

I JUST CAN'T STOP EATING
'CAUSE I HAVE TO HAVE

THAT PEACE AND JOY IT GIVES ME,

SO I PUSH MYSELF TO EAT
MORE AND MORE TO HAVE THAT.

-TAKE THIS TO THE KITCHEN.
-OKAY.

-OKAY.
-THANK YOU.

YOU'RE WELCOME.

OH, GOD.

AND THEN THERE ARE TIMES I EAT
BEYOND WHAT MY BODY CAN HOLD,

SO I GET SICK.

JUST TO HAVE A LITTLE RELIEF
WHEN I GET TO THAT POINT

AND TO FEEL BETTER

AND TO JUST ENJOY THE
CONTENTMENT I HAVE AFTER I EAT,

BUT EVEN WHEN I GET
TO THAT POINT,

IT'S NOT GONNA TAKE LONG
FOR ME TO GET HUNGRY AGAIN

'CAUSE IF I DON'T KEEP EATING,

THEN I'LL LOSE THAT FEELING
I HAD FROM IT.

HERE'S THE FOOD.

SO I DON'T KNOW HOW TO STOP.

AND I'VE NEVER KNOWN
HOW TO STOP.

I'VE STRUGGLED WITH MY WEIGHT
MY ENTIRE LIFE,

AND THAT STARTED
BECAUSE FOOD WAS COMFORT FOR ME

WHEN LIFE GOT HARD,

AND THERE'S BEEN A LOT OF TIMES
I NEEDED THAT

BECAUSE, GROWING UP,
MY FATHER WAS AN ALCOHOLIC.

I HAVE FOUR BIOLOGICAL SIBLINGS,

AND WE WERE ALL TERRIFIED
EVERY NIGHT

WHEN HE WOULD START DRINKING
AND THEN GET ANGRY.

HE WAS A TOTALLY DIFFERENT
PERSON WHEN HE WASN'T DRUNK.

AND HE WOULD MOSTLY
TAKE IT OUT ON OUR MOM,

BUT MY MOM GOT CANCER
WHEN I WAS 3,

AND SHE PASSED AWAY.

WHEN SHE DIED, MY DAD
COULDN'T TAKE CARE OF ALL OF US,

SO WE WENT INTO FOSTER CARE,

AND I WAS SAD TO BE SEPARATED
FROM MY SIBLINGS,

BUT MY FOSTER FAMILY,
THEY WERE A GOOD FAMILY.

IT WAS JUST THEY WERE ALL SMALL,

AND I JUST HADN'T REALIZED
UNTIL THEN

HOW MUCH BIGGER I WAS.

BY THE TIME I WAS SEVEN,

I WAS ABOUT 100, 110.

AND HOW I WAS EATING,
THAT JUST GOT WORSE,

BECAUSE WHEN I WAS 8,

MY BIOLOGICAL FATHER
STILL GOT TO TAKE ME

AND MY BROTHER FOR VISITS
ON SOME WEEKENDS.

WELL, IN THE MIDST
OF ANOTHER VISIT WITH HIM,

ONE OF MY COUSINS, HE WAS 19,

AND HE MOLESTED ME.

THANK GOD HE DIDN'T RAPE ME,
BUT HE DIDN'T HAVE TIME TO.

I TRIED TO TELL EVERYONE,
AND NOBODY BELIEVED ME.

BUT AFTER THAT HAPPENED TO ME,
ALL I CARED ABOUT WAS EATING

AND BEING LEFT ALONE,
SO I KEPT GAINING A LOT.

BY THE TIME I WAS 10 YEARS OLD,
I WAS UP TO 160,

AND I WAS THANKFUL
MY FOSTER MOM KEPT ME

FROM HAVING TO GO BACK
TO MY DAD'S,

BUT THAT ONLY LASTED
A COUPLE OF YEARS,

BECAUSE WHEN I WAS 12,

MY DAD GOT REMARRIED
TO A 16-YEAR-OLD GIRL.

SO, HE CAME
AND GOT ME AND MY BROTHER,

BUT I FOUND OUT LATER
IT WAS BECAUSE

HE WANTED TO GET WELFARE CHECKS.

AND IT WAS LIKE ALL OF A SUDDEN
I WAS BACK IN MY NIGHTMARE,

BUT IT WAS WORSE NOW
BECAUSE OF MY STEPMOTHER,

'CAUSE SHE WAS HORRIBLE
TO ME AND MY BROTHER,

AND SHE EXPECTED US
TO CALL HER "MOM."

SO, WHEN I TOLD HER
I WOULD NEVER CALL HER "MOM,"

SHE CAME UP TO ME
AND SHE SLAPPED ME.

WE FOUGHT PRETTY GOOD.

WHEN MY DAD CAME IN AND HE SAW
HOW BAD SHE WAS BEAT UP,

WELL, MY DAD, HE WAS DRUNK,
AND HE SNATCHED ME UP.

WE RODE ABOUT FIVE MILES
DOWN THE ROAD.

HE LEFT ME AT MY
GREAT-UNCLE'S HOUSE,

RECENTLY OUT OF JAIL

FOR RAPING AND MOLESTING
FOUR OF HIS GRANDCHILDREN,

KNOWING HE WAS GONNA RAPE ME,

AND SAID, "SINCE YOU WANT
TO ACT LIKE A GROWN WOMAN,

I'M GONNA LET HIM TEACH YOU
WHAT A GROWN WOMAN IS."

SO BAD.

AND AFTERWARDS, I SHOULD
HAVE BEEN SENT TO A HOSPITAL,

BUT MY FATHER TRIED TO HIDE IT.

MY FACE WAS BEAT UP.

WELL, THE SCHOOL
CALLED MY FOSTER MOM,

AND SHE CAME AND GOT ME,

BUT ALL THAT HAD HAPPENED TO ME
JUST KIND OF STARTED TO SINK IN.

MY BIOLOGICAL DAD AND HIS UNCLE,

THEY TOOK SOMETHING FROM ME
THAT I CAN NEVER GET BACK.

AND I LOST MY FAITH
IN EVERYTHING AND EVERYONE,

AND ALL I BELIEVED IN THEN
WAS FOOD.

MY WEIGHT GAIN
NEVER REALLY STOPPED,

AND I GOT OVER 300
BY THE TIME I WAS 15.

AND I JUST KEPT GAINING,

BECAUSE I STARTED DATING
A FRIEND OF MINE

I KNEW SINCE I WAS REALLY YOUNG
WHEN I WAS 16.

AND I GOT PREGNANT
AND HAD MY DAUGHTER, VICTORIA.

AND I GOT UP OVER 350

BY THE TIME I HAD HER
WHEN I WAS 17.

BUT AFTER I HAD
MY OLDEST DAUGHTER,

I COULDN'T TAKE CARE OF HER --
I COULDN'T.

AND I WANTED HER
TO HAVE A GOOD LIFE,

SO SHE STAYED WITH MY MOM.

I DROPPED OUT OF SCHOOL
AND MOVED OUT AT 18,

BUT WHEN I MOVED OUT
FROM MY FOSTER PARENTS',

I ENDED UP MEETING SOMEONE ELSE.

I MOVED IN WITH HIM,
AND WE GOT MARRIED AFTER A YEAR.

I LOVED MY HUSBAND,

BUT HE TURNED OUT TO BE

VERY JEALOUS AND VERY ABUSIVE.

SO THE NEXT 10 YEARS OF MY LIFE,

I WAS EATING
TO DEAL WITH THE ABUSE

AND GETTING BIGGER
AND HAVING MY OTHER THREE KIDS.

YOU KNOW, I HAD MY SECOND CHILD,
HANNAH, WHEN I WAS 23,

AND I WAS OVER 400 POUNDS THEN.

AND THEN I HAD MY THIRD CHILD
WHEN I WAS 25.

I GAVE BIRTH TO CAITLIN,
AND I WAS ABOUT 460 THEN.

BUT WHEN I WAS 29,

I HAD MY FOURTH CHILD,
SADIE GAIL,

AND I WAS AROUND
500 POUNDS THEN.

BUT AFTER I HAD SADIE,

MY HUSBAND GOT ARRESTED
AND FINALLY WENT TO JAIL,

AND THAT'S WHEN I FELT
THAT I COULD FINALLY LEAVE HIM.

I PACKED THE KIDS UP
IN THE MIDDLE OF THE NIGHT

AND MOVED HERE TO LOUISIANA
TO GET AWAY FROM HIM.

I WAS 30 WHEN I DID THAT,
STILL OVER 500.

AND A YEAR LATER, WHEN I WAS 31,
IS WHEN I MET MY FIANCé, MELVIN.

IT WAS ALMOST LIKE WE INSTANTLY
FELL IN LOVE, YOU KNOW?

AND ME AND MY KIDS
MOVED IN WITH HIM.

SO LIFE GOT BETTER FOR A WHILE.

BUT WHEN I WAS 39,
IT GOT TO A BREAKING POINT

BECAUSE I HAD
A HEART ATTACK THEN.

MY BROTHER WAS OVER
VISITING AT THE TIME,

AND SO HE CALLED 911.

BY THAT TIME, THE AMBULANCE
HAD MADE IT THERE,

MY HEART GAVE OUT,
AND IT STOPPED.

AND WHEN THEY GOT ME
O THE HOSPITAL,

I WAS TOO BIG TO DO SURGERY ON,
SO THEY NEVER FIXED MY HEART.

AND I KNOW I WON'T SURVIVE
ANOTHER HEART ATTACK

UNLESS I LOSE WEIGHT,

BUT I HAVEN'T
BEEN ABLE TO DO THAT

BECAUSE SHORTLY AFTER THAT
I LOST MELVIN.

HE GOT INTO A CAR WRECK
AND DIDN'T SURVIVE,

AND THAT DEVASTATED ME,

BUT I DID WHAT I HAD TO DO
TO GET THROUGH IT,

AND THAT WAS TO EAT
SO I DIDN'T FALL APART.

NOW I SPEND THE MAJORITY
OF MY TIME IN MY BED.

I'VE ALLOWED FOOD
TO WASTE MY LIFE --

JUST THE HUNGER
AND THE WANT AND THE CRAVE.

IT'S TAKEN OVER MY LIFE.

AND I'M EXHAUSTED.

I'M EXHAUSTED OF THIS LIFE.
LIVING LIKE THIS IS NOT LIVING.

IF I DON'T LOSE THIS WEIGHT,
I'M -- I'M GOING TO DIE.

I KNOW I'M GOING TO DIE.

BECAUSE I DO FEEL LIKE
A TICKING TIME BOMB.

MY HEART COULD GIVE OUT
AT ANY TIME.

I CAN FEEL THE WEIGHT
WEIGHING ME DOWN.

IT'S LIKE MY BODY'S
TRYING TO GIVE UP.

YOU KNOW, AND I CAN FEEL IT.

BUT I CAN'T GIVE UP.
I HAVE TO BE HERE FOR MY KIDS.

IT'S HARD FOR ME TO SEE
MY SISTER THE WAY SHE IS.

IT'S JUST REALLY SAD
BECAUSE I KNOW

SHE EATS THE WAY SHE DOES
BECAUSE SHE'S UNHAPPY

AND THE FOOD BRINGS COMFORT
TO HER IN SOME WAY,

BUT COLIESA
IS AT A BREAKING POINT,

MENTALLY, PHYSICALLY,
EMOTIONALLY.

SHE JUST REALLY NEEDS HELP.

Coliesa: AND I HAVE TO FIND A
WAY TO GET WHAT I NEED FROM FOOD

BECAUSE ONE OF THESE DAYS I'M
REALLY JUST NOT GONNA WAKE UP.

MY KIDS ARE GONNA COME IN
AND FIND ME DEAD.

SO I HAVE TO DO SOMETHING NOW

BEFORE THAT HAPPENS
AND IT'S TOO LATE

'CAUSE IF SOMETHING
DOESN'T HELP ME STOP EATING,

I'M NOT GONNA MAKE IT.

Coliesa: TODAY, I'M GOING
TO SEE DR. NOW IN HOUSTON,

AND I'M PUTTING ALL MY HOPES
ON GETTING HIS HELP,

BECAUSE THIS IS LITERALLY
THE LAST CHANCE I HAVE

TO CHANGE THINGS
BEFORE IT'S TOO LATE FOR ME.

IT'S GONNA TAKE SOMETHING LIKE

THREE TO FOUR HOURS
TO GET THERE,

AND I'M MOSTLY WORRIED
ABOUT THE PAIN

OF BEING IN A CAR FOR THAT LONG.

I HAVE SOME OF MY OLD PAIN PILLS

AND MY FOSTER SISTER, AMBER,
AND MY DAUGHTER, HANNAH,

ARE GONNA BE THERE TO HELP ME.

BUT I'M GONNA DO MY BEST
AND TRY TO DO WHATEVER I CAN

TO GET THROUGH THIS
AND MAKE IT THERE,

'CAUSE I KNOW
MY LIFE DEPENDS ON IT.

-HEY.
-HEY.

WELL?

EVERYTHING'S RIGHT THERE.
EVERYTHING'S READY TO GO.

HANNAH!

Amber: ALL RIGHT. SO...
YOU GONNA WALK TO MY CAR?

NO, I CAN'T WALK
THAT LONG.

-YOU CAN'T WALK THAT --
-I AIN'T TOOK MY MEDICINE.

WHAT MEDICINE
HELPS YOU WALK?

THIS IS WHAT WE'RE GONNA
TALK TO THAT DOCTOR ABOUT.

NO, WE AIN'T GONNA TALK
TO THAT DOCTOR ABOUT THAT.

-BECAUSE YOU DON'T WANT TO DO --
-NO, WE AIN'T.

ALL RIGHT. I'M TIRED OF
TALKING ABOUT IT. LET'S GO.

SO, I'M GONNA GO AHEAD
AND PUT THIS IN THE CAR.

HANNAH. MENDI, UM...

SO, ALL RIGHT.
I'M GONNA GO UNLOCK MY CAR.

YEAH, YOU CAN...

JUST GO SLOW, HANNAH.

Coliesa: I KNOW THIS IS GONNA
TAKE A LOT FOR ME TO DO,

BECAUSE THE PLAN IS TO
JUST DRIVE STRAIGHT THERE

AND GET THERE TODAY,

WITH MY APPOINTMENT
BEING THIS AFTERNOON.

SO IT'S GONNA BE
A LONG TRIP FOR ME

THAT I HAVE TO PACE MYSELF FOR.

Mendi: I LOVE YOU.

Coliesa: TAKE CARE
OF THE BABIES FOR ME.

THIS ISN'T GOING TO BE EASY,

BUT MY LIFE
IS DEPENDING ON THIS.

SO NO MATTER
WHAT IT TAKES FOR ME,

I'M DETERMINED TO GET TO HOUSTON

AND GET HELP
TO TURN MY LIFE AROUND.

MY WEIGHT IS OUT OF CONTROL,

AND MY HEALTH IS FAILING,
PRETTY MUCH.

THIS IS IT FOR ME.

IF THIS PROGRAM CAN'T HELP ME,
WHO CAN?

Coliesa: OH, HELL NO.
HOLD THIS, AMB.

Amber: HOLD ON. WHAT?

MY PAIN MEDICINE.

ALL THESE DAMN CANDIES, I CAN'T
FIND MY DOGGONE PAIN MEDICINE.

-WELL, I'M ABOUT TO FLIP.
-NO. DON'T DO IT. JUST STOP.

IT'S IN THERE,
AND YOU'RE GONNA FIND IT.

-NO, IT'S NOT.
-I'M SERIOUS RIGHT NOW.

-IT'S NOT.
-ALL RIGHT.

WE'RE GONNA FIND IT
RIGHT NOW.

-GIVE ME THIS PURSE.
-NO.

I'M GONNA HOLD IT DOWN HERE
SO YOU CAN LOOK IN IT.

Hannah: I THINK MENDI SAID
SHE PUT IT IN YOUR, UM --

THE DUFFLE BAG.CALL MENDI.

Hannah: I THINK THAT'S
WHAT MENDI SAID.

IT'S NOT IN HERE, IS IT?

NO, IT'S NOT IN THAT BAG,
BUT IT'S PROBABLY IN THE TRUNK.

-IN ANOTHER BAG.
-CHILL OUT.

I'M ABOUT TO CALL MENDI 'CAUSE
I THINK THAT'S WHAT SHE SAID.

Amber: OHH.

-YOU FOUND IT?
-NO!

Mendi: Hello?

Hannah: HEY, MAMA SAID,
WHERE HER PAIN MEDICINE IS?

TELL HER MY HYDROCODONE
IS NOT IN HERE.

SHE SAID IT HAS TO BE

BECAUSE YOU PUT THEM
IN THERE LAST NIGHT.

WHICH WHERE?

THEY'RE NOT IN THIS NEW PURSE.
I'M TELLING YOU NOW.

I JUST WENT THROUGH THE WHOLE
PURSE. IT'S NOT IN HERE.

Hannah:
TRY AND TALK TO HER.

MENDI.

GO LOOK ON MY BED.
IT'S NOT IN MY PURSE, BRO.

MY HYDROCODONES
IS NOT IN MY PURSE.

Hannah:
THIS IS TOO MUCH DRAMA.

-OH.
-OH, MY GOD.

-YES.

Mendi: YES, YOU LEFT
THE WHOLE DAMN BOTTLE.

YOU COULD COME IN MY VAN, MENDI.
YOU GOT MY KEYS.

damn it.
I'm coming, then.

Coliesa: WELL, HURRY UP.
THIS AIN'T COOL.

LIKE, WE IN THE MIDDLE
OF THE THING.

HOW DID IT GET OUT OF MY PURSE?
LIKE, REALLY?

YOU WERE PACKING MY PURSE!

OH, MY GOD.

THAT'S WHAT HAPPENS WHEN
OTHER PEOPLE PACK YOUR STUFF.

Coliesa: WHAT?

STOP TALKING
AND GET ON THE ROAD!

HERE.

I THOUGHT Y'ALL
WERE DOING GOOD.

I THOUGHT WE WERE DOING GOOD.
Y'ALL HAD EVERYTHING READY.

MY MEDICINE. I TOLD YOU
I GOT TO HAVE MY MEDICINE.

THERE'S NO WAY THAT I CAN
MAKE THAT TRIP WITHOUT THAT.

Coliesa:
I'M REALLY TICKED OFF.

I THINK SOMEONE
TOOK THEM OUT MY BAG,

BUT I JUST NEED THEM
BECAUSE MY BACK'S HURTING BAD.

LUCKILY WE'RE ONLY 20 MINUTES
AWAY FROM THE HOUSE STILL,

SO THIS SHOULDN'T TAKE LONG
FOR HER TO GET THEM TO ME.

AND I CAN ALREADY FEEL THE PAIN
SETTING IN, IN A BIG WAY,

SO I NEED TO TAKE MY PAINKILLERS
BEFORE IT GETS TO A POINT

WHERE THEY WON'T EVEN HELP ME

AND THIS LONG TRIP WILL BE
SOMETHING THAT I CAN'T HANDLE.

THAT'S HER.

-HOW DID THISHAPPEN?

-SHE'S GONNA BE MAD.

I LOVE YOU.

ALL RIGHT.
Y'ALL CALL ME TONIGHT.

ALL RIGHT.

BYE. I LOVE YOU.

Coliesa: THANK GOD.

I KNOW I WOULDN'T
HAVE MADE IT TO HOUSTON

WITHOUT SOMETHING
TO HELP ME WITH THE PAIN,

BECAUSE THIS WOULD HAVE BEEN
TOO MUCH FOR ME,

AND I'M JUST GRATEFUL
I HAVE WHAT I NEED TO DO THIS.

BUT THIS HAS ALREADY BEEN
REALLY STRESSFUL ON ME.

WE'RE ABOUT 10 MINUTES
FROM DR. NOW'S CLINIC.

SO I DID IT,
AND I'M PROUD OF MYSELF

FOR HOLDING IN THERE
AND MAKING IT HERE.

BUT NOW I'M GETTING NERVOUS
ABOUT SEEING HIM

AND FINDING OUT
WHAT HE'S GONNA TELL ME

AND WHETHER OR NOT
I'M GONNA HAVE HIS HELP.

I'M HOPING I'M NOT TOO SORE
TO USE MY LEGS.

I JUST HAVE TO BE ABLE
TO MAKE IT INTO MY WHEELCHAIR

AND STAND FOR MY WEIGH-IN,

BUT MY LEGS FEEL REALLY SWOLLEN,
SO I'M A LITTLE WORRIED

I'M NOT GONNA BE ABLE TO DO IT.

OOH, MY FOOT.

WE'RE JUST GONNA DO
THIS QUICK AND FAST.

-HERE. I NEED THIS.
-LIKE, JUST DO IT.

JUST GET UP AND JUST DO IT.
LIKE...

-MNH.
-LEAN ON THE CHAIR.

-YOUR FOOT ASLEEP?
-MM-HMM.

-JUST TWIST IN IT.
-OOH.

LET ME PULL YOUR SHIRT DOWN
IN THE BACK.

-OKAY.
-YOU GOT IT. YOU GOT IT.

-YOU GOT IT.
-OKAY.

-LET ME BACK IT UP.
-OH, THANK YOU, JESUS.

YOU GOT IT. YOU DID GOOD.

DO YOU FEEL --
YOU FEEL TIGHT?

Amber:
YOU'RE DOING GOOD, MAMA.

OKAY. THAT'S GOOD.

...PULL ON THE DOOR.

Amber: WELL, DON'T PULL TOO HARD
DOWN ON IT. TAKE THE STEP.

COLIESA?

Coliesa: THIS HAS BEEN A HARD
TRIP, MORE THAN I WAS EXPECTING,

AND I'M REALLY NERVOUS RIGHT NOW

BECAUSE I DON'T KNOW
WHAT TO EXPECT FROM ALL THIS.

I JUST NEED THIS TO GO WELL

SO I CAN GET THE HELP
I DESPERATELY NEED

BECAUSE IF I DON'T,
I DON'T KNOW WHAT I'M GONNA DO.

SO MY WHOLE LIFE
IS DEPENDING ON THIS.

Coliesa: I'M AT DR. NOW'S
FOR MY FIRST APPOINTMENT,

HOPING TO GET HIS HELP.

I'M HOPING THAT MY WEIGHT TODAY
IS STILL AT LEAST AROUND 600

AND NOT HIGHER THAN THAT.

BUT MY WEIGHT GAIN'S
BEEN OUT OF CONTROL FOR SO LONG,

I DON'T KNOW WHAT TO EXPECT
FROM THE SCALE.

Woman: 643.

OH, MY GOD.

IT COULD BE WORSE,

BUT IT'S STILL HIGH
FOR WHAT I WAS HOPING.

-OKAY.
-WHENEVER YOU'RE READY,

YOU CAN GO AHEAD
AND GO TO ROOM FIVE.

Coliesa: MY BODY IS WORSE
THAN IT'S EVER BEEN,

SO DR. NOW IS MY LAST HOPE,

AND I NEED HIS HELP NOW
MORE THAN EVER.

-HELLO.
-HELLO.

-HOW Y'ALL DOING?
-ALL RIGHT AND YOU?

OH, I'M DOING GOOD. THANK YOU.
I'M DR. NOWZARADAN. AND YOU ARE?

I'M COLIESA.

-COLIESA FROM LOUISIANA, HUH?
-YES, SIR.

ALL RIGHT. AND WHO'S
THIS YOUNG LADY WITH YOU?

-THIS IS MY DAUGHTER, HANNAH.
-HANNAH. OKAY.

-AND THIS IS MY SISTER, AMBER.
-AMBER, OKAY.

SO, TELL ME SOME MORE ABOUT
YOURSELF AND YOUR SITUATION.

YOU ARE AT HOME
WITH WHO ELSE?

IT'S MY SISTER MENDI,

MY DAUGHTERS,
SADIE AND HANNAH.

OKAY. SO, DO YOU GET YOUR FOOD,
OR SHE'S BRINGING IT TO YOU?

WELL, SHE BRINGS IT TO ME.
SHE BRINGS IT TO ME...

SHE FUSSES AT ME.

DOES SHE GIVE YOU
A BIG AMOUNT TO EAT

OR DOES SHE
FORCE YOU TO EAT?

NO, SHE DON'T FORCE ME.
I FUSS AT HER.

LIKE, IF SHE DON'T GIVE ME
WHAT I WANT, I'LL GO GET IT.

LIKE, THAT'S WHAT I DO.

SO, WHAT DOES YOUR
EATING HABITS LOOK LIKE?

UM...

CANDY, SODA.
LOTS OF JUNK FOOD.

FRIED AND GREASY STUFF, TOO.
AND I EAT A LOT AT LATE NIGHT.

OKAY. DO YOU SEE ANYTHING
WRONG WITH THAT PICTURE?

YES.

ALL RIGHT. LET'S LOOK AT HERE.
YOU HAVE A HEART PROBLEM.

CORONARY ARTERY DISEASE.
YOU HAD THE STINT?

-NO.
-NO?

THEY COULDN'T --
THEY NEVER PUT THE STINT.

I JUST HAVE 100% BLOCKAGE
AT THE BOTTOM,

THE ARTERY AT THE BOTTOM.

OKAY.
SO THAT'S A SERIOUS ISSUE.

YOU'RE ON A BLOOD THINNER?

MM-HMM.

AND YOU SMOKE?

WELL, I'M QUITTING. I'M IN
THE PROCESS OF QUITTING.

LIKE, I HAVE A PATCH.
I GOT ON NICOTINE PATCHES.

WHAT DO YOU MEAN
YOU'RE QUITTING?

LIKE, I'M QUITTING.

YOU'RE HERE TO BE
HEALTHY, RIGHT?

MM-HMM.

SO MY SUGGESTION IS,
YOU WANT TO BE HEALTHY,

YOU STOP SMOKING,
QUIT THE PATCHES.

BECAUSE THEY'RE EQUALLY
AS BAD AS SMOKING.

ACTUALLY,
IN YOUR SITUATION,

IF YOU SMOKE, MAYBE BETTER
THAN HAVING NICOTINE FROM PATCH.

-REALLY?
-OKAY? YEAH.

BECAUSE YOU HAD
A HEART ATTACK

AND YOU'RE USING NICOTINE,

WHICH IS DETRIMENTAL
FOR CORONARY ARTERY DISEASE.

BY NOW,
YOU'RE 41 YEARS OLD.

YOU SHOULD KNOW THAT CANDY
IS NOT PART OF YOUR DIET.

YOU COME HERE AND SAY, "I DRINK
SODA AND CANDY AND THEN SMOKE

AND HAD A HEART ATTACK

AND HAVE HIGH BLOOD PRESSURE,
COPD AND BMI IS 90,

AND I WANT HELP."

I UNDERSTAND.

YOU SEE ANY PROBLEM
WITH THAT PICTURE?

I DO.

OKAY. I'M GONNA GIVE YOU
SOME STUFF TO READ,

AND THE DIET I'M GIVING YOU
IS GOING TO LIMIT YOU

TO 1,200 CALORIES A DAY
WITH A FOCUS ON PROTEIN

WITH ALMOST NO CARBS
IN YOUR DIET.

AND START DOING
SOME EXERCISE, OKAY?

SO THIS IS
GONNA BE SOMETHING

THAT YOUARE GONNA
HAVE TO DO THE WORK.

WE GIVE YOU THE ROADMAP
OF WHAT YOU NEED TO DO

TO GET TO A HEALTHY PLACE,

BUT IF YOU DON'T CHANGE
YOUR BEHAVIOR,

YOU'RE NOT GONNA BE
SUCCEEDING FOR LONG-TERM.

-OKAY.
-OKAY?

DO YOU THINK
YOU CAN DO THAT?

-YEAH.
-OKAY.

WELL, YOU KNOW,
WITH YOUR HEART HISTORY,

HAVING A HEART ATTACK,

YOU KNOW YOU'RE NOT
GONNA BE GOOD CANDIDATE

FOR WEIGHT-LOSS SURGERY
UNLESS YOU LOSE A LOT OF WEIGHT.

AND MAKE SURE THIS SURGERY
IS GONNA BE SAFE.

SO BETWEEN THIS POINT
AND THE POINT

THAT YOU'RE GONNA BE
SAFE TO HAVE SURGERY,

I WANT YOU
TO LOSE 100 POUNDS,

AND I WANT YOU TO DO THAT
OVER THE NEXT TWO MONTHS.

BUT BECAUSE OF YOUR HEART AND
HOW LITTLE TIME YOU COULD HAVE,

I WANT TO SEE YOU IN A MONTH
TO MAKE SURE YOU'RE ON TRACK

AND LOSING AT LEAST
50 POUNDS IN THAT TIME.

OKAY?
OKAY.

BUT BEFORE YOU MOVE AHEAD,

WE NEED TO LOOK
AT ALL YOUR RECORDS,

SO WE'RE GONNA GET ALL
YOUR RECORD FROM LOUISIANA.

WE'RE GONNA SEE WHAT
YOUR HEART CONDITION IS,

WHAT POTENTIAL YOU GOT
FOR SURGERY, OKAY?

BUT THE MOST IMPORTANT
THING IS FOR YOU TO GET

AS MUCH WEIGHT OFF OF YOU
AS QUICKLY AS POSSIBLE.

AND IF YOU DON'T LOSE 50 POUNDS
IN THE FIRST MONTH,

THEN THERE'S NO POINT
IN WASTING TIME

IF YOU DON'T WANT
TO CHANGE YOUR LIFE.

BECAUSE YOUR BEHAVIOR
TOWARD FOOD

IS GONNA BE
TOTALLY UP TO YOU.

OKAY?

DO YOU KNOW THE DIFFERENCE
BETWEEN THE SLOW-DOWN AND STOP?

-NO.
-OKAY.

IF I TAKE BASEBALL BAT
AND START HITTING YOU,

YOU WANT ME TO STOP
OR SLOW DOWN?

STOP.

OKAY. NOW YOU UNDERSTAND
THE DIFFERENCE, OKAY?

ALL RIGHT. SO, YOU HAVE
ANY QUESTION, GIVE ME A CALL.

BUT WE'LL SEE YOU
IN A MONTH, OKAY?

-SOUNDS GOOD.
-ALL RIGHT.

-NICE TO MEET YOU GUYS.
-YOU TOO.

NICE TO MEET YOU, TOO.

AND HAVE A GOOD TRIP BACK.

HEH. THANK YOU.

THE SITUATION
WE HAVE WITH COLIESA

AND THE STATE OF HER HEALTH
IS VERY CONCERNING.

HER BODY HAS ALREADY REACHED
ITS BREAKING POINT ONCE.

AND IF SHE HAD
ANOTHER HEART ATTACK,

THERE WILL LIKELY BE NOTHING

WE CAN DO TO
BRING HER BACK FROM IT.

AND WITH HER SITUATION,

I'M REALLY CONCERNED
ABOUT WHETHER OR NOT

SHE WOULD BE ABLE TO SURVIVE
WEIGHT-LOSS SURGERY.

SO AT THIS POINT,
SHE'S AT A VERY DANGEROUS PLACE,

AND THE ONLY THING
THAT IS GONNA GIVE HER

ANY CHANCE TO SURVIVE FOR LONG

TO REDUCE THE STRAIN ON
HER SYSTEM AS SOON AS SHE CAN.

Coliesa: PART OF ME
IS JUST, LIKE, REELING A LITTLE

FROM THE WEIGHT-LOSS GOAL
THAT DR. NOW GAVE ME,

BUT I'LL READ HIS DIET,

AND I'LL DO WHAT
I'M SUPPOSED TO DO

AND I'LL GIVE IT MY BEST,
BECAUSE I WANT TO DO THIS.

AND I KNOW I WON'T SURVIVE
ANOTHER HEART ATTACK

OR ANYTHING LIKE THAT
UNLESS I START TO LOSE NOW.

SO I JUST HOPE WHAT I'M ABLE
TO DO IS GOOD ENOUGH

AND THAT I MAKE IT TO THAT GOAL
BY NEXT MONTH.

IT'S BEEN TWO WEEKS SINCE MY
FIRST APPOINTMENT WITH DR. NOW,

AND I'M FEELING REALLY GOOD
ABOUT MY PROGRESS

AND HOW I'M DOING.

-MENDI, I'M HUNGRY.
-WHAT DO YOU WANT TO EAT?

I WANT THE TUNA FISH WITH
A LITTLE SQUEEZE OF MUSTARD

AND THE ROMAINE LETTUCE.
OKAY.

THE ONLY PROBLEM IS,
I TWISTED MY ANKLE

TRYING TO DO THE EXERCISES
AND GETTING UP AND WALKING,

SO I HAVEN'T BEEN ABLE
TO DO THOSE.

AND I'VE BEEN STUCK ON THE COUCH
AND IN BED A LOT.

BUT I'M DOING GREAT
WITH MY DIET,

AND I'VE CUT BACK
TO ONLY THREE MEALS A DAY

THAT ARE PORTIONED OUT
AND FOCUSED ON PROTEIN.

AND MENDI HAS BEEN
HELPING ME WITH THAT

AND MAKING THEM HOW I NEED.

SHE'S ALSO DONE A GOOD JOB
MAKING THEM TASTY FOR ME,

EVEN THOUGH THEY'RE NOT THE
GREASY FRIED MEALS THAT I LIKE.

HERE. TASTE THIS.

IT'S GOOD.

IT'S NOT BAD.

IT'S GOOD. I LIKE IT.

SO THAT CHANGE
HASN'T BEEN THAT BAD FOR ME.

NOT NEARLY AS BAD AS I THOUGHT.

CAN YOU...GRAB
MY FLAVOR PACKS?

I JUST NEED
A BOTTLE OF WATER.

COME ON, SNOWY.

AND EVEN THOUGH I'M NOT ABLE
TO DO MY WALKING EXERCISES,

I'M STILL DOING WHAT I CAN WITH
MY UPPER BODY FROM THE CHAIR.

Mendi: COME ON, SNOWY.

Coliesa: SO I'M GETTING A GOOD
WORKOUT TWICE A DAY WITH THAT.

AND I'M ALSO PROUD TO SAY

I'M NOT SMOKING OR USING PATCHES
AT ALL ANYMORE.

AND I KNOW I'M MAKING
A LOT OF PROGRESS.

SO ALL MY FEARS AND WORRIES
ABOUT THE DIET

SEEM SILLY TO ME NOW,
AND I'M KICKING BUTT AT THIS.

BUT NOW I EVEN THINK
I HAVE A CHANCE

OF LOSING MORE THAN WHAT
DR. NOW TOLD ME TO LOSE

AND HOPING WHEN I SHOW UP WITH
A 60- OR 70-POUND WEIGHT LOSS

THAT HE'LL SEE
HOW HARD I'M WORKING

AND TELL ME THAT I CAN GET
WEIGHT-LOSS SURGERY.

BECAUSE I KNOW WHEN I GO BACK,
I'M GONNA NAIL THIS,

AND I CAN'T WAIT FOR THAT.

YEAH.

Coliesa: I'M BACK IN HOUSTON
TO SEE DR. NOW

FOR MY SECOND APPOINTMENT
TO SEE IF I REACHED MY GOAL.

COLIESA?

LAST TIME I WAS HERE,
I WAS AT 643.

AND MY GOAL WAS TO LOSE
50 POUNDS IN A MONTH.

IF I MADE IT
TO THE 50-POUND GOAL TODAY,

THAT MEANS
I'LL BE UNDER 593.

616.

I JUST DON'T UNDERSTAND
HOW I DIDN'T LOSE MORE.

I WORKED SO HARD,
AND I'M JUST REALLY,

REALLY DISAPPOINTED
RIGHT NOW.

-HELLO.
-HELLO.

HOW ARE YOU ALL DOING?

-GOOD.
-I'M GOOD.

-I'M UPSET.
-WHY YOU UPSET?

BECAUSE I JUST --

I THOUGHT I DID WAY BETTER
THAN WHAT I DID.

AND I'M JUST -- I TRIED.

NO, YOU DIDN'T,
BECAUSE IF YOU TRIED,

YOU WOULD HAVE LOST
MORE THAN HALF OF WHAT

YOU SHOULD HAVE
AT THIS POINT.

SO YOU'RE STILL EATING FOUR
TO FIVE TIMES WHAT YOU SHOULD.

DR. NOW, I WANT TO
TELL YOU OFF SO BAD.

I'VE DONE EVERYTHING
THAT YOU TOLD ME TO DO.

I DID MY 1,400 CALORIES.
I DID EXERCISES.

I DON'T EVEN GO
IN MY WHEELCHAIR NO MORE.

BUT YOU'RE ACTING LIKE
I DIDN'T DO ANYTHING.

AND I COMPLETELY
QUIT SMOKING.

AND I'M ALREADY
UPSET ENOUGH AT MYSELF.

BUT DON'T SIT THERE
AND TRY TO SAY

THAT I DID NOT DO
WHAT YOU ASKED ME TO DO,

BECAUSE I DID.

OKAY. FIRST OFF,
IT'S 1,200 CALORIES.

SO YOU'RE NOT LISTENING
TO WHAT I'M SAYING

OR READING
WHAT WE GAVE YOU.

SECOND, YOU MAY HAVE MADE
SOME CHANGES YOU NEED,

BUT WHAT DOES IT MATTER
IF YOU MADE CHANGES

IF IT'S NOT ENOUGH
TO SAVE YOUR LIFE?

I DON'T UNDERSTAND
WHAT I DID WRONG

BECAUSE I REALLY DID...

OKAY. WELL, YOU DON'T UNDERSTAND
WHAT YOU DID WRONG.

BUT LET'S HELP YOU
TO UNDERSTAND IT

INSTEAD OF CRYING
AND THROWING A TANTRUM.

WHEN YOU'RE OVER 600 POUND,
IF YOU EAT PROPERLY,

YOU CAN EASILY LOSE
100 POUND IN A MONTH. OKAY?

IF I PUT YOU RIGHT NOW
IN THE HOSPITAL ONE WEEK

AND PUT YOU ON
1,200-CALORIE DIET,

YOU GONNA LOSE ABOUT
30 TO 40 POUNDS IN ONE WEEK.

SO THIS IDEA THAT YOU ARE
DOING GOOD AND YOU DIDN'T...

THEN WHAT CAN I DO DIFFERENT?
BECAUSE I COUNTED MY CALORIES.

I -- IT'S LIKE
I DON'T KNOW WHAT --

WHAT I DID SO WRONG.

YOU NEED TO UNDERSTAND,

YOU'RE STILL EATING
MORE THAN YOU SHOULD.

OKAY?
OKAY.

THE REALITY IS YOU
SHOULD BE 180 POUND,

AND TODAY
YOU ARE 616 POUNDS.

YOU HAVE BAD HEART,
YOU HAVE BAD CORONARY,

AND YOU HAD
A HEART ATTACK, RIGHT?

AND THE NEXT TIME, YOU'RE
NOT GONNA SURVIVE THAT.

BUT AT THIS POINT, I THINK
WITH WHERE YOU'RE AT

I DON'T WANT ALL THE TRAVELING
TO COME HERE

TO PUT ANY MORE STRESS
ON YOUR BODY.

SO WHAT IS YOUR POTENTIAL
TO MOVE DOWN TO HOUSTON?

THAT'S WHAT -- I'M DOWN HERE
FOR A COUPLE OF DAYS.

I'M LOOKING TO MOVE.
LIKE, I'M LOOKING FOR A PLACE.

WE'RE STAYING
UNTIL TOMORROW.

I GOT A COUPLE
APPOINTMENTS TOMORROW

WITH APARTMENT COMPLEXES

TO TRY TO GO ON AHEAD
AND GET MOVED.

OKAY. SO, HOW IS
YOUR ACTIVITY?

OH, I'M DOING GOOD.

BECAUSE BEFORE,
I DIDN'T DO ANYTHING.

LIKE, I LITERALLY JUST
LAID AND WATCHED TV.

OKAY. SO YOU ARE
MAKING BABY STEPS.

WE TO TAKE A BIGGER STEP,

PARTICULARLY WITH
YOUR WEIGHT LOSS,

AND MAKE MORE PROGRESS

BECAUSE YOU'RE
RUNNING OUT OF TIME.

AND THAT'S GONNA BE
THE IMPORTANT THING.

YOU NEED TO UNDERSTAND THAT.I AGREE. I AGREE.

OKAY? BUT I WANT TO SEE YOU
AGAIN IN ONE MONTH.

AND I WANT YOU TO LOSE 50 POUNDS
BY THEN, THIS TIME, OKAY?

-OKAY.
-I GOT YOUR MEDICAL RECORDS,

AND WE NEED TO MAKE SURE
THE STRAIN ON YOUR HEART

IS REDUCED SIGNIFICANTLY,

AND WORK TO MAKE SURE
THE BLOCKAGE IS FULLY ADDRESSED

IF YOU'RE GONNA HAVE
ANY CHANCE TO SURVIVE

FOR MUCH LONGER.
OKAY?

OKAY.

-ALL RIGHT. ANY QUESTIONS?
-NO, SIR.

OKAY? SO YOU'RE GONNA
HAVE TO TRY HARDER.

OH, I'M GONNA TRY HARDER
THIS TIME, FOR SURE.

OKAY. ALL RIGHT.

SO I'LL SEE YOU AS SOON
AS YOU MOVE DOWN.

ALL RIGHT. NICE TO SEE YOU.
ALL RIGHT.

Dr. Nowzaradan: I'M GLAD TO SEE
SOME PROGRESS FROM COLIESA,

BUT IT'S STILL FAR
FROM WHERE IT NEEDS TO BE,

AND I THINK MOST
OF HER CRYING AND EMOTION

IS AN ATTEMPT
TO MANIPULATE HER SITUATION

AND MANIPULATE ME TO TRY
AND GET ME TO FEEL SORRY FOR HER

INSTEAD OF HOLDING HER
ACCOUNTABLE FOR HER CHOICES.

AND THAT IS A COMMON TACTIC
FOR SOMEONE WHO IS 600 POUNDS

TO TRY AND STAY IN CONTROL
OF THEIR SITUATION.

AND IF YOU DON'T GIVE IN, THEN
THEY GET ANGRY AND DEFENSIVE.

THEY TRY AND MAKE YOU FEEL

LIKE YOU HAVE TO DIFFUSE THE
SITUATION BEFORE THEY GET WORSE.

SO RIGHT NOW COLIESA
IS STILL PLAYING GAMES WITH ME.

AND IF SHE DOESN'T WAKE UP SOON
AND START MAKING MORE PROGRESS,

THEN SHE'S GONNA
RUN OUT OF TIME.

SO SHE NEEDS TO START DOING
WHAT SHE NEEDS NOW

BEFORE IT'S TOO LATE.

Coliesa: I'M A LITTLE UPSET
BECAUSE I DISAPPOINTED DR. NOW

AND BECAUSE HE THINKS
I'M NOT WORKING HARD ENOUGH

WHEN I KNOW HOW HARD I DID WORK
TO DO THIS.

SO, HOPEFULLY, THIS MONTH,
EVERYTHING WILL CHANGE

BECAUSE I'M GETTING MOVED DOWN
TO TEXAS AND NEW ENVIRONMENT.

AND JUST START
PUSHING MYSELF MORE.

AND WHEN I COME BACK, HOPEFULLY
I'M OVER HIS MARK THIS TIME.

Coliesa: ALL RIGHT.
NOW, THIS IS FINISHED.

EVERYTHING LOADS UP.
EVERYTHING'S HOUSTON-BOUND.

TODAY, WE HAVE A LOT OF FAMILY
AND FRIENDS THAT'S HELPING US

GET EVERYTHING WE NEED LOADED UP
BECAUSE WE'RE MOVING TO HOUSTON.

ARE YOU GONNA BRING
YOUR CURTAIN RODS?

Coliesa: YES, WE NEED
THOSE CURTAIN RODS,

AND WE NEED
THOSE LIGHT BULBS.

MENDI IS GOING
SINCE SHE'S MY CARETAKER,

AND MY NIECE IS MOVING, TOO,
SO THIS IS A BIG CHANGE FOR HER.

MY DAUGHTER, HANNAH,
IS 18 NOW,

SO SHE'S GONNA
STAY HERE WITH FAMILY

UNTIL SHE GETS
A PLACE OF HER OWN.

THEN SADIE'S GONNA COME DOWN

AFTER WE GET HER TRANSFERRED
IN A MONTH OR TWO.

SO THIS IS A CHANGE
FOR ALL OF US,

JUST FOR ME TO GET HEALTHY.

YOU HAPPY I'M DOING THIS?

YES. BUT NOT REALLY.
IT'S KIND OF SCARY.

-WHY?
-'CAUSE THE ANESTHESIA STUFF.

BUT ARE YOU GLAD THAT I'M GONNA
BE ABLE TO DO STUFF WITH YOU?

MM-HMM.

BECAUSE OF HOW MUCH THIS
IS TAKING FOR EVERYONE TO DO,

IT'S HARD NOT TO SECOND-GUESS
THIS ALL IN MY HEAD.

NOT JUST MY LIFE BUT WHAT
MY FAMILY IS SACRIFICING FOR ME.

-OH, MY WEIGHTS.
-HER WEIGHTS.

GET MY WEIGHTS.

SO I KNOW I HAVE TO MAKE SURE
THAT I DON'T FAIL,

AND I'VE BEEN TRYING TO
WORK EVEN HARDER THIS TIME...

-UGH!
-OHH!

MY KNEE.

...TO LOSE MORE
LIKE DR. NOW WANTS

BECAUSE I REALLY WANT
TO PROVE MYSELF TO DR. NOW

AND GET THE SURGERY
I NEEDED MOST MY LIFE.

I KNOW THE IMPORTANCE OF DOING
THIS AND GETTING THIS HELP,

AND THAT'S WHY I'M SO DEDICATED.

WE'RE DOING EVERYTHING WE CAN

BY TRANSPLANTING OUR LIVES
TO ANOTHER PLACE

SO I CAN HAVE THIS CHANCE
TO CHANGE MY LIFE.

BUT I KNOW THIS IS ALL
STILL GONNA COME DOWN TO ME

HITTING MY GOAL.

THIS IS ALL OR NOTHING FOR ME,

AND SO NO MATTER WHAT,
I HAVE TO DO THIS,

OR THIS WILL ALL BE FOR NOTHING.

Coliesa: ALL RIGHT. HERE.
HERE'S YOUR BABY BROOM.

WE'VE BEEN HERE IN HOUSTON
FOR A COUPLE WEEKS NOW.

THE MOVE DOWN WASN'T TOO BAD

BECAUSE WE HAD A LOT OF HELP
FROM FRIENDS AND FAMILY,

SO WE GOT EVERYTHING
ALL SET UP PRETTY QUICK,

SO I'VE JUST BEEN ABLE
TO FOCUS ON MY DIET

AND LOSING MORE WEIGHT
FOR THE PAST COUPLE OF WEEKS.

-HEY!
-HEY.

WHAT YOU DOING?

AND MY NIECE, BLAIR,
MY SISTER AMBER'S DAUGHTER,

HAS COME DOWN TO HELP ME
WITH MEAL PREPPING

AND MAKING SOME GOOD
BUT HEALTHY OPTIONS

BECAUSE SHE'S REALLY
HEALTH-CONSCIOUS

AND MAKES A LOT
OF HEALTHY MEALS.

I KNOW YOU LIKE BROCCOLI,
SO I GOT SOME BROCCOLI.

WE HAD TALKED
ABOUT SALMON BEFORE,

SO I'M GONNA SHOW YOU
THE WAY THAT I COOK IT.

-OKAY.
-AND THEN SOME ASPARAGUS.

DR. NOW SAYS THIS IS A CHANGE
THAT HAS TO LAST WITH ME,

SO I'M TRYING TO MAKE THIS
A NEW WAY OF EATING

THAT I'M GONNA BE ABLE
TO STICK WITH.

DO YOU WANT TO PUT YOUR CHAIR
IN HERE SO YOU CAN WATCH?

Coliesa: I JUST DON'T WANT
TO GET IN YOUR WAY.

YOU'RE GOOD HERE.
ALL RIGHT.

THAT WAY, YOU CAN...

BUT I'VE BEEN SURPRISED
ALL THE WAY

YOU CAN MAKE FOODS FLAVORABLE

WITHOUT BUTTER, SUGAR,
AND FLOUR.

MAKES ME WISH
I'D LEARNED THIS YEARS AGO

BECAUSE I MIGHT NOT BE
IN THIS MESS WITH MY HEALTH

IF I HAD,

BUT I FIGURE IT'S BETTER
LATER THAN NEVER

TO FINALLY GET
THIS WEIGHT OFF OF ME

AND GET TO THE HEALTHY PLACE
I NEED TO BE.

OKAY. NOW,
HOW YOU EAT THIS THING?

DO YOU PUT HOT SAUCE ON IT?
WHAT YOU DO?

HOT SAUCE?!

EAT IT. TAKE A BITE.

HOW FAR?

EAT IT! TAKE A BITE!

I TOLD YOU
YOU HAD TO BITE IT.

WELL?

BUT WE'RE ALL
BEING REALLY HEALTHY,

AND I FEEL CONFIDENT
THAT THIS TIME

I'LL BE WHERE I SHOULD
AND AT MY GOAL

WHEN I GO BACK TO DR. NOW,

AND THIS TIME I REALLY FEEL LIKE
I'M GOING TO DO IT.

I'M BACK AT DR. NOW'S
FOR MY NEXT APPOINTMENT,

AND I'M HOPING
FOR A BETTER WEIGH-IN TODAY

'CAUSE I THINK I DID GOOD.

I WORKED HARD AND DID
EVERYTHING LIKE I SHOULD

EVEN BETTER THAN LAST TIME.

BUT IT'S STILL HARD
NOT TO BE A LITTLE SCARED

OF WHAT THE SCALE'S GONNA SAY.

COLIESA?

AT THE LAST APPOINTMENT,
I WAS DOWN TO 616.

AND MY GOAL
WAS TO LOSE 50 POUNDS,

AND I'M REALLY HOPING I MADE IT.

IF I DID,
THEN I'LL BE BELOW 567,

SO I'M HOPING FOR A NUMBER
THAT'S LESS THAN THAT.

591.

Coliesa: I DON'T UNDERSTAND IT.
I JUST DON'T.

BECAUSE I DID EVERYTHING I CAN.

AND IT WAS PRETTY MUCH
THE SAME AS LAST TIME.

SO I JUST DON'T GET IT.
AND I'M UPSET ABOUT IT.

I'M VERYUPSET.

COME IN.

-HELLO.
-HELLO.

-HOW Y'ALL DOING?
-HEY.

TIRED.

AND JUST TIRED FROM
DOING A LOT OF WORK

AND MOVING AROUND
OR WHAT?

-I MOVED TO HOUSTON.
-OKAY.

WE GOT US A PLACE
DOWN HERE.

WELL, I'M GLAD TO HEAR THAT,
BUT MY BIG CONCERN

IS THAT YOU LOST A LITTLE
LESS THAN LAST TIME,

SO YOUR WEIGHT LOSS
IS ALREADY SLOWING,

AND YOU DIDN'T EVEN GET
HALFWAY TO WHERE YOU NEEDED,

SO THAT'S NOT GOOD AT ALL.

BUT, DR. NOW, I CAN
DO THINGS, LIKE, FOR MYSELF.

I CAN WIPE MYSELF NOW.
YOU KNOW, I MEAN, I CAN --

MY STEERING WHEEL DON'T
TOUCH MY BELLY ANYMORE.

I WAS EXPECTING TO HAVE LOST A
LOT MORE WEIGHT THAN WHAT I DID.

YEAH, YOU'VE LOST 53 POUNDS
FROM THE BEGINNING,

BUT YOU'RE LOSING ALMOST HALF
OF WHAT YOU SHOULD LOSE.

AND ON TOP OF THAT, YOU TOLD ME
YOU QUIT SMOKING AND THE PATCH,

BUT YOUR LAST BLOOD TEST
SHOWED THAT'S NOT EXACTLY TRUE.

SO, TELL ME,
ARE YOU STILL SMOKING?

DR. NOW, I'M NOT EVEN
GONNA LIE TO YOU.

I'M NOT GONNA LIE TO YOU.

I DID GOOD ALL THE WAY UP
UNTIL YESTERDAY.

COLIESA, JUST --
JUST PAY ATTENTION.

IT'S A HEART ATTACK
OR YOUR LIFE. WHICH ONE?

I DON'T WANT EITHER,
BUT IF I GO CRAZY,

THEN I'M GONNA BE...

-OKAY, OKAY, OKAY. JUST STOP.
-I KNOW YOU, DR. NOW --

JUST PAY ATTENTION.
JUST LOOK AT ME.

DON'T LOOK AT THE WALL.
JUST LOOK AT ME. OKAY?

YOU ALREADY HAVE
CORONARY ARTERY DISEASE,

AND NICOTINE IS WORST DRUG
YOU CAN USE.

-OKAY.
-OKAY?

SO THIS IS NOT FOR US.

IT'S FOR YOU. OKAY?

YOU FOLLOW WHAT WE TELL YOU,
YOU'RE GONNA BE SUCCESSFUL.

YOU DON'T, YOU'RE
GONNA HARM YOURSELF.

BUT AT THIS POINT,
I'M NOT SURE

HOW WE CAN GET THROUGH
TO YOU TO UNDERSTAND THAT,

SO I'M GONNA SEND YOU
TO START PSYCHOTHERAPY,

AND MAYBE THEY CAN HELP
GET THROUGH TO YOU.

AND IF YOU WANT TO LIVE,
THEN CUT BACK ON YOUR OVEREATING

AND STOP USING
NICOTINE PRODUCTS

AND LOSE 50 POUNDS
OVER THE NEXT MONTH, OKAY?

-OKAY.
-ALL RIGHT.

WE'RE GONNA DRAW YOUR BLOOD
AND MAKE SURE EVERYTHING'S OKAY.

-OKAY.
-WHEN WE GET YOUR LAB WORK,

IF THERE'S ANYTHING UNUSUAL,
WE'LL CALL YOU, OKAY?

-OKAY.
-ALL RIGHT.

-ALL RIGHT.
-NICE TO SEE YOU.

ALL RIGHT. YOU TOO.

Dr. Nowzaradan:
UNFORTUNATELY, COLIESA IS
STILL TRYING TO PLAY GAMES

AND PUT ON AN ACT
TO TRY AND DEFLECT

FROM TAKING ANY RESPONSIBILITY
FOR HER SITUATION,

BUT SHE'S VERY QUICKLY
RUNNING OUT OF TIME.

SO I'M HOPING PSYCHOTHERAPY
WILL START TO HELP

MAKE MORE OF A DIFFERENCE
FOR HER,

BECAUSE IF SHE DOESN'T START

TO MAKE THE CHOICES
SHE NEEDS VERY SOON,

THEN WE MAY HAVE TO START TAKING
MORE DRASTIC MEASURES WITH HER

TO TRY AND SAVE HER LIFE
BEFORE IT'S TOO LATE.

Coliesa: I DON'T FEEL
DR. NOWZARADAN TRUSTS ME

WHEN I TELL HIM
HOW HARD I'M WORKING.

I MAY HAVE SLIP-UPS, BUT I FEEL
LIKE I'M HARDLY EATING.

THERAPY'S NOT GONNA CHANGE THAT.

SO I'M JUST REALLY UPSET
RIGHT NOW.

AND I JUST DON'T KNOW
WHAT MORE I CAN DO.

Coliesa:
I'M HEADED TO THERAPY.

REALLY WOULD RATHER NOT
BE DOING THIS RIGHT NOW,

BECAUSE OF HOW UPSET I AM
FROM MY LAST APPOINTMENT,

BECAUSE OF HOW LITTLE I LOST
AFTER I WORKED SO HARD,

BUT I'M COMMITTED
TO DOING WHAT I HAVE TO

AND FACING WHATEVER I NEED
NO MATTER HOW I FEEL,

IF IT'S GONNA BE A STEP
TO GETTING SURGERY LIKE I NEED.

COME IN.

-MS. COLIESA?
-HEY.

-HI. I'M LOLA.
-HOW YOU DOING?

-GOOD. IT'S NICE TO SEE YOU.
-YOU TOO.

ALL RIGHT.

SO, LET'S START OFF
WITH YOU TELLING ME

A LITTLE BIT
ABOUT YOURSELF.

WHAT HAVE YOU BEEN
STRUGGLING WITH

THAT GOT YOU
TO THIS JOURNEY?

I MEAN, I'M NOT REALLY
ALL THAT UNHAPPY.

YOU KNOW,
I WENT THROUGH SOME THINGS,

BUT I TRY TO PUT IT IN MY MIND
THAT IT JUST DIDN'T HAPPEN.

WELL, OFTENTIMES PEOPLE
THAT HAVE SIGNIFICANT TRAUMA

DEAL WITH THINGS BY BURYING
THOSE FEELINGS REALLY DEEPLY.

AND SO IT'S IMPORTANT THAT
YOU SPEAK YOUR TRUTH, COLIESA.

UM, WELL, TO BE HONEST, UH,

I HAVE ALWAYS BEEN A FIGHTER.

I'LL PUT IT THAT WAY.

AND I ENDED UP
BEATING MY STEPMOTHER.

I JUST FLASHED.
UH-HUH.

WELL, WHEN MY DAD GOT HOME,
MY BIOLOGICAL DAD,

SHE ACTUALLY TOLD HIM
HE BETTER DO SOMETHING

BECAUSE EVIDENTLY
I THINK I'M GROWN.

WELL, MY GREAT-UNCLE
HAD JUST GOT OUT OF PRISON

FOR RAPING LIKE FOUR OR FIVE
OF HIS GRANDCHILDREN,

AND, UM...

HE...

HE LOADED ME IN THE TRUCK.

YOUR FATHER LOADED YOU
IN THE TRUCK?

AND DROVE ABOUT FIVE MILES
DOWN THE ROAD.

AND HE PULLED UP TO A CAMPER.

I NEVER SEEN THE MAN BEFORE.

AND...

HE YANKED ME BY...

INSIDE THE CAMPER,
AND HE SAID,

"SHE THINKS
SHE'S A GROWN WOMAN.

SHOW HER
WHAT GROWN WOMEN DO."

HE LEFT ME IN THERE...

HE RAPED ME.

THAT HAD TO BE
DEVASTATING FOR YOU.

YOU DIDN'T DESERVE FOR THAT
TO HAPPEN TO YOU.

AND, COLIESA,
IT'S A MIRACLE

THAT YOU LIVED THROUGH
SOMETHING SO HORRENDOUS.

SO HERE'S THE THING, THOUGH.

YOU HAVE TO START BELIEVING

THAT YOU ARE WORTHY
OF RESPECT,

AND YOU HAVE TO BE ABLE

TO LOOK INTO THE MIRROR
AND LOVE YOURSELF --

YOU RIGHT NOW...

AND 12-YEAR-OLD YOU, TOO.

YOU'RE RIGHT.

WHAT I'D LIKE
FOR YOU TO DO

IS I'D LIKE FOR YOU
TO WRITE A LETTER

TO YOUR 12-YEAR-OLD SELF,

AND TALK ABOUT THE WAYS

IN WHICH BEING
TRAUMATIZED AND ABUSED

TRANSFORMED YOU IN LIFE.

-OKAY.
-OKAY?

THANKS FOR COMING TODAY,
COLIESA.

YOU'RE WELCOME.
AND THANK YOU FOR HAVING ME.

Coliesa: I'M JUST
REALLY EMOTIONAL RIGHT NOW,

AND I JUST WANT TO GO REST.

THAT WAS A LOT FOR ME,
AND I'M JUST DRAINED.

AND I'LL THINK THROUGH IT ALL
AND WHAT I'M GONNA DO LATER.

RIGHT NOW I JUST NEED
TO GO HOME AND REST.

IT'S ONLY BEEN TWO WEEKS
SINCE MY LAST APPOINTMENT,

BUT I'M BACK AT DR. NOW'S EARLY

BECAUSE HE WANTS
TO RUN SOME TESTS ON ME.

FOR THE LAST COUPLE OF WEEKS,
I HAVEN'T BEEN FEELING GOOD,

AND I'VE HAD
SHARP STOMACH PAINS,

AND I HAVEN'T BEEN ABLE TO USE
THE RESTROOM THE WHOLE TIME.

SO I CALLED DR. NOWZARADAN
AND TOLD HIM,

AND HE SAID HE WANTED ME
TO COME IN TO BE SAFE.

THE FACT THAT DR. NOW WANTED ME
TO COME IN AND DO TESTS

JUST MAKES ME WORRY --
IT COULD BE BAD.

AND I KNOW WHAT HE SAID
ABOUT HOW MY HEART IS

AND HOW IT COULD GO OUT AGAIN
AT ANY MOMENT.

AND I'M HOPING THAT'S NOT PART
OF WHAT'S GOING ON.

BUT I'M IN A LOT OF PAIN,
SO I'M JUST REALLY SCARED

AND HOPING THAT EVERYTHING'S
GOING TO BE ALL RIGHT.

-HELLO.
-HELLO.

HOW Y'ALL DOING?

ALL RIGHT.

I'M NOT FEELING TOO GOOD TODAY,
DR. NOW.

YES. THAT'S WHAT HAS ME
CONCERNED RIGHT NOW.

WHEN DID YOU START
NOT FEELING WELL?

HMM.

I HAVEN'T BEEN FEELING WELL
A COUPLE OF DAYS, TO BE HONEST.

I'VE BEEN TRYING TO
MAKE THE BEST OF IT,

BUT, LIKE, THE PAINS IN MY
STOMACH'S GOTTEN REALLY BAD

AND IN MY BACK.

IT'S GOTTEN REALLY BAD,
LIKE, IN THE LAST FEW --

ABOUT THREE DAYS.

BUT, UM, LIKE FEVERISH.

IT'S BEEN HAPPENING
EVER SINCE YESTERDAY.

I'VE BEEN STARTING FEELING
FEVERISH, LIKE, OFF AND ON.

AND WHERE IS THE STOMACH PAIN?
WHICH AREA?

IT'S ALL --
MY WHOLE BOTTOM.

AND THE WHOLE PART?

THE WHOLE PART,
AND THEN, LIKE, IT SHOOTS.

IT'S LIKE IT SHOOTS.
IT JUST HURTS.

ALL OF IT'S SWOLE.
IT'S SWOLE, SWOLE.

-HM.
-IT JUST HURTS.

IT FEELS LIKE --

LIKE MY INTESTINES
ARE ABOUT TO BUST,

WHAT IT FEELS LIKE.

YOUR ISSUES WITH
THE BATHROOM --

IS THAT SOMETHING HAPPENING
VERY OFTEN WITH YOU?

NO.

UM, I JUST --

SHE DID, LIKE,
AN ENEMA -- ENEMA FLUSH

TO TRY TO HELP ME GO
ABOUT A WEEK AGO,

AND VERY LITTLE CAME OUT.MM-HMM.

LIKE, VERY LITTLE.

AND I JUST --
I STILL HAVE NOT --

I'VE BEEN TRYING TO EAT,
LIKE, HIGH FIBER,

YOU KNOW, LIKE
GREEN BEANS, BROCCOLI.

MM-HMM.
AND I STILL --

IT'S HURTING SO BAD.
MY STOMACH IS SO SWOLE.

IT JUST --
I CAN'T USE THE BATHROOM.

I JUST DON'T
FEEL GOOD AT ALL.

WELL, IF YOU'RE NOT FEELING GOOD
AND YOU'RE HAVING ISSUES,

WE NEED TO GET YOU
INTO EMERGENCY ROOM

AND THEY'LL CHECK SOME STUFF OUT
AND MAKE SURE EVERYTHING'S OKAY.

ALL RIGHT?
LET'S GET YOU OVER THERE.

AND THEN WE'LL FIGURE OUT
NEXT STEPS FOR YOU

AND GET SOME MORE TESTS
AND SEE WHAT'S GOING ON, OKAY?

-OKAY.
-ALL RIGHT?

I'LL SEE YOU OVER THERE.

Dr. Nowzaradan:
I AM VERY CONCERNED
ABOUT COLIESA RIGHT NOW

BECAUSE IT IS
A VERY REAL POSSIBILITY

HER HEALTH IS ABOUT TO
START DETERIORATING RAPIDLY

AND GET TO A POINT HERE SOON

THAT WE WON'T BE ABLE
TO BRING HER BACK FROM,

ESPECIALLY WITH THE POOR
CONDITION OF HER HEART.

BUT MY BIGGEST CONCERN RIGHT NOW
IS THE POSSIBILITY

THAT SHE MAY HAVE SOME SORT
OF INTESTINAL BLOCKAGE

THAT MAY REQUIRE SURGERY...

TO PREVENT IT FROM BECOMING
LIFE-THREATENING FOR HER.

BUT HER HEART MAY BE TOO WEAK

FOR HER TO SURVIVE ANY SORT
OF OPERATION RIGHT NOW.

SO WE NEED TO GET HER
TO THE HOSPITAL

AND START RUNNING TESTS
TO DETERMINE WHAT WE NEED

AS SOON AS POSSIBLE

BECAUSE WE MAY HAVE A VERY
SERIOUS SITUATION WITH HER.

Coliesa:
I'M GETTING REALLY SCARED.

IT'S JUST SINKING IN
THAT THIS COULD BE SOMETHING

THAT'S SERIOUS.

BECAUSE THE PAIN
IS GETTING WORSE,

AND IT'S MAKING ME FEEL LIKE

IT'S MY BODY
THAT'S STARTING TO GIVE OUT.

I'M TRYING
TO TURN MY LIFE AROUND.

I JUST NEED MORE TIME
TO DO THAT,

BECAUSE I'M MAKING PROGRESS
AND GETTING BETTER.

BUT MY BIG FEAR HAS ALWAYS BEEN

MY BODY GETTING
TO THE BREAKING POINT

DR. NOW SAID I WAS CLOSE TO.

SO I'M JUST PRAYING
I HAVE MORE TIME

AND THIS ISN'T IT FOR ME.

BECAUSE IT JUST CAN'T BE.

Coliesa: I'M AT THE HOSPITAL
WAITING TO GET TESTS DONE

BECAUSE I'M HAVING
A LOT OF STOMACH PAIN.

I'VE HAD THE PAIN
FOR A COUPLE OF WEEKS NOW,

AND I'M JUST PRAYING
THAT IT'S NOTHING SERIOUS

THAT MY BODY CAN'T HANDLE,
BUT I'M REALLY SCARED IT IS.

OKAY, COLIESA.
WE GOT THE ROOM FOR YOU.

LET'S SEE IF WE CAN GET YOU
BACK IN THE BED

AND CHECK TO SEE
WHAT'S GOING ON, OKAY?

YOU'RE GONNA HAVE TO GET UP
TO GET OUT THIS DOOR.

...ABOUT THE DOOR.

Dr. Nowzaradan: WE HAVE COLIESA
HERE AT THE HOSPITAL

TO TRY AND RUN SOME TESTS ON HER
TO SEE WHAT'S GOING ON WITH HER.

SHE HAS SEVERE ABDOMINAL PAIN
AND HASN'T BEEN ABLE

TO USE THE RESTROOM
FOR A COUPLE WEEKS,

AND MY CONCERN
IS THAT SHE COULD HAVE

SOME SORT OF INTESTINAL BLOCKAGE

THAT COULD START TO CUT OUT
BLOOD FLOW IN THAT AREA

OR CAUSE A NUMBER
OF OTHER ISSUES

THAT COULD BECOME
LIFE-THREATENING FOR HER

IF WE AREN'T ABLE
TO ADDRESS IT IN TIME.

BUT SHE MAY REQUIRE SURGERY
TO DO THAT.

AND MY OTHER CONCERN
IS THAT HER HEART MAY NOT BE

STRONG ENOUGH FOR HER TO SURVIVE
ANY SORT OF OPERATION.

SO WE NEED TO RUN TESTS
TO DETERMINE THAT, AS WELL.

BUT THE PRIORITY IS
TO TRY AND DETERMINE

IF SHE HAS A BLOCKAGE OR NOT.

SO, WHERE IS YOUR
STOMACH HURTING?

RIGHT THERE
WHERE THE BONE IS.

-IN HERE?
-YEAH.

HOW ABOUT HERE?

IT'S ALL RIGHT THERE.

ALL THIS. RIGHT HERE
HURTS REALLY BAD.

OKAY.

AND IT'S, LIKE, REAL BAD
IN MY LOWER BACK.

-OKAY.
-LIKE ON THIS SIDE.

DR. NOW, IT HURTS SO BAD.

WHEN YOU PUSH RIGHT HERE,
IT -- IT HURT RIGHT THERE.

OHH!

THIS HURT, TOO?

OHH!

HOW ABOUT THIS SIDE?

NOT AS BAD. IT'S TENDER.

BUT OVER HERE
IT HURTS REAL BAD.

ALL RIGHT.

SO, YOU MAY HAVE
A BOWEL OBSTRUCTION.

SCAR TISSUE
FROM PREVIOUS SURGERY,

ADHESIONS CAN CAUSE
THE OBSTRUCTION.

YOU HAVE A VERY HYPERACTIVE
BOWEL SOUND

AND TENDERNESS
IN THAT SIDE.

BUT THE PROBLEM IS THAT YOU'RE
NOT GONNA FIT IN CAT SCAN

ENOUGH TO DO CAT SCAN.
YEAH.

AND THAT'S THE ISSUE WE HAVE.

SO WE'LL SEE IF
WE CAN GET SOME X-RAY

AND FIGURE OUT
WHAT'S GOING ON.

OKAY? ALL RIGHT. WE'LL GET
SOME TESTS DONE. OKAY?

OKAY.

COLIESA DEFINITELY
HAS SOME SORT OF ISSUE

THAT WE NEED TO ADDRESS.

OKAY.

BUT IF THAT
HAS TO BE DONE SURGICALLY,

THEN WE MAY HAVE A VERY
DANGEROUS SITUATION WITH HER,

SO IT'S VERY IMPORTANT
WE DETERMINE THAT

AS QUICKLY AS POSSIBLE.

AND HOPEFULLY WE'LL BE ABLE
TO GET A CLEAR-ENOUGH IMAGE

WITH THE X-RAY
TO DETERMINE THAT.

Dr. Nowzaradan: YEAH, AND I
DON'T THINK WE'RE GONNA BE ABLE

TO SEE ANYTHING...

THE LAST ONE WE DID SHOWS...

Woman: MM-HMM.

OKAY. WELL, AT LEAST
WE TRIED. THANK YOU.

UNFORTUNATELY,
COLIESA HAS TOO MUCH FAT

TO DETERMINE IF SHE HAS
ANY LEVEL OF BLOCKAGE

WE NEED TO DO SURGERY
TO ADDRESS.

SO THE PRIORITY RIGHT NOW
IS TO RUN TESTS ON HER HEART

TO SEE IF IT'S EVEN POSSIBLE
TO TAKE HER INTO SURGERY

AND, IN THE MEANTIME,

TREAT HER WITH MEDICATION
FOR HER BLOCKAGE,

HOPING THAT WILL RESOLVE
THE ISSUE.

SO WE'RE GONNA ADMIT HER
TO BE ABLE TO DO THAT.

HI, COLIESA.
YOU DOING BETTER?

OKAY.

UNFORTUNATELY, THE X-RAY
ARE NOT CONCLUSIVE

BECAUSE WE CAN'T
GET TO SEE VERY MUCH

BECAUSE OF YOUR
BODY HABITS, OKAY?

SO WE'RE GONNA GO AHEAD
AND GET YOU ADMITTED.

WE GONNA START YOU
ON SOME MEDICATION,

AND WE'LL FIGURE OUT IF...

GET YOUR BOWEL
WORKING AGAIN. OKAY?

OKAY.

ALL RIGHT. HANG ON THERE.
ALL RIGHT?

-ALL RIGHT. THANK YOU.
-MM-HMM. SURE.

WE HAVE A TRICKY SITUATION
WITH COLIESA

BECAUSE SHE MAY REQUIRE SURGERY
TO TREAT HER SITUATION,

BUT SHE MAY NOT BE ABLE
TO SURVIVE SURGERY.

SO I'M HOPING HER HEALTH

ISN'T ABOUT TO START
TO DECLINE RAPIDLY,

BECAUSE IN HER CONDITION
SHE COULD VERY EASILY

GET TO A POINT WHERE
HER BODY STARTS TO GIVE OUT

BECAUSE OF ANY NUMBER OF ISSUES.

SO WE'LL DO EVERYTHING WE CAN
TO ADDRESS HER SITUATION

AND TRY TO PREVENT THAT
FROM HAPPENING.

BUT UNTIL WE ARE ABLE
TO DETERMINE

WHAT'S GOING ON WITH HER

AND THE CURRENT CONDITION
OF HER HEART,

IT'S TOO RISKY TO TAKE ANY STEPS

THAT COULD PUT MORE STRAIN
ON HER BODY.

AND WE MAY HAVE
A RACE AGAINST THE CLOCK

TO FIGURE IT OUT
BEFORE IT'S TOO LATE.

Dr. Nowzaradan: YESTERDAY,
WE HAD AN ISSUE WITH COLIESA,

WHERE I WAS CONCERNED THAT
SHE MAY HAVE A BOWEL OBSTRUCTION

AND THAT COULD REQUIRE SURGERY
TO ADDRESS.

SHE DID TURN OUT
TO HAVE PARTIAL OBSTRUCTION

BECAUSE OF SCAR TISSUE
FROM A C-SECTION

COMBINED WITH A POOR DIET,

BUT MEDICINE
WAS ENOUGH TO TREAT IT.

BUT SHE'S CLEARLY STILL
NOT EATING LIKE SHE CLAIMS.

SHE SHOULD HAVE LOST ANOTHER
15 TO 20 POUNDS IN THAT TIME

IF SHE WAS DOING THE DIET.

SO MY MAIN CONCERN NOW IS THAT
COLIESA IS RUNNING OUT OF TIME.

SHE GOT LUCKY THIS TIME,

BUT IF SHE EXPERIENCES
ANY SORT OF MEDICAL EVENT

THAT PUTS STRAIN ON HER BODY,
SHE'S NOT GONNA MAKE IT.

-HEY, COLIESA.
-HEY, DR. NOW.

HOW ARE YOU TODAY?

WAY BETTER THAN YESTERDAY.

AND HOW IS YOUR
STOMACH PAIN?

UM, IT'S BETTER. IT FEELS
A LOT BETTER ACTUALLY.

SO WE NEED TO
SORT OF BE CAREFUL.

YOU HAD A PARTIAL
BOWEL OBSTRUCTION

FROM THAT SCAR TISSUE
THAT YOU HAD.

ARE YOU STILL HURTING HERE?
NOT ANYMORE? OKAY.

BUT THIS IS ALSO
A RESULT OF A POOR DIET

THAT HAS A LOT OF CARBS
IN IT THAT DON'T DIGEST,

SO THAT'S ANOTHER ISSUE
WE NEED TO ADDRESS.

BUT WE RESOLVED
THE ISSUE FOR NOW,

AND I'M GLAD
YOU'RE FEELING BETTER.

SO YOU NEED
TO WATCH YOUR DIET

AND MAKE SURE
THAT YOU DON'T EAT

A LOT OF STUFF THAT WON'T DIGEST
THAT WELL, LIKE CARBS.

I'M NOT.
I PROMISE, DR. NOW.

EH, COME ON, COLIESA.
IT'S BEEN THREE MONTHS,

AND YOU STILL HAVEN'T LOST
ENOUGH WEIGHT WITH YOUR DIET,

AND YOU HAVE A BAD HEART,
BAD CORONARY.

IF WE HAD TO DO SURGERY
ON YOU FOR THIS ISSUE

OR ANY OTHER ISSUE YOU DEVELOP,
THEN THAT'LL BE IT FOR YOU

BECAUSE YOU'RE NOT GONNA
TOLERATE THIS SURGERY,

YOU'RE NOT GONNA BE
SURVIVING THE OPERATION.

AND THE ONLY WAY TO CHANGE
THAT IS TO LOSE WEIGHT,

AND YOU HAVE TO BE PROACTIVE
IN LOSING WEIGHT.

I'M TRYING MY HARDEST,
AND I HAVEN'T EATEN MUCH

IN THREE MONTHS NOW.

WELL, LET ME MAKE IT
CLEAR FOR YOU.

FOR YOUR HEIGHT AND YOUR BODY,
YOU HAVE EATEN THE FOOD

THAT BELONG THE NEXT FOUR YEARS
AHEAD OF TIME.

SO IF YOU DON'T EAT FOR FOUR
YEARS, YOU'RE GONNA COME EVEN,

AND ALL THAT EXTRA CALORIE

IS STORED IN THE FORM
OF FAT IN YOUR BODY.

AND YOU NEED TO TAP
ON THAT EXTRA CALORIE

AND USE THAT
INSTEAD OF THE FOOD.

AND THE PRIORITY IS FOR YOU
TO LOSE SOME WEIGHT RAPIDLY

BECAUSE YOUR WEIGHT
IS VERY DANGEROUS.

AND I THINK
AT THIS POINT

WE HAVE TO TAKE A MORE
DRASTIC STEP TO SAVE YOUR LIFE.

BECAUSE THE NEXT TIME
YOU HAVE SOMETHING LIKE THIS,

YOU'RE LIKELY NOT
GONNA BE THIS LUCKY.

SO THE PLAN IS TO KEEP YOU HERE
ON A CONTROLLED DIET,

TO GET YOUR WEIGHT
DOWN TO THE POINT

WHERE THERE'S ENOUGH STRAIN
OFF YOUR HEART

FOR YOU TO SURVIVE
WEIGHT-LOSS SURGERY

AND THEN PERFORM THAT TO TRY AND
GIVE YOU MORE TIME TO WAKE UP,

BECAUSE YOU'RE NOT GONNA
SURVIVE MUCH LONGER LIKE THIS.

-YOU REALIZE THAT.
-MM-HMM.

BUT AT THIS POINT,
WE HAVE TO TAKE

A MORE EXTREME APPROACH
TO SAVE YOUR LIFE.

AND WE ARE ALSO
GONNA PUT YOU

IN A CARDIAC REHAB
EXERCISE PLAN

AND MEDICATION TO GET
YOUR HEART TO THE POINT

THAT YOU'RE GONNA BE ABLE TO
TOLERATE ANESTHESIA AND SURGERY.

-OKAY.
-OKAY?

AND THAT'S NOT GONNA
BE EASY FOR YOU,

BUT YOU'RE GONNA
HAVE TO TRY IT BECAUSE

THAT'S THE ONLY WAY YOU GOT
TO COME OUT OF THIS CONDITION.

-OKAY?
-OKAY.

ALL RIGHT. SO, I'LL COME BY
AND CHECK ON YOU AGAIN SOON.

AND WE'LL START ALL THAT.

-OKAY.
-OKAY?

Dr. Nowzaradan:
AT THIS POINT, I DON'T THINK

COLIESA IS GONNA SURVIVE
MUCH LONGER,

UNLESS WE GET HER
TO A HEALTHY PLACE IMMEDIATELY.

SO IF WE PUT HER
ON A CONTROLLED DIET

AND GET HER WEIGHT DOWN
TO WHERE THERE IS ENOUGH

STRAIN OFF HER HEART FOR HER
TO SURVIVE WEIGHT-LOSS SURGERY,

IT MIGHT GIVE US MORE TIME
TO WAKE HER UP

TO START DOING WHAT SHE NEEDS,
INSTEAD OF PLAYING GAMES

AND ACTING LIKE
SHE'S WORKING HER HARDEST,

WHEN SHE'S ONLY MAKING SMALL
CHANGES AND WASTING MORE TIME.

SO THIS IS OUR LAST-DITCH EFFORT

TO SAVE HER LIFE
BEFORE IT'S TOO LATE.

Coliesa:
I KNOW HOW BAD MY HEALTH IS,

AND I KNOW MY HEART CAN'T TAKE
MY WEIGHT FOR MUCH LONGER.

BUT I'M TRYING TO LOSE IT ALL.
I REALLY AM.

I'M STILL NOT EATING
ANYWHERE NEAR LIKE I WAS,

AND DR. NOW JUST
DOESN'T SEEM TO SEE THAT.

SO IT'S FRUSTRATING,
BUT, YOU KNOW,

AS MUCH AS I DON'T LIKE THE IDEA

OF BEING IN HERE FOR LONGER
FOR TESTS,

FOR DIET OR WHATEVER,
IF THIS HELPS ME GET BETTER

AND GET THE WEIGHT-LOSS SURGERY,
THEN I'LL DO IT.

IT'S BETTER THAN HEARING,
"I CAN'T HELP YOU AT ALL

BECAUSE YOU'VE HAD
A HEART ATTACK."

SO IT GIVES ME HOPE.

YOU KNOW, IT STILL GIVES ME --
AT LEAST IT GIVES ME HOPE

THAT ONCE I LOSE THIS WEIGHT,

I'LL BE IN THE RUNNING TO
GO ON AHEAD AND HAVE MY SURGERY.

I'M GETTING
WEIGHT-LOSS SURGERY TODAY.

I WAS VERY SURPRISED
AND JUST SHOCKED

WHEN DR. NOW CAME IN
AND TOLD ME THAT CARDIOLOGY

HAD CLEARED ME FOR SURGERY,
BECAUSE THEY SAID MY HEART

WAS HEALTHY ENOUGH
WITH ALL MY WEIGHT LOSS.

I COULDN'T BELIEVE
THAT HAPPENED,

THAT FINALLY OUR DREAM
IS COMING TRUE.

I MEAN, I'M NERVOUS,
BUT IT ACTUALLY FEELS GREAT.

HEY, MY BABY.

TWO OF MY DAUGHTERS
AND MY GODDAUGHTER

CAME DOWN FROM LOUISIANA,

AND SO THAT CALMED
A LOT OF MY NERVES

BECAUSE I WAS JUST SO HAPPY
TO SEE MY BABIES.

-LOVE YOU.
-WE LOVE YOU.

EVERYTHING'S
GONNA BE ALL RIGHT.

I LOVE YOU, TOO.
YOU'RE GONNA BE FINE.

I'M, LIKE, SO SCARED.

LET'S GO. LET'S GO.

Woman: IT'S TIME.

Coliesa: I WORKED AS HARD
AS I COULD TO GET MY LIFE BACK,

GETTING SURGERY LIKE I NEED.

IT'S SOMETHING THAT I'VE BEEN
TRYING TO DO FOR A LONG TIME,

SO I'M READY TO MOVE AHEAD.

I DO FEEL LIKE THIS IS
THE BEGINNING OF A NEW FUTURE

FOR US -- A NEW US.

SO I'M NERVOUS,
BUT I'M STILL CONFIDENT.

AND I BELIEVE
THAT GOD HAS A PLAN FOR ME

AND THAT I'M GONNA
COME OUT THIS SURGERY

AND I'M GONNA ROCK IT.

Dr. Nowzaradan:
TODAY WE'RE ATTEMPTING TO DO
A GASTRIC SLEEVE ON COLIESA.

SHE'S BEEN IN HOSPITAL FOR THREE
WEEKS ON A CONTROLLED DIET,

AND WE GOT HER WEIGHT DOWN
ANOTHER 64 POUNDS.

SO SHE'S DOWN TO 526 NOW,
AND IT WAS ENOUGH

TO GET HER HEART
STRONG ENOUGH FOR CARDIOLOGY

TO CLEAR HER FOR SURGERY.

SO THAT IS A BIG POSITIVE STEP
IN THE RIGHT DIRECTION FOR HER,

AND THE HOPE IS THAT
THIS OPERATION WILL HELP

KEEP HER GOING
IN THE RIGHT DIRECTION

LONG ENOUGH TO GET HER TO START
TAKING MORE RESPONSIBILITY

FOR HER SITUATION
TO DO WHAT SHE NEEDS,

BECAUSE WHAT THIS OPERATION
DOES IS THAT IT REMOVES

80% TO 90% OF HER STOMACH,

LEAVING A SMALL, NARROW TUBE
THAT LOOKS SIMILAR TO A SLEEVE.

THIS LIMITS THE AMOUNT OF FOOD

THAT THE PATIENT CAN EAT
AT ONE TIME

AND ALSO CHANGES
THE PATIENT'S METABOLISM

SO THEY FEEL LESS HUNGRY.

SO THIS OPERATION
WILL GIVE THEM AN OPPORTUNITY

TO LOSE EVEN MORE WEIGHT.

SO THIS CAN BE
AN IMPORTANT TOOL FOR COLIESA

IF SHE USES IT LIKE SHE NEEDS
TO KEEP MAKING PROGRESS.

BUT AS ALWAYS,

DOING AN OPERATION ON ANYONE
HER SIZE IS VERY HIGH-RISK,

SO WE ARE GOING TO KEEP
A CLOSE EYE ON HOW SHE'S DOING.

AND IF AT ANY POINT
THERE IS ANY CONCERN

THAT HER SYSTEM
HAS TOO MUCH STRAIN ON IT,

WE MAY NEED TO END
THE OPERATION EARLY.

Blair:
THE SURGERY FOR COLIESA MEANS
THAT SHE CAN HAVE AN OPPORTUNITY

TO LIVE AND EXPERIENCE THINGS

THAT SHE'S NEVER
EXPERIENCED BEFORE.

AND I'M PROUD OF HER
FOR TAKING THIS CHANCE

TO REALLY TAKE AHOLD
OF HER LIFE.

BUT I AM VERY ANXIOUS
ABOUT COLIESA

BEING UNDER THIS AMOUNT
OF ANESTHESIA FOR THIS LONG.

AND I'M ALSO TRYING
TO KEEP EVERYTHING TOGETHER,

AS FAR AS THE FAMILY GOES

AND TRYING TO KEEP
EVERYBODY POSITIVE.

SO I'VE JUST BEEN REALLY ANXIOUS
ABOUT A LOT OF DIFFERENT STUFF.

PULL IT OUT. PULL IT OUT.

THERE. THAT'S HER STOMACH.

ALL RIGHT. ROOM LIGHT ON.

OKAY. ALL FINISHED.

ALL RIGHT. COLIESA'S SURGERY
WENT VERY WELL.

WE WERE ABLE TO GET
HER SLEEVE GASTRECTOMY DONE

AND GET EVERYTHING LOOKING GOOD.

NOW WE'RE GONNA GET HER
TO RECOVERY

AND SEE IF WE CAN
GET HER TO REST

AND BE UP LATER ON AND WALK

AND GET HER SOME LIQUID.

WE SHOULD BE ABLE TO GET
HER HOME IN A COUPLE DAYS,

AND THEN FOR THE NEXT MONTH,
SHE'LL BE ON A LIQUID-ONLY DIET,

WHERE SHE SHOULD LOSE
ANOTHER 30 POUNDS.

AND THEN AFTER THAT,
SHE SHOULD HAVE NO PROBLEM

LOSING AT LEAST
20 POUNDS A MONTH

UNTIL SHE GETS CLOSE
TO HER TARGET WEIGHT.

BUT WE DID THIS OPERATION
TO SAVE COLIESA'S LIFE

BECAUSE HER BODY WASN'T GONNA
BE ABLE TO TAKE THE STRAIN

OF ALL THE WEIGHT
THAT'S ON HER FOR MUCH LONGER,

ESPECIALLY HER HEART.

BUT IF COLIESA DOESN'T START
DOING WHAT SHE NEEDS,

THIS IS ONLY GONNA BE
A TEMPORARY FIX FOR HER.

BUT IF SHE CONTINUES TO OVEREAT
AND PUSHES HERSELF TO EAT FOOD

LIKE SHE HAS, THEN SHE COULD
STILL START TO GAIN WEIGHT.

AND THEN IT STRETCHES
HER STOMACH BACK OUT

UNTIL SHE UNDOES HER SURGERY.

SO THIS ISN'T GOING TO BE
A MAGIC FIX FOR COLIESA,

AND WE STILL HAVE A LOT OF WORK
TO DO WITH HER

TO GET HER TO WHERE SHE NEEDS.

SO WHAT HAPPENS FROM HERE AND
WHETHER OR NOT COLIESA MAKES IT,

IT'S STILL UP TO HER
AND ALL DEPENDENT

ON THE CHOICES SHE MAKES.

Coliesa: IT'S BEEN JUST A MONTH
SINCE MY WEIGHT-LOSS SURGERY,

AND I'M FEELING PRETTY GOOD
ABOUT HOW I'M DOING.

IT'S A LIFESTYLE CHANGE,

BUT THAT IS WHAT
I SIGNED UP FOR,

IS TO CHANGE MY LIFE.

SO I AM LIQUID DIETING...

AND DOING EVERYTHING ON POINT
SINCE I WAS IN THE HOSPITAL.

I GO WALK OUTSIDE,
JUST TRYING TO CHALLENGE MYSELF

AND JUST DO BETTER, TRY HARDER,

TO GET WHERE I GOT TO GET
TO FURTHER MY JOURNEY.

I JUST PUSH MYSELF
AS FAR AS I CAN PUSH MYSELF.

THAT'S ALL I CAN DO.

OHH. I GOT IT.

I GOT THIS. I GOT THIS.

I...GOT...THIS...RIGHT...

HERE!

THAT IS FURTHER THAN I HAVE
EVER WALKED IN LIKE 10 YEARS.

SO I MADE IT TO THE GOAL TODAY,

AND I FELT REALLY GOOD,
AND IT SEEMS LIKE EVERY DAY

IT JUST KEEPS GETTING
A LITTLE BIT MORE.

I GET TO DO A LITTLE BIT MORE
AT A TIME, YOU KNOW,

AND I'M JUST GETTING STRONGER.

I CAN'T WAIT FOR MY NEXT
APPOINTMENT TO SEE DR. NOW

IN A COUPLE OF DAYS
TO SHOW HIM MY PROGRESS.

AND IT'S PRETTY MUCH
THE FIRST TIME

I'M LOOKING FORWARD
TO GETTING ON THE SCALE.

I'M BACK AT DR. NOW'S
FOR MY NEXT APPOINTMENT

AND SHOW DR. NOW MY PROGRESS.

HOPEFULLY, I'VE LOST THE WEIGHT
THAT HE WANTED ME TO LOSE

AND I JUST CONTINUE
ON THE JOURNEY.

COLIESA?

Coliesa:
FOR MY WEIGHT-LOSS SURGERY,

I WAS JUST ABOUT 525,

AND DR. NOW TOLD ME

I NEED TO LOSE 30 POUNDS
IN THE FIRST MONTH.

AND IF I DID, I'D BE BELOW 500

FOR THE FIRST TIME SINCE I HAD
MY FOURTH CHILD, SADIE GAIL.

AND I'M REALLY HOPING FOR THAT.

OOH! OOH! OOH!

Coliesa: OKAY.

I'M REALLY EXCITED ABOUT THAT,
AND I'M PROUD OF MYSELF,

AND I'M LOOKING FORWARD
TO FINDING OUT WHAT DR. NOW

IS GONNA SAY NOW BECAUSE
I WANT TO BE ONE OF THE PEOPLE

THAT HE'S PROUD OF TO, YOU KNOW,
STAY UNDER HIS CARE

AND CONTINUE TO LOSE WEIGHT.

-HELLO.
-HEY, DR. NOW.

-HOW Y'ALL DOING?
-ALL RIGHT.

GOOD. ALL RIGHT.

SO YOU'RE UNDER 500 POUNDS

FOR THE FIRST TIME
IN A LONG TIME, HUH?

-I KNOW!

OKAY. GREAT.
ANY ISSUES? ANY PROBLEM?

NO.

SO NO STOMACH PAIN
AND ALL THAT STUFF?

-NOPE.
-OKAY. GOOD.

SO, AT THIS POINT, YOU CAN
GO BACK ON SOME SOLID FOOD.

AND I THINK
YOU'RE DOING OKAY.

JUST STICK WITH THE DIET

AND MAKE SURE
YOU TAKE YOUR VITAMINS

AND INCREASE YOUR ACTIVITY.

AND LET'S SEE HOW WE DO
IN A COUPLE OF MONTHS.

-OKAY. SOUNDS GOOD.
-OKAY?

BUT WE'RE GONNA SET SOME
MORE APPOINTMENT FOR YOU

TO GO BACK TO PSYCHOTHERAPY
AGAIN AND START THAT UP AGAIN.

BECAUSE AFTER SURGERY, YOU MAY
HAVE NO PHYSICAL HUNGER,

BUT YOU MAY HAVE
PSYCHOLOGICAL HUNGER

AND CRAVING THAT YOU
HAVE TO DEAL WITH IT.

YEAH.

BUT FROM HERE ON OUT,
YOU SHOULD BE ABLE TO LOSE

AT LEAST 20 POUNDS A MONTH
UNTIL YOU GET IN THE MID-200s

AND CLOSE TO YOUR
TARGET WEIGHT, OKAY?

OKAY.
THANK YOU SO MUCH.

YOU'RE WELCOME. OKAY.

SO I'LL SEE YOU IN A MONTH,

AND IF YOU NEED ANYTHING
BEFORE THEN, LET ME KNOW.

BUT YOU'RE HEADED IN THE RIGHT
DIRECTION, SO JUST KEEP IT UP.

WELL, THANK YOU SO MUCH,
DR. NOW.

ALL RIGHT.
YOU'RE WELCOME.

AND I WILL MAKE YOU PROUD,
I PROMISE YOU.

WELL, I'M GLAD
TO HEAR THAT.

NICE TO SEE YOU.
Y'ALL TAKE CARE.

I'LL SEE YOU LATER, OKAY?
ALL RIGHT.

-THANK YOU, DR. NOW.
-YOU'RE WELCOME.

HIGH FIVE. HIGH FIVE.

Coliesa:
YOU KNOW, I'M REALLY EMOTIONAL

BECAUSE ALONG
THIS ENTIRE JOURNEY

I'VE KEPT SAYING

THAT GOD HAS A PLAN
AND HAS MADE THIS HAPPEN.

AND I'M JUST SO GRATEFUL
THAT THIS HAS HAPPENED FOR ME.

DR. NOW IS JUST, LIKE,
MY OWN PERSONAL ANGEL.

I FEEL LIKE BECAUSE OF GOD
AND BECAUSE DR. NOW,

I'M GONNA HAVE A LIFE.

RIGHT NOW, WE HAVE COLIESA
HEADED IN THE RIGHT DIRECTION.

SO FAR, SHE LOST
ABOUT 150 POUNDS OF HER BODY

FROM WHEN SHE STARTED TO NOW,
SO THAT'S VERY POSITIVE,

SINCE IT'S HELPING
TO RELIEVE THE STRAIN

SHE HAS HAD ON HER WHOLE SYSTEM

AND HELP AVOID HER BODY FROM
GETTING TO A BREAKING POINT.

BUT THE BIG QUESTION
IS IF WE'RE GONNA GET HER

TO WHERE SHE'S GONNA MAINTAIN
THAT FOR THE LONG TERM,

AND PSYCHOTHERAPY IS GOING TO
PLAY A BIG ROLE IN THAT,

TO DEAL WITH
THE EMOTIONAL ISSUES

SHE HAS BEHIND HER OVEREATING.

RIGHT NOW, THINGS ARE
LOOKING OPTIMISTIC WITH HER,

SO I'M HOPEFUL WE'RE GONNA
GET HER TO WHERE SHE NEEDS

TO BE ABLE TO TURN HER LIFE
AROUND AND MAINTAIN THAT.

BUT WE STILL HAVE A LOT OF WORK
TO GET HER TO THAT POINT.

Coliesa:
TODAY WE ARE GOING SHOPPING

BECAUSE MY NIECE, BLAIR,
IS GETTING MARRIED.

AND SO WE'RE GOING TO LOOK
FOR MY DRESS FOR HER WEDDING,

WHICH BEFORE I WOULDN'T HAVE
BEEN ABLE TO EVEN FIT INTO ONE.

-THERE YOU GO.
-SO THAT'S, LIKE, PRETTY COOL.

IT ACTUALLY FEELS GREAT,

FITTING IN MORE CLOTHES
THAN I USED TO.

I ACTUALLY FIT IN A 3X
THE OTHER DAY.

I FIT PANTIES NOW. I USED TO
COULDN'T FIT IN PANTIES.

I CAN DRESS
A LITTLE BIT MORE IN STYLE.

I FEEL PRETTIER.

BUT WE'LL SEE.

WHERE ARE THE
PLUS-SIZE DRESSES?

THEY ARE LOCATED
RIGHT THROUGH HERE.

-OKAY.
-I JUST HOPE I CAN DO THIS,

AND I'M A LITTLE NERVOUS
TO FIND SOMETHING.

OKAY.
HERE'S A LACE ONE.

-NOW YOU'RE TALKIN'.
-YOU LIKE THIS ONE?

YOU'RE TALKIN'.
COME HERE. LET ME SEE.

Coliesa: I'VE BEEN ON A BATTLE
WITHIN MYSELF,

AND I'M JUST READY
TO GET MY LIFE BACK.

I'M EXCITED.

I'VE WAITED A LONG TIME
FOR THIS CHANCE TO FIND A DRESS.

LADIES, I FOUND A 28.
WOULD THAT WORK?

-YES.
-YOU FOUND A 28?!

-OHH! IT'S CUTE!
-OH, IT'S NAVY BLUE!

Blair: THANK YOU!

Coliesa: BUT FIRST
I HAVE TO SEE IF I CAN FIT.

I'M A LITTLE UPSET BECAUSE
I STILL HAVE A LONG WAY TO GO.

I STILL HAVEN'T GOTTEN ENOUGH
WEIGHT DOWN TO WHERE I CAN FIT

COMFORTABLY IN ANY OF
THESE DRESSES RIGHT HERE.

YEAH, I'M GETTING THERE.

THIS IS JUST HARD
AND FRUSTRATING,

BUT I HAVE TO REMIND MYSELF
I'M DOING GOOD WITH ALL OF THIS

AND I'M MAKING
A LOT OF PROGRESS.

IT JUST GIVES ME MORE OF A WILL
TO WANT TO WORK HARDER.

IT MAKES ME NOT EVEN
WANT TO TRY ON DRESSES

UNTIL I DROP MORE WEIGHT.
YOU KNOW WHAT I'M SAYING?

I CAN UNDERSTAND THAT.

AND, I MEAN, I'M SO EXCITED
ABOUT YOUR WEDDING.

I MEAN, WE DO HAVE A LOT OF
MONTHS STILL UNTIL YOUR WEDDING,

WHICH MEANS I GOT TO BUST
MY BUTT TO LOSE THE WEIGHT.

YEAH. YEAH.

Coliesa: DR. NOW SAID I NEED
TO KEEP HANGING IN THERE,

SO I'M GOING TO THERAPY.

SO, I'M STILL DOING THAT,

AND SHE'S BEEN HELPING ME
WITH MY ISSUES

BECAUSE I HAD A LOT
I NEEDED TO LET OUT.

I DON'T KNOW IF IT'S GONNA
HELP MY WEIGHT LOSS,

BUT I KNOW LOLA'S RIGHT
ABOUT SOME OF THESE THINGS.

AND I NEED TO DEAL
WITH THINGS TO HEAL,

SO THAT'S WHAT
I'M DOING HERE TODAY.

I'M TALKING TO MYSELF,
AS A KID WHEN I WAS 12.

AS WEIRD AS IT SOUNDS, AFTER
ALL THAT HAPPENED TO ME THEN,

I JUST REALIZED I STILL HADN'T
RECOVERED MUCH AND HEALED.

SO I KNOW THE IMPORTANCE
OF DOING THIS.

IT'S JUST GONNA BE HARD
AND TAKE A LOT FROM ME.

MY LIFE IS SOMETHING I'VE WANTED
TO ESCAPE A LOT OF TIMES,

AND THAT WEIGHS ON ME A LOT.

THERE WERE TIMES IT WASN'T BAD,

AND THERE WAS TIMES
WHERE THINGS WERE REALLY BAD,

BUT I JUST WISH
IT WERE DIFFERENT FOR HER.

I WISH I COULD TAKE MYSELF BACK
AND CHANGE THINGS, BUT I CAN'T.

BUT I'M THANKFUL
I GOT GOOD NEWS.

I'M TRYING
TO TURN MY LIFE AROUND.

IT'S BETTER LATER THAN NEVER.

AND FINALLY GET
THIS WEIGHT OFF OF ME.

AND I'M ALSO PROUD TO SAY

I'VE COMPLETELY KICKED
MY NICOTINE HABIT,

AND I WANT TO SHARE THAT
WITH MYSELF AND HOW I'M DOING.

SO IT'S LIKE
I'M A ROLLER COASTER

WHEN IT COMES DOWN
TO WHAT MY LIFE HAS BEEN LIKE.

I'M HAPPY, BUT THEN I'M SAD.
THEN I'M LIKE A HAPPY SAD.

SO I DON'T KNOW
WHAT'S GONNA HAPPEN,

BUT I FEEL LIKE
I'M DOING BETTER THAN EVER.

AND I HAVE HIGH HOPES
I'LL GET TO WHERE I NEED SOON,

AND I CAN'T WAIT FOR THAT.