Original subtitles

[Lisa] Most of the time I'm covered up, and I really didn't even notice

until my legs and feet and stuff started hurting so bad.

[woman 1] Somewhere in me is this little glimmer of hope.

I just wanna be a normal person.

[grunts]

[panting]

[man 1] You can't do it, and then I just get mad. [crying]

[woman 2] If I don't make a change now, I'm scared it's gonna be too late.

[groaning] It really hurts.

[woman 1] I refuse to stop fighting.

I have to do this for my children.

I'm trying to tell y'all I've needed help, but I want it.

[Dr. Now through laptop] Well, we're giving you the help. You're not listening.

[Lisa] I better say I get up every morning.

Except for the fact that I can't get up out of this bed.

It's been about three years I've been in bed.

Randy. Randy, it's time to get up.

[coughing, groaning]

It makes me feel [bleep] because I can't do anything.

[groans]

I hate being here. I hate being in this house.

'Cause I hate being stuck in a house.

I hate myself.

I just feel like I have let myself down and everybody around me.

I live with my boyfriend, Randy

and I just feel like crap because we're not really boyfriend, girlfriend,

he's more like my caregiver.

For the three years I've been in bed, Randy's been helping me.

Oh.

Randy does basically everything for me.

- Babe, I'm getting hungry. - [Randy] Okay.

[Lisa] Most of the time, he does all the cooking.

Wish I could help out a lot more. I know Randy wants that.

Poor guy.

I miss simple things like mopping a floor.

He just says he does it out of love.

[Randy] Well, for breakfast I cook her eggs and toast

and give her cereal and sometimes cottage cheese.

Makes me upset, because I don't want her eating that stuff,

but I don't wanna make her mad, so I give it to her.

Lisa gets upset all the time,

because she wants to get up out of bed and do things,

and she starts crying.

It makes me upset, 'cause I love her with all my heart.

Sometimes I hug her and other times I tell her, "Lisa, it'll be okay."

I'm her biggest cheerleader.

[Lisa] When you turn to food for comfort, it's like your best friend.

You know, you can eat it and you can cuss while you're eating it,

and tell 'em everything you're doing, and

it's not gonna talk back to you and it's not gonna judge you.

Food makes you feel good while you're eating it.

It makes you happy.

But then by the time you're done, you feel so guilty, it's like was it worth it?

For eating all that food 'cause you know that food's killing you.

You know how bad it is? It's absolutely terrible.

And food becomes your best friend, it's your only friend.

But it's always there.

I mean, I've tried like, not eating so much and stuff like that, but I'm a stress eater,

so whenever I'm stressed out or something, I eat.

I'm just a stressful person.

[coughing] Babe, you wanna put that in the kitchen for me?

Thank you.

I feel bad, 'cause sometimes my bedding gets wet.

And then we have to change the bedding.

- You know, it's kinda stressful. - [Randy grunts]

And I have to use the bathroom.

- [Randy grunts] - Puts stress on my body.

- [Randy] Try to lean. Just... - Oh!

You wanna get as much as you can.

We have to change the bedding.

So, yeah, I'm stressed a lot.

And then if it's bath time, we'll take a bath.

- You ready to roll over? - Yeah.

[Lisa groaning]

Get some soap and rags and wash my legs and rinse 'em off.

It's a long process, 'cause we have to wash and then I have to dry everything.

Get that dead skin off.

I've always wanted to lose weight. I just never knew how to lose weight.

Nobody wants to be like this.

And if they do, they're crazy.

I've always enjoyed food. I don't know why but I always have.

I think it's been a family thing, you know?

All of us are overweight.

Lisa and I are two years apart.

We grew up together pretty good, but growing up,

we've never really recognized Lisa's weight,

'cause all of us was heavy back then except for Robin, the other sister.

[Lisa] Growing up, my life was chaotic.

My dad was an alcoholic.

He wasn't at first. He was a real good dad when we were younger,

but then he got into drinking and started beating on my mom and everything.

So just that situation there made me turn to food.

Food became a comfort to me, 'cause whenever I got upset, or afraid, or lonely,

I knew it'd be there.

But then after my dad left, my mom went to work.

She cleaned banks, she did whatever she could to take care of us.

And us kids used to spend a lot of time home alone.

Go do what we wanted to do.

Cry and eat.

When I was 13, life changed a lot.

I was at a friend's house, people I thought were friends.

But I was just at the wrong place at the wrong time.

And I got raped. And it just happened.

There was two different guys. I never told a soul.

Not even my mom. And I started eating a lot after that.

I know I did. I did it on purpose, 'cause I wanted to get fat

so nobody would ever touch me again.

Made me feel lonely, afraid, wondering why things happen,

and where in the hell was God?

I got to drinking then.

Drinking and partying. Following the crowd.

Probably about 300 pounds.

I met Matthew's dad when I was 16. Terence.

And it was okay. Me and him got along real good. We had a pretty good relationship.

And then I found out I was pregnant.

My sister just found out she was pregnant with her second child.

[Jojo] Oh, it was not good for my mom living in a house with two pregnant girls, [laughs]

'Cause we was crabby all the time.

And then we still lived with our mom after we had the boys for a while.

What am I gonna do with a baby? I'm 17, I can't take care of myself.

He had colic real bad and he cried 24/7, so it was hard.

Me and Terence were never married, but we kinda got thrown together for a while.

My first marriage was a guy that was in prison.

He was in prison for murder.

We started dating after he went to prison.

He was young when he killed the guy.

They robbed a mall and accidentally shot him.

At the time, it didn't bother me.

And when he got out, it just didn't turn out well.

It was good the first, you know, three months he was out,

but then he got to drinking and using a lot of drugs.

Thought it was okay to talk to me and hittin' on me and stuff like that.

I picked him up one time and body slammed him.

I said, you're not gonna put your hands on me.

I said, no man's ever gonna put their hands on me again.

And then he tried again and I called the cops and had him removed.

Sent him back to the penitentiary.

And I went and seen him, I said, you might just file for divorce,

because we're not staying married.

So he filed for one.

His biggest lie was, I'm going down to the bar,

and then he disappeared for two weeks and I didn't see him.

I'm just gonna skip forward. Then there was Homer.

I was 19.

That was a good relationship, but he was on drugs, so we broke up.

Oh, then there was Charles, I dated him for a couple years.

I was 21, I dated him.

We broke up 'cause we just fought a lot.

And then there was Harry,

and I was like, 22 then, I think.

Harry was a good guy. He was really sweet.

But he was a womanizer. He got down three or four different girlfriends at one time.

I couldn't deal with that.

With Harry, things started getting hard.

'Cause it was just too hard for me to go and do things.

That was about ten years back.

And then I got with Randy.

I met Randy at the grocery store at age 40, he came up and started talking to me.

Gave him my phone number, and I've been with Randy ever since.

I don't think I was attracted to Randy when I first met him.

I think he just grew on me.

He was just so sweet and kind.

I love everything about Lisa.

I miss her being there with me. That's how I feel about that.

Well, we used to go down to the park, and she'd hold onto the back of her wheelchair,

and she'd walk around on that.

We used to go fishing all the time. She'd go to the store with me.

She'd go to the doctor's with me.

I do feel lonely all the time when I go out and she can't go with me.

Especially when I go to the doctor, I need her there for support.

And my biggest hope and dream for her is to get up out of bed and us go do stuff,

and eventually get married.

About eight, nine years, Randy and I spent a lot... a lot of time

going places and doing things.

We were never home.

Most of the time, I'm covered up, and I really didn't even,

you know, look at myself.

I don't really think I ever really noticed it until my legs and feet and stuff

started hurting so bad.

And Matthew said "Mom, you're getting fat."

[laughing]

[exclaiming]

Randy... Randy, will you put that in the kitchen, hon?

[coughing]

Doctor told me if I stood on my ankle, I was gonna puncture the skin,

the bones are gonna go through my skin.

Started staying in bed. And I never got out of bed.

By that time, I know I had to weigh about 600.

Been here ever since.

My boyfriend Randy has to do a lot for me.

And I feel bad, 'cause it's not fair to him.

He shouldn't have to come home and clean and he shouldn't have to come home and cook,

and he shouldn't have to take care of me.

That's what I worry about with this relationship,

is that he's gonna get tired and leave.

But I don't know, if it was tables were turned, I'd get tired of it.

[Jojo] Randy takes really good care of Lisa.

He's here for her, and he helps her, he baths her.

Helps her with her blisters on her legs and stuff.

Worry about something happening to him.

Then who's gonna be here to take care of Lisa?

Well, bring me the sour cream and I'll mix it in this, then.

You know the last three years on him has been hell.

He's had to take care of me, and, you know,

I regret letting this happen.

I wanna lose the weight.

Hey, babe, come grab this stuff, will you?

[Randy] I feel like her caretaker instead of her boyfriend so many times.

And it's kinda frustrating.

I think both of us have had food addiction since we've met.

I think we do, yes, we both enable each other.

[Lisa] It's hard, because you're...

Thank you.

You spend a lot of time alone 'cause no one wants to be around ya.

But my sister Robin and my sister Jojo live here in town.

We talk on the phone, mostly.

They just don't like seeing me in bed, so they don't come over.

Taters are pretty good.

[Jojo] Broke my heart, Lisa did, when she got bedridden.

She asks us to come over sometimes and see her,

and we don't come see Lisa as much as we should do.

It hurts. I don't like seeing her like that.

I just hope that she can get out of bed soon, and be able to get up again.

[Lisa] Yeah, I feel like I'm just not worth their time.

And that's terrible, but it's the truth.

My biggest fear is dying.

I wanna change my lifestyle to get out of bed and do things,

and it's never too late to keep trying,

and if I don't try, then where am I gonna get?

Here, babe, put that up.

[Randy coughing]

Well, it scares me.

All I'm gonna do is keep gaining more weight and I'm not gonna be here.

But between me and God, I know I can change this. I just have to do it.

I don't have a choice.

I wanna change really bad.

I want my life back.

I mean, I really... I must be pretty bad if people don't wanna come visit me.

[sniffling]

I mean, it's nobody's fault but my own that I put all this weight up

and I winded up in this bed.

- [beeping] - Thank you.

But I deserve to be happy and I deserve to be free.

That's all I want. That's why I wanna change.

- So when's your Dr. Now appointment? - I think it's today. 4:00.

Mmm-hmm. Are you nervous?

Yeah, I'm nervous.

You know this man's gonna put down his foot.

I hope to get down to Houston.

I wanna make an appointment with Dr. Now and talk to him face-to-face.

I hope to get surgery one day.

And I wanna know what I can and cannot eat. Hopefully, he'll send me a list.

And how much weight he's gonna make me lose, 'cause you know they always do.

Yeah.

Probably gonna have you lose a lot.

[Lisa] I'm very nervous about Dr. Now's appointment.

I'm nervous because I don't know what he's gonna tell me.

I think he's gonna tell me to lose a lot of weight.

Heck, if I lose 100 pounds, I might be able to get up.

You can probably get up now, we just gotta strengthen your legs.

I'm afraid to put weight on that ankle.

Yeah, I know.

Especially since that doctor said I could bust that bone through.

We hope she can get out of the bed and see her grandkids.

This is my last chance, well, 'cause if I don't do this, I'm gonna die.

[Randy] Yeah, I know.

[ringtone from laptop]

[Dr. Now through laptop] Hi, Lisa.

- Hello. - How are you today?

- I'm fine, and you? - I'm good, thank you.

- Well, nice to meet you. - You, too.

- Yes, sir. - Okay.

637.

You look like you could be a little bigger than that.

So, how old are you?

I'm 51.

So, what is your mobility?

I don't... I can't get out of bed

unless I get someone to help me get in a wheelchair.

So, how long have you been in bed?

Um, three to four years.

[Dr. Now speaking]

No, I guess not.

So, you didn't know what the problem was

in three or four years?

Well, yeah, I knew I... I like to snack a lot

and eat a lot.

Well, when I could get up and walk, I'd get it myself,

but now Randy brings me everything I eat.

So...

Well, we... We...

No...

He...

No...

Who cooks the food?

Randy and I cook it together.

How are you gonna cook it in the bed?

I got an electric skillet

that I sit on the side of the bed and cook.

So you cook the food in the bed?

Well, yeah. I sit in the bed

and put the skillet on the side and cook.

[Dr. Now speaking]

- Yeah. - Okay.

I'm gonna follow whatever you tell me to do

and he's gonna make sure of it.

[Dr. Now speaking]

Can you lower the camera so we can see your legs?

Have some better idea of what's going on.

[Lisa] Oh.

Can you hold that down there?

[Lisa groans]

We just see part of your leg, but not the entire foot.

I've got lymphedema bad, too.

[Dr. Now] I see that.

And what is this tubing going? That the oxygen?

Oh, no. That's a PureWick.

So when I pee, it goes in this tube.

So I don't get wet.

[Dr. Now speaking]

Um...

Randy help... We turn over and use, like, a bedpan.

[Dr. Now] I see. So you have a whole system figured out

to keep you in bed all day.

When was the last time you were able to sit up

and walk and get out of bed?

I haven't been able to walk,

like I said, about three years.

Three or four years.

So have you been in bed for three, four years, and...

I don't really do anything except leg exercises.

I do them every day.

So, what is the plan for you to get out of the bed?

Well, I'm hoping to lose some weight

and get some physical therapy so I can get out of bed.

How do you think that's gonna happen?

I'm gonna have to say on a strict diet

and stop eating food I'm not supposed to eat.

You knew that the past three or four years.

And what you have done to change that?

Yeah, I guess I haven't been trying hard enough.

I don't know.

What do you mean, you don't know?

You don't know what the problem is?

Well, yeah, I know what the problem is.

I guess I just haven't did anything about it.

So, what do you think the problem is?

I eat too much.

So, how long have you known that you're eating too much?

Oh, for a long time.

So, what is new today after 51 years?

I don't wanna die.

I wanna change my life and get out of this bed.

You say that, but doing that hasn't been important enough

for you to start losing weight before this point.

So, you live in Nebraska?

Yes, sir.

Well, we don't have any sort of transportation

to take you to Houston from there.

If you want to come here,

the goal for you would be to drive down.

But, for anybody at your size, bedridden, and without

medical supervision, or a medical path forward

it's going to be very risky to come down to Houston.

So, before you do that,

you need to get out of that bed.

It's the priority before you do anything.

And you can do that by losing weight and exercising.

Okay?

[Lisa] Okay.

So, I'm gonna email you some information

I'm gonna send you some diet instructions

that I want you to read.

Okay.

And follow that on a daily basis.

The diet is going to limit you to 1,200 calories a day

with focus on protein and almost no carbs.

But do you think

your boyfriend's still gonna be enabling you?

Or he's gonna stick with your healthy eating now?

What do you think, Eagle?

Stick with the healthy eating 'cause I have to too.

He said he's gonna stick with it.

All right. Lisa, I want you to stick with the diet

and change your eating habits quickly.

When you're 637 pounds,

if you stick with the 1,200 calorie diet,

you can easily be able to lose

40 to 50 pounds a month.

So in two months, you can easily lose 100 pounds.

But I'm only gonna ask you to lose 75 in that time.

I expect you to lose that much.

Okay.

And with what I'm gonna send you,

there is some exercises that I want you to start doing

and that you can do in the bed.

Okay.

And to improve your stamina.

And, do you have

any physical therapy over there to help you?

No, I don't have physical therapy.

Okay, so...

to work with you to get you up.

Can you sit up on the side of bed?

I can if someone helps me get on the side of the bed, yeah.

Okay.

Okay, so, I want you to work with that

to sit up and to start to stand again.

And once you do that,

it will help you to start to take some steps

until you're able to walk again. Okay?

Now, the question is, can you do that?

Okay.

All right.

Lisa, if you need anything, give me a call,

otherwise, I'll follow up with you in two months

and I want to be 75 pounds lighter.

And I want you up and walking by then.

Okay. Thank you for your help.

Okay. Bye-bye.

Bye-bye. Okay.

He's right about one thing, Randy.

I'm gonna run out of time if we don't do something.

We're gonna do it.

I'm so mad at myself.

[deep breath]

You can be mad at me, not yourself.

You did not put that food in my mouth.

Randy, how many times do I have to tell you that?

- Nobody did this to me but me. - I gave it to you.

So what?

You can bring me 10 pizzas in here,

but unless I choose to eat 'em,

then I shouldn't be eating 'em.

This is nobody's fault but my own.

I killed... Basically killed myself.

No, we both us killed you.

No, I did.

[sniffles]

We're gonna get you out of this.

Right now, I think we're gonna have a bit of uphill battle with Lisa.

She's been stuck in the bed for years

with no ambition to get up and change her situation.

Which means that a part of her

that wants her to be in that bed all day

with someone feeding her and taking care of her.

Which means she has spent

a lot of time justifying living like that to herself.

So, changing that isn't going to be easy,

especially with the enabler there with her,

always ready to feed her.

So, I'm not sure Lisa means it

when she says she's ready to change.

My concern is, she really means she's ready for someone

to come and change her situation.

Hopefully, I'm wrong about that,

and she's ready to work to change her life.

Because, until she gets up and starts walking again,

we're not gonna be able to do much for her.

In her condition, bringing her to Houston

could be too taxing on her body.

So, we need to get her weight down

and get her mobile again

before we do anything else for her.

But that's gonna be all up to her.

She's gonna have to decide what's more important,

stay in the bed and eating all day,

or saving her life.

We will give her the instructions and the tools

to do what she needs to change.

But it is all up to her to make it happen.

I'm gonna go to the store.

- All right. Bye, I love you. - I love you.

[Lisa] It's been a couple weeks

since I had my first appointment with Dr. Now.

I've read Dr. Now's book

to see what kind of changes I have to make.

The diet is confusing.

He wants me to eat a lot of protein, no carbs.

But, he don't want me to eat, like, fat stuff, you know,

like a lot of hamburger.

My sister Robin cleaned my house out for me.

Got rid of all the junk food.

I filled my kitchen with healthy stuff.

Whatever.

I'm just gonna, like I said, pray to God

and hope that Randy will help me figure out

what to eat, what not to eat, and the servings

and we can make this work together.

[cell phone ringing]

[cell phone ringing]

Hi, honey.

What do you wanna get?

[yawns] I don't know. Go get some cookies.

[Randy] How may do you want?

Get like six or seven cookies.

Get some peanut butter cookies.

A six pack of 'em if they got 'em.

Do you want bacon cheddar? You want jalapeño cheddar?

Just grab one of each one.

Go get some cereal too, babe.

We need about seven boxes of cereal,

so can you check what you throw in there?

Get some... Something with sugar on it.

Since you're standing right there.

Get some of that peanut butter right up there.

Okay, now go to the candy aisle

and then we're gonna go to the chip aisle.

[Randy] I'm at the chip aisle right now.

[Lisa] Oh, well get chips while you're standing there.

Um, I don't know. Get five bags.

You might just get a couple jars of that dip, too.

[Randy] All right, what else do you need?

Go to the soda isle.

Get like eight cases of pop.

Just grab any of it. It'll get drinken.

Okay, and then go over and get, like,

six frozen pizzas.

And get a pack of corn dogs, too.

I don't see corn dogs.

All right, just grab four bags of pizza roll and get out of there.

All right, I'm leaving.

[Lisa] All right, babe. That's all we need,

so I'm gonna see you when you get here.

[Randy on device] All right.

Okay. Love you, bye.

Well, I can do the exercise and diet

Dr. Now wants me to do.

But, not today.

Uh, Randy, can you hand me them dumbbells, weights,

whatever they're called over there?

[sighs]

[clears throat]

It's been about a month since I talked to Dr. Now.

I got Dr. Now's books and the paper he sent.

Yes, I understand everything they want me to do.

I'd like to get my exercising back up to twice a day.

I mean, I really do have to exercise my legs

'cause I'll get a blood clot if I don't.

My arms are gonna hurt tomorrow.

I'm stuck in bed all the time.

I haven't walked in four years.

I can't even stand on my poor feet, they hurt so bad.

But...

I feel like if I can lose enough weight,

at least trying to get on my feet,

I could do it.

You want one to work with me?

[sighs]

[huffs]

[groans]

If I were to get out of bed right now,

my legs and knees wouldn't hold my weight

and I would just fall on the floor.

I was in a nursing home for about three months

and we tried that and that's just exactly what happened.

And I ain't gonna lie to you, I'm gonna tell you

I ain't... I'm scared to...

put my feet on the floor

and try again, but I know I got to.

And with the grace of God, it's gonna work out okay.

I just want a reason why I wanna go see Dr. Now so bad.

'Cause not only would it help me lose weight,

but I know he'll get me physical therapy

and start getting me back on my feet,

which I got to do that.

Randy, my arms hurt.

Ah. I know, your chest hurts.

[sighs]

I keep telling you to go into the doctor, but you won't go.

I love Randy 'cause

we've been together forever and he's really good to me.

He does a lot of stuff that a lot of men wouldn't do.

And I appreciate him for it.

You wanna go to the hospital, baby?

Lay down for a little bit and see if that'll help out.

[Lisa] I don't think Randy's jealous.

He's afraid if I lose weight that I'll leave him.

'Cause then I won't... I won't need him, you know.

Right now he does basically everything for me

and if I can start doing by myself, then...

I think he's gonna feel like

I'm not gonna need him anymore.

But, I mean, that's not the case

'cause when we first meet I did everything for myself.

We've got different personalities, though.

He's really quiet and doesn't talk to people.

He's not around people and I'm the opposite.

I like to be around people

and I like to go out and do things.

And he's not like that.

And you know damn, damn well,

I lose some weight, my butt's going out.

[laughs]

See ya! [laughs]

I tell him every day

my expectations for myself in one year,

is to lose enough weight to get out of this bed

'cause I got a date with my granddaughter

to take her to the fair.

And I do not plan on missing that date.

So, that's, that's my plans.

I'm doing this.

- There you go. - For Dr. Now, but mainly me.

- Keep it up. - My arms are killing me.

[grunts]

Hello Dr. Now. How are you?

Good, Lisa. What are you doing in bed?

Sitting here, doing nothing.

[Dr. Now] That's the problem I'm calling about.

You keep refusing PT

and you're not working with them to get up.

So, last time I talked to you, you said you could sit

and get to the side of the bed if you had help.

And we sent PT to help you start to do that

to build up your stamina,

but you refuse to cooperate with them.

So, what's going on?

I never said I'd sit on the side of the bed.

You must have gotten me confused with someone else.

Really?

[chucking] Yeah.

[Dr. Now] So if you can't get up and walk,

how do you expect to come to Houston?

I'm supposed to be coming tomorrow.

How in the world? You're in the bed.

Are you gonna come with the bed?

Move that bed from, uh...

where you are to Houston?

No, they're... The ambulance people

are gonna help me get in the van

and then I'm gonna come down there and see you.

That's medical transport and I told you that's too risky.

But that's okay. I don't think you are really planning on doing that.

So, what you have done to change your eating habits

and lose some weight?

I send you my book and all the instructions you need.

I don't quite understand your book

and what kind of diet you want me to be on.

Then you haven't read it

because there is only one diet in there.

If you read the stuff, but you won't understand

that you eat only three times a day?

Only about 400 calorie at a time

and you avoid the high calorie food list that we sent you.

Which part of that is hard to understand?

I'm confused all the way around, I guess.

You're... you're confused.

Okay, okay. I think what we have here

is you're playing games and pretending to be confused.

Because you still want to eat

whatever you want whenever you want.

So, we need to cut the food off at the source.

Where is your enabler boyfriend

so I can talk him and see why things are repeating?

Just a minute. I'll hand him the computer.

Here, babe.

[Dr. Now] Hello.

Hello.

How are you doing?

Fine.

So, you're the one who brings Lisa

all the food that she can get.

So, why are you doing that?

I don't bring her a whole lot.

I bring her some.

[Dr. Now] She hasn't lost any weight over the last month.

She's still over 600 pounds.

So you're not feeding her a little, you're feeding her a lot.

If you give her appropriate amount,

then she should be able to lose enough weight to get out of the bed.

But she's not able to do that.

So are you overfeeding her?

If she asks me if I can get it for her.

- So if she asks you, you're obligated to bring it to her? - Yes.

What happens if you don't bring it?

- Is she gonna get up and go get it? - You talk.

I can't talk to him. He's an [bleep].

[Lisa] Randy, you have to talk to him because this is important.

This is about saving my life, you can't just not talk to the man.

I'm trying not to overfeed you.

You need to finish talking to him.

I'm done talking to him.

We both know we're both doing wrong, so I mean...

- He's only trying to help us. - Well, we can do it without him.

It's okay 'cause you down there.

I've been trying to cut your food down and tell you no.

Dr. Now, he don't want to talk to you no more.

[Dr. Now] But that may be your problem,

that you got some enabler to bring you a lot of food,

and he doesn't want to stop doing that

because he likes to overfeed you for whatever reason.

And, as long as he brings it to you, then you're gonna be in the bed.

And if you both aren't willing to stop

this unhealthy behavior, nothing is gonna change.

And if that's the case, what is the point of you coming to see us?

What do you think we're gonna to do? Magically make you lose weight?

Well, no, I know you're not gonna magically reduce weight.

That I'm gotta do it myself, and he's gonna have to...

Help me do it.

[Dr. Now] And you don't have a lot of time to waste.

And you're gonna run out of time soon.

I know.

[Dr. Now] Now, if you know, you're gonna have to do your part to make the changes.

[Lisa] Okay.

You say that, but I don't think you mean it, or that you really want help.

He doesn't make sense.

[Dr. Now] So what did your friend just say, Lisa?

[crying] I'm trying to tell you I don't need help, but I want it.

[Dr. Now] Well, the help that you want

we've given you the help, you're not taking it.

The help you want is to stop eating

and stop overeating and killing yourself with food.

And we give you the opportunity to do that,

and you're not doing that and you want us to help you.

I'm doing the best I can.

[crying]

- [sniffles] - [Dr. Now] Lisa.

- Yeah. - [Dr. Now] Don't cry.

Crying and throwing a tantrum is not gonna be a solution for the problem.

I'm not throwing no tantrum, Dr. Now.

But you are. You know, we gave you all you need

to start making the changes you need, and you've had every opportunity

to make progress this past month, so why you haven't done that?

I don't know.

[Dr. Now] Well, what is the point of calling us

and you're not doing anything you're supposed to do?

I do want the help.

So what kind of help do you need?

I don't know, Dr. Now. I just know I need help losing weight and getting out of this bed.

We send you the diet, you need to do it,

and work with PT, if you want any more help.

You think you can do that?

Yeah, I can do that.

Well, let me talk to him again.

Here, Randy.

[clears throat]

- Yeah. - [Lisa coughs]

[Dr. Now] Can we get an agreement

that there will be no snacking between the meal?

Yes.

Okay. And the meal needs to be around 400 calories.

Okay.

Lisa, do you think you can do that chapter in the book?

- Chapter one? - Yes. Yeah, I can.

Okay, and you need to do that chapter plan,

- and start doing that exercise, okay? - Okay.

- And when PT comes, you work with them. - Okay.

Okay, I'll follow up in two months.

And if you lose the weight and get out of the bed,

and if you get to that point maybe then we can consider put you to trial to Houston.

All right.

Otherwise, I don't see any point coming down here.

Okay.

- All right. Bye, Lisa. - Bye-bye.

- All right. Can I say bye to Randy? - [Lisa] Okay.

- Okay, Randy. If you need anything, give me a call. - Okay.

And let's stick to the program and help her to lose some weight, okay?

Okay.

If you need anything, give me a call.

- I will. - Bye, Randy.

- Bye. Bye. - Bye.

If Lisa doesn't wake up and stop playing games,

then the outcome isn't gonna be good for her.

She's spent a lot of time learning to manipulate

those around her to get what she wants.

And she seems to think she can keep doing that in this situation.

She wants to pretend she doesn't know what to do,

and convince me that she's trying,

in the hope that I will eventually give her weight loss surgery

and all the work will be done for her.

But that's not gonna happen.

Because unless she does the work,

nothing anyone does will help her in the long run.

So she's not gonna manipulate her way

into losing the weight and walking again.

Either she does what she has to do and work at it,

or her situation is only gonna get worse,

until she gets to the point where it is too late for her and she doesn't make it.

The choice is up to her.

I don't wanna go over anything with her.

I think it's a waste of time.

[knocking at door]

Come in!

- Hi. - [Lisa] Hello.

- How are you, Lisa? - I'm all right.

I'm Emily. I'm a dietician. I'm from Lincoln.

- How's your day going so far? - Fine.

I probably won't even answer your questions, to be honest with ya.

I just wanna get to know you a little bit, okay? Can you tell me about yourself?

I don't know. Ain't really nothing to tell.

Well, we didn't just end up here today, right?

No.

What's some of your story?

Um, I don't know.

Can you tell me about just growing up, and what food was like for you?

I don't know.

- We ate... Regular meals. - Yeah.

Did you get the diet that Dr. Now had...

- No. - provided?

- I never got no diet. - You didn't get any information from him?

No diet, no nothing.

Okay. You haven't talked to him at all?

- Yeah, I've talked to him. - Okay.

What has he provided you when you, uh, met with him?

Nothing but rudeness.

- Mmm-hmm. - Okay.

I refuse to talk to that man again, too.

I don't need to be made like I'm a piece of [bleep]

from someone who is supposed to be helping me.

- You're not a piece of [bleep]. - [coughing] Well...

That's not how they make you feel.

Um, what's the ultimate goal for you?

- I just wanna get out of this bed. - Okay.

So to get out of bed, what would that entail?

- I don't know. Figuring out how get up and walk again. - Okay.

So what would need to happen in your life

to be able to get up and walk again?

I don't know.

- What types of things do you like to snack on? - [sniffles]

[crying] Just depends on whatever is around. I don't have a choice!

Okay, so what kinda foods get brought into the house?

Oh, hell. I don't know.

Well, what do you eat on a day-to-day basis?

I don't know, I had oatmeal and toast for breakfast.

You like to eat snack food, so what type of snack food?

I don't know. I don't eat chips, I used to never... I don't know.

I don't know. I don't know what the [bleep] I eat.

I just eat whatever people give me.

Lisa, do you mind if I ask Randy some questions?

- Ask all you want. - Okay.

[Randy] I'm not answering a [bleep] thing.

[Emily] Randy, are you familiar

with the recommendation that Dr. Now has made?

[Emily] No? Okay.

He hasn't made none. He doesn't...

- Okay. Okay. - do anything but make you feel like a piece of [bleep].

Can I tell you about those recommendations?

No.

[Emily] So...

I think the overall goal is

that we're promoting some weight loss,

to be able to help get you to Houston to get help.

Is that correct?

- I'm not going to Houston. - Okay.

So, overall though, you have the goal of your wanting

- to lose weight so that you can get out of bed, right? - Yeah.

Okay. So what do you think is contributing to continuing to gain weight or...

[Lisa] I don't know.

[sighing]

Lisa, if you want to make change I'm gonna need you to engage with me.

But I don't know!

So, you've not struggled with--

What is this gonna do me any good, with you just coming in here and talk...

This is not even what a nutritionist done.

I've seen nutritionists before, this is [bleep].

Lisa, this is my specialty of working with people

who struggle in their relationship with food.

This is what I do every day.

You're wasting my time.

[groans]

What would you rather be doing?

I don't know! Leave me alone, lady!

Sometimes when we get angry and frustrated

we wanna blame other people and have them take--

Okay, this is over with.

Get out. I'm done, I'm done talking to you.

Give me my book.

I don't blame nobody for anything that's happened to me.

Lisa, is part of you afraid of getting help?

- [bleep]! Just get the [bleep] away from me! - Okay.

[Lisa yelling] Get the [bleep] out!

[bleep]

Do not ever come back to my house again!

[Emily] In Lisa's responses she definitely demonstrated a lot of resistance.

And she's obviously angry.

But a big part of her journey is going to be being able to be honest and vulnerable.

And so Lisa's unwillingness and hesitancy to engage

definitely raises a lot of questions for me

about whether or not she's really committed to the journey of healing.

[Lisa] And then, I also told them I cannot do physical therapy after 3:30.

So how... I mean, what are we gonna do about that?

He set that up at 6:30 at night.

Dr. Now, he knew [bleep] good and well I cannot do anything after that,

so that's disrespect on his part.

And I'm supposed to respect this man? No.

It's all disrespect towards me, but it's okay to disrespect me

[yelling] 'cause I'm as fat as [bleep]!

Where is my respect?

[knocking at door]

Bring your [bleep] in!

- Hey, there. Lisa? - Yeah.

Hi, Lisa. My name is Staci.

And I am a physical therapist.

[Staci] So...

How about we...

Can we do a little chatting first just to...

- You have five minutes. - Okay.

So how about this?

What goals do you have as far as physically, with physical therapy?

What can physical therapy help you with?

There's nothing you can do for me.

Have you had physical therapy in the past?

Are you interested in any type of exercises

- that you can do in bed? - No. No. No.

I'd like to help you.

Yeah. Whatever.

You were not supposed to be this late. How is that fair?

You were not supposed to come this late!

I really don't have anything to say to you or anything I want to do.

You wasted your time.

Okay.

Thank you for coming. I appreciate it.

I have some resistance bands out in my vehicle,

if it's something that you'd like...

I can bring in here and show you

- a couple of things that you can do with them. - [Lisa] I'm not...

I'm not having you show me anything.

If you got some papers I'll take 'em,

- and I'll figure it out later on. - [softly] Okay.

I don't have any papers with me, but my plan was

just to see what we can do today, and then I can get you papers.

- Nothing that I can do here with you? For you? - No.

Okay.

You wouldn't consider anything?

Absolutely not.

Well, I would love to help you in whatever way I could.

- Okay? - Yeah.

I really truly would.

So, you would like me just to...

Go out? Is that...

- Yeah. There's really nothing we can do. - Okay.

Is there any type of activity that you are able to do in the bed?

Moving your legs, moving your arms,

rolling side-to-side, are there things like that

that you do just for activity, for movement?

- No. - Okay.

How about sitting edge of bed, are you able to do that?

- No. - Okay.

Um, even just raising your arms up overhead and coming back down?

Oh, my God. Never mind. Thank you for coming.

-That's the end of it. Bye-bye. -Okay.

Thank you.

This is why my family don't [bleep] with white people no more.

Did you call 'em?

What'd she say?

You know, this burger don't taste good.

[Randy speaking]

Dr. Now is a liar 'cause he claims he sent me a diet and he never did.

He makes the devil look good.

[video call chiming]

- Hi, Lisa. - Hi.

- How are you? - I'm all right.

- So what's going on with you? - Nothing.

[Dr. Now] That seems to be what you do best.

Because you're clearly not doing the diet.

And you still haven't cooperated with PT. So why is that?

[Lisa] I still don't understand no diet.

I don't understand your book, it didn't have no diet in, that I'd seen.

No.

I guess it is. I don't know.

I don't know.

- [Randy] You have been eating less. - [Dr. Now] Okay. And--

You can't tell him anything so don't bother wasting your time.

- [Dr. Now] And what? - Nothing, I'm not talking to you.

- I don't know. - [Randy] Yes, you have.

Oh, well.

Yeah.

The one lady who did come, she says I'm too [bleep] fat,

and she don't know how to work with me.

[Dr. Now] That's not what happened.

You refused to work with her every time she came.

And now you're lying to manipulate the situation.

Yeah.

So this is something you that you need to do

I don't really care anymore.

What the [bleep] you gave me?

I'm done, goodbye.

Here, I'm done.

I'm done.

Worthless Dr. Now.

I don't think Lisa ever really intended to make any of the changes she needed.

I think she thought she can manipulate her way into weight loss surgery

and she wouldn't have to do any work to lose the weight and save her life.

So, right now, as long as that is her perspective

and she intends to lie to me and give me excuses intended to manipulate me,

there is nothing we can do for her.

So, from here, one of two things is gonna happen,

either Lisa wake up to the reality of her situation

and get what she needs to change before it's too late,

or she's not going to be alive much longer.

[Lisa] My boyfriend, he got real sick and, um...

they actually had to come and take him out 'cause he was unconscious.

So, um...

after that, they're, like, you know, they think he has Covid,

you really gotta go get tested.

So, I called an ambulance and they came and got me and

took me to the hospital and they say, "Yeah, you got Covid"

and this is where I winded up at.

Well, he fell off the bed, actually he rolled off the bed,

So, I said "That's it, Randy" I said, "I'm calling an ambulance" and I called one

and it took him away and I, I never got to see him again.

He texted me once

and that's the last time I heard from him.

He says "I love you and miss you, are you okay?"

I told him that I loved him and miss him too

and that he has to fight so he can come back home and be with us.

I just miss his hugs and his kisses and everything,

watching him cook and he, he'd be here right now

sitting in that chair over there, you know?

I just miss everything about him.

He was a good man.

I think it's going to be very hard to go home 'cause Randy's not there.

Gotta go home to that empty house where I'm used to him being there and

all of his stuff's there and he's just not gonna be there.

[video call chiming]

[Dr. Now] Hi, Lisa.

Hello there.

How're you doing?

I'm doing better.

Glad to hear that.

I'm in the hospital still.

So, why are you in hospital?

I had Covid.

So, you had the Covid and you've recovered?

Yeah.

Well, you're very lucky at your weight to survive that.

How long have you been in hospital?

I think for about a month.

Well, my boyfriend, Randy, passed away

from Covid so he's not gonna be there to help me anymore, but, um,

I have two friends, so, they're gonna be there to help me out a lot.

I'm very sorry to hear about Randy, I'm sorry for your loss.

So, uh, how is your weight now?

It's at 554.

So, you've lost some weight, huh?

Yeah.

All right, are you doing any physical therapy?

Yes, I have to do exercise three times a day.

Good. How is your mobility? Can you get out of bed?

No, not yet.

Tanishia and Destiny, which are the two young ladies gonna help me, said that they'll

help me with my exercises and

stuff that I need at home.

[sighs] That's another issue that I wanted to discuss with you because

my sister actually cleaned my house out

because we thought I was going to go to a long term facility.

So your diet and books got put into a box,

which is in my garage and we have no idea where it's at.

So I was wondering if you could send it all to me again

and they said that they'll help me.

'Cause, you know, they're the ones gonna be preparing my meals and cooking for me.

And they said they'll help me to stay on this diet plan if

we can get it all again.

And I believe they will.

Yeah.

That's gonna be the key issue.

Yeah, I'm pretty sure I can do it,

I got to the point with the hospital where I just eat till I'm full.

Well, so far you started with 637. From the weight that you originally gave me,

now you are at 554, you know that is an 83-lb weight loss.

And that's a great improvement, so what we got right now,

you don't wanna go home and gain all that weight back.

No, I don't. I really don't.

And, hopefully, as soon as you can stand up and be

able to take some steps on your own.

Yeah, I would love to do that.

All right, I will send you everything again

and get PT set up and get you back on the program.

And since you recently had a big loss, I'm also gonna set up some psychotherapy for you

to talk to them and see if they can help you.

Okay.

But after this,

Oh yeah, that'd be so nice.

Okay.

Please, please don't forget to send me that book and stuff though.

We won't.

Okay.

I'll do the best I can.

Well, you have no choice at this point.

[chuckles] No, I really don't.

Don't go home and turn your new roommate into an enabler.

No, they're gonna, uh, cook and stuff for me and

they're gonna help me learn how to prepare meals like you wanted to and stuff like that.

All right, have you worked with them before?

Um, they're just real good friends of mine.

Okay, I'm gonna have to see how that will work out.

And once you do that, we can work on you coming down to Houston.

Okay.

So these are all the goals that you got

and you have to work on 'em and get 'em all done.

Okay, I'll do my best.

Well, don't depend on other people to give you the right stuff,

to do everything for you.

Okay.

You have to make those right choices yourself.

Okay, I can do that.

And uh, you know, and try to eat the smallest amount that you can

and don't overeat, okay?

Okay.

And that will be one of the most important thing that you need.

Okay.

All right, I'm glad you lost some weight and that you got through Covid.

I'm sorry about your boyfriend.

Well, thank you.

But, I think at this point, getting therapy has to be your highest priority.

But whether or not that happens is all up to you, okay?

All right.

If you need anything when you go home, give me a call.

All right. Well, I appreciate it.

All right. All right, nice to see you again, Lisa. Take care.

You too, thank you.

- All right. Bye-bye. - Bye-bye.

It seems like Lisa had a bit of a wake-up call with her recent illness

and now she wants to do the program again.

It's sad that it had to come to that for her

to start to see the reality of her situation.

But, thankfully for her sake, she seems to have gotten good care in a local hospital

that not only help her to pull through everything,

but they have also managed to get her weight down just over 80-lbs,

which is a very good start for her, but we are soon gonna be limited

in what we can do for her

until she does what she needs to get out of the bed.

Since she recently had a significant loss,

I want psychotherapy to talk with her,

make sure she has an outlet now

for how she's feeling.

So, she doesn't use that

as an excuse to start eating whatever she wants again.

Because Lisa can't afford to miss this chance now.

She's very lucky to make it this far in her condition.

And if she goes home and goes back to old habits

and doesn't do what she needs to change,

then things are not gonna end well for her.

So this is her last chance.

She either does what she needs this time

or we're done playing games with her.

[groaning]

Thank you, guys.

[man] You bet.

No threes.

Are you ready for your exercises?

- Yeah, just in a minute. - Okay.

I found the diet you're supposed to be on last night.

Did you?

Mmm, go ahead and do your exercises first

so that I can get your supper going.

Yeah, I will do it later.

- Can we throw these away first, please? - Yeah.

Okay.

Are you ready?

You want the orange band today or the green one?

Let's try the orange one today.

Which one do you want? 'Cause the green's harder.

Well, we'll work our way up to green.

All right.

We gotta do outwards first.

One.

- Two. - Two.

- Three. - Three.

- Four. - Four.

- Five. - Five.

- Six. - Six.

- Seven. - Seven.

- Eight. - Eight.

- Nine. - Nine.

- Ten. - Ten.

This arm... this arm is weak.

You got this.

Okay, now we have to do the leg ones.

Okay.

- Two. - Two.

- Three. - Three.

- Four. - Four.

- Five. - Five.

- Six. - Six.

- Seven. - Seven.

- Eight. - Eight.

- Nine. - Nine.

- Ten. - Ten.

- Okay. - Good job.

[sighs wearily]

Now I'm worn out.

Let me check my oxygen

since I got no oxygen on.

[Desi] Okay.

So, in the book,

it tells you what you can drink,

zero calorie drinks that you can have.

And then it goes on to give you recipes like,

cucumber yogurt salad,

uh, sliced carrots,

and sliced yellow squash.

Do you wanna do that?

We'll figure out something.

[sighs]

As we put stuff on

we'll have to check and see how many calories

- that makes me have. - Yeah.

Desi, here's a part in this book that talks about

how much proteins and everything too.

Okay.

These are some pretty big chicken breasts.

[Lisa] Yeah, what it's what I said,

that's why I said I don't think we'll need 'em all.

[Desi] No.

- [Lisa] I'm only supposed to eat three ounces. - Maybe--

So probably not even a half of one's gonna be three ounces.

It takes 68 hours to digest food completely.

[Desi] Chicken's in.

So, that'll be a little bit.

Oh, I didn't know our intestines were 20 to 30 feet long.

I didn't know that either, that's interesting.

[Lisa] Yeah.

I'm learning some things from it.

Lord.

I'm tired today.

I am too.

I ain't go to bed until like 4:30 a.m.

I'm exhausted.

Do you want me to get you set up for this?

[laughing] Uh, I'd appreciate it.

Can you see it from here?

Yeah, I'm just worried that not being able to hear him.

- I'll turn it up for you. - Okay.

I'll go ahead and step out, give you some privacy.

[video call chiming]

- Hi, there. - Hello.

I'm Doctor Paradise.

[Lisa] I'm Lisa.

Hi, Lisa. Good to see you.

- Um, how you doing? - I'm okay.

Okay. I see you, you laying back in bed there.

Uh, when's the last time you got out of that bed?

About four years ago.

Holy cow.

Um...

All right. Tell me a little bit about yourself.

When did you first get big?

I really don't know.

-I never paid any attention - Okay.

To my weight or anything like that.

It never bothered me, so I never really cared.

But I wanna find out how you got that big.

Because nobody gets to be 600 pounds by accident.

- You know, it is usually somebody feeding them -Yeah.

Or some emotional eating going on.

How did you get to be 600 pounds?

Well, I don't know,

my boyfriend used to bring me food,

so, I don't know.

Okay.

Which boyfriend was this?

Randy.

When was Randy around?

Last 10 years.

Is he still around?

No, he's died.

Oh, wow.

Tell me about that.

[high-pitched] Just nothing to say, he just died.

Uh, what did he die from?

Covid.

[Paradise] Oh, no.

- He got sick. - I'm so sorry that you had that loss.

How long ago was that?

It will be two months on the 18th.

[Dr. Paradise] Okay.

Uh, Randy was fine with you being in the bed?

No, he didn't like it but we didn't know what to do.

What do you remember about him?

Randy was one of those people who would

do anything and everything for you.

He was pretty committed to seeing you get out of that bed, I bet.

Yeah.

I want you to hang on to that,

'cause I think that, uh,

probably the best way you can remember Randy

is by losing weight.

What are the tears about?

[high-pitched] I just want to get off this bed.

[sobbing] I want my life back.

I wanna be able to go...

do things with my grand children and you know?

[Dr. Paradise] Lisa, it's meaningful that you're getting emotional about this.

'Cause it means you really care.

And I wanna see the behavior that matches that care.

I need to figure out a way to feel like I'm really worth it though, because

I don't feel like I'm worth much of anything.

Well, laying in a bed will do that to you, right?

Yeah.

Yeah, one of the best ways to build your

self-worth is to do stuff that makes you feel worthy.

Okay.

Lisa, it sounds like you got it right in your head.

You've got the internal motivation,

you really wanna do this

and we just have to sort of connect the dots for you.

Yeah.

Do you see any roadblocks for you?

What are the things that are keeping you in the bed?

Just myself.

Part of the challenge for you getting out of that bed

is in your head.

I understand there's real physical limitations

but I wonder if you're also little afraid of getting out of bed.

Oh, I'm terrified of that, ain't gonna lie.

[Dr. Paradise] Yeah.

And the way we usually work on fear

- is we break it into little parts. - Okay.

Like what about hanging your legs over to the side of the bed?

How does that sound?

I... yeah, I'll have to figure out a way to do that.

And I know it's gonna be hard, but, uh,

hard things are usually in front of good things that we want.

- Yeah. - Okay?

So, maybe

sort of incrementally working up to sitting up,

hanging your legs over the side of the bed

just getting use to the feel of not laying down.

Okay.

[Dr. Paradise] And eventually maybe resting your feet on the floor,

so that you don't-- the fear isn't what's keeping from doing it.

No, I got a question for you though.

- Sure. - Is there something

to do that will help me with getting over Randy?

Well, you know,

- grief is hard, and, uh, -Yeah.

I sometimes say if they could put time in a pill

they'd sell out of it.

So time is going to be helpful to you, through the grief.

[stuttering] And, Lisa, you're...

you have kind of a choice what to do with that grief.

You can either let it kind of, keep you stuck in bed

- or it can be your motivation to get out. - Okay.

Because Randy sounds like he was a really good guy.

[chuckles] He was.

And Randy wouldn't have wanted you to just lay in that bed and feel bad.

No.

So one of the best ways to get over the grief of Randy

would be to live a full life

and make him proud of you.

Okay.

Do you think he's watching you now?

Oh, I know he is.

So, impress him.

Okay.

Lisa, I'm optimistic for you.

You can do more than you think you can.

I think you're gonna impress yourself.

- Okay. - With your ability to get up and do stuff.

It was great to talk to you,

take care and we'll keep in touch, okay?

All right. Thank you.

- Bye, Lisa. - Bye-bye.

[call disconnects]

[Lisa] Thank you.

[Desi] How'd it go?

It was fine.

- How do you feel? - How do you feel?

I feel okay.

He told me I need to start

doing more things for myself

and trying to get up out of this...

you know, my feet on the floor.

Sitting up, I don't know about sitting up...

We can help you.

Which is a hard thing for me

- but I'm just going to do it. - Yeah.

Suck it up, buttercup.

[Lisa laughs]

I had such a great life

and I don't know why I destroyed it.

You still have it.

We just gotta get you up and moving, okay?

- Yeah. - All right.

And I'm here to help you every step of the way.

- Yeah. - We'll do this together.

- Hi there, Lis. - Hello. How are you?

- Good. How are you? - I'm okay.

- Good. I'm Staci, the physical therapist. - Yeah.

- And we're going to go over a few exercises. - Okay.

- It's all right? Okay. - Yep.

[Lisa] I've been stressed out over physical therapy.

I don't think I can do this.

But it's time for me to take care of me.

It might be a little late but we'll try.

How about this?

- We're gonna start with some arm exercises, okay? - Okay.

Just to start with I'm just gonna have you raise your arms up over head

and back down and you had physical therapy earlier, is that right?

- You had that? No? Okay. - Not today, no.

Okay. Good.

We're gonna do 10 of these.

That sound right?

I want you to let me know if anything is sore, if anything hurts.

- Okay. All right. - Yeah, like your arms get tired, okay? Okay.

- Good. - [grunts]

You will just have to

tell me about legs, 'cause I got some sores on my legs.

Okay. I've got some exercises for legs too

and I've brought some gloves, so we can check that out.

- Okay. - Okay.

So, I also brought some bands with me.

Let's do this.

I'm gonna have you grab a hold on this band.

[Lisa] Okay.

[grunts softly]

[clears throat] And I want you to just in front of you, just gonna...

Yep. Perfect.

- Does that feel okay? Okay. - Yeah.

[Staci] Good job.

Eight.

Nine.

Ten. Perfect.

Now I'm gonna have you try this.

I'm gonna have you hold that band in front of you

and you're gonna try to just raise it up.

- Okay. - Okay.

Let's do ten of those.

Three.

Four.

- Does that feel okay? - Yeah.

[Staci] Seven.

Eight.

Good job. Two more.

Nine.

Ten. Good.

How about this? Let's do a few things with your legs.

We'll give your arms a break. Do your arms feel like they're tired at all?

- This arm does but this one's fine. - Okay. Okay.

I'm gonna have you just to start with, with your feet,

I just want you to pump 'em up and down.

Good.

Good.

Does that hurt that spot at all?

Good.

So, let's do this.

I'm gonna have you try to push your knee down

into the bed, so you're really tightening these muscles up.

Let's do ten of those, okay?

Any pain with that?

- My knees hurt a little bit. - Are they?

-Okay. -[Lisa] Nothing unusual. [chuckles]

Good job.

Last one right here. Perfect.

So, let's try to go out to the side.

Good.

Probably easier to go in.

And then back in. Okay. And then back out.

Good.

Two.

Three.

Good job.

- Any pain with that? - Uh-uh.

Ten. Good job. Okay.

I'm gonna try the other side, all right?

[Desi] You're doing a good job.

[Cameron] You're doing great, Lisa.

[Staci] Six.

Seven.

Eight.

Nine.

Ten. Good job, Lisa. Okay.

All right.

Okay.

So, we're gonna try this.

I want you to try to slide,

so that you're... yep, you're bending knee up.

Good. And then back down. Good.

- Is that okay? - Yeah.

[Staci] Three.

Four.

Are these guys usually here that they can help you with these

- Yeah. - Types of exercises?

One of them always has to be here.

- 'Cause they don't let me be alone. - Okay.

[Staci] All right.

So, how about this?

Does that give you a few things to start with?

- Yes, ma'am. - Okay.

Staci is having me do stuff that I'd never done in my life.

But, I tried.

It felt good.

Once I get my mind set to something then I have no doubt that I can do it.

My plan is to do my exercises, eat right, get my fat ass out of the bed.

Is there anything, any questions you have,

or anything that you would like to go over, discuss, that we haven't talked about?

Mmm-mmm.

I thought Lisa did really well today with her exercises.

She got through everything well, and had no pain,

and appears to be very knowledgeable in the exercises,

and hopefully can continue those on her own.

Thank you so much for working with me.

- Thank you so much. - Good luck.

- Thank you. - Okay. All right.

- Drive careful. - Ah, thank you.

- At least it's not snowing. - True, it's not snowing.

Yes.

- All right, thank you, guys. - Thank you.

Goodbye. Thank you.

So, when's your next doctor appointment with Dr. Now?

It's gonna be in about three minutes.

Could you, um, grab me the computer, please?

Where's the computer at?

- It's in the kitchen. - Okay, yeah, I can do that.

Ooh.

There it is.

[Lisa] You'll have to clean the stand out first though, hon.

Huh?

You have to clean the stand off too, and sit it right there.

Okay.

Ha-ha. I got the pen in my hand, Lisa.

[both laugh]

Mmm.

Where do you want me to set this stuff at?

Any place but on that... by that TV.

Ouch.

- Any place but on the TV? - Yes, just sit it...

Okay, I'll sit it right here.

Here we go. Okay, how does this open?

- Turn it around. - [whispers] Turn it around.

Uh, okay.

- Then, there you go. - Thank you.

You're welcome.

- Okay. - Mmm-hmm.

He might wanna talk to you anyways since you help with me.

Okay, I don't mind.

[video call chiming]

Hi, Lisa.

Hello.

How you doing?

I'm okay. How are you?

I'm doing well, thanks.

I wanted to check and see how you're doing

since you have been at home from hospital for the past month.

I seem to be doing okay.

I'm glad to hear that. That's more positive than you usually answer.

So, I'm happy to hear that.

Well, how you doing with the PT?

Because they tell me you were cooperating when you got back home.

But over the last month, you haven't been doing as much,

and you've been telling them you're too tired and you can't do it,

so, they have to come back later.

So, what's going on now?

[Lisa] Well, I've been trying.

All right. Are you able to start walking?

No, I haven't even got out of bed yet.

How about sitting on the edge of the bed?

No, we haven't did that neither.

Are you working to do that, or what?

Yeah, I'm gonna work on it.

All right. So, being in the bed for that length of time

you develop a fear of walking, and I think that may be a factor here.

You need to work through that, okay?

Okay.

So you can work with the therapist to work with that fear of walking.

And that's gonna be an important...

Because getting up and moving around

is going to be a very important step in your recovery.

So, the first step is to sit up in the bed.

Yeah.

And then move to the edge of the bed, and put your feet on the ground.

Okay.

And once you do that,

then develop your confidence that you can get up with a walker,

and start taking steps.

Okay.

But you need to work with a therapist to overcome the fear of walking. Okay?

Okay.

Did you get my book I sent you again with the diet?

Yeah. I owe you an apology, 'cause all that stuff is in there.

I just didn't go back far enough.

Well, I'm glad that you read far enough this time so you understand the diet.

And you got all the stuff to help you what to do?

Yeah.

Because you lost a lot of weight in the hospital.

You want to continue with that.

- You don't want to gain it back, right? - Right.

You got all the right information as well.

Follow the rules and you will lose weight.

Okay.

How is the help that you're getting at home?

Oh, they're very nice people. It's good.

So, the people that are helping you out

with everything at home,

they are bringing you food how many times a day?

Um, three.

Are you snacking between the meals?

Um, not the last couple of days, no. But before, yeah.

Okay, well, there is no reason for you to snack, okay?

Yeah.

And you need to cut back on your calorie intake

to the point that you're gonna be able to lose some weight.

Okay.

And don't create the dynamic of enabler again at home.

Okay.

If you're not hungry, don't eat

and if you're eating, make sure that you are eating very low-calorie food.

Okay.

At most about 400 calories two or three times a day.

Okay.

And if you do that, you will lose weight.

Okay?

So, this is what you need to concentrate on.

- Okay. - To continue losing weight.

And continue getting your strength up and be up walking,

so you get to the point that you can travel into Houston.

Okay.

So, make sure you work with PT to get up.

Don't keep sending him away because you're tired and you don't want to do it.

Okay.

This is that chance for you to do the program.

So, do that, and sit with that diet,

and if you have anything you need, give me a call, and then we'll go from there.

[Lisa] I'll make sure I do those.

Okay. Your next big goal is to have your feet on the ground.

And you can tell me if you need anything. Give me a call.

Okay, thank you kindly.

All right. You're welcome.

I am encouraged that Lisa seemed to have had a better disposition,

and at least she started cooperating with PT.

But at the same time, she doesn't look to have lost much weight

since she has been home from the hospital.

It is positive that she has read the diet this time.

So, that is more than I can say

for how much she was willing to do in the beginning.

But my big concern right now is that she's clearly losing momentum.

She finally started working with PT

after she came home from the hospital.

But after they got past simple exercises, she stopped cooperating with them,

telling them she was too tired when they tried to push her to sit up at all.

This past week, she started telling them they have to come back,

like she was doing in the beginning.

So, I'm worried she's going back to her old habits.

But right now, we will focus on positive we have been seeing from her.

And continue to get PT to push her to get up.

And see if we can continue to get her weight down more.

But just like in the beginning, this is all still up to her.

And it's gonna come down to whether she's gonna put in the hard work

and simply doing what she needs or not.