1 00:00:02,467 --> 00:00:05,800 Doug: I DON'T REMEMBER WHAT IT'S LIKE TO LIVE WITHOUT PAIN. 2 00:00:05,800 --> 00:00:08,633 I KNOW I NEED HELP OR I'M GONNA DIE. 3 00:00:15,400 --> 00:00:18,967 Man NOT FOR ONE MINUTE DID I THINK MY LIFE WOULD END UP LIKE THIS. 4 00:00:18,967 --> 00:00:20,600 OW, MY LEGS! 5 00:00:20,600 --> 00:00:23,767 Woman: I'M SO FAR GONE. 6 00:00:23,767 --> 00:00:28,333 Woman I ABSOLUTELY NEED HELP, OR I AM GONNA DIE. 7 00:00:33,100 --> 00:00:35,433 -I CAN'T DO THIS! -IT'S RIGHT UNDER YOU. 8 00:00:35,433 --> 00:00:37,100 I NEED IT OVER! 9 00:00:37,100 --> 00:00:38,833 SIT DOWN. YOU'RE FINE. YOU'RE FINE. 10 00:00:43,700 --> 00:00:45,567 Woman I LET MY KIDS DOWN. 11 00:00:45,567 --> 00:00:47,133 INSTEAD OF ME TAKING CARE OF THEM, 12 00:00:47,133 --> 00:00:48,867 THEY'VE BEEN TAKING CARE OF ME. 13 00:00:48,867 --> 00:00:51,833 IT'S YOU. YOU ARE THE ONE KILLING HIM. 14 00:00:56,600 --> 00:00:58,033 YOU'RE OVEREATING NOW. 15 00:00:58,033 --> 00:00:59,700 RIGHT. 16 00:00:59,700 --> 00:01:01,200 THAT'S NOT OKAY. 17 00:01:01,200 --> 00:01:03,733 Ashley: IT IS LITERALLY A DO-OR-DIE MOMENT. 18 00:01:03,733 --> 00:01:06,733 -- Captions by VITAC -- www.vitac.com 19 00:01:06,733 --> 00:01:09,767 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 20 00:01:15,100 --> 00:01:18,167 Doug: SOMETIMES THE ONLY APOLOGY YOU CAN GIVE 21 00:01:18,167 --> 00:01:22,300 FOR HOW YOU'VE LIVED YOUR LIFE 22 00:01:22,300 --> 00:01:24,867 IS TO CHANGE IT COMPLETELY. 23 00:01:55,200 --> 00:01:57,467 I DREAD GETTING UP IN THE MORNING. 24 00:01:58,433 --> 00:02:00,533 [ BABY CRYING IN DISTANCE ] 25 00:02:07,067 --> 00:02:08,233 I FEEL PAIN FROM THE MOMENT 26 00:02:08,233 --> 00:02:12,433 I WAKE UP, AND IT'S NAGGING PAIN. 27 00:02:15,433 --> 00:02:19,167 IT HURTS SO BAD THAT YOU CAN'T EVEN THINK STRAIGHT. 28 00:02:19,167 --> 00:02:21,800 YOU'RE JUST SITTING THERE, JUST IN AGONY, 29 00:02:21,800 --> 00:02:25,300 TRYING TO PRAY THAT IT GOES AWAY. 30 00:02:25,300 --> 00:02:26,600 I'M 36 YEARS OLD. 31 00:02:26,600 --> 00:02:27,933 I'M NOT SUPPOSED TO BE FEELING LIKE THIS 32 00:02:27,933 --> 00:02:30,533 WHEN I WAKE UP IN THE MORNING. 33 00:02:30,533 --> 00:02:34,733 I FEEL LIKE AN 80-YEAR-OLD MAN. 34 00:02:34,733 --> 00:02:37,800 MY WIFE AND KIDS HAVE ALREADY STARTED THEIR DAY, 35 00:02:37,800 --> 00:02:39,133 AND I'M NOT EVEN SURE 36 00:02:39,133 --> 00:02:43,133 IF I'M GOING TO BE ABLE TO GET OUT OF BED. 37 00:02:43,133 --> 00:02:48,700 THE ONLY WAY I CAN GET UP IS IF MY WIFE, ASHLEY, HELPS ME. 38 00:02:48,700 --> 00:02:50,067 ASHLEY. 39 00:02:50,067 --> 00:02:51,533 I FEEL EMBARRASSED 40 00:02:51,533 --> 00:02:55,067 WHEN I HAVE TO ASK ASHLEY TO COME IN AND HELP ME. 41 00:02:55,067 --> 00:02:57,867 IT DOES MAKE ME FEEL LIKE LESS OF A MAN. 42 00:02:57,867 --> 00:03:00,633 GOOD MORNING. YOU HURTING? 43 00:03:00,633 --> 00:03:04,833 YEAH. MY BACK, MY KNEE. 44 00:03:04,833 --> 00:03:07,067 I CAN'T EVEN BE THE HUSBAND 45 00:03:07,067 --> 00:03:11,267 AND THE FATHER THAT I'M SUPPOSED TO BE. 46 00:03:11,267 --> 00:03:13,267 PEOPLE SEE ME, AND THEY'RE LIKE, 47 00:03:13,267 --> 00:03:16,833 "HE'S JUST A BIG GUY," BECAUSE I'M 6'6". 48 00:03:16,833 --> 00:03:18,067 TELL ME WHEN YOU'RE READY. 49 00:03:18,700 --> 00:03:21,533 OKAY. -I'M READY. 50 00:03:21,533 --> 00:03:24,867 BUT 600 POUNDS IS 600 POUNDS, 51 00:03:24,867 --> 00:03:26,633 NO MATTER HOW TALL YOU ARE. 52 00:03:33,267 --> 00:03:34,267 READY? 53 00:03:34,267 --> 00:03:35,867 -MM-HMM. -ALL RIGHT, I'M READY. 54 00:03:35,867 --> 00:03:39,667 Doug: I CAN'T DO ANYTHING BY MYSELF. I FEEL LIKE AN INVALID. 55 00:03:39,667 --> 00:03:41,667 GRAB THE WALL. [ EXHALES SHARPLY ] 56 00:03:43,333 --> 00:03:50,300 Ashley: I LOVE MY HUSBAND, BUT HE HAS TO CONSTANTLY BE TAKEN CARE OF, 57 00:03:50,300 --> 00:03:54,533 AND RIGHT NOW, I'M MOSTLY HIS CAREGIVER. 58 00:03:54,533 --> 00:03:57,300 Doug: I FEEL LIKE I ASK A LOT OF HER, 59 00:03:57,300 --> 00:04:01,633 AND THAT'S NOT WHAT A MARRIAGE SHOULD BE. 60 00:04:01,633 --> 00:04:03,900 I DON'T WANT TO ASK ANY MORE OF HER, 61 00:04:03,900 --> 00:04:06,633 BECAUSE I FEEL LIKE THAT'S GONNA BE THE DEAL-BREAKER, 62 00:04:06,633 --> 00:04:08,167 THAT ONE NEXT THING I ASK 63 00:04:08,167 --> 00:04:09,467 FOR WILL BE THE ONE THING SHE'S LIKE, 64 00:04:09,467 --> 00:04:10,933 "YOU KNOW WHAT? I'M DONE." 65 00:04:14,567 --> 00:04:15,900 OKAY. 66 00:04:15,900 --> 00:04:20,567 Ashley: I'M NOT ANGRY WITH HIM. I DON'T RESENT HIM. 67 00:04:20,567 --> 00:04:23,500 BUT IT'S HARD HAVING TO DO EVERYTHING AROUND THE HOUSE, 68 00:04:23,500 --> 00:04:28,667 INCLUDING TAKING CARE OF THE KIDS AND HIM. 69 00:04:28,667 --> 00:04:30,833 DOUG KNOWS VERY INTIMATELY 70 00:04:30,833 --> 00:04:33,400 WHERE HIS PROBLEMS ARE WITH HIS WEIGHT, 71 00:04:33,400 --> 00:04:35,867 AND SO, I'M JUST WAITING TILL WE GET TO THAT POINT 72 00:04:35,867 --> 00:04:37,633 WHERE HE MAKES THAT FINAL DECISION 73 00:04:37,633 --> 00:04:41,433 TO DO SOMETHING DIFFERENT. 74 00:04:41,433 --> 00:04:44,267 HE'S A GOOD MAN, 75 00:04:44,267 --> 00:04:47,133 AND I WISH THAT EVERYONE KNEW 76 00:04:47,133 --> 00:04:50,367 THAT THERE WAS SO MUCH MORE TO HIM. 77 00:04:50,367 --> 00:04:54,933 HE HAS A BEAUTIFUL MIND AND A BEAUTIFUL SPIRIT, 78 00:04:54,933 --> 00:04:58,367 BUT HE'S TRAPPED IN HIS BODY, 79 00:05:00,433 --> 00:05:04,300 AND THAT MAKES ME FEEL INCREDIBLY SAD. 80 00:05:06,800 --> 00:05:08,133 [ BREATHING HEAVILY ] 81 00:05:08,133 --> 00:05:12,433 Doug: THE FACT THAT I CAN'T DO ANYTHING, 82 00:05:12,433 --> 00:05:16,133 I KNOW, MAKES ASHLEY FRUSTRATED... 83 00:05:16,133 --> 00:05:18,533 ASHLEY, CAN YOU COME HELP ME, PLEASE? 84 00:05:20,900 --> 00:05:24,067 ...BECAUSE I CAN'T TAKE CARE OF MY FAMILY LIKE THEY NEED. 85 00:05:24,067 --> 00:05:25,700 [ GROANS ] 86 00:05:34,533 --> 00:05:37,100 IT'S HARD TO BE A PARENT WHEN YOU CAN HARDLY WALK. 87 00:05:37,467 --> 00:05:39,500 [ BREATHING HEAVILY ] 88 00:05:40,600 --> 00:05:44,200 HEY, COOPER. GOOD MORNING. 89 00:05:44,200 --> 00:05:47,067 I HAVE A SON NAMED COOPER WHO'S 4, 90 00:05:47,067 --> 00:05:49,067 AND I HAVE TWO TWIN DAUGHTERS, 91 00:05:49,067 --> 00:05:51,100 HARPER AND PARKER, 92 00:05:51,100 --> 00:05:54,667 WHO ARE 3 1/2 MONTHS OLD. 93 00:05:54,667 --> 00:05:57,767 ASHLEY'S USUALLY DOING FOUR TIMES THE WORK THAT I'M DOING... 94 00:05:57,767 --> 00:06:00,500 -WHAT ARE YOU DOING, BUD? -...AND IT FEELS LIKE 95 00:06:00,500 --> 00:06:02,100 I'M JUST KIND OF A BYSTANDER 96 00:06:02,100 --> 00:06:04,167 WHO'S THERE TO HAND THE BABY TO 97 00:06:04,167 --> 00:06:07,233 WHENEVER SHE HAS TO GET UP AND GO GET ANOTHER BABY. 98 00:06:07,233 --> 00:06:12,233 I FEEL LIKE I'M A LIVING BASSINET. 99 00:06:12,233 --> 00:06:16,267 IT IS EXHAUSTING TAKING CARE OF NEWBORNS, 100 00:06:16,267 --> 00:06:19,100 TWINS, WHEN YOU HAVE A SPOUSE 101 00:06:19,100 --> 00:06:23,200 WHO CAN'T HELP YOU LIKE A NORMAL SPOUSE COULD. 102 00:06:23,200 --> 00:06:27,067 IT'S ALMOST LIKE BEING A SINGLE PARENT IN A LOT OF WAYS. 103 00:06:27,067 --> 00:06:31,633 IT JUST KIND OF MAKES ME FEEL LIKE I'M KIND OF A DEADBEAT, 104 00:06:31,633 --> 00:06:35,433 AND A LOT OF TIMES I CAN SEE THAT FRUSTRATION, 105 00:06:35,433 --> 00:06:39,167 ESPECIALLY WHEN I'M EATING. 106 00:06:39,167 --> 00:06:41,800 Ashley: DOUG'S EATING HABITS ARE SHOCKING. 107 00:06:41,800 --> 00:06:44,367 I DON'T EVEN TRY TO PORTION-CONTROL HIM. 108 00:06:44,367 --> 00:06:47,533 TIME FOR BREAKFAST. 109 00:06:47,533 --> 00:06:51,467 ALL RIGHT. YES. 110 00:06:51,467 --> 00:06:53,867 I NEVER TELL HIM NO IF HE WANTS SECONDS, 111 00:06:53,867 --> 00:06:56,900 BECAUSE HE'S GONNA GET IT ANYWAY. 112 00:07:00,233 --> 00:07:02,900 Doug: I'M USUALLY EATING, ALMOST ALL DAY, 113 00:07:02,900 --> 00:07:05,633 AND AS SOON AS I FINISH EATING, 114 00:07:05,633 --> 00:07:09,867 I'M THINKING ABOUT WHAT I MIGHT HAVE FOR MY NEXT MEAL. 115 00:07:09,867 --> 00:07:14,967 I CAN'T STOP EATING, AND I NEVER IMAGINED 116 00:07:14,967 --> 00:07:17,267 THAT I'D GET TO THIS POINT. 117 00:07:24,067 --> 00:07:26,233 ME AND MY OLDER BROTHER WENT THROUGH A LOT 118 00:07:26,233 --> 00:07:30,067 WHEN WE WERE KIDS. 119 00:07:30,067 --> 00:07:35,167 MY DAD WAS IN THE SERVICE, AND HE WAS STATIONED ABROAD, 120 00:07:35,167 --> 00:07:37,267 SO WE STAYED AT HOME WITH MY MOM. 121 00:07:40,633 --> 00:07:43,233 BUT WHEN I WAS AROUND 6 YEARS OLD, 122 00:07:43,233 --> 00:07:45,967 MY MOM DECIDED TO LEAVE US. 123 00:07:49,233 --> 00:07:51,133 SHE DROVE US OVER TO MY GRANDMA'S HOUSE, 124 00:07:51,133 --> 00:07:52,800 DROPPED US OFF ON HER FRONT PORCH 125 00:07:52,800 --> 00:07:55,433 AND CALLED MY DAD AND TOLD HIM 126 00:07:55,433 --> 00:07:57,067 THAT SHE COULDN'T DO IT ANYMORE, 127 00:07:57,067 --> 00:07:59,533 THAT, "YOUR KIDS ARE AT YOUR MOM'S." 128 00:08:02,667 --> 00:08:04,533 MY DAD DID THE BEST HE COULD. 129 00:08:04,533 --> 00:08:06,533 HE WAS IN THE MILITARY, THOUGH, 130 00:08:06,533 --> 00:08:09,267 SO HE WAS AWAY A LOT OF THE TIME. 131 00:08:11,600 --> 00:08:13,333 WE HAD A LOT OF NANNIES. 132 00:08:13,333 --> 00:08:15,733 I DON'T KNOW HOW MANY OF THOSE WERE ACTUALLY NANNIES 133 00:08:15,733 --> 00:08:18,900 AND HOW MANY WERE FRIENDS OF MY DAD. 134 00:08:21,533 --> 00:08:25,767 AND WHEN I WAS 8, A NANNIE'S SON 135 00:08:25,767 --> 00:08:27,600 WHO WAS OLDER DECIDED 136 00:08:27,600 --> 00:08:32,300 TO HAVE AN INAPPROPRIATE RELATIONSHIP WITH ME. 137 00:08:34,733 --> 00:08:39,200 SO, I DEALT WITH THE TRAUMA OF BEING ABUSED BY EATING, 138 00:08:39,200 --> 00:08:44,633 AND I STARTED TO GAIN WEIGHT. 139 00:08:44,633 --> 00:08:48,333 IT SEEMED EVERY TIME WE SEEN HIM THAT HE WOULD BE BIGGER, 140 00:08:48,333 --> 00:08:51,133 BECAUSE HE JUST ATE ALL THE TIME. 141 00:08:51,133 --> 00:08:54,833 HE WOULD GET SICK HE WOULD EAT SO MUCH. 142 00:08:54,833 --> 00:08:56,733 I THINK I NOTICED IT THE MOST AT A REUNION 143 00:08:56,733 --> 00:08:59,300 WHEN HE WAS ABOUT 9 YEARS OLD. 144 00:08:59,300 --> 00:09:01,700 I HAD NOTICED HOW HE KEPT GOING 145 00:09:01,700 --> 00:09:03,100 TO THE DESSERT TABLE AND EATING, 146 00:09:03,100 --> 00:09:05,933 AND THEN HE'D GO PLAY, AND THEN HE'D COME BACK. 147 00:09:05,933 --> 00:09:08,967 DOUG THREW UP THAT NIGHT IN HIS BED. 148 00:09:08,967 --> 00:09:10,833 THAT'S WHEN I REALIZED 149 00:09:10,833 --> 00:09:13,833 HE REALLY WAS ADDICTED TO FOOD. 150 00:09:15,967 --> 00:09:21,267 Doug: MY EATING NEVER SLOWED DOWN, SO I KEPT GAINING. 151 00:09:21,267 --> 00:09:23,133 AND BY SEVENTH GRADE, 152 00:09:23,133 --> 00:09:25,800 I WEIGHED RIGHT AT ABOUT 200 POUNDS. 153 00:09:25,800 --> 00:09:27,133 THAT'S WHEN MY EATING HABITS 154 00:09:27,133 --> 00:09:31,167 HAD GONE TO THE EXCESSIVE SIDE 155 00:09:31,167 --> 00:09:32,433 WITH SWEETS 156 00:09:32,433 --> 00:09:35,500 AND A LOT OF FAST FOOD, A LOT OF SODAS, 157 00:09:35,500 --> 00:09:39,267 JUST ANYTHING UNHEALTHY AT THAT TIME. 158 00:09:39,267 --> 00:09:40,733 BY THE TIME I WAS 18, 159 00:09:40,733 --> 00:09:44,300 I WAS SITTING RIGHT AROUND 350 POUNDS, 160 00:09:44,300 --> 00:09:48,833 AND I WAS LIVING WITH MY HIGH-SCHOOL GIRLFRIEND. 161 00:09:48,833 --> 00:09:52,467 WE ENDED UP GETTING MARRIED, 162 00:09:52,467 --> 00:09:55,467 BUT SHE COULDN'T HANDLE HOW MUCH WEIGHT I WAS GAINING. 163 00:09:57,500 --> 00:09:59,200 SO, BY THE TIME I WAS 26, 164 00:09:59,200 --> 00:10:04,867 WE GOT DIVORCED, THEN I WEIGHED 450 POUNDS. 165 00:10:04,867 --> 00:10:07,133 I FELT LIKE SUCH A FAILURE. 166 00:10:07,133 --> 00:10:10,867 I JUST DID EVERYTHING I COULD NOT TO THINK ABOUT IT. 167 00:10:10,867 --> 00:10:14,600 THAT'S WHEN I STARTED PARTYING EVERY NIGHT, 168 00:10:14,600 --> 00:10:17,833 AND THAT'S ALSO WHEN I MET ASHLEY. 169 00:10:17,833 --> 00:10:21,000 IT WAS ONE OF THE BEST MOMENTS OF MY LIFE. 170 00:10:21,000 --> 00:10:23,200 Ashley: WHEN DOUG AND I STARTED DATING, 171 00:10:23,200 --> 00:10:25,667 WE WERE IN AN ON-AGAIN, OFF-AGAIN RELATIONSHIP 172 00:10:25,667 --> 00:10:27,100 FOR ABOUT TWO YEARS, 173 00:10:27,100 --> 00:10:30,400 AND AT THE TIME IT JUST WASN'T WORKING. 174 00:10:30,400 --> 00:10:33,600 EVENTUALLY, ASHLEY GOT TIRED OF THE PARTY SCENE 175 00:10:33,600 --> 00:10:35,400 AND THE PERSON 176 00:10:35,400 --> 00:10:40,100 THAT I WAS AT THE TIME, SO SHE DUMPED ME. 177 00:10:40,100 --> 00:10:44,667 Ashley: WE STAYED FRIENDS AND I WANTED TO KEEP IN TOUCH WITH HIM, 178 00:10:44,667 --> 00:10:47,400 NOT ONLY BECAUSE HE WAS MY FRIEND 179 00:10:47,400 --> 00:10:48,700 AND I VALUED HIM, 180 00:10:48,700 --> 00:10:52,133 BUT BECAUSE I WAS WORRIED ABOUT HIM. 181 00:10:52,133 --> 00:10:56,300 Doug: AFTER THAT, I HIT ROCK BOTTOM. 182 00:10:56,300 --> 00:11:01,333 FOR TWO YEARS I WAS DOING METH, PRETTY MUCH ALL DAY, EVERY DAY. 183 00:11:01,333 --> 00:11:04,767 WHEN I DECIDED TO QUIT USING, I WENT COLD TURKEY. 184 00:11:04,767 --> 00:11:08,733 FOOD WAS BASICALLY MY DRUG TREATMENT. 185 00:11:08,733 --> 00:11:11,167 I WOULD GO GET MY PIZZA AND MY BREADSTICKS 186 00:11:11,167 --> 00:11:14,900 AND MY 2-LITER, COME HOME, EAT IT ALL, GO TO SLEEP. 187 00:11:14,900 --> 00:11:16,367 THE NEXT TIME I STEPPED ON A SCALE 188 00:11:16,367 --> 00:11:20,967 AFTER THAT, I WAS 660 POUNDS. 189 00:11:20,967 --> 00:11:24,600 AND I'M SO BIG NOW I CAN'T WORK. 190 00:11:24,600 --> 00:11:28,067 ASHLEY HAS TO PROVIDE FOR OUR FAMILY. 191 00:11:28,067 --> 00:11:29,700 Ashley: WHEN ME AND DOUG FIRST MET, 192 00:11:29,700 --> 00:11:32,500 THERE WERE SO MANY THINGS THAT I LOVED ABOUT HIM. 193 00:11:32,500 --> 00:11:35,867 IT WAS HIS PARTYING LIFESTYLE THAT I JUST DIDN'T AGREE WITH. 194 00:11:35,867 --> 00:11:38,767 AND WHEN WE RECONNECTED A LITTLE OVER TWO YEARS AGO, 195 00:11:38,767 --> 00:11:41,333 ALL THAT HAD CHANGED. 196 00:11:41,333 --> 00:11:44,533 I WAS DIVORCED, AND I'D ALREADY HAD COOPER. 197 00:11:44,533 --> 00:11:48,567 DOUG WAS IN A BETTER PLACE THAN I HAD EVER SEEN HIM BEFORE, 198 00:11:48,567 --> 00:11:51,467 AND HIS SIZE AND HIS EATING HABITS 199 00:11:51,467 --> 00:11:54,600 DIDN'T STOP ME FROM WANTING TO BE WITH HIM, 200 00:11:54,600 --> 00:11:57,133 BECAUSE IT'S A DISEASE. 201 00:11:57,133 --> 00:11:59,700 THAT'S LIKE SAYING, "I'M NOT GONNA LOVE YOU 202 00:11:59,700 --> 00:12:03,467 BECAUSE YOU'RE BALD BECAUSE YOU HAVE CANCER." 203 00:12:03,467 --> 00:12:07,467 SO WE GOT MARRIED ABOUT A YEAR AGO 204 00:12:07,467 --> 00:12:11,700 AND HAD BABIES, AND HERE WE ARE NOW. 205 00:12:14,133 --> 00:12:17,633 I THINK WE'RE ALREADY TO A POINT IN OUR RELATIONSHIP 206 00:12:17,633 --> 00:12:20,833 WHERE EITHER I'M GONNA CHANGE 207 00:12:20,833 --> 00:12:23,067 AND DO SOMETHING DIFFERENT 208 00:12:23,067 --> 00:12:27,267 OR WE'RE GONNA CHANGE AND DO SOMETHING DIFFERENT. 209 00:12:27,267 --> 00:12:30,633 I DON'T WANT TO BREAK UP OUR FAMILY, 210 00:12:30,633 --> 00:12:33,900 BUT WE CAN'T GO ON LIKE THIS. 211 00:12:33,900 --> 00:12:36,067 ARE YOU HUNGRY? -ME? 212 00:12:36,067 --> 00:12:37,867 YEAH. YEAH. 213 00:12:37,867 --> 00:12:39,200 -YEAH. -ARE YOU HUNGRY? 214 00:12:39,200 --> 00:12:41,067 -YEAH. -WHAT DO YOU WANT? 215 00:12:41,067 --> 00:12:45,067 -UM, PIZZA? -I WANT PIZZA. 216 00:12:45,067 --> 00:12:46,333 OF COURSE Y'ALL DO. 217 00:12:49,333 --> 00:12:51,233 Doug: ABOUT THE ONLY THING I'M GOOD FOR 218 00:12:51,233 --> 00:12:53,200 IS GETTING FOOD FOR THE FAMILY. 219 00:12:53,200 --> 00:12:55,233 [ BREATHING HEAVILY ] 220 00:12:56,467 --> 00:12:59,067 IT'S HARD TO GO OUT, BUT I KNOW IT'S MY CHANCE 221 00:12:59,067 --> 00:13:01,067 TO SNEAK AN EXTRA MEAL. 222 00:13:04,333 --> 00:13:07,633 FOR LUNCH, WE USUALLY GO FAST FOOD... 223 00:13:09,600 --> 00:13:12,067 ...AND YOU START GETTING INTO THAT RHYTHM 224 00:13:12,067 --> 00:13:13,733 OF WHERE YOU CAN GET IT, 225 00:13:13,733 --> 00:13:15,167 JUST LIKE ANY DRUG ADDICT WOULD, 226 00:13:15,167 --> 00:13:18,733 THEY KNOW THE PERSON THEY CAN GET IT FROM. 227 00:13:18,733 --> 00:13:21,533 I CAN ROLL THROUGH A DRIVE-THROUGH PIZZA PLACE, 228 00:13:21,533 --> 00:13:23,433 PICK UP A PIZZA, AND I'M ON MY WAY. 229 00:13:23,433 --> 00:13:24,833 -That it? -THAT'S IT. 230 00:13:24,833 --> 00:13:26,533 That'll be $18.69. 231 00:13:26,533 --> 00:13:27,733 IT'S JUST THAT EASY. 232 00:13:30,233 --> 00:13:32,267 -THANK YOU. -THANK YOU. 233 00:13:32,267 --> 00:13:36,233 ALL MY FAMILY KNOWS ABOUT IS THE MEAL I'M BRINGING HOME. 234 00:13:36,233 --> 00:13:38,567 THEY DON'T KNOW ABOUT HOW MANY OTHER MEALS 235 00:13:38,567 --> 00:13:40,467 I CAN EAT BEFORE I GET BACK. 236 00:13:40,467 --> 00:13:42,067 IT'S USUALLY A PRETTY NORMAL THING 237 00:13:42,067 --> 00:13:43,600 TO GO TO TWO DIFFERENT PLACES. 238 00:13:45,467 --> 00:13:47,300 WOMAN: Hi. Can I take your order, please? 239 00:13:47,300 --> 00:13:51,067 YEAH. I NEED TO GET A NUMBER 4. 240 00:13:51,067 --> 00:13:54,300 A LOT OF BURGER PLACES HAVE THE SMALL BURGER FOR LIKE A DOLLAR. 241 00:13:54,300 --> 00:13:56,233 I'LL GRAB AN EXTRA ONE OF THOSE 242 00:13:56,233 --> 00:13:58,233 AND EAT IT ON THE WAY HOME. 243 00:13:58,233 --> 00:14:01,900 IT KIND OF FEELS LIKE I'M DOING SOMETHING 244 00:14:01,900 --> 00:14:03,267 I'M NOT SUPPOSED TO DO, 245 00:14:03,267 --> 00:14:06,833 AND JUST KIND OF ADDS TO THE WHOLE ENJOYMENT OF IT. 246 00:14:06,833 --> 00:14:08,433 I'LL HIDE THIS WRAPPER IN MY POCKET, 247 00:14:08,433 --> 00:14:13,067 SO I CAN THROW IT AWAY IN THE HOUSE WHEN I GO IN. 248 00:14:13,067 --> 00:14:17,533 I DO NOT TELL ASHLEY THE TRUTH ABOUT HOW MUCH FOOD I EAT. 249 00:14:17,533 --> 00:14:19,900 [ HORN HONKS ] 250 00:14:19,900 --> 00:14:22,467 Ashley: DOUG ABSOLUTELY IS A CLOSET EATER. 251 00:14:22,467 --> 00:14:25,067 I KNOW. I CAN'T PROVE IT, 252 00:14:25,067 --> 00:14:31,367 BUT I KNOW THAT HE EATS FOOD WHEN I'M NOT AROUND. 253 00:14:31,367 --> 00:14:33,567 THAT'S WHY I THINK IT'S SO DANGEROUS WHERE HE'S AT, 254 00:14:33,567 --> 00:14:37,333 IS THAT I CAN'T STOP THAT. 255 00:14:37,333 --> 00:14:39,067 I CAN'T MAKE HIM NOT DO THAT, 256 00:14:39,067 --> 00:14:41,600 BECAUSE HE DOES IT WHEN HE'S ALONE. 257 00:14:41,600 --> 00:14:43,833 COOPER, ARE YOU READY TO EAT? -YEAH. 258 00:14:43,833 --> 00:14:47,067 Doug: IT'S LIKE ANY DRUG ADDICTION. 259 00:14:47,067 --> 00:14:48,433 YOU KNOW YOU SHOULDN'T HAVE DONE IT. 260 00:14:48,433 --> 00:14:51,433 THE ONLY WAY TO NOT FEEL BAD ABOUT IT IS TO DO IT AGAIN. 261 00:14:51,433 --> 00:14:56,300 IT'S A VERY SELFISH WAY TO LIVE, 262 00:14:56,300 --> 00:14:57,933 JUST THINKING ABOUT HOW TO FIX ME 263 00:14:57,933 --> 00:15:00,733 AND NOT THINK ABOUT HOW TO FIX ANYBODY ELSE. 264 00:15:05,200 --> 00:15:08,767 ONCE I START EATING, I CAN'T GET ENOUGH, 265 00:15:08,767 --> 00:15:11,733 AND I WON'T STOP UNTIL IT'S ALL GONE. 266 00:15:13,800 --> 00:15:17,433 I DO FEEL GUILTY ABOUT IT, 267 00:15:17,433 --> 00:15:20,267 SO I TRY TO HELP OUT WHEN I CAN. 268 00:15:20,267 --> 00:15:22,567 YOU READY TO GO? 269 00:15:22,567 --> 00:15:24,233 Ashley: GO GET YOUR COAT. 270 00:15:24,233 --> 00:15:25,867 LOVE YOU. 271 00:15:25,867 --> 00:15:28,733 Cooper: LOVE YOU. 272 00:15:28,733 --> 00:15:31,467 ASHLEY NEVER GETS A BREAK AS A MOM. 273 00:15:31,467 --> 00:15:33,267 -PICK ME UP. -COME ON. 274 00:15:33,267 --> 00:15:35,667 [ GRUNTS ] 275 00:15:35,667 --> 00:15:38,600 SHE'S CONSTANTLY RUNNING AROUND WITH THE KIDS. 276 00:15:38,600 --> 00:15:41,800 -I LOVE YOU, DADDY. -I LOVE YOU, COOP. 277 00:15:41,800 --> 00:15:43,767 SO, EVERY ONCE IN A WHILE, I TRY TO GIVE HER A BREAK 278 00:15:43,767 --> 00:15:46,700 AND TAKE COOPER WITH ME TO THE STORE. 279 00:15:49,733 --> 00:15:52,333 BUT I HATE GOING OUT AND DOING ANYTHING. 280 00:15:54,667 --> 00:15:58,800 IT'S MISERABLE AND ALMOST IMPOSSIBLE FOR ME TO GET AROUND. 281 00:16:01,533 --> 00:16:02,967 HEY, COOPER. -WHAT? 282 00:16:02,967 --> 00:16:05,500 CAN YOU GET SOME OF THIS SODA DOWN HERE? 283 00:16:05,500 --> 00:16:07,467 RIGHT HERE, THE RED ONE. 284 00:16:07,467 --> 00:16:09,867 MY BODY STARTS GIVING OUT PRETTY QUICK, 285 00:16:09,867 --> 00:16:11,133 AND I CAN BARELY GET AROUND. 286 00:16:11,133 --> 00:16:14,167 HERE YOU GO, BUD. SEE THE GREEN ONE RIGHT THERE? 287 00:16:14,167 --> 00:16:15,533 I'M REALLY GOING TO NEED YOUR HELP. 288 00:16:15,533 --> 00:16:18,400 YEAH. THANK YOU, BUD. 289 00:16:18,400 --> 00:16:22,667 AND COOPER HAS TO PRETTY MUCH DO IT ALL FOR ME. 290 00:16:22,667 --> 00:16:25,200 HEY, GIVE ME THAT SMALL BAG OF SUGAR DOWN THERE. 291 00:16:25,200 --> 00:16:26,833 NOPE. DOWN THERE, THE PINK BAG. 292 00:16:26,833 --> 00:16:30,333 GIVE ME ONE OF THOSE. -THAT'S HEAVY, TOO. 293 00:16:30,333 --> 00:16:32,533 YOU LOOK SWEATY. 294 00:16:32,533 --> 00:16:33,967 YES, I AM. 295 00:16:33,967 --> 00:16:37,233 OKAY. [ BREATHING HEAVILY ] 296 00:16:37,233 --> 00:16:38,967 Doug: BEFORE I'M EVEN HALFWAY DONE 297 00:16:38,967 --> 00:16:41,167 WITH GETTING EVERYTHING I'M SUPPOSED TO, 298 00:16:41,167 --> 00:16:43,733 I'M SO OUT OF BREATH I CAN BARELY GO ON. 299 00:16:45,067 --> 00:16:46,533 I AM. 300 00:16:46,533 --> 00:16:48,567 [ BREATHING HEAVILY ] 301 00:16:51,433 --> 00:16:55,167 NO. I CAN DRIVE IT. 302 00:16:55,167 --> 00:16:58,967 PHEW! I'M JUST GETTING TIRED. 303 00:16:58,967 --> 00:17:02,067 PEOPLE STARE, AND IT'S EMBARRASSING. 304 00:17:05,133 --> 00:17:08,267 RIGHT NOW I'M FEELING A LOT OF ANXIETY. 305 00:17:08,267 --> 00:17:11,333 I GOT TO GET OUT OF HERE. I'M... 306 00:17:11,333 --> 00:17:14,700 SWEATING? 307 00:17:14,700 --> 00:17:17,367 ANXIETY. PEOPLE LOOKING AT ME, 308 00:17:17,367 --> 00:17:20,867 AND I JUST KIND OF WANT TO KIND OF GET OUT OF THE PUBLIC EYE. 309 00:17:20,867 --> 00:17:25,600 I'M REALLY HOPING I DON'T RUN INTO SOMEBODY THAT KNOWS ME. 310 00:17:25,600 --> 00:17:28,067 I HAVE TO JUST CUT THE TRIP SHORT, 311 00:17:28,067 --> 00:17:30,233 PAY FOR EVERYTHING, AND GET OUT. 312 00:17:30,233 --> 00:17:32,200 GONNA GO THIS WAY. 313 00:17:32,200 --> 00:17:33,833 YEAH, I CAN'T GO THROUGH THAT WAY. 314 00:17:33,833 --> 00:17:35,100 Woman: WE CAN PUSH THAT BACK IF YOU WANT. 315 00:17:35,100 --> 00:17:36,200 NO. THAT'S FINE. 316 00:17:36,200 --> 00:17:38,200 I'LL JUST CUT AND COME AROUND THAT ONE. 317 00:17:38,200 --> 00:17:41,300 THANK YOU. 318 00:17:41,300 --> 00:17:45,100 I'M GLAD I WAS AT LEAST ABLE TO PAY FOR WHAT I HAD. 319 00:17:45,100 --> 00:17:48,200 THERE'S BEEN TIMES THAT I'VE BEEN IN SO MUCH PAIN 320 00:17:48,200 --> 00:17:51,133 THAT I'D JUST ABANDON THE SHOPPING CART AND GO. 321 00:17:51,133 --> 00:17:54,467 [ GRUNTING ] 322 00:17:54,467 --> 00:17:56,500 [ BREATHING HEAVILY ] 323 00:17:59,100 --> 00:18:03,100 BUT I CAN'T CATCH MY BREATH. I CAN BARELY MOVE, 324 00:18:03,100 --> 00:18:06,300 AND MY WHOLE BODY JUST ACHES LIKE I'M GOING TO DIE. 325 00:18:08,900 --> 00:18:11,333 I CAN'T KEEP LIVING LIKE THIS. 326 00:18:14,700 --> 00:18:16,900 -LET'S GO TO MY CAR. -JUST YOU AND ME? 327 00:18:16,900 --> 00:18:19,833 NOPE. WE'RE ALL GONNA GO. 328 00:18:19,833 --> 00:18:24,067 I WANT TO BE THERE FOR MY FAMILY AND SPEND TIME WITH THEM. 329 00:18:24,067 --> 00:18:25,667 [ SPEAKS INDISTINCTLY ] 330 00:18:25,667 --> 00:18:27,100 -YOU GOT EVERYBODY IN? -YEP. 331 00:18:27,100 --> 00:18:29,433 -YOU READY TO GO? -YEAH. 332 00:18:29,433 --> 00:18:32,933 BUT IT'S GETTING TO WHERE IT'S JUST IMPOSSIBLE. 333 00:18:32,933 --> 00:18:35,467 [ GRUNTS, BREATHING HEAVILY ] 334 00:18:37,533 --> 00:18:39,067 OH! 335 00:18:39,067 --> 00:18:41,533 CAN YOU TURN YOUR LEGS ANY? 336 00:18:43,733 --> 00:18:46,100 Ashley: DOUG KNOWS THAT HE HAS TO DO SOMETHING DIFFERENT, 337 00:18:46,100 --> 00:18:50,067 BECAUSE SOMETHING HAS TO CHANGE. 338 00:18:50,067 --> 00:18:52,900 DOUG HAS TO CHANGE. 339 00:18:52,900 --> 00:18:54,200 I'D NEVER LEAVE DOUG, 340 00:18:54,200 --> 00:18:55,700 BUT DOUG IS GONNA LEAVE OUR FAMILY 341 00:18:55,700 --> 00:18:58,400 IF HE DOESN'T CHANGE. 342 00:18:58,400 --> 00:19:02,067 I LOST HIM FOR 10 YEARS ALREADY. 343 00:19:02,067 --> 00:19:09,400 I CANNOT FATHOM LOSING HIM PERMANENTLY. 344 00:19:14,067 --> 00:19:16,067 YEAH, I'M GONNA TAKE MY CAR. 345 00:19:16,067 --> 00:19:18,533 YOU WANT TO JUST FOLLOW US? DO YOU NEED HELP? 346 00:19:18,533 --> 00:19:21,433 NO, I GOT IT. 347 00:19:21,433 --> 00:19:25,667 IT IS ABSOLUTELY DOUG'S LAST CHANCE TO CHANGE. 348 00:19:25,667 --> 00:19:28,233 IT IS LITERALLY A DO-OR-DIE MOMENT. 349 00:19:29,767 --> 00:19:31,800 [ ENGINE STARTS ] 350 00:19:42,867 --> 00:19:47,333 Doug: I FEEL BAD FOR ASHLEY, BECAUSE IT SHOULDN'T BE LIKE THIS. 351 00:19:47,333 --> 00:19:50,200 I KNOW SHE HAS TO DO EVERYTHING, 352 00:19:50,200 --> 00:19:54,067 AND I JUST MAKE THINGS HARDER A LOT OF TIMES. 353 00:19:57,067 --> 00:19:58,700 Ashley: I LOVE DOING THINGS TOGETHER AS A FAMILY, 354 00:19:58,700 --> 00:20:01,200 BUT SOMETIMES IT'S NOT EVEN WORTH IT. 355 00:20:01,200 --> 00:20:05,833 IT'S TOO EXHAUSTING, BECAUSE ALL DOUG CAN DO IS SIT THERE. 356 00:20:05,833 --> 00:20:07,233 HE'S ALMOST TO THE POINT 357 00:20:07,233 --> 00:20:10,133 WHERE HE'S NOT EVEN PART OF THIS FAMILY ANYMORE. 358 00:20:12,167 --> 00:20:15,867 COOPER DESPERATELY WANTS DOUG TO PLAY WITH HIM. 359 00:20:15,867 --> 00:20:18,800 HE LOVES DOUG. -AWESOME. 360 00:20:20,433 --> 00:20:22,433 I WANT TO, BUD, BUT I CAN'T. 361 00:20:22,433 --> 00:20:23,933 UGH! 362 00:20:23,933 --> 00:20:25,967 [ CRYING ] 363 00:20:28,767 --> 00:20:30,800 I'M SORRY, BUD. 364 00:20:35,000 --> 00:20:36,433 Ashley: DO YOU WANT ME TO COME PLAY WITH YOU? 365 00:20:36,433 --> 00:20:38,267 YES. 366 00:20:38,267 --> 00:20:41,233 IT IS HEARTBREAKING TO WATCH BOTH OF THEM 367 00:20:41,233 --> 00:20:43,367 WHEN DOUG HAS TO TELL HIM NO. 368 00:20:43,367 --> 00:20:45,700 COOPER KNOWS THAT THERE'S A PROBLEM. 369 00:20:45,700 --> 00:20:49,567 IT'S NOT FAIR. IT'S NOT FAIR FOR ANYBODY. 370 00:20:49,567 --> 00:20:51,567 Doug: I NEVER THOUGHT I'D HAVE A FAMILY. 371 00:20:51,567 --> 00:20:53,333 I NEVER THOUGHT I'D HAVE KIDS. 372 00:20:53,333 --> 00:20:55,967 THEY'RE JUST THE GREATEST THING THAT'S EVER HAPPENED TO ME. 373 00:20:58,533 --> 00:21:03,333 THEY DESERVE SO MUCH MORE THAN WHAT I GIVE THEM, 374 00:21:03,333 --> 00:21:07,133 ALL BECAUSE I CAN'T STOP EATING. 375 00:21:07,133 --> 00:21:10,067 WHEN I SEE THEM PLAYING WITHOUT ME OUT THERE, 376 00:21:10,067 --> 00:21:12,300 I SEE WHAT IT WOULD BE LIKE IF I WERE GONE. 377 00:21:14,867 --> 00:21:16,833 I WANT TO LIVE MORE THAN ANYTHING. 378 00:21:19,300 --> 00:21:22,267 I DEFINITELY DON'T WANT TO LEAVE HER ALONE WITH THOSE KIDS. 379 00:21:22,267 --> 00:21:25,367 I WANT THOSE KIDS TO KNOW WHO I AM. 380 00:21:25,367 --> 00:21:30,733 I'M GONNA FIGHT WITH EVERYTHING IN ME TO DO THE RIGHT THING. 381 00:21:30,733 --> 00:21:35,133 I NEED HELP, WHATEVER IT TAKES. 382 00:21:35,133 --> 00:21:38,333 WHATEVER IT TAKES, I'M GONNA DO IT, 383 00:21:38,333 --> 00:21:40,300 BECAUSE IF I DON'T I'M GONNA DIE. 384 00:21:49,933 --> 00:21:51,700 Ashley: GO INSIDE AND TAKE YOUR SHOES OFF, BUD. 385 00:21:55,933 --> 00:21:58,867 Doug: I KNOW THAT ASHLEY'S GETTING TO A BREAKING POINT. 386 00:22:01,067 --> 00:22:03,233 AND SHE CAN'T DO THIS MUCH LONGER. 387 00:22:05,533 --> 00:22:09,367 SHE'S PRACTICALLY RAISING OUR FAMILY ON HER OWN. 388 00:22:09,367 --> 00:22:11,200 Cooper: SORRY. 389 00:22:14,733 --> 00:22:19,067 I SHOULD BE ABLE TO HELP RAISE THE KIDS 390 00:22:19,067 --> 00:22:22,867 AND NOT HAVE MY WIFE DO ALL OF IT. 391 00:22:22,867 --> 00:22:24,233 IF I DON'T MAKE THESE CHANGES 392 00:22:24,233 --> 00:22:27,267 THAT I NEED TO MAKE, WHAT KIND OF RELATIONSHIP 393 00:22:27,267 --> 00:22:28,833 AM I GONNA HAVE WITH MY CHILDREN? 394 00:22:28,833 --> 00:22:31,400 HEY. COME ON. [ CRYING ] 395 00:22:31,400 --> 00:22:33,067 I'VE GOT TO DO SOMETHING, 396 00:22:33,067 --> 00:22:35,533 SO I CAN BE AROUND FOR THESE KIDS. 397 00:22:35,533 --> 00:22:37,367 I HAVE TO CHANGE NOW. 398 00:22:39,367 --> 00:22:42,367 WELL, I CAN SIT ON THE COUCH AND YOU CAN LET ME FEED THEM BOTH. 399 00:22:42,367 --> 00:22:44,200 I DON'T THINK YOU CAN FEED BOTH OF THEM. 400 00:22:44,200 --> 00:22:46,400 YOU DON'T THINK? I MEAN, IF THEY'RE LAYING DOWN. 401 00:22:46,400 --> 00:22:48,300 I DON'T THINK YOU CAN FEED BOTH OF THEM. 402 00:22:48,300 --> 00:22:49,533 OKAY. 403 00:22:49,533 --> 00:22:51,533 CAN YOU FEED ONE WHILE I COOK, PLEASE? 404 00:22:51,533 --> 00:22:52,800 SIT UP. 405 00:22:52,800 --> 00:22:54,833 [ GRUNTS ] 406 00:22:58,733 --> 00:23:01,300 Ashley: I KNOW HOW HARD IT IS TO LOSE WEIGHT, 407 00:23:01,300 --> 00:23:04,067 AND I COMPLETELY UNDERSTAND WHERE DOUG IS 408 00:23:04,067 --> 00:23:06,500 AND HOW HE HAS GOTTEN TO THIS POINT, 409 00:23:06,500 --> 00:23:08,433 BECAUSE OF WHERE I'VE BEEN. 410 00:23:12,533 --> 00:23:16,367 ABOUT EIGHT YEARS AGO, I WAS OVER 300 POUNDS. 411 00:23:16,367 --> 00:23:19,567 I COULDN'T BARELY TIE MY SHOES I WAS SO HEAVY. 412 00:23:19,567 --> 00:23:22,133 I WAS MISERABLE. HURT ALL THE TIME. 413 00:23:22,133 --> 00:23:25,533 I WAS TOO YOUNG TO BE THAT BIG AND TO BE THAT SICKLY. 414 00:23:25,533 --> 00:23:27,533 SO I HAD THE WEIGHT-LOSS SURGERY. 415 00:23:29,767 --> 00:23:31,733 WHEN I CAME INTO THIS RELATIONSHIP, 416 00:23:31,733 --> 00:23:33,800 ME AND COOPER WERE VERY HEALTHY EATERS 417 00:23:33,800 --> 00:23:35,700 FOR THE MOST PART. 418 00:23:35,700 --> 00:23:40,500 AND I WAS DOWN TO MY GOAL WEIGHT OF 175 POUNDS. 419 00:23:40,500 --> 00:23:43,200 NOW I'M CLOSE TO 60 POUNDS HEAVIER 420 00:23:43,200 --> 00:23:45,767 THAN I WAS WHEN WE FIRST STARTED DATING. 421 00:23:45,767 --> 00:23:48,133 AND INSTEAD OF BEING THE MOTIVATION 422 00:23:48,133 --> 00:23:49,633 FOR HIM TO EAT BETTER, 423 00:23:49,633 --> 00:23:52,933 I HAVE, IN TURN, STARTED EATING WORSE. 424 00:23:56,233 --> 00:24:02,900 AND I NEVER EXPECTED TO BE THIS SIZE EVER AGAIN. 425 00:24:02,900 --> 00:24:06,467 I WORKED HARD, AND A LONG TIME, TO GET THERE, 426 00:24:06,467 --> 00:24:10,367 AND I WANTED TO SEE THAT CHANGE IN DOUG, TOO. 427 00:24:10,367 --> 00:24:14,867 BUT I KNEW THAT DOUG HAD TO WANT IT FOR HIMSELF. 428 00:24:14,867 --> 00:24:17,967 I THINK HE KNOWS THAT I'M AT THAT PLACE 429 00:24:17,967 --> 00:24:20,700 WHERE I'M DONE WITH IT. 430 00:24:20,700 --> 00:24:24,967 I DON'T WANT TO LIVE LIKE THIS ANYMORE. 431 00:24:24,967 --> 00:24:27,467 I KNOW THAT I'M A BAD INFLUENCE, 432 00:24:27,467 --> 00:24:32,367 AND I KNOW IT BOTHERS HER TO HAVE PUT WEIGHT BACK ON, 433 00:24:32,367 --> 00:24:36,300 SO I KNOW I DO HAVE TO TAKE RESPONSIBILITY FOR THAT. 434 00:24:36,300 --> 00:24:38,333 [ DOORBELL RINGS ] 435 00:24:38,333 --> 00:24:39,633 -HI, COOPER. -COME IN. COME IN. 436 00:24:39,633 --> 00:24:41,067 WHAT'S GOING ON? 437 00:24:41,067 --> 00:24:42,500 HI. COME ON IN. 438 00:24:42,500 --> 00:24:43,733 HOW Y'ALL DOING? HI, ASHLEY. 439 00:24:43,733 --> 00:24:45,767 HEY. HEY. 440 00:24:45,767 --> 00:24:47,233 WHAT AM I HAVING TO EAT TONIGHT? 441 00:24:47,233 --> 00:24:49,500 -A BUNCH OF GOODNESS. -DO YOU NEED ANY HELP? 442 00:24:49,500 --> 00:24:51,567 NO, I'M GOOD. 443 00:24:51,567 --> 00:24:53,200 -SIT DOWN. -SURE. 444 00:24:53,200 --> 00:24:55,100 HAVE A SEAT. 445 00:24:55,100 --> 00:24:56,633 HOW ARE YOU? 446 00:24:56,633 --> 00:24:58,833 WHEN ARE YOU GONNA LOSE YOUR WEIGHT? 447 00:24:58,833 --> 00:25:01,933 I'M LOOKING INTO WEIGHT-LOSS SURGERY RIGHT NOW. 448 00:25:01,933 --> 00:25:03,367 GETTING READY TO FIND OUT IF THAT'S GONNA BE 449 00:25:03,367 --> 00:25:04,867 AN OPTION FOR ME, 450 00:25:04,867 --> 00:25:08,067 AND WHAT I'M GONNA NEED TO DO TO HAVE THAT SURGERY DONE. 451 00:25:08,067 --> 00:25:09,167 THAT'D BE LIKE -- -THAT'S ALL I WANT. 452 00:25:09,167 --> 00:25:10,900 IT JUST BOGGLES MY MIND THE THINGS 453 00:25:10,900 --> 00:25:12,600 THAT I'VE BEEN THROUGH. -YEP. 454 00:25:12,600 --> 00:25:15,067 AND LOSING WEIGHT IS THE HARDEST ONE OF THEM, 455 00:25:15,067 --> 00:25:17,533 AND IT SHOULDN'T BE. 456 00:25:17,533 --> 00:25:20,067 Allen: I JUST WANT TO KNOW WHEN ALL THIS IS GONNA HAPPEN. 457 00:25:20,067 --> 00:25:21,867 I FOUND A SURGEON IN HOUSTON, 458 00:25:21,867 --> 00:25:24,900 AND WE'RE GONNA GO DOWN THERE AND SEE IF HE CAN HELP ME. 459 00:25:24,900 --> 00:25:26,800 GET IT BEHIND THE DOCTOR 100%... 460 00:25:26,800 --> 00:25:28,667 -I AM. -...AND DO AS YOU'RE TOLD. 461 00:25:28,667 --> 00:25:30,300 I'M GONNA DO EVERYTHING HE TELLS ME. 462 00:25:30,300 --> 00:25:31,600 I'M READY TO CHANGE. 463 00:25:31,600 --> 00:25:35,567 I'M MORE DEDICATED NOW TO STARTING THIS PROCESS 464 00:25:35,567 --> 00:25:36,900 THAN I HAVE BEEN MY WHOLE LIFE. 465 00:25:36,900 --> 00:25:39,067 I HAVE MORE REASON TO BE NOW. 466 00:25:39,067 --> 00:25:42,267 I CAN'T IMAGINE NOT BEING HERE FOR MY FAMILY. 467 00:25:42,267 --> 00:25:44,200 I SEE HER COMPLETELY STRESSED OUT, 468 00:25:44,200 --> 00:25:46,900 DEALING WITH THE BABIES AND, YOU KNOW, 469 00:25:46,900 --> 00:25:50,433 HAVING TO CARRY THE LOAD OF HER AND ME. 470 00:25:50,433 --> 00:25:52,300 SHE'S SO UNDERSTANDING OF EVERYTHING 471 00:25:52,300 --> 00:25:55,100 THAT I'M GOING THROUGH RIGHT NOW. 472 00:25:55,100 --> 00:25:57,333 THAT'S WHY I LOVE HER. -IT'S 'CAUSE I LOVE YOU. 473 00:25:57,333 --> 00:25:59,367 I LOVE YOU, TOO. [ CLICKS TONGUE ] 474 00:25:59,367 --> 00:26:00,933 [ CHUCKLES ] 475 00:26:10,867 --> 00:26:13,667 Doug: ME AND ASHLEY ARE GOING TO DRIVE TO HOUSTON 476 00:26:13,667 --> 00:26:16,067 TO GO SEE DR. NOWZARADAN, 477 00:26:16,067 --> 00:26:18,167 AND HER MOM IS GONNA KEEP THE KIDS FOR US 478 00:26:18,167 --> 00:26:20,567 UNTIL WE GET BACK. 479 00:26:20,567 --> 00:26:23,600 Ashley: THE TWINS ARE ALMOST 4 MONTHS OLD, 480 00:26:23,600 --> 00:26:26,567 AND I HAVE A LITTLE BIT OF ANXIETY ABOUT LEAVING THEM, 481 00:26:26,567 --> 00:26:30,067 BUT IT'S JUST SOMETHING THAT WE HAVE TO DO. 482 00:26:30,067 --> 00:26:33,333 Doug: I DON'T KNOW WHAT TO EXPECT, BUT ALL I KNOW IS 483 00:26:33,333 --> 00:26:36,967 I'M COMMITTED TO DO WHATEVER I HAVE TO TO LOSE THE WEIGHT. 484 00:26:39,300 --> 00:26:40,967 I'M LOOKING FOR A DOCTOR TO HELP ME 485 00:26:40,967 --> 00:26:43,133 BECAUSE I'VE TRIED DIETS, 486 00:26:43,133 --> 00:26:45,133 I'VE TRIED FASTING, 487 00:26:45,133 --> 00:26:47,567 I'VE TRIED JUST ABOUT EVERYTHING YOU CAN THINK OF, 488 00:26:47,567 --> 00:26:51,133 AND NOTHING'S EVER SEEMED TO BE THE RIGHT FIT FOR ME. 489 00:26:51,133 --> 00:26:52,633 Ashley: OKAY. WHAT ARE YOU GETTING? 490 00:26:52,633 --> 00:26:55,067 I'M GONNA GET A TRIPLE MEAT, TRIPLE CHEESE... 491 00:26:55,067 --> 00:26:56,300 [ INHALES SHARPLY ] 492 00:26:56,300 --> 00:26:58,067 ...TRIPLE BACON. 493 00:27:00,067 --> 00:27:03,200 YEAH, I NEED TO GET A NUMBER 3. 494 00:27:03,200 --> 00:27:06,067 NO VEGETABLES. 495 00:27:06,067 --> 00:27:07,233 REPEAT IT. 496 00:27:07,233 --> 00:27:09,533 I NEED TO MAKE SURE THAT'S ALL LARGE SIZES. 497 00:27:09,533 --> 00:27:11,400 -Y'ALL HAVE A GOOD DAY. -THANK YOU. 498 00:27:13,967 --> 00:27:17,067 I KNOW THIS ISN'T GONNA BE EASY FOR EITHER OF US, 499 00:27:17,067 --> 00:27:20,600 BECAUSE AS MUCH AS ASHLEY NEEDS ME TO CHANGE, 500 00:27:20,600 --> 00:27:22,567 SHE WANTS ME HAPPY. 501 00:27:22,567 --> 00:27:25,333 HERE'S YOUR TRIPLE MEAT, TRIPLE CHEESE, SIR. 502 00:27:25,333 --> 00:27:27,800 -TRIPLE BACON. -AND BACON. 503 00:27:27,800 --> 00:27:29,667 Doug: I DON'T KNOW IF I'M A GOOD CANDIDATE 504 00:27:29,667 --> 00:27:31,133 FOR WEIGHT-LOSS SURGERY, 505 00:27:31,133 --> 00:27:33,533 SO I'M JUST FOCUSING ON GETTING TO HOUSTON 506 00:27:33,533 --> 00:27:36,067 AND SEEING THE DOCTOR. 507 00:27:41,667 --> 00:27:43,633 ARE YOU NERVOUS? 508 00:27:43,633 --> 00:27:45,500 I'M NERVOUS. I'M SCARED THAT 509 00:27:45,500 --> 00:27:47,767 HE'S NOT GONNA BE ABLE TO HELP ME. 510 00:27:47,767 --> 00:27:50,700 WHAT WILL YOU DO IF THE DOCTOR CAN'T HELP YOU? 511 00:27:50,700 --> 00:27:52,700 I HONESTLY DON'T KNOW WHAT I'M GONNA DO. 512 00:27:57,667 --> 00:27:59,367 I FEEL LIKE THIS IS MY ONLY OPTION 513 00:27:59,367 --> 00:28:01,667 AT THIS POINT TO LOSE WEIGHT, 514 00:28:01,667 --> 00:28:04,500 SO I REALLY HOPE HE TAKES ME AS A PATIENT. 515 00:28:04,500 --> 00:28:07,933 -MR. ARMSTRONG? -HELLO. 516 00:28:07,933 --> 00:28:10,467 AND, AT THIS POINT, IT'S THE ONLY CHANCE 517 00:28:10,467 --> 00:28:12,967 I HAVE TO AVOID LOSING EVERYTHING 518 00:28:12,967 --> 00:28:15,500 THAT'S IMPORTANT TO ME. 519 00:28:27,367 --> 00:28:29,367 I'M A LITTLE SHOCKED RIGHT NOW. 520 00:28:31,833 --> 00:28:34,233 THAT'S A LOT HIGHER THAN I THOUGHT. 521 00:28:36,767 --> 00:28:41,067 I'M ALMOST 700 POUNDS. 522 00:28:41,067 --> 00:28:42,400 [ KNOCK ON DOOR ] 523 00:28:42,400 --> 00:28:44,167 -HELLO. -HELLO. 524 00:28:44,167 --> 00:28:46,733 -I'M DR. NOWZARADAN. -NICE TO MEET YOU. 525 00:28:46,733 --> 00:28:48,833 I'M DOUG. -NICE TO MEET YOU. 526 00:28:48,833 --> 00:28:50,600 AND YOU ARE? -I'M ASHLEY. 527 00:28:50,600 --> 00:28:53,600 SO, YOU ARE 684 POUNDS. 528 00:28:53,600 --> 00:28:55,867 WHAT SEEMS TO BE THE BIGGEST CHALLENGE 529 00:28:55,867 --> 00:28:57,167 WITH YOUR EATING HABIT? 530 00:28:57,167 --> 00:29:01,333 I THINK IT'S THE AMOUNT THAT I EAT. 531 00:29:01,333 --> 00:29:04,467 MY PORTIONS ARE BIGGER THAN A NORMAL PERSON'S WOULD BE. 532 00:29:04,467 --> 00:29:06,467 IT'S ALWAYS KIND OF BEEN THAT WAY. 533 00:29:06,467 --> 00:29:08,600 WHAT DO YOU TYPICALLY EAT IN A DAY? 534 00:29:08,600 --> 00:29:10,367 MOST OF THE TIME, SHE'LL COOK ME BREAKFAST, 535 00:29:10,367 --> 00:29:15,200 IT'LL BE, LIKE, FRIED EGGS, BACON, 536 00:29:15,200 --> 00:29:16,767 TOAST OR BISCUITS, 537 00:29:16,767 --> 00:29:19,300 AND CINNAMON ROLLS, THINGS LIKE THAT. 538 00:29:19,300 --> 00:29:20,967 NOT ALL OF THEM, WAS IT? 539 00:29:20,967 --> 00:29:24,067 -A LOT OF TIMES, YEAH. -A LOT OF TIMES? 540 00:29:24,067 --> 00:29:26,700 -YEAH. -OKAY. HOW ABOUT DINNER? 541 00:29:26,700 --> 00:29:29,633 DINNER IS WHATEVER SHE'S COOKING. 542 00:29:29,633 --> 00:29:33,133 STEAK MAYBE WITH A COUPLE OF DIFFERENT SIDES, 543 00:29:33,133 --> 00:29:36,100 MASHED POTATOES AND MAC AND CHEESE AND STUFF LIKE THAT. 544 00:29:36,100 --> 00:29:38,067 SO, YOU COOK ALL THIS STUFF FOR HIM 545 00:29:38,067 --> 00:29:40,100 AND PUT IT ON THE PLATE AND SAY, "EAT." 546 00:29:40,100 --> 00:29:41,867 -AND HE EATS IT. -YEAH. 547 00:29:41,867 --> 00:29:45,800 SO, SHE'S JUST SUPPORTING YOUR EATING HABIT, RIGHT? 548 00:29:45,800 --> 00:29:48,467 SHE DOESN'T REALLY LIKE TO TELL ME NO 549 00:29:48,467 --> 00:29:49,867 AS FAR AS WHAT I'M EATING. 550 00:29:49,867 --> 00:29:51,200 I MAKE THE CHOICE TO EAT IT, 551 00:29:51,200 --> 00:29:55,067 AND SHE'S THERE TO COOK IT FOR ME. 552 00:29:55,067 --> 00:29:59,700 DOUG IS APPROACHING 700 POUNDS, AND HE IS ALMOST IMMOBILE, 553 00:29:59,700 --> 00:30:02,700 BUT THE BIGGEST PROBLEM IS UNHEALTHY DYNAMICS 554 00:30:02,700 --> 00:30:05,400 BETWEEN HIM AND HIS WIFE. 555 00:30:05,400 --> 00:30:08,867 SO, THIS IS GOING TO BE VERY DIFFICULT TO ADDRESS. 556 00:30:08,867 --> 00:30:10,800 WHAT DO YOU THINK WE CAN DO FOR YOU? 557 00:30:10,800 --> 00:30:13,800 EVERY TIME I'VE DONE ANY KIND OF DIET OR ANYTHING, 558 00:30:13,800 --> 00:30:15,567 I'LL STICK TO THE DIET 559 00:30:15,567 --> 00:30:17,933 AND I'LL SEE RESULTS FROM IT, 560 00:30:17,933 --> 00:30:20,867 BUT I ALWAYS HIT A PLATEAU 561 00:30:20,867 --> 00:30:23,633 AND I GET DISCOURAGED AT THAT POINT, 562 00:30:23,633 --> 00:30:27,100 AND I'LL START GOING BACK TO MY OLD WAYS. 563 00:30:27,100 --> 00:30:30,433 -DIETS NEVER WORK, OKAY? -OKAY. 564 00:30:30,433 --> 00:30:34,100 WHAT IS GONNA WORK IS PERMANENT CHANGES 565 00:30:34,100 --> 00:30:35,800 TOWARD HEALTHY HABITS, 566 00:30:35,800 --> 00:30:39,667 AND YOU DID NOT GET TO BE 600 POUNDS OVERNIGHT. 567 00:30:39,667 --> 00:30:41,633 IT WOULD TAKE 36 YEARS TO GET HERE. 568 00:30:41,633 --> 00:30:43,167 YOU'RE NOT GOING TO LOSE THAT OVERNIGHT, EITHER. 569 00:30:43,167 --> 00:30:44,200 RIGHT. 570 00:30:44,200 --> 00:30:45,833 NOW, I SEE FROM YOUR PAST HISTORY, 571 00:30:45,833 --> 00:30:47,767 YOU'VE GOT ADDICTIVE PERSONALITY. 572 00:30:47,767 --> 00:30:51,267 YOU'RE ADDICTED TO FOOD AND SOME OTHER STUFF. 573 00:30:51,267 --> 00:30:53,733 YOU WALKED AWAY FROM OTHER ADDICTION, 574 00:30:53,733 --> 00:30:55,333 AND THAT'S NOT EASY. 575 00:30:55,333 --> 00:30:59,133 BUT YOU DIDN'T NEED THOSE OTHER THINGS TO LIVE. 576 00:30:59,133 --> 00:31:01,233 YOUR ADDICTION IS FOOD. 577 00:31:01,233 --> 00:31:03,567 YOU NEED TO DEVELOP LONG-TERM HABITS 578 00:31:03,567 --> 00:31:05,267 OF USING IT PROPERLY, 579 00:31:05,267 --> 00:31:08,500 INSTEAD OF JUST REFRAINING FROM IT. 580 00:31:08,500 --> 00:31:11,767 I THINK THERE IS A PART OF DOUG THAT IS SCARED ABOUT HIS WEIGHT 581 00:31:11,767 --> 00:31:13,567 AND WANTS TO CHANGE. 582 00:31:13,567 --> 00:31:16,133 BUT, AT THE SAME TIME, THERE'S A PART OF HIM 583 00:31:16,133 --> 00:31:20,200 THAT DOESN'T EXPECT TO HAVE TO DO ANYTHING DIFFERENT. 584 00:31:20,200 --> 00:31:22,067 SO, HERE'S WHAT WE'RE GOING TO DO. 585 00:31:22,067 --> 00:31:23,833 WE'RE GOING TO START WITH YOU SHOWING ME 586 00:31:23,833 --> 00:31:26,800 THAT YOU CAN CHANGE YOUR EATING HABITS. 587 00:31:26,800 --> 00:31:31,267 I'M GOING TO PUT YOU ON A 1,200-CALORIE-A-DAY DIET, 588 00:31:31,267 --> 00:31:34,167 NO CARBS, NO SUGAR, HIGH PROTEIN, 589 00:31:34,167 --> 00:31:36,267 AND I WANT YOU TO LOSE AT LEAST 50 POUNDS 590 00:31:36,267 --> 00:31:38,433 OVER THE NEXT MONTH. -OKAY. 591 00:31:38,433 --> 00:31:41,800 YOUR BODY WON'T LAST MUCH LONGER AT THIS WEIGHT, 592 00:31:41,800 --> 00:31:43,733 SO YOU HAVE TO DO THIS. 593 00:31:43,733 --> 00:31:45,233 ALL RIGHT. SEE YOU NEXT MONTH. 594 00:31:45,233 --> 00:31:46,567 ALL RIGHT. 595 00:31:49,067 --> 00:31:50,133 WHAT DO YOU THINK? 596 00:31:50,133 --> 00:31:53,700 I THINK THAT WE JUST NEED TO GET STARTED, 597 00:31:53,700 --> 00:31:56,733 AND LET'S GET THIS 50 POUNDS KNOCKED OFF BEFORE WE COME BACK. 598 00:31:56,733 --> 00:31:59,267 LET'S DO IT. 599 00:32:00,067 --> 00:32:02,167 [ GRUNTS ] 600 00:32:02,167 --> 00:32:03,667 Doug: I WAS WORRIED THE DOCTOR 601 00:32:03,667 --> 00:32:05,900 WAS GONNA TELL ME THAT IT WAS TOO LATE. 602 00:32:08,167 --> 00:32:10,067 BUT I'M WILLING TO DO WHATEVER IT TAKES 603 00:32:10,067 --> 00:32:11,767 TO GET APPROVED FOR WEIGHT-LOSS SURGERY, 604 00:32:11,767 --> 00:32:15,967 FOR ME AND MY FAMILY. 605 00:32:15,967 --> 00:32:17,300 I'M GONNA LOSE THE WEIGHT THAT I WANT TO LOSE 606 00:32:17,300 --> 00:32:21,367 SO I CAN BE THE RIGHT KIND OF FATHER AND HUSBAND 607 00:32:21,367 --> 00:32:23,367 THAT I NEED TO BE. 608 00:32:23,367 --> 00:32:26,067 THIS FEELS LIKE MY LAST CHANCE, 609 00:32:26,067 --> 00:32:27,833 AND I'M NOT GONNA LOSE IT. 610 00:32:40,367 --> 00:32:41,767 Doug: IT'S BEEN A COUPLE OF WEEKS 611 00:32:41,767 --> 00:32:45,767 SINCE I SAW THE DOCTOR FOR MY FIRST VISIT, 612 00:32:45,767 --> 00:32:48,800 AND IT'S BEEN TOUGH. 613 00:32:48,800 --> 00:32:51,333 FOOD WAS A COPING MECHANISM, 614 00:32:51,333 --> 00:32:55,333 AND NOW I DON'T HAVE THAT. 615 00:32:55,333 --> 00:32:58,067 NOT A DAY GOES BY THAT I DON'T THINK ABOUT THE DRUGS 616 00:32:58,067 --> 00:33:01,333 AND ALCOHOL FROM MY PARTY DAYS. 617 00:33:01,333 --> 00:33:04,500 I CHANGED THAT PART OF MY LIFE, 618 00:33:04,500 --> 00:33:08,433 BUT FOOD IS A TOTALLY DIFFERENT THING, 619 00:33:08,433 --> 00:33:10,900 BECAUSE YOU CAN AVOID DRUGS 620 00:33:10,900 --> 00:33:12,567 AND YOU CAN AVOID ALCOHOL, 621 00:33:12,567 --> 00:33:15,333 BUT FOOD'S SOMETHING THAT'S THERE EVERY DAY 622 00:33:15,333 --> 00:33:17,433 AND, YOU KNOW, IF YOU'RE GETTING 623 00:33:17,433 --> 00:33:19,467 ANY KIND OF STIMULATION OUT 624 00:33:19,467 --> 00:33:21,967 OF JUST THE ACT OF EATING FOOD, 625 00:33:21,967 --> 00:33:23,567 YOU'RE NOT GONNA MAKE THE RIGHT CHOICES. 626 00:33:23,567 --> 00:33:26,067 YOU'RE GONNA MAKE THE CHOICES THAT YOU WANT TO MAKE BASED 627 00:33:26,067 --> 00:33:27,467 ON HOW YOU WANT TO FEEL, 628 00:33:27,467 --> 00:33:29,600 AND THAT'S WHAT MAKES THAT THE WORST ADDICTION 629 00:33:29,600 --> 00:33:32,367 I'VE EVER HAD. 630 00:33:32,367 --> 00:33:34,500 SO, I'VE LOST THE ONE THING 631 00:33:34,500 --> 00:33:37,233 THAT WAS HELPING ME COPE WITH EVERYTHING. 632 00:33:38,400 --> 00:33:39,733 OH. 633 00:33:39,733 --> 00:33:43,067 AND IT'S A LOT HARDER THAN ASHLEY REALIZES, 634 00:33:43,067 --> 00:33:48,733 BECAUSE SHE DOESN'T EVEN KNOW HOW MUCH I WAS ACTUALLY EATING. 635 00:33:48,733 --> 00:33:52,267 DOUG STRUGGLES WITH ANYTHING NEGATIVE, 636 00:33:52,267 --> 00:33:54,767 EMOTIONALLY, IN HIS LIFE, 637 00:33:54,767 --> 00:33:58,200 AND I THINK IT'S PROBABLY BEEN HARD FOR HIM 638 00:33:58,200 --> 00:34:01,267 TO COPE WITH STRESS IN GENERAL 639 00:34:01,267 --> 00:34:03,200 AND NOT TURN TO FOOD, 640 00:34:03,200 --> 00:34:04,967 SO I'M COUNTING CALORIES NOW 641 00:34:04,967 --> 00:34:08,500 TO MAKE SURE WE STAY WITHIN THE DIET. 642 00:34:08,500 --> 00:34:11,067 I CAN SEE HIM GETTING FRUSTRATED, 643 00:34:11,067 --> 00:34:13,900 AND THAT'S GENERALLY THE ONLY TIME HE EVER SAYS, 644 00:34:13,900 --> 00:34:16,633 "I WISH I COULD HAVE A PIZZA," 645 00:34:16,633 --> 00:34:20,067 OR, "MAN, I WISH I COULD HAVE A HAMBURGER," 646 00:34:20,067 --> 00:34:22,867 BUT HE KNOWS WE HAVE TO DO THIS. 647 00:34:22,867 --> 00:34:25,600 OUR GAME PLAN AT THIS POINT IS, 648 00:34:25,600 --> 00:34:28,100 WITH THE MEASURING AND THE CALORIE-COUNTING, 649 00:34:28,100 --> 00:34:29,633 HE'LL HELP ME COUNT THE CALORIES, 650 00:34:29,633 --> 00:34:33,300 BUT I DO ALL THE PORTION CONTROL. 651 00:34:33,300 --> 00:34:37,533 AND AS HE GETS MORE CONFIDENT IN THE PROCESS, 652 00:34:37,533 --> 00:34:39,367 WE'LL KIND OF BABY-STEP OUR WAY 653 00:34:39,367 --> 00:34:41,333 SO HE IS MORE SELF-SUFFICIENT. 654 00:34:41,333 --> 00:34:43,833 AND IT'S VERY IMPORTANT THAT DOUG LOSES THE WEIGHT 655 00:34:43,833 --> 00:34:46,233 BEFORE THE NEXT DOCTOR'S APPOINTMENT. 656 00:34:46,233 --> 00:34:49,567 THAT'S THE WHOLE POINT OF THIS PART OF THE JOURNEY. 657 00:34:52,400 --> 00:34:54,367 Doug: THIS IS THE HARDEST THING I'VE EVER DONE, 658 00:34:54,367 --> 00:34:55,800 BECAUSE RIGHT NOW, 659 00:34:55,800 --> 00:34:59,467 I NEVER REALLY FEEL CONTENT AND FULL. 660 00:34:59,467 --> 00:35:04,667 EVERY DAY, EVERY MINUTE, FEELS LIKE A TEST OF MY WILL. 661 00:35:04,667 --> 00:35:06,100 WHAT ARE WE LOOKING AT ON CALORIES? 662 00:35:06,100 --> 00:35:09,400 350. 663 00:35:09,400 --> 00:35:13,600 IT'S SCARY TO NOT KNOW IF I'M GONNA GIVE IN, 664 00:35:13,600 --> 00:35:16,067 BUT I HAVE TO SUCCEED AT THIS. 665 00:35:30,533 --> 00:35:32,067 WE'RE GOING TO SEE DR. NOW. 666 00:35:32,067 --> 00:35:35,400 IT'S BEEN A MONTH SINCE MY LAST VISIT, 667 00:35:35,400 --> 00:35:40,067 AND WE'RE GOING TO SEE IF I'VE LOST ENOUGH WEIGHT 668 00:35:40,067 --> 00:35:42,133 TO GET APPROVED FOR WEIGHT-LOSS SURGERY. 669 00:35:44,900 --> 00:35:49,800 I'M REALLY NERVOUS ABOUT STEPPING ON THAT SCALE. 670 00:35:49,800 --> 00:35:52,400 SO MUCH IS RIDING ON ME DOING THIS. 671 00:35:55,433 --> 00:35:57,767 I CAN'T FAIL. 672 00:35:57,767 --> 00:35:59,467 DOUGLAS ARMSTRONG. 673 00:35:59,467 --> 00:36:03,467 DR. NOW WANTED ME TO LOSE 50 POUNDS 674 00:36:03,467 --> 00:36:06,467 AND GET UNDER 634, 675 00:36:06,467 --> 00:36:10,400 BUT I REALLY HAVE NO IDEA IF I'M EVEN CLOSE TO THAT. 676 00:36:18,700 --> 00:36:21,633 [ EXHALES SLOWLY ] 677 00:36:21,633 --> 00:36:25,700 I'M A LITTLE DISAPPOINTED AT THAT. 678 00:36:25,700 --> 00:36:27,733 PART OF ME IS PROUD I LOST SOME WEIGHT, 679 00:36:27,733 --> 00:36:30,633 BUT I'M FEELING NERVOUS. 680 00:36:30,633 --> 00:36:34,067 I KNOW HOW DR. NOWZARADAN IS ABOUT GOALS. 681 00:36:36,267 --> 00:36:38,700 I'M REALLY JUST KIND OF DISAPPOINTED IN MYSELF 682 00:36:38,700 --> 00:36:41,233 FOR NOT REALLY HITTING THE GOAL. 683 00:36:43,900 --> 00:36:45,100 -HELLO. -HEY. 684 00:36:45,100 --> 00:36:47,067 -HELLO. -HOW YOU ALL DOING? 685 00:36:47,067 --> 00:36:49,667 -PRETTY GOOD. -ALL RIGHT. 686 00:36:51,067 --> 00:36:52,867 YOU LOST 28 POUNDS. 687 00:36:52,867 --> 00:36:55,100 I'M GLAD TO SEE THAT YOU MADE SOME PROGRESS, 688 00:36:55,100 --> 00:36:56,833 BUT YOU SHOULD HAVE BEEN ABLE TO LOSE 689 00:36:56,833 --> 00:36:59,133 A LOT MORE WEIGHT THIS MONTH. 690 00:36:59,133 --> 00:37:03,567 ANY ISSUES WITH YOUR EATING HABIT, OR ANY PROBLEM? 691 00:37:03,567 --> 00:37:06,100 -NOT AT ALL. -IF THAT WERE TRUE, 692 00:37:06,100 --> 00:37:08,800 YOU WOULD HAVE LOST A LOT MORE WEIGHT. 693 00:37:08,800 --> 00:37:11,933 I'M GLAD TO SEE DOUG HAS MADE SOME PROGRESS, 694 00:37:11,933 --> 00:37:15,400 BUT THE REALITY IS AT HIS HEIGHT AND AGE, 695 00:37:15,400 --> 00:37:18,100 HE COULD HAVE EVEN LOST UP TO 70 POUNDS 696 00:37:18,100 --> 00:37:20,800 ON A 1,200-CALORIE-A-DAY DIET. 697 00:37:20,800 --> 00:37:24,300 DOUG IS MOST LIKELY STILL SNEAKING SOME FOOD 698 00:37:24,300 --> 00:37:27,267 AND EATING SOME THINGS HE SHOULDN'T, 699 00:37:27,267 --> 00:37:28,733 SO THERE'S PROGRESS 700 00:37:28,733 --> 00:37:31,467 BUT NOT ENOUGH TO SHOW ME THAT HE'S READY. 701 00:37:31,467 --> 00:37:33,333 SO, AT THIS POINT, 702 00:37:33,333 --> 00:37:35,367 I WANT YOU TO CONTINUE TO LOSE WEIGHT, 703 00:37:35,367 --> 00:37:37,533 AND YOU NEED TO LOSE THE 50 POUNDS 704 00:37:37,533 --> 00:37:39,100 YOU WERE SUPPOSED TO. 705 00:37:39,100 --> 00:37:40,433 OKAY. 706 00:37:40,433 --> 00:37:42,833 MAKING CHANGES TO YOUR BEHAVIOR 707 00:37:42,833 --> 00:37:44,133 THAT ARE PERMANENT, 708 00:37:44,133 --> 00:37:47,500 AND NOT JUST TEMPORARY, IS EXTREMELY DIFFICULT, 709 00:37:47,500 --> 00:37:48,833 AND DOUG HAS TO SHOW ME 710 00:37:48,833 --> 00:37:51,233 THAT HE'S DEDICATED TO THIS PROCESS 711 00:37:51,233 --> 00:37:53,133 BEFORE I CAN HELP HIM. 712 00:37:53,133 --> 00:37:55,267 SO, I'LL SEE YOU NEXT MONTH. 713 00:37:55,267 --> 00:37:56,700 -ALL RIGHT. THANK YOU. -ALL RIGHT. 714 00:37:56,700 --> 00:37:58,067 ALL RIGHT. SEE YOU ALL LATER. 715 00:37:58,067 --> 00:37:59,300 -THANK YOU. -MM-HMM. 716 00:38:04,800 --> 00:38:08,333 Doug: I'M REALLY FRUSTRATED RIGHT NOW. 717 00:38:08,333 --> 00:38:09,667 I'VE WORKED SO HARD, 718 00:38:09,667 --> 00:38:13,800 BUT IT WASN'T ENOUGH TO GET APPROVED FOR SURGERY. 719 00:38:13,800 --> 00:38:15,133 AND I'M REALLY SCARED 720 00:38:15,133 --> 00:38:18,067 I'M NOT DOING THIS FAST ENOUGH TO SHOW ASHLEY 721 00:38:18,067 --> 00:38:21,900 THAT I'M GONNA MAKE THIS CHANGE. 722 00:38:21,900 --> 00:38:24,067 I DON'T WANT HER TO GIVE UP ON ME. 723 00:38:27,067 --> 00:38:31,400 SO, WHATEVER IT TAKES, I'VE GOT TO DO THIS. 724 00:38:43,167 --> 00:38:45,167 Ashley: WANT TO GO TAKE A WALK TO THE PARK? 725 00:38:45,167 --> 00:38:47,700 OOH, YEAH! 726 00:38:49,767 --> 00:38:52,400 NOT GETTING APPROVED FOR WEIGHT-LOSS SURGERY 727 00:38:52,400 --> 00:38:54,200 REALLY SCARED ME. 728 00:38:57,367 --> 00:39:01,233 I KNOW EVERYTHING I HAVE TO LOSE, 729 00:39:01,233 --> 00:39:04,933 SO I'VE BEEN 100% COMMITTED TO MAKING THIS HAPPEN. 730 00:39:07,400 --> 00:39:09,933 I'VE BEEN DOING REALLY GOOD SINCE MY LAST DOCTOR'S VISIT, 731 00:39:09,933 --> 00:39:11,200 BEING MORE ACTIVE. 732 00:39:11,200 --> 00:39:13,533 I COULD ACTUALLY HELP WITH THE BABIES. 733 00:39:13,533 --> 00:39:14,800 YOU READY? 734 00:39:14,800 --> 00:39:18,300 IT'S REALLY BEEN A BIG CHANGE. 735 00:39:18,300 --> 00:39:21,567 Ashley: I AM SO PROUD OF DOUG. 736 00:39:21,567 --> 00:39:27,233 HIS RELATIONSHIP WITH THE KIDS IS STARTING TO EVOLVE. 737 00:39:27,233 --> 00:39:29,767 HE'S ABLE TO DO SO MUCH MORE WITH THEM, 738 00:39:29,767 --> 00:39:31,367 AND IT'S BEEN EXCITING TO WATCH. 739 00:39:31,367 --> 00:39:34,633 KEEP GOING, COOP. 740 00:39:34,633 --> 00:39:37,600 HE JUST SEEMS LIKE A DIFFERENT PERSON RIGHT NOW. 741 00:39:37,600 --> 00:39:38,967 YOU READY? 742 00:39:38,967 --> 00:39:41,067 Doug: I DO THINK I'M LOSING WEIGHT. 743 00:39:41,067 --> 00:39:43,133 I CAN FEEL A DIFFERENCE. 744 00:39:46,067 --> 00:39:47,767 COOPER'S -- HE'S HAPPIER NOW 745 00:39:47,767 --> 00:39:51,433 THAT I CAN GO AND PLAY WITH HIM ON THE PLAYGROUND, 746 00:39:51,433 --> 00:39:53,400 AND I HAVE A LOT MORE ENERGY TO PLAY WITH IT. 747 00:39:53,400 --> 00:39:56,600 SO, 5-YEAR-OLDS, THEY DEFINITELY LIKE THAT. 748 00:39:58,400 --> 00:40:00,933 [ SCREAMS AND LAUGHS ] 749 00:40:00,933 --> 00:40:03,833 DON'T GO INTO THE ROAD. 750 00:40:03,833 --> 00:40:06,267 HOW'S THAT PACE, DAD? 751 00:40:06,267 --> 00:40:09,167 A LITTLE QUICK, BUT IT'S ALL RIGHT. 752 00:40:09,167 --> 00:40:11,367 GOOD JOB! YOU WALKED... 753 00:40:11,367 --> 00:40:14,367 -I FEEL BETTER. -...0.62 MILES, 754 00:40:14,367 --> 00:40:16,800 SO A LITTLE OVER HALF A MILE. 755 00:40:16,800 --> 00:40:19,333 OH, DON'T TOUCH ME WITH YOUR SWEATINESS. 756 00:40:19,333 --> 00:40:22,800 -WHY? YOU LIKE IT. -I LIKE IT. 757 00:40:22,800 --> 00:40:24,133 THANK YOU. 758 00:40:24,133 --> 00:40:26,000 THANK YOU, SIR. 759 00:40:26,000 --> 00:40:27,567 Ashley: WE'RE MAKING THIS JOURNEY TOGETHER, 760 00:40:27,567 --> 00:40:30,067 WE'RE MAKING FOOD CHOICES TOGETHER, 761 00:40:30,067 --> 00:40:34,333 WE'RE EXERCISING TOGETHER AND DOING MORE AS A FAMILY. 762 00:40:34,333 --> 00:40:35,667 ARE YOU ABOUT READY FOR DINNER? 763 00:40:35,667 --> 00:40:37,500 -MM-HMM. -GOOD. 764 00:40:39,667 --> 00:40:43,967 Doug: NO MATTER HOW HARD IT IS OR HOW STRONG THE TEMPTATION IS, 765 00:40:43,967 --> 00:40:46,933 I'M ONLY GOING TO EAT WHAT I SHOULD. 766 00:40:49,100 --> 00:40:51,300 ASHLEY KIND OF FINDS CREATIVE WAYS 767 00:40:51,300 --> 00:40:53,033 TO MAKE THE MEALS BIGGER 768 00:40:53,033 --> 00:40:55,600 AND KEEP THE CALORIE COUNTS DOWN. 769 00:40:55,600 --> 00:40:58,800 TA-DA! 770 00:40:58,800 --> 00:41:00,567 WHAT DO YOU THINK? DID I DO GOOD? 771 00:41:00,567 --> 00:41:03,233 YEAH. SEEMS LIKE A LOT FOR 300 CALORIES. 772 00:41:03,233 --> 00:41:05,167 I KNOW, RIGHT? 773 00:41:05,167 --> 00:41:08,067 I'VE BEEN GIVEN A CHANCE, AND I FAILED THE FIRST TIME. 774 00:41:08,067 --> 00:41:11,100 -THANK YOU, BUD. -YOU'RE WELCOME. 775 00:41:11,100 --> 00:41:13,967 Doug: I KNOW I DON'T HAVE TOO MANY CHANCES LEFT 776 00:41:13,967 --> 00:41:15,900 AND THAT I HAVE TO DO THIS 777 00:41:15,900 --> 00:41:18,233 AND PROVE TO ASHLEY THIS CHANGE 778 00:41:18,233 --> 00:41:21,133 IS NOT JUST TEMPORARY. 779 00:41:21,133 --> 00:41:25,533 I'M DOING IT FOR HER, AND I'M DOING IT FOR MY KIDS. 780 00:41:25,533 --> 00:41:28,367 I CAN'T LOSE THEM, SO, NO MATTER WHAT, 781 00:41:28,367 --> 00:41:30,367 I HAVE TO LOSE THE 50 POUNDS 782 00:41:30,367 --> 00:41:33,233 BY THE TIME I SEE DR. NOW AGAIN. 783 00:41:51,567 --> 00:41:53,067 DOUGLAS ARMSTRONG. 784 00:41:53,067 --> 00:41:56,233 I'M SO NERVOUS RIGHT NOW. 785 00:41:56,233 --> 00:41:59,233 I WORKED SO HARD THIS PAST MONTH, 786 00:41:59,233 --> 00:42:02,900 AND I KNOW THIS IS IT. 787 00:42:02,900 --> 00:42:05,733 IF I DON'T HIT MY GOAL THIS TIME, 788 00:42:05,733 --> 00:42:09,067 I MAY BE ABOUT TO LOSE EVERYTHING. 789 00:42:20,633 --> 00:42:23,600 ** 790 00:42:27,767 --> 00:42:30,100 Doug: THE DOCTOR SAID I HAD TO LOSE 50 POUNDS 791 00:42:30,100 --> 00:42:33,233 FROM MY LAST VISIT A MONTH AGO. 792 00:42:33,233 --> 00:42:37,800 THAT MEANS I HAVE TO BE UNDER 607 POUNDS TODAY, 793 00:42:37,800 --> 00:42:41,267 AND I'M REALLY NERVOUS BECAUSE I DIDN'T DO IT THE FIRST TIME. 794 00:42:41,267 --> 00:42:43,767 AND IF HAVEN'T DONE IT NOW, 795 00:42:43,767 --> 00:42:46,800 I KNOW I'M PROBABLY OUT OF CHANCES. 796 00:42:47,900 --> 00:42:50,500 -[ GASPS ] -601. 797 00:42:50,500 --> 00:42:53,067 OH, MY GOSH, YOU DID IT! 798 00:42:55,400 --> 00:42:59,300 Doug: THE 600-POUND LIMIT IS A REALLY BIG THRESHOLD FOR ME, 799 00:42:59,300 --> 00:43:03,133 SO IT'S A LITTLE DISAPPOINTING. 800 00:43:03,133 --> 00:43:06,400 BUT I'M SO PROUD OF US. 801 00:43:06,400 --> 00:43:09,367 ASHLEY HELPED ME DO THIS, AND I'M JUST SO THANKFUL 802 00:43:09,367 --> 00:43:11,067 WE DID THIS AS A TEAM. [ KNOCK ON DOOR ] 803 00:43:11,067 --> 00:43:12,733 -HELLO. -HELLO. 804 00:43:12,733 --> 00:43:14,067 HOW YOU ALL DOING? 805 00:43:14,067 --> 00:43:15,067 -GOOD. -ALL RIGHT. 806 00:43:15,067 --> 00:43:19,100 ALL RIGHT, AND SO, YOU'RE DOWN TO 601, 807 00:43:19,100 --> 00:43:23,233 AND YOU ARE 2 POUNDS AWAY FROM BEING UNDER 600. 808 00:43:23,233 --> 00:43:25,567 ALL RIGHT, THAT'S 55 POUNDS 809 00:43:25,567 --> 00:43:27,267 YOU'VE LOST THIS PAST MONTH. 810 00:43:27,267 --> 00:43:29,600 YOU'RE GETTING USED TO EATING LESS, HUH? 811 00:43:29,600 --> 00:43:32,500 -YES. -HOW IS YOUR LEVEL OF ACTIVITY? 812 00:43:32,500 --> 00:43:35,067 -OH, GREAT. -VERY GOOD. 813 00:43:35,067 --> 00:43:39,233 TO REFRAIN FROM OVEREATING FOR A MONTH ISN'T EASY, 814 00:43:39,233 --> 00:43:41,933 BUT DOUG HAS SHOWN ME HE IS WILLING TO WORK 815 00:43:41,933 --> 00:43:44,700 AT THIS PROCESS TO LOSE WEIGHT. 816 00:43:44,700 --> 00:43:48,600 OKAY, YOU'VE SHOWN ME THAT YOU CAN WORK HARD AT THIS, 817 00:43:48,600 --> 00:43:51,267 SO I'M APPROVING YOU FOR WEIGHT-LOSS SURGERY. 818 00:43:51,267 --> 00:43:52,833 OKAY. 819 00:43:52,833 --> 00:43:55,100 WE'LL GET YOU ON THE SCHEDULE SOON. 820 00:43:55,100 --> 00:43:57,933 -THANK YOU SO MUCH. -ALL RIGHT, YOU'RE WELCOME. 821 00:43:57,933 --> 00:44:01,067 Dr. Nowzaradan: PATIENTS THAT ARE OVER 600 POUNDS 822 00:44:01,067 --> 00:44:03,833 AND EATING 10,000 OR MORE CALORIES A DAY 823 00:44:03,833 --> 00:44:06,200 CAN SHED A LOT OF WEIGHT QUICKLY 824 00:44:06,200 --> 00:44:08,667 WHEN THEY START A LIMITED DIET, 825 00:44:08,667 --> 00:44:11,733 BUT WHEN THE PATIENT JUST REFUSES TO DIET, 826 00:44:11,733 --> 00:44:13,133 THEY WILL ALWAYS GO BACK 827 00:44:13,133 --> 00:44:15,300 TO OVEREATING AFTER A FEW MONTHS. 828 00:44:15,300 --> 00:44:18,900 SO, THE NEXT STEP IS TO GIVE DOUG WEIGHT-LOSS SURGERY 829 00:44:18,900 --> 00:44:22,367 AS A TOOL TO GIVE HIM TIME TO START THERAPY 830 00:44:22,367 --> 00:44:25,467 AND BEGIN DEALING WITH HIS EMOTIONAL ISSUES 831 00:44:25,467 --> 00:44:28,067 THAT ARE DRIVING HIM TO EAT. 832 00:44:28,067 --> 00:44:30,900 IT'S IDEAL THAT YOU LOSE A LITTLE BIT MORE WEIGHT 833 00:44:30,900 --> 00:44:32,800 BEFORE YOUR SURGERY. -OKAY. 834 00:44:32,800 --> 00:44:36,333 SO, KEEP AT IT AND GET UNDER 600, OKAY? 835 00:44:36,333 --> 00:44:38,067 -GREAT. -I'LL SEE YOU SOON. 836 00:44:38,067 --> 00:44:39,967 -THANK YOU. -MM-HMM. 837 00:44:42,933 --> 00:44:45,833 I DID NOT SEE THAT ONE COMING. 838 00:44:45,833 --> 00:44:48,833 [ LAUGHS ] 839 00:44:48,833 --> 00:44:51,500 OH, MY GOD. 840 00:44:51,500 --> 00:44:53,533 -THAT IS CRAZY. -THAT IS. 841 00:44:53,533 --> 00:44:55,667 I'M GENUINELY SURPRISED. 842 00:44:55,667 --> 00:44:57,700 -WOW. -WOW. 843 00:44:57,700 --> 00:45:00,433 AWESOME! 844 00:45:00,433 --> 00:45:02,367 Doug: I'M REALLY HAPPY. 845 00:45:02,367 --> 00:45:04,133 I'VE WORKED SO HARD AT THIS, 846 00:45:04,133 --> 00:45:07,567 AND TO GET IT IS JUST A LITTLE SURREAL. 847 00:45:07,567 --> 00:45:09,633 THIS APPROVAL MEANS EVERYTHING TO ME. 848 00:45:09,633 --> 00:45:12,800 IT MEANS THAT I'LL HAVE ANOTHER LEASE ON LIFE. 849 00:45:12,800 --> 00:45:17,067 IT MEANS THAT I'LL HAVE A CHANCE TO LIVE A LONGER LIFE, 850 00:45:17,067 --> 00:45:20,133 THAT I'LL HAVE A CHANCE TO BE HERE FOR MY KIDS 851 00:45:20,133 --> 00:45:24,267 AND BE HERE FOR ASHLEY. 852 00:45:24,267 --> 00:45:26,533 I FEEL LIKE THE DOCTOR HAS GIVEN ME THIS AMAZING CHANCE 853 00:45:26,533 --> 00:45:29,067 TO GET MY LIFE BACK. 854 00:45:31,067 --> 00:45:34,067 ** 855 00:45:35,067 --> 00:45:37,067 YOU'RE GONNA DO GREAT. 856 00:45:37,067 --> 00:45:38,533 I LOVE YOU. 857 00:45:38,533 --> 00:45:40,500 I LOVE YOU, TOO. 858 00:45:44,900 --> 00:45:46,633 HANG ON. 859 00:45:46,633 --> 00:45:48,833 LOVE YOU. 860 00:45:48,833 --> 00:45:51,300 Doug: I'M REALLY HAPPY TO BE HERE 861 00:45:51,300 --> 00:45:53,333 AND HAPPY THAT I'M GETTING THIS SURGERY, 862 00:45:53,333 --> 00:45:55,867 BUT IT'S HARD NOT TO BE SCARED. 863 00:45:55,867 --> 00:45:57,133 BECAUSE OF MY SIZE, 864 00:45:57,133 --> 00:45:59,067 THERE IS A RISK THAT SOMETHING CAN GO WRONG, 865 00:45:59,067 --> 00:46:03,800 SO IT'S THE UNEXPECTED, I THINK, IS MY BIGGEST FEAR. 866 00:46:03,800 --> 00:46:05,200 I JUST WANT TO GET THIS DONE 867 00:46:05,200 --> 00:46:07,700 SO I CAN GET MOVING TO THE NEXT STEP 868 00:46:07,700 --> 00:46:11,133 AND MAKING SOME MORE PROGRESS. 869 00:46:11,133 --> 00:46:13,333 Man: NICE, BIG, DEEP BREATH. 870 00:46:18,600 --> 00:46:21,133 Dr. Nowzaradan: TODAY, WE'RE ATTEMPTING TO PERFORM 871 00:46:21,133 --> 00:46:23,633 A GASTRIC BYPASS SURGERY ON DOUG. 872 00:46:23,633 --> 00:46:25,767 HIS HEIGHT AND WEIGHT MAKES HIM 873 00:46:25,767 --> 00:46:28,233 EXTREMELY DIFFICULT TO POSITION 874 00:46:28,233 --> 00:46:32,300 WHERE THE INSTRUMENT CAN BE MANEUVERED INSIDE OF HIM, 875 00:46:32,300 --> 00:46:34,467 SO WE'RE POSITIONING THE TABLE 876 00:46:34,467 --> 00:46:37,067 IN A WAY THAT ALLOWS THIS, 877 00:46:40,967 --> 00:46:43,233 BUT HE CAN'T STAY THAT WAY FOR LONG. 878 00:46:43,233 --> 00:46:45,600 SO, IF WE ENCOUNTER ANY DELAYS, 879 00:46:45,600 --> 00:46:48,533 WE MAY HAVE TO END THE SURGERY EARLY. 880 00:46:51,433 --> 00:46:54,900 GASTRIC BYPASS IS THE MOST EFFECTIVE WAY 881 00:46:54,900 --> 00:46:58,100 TO TREAT MORBIDLY OBESE PATIENTS, 882 00:46:58,100 --> 00:47:00,967 AND WE DO BYPASS TO REDUCE THE SIZE OF THE STOMACH 883 00:47:00,967 --> 00:47:03,500 TO THE SIZE OF A SMALL ORANGE 884 00:47:03,500 --> 00:47:05,100 TO LIMIT THE AMOUNT OF FOOD 885 00:47:05,100 --> 00:47:07,967 THE PATIENT CAN EAT AT ONE TIME. 886 00:47:07,967 --> 00:47:11,067 Dr. Nowzaradan: TURN THE ROOM LIGHT OFF. 887 00:47:11,067 --> 00:47:13,400 Dr. Nowzaradan: WE ALSO REMOVE PART OF INTESTINE 888 00:47:13,400 --> 00:47:16,100 SO THEY CAN ABSORB FEWER CALORIES 889 00:47:16,100 --> 00:47:18,633 FROM WHAT THEY EAT. 890 00:47:21,367 --> 00:47:26,133 Ashley: I'M ANXIOUS TO FIND OUT HOW THE PROCEDURE HAS GONE. 891 00:47:26,133 --> 00:47:28,067 DOUG IS MY VERY BEST FRIEND. 892 00:47:28,067 --> 00:47:32,867 HE IS THE FOUNDATION FOR OUR FAMILY. 893 00:47:32,867 --> 00:47:36,467 I WOULD JUST BE A COMPLETE WRECK WITHOUT HIM. 894 00:47:36,467 --> 00:47:37,800 Dr. Nowzaradan: ALL RIGHT. 895 00:47:37,800 --> 00:47:40,367 WE NEED O.G. TUBE TO COMPRESS THE STOMACH 896 00:47:40,367 --> 00:47:42,233 IF YOU CAN GET THAT DONE. 897 00:47:42,233 --> 00:47:44,667 GO BACK. GO BACK. 898 00:47:44,667 --> 00:47:48,267 Dr. Nowzaradan: THE BIGGEST OBSTACLE RIGHT NOW IS THAT... 899 00:47:51,067 --> 00:47:54,867 ...WHICH MAKES IT DIFFICULT TO MANEUVER THE INSTRUMENTS. 900 00:47:57,800 --> 00:48:00,067 SO, THERE IS A LONG DISTANCE 901 00:48:00,067 --> 00:48:04,300 BETWEEN HIS INTESTINES AND WHERE I NEED IN TO REACH 902 00:48:04,300 --> 00:48:07,467 TO CONNECT TO HIS NEW SMALLER STOMACH. 903 00:48:07,467 --> 00:48:13,900 THAT ISSUE IS MAKING THIS A VERY DIFFICULT SURGERY. 904 00:48:13,900 --> 00:48:17,100 Dr. Nowzaradan: ALL RIGHT. ROTATE AND DON'T DO ANYTHING. 905 00:48:17,100 --> 00:48:19,067 ROTATE THE OTHER WAY. 906 00:48:19,067 --> 00:48:21,967 OPEN IT UP A LITTLE BIT MORE. 907 00:48:21,967 --> 00:48:24,500 ALL RIGHT. WE GOT IT. 908 00:48:24,500 --> 00:48:26,700 SUPER. 909 00:48:26,700 --> 00:48:28,100 ALL RIGHT, ROOM LIGHT ON. 910 00:48:29,833 --> 00:48:32,067 LET'S GET HIM CLOSED UP RIGHT NOW. 911 00:48:34,167 --> 00:48:36,700 THAT SHOULD DO IT. 912 00:48:39,567 --> 00:48:41,300 Dr. Nowzaradan: SURGERY WENT VERY WELL. 913 00:48:41,300 --> 00:48:43,833 HE HAD A FULL GASTRIC BYPASS, 914 00:48:43,833 --> 00:48:46,267 AND EVERYTHING'S LOOKING GOOD. 915 00:48:46,267 --> 00:48:49,067 THIS IS WILL HELP HIM TO CONTINUE TO LOSE WEIGHT, 916 00:48:49,067 --> 00:48:53,067 BUT THIS IS REALLY JUST THE BEGINNING FOR DOUG. 917 00:48:53,067 --> 00:48:55,900 SURGERY PREPARES THE BODY FROM BEING ABLE 918 00:48:55,900 --> 00:48:58,067 TO TAKE IN SO MUCH AT ONCE 919 00:48:58,067 --> 00:49:02,067 AND HELP THE PATIENT GET FULL REALLY QUICKLY. 920 00:49:02,067 --> 00:49:04,900 IT ESSENTIALLY REMOVED THE PHYSICAL ELEMENT 921 00:49:04,900 --> 00:49:08,067 THAT ALLOWED HIM TO GAIN WEIGHT AND CLEARED THE WAY 922 00:49:08,067 --> 00:49:11,300 TO DEAL WITH THE EMOTIONAL ELEMENT OF OVEREATING. 923 00:49:11,300 --> 00:49:16,700 SO, THE REAL WORK FOR DOUG IS GOING TO START NOW. 924 00:49:16,700 --> 00:49:18,300 HE HAS DONE WELL, 925 00:49:18,300 --> 00:49:21,633 BUT NOW IT'S TIME TO FACE HIS EMOTIONAL ISSUES 926 00:49:21,633 --> 00:49:24,233 IF HE WANTS TO SUCCEED LONG-TERM. 927 00:49:42,667 --> 00:49:44,100 Doug: I'M GETTING HUNGRY, BABE. 928 00:49:44,100 --> 00:49:45,100 Ashley: ME, TOO. 929 00:49:45,100 --> 00:49:46,933 ARE YOU HUNGRY? -COUNT ME IN! 930 00:49:46,933 --> 00:49:47,900 [ Chuckling ] OKAY. 931 00:49:47,900 --> 00:49:50,067 WHAT KIND OF SOUP DO I HAVE? 932 00:49:50,067 --> 00:49:51,533 I THINK YOU HAVE BROCCOLI-CHEESE -- 933 00:49:51,533 --> 00:49:53,367 REDUCED-FAT BROCCOLI-CHEESE. 934 00:49:53,367 --> 00:49:55,667 -WE'LL DO THAT, YEAH. -OKAY. 935 00:49:55,667 --> 00:49:57,867 WHO WANTS TO HELP ME COOK? 936 00:49:59,467 --> 00:50:01,767 YEAH, WE'RE GONNA COOK OUR FOOD. 937 00:50:01,767 --> 00:50:03,600 -ARE YOU GONNA COME HELP? -YEAH. 938 00:50:03,600 --> 00:50:04,833 OKAY. 939 00:50:04,833 --> 00:50:06,767 WHOO! 940 00:50:08,600 --> 00:50:11,000 Doug: IT'S BEEN A MONTH SINCE MY SURGERY, 941 00:50:11,000 --> 00:50:14,400 AND IT'S BEEN A LITTLE HARDER THAN I EXPECTED. 942 00:50:14,400 --> 00:50:15,767 FOR THE FIRST COUPLE OF WEEKS, 943 00:50:15,767 --> 00:50:18,700 I DIDN'T HAVE ANY APPETITE AT ALL, 944 00:50:18,700 --> 00:50:21,433 BUT I'VE STARTED TO HAVE SOME CRAVINGS HERE AND THERE, 945 00:50:21,433 --> 00:50:25,400 AND SOME OF THE TEMPTATIONS HAVE BEEN COMING BACK. 946 00:50:25,400 --> 00:50:29,133 I'VE BEEN ON A LIQUID DIET, SO I EAT A LOT OF SOUP. 947 00:50:29,133 --> 00:50:31,233 BUT THE DOCTOR SAYS I'M GONNA BE ABLE 948 00:50:31,233 --> 00:50:34,000 TO START SOLID FOODS AGAIN NEXT WEEK. 949 00:50:34,000 --> 00:50:36,433 SO, I'M LOOKING FORWARD TO THAT. 950 00:50:36,433 --> 00:50:38,767 Cooper: THIS PIECE OF BROCCOLI HAS TO BE DAD. 951 00:50:38,767 --> 00:50:42,333 WELL, HE CAN'T EAT THE BROCCOLI. 952 00:50:42,333 --> 00:50:45,533 I'M GONNA RECUPERATE A LITTLE BIT FROM SURGERY, 953 00:50:45,533 --> 00:50:46,967 AND THEN, I'M GONNA GO BACK DOWN TO HOUSTON 954 00:50:46,967 --> 00:50:49,367 TO SEE THE DOCTOR AND GET AN EVALUATION 955 00:50:49,367 --> 00:50:51,867 AND SEE HOW I'M HEALING UP AFTER SURGERY, 956 00:50:51,867 --> 00:50:54,933 AND KIND OF HOPING TO SEE IF I CAN MOVE TO THE NEXT LEVEL 957 00:50:54,933 --> 00:50:59,633 ON THIS DIET TO KIND OF EXPAND MY MEALS, 958 00:50:59,633 --> 00:51:03,867 KIND OF GIVE ME A LITTLE BIT MORE VARIETY. 959 00:51:03,867 --> 00:51:06,133 IT SCARES ME WHEN I START TO FEEL THAT DESIRE 960 00:51:06,133 --> 00:51:08,500 TO EAT STUFF I SHOULDN'T. 961 00:51:08,500 --> 00:51:12,400 IT WAS WEIRD FOR A WHILE NOT HAVING ANY CRAVINGS. 962 00:51:12,400 --> 00:51:15,067 WHEN THEY COME BACK, IT MAKES ME WORRY 963 00:51:15,067 --> 00:51:18,833 THAT I'M GOING TO MAKE SOME CHOICES I SHOULDN'T 964 00:51:18,833 --> 00:51:21,733 AND THEN END UP GAINING AGAIN. 965 00:51:21,733 --> 00:51:26,233 IF THAT HAPPENS, I KNOW I'M NOT GETTING A SECOND CHANCE. 966 00:51:26,233 --> 00:51:28,133 THIS WAS IT. 967 00:51:28,133 --> 00:51:30,233 SO I CAN'T FAIL. 968 00:51:30,233 --> 00:51:32,067 CAPISCE. 969 00:51:32,067 --> 00:51:33,067 DO YOU LIKE THE BANANA PUDDING? 970 00:51:33,067 --> 00:51:34,367 MM-HMM. 971 00:51:34,367 --> 00:51:37,133 I CANNOT BELIEVE YOU'RE EATING THAT AS FAST AS YOU ARE. 972 00:51:37,133 --> 00:51:39,067 PUDDING'S THE EASIEST THING FOR ME TO EAT. 973 00:51:39,067 --> 00:51:40,667 -REALLY? -YEAH. 974 00:51:40,667 --> 00:51:43,333 LIKE, IT HAS, LIKE, NO EFFECT. 975 00:51:43,333 --> 00:51:47,467 I'M DOING THIS SO I CAN HAVE A BETTER LIFE WITH MY FAMILY. 976 00:51:47,467 --> 00:51:51,133 IT'S NOT EASY, BUT I KNOW IT WILL BE WORTH IT. 977 00:52:02,700 --> 00:52:04,367 TODAY, I'M GOING TO SEE DR. NOW 978 00:52:04,367 --> 00:52:06,333 FOR A FOLLOW-UP APPOINTMENT. 979 00:52:06,333 --> 00:52:10,400 I SAW HIM A MONTH AGO AND ONLY LOST 12 POUNDS, 980 00:52:10,400 --> 00:52:14,367 SO HE WANTED ME TO DO BETTER THIS MONTH. 981 00:52:14,367 --> 00:52:16,067 I'VE BEEN WORKING HARD, 982 00:52:16,067 --> 00:52:19,067 BUT IT'S BEEN MORE OF A STRUGGLE NOT TO OVEREAT 983 00:52:19,067 --> 00:52:21,067 NOW THAT I'VE BEEN ABLE TO EAT SOLID FOOD. 984 00:52:21,067 --> 00:52:23,767 SO, I REALLY HOPE I'VE LOST THE WEIGHT 985 00:52:23,767 --> 00:52:26,300 I'M SUPPOSED TO THIS MONTH. 986 00:52:26,300 --> 00:52:30,600 BUT IF I HAVEN'T STAYED ON TRACK AND MY PROGRESS IS STILL SLOW, 987 00:52:30,600 --> 00:52:32,767 IT'S GOING TO BE REALLY EMBARRASSING. 988 00:52:38,500 --> 00:52:40,733 -THAT'S PRETTY DISCOURAGING. -ALL RIGHT, YOU CAN GO AHEAD 989 00:52:40,733 --> 00:52:43,233 AND GO TO ROOM 5. 990 00:52:43,233 --> 00:52:45,133 Doug: I'M FEELING A LITTLE ANXIOUS 991 00:52:45,133 --> 00:52:48,167 JUST BECAUSE, YOU KNOW, I DON'T WANT THE DOCTOR TO THINK 992 00:52:48,167 --> 00:52:49,700 THAT I'M NOT SERIOUS ABOUT THIS. 993 00:52:49,700 --> 00:52:52,867 SO, I'M JUST ANXIOUS TO SEE WHAT HE SAYS. 994 00:52:52,867 --> 00:52:54,633 [ KNOCK ON DOOR ] 995 00:52:54,633 --> 00:52:56,600 -HELLO. -HELLO. 996 00:52:56,600 --> 00:52:58,967 -HOW YOU DOING? -I'M DOING ALL RIGHT. 997 00:52:58,967 --> 00:53:02,533 SO, THIS IS ABOUT TWO MONTHS AFTER YOUR SURGERY. 998 00:53:02,533 --> 00:53:03,633 Doug: YES. 999 00:53:03,633 --> 00:53:07,600 SO, IN ONE MONTH, YOU ONLY LOST 10 POUNDS? 1000 00:53:07,600 --> 00:53:09,700 -RIGHT. -WHICH MEANS 1001 00:53:09,700 --> 00:53:12,367 THAT'S NOT VERY GOOD. -RIGHT. 1002 00:53:12,367 --> 00:53:14,167 AND SO WHAT'S GOING ON WITH YOUR EATING HABIT? 1003 00:53:14,167 --> 00:53:18,400 WELL, I WAS, YOU KNOW, GOING BACK TO SOLID FOODS 1004 00:53:18,400 --> 00:53:21,200 AND JUST NOT USING THE RIGHT PORTION SIZES 1005 00:53:21,200 --> 00:53:22,900 AND EATING THE RIGHT KINDS OF FOODS. 1006 00:53:22,900 --> 00:53:25,967 OKAY. SO, WHAT ARE YOU TRYING TO TELL ME? 1007 00:53:25,967 --> 00:53:28,567 I'M NOT COMPLETELY UNDERSTANDING. 1008 00:53:28,567 --> 00:53:30,100 YOU HAD A BYPASS... -RIGHT. 1009 00:53:30,100 --> 00:53:31,733 -...YOU HAD A SMALL STOMACH... -RIGHT. 1010 00:53:31,733 --> 00:53:33,867 ...YOU'RE SUPPOSED TO LOSE 30 POUNDS A MONTH. 1011 00:53:33,867 --> 00:53:34,867 RIGHT. 1012 00:53:34,867 --> 00:53:36,667 -YOU ONLY LOST 10... -RIGHT. 1013 00:53:36,667 --> 00:53:38,500 ...BECAUSE YOU'RE OVEREATING NOW, 1014 00:53:38,500 --> 00:53:40,500 AND WHAT ISSUE -- 1015 00:53:40,500 --> 00:53:42,667 WELL, IT WASN'T NECESSARILY -- IT WASN'T OVEREATING. 1016 00:53:42,667 --> 00:53:46,767 I WASN'T EATING TOO MUCH. IT WAS WHAT I WAS EATING. 1017 00:53:46,767 --> 00:53:49,900 IT WAS, LIKE -- SO, SOMETIMES IT WAS BREADS 1018 00:53:49,900 --> 00:53:51,067 AND THINGS LIKE THAT. 1019 00:53:51,067 --> 00:53:54,733 IT WAS BASICALLY THE WRONG CHOICES, RIGHT? 1020 00:53:54,733 --> 00:53:56,633 DOUG, TWO MONTHS AFTER SURGERY, 1021 00:53:56,633 --> 00:53:58,533 YOUR STOMACH IS STILL SO SMALL 1022 00:53:58,533 --> 00:54:00,733 THAT YOU CAN'T EAT MUCH OF ANYTHING. 1023 00:54:00,733 --> 00:54:04,267 SO, TO ONLY LOSE 10 POUNDS IN A MONTH MEANS 1024 00:54:04,267 --> 00:54:07,867 YOU'RE ALSO STARTING TO EAT THROUGHOUT THE WHOLE DAY. 1025 00:54:07,867 --> 00:54:12,067 YOU THINK THAT'S OKAY. THAT'S NOT OKAY. 1026 00:54:12,067 --> 00:54:15,600 DOUG STARTING TO SLACK OFF WITH HIS WEIGHT LOSS 1027 00:54:15,600 --> 00:54:17,100 DOESN'T SURPRISE ME, 1028 00:54:17,100 --> 00:54:21,067 BUT IT'S HAPPENING SOONER THAN I EXPECTED IT TO. 1029 00:54:21,067 --> 00:54:24,633 HE IS COMPLETELY GIVING IN TO HIS CRAVINGS, 1030 00:54:24,633 --> 00:54:26,900 AND AT THIS RATE, BY NEXT MONTH, 1031 00:54:26,900 --> 00:54:28,933 HE'LL BE GAINING AGAIN. 1032 00:54:28,933 --> 00:54:31,433 SO, I'M GOING TO SEND HIM TO A THERAPIST 1033 00:54:31,433 --> 00:54:33,167 SO HE CAN START TO ADDRESS 1034 00:54:33,167 --> 00:54:36,433 THE CORE ISSUES DRIVING HIM TO EAT. 1035 00:54:36,433 --> 00:54:38,233 HE HAS TO FIGURE THIS OUT 1036 00:54:38,233 --> 00:54:41,133 IF HE'S GOING TO BE SUCCESSFUL LONG-TERM. 1037 00:54:41,133 --> 00:54:44,433 SO, WE GOT A VERY BAD START. 1038 00:54:44,433 --> 00:54:47,100 NOW, WE'RE GOING TO HAVE TO MAKE UP FOR IT. 1039 00:54:47,100 --> 00:54:49,467 -OKAY. -BUT SNACKING IS 1040 00:54:49,467 --> 00:54:51,500 A BEHAVIORAL ISSUE THAT YOU NEED TO WORK ON. 1041 00:54:51,500 --> 00:54:53,067 RIGHT. 1042 00:54:53,067 --> 00:54:55,367 AND YOU NEED TO UNDERSTAND THAT THIS IS NOT PART 1043 00:54:55,367 --> 00:54:56,967 OF A HEALTHY EATING HABIT. -RIGHT. 1044 00:54:56,967 --> 00:54:58,633 ONCE YOU KNOW THE PROBLEM, 1045 00:54:58,633 --> 00:55:01,600 THEN WE CAN FIGURE OUT THE SOLUTION. 1046 00:55:01,600 --> 00:55:03,900 SO, WE'LL SET YOU UP TO SEE A THERAPIST 1047 00:55:03,900 --> 00:55:07,600 SO YOU CAN START TO ADDRESS THE UNDERLYING EMOTIONAL ISSUES 1048 00:55:07,600 --> 00:55:09,867 THAT DRIVE YOU TO FOOD. -OKAY. 1049 00:55:09,867 --> 00:55:11,800 DON'T WAIT TOO LONG ON THIS, 1050 00:55:11,800 --> 00:55:15,667 BECAUSE YOU'RE GOING TO START GAINING AGAIN SOON, OKAY? 1051 00:55:15,667 --> 00:55:17,300 -YES. -WE'LL SEE YOU LATER. 1052 00:55:17,300 --> 00:55:19,833 -ALL RIGHT. THANK YOU. -ALL RIGHT. 1053 00:55:22,233 --> 00:55:24,767 Doug: I'M FEELING A LITTLE DISAPPOINTED. 1054 00:55:24,767 --> 00:55:27,500 AFTER I SAW I ONLY LOST 10 POUNDS, 1055 00:55:27,500 --> 00:55:29,900 I DIDN'T KNOW WHAT THE DOCTOR WAS GOING TO SAY. 1056 00:55:29,900 --> 00:55:31,667 [ SIGHS ] 1057 00:55:31,667 --> 00:55:34,600 BUT THAT WAS PRETTY MUCH WORST-CASE SCENARIO. 1058 00:55:36,933 --> 00:55:38,167 HEARING THE DOCTOR SAY 1059 00:55:38,167 --> 00:55:42,400 I'M ONLY A MONTH AWAY FROM GAINING IS SCARY. 1060 00:55:42,400 --> 00:55:45,700 I DON'T NECESSARILY AGREE, 1061 00:55:45,700 --> 00:55:50,100 BUT I KNOW IT'S GETTING HARDER FOR ME TO DO THIS. 1062 00:55:50,100 --> 00:55:52,967 I DON'T WANT TO FAIL AT THIS, 1063 00:55:52,967 --> 00:55:55,400 SO THIS IS A WAKE-UP CALL. 1064 00:55:58,100 --> 00:56:01,133 ** 1065 00:56:07,167 --> 00:56:10,500 Ashley: OKAY, HONEY, I GOT TO GO TO WORK. 1066 00:56:10,500 --> 00:56:14,100 -OKAY. -I MADE YOU A LITTLE LIST 1067 00:56:14,100 --> 00:56:16,067 OF SOME FOOD CHOICES. 1068 00:56:16,067 --> 00:56:17,600 [ SIGHS ] OKAY. 1069 00:56:17,600 --> 00:56:19,333 HONEY, 1070 00:56:19,333 --> 00:56:20,900 DON'T SNACK DURING THE DAYTIME. 1071 00:56:20,900 --> 00:56:22,100 -OKAY. -OKAY? 1072 00:56:22,100 --> 00:56:23,567 -YEP. -LOVE YOU. 1073 00:56:23,567 --> 00:56:25,400 Ashley: WHEN I GO TO WORK OR HAVE TO RUN ERRANDS... 1074 00:56:25,400 --> 00:56:26,633 -LOVE YOU. -LOVE YOU. BYE. 1075 00:56:26,633 --> 00:56:29,533 ...DOUG HAS TO MAKE HIS OWN MEALS. 1076 00:56:29,533 --> 00:56:33,700 DOUG IS BABY-STEPPING HIS WAY INTO THE KITCHEN. 1077 00:56:33,700 --> 00:56:35,700 HE'S WORKING ON LEARNING NEW THINGS. 1078 00:56:35,700 --> 00:56:37,833 LIKE, MAKING HIS OWN BREAKFAST CONSISTS 1079 00:56:37,833 --> 00:56:40,467 OF GETTING YOGURT IN THE MORNING. 1080 00:56:40,467 --> 00:56:41,900 WE'LL KEEP TRYING AS HE GOES ALONG 1081 00:56:41,900 --> 00:56:44,333 AND GETS MORE CONFIDENT IN WHAT HE'S DOING, 1082 00:56:44,333 --> 00:56:45,533 BUT I'M WORRIED 1083 00:56:45,533 --> 00:56:47,833 THAT HE'S STARTING TO STRUGGLE MORE AND MORE. 1084 00:56:49,933 --> 00:56:51,933 Doug: WITH ASHLEY GONE ALL THE TIME, 1085 00:56:51,933 --> 00:56:55,333 IT'S HARDER FOR ME TO STAY ON TRACK WITH THE DIET, 1086 00:56:55,333 --> 00:57:00,433 BECAUSE I DON'T HOLD MYSELF AS ACCOUNTABLE AS SHE DOES. 1087 00:57:00,433 --> 00:57:03,233 SHE DOESN'T KNOW THIS, BUT I'VE BEEN SNACKING 1088 00:57:03,233 --> 00:57:07,067 AND MAKING SOME POOR CHOICES WITH MY DIET. 1089 00:57:07,067 --> 00:57:08,767 I'VE BEEN MAKING SURE TO HIDE IT 1090 00:57:08,767 --> 00:57:13,067 SO ASHLEY AND THE DOCTOR DON'T FIND OUT. 1091 00:57:13,067 --> 00:57:16,733 IF DR. NOW KNEW I WAS STILL SNACKING BETWEEN MEALS, 1092 00:57:16,733 --> 00:57:19,233 EVEN IF IT'S JUST SUGAR-FREE POPSICLES, 1093 00:57:19,233 --> 00:57:21,633 OR A FEW TORTILLA CHIPS, 1094 00:57:21,633 --> 00:57:23,867 I KNOW HE WOULDN'T BE HAPPY. 1095 00:57:23,867 --> 00:57:25,933 FOOD IS ONE OF MY ADDICTIONS, 1096 00:57:25,933 --> 00:57:28,667 AND IT'S REALLY BEEN THE HARDEST ONE TO KICK. 1097 00:57:28,667 --> 00:57:31,900 I'VE RECOVERED FROM MY ADDICTION TO METH AMPHETAMINE. 1098 00:57:31,900 --> 00:57:35,733 I'VE RECOVERED FROM MY ADDICTION TO COCAINE. 1099 00:57:35,733 --> 00:57:38,533 ALL THESE OTHER DRUGS THAT I'VE HAD IN MY SYSTEM -- 1100 00:57:38,533 --> 00:57:42,667 FOOD IS THE ONE THAT'S REALLY DONE THE MOST DAMAGE TO ME. 1101 00:57:42,667 --> 00:57:45,433 AND I KNOW THERE'S SOMETHING DRIVING ME TO EAT. 1102 00:57:45,433 --> 00:57:47,500 ONCE I GOT THE SURGERY, 1103 00:57:47,500 --> 00:57:51,967 I THOUGHT ALL THE TEMPTATION AND CRAVINGS WERE BEHIND ME, 1104 00:57:51,967 --> 00:57:54,800 SO I'M SCARED RIGHT NOW, 1105 00:57:54,800 --> 00:57:57,500 AND I KNOW I HAVE TO SEE THE THERAPIST 1106 00:57:57,500 --> 00:58:00,300 BECAUSE I HAVE TO FIGURE THIS OUT 1107 00:58:00,300 --> 00:58:01,367 BEFORE IT'S TOO LATE. 1108 00:58:21,433 --> 00:58:23,933 Doug: I'M ON MY WAY TO SEE A THERAPIST TODAY. 1109 00:58:26,767 --> 00:58:28,900 DR. NOWZARADAN SAID THAT I NEEDED TO SEE 1110 00:58:28,900 --> 00:58:31,133 IF I CAN GET TO THE ROOT OF THE PROBLEM -- 1111 00:58:31,133 --> 00:58:33,400 WHY I'M CHOOSING TO KEEP EATING 1112 00:58:33,400 --> 00:58:36,400 WHEN I KNOW THAT I DON'T NEED TO EAT ANYMORE. 1113 00:58:36,400 --> 00:58:42,800 BUT I'M REALLY NOT SURE WHAT MOST OF THOSE ISSUES ARE. 1114 00:58:42,800 --> 00:58:48,133 BUT I KNOW THAT I NEED TO FIGURE IT OUT AND ADDRESS IT 1115 00:58:48,133 --> 00:58:50,700 IF I WANT TO LOSE WEIGHT AND KEEP IT OFF. 1116 00:58:50,700 --> 00:58:51,867 -HOW YOU DOING? -HELLO. 1117 00:58:51,867 --> 00:58:53,167 -HOW ARE YOU? -DOING ALL RIGHT. 1118 00:58:53,167 --> 00:58:54,433 -YOU READY? -YEAH. 1119 00:58:59,400 --> 00:59:00,633 -HI. -HI. 1120 00:59:00,633 --> 00:59:02,633 -HOW ARE YOU? -I'M DOING GOOD. 1121 00:59:02,633 --> 00:59:06,267 Dr. Stewart: SINCE YOUR SURGERY, HOW IS EVERYTHING GOING? 1122 00:59:06,267 --> 00:59:07,767 Doug: SINCE THE SURGERY, REALLY WHAT I'M 1123 00:59:07,767 --> 00:59:11,133 KIND OF STRUGGLING WITH IS FOOD ADDICTION. 1124 00:59:11,133 --> 00:59:13,533 THERE ARE TIMES WHEN I'M AT HOME 1125 00:59:13,533 --> 00:59:15,533 AND WHEN I'M BY MYSELF THAT I FEEL LIKE I NEED 1126 00:59:15,533 --> 00:59:18,900 TO, YOU KNOW, MAYBE SNACK WHEN I'M NOT SUPPOSED TO 1127 00:59:18,900 --> 00:59:20,900 OR EAT SOMETHING THAT I'M NOT SUPPOSED TO. 1128 00:59:20,900 --> 00:59:22,833 -MM-HMM. -I'M NOT OVERDOING IT, 1129 00:59:22,833 --> 00:59:26,067 BUT IT'S STILL -- MY BRAIN STILL WANTS TO TELL ME, 1130 00:59:26,067 --> 00:59:27,400 "OH, IT'S NOT A BIG DEAL," YOU KNOW? 1131 00:59:27,400 --> 00:59:28,500 MM-HMM. 1132 00:59:28,500 --> 00:59:30,800 IS ADDICTION SOMETHING THAT YOU STRUGGLE WITH? 1133 00:59:30,800 --> 00:59:33,233 UP TILL ABOUT THREE OR FOUR YEARS AGO, 1134 00:59:33,233 --> 00:59:34,533 I ALWAYS HAD SOME KIND OF VICE. 1135 00:59:34,533 --> 00:59:37,400 I WAS SMOKING CIGARETTES, OR I WAS ON DRUGS, 1136 00:59:37,400 --> 00:59:40,200 OR I WAS DRINKING ALCOHOL OR SOMETHING. 1137 00:59:40,200 --> 00:59:42,267 AND SO, LET'S STAY THERE FOR A MINUTE, 1138 00:59:42,267 --> 00:59:45,133 BECAUSE THAT'S DEFINITELY A CONCERN. 1139 00:59:45,133 --> 00:59:48,667 TELL ME ABOUT YOUR EARLIEST MEMORY 1140 00:59:48,667 --> 00:59:53,067 THAT YOU CAN RECALL NEEDING SOME TYPE OF VICE. 1141 00:59:53,067 --> 00:59:55,467 WHEN I WAS REAL LITTLE, I WAS OCD 1142 00:59:55,467 --> 00:59:57,900 ABOUT SEPARATING THE COLORS OF LEGOS. 1143 00:59:57,900 --> 00:59:59,267 I NEVER REALLY PLAYED WITH THEM. 1144 00:59:59,267 --> 01:00:00,867 I'D JUST ORGANIZED THEM, AND I'D COUNT THEM 1145 01:00:00,867 --> 01:00:02,067 AND DO ALL THAT STUFF. 1146 01:00:02,067 --> 01:00:03,933 I HAD 4,000 BASEBALL CARDS, 1147 01:00:03,933 --> 01:00:06,400 AND I'D COUNT THEM, LIKE, ONCE EVERY TWO WEEKS... 1148 01:00:06,400 --> 01:00:07,900 -OKAY. -JUST ONE AT A TIME. 1149 01:00:07,900 --> 01:00:09,800 HOW OLD WERE YOU? 1150 01:00:09,800 --> 01:00:14,500 I'D SAY 6, SO I'M GUESSING IT WAS RIGHT AROUND THE TIME 1151 01:00:14,500 --> 01:00:17,933 THAT MY MOM LEFT. 1152 01:00:17,933 --> 01:00:20,900 SO, RIGHT AROUND THE TIME WHEN YOUR MOM LEFT, 1153 01:00:20,900 --> 01:00:24,000 YOU CAN RECALL NEEDING ORDER IN YOUR LIFE. 1154 01:00:24,000 --> 01:00:27,400 I DON'T GENERALLY SEE A CORRELATION BETWEEN THE TWO. 1155 01:00:27,400 --> 01:00:29,467 I DON'T, YOU KNOW, BECAUSE I'VE NEVER -- 1156 01:00:29,467 --> 01:00:31,533 IT'S NEVER BEEN AN ACTIVE THOUGHT IN MY HEAD. 1157 01:00:31,533 --> 01:00:33,633 AFTER IT HAPPENED, WOULD YOU SAY 1158 01:00:33,633 --> 01:00:36,100 THAT YOU JUST KIND OF PUT IT OUT OF YOUR MIND? 1159 01:00:36,100 --> 01:00:38,467 -I THINK SO. -OKAY, SO WHAT HAPPENS 1160 01:00:38,467 --> 01:00:42,867 FOR A LOT OF PEOPLE IS THEY SEPARATE THEMSELVES 1161 01:00:42,867 --> 01:00:45,200 FROM THE ACTUAL INCIDENT 1162 01:00:45,200 --> 01:00:47,733 ALMOST AS IF IT DIDN'T HAPPEN TO THEM. 1163 01:00:47,733 --> 01:00:49,467 SEEING IT FROM OUTSIDE PERSPECTIVE. 1164 01:00:49,467 --> 01:00:51,300 RIGHT, LIKE YOU'RE WATCHING IT ON TV, 1165 01:00:51,300 --> 01:00:53,333 NEVER REALLY CONNECTING THE DOTS 1166 01:00:53,333 --> 01:00:57,200 TO SEE HOW THEY ACTUALLY AFFECT YOU. 1167 01:00:57,200 --> 01:00:59,300 -RIGHT. -WHAT YOU'VE BEEN DOING IS 1168 01:00:59,300 --> 01:01:05,900 USING FOOD TO REALLY FILL THAT EMPTINESS THAT IS INSIDE 1169 01:01:05,900 --> 01:01:09,333 AND NOT BEING ABLE TO REALLY ARTICULATE 1170 01:01:09,333 --> 01:01:12,667 WHAT IT IS YOU NEED TO FEEL WHOLE. 1171 01:01:12,667 --> 01:01:15,900 I HAVE KIDS NOW, AND THERE'S NOTHING RIGHT NOW 1172 01:01:15,900 --> 01:01:17,533 THAT WOULD MAKE ME WALK AWAY FROM THEM. 1173 01:01:17,533 --> 01:01:19,267 -RIGHT. -SO, MY MOM, 1174 01:01:19,267 --> 01:01:20,733 FOR HER TO HAVE DONE THAT -- 1175 01:01:20,733 --> 01:01:22,267 I DON'T CARE WHAT YOU WENT THROUGH. 1176 01:01:22,267 --> 01:01:23,900 I WENT THROUGH THINGS MYSELF. -RIGHT. 1177 01:01:23,900 --> 01:01:27,600 AND THERE'S STILL NOTHING THAT WOULD MAKE ME LEAVE MY KIDS. 1178 01:01:27,600 --> 01:01:33,067 SO, WHILE IT'S SOMETHING THAT HAS HAPPENED IN THE PAST -- 1179 01:01:33,067 --> 01:01:37,333 AND, NO, YOU CANNOT GO BACK AND CHANGE ANYTHING -- 1180 01:01:37,333 --> 01:01:40,067 IT IS IMPORTANT TO FIGURE OUT 1181 01:01:40,067 --> 01:01:43,367 WHAT YOU WERE FEELING IN THE MOMENT 1182 01:01:43,367 --> 01:01:45,700 AND THEN BE ABLE TO KNOW, 1183 01:01:45,700 --> 01:01:48,533 "THIS IS NOT WHO I AM RIGHT NOW." 1184 01:01:48,533 --> 01:01:49,767 -RIGHT. -DOES IT MAKE SENSE? 1185 01:01:49,767 --> 01:01:52,767 -YEAH. -SO, I HIGHLY ENCOURAGE YOU 1186 01:01:52,767 --> 01:01:56,300 TO WRITE A LETTER TO YOUR MOTHER 1187 01:01:56,300 --> 01:01:59,133 TO REALLY GET THOSE THINGS OUT, 1188 01:01:59,133 --> 01:02:00,733 BECAUSE UP UNTIL THIS POINT, 1189 01:02:00,733 --> 01:02:02,967 YOU HAVE NOT BEEN ABLE TO ADDRESS THEM. 1190 01:02:02,967 --> 01:02:06,300 YOU HAVE NOT BEEN ABLE TO ARTICULATE 1191 01:02:06,300 --> 01:02:10,267 WHAT THOSE THINGS DID TO YOU, RIGHT? 1192 01:02:10,267 --> 01:02:12,567 RIGHT, SO, I DON'T KNOW IF I'M READY TO WRITE 1193 01:02:12,567 --> 01:02:13,833 ANYTHING TO HER JUST YET. 1194 01:02:13,833 --> 01:02:16,433 THE PURPOSE OF THE LETTER 1195 01:02:16,433 --> 01:02:19,967 IS NOT FOR THEM. 1196 01:02:19,967 --> 01:02:21,333 IT'S REALLY FOR YOU. 1197 01:02:21,333 --> 01:02:24,100 YOU WANT YOUR RESULTS TO BE LASTING, 1198 01:02:24,100 --> 01:02:27,767 AND IT'S GOING TO TAKE SOME MIND-SET SHIFTS 1199 01:02:27,767 --> 01:02:31,133 BECAUSE YOU'RE STILL STRUGGLING WITH THIS INSIDE. 1200 01:02:31,133 --> 01:02:33,500 AND HOW ELSE WOULD YOU GET IT OUT? 1201 01:02:33,500 --> 01:02:37,200 EVEN IF YOU JUST WANT TO KEEP IT IN A JOURNAL OR WHATEVER, 1202 01:02:37,200 --> 01:02:40,233 I'M GOING TO ENCOURAGE YOU TO GET IT OUT OF YOU 1203 01:02:40,233 --> 01:02:42,333 BECAUSE IT CAN BE LIKE A CANCER, 1204 01:02:42,333 --> 01:02:45,467 AND IT CAN SPREAD INTO OTHER AREAS OF YOUR BODY, 1205 01:02:45,467 --> 01:02:48,933 SO YOU NEED TO GET IT OUT. 1206 01:02:48,933 --> 01:02:51,167 IS THAT DOABLE? -IT'S DOABLE. 1207 01:02:51,167 --> 01:02:53,267 OKAY. THANK YOU FOR COMING IN. 1208 01:02:53,267 --> 01:02:54,400 -YEAH. THANK YOU. -APPRECIATE IT. 1209 01:02:54,400 --> 01:02:55,867 OKAY. 1210 01:02:58,267 --> 01:03:00,600 Doug: IT WAS PAINFUL WHEN MY MOTHER LEFT US 1211 01:03:00,600 --> 01:03:03,067 WHEN I WAS A KID. 1212 01:03:03,067 --> 01:03:07,400 I GUESS I NEVER REALIZED JUST HOW MUCH IT AFFECTED ME, THOUGH, 1213 01:03:07,400 --> 01:03:09,700 AND I KNOW I'VE GOT TO DO SOMETHING 1214 01:03:09,700 --> 01:03:11,767 TO DEAL WITH THAT EMOTION. 1215 01:03:11,767 --> 01:03:15,400 BUT RIGHT NOW, I DON'T EVEN KNOW WHERE TO BEGIN. 1216 01:03:17,267 --> 01:03:19,233 [ SEAGULLS CAWING ] 1217 01:03:24,900 --> 01:03:27,833 [ INDISTINCT CONVERSATIONS ] 1218 01:03:28,767 --> 01:03:31,067 Doug: IT'S BEEN A TOUGH COUPLE OF WEEKS. 1219 01:03:31,067 --> 01:03:32,667 A LOT OF STUFF CAME TO THE SURFACE 1220 01:03:32,667 --> 01:03:36,633 AFTER TALKING TO THE THERAPIST, 1221 01:03:36,633 --> 01:03:39,267 AND I FELT LIKE I WAS JUST GOING TO GIVE UP. 1222 01:03:39,267 --> 01:03:41,400 COME OVER HERE AND HELP ME GET THESE SNACKS. 1223 01:03:41,400 --> 01:03:44,333 SO ASHLEY AND I DECIDED TO TRY TO GET OUT OF TOWN 1224 01:03:44,333 --> 01:03:48,667 AND TAKE A QUICK VACATION TO GET MY MIND OFF EVERYTHING, 1225 01:03:48,667 --> 01:03:51,733 SO WE'RE IN GALVESTON TO GO TO THE BEACH AS A FAMILY, 1226 01:03:51,733 --> 01:03:54,433 BUT I HAVEN'T BEEN ABLE TO STOP THINKING ABOUT EVERYTHING 1227 01:03:54,433 --> 01:03:57,333 THAT'S RUNNING THROUGH MY HEAD. 1228 01:03:57,333 --> 01:04:00,700 I'M STILL SNEAKING FOOD, AND ASHLEY DOESN'T KNOW THAT, 1229 01:04:00,700 --> 01:04:04,533 AND I'M REALLY SCARED I'VE STARTED GAINING WEIGHT AGAIN. 1230 01:04:04,533 --> 01:04:06,900 I KNOW I HAVE TO FIGURE THIS OUT, 1231 01:04:06,900 --> 01:04:08,867 BUT I DON'T KNOW HOW. 1232 01:04:08,867 --> 01:04:11,100 AAH! YEAH! 1233 01:04:11,100 --> 01:04:14,600 Doug: I'M REALLY DEPRESSED RIGHT NOW 1234 01:04:14,600 --> 01:04:18,233 AND FEELING A LITTLE HOPELESS. 1235 01:04:18,233 --> 01:04:19,967 YEAH! 1236 01:04:19,967 --> 01:04:21,333 I GOT MINE. YOU GOT YOURS? 1237 01:04:21,333 --> 01:04:23,167 -UH-HUH. -ALL RIGHT. 1238 01:04:23,167 --> 01:04:25,700 Ashley: I'VE NOTICED DOUG STARTING TO FEEL RUN DOWN 1239 01:04:25,700 --> 01:04:27,567 AND STRUGGLING A LOT. 1240 01:04:27,567 --> 01:04:30,467 WHERE ARE WE SANDCASTLING? LIKE, RIGHT HERE, BABE? 1241 01:04:30,467 --> 01:04:32,433 -RIGHT HERE. -NO. 1242 01:04:32,433 --> 01:04:34,067 HE TOLD ME SOME OF THE STUFF HE TALKED ABOUT 1243 01:04:34,067 --> 01:04:36,700 WITH THE THERAPIST, AND I DO THINK IT'S A GOOD IDEA 1244 01:04:36,700 --> 01:04:39,100 FOR HIM TO WRITE A LETTER TO HIS MOM TELLING HER 1245 01:04:39,100 --> 01:04:41,267 HOW HE FEELS BECAUSE I THINK 1246 01:04:41,267 --> 01:04:43,400 THAT'S PROBABLY THE GREATEST PAIN 1247 01:04:43,400 --> 01:04:46,733 HE'S EVER HAD IN HIS LIFE. 1248 01:04:46,733 --> 01:04:48,067 COME ON, COOP, WE'RE GONNA DO IT OVER HERE 1249 01:04:48,067 --> 01:04:49,167 'CAUSE DAD WANTS TO DO IT OVER HERE. 1250 01:04:49,167 --> 01:04:51,900 THIS SAND'S ACTUALLY PRETTY MOLDABLE. 1251 01:04:51,900 --> 01:04:53,500 Doug: ASHLEY'S BEEN ENCOURAGING ME 1252 01:04:53,500 --> 01:04:56,967 TO WRITE THE LETTER TO MY MOM THE THERAPIST SUGGESTED. 1253 01:04:56,967 --> 01:04:59,100 HEY, OVER HERE. -GRAB THAT. 1254 01:04:59,100 --> 01:05:02,867 NOW, I NEED YOU TO POUR THE WATER OUT RIGHT THERE. 1255 01:05:02,867 --> 01:05:04,067 -LET'S DO THIS. -LET'S DO THIS. 1256 01:05:04,067 --> 01:05:05,567 I'M GONNA POUR THIS ONE OUT 1257 01:05:05,567 --> 01:05:08,100 SO WE CAN GET RID OF THIS BUCKET. 1258 01:05:08,100 --> 01:05:09,733 Doug: BUT I'M GOING TO DO IT. 1259 01:05:09,733 --> 01:05:11,733 I LOVE MY FAMILY, 1260 01:05:11,733 --> 01:05:14,767 AND THEY'RE A HUGE MOTIVATION FOR ME. 1261 01:05:15,667 --> 01:05:17,267 AND... 1262 01:05:17,267 --> 01:05:18,467 ALL RIGHT, IT'S GOOD. HERE WE GO. 1263 01:05:18,467 --> 01:05:20,133 ALL RIGHT. LET'S SEE. 1264 01:05:20,133 --> 01:05:22,733 -WOW! -WHOA. 1265 01:05:22,733 --> 01:05:25,067 SO, WHATEVER IT TAKES TO STAY ON TRACK, 1266 01:05:25,067 --> 01:05:26,567 I'VE GOT TO DO IT. 1267 01:05:26,567 --> 01:05:28,900 I'M NOT GOING TO START GAINING AGAIN. 1268 01:05:34,967 --> 01:05:37,867 ** 1269 01:05:49,100 --> 01:05:50,533 Doug: CAN YOU BACK THAT TRAILER IN? 1270 01:05:50,533 --> 01:05:53,800 Man: YEAH. 1271 01:05:53,800 --> 01:05:56,767 TODAY, WE ARE MOVING TO A NEW HOUSE. 1272 01:05:56,767 --> 01:05:58,600 THIS ISN'T A ONE-MAN JOB, 1273 01:05:58,600 --> 01:06:01,667 SO I HAVE A FRIEND COMING OVER TO HELP. 1274 01:06:01,667 --> 01:06:03,933 ASHLEY HAS WANTED A BIGGER PLACE 1275 01:06:03,933 --> 01:06:05,467 NOW THAT WE HAVE THREE KIDS, 1276 01:06:05,467 --> 01:06:07,933 BUT I'VE TOLD HER THAT I DIDN'T WANT TO MOVE, 1277 01:06:07,933 --> 01:06:11,200 BECAUSE I KNEW I WOULDN'T BE ABLE TO DO IT. 1278 01:06:11,200 --> 01:06:14,133 NOW THAT I'M LOSING WEIGHT AND GETTING MORE ACTIVE, 1279 01:06:14,133 --> 01:06:16,233 I DECIDED FINALLY WE COULD DO IT. 1280 01:06:16,233 --> 01:06:17,900 YOU CAN JUST SET IT ON THERE. IT'LL ROLL. 1281 01:06:17,900 --> 01:06:21,567 -YEAH. -AND IT'S BEEN GREAT SO FAR. 1282 01:06:21,567 --> 01:06:23,900 IT'S NEVER FUN TRYING TO PACK EVERYTHING UP, 1283 01:06:23,900 --> 01:06:27,067 BUT I'M REALLY EXCITED ABOUT EVERYTHING I CAN DO NOW, 1284 01:06:27,067 --> 01:06:29,667 NOT JUST BECAUSE I CAN HELP OUT AND DO SO MUCH... 1285 01:06:29,667 --> 01:06:31,133 -READY? -UH-HUH. 1286 01:06:31,133 --> 01:06:35,600 ...BUT BECAUSE THIS FEELS LIKE A FRESH START FOR BOTH OF US. 1287 01:06:35,600 --> 01:06:36,633 Shaun: YOU READY? 1288 01:06:36,633 --> 01:06:39,867 [ Chuckling ] NO. I AM NOT READY. 1289 01:06:39,867 --> 01:06:42,367 OH, GOD. BABY STEPS. 1290 01:06:42,367 --> 01:06:44,467 Doug: ASHLEY AND I SAT DOWN AND TALKED MORE 1291 01:06:44,467 --> 01:06:45,767 ABOUT MY THERAPY APPOINTMENT. 1292 01:06:45,767 --> 01:06:48,067 -Y'ALL ARE DOING GREAT. -SHUT UP. 1293 01:06:48,067 --> 01:06:50,900 I WAS TRYING TO BE POSITIVE AND ENCOURAGING. 1294 01:06:50,900 --> 01:06:52,300 [ BOTH LAUGH ] 1295 01:06:52,300 --> 01:06:55,733 Doug: AS I SHARED MORE WITH HER ABOUT WHAT I DISCUSSED, 1296 01:06:55,733 --> 01:06:57,700 IT BECAME CLEAR TO ME THAT I NEED TO DO 1297 01:06:57,700 --> 01:07:02,300 WHAT SHE SUGGESTED AND WRITE A LETTER TO MY MOM. 1298 01:07:02,300 --> 01:07:05,367 EVEN IF I DON'T SEND IT, I HAVE TO FIND AN OUTLET 1299 01:07:05,367 --> 01:07:08,300 TO AT LEAST START TO DEAL WITH IT. 1300 01:07:08,300 --> 01:07:09,967 SHARING ALL THIS WITH ASHLEY 1301 01:07:09,967 --> 01:07:13,167 HAS BEEN HELPING US FEEL LIKE WE'RE CONNECTING MORE 1302 01:07:13,167 --> 01:07:15,833 AND THAT OUR RELATIONSHIP IS GROWING A LITTLE DEEPER. 1303 01:07:15,833 --> 01:07:16,833 THERE WE GO. 1304 01:07:16,833 --> 01:07:18,267 -BUENO? -BUENO. 1305 01:07:18,267 --> 01:07:20,200 YOU WANT TO GIVE ME A RIDE BACK? 1306 01:07:20,200 --> 01:07:21,333 -GET ON. -[ Chuckling ] NO. 1307 01:07:21,333 --> 01:07:22,800 -GET ON. -AAH! [ LAUGHS ] 1308 01:07:22,800 --> 01:07:26,067 Doug: AND I WANT TO KEEP DOING ALL THAT I CAN TO MAKE HER HAPPY 1309 01:07:26,067 --> 01:07:28,067 AND TO SEE THAT SMILE ON HER FACE. 1310 01:07:28,067 --> 01:07:30,333 PLEASE DON'T DROP ME! PLEASE DON'T DROP ME. 1311 01:07:30,333 --> 01:07:32,267 DO YOU REALIZE YOU'RE CARRYING, RIGHT NOW, 1312 01:07:32,267 --> 01:07:34,267 HOW MUCH YOU LOST? -YEP. 1313 01:07:34,267 --> 01:07:35,633 [ BOTH LAUGH ] WHOO! 1314 01:07:35,633 --> 01:07:36,900 THAT WAS CLOSE. 1315 01:07:36,900 --> 01:07:39,567 Doug: SO, NO MATTER HOW MUCH I'M DREADING THIS, 1316 01:07:39,567 --> 01:07:42,100 I'M GONNA DO IT. 1317 01:07:42,100 --> 01:07:44,067 I'M REALLY EXCITED TO MOVE IN TO THE NEW HOUSE, 1318 01:07:44,067 --> 01:07:47,867 BECAUSE I FEEL LIKE IT'S A FRESH START FOR US. 1319 01:07:47,867 --> 01:07:50,133 MOVING TO A NEW HOUSE IS SORT OF A REBIRTH 1320 01:07:50,133 --> 01:07:54,500 FOR OUR RELATIONSHIP AND FOR OUR FAMILY. 1321 01:07:54,500 --> 01:07:56,267 I'M SO IMPRESSED WITH HIS ABILITY 1322 01:07:56,267 --> 01:07:58,233 TO DO NORMAL THINGS, 1323 01:07:58,233 --> 01:08:02,667 JUST KEEP THE PACE, LIKE, WITH EVERYBODY ELSE. 1324 01:08:02,667 --> 01:08:04,667 Shaun: YOU GOT IT? 1325 01:08:04,667 --> 01:08:08,633 I REALLY THINK HE IS DISCOVERING WHO HE IS. 1326 01:08:08,633 --> 01:08:12,467 I THINK THAT HE IS LEARNING FOOD'S ROLE IN HIS LIFE 1327 01:08:12,467 --> 01:08:13,933 AND HOW THAT'S CHANGING FOR HIM. 1328 01:08:13,933 --> 01:08:15,333 ALL DONE. 1329 01:08:15,333 --> 01:08:19,067 SO, HE'S REALLY KIND OF IRONICALLY GROWING INTO HIS OWN 1330 01:08:19,067 --> 01:08:20,933 AS HE'S GETTING SMALLER. 1331 01:08:27,733 --> 01:08:29,767 MOMMY! 1332 01:08:29,767 --> 01:08:32,767 I GOT SNACKS. COME HERE. 1333 01:08:32,767 --> 01:08:35,433 Doug: WE'VE FINISHED MOVING IN TO OUR NEW PLACE, 1334 01:08:35,433 --> 01:08:39,700 SO I'M KEEPING MY WORD AND WRITING A LETTER TO MY MOM. 1335 01:08:39,700 --> 01:08:42,300 IT'S NOT EASY TO SHARE HOW I FEEL LIKE THIS, 1336 01:08:42,300 --> 01:08:45,067 BUT I'M STILL DOING IT. 1337 01:08:45,067 --> 01:08:47,867 WHEN MY MOM WENT AWAY, IT LEFT SO MANY QUESTIONS 1338 01:08:47,867 --> 01:08:49,833 AND EMOTIONS RUNNING THROUGH ME. 1339 01:08:49,833 --> 01:08:51,533 AND WHEN YOU'RE 6, YOU DON'T KNOW 1340 01:08:51,533 --> 01:08:54,367 WHAT TO DO WITH ANY OF THAT. 1341 01:08:54,367 --> 01:08:57,067 SO, I JUST BURIED IT ALL AND ATE. 1342 01:08:57,067 --> 01:08:58,300 AND IT LED ME DOWN A PATH 1343 01:08:58,300 --> 01:09:01,600 WHERE I ALMOST GOT TO 700 POUNDS. 1344 01:09:01,600 --> 01:09:04,700 AND I KNOW THAT I HAVE TO LEARN TO LET ALL THAT OUT 1345 01:09:04,700 --> 01:09:06,067 AND ADDRESS IT 1346 01:09:06,067 --> 01:09:09,300 IF I WANT TO MAKE THIS CHANGE IN MY LIFE PERMANENT. 1347 01:09:09,300 --> 01:09:11,733 Ashley: DO YOU WANT TO TELL ME WHAT YOU'VE GOT SO FAR? 1348 01:09:11,733 --> 01:09:14,100 "I THINK THAT YOU WERE WRONG FOR LEAVING. 1349 01:09:14,100 --> 01:09:16,533 I THINK THAT THE THINGS THAT HAPPENED WAS 1350 01:09:16,533 --> 01:09:18,333 A DIRECT RESULT OF THAT, 1351 01:09:18,333 --> 01:09:21,900 BECAUSE IF YOU'D BEEN THERE, IT WOULDN'T HAVE HAPPENED." 1352 01:09:21,900 --> 01:09:25,467 NOW THAT I HAVE KIDS, I COULDN'T EVEN IMAGINE IT, YOU KNOW? 1353 01:09:25,467 --> 01:09:29,533 I WANT HER TO KNOW, I GUESS, THAT I FORGIVE HER 1354 01:09:29,533 --> 01:09:32,133 AND THAT I'M SORRY FOR NOT BEING 1355 01:09:32,133 --> 01:09:35,433 A STRONGER PERSON AS FAR AS NOT TELLING HER 1356 01:09:35,433 --> 01:09:37,867 HOW I TRULY FELT ABOUT IT. 1357 01:09:37,867 --> 01:09:41,433 YOUR WHOLE LIFE, IT'S BEEN YOUR FAULT IN YOUR EYES. 1358 01:09:41,433 --> 01:09:42,433 OH, NO. 1359 01:09:42,433 --> 01:09:44,067 YOUR RELATIONSHIP WAS YOUR FAULT. 1360 01:09:44,067 --> 01:09:45,267 YOU'RE TALKING ABOUT TELLING HER 1361 01:09:45,267 --> 01:09:47,100 THAT YOU'RE SORRY FOR EVERYTHING THAT YOU'VE DONE 1362 01:09:47,100 --> 01:09:48,867 AND THAT THESE THINGS ARE YOUR FAULT. 1363 01:09:48,867 --> 01:09:51,333 I JUST DON'T WANT YOU TO LOSE, YOU KNOW, OBJECTIVITY. 1364 01:09:51,333 --> 01:09:53,800 NO, NO, NO, I'M TALKING ABOUT -- I'M NOT SAYING, LIKE, 1365 01:09:53,800 --> 01:09:55,300 I'M APOLOGIZING FOR THIS OR THAT. 1366 01:09:55,300 --> 01:09:58,467 I'M SAYING THAT I WAS WRONG 1367 01:09:58,467 --> 01:10:00,233 BECAUSE I WAS PASSIVE ABOUT IT 1368 01:10:00,233 --> 01:10:01,633 AND I WANT TO MAKE THAT RIGHT, 1369 01:10:01,633 --> 01:10:04,400 'CAUSE I DON'T WANT TO DEAL WITH THAT ON MY CONSCIENCE. 1370 01:10:04,400 --> 01:10:06,733 THAT MAKES SENSE TO ME. 1371 01:10:06,733 --> 01:10:08,667 Ashley: I DON'T KNOW IF WRITING A LETTER IS ENOUGH FOR DOUG, 1372 01:10:08,667 --> 01:10:10,800 BUT I THINK THAT'S A GREAT WAY 1373 01:10:10,800 --> 01:10:12,700 TO SAY WHAT HE NEEDS TO SAY TO HER 1374 01:10:12,700 --> 01:10:14,833 WHETHER HE GIVES HER THE LETTER OR NOT. 1375 01:10:14,833 --> 01:10:17,167 THE LETTER IS A GOOD START. 1376 01:10:17,167 --> 01:10:19,133 HEY, YOU DON'T EVEN KNOW HOW TO SPELL. 1377 01:10:19,133 --> 01:10:21,400 HOW ARE YOU GONNA TYPE? 1378 01:10:21,400 --> 01:10:23,900 Doug: I'M GONNA GET AS MUCH OUT AS I CAN, 1379 01:10:23,900 --> 01:10:26,867 BUT THIS IS ALL A WORK IN PROGRESS. 1380 01:10:26,867 --> 01:10:30,133 I'M NOT GONNA FIX IT OVERNIGHT. 1381 01:10:30,133 --> 01:10:32,033 I JUST HAVE TO START SOMEWHERE, 1382 01:10:32,033 --> 01:10:36,633 AND THEN I JUST HAVE TO KEEP TAKING ONE STEP AT A TIME. 1383 01:10:36,633 --> 01:10:39,967 NO MATTER HOW SMALL, I'M GOING TO KEEP MOVING FORWARD 1384 01:10:39,967 --> 01:10:42,200 SO I LEAVE THE OLD ME BEHIND 1385 01:10:42,200 --> 01:10:45,567 AND SO I CAN FINALLY BE THE ME I WANT TO BE. 1386 01:11:00,200 --> 01:11:02,067 AS I'VE GOTTEN MORE AND MORE ACTIVE, 1387 01:11:02,067 --> 01:11:04,200 JUST WALKING AROUND THE HOUSE IS NOT GIVING ME 1388 01:11:04,200 --> 01:11:06,433 AS MUCH OF A WORKOUT AS I NEED. 1389 01:11:09,967 --> 01:11:11,767 SO I FOUND A GYM THAT I'VE STARTED GOING TO 1390 01:11:11,767 --> 01:11:15,567 A FEW TIMES A WEEK. 1391 01:11:15,567 --> 01:11:17,333 I FEEL LIKE I'VE GOT A NEW PERSPECTIVE 1392 01:11:17,333 --> 01:11:20,367 SINCE I WROTE THE LETTER TO MY MOTHER. 1393 01:11:20,367 --> 01:11:24,667 IT WASN'T EASY, BUT I WAS REALLY GLAD I DID IT. 1394 01:11:24,667 --> 01:11:27,100 THERE'S SO MUCH I'D PUSHED DOWN OVER THE YEARS 1395 01:11:27,100 --> 01:11:29,200 AND I'VE JUST TRIED TO RUN FROM. 1396 01:11:32,967 --> 01:11:35,733 AND THE PROCESS OF LETTING SOME OF IT OUT 1397 01:11:35,733 --> 01:11:37,300 HAS STARTED TO MAKE ME REALIZE 1398 01:11:37,300 --> 01:11:42,233 JUST HOW MUCH THERE IS GOING ON INSIDE OF ME. 1399 01:11:42,233 --> 01:11:43,500 WHEW! 1400 01:11:43,500 --> 01:11:46,800 AND I KNOW, AS GOOD AS IT FELT TO WRITE, 1401 01:11:46,800 --> 01:11:49,133 THAT WHAT I REALLY NEED TO DO IS TELL MY MOM 1402 01:11:49,133 --> 01:11:52,500 THESE THINGS IN PERSON. 1403 01:11:52,500 --> 01:11:55,667 THAT THOUGHT TERRIFIES ME, 1404 01:11:55,667 --> 01:11:59,067 BUT I KNOW IT'S SOMETHING I HAVE TO DO. 1405 01:11:59,067 --> 01:12:03,233 AND I HAVE NO IDEA HOW IT'S GOING TO GO. 1406 01:12:03,233 --> 01:12:05,800 I JUST KNOW I HAVE TO START THE PROCESS, 1407 01:12:05,800 --> 01:12:09,233 JUST LIKE I DID WITH THE LETTER. 1408 01:12:09,233 --> 01:12:12,867 SO, AS FRIGHTENED AS I AM RIGHT NOW, 1409 01:12:12,867 --> 01:12:14,933 I'M TAKING THIS LEAP OF FAITH, 1410 01:12:17,400 --> 01:12:20,300 BECAUSE I KNOW IT'S THE GREATEST OBSTACLE 1411 01:12:20,300 --> 01:12:23,933 I HAVE TO FACE TO TRY TO COMPLETE THIS JOURNEY. 1412 01:12:33,733 --> 01:12:37,533 Doug: AVOIDING YOUR PAST CAN NOT ONLY AFFECT YOUR PRESENT, 1413 01:12:37,533 --> 01:12:40,233 BUT IT CAN TAKE AWAY YOUR FUTURE, 1414 01:12:40,233 --> 01:12:43,100 AND THE ONLY WAY TO GET IT BACK IS 1415 01:12:43,100 --> 01:12:45,467 TO DEAL WITH WHAT YOU'VE BEEN RUNNING FROM. 1416 01:13:03,233 --> 01:13:04,900 I'M DRIVING TO A COFFEE SHOP 1417 01:13:04,900 --> 01:13:07,567 WHERE MY MOM IS GONNA MEET ME SO WE CAN TALK. 1418 01:13:09,633 --> 01:13:11,633 WE'VE STAYED IN TOUCH OVER THE YEARS, 1419 01:13:11,633 --> 01:13:14,767 BUT WE HAVEN'T REALLY HAD A RELATIONSHIP. 1420 01:13:14,767 --> 01:13:17,267 AND I'VE NEVER TOLD HER HOW HARD IT WAS 1421 01:13:17,267 --> 01:13:21,867 AND HOW MUCH IT HURT WHEN SHE LEFT US. 1422 01:13:21,867 --> 01:13:23,767 I JUST WANT TO CLEAR THE AIR WITH US. 1423 01:13:23,767 --> 01:13:26,467 WE HAVEN'T REALLY TALKED TO EACH OTHER A WHOLE LOT 1424 01:13:26,467 --> 01:13:30,700 IN THE LAST, I'D SAY, A YEAR AND A HALF, TWO YEARS. 1425 01:13:30,700 --> 01:13:32,833 THIS HAS BEEN A LONG TIME COMING. 1426 01:13:32,833 --> 01:13:34,900 MY BIGGEST WORRY RIGHT NOW IS THAT, 1427 01:13:34,900 --> 01:13:36,700 YOU KNOW, THIS DOESN'T GO WELL 1428 01:13:36,700 --> 01:13:39,967 BECAUSE SHE THINKS THAT I'M TRYING TO ATTACK HER 1429 01:13:39,967 --> 01:13:42,533 OR BLAME HER, AND THAT'S THE ONE THING 1430 01:13:42,533 --> 01:13:45,567 I JUST REALLY DON'T WANT HER TO TAKE AWAY FROM THIS. 1431 01:13:48,767 --> 01:13:51,567 I THINK THE BIGGEST QUESTION I'VE HAD ALL THESE YEARS 1432 01:13:51,567 --> 01:13:54,333 IS JUST WANTING TO KNOW WHY SHE LEFT. 1433 01:13:54,333 --> 01:14:00,400 THAT EMOTION HAS BEEN BEHIND A LOT OF MY DESIRE TO EAT. 1434 01:14:00,400 --> 01:14:03,267 AND I KNOW I HAVE TO TRY TO BUILD UP THE COURAGE 1435 01:14:03,267 --> 01:14:05,500 TO TALK ABOUT SOME OF THAT TODAY. 1436 01:14:05,500 --> 01:14:08,467 HI. 1437 01:14:08,467 --> 01:14:09,933 HOW YOU DOING? 1438 01:14:12,900 --> 01:14:15,300 Doug: BUT PART OF ME DOESN'T WANT TO DO THIS, 1439 01:14:15,300 --> 01:14:18,967 BECAUSE I'M SCARED ABOUT HOW SHE'S GONNA REACT. 1440 01:14:18,967 --> 01:14:20,700 DID YOU BRING THE KIDS? 1441 01:14:20,700 --> 01:14:22,467 -MNH-MNH. -NO? 1442 01:14:22,467 --> 01:14:24,733 I MEAN, HOW OLD ARE THE GIRLS? 1443 01:14:24,733 --> 01:14:27,600 THEY'RE A YEAR. 1444 01:14:28,733 --> 01:14:30,833 I KNOW. 1445 01:14:30,833 --> 01:14:32,300 THAT'S WHAT I'M TRYING TO FIX. 1446 01:14:32,300 --> 01:14:34,500 YOU KNOW, I'VE BEEN GOING THROUGH THE WHOLE THERAPY THING, 1447 01:14:34,500 --> 01:14:35,567 YOU KNOW, WHEN YOU LEFT 1448 01:14:35,567 --> 01:14:38,400 AND THINGS THAT HAVE HAPPENED TO ME. 1449 01:14:38,400 --> 01:14:42,333 SO, UM, WHAT WAS THE MIND-SET? 1450 01:14:42,333 --> 01:14:43,733 -WHEN I LEFT? -YEAH. 1451 01:14:43,733 --> 01:14:46,100 -JUST BECAUSE -- -I WAS FIXING TO HURT YOU. 1452 01:14:46,100 --> 01:14:48,600 -OKAY. -I WOULD LOSE MY TEMPER, 1453 01:14:48,600 --> 01:14:52,600 BUT I DIDN'T KNOW HOW TO REGAIN CONTROL. 1454 01:14:52,600 --> 01:14:57,500 AND THEN, THAT LAST TIME, IT WAS LIKE -- I CAME SO CLOSE. 1455 01:14:57,500 --> 01:15:00,867 I GRABBED DARRELL BY HIS SHIRT, 1456 01:15:00,867 --> 01:15:01,867 AND I WAS GONNA HIT HIM. 1457 01:15:01,867 --> 01:15:04,367 AND I SAID, "I CAN'T DO THIS," 1458 01:15:04,367 --> 01:15:06,067 AND I WALKED AWAY. 1459 01:15:06,067 --> 01:15:08,200 YEAH. 1460 01:15:08,200 --> 01:15:10,500 BUT IT WAS FOR Y'ALL THAT I LEFT. 1461 01:15:10,500 --> 01:15:11,767 RIGHT. RIGHT. 1462 01:15:11,767 --> 01:15:14,200 WELL, SEE, I'VE NEVER HEARD THAT. 1463 01:15:14,200 --> 01:15:15,967 I PROBABLY TOOK THE EASY WAY OUT, 1464 01:15:15,967 --> 01:15:19,333 BUT THAT WAS MY ONLY CHOICE. 1465 01:15:19,333 --> 01:15:22,233 I DON'T WANT TO HOLD ON TO ANY OF THAT STUFF 1466 01:15:22,233 --> 01:15:25,633 BECAUSE IT'S NOT DOING ANYBODY ANY GOOD. 1467 01:15:25,633 --> 01:15:27,700 I NEEDED THIS CONVERSATION, 1468 01:15:27,700 --> 01:15:30,867 BECAUSE I WANTED TO CLEAR THE AIR, YOU KNOW? 1469 01:15:30,867 --> 01:15:34,333 -SO YOU STILL BLAME ME? -NO. 1470 01:15:34,333 --> 01:15:36,067 I DON'T. 1471 01:15:37,133 --> 01:15:39,267 I DON'T. 1472 01:15:39,267 --> 01:15:42,200 I WANT YOU IN MY LIFE, 1473 01:15:42,200 --> 01:15:43,767 AND I THINK WE'RE AFRAID TO TALK TO EACH OTHER. 1474 01:15:43,767 --> 01:15:47,067 AND I THINK IT'S 'CAUSE YOU THINK THAT I RESENT YOU, 1475 01:15:47,067 --> 01:15:48,900 AND I THINK THAT YOU RESENT ME. 1476 01:15:48,900 --> 01:15:50,067 I DON'T RESENT YOU. 1477 01:15:50,067 --> 01:15:51,767 WELL, I DON'T RESENT YOU, EITHER. 1478 01:15:51,767 --> 01:15:55,667 SO WE NEED TO GET ALL THAT CLEARED OUT OF THE AIR 1479 01:15:55,667 --> 01:15:59,467 AND JUST BASICALLY START OVER 1480 01:15:59,467 --> 01:16:02,167 AND THEN, LIKE, JUST MOVE FORWARD FROM THERE, 1481 01:16:02,167 --> 01:16:06,267 REBUILD A RELATIONSHIP THAT WE WANT TO HAVE. 1482 01:16:06,267 --> 01:16:08,733 I WANT TO. 1483 01:16:08,733 --> 01:16:09,667 YEP? ALL RIGHT. 1484 01:16:09,667 --> 01:16:11,233 I LIKE SEEING YOU HAPPY AGAIN. 1485 01:16:11,233 --> 01:16:13,733 -DO I LOOK SKINNY? -AND SKINNY. 1486 01:16:13,733 --> 01:16:15,467 -MY PANTS FALLING OFF. -[ LAUGHS ] 1487 01:16:15,467 --> 01:16:17,833 IT'S SO BAD. 1488 01:16:17,833 --> 01:16:20,267 Doug: I'M REALLY GLAD I DID THIS TODAY. 1489 01:16:20,267 --> 01:16:23,267 MY WHOLE LIFE, I NEVER KNEW WHY MY MOM LEFT, 1490 01:16:23,267 --> 01:16:26,333 AND HEARING THAT THE REASON WASN'T ME HAS BEEN SOMETHING 1491 01:16:26,333 --> 01:16:29,400 I'VE WANTED TO HEAR SINCE THAT DAY. 1492 01:16:29,400 --> 01:16:31,167 BYE. OHH. 1493 01:16:31,167 --> 01:16:32,867 I WILL TALK TO YOU SOON. 1494 01:16:32,867 --> 01:16:34,300 -OKAY, BE CAREFUL. -I FEEL LIKE, 1495 01:16:34,300 --> 01:16:36,133 FOR THE FIRST TIME IN MY LIFE, 1496 01:16:36,133 --> 01:16:39,433 IT'S POSSIBLE TO FORGIVE MY MOM FOR WHAT SHE DID. 1497 01:16:39,433 --> 01:16:42,600 I'LL PROBABLY ALWAYS FEEL PAIN WHEN I THINK ABOUT IT, 1498 01:16:42,600 --> 01:16:45,067 BUT NOW I CAN START TO MOVE FORWARD 1499 01:16:45,067 --> 01:16:47,700 AND FOCUS ON MY OWN FAMILY. 1500 01:16:47,700 --> 01:16:49,067 THEY'RE MY WORLD, 1501 01:16:49,067 --> 01:16:51,933 AND THEY'RE WHY I'VE PUSHED MYSELF TO DO ALL THIS. 1502 01:17:09,100 --> 01:17:10,400 [ SIGHS ] 1503 01:17:10,400 --> 01:17:14,633 I'VE BEEN WORKING REALLY HARD TO LOSE MORE WEIGHT 1504 01:17:14,633 --> 01:17:16,967 AND I FEEL LIKE I'M FINALLY STARTING TO SEE 1505 01:17:16,967 --> 01:17:19,100 A REALLY BIG DIFFERENCE IN MY BODY. 1506 01:17:22,267 --> 01:17:24,067 A LOT OF MY SKIN IS SAGGING 1507 01:17:24,067 --> 01:17:27,867 BECAUSE OF ALL THE WEIGHT I'VE LOST, 1508 01:17:27,867 --> 01:17:30,767 AND I CAN FIT INTO CLOTHES I HAVEN'T WORN IN YEARS. 1509 01:17:34,800 --> 01:17:38,100 I'VE HAD A PAIR OF JEANS I COULDN'T EVEN GET OVER MY LEGS, 1510 01:17:38,100 --> 01:17:40,067 AND NOW I CAN PULL THEM ALL THE WAY UP 1511 01:17:40,067 --> 01:17:42,233 WITHOUT ANY PROBLEM. 1512 01:17:43,300 --> 01:17:48,267 I'M AMAZED AT THE DIFFERENCE I'M STARTING TO SEE IN MY BODY. 1513 01:17:48,267 --> 01:17:51,567 AND THE DOCTOR SAID THAT AS SOON AS I GET UNDER 480, 1514 01:17:51,567 --> 01:17:56,100 HE'LL CONSIDER ME FOR SKIN-REMOVAL SURGERY. 1515 01:17:56,100 --> 01:17:58,667 SO THAT'S MY GOAL FOR MY NEXT APPOINTMENT, 1516 01:17:58,667 --> 01:18:01,567 BECAUSE THE SAGGING SKIN IS STARTING TO REALLY CHAFE 1517 01:18:01,567 --> 01:18:04,400 AND GET IN MY WAY OF BEING ACTIVE. 1518 01:18:04,400 --> 01:18:08,967 I'M ALMOST AT A POINT WHERE IT'S TOO PAINFUL TO KEEP LOSING, 1519 01:18:08,967 --> 01:18:12,600 AND MY CONCERN IS STARTING TO GAIN AGAIN. 1520 01:18:12,600 --> 01:18:14,300 SO, I'M GOING TO GIVE IT ALL I HAVE, 1521 01:18:14,300 --> 01:18:17,367 BECAUSE I WANT THIS SKIN REMOVAL REALLY BAD. 1522 01:18:30,067 --> 01:18:33,500 TODAY I'M SEEING DR. NOW FOR A FOLLOW-UP APPOINTMENT. 1523 01:18:33,500 --> 01:18:36,567 I'M ACTUALLY EXCITED TO GET ON THE SCALE TODAY. 1524 01:18:36,567 --> 01:18:38,867 I KNOW I'M DOING WELL BECAUSE I CAN FEEL IT 1525 01:18:38,867 --> 01:18:40,300 AND I CAN SEE IT. 1526 01:18:40,300 --> 01:18:42,200 DOUGLAS ARMSTRONG. 1527 01:18:42,200 --> 01:18:45,467 THE ONLY QUESTION IS IF I GOT BELOW 480 1528 01:18:45,467 --> 01:18:48,067 SO THE DOC WILL CONSIDER ME FOR SKIN SURGERY. 1529 01:18:49,667 --> 01:18:52,133 YEAH. 1530 01:18:52,133 --> 01:18:53,567 AND THAT'S FOUR RIGHT THERE. 1531 01:18:53,567 --> 01:18:55,167 Woman: ALL RIGHT, YOU CAN GO AHEAD AND STEP ON THERE. 1532 01:18:55,167 --> 01:18:56,233 Doug: ALL RIGHT. 1533 01:18:56,233 --> 01:18:57,700 AND I REALLY, REALLY WANT SKIN REMOVAL. 1534 01:19:04,100 --> 01:19:07,067 ** 1535 01:19:09,133 --> 01:19:11,067 YOU CAN GO AHEAD AND STEP ON THERE. 1536 01:19:11,067 --> 01:19:12,300 Doug: ALL RIGHT. 1537 01:19:12,300 --> 01:19:15,200 I'M A LITTLE NERVOUS ABOUT SEEING MY WEIGHT TODAY, 1538 01:19:15,200 --> 01:19:18,233 BUT I'M MOSTLY EXCITED BECAUSE I KNOW 1539 01:19:18,233 --> 01:19:21,433 I'M MAKING REALLY GOOD PROGRESS RIGHT NOW. 1540 01:19:21,433 --> 01:19:24,167 AND I REALLY HOPE I GOT UNDER 480 POUNDS 1541 01:19:24,167 --> 01:19:25,200 AND THE DOCTOR THINKS 1542 01:19:25,200 --> 01:19:27,500 I'M A GOOD CANDIDATE FOR SKIN REMOVAL. 1543 01:19:28,533 --> 01:19:30,800 462. 1544 01:19:30,800 --> 01:19:33,467 -THAT'S AWESOME. -MM-HMM. 1545 01:19:33,467 --> 01:19:34,967 ALL RIGHT. 1546 01:19:34,967 --> 01:19:37,800 I FEEL REALLY GOOD AFTER SEEING THAT NUMBER. 1547 01:19:37,800 --> 01:19:41,633 I NEVER THOUGHT I'D BE AT THAT WEIGHT AGAIN. 1548 01:19:41,633 --> 01:19:44,233 I JUST HOPE THE DOCTOR IS HAPPY WITH MY WEIGHT LOSS. 1549 01:19:44,233 --> 01:19:45,500 [ KNOCK ON DOOR ] 1550 01:19:45,500 --> 01:19:46,533 HELLO. 1551 01:19:46,533 --> 01:19:47,567 -HI. -HELLO. 1552 01:19:47,567 --> 01:19:50,100 -HOW YOU ALL DOING? -DOING ALL RIGHT. 1553 01:19:50,100 --> 01:19:54,900 SO, TODAY, YOU'RE DOWN TO 462 POUNDS 1554 01:19:54,900 --> 01:19:56,967 AND YOU'VE LOST OVER 200 POUNDS. 1555 01:19:56,967 --> 01:19:58,233 -YEP. -GREAT. 1556 01:19:58,233 --> 01:20:01,033 SO, HOW DOES IT FEEL TO LOSE ALL OF THAT WEIGHT? 1557 01:20:01,033 --> 01:20:03,200 I FEEL GREAT. IT'S A BIG DIFFERENCE. 1558 01:20:03,200 --> 01:20:04,500 SUPER. 1559 01:20:04,500 --> 01:20:06,733 Dr. Nowzaradan: DOUG HAS BEEN DOING VERY WELL. 1560 01:20:06,733 --> 01:20:08,800 HE'S MAKING THE PROGRESS HE SHOULD, 1561 01:20:08,800 --> 01:20:11,233 AND HE'S STAYING ON TRACK. 1562 01:20:11,233 --> 01:20:15,033 WITH ALL HIS WEIGHT LOSS, HIS SKIN HAS STARTED TO SAG, 1563 01:20:15,033 --> 01:20:17,400 AND I THINK, AT THIS POINT, IT WOULD BE GOOD 1564 01:20:17,400 --> 01:20:20,033 TO DO SKIN-REMOVAL SURGERY ON HIM 1565 01:20:20,033 --> 01:20:23,167 TO PREVENT ANY DISCOMFORT AND RISK HIM BECOMING 1566 01:20:23,167 --> 01:20:25,333 LESS ACTIVE BECAUSE OF THAT. 1567 01:20:25,333 --> 01:20:27,000 WELL, YOU'RE DOING GREAT, 1568 01:20:27,000 --> 01:20:31,633 AND I THINK YOU'RE READY FOR SKIN-REMOVAL SURGERY. 1569 01:20:31,633 --> 01:20:33,867 KEEP WORKING HARD, AND WE'LL GET YOU 1570 01:20:33,867 --> 01:20:36,200 TO YOUR TARGET WEIGHT SOON. 1571 01:20:36,200 --> 01:20:37,933 ALL RIGHT. I'LL SEE YOU NEXT MONTH. 1572 01:20:37,933 --> 01:20:41,667 -ALL RIGHT, THANK YOU. -ALL RIGHT. 1573 01:20:41,667 --> 01:20:44,833 Doug: IT'S UNREAL TO ME, LOSING 200 POUNDS. 1574 01:20:44,833 --> 01:20:47,467 THAT WAS KIND OF THE DREAM NUMBER. 1575 01:20:47,467 --> 01:20:49,033 IT'S NOTHING LIKE I THOUGHT IT WAS GONNA BE. 1576 01:20:49,033 --> 01:20:52,200 IT'S SO MUCH BETTER. 1577 01:20:52,200 --> 01:20:54,167 IF YOU TOLD ME THIS TIME LAST YEAR 1578 01:20:54,167 --> 01:20:57,133 THAT I'D BE HALFWAY TO MY TARGET WEIGHT, 1579 01:20:57,133 --> 01:20:59,867 I JUST WOULDN'T HAVE BELIEVED IT. 1580 01:20:59,867 --> 01:21:01,900 IT'S A REALLY SURREAL THING. 1581 01:21:01,900 --> 01:21:05,133 IT'S ALMOST AS IF THAT OTHER PERSON DIDN'T EVEN EXIST. 1582 01:21:06,400 --> 01:21:08,667 [ BABY COOS ] 1583 01:21:08,667 --> 01:21:11,767 HEY. GOOD MORNING. 1584 01:21:11,767 --> 01:21:13,067 [ BABY LAUGHS ] 1585 01:21:13,067 --> 01:21:15,600 Doug: EVERY DAY IS SO DIFFERENT NOW 1586 01:21:15,600 --> 01:21:17,167 THAN IT WAS WHEN I STARTED THIS JOURNEY. 1587 01:21:17,167 --> 01:21:20,567 [ BABY CRIES ] I KNOW. 1588 01:21:20,567 --> 01:21:22,067 HERE, YOU TAKE THAT. 1589 01:21:22,067 --> 01:21:23,767 A YEAR AGO, I COULDN'T DO ANYTHING 1590 01:21:23,767 --> 01:21:27,267 TO HELP ASHLEY AROUND THE HOUSE. 1591 01:21:27,267 --> 01:21:30,700 I WAS BASICALLY ANOTHER KID FOR HER TO TAKE CARE OF. 1592 01:21:30,700 --> 01:21:33,700 ALL RIGHT. 1593 01:21:33,700 --> 01:21:35,500 NOW I'M ACTUALLY FEELING 1594 01:21:35,500 --> 01:21:39,067 LIKE THE FATHER I SHOULD BE TO MY KIDS. 1595 01:21:39,067 --> 01:21:41,633 DADDY, IT'S TIME FOR BREAKFAST. 1596 01:21:41,633 --> 01:21:43,533 WHAT KIND OF CEREAL YOU WANT, BUD? 1597 01:21:43,533 --> 01:21:45,800 WHAT KIND DO WE WE HAVE? 1598 01:21:45,800 --> 01:21:47,700 YOU WANT THESE? 1599 01:21:47,700 --> 01:21:49,167 YES. 1600 01:21:50,633 --> 01:21:54,967 Doug: I LOVE HAVING SOME TIME TO SPEND WITH JUST COOPER. 1601 01:21:54,967 --> 01:21:56,800 I LIKE WHEN YOU SIT DOWN AT THE TABLE. 1602 01:21:56,800 --> 01:21:58,500 Doug: MM-HMM. 1603 01:21:58,500 --> 01:22:00,800 Doug: IT CRUSHED ME WHEN HE WAS SAD 1604 01:22:00,800 --> 01:22:03,967 THAT I WAS SO HEAVY I COULDN'T PLAY WITH HIM. 1605 01:22:03,967 --> 01:22:07,900 I LIKE WHEN WE EAT THE BREAKFAST WHEN IT'S JUST THE TWO OF US. 1606 01:22:07,900 --> 01:22:10,067 YEAH, ME, TOO. 1607 01:22:10,067 --> 01:22:14,133 Doug: SO, TO BE A PART OF HIS LIFE NOW IS REALLY REWARDING. 1608 01:22:16,933 --> 01:22:20,267 BEFORE, THE ONLY WAY I COULD GET A MEAL FOR THE FAMILY 1609 01:22:20,267 --> 01:22:22,333 WAS TO GO TO A DRIVE-THROUGH. 1610 01:22:24,067 --> 01:22:27,833 BUT NOW I'M DOING A LOT OF COOKING AT HOME. 1611 01:22:27,833 --> 01:22:30,467 -HELLO, HELLO. -HEY. 1612 01:22:30,467 --> 01:22:32,067 IT'S A LOT OF FUN, 1613 01:22:32,067 --> 01:22:33,967 AND I KNOW ASHLEY APPRECIATES IT. 1614 01:22:33,967 --> 01:22:35,067 WHAT ARE YOU COOKING? 1615 01:22:35,067 --> 01:22:38,333 PORK CHOPS WITH POTATOES AND MUSHROOMS. 1616 01:22:38,333 --> 01:22:39,867 WOW. 1617 01:22:39,867 --> 01:22:41,867 THAT IS IMPRESSIVE. 1618 01:22:41,867 --> 01:22:44,333 IT'S SUCH A RELIEF TO BE ABLE TO COME HOME FROM WORK 1619 01:22:44,333 --> 01:22:47,333 AND DOUG'S ALREADY STARTED DINNER. 1620 01:22:47,333 --> 01:22:52,067 I'M SO USED TO KIND OF JUST DOING ALL OF THAT MYSELF 1621 01:22:52,067 --> 01:22:55,867 THAT WHEN I DON'T HAVE TO -- WHO DOESN'T LOVE THAT? 1622 01:22:55,867 --> 01:22:57,700 YOU READY TO EAT SOME FOOD? 1623 01:22:57,700 --> 01:23:00,767 Doug: I STILL FEEL CRAVINGS OCCASIONALLY, 1624 01:23:00,767 --> 01:23:03,467 BUT I DON'T GIVE IN MUCH ANYMORE. 1625 01:23:03,467 --> 01:23:05,833 I'VE REALLY STOPPED SNACKING BETWEEN MEALS, 1626 01:23:05,833 --> 01:23:07,700 AND I'M STICKING TO THE HEALTHY DIET 1627 01:23:07,700 --> 01:23:09,367 THE DOCTOR WANTS ME TO. 1628 01:23:09,367 --> 01:23:11,267 WHO'S LOVING THIS DINNER? 1629 01:23:11,267 --> 01:23:12,767 -ME. -YOU DID GOOD. 1630 01:23:12,767 --> 01:23:14,433 -DID I? -YEAH. 1631 01:23:14,433 --> 01:23:17,500 Doug: ASHLEY AND I ARE BOTH LOSING WEIGHT, 1632 01:23:17,500 --> 01:23:21,300 AND WE'RE SHARING OUR NEW HEALTHY HABITS WITH COOPER. 1633 01:23:21,300 --> 01:23:23,800 I WANT HIM TO GROW UP SEEING FOOD A LOT DIFFERENTLY 1634 01:23:23,800 --> 01:23:26,133 THAT I DID AS A KID. 1635 01:23:26,133 --> 01:23:28,100 AND I THINK WE'RE STARTING TO MOVE OUR WHOLE FAMILY 1636 01:23:28,100 --> 01:23:30,633 IN THE RIGHT DIRECTION. 1637 01:23:35,133 --> 01:23:38,567 NOW THAT I'M ABLE TO GET AROUND SO MUCH MORE, 1638 01:23:38,567 --> 01:23:40,967 I'M THINKING OF WAYS THAT I CAN START TO PROVIDE 1639 01:23:40,967 --> 01:23:43,500 FOR MY FAMILY AGAIN. 1640 01:23:43,500 --> 01:23:46,733 BEFORE, I HAD MY OWN LITTLE PRINT SHOP 1641 01:23:46,733 --> 01:23:50,433 AND DID A LOT OF WORK FOR LOCAL STORES AROUND TOWN. 1642 01:23:50,433 --> 01:23:54,500 THEN, I GOT SO BIG, I JUST KIND OF GAVE UP ON IT ALL. 1643 01:23:54,500 --> 01:23:58,600 BUT MY WEIGHT LOSS HAS CHANGED THAT. 1644 01:23:58,600 --> 01:23:59,900 I REALLY WANT TO HELP ASHLEY 1645 01:23:59,900 --> 01:24:02,833 TAKE CARE OF THE FAMILY FINANCIALLY, 1646 01:24:02,833 --> 01:24:07,400 AND THIS MIGHT BE A GREAT WAY TO DO IT. 1647 01:24:07,400 --> 01:24:10,833 AND ART IS SOMETHING THAT I CAN USE INSTEAD OF FOOD 1648 01:24:10,833 --> 01:24:13,833 TO COPE WHEN THINGS GET TOUGH. 1649 01:24:13,833 --> 01:24:15,367 THERE IT IS. 1650 01:24:16,233 --> 01:24:17,967 Y'ALL READY? -I'M READY. 1651 01:24:17,967 --> 01:24:20,733 -LET'S GO HAVE SOME FUN. -YEAH! 1652 01:24:20,733 --> 01:24:23,700 Doug: WE'VE STARTED TO DO SO MUCH MORE AS A FAMILY. 1653 01:24:23,700 --> 01:24:25,900 ALL RIGHT, PUT YOUR SHOES RIGHT HERE. 1654 01:24:25,900 --> 01:24:28,067 Doug: WE'RE GETTING OUT, ENJOYING EACH OTHER, 1655 01:24:28,067 --> 01:24:29,933 AND DOING SOME STUFF THAT I WOULD'VE NEVER BEEN ABLE 1656 01:24:29,933 --> 01:24:32,700 TO DO JUST A FEW MONTHS AGO. -HOW DO I GET IN? 1657 01:24:32,700 --> 01:24:35,367 YOU GOT TO CRAWL THROUGH, LIKE WHOO-HOO! 1658 01:24:35,367 --> 01:24:36,700 Cooper: WHOO! 1659 01:24:36,700 --> 01:24:39,433 OKAY. 1660 01:24:39,433 --> 01:24:42,667 Ashley: WHEW! LOOK AT YOU, SKINNY MINNY. 1661 01:24:42,667 --> 01:24:44,700 Doug: I'VE NEVER BEEN ABLE TO GO OUT 1662 01:24:44,700 --> 01:24:48,167 AND GET ACTIVE WITH COOPER. 1663 01:24:48,167 --> 01:24:51,367 THIS IS AN AMAZING CHANGE, 1664 01:24:51,367 --> 01:24:54,500 AND OUR RELATIONSHIP IS FINALLY STARTING TO BECOME 1665 01:24:54,500 --> 01:24:57,600 WHAT I'VE ALWAYS WANTED IT TO BE. 1666 01:24:57,600 --> 01:24:59,800 YOU TOTALLY COULD'VE GONE AROUND THE SIDE WAY. 1667 01:24:59,800 --> 01:25:01,167 [ LAUGHS ] 1668 01:25:01,167 --> 01:25:04,667 Ashley: SO MUCH HAS CHANGED WITH OUR RELATIONSHIP. 1669 01:25:04,667 --> 01:25:07,300 HE'S WORKED SO HARD TO LOSE THE WEIGHT, 1670 01:25:07,300 --> 01:25:09,733 AND I COULDN'T BE MORE PROUD OF HIM RIGHT NOW. 1671 01:25:09,733 --> 01:25:11,533 OH, NO! 1672 01:25:11,533 --> 01:25:15,533 Doug: I CAN'T WAIT TO WATCH MY KIDS GROW UP, 1673 01:25:15,533 --> 01:25:17,500 AND I'M GOING TO BE THE FATHER THEY DESERVE 1674 01:25:17,500 --> 01:25:18,800 EVERY STEP OF THE WAY. 1675 01:25:18,800 --> 01:25:21,800 I'M TELLING YOU -- YOU'VE GOT TO GET SMALLER BRITCHES. 1676 01:25:23,567 --> 01:25:24,867 -ARE YOU DONE? -YEAH. 1677 01:25:24,867 --> 01:25:26,933 -DID YOU HAVE FUN? -YEAH. 1678 01:25:26,933 --> 01:25:28,667 YEAH? WELL, LET'S GO. 1679 01:25:28,667 --> 01:25:29,900 OHH. 1680 01:25:29,900 --> 01:25:32,933 Doug: I'VE GOT MY LIFE BACK, 1681 01:25:32,933 --> 01:25:33,067 AND I'M NEVER GIVING IT BACK UP.