1 00:00:04,433 --> 00:00:08,467 Tamy: LIVING IN MY BODY IS MISERABLE, AND THIS IS MY FAULT. 2 00:00:08,467 --> 00:00:10,367 I LET MYSELF GET HERE. 3 00:00:16,767 --> 00:00:19,400 [ BOTH GROANING ] 4 00:00:19,400 --> 00:00:22,833 Liz: MY LIFE IS WASTING AWAY, AND I HATE IT. 5 00:00:22,833 --> 00:00:26,500 Woman: I TRY TO CHANGE, BUT SOMETHING ALWAYS KNOCKS ME DOWN. 6 00:00:34,033 --> 00:00:35,867 MY LIFE, IT'S LIKE LIVING A DEATH SENTENCE. 7 00:00:35,867 --> 00:00:37,733 AH! 8 00:00:37,733 --> 00:00:38,767 OW, [BLEEP]. 9 00:00:38,767 --> 00:00:40,000 THIS IS NO LIFE FOR ANYONE. 10 00:00:44,367 --> 00:00:47,367 Woman 11 00:00:47,367 --> 00:00:49,167 OW, MY LEG! 12 00:00:49,167 --> 00:00:50,567 SIT DOWN RIGHT THERE. WAIT. 13 00:00:50,567 --> 00:00:51,633 YOU'RE MAKING ME MAD. ALL RIGHT. 14 00:00:51,633 --> 00:00:53,467 THIS IS COMPLETELY UNACCEPTABLE. 15 00:00:53,467 --> 00:00:54,467 [ DOOR CLOSES ] 16 00:00:59,867 --> 00:01:02,500 MOM. 17 00:01:02,500 --> 00:01:04,733 ARE YOU OKAY? 18 00:01:04,733 --> 00:01:07,733 -- Captions by VITAC -- www.vitac.com 19 00:01:07,733 --> 00:01:10,733 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 20 00:01:10,733 --> 00:01:14,700 ** 21 00:01:14,700 --> 00:01:18,600 Tamy: SOMETIMES, THE HARDEST PRISONS TO ESCAPE FROM 22 00:01:18,600 --> 00:01:21,233 ARE THE ONES WE BUILD FOR OURSELVES. 23 00:01:21,233 --> 00:01:24,600 ** 24 00:01:28,667 --> 00:01:37,633 ** 25 00:01:37,633 --> 00:01:40,200 [ GRUNTS ] 26 00:01:40,200 --> 00:01:47,067 ** 27 00:01:47,067 --> 00:01:53,733 ** 28 00:01:53,733 --> 00:01:56,067 THE FIRST THING THAT HAPPENS EACH MORNING 29 00:01:56,067 --> 00:01:57,467 IS I GET OUT OF BED, 30 00:01:57,467 --> 00:01:59,667 AND MY STOMACH NEARLY HITS THE FLOOR. 31 00:02:01,833 --> 00:02:05,433 IT JUST HANGS THERE, 32 00:02:05,433 --> 00:02:07,433 AND IT IS PUTTING INTENSE PRESSURE 33 00:02:07,433 --> 00:02:09,967 ON THE REST OF MY BODY. 34 00:02:12,733 --> 00:02:15,967 MY BELLY IS SAGGING MORE AND MORE, 35 00:02:15,967 --> 00:02:18,667 AND IT FEELS LIKE I'M ALWAYS OFF-BALANCE. 36 00:02:20,933 --> 00:02:23,433 LIVING IN MY BODY IS MISERABLE. 37 00:02:23,433 --> 00:02:27,200 ** 38 00:02:27,200 --> 00:02:30,367 EVERY DAY, LITTLE THINGS, LITTLE THINGS ARE SUCH AN ISSUE. 39 00:02:33,167 --> 00:02:35,600 YOU KNOW, IF I DIDN'T HAVE THIS BIG MASS OF FAT 40 00:02:35,600 --> 00:02:37,867 AND EVERYTHING IN FRONT OF ME, 41 00:02:37,867 --> 00:02:40,267 EVERYTHING ELSE WOULDN'T BE AS DIFFICULT TO DO. 42 00:02:40,267 --> 00:02:45,800 ** 43 00:02:45,800 --> 00:02:47,733 I CAN'T STAND IN THE SHOWER. 44 00:02:47,733 --> 00:02:51,967 I'M JUST TOO SCARED OF FALLING, SO I SIT ON THE SIDE OF THE TUB. 45 00:02:51,967 --> 00:02:55,867 I WET THE TUB DOWN, AND THEN I KIND OF SLIDE DOWN INTO THE TUB, 46 00:02:55,867 --> 00:02:57,733 WHICH I BARELY FIT INTO IT. 47 00:02:57,733 --> 00:03:04,467 ** 48 00:03:04,467 --> 00:03:06,867 I LIKE TO DO AS MUCH AS I CAN FOR MYSELF 49 00:03:06,867 --> 00:03:09,833 WHEN IT COMES TO TAKING A BATH. 50 00:03:09,833 --> 00:03:12,733 I DON'T LIKE TO ASK FOR HELP IF I CAN TRY NOT TO. 51 00:03:12,733 --> 00:03:16,267 I WANT TO KEEP WHAT LITTLE INDEPENDENCE I HAVE LEFT. 52 00:03:16,267 --> 00:03:18,067 I WASH WHAT I CAN REACH. 53 00:03:20,467 --> 00:03:21,967 James: YEAH. 54 00:03:21,967 --> 00:03:24,967 AND THEN MY HUSBAND WILL HELP ME WITH THINGS THAT I CAN'T REACH. 55 00:03:24,967 --> 00:03:30,800 ** 56 00:03:30,800 --> 00:03:34,800 ANYTHING BELOW MY STOMACH, I HAVE TO HAVE HELP WITH. 57 00:03:34,800 --> 00:03:38,067 I CAN'T REACH NOTHING DOWN THERE. 58 00:03:38,067 --> 00:03:42,800 I DO A LOT FOR TAMY BECAUSE SHE CAN'T DO IT. 59 00:03:42,800 --> 00:03:45,800 IT'S VERY SHOCKING TO SEE HER GET LIKE THIS. 60 00:03:48,200 --> 00:03:50,167 SHE'S JUST GETTING WORSE AND WORSE. 61 00:03:50,167 --> 00:03:54,867 ** 62 00:03:54,867 --> 00:03:58,867 Tamy: NOBODY IMAGINES THEY WILL BE 45 AND BATHED LIKE A CHILD. 63 00:04:00,967 --> 00:04:03,900 BUT HERE I AM, AND THIS IS MY REALITY. 64 00:04:05,833 --> 00:04:07,567 YEAH. 65 00:04:08,567 --> 00:04:10,767 ALL RIGHT. THANK YOU. 66 00:04:10,767 --> 00:04:13,167 YOU'RE WELCOME. 67 00:04:13,167 --> 00:04:16,333 WHEN I LOOK DOWN AND SEE WHAT HAS BECOME OF MY BODY, 68 00:04:16,333 --> 00:04:18,833 I FEEL SHAME. 69 00:04:18,833 --> 00:04:24,433 ** 70 00:04:24,433 --> 00:04:26,900 I'M SO DISGUSTED WITH MYSELF. 71 00:04:26,900 --> 00:04:31,133 ** 72 00:04:31,133 --> 00:04:33,933 I HATE MY WHOLE BODY, BUT THE PART OF MY BODY 73 00:04:33,933 --> 00:04:37,433 THAT I HATE THE MOST IS MY STOMACH. 74 00:04:37,433 --> 00:04:38,667 MY BELLY HAS GOTTEN TO THE POINT 75 00:04:38,667 --> 00:04:40,067 WHERE IT'S GOT A MIND OF ITS OWN. 76 00:04:40,067 --> 00:04:42,300 IT DOES WHAT IT WANTS. IT GOES WHERE IT WANTS. 77 00:04:42,300 --> 00:04:45,633 ** 78 00:04:45,633 --> 00:04:50,267 I FEEL LIKE I HAVE BOWLING BALLS IN BETWEEN MY LEGS, 79 00:04:50,267 --> 00:04:52,800 AND IT'S SO PAINFUL. 80 00:04:55,567 --> 00:05:01,267 I CAN'T EVEN SIT ON THE BED LIKE A NORMAL PERSON... 81 00:05:01,267 --> 00:05:03,700 BECAUSE MY BELLY HANGS OFF SO MUCH. 82 00:05:05,800 --> 00:05:09,900 EVEN DRYING MYSELF IS A CHORE BECAUSE BEING MY SIZE, 83 00:05:09,900 --> 00:05:14,100 I CAN'T LIFT MY BELLY UP TO DRY UNDERNEATH IT, 84 00:05:14,100 --> 00:05:16,567 SO MY FAN HAS TO DO A LOT OF MY DRYING, 85 00:05:16,567 --> 00:05:19,800 AND, YOU KNOW, IT'S DIFFICULT. 86 00:05:19,800 --> 00:05:22,100 IF I SIT UP TOO LONG, IT HURTS. 87 00:05:22,100 --> 00:05:24,933 MY WHOLE BODY HURTS, 88 00:05:24,933 --> 00:05:27,467 AND I KNOW THIS IS MY FAULT. 89 00:05:27,467 --> 00:05:29,300 I LET MYSELF GET HERE. 90 00:05:31,333 --> 00:05:33,667 I NEVER THOUGHT MY LIFE WAS GOING TO BE LIKE THIS. 91 00:05:33,667 --> 00:05:37,733 ** 92 00:05:37,733 --> 00:05:40,100 I WAS THE YOUNGEST CHILD IN OUR FAMILY. 93 00:05:40,100 --> 00:05:41,967 MY BROTHER WAS 11 YEARS OLDER, 94 00:05:41,967 --> 00:05:44,600 AND MY SISTER WAS 19 YEARS OLDER THAN ME... 95 00:05:46,700 --> 00:05:50,167 ...SO I ESSENTIALLY GREW UP ALONE WITH MY MOM AND DAD, 96 00:05:50,167 --> 00:05:53,500 AND AS A SMALL CHILD, I WAS A PRETTY NORMAL SIZE, 97 00:05:53,500 --> 00:05:56,600 BUT SOCIALLY, I WASN'T LIKE EVERYBODY ELSE. 98 00:05:56,600 --> 00:05:59,200 I'D GET VERY NERVOUS. 99 00:05:59,200 --> 00:06:00,900 I'D STUTTER. 100 00:06:00,900 --> 00:06:05,333 KIDS WOULD MAKE FUN OF ME, AND IT JUST MADE ME FEEL HORRIBLE, 101 00:06:05,333 --> 00:06:10,867 BUT WHEN I WAS 8, MY LIFE CHANGED IN AN INSTANT. 102 00:06:10,867 --> 00:06:13,233 MY MOM AND I WERE IN THE KITCHEN FIXING SOMETHING, 103 00:06:13,233 --> 00:06:18,067 AND MY DAD WAS WALKING INTO THE LIVING ROOM, 104 00:06:18,067 --> 00:06:20,800 AND HE COLLAPSED AND FELL TO THE FLOOR, 105 00:06:20,800 --> 00:06:23,733 HAD A HEART ATTACK AND DIED. 106 00:06:23,733 --> 00:06:29,167 AFTER MY FATHER PASSED AWAY, MY LIFE WAS NEVER THE SAME. 107 00:06:29,167 --> 00:06:31,500 MY MOM JUST FELL APART. 108 00:06:31,500 --> 00:06:34,633 SHE HAD A HARD TIME GETTING OUT OF BED, 109 00:06:34,633 --> 00:06:37,333 AND SHE WENT INTO A DEEP DEPRESSION, 110 00:06:37,333 --> 00:06:39,867 AND IT WAS LIKE I LOST MY MOM, TOO. 111 00:06:42,500 --> 00:06:44,600 SO I'M THIS LITTLE KID AT HOME WITH NOBODY 112 00:06:44,600 --> 00:06:47,100 TO REALLY TAKE CARE OF ME. 113 00:06:47,100 --> 00:06:50,867 BECAUSE MY MOM WASN'T THERE, YOU KNOW, I TURNED TO THE FOOD. 114 00:06:50,867 --> 00:06:54,933 I COULD JUST EAT WHATEVER I WANTED WHEN I WANTED, 115 00:06:54,933 --> 00:06:56,800 AND IT WAS MY FRIEND. 116 00:06:56,800 --> 00:07:00,500 IT WAS MY PARENT, MY LOVED ONE. 117 00:07:00,500 --> 00:07:02,533 AND WHEN I WAS ABOUT 10, 118 00:07:02,533 --> 00:07:04,767 I WAS THE ONE THAT DID ALL THE SHOPPING FOR MY MOM, 119 00:07:04,767 --> 00:07:06,733 AND IF I WANTED SODA, I BOUGHT IT. 120 00:07:06,733 --> 00:07:08,633 IF I WANTED PIE, I BOUGHT IT. 121 00:07:08,633 --> 00:07:10,600 IF I WANTED ICE CREAM, I BOUGHT IT 122 00:07:10,600 --> 00:07:12,067 BECAUSE SHE WOULD JUST GIVE ME MONEY, 123 00:07:12,067 --> 00:07:14,467 AND SHE LET ME GET WHATEVER I WANTED. 124 00:07:16,500 --> 00:07:19,633 SO I ATE JUNK FOOD ALL THE TIME, 125 00:07:19,633 --> 00:07:22,833 AND I WOULD EAT TO THE POINT OF BEING SICK. 126 00:07:22,833 --> 00:07:24,733 I DON'T KNOW WHY I DID IT. 127 00:07:24,733 --> 00:07:28,300 IT WAS JUST I WANTED IT, SO I ATE IT. 128 00:07:28,300 --> 00:07:32,200 WHEN I WAS 14, I WEIGHED AROUND 140 POUNDS. 129 00:07:32,200 --> 00:07:34,933 I GOT BULLIED A LOT IN SCHOOL ABOUT MY WEIGHT... 130 00:07:37,333 --> 00:07:40,133 ...AND BY THE TIME I DROPPED OUT OF HIGH SCHOOL AT AGE 16, 131 00:07:40,133 --> 00:07:45,267 I WAS ALREADY WELL OVER 175 POUNDS, 132 00:07:45,267 --> 00:07:46,667 AND BY THIS TIME, 133 00:07:46,667 --> 00:07:49,733 MY MOM WAS IN AND OUT OF THE HOSPITAL FOR HER DEPRESSION, 134 00:07:49,733 --> 00:07:51,467 SO I NEEDED TO GET A JOB. 135 00:07:53,667 --> 00:07:56,067 I STARTED AS A JANITOR WORKING NIGHTS, 136 00:07:56,067 --> 00:07:58,467 AND WHEN I WAS 18, I MET JAMES. 137 00:08:00,733 --> 00:08:02,833 HE WAS A JANITOR, TOO. 138 00:08:02,833 --> 00:08:06,767 JAMES WAS THE FIRST PERSON WHO EVER PAID ATTENTION TO ME. 139 00:08:06,767 --> 00:08:08,967 I TEND TO LIKE BIGGER GIRLS, 140 00:08:08,967 --> 00:08:11,767 SO THAT'S WHAT ATTRACTED ME TO TAMY, 141 00:08:11,767 --> 00:08:14,133 IS SHE WAS A BIG GIRL. 142 00:08:14,133 --> 00:08:17,600 IT WAS KIND OF LOVE AT FIRST SIGHT. 143 00:08:17,600 --> 00:08:19,933 Tamy: SO THINGS JUST MOVED VERY FAST, 144 00:08:19,933 --> 00:08:23,400 AND I GOT PREGNANT ABOUT A MONTH AFTER WE STARTED DATING. 145 00:08:25,900 --> 00:08:28,100 AND FOR THE FIRST TIME IN MY WHOLE LIFE, 146 00:08:28,100 --> 00:08:32,867 THINGS SEEMED GOOD, BUT THAT DIDN'T LAST LONG. 147 00:08:32,867 --> 00:08:36,500 JAMES AND I STARTED FIGHTING A LOT. 148 00:08:36,500 --> 00:08:37,733 James: WHEN WE WERE YOUNGER, 149 00:08:37,733 --> 00:08:41,667 I DIDN'T KNOW THAT I HAD A PROBLEM WITH BIPOLAR, 150 00:08:41,667 --> 00:08:46,500 AND THAT REALLY DID A NUMBER ON OUR RELATIONSHIP, 151 00:08:46,500 --> 00:08:50,833 YOU KNOW, BECAUSE I WOULD HAVE THESE ANGER OUTBURSTS. 152 00:08:50,833 --> 00:08:53,067 Tamy: HE WOULD SIT THERE AND TALK ABOUT HOW I WAS A SLOB, 153 00:08:53,067 --> 00:08:54,967 HOW I WAS A FAT COW OR I WAS JUST, 154 00:08:54,967 --> 00:08:57,133 MORE OR LESS, A HORRIBLE PERSON, 155 00:08:57,133 --> 00:09:01,767 AND EMOTIONALLY, IT WOULD JUST TEAR ME APART. 156 00:09:01,767 --> 00:09:04,967 EATING MORE MADE ME FEEL BETTER. 157 00:09:04,967 --> 00:09:06,933 THE FOOD WAS NOT GOING TO YELL AT ME. 158 00:09:06,933 --> 00:09:09,133 IT'S NOT GOING TO ARGUE WITH ME. 159 00:09:09,133 --> 00:09:12,400 IT'S GOING TO BE NICE TO ME AT THAT MOMENT. 160 00:09:12,400 --> 00:09:16,300 AND BY THE TIME I WAS 25, I WAS OVER 300 POUNDS, 161 00:09:16,300 --> 00:09:21,100 AND I DIDN'T FEEL GOOD ABOUT MYSELF, AND A FEW YEARS LATER, 162 00:09:21,100 --> 00:09:23,400 I FOUND OUT JAMES HAD HAD AN AFFAIR 163 00:09:23,400 --> 00:09:26,067 WITH A REALLY GOOD FRIEND OF MINE, 164 00:09:26,067 --> 00:09:28,733 AND I WAS DEVASTATED. 165 00:09:28,733 --> 00:09:30,067 I FELT GUILTY. 166 00:09:30,067 --> 00:09:32,067 I FELT LIKE IT WAS MY FAULT. 167 00:09:32,067 --> 00:09:36,200 DID HE CHEAT BECAUSE I'M FAT AND UGLY? 168 00:09:36,200 --> 00:09:39,133 WE HAD BEEN TALKING ABOUT SEPARATING, 169 00:09:39,133 --> 00:09:42,567 AND I HAD FOUND OUT I WAS PREGNANT, 170 00:09:42,567 --> 00:09:43,867 SO WE HAD NO CHOICE 171 00:09:43,867 --> 00:09:46,433 AND DECIDED TO GIVE OUR MARRIAGE A SECOND CHANCE. 172 00:09:48,100 --> 00:09:49,867 BY THE TIME I GAVE BIRTH TO ZACHERY, 173 00:09:49,867 --> 00:09:55,767 I WAS 28 YEARS OLD AND ALMOST 400 POUNDS. 174 00:09:55,767 --> 00:09:58,333 AND THEN ME AND JAMES FINALLY HAD DECIDED 175 00:09:58,333 --> 00:10:00,733 THAT OUR MARRIAGE WASN'T WORKING 176 00:10:00,733 --> 00:10:03,367 WHEN ZACHERY WAS ABOUT A YEAR AND A HALF OLD. 177 00:10:03,367 --> 00:10:06,800 WE DECIDED TO GO OUR SEPARATE WAYS, 178 00:10:06,800 --> 00:10:11,033 AND I MOVED OUT FOR A WHILE BUT COULDN'T MAKE IT ON MY OWN, 179 00:10:11,033 --> 00:10:13,067 SO JAMES TOOK US BACK IN. 180 00:10:15,100 --> 00:10:16,467 AND AROUND THIS TIME, 181 00:10:16,467 --> 00:10:19,733 WE LEARNED THAT ZACHERY HAD SPECIAL NEEDS. 182 00:10:19,733 --> 00:10:22,400 I HAD TO QUIT MY JOB AND STAY HOME TO TAKE CARE OF HIM, 183 00:10:22,400 --> 00:10:25,900 WHICH REQUIRED A LOT FROM US AND ADDED A LOT OF STRESS. 184 00:10:28,000 --> 00:10:32,033 I JUST KEPT EATING AND GAINING WEIGHT. 185 00:10:32,033 --> 00:10:37,667 DURING MY LATE 30s, I WAS AROUND 450 POUNDS, 186 00:10:37,667 --> 00:10:40,733 AND I WAS VERY DEPRESSED, 187 00:10:40,733 --> 00:10:43,933 AND I STARTED HAVING HEALTH PROBLEMS. 188 00:10:43,933 --> 00:10:46,200 I COULDN'T GET OUT AND DO JUST SIMPLE THINGS 189 00:10:46,200 --> 00:10:48,533 THAT I HAD BEEN ABLE TO DO, 190 00:10:48,533 --> 00:10:51,800 YOU KNOW, 6 MONTHS TO A YEAR BEFORE THAT. 191 00:10:51,800 --> 00:10:55,133 THAT'S WHEN I NOTICED A LOT OF WEIGHT WAS GOING TO MY STOMACH, 192 00:10:55,133 --> 00:10:58,133 AND AFTER THAT, IT GOT EVEN WORSE. 193 00:11:00,300 --> 00:11:03,967 MY STOMACH STARTED TO SLOWLY HANG LOWER AND LOWER, 194 00:11:03,967 --> 00:11:09,500 AND IN MY EARLY 40s, I REALIZED I WAS OVER 500 POUNDS. 195 00:11:09,500 --> 00:11:11,467 I WAS MORTIFIED. 196 00:11:11,467 --> 00:11:15,067 IT JUST MADE ME SO SICK TO KNOW THAT I HAD GOTTEN THAT BIG. 197 00:11:17,500 --> 00:11:19,533 AND NOW I DON'T KNOW WHAT I WEIGH, 198 00:11:19,533 --> 00:11:22,767 BUT I'M AFRAID I'M CLOSE TO 600 POUNDS. 199 00:11:22,767 --> 00:11:26,067 ** 200 00:11:26,067 --> 00:11:28,400 MY WEIGHT HAD MADE IT NEARLY IMPOSSIBLE FOR ME 201 00:11:28,400 --> 00:11:31,100 TO BE SELF-RELIANT. 202 00:11:31,100 --> 00:11:33,800 THE ONLY THING THAT I SIT AND I CAN REALLY DO FOR MYSELF, 203 00:11:33,800 --> 00:11:38,333 AND IT'S NOT WITHOUT HELP, IS TO SIT DOWN AND COOK A MEAL. 204 00:11:38,333 --> 00:11:40,500 HEY, ZACHERY? Zachery: YES? 205 00:11:40,500 --> 00:11:41,733 CAN YOU COME HERE? 206 00:11:41,733 --> 00:11:43,533 I NEED A FEW THINGS OUT OF THE FRIDGE. 207 00:11:43,533 --> 00:11:47,067 MM-KAY. 208 00:11:47,067 --> 00:11:50,100 GRAB ME THE HAMBURGER AND THE CHEESE OUT OF THE FRIDGE. 209 00:11:50,100 --> 00:11:52,067 I THINK IT'S IN THE BOTTOM. 210 00:11:52,067 --> 00:11:55,333 MY SON ZACHERY IS 16, AND BECAUSE OF MY WEIGHT, 211 00:11:55,333 --> 00:11:58,333 I HAVE TO RELY ON ZACHERY MORE AND MORE 212 00:11:58,333 --> 00:12:01,367 INSTEAD OF HIM BEING ABLE TO DEPEND ON ME. 213 00:12:01,367 --> 00:12:04,700 ** 214 00:12:04,700 --> 00:12:07,633 Zachery: MY MOM IS THE MOST IMPORTANT PERSON IN MY LIFE. 215 00:12:07,633 --> 00:12:10,800 I WOULDN'T BE MYSELF AT ALL WITHOUT HER. 216 00:12:10,800 --> 00:12:14,367 ** 217 00:12:14,367 --> 00:12:16,267 I THINK THAT'S IT FOR RIGHT NOW. 218 00:12:16,267 --> 00:12:18,667 IF I NEED ANYTHING, I'LL LET YOU KNOW. 219 00:12:18,667 --> 00:12:20,300 Tamy: I FEEL GUILTY. I FEEL BAD 220 00:12:20,300 --> 00:12:24,067 BECAUSE THIS IS NOT HOW THINGS ARE SUPPOSED TO BE. 221 00:12:26,667 --> 00:12:30,700 IT'S JUST THE MOST KIND OF HUMILIATING THING 222 00:12:30,700 --> 00:12:32,500 TO ASK FOR HELP ALL THE TIME. 223 00:12:32,500 --> 00:12:39,067 ** 224 00:12:39,067 --> 00:12:41,567 James: OKAY. 225 00:12:43,900 --> 00:12:46,767 SINCE TAMY HAS LIVED WITH ME, 226 00:12:46,767 --> 00:12:49,833 HER EATING HABITS HAVE GOTTEN WORSE. 227 00:12:49,833 --> 00:12:55,233 I TRY TO TELL HER THAT SHE SHOULDN'T EAT LIKE SHE DOES. 228 00:12:55,233 --> 00:12:57,267 WHAT DO YOU SAY? THANK YOU, MOM. 229 00:12:57,267 --> 00:13:00,533 YOU'RE WELCOME, SWEETIE. 230 00:13:00,533 --> 00:13:05,133 AND I TRY NOT TO ENABLE TAMY, BUT SHE GETS MAD 231 00:13:05,133 --> 00:13:08,667 IF SHE DON'T GET WHAT SHE WANTS, 232 00:13:08,667 --> 00:13:12,667 SO IN ORDER TO KEEP THAT TENSION DOWN, 233 00:13:12,667 --> 00:13:14,500 I DO IT. 234 00:13:14,500 --> 00:13:16,500 HOW MUCH YOU WANT? 235 00:13:16,500 --> 00:13:18,567 MORE THAN THAT. 236 00:13:18,567 --> 00:13:19,733 MORE? YES. 237 00:13:19,733 --> 00:13:22,233 IS THAT ENOUGH? YEAH. 238 00:13:22,233 --> 00:13:23,700 THAT'S GOOD FOR NOW. 239 00:13:23,700 --> 00:13:28,067 I'D FIX BIG MEALS, AND I'D EAT AND EAT AND EAT 240 00:13:28,067 --> 00:13:31,367 BECAUSE, YOU KNOW, THERE'S NOT MUCH MORE THAT I CAN DO. 241 00:13:33,933 --> 00:13:35,267 WHERE WOULD YOU LIKE ME TO SET IT? 242 00:13:35,267 --> 00:13:37,267 JUST SET IT AT THE END OF MY BED. 243 00:13:37,267 --> 00:13:38,433 IS THAT ALL YOU NEED? 244 00:13:38,433 --> 00:13:39,567 YEAH. 245 00:13:39,567 --> 00:13:41,233 IF YOU NEED ANYTHING, HOLLER. 246 00:13:41,233 --> 00:13:42,067 OKAY. 247 00:13:42,067 --> 00:13:44,567 I'M GOING IN HERE. 248 00:13:44,567 --> 00:13:48,067 ** 249 00:13:48,067 --> 00:13:50,300 I LITERALLY THINK ABOUT FOOD ALL THE TIME. 250 00:13:50,300 --> 00:13:51,767 THE ONLY TIME I AM NOT THINKING ABOUT FOOD 251 00:13:51,767 --> 00:13:55,833 IS WHEN I'M EITHER IN THE BATHROOM OR I'M SLEEPING. 252 00:13:57,933 --> 00:13:59,100 HEY, ZACHERY? -YES. 253 00:13:59,100 --> 00:14:01,100 CAN YOU GET MY FOOD AND MY DRINK, PLEASE? 254 00:14:01,100 --> 00:14:03,600 -YEAH. -I CAN'T REACH IT FROM HERE. 255 00:14:03,600 --> 00:14:09,133 ** 256 00:14:09,133 --> 00:14:10,367 THANK YOU. 257 00:14:10,367 --> 00:14:11,333 MM-HMM. 258 00:14:11,333 --> 00:14:17,300 ** 259 00:14:17,300 --> 00:14:18,600 WHEN I FIRST START EATING, 260 00:14:18,600 --> 00:14:21,767 IT'S LIKE THE BEST THING IN THE WORLD. 261 00:14:21,767 --> 00:14:23,900 IT'S LIKE WHEN YOU'VE WON THE LOTTERY. 262 00:14:23,900 --> 00:14:27,233 IT'S JUST THE GREATEST THING. 263 00:14:27,233 --> 00:14:31,333 IT MAKES ME FEEL SO GOOD ABOUT EVERYTHING AT THAT MOMENT. 264 00:14:31,333 --> 00:14:34,067 BUT I KNOW I EAT AT LEAST FOUR OR FIVE TIMES 265 00:14:34,067 --> 00:14:36,733 MORE THAN I SHOULD. 266 00:14:36,733 --> 00:14:41,267 AND NOW I SEE ZACHERY FOLLOWING IN MY FOOTSTEPS, 267 00:14:41,267 --> 00:14:43,067 GAINING WEIGHT AND PICKING UP THE SAME 268 00:14:43,067 --> 00:14:48,600 BAD EATING HABITS THAT I HAVE, AND I'M WORRIED. 269 00:14:48,600 --> 00:14:53,700 I WOULDN'T WISH THIS LIFE ON ANYBODY, ESPECIALLY MY OWN SON. 270 00:14:53,700 --> 00:14:55,333 MOM, I'M DONE. 271 00:14:55,333 --> 00:14:57,600 I THINK I'M GOING TO PUT IT IN THE KITCHEN. 272 00:14:57,600 --> 00:15:01,133 OKAY. 273 00:15:01,133 --> 00:15:02,700 I DON'T KNOW WHY I CAN'T STOP EATING. 274 00:15:02,700 --> 00:15:05,067 IT'S LIKE A COMPULSIVE THING. 275 00:15:05,067 --> 00:15:06,500 IT'S LIKE I JUST NEED TO EAT IT. 276 00:15:06,500 --> 00:15:08,200 I NEED TO HAVE IT. 277 00:15:08,200 --> 00:15:09,633 I FEEL LIKE IT'S GOING TO MAKE ME FEEL BETTER, 278 00:15:09,633 --> 00:15:11,167 LIKE IT'S GOING TO SOLVE, 279 00:15:11,167 --> 00:15:13,833 I GUESS, WHATEVER IS GOING ON WITH ME RIGHT THEN. 280 00:15:16,533 --> 00:15:18,800 HEY, ZACH, CAN YOU COME GET THIS PLATE? 281 00:15:21,667 --> 00:15:23,533 THANK YOU. YOU'RE WELCOME. 282 00:15:23,533 --> 00:15:28,833 ** 283 00:15:28,833 --> 00:15:34,467 BUT AFTER I EAT, I HATE MYSELF. 284 00:15:34,467 --> 00:15:35,800 BUT 20, 30 MINUTES LATER, 285 00:15:35,800 --> 00:15:38,700 I'M READY TO DO IT AGAIN AND AGAIN AND AGAIN, 286 00:15:38,700 --> 00:15:40,467 AND IT'S LIKE AN ENDLESS CYCLE. 287 00:15:40,467 --> 00:15:44,167 I CAN NEVER STOP IT. 288 00:15:44,167 --> 00:15:48,200 I JUST SNACK ON THINGS ALL DAY LONG. 289 00:15:48,200 --> 00:15:51,667 OOH! 290 00:15:51,667 --> 00:15:54,067 UGH. 291 00:15:54,067 --> 00:15:56,833 I'VE NEVER REALLY SAT DOWN AND KEPT TRACK OF MY CALORIES. 292 00:15:56,833 --> 00:16:01,900 HONESTLY, I WOULDN'T EVEN KNOW WHERE TO START, 293 00:16:01,900 --> 00:16:05,833 BUT I KNOW I'M EATING MYSELF TO DEATH. 294 00:16:05,833 --> 00:16:08,300 MY WEIGHT IS OUT OF CONTROL. 295 00:16:08,300 --> 00:16:11,333 ** 296 00:16:11,333 --> 00:16:15,700 IT'S GOTTEN REALLY BAD, THOUGH, AS THE YEARS HAVE WENT ON. 297 00:16:18,500 --> 00:16:21,700 I FEEL LIKE I'M NOT LIVING. I'M JUST EXISTING. 298 00:16:21,700 --> 00:16:24,067 IT'S HORRIBLE. 299 00:16:24,067 --> 00:16:26,067 AND IF I DON'T CHANGE, 300 00:16:26,067 --> 00:16:27,867 I'M GOING TO END UP DYING. 301 00:16:33,467 --> 00:16:41,433 ** 302 00:16:41,433 --> 00:16:49,400 ** 303 00:16:49,400 --> 00:16:54,667 ** 304 00:16:54,667 --> 00:16:57,233 [ BREATHES HEAVILY ] 305 00:16:57,233 --> 00:17:01,100 TODAY, I'M HEADING DOWN TO HOUSTON, TEXAS, TO SEE A DOCTOR 306 00:17:01,100 --> 00:17:03,967 WHO I'M HOPING CAN HELP ME WITH MY WEIGHT ISSUES. 307 00:17:06,233 --> 00:17:10,533 MY HUSBAND, JAMES, AND MY SON ZACHERY ARE GOING WITH ME. 308 00:17:10,533 --> 00:17:13,300 IF I GET TO HOUSTON AND DR. NOW WON'T TAKE ME ON AS A PATIENT, 309 00:17:13,300 --> 00:17:17,267 IT'LL BE DEVASTATING 310 00:17:17,267 --> 00:17:19,767 BECAUSE I FEEL LIKE HE'S MY LAST OPTION. 311 00:17:21,933 --> 00:17:24,367 James: TAMY'S HEALTH AND WELL-BEING IS AT STAKE RIGHT NOW. 312 00:17:24,367 --> 00:17:29,067 IF SHE GOES DOWN THERE, AND THE DOCTOR DON'T APPROVE HER, 313 00:17:29,067 --> 00:17:32,367 I DON'T SEE TAMY LIVING FOR ANOTHER 2 YEARS. 314 00:17:32,367 --> 00:17:35,267 THAT'S HOW BAD HER HEALTH IS. 315 00:17:35,267 --> 00:17:37,500 Tamy: I'M REALLY NERVOUS ABOUT THE TRIP, 316 00:17:37,500 --> 00:17:39,433 BUT I KNOW I HAVE TO DO IT. 317 00:17:39,433 --> 00:17:43,200 ** 318 00:17:43,200 --> 00:17:46,233 I'VE TRIED GOING ON DIFFERENT DIETS OVER THE YEARS, 319 00:17:46,233 --> 00:17:48,267 BUT THEY NEVER WORK. 320 00:17:48,267 --> 00:17:53,100 I'VE LOST WEIGHT, GAINED WEIGHT, LOST WEIGHT, GAINED WEIGHT. 321 00:17:53,100 --> 00:17:55,733 IT'S LIKE BEING ON A CONSTANT ROLLER-COASTER RIDE. 322 00:17:55,733 --> 00:18:02,667 [ PANTING ] 323 00:18:02,667 --> 00:18:05,067 James: YOU GOING TO BE OKAY? 324 00:18:05,067 --> 00:18:07,933 IN A FEW MINUTES. 325 00:18:07,933 --> 00:18:11,233 AND I'M NOT SURE IF MY BODY CAN HANDLE THE TRIP 326 00:18:11,233 --> 00:18:14,133 BECAUSE EVEN SOMETHING AS SIMPLE AS WALKING TO THE CAR 327 00:18:14,133 --> 00:18:19,433 WEARS ME OUT, SO WHAT'S A LONG TRIP GOING TO BE LIKE? 328 00:18:19,433 --> 00:18:21,567 OOH. OH. 329 00:18:21,567 --> 00:18:23,367 HERE, ZACHERY. 330 00:18:23,367 --> 00:18:27,667 [ PANTING ] 331 00:18:27,667 --> 00:18:29,400 OW. 332 00:18:29,400 --> 00:18:37,900 ** 333 00:18:37,900 --> 00:18:41,733 THE DRIVE DOWN TO HOUSTON IS ALMOST 17 HOURS, 334 00:18:41,733 --> 00:18:45,500 SO WE HAVE A COUPLE OF LONG DAYS AHEAD OF US. 335 00:18:45,500 --> 00:18:49,233 ** 336 00:18:49,233 --> 00:18:52,467 THIS WILL BE THE LONGEST TRIP I'VE TAKEN AT THIS WEIGHT, 337 00:18:52,467 --> 00:18:56,967 AND ANY WEIGHT, FOR THE LAST 10 YEARS. 338 00:18:56,967 --> 00:18:59,233 THERE'S A LOT RIDING ON THIS TRIP, 339 00:18:59,233 --> 00:19:01,733 AND I CAN ALREADY FEEL IT GETTING TO ME. 340 00:19:22,200 --> 00:19:24,067 [ COUGHING ] 341 00:19:24,067 --> 00:19:28,600 ** 342 00:19:28,600 --> 00:19:31,767 I'VE GOTTEN TO THE POINT WHERE MY HEALTH HAS GOTTEN SO BAD 343 00:19:31,767 --> 00:19:35,400 THAT I CAN'T DO THINGS THAT NORMAL PEOPLE TAKE FOR GRANTED. 344 00:19:35,400 --> 00:19:40,333 JUST WALKING TO AND FROM THE BATHROOM IS A MAJOR ORDEAL. 345 00:19:40,333 --> 00:19:42,567 IT'S LIKE RUNNING A MARATHON FOR ME. 346 00:19:42,567 --> 00:19:50,733 ** 347 00:19:50,733 --> 00:19:52,667 IT'S SO DIFFICULT TO BREATHE. 348 00:19:52,667 --> 00:19:59,633 ** 349 00:19:59,633 --> 00:20:01,500 YOU NEED ANY HELP? 350 00:20:01,500 --> 00:20:03,267 UNLESS YOU TO PICK ME UP AND CARRY ME TO THE CAR, 351 00:20:03,267 --> 00:20:04,700 YOU CAN'T HELP ME. I CAN'T DO THAT. 352 00:20:04,700 --> 00:20:06,067 HERE. JUST TAKE THIS FOR A SECOND. 353 00:20:06,067 --> 00:20:10,700 HERE, LET ME -- LET ME HAVE THIS. 354 00:20:10,700 --> 00:20:14,200 WE'RE BARELY A DAY INTO THIS TRIP, AND I AM STRUGGLING. 355 00:20:16,667 --> 00:20:18,500 GOT IT? 356 00:20:18,500 --> 00:20:22,233 IT'S SO HOT. 357 00:20:22,233 --> 00:20:26,767 I FEEL DIZZY... 358 00:20:26,767 --> 00:20:28,567 LIKE I'M GOING TO PASS OUT. 359 00:20:28,567 --> 00:20:33,933 ** 360 00:20:33,933 --> 00:20:39,267 ** 361 00:20:39,267 --> 00:20:40,367 OKAY. -ARE YOU GOING TO BE OKAY? 362 00:20:40,367 --> 00:20:42,900 NEED AIR. 363 00:20:45,400 --> 00:20:47,167 YOU GOING -- DO I NEED TO CALL AN AMBULANCE? 364 00:20:47,167 --> 00:20:48,233 NO. HUH? 365 00:20:48,233 --> 00:20:49,467 NO. I JUST GOT TO CATCH MY BREATH. 366 00:20:49,467 --> 00:20:51,233 YOU DON'T FEEL LIKE YOU'RE GOING TO PASS OUT? 367 00:20:51,233 --> 00:20:52,267 NOT YET. 368 00:20:52,267 --> 00:20:54,733 WELL, YOU LET ME KNOW, YOU HEAR ME? 369 00:20:54,733 --> 00:20:57,400 IF I HAVE TO, I'LL CALL AN AMBULANCE. 370 00:20:57,400 --> 00:20:58,767 OKAY? YEAH. 371 00:20:58,767 --> 00:21:06,367 ** 372 00:21:06,367 --> 00:21:09,533 I CAN'T CONTINUE LIVING THIS WAY, 373 00:21:09,533 --> 00:21:12,233 AND I'VE ALREADY COME TOO FAR TO TURN AROUND. 374 00:21:14,933 --> 00:21:16,233 GOT IT? YEAH. 375 00:21:16,233 --> 00:21:17,700 YEAH. 376 00:21:17,700 --> 00:21:24,600 ** 377 00:21:24,600 --> 00:21:31,533 ** 378 00:21:31,533 --> 00:21:35,333 LAST NIGHT, I WAS TOO TIRED AND ACHY TO CONTINUE THE TRIP, 379 00:21:35,333 --> 00:21:37,833 SO WE STOPPED AT A HOTEL IN NASHVILLE, 380 00:21:37,833 --> 00:21:40,300 AND NOW WE'RE ON THE ROAD AGAIN. 381 00:21:40,300 --> 00:21:43,333 I'M SO GLAD THIS TRIP IS ALMOST OVER 382 00:21:43,333 --> 00:21:45,967 BECAUSE IT HAS TAKEN A BIG TOLL ON MY BODY. 383 00:21:45,967 --> 00:21:49,133 ** 384 00:21:49,133 --> 00:21:51,400 MY BODY IS JUST PHYSICALLY WORN OUT. 385 00:21:51,400 --> 00:21:53,467 IT REALLY IS. 386 00:21:53,467 --> 00:21:56,833 I KNOW IT'S BEEN ROUGH FOR YOU, TAMY. 387 00:21:56,833 --> 00:21:58,067 IT HAS. 388 00:21:58,067 --> 00:22:00,333 BUT THIS IS A GOOD THING WE'RE DOING FOR YOU. 389 00:22:02,933 --> 00:22:07,333 IT'S BEEN A LOT OF MILES AND A LOT OF ACHES AND PAINS 390 00:22:07,333 --> 00:22:09,933 AND FRUSTRATIONS... 391 00:22:09,933 --> 00:22:10,967 UGH. 392 00:22:13,333 --> 00:22:15,900 ...BUT WE FINALLY MADE IT TO HOUSTON, 393 00:22:15,900 --> 00:22:20,200 AND I'VE NEVER BEEN MORE WORRIED IN MY LIFE. 394 00:22:20,200 --> 00:22:24,600 I'M WORRIED ABOUT WHAT THE DOCTOR IS GOING TO SAY TODAY, 395 00:22:24,600 --> 00:22:26,400 AND I'M HOPING THAT WHEN I GET OUT, 396 00:22:26,400 --> 00:22:29,200 THAT I CAN ACTUALLY WALK INTO THE DOCTOR'S OFFICE 397 00:22:29,200 --> 00:22:32,267 BECAUSE MY LEGS ARE HURTING REALLY BAD TODAY. 398 00:22:32,267 --> 00:22:35,400 BUT I KNOW I NEED TO KEEP PUSHING MYSELF. 399 00:22:35,400 --> 00:22:42,333 ** 400 00:22:42,333 --> 00:22:45,267 ALL RIGHT. LET ME GRAB YOUR SHOES. 401 00:22:48,167 --> 00:22:51,133 IT'S MY FIRST APPOINTMENT WITH DR. NOWZARADAN, 402 00:22:51,133 --> 00:22:53,533 AND I HOPE I CAN JUST MAKE IT TO THE SCALE... 403 00:22:55,633 --> 00:22:59,067 ...BECAUSE I FEEL LIKE THIS IS MY LAST CHANCE TO GET HELP. 404 00:23:01,100 --> 00:23:02,933 BUT I'M SCARED HE'S GOING TO TELL ME 405 00:23:02,933 --> 00:23:04,133 THAT HE CAN'T HELP ME... 406 00:23:04,133 --> 00:23:05,633 YOU WANT ME ON THAT SIDE? 407 00:23:05,633 --> 00:23:09,233 ** 408 00:23:09,233 --> 00:23:11,600 ...AND THAT I'M TOO FAR GONE AT THIS POINT. 409 00:23:11,600 --> 00:23:14,700 ** 410 00:23:14,700 --> 00:23:17,133 IT'S ABOUT TO BE THE MOMENT OF TRUTH 411 00:23:17,133 --> 00:23:18,933 WHERE I MEET DR. NOWZARADAN, 412 00:23:18,933 --> 00:23:20,500 AND HE TELLS ME IF HE CAN HELP ME. 413 00:23:20,500 --> 00:23:22,467 [ COUGHS ] 414 00:23:22,467 --> 00:23:27,133 ** 415 00:23:27,133 --> 00:23:30,667 I WILL BE DEVASTATED IF DR. NOW REJECTS ME, 416 00:23:30,667 --> 00:23:34,567 AND I'M EXTREMELY NERVOUS TO FIND OUT HOW MUCH I WEIGH 417 00:23:34,567 --> 00:23:37,300 BECAUSE I KNOW EVERYTHING IS RIDING 418 00:23:37,300 --> 00:23:38,700 ON WHAT'S ABOUT TO HAPPEN. 419 00:23:44,667 --> 00:23:54,233 ** 420 00:23:54,233 --> 00:23:56,933 Tamy: IT'S ABOUT TO BE THE MOMENT OF TRUTH, 421 00:23:56,933 --> 00:24:01,133 AND I'M EXTREMELY NERVOUS TO FIND OUT HOW MUCH I WEIGH 422 00:24:01,133 --> 00:24:03,067 BECAUSE I KNOW EVERYTHING IS RIDING 423 00:24:03,067 --> 00:24:04,800 ON WHAT'S ABOUT TO HAPPEN. 424 00:24:04,800 --> 00:24:08,533 ** 425 00:24:08,533 --> 00:24:10,367 THAT'S TERRIBLE. 426 00:24:10,367 --> 00:24:15,067 [ BREATHING HEAVILY ] 427 00:24:15,067 --> 00:24:16,900 I AM JUST TOTALLY IN SHOCK. 428 00:24:19,067 --> 00:24:21,733 WHEN I SEEN THE NUMBER COME UP ON THE SCALE, 429 00:24:21,733 --> 00:24:25,867 MY HEART JUST DROPPED. 430 00:24:25,867 --> 00:24:30,933 I KNOW I NEED TO DO SOMETHING, AND I NEED TO DO IT NOW. 431 00:24:32,567 --> 00:24:35,233 BUT I HATE MYSELF FOR LETTING IT GO THAT FAR. 432 00:24:35,233 --> 00:24:37,700 [ KNOCK ON DOOR ] 433 00:24:37,700 --> 00:24:38,867 -HELLO. -HELLO. -HELLO. 434 00:24:38,867 --> 00:24:40,067 HOW ARE YOU ALL DOING? 435 00:24:40,067 --> 00:24:41,867 GOOD. HOW ARE YOU? 436 00:24:41,867 --> 00:24:43,767 ALL RIGHT. I'M DR. NOWZARADAN. 437 00:24:43,767 --> 00:24:45,400 I'M TAMY. I'M JAMES. 438 00:24:45,400 --> 00:24:47,067 THIS IS OUR SON ZACHARY. HOW YOU DOING? 439 00:24:47,067 --> 00:24:48,200 HOW YOU DOING? GOOD. 440 00:24:48,200 --> 00:24:49,767 GOOD. ALL RIGHT, TAMY. 441 00:24:49,767 --> 00:24:51,600 TELL ME A LITTLE BIT ABOUT YOURSELF, 442 00:24:51,600 --> 00:24:55,067 AND LET'S START BY GOING OVER YOUR EATING HABITS. 443 00:24:55,067 --> 00:24:59,067 THEY'RE NOT GOOD. 444 00:24:59,067 --> 00:25:00,933 I'M A CARB EATER. I LOVE MY CARBS, 445 00:25:00,933 --> 00:25:03,433 AND I EMOTIONALLY EAT. 446 00:25:03,433 --> 00:25:04,633 I EAT WHEN I'M BORED. 447 00:25:04,633 --> 00:25:06,833 I EAT SWEETS. 448 00:25:06,833 --> 00:25:08,800 SO HOW IS YOUR ACTIVITY? 449 00:25:08,800 --> 00:25:10,300 I DON'T DO A WHOLE LOT. 450 00:25:10,300 --> 00:25:13,367 I GET REAL SHORT OUT OF BREATH, AND SO, I MEAN, 451 00:25:13,367 --> 00:25:15,433 BESIDES WALKING, YOU KNOW, GETTING UP, 452 00:25:15,433 --> 00:25:17,500 WALKING TO THE BATHROOM, THINGS LIKE THAT, 453 00:25:17,500 --> 00:25:19,233 I DON'T DO A WHOLE LOT. 454 00:25:19,233 --> 00:25:21,967 OKAY. SO YOU HAVE GOTTEN TO A PLACE 455 00:25:21,967 --> 00:25:24,400 WHERE YOU JUST EAT POORLY ALL DAY LONG, 456 00:25:24,400 --> 00:25:26,067 AND YOU'RE NOT ACTIVE. 457 00:25:26,067 --> 00:25:27,700 YES. OKAY. 458 00:25:27,700 --> 00:25:30,767 HELP ME UNDERSTAND YOUR DYNAMIC AT HOME. 459 00:25:30,767 --> 00:25:32,767 DO YOU GET THE FOOD FOR YOURSELF, 460 00:25:32,767 --> 00:25:35,733 OR IS HE BRINGING YOU AND CHOOSING, 461 00:25:35,733 --> 00:25:37,733 THEN YOU EAT ALL OF THAT UNHEALTHY FOOD, 462 00:25:37,733 --> 00:25:39,067 OR YOU ASK HIM FOR IT? 463 00:25:39,067 --> 00:25:41,067 HE NEVER TELLS ME NO. 464 00:25:41,067 --> 00:25:42,767 I DON'T THINK HE WANTS TO ARGUE WITH ME. 465 00:25:42,767 --> 00:25:44,767 James: IF I DO SAY NO, SHE GETS ANGRY, 466 00:25:44,767 --> 00:25:47,400 SO INSTEAD OF ARGUING WITH HER AND FIGHTING WITH HER... 467 00:25:47,400 --> 00:25:48,567 YOU TAKE THE EASY WAY OUT. 468 00:25:48,567 --> 00:25:49,633 YEAH. 469 00:25:49,633 --> 00:25:50,700 YES, I HAVE. ALL RIGHT. 470 00:25:50,700 --> 00:25:53,300 SO YOU CONTROL THE SITUATION, RIGHT? 471 00:25:53,300 --> 00:25:54,600 YEAH. AND, JAMES, 472 00:25:54,600 --> 00:25:56,367 YOU HELP TO TAKE CARE OF HER, 473 00:25:56,367 --> 00:25:59,067 BUT IN REALITY, YOU'RE THE ENABLER. 474 00:25:59,067 --> 00:26:00,667 DOES THAT SOUND ABOUT RIGHT? 475 00:26:00,667 --> 00:26:01,633 -YEAH. YEAH. I -- -MM-HMM. 476 00:26:01,633 --> 00:26:03,767 SO THIS IS THE COMMON THING. 477 00:26:03,767 --> 00:26:06,467 YOU GET EVERYBODY TO AGREE WITH YOU, 478 00:26:06,467 --> 00:26:09,933 AND THEN YOU ARE THE VICTIM, RIGHT? 479 00:26:09,933 --> 00:26:12,800 SO THIS IS THE SITUATION THAT WE HAVE TO ADDRESS, 480 00:26:12,800 --> 00:26:15,400 AND WE'RE GOING TO HAVE TO CHANGE ALL THAT DYNAMIC, 481 00:26:15,400 --> 00:26:20,067 SO THAT MEANS, TAMY, YOU STOP MANIPULATING EVERYONE, 482 00:26:20,067 --> 00:26:23,600 AND, JAMES, NOW YOU'RE GOING TO HAVE TO LEARN TO SAY NO, 483 00:26:23,600 --> 00:26:26,933 AND STOP TAKING THE EASY WAY OUT 484 00:26:26,933 --> 00:26:29,433 BY LETTING HER SLOWLY KILL HERSELF 485 00:26:29,433 --> 00:26:31,533 BECAUSE, TAMY, AT YOUR WEIGHT, 486 00:26:31,533 --> 00:26:33,467 YOU'RE ALREADY STARTING TO BREAK DOWN, 487 00:26:33,467 --> 00:26:36,400 AND YOU'RE ALREADY HAVING TROUBLE GETTING AROUND. 488 00:26:36,400 --> 00:26:38,200 SO YOU NEED TO MAKE A DECISION 489 00:26:38,200 --> 00:26:41,600 THAT THERE IS SOME RESPONSIBILITY FOR YOUR PART 490 00:26:41,600 --> 00:26:43,800 THAT YOU NEED TO CHANGE YOUR EATING HABIT 491 00:26:43,800 --> 00:26:45,467 OR YOU'RE GOING TO DIE. 492 00:26:45,467 --> 00:26:46,633 OKAY. 493 00:26:46,633 --> 00:26:49,067 BUT LET'S LIFT IT UP AND LET ME TAKE A LOOK AT IT 494 00:26:49,067 --> 00:26:51,100 TO SEE WHAT'S GOING ON WITH IT. 495 00:26:58,433 --> 00:27:01,300 VERY HEAVY. YEAH. 496 00:27:01,300 --> 00:27:04,067 THIS IS JUST GOING TO BE A SITUATION 497 00:27:04,067 --> 00:27:05,900 WHERE IT'S GOING TO PULL ON HER ABDOMEN 498 00:27:05,900 --> 00:27:08,200 BECAUSE WHEN YOU START GAINING MORE WEIGHT 499 00:27:08,200 --> 00:27:10,067 THAN THE BODY CAN HANDLE, 500 00:27:10,067 --> 00:27:12,233 IT HAS TO FIND A PLACE TO STORE IT. 501 00:27:12,233 --> 00:27:16,500 SOME PEOPLE GAIN ALL AROUND, AND OTHERS, THE BODY PICKS SPOTS 502 00:27:16,500 --> 00:27:18,667 AND STARTS STORING FAT THERE, 503 00:27:18,667 --> 00:27:22,067 AND YOUR ABDOMEN HAS AN ABNORMAL AMOUNT OF WEIGHT ON IT, 504 00:27:22,067 --> 00:27:24,100 AND THE ONLY WAY TO CORRECT IT IS 505 00:27:24,100 --> 00:27:26,867 IS FOR YOU TO START LOSING WEIGHT, TAMY, 506 00:27:26,867 --> 00:27:31,300 AND GET TO A PLACE WHERE WE CAN DO WEIGHT-LOSS SURGERY ON YOU. 507 00:27:31,300 --> 00:27:34,267 WE HAVE A UNIQUE SITUATION WITH TAMY. 508 00:27:34,267 --> 00:27:37,367 SHE'S ALMOST 600 POUNDS, BUT MOST OF HER WEIGHT 509 00:27:37,367 --> 00:27:39,367 IS COLLECTED IN HER ABDOMEN 510 00:27:39,367 --> 00:27:42,100 AND HAS FORMED A HUGE, DISTENDED MASS 511 00:27:42,100 --> 00:27:44,700 THAT HAS DEVELOPED A LYMPHEDEMA IN IT, 512 00:27:44,700 --> 00:27:48,100 SO IT IS ALL PULLING ON HER INTERNAL ORGANS, 513 00:27:48,100 --> 00:27:50,500 AND IT IS A VERY REAL POSSIBILITY 514 00:27:50,500 --> 00:27:53,067 THAT WITH ALL THAT TENSION AND STRAIN, 515 00:27:53,067 --> 00:27:56,167 THAT IT CAN START TO CREATE SOME INTERNAL BLEEDING 516 00:27:56,167 --> 00:27:58,533 THAT CAN BECOME LIFE THREATENING. 517 00:27:58,533 --> 00:28:02,067 BUT BEFORE WE REMOVE IT, WE NEED TO DO WEIGHT-LOSS SURGERY 518 00:28:02,067 --> 00:28:05,567 BECAUSE IF WE REMOVE THE MASS, AND SHE GAINS WEIGHT, 519 00:28:05,567 --> 00:28:07,800 IT WILL NOT ONLY START TO COME BACK, 520 00:28:07,800 --> 00:28:11,267 BUT IT WILL BE WORSE THE SECOND TIME AROUND, 521 00:28:11,267 --> 00:28:13,667 BUT I'M VERY CONCERNED BY HER HISTORY 522 00:28:13,667 --> 00:28:16,100 IN THE CHART REGARDING HER LUNGS. 523 00:28:16,100 --> 00:28:19,667 SO WE HAVE A LOT OF ISSUES TO ADDRESS WITH TAMY 524 00:28:19,667 --> 00:28:23,067 THAT WE NEED TO TURN AROUND IMMEDIATELY. 525 00:28:23,067 --> 00:28:25,233 SO, TAMY, YOU ARE DIABETIC. 526 00:28:25,233 --> 00:28:26,267 YES. 527 00:28:26,267 --> 00:28:27,267 AND YOU HAVE HIGH BLOOD PRESSURE. 528 00:28:27,267 --> 00:28:28,500 YES. 529 00:28:28,500 --> 00:28:31,300 AND YOU HAVE COPD, WHICH MAKES IT HARD TO BREATHE, 530 00:28:31,300 --> 00:28:33,300 AND THIS IS ALL A RESULT OF YOUR WEIGHT. 531 00:28:33,300 --> 00:28:34,467 OKAY. 532 00:28:34,467 --> 00:28:38,267 SO I'M GOING TO PUT YOU ON A 1,200-CALORIE-A-DAY, 533 00:28:38,267 --> 00:28:40,367 LOW-CARB, HIGH-PROTEIN DIET, 534 00:28:40,367 --> 00:28:44,367 AND I WANT YOU TO LOSE 40 POUNDS OVER THE NEXT MONTH. 535 00:28:44,367 --> 00:28:46,100 OKAY. AND IF YOU DO THAT, 536 00:28:46,100 --> 00:28:48,667 AND IF THERE ARE NO MEDICAL ISSUES 537 00:28:48,667 --> 00:28:50,600 THAT WE NEED TO ADDRESS FIRST, 538 00:28:50,600 --> 00:28:53,433 THEN I WILL CONSIDER YOU FOR WEIGHT-LOSS SURGERY. 539 00:28:53,433 --> 00:28:54,400 OKAY. 540 00:28:54,400 --> 00:28:56,067 SO WE HAVE A LOT OF WORK TO DO, 541 00:28:56,067 --> 00:28:58,500 AND IT'S GOT TO BE A GROUP EFFORT. 542 00:28:58,500 --> 00:29:01,700 SO, JAMES, YOU NEED TO HELP INSTEAD OF ENABLING HER 543 00:29:01,700 --> 00:29:03,067 BY BEING PASSIVE 544 00:29:03,067 --> 00:29:05,400 AND AVOIDING MAKING HER ANGRY. 545 00:29:05,400 --> 00:29:06,400 MM-KAY. OKAY. 546 00:29:06,400 --> 00:29:08,900 GREAT. SO NICE TO MEET YOU. 547 00:29:08,900 --> 00:29:10,200 NICE TO MEET YOU, TOO. 548 00:29:10,200 --> 00:29:11,467 ALL RIGHT. NICE MEETING YOU. 549 00:29:11,467 --> 00:29:13,567 NICE MEETING YOU. NICE MEETING YOU, TOO, 550 00:29:13,567 --> 00:29:15,567 AND I'LL SEE YOU IN A MONTH. 551 00:29:15,567 --> 00:29:16,733 -OKAY. -OKAY. -OKAY? 552 00:29:16,733 --> 00:29:19,067 ALL RIGHT. ALL RIGHT. 553 00:29:19,067 --> 00:29:23,367 Dr. Nowzaradan: TAMY CLEARLY HAS A DYSFUNCTIONAL DYNAMIC AT HOME. 554 00:29:23,367 --> 00:29:25,667 HER HUSBAND, JAMES, ENABLES HER, 555 00:29:25,667 --> 00:29:27,867 AND THERE MAY BE SOME MOTIVES THERE 556 00:29:27,867 --> 00:29:30,433 THAT AREN'T YET FULLY CLEAR, 557 00:29:30,433 --> 00:29:33,633 BUT THE WHOLE SITUATION AT HOME NEEDS TO BE CHANGED, 558 00:29:33,633 --> 00:29:38,600 AND THAT'S GOING TO HAVE TO START WITH TAMY. 559 00:29:38,600 --> 00:29:41,167 I KNEW THAT WAS GOING TO BE REALLY HARD. 560 00:29:41,167 --> 00:29:44,767 YOU CAN DO IT, MOM. 561 00:29:44,767 --> 00:29:47,800 Tamy: EVEN THOUGH IT WAS HARD TO HEAR THE TRUTH ABOUT MY WEIGHT, 562 00:29:47,800 --> 00:29:52,567 I BELIEVE DR. NOW WILL SUPPORT ME THROUGH MY WHOLE WEIGHT LOSS. 563 00:29:52,567 --> 00:29:57,067 THIS IS AN AMAZING CHANCE FOR ME TO GET MY LIFE BACK. 564 00:29:57,067 --> 00:29:59,367 I'M GOING TO HAVE A LONG 4 WEEKS AHEAD, 565 00:29:59,367 --> 00:30:02,067 AND I KNOW IT'S GOING TO BE VERY DIFFICULT, 566 00:30:02,067 --> 00:30:03,900 BUT I'M GOING TO DO IT. 567 00:30:03,900 --> 00:30:05,000 I HAVE TO DO IT. 568 00:30:05,000 --> 00:30:15,000 ** 569 00:30:15,000 --> 00:30:20,100 ** 570 00:30:20,100 --> 00:30:23,100 Tamy: IT'S BEEN A COUPLE OF WEEKS SINCE I SAW DR. NOW, 571 00:30:23,100 --> 00:30:26,133 AND IT'S BEEN TOUGH. 572 00:30:26,133 --> 00:30:28,567 MY WHOLE LIFE, I'VE EATEN WHATEVER I WANTED 573 00:30:28,567 --> 00:30:30,533 WHENEVER I WANTED, 574 00:30:30,533 --> 00:30:33,333 BUT I CAN'T DO THAT ANYMORE. 575 00:30:33,333 --> 00:30:35,567 AND IT'S BEEN ESPECIALLY HARD 576 00:30:35,567 --> 00:30:39,667 BECAUSE I'M NOT GETTING THE SUPPORT I THOUGHT I WOULD. 577 00:30:39,667 --> 00:30:41,367 JAMES HAS BEEN ACTING DIFFERENTLY 578 00:30:41,367 --> 00:30:44,600 EVER SINCE WE GOT BACK FROM HOUSTON. 579 00:30:44,600 --> 00:30:46,600 HE'S BEEN GROWING DISTANT FROM ME, 580 00:30:46,600 --> 00:30:49,700 AND HIS PATIENCE WITH ZACHERY HAS BEEN GROWING THIN. 581 00:30:49,700 --> 00:30:53,500 ALSO, MY FAMILY IS NOT CHANGING THEIR DIET FOR ME. 582 00:30:53,500 --> 00:30:55,700 IT USED TO BE WHERE WE PRETTY MUCH ATE THE SAME THING AT NIGHT 583 00:30:55,700 --> 00:30:57,233 FOR DINNER, 584 00:30:57,233 --> 00:30:59,400 BUT NOW, HAVING TO MAKE MEALS FOR THEM 585 00:30:59,400 --> 00:31:02,400 AND A COMPLETELY DIFFERENT ONE FOR ME, 586 00:31:02,400 --> 00:31:04,633 AND IT'S HARD BECAUSE I SEE THEIR FOOD, 587 00:31:04,633 --> 00:31:06,067 AND IT LOOKS SO GOOD. 588 00:31:06,067 --> 00:31:07,800 I MISS IT. 589 00:31:07,800 --> 00:31:10,833 YOU KNOW, IT WAS MY FRIEND. 590 00:31:10,833 --> 00:31:13,900 BUT SO FAR, I'M RESISTING THE TEMPTATIONS, 591 00:31:13,900 --> 00:31:16,500 AND I'M MEASURING HOW MUCH I PUT INTO MY MOUTH. 592 00:31:16,500 --> 00:31:19,833 ** 593 00:31:19,833 --> 00:31:22,400 SO FAR, I THINK I'M DOING PRETTY GOOD, 594 00:31:22,400 --> 00:31:24,800 AND I KNOW THIS IS SOMETHING I HAVE TO DO. 595 00:31:24,800 --> 00:31:26,567 James: DID YOU HAVE SOMETHING TO DRINK? 596 00:31:26,567 --> 00:31:30,333 I JUST WISH I KNEW WHAT WAS GOING ON WITH JAMES 597 00:31:30,333 --> 00:31:35,533 BECAUSE WITHOUT HIS SUPPORT, I DON'T KNOW IF I CAN DO THIS. 598 00:31:35,533 --> 00:31:38,367 IT'S HARD ENOUGH WORRYING ABOUT ZACHERY, 599 00:31:38,367 --> 00:31:40,067 BUT HAVING TO WORRY ABOUT THEM BOTH 600 00:31:40,067 --> 00:31:42,367 IS TOO MUCH FOR ME TO HANDLE. 601 00:31:42,367 --> 00:31:45,633 ** 602 00:31:45,633 --> 00:31:46,833 ZACHERY? 603 00:31:46,833 --> 00:31:47,933 Zachery: WHAT? 604 00:31:47,933 --> 00:31:49,133 YOUR DINNER IS IN HERE. 605 00:31:49,133 --> 00:31:51,600 IT'S ON THE COUNTER IN THERE. 606 00:31:51,600 --> 00:31:54,833 DON'T HAVE AN ATTITUDE, AND I MEAN IT. 607 00:31:54,833 --> 00:31:56,467 I'M SERIOUS. 608 00:31:56,467 --> 00:31:58,933 IF YOU DON'T EAT, YOU'RE NOT GETTING BACK ON THAT COMPUTER. 609 00:31:58,933 --> 00:32:02,133 ** 610 00:32:02,133 --> 00:32:06,933 SINCE I'VE STARTED THIS PROCESS, I FIGURED I'D HAVE MORE SUPPORT, 611 00:32:06,933 --> 00:32:10,067 BUT JAMES KEEPS DISAPPEARING MORE AND MORE, 612 00:32:10,067 --> 00:32:13,600 AND IT'S REALLY GETTING TO THE POINT IT REALLY BOTHERS ME 613 00:32:13,600 --> 00:32:15,467 BECAUSE WHEN I HAVE A BAD DAY, 614 00:32:15,467 --> 00:32:19,600 I HAVE NOBODY TO TALK TO ABOUT IT BECAUSE HE'S GONE. 615 00:32:19,600 --> 00:32:21,633 SO I DON'T FEEL LIKE HE'S THERE FOR ME 616 00:32:21,633 --> 00:32:23,867 BECAUSE HOW HE RESPONDS TO ZACHERY 617 00:32:23,867 --> 00:32:26,433 AND HOW HE'S TREATING BOTH OF US RIGHT NOW 618 00:32:26,433 --> 00:32:30,100 IS MAKING IT EXTREMELY DIFFICULT TO DO THIS 619 00:32:30,100 --> 00:32:33,700 BECAUSE WHEN EVERYONE IS TENSE AND EVERYTHING IS LIKE THIS, 620 00:32:33,700 --> 00:32:36,100 IT JUST MAKES ME WANT TO EAT. 621 00:32:36,100 --> 00:32:38,700 SO I KNOW I'M GOING TO HAVE TO TALK TO HIM 622 00:32:38,700 --> 00:32:41,300 BECAUSE I CAN'T KEEP GOING ON LIKE THIS. 623 00:32:41,300 --> 00:32:45,800 ** 624 00:32:45,800 --> 00:32:49,367 YOU KNOW IN THE PAST I HAVE NOT ASKED MUCH FROM YOU. 625 00:32:49,367 --> 00:32:50,933 I REALLY HAVEN'T. 626 00:32:50,933 --> 00:32:52,667 I'D WISH YOU'D STAY AROUND MORE. 627 00:32:52,667 --> 00:32:55,533 YOU'RE ALWAYS LEAVING, AND I DO FEEL ALONE 628 00:32:55,533 --> 00:32:57,233 BECAUSE THIS IS IMPORTANT. 629 00:32:57,233 --> 00:32:58,600 I KNOW THAT. 630 00:32:58,600 --> 00:33:00,067 YOU KNOW, YOU DON'T.... YOU KNOW -- 631 00:33:00,067 --> 00:33:01,733 ...COME IN AND SAY, "HEY, HOW'S YOUR DIET GOING?" 632 00:33:01,733 --> 00:33:05,867 AND ONCE IN A GREAT, GREAT WHILE, YOU ASK ME, YOU KNOW, 633 00:33:05,867 --> 00:33:07,300 AND I DON'T HAVE SOMEBODY SITTING THERE 634 00:33:07,300 --> 00:33:09,267 ASKING ME EVERY DAY, "HOW ARE YOU DOING? 635 00:33:09,267 --> 00:33:11,067 HOW DID YOU DO TODAY ON YOUR DIET?" 636 00:33:11,067 --> 00:33:13,067 DAMN IT, TAMY. USUALLY YOU -- 637 00:33:13,067 --> 00:33:15,533 YOU ACT LIKE I DON'T DO -- I HAVE BEEN THERE FOR YOU. 638 00:33:15,533 --> 00:33:16,833 WHO ELSE HAS BEEN THERE FOR YOU? 639 00:33:16,833 --> 00:33:18,500 NOBODY. I KNOW. 640 00:33:18,500 --> 00:33:19,933 I HAVE BEEN THERE. 641 00:33:19,933 --> 00:33:21,700 FOR THE LAST 7 YEARS, 642 00:33:21,700 --> 00:33:23,100 WHO WAS THE ONE THAT'S BEEN THERE FOR YOU? 643 00:33:23,100 --> 00:33:25,067 I KNOW. ME. 644 00:33:25,067 --> 00:33:26,400 THERE'S BEEN PLENTY OF TIMES I'VE ASKED YOU 645 00:33:26,400 --> 00:33:27,600 FOR HELP WITH THINGS. 646 00:33:27,600 --> 00:33:30,367 I MEAN, I MAY NOT BE HERE ALL THE TIME, 100%, 647 00:33:30,367 --> 00:33:33,333 BUT I HAVE BEEN YOUR BACKBONE FOR THE LAST 7 DAMN YEARS. 648 00:33:33,333 --> 00:33:35,900 AND I JUST NEED YOU AROUND A LITTLE MORE. 649 00:33:35,900 --> 00:33:38,467 I NEED YOU TO JUST BE A LITTLE MORE SUPPORTIVE. 650 00:33:38,467 --> 00:33:40,867 YEAH, YOU TAKE ME TO THE STORE, AND, YOU KNOW, 651 00:33:40,867 --> 00:33:45,233 BUT I NEED YOU TO BE EMOTIONALLY SUPPORTIVE ON A LOT OF THINGS. 652 00:33:45,233 --> 00:33:47,433 I UNDERSTAND THAT YOU HAVE YOUR LIFE, AND YOU'RE BUSY, 653 00:33:47,433 --> 00:33:49,433 AND YOU'RE OUT DOING YOUR THING AND EVERYTHING, 654 00:33:49,433 --> 00:33:50,400 AND THAT'S FINE. 655 00:33:50,400 --> 00:33:52,533 YOU KNOW, YOU HAVE YOUR LIFE, 656 00:33:52,533 --> 00:33:53,900 AND YOU'RE ALLOWED TO HAVE YOUR LIFE. 657 00:33:53,900 --> 00:33:56,467 JUST TRY TO FIND A LITTLE TIME FOR ME HERE AND THERE. 658 00:33:56,467 --> 00:33:57,700 I HAVEN'T BEEN? 659 00:33:57,700 --> 00:34:01,067 WHERE WOULD YOU BE RIGHT NOW IF YOU WEREN'T HERE? 660 00:34:01,067 --> 00:34:02,600 YOU TELL ME THAT. 661 00:34:02,600 --> 00:34:04,367 YOU WOULD BE OUT ON THE STREET, 662 00:34:04,367 --> 00:34:05,967 UNDER A BRIDGE... AND I -- 663 00:34:05,967 --> 00:34:09,700 ...OR YOU WOULD BE HOMELESS IF IT WASN'T FOR YOU BEING HERE. 664 00:34:09,700 --> 00:34:14,100 ** 665 00:34:14,100 --> 00:34:15,667 I THOUGHT JAMES WAS GOING TO HELP ME 666 00:34:15,667 --> 00:34:17,633 ON THIS WEIGHT-LOSS JOURNEY, 667 00:34:17,633 --> 00:34:21,333 BUT NOW, I DON'T KNOW IF I CAN COUNT ON HIM ANYMORE, 668 00:34:21,333 --> 00:34:25,200 AND I'M SCARED BECAUSE I'M NOT SURE I CAN DO THIS ON MY OWN. 669 00:34:31,067 --> 00:34:37,467 ** 670 00:34:37,467 --> 00:34:43,967 ** 671 00:34:43,967 --> 00:34:46,100 Tamy: IT'S BEEN A HARD MONTH, BUT I'VE WORKED HARDER 672 00:34:46,100 --> 00:34:48,467 THAN I EVER HAVE TO STICK TO THE DIET 673 00:34:48,467 --> 00:34:52,433 AND DO WHAT I NEED DESPITE ALL THE TENSION AT HOME, 674 00:34:52,433 --> 00:34:56,167 BUT THINGS JUST SEEM TO BE EVEN WORSE BETWEEN ME AND JAMES, 675 00:34:56,167 --> 00:35:00,667 AND I FEEL SO TOTALLY ALONE RIGHT NOW. 676 00:35:00,667 --> 00:35:02,467 TAMY MURRELL? 677 00:35:02,467 --> 00:35:05,300 BUT I KNOW NO MATTER WHAT, I HAVE TO DO THIS, 678 00:35:05,300 --> 00:35:09,967 SO I'VE STUCK WITH IT AND WORKED AS HARD AS I CAN, 679 00:35:09,967 --> 00:35:13,100 AND I REALLY HOPE THAT I'VE MADE THE PROGRESS I NEED TODAY 680 00:35:13,100 --> 00:35:16,200 AND THAT I'M GOING TO HIT THE DOCTOR'S GOAL. 681 00:35:16,200 --> 00:35:19,600 I WAS SUPPOSED TO LOSE 40 POUNDS THIS PAST MONTH, 682 00:35:19,600 --> 00:35:23,600 SO THAT MEANS I NEED TO BE AT OR BELOW 551 TODAY. 683 00:35:23,600 --> 00:35:31,433 ** 684 00:35:31,433 --> 00:35:32,667 I'M HAPPY. 685 00:35:32,667 --> 00:35:36,467 I WORKED HARD. 686 00:35:36,467 --> 00:35:39,533 I REALLY CAN'T BELIEVE IT. 687 00:35:39,533 --> 00:35:43,733 I'M SO RELIEVED BECAUSE IT'S BEEN ROUGH AT HOME, 688 00:35:43,733 --> 00:35:47,833 BUT ALL THIS HARD WORK THAT I DID HAS BEEN SO WORTH IT. 689 00:35:47,833 --> 00:35:51,067 [ KNOCK ON DOOR ] 690 00:35:51,067 --> 00:35:51,933 HELLO. HELLO. 691 00:35:51,933 --> 00:35:52,967 HELLO. HOW ARE YOU? 692 00:35:52,967 --> 00:35:54,533 HOW ARE Y'ALL DOING? 693 00:35:54,533 --> 00:35:55,967 WE'RE GOOD. 694 00:35:55,967 --> 00:35:59,200 SO YOU ARE 42 POUNDS LIGHTER, AND YOU'RE STICKING TO THE DIET, 695 00:35:59,200 --> 00:36:00,200 I SEE, HUH? 696 00:36:00,200 --> 00:36:01,567 YES. 697 00:36:01,567 --> 00:36:04,467 SO YOU SHOWED ME THAT YOU'RE WILLING TO WORK HARD 698 00:36:04,467 --> 00:36:06,833 AND MAKE SOME OF THE CHANGES YOU NEED. 699 00:36:06,833 --> 00:36:09,100 THIS IS A GOOD START FOR YOU, 700 00:36:09,100 --> 00:36:13,067 BUT I'M STILL CONCERNED WITH THE ISSUE WITH YOUR LUNGS. 701 00:36:13,067 --> 00:36:14,300 YES. 702 00:36:14,300 --> 00:36:16,733 AND I'M HOPING THAT WEIGHT LOSS WILL HELP THAT. 703 00:36:16,733 --> 00:36:17,800 OKAY. 704 00:36:17,800 --> 00:36:20,067 SO HERE IS WHAT OUR NEXT STEPS ARE. 705 00:36:20,067 --> 00:36:23,500 I'M APPROVING YOU FOR WEIGHT-LOSS SURGERY. 706 00:36:23,500 --> 00:36:24,967 THANK YOU. 707 00:36:24,967 --> 00:36:27,967 BUT I WANT YOU TO MAKE THE MOVE TO HOUSTON NOW... 708 00:36:27,967 --> 00:36:29,633 OH, OKAY. 709 00:36:29,633 --> 00:36:31,967 ...AND COMMIT TO BEING DOWN HERE 710 00:36:31,967 --> 00:36:34,900 FOR AT LEAST A YEAR AFTER SURGERY 711 00:36:34,900 --> 00:36:37,533 SO I CAN WORK WITH YOU AND MAKE SURE 712 00:36:37,533 --> 00:36:40,233 THAT WE CAN GET YOU DOWN TO YOUR TARGET WEIGHT. 713 00:36:40,233 --> 00:36:41,200 OKAY. 714 00:36:41,200 --> 00:36:42,833 AND WHILE YOU'RE DOING THAT, 715 00:36:42,833 --> 00:36:45,200 I WANT YOU TO STICK WITH THE DIET 716 00:36:45,200 --> 00:36:47,067 AND LOSE EVEN MORE WEIGHT 717 00:36:47,067 --> 00:36:49,267 BECAUSE THE MORE WEIGHT YOU LOSE, 718 00:36:49,267 --> 00:36:51,700 THE LESS STRAIN THERE'LL BE ON YOUR LUNGS. 719 00:36:51,700 --> 00:36:53,333 YEAH. 720 00:36:53,333 --> 00:36:56,467 AND I DON'T WANT YOU TO LET YOUR GUARD DOWN AND GO BACK AND... 721 00:36:56,467 --> 00:36:58,533 I DON'T WANT TO SLIDE BACK. ...NOT LOSE ANYTHING. 722 00:36:58,533 --> 00:37:01,767 SO WHEN YOU GET BACK DOWN HERE TO HOUSTON, 723 00:37:01,767 --> 00:37:04,867 IF YOUR LUNGS LOOK LIKE THEY'RE HEALTHY ENOUGH, 724 00:37:04,867 --> 00:37:07,200 WE'LL DO WEIGHT-LOSS SURGERY ON YOU. 725 00:37:07,200 --> 00:37:08,767 SOUNDS GOOD? YES. 726 00:37:08,767 --> 00:37:10,067 OKAY. GREAT. 727 00:37:10,067 --> 00:37:11,600 WELL, YOU'RE DOING GOOD. 728 00:37:11,600 --> 00:37:13,133 KEEP IT UP. OKAY. 729 00:37:13,133 --> 00:37:15,067 AND WE'LL DO YOUR SURGERY SOON. 730 00:37:15,067 --> 00:37:16,233 OKAY. 731 00:37:16,233 --> 00:37:18,533 AND I LOOK FORWARD TO SEEING YOU BACK IN TEXAS. 732 00:37:18,533 --> 00:37:20,967 OKAY. NEXT TIME YOU SEE US, WE'LL BE DOWN HERE. 733 00:37:20,967 --> 00:37:22,067 ALL RIGHT. 734 00:37:22,067 --> 00:37:23,867 NICE TO SEE YOU AND GOOD WORK. 735 00:37:23,867 --> 00:37:25,667 THANK YOU. THANK YOU. 736 00:37:25,667 --> 00:37:29,767 Dr. Nowzaradan: I AM VERY GLAD TO SEE TAMY HIT HER WEIGHT-LOSS GOAL TODAY 737 00:37:29,767 --> 00:37:33,167 AND TO SEE THAT SHE'S MAKING POSITIVE CHANGES 738 00:37:33,167 --> 00:37:36,700 THAT SHE NEEDS DESPITE THE DYNAMIC AT HOME 739 00:37:36,700 --> 00:37:39,467 AND ALL HER ISSUES, 740 00:37:39,467 --> 00:37:43,200 BUT I'M STILL VERY CONCERNED ABOUT HER LUNGS. 741 00:37:43,200 --> 00:37:46,067 THE TEST I HAVE FOR HER LAST VISIT 742 00:37:46,067 --> 00:37:51,133 STILL SHOWS A LOT OF STRAIN ON HER WHOLE SYSTEM, 743 00:37:51,133 --> 00:37:54,733 AND IF WE CAN IMPROVE THAT, THEN WE CAN HOPEFULLY GET HER 744 00:37:54,733 --> 00:37:57,600 TO A PLACE WHERE SHE'S HEALTHY ENOUGH 745 00:37:57,600 --> 00:37:59,767 TO DO WEIGHT-LOSS SURGERY ON HER, 746 00:37:59,767 --> 00:38:02,767 BUT IF SHE'S NOT, WE CAN'T TAKE ANY CHANCES 747 00:38:02,767 --> 00:38:05,333 THAT MAY PUSH HER BODY OVER THE LIMIT. 748 00:38:05,333 --> 00:38:08,300 ** 749 00:38:08,300 --> 00:38:11,867 Tamy: TODAY, DR. NOWZARADAN APPROVED ME FOR SURGERY, 750 00:38:11,867 --> 00:38:14,667 SO I'M REALLY HAPPY ABOUT THAT. 751 00:38:14,667 --> 00:38:19,067 I FEEL LIKE EVERYTHING I'M DOING IS STARTING TO PAY OFF. 752 00:38:19,067 --> 00:38:22,367 THE SCALE PROVED IT TODAY, AND THAT FEELS GOOD. 753 00:38:22,367 --> 00:38:25,633 ** 754 00:38:25,633 --> 00:38:27,567 I WAS WORRIED BECAUSE I DON'T ALWAYS FEEL 755 00:38:27,567 --> 00:38:29,833 LIKE I'M DOING THE BEST, 756 00:38:29,833 --> 00:38:31,367 AND I'M STILL A LITTLE NERVOUS 757 00:38:31,367 --> 00:38:34,133 BECAUSE THERE COULD BE OTHER OBSTACLES, 758 00:38:34,133 --> 00:38:37,800 SO I DON'T WANT TO GET MY HOPES UP TOO MUCH. 759 00:38:37,800 --> 00:38:41,067 I JUST WANT TO TAKE IT ONE STEP AT A TIME. 760 00:38:41,067 --> 00:38:43,800 I KNOW I HAVE A LONG ROAD AHEAD OF ME, 761 00:38:43,800 --> 00:38:47,933 BUT IT'S NICE TO SEE THAT WHAT I'VE BEEN DOING IS PROGRESS. 762 00:38:47,933 --> 00:38:56,067 ** 763 00:38:56,067 --> 00:39:04,300 ** 764 00:39:04,300 --> 00:39:05,667 A COUPLE OF DAYS AFTER WE GOT HOME, 765 00:39:05,667 --> 00:39:08,733 THINGS GOT EVEN WORSE BETWEEN ME AND JAMES. 766 00:39:08,733 --> 00:39:10,233 WE WERE JUST FIGHTING MORE AND MORE, 767 00:39:10,233 --> 00:39:13,600 AND SUDDENLY, HE TOLD ME HE WAS DONE AND HE'S MOVING OUT, 768 00:39:13,600 --> 00:39:16,100 SO I'M IN THE PROCESS OF HELPING HIM PACK HIS THINGS 769 00:39:16,100 --> 00:39:18,400 SO THAT HE CAN LEAVE ME, 770 00:39:18,400 --> 00:39:21,100 AND HE'S GIVEN ME NO EXPLANATION OR ANYTHING 771 00:39:21,100 --> 00:39:22,867 EXCEPT HE'S JUST DONE, 772 00:39:22,867 --> 00:39:25,333 AND I HAVE NO IDEA WHAT I'M GOING TO DO. 773 00:39:25,333 --> 00:39:27,600 AND NOW THAT I'M COMPLETELY ON MY OWN, 774 00:39:27,600 --> 00:39:30,067 THERE'S NO WAY I CAN MOVE TO HOUSTON. 775 00:39:30,067 --> 00:39:33,600 SO RIGHT NOW, I AM STRESSED, AND I'M A LITTLE SCARED 776 00:39:33,600 --> 00:39:37,467 BECAUSE I WAS SUPPOSED TO MOVE TO A TOTALLY DIFFERENT STATE 777 00:39:37,467 --> 00:39:40,800 HUNDREDS OF MILES AWAY FROM ANYBODY THAT I KNOW 778 00:39:40,800 --> 00:39:44,933 AND TRY TO DO THIS ALL ON MY OWN WITH MY 16-YEAR-OLD SON. 779 00:39:44,933 --> 00:39:47,867 AND I'M SO UPSET RIGHT NOW I DON'T KNOW WHAT TO DO 780 00:39:47,867 --> 00:39:50,467 BECAUSE I FELT LIKE I FINALLY HAD THIS CHANCE, 781 00:39:50,467 --> 00:39:53,167 AND I WAS FINALLY GETTING MY LIFE BACK TOGETHER, 782 00:39:53,167 --> 00:39:55,267 AND THEN JAMES DOES THIS. 783 00:39:55,267 --> 00:39:58,967 THIS IS SO COMPLETELY UNFAIR, AND IT'S NOT RIGHT. 784 00:39:58,967 --> 00:40:01,600 WHEN ALL OF THIS FIRST STARTED, I BELIEVED I HAD THIS BIG, 785 00:40:01,600 --> 00:40:02,933 HUGE SUPPORT GROUP, 786 00:40:02,933 --> 00:40:06,300 BUT NOW, ALL I HAVE IS MYSELF AND ZACHERY. 787 00:40:06,300 --> 00:40:11,300 EVERYBODY ELSE IS GONE, SO I'M JUST LOST BECAUSE IT SUCKS 788 00:40:11,300 --> 00:40:14,333 WHEN YOU FEEL LIKE YOU'RE TOTALLY ALONE. 789 00:40:14,333 --> 00:40:17,633 ALL MY LIFE, PEOPLE HAVE LET ME DOWN OR ABANDONED ME. 790 00:40:17,633 --> 00:40:20,933 ** 791 00:40:20,933 --> 00:40:24,100 I GUESS I SHOULD HAVE KNOWN THAT THIS WOULDN'T BE ANY DIFFERENT. 792 00:40:24,100 --> 00:40:28,000 ** 793 00:40:28,000 --> 00:40:30,500 THIS WHOLE PROCESS IS VERY OVERWHELMING. 794 00:40:33,033 --> 00:40:36,000 IT'S BEEN VERY DISCOURAGING AT TIMES, 795 00:40:36,000 --> 00:40:38,800 ESPECIALLY THESE LAST FEW DAYS. 796 00:40:38,800 --> 00:40:40,533 YOU KNOW, EVENTUALLY, THERE IS ONLY SO MUCH 797 00:40:40,533 --> 00:40:44,300 I CAN TAKE, AND EVENTUALLY, I'M GOING TO BREAK. 798 00:40:44,300 --> 00:40:50,733 ** 799 00:40:50,733 --> 00:40:53,300 HE'S ABANDONING ME WHEN I NEED HIM THE MOST. 800 00:40:53,300 --> 00:40:59,800 ** 801 00:40:59,800 --> 00:41:06,367 ** 802 00:41:06,367 --> 00:41:08,067 I CAN'T MOVE TO HOUSTON WITH ZACHERY 803 00:41:08,067 --> 00:41:11,067 AND TRY TO DO THIS ALL ON MY OWN, 804 00:41:11,067 --> 00:41:13,067 SO IF JAMES IS GOING TO LEAVE ME, 805 00:41:13,067 --> 00:41:15,700 THEN HE'S TAKING MY LAST CHANCE TO GET MY LIFE BACK. 806 00:41:15,700 --> 00:41:20,200 ** 807 00:41:20,200 --> 00:41:23,333 AND HIS DECISION IS BASICALLY A DEATH SENTENCE FOR ME. 808 00:41:25,633 --> 00:41:28,767 AND I'M LOSING THE ONLY CHANCE I HAVE TO SAVE MY LIFE. 809 00:41:34,300 --> 00:41:41,933 ** 810 00:41:41,933 --> 00:41:49,400 ** 811 00:41:49,400 --> 00:41:53,567 Tamy: THINGS HAVEN'T GOTTEN MUCH BETTER THIS PAST MONTH. 812 00:41:53,567 --> 00:41:55,700 SINCE JAMES TOLD ME HE WAS MOVING OUT, 813 00:41:55,700 --> 00:41:59,667 MY WHOLE WORLD HAS BEEN TURNED UPSIDE-DOWN. 814 00:41:59,667 --> 00:42:03,233 JAMES AT LEAST DID TELL ME THAT THERE'S ANOTHER WOMAN HE MET, 815 00:42:03,233 --> 00:42:06,167 AND HE'S IN LOVE WITH HER. 816 00:42:06,167 --> 00:42:08,433 I DON'T KNOW HOW LONG THIS AFFAIR HAS BEEN GOING ON, 817 00:42:08,433 --> 00:42:11,233 BUT MOVING TO HOUSTON SEEMED TO PUSH JAMES 818 00:42:11,233 --> 00:42:14,400 TO THE BREAKING POINT, 819 00:42:14,400 --> 00:42:17,700 BUT HE SAID HE WANTED TO COME OVER TODAY AND TALK WITH ME, 820 00:42:17,700 --> 00:42:20,967 AND I TOLD HIM OKAY. 821 00:42:20,967 --> 00:42:23,700 I HAVEN'T TOLD DR. NOW WHAT'S HAPPENED BETWEEN US 822 00:42:23,700 --> 00:42:26,600 BECAUSE I DON'T WANT TO LOSE THIS CHANCE, 823 00:42:26,600 --> 00:42:29,367 SO I'VE TOLD HIM THAT IT'S TAKING ME LONGER 824 00:42:29,367 --> 00:42:32,433 TO MOVE TO HOUSTON. 825 00:42:32,433 --> 00:42:35,267 BUT I'M NOT SURE I CAN DO THIS ON MY OWN. 826 00:42:35,267 --> 00:42:39,300 ** 827 00:42:39,300 --> 00:42:40,333 HELLO. 828 00:42:40,333 --> 00:42:42,100 Tamy: HEY. 829 00:42:42,100 --> 00:42:43,867 CAN WE COME SIT DOWN SO WE CAN TALK? 830 00:42:43,867 --> 00:42:45,233 YEAH. 831 00:42:45,233 --> 00:42:48,667 ** 832 00:42:51,100 --> 00:42:54,100 YOU KNOW HOW THINGS HAVE BEEN GOING WITH OUR RELATIONSHIP, 833 00:42:54,100 --> 00:42:56,800 AND I JUST HAD TO GET OUT OF HERE. 834 00:42:56,800 --> 00:42:58,633 WHEN I STARTED THIS PROCESS OUT, 835 00:42:58,633 --> 00:43:01,633 YOU SAID YOU WOULD BE THERE, AND YOU BACKED OUT. 836 00:43:01,633 --> 00:43:06,933 YOU KNOW I CARE ABOUT YOU, BUT I LOVE SOMEBODY ELSE, 837 00:43:06,933 --> 00:43:09,967 AND I JUST HAD TO GET OUT OF HERE, 838 00:43:09,967 --> 00:43:12,267 AND IT'S NOT BECAUSE I DON'T CARE FOR YOU 839 00:43:12,267 --> 00:43:16,533 AND WANT YOU TO NOT GO THROUGH THIS BECAUSE I DO. 840 00:43:16,533 --> 00:43:18,700 I DIDN'T EXPECT YOU TO BE AROUND FOREVER, 841 00:43:18,700 --> 00:43:20,067 BUT I DID THINK THAT YOU WERE GOING 842 00:43:20,067 --> 00:43:21,300 TO GO THROUGH THIS PROCESS WITH ME, 843 00:43:21,300 --> 00:43:22,733 AND I THOUGHT I WAS GOING TO HAVE YOU TO LEAN ON 844 00:43:22,733 --> 00:43:23,900 WHEN I WENT DOWN THERE. 845 00:43:23,900 --> 00:43:25,967 I JUST HAD TO GET OUT OF HERE FOR A LITTLE BIT 846 00:43:25,967 --> 00:43:27,233 AND GET MY HEAD TOGETHER. 847 00:43:27,233 --> 00:43:29,667 I CAME BACK TO TALK TO YOU BECAUSE I STILL WANT 848 00:43:29,667 --> 00:43:32,233 TO GO THROUGH THIS WITH YOU. 849 00:43:32,233 --> 00:43:34,633 I WANT TO TAKE YOU DOWN TO TEXAS, YOU AND ZACHERY. 850 00:43:34,633 --> 00:43:36,100 I'LL MOVE YOU GUYS DOWN THERE. 851 00:43:36,100 --> 00:43:39,567 I PROMISE YOU FROM HERE, RIGHT HERE AND NOW, 852 00:43:39,567 --> 00:43:41,600 I WILL BE THERE SO YOU CAN DO THIS. 853 00:43:41,600 --> 00:43:42,800 AND I CAN BELIEVE THAT? 854 00:43:42,800 --> 00:43:43,933 YOU'RE GOING TO HAVE TO BELIEVE IT 855 00:43:43,933 --> 00:43:45,967 BECAUSE I'M NOT GOING NOWHERE. 856 00:43:45,967 --> 00:43:47,767 I'LL BE THERE WITH YOU. I PROMISE YOU. 857 00:43:47,767 --> 00:43:49,567 OKAY. 858 00:43:49,567 --> 00:43:51,433 James: I CARE FOR TAMY AS A PERSON, 859 00:43:51,433 --> 00:43:54,067 BUT I'M NOT IN LOVE WITH HER ANYMORE. 860 00:43:54,067 --> 00:43:58,533 SHE'S DEPENDED ON EVERYBODY SO MUCH FOR THE LAST FEW YEARS, 861 00:43:58,533 --> 00:44:02,333 AND NOW THIS IS HER LAST CHANCE TO GET HERSELF TO WHERE 862 00:44:02,333 --> 00:44:05,400 SHE CAN BE SELF-SUFFICIENT AND DO WHAT SHE NEEDS TO DO 863 00:44:05,400 --> 00:44:09,200 FOR HERSELF TO BE HEALTHY AND STAY HEALTHY. 864 00:44:09,200 --> 00:44:11,633 OKAY. 865 00:44:11,633 --> 00:44:14,167 I'LL SEE YOU GUYS LATER. 866 00:44:16,333 --> 00:44:19,167 Tamy: I REALLY DON'T KNOW IF I CAN TRUST JAMES ANYMORE 867 00:44:19,167 --> 00:44:22,867 BECAUSE WHAT IF WE MOVE DOWN THERE, 868 00:44:22,867 --> 00:44:25,433 AND HE CHANGES HIS MIND AGAIN. 869 00:44:25,433 --> 00:44:29,400 I KEPT HOPING THIS EXPERIENCE MIGHT BRING US BACK TOGETHER, 870 00:44:29,400 --> 00:44:33,933 BUT I THINK JAMES JUST SEES ME MORE AS A BURDEN THAN A PARTNER, 871 00:44:33,933 --> 00:44:37,733 BUT THIS MAY BE MY ONLY OPTION. 872 00:44:37,733 --> 00:44:40,067 I JUST WISH IT WASN'T. 873 00:44:40,067 --> 00:44:44,367 ** 874 00:44:44,367 --> 00:44:50,700 ** 875 00:44:50,700 --> 00:44:54,333 TODAY, WE'RE FINALLY MAKING THE MOVE TO HOUSTON, 876 00:44:54,333 --> 00:44:57,933 AND I'VE HAD A TERRIBLE COLD THIS PAST WEEK, 877 00:44:57,933 --> 00:45:02,800 SO I'VE HAD TO START USING AN OXYGEN MACHINE, 878 00:45:02,800 --> 00:45:06,567 AND MY LUNGS CAN HARDLY TAKE IT, 879 00:45:06,567 --> 00:45:09,933 AND I KNOW MY BODY IS JUST BREAKING DOWN, 880 00:45:09,933 --> 00:45:13,167 BUT I'M DETERMINED TO MAKE IT TO HOUSTON. 881 00:45:13,167 --> 00:45:19,667 IF I WANT TO GET BETTER, GET HEALTHIER, THIS IS MY NEXT STEP, 882 00:45:19,667 --> 00:45:21,667 BUT I'M STILL REALLY NERVOUS ABOUT ALL 883 00:45:21,667 --> 00:45:23,600 THE UNKNOWNS THERE'S GOING TO BE. 884 00:45:23,600 --> 00:45:26,133 ALL RIGHT. 885 00:45:28,400 --> 00:45:31,100 Tamy: BUT I CAN'T JUST LIE AROUND IN BED ALL DAY 886 00:45:31,100 --> 00:45:35,533 AND DO NOTHING ANYMORE. 887 00:45:35,533 --> 00:45:37,833 SO THIS IS MY LAST CHANCE. 888 00:45:37,833 --> 00:45:47,067 ** 889 00:45:47,067 --> 00:45:51,067 AND NO MATTER WHAT HAPPENS, I HAVE TO DO THIS, 890 00:45:51,067 --> 00:45:53,400 AND I'M DETERMINED TO GET MY LIFE BACK. 891 00:45:53,400 --> 00:45:59,800 ** 892 00:45:59,800 --> 00:46:06,267 ** 893 00:46:06,267 --> 00:46:08,400 TODAY IS MY FIRST APPOINTMENT WITH DR. NOW 894 00:46:08,400 --> 00:46:10,767 SINCE MOVING TO HOUSTON. 895 00:46:10,767 --> 00:46:14,333 I'M REALLY SCARED I HAVEN'T BEEN DOING ENOUGH FOR MY DIET. 896 00:46:14,333 --> 00:46:17,367 AFTER I FOUND OUT JAMES WAS IN LOVE WITH ANOTHER WOMAN, 897 00:46:17,367 --> 00:46:21,367 I'VE BEEN SO STRESSED OUT BECAUSE I'VE HAD A FEW SLIPUPS. 898 00:46:21,367 --> 00:46:24,200 I JUST DON'T KNOW WHAT I'LL DO IF I'VE GAINED WEIGHT. 899 00:46:27,900 --> 00:46:29,333 YEAH. 900 00:46:29,333 --> 00:46:30,667 ARE YOU COMING IN WITH ME? 901 00:46:30,667 --> 00:46:33,067 James: NOPE. YOU NEED TO START DOING THIS ON YOUR OWN LIKE... 902 00:46:33,067 --> 00:46:34,433 I KNOW THAT. ...WITH JUST YOU AND ZACH. 903 00:46:34,433 --> 00:46:35,533 BUT I THOUGHT YOU WERE GOING TO BE A PART OF THIS PROCESS, 904 00:46:35,533 --> 00:46:36,800 BUT THEN YOU'RE LEAVING. 905 00:46:36,800 --> 00:46:38,833 I AM A PART OF IT, BUT I DON'T HAVE TO GO INSIDE 906 00:46:38,833 --> 00:46:42,567 WHEN YOU'RE IN THERE SEEING THE DOCTOR, YOU KNOW? 907 00:46:42,567 --> 00:46:45,567 UH-HUH. I'M SORRY. 908 00:46:45,567 --> 00:46:47,733 I THOUGHT YOU WERE GOING IN, BUT OKAY. 909 00:46:47,733 --> 00:46:49,100 WHATEVER. 910 00:46:49,100 --> 00:46:51,067 SORRY. 911 00:46:51,067 --> 00:46:53,233 MESSAGE ME WHEN YOU FIND OUT ANYTHING. 912 00:46:55,433 --> 00:46:58,467 I'M REALLY UPSET RIGHT NOW. 913 00:46:58,467 --> 00:47:03,233 I CAN'T BELIEVE JAMES WON'T COME IN TO SEE THE DOCTOR WITH ME. 914 00:47:03,233 --> 00:47:04,700 THE WHOLE POINT OF BEING HERE 915 00:47:04,700 --> 00:47:07,800 WAS TO SUPPORT ME THROUGH THIS PROCESS. 916 00:47:07,800 --> 00:47:10,067 THIS MOMENT MEANS EVERYTHING TO ME, 917 00:47:10,067 --> 00:47:12,067 AND JAMES IS SITTING IN THE CAR. 918 00:47:13,933 --> 00:47:15,633 TAMY MURRELL? 919 00:47:15,633 --> 00:47:19,300 I HAVE BEEN TRYING SO HARD TO LOSE WEIGHT. 920 00:47:19,300 --> 00:47:24,767 I WAS 549 LAST TIME, AND DR. NOW TOLD ME TO KEEP MAKING PROGRESS, 921 00:47:24,767 --> 00:47:29,067 SO I'M HOPING I AT LEAST MADE IT TO THE LOWER 500s TODAY. 922 00:47:29,067 --> 00:47:35,700 ** 923 00:47:35,700 --> 00:47:42,367 ** 924 00:47:42,367 --> 00:47:44,533 YOU DID GOOD. 925 00:47:44,533 --> 00:47:48,200 I CAN'T BELIEVE IT. 926 00:47:48,200 --> 00:47:51,500 I SET A GOAL FOR MYSELF, AND I ACTUALLY DID IT, 927 00:47:54,067 --> 00:47:58,333 BUT IT DOESN'T FEEL AS GOOD AS IT SHOULD 928 00:47:58,333 --> 00:48:00,133 BECAUSE I'M HERE ALONE. 929 00:48:02,667 --> 00:48:03,967 [ KNOCK ON DOOR ] 930 00:48:06,667 --> 00:48:08,700 HELLO. HEY, TAMY. 931 00:48:08,700 --> 00:48:09,967 HELLO. 932 00:48:09,967 --> 00:48:11,367 HOW ARE YOU? 933 00:48:11,367 --> 00:48:13,400 I'M DOING PRETTY GOOD. ALL RIGHT. 934 00:48:13,400 --> 00:48:16,833 SO YOU HAVE MOVED DOWN TO HOUSTON AND STUCK TO YOUR DIET? 935 00:48:16,833 --> 00:48:19,833 YES. YOU LOST ANOTHER 53 POUNDS. 936 00:48:19,833 --> 00:48:21,167 THAT'S VERY GOOD. YEAH. 937 00:48:21,167 --> 00:48:23,967 SO YOU HAVE ALMOST LOST 100 POUNDS, 938 00:48:23,967 --> 00:48:26,633 AND THAT'S A LOT OF WEIGHT OFF YOUR BODY. 939 00:48:26,633 --> 00:48:28,067 DO YOU FEEL BETTER? 940 00:48:28,067 --> 00:48:31,533 YES, BUT I HAVE BEEN VERY STRESSED THE LAST FEW WEEKS 941 00:48:31,533 --> 00:48:33,333 TRYING TO GET EVERYTHING TOGETHER TO GET DOWN HERE, 942 00:48:33,333 --> 00:48:36,733 AND MY HUSBAND AND I HAVE BEEN HAVING PROBLEMS, SO... 943 00:48:36,733 --> 00:48:39,367 SO WHAT'S HAPPENING BETWEEN YOU AND YOUR HUSBAND? 944 00:48:39,367 --> 00:48:41,200 WELL, HE'S IN LOVE WITH ANOTHER WOMAN, 945 00:48:41,200 --> 00:48:44,400 BUT WE HAVEN'T REALLY BEEN AN ACTUAL COUPLE 946 00:48:44,400 --> 00:48:45,967 AS A HUSBAND AND WIFE. 947 00:48:45,967 --> 00:48:48,167 YOU KNOW, HE WAS JUST, MORE OR LESS, MY CAREGIVER. 948 00:48:48,167 --> 00:48:50,133 OKAY. ALL THAT'S NOT 949 00:48:50,133 --> 00:48:52,867 HOW YOU PRESENTED YOUR RELATIONSHIP TO ME, 950 00:48:52,867 --> 00:48:54,767 SO THAT IS A BIG CONCERN 951 00:48:54,767 --> 00:48:57,667 BECAUSE IF YOU DON'T HAVE SUPPORT SYSTEM AT HOME, 952 00:48:57,667 --> 00:49:01,900 THIS IS GOING TO BECOME MUCH MORE DIFFICULT FOR YOU. 953 00:49:01,900 --> 00:49:03,767 WELL, JAMES IS STILL GOING TO BE HELPING ME. 954 00:49:03,767 --> 00:49:05,233 WE'RE JUST NOT GOING TO BE TOGETHER. 955 00:49:05,233 --> 00:49:06,867 SO IT'S COMPLICATED, HUH? 956 00:49:06,867 --> 00:49:08,300 YEAH. ALL RIGHT. 957 00:49:08,300 --> 00:49:12,167 WELL, THIS IS GOING TO CATCH UP WITH YOU EMOTIONALLY 958 00:49:12,167 --> 00:49:15,167 AND CAUSE YOU TO COME CRASHING DOWN. 959 00:49:15,167 --> 00:49:19,233 SO WE NEED TO DEAL WITH IT NOW, AND I THINK IT'S BEST 960 00:49:19,233 --> 00:49:22,933 THAT WE DELAY YOUR WEIGHT-LOSS SURGERY A LITTLE LONGER 961 00:49:22,933 --> 00:49:25,233 SO YOU CAN START THERAPY TO ADDRESS THIS. 962 00:49:25,233 --> 00:49:26,467 OKAY. 963 00:49:26,467 --> 00:49:29,233 SO I'M GOING TO SET AN APPOINTMENT FOR YOU 964 00:49:29,233 --> 00:49:30,767 WITH THE THERAPIST, 965 00:49:30,767 --> 00:49:32,433 AND I WANT YOU TO START GOING. 966 00:49:32,433 --> 00:49:33,667 OKAY. 967 00:49:33,667 --> 00:49:36,233 AND THIS ALSO WILL GIVE YOU A LITTLE BIT MORE TIME 968 00:49:36,233 --> 00:49:39,833 TO KEEP MAKING PROGRESS AND GET YOUR LUNGS HEALTHIER. 969 00:49:39,833 --> 00:49:40,967 YEAH. I'M THINKING POSITIVE. 970 00:49:40,967 --> 00:49:42,600 I'M GOING TO GET THIS DONE. 971 00:49:42,600 --> 00:49:43,967 OKAY. GREAT. 972 00:49:43,967 --> 00:49:46,467 ALL RIGHT, TAMY. YOU'RE DOING GREAT. 973 00:49:46,467 --> 00:49:47,367 OKAY. THANK YOU. 974 00:49:47,367 --> 00:49:49,467 I WILL SEE YOU SOON, OKAY? 975 00:49:49,467 --> 00:49:53,333 ** 976 00:49:53,333 --> 00:49:56,433 TAMY IS DOING VERY WELL WITH HER WEIGHT LOSS, 977 00:49:56,433 --> 00:50:00,300 BUT HER SITUATION AT HOME SEEMS VERY COMPLICATED, 978 00:50:00,300 --> 00:50:02,600 AND WITHOUT THAT SUPPORT SYSTEM THERE, 979 00:50:02,600 --> 00:50:08,033 I'M VERY CONCERNED HOW SHE'S GOING TO DO LONG-TERM, 980 00:50:08,033 --> 00:50:10,900 BUT HER FOCUS RIGHT NOW NEEDS TO BE 981 00:50:10,900 --> 00:50:13,433 ON DEALING WITH THE EMOTIONAL ISSUES 982 00:50:13,433 --> 00:50:16,100 AROUND WHAT'S GOING ON WITH HER LIFE 983 00:50:16,100 --> 00:50:20,233 BEFORE IT BECOMES AN EVEN BIGGER PROBLEM. 984 00:50:20,233 --> 00:50:22,533 AND IT WOULD NOT BE WISE TO MOVE AHEAD 985 00:50:22,533 --> 00:50:25,400 WITH THE SURGERY UNTIL SHE DOES THAT. 986 00:50:27,800 --> 00:50:33,133 Tamy: I FEEL PROUD RIGHT NOW ABOUT WHAT I HAVE ACCOMPLISHED. 987 00:50:33,133 --> 00:50:35,367 I'M JUST MAD THAT I LET MYSELF BELIEVE 988 00:50:35,367 --> 00:50:37,933 THAT JAMES WAS REALLY GOING TO HELP ME THROUGH THIS, 989 00:50:39,933 --> 00:50:43,467 AND I HAVE TO TAKE THIS NEXT STEP AND GO TO THERAPY, 990 00:50:43,467 --> 00:50:45,467 THEN I'LL DO IT, 991 00:50:45,467 --> 00:50:46,900 BUT I REALLY HOPE I CAN GET MY SURGERY 992 00:50:46,900 --> 00:50:49,433 SCHEDULED SOON AFTER I DO THIS 993 00:50:49,433 --> 00:50:52,200 BECAUSE I JUST WANT TO MOVE AHEAD AND ON WITH MY LIFE. 994 00:50:57,900 --> 00:51:03,967 ** 995 00:51:03,967 --> 00:51:10,067 ** 996 00:51:10,067 --> 00:51:12,167 Tamy: TODAY, I'M GOING TO SEE A THERAPIST 997 00:51:12,167 --> 00:51:15,100 AND TALK ABOUT SOME OF THE THINGS 998 00:51:15,100 --> 00:51:17,800 THAT ARE AFFECTING ME IN MY LIFE -- 999 00:51:17,800 --> 00:51:20,200 WHY I HAVE BECOME THE WAY I HAVE, 1000 00:51:20,200 --> 00:51:22,133 WHY I DO SOME OF THE THINGS I DO. 1001 00:51:24,400 --> 00:51:27,400 IT IS DISAPPOINTING THAT I STILL HAVE TO WAIT FOR MY SURGERY, 1002 00:51:27,400 --> 00:51:30,133 BUT IF DR. NOW THINKS THIS IS WHAT I NEED TO DO FIRST, 1003 00:51:30,133 --> 00:51:32,767 THEN I WILL BECAUSE I JUST WANT TO MOVE AHEAD 1004 00:51:32,767 --> 00:51:34,300 AND ON WITH MY LIFE, 1005 00:51:34,300 --> 00:51:38,267 AND THAT'S NOT GOING TO HAPPEN UNTIL I GET WEIGHT-LOSS SURGERY, 1006 00:51:38,267 --> 00:51:42,467 AND I KNOW THAT I HAVE A LOT OF DEEP ISSUES. 1007 00:51:42,467 --> 00:51:47,700 IT AFFECTS HOW I SEE MYSELF AND HOW I LIVE MY LIFE, 1008 00:51:47,700 --> 00:51:49,133 AND I'VE NEVER BEEN SOMEONE 1009 00:51:49,133 --> 00:51:51,267 WHO LIKES HAVING THE SPOTLIGHT ON ME, 1010 00:51:51,267 --> 00:51:53,800 SO I'M REALLY NERVOUS. 1011 00:51:55,800 --> 00:51:57,067 HI. I'M RACHEL. 1012 00:51:57,067 --> 00:51:58,067 HI. NICE TO MEET YOU. 1013 00:51:58,067 --> 00:51:59,567 NICE TO MEET YOU, TOO. COME ON BACK. 1014 00:51:59,567 --> 00:52:00,933 OKAY. 1015 00:52:00,933 --> 00:52:04,133 ALL RIGHT. 1016 00:52:04,133 --> 00:52:06,600 GO AHEAD AND HAVE A SEAT ON THE COUCH THERE. 1017 00:52:09,200 --> 00:52:10,800 [ DOOR CLOSES ] 1018 00:52:10,800 --> 00:52:12,967 OKAY. 1019 00:52:12,967 --> 00:52:14,833 THANKS FOR COMING IN TODAY. 1020 00:52:14,833 --> 00:52:16,467 WELL, LET'S GO AHEAD AND GET STARTED. 1021 00:52:16,467 --> 00:52:17,900 I WOULD LIKE -- OKAY. 1022 00:52:17,900 --> 00:52:21,867 MAYBE JUST TELL ME KIND OF HOW YOU'RE DOING RIGHT NOW. 1023 00:52:21,867 --> 00:52:23,900 I'M JUST KIND OF STRESSED OUT ABOUT EVERYTHING GOING ON, 1024 00:52:23,900 --> 00:52:25,933 AND... LIKE? 1025 00:52:25,933 --> 00:52:28,767 YOU KNOW... WHAT ARE YOU STRESSED OUT ABOUT? 1026 00:52:28,767 --> 00:52:29,833 MY HUSBAND IS LEAVING. 1027 00:52:29,833 --> 00:52:31,833 I FOUND OUT BEFORE MOVING THAT JAMES 1028 00:52:31,833 --> 00:52:33,100 WAS IN LOVE WITH ANOTHER WOMAN. 1029 00:52:33,100 --> 00:52:34,400 OH, MY GOODNESS. 1030 00:52:34,400 --> 00:52:35,900 I'M GOING TO BE TAKING CARE OF MYSELF 1031 00:52:35,900 --> 00:52:37,400 PLUS MY YOUNGEST SON, ZACHERY. 1032 00:52:37,400 --> 00:52:39,067 YOU'RE WORRIED ABOUT HOW YOU'RE GOING TO COPE WHEN HE LEAVES. 1033 00:52:39,067 --> 00:52:40,367 YEAH. YEAH. 1034 00:52:40,367 --> 00:52:43,067 BECAUSE I HAVEN'T HAD TO DO NONE OF THAT ON MY OWN BEFORE. 1035 00:52:43,067 --> 00:52:44,167 OH, WOW. 1036 00:52:44,167 --> 00:52:46,233 BEFORE I LET ALL THIS TAKE CONTROL OF MY BODY, 1037 00:52:46,233 --> 00:52:48,867 ALL THIS WEIGHT, I WAS A VERY INDEPENDENT PERSON. 1038 00:52:48,867 --> 00:52:51,267 I WENT WHERE I WANTED TO. I DID WHAT I WANTED TO. 1039 00:52:51,267 --> 00:52:53,267 AND WAS THE WEIGHT AN ISSUE MOST OF YOUR LIFE... 1040 00:52:53,267 --> 00:52:54,400 YES. ...OR WAS THAT... 1041 00:52:54,400 --> 00:52:56,700 FOOD HAS ALWAYS BEEN A BIG THING FOR ME. 1042 00:52:56,700 --> 00:52:58,400 IT REALLY STARTED WHEN I WAS A KID. 1043 00:52:58,400 --> 00:53:02,333 MY DAD PASSED AWAY WHEN I WAS 8, AND I SEEN HIM... 1044 00:53:02,333 --> 00:53:04,133 HE ACTUALLY DIED IN FRONT OF ME. 1045 00:53:04,133 --> 00:53:06,067 WOW. AND MY MOM KIND OF SHUT DOWN. 1046 00:53:06,067 --> 00:53:10,067 SO YOU ALMOST, IN A WAY, LOST BOTH PARENTS IN A SENSE, RIGHT? 1047 00:53:10,067 --> 00:53:12,267 YEAH. AND IT WAS A VERY LONELY CHILDHOOD GROWING UP. 1048 00:53:12,267 --> 00:53:14,867 YEAH. THAT'S YOUR CORE WOUND, RIGHT? 1049 00:53:14,867 --> 00:53:16,833 YEAH. HOW HAS FOOD PLAYED A ROLE 1050 00:53:16,833 --> 00:53:18,400 IN TERMS OF A COPING STRATEGY WHEN -- 1051 00:53:18,400 --> 00:53:20,467 IT WAS THE ONE THING THAT MADE ME FEEL GOOD EVEN THOUGH 1052 00:53:20,467 --> 00:53:24,400 THAT IT WAS THE ONE THING THAT WAS TEARING MY BODY APART. 1053 00:53:24,400 --> 00:53:25,367 EXACTLY. 1054 00:53:25,367 --> 00:53:26,867 IT'S WHERE I'M AT NOW, YOU KNOW? 1055 00:53:26,867 --> 00:53:28,667 I'M TRYING TO TAKE CARE OF ALL THAT NOW. 1056 00:53:28,667 --> 00:53:30,567 TELL ME HOW JAMES FITS INTO THAT PICTURE. 1057 00:53:30,567 --> 00:53:31,833 I'M SO COMFORTABLE WITH HIM. 1058 00:53:31,833 --> 00:53:32,933 MM-HMM. 1059 00:53:32,933 --> 00:53:34,200 YOU KNOW, OVER THE YEARS, HE KEPT SAYING, 1060 00:53:34,200 --> 00:53:37,733 "OH, YOU'RE FINE. I LOVE YOU EVEN IF YOU'RE BIG," AND... 1061 00:53:37,733 --> 00:53:39,200 IT WAS LIKE ENABLING. 1062 00:53:39,200 --> 00:53:40,467 YEAH. HE WAS ENABLING YOU TO... 1063 00:53:40,467 --> 00:53:41,800 HE WAS SAYING, "OH, IT'S FINE." ...NOT BE OKAY. 1064 00:53:41,800 --> 00:53:44,567 AND IT SEEMS LIKE HE'S ALWAYS THERE TO RESCUE ME 1065 00:53:44,567 --> 00:53:45,833 WHEN I NEED RESCUING, 1066 00:53:45,833 --> 00:53:48,233 BUT JAMES WAS ABUSIVE IN OUR RELATIONSHIP, TOO. 1067 00:53:48,233 --> 00:53:49,500 HE IS VERBALLY ABUSIVE. 1068 00:53:49,500 --> 00:53:51,433 HOW DO YOU THINK THAT IMPACTED YOU? 1069 00:53:51,433 --> 00:53:53,067 IT'S SO AGGRAVATING. 1070 00:53:53,067 --> 00:53:55,533 YOU KNOW, I GOT SO USED TO SAYING, "I DON'T MATTER." 1071 00:53:55,533 --> 00:53:56,700 YOU ARE DESERVING. 1072 00:53:56,700 --> 00:53:58,067 YOU ARE WORTHY. 1073 00:53:58,067 --> 00:54:00,067 KEEP TELLING YOURSELF THAT. 1074 00:54:00,067 --> 00:54:02,633 AND SO PART OF "I'M WORTHY" IS SEEKING OUT THINGS 1075 00:54:02,633 --> 00:54:04,667 THAT ARE NURTURING OR NOURISHING 1076 00:54:04,667 --> 00:54:06,900 INSTEAD OF THINGS THAT ARE TOXIC. 1077 00:54:06,900 --> 00:54:08,500 SO, TAMY, WE TALKED ABOUT 1078 00:54:08,500 --> 00:54:10,267 WHEN YOU'VE HAD THESE DIFFICULT EMOTIONS, 1079 00:54:10,267 --> 00:54:11,633 YOU'VE GONE TO FOOD, 1080 00:54:11,633 --> 00:54:13,833 OR WHEN YOU'VE HAD MAJOR CRISES IN YOUR LIFE, 1081 00:54:13,833 --> 00:54:15,833 JAMES HAS BEEN THERE FOR YOU, 1082 00:54:15,833 --> 00:54:18,300 AND THESE TWO RELATIONSHIPS ARE OFF THE TABLE. 1083 00:54:18,300 --> 00:54:20,267 LET GO OF THE TOXIC RELATIONSHIPS. 1084 00:54:20,267 --> 00:54:22,167 YEAH, WHICH WILL BE GOOD, THOUGH, 1085 00:54:22,167 --> 00:54:24,267 BECAUSE HE DOESN'T NEED TO BE -- 1086 00:54:24,267 --> 00:54:26,067 HE DOESN'T ALWAYS NEED TO BE THERE. 1087 00:54:26,067 --> 00:54:28,333 WHAT'S IMPORTANT NOW IS TO BUILD CONNECTIONS 1088 00:54:28,333 --> 00:54:30,767 SO THAT IT'S THERE FOR YOU WHEN YOU NEED IT. 1089 00:54:30,767 --> 00:54:32,067 AND I'VE ALWAYS LACKED THAT. 1090 00:54:32,067 --> 00:54:34,567 EXACTLY. SO CAN YOU MAKE A POINT EVERY DAY 1091 00:54:34,567 --> 00:54:37,800 TO REACH OUT TO ONE PERSON IN WHATEVER WAY, 1092 00:54:37,800 --> 00:54:39,800 JUST ANYONE THAT'S NOT TOXIC, USING... 1093 00:54:39,800 --> 00:54:41,433 WELL, I'M GOING TO TRY TALK TO PEOPLE MORE 1094 00:54:41,433 --> 00:54:42,567 BECAUSE I'VE SHUT THEM OUT. 1095 00:54:42,567 --> 00:54:44,667 OKAY. OKAY. EXCELLENT STRATEGY. 1096 00:54:44,667 --> 00:54:46,500 I KNOW I HAVE A VERY LONG WAY TO GO. 1097 00:54:46,500 --> 00:54:49,100 YOU'RE TAKING CHARGE OF YOUR LIFE, 1098 00:54:49,100 --> 00:54:50,600 AND THAT'S A REALLY POSITIVE THING, 1099 00:54:50,600 --> 00:54:54,067 SO GOOD WORK TODAY. 1100 00:54:54,067 --> 00:54:55,333 WELL, IT WAS NICE TO MEET YOU TODAY. 1101 00:54:55,333 --> 00:54:57,267 THANK YOU. THANK YOU SO MUCH. 1102 00:54:59,500 --> 00:55:01,200 MY BIGGEST CHALLENGES ARE GETTING PAST 1103 00:55:01,200 --> 00:55:02,900 THE TOXIC RELATIONSHIPS 1104 00:55:02,900 --> 00:55:05,233 AND DOING THIS ON MY OWN, 1105 00:55:05,233 --> 00:55:09,267 NOT EXPECTING SOMEONE TO COME RESCUE ME. 1106 00:55:09,267 --> 00:55:12,967 JAMES HAS ALWAYS BEEN THERE WHEN I NEEDED SOMEBODY, 1107 00:55:12,967 --> 00:55:17,067 AND TO LET GO OF THAT AND TO MOVE ON IS GOING TO BE HARD 1108 00:55:17,067 --> 00:55:19,967 BECAUSE HE HAS BEEN SUCH A BIG PART, 1109 00:55:19,967 --> 00:55:21,333 BUT I HAVE TO DO THAT 1110 00:55:21,333 --> 00:55:24,067 BECAUSE WE'RE NOT IN A HUSBAND-WIFE RELATIONSHIP. 1111 00:55:24,067 --> 00:55:25,667 HE WAS A CAREGIVER. 1112 00:55:25,667 --> 00:55:27,267 HE'S GOING ON WITH HIS LIFE. 1113 00:55:27,267 --> 00:55:28,600 I NEED TO GO ON WITH MINE. 1114 00:55:28,600 --> 00:55:31,933 WE NEED TO SEPARATE TO WHERE WE HAVE OTHER LIVES, 1115 00:55:31,933 --> 00:55:33,700 NOT EACH OTHER. 1116 00:55:33,700 --> 00:55:35,800 I KNOW IT'LL BE HARD AT FIRST. 1117 00:55:35,800 --> 00:55:38,767 IT'S A NEW CHAPTER, AND I'M READY TO OPEN 1118 00:55:38,767 --> 00:55:40,100 THAT NEW CHAPTER UP 1119 00:55:40,100 --> 00:55:42,600 AND SEE WHERE IT TAKES ME. 1120 00:55:42,600 --> 00:55:51,667 ** 1121 00:55:51,667 --> 00:55:53,900 I'M REALLY EXCITED BECAUSE DR. NOW SAID 1122 00:55:53,900 --> 00:55:57,500 I WAS READY TO MOVE AHEAD WITH WEIGHT-LOSS SURGERY. 1123 00:55:57,500 --> 00:55:59,133 HE GOT A GOOD REPORT FROM THERAPY, 1124 00:55:59,133 --> 00:56:02,400 SO HE SCHEDULED ME FOR A COUPLE OF WEEKS FROM NOW. 1125 00:56:02,400 --> 00:56:04,533 AND AFTER TALKING WITH THE THERAPIST, 1126 00:56:04,533 --> 00:56:08,600 I REALIZED I NEED TO BECOME MORE INDEPENDENT. 1127 00:56:08,600 --> 00:56:10,667 JAMES HAS ALWAYS DONE A LOT FOR ME, 1128 00:56:10,667 --> 00:56:13,567 BUT IT ALWAYS COMES WITH STRINGS ATTACHED, 1129 00:56:13,567 --> 00:56:16,833 SO I NEED TO BEGIN DOING THINGS ON MY OWN. 1130 00:56:16,833 --> 00:56:19,567 WHO WOULD THINK THAT JUST BEING ABLE TO DO A LOAD OF LAUNDRY 1131 00:56:19,567 --> 00:56:22,267 WOULD BE SUCH A BIG ACCOMPLISHMENT? 1132 00:56:22,267 --> 00:56:26,600 BUT IT IS FOR ME, AND I'M EXCITED TO DO THIS, 1133 00:56:26,600 --> 00:56:29,133 ESPECIALLY SINCE JAMES IS LEAVING SOON, 1134 00:56:29,133 --> 00:56:31,433 AND IT'S JUST GOING TO BE ME AND ZACHERY. 1135 00:56:31,433 --> 00:56:36,233 ** 1136 00:56:36,233 --> 00:56:44,533 [ BREATHING HEAVILY ] 1137 00:56:51,833 --> 00:56:55,100 TAMY? TAMY? 1138 00:56:55,100 --> 00:56:56,967 TAMY, DO YOU NEED A NURSE? 1139 00:56:56,967 --> 00:56:58,567 HUH? ARE YOU -- TAMY? 1140 00:56:58,567 --> 00:56:59,667 HUH? 1141 00:56:59,667 --> 00:57:00,900 I NEED YOU TO WAKE UP. 1142 00:57:00,900 --> 00:57:03,433 I'M GOING TO CALL EMERGENCY. 1143 00:57:06,167 --> 00:57:08,533 MOM? 1144 00:57:08,533 --> 00:57:10,067 [ SIGHS ] 1145 00:57:10,067 --> 00:57:11,967 MOM? 1146 00:57:11,967 --> 00:57:14,100 ARE YOU OKAY? MM. 1147 00:57:14,100 --> 00:57:16,300 ARE YOU OKAY? 1148 00:57:16,300 --> 00:57:18,067 COME ON. 1149 00:57:18,067 --> 00:57:22,200 COME ON, MOM. 1150 00:57:22,200 --> 00:57:25,867 OH. I'M GOING TO NEED HELP UP IN A MINUTE. 1151 00:57:25,867 --> 00:57:28,367 MY HANDS ARE NUMB. 1152 00:57:28,367 --> 00:57:34,167 ** 1153 00:57:34,167 --> 00:57:39,967 ** 1154 00:57:39,967 --> 00:57:41,200 UH, DO ME A FAVOR? 1155 00:57:41,200 --> 00:57:42,100 WHAT? 1156 00:57:42,100 --> 00:57:43,900 GO GET ME A CHAIR. 1157 00:57:43,900 --> 00:57:46,400 I NEED SOMETHING STABLE. 1158 00:57:46,400 --> 00:57:53,233 ** 1159 00:57:53,233 --> 00:58:00,067 ** 1160 00:58:00,067 --> 00:58:03,067 THERE. 1161 00:58:03,067 --> 00:58:05,833 WHAT HAPPENED? 1162 00:58:05,833 --> 00:58:07,133 YOU ALL RIGHT? 1163 00:58:07,133 --> 00:58:10,067 ARE YOU OKAY? 1164 00:58:10,067 --> 00:58:12,567 OKAY. I'M FINE. 1165 00:58:14,700 --> 00:58:15,767 WHAT HAPPENED? 1166 00:58:15,767 --> 00:58:17,700 I GOT DIZZY. 1167 00:58:17,700 --> 00:58:22,200 ** 1168 00:58:22,200 --> 00:58:23,967 YOU KNOW, MY HANDS ARE NUMB. 1169 00:58:23,967 --> 00:58:27,567 ** 1170 00:58:27,567 --> 00:58:30,433 NEXT TIME, YOU HAVE SOMEBODY WITH YOU. 1171 00:58:30,433 --> 00:58:32,267 THE POINT OF ME DOING THIS -- 1172 00:58:32,267 --> 00:58:34,567 I KNOW, TAMY, BUT NEXT TIME, YOU CAN TOTALLY PASS OUT, 1173 00:58:34,567 --> 00:58:36,700 AND NOBODY WILL BE THERE. 1174 00:58:36,700 --> 00:58:39,067 Tamy: I'M SO FRUSTRATED RIGHT NOW. 1175 00:58:39,067 --> 00:58:42,533 JUST AS I START TO FEEL BETTER, THIS HAPPENS, 1176 00:58:42,533 --> 00:58:44,767 AND I'M RIGHT BACK WHERE I STARTED -- 1177 00:58:44,767 --> 00:58:48,633 WITH JAMES TELLING ME WHAT TO DO AND HOW TO FEEL. 1178 00:58:54,400 --> 00:59:01,567 ** 1179 00:59:01,567 --> 00:59:04,867 Tamy: EARLIER TODAY, I PASSED OUT TRYING TO DO LAUNDRY, 1180 00:59:04,867 --> 00:59:09,333 AND I CALLED DR. NOW AND TOLD HIM WHAT HAPPENED. 1181 00:59:09,333 --> 00:59:11,567 TAMY MURRELL? 1182 00:59:11,567 --> 00:59:13,200 HE TOLD ME TO COME IN IMMEDIATELY 1183 00:59:13,200 --> 00:59:16,733 SO HE COULD RUN SOME TESTS AND MAKE SURE I'M OKAY. 1184 00:59:16,733 --> 00:59:19,667 HE'S WORRIED IT'S SOMETHING TO DO WITH MY LUNGS, 1185 00:59:19,667 --> 00:59:23,567 AND I'M HOPING TODAY THAT I'M STILL MAKING GOOD PROGRESS. 1186 00:59:23,567 --> 00:59:27,567 AT MY LAST APPOINTMENT, I WAS AT 496, 1187 00:59:27,567 --> 00:59:30,433 AND I'M HOPING MY WEIGHT LOSS HASN'T SLOWED AT ALL. 1188 00:59:30,433 --> 00:59:34,267 ** 1189 00:59:34,267 --> 00:59:36,133 WOW. OH, MY LORD. 1190 00:59:36,133 --> 00:59:38,167 GOOD JOB. 1191 00:59:38,167 --> 00:59:41,067 I'M RELIEVED THAT I'M STILL LOSING WEIGHT, 1192 00:59:41,067 --> 00:59:42,167 BUT IT WOULD BE DEVASTATING 1193 00:59:42,167 --> 00:59:45,667 IF THERE WAS A SERIOUS ISSUE WITH MY LUNGS, 1194 00:59:45,667 --> 00:59:49,100 SO I JUST HOPE EVERYTHING IS ALL RIGHT. 1195 00:59:49,100 --> 00:59:52,133 WE'RE RUNNING SOME TESTS ON TAMY RIGHT NOW 1196 00:59:52,133 --> 00:59:54,967 AND TAKING SOME X-RAY OF HER LUNGS 1197 00:59:54,967 --> 00:59:57,200 SO I CAN SEE WHAT'S GOING ON. 1198 00:59:57,200 --> 00:59:59,300 ALL RIGHT. LET'S TAKE A DEEP BREATH IN. 1199 00:59:59,300 --> 01:00:00,900 BLOW IT OUT. 1200 01:00:00,900 --> 01:00:04,400 I AM WORRIED THAT HER FAINTING IS RELATED TO THE FACT 1201 01:00:04,400 --> 01:00:07,633 THAT HER LUNGS HAVE BEEN SO WEAK FOR SO LONG, 1202 01:00:07,633 --> 01:00:11,500 AND SHE COULD DEVELOP A LIFE-THREATENING ISSUE. 1203 01:00:11,500 --> 01:00:14,867 AND IF THAT'S WHAT'S HAPPENING, THEN WE NEED TO TREAT IT 1204 01:00:14,867 --> 01:00:17,967 BEFORE HER CONDITION GETS EVEN WORSE. 1205 01:00:17,967 --> 01:00:21,467 ** 1206 01:00:21,467 --> 01:00:22,600 HOW Y'ALL DOING? 1207 01:00:22,600 --> 01:00:24,067 GOOD. HOW ARE YOU? 1208 01:00:24,067 --> 01:00:26,533 ALL RIGHT. SO YOU PASSED OUT? 1209 01:00:26,533 --> 01:00:27,800 YEAH. 1210 01:00:27,800 --> 01:00:30,000 SO YOU'RE NOT FEELING DIZZY AT THIS MOMENT? 1211 01:00:30,000 --> 01:00:32,700 NO. USUALLY, IT HAPPENS ONCE I GET UP, MOVE AROUND. 1212 01:00:32,700 --> 01:00:33,700 MM-HMM. 1213 01:00:33,700 --> 01:00:34,867 IT'S JUST BEEN THE LAST FEW DAYS. 1214 01:00:34,867 --> 01:00:37,733 WELL, FROM YOUR TESTS, YOUR BLOOD PRESSURE IS OKAY, 1215 01:00:37,733 --> 01:00:42,033 AND YOUR HEART RATE IS OKAY, SO IT'S MOST LIKELY PNEUMONIA. 1216 01:00:42,033 --> 01:00:45,200 THAT, COMBINED WITH HOW WEAK YOUR LUNGS HAVE BEEN 1217 01:00:45,200 --> 01:00:49,567 LED TO YOU OVEREXERTING YOURSELF AND PASSING OUT. 1218 01:00:49,567 --> 01:00:51,067 SO WITH THIS ISSUE, 1219 01:00:51,067 --> 01:00:54,167 I THINK WE'RE GOING TO CANCEL YOUR SURGERY 1220 01:00:54,167 --> 01:00:55,933 BECAUSE LAST THING WE WANT TO DO 1221 01:00:55,933 --> 01:00:58,267 IS TO PUT TOO MUCH STRAIN ON YOUR BODY. 1222 01:00:58,267 --> 01:01:00,867 THEN YOU WON'T SURVIVE THE OPERATION, 1223 01:01:00,867 --> 01:01:03,333 SO WE HAVE TO DO THIS TO BE SAFE. 1224 01:01:03,333 --> 01:01:04,433 OKAY. 1225 01:01:04,433 --> 01:01:07,200 AND DURING THAT TIME, YOU NEED TO WORK TO TRY 1226 01:01:07,200 --> 01:01:09,233 AND KEEP MAKING PROGRESS. 1227 01:01:09,233 --> 01:01:12,633 I KNOW THIS IS DISAPPOINTING AND FRUSTRATING, 1228 01:01:12,633 --> 01:01:16,167 BUT IF YOU KEEP IT UP, I PROMISE WE'LL GET YOU THERE, 1229 01:01:16,167 --> 01:01:18,600 BUT YOU HAVE TO GET HEALTHIER FIRST. 1230 01:01:18,600 --> 01:01:19,767 OKAY. 1231 01:01:19,767 --> 01:01:22,300 ALL RIGHT. 1232 01:01:24,567 --> 01:01:27,067 Dr. Nowzaradan: IT UNFORTUNATE THAT WE HAVE TO DELAY 1233 01:01:27,067 --> 01:01:30,100 TAMY'S WEIGHT-LOSS SURGERY EVEN LONGER, 1234 01:01:30,100 --> 01:01:32,800 BUT WE CAN'T TAKE ANY RISKS WITH HER RIGHT NOW, 1235 01:01:32,800 --> 01:01:35,200 SO WE WILL START TREATING HER, 1236 01:01:35,200 --> 01:01:39,067 AND WE SHOULD HAVE HER CLEARED UP IN THE NEXT COUPLE WEEKS, 1237 01:01:39,067 --> 01:01:43,567 BUT IT MAY TAKES MONTHS FOR HER LUNG TO RECOVER ENOUGH FOR HER 1238 01:01:43,567 --> 01:01:45,800 TO BE HEALTHY ENOUGH FOR SURGERY, 1239 01:01:45,800 --> 01:01:49,100 SO AS FRUSTRATING AS IT IS FOR TAMY, 1240 01:01:49,100 --> 01:01:52,067 THIS IS WHAT WE HAVE TO DO. 1241 01:01:52,067 --> 01:01:53,300 IT'S JUST BEEN A LONG DAY. 1242 01:01:53,300 --> 01:01:55,533 I KNOW IT'S A LITTLE DISAPPOINTING, BUT... 1243 01:01:55,533 --> 01:01:57,333 YES. IT IS. ...BETTER TO HAVE YOU HEALTHY. 1244 01:01:57,333 --> 01:02:00,500 ** 1245 01:02:00,500 --> 01:02:02,433 I DON'T WANT TO GO TO THE SURGERY IF SOMETHING IS WRONG. 1246 01:02:02,433 --> 01:02:03,967 I KNOW THAT. 1247 01:02:03,967 --> 01:02:05,200 WELL, YOU'RE SO STUBBORN. 1248 01:02:05,200 --> 01:02:07,167 YOU WOULDN'T LET ME TAKE YOU TO THE HOSPITAL. 1249 01:02:07,167 --> 01:02:08,333 JUST SHUT UP. 1250 01:02:08,333 --> 01:02:10,067 LET'S SEE HOW IT WORKS THE NEXT COUPLE OF DAYS. 1251 01:02:10,067 --> 01:02:12,400 WILL YOU SHUT UP? 1252 01:02:12,400 --> 01:02:13,933 DON'T GET GRUMPY. 1253 01:02:13,933 --> 01:02:15,300 I'M JUST PROCESSING EVERYTHING. 1254 01:02:15,300 --> 01:02:19,833 CAN YOU JUST GIVE ME A FEW MINUTES TO PROCESS IT ALL, OKAY? 1255 01:02:19,833 --> 01:02:21,200 I'M DISAPPOINTED. 1256 01:02:21,200 --> 01:02:24,233 I KNOW YOU ARE. [ SIGHS ] 1257 01:02:24,233 --> 01:02:25,567 AND YOU'RE JUST SITTING THERE HARPING ON ME 1258 01:02:25,567 --> 01:02:27,267 ABOUT WHAT I SHOULD'VE DID. 1259 01:02:27,267 --> 01:02:28,533 GET TO THE HOSPITAL. JUST STOP. 1260 01:02:28,533 --> 01:02:31,067 I'LL BE RIGHT BACK. 1261 01:02:33,200 --> 01:02:36,067 Tamy: PART OF ME IS GLAD TO FIND OUT WHY I PASSED OUT... 1262 01:02:38,333 --> 01:02:41,067 ...BUT I'M SO UPSET THAT MY SURGERY IS CANCELED. 1263 01:02:41,067 --> 01:02:44,433 ** 1264 01:02:44,433 --> 01:02:47,367 BUT IT'S STILL SO FRUSTRATING TO KEEP HAVING THE GOAL LINE 1265 01:02:47,367 --> 01:02:49,733 MOVED FURTHER AND FURTHER AWAY, 1266 01:02:49,733 --> 01:02:52,833 SO I'M JUST FEELING A LITTLE HOPELESS RIGHT NOW, 1267 01:02:52,833 --> 01:02:54,967 BUT THERE'S NOTHING I CAN DO ABOUT IT, 1268 01:02:54,967 --> 01:02:56,833 SO I'LL JUST FOCUS ON GETTING BETTER 1269 01:02:56,833 --> 01:03:00,100 AND KEEP STICKING TO MY DIET, 1270 01:03:00,100 --> 01:03:02,433 BUT IF I DON'T GET THIS SURGERY SOON, 1271 01:03:02,433 --> 01:03:05,200 I'M WORRIED I'M GOING TO START GETTING TO MY BREAKING POINT. 1272 01:03:05,200 --> 01:03:12,067 ** 1273 01:03:12,067 --> 01:03:18,900 ** 1274 01:03:18,900 --> 01:03:21,233 IT'S BEEN A HARD MONTH. 1275 01:03:21,233 --> 01:03:23,233 I SAW DR. NOW FOR MY LAST APPOINTMENT, 1276 01:03:23,233 --> 01:03:26,567 AND HE SAID I STILL WASN'T HEALTHY ENOUGH FOR SURGERY, 1277 01:03:26,567 --> 01:03:28,933 SO I HAVE TO WAIT ANOTHER MONTH. 1278 01:03:28,933 --> 01:03:31,867 BUT IT'S STARTING TO FEEL LIKE IT'S NEVER GOING TO HAPPEN, 1279 01:03:31,867 --> 01:03:35,167 AND I'VE BEEN STRUGGLING WITH BEING DEPRESSED ABOUT IT. 1280 01:03:35,167 --> 01:03:36,800 THAT'S MAKING IT HARDER NOT TO GIVE IN 1281 01:03:36,800 --> 01:03:39,733 AND EAT SOMETHING THAT'S NOT ON THE DIET, 1282 01:03:39,733 --> 01:03:41,933 BUT I'M DETERMINED TO DO THIS, 1283 01:03:41,933 --> 01:03:46,333 SO NO MATTER HOW HARD IT GETS, I'M NOT GIVING UP. 1284 01:03:46,333 --> 01:03:47,800 HEY, ZACHERY? HMM? 1285 01:03:47,800 --> 01:03:50,500 WHY DON'T YOU TAKE THAT INTO THE BEDROOM 1286 01:03:50,500 --> 01:03:53,167 AND GO WATCH TV IN THERE? 1287 01:03:53,167 --> 01:03:54,700 OKAY. 1288 01:03:54,700 --> 01:03:57,200 TAKE YOUR BLANKET. 1289 01:03:57,200 --> 01:04:03,100 ** 1290 01:04:03,100 --> 01:04:05,667 I SEE YOU'RE THINKING OVER THERE. 1291 01:04:05,667 --> 01:04:07,867 YEAH. WHAT'S ON YOUR MIND? 1292 01:04:07,867 --> 01:04:12,200 I'M JUST -- I WAS LOOKING FORWARD TO HAVING SURGERY. 1293 01:04:12,200 --> 01:04:16,733 SURGERY WAS SUPPOSED TO BE MY NEXT STEP TO HELP ME, 1294 01:04:16,733 --> 01:04:19,200 YOU KNOW, MAKE THIS MY NEW LIFE. 1295 01:04:19,200 --> 01:04:20,800 WHAT ARE YOU GOING TO DO IF HE TELLS YOU YOU CAN'T? 1296 01:04:20,800 --> 01:04:22,567 I DON'T KNOW. 1297 01:04:22,567 --> 01:04:25,533 WELL, IF SOMETHING SHOULD HAPPEN AND YOU CAN'T HAVE IT, 1298 01:04:25,533 --> 01:04:26,800 I'LL STILL BE THERE TO HELP YOU. 1299 01:04:26,800 --> 01:04:28,833 YOU CAN'T SAY THAT. YOU HAVE SOMEONE ELSE 1300 01:04:28,833 --> 01:04:31,133 THAT YOU'RE GOING HOME TO. 1301 01:04:31,133 --> 01:04:33,567 I CAN STILL HELP YOU. NO, YOU CAN'T. 1302 01:04:33,567 --> 01:04:35,367 I DON'T WANT THAT. 1303 01:04:35,367 --> 01:04:37,600 I DON'T WANT TO BE SOMEONE'S RESPONSIBILITY. 1304 01:04:37,600 --> 01:04:40,467 YOU KNOW, I MEAN, I DON'T WANT TO LIVE THE WAY I AM, YOU KNOW. 1305 01:04:40,467 --> 01:04:42,533 WELL, LET'S THINK POSITIVE. 1306 01:04:42,533 --> 01:04:45,267 EVEN THOUGH YOU HAD SETBACKS, YOU'VE BEEN DOING A GREAT JOB. 1307 01:04:45,267 --> 01:04:48,200 YEAH. 1308 01:04:48,200 --> 01:04:49,967 I'M DISAPPOINTED FOR TAMY BECAUSE I KNOW 1309 01:04:49,967 --> 01:04:53,067 SHE WAS LOOKING FORWARD TO GETTING THE SURGERY. 1310 01:04:53,067 --> 01:04:56,267 WHEN YOU GET THAT NEWS, IT DEVASTATES A PERSON, 1311 01:04:56,267 --> 01:05:00,167 AND I'M WORRIED, IF THE SURGERY DOES GET POSTPONED INDEFINITELY 1312 01:05:00,167 --> 01:05:01,433 AND SHE CAN'T HAVE IT, 1313 01:05:01,433 --> 01:05:03,933 TAMY IS GOING TO SLIP BACK INTO HER OLD WAYS. 1314 01:05:03,933 --> 01:05:07,767 ALL THIS THAT SHE'S BEEN THROUGH WILL BE ALL FOR NOTHING. 1315 01:05:07,767 --> 01:05:10,200 I THINK I'M GOING TO GO LAY DOWN FOR A LITTLE WHILE. 1316 01:05:10,200 --> 01:05:12,733 OKAY. OKAY. 1317 01:05:12,733 --> 01:05:14,500 OH. 1318 01:05:14,500 --> 01:05:17,067 YOU'RE DOING A GREAT JOB. 1319 01:05:19,367 --> 01:05:21,700 Tamy: I'M UNDER SO MUCH STRESS, 1320 01:05:21,700 --> 01:05:24,800 AND MY CRAVINGS ARE SO STRONG RIGHT NOW. 1321 01:05:24,800 --> 01:05:28,267 I'M JUST TRYING MY BEST NOT TO CHEAT ON THE DIET. 1322 01:05:28,267 --> 01:05:30,167 THERE'S PLENTY OF STUFF IN HERE I COULD CHEAT ON, 1323 01:05:30,167 --> 01:05:31,833 BUT I HAVEN'T TOUCHED ANY OF IT. 1324 01:05:31,833 --> 01:05:34,200 OH. 1325 01:05:34,200 --> 01:05:37,167 BUT IT SEEMS, WHENEVER THERE'S A GLIMMER OF HOPE, 1326 01:05:37,167 --> 01:05:39,933 SOMETHING BAD HAPPENS TO TAKE IT AWAY. 1327 01:05:39,933 --> 01:05:41,300 OH. 1328 01:05:41,300 --> 01:05:44,300 I CAN'T SEE TO SHAKE THE DARK CLOUD THAT HANGS OVER ME. 1329 01:05:44,300 --> 01:05:49,067 ** 1330 01:05:49,067 --> 01:05:52,267 THE WORRY I HAVE FOR NEVER GETTING THE SURGERY AT ALL 1331 01:05:52,267 --> 01:05:55,800 IS GOING BACK TO THE SAME LIFE THAT I HAD, 1332 01:05:55,800 --> 01:05:58,367 SECLUDING MYSELF INTO MY BED, 1333 01:05:58,367 --> 01:06:02,467 NOT TALKING TO PEOPLE NO MORE AND NOT GETTING OUT ANYMORE. 1334 01:06:02,467 --> 01:06:05,867 IF I CAN'T GET THE SURGERY, I'M AFRAID MY OLD HABITS 1335 01:06:05,867 --> 01:06:08,367 ARE GOING TO COME BACK. 1336 01:06:08,367 --> 01:06:14,100 ** 1337 01:06:14,100 --> 01:06:19,533 ** 1338 01:06:19,533 --> 01:06:21,867 IT'S BEEN A TOUGH COUPLE OF MONTHS. 1339 01:06:23,767 --> 01:06:27,667 I'VE BEEN DEPRESSED SINCE DR. NOW CANCELED MY SURGERY, 1340 01:06:27,667 --> 01:06:29,100 BUT I'VE TRIED TO STAY ON TRACK, 1341 01:06:29,100 --> 01:06:32,933 AND I'M STARTING TO FEEL BETTER. 1342 01:06:32,933 --> 01:06:35,867 TAMY MURRELL? 1343 01:06:35,867 --> 01:06:39,633 I WAS AT 451 THE LAST TIME I WAS HERE, 1344 01:06:39,633 --> 01:06:43,167 AND I'M HOPING TO BE IN THE 300s. 1345 01:06:43,167 --> 01:06:44,967 I JUST HOPE THAT I'M FINALLY HEALTHY ENOUGH 1346 01:06:44,967 --> 01:06:46,867 TO GET APPROVED FOR SURGERY TODAY... 1347 01:06:46,867 --> 01:06:50,267 ** 1348 01:06:50,267 --> 01:06:53,200 ...BECAUSE I'M NOT SURE I CAN DO THIS FOR ANOTHER MONTH. 1349 01:06:53,200 --> 01:06:58,500 ** 1350 01:06:58,500 --> 01:07:02,867 NOT TOO BAD. 1351 01:07:02,867 --> 01:07:06,367 I'M REALLY DISAPPOINTED I DIDN'T HIT MY GOAL TODAY, 1352 01:07:06,367 --> 01:07:10,067 AND I'M WORRIED ABOUT WHAT DR. NOW IS GOING TO SAY. 1353 01:07:10,067 --> 01:07:13,133 I JUST DON'T THINK I CAN HANDLE ANY MORE BAD NEWS. 1354 01:07:13,133 --> 01:07:18,200 ** 1355 01:07:18,200 --> 01:07:19,633 HELLO. HELLO. 1356 01:07:19,633 --> 01:07:20,533 HOW Y'ALL DOING? 1357 01:07:20,533 --> 01:07:21,933 GOOD. OKAY. 1358 01:07:21,933 --> 01:07:23,700 ALL RIGHT. 1359 01:07:23,700 --> 01:07:25,867 SO HOW YOU FEELING, TAMY? 1360 01:07:25,867 --> 01:07:27,667 FEELING BETTER. ALL RIGHT. 1361 01:07:27,667 --> 01:07:31,300 YOU HAVE BEEN FREE OF PNEUMONIA FOR ABOUT 5 WEEKS NOW. 1362 01:07:31,300 --> 01:07:33,500 YEAH. YOUR BLOOD PRESSURE IS GOOD, 1363 01:07:33,500 --> 01:07:36,333 AND EVERYTHING IS GETTING BETTER, 1364 01:07:36,333 --> 01:07:39,133 SO IF YOUR HEART AND LUNGS SOUND GOOD, 1365 01:07:39,133 --> 01:07:40,767 THEN WE CAN MOVE AHEAD. 1366 01:07:40,767 --> 01:07:42,567 OKAY. BUT FOR SURGERY, 1367 01:07:42,567 --> 01:07:44,733 YOU'RE GOING TO BE LAYING DOWN FOR A WHILE 1368 01:07:44,733 --> 01:07:47,867 WITH ALL YOUR WEIGHT PUSHING DOWN ON YOUR ORGANS, 1369 01:07:47,867 --> 01:07:49,400 ESPECIALLY YOUR LUNGS, 1370 01:07:49,400 --> 01:07:52,867 SO I NEED TO HEAR HOW THEY ARE DOING AT THAT STATE, 1371 01:07:52,867 --> 01:07:54,600 SO IF YOU GET UP ON THE TABLE, 1372 01:07:54,600 --> 01:07:56,367 I CAN CHECK YOUR HEART AND EVERYTHING 1373 01:07:56,367 --> 01:07:59,167 AND SEE IF WE CAN APPROVE YOU FOR SURGERY, NO? 1374 01:07:59,167 --> 01:08:01,200 OKAY. ALL RIGHT. 1375 01:08:01,200 --> 01:08:08,133 ** 1376 01:08:08,133 --> 01:08:11,833 ALL RIGHT. GO AHEAD. LAY DOWN. 1377 01:08:11,833 --> 01:08:15,267 Tamy: I'M REALLY NERVOUS RIGHT NOW. 1378 01:08:15,267 --> 01:08:16,900 TAKE A DEEP BREATH. 1379 01:08:16,900 --> 01:08:18,567 I HAVE TO HAVE THIS SURGERY. 1380 01:08:18,567 --> 01:08:22,267 ** 1381 01:08:22,267 --> 01:08:23,800 SO STAY IN HERE. 1382 01:08:23,800 --> 01:08:25,833 WE'RE GOING TO GET THE EKG, AND I'LL BE BACK 1383 01:08:25,833 --> 01:08:27,067 AND TALK TO YOU, OKAY? 1384 01:08:27,067 --> 01:08:29,133 OKAY. ALL RIGHT. 1385 01:08:29,133 --> 01:08:32,267 Dr. Nowzaradan: TAMY'S LUNGS AND HEART SOUND GOOD, 1386 01:08:32,267 --> 01:08:34,067 BUT I WANT TO RUN AN EKG 1387 01:08:34,067 --> 01:08:37,567 TO MAKE SURE THERE ARE NO OVERALL ISSUES STILL LINGERING, 1388 01:08:37,567 --> 01:08:39,633 AND IF EVERYTHING IS OKAY, WE'RE GOING TO PROCEED 1389 01:08:39,633 --> 01:08:41,567 WITH WEIGHT-LOSS SURGERY. 1390 01:08:41,567 --> 01:08:43,600 HOPEFULLY, EVERYTHING LOOKS GOOD, 1391 01:08:43,600 --> 01:08:48,200 AND HER TESTS ALL SHOW THAT SHE'S READY. 1392 01:08:48,200 --> 01:08:50,733 I HOPE ALL THAT WENT WELL. 1393 01:08:53,267 --> 01:08:54,467 OKAY. 1394 01:08:54,467 --> 01:08:57,233 SO I HAVE THE RESULTS FROM ALL YOUR TESTING, 1395 01:08:57,233 --> 01:08:59,667 AND YOUR EKG LOOKED NORMAL, 1396 01:08:59,667 --> 01:09:01,967 AND YOU KEPT UP WITH YOUR WEIGHT LOSS, 1397 01:09:01,967 --> 01:09:05,200 SO I'M APPROVING YOU FOR WEIGHT-LOSS SURGERY. 1398 01:09:05,200 --> 01:09:06,700 OH, OKAY. OKAY? 1399 01:09:06,700 --> 01:09:08,833 AND WE'LL GET YOU IN TOMORROW, 1400 01:09:08,833 --> 01:09:11,867 SO YOU DON'T HAVE TO WAIT ANYMORE. 1401 01:09:11,867 --> 01:09:13,533 OKAY? ALL RIGHT. THANK YOU. 1402 01:09:13,533 --> 01:09:15,133 THANK YOU. Y'ALL HAVE A GOOD DAY. 1403 01:09:15,133 --> 01:09:16,067 YOU TOO. YOU HAVE A GOOD DAY. 1404 01:09:16,067 --> 01:09:16,967 OKAY? 1405 01:09:16,967 --> 01:09:18,400 SO I'LL SEE YOU ALL TOMORROW. 1406 01:09:18,400 --> 01:09:21,900 THANK YOU. MM-HMM. 1407 01:09:21,900 --> 01:09:25,067 Dr. Nowzaradan: TAMY HAS DONE A GREAT JOB STAYING ON THE DIET 1408 01:09:25,067 --> 01:09:29,667 DESPITE ALL HER SETBACKS AND DELAYS SHE HAS FACED, 1409 01:09:29,667 --> 01:09:33,567 SO SHE'S READY NOW FOR THE NEXT BIG STEP IN HER JOURNEY. 1410 01:09:33,567 --> 01:09:35,233 HER WEIGHT LOSS HAS SLOWED DOWN, 1411 01:09:35,233 --> 01:09:37,600 AND IF WE HAVE TO WAIT ANY LONGER, 1412 01:09:37,600 --> 01:09:41,467 SHE WILL JUST CONTINUE TO SLOW UNTIL SHE STOP LOSING WEIGHT 1413 01:09:41,467 --> 01:09:43,667 AND STARTING GAINING AGAIN. 1414 01:09:43,667 --> 01:09:46,167 SO TAMY MAY HAVE HAD TO WAIT AWHILE 1415 01:09:46,167 --> 01:09:48,067 AND WORK HARD TO GET HERE, 1416 01:09:48,067 --> 01:09:50,633 BUT IT'S ALL ABOUT TO PAY OFF FOR HER. 1417 01:09:50,633 --> 01:09:55,733 ** 1418 01:09:55,733 --> 01:09:58,267 Tamy: HEARING THOSE WORDS THAT I'M APPROVED 1419 01:09:58,267 --> 01:10:01,333 WAS SO WONDERFUL TO HEAR, 1420 01:10:01,333 --> 01:10:04,033 AND THEN TO FIND OUT IT'S HAPPENING TOMORROW 1421 01:10:04,033 --> 01:10:06,033 WAS SUCH A HUGE RELIEF. 1422 01:10:06,033 --> 01:10:12,833 ** 1423 01:10:12,833 --> 01:10:15,833 THIS HAS BEEN SUCH A HARD ROAD, 1424 01:10:15,833 --> 01:10:18,100 BUT NOW THAT'S IT'S FINALLY HAPPENING, 1425 01:10:18,100 --> 01:10:20,467 I'M JUST EXCITED AND PROUD OF MYSELF. 1426 01:10:28,200 --> 01:10:36,100 ** 1427 01:10:36,100 --> 01:10:44,000 ** 1428 01:10:44,000 --> 01:10:47,500 Tamy: I'VE BOTH DREADED AND LOOKED FORWARD TO THIS DAY, 1429 01:10:47,500 --> 01:10:51,600 AND NOW THAT IT'S HERE, I AM JUST TERRIFIED. 1430 01:10:51,600 --> 01:10:53,067 JUST THINK, IN A FEW MINUTES, YOU'LL BE... 1431 01:10:53,067 --> 01:10:54,333 [ IMITATES SNORING ] 1432 01:10:54,333 --> 01:10:55,767 AND THEN YOU'LL WAKE UP, AND YOU'LL BE IN YOUR ROOM. 1433 01:10:55,767 --> 01:10:57,700 YEAH. 1434 01:10:57,700 --> 01:11:00,733 THEY JUST NEED TO HURRY UP AND COME PUT ME TO SLEEP. 1435 01:11:00,733 --> 01:11:01,867 YOU'LL BE FINE. 1436 01:11:01,867 --> 01:11:04,300 [ DOOR OPENS ] OKAY. COME HERE. 1437 01:11:04,300 --> 01:11:05,733 I LOVE YOU. Y'ALL SHOULD BE RELAXING. 1438 01:11:05,733 --> 01:11:07,333 MWAH. ALL RIGHT. 1439 01:11:07,333 --> 01:11:09,700 WE'LL SEE YOU AFTER YOU GET DONE, OKAY? 1440 01:11:09,700 --> 01:11:13,067 OKAY. 1441 01:11:13,067 --> 01:11:16,600 BYE, TAMY. 1442 01:11:16,600 --> 01:11:19,067 MY NERVES ARE STARTING TO GET THE BEST OF ME RIGHT NOW 1443 01:11:19,067 --> 01:11:23,367 BECAUSE MY WORST FEAR IS DYING ON THE TABLE. 1444 01:11:23,367 --> 01:11:27,267 SO I'M JUST NERVOUS ABOUT WHAT TO EXPECT, 1445 01:11:27,267 --> 01:11:30,133 AND WITH ME BEING OVERWEIGHT AND THE HEALTH ISSUES, 1446 01:11:30,133 --> 01:11:32,333 I AM VERY HIGH-RISK, 1447 01:11:32,333 --> 01:11:35,400 BUT THIS WAS THE ULTIMATE GOAL WHEN I FIRST STARTED THIS. 1448 01:11:35,400 --> 01:11:40,067 THE DIET, THE EXERCISE, IT WAS ALL TO GET TO HAVING THE SURGERY 1449 01:11:40,067 --> 01:11:42,400 AND THEN BEING ABLE TO BECOME A BETTER ME, 1450 01:11:42,400 --> 01:11:46,067 A HEALTHIER ME AND THE PERSON I WANT TO BE, 1451 01:11:46,067 --> 01:11:50,100 SO I REALLY DO NEED THIS SURGERY TO MOVE FORWARD IN MY LIFE, 1452 01:11:50,100 --> 01:11:51,933 AND I HAVE TO DO THIS. 1453 01:11:51,933 --> 01:11:55,400 ** 1454 01:11:55,400 --> 01:11:59,167 Dr. Nowzaradan: TODAY, WE'LL BE PERFORMING A GASTRIC SLEEVE ON TAMY, 1455 01:11:59,167 --> 01:12:01,200 BUT SHE'S STILL VERY HIGH-RISK 1456 01:12:01,200 --> 01:12:04,633 BECAUSE SHE DOESN'T HAVE VERY MUCH STAMINA, 1457 01:12:04,633 --> 01:12:08,667 SO WE STILL HAVE TO BE VERY CAREFUL WITH HER LUNGS. 1458 01:12:08,667 --> 01:12:12,300 OKAY. READY FOR THE FIRST INCISION. 1459 01:12:12,300 --> 01:12:14,833 BUT THIS IS GOING TO BE A DIFFICULT PROCEDURE 1460 01:12:14,833 --> 01:12:16,567 TO PERFORM TODAY 1461 01:12:16,567 --> 01:12:18,900 BECAUSE THE LARGE MASS ON HER ABDOMEN 1462 01:12:18,900 --> 01:12:22,867 IS GOING TO MAKE IT DIFFICULT TO MANEUVER THE INSTRUMENTS. 1463 01:12:22,867 --> 01:12:25,467 WE CAN TURN THE ROOM LIGHT OFF. 1464 01:12:25,467 --> 01:12:27,667 BUT AT THE SAME TIME, WE NEED TO WORK 1465 01:12:27,667 --> 01:12:29,700 TO MAKE SURE SHE'S NOT UNDER ANESTHESIA 1466 01:12:29,700 --> 01:12:34,733 FOR TOO LONG TO PREVENT HER LUNGS FROM HAVING ISSUES. 1467 01:12:34,733 --> 01:12:36,600 GO FORWARD. GO FORWARD. 1468 01:12:36,600 --> 01:12:38,633 PULL IT BACK A BIT. 1469 01:12:38,633 --> 01:12:42,133 MAN, THIS AIN'T GOING TO BE EASY. 1470 01:12:42,133 --> 01:12:45,333 IF SHE STARTS TO STRUGGLE TO BREATHE, WE COULD LOSE HER, 1471 01:12:45,333 --> 01:12:47,700 SO WE NEED TO BE EXTRA CAREFUL 1472 01:12:47,700 --> 01:12:50,500 NOT TO PUSH HER BODY OVER THE LIMIT. 1473 01:12:50,500 --> 01:12:52,767 BUT IF WE ARE SUCCESSFUL TODAY, 1474 01:12:52,767 --> 01:12:56,067 THIS WILL HELP TAMY CONTINUE TO LOSE MORE WEIGHT. 1475 01:12:56,067 --> 01:12:59,867 ** 1476 01:12:59,867 --> 01:13:02,067 James: I'M REALLY WORRIED AND I AM SCARED. 1477 01:13:02,067 --> 01:13:03,700 I DON'T KNOW WHAT'S GOING TO GO ON DURING SURGERY. 1478 01:13:03,700 --> 01:13:08,933 YOU KNOW, ANYTHING CAN HAPPEN, BUT I'M TRYING TO STAY POSITIVE 1479 01:13:08,933 --> 01:13:11,300 AND KNOW THAT, YOU KNOW, THINGS ARE GOING TO GO SMOOTH, 1480 01:13:11,300 --> 01:13:14,400 BUT THERE'S ALWAYS THAT CHANCE THAT SOMETHING COULD COME UP. 1481 01:13:16,933 --> 01:13:19,233 Dr. Nowzaradan: LOOK AT THIS. 1482 01:13:19,233 --> 01:13:22,567 WELL, TAMY GOT A REALLY BIG SPLEEN 1483 01:13:22,567 --> 01:13:25,733 THAT IS BLOCKING ACCESS TO THE STOMACH. 1484 01:13:25,733 --> 01:13:27,400 THAT IS REALLY CHALLENGING, 1485 01:13:27,400 --> 01:13:29,633 SO WE'RE GOING TO HAVE TO SEE WHAT WE CAN DO 1486 01:13:29,633 --> 01:13:32,533 TO GET IT OUT OF THE WAY. 1487 01:13:32,533 --> 01:13:34,967 THE SLEEVE GASTRECTOMY IS AN OPERATION 1488 01:13:34,967 --> 01:13:39,933 THAT REDUCES THE SIZE OF THE STOMACH 70 TO 80 PERCENT. 1489 01:13:39,933 --> 01:13:43,333 AFTER THE SURGERY, HER FOOD DESIRE WILL DIMINISH, 1490 01:13:43,333 --> 01:13:48,367 AND SHE WILL BE ABLE TO EAT LESS AND BE ABLE TO LOSE SOME WEIGHT. 1491 01:13:48,367 --> 01:13:50,433 OKAY. PULL IT OUT. 1492 01:13:50,433 --> 01:13:51,767 PULL IT OUT. 1493 01:13:51,767 --> 01:13:53,433 KEEP PULLING. KEEP PULLING. KEEP PULLING. 1494 01:13:53,433 --> 01:13:56,667 KEEP PULLING. 1495 01:13:56,667 --> 01:13:59,567 ALL RIGHT. ROOM LIGHT ON, PLEASE. 1496 01:14:03,467 --> 01:14:06,767 OKAY. ALL FINISHED. 1497 01:14:06,767 --> 01:14:10,467 ALL RIGHT. TAMY'S SURGERY WENT VERY WELL. 1498 01:14:10,467 --> 01:14:13,233 WE WERE ABLE TO DO A SLEEVE GASTRECTOMY ON HER, 1499 01:14:13,233 --> 01:14:15,200 AND THAT WAS A LITTLE BIT CHALLENGING 1500 01:14:15,200 --> 01:14:17,467 BECAUSE OF HER WEIGHT AND DIFFICULTY 1501 01:14:17,467 --> 01:14:20,200 IN MANEUVERING INSTRUMENT INSIDE OF HER ABDOMEN 1502 01:14:20,200 --> 01:14:23,133 AND THEN ENCOUNTERING ISSUES WITH HER SPLEEN, 1503 01:14:23,133 --> 01:14:25,833 PREVENTING ACCESS TO HER STOMACH. 1504 01:14:25,833 --> 01:14:28,933 BUT WE WERE ABLE TO COMPLETE THE SURGERY SAFELY. 1505 01:14:28,933 --> 01:14:32,900 SO WE'LL GET HER TO RECOVERY SO SHE CAN REST, 1506 01:14:32,900 --> 01:14:35,467 AND AS SOON AS SHE LOSES SOME MORE WEIGHT 1507 01:14:35,467 --> 01:14:37,467 AND RECOVER COMPLETELY, 1508 01:14:37,467 --> 01:14:39,767 THEN WE'RE GOING TO CONSIDER TAKING THIS MASS 1509 01:14:39,767 --> 01:14:42,067 THAT IS IN HER LOWER ABDOMEN. 1510 01:14:42,067 --> 01:14:44,933 THAT'S GOING TO BE A SIGNIFICANT IMPROVEMENT FOR HER, 1511 01:14:44,933 --> 01:14:48,400 FOR HER ABILITY TO WALK AND BE ACTIVE, 1512 01:14:48,400 --> 01:14:52,067 SO TODAY IS A BIG STEP FORWARD FOR HER, 1513 01:14:52,067 --> 01:14:54,567 AND IF SHE KEEPS UP HER PROGRESS, 1514 01:14:54,567 --> 01:14:59,167 WE'RE GOING TO HELP HER MAKE AN EVEN BIGGER STEP HERE SOON. 1515 01:14:59,167 --> 01:15:05,067 ** 1516 01:15:05,067 --> 01:15:10,933 ** 1517 01:15:10,933 --> 01:15:14,667 Tamy: I'VE BEEN HOME FROM THE HOSPITAL FOR ABOUT A WEEK NOW, 1518 01:15:14,667 --> 01:15:17,700 AND I'M STILL REALLY SORE AND HAVING A HARD TIME 1519 01:15:17,700 --> 01:15:20,433 GETTING UP AND WALKING, 1520 01:15:20,433 --> 01:15:24,467 BUT I HAVE TO PULL MYSELF TOGETHER. 1521 01:15:24,467 --> 01:15:26,833 MY RECOVERY TIME IS BEING CUT SHORT 1522 01:15:26,833 --> 01:15:30,433 BECAUSE JAMES IS PACKING TO GO BACK TO KENTUCKY. 1523 01:15:30,433 --> 01:15:33,967 HE AGREED TO HELP TAKE CARE OF ME UP TO SURGERY, 1524 01:15:33,967 --> 01:15:36,867 AND I SUPPOSE HE KEPT HIS END OF THE BARGAIN. 1525 01:15:39,333 --> 01:15:41,567 I DO WISH JAMES COULD STAY A LITTLE LONGER, 1526 01:15:41,567 --> 01:15:44,233 BUT I UNDERSTAND THAT HE CAN'T, 1527 01:15:44,233 --> 01:15:48,600 AND I'M THANKFUL THAT HE STAYED DOWN FOR AS LONG AS HE DID. 1528 01:15:48,600 --> 01:15:50,633 YOU WILL HAVE TO HELP ME WITH DINNER TONIGHT... 1529 01:15:50,633 --> 01:15:52,633 YES, I KNOW. ...MAKING YOUR DINNER. 1530 01:15:54,867 --> 01:15:56,433 James: IT'S TIME FOR ME TO GO BACK 1531 01:15:56,433 --> 01:15:59,300 SO TAMY CAN START THIS JOURNEY ON HER OWN, 1532 01:15:59,300 --> 01:16:04,067 SO SHE CAN DO THINGS FOR HERSELF, BE MORE INDEPENDENT. 1533 01:16:04,067 --> 01:16:10,900 ** 1534 01:16:10,900 --> 01:16:12,933 BEFORE I LEAVE, I JUST WANT TO LET YOU KNOW 1535 01:16:12,933 --> 01:16:16,100 THERE'S VEGETABLES IN THE FRIDGE, CHICKEN BROTH, 1536 01:16:16,100 --> 01:16:20,067 JELL-O, AND YOU GOT A BRAND-NEW PACK OF WATER UP ON THE FRIDGE. 1537 01:16:20,067 --> 01:16:21,233 Tamy: OKAY. 1538 01:16:21,233 --> 01:16:23,533 IS THERE ANYTHING ELSE? 1539 01:16:23,533 --> 01:16:24,933 OKAY. 1540 01:16:24,933 --> 01:16:26,567 JUST WANT TO MAKE SURE. 1541 01:16:26,567 --> 01:16:29,167 IT'S GOING TO BE HARD LEAVING, YOU KNOW? 1542 01:16:29,167 --> 01:16:32,533 SO USED TO YOU AND ZACH BEING AT THE HOUSE. 1543 01:16:32,533 --> 01:16:34,267 YEAH. I KNOW. IT'S GOING TO BE LONELY. 1544 01:16:34,267 --> 01:16:36,633 IT'S NOT LIKE I'M ENJOYING THE WHOLE THING OF THINKING 1545 01:16:36,633 --> 01:16:38,967 OF BEING DOWN HERE BY MYSELF, 1546 01:16:38,967 --> 01:16:41,133 BUT I'M SURE I'LL BE OKAY. 1547 01:16:41,133 --> 01:16:43,933 LIKE I SAID, IF YOU'RE NOT, JUST CALL. 1548 01:16:43,933 --> 01:16:46,300 OKAY. 1549 01:16:46,300 --> 01:16:48,733 WELL, I'M GOING TO GO. 1550 01:16:48,733 --> 01:16:51,067 LOVE YOU. UH-HUH. 1551 01:16:51,067 --> 01:16:53,067 YOU BE GOOD FOR YOUR MOM AND PAY ATTENTION TO HER 1552 01:16:53,067 --> 01:16:54,167 WHEN SHE TELLS YOU TO DO STUFF. 1553 01:16:54,167 --> 01:16:56,900 YOU UNDERSTAND? MM-HMM. 1554 01:16:56,900 --> 01:16:57,833 YOU NEED HELP UP? 1555 01:16:57,833 --> 01:16:59,367 NO. I'M NOT STANDING UP. 1556 01:16:59,367 --> 01:17:00,600 ALL RIGHT. 1557 01:17:00,600 --> 01:17:04,100 YOU'LL HAVE TO COME DOWN TO ME. 1558 01:17:04,100 --> 01:17:06,933 I'LL SEE YOU. OKAY. 1559 01:17:06,933 --> 01:17:08,333 YOU GOING TO LET ME GO? 1560 01:17:08,333 --> 01:17:10,067 YEAH. 1561 01:17:10,067 --> 01:17:12,667 WHEN? 1562 01:17:12,667 --> 01:17:13,833 I'LL SEE YOU, OKAY? 1563 01:17:13,833 --> 01:17:16,400 YEAH. 1564 01:17:16,400 --> 01:17:18,067 I'LL CALL YOU ON THE ROAD. 1565 01:17:18,067 --> 01:17:19,433 ALL RIGHT. 1566 01:17:22,167 --> 01:17:24,833 Tamy: IT'S A LITTLE BIT SCARY BECAUSE I'M IN A NEW CITY 1567 01:17:24,833 --> 01:17:30,100 WITH NO ONE I KNOW HERE, AND I HAVE A SON TO RAISE, 1568 01:17:30,100 --> 01:17:32,267 AND I'M STILL RECOVERING FROM SURGERY 1569 01:17:32,267 --> 01:17:35,533 AND TRYING TO LOSE WEIGHT, 1570 01:17:35,533 --> 01:17:37,367 AND I'M A LITTLE OVERWHELMED 1571 01:17:37,367 --> 01:17:41,500 BECAUSE I'M NOT REALLY SURE HOW TO DO THIS ALL ON MY OWN, 1572 01:17:41,500 --> 01:17:43,233 BUT I HAVE NO CHOICE. 1573 01:17:43,233 --> 01:17:45,767 IF I DON'T, THEN EVERYTHING HERE WILL FALL APART. 1574 01:17:52,533 --> 01:17:58,833 ** 1575 01:17:58,833 --> 01:18:04,267 ** 1576 01:18:04,267 --> 01:18:09,567 Tamy: IT'S BEEN OVER 6 WEEKS SINCE JAMES LEFT AND WENT BACK HOME, 1577 01:18:09,567 --> 01:18:13,900 AND IT GOT REALLY TOUGH RIGHT AFTER HE DID. 1578 01:18:13,900 --> 01:18:17,133 IT'S BEEN A BIT OF AN ADJUSTMENT, 1579 01:18:17,133 --> 01:18:21,633 BUT I FEEL LIKE I'M STARTING TO GET A HANDLE ON THINGS. 1580 01:18:21,633 --> 01:18:23,600 ZACH HAS ALWAYS BEEN THE MOTIVATION FOR ME 1581 01:18:23,600 --> 01:18:25,100 DURING THIS PROCESS, 1582 01:18:25,100 --> 01:18:27,267 AND LOSING WEIGHT AND GETTING SURGERY WAS AS MUCH 1583 01:18:27,267 --> 01:18:29,567 FOR ZACH AS IT WAS FOR ME 1584 01:18:29,567 --> 01:18:32,800 BECAUSE I CAN'T IMAGINE MY LIFE WITHOUT HIM, 1585 01:18:32,800 --> 01:18:36,400 BUT I ALSO DON'T THINK HE'S HAD THE LIFE HE DESERVES. 1586 01:18:36,400 --> 01:18:38,467 ZACH STRUGGLES WITH A LOT OF DIFFERENT THINGS, 1587 01:18:38,467 --> 01:18:40,867 AND UNFORTUNATELY, I'VE NEVER BEEN ABLE TO HELP HIM, 1588 01:18:40,867 --> 01:18:43,667 BUT NOW I'M ABLE TO TAKE HIM TO OCCUPATIONAL THERAPY, 1589 01:18:43,667 --> 01:18:45,933 AND IT MEANS THE WORLD TO ME. 1590 01:18:45,933 --> 01:18:48,933 Humphrey: THIS IS OUR BIG GYM, OUR BIG THERAPY GYM. 1591 01:18:48,933 --> 01:18:50,900 MOM, IF YOU WANT TO GO AHEAD AND SIT, YOU CAN SIT ON THE COUCH. 1592 01:18:50,900 --> 01:18:52,233 ALL RIGHT. 1593 01:18:52,233 --> 01:18:54,300 ZACH, SO WHAT WE CAN DO NOW IS WE CAN KIND OF RELAX, 1594 01:18:54,300 --> 01:18:56,267 SO IF YOU'D LIKE TO GO AHEAD AND LAY ON THE GROUND. 1595 01:18:56,267 --> 01:18:58,133 I'D RATHER SIT. YOU'D RATHER SIT? 1596 01:18:58,133 --> 01:19:00,233 THAT'S FINE BY ME. 1597 01:19:00,233 --> 01:19:03,867 SO, MOM, WHAT ARE SOME PRIMARY CONCERNS FOR YOU FOR THERAPY? 1598 01:19:03,867 --> 01:19:06,433 I WISH I COULD FIGURE OUT A WAY OF CALMING HIM DOWN 1599 01:19:06,433 --> 01:19:07,933 WHEN HE'S ANGRY ABOUT SOMETHING. 1600 01:19:07,933 --> 01:19:10,933 ZACH, DO YOU FEEL LIKE YOU WANT TO MAKE YOUR EMOTIONS BETTER? 1601 01:19:10,933 --> 01:19:12,133 YEAH. YEAH? 1602 01:19:12,133 --> 01:19:14,167 SO, MOM, ARE YOU ABLE TO HELP HIM 1603 01:19:14,167 --> 01:19:16,433 WITH DOING SOME BONDING REFLEX? 1604 01:19:16,433 --> 01:19:19,233 THIS REFLEX CAN HELP MAKE YOU MORE IN TOUCH WITH EACH OTHER 1605 01:19:19,233 --> 01:19:20,967 AND HIM FEEL BETTER AND IMPROVE HIS SELF-ESTEEM 1606 01:19:20,967 --> 01:19:22,133 AND SELF-CONFIDENCE, 1607 01:19:22,133 --> 01:19:24,067 AND THAT TOUCH CAN BE VERY CALMING. 1608 01:19:24,067 --> 01:19:25,233 COMFORTING, YEAH. YEAH. 1609 01:19:25,233 --> 01:19:26,633 IT'S VERY COMFORTING. ALL RIGHT, MR. ZACH, 1610 01:19:26,633 --> 01:19:29,067 YOU'RE GOING TO PUSH INTO MY HAND OVER HERE ON THIS SIDE, 1611 01:19:29,067 --> 01:19:31,867 AND WHILE YOU'RE PUSHING, MOM IS GOING TO TELL YOU THINGS 1612 01:19:31,867 --> 01:19:33,933 THAT SHE APPRECIATES ABOUT YOU. 1613 01:19:33,933 --> 01:19:36,567 I APPRECIATE THE HELP YOU GIVE ME 1614 01:19:36,567 --> 01:19:40,800 ON AN EVERY-DAY BASIS. 1615 01:19:40,800 --> 01:19:45,367 I APPRECIATE HOW LOVING YOU ARE WHEN I'M HAVING A BAD DAY. 1616 01:19:45,367 --> 01:19:49,100 I APPRECIATE, YOU KNOW, JUST YOU BEING YOU. 1617 01:19:49,100 --> 01:19:52,933 EVEN ON YOUR BAD DAYS, YOU KNOW, I SEE THAT GOODNESS IN YOU, 1618 01:19:52,933 --> 01:19:55,767 AND I APPRECIATE ALL OF THAT. 1619 01:19:55,767 --> 01:19:59,233 YOU'VE MADE ME A BETTER ME. 1620 01:19:59,233 --> 01:20:01,400 ZACH, HOW'D IT MAKE YOU FEEL WHEN MOM SAID THOSE THINGS? 1621 01:20:01,400 --> 01:20:03,367 GOOD. GOOD? 1622 01:20:03,367 --> 01:20:04,833 DO YOU BELIEVE THAT SHE FEELS ALL THOSE THINGS, 1623 01:20:04,833 --> 01:20:06,200 HER APPRECIATION? 1624 01:20:06,200 --> 01:20:07,267 MM-HMM. GOOD. 1625 01:20:07,267 --> 01:20:08,333 SO AREN'T YOU GLAD THAT YOU HAVE MOM? 1626 01:20:08,333 --> 01:20:09,767 SHE SEEMS LIKE A WONDERFUL MOM. 1627 01:20:11,867 --> 01:20:14,533 Zachery: I AM VERY GLAD THAT MY MOM BROUGHT ME HERE. 1628 01:20:14,533 --> 01:20:18,500 IT IS REALLY COOL THAT WE'RE DOING THIS TOGETHER, 1629 01:20:18,500 --> 01:20:20,200 AND I DO THINK MY MOM 1630 01:20:20,200 --> 01:20:23,867 IS LEARNING SOMETHING TODAY AS WELL AS I AM. 1631 01:20:23,867 --> 01:20:26,600 Humphrey: I HOPE YOU HAVE A WONDERFUL REST OF Y'ALL'S DAY. 1632 01:20:26,600 --> 01:20:29,267 Tamy: IT'S BEEN A LOT OF FUN TODAY SPENDING TIME WITH ZACHERY 1633 01:20:29,267 --> 01:20:32,267 AND JUST SEEING WHAT HE'S GOING THROUGH. 1634 01:20:32,267 --> 01:20:35,867 IT'S GREAT THAT HE'S OPENING UP, THAT HE'S TRYING THE NEW THINGS. 1635 01:20:35,867 --> 01:20:39,167 I KNOW THAT THIS IS GOING TO HELP HIM, 1636 01:20:39,167 --> 01:20:41,433 AND IT'S AMAZING TO ACTUALLY HAVE 1637 01:20:41,433 --> 01:20:42,833 A COUPLE THINGS THAT I CAN TRY 1638 01:20:42,833 --> 01:20:46,167 AND SEE IF THEY'RE GOING TO WORK FOR HIM. 1639 01:20:46,167 --> 01:20:48,400 SO I'M FEELING REALLY GOOD RIGHT NOW, 1640 01:20:48,400 --> 01:20:52,700 AND I'M PROUD OF HOW I'M GETTING A HANDLE ON EVERYTHING. 1641 01:20:52,700 --> 01:20:56,200 NO MATTER WHAT, I'M GOING TO KEEP PUSHING 1642 01:20:56,200 --> 01:20:58,700 AND DO WHAT I NEED TO MAKE THIS ALL WORK. 1643 01:20:58,700 --> 01:21:04,067 ** 1644 01:21:04,067 --> 01:21:09,200 ** 1645 01:21:09,200 --> 01:21:13,433 THINGS HAVE CONTINUED TO IMPROVE OVER THE LAST MONTH. 1646 01:21:13,433 --> 01:21:16,400 ZACH IS DOING A LOT BETTER, 1647 01:21:16,400 --> 01:21:19,967 AND I FEEL LIKE I'M MAKING SOME REALLY GOOD PROGRESS. 1648 01:21:22,367 --> 01:21:25,067 I HAVEN'T BEEN GROCERY SHOPPING BY MYSELF 1649 01:21:25,067 --> 01:21:31,367 WITHOUT ANOTHER ADULT WITH ME IN A GOOD 10 YEARS OR MORE. 1650 01:21:31,367 --> 01:21:34,300 I FEEL LIKE, WITH ALL MY WEIGHT LOSS, 1651 01:21:34,300 --> 01:21:36,733 DOING MORE AND DOING IT WITH ZACH 1652 01:21:36,733 --> 01:21:39,700 IS MAKING US SO MUCH CLOSER, 1653 01:21:39,700 --> 01:21:43,900 AND THAT'S BEEN AN UNEXPECTED SURPRISE THAT'S BEEN WONDERFUL. 1654 01:21:43,900 --> 01:21:45,500 WHAT'S THAT? 1655 01:21:45,500 --> 01:21:46,600 THAT WOULD BE GRAPEFRUIT. 1656 01:21:46,600 --> 01:21:48,900 OH, OKAY. GOOFY BUTT. 1657 01:21:48,900 --> 01:21:51,767 IT'S A GIANT ORANGE, PRETTY MUCH. 1658 01:21:51,767 --> 01:21:53,933 Zachery: A YEAR AGO, I WOULD NOT HAVE BEEN ABLE TO GO OUT 1659 01:21:53,933 --> 01:21:56,533 WITH MY MOM LIKE TODAY, 1660 01:21:56,533 --> 01:21:59,733 AND I AM VERY PROUD OF MY MOM'S PROGRESS. 1661 01:21:59,733 --> 01:22:02,333 YOU WANT TO GET ME SOME VEGGIE BROTH? 1662 01:22:02,333 --> 01:22:06,333 ** 1663 01:22:06,333 --> 01:22:09,067 Tamy: I LOVE BEING ABLE TO BE ACTIVE AND KNOW 1664 01:22:09,067 --> 01:22:11,800 THAT I CAN GO INTO A STORE AND WALK A STORE, 1665 01:22:11,800 --> 01:22:14,367 AND I WANT TO GO OUT BECAUSE I KNOW I CAN DO IT NOW, 1666 01:22:14,367 --> 01:22:16,167 AND I DIDN'T WANT TO DO THAT BEFORE. 1667 01:22:16,167 --> 01:22:19,400 ** 1668 01:22:19,400 --> 01:22:22,200 AND DR. NOW TOLD ME THAT I'M REALLY CLOSE TO QUALIFYING 1669 01:22:22,200 --> 01:22:25,333 FOR THE REMOVAL OF THIS HUGE MASS ON MY STOMACH. 1670 01:22:25,333 --> 01:22:29,067 ** 1671 01:22:29,067 --> 01:22:32,933 SO MY GOAL IS TO WORK HARD AND QUALIFY FOR THAT 1672 01:22:32,933 --> 01:22:34,867 BY THE NEXT TIME I SEE HIM. 1673 01:22:34,867 --> 01:22:41,267 ** 1674 01:22:41,267 --> 01:22:47,667 ** 1675 01:22:47,667 --> 01:22:50,267 TODAY, WE'RE AT DR. NOW'S OFFICE. 1676 01:22:50,267 --> 01:22:53,667 IT'S BEEN ABOUT A YEAR SINCE I BEGAN THIS JOURNEY, 1677 01:22:53,667 --> 01:22:57,300 AND I'VE NEVER DONE ANYTHING HARDER IN MY LIFE. 1678 01:22:57,300 --> 01:23:00,867 BUT I THINK I'VE MADE THE PROGRESS THAT DR. NOW EXPECTS. 1679 01:23:00,867 --> 01:23:03,967 I MADE IT DOWN TO 413 LAST TIME, 1680 01:23:03,967 --> 01:23:07,833 BUT TODAY, I'LL BE HAPPY TO JUST BE IN THE 300s. 1681 01:23:07,833 --> 01:23:10,800 ** 1682 01:23:10,800 --> 01:23:13,300 YOU'RE SUPPOSED TO BE PROUD. 1683 01:23:13,300 --> 01:23:16,900 ** 1684 01:23:16,900 --> 01:23:19,967 THE NUMBERS ON THE SCALE WERE AWESOME. 1685 01:23:19,967 --> 01:23:22,533 I AM JUST SO HAPPY ABOUT THAT. 1686 01:23:22,533 --> 01:23:27,067 I CAN'T REMEMBER THE LAST TIME I WAS UNDER 400 POUNDS. 1687 01:23:27,067 --> 01:23:30,433 I HAVE LOST SO MUCH WEIGHT SINCE I STARTED THIS PROCESS, 1688 01:23:30,433 --> 01:23:34,500 AND JUST TO FEEL THAT, JUST TO SEE THAT, IT'S AMAZING. 1689 01:23:34,500 --> 01:23:37,833 ** 1690 01:23:37,833 --> 01:23:39,500 HELLO. HELLO. 1691 01:23:39,500 --> 01:23:41,100 HOW Y'ALL DOING? WE'RE FINE. 1692 01:23:41,100 --> 01:23:43,067 HOW ARE YOU? ALL RIGHT. 1693 01:23:43,067 --> 01:23:46,367 SO YOU LOST ALMOST 250 POUNDS. 1694 01:23:46,367 --> 01:23:49,433 WELL, HOW HAS YOUR LIFE CHANGED SINCE YOU STARTED THE PROGRAM? 1695 01:23:49,433 --> 01:23:52,900 I MEAN, I CAN DO SO MUCH, JUST GETTING OUT, DOING THINGS, 1696 01:23:52,900 --> 01:23:54,900 NOT HAVING TO DEPEND ON PEOPLE, 1697 01:23:54,900 --> 01:23:57,233 JUST, YOU KNOW, TAKING CARE OF MYSELF. 1698 01:23:57,233 --> 01:23:59,733 I DON'T HAVE TO HAVE SOMEBODY ELSE TAKE CARE OF ME. 1699 01:23:59,733 --> 01:24:01,833 YOU KNOW, DOING THINGS WITH MY SON ZACHERY, 1700 01:24:01,833 --> 01:24:02,867 IT'S REALLY GREAT. 1701 01:24:02,867 --> 01:24:04,400 IT'S INCREDIBLE. OKAY. 1702 01:24:04,400 --> 01:24:07,833 WELL, YOU'RE DOING GREAT, AND I'M VERY PROUD OF YOU. 1703 01:24:07,833 --> 01:24:10,933 AND IF YOU LOSE ANOTHER 20 POUNDS IN THE NEXT MONTH, 1704 01:24:10,933 --> 01:24:13,933 THEN I THINK YOU'LL BE READY FOR THE SKIN MASS 1705 01:24:13,933 --> 01:24:16,300 ON YOUR STOMACH TO BE REMOVED, 1706 01:24:16,300 --> 01:24:17,500 AND WE'RE GOING TO BE ABLE TO DO 1707 01:24:17,500 --> 01:24:19,167 MORE SKIN SURGERY. YEAH. 1708 01:24:19,167 --> 01:24:22,133 AND THAT'S GOING TO GET YOU TO YOUR IDEAL BODY WEIGHT 1709 01:24:22,133 --> 01:24:24,333 WITHIN 9 TO 12 MONTHS, 1710 01:24:24,333 --> 01:24:27,933 SO YOU'RE GOING TO BE DOWN TO 170 POUNDS. 1711 01:24:27,933 --> 01:24:29,700 WOW. 1712 01:24:29,700 --> 01:24:31,233 THAT WOULD BE INCREDIBLE. I HAVEN'T -- 1713 01:24:31,233 --> 01:24:34,367 I CAN'T EVEN REMEMBER BEING 170 POUNDS. 1714 01:24:34,367 --> 01:24:36,767 I WAS PROBABLY IN MY EARLY TEENS. 1715 01:24:36,767 --> 01:24:38,300 EARLY TEENS? 1716 01:24:38,300 --> 01:24:39,933 YEAH. OKAY. THAT'S GOOD. 1717 01:24:39,933 --> 01:24:41,533 WE'RE GOING TO GET YOU THERE. 1718 01:24:41,533 --> 01:24:45,100 WELL, DESPITE HOW INTERESTING YOUR YEAR HAS BEEN, 1719 01:24:45,100 --> 01:24:47,167 YOU DIDN'T GIVE UP, AND YOU WORKED HARD, 1720 01:24:47,167 --> 01:24:49,133 SO, TAMY, I'M PROUD OF YOU. 1721 01:24:49,133 --> 01:24:51,200 YOU'VE DONE GREAT. 1722 01:24:51,200 --> 01:24:52,767 KEEP UP THE GOOD WORK, 1723 01:24:52,767 --> 01:24:55,200 AND I LOOK FORWARD TO SEEING YOU NEXT MONTH. 1724 01:24:55,200 --> 01:24:56,333 THANK YOU VERY MUCH. 1725 01:24:56,333 --> 01:24:57,700 OH, YOU'RE WELCOME. 1726 01:24:57,700 --> 01:25:00,400 YOU HAVE A NICE DAY. I'LL SEE YOU LATER. 1727 01:25:03,200 --> 01:25:05,067 WHEN I FIRST STARTED THE PROCESS, 1728 01:25:05,067 --> 01:25:08,767 I WAS ALMOST 600 POUNDS, 1729 01:25:08,767 --> 01:25:11,633 AND I'M FINALLY GOING TO BE CLOSE TO UNDER 200 POUNDS. 1730 01:25:11,633 --> 01:25:13,733 I MEAN, IT'S INCREDIBLE. 1731 01:25:15,833 --> 01:25:17,500 I'VE HAD SOME UPS AND DOWNS, 1732 01:25:17,500 --> 01:25:20,233 AND I'VE KICKED MYSELF MANY TIMES, 1733 01:25:20,233 --> 01:25:21,600 BUT I'M VERY PROUD 1734 01:25:21,600 --> 01:25:24,533 BECAUSE MY LIFE IS COMPLETELY DIFFERENT NOW 1735 01:25:24,533 --> 01:25:28,067 AND SO MUCH BETTER. 1736 01:25:28,067 --> 01:25:31,067 I FEEL LIKE I'VE ACCOMPLISHED SO MUCH, 1737 01:25:31,067 --> 01:25:32,233 BUT I STILL HAVE A LOT MORE TO ACCOMPLISH.