1 00:00:01,480 --> 00:00:04,480 My life can't get any worse. 2 00:00:04,560 --> 00:00:07,640 My body and health are getting worse for every day. 3 00:00:07,720 --> 00:00:11,520 Every year is carried out hundreds of gastric surgeries- 4 00:00:11,600 --> 00:00:13,680 -on patients weighing 270 kg. 5 00:00:13,760 --> 00:00:16,200 He doesn't know how to stop. 6 00:00:16,280 --> 00:00:21,760 It is terrible to know that mine heart can explode at any moment. 7 00:00:26,800 --> 00:00:31,880 Their chance for long-term success is less than five percent. 8 00:00:31,960 --> 00:00:36,800 I don't want to die. I haven't been allowed to live yet. 9 00:00:36,880 --> 00:00:41,400 We follow people weighing 270 kg for a year who want to survive. 10 00:00:41,480 --> 00:00:46,680 Mother! I just ruined everything at the doctor! 11 00:00:46,760 --> 00:00:50,360 I know I'm dying and cannot be saved! 12 00:00:50,440 --> 00:00:54,080 This is Jeanne's journey. 13 00:00:54,160 --> 00:00:56,600 I don't understand it happening. 14 00:00:56,680 --> 00:01:01,240 I just want to eat enough to get rid of the pain. 15 00:01:05,960 --> 00:01:12,040 Jeanne Covey, 39 years old. Weight: Unknown. 16 00:01:12,480 --> 00:01:15,840 Big Sandy, Texas 17 00:01:33,560 --> 00:01:35,240 I hate my life. 18 00:01:36,440 --> 00:01:41,600 I live the same horrible day over and over again. 19 00:01:42,320 --> 00:01:46,200 I can't move because of my weight. 20 00:01:47,120 --> 00:01:51,240 I usually can't even get up out of my armchair. 21 00:01:51,320 --> 00:01:54,840 When I succeed I can't get far. 22 00:01:57,040 --> 00:02:01,080 I have a mobile toilet to do my needs. 23 00:02:01,160 --> 00:02:06,640 I need help with to dry me too. 24 00:02:07,720 --> 00:02:09,560 Mother? 25 00:02:14,240 --> 00:02:17,800 Can you help me go to the toilet? 26 00:02:19,640 --> 00:02:22,160 It's so humiliating- 27 00:02:22,240 --> 00:02:27,040 - to be almost 40 years old, and be dependent on one's mother and father. 28 00:02:29,840 --> 00:02:32,960 They would be better off if I wasn't here. 29 00:02:33,040 --> 00:02:36,320 I have become such a burden to them. 30 00:02:37,960 --> 00:02:41,720 Especially my mother. She has to wash me every day. 31 00:02:43,240 --> 00:02:47,680 A couple of years ago I got too big for our shower and I fell. 32 00:02:48,360 --> 00:02:51,440 It took several hours to get me out. 33 00:02:53,880 --> 00:02:57,200 It was terrible. 34 00:03:03,040 --> 00:03:07,640 Since then I haven't been able to use the shower. 35 00:03:07,720 --> 00:03:13,480 My mother washes me using a bowl and a washcloth. 36 00:03:13,920 --> 00:03:18,160 It is important that I keep myself as clean as I can- 37 00:03:18,240 --> 00:03:21,600 -because many parts of my body rub together- 38 00:03:21,680 --> 00:03:25,480 -and causes wounds to open. 39 00:03:26,000 --> 00:03:28,640 They must not become infected. 40 00:03:28,720 --> 00:03:30,840 On the back of my legs... 41 00:03:30,920 --> 00:03:34,840 When I've grown bigger I have a growth on my leg. 42 00:03:34,920 --> 00:03:39,440 It rubs against me and bleeds constantly. 43 00:03:40,680 --> 00:03:46,440 If those areas are not clean they quickly become much worse. 44 00:03:49,320 --> 00:03:52,920 I have to do this every day. 45 00:03:54,520 --> 00:03:58,480 If I could do it myself, I would have done it. 46 00:03:59,760 --> 00:04:01,800 Everything is just too hard. 47 00:04:01,880 --> 00:04:07,200 I feel like I'm going to pass out if I do too much at once. 48 00:04:08,120 --> 00:04:10,720 My body can't handle it. 49 00:04:14,200 --> 00:04:17,200 I can do less each day- 50 00:04:17,280 --> 00:04:21,040 -and the pain when I move only gets worse. 51 00:04:23,680 --> 00:04:28,160 I'm afraid that soon I won't be able to stand up. 52 00:04:32,800 --> 00:04:37,160 Then I become completely sedentary and stuck in this armchair. 53 00:04:40,080 --> 00:04:43,840 Then I don't know what that will happen. 54 00:04:47,840 --> 00:04:53,360 My body doesn't look human. The one looks like it's from a horror movie- 55 00:04:53,440 --> 00:04:56,640 - so I know that I can't go on like this. 56 00:04:59,240 --> 00:05:05,200 If I get bigger my body will soon give up. 57 00:05:06,080 --> 00:05:09,160 The only way to prevent it- 58 00:05:09,240 --> 00:05:12,720 -is to stop eating as I have done all my life. 59 00:05:14,400 --> 00:05:18,800 But food is the only thing in my life which I have to look forward to. 60 00:05:18,880 --> 00:05:22,040 I don't know how to stop eating. 61 00:05:22,120 --> 00:05:26,520 -Tell me when you want breakfast. -Now, thanks. 62 00:05:26,600 --> 00:05:29,280 I'm happy as long as I eat. 63 00:05:29,360 --> 00:05:33,320 I guess I'm addicted to that feeling. 64 00:05:33,400 --> 00:05:36,720 Since I was little have I used food to escape- 65 00:05:36,800 --> 00:05:41,080 -from all troublesome things, whatever it has been. 66 00:05:41,760 --> 00:05:45,440 Many times it became very difficult- 67 00:05:45,520 --> 00:05:49,080 - because I had a difficult upbringing. 68 00:05:51,920 --> 00:05:53,880 It's very hot. 69 00:05:59,120 --> 00:06:04,200 I was constantly scared as a child. There were many reasons for that. 70 00:06:05,440 --> 00:06:08,960 Mom and Dad were never married. 71 00:06:09,040 --> 00:06:12,720 Dad wasn't there when I was growing up. 72 00:06:12,800 --> 00:06:17,040 Therefore, mother had to having two jobs. 73 00:06:17,120 --> 00:06:22,320 We moved in with grandma, who got looked after me when mom was working. 74 00:06:22,400 --> 00:06:25,840 But my grandmother abused me. 75 00:06:25,920 --> 00:06:31,760 She hit me with metal coat hangers or with extension cords. 76 00:06:31,840 --> 00:06:36,080 I've had bruises from the neck down. 77 00:06:36,760 --> 00:06:39,960 I didn't feel loved. 78 00:06:40,040 --> 00:06:44,240 When grandma hit me or said something horrible to me- 79 00:06:44,320 --> 00:06:49,480 -I ate to feel better. 80 00:06:50,440 --> 00:06:53,280 I was getting a little chubby. 81 00:06:53,360 --> 00:06:58,440 I weighed over 45 kg when I was 6 years old. 82 00:06:58,920 --> 00:07:02,960 Soon after, I went up even more in weight. 83 00:07:03,040 --> 00:07:07,880 That's when I had a very traumatic experience. 84 00:07:07,960 --> 00:07:13,280 My mother dated a man who assaulted me. 85 00:07:13,880 --> 00:07:18,520 It only happened once, but it caused great damage. 86 00:07:20,280 --> 00:07:26,440 I sat on the floor and watched TV when he sat down next to me. 87 00:07:26,520 --> 00:07:29,360 He said, "This will be our secret." 88 00:07:29,440 --> 00:07:33,720 “Don't tell your mother. She won't believe you." 89 00:07:33,800 --> 00:07:39,400 As with everything else I pressed it down. 90 00:07:40,120 --> 00:07:45,080 I handled it as best I could. Food helped me with that. 91 00:07:45,160 --> 00:07:48,600 When I ate I felt better. 92 00:07:48,680 --> 00:07:51,720 Then I better not what had happened. 93 00:07:54,440 --> 00:07:59,160 I became depressed and I was just happy when I ate. 94 00:08:01,080 --> 00:08:05,640 Then I started gaining a lot of weight, and my weight doubled. 95 00:08:06,160 --> 00:08:10,240 I weighed over 90 kg when I was 9 years old. 96 00:08:11,160 --> 00:08:14,160 I didn't stop gaining weight- 97 00:08:14,240 --> 00:08:18,960 - because it got worse at home when my grandmother got meaner. 98 00:08:20,280 --> 00:08:24,000 She came up with new ways to punish me on. 99 00:08:24,080 --> 00:08:29,040 One punishment was smoking cigarettes. 100 00:08:29,120 --> 00:08:32,480 She forced me to smoke as a child. 101 00:08:33,280 --> 00:08:37,400 I was punished for ridiculous things. 102 00:08:37,480 --> 00:08:41,240 My childhood became more and more difficult. 103 00:08:41,320 --> 00:08:45,160 It continued until before I started high school. 104 00:08:46,440 --> 00:08:50,000 When I was thirteen years old my grandmother died. 105 00:08:50,080 --> 00:08:57,320 Then I dared to start telling my mother what had happened to me. 106 00:08:58,520 --> 00:09:02,120 I was away from home thirteen hours per day. 107 00:09:02,200 --> 00:09:06,080 Later I found out that my mother had hit Jeanne- 108 00:09:06,160 --> 00:09:09,680 -with wooden spoons hanging on the wall. 109 00:09:09,760 --> 00:09:13,280 I didn't realize how bad it had been. 110 00:09:14,840 --> 00:09:21,440 When I told about the abuse, I prayed mom sorry. She knew nothing. 111 00:09:21,520 --> 00:09:23,960 Not about the abuse either. 112 00:09:24,040 --> 00:09:28,160 She wondered why me had not told anything before. 113 00:09:28,240 --> 00:09:33,600 I said I was scared that she wouldn't believe me. 114 00:09:33,680 --> 00:09:37,720 It felt good to be able to tell her- 115 00:09:37,800 --> 00:09:41,840 -but the pain was still there. 116 00:09:43,000 --> 00:09:47,040 I didn't know how I would handle it without food. 117 00:09:47,120 --> 00:09:51,320 I continued to eat as before and only got bigger. 118 00:09:52,280 --> 00:09:55,120 It made high school difficult. 119 00:09:55,200 --> 00:10:00,320 I weighed almost 160 kg when I was 15 years old. 120 00:10:01,200 --> 00:10:05,520 I had a hard time catching up to all lessons. 121 00:10:05,600 --> 00:10:09,000 I had started being bullied because of my weight. 122 00:10:09,760 --> 00:10:15,440 When I was seventeen I had dropped out. I couldn't bear it. 123 00:10:16,760 --> 00:10:19,840 I was depressed about how my life was- 124 00:10:19,920 --> 00:10:23,080 -which made me eat more. 125 00:10:24,040 --> 00:10:28,200 I got bigger, and that made the problem worse. 126 00:10:28,280 --> 00:10:32,800 When I was 18 years old I weighed over 180 kg. 127 00:10:32,880 --> 00:10:36,360 I tried to get a job and get my degree- 128 00:10:36,440 --> 00:10:39,640 -but it was too difficult when you're big. 129 00:10:39,720 --> 00:10:44,120 After I turned 20 years old my depression got worse. 130 00:10:44,200 --> 00:10:48,200 I gained another 45 kg very fast. 131 00:10:48,280 --> 00:10:53,680 When I got up to 225 kg as a 23-year-old I became a sick pensioner- 132 00:10:53,760 --> 00:10:57,760 - because I had a hard time to stand up and do something. 133 00:10:57,840 --> 00:11:01,560 It became impossible for me to work. 134 00:11:01,640 --> 00:11:07,040 That made mom didn't have to work as hard- 135 00:11:07,120 --> 00:11:11,240 -because we received some money in the household. 136 00:11:12,120 --> 00:11:15,600 She could stay at home and help me- 137 00:11:15,680 --> 00:11:19,600 -because I got harder to take care of myself. 138 00:11:20,320 --> 00:11:24,560 That's why I mostly stayed at home. 139 00:11:24,640 --> 00:11:28,760 I just got out to go to church. 140 00:11:28,840 --> 00:11:33,080 My world just started to become my house and my mother. 141 00:11:33,160 --> 00:11:39,160 It was like that for a while, until dad moved in with when I was 29 years old. 142 00:11:39,240 --> 00:11:42,440 At that time I weighed approximately 270 kg. 143 00:11:42,520 --> 00:11:46,520 It was harder than ever to get up and do something- 144 00:11:46,600 --> 00:11:50,320 -but I made it to church every week. 145 00:11:50,400 --> 00:11:54,760 One Sunday, after hearing a sermon on forgiveness- 146 00:11:54,840 --> 00:11:59,320 - I felt I had to to finally call my dad- 147 00:11:59,400 --> 00:12:03,200 -to forgive him- 148 00:12:03,280 --> 00:12:06,080 -because he didn't protect me- 149 00:12:06,160 --> 00:12:09,720 - and that nothing went wrong in my life. 150 00:12:09,800 --> 00:12:14,480 I thought none of that had happened if he had been there. 151 00:12:16,120 --> 00:12:20,480 Jeanne was 28 when she called me. 152 00:12:20,560 --> 00:12:25,280 I lived in Cleveland, Ohio. She said she forgave me. 153 00:12:25,360 --> 00:12:29,800 It broke my heart. 154 00:12:29,880 --> 00:12:34,120 I was so glad she forgave me- 155 00:12:34,200 --> 00:12:37,640 -and get the opportunity to have her in my life again. 156 00:12:37,720 --> 00:12:41,760 She invited me here for the Christmas holiday- 157 00:12:41,840 --> 00:12:44,600 - and I've been there ever since. 158 00:12:53,800 --> 00:12:57,400 I was happy when dad moved in with us. 159 00:12:58,120 --> 00:13:04,320 It felt like the one that was missing in my life would come back. 160 00:13:04,400 --> 00:13:08,760 Dad has lived here with us the last ten years- 161 00:13:08,840 --> 00:13:15,360 -but that didn't change that past, so my eating continued. 162 00:13:15,440 --> 00:13:19,240 Although I probably eat more now than I did then. 163 00:13:19,960 --> 00:13:25,800 My house has been my whole life the last ten years. 164 00:13:25,880 --> 00:13:31,800 I don't even know how much I weighs, and I no longer function. 165 00:13:32,440 --> 00:13:35,360 I'm done, dad. 166 00:13:36,520 --> 00:13:40,680 I hate my life now. I'm not even alive. 167 00:13:40,760 --> 00:13:45,320 It feels like I'm just picking up place, like a piece of furniture. 168 00:13:45,400 --> 00:13:50,000 - I'm going to get plates. -Okay. Thanks. 169 00:13:52,280 --> 00:13:58,720 Jeanne has no life. She never goes out, she never talks on the phone. 170 00:13:58,800 --> 00:14:05,080 She has never been able to drive a car. She can't do anything at all. 171 00:14:05,160 --> 00:14:10,520 If I had known she would be like this, had I not given birth to her. 172 00:14:10,600 --> 00:14:18,480 Not that I don't love her, but because I'd rather die- 173 00:14:18,560 --> 00:14:22,960 - than that she should have to live in this way. 174 00:14:25,960 --> 00:14:28,920 My mother was in hospital 1.5 years ago- 175 00:14:29,000 --> 00:14:34,080 -because her colon burst and she went into septic shock. 176 00:14:34,160 --> 00:14:40,520 They operated on her urgently, and now she struggles with her health. 177 00:14:40,600 --> 00:14:45,400 It feels like it depends on the stress that I cause her. 178 00:14:45,480 --> 00:14:48,880 I feel like a burden to everyone. 179 00:14:48,960 --> 00:14:52,680 If it is to change do i have to stop eating- 180 00:14:52,760 --> 00:14:57,400 -but I can't. I don't know how. 181 00:14:58,200 --> 00:15:03,600 I'm tired of being like this. I'm tired of waiting to die- 182 00:15:03,680 --> 00:15:06,440 -so I have to do something. 183 00:15:06,520 --> 00:15:09,720 Part of me is scared to ask for help. 184 00:15:09,800 --> 00:15:13,840 I don't want to know that it's already too late for me- 185 00:15:13,920 --> 00:15:17,200 - and that it has gone too far. 186 00:15:17,280 --> 00:15:21,680 No matter how scary it is I have to try to get help. 187 00:15:21,760 --> 00:15:28,760 If I don't do it soon, I will not to wake up when I fall asleep. 188 00:15:28,840 --> 00:15:33,120 I have to do it now because time is running out. 189 00:15:49,200 --> 00:15:51,920 Big Sandy, Texas 190 00:15:52,200 --> 00:15:54,920 First month 191 00:15:56,080 --> 00:16:00,880 - We have to go, mom. -Okay. I'm coming. 192 00:16:00,960 --> 00:16:07,560 I'm scared now because mom and me going to see Dr. Now in Houston. 193 00:16:07,640 --> 00:16:12,920 We have time today, but I have to finish of the four-hour drive first. 194 00:16:13,000 --> 00:16:19,280 I don't know how to cope to sit in the car for so long. 195 00:16:19,360 --> 00:16:21,920 That's a lot. 196 00:16:22,000 --> 00:16:27,000 -How are you? -Not so good. I am angry. 197 00:16:27,080 --> 00:16:29,520 I want to get it over with. 198 00:16:29,600 --> 00:16:33,480 -Dad? -I'm coming. 199 00:16:33,960 --> 00:16:36,360 Larry Jeanne's father 200 00:16:36,440 --> 00:16:41,240 -Should I start packing? -Yes. I'm just in pain. 201 00:16:41,320 --> 00:16:47,280 I need help to survive, so i have to try to do this- 202 00:16:47,360 --> 00:16:51,080 -but it's nervous to leave the house. 203 00:16:51,160 --> 00:16:55,280 I get panic attacks and chest pains. 204 00:16:55,360 --> 00:16:59,760 Now that it's time to go I feel overwhelmed. 205 00:16:59,840 --> 00:17:04,520 I have to smoke a cigarette before I get in the car. 206 00:17:04,600 --> 00:17:07,000 I'm getting stressed. 207 00:17:07,080 --> 00:17:11,680 - I don't want to smoke in the car. -Do what you are comfortable with. 208 00:17:17,960 --> 00:17:21,320 I haven't been out for a long time- 209 00:17:21,400 --> 00:17:24,160 - so I don't know how it will go. 210 00:17:24,240 --> 00:17:29,520 I really hope I can make it of taking me to dr Now. 211 00:17:32,600 --> 00:17:34,640 Can you open the door? 212 00:17:42,240 --> 00:17:44,960 Can't she drive the car? 213 00:18:14,080 --> 00:18:17,360 -I love you. -I love you. 214 00:18:18,520 --> 00:18:22,720 I am happy that I can fit in the car- 215 00:18:22,800 --> 00:18:26,040 -but I have to sit here all the way to Houston. 216 00:18:32,320 --> 00:18:35,520 It's hard for both me and mom. 217 00:18:35,600 --> 00:18:38,920 She has also had health problems. 218 00:18:40,320 --> 00:18:44,280 Thanks for driving me. I know it's hard for you. 219 00:18:44,360 --> 00:18:47,680 You are my child, I have to do it for you. 220 00:18:48,240 --> 00:18:51,000 An hour later 221 00:18:51,840 --> 00:18:55,600 -How's it going? - I have a pain in the ass. 222 00:18:55,680 --> 00:19:01,960 - I don't know how to help you. -You can't do anything about it. 223 00:19:02,040 --> 00:19:06,360 We must stay, so that I can stretch the legs a little. 224 00:19:06,440 --> 00:19:09,280 I want to go to the toilet. 225 00:19:09,360 --> 00:19:13,520 There is a toilet. I stay in the car. 226 00:19:13,600 --> 00:19:17,320 I don't have to go right now, i want a cigarette 227 00:19:17,400 --> 00:19:21,800 I want to try to calm down. I'm getting nervous. 228 00:19:22,840 --> 00:19:26,120 Buy me a large soda. 229 00:19:26,200 --> 00:19:29,640 I need sugar for my nerves. 230 00:19:37,720 --> 00:19:40,560 I'm in so much pain now. 231 00:19:40,640 --> 00:19:44,720 I don't know how I'm going to cope three more hours. 232 00:19:44,800 --> 00:19:49,320 I wish we had a bigger car and that I could get out- 233 00:19:49,400 --> 00:19:54,760 -but I can't go far, and I don't want people looking at me. 234 00:19:55,600 --> 00:19:58,640 I see people are already staring on me. 235 00:19:58,720 --> 00:20:04,760 They probably comment on my size. I can't bear to hear that now. 236 00:20:04,840 --> 00:20:08,920 I stay in the car because people are idiots. 237 00:20:18,840 --> 00:20:23,760 There are people on the grass staring and pointing. I said that. 238 00:20:23,840 --> 00:20:28,800 A lady was careful when she drove passed, and just stared at me. 239 00:20:28,880 --> 00:20:31,240 You don't have to worry about it. 240 00:20:32,280 --> 00:20:35,520 I hate people. I hate people. 241 00:20:35,600 --> 00:20:42,360 They think it's fun when someone has a disability- 242 00:20:42,440 --> 00:20:45,760 -but they will have to pay because this. 243 00:20:45,840 --> 00:20:48,480 I try to ignore them- 244 00:20:48,560 --> 00:20:52,680 -but when they sit there and talk, and strolls around- 245 00:20:52,760 --> 00:20:57,600 -I want to say: "Then take a photo, if you wish to do so.” 246 00:20:57,680 --> 00:21:03,840 Now we drive on. It is due of things like this I'd rather stay at home. 247 00:21:03,920 --> 00:21:10,520 People have no pity, no humanity, no morals. 248 00:21:10,600 --> 00:21:13,160 If everyone behaved themselves- 249 00:21:13,240 --> 00:21:16,720 - people like me wouldn't feel like this. 250 00:21:17,320 --> 00:21:21,680 We wouldn't know you that we were not part of society. 251 00:21:21,760 --> 00:21:23,840 I know. 252 00:21:24,600 --> 00:21:29,680 -Sit us with the lepers. -The lepers are thin... 253 00:21:29,760 --> 00:21:35,040 ...so we wouldn't fit in there. We had been lepers and fat. 254 00:21:35,120 --> 00:21:38,680 People are ignorant, and we can't do anything about that. 255 00:21:38,760 --> 00:21:44,400 This is not the right day to deal with all this. 256 00:21:44,480 --> 00:21:46,840 what did you say 257 00:21:46,920 --> 00:21:51,520 Good thing you didn't get out of the car. I can't afford to pay the bail. 258 00:21:51,600 --> 00:21:56,400 They were going to put me in the zoo with the rest of the animals. 259 00:21:56,480 --> 00:21:58,640 It's mean. 260 00:22:02,240 --> 00:22:04,080 Two hours later 261 00:22:04,160 --> 00:22:07,560 Do you need your inhaler? You are breathing heavily. 262 00:22:07,640 --> 00:22:12,800 -I'm in so much pain. -I know. Take deep breaths. 263 00:22:13,960 --> 00:22:18,040 We have arrived in Houston, but I'm in a lot of pain. 264 00:22:18,120 --> 00:22:21,840 The boil on my leg must have started bleeding. 265 00:22:21,920 --> 00:22:26,160 I don't know how much more i can handle. 266 00:22:36,440 --> 00:22:39,160 This has to be worth it. 267 00:22:39,240 --> 00:22:46,760 I need to get help from Dr. Now before it's too late. 268 00:22:49,560 --> 00:22:51,640 My legs don't feel good. 269 00:22:57,080 --> 00:22:59,600 My God. 270 00:23:17,120 --> 00:23:19,800 -Everything alright? -It hurts. 271 00:23:19,880 --> 00:23:24,840 I know. You have blood from your leg on your pants. 272 00:23:26,080 --> 00:23:29,480 This is my last chance to get a life. 273 00:23:29,560 --> 00:23:36,440 If Dr. Now can't help me I know that I am beyond saving. 274 00:23:36,520 --> 00:23:41,360 Then my only option is to go home and wait to die. 275 00:23:57,960 --> 00:24:01,120 Houston, Texas 276 00:24:05,960 --> 00:24:10,600 I'm going to see Dr. Now to see if he can help me. 277 00:24:10,680 --> 00:24:13,840 I'm very sore after the car ride. 278 00:24:13,920 --> 00:24:18,000 I will weigh myself, and I'm not looking forward to that. 279 00:24:20,080 --> 00:24:22,120 Jeanne Covey? 280 00:24:25,240 --> 00:24:28,880 Dr. Now is my last chance to get a life- 281 00:24:28,960 --> 00:24:32,040 -so I have to get help today. 282 00:24:32,680 --> 00:24:37,040 But I'm afraid. I don't know what he will say to me. 283 00:24:37,120 --> 00:24:41,560 I don't know how much longer I can endure. 284 00:24:44,400 --> 00:24:46,280 319 kg 285 00:24:47,360 --> 00:24:50,240 It's horrible to see the number. 286 00:24:51,040 --> 00:24:53,840 It will be alright. You can handle it. 287 00:24:59,320 --> 00:25:02,320 I am so disgusted with myself. 288 00:25:03,280 --> 00:25:06,840 I can't believe that it is this bad. 289 00:25:06,920 --> 00:25:12,000 But when I see how heavy I am I know it can't get any worse- 290 00:25:12,080 --> 00:25:15,320 -without my body giving up. 291 00:25:15,880 --> 00:25:19,600 I need to get this help before it's too late. 292 00:25:31,920 --> 00:25:34,760 Hello. How are you? 293 00:25:34,840 --> 00:25:37,840 -Good. And you? -Good. 294 00:25:37,920 --> 00:25:43,120 I am Dr. Nowzaradan. Are you Jeanne? 295 00:25:43,200 --> 00:25:47,960 Nice to meet you. Is that your mother? 296 00:25:48,040 --> 00:25:51,880 -Where are you from? - Big Sandy, Texas. 297 00:25:51,960 --> 00:25:57,520 Big Sandy. Close to Dallas, right? It's not that far away. 298 00:25:57,600 --> 00:26:01,040 -You want to lose weight, don't you? -Yes. 299 00:26:01,120 --> 00:26:06,120 You weigh 319 kg. Have you been overweight all your life? 300 00:26:06,200 --> 00:26:09,800 -How do you activate yourself? -I don't do anything. 301 00:26:09,880 --> 00:26:15,840 I can stand up, go to the toilet and then sit down again. 302 00:26:15,920 --> 00:26:18,840 Your situation is serious. 303 00:26:18,920 --> 00:26:21,440 -How do you get your food? - They bring it. 304 00:26:21,520 --> 00:26:28,600 -Who then? Who lives with you? -I live with my parents. 305 00:26:28,680 --> 00:26:34,400 So your parents feed you, and you eat constantly? 306 00:26:34,480 --> 00:26:38,480 -Why do you eat all day? -I was abused... 307 00:26:38,560 --> 00:26:43,560 ...and my grandmother hit me with metal coat hangers. 308 00:26:43,640 --> 00:26:50,360 I didn't think I died. Grandma told me I was worthless. 309 00:26:50,440 --> 00:26:54,960 She abused me mentally, physically and verbally. 310 00:26:55,040 --> 00:27:01,800 -How should we deal with it? -With gastric bypass surgery. 311 00:27:01,880 --> 00:27:06,360 What is the problem that can be solved with an operation? 312 00:27:06,440 --> 00:27:09,800 I'm too big. I have to have surgery. 313 00:27:09,880 --> 00:27:15,120 So you have already decided what the solution is on your problem is- 314 00:27:15,200 --> 00:27:20,560 -but an operation is not the solution on your problem. 315 00:27:20,640 --> 00:27:26,080 You have an eating disorder, and it resolves one not with an operation. 316 00:27:26,160 --> 00:27:28,000 I see. 317 00:27:28,080 --> 00:27:32,440 I hope so. Before we even consider an intervention- 318 00:27:32,520 --> 00:27:37,160 -I want to see proof of that you want to make an effort. 319 00:27:37,240 --> 00:27:41,600 You have to deal with the problems which makes you overeat. 320 00:27:41,680 --> 00:27:47,040 Otherwise, the operation is pointless. Do you understand? 321 00:27:47,120 --> 00:27:51,400 The operation prevents you from eating too much- 322 00:27:51,480 --> 00:27:57,760 -but does not change what you eat and how often you eat. You have to change that. 323 00:27:57,840 --> 00:28:00,400 Okay. I see. Thanks. 324 00:28:00,480 --> 00:28:06,440 You are responsible for your behavior and for what you eat. 325 00:28:06,520 --> 00:28:11,520 - An operation does not change that. - No, but I get the right tools. 326 00:28:11,600 --> 00:28:16,080 If you want a different life you must be prepared to fight. 327 00:28:16,160 --> 00:28:19,640 I want to do something about it. I want a better life. 328 00:28:19,720 --> 00:28:24,600 I want to be able to take care of my mother, and be there for her. 329 00:28:24,680 --> 00:28:29,240 I want some kind of life, which I never got to have. 330 00:28:29,320 --> 00:28:34,880 Then we go through your eating habits, then we see what we need to change. 331 00:28:34,960 --> 00:28:37,600 Tell us what you eat on a typical day. 332 00:28:37,680 --> 00:28:44,560 My dad likes to cook eggs, cheese and toast. 333 00:28:44,640 --> 00:28:50,400 -What do you eat for lunch? - I don't usually eat lunch. 334 00:28:50,480 --> 00:28:55,760 -What do you eat, whatever you call it? - We can call it dinner. 335 00:28:55,840 --> 00:29:02,960 If we buy pizza, I eat all but two pieces. 336 00:29:03,040 --> 00:29:08,400 -What do you eat then? -If I get hungry, an orange. 337 00:29:08,480 --> 00:29:13,600 -Late? Then nothing until you go to bed? -For the most part. 338 00:29:13,680 --> 00:29:19,080 It's a lot, but you don't tell everything. You still weigh 319 kg. 339 00:29:19,160 --> 00:29:24,600 You blame your weight on other things, and now you lie about what you eat. 340 00:29:24,680 --> 00:29:30,360 I am concerned now. -Mom, what Do you play a role in her eating? 341 00:29:30,440 --> 00:29:35,440 Are you involved in what she eats? 342 00:29:35,520 --> 00:29:39,920 I usually cook spaghetti or chili. 343 00:29:40,000 --> 00:29:45,800 I cook chicken with rice, and remove the skin from the chicken. 344 00:29:45,880 --> 00:29:50,160 I've cut down on soft drinks. Maybe twice a week- 345 00:29:50,240 --> 00:29:54,800 -we buy booklets of low-calorie soft drinks and half regular soda. 346 00:29:54,880 --> 00:29:59,800 We eat a lot of oranges and lean meat. That's pretty much it. 347 00:29:59,880 --> 00:30:07,040 That sounds healthy. If Jeanne ate this she wouldn't be that big. 348 00:30:07,120 --> 00:30:11,400 If you're going to lie to me do we have a problem- 349 00:30:11,480 --> 00:30:15,560 -which leads to Jeanne dying unless it changes. 350 00:30:15,640 --> 00:30:21,400 Jeanne, you have to do what it takes if something is to change. 351 00:30:21,480 --> 00:30:23,840 You have to make that decision now. 352 00:30:23,920 --> 00:30:27,720 -Do you think you can do it? - I know I can. 353 00:30:27,800 --> 00:30:31,800 That sounds good. If you want to improve your life situation- 354 00:30:31,880 --> 00:30:36,120 -you have to take responsibility for your eating habits. 355 00:30:36,200 --> 00:30:39,560 -Do you understand what I'm trying to say? -Yes. 356 00:30:39,640 --> 00:30:45,160 But you're breathing heavily and you turn around. Are you in pain? 357 00:30:45,240 --> 00:30:49,520 -Yes. I have a wound on my leg. - Let me have a look at it. 358 00:30:49,600 --> 00:30:53,440 She has big swellings on her legs, and they bleed. 359 00:30:53,520 --> 00:30:58,720 I can't rearrange them because the skin is damaged. 360 00:31:04,000 --> 00:31:09,320 That looks bad. It is badly infected. 361 00:31:09,400 --> 00:31:12,040 -Then when? - A few months. 362 00:31:12,120 --> 00:31:14,920 This is a serious situation. 363 00:31:15,000 --> 00:31:19,560 We have to take care of them before it gets worse. 364 00:31:19,640 --> 00:31:26,360 The best thing would be to admit her in hospital, and take samples on her. 365 00:31:26,440 --> 00:31:29,200 This can be life-threatening. 366 00:31:29,280 --> 00:31:33,520 If you don't make changes you will not live much longer. 367 00:31:33,600 --> 00:31:38,120 - I understand that. -I'll give you instructions. 368 00:31:38,200 --> 00:31:44,240 You will be given a diet of 1,200 calories per day, which you should start with immediately. 369 00:31:44,320 --> 00:31:48,080 You must lose 45 kg in two months. 370 00:31:48,160 --> 00:31:55,480 I will give you exercises, so you can get active again. 371 00:31:55,560 --> 00:32:00,920 Now you must not convince yourself that you have the right to eat too much. 372 00:32:01,000 --> 00:32:05,760 I haven't convinced myself. Me know this is a big problem. 373 00:32:05,840 --> 00:32:11,520 That is why I have sought help. I hope you can help me. 374 00:32:11,600 --> 00:32:17,640 - I haven't found anyone else. -Everything starts with you. 375 00:32:17,720 --> 00:32:22,440 If I can help you you have to fight hard. 376 00:32:22,520 --> 00:32:26,680 You must understand that you are responsible for how you eat. 377 00:32:26,760 --> 00:32:29,160 - I understand that. -Okay. 378 00:32:29,240 --> 00:32:33,240 Mom, you and her dad can't help her anymore. 379 00:32:33,320 --> 00:32:38,280 - Then you help her die. - I won't do that anymore. 380 00:32:38,360 --> 00:32:42,160 If you lose weight can we operate on you. 381 00:32:42,240 --> 00:32:47,880 But first you have to go to the hospital, so that you survive this. 382 00:32:47,960 --> 00:32:54,240 The infection can cause blood poisoning. You won't survive that. 383 00:32:54,320 --> 00:32:57,880 -See you when you're done. -Thanks. 384 00:32:58,600 --> 00:33:01,000 Thank you, sir. 385 00:33:02,240 --> 00:33:06,440 There are a few things about Jeanne that worries me. 386 00:33:06,520 --> 00:33:10,200 She doesn't take her situation seriously- 387 00:33:10,280 --> 00:33:14,960 -if she lies to me. Her mother is the same. 388 00:33:15,040 --> 00:33:19,280 We need to solve the dysfunctional the dynamic between them- 389 00:33:19,360 --> 00:33:22,480 - if she can do it the changes. 390 00:33:22,560 --> 00:33:26,840 We have an uphill battle if we're going to make Jeanne change her mind. 391 00:33:26,920 --> 00:33:33,520 But the top priority is to get control of the infection in the leg. 392 00:33:33,600 --> 00:33:39,840 It's serious, and if she gets she does not survive blood poisoning. 393 00:33:39,920 --> 00:33:46,120 It is important that this happens quickly. She doesn't have much time left. 394 00:33:51,840 --> 00:33:54,840 I am frustrated and scared. 395 00:33:54,920 --> 00:33:58,920 I'm here to get help, so i have to do this- 396 00:33:59,000 --> 00:34:05,720 -but Dr. Now was strict with me, and the goal he gave me feels impossible. 397 00:34:07,320 --> 00:34:11,480 It feels unfair, and it was not a good meeting. 398 00:34:11,560 --> 00:34:17,840 It scared me to hear that the infection in the leg is so serious. 399 00:34:19,400 --> 00:34:24,320 Now I want to come to the hospital, so it doesn't get worse- 400 00:34:24,400 --> 00:34:27,360 -or more dangerous than it is now. 401 00:34:27,440 --> 00:34:34,120 I hope it hasn't happened so far that it could kill me. 402 00:34:50,160 --> 00:34:52,400 Houston, Texas 403 00:34:55,080 --> 00:34:58,080 I have been to the hospital a few days- 404 00:34:58,160 --> 00:35:02,040 -and it hasn't been nice so far. 405 00:35:02,120 --> 00:35:07,560 They have had to clean up the infection on the leg to remove dead flesh. 406 00:35:07,640 --> 00:35:11,520 It has been painful. It feels completely worn down there. 407 00:35:11,600 --> 00:35:16,680 But I hope that soon gets better and doesn't hurt as much. 408 00:35:17,360 --> 00:35:21,560 Dr. Now has set me on a controlled diet here. 409 00:35:21,640 --> 00:35:25,480 That change I hadn't expected- 410 00:35:25,560 --> 00:35:28,800 -and it has done this even more difficult. 411 00:35:28,880 --> 00:35:34,760 I just want to go home. It's hard to be here. 412 00:35:35,600 --> 00:35:40,560 That's a lot of blood. I haven't seen so much blood before. 413 00:35:42,600 --> 00:35:46,840 - Is it dripping? - It's flowing. 414 00:35:46,920 --> 00:35:52,320 -How can I help you? - She's bleeding. I need help. 415 00:35:54,000 --> 00:35:58,640 -Where are you bleeding from? -From the wound. 416 00:35:58,720 --> 00:36:03,680 -Does it always bleed so much? - No, never this much. 417 00:36:05,680 --> 00:36:11,040 When I came around the corner and saw the blood on the floor I felt panic. 418 00:36:11,120 --> 00:36:16,280 It scared me, but I don't let it her see me scared. 419 00:36:16,360 --> 00:36:20,400 If I am concerned, it worries her even more. 420 00:36:25,400 --> 00:36:29,240 - Hi, Jeanne. How are you? -Okay, thanks. 421 00:36:30,000 --> 00:36:34,920 I heard your abscess started bleeding. 422 00:36:36,120 --> 00:36:41,440 When we get Jeanne into hospital can we examine the wound on her leg. 423 00:36:41,520 --> 00:36:45,280 Her infection is very serious. 424 00:36:45,360 --> 00:36:48,920 Her hygiene seems very poor. 425 00:36:49,000 --> 00:36:51,960 Jeanne's mother has washed her- 426 00:36:52,040 --> 00:36:55,560 -but not after every visit to the toilet. 427 00:36:55,640 --> 00:37:00,520 There is feces on the back of her legs and in the wounds. 428 00:37:00,600 --> 00:37:04,640 She has dead meat all around which we must remove. 429 00:37:04,720 --> 00:37:11,800 Her skin is so ruined in it the area that it takes a while to heal. 430 00:37:11,880 --> 00:37:16,520 The skin is so broken down that it cannot heal on its own. 431 00:37:16,600 --> 00:37:24,080 Within a month or two she had got blood poisoning and died. 432 00:37:24,160 --> 00:37:29,560 It is important that Jeanne improves her health- 433 00:37:29,640 --> 00:37:34,280 -and goes down as much as possible in weight before her body gives up. 434 00:37:35,200 --> 00:37:40,240 - Now you are clean, Jeanne. -Thanks. 435 00:37:40,320 --> 00:37:46,200 It will be a challenge for us to get you to heal properly. 436 00:37:46,280 --> 00:37:49,960 It will be time, so the wound must be clean. 437 00:37:50,040 --> 00:37:55,480 If it continues to bleed we have to put a new bandage on. 438 00:37:55,560 --> 00:37:59,080 You must stay here for at least a couple of weeks- 439 00:37:59,160 --> 00:38:04,560 - until the infection has healed sufficiently so that we can send you home. 440 00:38:04,640 --> 00:38:08,280 We'll show you how to keep it clean- 441 00:38:08,360 --> 00:38:13,040 -so that it doesn't get infected again when you are on the right track. 442 00:38:13,120 --> 00:38:17,760 You need to do two important things. 443 00:38:17,840 --> 00:38:22,360 We know you smoke. You must stop that immediately. 444 00:38:22,440 --> 00:38:26,720 Nicotine impairs blood circulation and then your leg won't heal. 445 00:38:26,800 --> 00:38:33,080 If you keep smoking, yours won't heal bones, and leads to other problems. 446 00:38:33,160 --> 00:38:37,120 -No more cigarettes, okay? -Okay. 447 00:38:37,200 --> 00:38:43,680 You need to start losing weight right away, so that you reduce the strain. 448 00:38:43,760 --> 00:38:49,880 You have received instructions for your diet. You have to start with it right away. 449 00:38:49,960 --> 00:38:52,800 -Roger? - Yes, sir. 450 00:38:52,880 --> 00:38:58,760 We have put you on a controlled diet, and you don't like it. 451 00:38:58,840 --> 00:39:02,280 We weigh you and see what progress you make- 452 00:39:02,360 --> 00:39:06,360 - after a couple of days with 1,200 calories per day. 453 00:39:16,480 --> 00:39:18,160 Okay, Jeanne. 454 00:39:33,480 --> 00:39:35,560 311 kg. 455 00:39:35,640 --> 00:39:41,680 - Nine kg? -8 kg. In a few days. 456 00:39:41,760 --> 00:39:47,200 If you stick to the diet are you losing weight. 457 00:39:47,280 --> 00:39:50,720 See what you can do if you follow the diet? 458 00:39:50,800 --> 00:39:55,480 We will help you lose weight, and reach your goal while you are here. 459 00:39:55,560 --> 00:39:58,840 When the infection is better can you go home 460 00:39:58,920 --> 00:40:04,240 You need to lose 45 kg until the next visit. 461 00:40:04,320 --> 00:40:10,080 Call me if you need anything. Okay? See you soon. 462 00:40:14,320 --> 00:40:17,400 It will be difficult to reverse Jeanne's situation. 463 00:40:17,480 --> 00:40:23,160 But we have to get past many obstacles before she is in the right place. 464 00:40:23,240 --> 00:40:28,960 We're going to help her, but that's it she herself who has to do the work. 465 00:40:29,040 --> 00:40:33,400 If she's ready for this, she must reach your goal and show me. 466 00:40:33,480 --> 00:40:37,960 But if she keeps lying and make excuses- 467 00:40:38,040 --> 00:40:41,360 -nothing we do will to be effective. 468 00:40:41,440 --> 00:40:46,400 I hope she and her mother realizing how serious the situation is- 469 00:40:46,480 --> 00:40:49,760 -and how quickly time passes running out. 470 00:40:53,600 --> 00:40:57,800 It's nice that I got the leg treated before it got worse- 471 00:40:57,880 --> 00:41:01,560 -but I want to go home and start my diet. 472 00:41:01,640 --> 00:41:05,680 In a place where I am comfortable and feel at home. 473 00:41:05,760 --> 00:41:08,360 But until then, I have no choice. 474 00:41:08,440 --> 00:41:13,120 I have to get through this if I'm going to survive. 475 00:41:15,320 --> 00:41:18,360 Second month 476 00:41:18,680 --> 00:41:21,880 Big Sandy, Texas 477 00:41:25,800 --> 00:41:29,560 After a couple of weeks in the hospital I was allowed to come home. 478 00:41:29,640 --> 00:41:32,640 It was nice to get away from there. 479 00:41:32,720 --> 00:41:38,960 It was horrible to be in the hospital. They were messing with my legs the whole time. 480 00:41:39,680 --> 00:41:45,360 I couldn't even smoke. But meant some positive things. 481 00:41:45,440 --> 00:41:49,600 I got rid of all the dirt and all the dead flesh around the wound on the leg- 482 00:41:49,680 --> 00:41:53,000 -and the infection turned out so well that I had to go home. 483 00:41:53,840 --> 00:41:55,800 My leg feels better. 484 00:41:55,880 --> 00:42:01,280 I told mom that I should give the dogs food and water 485 00:42:01,360 --> 00:42:04,200 -to motivate me to get up. 486 00:42:04,280 --> 00:42:08,760 Mother! We have nine dogs. 487 00:42:08,840 --> 00:42:15,560 It gives me a good workout without that my wound is getting worse or bleeding. 488 00:42:15,640 --> 00:42:17,760 I have to pee. 489 00:42:18,800 --> 00:42:22,120 But I have to wash the wound every day- 490 00:42:22,200 --> 00:42:25,920 -especially after every visit to the toilet. 491 00:42:26,000 --> 00:42:29,160 They showed mom how to do it better. 492 00:42:30,680 --> 00:42:35,680 Dr. Now said that because the infection became so severe and the skin is so damaged- 493 00:42:35,760 --> 00:42:38,920 -it takes months to really heal. 494 00:42:39,000 --> 00:42:44,800 But mom and I will do everything to make me feel better. 495 00:42:46,080 --> 00:42:48,480 Does it bleed through? 496 00:42:49,120 --> 00:42:54,080 It's bleeding a little, but not as much as before. 497 00:42:54,160 --> 00:42:59,360 The skin is so dull that it becomes hard to get the tape to stick. 498 00:43:01,520 --> 00:43:07,720 While I was in the hospital and following the diet I lost 24 kg. 499 00:43:07,800 --> 00:43:11,400 When I left the hospital I weighed 295 kg. 500 00:43:13,360 --> 00:43:16,800 Dr. Now said I was halfway there to my goal. 501 00:43:16,880 --> 00:43:22,280 Now I have to go down the other half before the next visit. 502 00:43:22,360 --> 00:43:26,960 Mom has focused on to prepare meals with a lot of protein. 503 00:43:27,040 --> 00:43:30,720 I'll see to it that I don't eat carbohydrates- 504 00:43:30,800 --> 00:43:34,760 -because I really want to go down in weight, and get healthy. 505 00:43:35,600 --> 00:43:41,840 I will see Dr Now in a month. Then I must be approved. 506 00:43:41,920 --> 00:43:47,560 I know Dr. Now is right that I don't have much time. 507 00:43:47,640 --> 00:43:51,880 I have to do this now, before it's too late. 508 00:44:08,920 --> 00:44:12,240 Houston, Texas 509 00:44:12,320 --> 00:44:15,240 Third month 510 00:44:18,480 --> 00:44:23,400 I'm back in Houston with my mother to see Dr. Now again. 511 00:44:23,480 --> 00:44:26,520 It was hard to go here again. 512 00:44:26,600 --> 00:44:29,800 I hope this visit going better. 513 00:44:29,880 --> 00:44:33,360 I don't want to end up in hospital again. 514 00:44:33,440 --> 00:44:37,200 Mom and I have been trying to get my leg to get better- 515 00:44:37,280 --> 00:44:40,680 - and that it doesn't get infected again. 516 00:44:40,760 --> 00:44:45,880 My focus is on to be approved for surgery today. 517 00:44:48,040 --> 00:44:49,840 Jeanne Covey? 518 00:44:50,920 --> 00:44:55,320 On the last visit I weighed 319 kg. 519 00:44:55,880 --> 00:45:00,960 But when I was in the hospital I went down to 295 kg. 520 00:45:01,040 --> 00:45:04,640 Dr. Now wanted me to go down 23 kg more. 521 00:45:04,720 --> 00:45:09,160 Then I have to be down to 272 kg today. 522 00:45:12,080 --> 00:45:16,000 Weight gain: 13 kg 523 00:45:16,680 --> 00:45:20,360 Total weight loss: 11 kg 524 00:45:22,680 --> 00:45:25,240 How is that possible? 525 00:45:25,320 --> 00:45:29,080 Mom and I fought very hard. 526 00:45:29,160 --> 00:45:31,880 Incomprehensible. Now I'm scared. 527 00:45:31,960 --> 00:45:35,760 I have to have surgery before it's too late. 528 00:45:35,840 --> 00:45:41,520 I don't know what's happening now or what Dr. Now has to say. 529 00:45:46,560 --> 00:45:48,880 Come in. 530 00:45:48,960 --> 00:45:51,080 -Hello. -Hello, how are you? 531 00:45:51,160 --> 00:45:54,680 -Okay. And you? -Okay. 532 00:45:54,760 --> 00:46:01,960 Okay, Jeanne. When you were in hospital did you lose 24 kg. 533 00:46:02,040 --> 00:46:09,520 Then you only needed to lose 23 kg more in six weeks, to reach your goal- 534 00:46:09,600 --> 00:46:13,840 -but instead you have gained 13 kg. 535 00:46:13,920 --> 00:46:15,960 What happened? 536 00:46:16,040 --> 00:46:21,040 One day I ate more than 1,200 calories. 537 00:46:21,120 --> 00:46:26,840 Did you gain 13 kg that day? Is that your explanation now? 538 00:46:26,920 --> 00:46:33,920 You have seen what happens when you follow the diet, and eat what you should- 539 00:46:34,000 --> 00:46:38,760 -so you haven't eaten 1,200 calories, 2,000 calories- 540 00:46:38,840 --> 00:46:43,600 -or 4,000 calories per day. That can't be right. 541 00:46:43,680 --> 00:46:50,640 I failed, and I'll fight harder next time. 542 00:46:50,720 --> 00:46:57,400 Why should I believe it? when you lie to me? 543 00:46:57,480 --> 00:47:01,560 -You eat too much. -I won't eat too much. 544 00:47:01,640 --> 00:47:05,320 I'll make sure that I eat 1,200 calories. 545 00:47:05,400 --> 00:47:09,840 I will prove to you that I can do it of it. I will do it. 546 00:47:09,920 --> 00:47:12,720 You said that two months ago. 547 00:47:12,800 --> 00:47:17,800 Nothing changes until you are honest. You don't have time for this. 548 00:47:17,880 --> 00:47:22,160 You both have to understand that it applies to your life. 549 00:47:22,240 --> 00:47:26,680 You destroy your body when you eat. Time is running out. 550 00:47:26,760 --> 00:47:32,160 If you hadn't gotten your infection treated you would be dead by now. 551 00:47:32,240 --> 00:47:36,520 If you're going to survive do you have to take this seriously- 552 00:47:36,600 --> 00:47:39,640 -but you don't. You are not focused. 553 00:47:39,720 --> 00:47:45,040 Then I hadn't stopped smoking, and I hadn't stopped drinking soda. 554 00:47:45,120 --> 00:47:48,680 You excuse your behavior. 555 00:47:48,760 --> 00:47:52,400 No, I don't. That means I can do it. 556 00:47:52,480 --> 00:47:57,600 You end up with two habits, but you're not making any progress. 557 00:47:57,680 --> 00:48:01,800 -You think this is... -I didn't get fat overnight... 558 00:48:01,880 --> 00:48:06,560 ...och det blir inte bra in a few weeks or a month. 559 00:48:06,640 --> 00:48:10,040 Everyone is different, man I'll do it. 560 00:48:10,120 --> 00:48:16,160 The problem is that I underestimated the amount of food that I have... 561 00:48:16,240 --> 00:48:22,840 -What is it that you don't understand? - I didn't realize I did it. 562 00:48:22,920 --> 00:48:26,880 -You gave her too much food. - I understand that. 563 00:48:26,960 --> 00:48:30,680 No, you're lying, both of you. You are not going to change your mind. 564 00:48:30,760 --> 00:48:35,880 You make excuses and believe that I will give you the operation. 565 00:48:35,960 --> 00:48:40,080 What is the difference between now and two months ago? 566 00:48:40,160 --> 00:48:44,920 I am motivated now. I was motivated then too. 567 00:48:45,000 --> 00:48:50,800 -What went wrong? - I don't know that. 568 00:48:50,880 --> 00:48:55,240 I tell you what went wrong, but you don't listen to me. 569 00:48:55,320 --> 00:49:00,280 Instead you go against me and trying to justify your behavior. 570 00:49:00,360 --> 00:49:04,960 - You say you have stopped smoking. -You don't understand. 571 00:49:05,040 --> 00:49:11,040 I have had 9,000 patients like you so far. 572 00:49:11,120 --> 00:49:14,400 You say I don't understand you- 573 00:49:14,480 --> 00:49:18,760 -when all my 9,000 patients is just like you. 574 00:49:18,840 --> 00:49:22,600 - Not everyone is the same. - Yes, everyone is different... 575 00:49:22,680 --> 00:49:25,400 ...but everyone gets the same instructions. 576 00:49:25,480 --> 00:49:30,080 You are the one who has to help yourself, not me 577 00:49:30,160 --> 00:49:32,680 You fall off a cliff. 578 00:49:32,760 --> 00:49:38,160 We throw out a rope for you, and you yelling that we won't help you. 579 00:49:38,240 --> 00:49:44,240 You don't want to climb up by yourself. You want someone else to do it for you. 580 00:49:44,320 --> 00:49:48,880 But if you don't grab the rope can't you pull yourself up 581 00:49:48,960 --> 00:49:52,640 I have a problem, that's why I'm here. 582 00:49:52,720 --> 00:49:59,880 I know it's my last chance and that it's my last chance. 583 00:49:59,960 --> 00:50:05,160 I try to do everything I can. I failed. Sorry. 584 00:50:05,240 --> 00:50:09,040 Okay. Lose 45 kg in 2 months, then I believe in you. 585 00:50:09,120 --> 00:50:12,720 I cut the amount I eat in half now- 586 00:50:12,800 --> 00:50:16,880 -and hopefully it will be 1,200 calories per day. 587 00:50:16,960 --> 00:50:20,880 You have to eat much less, but you get one more chance. 588 00:50:20,960 --> 00:50:26,760 prove me wrong, and that you want to do this. Okay? 589 00:50:27,560 --> 00:50:31,480 See you in two months. Lose 45 kg- 590 00:50:31,560 --> 00:50:34,880 - if you want to be approved for surgery. 591 00:50:36,720 --> 00:50:43,760 - Get in touch if you need anything. -Thanks. I appreciate it. 592 00:50:46,320 --> 00:50:50,640 There is no excuse because Jeanne has gained weight. 593 00:50:50,720 --> 00:50:54,560 But she wasn't going to follow the diet- 594 00:50:54,640 --> 00:50:57,880 -or do something else to reach the goal. 595 00:50:57,960 --> 00:51:03,400 She wants to lose weight, but she wants to that someone does the work for her. 596 00:51:03,480 --> 00:51:06,040 When she doesn't get results- 597 00:51:06,120 --> 00:51:12,040 -is she a victim of circumstances beyond her control. 598 00:51:12,120 --> 00:51:18,000 Her mother simplifies hers behavior by defending her. 599 00:51:18,080 --> 00:51:23,200 Until Jeanne stops lying to me- 600 00:51:23,280 --> 00:51:26,560 -nothing changes, and she is not losing weight. 601 00:51:26,640 --> 00:51:30,120 Now she is probably less than a year old left to live- 602 00:51:30,200 --> 00:51:34,800 -if she doesn't lose a lot of weight. 603 00:51:36,800 --> 00:51:40,080 Dr Now is not at all fair- 604 00:51:40,160 --> 00:51:45,880 -but I will prove him wrong, and I'm going to lose weight. 605 00:51:45,960 --> 00:51:49,840 Then I will show my progress for him. 606 00:51:49,920 --> 00:51:52,880 It will feel good. 607 00:51:56,960 --> 00:51:59,800 Big Sandy, Texas 608 00:52:00,120 --> 00:52:02,960 Fourth month 609 00:52:07,760 --> 00:52:12,120 I'm waiting for a call from Dr. Nowzaradan. 610 00:52:12,200 --> 00:52:18,520 He wants to talk to me. I sent photos on my page. 611 00:52:18,600 --> 00:52:23,040 Then he will know how it goes with the new medicine- 612 00:52:23,120 --> 00:52:25,480 -and how the infection is going. 613 00:52:25,560 --> 00:52:29,360 After a while the infection got better- 614 00:52:29,440 --> 00:52:34,520 -but when I started taking another type of antibiotics 615 00:52:34,600 --> 00:52:37,040 -it got worse. 616 00:52:37,120 --> 00:52:40,960 I hope that the doctor can tell me- 617 00:52:41,040 --> 00:52:45,600 -that the medicine he gave me is the best- 618 00:52:45,680 --> 00:52:51,000 -and that it will take some time, but that it will be fine. 619 00:52:51,080 --> 00:52:54,840 -Hello? -Hello, this is Dr. Nowzaradan. 620 00:52:54,920 --> 00:52:58,760 Hello. Wait, I'm going to sit up. 621 00:53:02,960 --> 00:53:07,000 How's your leg and belly? 622 00:53:07,080 --> 00:53:13,080 My leg is much better now. It's not purple anymore. 623 00:53:13,160 --> 00:53:16,680 Can I look at your belly? 624 00:53:16,760 --> 00:53:20,440 -Can you hold this? -Yes. 625 00:53:28,920 --> 00:53:31,560 - Do you see? - It looks better. 626 00:53:31,640 --> 00:53:36,920 -Can you hold the camera a little lower? -Sure. 627 00:53:38,160 --> 00:53:44,400 -How about the leg? -Much better. Wait a little. 628 00:53:50,680 --> 00:53:54,720 It's a little purple where it was swollen before 629 00:53:54,800 --> 00:53:59,160 -but it's not hard and hot as before. 630 00:53:59,240 --> 00:54:04,800 There are big veins there, but nothing is open, so it looks better. 631 00:54:04,880 --> 00:54:10,600 It is much better. It doesn't as bad as her side. 632 00:54:10,680 --> 00:54:17,440 Wash and clean the page. 633 00:54:17,520 --> 00:54:21,200 -You're taking antibiotics, aren't you? - Yes, sir. 634 00:54:22,080 --> 00:54:28,960 Increase exercise for upper and lower body. 635 00:54:29,040 --> 00:54:33,120 Increase activity as much as possible. 636 00:54:33,200 --> 00:54:35,280 We do. 637 00:54:35,360 --> 00:54:38,040 - See you. -Hello then. 638 00:54:40,000 --> 00:54:45,320 It feels better after I spoke to Dr Now this evening. 639 00:54:45,400 --> 00:54:49,880 It gets better. I showed him photos. 640 00:54:53,800 --> 00:54:57,920 I will continue with the diet of 1,200 calories- 641 00:54:58,000 --> 00:55:02,440 -and I will walk so much that I need. 642 00:55:02,520 --> 00:55:07,960 I will try to walk more, be more mobile and more active 643 00:55:08,040 --> 00:55:12,080 -so I can lose weight and have surgery. 644 00:55:17,520 --> 00:55:20,000 Fifth month 645 00:55:20,080 --> 00:55:22,800 Houston, Texas 646 00:55:24,160 --> 00:55:28,640 Mom and I are in Houston for my third visit with Dr Now. 647 00:55:28,720 --> 00:55:32,960 This time I feel more confident. 648 00:55:33,040 --> 00:55:38,480 I have struggled to reach my goal and show Dr. Now that I do all- 649 00:55:38,560 --> 00:55:41,440 -and prove that I can do this. 650 00:55:42,760 --> 00:55:44,840 Jeanne Covey? 651 00:55:46,160 --> 00:55:50,640 At the last visit for two months then I weighed 308 kg. 652 00:55:50,720 --> 00:55:55,760 Dr. Now gave me the goal to lose 45 kg in two months. 653 00:55:55,840 --> 00:55:59,680 Then I should weigh under 262 kg today. 654 00:56:03,560 --> 00:56:07,360 Latest weight loss: 4 kg. 655 00:56:08,520 --> 00:56:11,360 Total weight loss: 15 kg. 656 00:56:11,440 --> 00:56:14,480 That can't be right. 657 00:56:14,560 --> 00:56:21,000 Mom and I have fought because I should eat right and do everything necessary. 658 00:56:21,080 --> 00:56:25,880 This doesn't add up, and I don't know what to do. 659 00:56:25,960 --> 00:56:29,280 I am frustrated and upset. 660 00:56:29,360 --> 00:56:35,480 I don't want to be here. I just want to get this visit overruled. 661 00:56:36,240 --> 00:56:38,120 Come in. 662 00:56:38,200 --> 00:56:40,120 -Hello. -Everything alright? 663 00:56:40,200 --> 00:56:44,800 -Yes. And you? -Yes. 664 00:56:44,880 --> 00:56:51,400 You would again lose 45 kg in 2 months. 665 00:56:51,480 --> 00:56:57,200 Instead, you lost 4 kg. At least you didn't gain weight- 666 00:56:57,280 --> 00:56:59,360 -but you didn't lose much weight. 667 00:56:59,440 --> 00:57:04,600 -What excuse do you have now? -I pushed myself hard... 668 00:57:04,680 --> 00:57:08,440 ...but I started to have pain in the tuber in the side of my stomach. 669 00:57:08,520 --> 00:57:11,520 It is extremely painful. 670 00:57:11,600 --> 00:57:15,960 My mother had complications from an operation from last year. 671 00:57:16,040 --> 00:57:21,640 -What are the complications? - It bothers me. 672 00:57:23,520 --> 00:57:27,640 I try to be careful with that- 673 00:57:27,720 --> 00:57:33,320 -but I see movement, and it is a piece that is not healed. 674 00:57:33,400 --> 00:57:36,600 That thing is getting infected. 675 00:57:36,680 --> 00:57:40,080 In that case, your bowel will be exposed. 676 00:57:40,160 --> 00:57:43,880 Then it can become life-threatening. 677 00:57:43,960 --> 00:57:47,600 You two need to take better care about yourselves. 678 00:57:47,680 --> 00:57:51,480 Let me see where it hurts, Jeanne. 679 00:57:51,560 --> 00:57:57,680 - It's open there. -You also have an infection. 680 00:57:57,760 --> 00:58:01,760 I'll make sure you come to hospital, both two- 681 00:58:01,840 --> 00:58:07,200 - to see what is going on with you. 682 00:58:07,280 --> 00:58:10,640 Jeanne, your body can't cope more strain. 683 00:58:10,720 --> 00:58:15,520 Barbara, you will be just as bad out if you don't take care of yourself. 684 00:58:15,600 --> 00:58:20,720 -See you over there soon, okay? -Thanks. 685 00:58:22,840 --> 00:58:26,800 Jeanne's situation has not improved now either. 686 00:58:26,880 --> 00:58:34,000 I'm afraid we won't get her to wake up on time. 687 00:58:34,080 --> 00:58:36,880 She can't go on like this. 688 00:58:36,960 --> 00:58:41,320 The next step is that she can go to therapy. 689 00:58:41,400 --> 00:58:46,760 It might get her to abandon the lie in which she lives. 690 00:58:46,840 --> 00:58:52,720 She thinks she can keep lying and that she does everything she can- 691 00:58:52,800 --> 00:58:57,400 -while her health deteriorates. Now does her mother have similar problems- 692 00:58:57,480 --> 00:59:02,240 -because they don't care about hygiene and health. 693 00:59:02,320 --> 00:59:07,200 Before we do anything else do we have to take both of them to the hospital- 694 00:59:07,280 --> 00:59:10,360 -and see what treatment they will receive- 695 00:59:10,440 --> 00:59:14,760 -to prevent their health gets even worse. 696 00:59:15,600 --> 00:59:21,680 This is a nightmare. I need just a gastric bypass. 697 00:59:21,760 --> 00:59:28,240 I was not approved for surgery and now we're going into the hospital again- 698 00:59:28,320 --> 00:59:32,040 -so I am extremely disappointed and depressed. 699 00:59:32,120 --> 00:59:35,520 I'm afraid my time is running out. 700 00:59:35,600 --> 00:59:41,320 This is starting to feel hopeless. 701 00:59:55,160 --> 00:59:57,480 Houston, Texas 702 01:00:02,440 --> 01:00:06,480 Both Jeanne and her mother is in hospital now. 703 01:00:06,560 --> 01:00:09,520 We treat their serious problems. 704 01:00:09,600 --> 01:00:15,640 Jeanne has a serious infection, so she gets antibiotics intravenously- 705 01:00:15,720 --> 01:00:18,040 -so that it doesn't get worse. 706 01:00:18,120 --> 01:00:21,560 Her body would not cope with. 707 01:00:21,640 --> 01:00:24,920 I'm more worried about Barbara now. 708 01:00:25,000 --> 01:00:28,640 She has had surgery for perforated colon. 709 01:00:28,720 --> 01:00:33,560 But it didn't heal, so she got a hernia that has not been treated. 710 01:00:33,640 --> 01:00:37,440 Now the wound is infected and is opening up. 711 01:00:37,520 --> 01:00:40,360 Her gut will soon be exposed. 712 01:00:40,440 --> 01:00:43,800 If we don't act now- 713 01:00:43,880 --> 01:00:48,280 -and operate on her, it will kill her soon. 714 01:00:48,360 --> 01:00:52,960 We are trying to save both Jeanne and Barbara now. 715 01:00:55,920 --> 01:01:00,240 -Come in. - Hi, Jeanne. 716 01:01:00,320 --> 01:01:05,840 Your infection is severe, so it takes time before it goes away. 717 01:01:05,920 --> 01:01:10,800 Let me see what the infection looks like after we cleaned the wound. 718 01:01:14,840 --> 01:01:17,440 I'll see what happened. 719 01:01:17,520 --> 01:01:22,280 -How does your stomach feel? -Okay. It doesn't hurt. 720 01:01:22,360 --> 01:01:25,720 You'll probably have to have surgery to remove this- 721 01:01:25,800 --> 01:01:29,840 -but you have to lose a lot of weight before we can do that. 722 01:01:29,920 --> 01:01:34,480 But we have a long way to go before we can consider it. 723 01:01:34,560 --> 01:01:40,800 Once the infection is under control we need to talk about the next step. 724 01:01:40,880 --> 01:01:47,320 We have done everything to get you to do this, but you are not honest. 725 01:01:47,400 --> 01:01:53,680 We need to send you to a therapist, and see if they can reach you. 726 01:01:53,760 --> 01:01:57,720 You get to do it first, and then lose weight. 727 01:01:57,800 --> 01:02:04,080 This is your last chance. Do you understand me? Okay. Good. 728 01:02:04,640 --> 01:02:10,680 When the infection is gone can you go home 729 01:02:10,760 --> 01:02:13,840 Your mother will have to wait longer to go home. 730 01:02:13,920 --> 01:02:19,400 We have to operate on her tomorrow to tend to her wounds. 731 01:02:19,480 --> 01:02:25,400 She also has an infection. Hers intestines are stuck in the scar tissue. 732 01:02:25,480 --> 01:02:30,760 Surgery is the only option for her. 733 01:02:30,840 --> 01:02:34,280 We have to do it now, so that she feels good. 734 01:02:34,360 --> 01:02:41,520 -How long will she stay in the hospital? -Four days after the operation. 735 01:02:41,600 --> 01:02:47,080 -What do her chances look like? - We will take good care of her. 736 01:02:47,160 --> 01:02:49,840 -Okay. Thanks. -See you soon. 737 01:02:49,920 --> 01:02:55,320 In the meantime, we'll see if we can get you in better shape. 738 01:02:55,400 --> 01:02:58,600 - See you. -Thanks. 739 01:03:03,360 --> 01:03:06,240 I am very sorry now. 740 01:03:06,320 --> 01:03:12,800 I will go on a controlled diet again, and mother's health scares me. 741 01:03:12,880 --> 01:03:17,480 I just wish both of us were done here, and could go home. 742 01:03:17,560 --> 01:03:21,000 I really don't want to be here. 743 01:03:33,360 --> 01:03:38,920 I'm in the hospital, and I'm going to have my hernia operated on. 744 01:03:39,000 --> 01:03:41,800 I have had the hernia for 14 months. 745 01:03:41,880 --> 01:03:47,400 I understand that it is necessary to be operated on. 746 01:03:47,480 --> 01:03:52,960 It has gotten worse lately ten days, and it has to be operated on. 747 01:03:53,040 --> 01:03:59,760 If it fails, it can be dangerous. 748 01:03:59,840 --> 01:04:02,760 I hadn't planned this. 749 01:04:02,840 --> 01:04:08,520 The idea was that she would have surgery first, I would take care of her- 750 01:04:08,600 --> 01:04:12,280 - and then I would have surgery. That was not the case. 751 01:04:15,680 --> 01:04:17,600 Come in. 752 01:04:19,840 --> 01:04:22,680 -Hi, how are you? -Hello. 753 01:04:22,760 --> 01:04:27,720 -Everything alright? - Yes, just a little tired. Starved. 754 01:04:27,800 --> 01:04:31,000 Colon looked pretty good- 755 01:04:31,080 --> 01:04:37,240 -but you have a lot of scar tissue everywhere. 756 01:04:37,320 --> 01:04:40,200 You have a hernia in the middle. 757 01:04:40,280 --> 01:04:45,080 Part of the small intestine is stuck in the transplanted skin. 758 01:04:45,160 --> 01:04:47,400 We have to arrange it immediately. 759 01:04:47,480 --> 01:04:53,160 As you know, you are going to have surgery tomorrow morning. 760 01:04:53,240 --> 01:04:55,880 But you can only eat liquid food. 761 01:04:55,960 --> 01:05:00,680 It's not good if you have food in your intestines. 762 01:05:00,760 --> 01:05:06,040 Liquid food and antibiotics. Do not eat solid food tonight. 763 01:05:06,120 --> 01:05:09,920 Then I want filet mignon and lobster tail afterwards. 764 01:05:10,000 --> 01:05:13,920 You're going to get filet mignon, lobster and a bottle of wine. 765 01:05:14,000 --> 01:05:15,840 Dom Pérignon? 766 01:05:15,920 --> 01:05:20,520 It's a fantasy meal, so you can get what you want. 767 01:05:20,600 --> 01:05:23,640 We're going to get you well, okay? 768 01:05:23,720 --> 01:05:27,560 Does he take care of scar tissue and hernia at the same time? 769 01:05:27,640 --> 01:05:31,720 Yes, we will take care of everything. 770 01:05:31,800 --> 01:05:36,960 We will have a drainage, and we're going to remove some skin. 771 01:05:37,040 --> 01:05:40,600 -Fat too? -A little bit. 772 01:05:40,680 --> 01:05:43,640 How long is the rehabilitation? 773 01:05:43,720 --> 01:05:48,560 It depends on how you recover, but you can go home after four days. 774 01:05:48,640 --> 01:05:52,800 Can I drive? I have to drive home. 775 01:05:52,880 --> 01:06:00,000 You can't drive when taking painkillers. 776 01:06:00,080 --> 01:06:03,600 -Who can... - None. 777 01:06:03,680 --> 01:06:08,160 Neither Jeanne Marie nor my husband drive. It's just me driving. 778 01:06:08,240 --> 01:06:11,400 We have to wait until you can drive. 779 01:06:11,480 --> 01:06:17,000 We have to deal with this before it gets worse. 780 01:06:17,080 --> 01:06:21,880 -Is it a major operation? -Yes. 781 01:06:21,960 --> 01:06:27,960 -What complications can arise? - You risk an infection. 782 01:06:28,040 --> 01:06:33,720 The surgical wound may not heal and closes. 783 01:06:33,800 --> 01:06:37,680 These are risks you take with all operations. 784 01:06:37,760 --> 01:06:42,920 You just have to make sure to minimize the risks. 785 01:06:43,000 --> 01:06:48,120 That's why you only get to drink liquid. It is important. 786 01:06:48,200 --> 01:06:50,600 -Okay? -Okay. 787 01:06:50,680 --> 01:06:56,840 - I'll take care of you, Barbara. -Thanks. I appreciate it. 788 01:06:56,920 --> 01:07:03,480 See you tomorrow morning. With that diet you lose a few kilos. 789 01:07:03,560 --> 01:07:08,400 - I'm probably starving to death. - I guarantee you won't. 790 01:07:08,480 --> 01:07:11,840 Maybe I just wish that I did it. 791 01:07:11,920 --> 01:07:15,400 -You will be fine. -Okay. 792 01:07:15,480 --> 01:07:18,280 -See you tomorrow. -Okay. Thanks. 793 01:07:18,360 --> 01:07:21,120 - Take care of yourself. -The same. 794 01:07:28,080 --> 01:07:31,640 You are always worried after major surgery. 795 01:07:31,720 --> 01:07:35,680 My husband, my animals and my daughter would be lost without me. 796 01:07:35,760 --> 01:07:41,080 They depend on me, but I can don't put off the surgery any more now. 797 01:07:41,160 --> 01:07:47,680 Jeanne's infection does not heal, so it's not a perfect situation. 798 01:07:51,160 --> 01:07:55,560 Some of Barbara's ailments is beyond her control 799 01:07:55,640 --> 01:08:02,080 -but she could have prevented it that the infection became life-threatening. 800 01:08:02,160 --> 01:08:09,480 But both have bothered worrying little about their own health. 801 01:08:09,560 --> 01:08:13,080 We have to get rid of them from the danger zone now. 802 01:08:13,160 --> 01:08:19,520 If not the dynamic between them change, it could cost them their lives. 803 01:08:19,600 --> 01:08:24,200 We have a tough job ahead of us for them to be healthy. 804 01:08:24,280 --> 01:08:29,720 Now I'm nervous about it that my mother will have surgery. 805 01:08:29,800 --> 01:08:32,240 Dad is also nervous. 806 01:08:32,320 --> 01:08:37,000 He wishes he could be here, but has neither a driver's license nor a car. 807 01:08:37,080 --> 01:08:41,800 I just want the surgery to go good, and all this shall be over. 808 01:08:44,600 --> 01:08:48,040 Barbara's surgery went very well. 809 01:08:48,120 --> 01:08:54,080 It takes four to five days before Barbara can leave the hospital. 810 01:08:54,160 --> 01:09:00,680 It takes about the same amount of time for Jeanne's infection to pass. 811 01:09:00,760 --> 01:09:04,960 But it takes a week before Barbara can drive a car- 812 01:09:05,040 --> 01:09:08,360 -so they can't go home in a couple of weeks. 813 01:09:08,440 --> 01:09:12,640 During that time can Jeanne lose seven kg more 814 01:09:12,720 --> 01:09:15,360 -so that she is on the right track. 815 01:09:15,440 --> 01:09:20,080 The hardest part will be to make sure that she does not gain weight again. 816 01:09:20,160 --> 01:09:26,040 If she starts going to therapy maybe it can affect her- 817 01:09:26,120 --> 01:09:31,080 - to take this seriously. We have tried everything else. 818 01:09:31,160 --> 01:09:33,400 This will be her last chance. 819 01:09:33,480 --> 01:09:38,960 If this doesn't work can't we do anything else. 820 01:09:43,480 --> 01:09:48,040 It's hard to wait for results. My dad drives me crazy. 821 01:09:48,120 --> 01:09:54,040 He calls and wants information, and I don't know anything yet. 822 01:09:54,120 --> 01:09:57,880 I just want to hear from the doctor how it went. 823 01:10:01,560 --> 01:10:04,720 -Hello. - Hi, Jeanne. 824 01:10:04,800 --> 01:10:07,800 Your mother's surgery went well. 825 01:10:07,880 --> 01:10:12,840 We fixed her hernia, and we removed the excess skin. 826 01:10:12,920 --> 01:10:18,080 -Was it a mess? -Yes, it was. 827 01:10:18,160 --> 01:10:20,680 We'll see how she heals. 828 01:10:20,760 --> 01:10:24,680 -Thanks. I appreciate it. - No reason. 829 01:10:29,720 --> 01:10:35,560 It is a great relief that the operation on mother went well. 830 01:10:35,640 --> 01:10:38,840 Dad will feel the same. 831 01:10:38,920 --> 01:10:43,840 The doctor just said that the operation went very well. 832 01:10:43,920 --> 01:10:46,280 Everything is arranged. 833 01:10:46,360 --> 01:10:52,400 - Did the operation take four hours? -He said it was a mess... 834 01:10:52,480 --> 01:10:56,520 ...with the hernia and everything else. 835 01:10:56,600 --> 01:11:02,600 She is fine. He said it went well. 836 01:11:02,680 --> 01:11:05,520 -Okay. Good. -Okay. 837 01:11:05,600 --> 01:11:09,040 -Rest. i love you -I love you. 838 01:11:09,120 --> 01:11:12,480 -Okay. Bye then. -Hello then. 839 01:11:14,880 --> 01:11:20,480 I hope we can go home soon. I don't want to be here anymore. 840 01:11:20,560 --> 01:11:24,880 I have to stay focused on my weight loss. 841 01:11:24,960 --> 01:11:28,760 I am considering seeing the therapist as Dr. Now mentioned- 842 01:11:28,840 --> 01:11:33,080 -when my mother is healthy and we can return to Houston. 843 01:11:33,160 --> 01:11:38,040 Now I have to get home, where I have control. 844 01:11:38,120 --> 01:11:42,760 I'm going to prove Dr. Now wrong by doing what is required. 845 01:11:58,640 --> 01:12:02,200 Houston, Texas 846 01:12:02,440 --> 01:12:07,520 Jeanne and her mother has recovered from the procedures. 847 01:12:14,760 --> 01:12:18,800 Dr. Now believes that my infection is good enough to go home. 848 01:12:18,880 --> 01:12:23,120 Now I'm just waiting for mom will get better and be discharged. 849 01:12:24,360 --> 01:12:29,720 She will probably be discharged tomorrow. I'm longing. 850 01:12:29,800 --> 01:12:35,360 But we can't go home until then in a week, when mom can drive. 851 01:12:35,440 --> 01:12:38,440 We get to stay in a hotel for a while- 852 01:12:38,520 --> 01:12:43,440 -but it's okay, as long as I avoid it stay here at the hospital. 853 01:12:43,520 --> 01:12:49,520 We have tried to inform father that we will be home soon, but he doesn't answer. 854 01:12:49,600 --> 01:12:53,320 Mom and I hope that we get hold of him soon. 855 01:12:53,400 --> 01:12:59,920 -Are you training as you should? - He will probably come down again today. 856 01:13:00,000 --> 01:13:03,840 It's nice that it's over, but I feel awful. 857 01:13:03,920 --> 01:13:08,840 I feel better today than yesterday, but still not good. 858 01:13:10,000 --> 01:13:12,880 It's hard to see mom like this. 859 01:13:12,960 --> 01:13:18,800 I wish I could take care about her instead of the other way around. 860 01:13:18,880 --> 01:13:24,880 When I get home I will do everything as I would have done from the beginning. 861 01:13:27,880 --> 01:13:31,840 The next morning have they not heard from Larry. 862 01:13:35,720 --> 01:13:40,760 I just want to talk to dad, and hear that everything is okay. 863 01:13:40,840 --> 01:13:46,040 We asked the police to come to our house, and see what's going on. 864 01:13:46,120 --> 01:13:51,880 The sheriff is going there now, but I'm getting worried. 865 01:13:51,960 --> 01:13:55,720 I want him to know that we will be back soon. 866 01:14:02,680 --> 01:14:06,240 Yes. Yes, but the door is not locked. 867 01:14:06,320 --> 01:14:10,200 Just tell them not to harm the dogs. 868 01:14:11,040 --> 01:14:13,800 There are no weapons at all. 869 01:14:14,640 --> 01:14:17,120 I don't know. 870 01:14:17,200 --> 01:14:22,760 He told my mother to stay because she had surgery. 871 01:14:24,640 --> 01:14:28,800 We don't know what has happened. I thought he might- 872 01:14:28,880 --> 01:14:31,440 - ran out of minutes on the phone. 873 01:14:31,520 --> 01:14:36,840 He has previously accidentally washed the phone in the washing machine. 874 01:14:45,080 --> 01:14:48,520 Okay. Thanks. 875 01:14:50,680 --> 01:14:56,680 -Are they in place? - They want to know if dad is violent. 876 01:15:03,080 --> 01:15:09,400 - It's probably something simple. -He probably ran out of minutes. 877 01:15:09,480 --> 01:15:12,800 - He'll manage. -Yes. 878 01:15:16,520 --> 01:15:22,200 I pray that everything is okay. 879 01:15:44,120 --> 01:15:46,240 It's my dad. 880 01:15:53,720 --> 01:15:55,680 I don't know. 881 01:15:57,760 --> 01:16:01,280 - Was he in the bedroom? - Is he okay? 882 01:16:07,480 --> 01:16:11,560 Did it look like he died in his sleep? Okay. 883 01:16:27,080 --> 01:16:31,560 We are in Houston. I have to check how to get home 884 01:16:33,800 --> 01:16:36,560 Are the dogs doing well? 885 01:16:43,080 --> 01:16:47,040 Can you have someone pick them up? 886 01:16:47,120 --> 01:16:51,320 Pick him up? Pick up your dad? 887 01:16:51,400 --> 01:16:55,800 No, I'm not talking about that. I... 888 01:17:02,840 --> 01:17:07,240 -Okay. Thanks. -Is anyone staying there? 889 01:17:07,320 --> 01:17:12,760 They come an undertaker. 890 01:17:24,400 --> 01:17:29,720 The sheriff told me that father has passed away. 891 01:17:30,640 --> 01:17:35,920 He seems to have fallen asleep, and then didn't wake up. 892 01:17:38,960 --> 01:17:42,960 I have enough didn't really understand it. 893 01:17:43,040 --> 01:17:46,320 It's a lot to handle. 894 01:17:46,400 --> 01:17:51,840 I am worried about my mother. She is very sad. 895 01:17:51,920 --> 01:17:55,360 She has loved him for 40 years. 896 01:17:55,440 --> 01:17:58,840 She handles it so well one can expect. 897 01:18:00,480 --> 01:18:02,320 I don't know what to do- 898 01:18:02,400 --> 01:18:07,000 - but mom and I have to get home to be with dad. 899 01:18:07,080 --> 01:18:10,040 I don't understand that this has happened. 900 01:18:10,840 --> 01:18:15,560 I can't stay here. I have to go. 901 01:18:19,960 --> 01:18:22,360 Dr. Nowzaradan Bariatric surgeon 902 01:18:22,440 --> 01:18:28,160 I'm sorry for the sadness, Barbara. I just heard about your husband. 903 01:18:30,760 --> 01:18:36,760 - Do you know what happened? - They say he didn't wake up. 904 01:18:36,840 --> 01:18:38,360 I regret. 905 01:18:38,440 --> 01:18:44,080 - I guess you have to go home. -Is it okay? 906 01:18:44,160 --> 01:18:49,840 I'll make sure you get it an ambulance home, okay? 907 01:18:49,920 --> 01:18:56,360 - My car, then? I only have it. - Maybe someone can drive it home. 908 01:18:56,440 --> 01:18:59,200 Thanks, I appreciate it. 909 01:18:59,280 --> 01:19:04,880 You must stop once an hour, and walk for 5-10 minutes- 910 01:19:04,960 --> 01:19:08,080 -so you don't get a blood clot. 911 01:19:08,160 --> 01:19:12,440 - We'll make sure you get home. -Thanks. I appreciate it. 912 01:19:12,520 --> 01:19:15,000 I'm sorry for the sadness. 913 01:19:15,080 --> 01:19:20,760 Let me know if any of you need something. See you soon. Take care of yourselves. 914 01:19:25,480 --> 01:19:28,720 After their great loss- 915 01:19:28,800 --> 01:19:34,280 -they get extra time to take care about the practical, and to mourn. 916 01:19:34,360 --> 01:19:37,240 I understand that this is a difficult time- 917 01:19:37,320 --> 01:19:41,960 -but both must prioritize health right now. 918 01:19:42,040 --> 01:19:45,880 I am concerned about that it is in such a hurry with Jeanne. 919 01:19:45,960 --> 01:19:50,280 It is important that she starts going to therapy- 920 01:19:50,360 --> 01:19:54,960 - after they have been allowed to come home and do what is required. 921 01:19:55,040 --> 01:19:59,680 We arrange the transport and then We will contact them soon. 922 01:19:59,760 --> 01:20:04,640 Jeanne cannot waste her time. 923 01:20:14,200 --> 01:20:16,520 Henderson, Texas 924 01:20:18,080 --> 01:20:22,840 Mom and I are on our way home. We've been driving for a couple of hours. 925 01:20:22,920 --> 01:20:26,880 We are grateful that Dr. Now arranged a transport. 926 01:20:26,960 --> 01:20:29,960 We are an hour from home. 927 01:20:30,040 --> 01:20:33,560 We couldn't get hold of my dad yesterday. 928 01:20:33,640 --> 01:20:36,320 We asked the police to come to our house. 929 01:20:36,400 --> 01:20:42,720 They found him dead in bed. I don't understand that he is gone. 930 01:20:42,800 --> 01:20:47,520 Right now, the diet is the last thing which worries me right now. 931 01:20:47,600 --> 01:20:53,920 How can I worry about it when I'm going through something so painful? 932 01:20:54,000 --> 01:20:57,040 My mother just had surgery. 933 01:20:57,120 --> 01:21:03,280 I am recovering from mine infection. We must be careful. 934 01:21:03,360 --> 01:21:11,280 We have stayed a few times. Mother must keep circulation going- 935 01:21:11,360 --> 01:21:15,560 -so she doesn't get a blood clot so quickly after surgery. 936 01:21:16,160 --> 01:21:21,920 But we'll be home soon, and it becomes more difficult for us. 937 01:21:22,000 --> 01:21:27,240 Mom and I know it will be emotional when we arrive. 938 01:21:27,320 --> 01:21:30,160 We are not looking forward to it. 939 01:21:33,360 --> 01:21:38,160 -What were you thinking? -Dad wanted to be cremated. 940 01:21:39,160 --> 01:21:42,600 I didn't think I would pass this. 941 01:21:42,680 --> 01:21:45,280 I'm afraid to go home. 942 01:21:45,360 --> 01:21:49,680 I never believed that my husband would not be there. 943 01:21:51,480 --> 01:21:53,960 I'm so sorry. 944 01:21:54,040 --> 01:21:57,120 I get to sleep in the bed he died in. 945 01:21:57,200 --> 01:22:00,840 Everything will remind me of him. 946 01:22:04,240 --> 01:22:08,040 I don't know how we're going to handle it when we arrive. 947 01:22:09,080 --> 01:22:13,200 This is among the most difficult I have had to do. 948 01:22:14,880 --> 01:22:17,920 An hour later 949 01:22:23,800 --> 01:22:26,320 We are finally home. 950 01:22:27,240 --> 01:22:33,280 Mom and I have to fight because it's so painful- 951 01:22:33,360 --> 01:22:36,360 -to enter our home when dad isn't there. 952 01:22:37,560 --> 01:22:40,320 It shouldn't be like this. 953 01:22:45,160 --> 01:22:47,400 It feels unimaginable. 954 01:22:49,120 --> 01:22:55,560 Now I just want to eat enough much so that the pain disappears- 955 01:23:02,040 --> 01:23:04,880 -but there is nothing to eat here. 956 01:23:05,360 --> 01:23:07,920 I just want to go to bed. 957 01:23:13,760 --> 01:23:16,920 Sixth month 958 01:23:17,240 --> 01:23:20,240 Big Sandy, Texas 959 01:23:22,680 --> 01:23:27,160 Mom and I have decided to not going back to houston. 960 01:23:27,880 --> 01:23:34,040 We can't leave the dogs alone and I can't go alone. 961 01:23:34,120 --> 01:23:38,920 Right now I can't go on with dr Now's program. 962 01:23:39,000 --> 01:23:43,480 I know I need to lose weight otherwise I don't have much time left- 963 01:23:44,240 --> 01:23:47,680 - but I don't know what I can do right now. 964 01:23:47,760 --> 01:23:50,480 Dr. Now wants me to talk with a therapist 965 01:23:50,560 --> 01:23:54,320 - to discuss my condition and the decisions I make. 966 01:24:02,320 --> 01:24:07,360 -Hello, this is Lola. -Hello, this is Jeanne Covey. 967 01:24:07,440 --> 01:24:13,600 Hi Jeanne. I want to start with lamenting the sorrow. 968 01:24:13,680 --> 01:24:15,440 Thanks. 969 01:24:15,520 --> 01:24:19,520 How have you handled this, Jeanne? 970 01:24:20,640 --> 01:24:26,640 My mother has had it very difficult. We have asked a lot. 971 01:24:26,720 --> 01:24:31,400 I haven't had time to grieve yet. 972 01:24:31,480 --> 01:24:35,600 It's completely normal to feel that way. 973 01:24:35,680 --> 01:24:41,280 It is normal to feel numb, angry 974 01:24:41,360 --> 01:24:44,560 -guilty, confused and abandoned. 975 01:24:44,640 --> 01:24:51,360 You will know all of these the feelings on different occasions. 976 01:24:51,440 --> 01:24:58,080 The most important thing is that you allow yourself himself to feel all the emotions. 977 01:24:58,160 --> 01:25:01,600 Then you can focus on your life- 978 01:25:01,680 --> 01:25:06,080 -and on what you need to do to feel whole again. 979 01:25:07,640 --> 01:25:10,200 When something like this happens- 980 01:25:10,280 --> 01:25:15,680 -you might want to withdraw and stop everything. 981 01:25:15,760 --> 01:25:19,160 You and your mother should know that you- 982 01:25:19,240 --> 01:25:25,480 -will experience that everything feels surreal and out of control. 983 01:25:27,840 --> 01:25:33,160 I am here to help you, and I'm really sorry for the sadness. 984 01:25:33,240 --> 01:25:37,280 -You'll get through this. -Okay. Thanks. 985 01:25:37,360 --> 01:25:40,360 No reason, Jeanne. Bye then. 986 01:25:47,960 --> 01:25:51,600 I appreciated her conversation and what she said- 987 01:25:51,680 --> 01:25:57,360 -but no one understands how difficult this is is, and how much it hurts. 988 01:25:58,480 --> 01:26:01,600 Mom and I have lost our whole world. 989 01:26:02,120 --> 01:26:08,680 The best thing for me is to stay here and get over this. 990 01:26:08,760 --> 01:26:14,080 In the future I might be able to get help and chance of surgery again. 991 01:26:16,360 --> 01:26:20,800 But right now I can't stop eating. 992 01:26:21,840 --> 01:26:25,840 I'm not ready, neither physically nor mentally. 993 01:26:30,400 --> 01:26:33,760 Hello, darling. How are you? 994 01:26:33,840 --> 01:26:37,640 -How are you? -Okay. 995 01:26:38,600 --> 01:26:44,360 It's easier to get up, but it still hurts. 996 01:26:44,440 --> 01:26:46,200 I can believe that. 997 01:26:48,600 --> 01:26:54,520 I'm proud of how hard I struggled and how I pushed myself. 998 01:26:55,440 --> 01:27:01,880 This is a situation where I don't can control the circumstances. 999 01:27:01,960 --> 01:27:07,040 I have to accept that I'm done with dr Now's program. 1000 01:27:08,000 --> 01:27:11,320 But I think there is help for me- 1001 01:27:11,400 --> 01:27:17,200 - and that I can find it. It's not over for me yet. 1002 01:27:17,280 --> 01:27:21,640 This door might close, but a new one will open. 1003 01:27:21,720 --> 01:27:27,440 I'm waiting for my next chance. Me must trust that if I am patient- 1004 01:27:27,520 --> 01:27:31,960 -I can work hard to have the life I want. 1005 01:27:35,840 --> 01:27:39,840 Translation: Magnus Blixtberg www.btistudios.com