1
00:00:04,070 --> 00:00:05,670
[Julian] <i>When I look in
the mirror, I feel disgusted.</i>

2
00:00:05,672 --> 00:00:09,274
<i>I mean, why would you get this way,
you know, look what you've become.</i>

3
00:00:16,249 --> 00:00:19,418
Please! Just a little
glimmer of hope.

4
00:00:19,420 --> 00:00:21,987
<i>I just want to be
a normal person.</i>

5
00:00:21,989 --> 00:00:25,424
[breathing heavily]

6
00:00:32,766 --> 00:00:36,101
You can't do it and then
I just get mad.

7
00:00:36,103 --> 00:00:39,371
<i>If I don't make a change now,
I'm scared it's gonna be too late.</i>

8
00:00:43,376 --> 00:00:46,645
[groaning] No! It hurts!

9
00:00:46,647 --> 00:00:51,283
<i>I refuse to stop fighting. I
have to do this for my children.</i>

10
00:00:56,923 --> 00:00:58,724
<i>[Julian] It's basically
my nightmare.</i>

11
00:00:58,726 --> 00:01:00,192
<i>It's a pinche tornado.</i>

12
00:01:00,194 --> 00:01:04,229
- Baby, we can't take all the boxes.
- We have to!

13
00:01:30,623 --> 00:01:32,291
[Julian exhales]

14
00:01:40,834 --> 00:01:44,303
<i>[Julian] My life has been
seriously impacted</i>

15
00:01:44,305 --> 00:01:47,206
<i>because of how high
my weight is now.</i>

16
00:01:50,110 --> 00:01:53,378
<i>With how big I am, it's
hard to do much of anything.</i>

17
00:02:02,856 --> 00:02:04,857
<i>With all the weight
that's just on my legs,</i>

18
00:02:04,859 --> 00:02:08,193
<i>each step I take
is painful for me now.</i>

19
00:02:12,899 --> 00:02:15,734
<i>So I have to go slow
to manage them.</i>

20
00:02:15,736 --> 00:02:17,436
<i>So that I don't get
out of breath.</i>

21
00:02:17,438 --> 00:02:20,372
<i>Because that can lead me
to passing out.</i>

22
00:02:25,411 --> 00:02:29,515
<i>So my breathing is limited. So I
have to be careful to just do anything.</i>

23
00:02:29,517 --> 00:02:33,552
<i>So I only get up
for limited things really.</i>

24
00:02:33,554 --> 00:02:37,456
<i>The main one being to cook.
That's one of my passions.</i>

25
00:02:37,458 --> 00:02:40,092
<i>And it's something I'm good at.</i>

26
00:02:41,528 --> 00:02:45,430
<i>So, usually what I do when I first
get up is make breakfast with my wife.</i>

27
00:02:47,934 --> 00:02:50,335
<i>[Irma] Julian's probably
the best cook I know.</i>

28
00:02:52,005 --> 00:02:55,841
<i>I mean, I love everything
he makes for me.</i>

29
00:02:55,843 --> 00:03:00,045
But I would have to say that my
favorite meal that Julian cooks for me,

30
00:03:00,047 --> 00:03:02,548
it's salmon
when he cooks it in butter

31
00:03:02,550 --> 00:03:06,952
and then he makes asparagus
next to it and brussels sprouts

32
00:03:08,021 --> 00:03:11,056
<i>[Irma] He's very good at
making meals that taste good.</i>

33
00:03:11,925 --> 00:03:14,960
<i>But getting more worried
about him.</i>

34
00:03:15,662 --> 00:03:18,096
<i>So I do want him to eat better.</i>

35
00:03:18,098 --> 00:03:22,334
<i>But the dynamic right now is
that he makes whatever he wants</i>

36
00:03:22,336 --> 00:03:24,269
<i>and that's what we eat.</i>

37
00:03:27,540 --> 00:03:30,275
<i>[Julian] Me and Irma also live
with my grandmother and my mom.</i>

38
00:03:30,277 --> 00:03:32,978
<i>So I also cook for them
at times too.</i>

39
00:03:32,980 --> 00:03:37,015
<i>But I mostly cook for Irma.
Because we're always together.</i>

40
00:03:39,619 --> 00:03:42,487
I wait until around 12 o'clock
to eat lunch

41
00:03:42,489 --> 00:03:45,490
<i>and then
I'll snack until dinner.</i>

42
00:03:45,492 --> 00:03:49,628
<i>But I feel the best meal of
each day is usually the first.</i>

43
00:03:49,630 --> 00:03:53,832
<i>Once I have that ready, I
have a lot of excitement about it.</i>

44
00:03:53,834 --> 00:03:57,536
<i>Because it's something that brings
me great pleasure and happiness.</i>

45
00:03:57,538 --> 00:04:00,272
<i>Eating is a big joy to me
in my life.</i>

46
00:04:00,274 --> 00:04:03,742
<i>Because it's a time
when nothing bad can touch me.</i>

47
00:04:03,744 --> 00:04:09,848
<i>Eating makes me feel better, so there's no
moment in my day when I'm not wanting that.</i>

48
00:04:09,850 --> 00:04:12,584
<i>And eating is an activity
I do most of the day now.</i>

49
00:04:12,586 --> 00:04:17,022
<i>So, food has a central point
in my life and it's what I follow.</i>

50
00:04:17,024 --> 00:04:20,125
<i>And I know it's what led
me to decide that I am now.</i>

51
00:04:22,462 --> 00:04:23,595
Oh, that was good.

52
00:04:23,597 --> 00:04:26,098
- All right, you want to take the plate?
- Yeah.

53
00:04:27,000 --> 00:04:30,502
<i>[Julian] But even knowing that
hasn't slowed my eating down.</i>

54
00:04:30,504 --> 00:04:32,604
<i>But I know I need to somehow.</i>

55
00:04:32,606 --> 00:04:36,441
<i>Because how difficult it is
now to do the things I need.</i>

56
00:04:36,443 --> 00:04:41,146
<i>But I try to do all that I can
on my own still, you know.</i>

57
00:04:41,148 --> 00:04:45,117
<i>Because it makes me feel less of
a man when Irma has to help me.</i>

58
00:04:45,652 --> 00:04:47,152
[Julian exhales] Okay.

59
00:04:47,387 --> 00:04:52,424
<i>[Irma] Julian has gotten to a point
where I have to help him in ways</i>

60
00:04:52,426 --> 00:04:55,193
<i>that I know he wishes I didn't.</i>

61
00:04:55,195 --> 00:04:57,329
I'll call you when I am
ready for you to do my back.

62
00:04:57,331 --> 00:04:58,997
I'll come.

63
00:04:58,999 --> 00:05:03,201
<i>[Irma] Like, with showering
and then if he uses the restroom.</i>

64
00:05:03,203 --> 00:05:06,038
<i>I might have to help him
with that too.</i>

65
00:05:06,040 --> 00:05:08,740
<i>But I know that it hurts him
that I have to do that, you know.</i>

66
00:05:08,742 --> 00:05:10,409
[shower hisses]

67
00:05:15,615 --> 00:05:18,684
<i>I do think
that Julian gets embarrassed.</i>

68
00:05:18,686 --> 00:05:23,088
<i>On asking me to, like,
to help him wash his backside.</i>

69
00:05:24,324 --> 00:05:27,392
<i>Like, he does try to do
as much by himself.</i>

70
00:05:27,394 --> 00:05:30,062
<i>But I'm just afraid that he's
going to push himself too hard,</i>

71
00:05:30,064 --> 00:05:31,797
<i>and get hurt.</i>

72
00:05:31,799 --> 00:05:33,332
<i>That's one of my fears.</i>

73
00:05:35,001 --> 00:05:37,402
- Babe!
- Yeah.

74
00:05:37,404 --> 00:05:40,005
- Can you come clean my back?
- Yeah.

75
00:05:41,874 --> 00:05:44,042
[Julian] <i>I wish I can
do more on my own,</i>

76
00:05:44,044 --> 00:05:47,879
<i>but sometimes,
I have no choice anymore.</i>

77
00:05:47,881 --> 00:05:50,382
<i>And I hate that I'm like
this now with my body.</i>

78
00:05:50,384 --> 00:05:52,617
<i>And how I let it get like this.</i>

79
00:05:52,619 --> 00:05:55,387
When I look in the mirror,
I feel disgusted.

80
00:05:56,756 --> 00:06:00,192
I feel like, "Why would you
get this way?" You know?

81
00:06:00,194 --> 00:06:02,160
"Wow, look
what you've become."

82
00:06:03,463 --> 00:06:06,832
<i>So, food has made me
get like this.</i>

83
00:06:06,834 --> 00:06:10,936
<i>But it's something that's helped
me through a lot of bad in my life.</i>

84
00:06:10,938 --> 00:06:14,039
<i>And it's been like that
for a long time.</i>

85
00:06:15,541 --> 00:06:17,242
- Is that it?
- Yes.

86
00:06:23,416 --> 00:06:25,317
<i>[Julian] Things were good
for my early life.</i>

87
00:06:25,319 --> 00:06:27,886
<i>I grew up with my mom
and my two younger sisters.</i>

88
00:06:27,888 --> 00:06:31,757
<i>And we had the best of times
that we can make it, you know,</i>

89
00:06:31,759 --> 00:06:33,425
<i>growing up in Detroit, Michigan.</i>

90
00:06:34,527 --> 00:06:37,195
<i>My father wasn't
part of the picture.</i>

91
00:06:37,197 --> 00:06:40,732
<i>And so my mom had three jobs
just to put a roof over our head.</i>

92
00:06:40,734 --> 00:06:42,434
<i>But we didn't have a lot.</i>

93
00:06:42,436 --> 00:06:45,070
<i>And a lot of times,
me and my sisters</i>

94
00:06:45,072 --> 00:06:48,073
<i>didn't know when the next
time we was going to get food.</i>

95
00:06:49,041 --> 00:06:52,711
<i>So when we finally did
get food, I ate a lot of it.</i>

96
00:06:52,713 --> 00:06:55,380
<i>So food started to be
a comfort for me.</i>

97
00:06:55,382 --> 00:06:57,783
<i>Because if I had it,
I felt better.</i>

98
00:06:57,785 --> 00:07:03,021
<i>But I really didn't start my gaining
until my mom married my stepdad.</i>

99
00:07:03,689 --> 00:07:07,726
<i>He treated us nice at first,
but he was a mean person.</i>

100
00:07:07,728 --> 00:07:10,495
<i>Like, who he really was
started to come out.</i>

101
00:07:10,497 --> 00:07:14,166
<i>So it turned into a nightmare,
having him as a stepdad.</i>

102
00:07:14,168 --> 00:07:18,270
I think Julian, he always felt
like he was the man of the house.

103
00:07:18,272 --> 00:07:20,906
But then
he had to fight the battle

104
00:07:20,908 --> 00:07:24,876
<i>of being not the man of the house
because the husband came in.</i>

105
00:07:24,878 --> 00:07:27,446
<i>So they had
their little battles.</i>

106
00:07:29,315 --> 00:07:30,582
<i>[Julian] But I had
tolerated him.</i>

107
00:07:30,584 --> 00:07:33,852
<i>And one of the main ways
I knew to do that was to eat.</i>

108
00:07:33,854 --> 00:07:37,722
<i>And that's when my eating got
worse and I started to gain weight.</i>

109
00:07:37,724 --> 00:07:40,826
<i>From being around 50 to
60 pounds when I was seven,</i>

110
00:07:40,828 --> 00:07:43,895
<i>to being and 170 pounds
when I was 10.</i>

111
00:07:43,897 --> 00:07:47,332
<i>That's when I started
to stand out as "the big kid."</i>

112
00:07:47,867 --> 00:07:51,369
<i>So I started getting bullied
and beaten up.</i>

113
00:07:51,371 --> 00:07:55,674
<i>So, middle school
was a terrifying place for me.</i>

114
00:07:55,676 --> 00:07:59,211
<i>So I ate a lot to deal with the
bullying through middle school.</i>

115
00:07:59,213 --> 00:08:00,779
<i>And that just made me bigger.</i>

116
00:08:00,781 --> 00:08:04,349
<i>And so I was around 400
when I started high school.</i>

117
00:08:04,351 --> 00:08:07,419
<i>That's when things
started to change.</i>

118
00:08:07,421 --> 00:08:11,490
<i>Because in high school, that weight
came as an advantage in football.</i>

119
00:08:11,492 --> 00:08:15,393
<i>Because I was a big guy,
I was football ready.</i>

120
00:08:15,395 --> 00:08:19,965
<i>So when I started doing that, I
didn't get picked on or bullied as much.</i>

121
00:08:20,233 --> 00:08:21,800
<i>So that made school
better for me.</i>

122
00:08:21,802 --> 00:08:25,670
<i>And for a while, you know, they
didn't know me as that fat kid.</i>

123
00:08:25,672 --> 00:08:28,273
<i>They knew me as the kid
that played football.</i>

124
00:08:29,442 --> 00:08:31,977
<i>But my size
also helped me at home</i>

125
00:08:31,979 --> 00:08:35,447
<i>because things kept getting
worse at home with my stepdad.</i>

126
00:08:36,682 --> 00:08:40,685
<i>You know, he tried to beat me
with a bat one day when I was 17.</i>

127
00:08:40,687 --> 00:08:44,256
<i>That's when I realized, you
know, I was bigger to him now</i>

128
00:08:44,258 --> 00:08:46,291
<i>and I saw that as a positive.</i>

129
00:08:47,894 --> 00:08:49,728
<i>But when my mom found out,</i>

130
00:08:49,730 --> 00:08:53,632
<i>she said, "Well, this can't happen
and you're gonna have to go."</i>

131
00:08:53,634 --> 00:08:56,601
And I was like, "Oh, so
you're kicking me out for him?

132
00:08:56,603 --> 00:08:58,537
And he the one who's
beating me with the bat?"

133
00:08:58,539 --> 00:09:02,707
And she was like "No, I'm not
doing it for him, I'm doing it for you."

134
00:09:02,709 --> 00:09:08,113
<i>She feared for my safety at that
time, so she kicked me out of my home.</i>

135
00:09:09,515 --> 00:09:12,951
So then we called my grandma
and she was like, "Get him on a bus.

136
00:09:12,953 --> 00:09:14,686
I'll pay for it right now.
He'll stay with me."

137
00:09:14,688 --> 00:09:18,223
<i>And in three days,
I got to Arizona.</i>

138
00:09:19,592 --> 00:09:23,929
<i>I hated Arizona, and I was upset
against my mother, you know.</i>

139
00:09:23,931 --> 00:09:27,632
<i>Because she was the one who
caused me to lose everything.</i>

140
00:09:27,634 --> 00:09:32,304
<i>My school, my friends
and football.</i>

141
00:09:33,606 --> 00:09:37,742
<i>And it was hard for me because
I was alone and starting over.</i>

142
00:09:37,744 --> 00:09:42,447
But when I was eating, that's when
the hatred of Arizona went away.

143
00:09:42,449 --> 00:09:45,717
'Cause I was able to just eat.

144
00:09:45,719 --> 00:09:50,388
<i>So I've gained up to 540 by
the time I finished high school.</i>

145
00:09:50,390 --> 00:09:53,892
<i>But eventually, my step dad
would get arrested on a gun charge.</i>

146
00:09:53,894 --> 00:09:57,028
And he spent
a good three years in jail.

147
00:09:57,997 --> 00:10:02,100
<i>Right after that, my mom
and my sisters moved down.</i>

148
00:10:02,102 --> 00:10:05,770
<i>And I felt like at that time,
when I was about 20, 21,</i>

149
00:10:05,772 --> 00:10:07,372
<i>we started to be a family again.</i>

150
00:10:07,374 --> 00:10:11,209
<i>Just me, my mom
and grandma and my sisters.</i>

151
00:10:12,578 --> 00:10:15,780
<i>Felt a lot of responsibility
to them at that time.</i>

152
00:10:15,782 --> 00:10:19,384
<i>So I took it upon
myself to get into a trade.</i>

153
00:10:19,386 --> 00:10:23,188
<i>So I got my certification
to become an electrician.</i>

154
00:10:23,190 --> 00:10:26,858
<i>And I ended at the top of
my class when I graduated.</i>

155
00:10:26,860 --> 00:10:32,697
<i>And because of that there was a really good
electric company that was willing to hire me.</i>

156
00:10:32,732 --> 00:10:33,998
<i>But when they saw me,</i>

157
00:10:34,867 --> 00:10:38,136
they didn't offer me the
position. Because of my weight.

158
00:10:38,971 --> 00:10:42,407
<i>I had to take another job,
and it was a call center.</i>

159
00:10:42,409 --> 00:10:46,811
<i>I ended up just going
back to my old eating habits.</i>

160
00:10:46,813 --> 00:10:51,383
<i>So, you know, I was up to about
580 pounds over the next year.</i>

161
00:10:52,818 --> 00:10:57,756
<i>I was like 23 then, but I did
also want to try to meet someone.</i>

162
00:10:57,758 --> 00:11:00,158
<i>And I tried
to better myself for that.</i>

163
00:11:01,494 --> 00:11:03,395
<i>So I was starting working out.</i>

164
00:11:03,397 --> 00:11:05,764
<i>But the working out
led to me getting a hernia.</i>

165
00:11:05,766 --> 00:11:08,233
<i>So that was
another disappointment for me.</i>

166
00:11:08,235 --> 00:11:11,036
<i>But I didn't let that
stop me from dating.</i>

167
00:11:11,737 --> 00:11:16,408
<i>I did think to myself that my
weight problem could be an issue.</i>

168
00:11:16,410 --> 00:11:19,911
Me personally, I never thought I
would have found a wife anyway.

169
00:11:19,913 --> 00:11:21,012
<i>But I did.</i>

170
00:11:21,447 --> 00:11:24,549
And, it was the best thing
that ever happened.

171
00:11:24,551 --> 00:11:28,420
<i>When I found my wife,
I just knew she was the one.</i>

172
00:11:28,422 --> 00:11:33,391
My first thought when I met
Julian, I wanted to hug him.

173
00:11:33,393 --> 00:11:37,429
<i>I always tell him "I just wanted to
tell you I love you right then and there."</i>

174
00:11:37,431 --> 00:11:40,732
And I'm like you probably would have thought
that I was like a psycho or something.

175
00:11:40,799 --> 00:11:42,801
But yeah.

176
00:11:42,803 --> 00:11:46,037
- I'm gonna go ahead and get the grill started.
- Okay.

177
00:11:49,608 --> 00:11:51,710
<i>[Julian] Around that time,
I lost my job</i>

178
00:11:51,712 --> 00:11:54,312
<i>because they were
discriminating about my weight.</i>

179
00:11:54,314 --> 00:11:56,781
And I was on the verge
of losing my apartment.

180
00:11:56,783 --> 00:11:59,617
I had nothing to offer for
their security at that moment.

181
00:11:59,619 --> 00:12:03,822
<i>But I asked her to move in
with me. And she did that.</i>

182
00:12:03,824 --> 00:12:09,060
At the time, her grandad,
he didn't like me very much.

183
00:12:09,062 --> 00:12:10,729
<i>Irma was his first grandbaby.</i>

184
00:12:10,731 --> 00:12:14,666
<i>And you know, this new man
coming into your family.</i>

185
00:12:14,668 --> 00:12:17,602
<i>I can understand
his hesitation to me.</i>

186
00:12:17,604 --> 00:12:21,406
<i>But what I didn't understand
was when I stayed the night,</i>

187
00:12:21,408 --> 00:12:23,408
<i>he must have
just got pissed off,</i>

188
00:12:23,410 --> 00:12:26,745
and cussed me out royally
in Spanish.

189
00:12:26,747 --> 00:12:29,681
<i>I didn't think I did
anything wrong, so I left.</i>

190
00:12:29,683 --> 00:12:32,751
<i>I didn't expect her
to choose me over her family,</i>

191
00:12:32,753 --> 00:12:35,487
<i>but 20 minutes later, while
I'm waiting at the bus stop,</i>

192
00:12:35,489 --> 00:12:38,156
she comes running
right after me.

193
00:12:42,895 --> 00:12:46,431
<i>And she's like, "I'm going with
you. He's not about to do this."</i>

194
00:12:46,433 --> 00:12:49,200
That's when I knew
she was going to be my wife.

195
00:12:50,035 --> 00:12:51,770
<i>So we got married,</i>

196
00:12:51,772 --> 00:12:54,038
<i>but we couldn't have
the wedding that we wanted.</i>

197
00:12:54,040 --> 00:12:55,974
<i>Because of my size.</i>

198
00:12:58,077 --> 00:13:01,146
<i>Since then, I continued
to gain even more.</i>

199
00:13:01,148 --> 00:13:03,414
<i>I crossed into the 700s.</i>

200
00:13:03,416 --> 00:13:05,784
And I was 790.

201
00:13:05,786 --> 00:13:08,787
<i>So my weight has taken
every bit of my life away.</i>

202
00:13:08,789 --> 00:13:11,422
<i>But the biggest is that
it's keeping me and Irma</i>

203
00:13:11,424 --> 00:13:13,925
<i>from having a family of our own.</i>

204
00:13:13,927 --> 00:13:17,996
<i>You know, at my size, my chance
to have kids could pass me by.</i>

205
00:13:17,998 --> 00:13:19,964
<i>And that's the most
heartbreaking for me.</i>

206
00:13:19,966 --> 00:13:22,000
<i>So, I know
I have to lose the weight.</i>

207
00:13:22,002 --> 00:13:24,435
<i>But that's easier
said than done.</i>

208
00:13:27,640 --> 00:13:30,975
<i>My life revolves around
what I'm going to eat next.</i>

209
00:13:30,977 --> 00:13:32,811
<i>It's what drives me
through the day.</i>

210
00:13:32,813 --> 00:13:36,781
<i>But I'm getting very scared about
how much time I have left at this size.</i>

211
00:13:36,783 --> 00:13:39,450
<i>And I know Irma
is getting scared for me too.</i>

212
00:13:39,452 --> 00:13:44,589
- I checked on the potatoes, they are not done yet.
- Okay.

213
00:13:44,591 --> 00:13:50,528
<i>[Irma] I'm scared that I could lose
him if he doesn't do something about it.</i>

214
00:13:50,530 --> 00:13:55,400
I want to grow old with him. I don't
want to grow old with anybody else.

215
00:13:55,402 --> 00:13:59,671
<i>But I'm so scared right now
that one morning I will wake up</i>

216
00:13:59,673 --> 00:14:01,306
<i>and he won't.</i>

217
00:14:03,409 --> 00:14:06,578
<i>[Julian] I tell Irma that I want to
lose weight as much as she tells me.</i>

218
00:14:06,580 --> 00:14:09,247
<i>And I know she has
other fears about it.</i>

219
00:14:09,249 --> 00:14:12,917
<i>You know, she also scared
about me losing weight too.</i>

220
00:14:12,919 --> 00:14:16,287
Just to the simple fact that she thinks
I'm gonna leave her for somebody else.

221
00:14:16,289 --> 00:14:18,289
But I'm not.

222
00:14:21,861 --> 00:14:27,065
<i>[Irma] It's hard not to be afraid that things
will change if he doesn't need me anymore.</i>

223
00:14:28,334 --> 00:14:29,234
[Irma speaking]

224
00:14:29,236 --> 00:14:31,035
[Julian] I love you too.

225
00:14:33,339 --> 00:14:37,442
<i>[Irma] Once he loses the
weight, and I tell him that fear,</i>

226
00:14:37,444 --> 00:14:40,612
well, he's all like, "Babe, I
am not going to leave you."

227
00:14:40,614 --> 00:14:43,414
He's all like, "Just because
I get smaller does not mean

228
00:14:43,416 --> 00:14:48,820
that I'm not gonna wanna be with you,
like, I'm not about to do that to you."

229
00:14:48,822 --> 00:14:52,924
<i>[Irma] But it's still a fear,
even if it is a stupid one.</i>

230
00:14:52,926 --> 00:14:56,995
<i>But even if he did, you know,
I would rather him be alive.</i>

231
00:14:56,997 --> 00:15:01,666
So I do hope that
he is able to lose his weight.

232
00:15:01,668 --> 00:15:05,270
Even if he doesn't,
I'll tossing him to the side.

233
00:15:06,572 --> 00:15:09,607
- You want me to help you with the plates?
- Yeah.

234
00:15:09,609 --> 00:15:12,343
[Irma] Well, just hand me
mine, you can take yours.

235
00:15:14,546 --> 00:15:16,814
<i>[Julian] I'm looking to change
to be a better husband.</i>

236
00:15:16,816 --> 00:15:18,683
<i>Because I know
I'm letting Irma down.</i>

237
00:15:18,685 --> 00:15:23,554
Because I promised her something
better when we got together.

238
00:15:23,556 --> 00:15:26,224
He knows how sad I feel that
we can't go out on date nights.

239
00:15:26,226 --> 00:15:29,761
Because I vent it to him
all the time.

240
00:15:29,763 --> 00:15:33,865
<i>But he won't go out. I mean,
if he does it's for food, not me.</i>

241
00:15:33,867 --> 00:15:36,401
<i>And that's upsetting.</i>

242
00:15:36,403 --> 00:15:39,637
- Was they finished?
- Yeah. I'm fixing them now.

243
00:15:39,639 --> 00:15:43,241
- All right, I like a lot of sour cream.
- I know.

244
00:15:44,143 --> 00:15:46,778
<i>[Julian] So with the
breaking point I'm getting to,</i>

245
00:15:46,780 --> 00:15:50,648
<i>I'm going to go out of my comfort
zone to try to get help from Dr. Now.</i>

246
00:15:50,650 --> 00:15:53,384
<i>Irma has been
pushing me to do that.</i>

247
00:15:53,386 --> 00:15:56,421
<i>And I know I'm at a point
where that's the option I need.</i>

248
00:15:56,423 --> 00:15:59,724
<i>So I'm going to try
to go to him and get his help.</i>

249
00:15:59,726 --> 00:16:03,761
<i>I just have a lot of worries
still about my ability to succeed.</i>

250
00:16:03,763 --> 00:16:06,631
<i>You know, I'm ready to do
what I have to.</i>

251
00:16:06,633 --> 00:16:08,633
<i>If somebody
can give me guidance.</i>

252
00:16:08,635 --> 00:16:11,402
<i>And help intervene with
something like weight loss surgery.</i>

253
00:16:11,404 --> 00:16:13,571
<i>If I can have the chance
for that path,</i>

254
00:16:13,573 --> 00:16:16,541
<i>then I'm ready to do whatever
it takes to make it happen.</i>

255
00:16:16,543 --> 00:16:19,410
<i>So I can make for a
better life for me and Irma.</i>

256
00:16:21,714 --> 00:16:25,216
Here, take this too,
cause I'm not eating it.

257
00:16:25,218 --> 00:16:29,821
Honestly, our intimacy
has changed a lot.

258
00:16:29,823 --> 00:16:35,026
<i>[Irma] We can't be together,
like, we were because he's too big,</i>

259
00:16:35,028 --> 00:16:37,161
<i>I mean, like,
I really do love him.</i>

260
00:16:37,163 --> 00:16:43,501
But it frustrates me to the core
that he has not lost the weight yet.

261
00:16:43,503 --> 00:16:48,206
<i>Because I have no doubt that he can
do it if he really wanted to, you know.</i>

262
00:16:48,208 --> 00:16:53,011
<i>And I need him to start trying
before it's too late.</i>

263
00:16:57,649 --> 00:16:59,917
<i>[Julian] I know the odds of
something very bad happening to me.</i>

264
00:16:59,919 --> 00:17:02,320
<i>So I tell myself everyday.</i>

265
00:17:02,322 --> 00:17:04,756
You know what,
"Forget the dangers outside.

266
00:17:04,758 --> 00:17:09,427
<i>I'mma just go ahead and get up
at 6:00 in the morning and go walk."</i>

267
00:17:09,429 --> 00:17:12,163
<i>And start eating right
like I should be doing.</i>

268
00:17:12,165 --> 00:17:14,132
<i>But then I wake up
and I give in right away.</i>

269
00:17:14,134 --> 00:17:17,702
<i>Because the cravings are too
strong, you know. It's too much for me.</i>

270
00:17:17,704 --> 00:17:22,540
<i>But that has to change now. Because I
know I need help to lose all the weight.</i>

271
00:17:22,542 --> 00:17:26,277
<i>And I know if I don't get it,
I'm not going to make it.</i>

272
00:17:26,279 --> 00:17:31,549
<i>And I'm hoping that Dr. Now will it
be able to give me the help I need.</i>

273
00:17:31,551 --> 00:17:34,786
<i>Because if I don't get that,
I'm very scared about the future.</i>

274
00:17:34,788 --> 00:17:37,055
<i>And what's gonna happen
to me soon.</i>

275
00:17:48,767 --> 00:17:51,669
I'm nervous about this trip,
this long ride.

276
00:17:51,671 --> 00:17:53,337
Thanks for taking me.

277
00:17:53,339 --> 00:17:56,674
- I love you, boo.
- I love you too, baby.

278
00:17:56,676 --> 00:17:58,609
<i>[Julian] Today, we're gonna
start heading to Houston.</i>

279
00:17:58,611 --> 00:18:01,512
<i>And me and Irma are just looking at
our route we're gonna have to take.</i>

280
00:18:01,514 --> 00:18:05,116
<i>And how long it's going
to be for me on the road.</i>

281
00:18:06,752 --> 00:18:11,589
<i>And that's my first fear. Being shoved
into a small space for a long time.</i>

282
00:18:11,591 --> 00:18:14,525
<i>And how that's gonna be
on my whole body?</i>

283
00:18:14,527 --> 00:18:18,129
<i>And then also just all the
things that could go wrong.</i>

284
00:18:19,131 --> 00:18:22,200
I almost had a panic attack.
Thinking about, like...

285
00:18:22,301 --> 00:18:26,037
[Irma speaking]

286
00:18:26,039 --> 00:18:30,141
I was just thinking about... What if
something happens? on our way there.

287
00:18:30,143 --> 00:18:32,610
We in the middle of the road and
I gotta be rushed to the hospital.

288
00:18:32,612 --> 00:18:37,648
Something happens to me on
the road and I get stuck, like...

289
00:18:37,650 --> 00:18:40,485
You know, I have a huge panic attack
where I think I'm having a heart attack.

290
00:18:40,487 --> 00:18:42,920
<i>Or I can have
a natural heart attack.</i>

291
00:18:42,922 --> 00:18:46,290
<i>And not have any help nearby
because there won't be an ambulance</i>

292
00:18:46,292 --> 00:18:48,693
<i>that I can fit in,
in an emergency.</i>

293
00:18:48,695 --> 00:18:51,129
That's the most thing
I'm afraid of.

294
00:18:51,196 --> 00:18:53,698
You know I'll be thinking.

295
00:18:53,700 --> 00:18:57,368
- I think the luggage is in the refrigerator.
I mean-- - In the refrigerator? [laughs]

296
00:18:57,370 --> 00:19:00,571
- In the closet sorry.
- All right, baby.

297
00:19:00,573 --> 00:19:03,774
<i>[Julian] This is scary. But I
know it's a fear that I have to face.</i>

298
00:19:03,776 --> 00:19:05,476
<i>Because there's
no help for me here.</i>

299
00:19:05,478 --> 00:19:07,512
- If you could grab my shoes.
- Okay.

300
00:19:07,514 --> 00:19:10,915
<i>[Julian] So my only option
is to go where there is help.</i>

301
00:19:10,917 --> 00:19:14,952
<i>And that means I have to travel
what looks to be a 15 hour drive</i>

302
00:19:14,954 --> 00:19:15,887
<i>according to the maps.</i>

303
00:19:15,889 --> 00:19:18,856
<i>It's just gonna be
very hard on me.</i>

304
00:19:18,858 --> 00:19:21,859
<i>Even doing what we have to do to
get packed, I'm getting sore, you know.</i>

305
00:19:21,861 --> 00:19:24,862
Already my legs
and back is hurting.

306
00:19:24,864 --> 00:19:27,465
<i>So I'm just worried about
how this is gonna go.</i>

307
00:19:27,467 --> 00:19:29,534
- Okay.
- Okay, push it down.

308
00:19:29,536 --> 00:19:33,104
<i>But I'm hoping by doing this I
get the help I need from Dr. Now.</i>

309
00:19:34,339 --> 00:19:36,741
<i>[Irma] Julian is very afraid
right now.</i>

310
00:19:36,743 --> 00:19:40,611
<i>He's had some panic attacks throughout
the night, worrying about the trip.</i>

311
00:19:40,613 --> 00:19:42,346
<i>About, what could go wrong.</i>

312
00:19:42,348 --> 00:19:44,682
<i>But I've been trying to calm him</i>

313
00:19:44,684 --> 00:19:47,385
<i>and telling him that everything's
gonna be okay, you know.</i>

314
00:19:47,387 --> 00:19:48,786
- That's good.
- We did it.

315
00:19:48,788 --> 00:19:52,823
I feel like it's going
to be very tiring.

316
00:19:52,825 --> 00:19:56,861
<i>And I know being in the car for
that long, it's going to be hard for him.</i>

317
00:19:56,863 --> 00:20:00,231
<i>But I know he can do this
and will be okay.</i>

318
00:20:00,233 --> 00:20:02,667
<i>I think what he's worried
about the most is</i>

319
00:20:02,669 --> 00:20:06,304
<i>that we are going to make it all the
way to Houston and once we get there,</i>

320
00:20:06,306 --> 00:20:10,241
Dr. Now is going to reject
him because of his hernia.

321
00:20:10,243 --> 00:20:14,345
<i>[Irma] That's his big fear. But I'm
not worried about that, you know.</i>

322
00:20:14,347 --> 00:20:18,583
<i>I'm just glad Julian is doing
this and he is trying for this help.</i>

323
00:20:18,585 --> 00:20:22,486
I'm feeling optimistic about
the appointment with Dr. Now.

324
00:20:22,488 --> 00:20:26,824
<i>I do have good hopes.
Hopefully he is able to tell him</i>

325
00:20:26,826 --> 00:20:29,994
<i>like "You know what, yeah, let's
go ahead and get you approved."</i>

326
00:20:29,996 --> 00:20:33,364
I know it might not
happen on the first try, but,

327
00:20:33,366 --> 00:20:36,000
and hopefully
he'll just like say yes.

328
00:20:36,002 --> 00:20:42,273
And hopefully there is no medical emergencies
or no car emergencies or anything.

329
00:20:42,275 --> 00:20:45,142
And just wanna have a good trip.

330
00:20:46,545 --> 00:20:49,513
<i>[Julian] My plan is to sit in the
back and get as comfortable as I can.</i>

331
00:20:49,515 --> 00:20:51,849
<i>I'm making a little palace
so I can lay down.</i>

332
00:20:51,851 --> 00:20:56,487
<i>And try to stretch out to keep as
much strain off my body as I can.</i>

333
00:20:56,489 --> 00:20:57,722
[Irma] You're gonna
come in through here, Baby?

334
00:20:57,724 --> 00:21:00,725
- No, I'm setting up all the pillows.
- Oh okay.

335
00:21:00,727 --> 00:21:03,427
<i>[Julian] So we can keep
going as long as possible.</i>

336
00:21:03,429 --> 00:21:08,899
<i>Our goal is to go between six to eight hours
at a time with as few stops as possible.</i>

337
00:21:08,901 --> 00:21:11,402
- You need help now?
- No. I'll get in.

338
00:21:11,404 --> 00:21:12,670
[Julian breathes heavily]

339
00:21:12,672 --> 00:21:14,805
<i>[Julian] So we can
get there in two days.</i>

340
00:21:14,807 --> 00:21:16,707
<i>But that all depends on
how I'm handling the trip.</i>

341
00:21:16,709 --> 00:21:20,611
[Julian breathing heavily]

342
00:21:20,613 --> 00:21:23,514
- Do you need me to get my seat up?
- [Julian exclaims] No.

343
00:21:23,516 --> 00:21:26,384
- You sure?
- [panting] No. I'm okay.

344
00:21:27,719 --> 00:21:30,087
<i>[Julian] And how Irma
is handling the driving</i>

345
00:21:30,089 --> 00:21:32,323
<i>because it's all on her
for that, you know.</i>

346
00:21:32,491 --> 00:21:34,992
And I wish I can drive
too, myself,

347
00:21:34,994 --> 00:21:38,829
<i>but if everything goes well, I
should be behind the wheels soon.</i>

348
00:21:38,831 --> 00:21:43,200
[Julian breathing heavily]

349
00:21:44,970 --> 00:21:46,337
[sighs heavily] Oh God.

350
00:21:46,838 --> 00:21:48,439
[Irma] I know, baby.

351
00:21:49,975 --> 00:21:52,209
Trust me, it will be
all worth it, my love.

352
00:21:52,477 --> 00:21:53,644
Okay.

353
00:21:55,013 --> 00:21:57,748
I'mma try to just listen to
my music in my headphones,

354
00:21:57,750 --> 00:22:00,584
try to keep myself calm.

355
00:22:00,586 --> 00:22:03,120
[Julian] Okay.
Go ahead.

356
00:22:03,122 --> 00:22:05,089
<i>And depending on
how my body is doing,</i>

357
00:22:05,091 --> 00:22:08,392
<i>see how far we can make it
before we have to stop and rest.</i>

358
00:22:23,608 --> 00:22:28,212
<i>I'm already exhausted, but I'm gonna
try to hold out as long as I can like this.</i>

359
00:22:28,214 --> 00:22:31,782
<i>You know it's tight,
but I think I can manage.</i>

360
00:22:31,784 --> 00:22:34,952
<i>Our plan is to be able to get there
in two days if I can handle that.</i>

361
00:22:34,954 --> 00:22:38,689
<i>But we added an extra day in
case I need a little more time.</i>

362
00:22:38,691 --> 00:22:41,125
<i>So my appointment
is in four days,</i>

363
00:22:41,127 --> 00:22:45,062
<i>and if it all goes well, I'll have
a full day of rest in Houston.</i>

364
00:22:45,464 --> 00:22:47,198
<i>But we'll see!</i>

365
00:22:50,402 --> 00:22:53,404
- [Irma] How you feeling, my love?
- My butt is getting numb.

366
00:22:54,406 --> 00:22:56,674
You said we have about
20 minutes left?

367
00:22:56,676 --> 00:22:59,543
Now we have 11 minutes.

368
00:22:59,545 --> 00:23:02,880
- I'm pretty sure tomorrow will be longer.
- Yeah.

369
00:23:02,882 --> 00:23:07,351
- That's when the real test of time will come in.
- Oh yes, sir!

370
00:23:08,754 --> 00:23:10,821
<i>[Julian] I made it
as far as I could,</i>

371
00:23:10,823 --> 00:23:14,425
<i>but my whole lower body
is in a lot of pain.</i>

372
00:23:15,594 --> 00:23:19,196
<i>So I need to get out and rest
before we can continue.</i>

373
00:23:21,933 --> 00:23:25,269
- I just need your help with getting my shoes on.
- Okay.

374
00:23:32,144 --> 00:23:33,277
[Julian groans]

375
00:23:36,681 --> 00:23:39,350
[panting]

376
00:23:40,585 --> 00:23:43,421
- My baby, you're all sweaty.
- Yeah. It is hot.

377
00:23:55,167 --> 00:23:57,301
[Irma] Watch it with the door.
It's really heavy.

378
00:23:58,603 --> 00:23:59,970
Oh, there you go.

379
00:23:59,972 --> 00:24:04,975
- Oh, this is nice.
- It is nice.

380
00:24:10,081 --> 00:24:11,248
[Julian sighs heavily]

381
00:24:11,583 --> 00:24:16,287
Oh! Oh, yes!
[Julian exhales]

382
00:24:18,623 --> 00:24:22,193
[Julian] What do you think
this guy's gonna say?

383
00:24:22,195 --> 00:24:27,331
I don't think he's gonna say a lot, baby.
I think he's just gonna say like, 750?

384
00:24:28,433 --> 00:24:31,035
I wanna say 752.

385
00:24:31,670 --> 00:24:37,541
Like, what if the scale is
more than what we think it is?

386
00:24:37,543 --> 00:24:41,212
- Like... I know baby.
- That's gonna be a shocker, you know.

387
00:24:41,780 --> 00:24:46,984
I am not letting you mess
this up, baby. Hell no!

388
00:24:48,920 --> 00:24:51,422
Like, I know, that he ain't gonna
approve you "right now" right now.

389
00:24:51,424 --> 00:24:52,923
No, no.

390
00:24:52,925 --> 00:24:57,361
- But I mean like the next time, you have no excuse.
- Yes, ma'am.

391
00:25:16,948 --> 00:25:19,984
[Julian breathing heavily]

392
00:25:48,680 --> 00:25:50,281
Valentine?

393
00:25:53,518 --> 00:25:55,853
<i>[Julian] It's been awhile
since I was on a scale,</i>

394
00:25:55,855 --> 00:25:59,557
<i>but my highest weight
I've been at was 798.</i>

395
00:25:59,559 --> 00:26:05,496
<i>I'm hoping I'm down closer to
the 750s and not still in the 790s.</i>

396
00:26:05,498 --> 00:26:12,970
If I had to guess, I think his weight
is probably like, around 730, maybe.

397
00:26:13,872 --> 00:26:16,440
<i>[Julian] So I'm looking for
some weight loss right now.</i>

398
00:26:17,542 --> 00:26:19,810
Okay, you can step up
on the scale.

399
00:26:19,812 --> 00:26:25,082
<i>Because the bigger I am, The
less I have time to change things.</i>

400
00:26:51,242 --> 00:26:53,744
<i>[Julian] I'm at Dr. Now's,
for my first appointment.</i>

401
00:26:53,746 --> 00:26:56,413
<i>And I'm about to find out
what my weight's up to.</i>

402
00:26:59,784 --> 00:27:02,152
Your weight is 830.

403
00:27:02,654 --> 00:27:04,054
[Julian] That's crazy.

404
00:27:07,626 --> 00:27:10,094
- We're going to Room 5.
- Okay.

405
00:27:15,834 --> 00:27:18,335
<i>[Julian] I was scared
that I was close to 800,</i>

406
00:27:18,337 --> 00:27:20,604
<i>and now I find out
I'm over that amount.</i>

407
00:27:20,606 --> 00:27:25,142
<i>So it's worse, and I know
that's hard for Irma to absorb.</i>

408
00:27:25,144 --> 00:27:29,013
<i>And I know it's just a shock
for her. It's a shock for me, too.</i>

409
00:27:41,926 --> 00:27:43,160
[Julian speaking]

410
00:27:53,471 --> 00:27:54,838
[knock on door]

411
00:27:58,009 --> 00:28:00,878
-Hello, how are you'll doing?
-We're doing good. how you doing?

412
00:28:00,880 --> 00:28:01,879
- [Dr. Now] Good!
- Good.

413
00:28:01,881 --> 00:28:04,982
- All right, you must be Julian?
- Yes.

414
00:28:04,984 --> 00:28:09,086
- And who is this with you today?
- My wife, Irma.

415
00:28:09,088 --> 00:28:10,821
- Hi.
- All right, nice to meet you guys.

416
00:28:10,823 --> 00:28:13,457
- You are coming from Arizona?
- Yes.

417
00:28:13,459 --> 00:28:16,427
- Tucson, Arizona?
- Mm-hmm.

418
00:28:16,429 --> 00:28:22,766
Well, you are 830 pounds. So doing
all that puts a lot of strain on your body.

419
00:28:22,768 --> 00:28:25,803
So that's gonna be as issue
with you coming here.

420
00:28:25,805 --> 00:28:28,405
But before we get into all that,

421
00:28:28,407 --> 00:28:31,442
tell me what brought
you all the way here?

422
00:28:31,444 --> 00:28:36,847
I want to take control back of my life and
I hope I can get this weight loss surgery.

423
00:28:36,849 --> 00:28:40,718
Well, doing surgery on someone
your size is going to be difficult.

424
00:28:40,720 --> 00:28:45,923
- But listen. Your BMI is 112.
- Yes.

425
00:28:45,925 --> 00:28:47,858
And, do you know
what the normal BMI is?

426
00:28:47,860 --> 00:28:50,728
I think around 60.

427
00:28:50,730 --> 00:28:54,565
- It is 18 to 25.
- Oh! 18 to 25.

428
00:28:54,567 --> 00:28:57,401
So, you're way over that.

429
00:28:57,403 --> 00:28:59,670
And you're almost
the highest BMI we have seen.

430
00:28:59,672 --> 00:29:02,306
- And you are what, 33 years old?
- Thirty-three.

431
00:29:02,308 --> 00:29:05,409
Okay. You know the risk of
people have a sudden death

432
00:29:05,411 --> 00:29:07,511
- with this BMI is very high.
- Yes.

433
00:29:07,513 --> 00:29:10,514
So every day you wake up
is the roll of the dice.

434
00:29:10,516 --> 00:29:13,417
- Whether that day will be that your heart is gonna give up...
- Mm-hmm.

435
00:29:13,419 --> 00:29:17,888
And if it does, there is nothing
anybody can do to resuscitate

436
00:29:17,890 --> 00:29:18,689
or bring you back.

437
00:29:18,691 --> 00:29:19,656
- Yes.
- Okay.

438
00:29:19,658 --> 00:29:22,793
- Your body is made to be 200 pounds.
- Yes.

439
00:29:22,795 --> 00:29:26,897
And you're 800. You're killing
yourself with food for a while now.

440
00:29:26,899 --> 00:29:29,066
And you still
haven't stopped overeating.

441
00:29:29,068 --> 00:29:34,905
So what is different today after 33
years that's gonna make you change

442
00:29:34,907 --> 00:29:36,974
that hasn't, up to today?

443
00:29:37,842 --> 00:29:39,176
[Julian sighs]

444
00:29:39,178 --> 00:29:42,913
Um, I wanna have children.

445
00:29:42,915 --> 00:29:45,916
Okay, well, that's good then.
But then the question is,

446
00:29:45,918 --> 00:29:50,053
why haven't you tried to
change to have kids before now?

447
00:29:50,055 --> 00:29:51,822
I have.
I just couldn't stick to it.

448
00:29:51,824 --> 00:29:53,590
So, your gonna stick with it?

449
00:29:53,592 --> 00:29:56,326
- I'm sticking with it 110%.
- That's what your telling me?

450
00:29:56,328 --> 00:29:58,595
- I'm telling you I'm sticking with it.
- Okay.

451
00:29:58,597 --> 00:30:01,799
Well, I hope that's true
because if you continue like that,

452
00:30:01,801 --> 00:30:03,801
then you won't
be around much longer.

453
00:30:03,803 --> 00:30:05,469
- You understand that?
- Yes.

454
00:30:05,471 --> 00:30:10,340
- So, at this point, since you live so far away...
- Mm-hmm.

455
00:30:10,342 --> 00:30:14,711
I don't want you to come back until you lose
the weight loss goal I'm going to give you.

456
00:30:14,713 --> 00:30:18,315
Because there is no reason
to put that strain on your body

457
00:30:18,317 --> 00:30:20,417
if we're not gonna
move ahead with you.

458
00:30:20,419 --> 00:30:24,655
So, we'll set up an appointment
at a clinic in Tucson for you

459
00:30:24,657 --> 00:30:25,522
to get your weight checked.

460
00:30:25,524 --> 00:30:28,058
And if you've
made it to your goal,

461
00:30:28,060 --> 00:30:32,129
then, the next step is you're gonna have to
move down to Houston to do the program.

462
00:30:32,131 --> 00:30:34,431
So, is that something
that you can do?

463
00:30:34,433 --> 00:30:36,099
[both] Yeah. We can do that.

464
00:30:36,101 --> 00:30:39,369
Okay, I'm gonna give you
instructions that will show you

465
00:30:39,371 --> 00:30:41,972
- how to lose 100 pounds in two months.
- Two months.

466
00:30:41,974 --> 00:30:45,876
So, you're gonna have a diet
that is low-carb, high protein

467
00:30:45,878 --> 00:30:49,446
that limits you
to 1200 calories a day.

468
00:30:49,448 --> 00:30:51,281
And if you comply with it,

469
00:30:51,283 --> 00:30:54,852
you're gonna be able to lose
more that 200 pounds in two months.

470
00:30:54,854 --> 00:30:59,790
But the goal I'm giving you is
to only lose half that in that time.

471
00:30:59,792 --> 00:31:02,860
- So, there is no excuses, okay?
- Okay.

472
00:31:02,862 --> 00:31:05,329
So, stick to that
and what it says.

473
00:31:05,331 --> 00:31:08,232
And if you stick with it
from here on out,

474
00:31:08,234 --> 00:31:13,503
then, you're gonna be able to lose
600 pounds in a period of 18 months.

475
00:31:13,505 --> 00:31:14,638
Okay.

476
00:31:14,640 --> 00:31:18,775
- That's almost about three to four big people.
- Yeah.

477
00:31:18,777 --> 00:31:23,881
So, that's all. But you can do it if
you stick to what we tell you. Okay?

478
00:31:23,883 --> 00:31:25,983
- Thank you.
- Any questions?

479
00:31:26,050 --> 00:31:28,585
No. I'm, I'm okay.
I'm good.

480
00:31:28,587 --> 00:31:30,420
All right, I've seen your chart.

481
00:31:30,422 --> 00:31:32,556
You've had the hernia repair
in your stomach?

482
00:31:32,558 --> 00:31:34,358
Yeah. I do have
an umbilical cord hanging.

483
00:31:34,360 --> 00:31:35,759
Let me see what kind of scar
that ended up in there.

484
00:31:35,761 --> 00:31:39,663
- Well, you still have a hernia.
- Yeah. I still have it.

485
00:31:39,665 --> 00:31:42,366
- All right, let me go get some stuff for you, okay?
- Okay.

486
00:31:46,170 --> 00:31:48,305
[solemn instrumental
music playing]

487
00:31:50,241 --> 00:31:55,579
My biggest concern for Julian right
now is how high his weight and BMI is.

488
00:31:55,581 --> 00:31:58,515
<i>[Dr. Now] Thankfully, he is
not bedridden at this point.</i>

489
00:31:58,517 --> 00:32:02,119
And he is still able to
have some level of activity.

490
00:32:02,121 --> 00:32:04,588
<i>It would be much worse
if that wasn't the case.</i>

491
00:32:04,590 --> 00:32:09,927
<i>But the amount of strain that is on his body
from his weight is very dangerous for him.</i>

492
00:32:09,929 --> 00:32:13,664
To where it is just a matter of
time before something happens

493
00:32:13,666 --> 00:32:18,101
that pushes his body to a breaking
point, and he doesn't survive.

494
00:32:18,937 --> 00:32:23,006
All right,
let's go over some things.

495
00:32:23,008 --> 00:32:29,346
- This, um, first six pages explain what metabolism is.
- Mm-hmm.

496
00:32:29,348 --> 00:32:32,883
- And what healthy eating habits should be.
- Okay.

497
00:32:32,885 --> 00:32:37,554
Julian is the only one who can
start to make the changes needed

498
00:32:37,556 --> 00:32:40,223
to avoid his body getting
to a breaking point.

499
00:32:40,225 --> 00:32:43,493
<i>So, it's very important
he understands that.</i>

500
00:32:43,495 --> 00:32:47,831
<i>And starts to lose as much
weight as he can. As fast as he can.</i>

501
00:32:47,833 --> 00:32:50,567
<i>Reduce the strain he has
on his whole body</i>

502
00:32:50,569 --> 00:32:52,436
<i>before he let's it
get to a point</i>

503
00:32:52,438 --> 00:32:55,806
where something happens
and he runs out of time.

504
00:32:55,808 --> 00:32:59,876
<i>And until he does that, everyday
for him is a roll of the dice.</i>

505
00:32:59,878 --> 00:33:01,745
Where he might not make it.

506
00:33:01,747 --> 00:33:06,083
And this is... my book.

507
00:33:06,484 --> 00:33:08,919
- And in chapter 12...
- Uh-huh.

508
00:33:08,921 --> 00:33:13,557
You've got a list of exercise,
and to build up your stamina.

509
00:33:13,559 --> 00:33:14,791
- Okay. Okay.
- Okay?

510
00:33:14,793 --> 00:33:18,428
I'm going to give you
two months to lose 100 pounds.

511
00:33:18,430 --> 00:33:20,864
We will check that
at a local clinic with you

512
00:33:20,866 --> 00:33:23,767
- to see where you are and go from there.
- Okay.

513
00:33:23,769 --> 00:33:26,870
- You think you can do that?
- I can do that Dr. Now.

514
00:33:26,872 --> 00:33:29,606
- Under 700 pounds.
- Under 700 pounds.

515
00:33:29,608 --> 00:33:30,807
- Okay?
- Gotcha.

516
00:33:30,809 --> 00:33:32,809
All right, I'll see y'all later.

517
00:33:32,811 --> 00:33:33,777
- [Julian] See you later.
- See you.

518
00:33:33,779 --> 00:33:36,413
- All right, take care.
- [both] You too.

519
00:33:41,252 --> 00:33:44,955
Yeah. I'mma get started.
I'm gonna do this, babe.

520
00:33:44,957 --> 00:33:49,026
- I'm gonna have to do it too.
- That's good. I was hoping you would do it with me.

521
00:33:49,028 --> 00:33:50,293
Yep.

522
00:33:53,631 --> 00:33:57,667
<i>[Julian] This could be my
last chance to live longer.</i>

523
00:33:57,669 --> 00:34:02,406
<i>So, I'm gonna do everything
Dr. Now says from here on out.</i>

524
00:34:02,408 --> 00:34:06,576
<i>And I know it's gonna be hard.
Maybe the hardest thing I ever do.</i>

525
00:34:06,578 --> 00:34:07,544
Thank you.

526
00:34:07,546 --> 00:34:10,480
<i>But I'm in a fight
for my life now.</i>

527
00:34:10,482 --> 00:34:13,016
<i>So, from here on out,
there's no tomorrow.</i>

528
00:34:13,018 --> 00:34:16,186
<i>I either do this,
or I'm not gonna make it.</i>

529
00:34:16,954 --> 00:34:18,355
- I love you.
- I love you too.

530
00:34:30,201 --> 00:34:32,069
I hope it's good.

531
00:34:36,007 --> 00:34:40,110
<i>[Julian] I've been spending the past
month working hard at making progress.</i>

532
00:34:40,112 --> 00:34:45,148
<i>I started it all as soon as we got back home
since the road only had fast food options</i>

533
00:34:45,150 --> 00:34:48,618
<i>But since then, I've been
sticking to Dr. Now's diet.</i>

534
00:34:48,620 --> 00:34:54,091
<i>And doing all his exercises. And I'm feeling
pretty good about my progress so far.</i>

535
00:34:54,093 --> 00:34:58,562
All right babe,
let's get to working out.

536
00:34:58,564 --> 00:35:02,999
<i>Especially with my exercises. Because I've
been doing some boxing with a punching bag.</i>

537
00:35:03,001 --> 00:35:05,335
<i>And Irma's been
doing it with me.</i>

538
00:35:09,807 --> 00:35:11,408
[Irma] You got this, baby.
Come on.

539
00:35:12,877 --> 00:35:14,411
<i>When we first got back,</i>

540
00:35:14,413 --> 00:35:17,447
<i>the first thing we did is went
to go buy that punching bag.</i>

541
00:35:17,982 --> 00:35:20,217
- Holy [bleep]
- Sorry.

542
00:35:20,219 --> 00:35:21,818
You're good, you're good.
Keep going.

543
00:35:21,820 --> 00:35:24,421
[panting]

544
00:35:25,389 --> 00:35:26,923
[Irma]
Don't forget to inhale, baby.

545
00:35:26,925 --> 00:35:31,094
- [Irma] Three, two...
- [Julian whispers] One.

546
00:35:33,998 --> 00:35:37,167
- Your turn.
- Okay.

547
00:35:38,169 --> 00:35:39,936
[boxing bell rings]

548
00:35:39,938 --> 00:35:41,204
Jab, jab, cross.

549
00:35:46,611 --> 00:35:48,145
Jab, cross.

550
00:35:49,413 --> 00:35:52,282
- Oh, I'd hate to get hit by you.
- Ha-ha.

551
00:35:52,284 --> 00:35:55,552
Okay. I'm done.

552
00:35:55,554 --> 00:35:58,788
<i>[Julian] So, I'm gonna keep
working at this over the next month.</i>

553
00:35:58,790 --> 00:36:02,025
<i>So that when I go to the
doctor and get my weight,</i>

554
00:36:02,027 --> 00:36:04,828
<i>I'm where I need to be
so I can move to Houston.</i>

555
00:36:04,830 --> 00:36:07,364
<i>And be ready to take that leap
when we have to,</i>

556
00:36:07,366 --> 00:36:10,467
<i>if it means I'm gonna get
the chance for surgery.</i>

557
00:36:10,469 --> 00:36:15,772
<i>But I know it's gonna come down to
me meeting my goal by next month.</i>

558
00:36:15,774 --> 00:36:18,275
<i>So that's what I'm working
my hardest to do.</i>

559
00:36:18,609 --> 00:36:20,310
Oh, Lord in heaven.

560
00:36:39,497 --> 00:36:42,999
<i>Me and Irma are headed
to the local clinic today.</i>

561
00:36:43,001 --> 00:36:45,702
<i>Dr. Now said it at first
to go there to get my weight.</i>

562
00:36:45,704 --> 00:36:50,974
<i>And if I made it to my goal, he said he
was gonna tell me I could move to Houston,</i>

563
00:36:50,976 --> 00:36:54,344
<i>to be a part of his program.
And get weight loss surgery.</i>

564
00:36:56,380 --> 00:36:58,048
Julian!

565
00:37:05,623 --> 00:37:10,627
<i>[Julian] In my last appointment
two months ago, I was 830 pounds.</i>

566
00:37:10,629 --> 00:37:14,164
<i>And Dr. Now told me
to lose 100 pounds.</i>

567
00:37:18,536 --> 00:37:22,005
<i>If I succeed,
I'll be under 730 today.</i>

568
00:37:30,648 --> 00:37:32,148
Okay, you must be
over the weight limit.

569
00:37:32,150 --> 00:37:33,583
Um. it's not
reading your weight.

570
00:37:33,585 --> 00:37:36,253
Oh, okay.

571
00:37:36,255 --> 00:37:38,188
-[nurse] Okay. Follow me to the room.
-Okay.

572
00:37:38,689 --> 00:37:40,323
<i>[Julian] I don't think
that's right.</i>

573
00:37:40,325 --> 00:37:43,927
<i>I know how hard I worked
for the past two months.</i>

574
00:37:43,929 --> 00:37:48,531
<i>You know, I've done the diet and
I've done the workouts everyday.</i>

575
00:37:48,533 --> 00:37:51,501
<i>So, there's no way
I'm over 800 still.</i>

576
00:37:51,503 --> 00:37:56,406
<i>You know, now I have to tell
Dr. Now "I'm over the limit."</i>

577
00:37:56,408 --> 00:38:00,810
<i>It's upsetting me because he's not gonna
think I've been working as hard as I have</i>

578
00:38:00,812 --> 00:38:02,212
<i>when I know I did.</i>

579
00:38:02,780 --> 00:38:05,382
<i>So, I'm just frustrated
right now.</i>

580
00:38:06,784 --> 00:38:09,886
- Hi Dr. Now.
<i>- Hi, Julian, how are you doing?</i>

581
00:38:09,888 --> 00:38:11,688
I'm doing good.
And yourself?

582
00:38:11,690 --> 00:38:13,089
<i>- Good.
- That's good.</i>

583
00:38:13,091 --> 00:38:14,657
<i>So, what's going on with you?</i>

584
00:38:14,659 --> 00:38:20,730
<i>- Where's your weight at today?
- Um, well, the scale couldn't read my weight.</i>

585
00:38:20,732 --> 00:38:25,635
<i>Well Julian, the scale that you got
over there, goes up to 800 pounds.</i>

586
00:38:25,637 --> 00:38:31,408
<i>If it could not read your weight, that
means that you're still over 800 pounds.</i>

587
00:38:45,856 --> 00:38:52,529
The changes I have made, um,
the diet I was stuck to... I wanna say--

588
00:38:52,531 --> 00:38:56,700
I don't want to say perfectly. But I've
stuck to it. I started doing meal preps.

589
00:38:56,702 --> 00:39:01,404
<i>- Well, how many times you eating in a day?
- I only eat twice a day.</i>

590
00:39:01,406 --> 00:39:03,606
<i>Well, you should have
lost weight, but you didn't.</i>

591
00:39:03,608 --> 00:39:08,011
<i>So your eating more than
you think with your meals.</i>

592
00:39:10,181 --> 00:39:17,087
<i>Sometimes I have pork rinds. I see
those are 70 calories with no sugar.</i>

593
00:39:26,831 --> 00:39:29,866
I am. I'm going to do it.
I only ate pork rinds one--

594
00:39:29,868 --> 00:39:31,401
<i>Then how come you
haven't lost any weight?</i>

595
00:39:31,403 --> 00:39:33,436
I really can't tell
'cause of the scale.

596
00:39:33,438 --> 00:39:40,076
I know you said it goes up to 800. But
I don't know. Like I said, I could be 801.

597
00:39:40,078 --> 00:39:43,313
<i>And the scale cannot read
your weight because your weight</i>

598
00:39:43,315 --> 00:39:45,382
<i>is still over 800 pounds.</i>

599
00:39:45,384 --> 00:39:49,285
<i>So, what is the point of
coming back in here and see us?</i>

600
00:39:49,287 --> 00:39:51,588
Because I'm sticking to it.

601
00:39:51,590 --> 00:39:55,592
<i>Well, if you're sticking to it, then you're
gonna show some positive changes.</i>

602
00:39:55,594 --> 00:39:57,660
Oh yeah.
I'm definitely gonna show it.

603
00:39:57,662 --> 00:40:01,297
I believe if I was there, it'll
be a different story than here.

604
00:40:01,299 --> 00:40:04,401
<i>Well, you're not showing it
on the scale.</i>

605
00:40:04,403 --> 00:40:09,539
<i>So, there's not much we can do if you
don't start changing your eating habits.</i>

606
00:40:09,541 --> 00:40:12,942
<i>So, whatever you're eating,
cut back and eat less,</i>

607
00:40:12,944 --> 00:40:14,878
<i>and I'm going to give you
another two months</i>

608
00:40:14,880 --> 00:40:18,214
<i>to lose 100 pounds from 830.</i>

609
00:40:18,216 --> 00:40:20,950
<i>So if you lost 30 pounds,
you have a leg up.</i>

610
00:40:20,952 --> 00:40:24,687
<i>And then we'll bring you back
here and check your weight again.</i>

611
00:40:24,689 --> 00:40:26,656
<i>And if you make it to your goal,</i>

612
00:40:26,658 --> 00:40:29,559
<i>then you can move
to Houston to do my program.</i>

613
00:40:29,561 --> 00:40:32,395
<i>If you want to continue.
But until then,</i>

614
00:40:32,397 --> 00:40:34,664
<i>there's no point for you
to be coming down, okay?</i>

615
00:40:34,666 --> 00:40:35,932
I got you.

616
00:40:35,934 --> 00:40:39,135
<i>And if you don't make it
to your goal this next time,</i>

617
00:40:39,137 --> 00:40:41,838
<i>then I don't know
what else we can do for you.</i>

618
00:40:41,840 --> 00:40:42,872
[Julian] Okay.

619
00:40:42,874 --> 00:40:45,141
<i>So go on the diet again.</i>

620
00:40:45,143 --> 00:40:47,043
<i>And if you need anything,
give me a call.</i>

621
00:40:47,045 --> 00:40:48,912
Okay, thank you.

622
00:40:48,914 --> 00:40:51,047
- All right, bye-bye.
- Bye.

623
00:40:51,415 --> 00:40:54,684
Well, I felt like I lost weight.

624
00:40:54,686 --> 00:40:57,821
Well, I mean, you already cut
down quite a bit? I don't know.

625
00:40:57,823 --> 00:40:59,722
Like, are you supposed
to eat like, air now?

626
00:40:59,724 --> 00:41:02,959
Yeah. I don't know.
We will see.

627
00:41:09,667 --> 00:41:14,437
I'm just frustrated, you know.
For him to say I'm not trying.

628
00:41:14,439 --> 00:41:16,573
It's just like a slap
in the face.

629
00:41:16,575 --> 00:41:19,509
<i>Because I know I could
have probably done better.</i>

630
00:41:19,511 --> 00:41:22,212
<i>But at the same time,
I feel like I've had progress</i>

631
00:41:22,214 --> 00:41:24,647
<i>that's not being accounted for
with that scale.</i>

632
00:41:24,649 --> 00:41:28,318
<i>And just because it's not showing up
doesn't mean I haven't made progress.</i>

633
00:41:28,320 --> 00:41:31,354
<i>So I'm pissed off
because of the scale.</i>

634
00:41:31,356 --> 00:41:35,758
I can understand if I stepped
on his scale and it said 830.

635
00:41:35,760 --> 00:41:41,197
<i>Yeah, I'll take all criticism there is.
But this scale... I can't trust this scale.</i>

636
00:41:42,433 --> 00:41:45,835
<i>I know Dr. Now says it reads
800 pounds.</i>

637
00:41:45,837 --> 00:41:47,470
<i>But maybe that scale
doesn't work, I don't know.</i>

638
00:41:47,472 --> 00:41:49,973
<i>Maybe it doesn't work
at its highest potential.</i>

639
00:41:49,975 --> 00:41:52,642
<i>And it reflect on me
pretty horribly right now.</i>

640
00:41:52,644 --> 00:41:54,410
<i>For me, to not to say
I'm not trying,</i>

641
00:41:54,412 --> 00:41:56,713
which I am.
I know I'm trying.

642
00:41:56,715 --> 00:41:59,682
<i>And I just feel I've not
been given the credit for that.</i>

643
00:41:59,684 --> 00:42:03,152
So, that's why I'm pissed off.

644
00:42:05,623 --> 00:42:08,691
<i>I just have to try harder,
I guess.</i>

645
00:42:08,693 --> 00:42:13,429
<i>Because getting weight loss surgery
from Dr. Now is my only chance I have left.</i>

646
00:42:33,217 --> 00:42:34,984
<i>[Julian] For the past month</i>

647
00:42:35,519 --> 00:42:39,055
<i>I've been doing what I said in my last
appointment, when I had talked to Dr. Now.</i>

648
00:42:39,823 --> 00:42:43,359
<i>And I've been working on
cutting back my eating even more.</i>

649
00:42:43,694 --> 00:42:47,397
<i>And it's been tough,
I'm not gonna to lie.</i>

650
00:42:47,399 --> 00:42:51,901
<i>You know, I feel like I'm barely eating
to the point where I'm just starving.</i>

651
00:42:51,903 --> 00:42:55,405
<i>To the point
where I feel weak at times.</i>

652
00:42:55,407 --> 00:42:57,540
<i>So, because of that,
my workouts have decreased.</i>

653
00:42:57,542 --> 00:43:00,076
<i>Because I don't have the energy.</i>

654
00:43:00,078 --> 00:43:04,013
<i>And there have been times
that feeling has made me give in</i>

655
00:43:04,015 --> 00:43:05,381
<i>to eat something I shouldn't.</i>

656
00:43:06,550 --> 00:43:09,619
<i>But for the most part,
that has not happened.</i>

657
00:43:09,621 --> 00:43:12,422
<i>Just because I feel like
I have less energy</i>

658
00:43:12,424 --> 00:43:15,959
<i>doesn't mean I have been
giving up on my exercises, though.</i>

659
00:43:16,660 --> 00:43:19,195
<i>I'm still getting in
my walking everyday.</i>

660
00:43:23,267 --> 00:43:25,602
<i>And I know
I'm making progress with that.</i>

661
00:43:25,604 --> 00:43:29,672
<i>Because I can do the whole
distance of the block now.</i>

662
00:43:29,674 --> 00:43:34,944
<i>When I could barely make it 10 or 15
feet from my driveway when I started.</i>

663
00:43:36,080 --> 00:43:39,082
<i>And I'm pushing myself
to do more each day.</i>

664
00:43:39,750 --> 00:43:42,218
- Good morning.
- Hey, Rose.

665
00:43:43,721 --> 00:43:45,688
I don't care if you drop.
Walk up to the corner.

666
00:43:45,690 --> 00:43:49,225
[Julian breathes heavily]
Come on Rose.

667
00:43:49,227 --> 00:43:52,629
<i>[Julian] That helps me feel
like I'm not in such isolation.</i>

668
00:43:52,631 --> 00:43:55,832
<i>Because I'm out, and I get to see
people I haven't seen in a while.</i>

669
00:43:55,834 --> 00:43:57,634
-Guess what?
-What's that? [Julian breathes heavily]

670
00:43:57,636 --> 00:43:58,735
You ain't walking fast enough.

671
00:43:58,737 --> 00:44:02,705
- Ah, well, that's these slippers.
- [Rose laughs]

672
00:44:02,707 --> 00:44:06,175
'Cause I don't want to trip.
They like to fold under me.

673
00:44:07,378 --> 00:44:08,911
<i>That feels good.</i>

674
00:44:08,913 --> 00:44:12,749
<i>So, I'm already seeing the ways
my progress is benefitting my life.</i>

675
00:44:12,751 --> 00:44:15,318
<i>And making improvements for me.</i>

676
00:44:15,886 --> 00:44:19,622
<i>Next month,
when I check my weight again,</i>

677
00:44:19,624 --> 00:44:21,991
<i>[Julian] I have
to be at my goal then</i>

678
00:44:21,993 --> 00:44:25,028
<i>if I want to get the go ahead
from Dr. Now</i>

679
00:44:25,030 --> 00:44:27,330
<i>to move to Houston
and get my surgery.</i>

680
00:44:28,699 --> 00:44:31,067
[exhales]

681
00:44:40,811 --> 00:44:43,312
- [Julian] Babe, drive with two hands.
- [Irma] Shut up.

682
00:44:46,417 --> 00:44:48,685
<i>[Julian] I just hope
I haven't gained any weight.</i>

683
00:44:48,687 --> 00:44:50,687
But we'll see how it goes.

684
00:44:50,689 --> 00:44:52,922
<i>To see if this scale works.</i>

685
00:44:52,924 --> 00:44:55,224
<i>- That's what I'm a little skeptical about.
- [Irma] Mm-hmm.</i>

686
00:44:55,226 --> 00:44:58,428
- [Julian] So...
- [Irma] Not like last time.

687
00:44:58,430 --> 00:45:03,833
[Julian] See if Dr. Now is ready
to chew me another [bleep] oh...

688
00:45:03,835 --> 00:45:07,070
<i>[Julian] And if we can, you know, get
the ball moving on gettin' down to Houston.</i>

689
00:45:07,072 --> 00:45:08,571
<i>[Irma] Mm-hmm.</i>

690
00:45:08,706 --> 00:45:12,308
<i>[Julian] I'm headed to another
local clinic to check my weight again.</i>

691
00:45:13,277 --> 00:45:15,411
<i>But I'm still a bit nervous,
you know...</i>

692
00:45:17,748 --> 00:45:22,085
<i>because I'm ready to start
having bigger progress for myself.</i>

693
00:45:22,087 --> 00:45:24,620
<i>And that's not gonna happen
until I move to Houston.</i>

694
00:45:24,622 --> 00:45:25,588
[Julian sighs]

695
00:45:27,725 --> 00:45:29,692
<i>So I know I have to have
the results</i>

696
00:45:29,694 --> 00:45:32,995
<i>that Dr. Now is looking
to see from me today...</i>

697
00:45:35,799 --> 00:45:38,401
<i>because I don't know what
more I can do at this point.</i>

698
00:45:48,011 --> 00:45:49,112
[nurse] Julian.

699
00:45:49,114 --> 00:45:51,080
- [Julian] Yes.
- [nurse] Come on back.

700
00:45:52,149 --> 00:45:54,417
Bye, baby. Love you too.

701
00:46:03,060 --> 00:46:04,160
[Julian] All right.

702
00:46:05,796 --> 00:46:06,963
There you go.

703
00:46:07,931 --> 00:46:09,098
Can you turn around?

704
00:46:18,108 --> 00:46:19,909
714.2.

705
00:46:19,976 --> 00:46:21,811
Thank you!

706
00:46:21,813 --> 00:46:23,179
Oh, my goodness.
Thank you.

707
00:46:25,082 --> 00:46:26,315
Thank you.

708
00:46:26,817 --> 00:46:27,984
[Julian] Thanks.

709
00:46:30,154 --> 00:46:31,220
[FaceTime ringing]

710
00:46:33,957 --> 00:46:34,824
<i>Hello.</i>

711
00:46:34,826 --> 00:46:35,725
Hey, Dr. Now.

712
00:46:35,727 --> 00:46:37,160
<i>Hi, Julian, how are you doing?</i>

713
00:46:37,162 --> 00:46:40,062
I'm doin' good.
I'm doin' real good.

714
00:46:41,098 --> 00:46:41,931
<i>[Dr. Now] Great!</i>

715
00:46:42,833 --> 00:46:44,400
<i>So what is your
weight doing now?</i>

716
00:46:44,402 --> 00:46:46,135
I'm down to 714 pounds.

717
00:46:46,137 --> 00:46:49,038
<i>Oh, so you lost
some weight, huh?</i>

718
00:46:49,273 --> 00:46:51,107
Yes, sir, I sure did!

719
00:46:51,109 --> 00:46:54,877
<i>That's great! You lost
over 100 pounds, huh?</i>

720
00:46:54,879 --> 00:46:57,180
<i>116 pounds to be exact.</i>

721
00:46:57,182 --> 00:46:58,347
Yes, sir!

722
00:47:05,923 --> 00:47:06,822
Okay, great.

723
00:47:11,195 --> 00:47:14,030
<i>And moving
in the right direction.</i>

724
00:47:14,032 --> 00:47:17,967
<i>And once you move down here,
if you continue to lose weight, then</i>

725
00:47:21,872 --> 00:47:23,406
- Perfect. Thank you, Dr. Now.
<i>- Okay.</i>

726
00:47:25,876 --> 00:47:27,643
<i>Continue with your progress
that you're making.</i>

727
00:47:27,645 --> 00:47:30,413
- Yes.
<i>- And continue to lose more weight, okay?</i>

728
00:47:30,415 --> 00:47:33,649
Yes, I am. I'm gonna continue doing
everything that you told me to do.

729
00:47:33,651 --> 00:47:38,221
<i>You've done a good job and,
uh... I'm proud of your progress.</i>

730
00:47:38,689 --> 00:47:40,556
<i>So keep up the good work.</i>

731
00:47:40,558 --> 00:47:43,926
<i>- Don't relax and go back to your eating habits.
- Mm-hmm.</i>

732
00:47:43,928 --> 00:47:46,796
<i>And if you gain weight, then
we're not gonna move ahead</i>

733
00:47:46,798 --> 00:47:48,831
<i>with weight-loss surgery
with you.</i>

734
00:47:48,833 --> 00:47:52,969
- Okay.
<i>- In the meantime, if you need anything give me a call, okay?</i>

735
00:47:52,971 --> 00:47:53,536
All right, thank you, Dr. Now.

736
00:47:53,538 --> 00:47:55,438
All right, buh-bye.

737
00:47:59,076 --> 00:48:02,745
<i>[Julian] Dr. Now is gonna go ahead
and approve me to move to Houston.</i>

738
00:48:02,747 --> 00:48:04,647
<i>I didn't lose the amount
that he wanted me to,</i>

739
00:48:04,649 --> 00:48:07,450
<i>but I lost enough.</i>

740
00:48:07,452 --> 00:48:09,819
<i>He was excited about my
progress. He was happy for me.</i>

741
00:48:09,821 --> 00:48:13,489
<i>And I-- I didn't get
chewed out like last time.</i>

742
00:48:13,491 --> 00:48:15,625
<i>After hearing that response
from Dr. Now,</i>

743
00:48:15,627 --> 00:48:19,562
<i>we're gonna go ahead and start
gettin' to packing so we can move.</i>

744
00:48:19,564 --> 00:48:21,597
<i>If I lose more weight,
continue just eating</i>

745
00:48:21,599 --> 00:48:23,799
<i>the correct way
that I'm supposed to eat,</i>

746
00:48:23,801 --> 00:48:26,369
<i>he'll end up approving me
for weight-loss surgery.</i>

747
00:48:26,371 --> 00:48:28,537
<i>That's the main thing
I'm looking forward to.</i>

748
00:48:28,539 --> 00:48:32,808
- [Irma] What?
- [Julian] Dr. Now, he approved us to move to Houston.

749
00:48:32,810 --> 00:48:35,978
So we gotta get home
and start packing

750
00:48:36,179 --> 00:48:38,814
so we can move.

751
00:48:38,816 --> 00:48:40,583
- Okay.
- ASAP.

752
00:48:40,585 --> 00:48:44,153
But he says as long
as I'm stickin' to my diet,

753
00:48:44,155 --> 00:48:47,123
he's allowing me to move
so we can move to Houston.

754
00:48:47,724 --> 00:48:49,792
Okay, um...

755
00:48:49,794 --> 00:48:55,731
Um, I'm kinda freakin' out, baby,
'cause we don't have anything packed up.

756
00:48:55,733 --> 00:48:58,968
I know.
So we gotta get to it!

757
00:49:05,842 --> 00:49:08,044
[Irma] So we're
really leavin', huh?

758
00:49:08,046 --> 00:49:09,445
Yes, we're really leavin'.

759
00:49:23,727 --> 00:49:26,062
[Irma speaking]

760
00:49:29,566 --> 00:49:31,200
Now, we're in Texas.

761
00:49:50,687 --> 00:49:52,388
<i>[Julian] This is our
second day on the road.</i>

762
00:49:52,390 --> 00:49:56,225
<i>And so far, things are going
better this time.</i>

763
00:49:58,829 --> 00:50:02,531
<i>And I think the weight I lost
and the stamina I have now</i>

764
00:50:02,533 --> 00:50:06,035
<i>that's helping me handle
the road a lot better.</i>

765
00:50:06,037 --> 00:50:09,205
<i>With this minivan, helping
me be more comfortable too.</i>

766
00:50:11,641 --> 00:50:12,975
<i>I have more room.</i>

767
00:50:13,710 --> 00:50:15,311
<i>We just made it into Texas.</i>

768
00:50:15,313 --> 00:50:18,214
<i>And we're hopin' to make it all the
way to Houston by the end of the day</i>

769
00:50:18,615 --> 00:50:19,515
<i>if I can handle it.</i>

770
00:50:19,517 --> 00:50:22,718
<i>And so far,
I'm feelin' good still.</i>

771
00:50:22,720 --> 00:50:26,922
<i>So as long as I can hold out, we
should be arriving in our new place</i>

772
00:50:26,924 --> 00:50:29,392
<i>and starting
a new life here very soon.</i>

773
00:50:44,141 --> 00:50:46,442
[dramatic music playing]

774
00:51:08,098 --> 00:51:10,299
[Irma inhales] Brother!

775
00:51:13,970 --> 00:51:15,438
It melted off?

776
00:51:17,574 --> 00:51:19,008
[Irma] Yeah.

777
00:51:20,043 --> 00:51:20,810
- [beep] - [Irma] I kept
tellin' Julian. I'm like,

778
00:51:20,812 --> 00:51:21,677
"There's something not right."

779
00:51:21,679 --> 00:51:24,146
I'm like, "There's something
going on."

780
00:51:24,148 --> 00:51:25,648
I'm like, "I don't see my brother. I
don't see my brother." "He's fine."

781
00:51:25,650 --> 00:51:28,517
I was trying to call you. And the
[beep] call wouldn't go through.

782
00:51:28,519 --> 00:51:32,021
But I said, "I told you that I
felt somethin' wasn't right."

783
00:51:32,856 --> 00:51:36,125
[Julian] Why do you
keep sayin', like, I'm the one

784
00:51:36,127 --> 00:51:39,095
who was goin' against
your intuition or something?

785
00:51:39,896 --> 00:51:41,096
[Irma] 'Cause you were!

786
00:51:41,098 --> 00:51:43,032
- You were like, "Baby, everything's fine."
- No, babe.

787
00:51:43,400 --> 00:51:45,501
[Julian] How I'm supposed
to know?

788
00:51:45,503 --> 00:51:48,704
What am I supposed to go with the
worst? I'm trying to calm you down.

789
00:51:48,706 --> 00:51:50,573
And you makin' it like
I'm just goin' against you.

790
00:51:50,575 --> 00:51:52,408
[Irma] Um, 'cause you...
That's a new slipper.

791
00:51:52,410 --> 00:51:54,376
[Julian] But I knew it.
But that's not how you say it.

792
00:51:55,779 --> 00:51:57,179
Man.

793
00:52:10,060 --> 00:52:12,962
<i>[Julian] This is basically
my nightmare.</i>

794
00:52:13,296 --> 00:52:14,630
[Julian speaking]

795
00:52:14,632 --> 00:52:16,232
[Irma speaking]

796
00:52:17,400 --> 00:52:20,336
<i>[Julian] Alejandro's trailer
is not fixable.</i>

797
00:52:20,770 --> 00:52:22,404
We're in Texas.

798
00:52:24,808 --> 00:52:27,042
And we have horrible service.

799
00:52:29,679 --> 00:52:32,581
We was doin' fine
until this happened.

800
00:52:32,583 --> 00:52:37,853
We might just leave this
trailer and leave our stuff.

801
00:52:37,855 --> 00:52:40,289
Who even knows if there's,
like, a rental place around here?

802
00:52:41,958 --> 00:52:43,792
<i>[Irma] I found out what happened
'cause my brother called me.</i>

803
00:52:43,794 --> 00:52:45,427
<i>He's all like,
"Hey, the tire went out."</i>

804
00:52:45,429 --> 00:52:47,563
So I was just, like,
imagining the worst.

805
00:52:47,565 --> 00:52:50,166
He's all like, "But I'm okay.
I'm okay. I'm okay."

806
00:52:50,168 --> 00:52:53,068
<i>'Cause he knows I, like,
freak out for anything.</i>

807
00:52:55,505 --> 00:52:58,507
<i>The longer we're here,
the more in danger we are.</i>

808
00:52:58,509 --> 00:53:01,243
And I don't wanna be a [beep]
sticker in the middle of the road.

809
00:53:02,712 --> 00:53:04,847
<i>[Julian] This is absolutely
the last situation</i>

810
00:53:04,849 --> 00:53:08,551
<i>someone who's my size
wants to be in.</i>

811
00:53:08,553 --> 00:53:12,421
<i>You know, I can't handle
the heat for long.</i>

812
00:53:12,423 --> 00:53:16,125
<i>The only positive thing is
that I still have air conditioning.</i>

813
00:53:16,393 --> 00:53:18,827
<i>So I'm okay for now.</i>

814
00:53:18,829 --> 00:53:21,764
<i>But if we stay here long, my
fear is the car could overheat.</i>

815
00:53:21,766 --> 00:53:23,299
<i>And we could run out of gas.</i>

816
00:53:23,301 --> 00:53:27,036
<i>And if that happens,
it's gonna be very bad for me.</i>

817
00:53:34,711 --> 00:53:38,080
<i>[Julian] Me and Irma have tried to
get a hold of a trailer rental place.</i>

818
00:53:38,082 --> 00:53:43,719
<i>So far, either no one nearby
has one, or it's too far to go get.</i>

819
00:53:43,721 --> 00:53:45,521
<i>And they can't bring it to us.</i>

820
00:53:45,523 --> 00:53:48,090
<i>So we're still not sure
what we're gonna do.</i>

821
00:53:53,797 --> 00:53:55,698
Do you think we could get it
somewhere safer?

822
00:53:55,700 --> 00:53:57,399
I mean, we can get new stuff.

823
00:53:57,401 --> 00:54:00,936
We just can take, like, the
bare necessities and that's it.

824
00:54:02,439 --> 00:54:03,605
We can't leave our bed!

825
00:54:03,873 --> 00:54:06,175
Uh-uh, I'm not gonna sleep
on the floor. Are you crazy?

826
00:54:06,876 --> 00:54:09,411
But it's still just stuff.

827
00:54:09,479 --> 00:54:10,679
But it's a bed.

828
00:54:10,681 --> 00:54:13,015
- I'm not gonna sleep on the floor.
- It doesn't matter.

829
00:54:14,184 --> 00:54:16,118
- All right.
- Yeah, just get it in the dirt, brother.

830
00:54:16,120 --> 00:54:17,286
All right.

831
00:54:18,388 --> 00:54:21,323
<i>[Julian] I guess we're
out of options at this point.</i>

832
00:54:22,659 --> 00:54:27,396
<i>We just have to figure out what
we can get in the truck and the van.</i>

833
00:54:27,398 --> 00:54:30,232
<i>And then we just
have to abandon the rest.</i>

834
00:54:32,936 --> 00:54:34,637
<i>And that's what it
comes down to now.</i>

835
00:54:34,639 --> 00:54:36,739
<i>We just can't stay out here.</i>

836
00:54:36,741 --> 00:54:41,010
<i>And if we don't have another
trailer, there's no other options.</i>

837
00:54:42,012 --> 00:54:44,046
<i>[Julian] This
is extremely disappointing.</i>

838
00:54:44,048 --> 00:54:45,481
<i>And I'm very frustrated</i>

839
00:54:45,483 --> 00:54:46,948
<i>because we're having to choose</i>

840
00:54:46,950 --> 00:54:50,419
<i>between what we need to
survive and all our personal things.</i>

841
00:54:50,421 --> 00:54:53,122
<i>So this is just
heart-wrenching for me.</i>

842
00:55:13,076 --> 00:55:16,078
<i>[Julian] Just one more bad
thing to pile on me right now.</i>

843
00:55:16,080 --> 00:55:20,149
<i>When I'm tryin' to do right and
work all that I can to get better.</i>

844
00:55:22,919 --> 00:55:24,653
<i>So this is just upsetting.</i>

845
00:55:24,655 --> 00:55:25,854
[Irma] No, it's no use.

846
00:55:25,856 --> 00:55:27,856
<i>[Julian] But we'll do
what we have to do</i>

847
00:55:27,858 --> 00:55:29,191
<i>because that's our only option.</i>

848
00:55:32,762 --> 00:55:33,829
[Irma] And this.

849
00:55:36,966 --> 00:55:39,201
Are you okay with leaving
the punching bag or no?

850
00:55:40,136 --> 00:55:41,170
[Irma] I'm sorry.

851
00:55:42,572 --> 00:55:43,972
Hey.

852
00:55:54,684 --> 00:55:56,885
[Irma] It's a... tornado.
It looks [beep] scary.

853
00:55:56,887 --> 00:55:57,853
[Julian] It's not a tornado!

854
00:55:58,221 --> 00:55:59,555
<i>[Julian] Some bad weather's
rolling in.</i>

855
00:55:59,557 --> 00:56:02,658
<i>And there's a tornado warning
for this area!</i>

856
00:56:02,660 --> 00:56:06,762
<i>So as soon as we can, we gotta get
back on the road before that happens.</i>

857
00:56:06,764 --> 00:56:08,497
- [Julian] Shut the car off.
- [Irma] I am.

858
00:56:08,499 --> 00:56:10,866
<i>[Julian] And, hopefully,
it'll pass us by.</i>

859
00:56:10,868 --> 00:56:16,004
[sighs] It just sucks that we
have to get rid of everything!

860
00:56:16,006 --> 00:56:18,440
We're gonna have to leave
[beep] deep freezer.

861
00:56:19,042 --> 00:56:20,743
[Julian] We can't leave that!

862
00:56:20,745 --> 00:56:23,145
- Why not?
- There's food in there.

863
00:56:23,147 --> 00:56:25,047
Julian, we have no other choice!

864
00:56:25,049 --> 00:56:27,716
<i>[Julian] We're figuring out what
we can take and what we can't</i>

865
00:56:27,718 --> 00:56:29,952
<i>so we can get outta here.</i>

866
00:56:30,820 --> 00:56:32,888
<i>But it's just not
an easy process.</i>

867
00:56:32,890 --> 00:56:35,891
Baby, we can't take
all the boxes!

868
00:56:35,893 --> 00:56:36,625
We have to!

869
00:56:36,627 --> 00:56:37,593
But we can't!

870
00:56:37,595 --> 00:56:40,429
But we have to.
The boxes are priority.

871
00:56:40,431 --> 00:56:43,799
Baby, most of those boxes
are just [beep] paperwork!

872
00:56:43,801 --> 00:56:46,168
There're not [beep]
paperwork, Julian.

873
00:56:46,569 --> 00:56:48,437
Baby, we can't take every--

874
00:56:48,439 --> 00:56:51,073
Fine, then you go see what's
[beep]... Go ahead.

875
00:56:54,177 --> 00:56:56,545
<i>[Julian] My stress level
is just high right now.</i>

876
00:56:56,547 --> 00:57:00,649
<i>And I'll be honest. If I had food,
I'd probably be eatin' right now.</i>

877
00:57:00,651 --> 00:57:04,787
<i>But I don't, so my focus is
on just figuring all this out.</i>

878
00:57:04,789 --> 00:57:06,422
I mean, we have to take
all the boxes.

879
00:57:07,824 --> 00:57:08,957
We have to.

880
00:57:09,559 --> 00:57:12,227
<i>[Julian] But it's like
a lose-lose situation</i>

881
00:57:12,229 --> 00:57:15,197
<i>because there's so much we
need that we just can't leave.</i>

882
00:57:19,636 --> 00:57:21,470
[Irma] Baby, let's go
back inside.

883
00:57:21,472 --> 00:57:24,840
<i>[Julian] We gotta get on the road
soon because when night-time comes,</i>

884
00:57:24,842 --> 00:57:28,010
<i>we're not gonna have
the light to do this.</i>

885
00:57:28,012 --> 00:57:29,445
I gotta-- We gotta
look through this.

886
00:57:29,447 --> 00:57:32,181
[Irma sighs]

887
00:57:41,357 --> 00:57:43,625
<i>[Julian] We're pretty much
out of time at this point</i>

888
00:57:43,627 --> 00:57:46,395
<i>because it's late and we
have to get off the road.</i>

889
00:57:46,863 --> 00:57:49,331
<i>A road utility person saw us</i>

890
00:57:49,333 --> 00:57:51,300
<i>and they stopped
to put on their lights</i>

891
00:57:51,302 --> 00:57:54,603
<i>to make sure no one doesn't
see us in the dark and hit us.</i>

892
00:57:54,605 --> 00:57:57,739
<i>So, thankfully that's one thing we
don't have to worry about right now,</i>

893
00:57:57,741 --> 00:58:00,776
<i>but we're just gonna have
to take a hit with our stuff</i>

894
00:58:00,778 --> 00:58:02,911
<i>because that issue
we can't figure out.</i>

895
00:58:02,913 --> 00:58:05,747
<i>We can't agree on what we need
to take between me and Irma,</i>

896
00:58:05,749 --> 00:58:09,084
<i>and what we do agree on,
we can't find.</i>

897
00:58:09,086 --> 00:58:10,452
<i>So we're just loading up
what we can</i>

898
00:58:10,454 --> 00:58:13,755
<i>based off what we think is
in each box.</i>

899
00:58:13,757 --> 00:58:15,757
<i>And hopefully when we get to
Houston and open everything up,</i>

900
00:58:15,759 --> 00:58:17,826
we have a lot of what we need.

901
00:58:17,828 --> 00:58:21,163
<i>If not, then I guess we'll
just have to figure it out.</i>

902
00:58:22,665 --> 00:58:26,068
<i>And if I don't get the surgery
and all this doesn't pay off,</i>

903
00:58:26,070 --> 00:58:28,737
<i>and then all the pain
and suffering we went through</i>

904
00:58:28,739 --> 00:58:30,239
<i>was for nothing.</i>

905
00:58:42,585 --> 00:58:44,553
- [Alejandro] Right here?
- [Irma] On Meadow Drive.

906
00:58:44,555 --> 00:58:46,488
It's this next street
right up here.

907
00:58:46,490 --> 00:58:48,657
<i>[Julian] We're finally
in Houston.</i>

908
00:58:48,659 --> 00:58:51,894
<i>We're heading to the apartment
to get the keys and stuff.</i>

909
00:58:51,896 --> 00:58:53,829
[Irma] We're your
future residents.

910
00:58:53,831 --> 00:58:55,998
<i>[Julian] This has been
a long journey,</i>

911
00:58:56,000 --> 00:58:58,000
<i>but I'm thankful to be here.</i>

912
00:58:58,535 --> 00:59:00,669
It looks like
a nice neighborhood.

913
00:59:00,671 --> 00:59:02,938
We'll see exactly
how everything goes

914
00:59:02,940 --> 00:59:05,374
once we get in
and get the place.

915
00:59:24,661 --> 00:59:26,395
- We did it. Mm-hmm.
- Got it.

916
00:59:27,597 --> 00:59:29,431
- Let's go check it out.
- All right.

917
00:59:30,700 --> 00:59:32,167
[Julian sighs] Oh, this is
gonna be...

918
00:59:32,835 --> 00:59:34,102
Yeah, we're upstairs.

919
00:59:36,940 --> 00:59:39,374
Oh, baby, you're gonna
hate this.

920
00:59:42,745 --> 00:59:45,213
Go ahead, bro, it's gonna
take me a minute.

921
00:59:48,084 --> 00:59:50,085
[Irma] Dude, there's
mosquitoes in here!

922
00:59:56,025 --> 00:59:57,192
[chuckling] Help.

923
00:59:57,427 --> 00:59:58,393
[Irma chuckles]

924
01:00:00,563 --> 01:00:02,130
Okay.

925
01:00:03,766 --> 01:00:06,335
- Okay, I can work with this.
- All right, babe.

926
01:00:06,337 --> 01:00:08,136
Okay, babe!

927
01:00:08,138 --> 01:00:10,572
<i>[Julian] After losing most
of our stuff on the road,</i>

928
01:00:10,574 --> 01:00:15,611
<i>at that time I was second-guessing
it, and I wanted to just go back,</i>

929
01:00:15,613 --> 01:00:22,317
but I figure God didn't make
me go this far to just turn around.

930
01:00:22,319 --> 01:00:24,553
<i>It's probably his way of
saying we don't need that stuff</i>

931
01:00:24,555 --> 01:00:30,659
<i>or it's the devil's way of trying
to make us not fulfill this journey.</i>

932
01:00:30,661 --> 01:00:34,296
So, it's just materials.
We can get that stuff back.

933
01:00:34,298 --> 01:00:36,698
Ew, there's a bug right there!
[Irma squeals]

934
01:00:36,700 --> 01:00:38,634
It's okay. We'll get him out.

935
01:00:38,636 --> 01:00:39,868
Oh, this has got a closet, too!

936
01:00:39,870 --> 01:00:42,971
- Look how huge it is.
- Damn!

937
01:00:43,573 --> 01:00:45,407
I'm gonna go check
the other room.

938
01:00:45,409 --> 01:00:48,176
I can work in there.
I can work in both.

939
01:00:49,812 --> 01:00:51,013
Let's do the test.

940
01:00:51,015 --> 01:00:52,381
Look, babe!

941
01:00:54,083 --> 01:00:56,385
Holy [bleep]

942
01:00:57,820 --> 01:00:59,888
I like the window.

943
01:00:59,890 --> 01:01:02,958
I like the carpet, man.
The carpet is like...

944
01:01:02,960 --> 01:01:04,326
Let's see how it feels
with no shoes on.

945
01:01:05,128 --> 01:01:07,062
<i>[Julian] So we're gonna
head to Dr. Now's</i>

946
01:01:07,064 --> 01:01:08,029
<i>once we get done here.</i>

947
01:01:08,031 --> 01:01:09,731
<i>I feel a lot better
now that we're here</i>

948
01:01:09,733 --> 01:01:11,967
<i>and we're able to see the place.</i>

949
01:01:13,436 --> 01:01:15,837
<i>We called Dr. Now yesterday
to give him an update</i>

950
01:01:15,839 --> 01:01:19,341
<i>and I asked him if we can come
see him when I got here today,</i>

951
01:01:19,343 --> 01:01:23,145
<i>so I can get my weight
and he can verify my progress</i>

952
01:01:23,147 --> 01:01:27,049
<i>so I can see about hopefully getting
approved for my weight-loss surgery.</i>

953
01:01:36,225 --> 01:01:39,828
<i>[Julian] It's been a tough three
months since this last weigh-in,</i>

954
01:01:39,830 --> 01:01:43,932
<i>but I've been able to work hard
so I know I'll see some progress.</i>

955
01:01:43,934 --> 01:01:47,202
<i>The question is, if it's gonna
be enough for Dr. Now.</i>

956
01:01:48,037 --> 01:01:51,306
<i>So that's the only thing
that has me a little nervous.</i>

957
01:01:56,846 --> 01:01:58,246
It's gonna be all right, baby.

958
01:02:07,523 --> 01:02:08,957
Julian.

959
01:02:15,565 --> 01:02:18,934
<i>[Julian] At my last appointment,
I made it down to 714.</i>

960
01:02:18,936 --> 01:02:21,103
<i>And Dr. Now told me
to keep losing.</i>

961
01:02:22,672 --> 01:02:24,106
<i>And I think I've done that,</i>

962
01:02:24,108 --> 01:02:28,143
<i>but I'm hoping I made it to
at least the 600s at this point.</i>

963
01:02:29,712 --> 01:02:32,948
Your weight is 792.

964
01:02:33,082 --> 01:02:37,619
[somber piano music playing]

965
01:02:37,621 --> 01:02:39,354
<i>[Julian] Just in shock
right now.</i>

966
01:02:40,423 --> 01:02:42,591
<i>I'm scared to how
Dr. Now's gonna react.</i>

967
01:02:42,593 --> 01:02:46,895
<i>I know he's gonna say I
haven't been trying, but I have.</i>

968
01:02:46,897 --> 01:02:51,366
<i>I kept my focus on working to get
surgery because how bad I need it.</i>

969
01:02:52,335 --> 01:02:55,771
<i>And I'm worried
because getting the surgery</i>

970
01:02:55,773 --> 01:02:58,974
<i>is the whole reason why we
gave up our life to come here.</i>

971
01:03:02,612 --> 01:03:03,912
-Hello
-[Irma] Hi.

972
01:03:03,914 --> 01:03:06,414
- How you all doing?
- All right and good.

973
01:03:06,416 --> 01:03:07,883
[Dr. Now] Good. All right.

974
01:03:07,885 --> 01:03:11,620
Well, I'm sorry to hear
about all the trouble you said

975
01:03:11,622 --> 01:03:14,022
you had coming back down here.

976
01:03:14,024 --> 01:03:15,924
But you finally
made it in one piece.

977
01:03:15,926 --> 01:03:19,094
Yeah, we finally made it in one
piece and we got our apartment

978
01:03:19,096 --> 01:03:22,264
and it's beautiful
and we made it.

979
01:03:22,266 --> 01:03:28,670
All right, so the issue now is your weight
gain you had over the last three months.

980
01:03:28,672 --> 01:03:33,108
You gained almost 80 pounds, so
what happened to your eating habits?

981
01:03:33,110 --> 01:03:35,277
My eating habits has
been okay. I mean, it's...

982
01:03:35,279 --> 01:03:37,479
I've been really stressful

983
01:03:37,481 --> 01:03:41,449
and, like, I know it's not an excuse
to eat more and everything, but, um,

984
01:03:41,451 --> 01:03:46,788
my father-in-law passed and it's just
been real hard trying to find, you know,

985
01:03:46,790 --> 01:03:48,857
a place for my mom
and my grandma and all that.

986
01:03:48,859 --> 01:03:50,992
But my eating habits are back
to where they need to be now.

987
01:03:50,994 --> 01:03:53,395
No more cheating,
no more eating,

988
01:03:53,397 --> 01:03:54,996
you know, things I'm not
supposed to eat.

989
01:03:54,998 --> 01:03:55,797
What do you mean
no more cheating,

990
01:03:55,799 --> 01:03:57,432
because you were
cheating before?

991
01:03:57,434 --> 01:04:00,335
You said you think
you were eating good.

992
01:04:00,337 --> 01:04:04,506
No, I won't say it's cheating,
you know, it's no excuse.

993
01:04:04,508 --> 01:04:06,908
You know, well, like, what
happened with my father-in-law

994
01:04:06,910 --> 01:04:08,677
and all that stress
I was going through, I just...

995
01:04:08,679 --> 01:04:11,513
You say that,
but at the same time,

996
01:04:11,515 --> 01:04:14,716
that's the excuse
you are giving me right now.

997
01:04:14,718 --> 01:04:17,986
And I get that. You have had
a lot of hard things happen,

998
01:04:17,988 --> 01:04:21,957
but life is full of hard things,
and it's okay to struggle,

999
01:04:21,959 --> 01:04:24,793
but not to use it as an excuse

1000
01:04:24,795 --> 01:04:27,028
to justify damaging your health.

1001
01:04:27,030 --> 01:04:28,830
[Dr. Now] That's never okay.

1002
01:04:28,832 --> 01:04:30,966
[Julian] I know, I know,
and I'll do better.

1003
01:04:30,968 --> 01:04:33,702
So you need to get back
on track now

1004
01:04:33,704 --> 01:04:36,838
because you're back in just
the dangerous place you were

1005
01:04:36,840 --> 01:04:38,306
when you first came to see me.

1006
01:04:38,308 --> 01:04:41,076
You're almost back to the 800s.

1007
01:04:41,078 --> 01:04:45,547
So you need to decide if you're gonna
do this like you said when you told me

1008
01:04:45,549 --> 01:04:48,149
you're 100% committed.

1009
01:04:48,151 --> 01:04:50,819
- [Dr. Now] So here's what you need to do, Julian.
- Yes.

1010
01:04:50,821 --> 01:04:54,422
I want you to stick with
the original goal I gave you

1011
01:04:54,424 --> 01:04:58,059
and lose 100 pounds
over the next two months.

1012
01:04:58,061 --> 01:05:02,564
You're still where you could
easily lose 200 pounds in that time

1013
01:05:02,566 --> 01:05:04,633
if you stick to the diet.

1014
01:05:04,635 --> 01:05:08,403
If you do that, then I will schedule
you for weight loss surgery.

1015
01:05:08,405 --> 01:05:12,974
If not, then we're not moving
ahead with you, okay?

1016
01:05:12,976 --> 01:05:16,912
And, Irma, are you doing this
with him and losing any weight?

1017
01:05:16,914 --> 01:05:18,146
Not much.

1018
01:05:18,148 --> 01:05:21,516
Then you have to both motivate
each other. That's important,

1019
01:05:21,518 --> 01:05:25,086
- especially if you're thinking of having a family.
- Yeah.

1020
01:05:25,088 --> 01:05:28,390
- And that's gonna be some important thing for everybody.
- Yes.

1021
01:05:28,392 --> 01:05:33,028
And so get back on track
and work together to do that.

1022
01:05:33,030 --> 01:05:35,664
And I want you to lose
100 pounds in two months

1023
01:05:35,666 --> 01:05:37,632
if you want to move ahead, okay?

1024
01:05:37,634 --> 01:05:39,801
[Julian] Yes, sir.
I'm gonna do that.

1025
01:05:39,803 --> 01:05:42,737
- Okay. Well, I'm glad you made it to Houston...
- Mm-hmm.

1026
01:05:42,739 --> 01:05:45,874
and let's concentrate
on doing what you need,

1027
01:05:45,876 --> 01:05:49,878
and let's see how things go
over the next two months, okay?

1028
01:05:49,880 --> 01:05:51,913
- Okay.
- All right, see you all later.

1029
01:05:51,915 --> 01:05:53,782
See you later, Dr. Now.

1030
01:05:53,784 --> 01:05:55,984
- [Dr. Now] Okay, take care. Okay.
- Thank you.

1031
01:05:57,887 --> 01:06:01,957
<i>[Dr. Now] It's obviously very
disappointing to see such a big move</i>

1032
01:06:01,959 --> 01:06:03,725
back in the wrong direction
with Julian,

1033
01:06:03,727 --> 01:06:07,963
and it's also disappointing that
he's making excuses for that.

1034
01:06:07,965 --> 01:06:11,066
<i>I understand that things
have been really hard for him,</i>

1035
01:06:11,068 --> 01:06:13,802
<i>but the big question
for Julian is</i>

1036
01:06:13,804 --> 01:06:14,936
<i>if food is worth his life.</i>

1037
01:06:14,938 --> 01:06:18,006
<i>Because at this point,
that's what he's risking</i>

1038
01:06:18,008 --> 01:06:20,942
<i>every day his weight stays
as high as it is.</i>

1039
01:06:20,944 --> 01:06:23,979
<i>So hopefully he gets
how serious this is</i>

1040
01:06:23,981 --> 01:06:25,513
<i>to get back on track,</i>

1041
01:06:25,515 --> 01:06:27,682
<i>to lose like he did before,</i>

1042
01:06:27,684 --> 01:06:30,251
because his body
can't keep going like this.

1043
01:06:33,022 --> 01:06:34,389
<i>[Julian] I'm disappointed,</i>

1044
01:06:34,391 --> 01:06:35,556
<i>very disappointed,</i>

1045
01:06:35,558 --> 01:06:37,692
<i>because I was hoping
and expecting</i>

1046
01:06:37,694 --> 01:06:39,961
<i>to be able to move ahead
with my weight-loss surgery</i>

1047
01:06:39,963 --> 01:06:41,997
<i>once I got down here.</i>

1048
01:06:42,932 --> 01:06:45,066
<i>So that's a bit of a blow.</i>

1049
01:06:52,408 --> 01:06:54,409
<i>But at least I'm still
in the game.</i>

1050
01:06:54,411 --> 01:06:56,044
<i>And so, as long as I am,</i>

1051
01:06:56,046 --> 01:06:57,912
<i>I still have a chance to fight,</i>

1052
01:06:57,914 --> 01:07:00,081
<i>and that's all I can do.</i>

1053
01:07:00,083 --> 01:07:03,118
<i>So, whatever it takes,
I'm gonna do it.</i>

1054
01:07:20,770 --> 01:07:21,903
All right, babe, I'm gonna go

1055
01:07:21,970 --> 01:07:22,904
do my workout.

1056
01:07:22,906 --> 01:07:24,539
We'll be starting dinner
when I get back.

1057
01:07:24,541 --> 01:07:27,208
- Okay, baby. Be careful.
- Not gonna take me long.

1058
01:07:29,412 --> 01:07:32,380
<i>[Julian] The past month has
been good as far as I'm concerned.</i>

1059
01:07:33,115 --> 01:07:34,983
<i>I've been able
to give my full focus</i>

1060
01:07:34,985 --> 01:07:35,884
<i>to get back on track</i>

1061
01:07:35,886 --> 01:07:36,951
<i>like how I need.</i>

1062
01:07:36,953 --> 01:07:39,154
<i>And I've been
working hard at that.</i>

1063
01:07:40,923 --> 01:07:42,590
<i>You know, I lost my punching bag</i>

1064
01:07:42,592 --> 01:07:45,060
<i>because I had to leave it on
the side of the road coming here.</i>

1065
01:07:45,062 --> 01:07:47,962
<i>But what I got to
replace it now is stairs,</i>

1066
01:07:47,964 --> 01:07:49,097
<i>so I've been using those</i>

1067
01:07:49,099 --> 01:07:51,599
<i>to do my exercises every day.</i>

1068
01:07:51,601 --> 01:07:53,835
<i>When I first started,
when I first got here,</i>

1069
01:07:53,837 --> 01:07:55,870
I would have
to go down the stairs

1070
01:07:55,872 --> 01:07:57,906
just one leg at a time

1071
01:07:57,908 --> 01:07:58,873
and then come up

1072
01:07:58,875 --> 01:08:00,708
one leg at a time,

1073
01:08:00,710 --> 01:08:03,645
<i>but now I can go down
both legs at a time,</i>

1074
01:08:03,647 --> 01:08:06,047
<i>and come back up
both legs at a time.</i>

1075
01:08:06,782 --> 01:08:07,916
<i>Because it's getting easier,</i>

1076
01:08:07,918 --> 01:08:09,717
<i>so I'm gonna probably add</i>

1077
01:08:09,719 --> 01:08:12,954
another go up
and down the stairs.

1078
01:08:12,956 --> 01:08:14,889
<i>So that'll be three times
I go up and down.</i>

1079
01:08:14,891 --> 01:08:16,391
[Irma] You done, baby?

1080
01:08:16,393 --> 01:08:17,759
[out of breath] I'm
getting faster.

1081
01:08:17,761 --> 01:08:19,160
Good.

1082
01:08:21,063 --> 01:08:23,998
[panting] I might
up it to... three.

1083
01:08:24,600 --> 01:08:25,967
How was it, baby?

1084
01:08:25,969 --> 01:08:27,769
It was good,
I think it was getting easier.

1085
01:08:27,771 --> 01:08:29,904
I'm proud of you.

1086
01:08:29,906 --> 01:08:31,906
I started going down
just one at a time,

1087
01:08:31,908 --> 01:08:33,308
but now I can do both legs.

1088
01:08:33,909 --> 01:08:35,176
- Oh!
- Yeah.

1089
01:08:35,178 --> 01:08:36,778
- For real?
- Mm-hmm.

1090
01:08:36,780 --> 01:08:38,413
Nice!

1091
01:08:39,215 --> 01:08:41,649
<i>[Julian] But right now,
after my second one,</i>

1092
01:08:41,651 --> 01:08:42,517
<i>I go inside</i>

1093
01:08:42,519 --> 01:08:44,619
<i>and do my upper body exercises</i>

1094
01:08:44,621 --> 01:08:46,855
<i>and Irma usually helps me,
like a trainer.</i>

1095
01:08:46,857 --> 01:08:48,423
You need to work
on your legs, too.

1096
01:08:49,758 --> 01:08:50,658
<i>[Julian] She's trying to give me</i>

1097
01:08:50,660 --> 01:08:52,660
<i>as much support as she can.</i>

1098
01:08:52,662 --> 01:08:55,063
<i>So we're doing this
as a team right now</i>

1099
01:08:55,065 --> 01:08:56,865
<i>because she wants
to see me succeed at this</i>

1100
01:08:56,867 --> 01:08:58,967
<i>as much as I want to.</i>

1101
01:08:58,969 --> 01:09:01,002
If you want to,
you can relax a little bit

1102
01:09:01,004 --> 01:09:02,837
and then do the rest of the ten.

1103
01:09:02,871 --> 01:09:04,472
[exhales sharply] Okay.

1104
01:09:04,474 --> 01:09:06,941
<i>[Julian] So she's being a big help
with me like this with my exercises.</i>

1105
01:09:06,943 --> 01:09:08,076
<i>And with the diet,</i>

1106
01:09:08,078 --> 01:09:09,878
<i>because we're both
eating the same</i>

1107
01:09:09,880 --> 01:09:11,012
<i>from Dr. Now's diet.</i>

1108
01:09:11,014 --> 01:09:13,715
forty, okay.

1109
01:09:13,717 --> 01:09:15,116
[Irma] Do this one, the leg one.

1110
01:09:15,118 --> 01:09:16,784
How about this one?

1111
01:09:16,786 --> 01:09:18,419
This one don't have me extended.

1112
01:09:18,421 --> 01:09:20,722
[Irma] No. Do this one.

1113
01:09:20,756 --> 01:09:23,158
[Julian sighs] Okay.

1114
01:09:23,160 --> 01:09:25,660
<i>So I'm feeling good
about how we're both doing</i>

1115
01:09:25,662 --> 01:09:26,661
<i>and our progress</i>

1116
01:09:26,663 --> 01:09:27,695
<i>because I'm more serious</i>

1117
01:09:27,697 --> 01:09:29,797
<i>about getting
to where I need now,</i>

1118
01:09:29,799 --> 01:09:31,633
<i>more than I've been
up to at this point.</i>

1119
01:09:31,635 --> 01:09:32,700
<i>And my hope is that</i>

1120
01:09:32,702 --> 01:09:35,036
<i>when I go back to see
Dr. Now in a month,</i>

1121
01:09:35,038 --> 01:09:37,138
<i>that it'll be enough
for me to make it</i>

1122
01:09:37,140 --> 01:09:38,806
<i>and get approved for surgery.</i>

1123
01:09:38,808 --> 01:09:40,842
[pants and sighs]

1124
01:09:40,844 --> 01:09:41,876
Good job, baby.

1125
01:09:41,911 --> 01:09:42,877
Whoo!

1126
01:09:42,879 --> 01:09:44,479
Do one more...
I'm just kidding.

1127
01:09:44,481 --> 01:09:46,347
[laughs] I'm kidding,
I'm kidding.

1128
01:09:49,084 --> 01:09:52,153
Do you want me to start
cutting up the stuff now, or?

1129
01:09:53,689 --> 01:09:55,023
Yeah. Um, the onions? Yeah.

1130
01:09:55,025 --> 01:09:56,391
How do you want me
to cut the onion,

1131
01:09:56,393 --> 01:09:57,892
my way or your way?

1132
01:09:57,894 --> 01:09:58,693
You can cut 'em your way.

1133
01:09:58,695 --> 01:10:00,161
You sure?

1134
01:10:00,163 --> 01:10:01,863
'Cause you don't like it
when I cut it that small.

1135
01:10:01,865 --> 01:10:02,931
No, it's okay.

1136
01:10:02,933 --> 01:10:04,966
[soft guitar music]

1137
01:10:07,236 --> 01:10:09,103
I'mma come do the chicken.

1138
01:10:09,838 --> 01:10:10,972
Okay.

1139
01:10:18,714 --> 01:10:20,215
[groans]

1140
01:10:24,954 --> 01:10:26,754
I like a little salad
with my onions.

1141
01:10:26,756 --> 01:10:28,323
[laughs]

1142
01:10:41,136 --> 01:10:42,770
- It's really good.
- Yeah, it is.

1143
01:10:42,772 --> 01:10:46,174
Yeah, it's like, 10 minutes.

1144
01:10:49,311 --> 01:10:52,347
Man, believe it or not,
I am getting full.

1145
01:10:53,082 --> 01:10:54,315
- Good.
- Mm.

1146
01:10:59,021 --> 01:11:01,155
That was a really
good dinner, babe.

1147
01:11:01,157 --> 01:11:02,957
- Yeah, it was.
- I'm satisfied.

1148
01:11:03,025 --> 01:11:04,392
Me, too.

1149
01:11:18,007 --> 01:11:19,707
<i>[Julian] Irma started
her new job</i>

1150
01:11:19,709 --> 01:11:22,110
<i>and she couldn't take off today,</i>

1151
01:11:22,112 --> 01:11:23,077
<i>so I'm having to go
to Dr. Now's</i>

1152
01:11:23,079 --> 01:11:25,079
<i>on my own today.</i>

1153
01:11:26,048 --> 01:11:27,749
<i>And I'm excited for myself</i>

1154
01:11:27,751 --> 01:11:29,350
because I can finally
drive again!

1155
01:11:30,052 --> 01:11:30,918
<i>And it feels good.</i>

1156
01:11:30,920 --> 01:11:34,422
It feels good to be
behind this wheel.

1157
01:11:36,525 --> 01:11:38,860
<i>It's been going on
eight or nine years</i>

1158
01:11:38,862 --> 01:11:40,695
<i>since I've been able to fit
behind the wheel</i>

1159
01:11:40,697 --> 01:11:41,629
<i>and I feel good.</i>

1160
01:11:41,631 --> 01:11:42,797
<i>But I'm still nervous</i>

1161
01:11:42,799 --> 01:11:45,767
<i>because I don't know
where my final progress is at.</i>

1162
01:11:45,769 --> 01:11:47,502
<i>But I know I'm lower
with my weight</i>

1163
01:11:47,504 --> 01:11:50,038
<i>than I've been in a long time.</i>

1164
01:11:54,009 --> 01:11:56,944
<i>And I've been working my
hardest to get back on track.</i>

1165
01:11:57,980 --> 01:11:58,946
[sighs]

1166
01:11:58,948 --> 01:11:59,647
<i>And I'm hoping</i>

1167
01:11:59,649 --> 01:12:01,482
<i>that's been enough for me</i>

1168
01:12:01,484 --> 01:12:04,085
<i>to finally be approved
for weight loss surgery.</i>

1169
01:12:05,054 --> 01:12:07,789
<i>The last time I was here
two months ago,</i>

1170
01:12:07,791 --> 01:12:09,824
<i>the scale said I was 792</i>

1171
01:12:09,826 --> 01:12:11,859
<i>and Dr. Now told me my goal</i>

1172
01:12:11,861 --> 01:12:14,295
<i>was to lose 100 pounds
from that.</i>

1173
01:12:16,231 --> 01:12:19,233
<i>That means I need to be
down to 692 today.</i>

1174
01:12:26,842 --> 01:12:27,775
Julian?

1175
01:12:27,777 --> 01:12:29,243
[anticipatory music]

1176
01:12:38,721 --> 01:12:40,221
[nurse] We can step up
on the scale.

1177
01:12:52,401 --> 01:12:54,369
Your weight is 705.

1178
01:12:56,305 --> 01:12:57,405
Thank you.

1179
01:12:59,041 --> 01:13:01,376
<i>That's a big loss,
and I feel good about that.</i>

1180
01:13:01,577 --> 01:13:02,810
<i>But I'm still nervous</i>

1181
01:13:02,812 --> 01:13:06,047
<i>because this appointment
can go one way or another.</i>

1182
01:13:09,051 --> 01:13:11,586
<i>You know, Dr. Now
could either see this amount</i>

1183
01:13:11,588 --> 01:13:13,321
<i>as a positive or a failure.</i>

1184
01:13:15,524 --> 01:13:17,792
<i>So I'm just nervous
because I'm not sure</i>

1185
01:13:17,794 --> 01:13:19,394
<i>how this is gonna go
and what's gonna happen.</i>

1186
01:13:20,929 --> 01:13:22,230
[knocking on door]

1187
01:13:23,899 --> 01:13:25,900
- Hello.
- Hey, Dr. Now.

1188
01:13:25,902 --> 01:13:27,869
Hi, Julian.
How are you?

1189
01:13:27,871 --> 01:13:29,003
I'm doing good, and yourself?

1190
01:13:29,405 --> 01:13:30,405
Good.

1191
01:13:30,407 --> 01:13:33,574
All right, so,
where's Irma today?

1192
01:13:33,576 --> 01:13:34,942
She had to work.

1193
01:13:34,944 --> 01:13:37,311
So she miss your big
weight loss, huh?

1194
01:13:37,313 --> 01:13:38,880
Mm-hmm.

1195
01:13:38,882 --> 01:13:41,949
All right. And the last time, you
gained a little over 70 pounds.

1196
01:13:41,951 --> 01:13:43,684
So I was a little bit concerned,

1197
01:13:43,686 --> 01:13:44,986
but this time it looks like

1198
01:13:44,988 --> 01:13:46,821
you lost almost 100 pounds, huh?

1199
01:13:46,823 --> 01:13:49,657
Yeah, I guess I'm doing
something right.

1200
01:13:49,659 --> 01:13:52,126
Well, you still need
to get back more.

1201
01:13:52,128 --> 01:13:54,695
At your weight,
you should be losing more

1202
01:13:54,697 --> 01:13:55,863
if you're doing the diet.

1203
01:13:55,865 --> 01:13:57,832
But 90 pounds is a good loss

1204
01:13:57,834 --> 01:14:00,034
and shows me
you're back on track.

1205
01:14:00,036 --> 01:14:02,303
And since you're doing better

1206
01:14:02,305 --> 01:14:03,538
and you're losing some weight,

1207
01:14:03,540 --> 01:14:05,940
I'm gonna go ahead and approve
you for weight-loss surgery.

1208
01:14:05,942 --> 01:14:08,876
- Thank you.
- But I want you to stick with the diet.

1209
01:14:08,878 --> 01:14:10,978
And I'm gonna schedule
your surgery

1210
01:14:10,980 --> 01:14:12,413
for one month from now.

1211
01:14:12,415 --> 01:14:13,848
And at that time,

1212
01:14:13,850 --> 01:14:15,716
I want you to lose
30 more pounds

1213
01:14:15,718 --> 01:14:17,885
- Okay?
- All right. Yes, sir.

1214
01:14:17,887 --> 01:14:18,752
If you don't do that,

1215
01:14:18,754 --> 01:14:20,388
we're not gonna
move ahead with you

1216
01:14:20,390 --> 01:14:22,990
because the last time
we made good progress,

1217
01:14:22,992 --> 01:14:26,027
you went back
to overeating right after.

1218
01:14:26,029 --> 01:14:27,829
So you need to show me

1219
01:14:27,831 --> 01:14:30,031
you can stick with it
for a little longer.

1220
01:14:30,033 --> 01:14:31,399
- Okay.
- Well...

1221
01:14:31,401 --> 01:14:33,734
So far, you have lost
125 pounds.

1222
01:14:33,736 --> 01:14:35,203
Yeah.

1223
01:14:35,205 --> 01:14:38,406
So that's a pretty good effort that
you're doing with your eating habits.

1224
01:14:38,408 --> 01:14:39,707
So keep it up

1225
01:14:39,709 --> 01:14:41,809
and we're gonna see
what we can do with you, okay?

1226
01:14:41,811 --> 01:14:42,910
All right, thank you.

1227
01:14:42,912 --> 01:14:44,045
All right. I'll see you, then.

1228
01:14:44,047 --> 01:14:46,013
- See you.
- Okay.

1229
01:14:53,422 --> 01:14:55,089
<i>[Dr. Now] I'm proud of Julian</i>

1230
01:14:55,091 --> 01:14:56,757
<i>for putting forward
the effort he has</i>

1231
01:14:56,759 --> 01:14:57,959
over the past two months.

1232
01:14:57,961 --> 01:15:00,495
<i>It's not quite
another 100 pounds,</i>

1233
01:15:00,497 --> 01:15:02,663
<i>but it's close enough to show me</i>

1234
01:15:02,665 --> 01:15:05,433
<i>he is willing to take back
some control of his life.</i>

1235
01:15:05,435 --> 01:15:09,570
<i>And as long as he shows me he's
gonna stick with the changes he's made,</i>

1236
01:15:09,572 --> 01:15:13,241
to lose another 30 pounds this
next month, and his tests look good,

1237
01:15:13,243 --> 01:15:15,576
<i>then we will
move ahead with him.</i>

1238
01:15:15,578 --> 01:15:20,681
<i>But if he repeats history, and start
to slip again, I will cancel his surgery.</i>

1239
01:15:20,683 --> 01:15:25,820
<i>But Julian doesn't have any more
time to waste, risking his health.</i>

1240
01:15:25,822 --> 01:15:29,423
So hopefully, he continues
to take his situation seriously,

1241
01:15:29,425 --> 01:15:31,959
<i>to stay on track.</i>

1242
01:15:31,961 --> 01:15:34,829
<i>[Julian] Irma's gonna be excited
to hear the news of my surgery.</i>

1243
01:15:34,831 --> 01:15:37,198
<i>So I feel really good right now.</i>

1244
01:15:38,400 --> 01:15:40,201
<i>You know, this time,
I'm not letting nothing</i>

1245
01:15:40,203 --> 01:15:44,171
<i>lead me back
to the wrong direction,</i>

1246
01:15:44,173 --> 01:15:48,242
<i>because I'm not letting anything
get to me, to where I lose this surgery.</i>

1247
01:16:16,138 --> 01:16:19,574
<i>[Julian] I'm feeling good right
now. A little nervous, but good,</i>

1248
01:16:19,576 --> 01:16:23,678
<i>because Dr. Now said he's moving
ahead with my weight-loss surgery today.</i>

1249
01:16:23,680 --> 01:16:27,748
<i>I stayed on track enough this
month, and I'm finally in the 600s.</i>

1250
01:16:27,750 --> 01:16:30,785
<i>And that feels good,
coming down from the 800s.</i>

1251
01:16:30,787 --> 01:16:34,689
<i>So Dr. Now says I'm ready
for this, and I agree with him,</i>

1252
01:16:34,691 --> 01:16:36,891
<i>because this has been
a long time coming.</i>

1253
01:16:36,893 --> 01:16:40,061
<i>So I know
I'm very ready for this.</i>

1254
01:16:40,063 --> 01:16:42,363
<i>[Irma] I think Julian's
gonna do very well,</i>

1255
01:16:42,365 --> 01:16:44,465
<i>because he's stuck to his diet,</i>

1256
01:16:44,467 --> 01:16:46,701
even though he was like, "Babe,
I'm so hungry. I'm so hungry.

1257
01:16:46,703 --> 01:16:49,470
Like, I want to eat something."
I'm like, "Baby, well you can't.

1258
01:16:49,472 --> 01:16:54,942
<i>You have to stick to it." And
he did, and I was surprised.</i>

1259
01:16:54,944 --> 01:17:01,048
I did not think he was gonna
lose that much. But hey, he did it.

1260
01:17:01,683 --> 01:17:04,385
- I love you.
- I love you, too.

1261
01:17:05,921 --> 01:17:08,723
<i>[Julian] I'm thankful for the
chance to take a step like this,</i>

1262
01:17:08,725 --> 01:17:11,859
<i>so I can start
to get my life right.</i>

1263
01:17:11,861 --> 01:17:14,662
<i>I wanted to be able to keep my
promises to Irma and my family,</i>

1264
01:17:14,664 --> 01:17:16,897
<i>by losing the weight.</i>

1265
01:17:16,899 --> 01:17:21,002
<i>And now I'm gonna finally have
the big tube to help me do that.</i>

1266
01:17:21,004 --> 01:17:22,670
So I'm very happy right now,

1267
01:17:22,672 --> 01:17:26,407
and I'm looking forward to the
life this is gonna help bring me.

1268
01:17:26,409 --> 01:17:29,543
[nurse] All right, Julian.
This is your room.

1269
01:17:29,545 --> 01:17:33,614
<i>[Dr. Now] Today, we are attempting
to do weight-loss surgery on Julian.</i>

1270
01:17:33,616 --> 01:17:37,718
<i>But this is going to be a more
difficult operation than usual,</i>

1271
01:17:37,720 --> 01:17:41,622
<i>because of the severe hernia
that Julian still has.</i>

1272
01:17:41,624 --> 01:17:45,593
<i>And because he is still
at a very large size,</i>

1273
01:17:45,595 --> 01:17:48,195
<i>so the first issue
we have to manage with him</i>

1274
01:17:48,197 --> 01:17:51,399
<i>is securing him
safely on the table.</i>

1275
01:17:53,769 --> 01:17:58,239
<i>Now that we have secured Julian
safely, we can begin the operation.</i>

1276
01:17:58,241 --> 01:18:02,143
<i>But the second big issue
we have with him is his hernia,</i>

1277
01:18:02,145 --> 01:18:06,047
<i>and whether it prevents us from
doing what we need, at any point.</i>

1278
01:18:06,049 --> 01:18:07,581
Okay.

1279
01:18:11,787 --> 01:18:15,790
<i>So first, I'm gonna attempt to
fix his hernia as best as possible.</i>

1280
01:18:15,792 --> 01:18:16,724
[surgeon speaking]

1281
01:18:16,726 --> 01:18:18,626
<i>[Dr. Now] Then,
I will move ahead,</i>

1282
01:18:18,628 --> 01:18:23,030
<i>and attempt to do a gastric
sleeve procedure on him.</i>

1283
01:18:25,934 --> 01:18:27,301
- All right, bring the robot.
- [nurse] Yes.

1284
01:18:27,303 --> 01:18:30,638
<i>[Dr. Now] And if we are able
to complete that,</i>

1285
01:18:30,640 --> 01:18:35,476
<i>then that will give Julian an important
tool to help him continue to lose weight.</i>

1286
01:18:35,478 --> 01:18:40,815
Because what the surgery does
is reduce the stomach by 90%,

1287
01:18:40,817 --> 01:18:45,820
<i>leaving a small narrow tube
that looks similar to a sleeve.</i>

1288
01:18:45,822 --> 01:18:49,356
So the patient's food intake
is physically limited.

1289
01:18:49,358 --> 01:18:52,426
<i>And the patient is less hungry.</i>

1290
01:18:52,428 --> 01:18:57,331
So this operation will give them an
opportunity to lose even more weight.

1291
01:18:57,333 --> 01:19:01,102
<i>So this will be a big help
to keep Julian on track</i>

1292
01:19:01,104 --> 01:19:05,439
<i>while we work with him to get him to
where he is able to maintain his progress</i>

1293
01:19:05,441 --> 01:19:07,074
<i>for the long-term.</i>

1294
01:19:07,576 --> 01:19:12,379
<i>But my concern right now is not
having enough time to do both surgeries.</i>

1295
01:19:12,381 --> 01:19:15,683
<i>If the situation
with his hernia is too severe,</i>

1296
01:19:15,685 --> 01:19:18,385
<i>because at his weight,
this is a high-risk surgery,</i>

1297
01:19:18,387 --> 01:19:23,057
<i>and because of that, we want to
limit the time he is under anesthesia.</i>

1298
01:19:23,059 --> 01:19:26,393
<i>Because it could start to put
too much strain on his system,</i>

1299
01:19:26,395 --> 01:19:28,696
<i>if we keep him under too long.</i>

1300
01:19:28,698 --> 01:19:33,334
<i>So we'll have to see what's
possible to do safely with him today.</i>

1301
01:19:33,336 --> 01:19:36,170
<i>His hernia is extremely severe.</i>

1302
01:19:36,172 --> 01:19:39,740
<i>There is a lot of mess from
a previous repair that failed,</i>

1303
01:19:39,742 --> 01:19:41,475
<i>and there is
a lot of pressure on it,</i>

1304
01:19:41,477 --> 01:19:44,612
<i>from all the weight
Julian still has on his body.</i>

1305
01:19:44,614 --> 01:19:48,449
<i>So to repair it fully
and do the gastric sleeve</i>

1306
01:19:48,451 --> 01:19:50,851
<i>is gonna keep him
under anesthesia too long.</i>

1307
01:19:50,853 --> 01:19:54,622
<i>So I'm gonna have to do a
partial repair of the hernia,</i>

1308
01:19:54,624 --> 01:19:57,625
<i>and then move on
to perform the gastric sleeve,</i>

1309
01:19:57,627 --> 01:20:02,363
<i>to prevent Julian's body from
being pushed to any limits.</i>

1310
01:20:02,365 --> 01:20:06,867
<i>Because, at his weight, that
would be a very dangerous situation.</i>

1311
01:20:06,869 --> 01:20:10,704
<i>Okay, I've finished a
partial repair of the hernia,</i>

1312
01:20:10,706 --> 01:20:14,041
<i>So now I'm gonna
complete the sleeve.</i>

1313
01:20:19,881 --> 01:20:24,218
<i>All right, we are almost done
removing his stomach.</i>

1314
01:20:26,955 --> 01:20:29,590
<i>[Irma] I'm feeling tired,
I'm feeling worried.</i>

1315
01:20:29,592 --> 01:20:32,393
<i>Mostly worried than tired.</i>

1316
01:20:32,395 --> 01:20:36,697
They've been updating me
every hour, to see how he's doing.

1317
01:20:36,699 --> 01:20:39,733
Um, and I guess
they did find the hernia,

1318
01:20:39,735 --> 01:20:42,403
but I don't know if they
actually repaired it yet or not.

1319
01:20:42,405 --> 01:20:46,407
Um, and yeah.
I've been waiting here.

1320
01:20:47,943 --> 01:20:53,147
<i>I feel nervous, because, like, I don't
know how he's doing in there, and...</i>

1321
01:20:54,015 --> 01:20:55,916
<i>I'm very anxious to see Julian,</i>

1322
01:20:55,918 --> 01:20:58,252
<i>because that's the only way
I'm gonna know that he's okay.</i>

1323
01:21:12,167 --> 01:21:14,168
[equipment beeping]

1324
01:21:17,172 --> 01:21:19,406
What a long stomach.

1325
01:21:35,790 --> 01:21:38,025
Okay, all finished.

1326
01:21:40,262 --> 01:21:41,896
Julian's surgery went very well.

1327
01:21:41,898 --> 01:21:46,767
It was challenging, because he
has a, that big hernia was in the way.

1328
01:21:46,769 --> 01:21:49,303
So we have to get
a lot of adhesion done,

1329
01:21:49,305 --> 01:21:54,408
and get the pipe to the stomach,
and be able to do surgery.

1330
01:21:54,410 --> 01:21:57,711
<i>So it was more complicated
than usual, with all his issues,</i>

1331
01:21:57,713 --> 01:22:00,748
<i>but we managed to get
the sleeve gastrectomy done,</i>

1332
01:22:00,750 --> 01:22:03,617
<i>and we will finish his
hernia repair down the road,</i>

1333
01:22:03,619 --> 01:22:05,152
<i>after he has lost more weight.</i>

1334
01:22:05,154 --> 01:22:07,755
<i>But this will be
a big help for Julian,</i>

1335
01:22:07,757 --> 01:22:11,825
<i>to help keep him on track with his
weight loss, while we work with him,</i>

1336
01:22:11,827 --> 01:22:13,294
<i>and get him to where
he will be able</i>

1337
01:22:13,296 --> 01:22:15,930
<i>to maintain healthy weight
for the long-term.</i>

1338
01:22:15,932 --> 01:22:19,400
<i>Right now, he'll be on a
liquid diet for the next month.</i>

1339
01:22:19,402 --> 01:22:22,803
<i>And he should be able to lose
another 40 pounds in that time.</i>

1340
01:22:22,805 --> 01:22:28,208
Then he should be able to lose
between 25 to 30 pounds a month,

1341
01:22:28,210 --> 01:22:30,678
<i>until he starts to get closer
to his target weight.</i>

1342
01:22:30,680 --> 01:22:33,614
<i>But overall,
I think Julian has done well.</i>

1343
01:22:33,616 --> 01:22:36,583
<i>And I'm optimistic that we
will be able to work with him,</i>

1344
01:22:36,585 --> 01:22:40,254
<i>to get him to his target
weight over the next year.</i>

1345
01:22:40,256 --> 01:22:44,692
And in a place where he will be
able to maintain that for the long-term.

1346
01:22:44,694 --> 01:22:48,195
[groans softly]

1347
01:22:49,030 --> 01:22:52,132
[optimistic guitar music plays]

1348
01:23:00,976 --> 01:23:04,044
I'm so excited
that we can go out.

1349
01:23:04,112 --> 01:23:06,981
It's been years.

1350
01:23:07,515 --> 01:23:09,750
Years since you took me out.

1351
01:23:09,752 --> 01:23:11,785
<i>[Julian] Me and Irma
are going out tonight.</i>

1352
01:23:11,787 --> 01:23:15,122
<i>And with all
my progress, I'm ready.</i>

1353
01:23:15,824 --> 01:23:18,592
<i>So we're gonna go to a dinner
and a movie tonight,</i>

1354
01:23:18,594 --> 01:23:20,961
<i>and finally have a normal date.</i>

1355
01:23:22,497 --> 01:23:26,000
You always look pretty, baby.
Even without makeup.

1356
01:23:26,701 --> 01:23:28,869
Are you driving? Please
tell me you're driving, please.

1357
01:23:28,871 --> 01:23:32,740
- Yeah, I'll drive.
- Here, help me with this.

1358
01:23:32,742 --> 01:23:35,042
<i>[Julian] The weight is starting
to come off fast right now,</i>

1359
01:23:35,044 --> 01:23:37,277
<i>so I'm excited about that.</i>

1360
01:23:37,912 --> 01:23:38,479
<i>And I know I'm still big.</i>

1361
01:23:38,481 --> 01:23:40,147
[sighs] Let's go.

1362
01:23:40,448 --> 01:23:44,518
<i>And I'm still worried about fitting
into the same places other people can.</i>

1363
01:23:44,520 --> 01:23:49,356
<i>But with all I've lost, I'm feeling
better about how I'm doing.</i>

1364
01:23:51,693 --> 01:23:55,396
<i>So I'm excited about that, and
I'm gonna keep working hard,</i>

1365
01:23:55,398 --> 01:23:57,331
<i>because I don't wanna slow down.</i>

1366
01:24:01,836 --> 01:24:03,003
Thank you.

1367
01:24:07,409 --> 01:24:09,076
You're welcome, baby.

1368
01:24:12,781 --> 01:24:15,482
<i>This past year has had
a lot of trials in it,</i>

1369
01:24:15,484 --> 01:24:18,886
<i>and there was moments I
wasn't sure about doing this.</i>

1370
01:24:18,888 --> 01:24:23,924
<i>But I'm so thankful that Irma kept
pushing me forwards, so I didn't quit.</i>

1371
01:24:23,926 --> 01:24:25,526
- [Irma] Thank you.
- [Waiter] Thank you.

1372
01:24:25,528 --> 01:24:27,494
Oh, wow.

1373
01:24:27,496 --> 01:24:30,030
<i>[Julian] But now I'm looking at a
life where I can take my wife out.</i>

1374
01:24:30,032 --> 01:24:33,300
I was really sceptical
that we're gonna be this good.

1375
01:24:36,204 --> 01:24:37,838
<i>[man] Here you go.</i>

1376
01:24:37,840 --> 01:24:40,974
<i>- Theatre two, second door on the left.
- [Irma] Thank you so much.</i>

1377
01:24:41,976 --> 01:24:44,378
- [exhales] Is it good?
- Yeah, it's good.

1378
01:24:44,380 --> 01:24:46,880
- Good. Okay.
- This is good.

1379
01:24:46,882 --> 01:24:49,283
<i>And I can go out, on
my own, and get a job,</i>

1380
01:24:49,285 --> 01:24:52,686
<i>and start taking care of things.</i>

1381
01:24:52,688 --> 01:24:57,224
<i>But the biggest thing is, this is gonna
give us a chance to start a family.</i>

1382
01:24:59,761 --> 01:25:01,895
<i>I would do anything
for that to happen.</i>

1383
01:25:01,897 --> 01:25:04,565
<i>But whatever the future
has in store for us...</i>

1384
01:25:04,567 --> 01:25:08,402
<i>I'm excited to be able
to do more.</i>

1385
01:25:08,404 --> 01:25:13,407
<i>And sharing things with Irma, and
have a life I get to enjoy with her.</i>

1386
01:25:13,409 --> 01:25:16,710
<i>So I'm gonna keep my focus,
and keep working hard</i>

1387
01:25:16,712 --> 01:25:22,082
<i>so I can make her happy by
being the husband she deserves.</i>

1388
01:25:22,084 --> 01:25:24,384
<i>And I'm looking forward
to being able to do that.</i>


