1 00:00:05,586 --> 00:00:11,068 Joyce: I HAVEN'T BEEN OUT OF THE HOUSE IN OVER 3 YEARS. 2 00:00:17,103 --> 00:00:20,517 Woman SOMEWHERE IN ME IS THIS LITTLE GLIMMER OF HOPE. 3 00:00:20,517 --> 00:00:23,103 I JUST WANT TO BE A NORMAL PERSON. 4 00:00:34,034 --> 00:00:37,206 YOU CAN'T DO IT, AND THEN I JUST GET MAD. 5 00:00:37,206 --> 00:00:38,827 Woman IF I DON'T MAKE A CHANGE NOW, 6 00:00:38,827 --> 00:00:40,896 I'M SCARED IT'S GOING TO BE TOO LATE. 7 00:00:46,310 --> 00:00:47,689 IT HURTS! 8 00:00:47,689 --> 00:00:50,103 Woman I REFUSE TO STOP FIGHTING. 9 00:00:50,103 --> 00:00:52,241 I HAVE TO DO THIS FOR MY CHILDREN. 10 00:00:58,000 --> 00:01:00,034 I'M A LITTLE HUNGRY. I DIDN'T EAT ALL DAY. 11 00:01:00,034 --> 00:01:01,724 DON'T WORRY. YOU HAVE EATEN THE FOOD 12 00:01:01,724 --> 00:01:04,827 THAT BELONG TO NEXT 3 YEARS AHEAD OF TIME, OKAY? 13 00:01:04,827 --> 00:01:07,827 --Captions by VITAC-- www.vitac.com 14 00:01:07,827 --> 00:01:10,793 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 15 00:01:31,793 --> 00:01:33,620 Joyce: WHEN I WAKE UP IN THE MORNING, MY FIRST THOUGHTS 16 00:01:33,620 --> 00:01:37,551 ARE A COMBINATION OF DISGUST AT HOW MY LIFE IS NOW AND SHOCK 17 00:01:37,551 --> 00:01:40,551 THAT I WAS EVEN ABLE TO MAKE IT TO ANOTHER DAY 18 00:01:40,551 --> 00:01:41,896 BECAUSE EVERY MINUTE OF IT 19 00:01:41,896 --> 00:01:45,689 IS A STRUGGLE NOW FROM THE FIRST MOMENT TO THE LAST. 20 00:01:45,689 --> 00:01:48,413 SO I QUESTION WHY GOD EVEN WAKES ME UP... 21 00:01:51,413 --> 00:01:54,448 JUST TO GO THROUGH ANOTHER DAY LIKE THIS. 22 00:01:57,758 --> 00:01:59,551 I'M JUST A PRISONER HERE DOING NOTHING 23 00:01:59,551 --> 00:02:02,275 BECAUSE OF HOW BIG I'VE GOTTEN, 24 00:02:02,275 --> 00:02:05,034 AND MY WEIGHT MAKES IT SO HARD FOR ME TO BREATHE. 25 00:02:05,034 --> 00:02:07,482 I HAVE TO USE OXYGEN A LOT OF TIMES 26 00:02:07,482 --> 00:02:11,068 JUST TO GET THE AIR MY BODY NEEDS. 27 00:02:11,068 --> 00:02:13,103 SO I KNOW MY HEALTH IS IN A REALLY BAD PLACE 28 00:02:13,103 --> 00:02:15,000 BECAUSE OF THAT, AND IT'S AT THE POINT WHERE 29 00:02:15,000 --> 00:02:18,379 I CAN'T EVEN TAKE CARE OF MYSELF OR LIVE ON MY OWN ANYMORE. 30 00:02:18,379 --> 00:02:21,275 I HAVE TO PAY ONE OF MY FRIENDS TO BE MY CAREGIVER 31 00:02:21,275 --> 00:02:24,482 AND HELP ME DO EVERYTHING NOW. 32 00:02:24,482 --> 00:02:26,344 DAWN? 33 00:02:27,655 --> 00:02:29,068 DAWN? 34 00:02:30,793 --> 00:02:33,448 MORNING. -MORNING. 35 00:02:33,448 --> 00:02:34,620 YOU READY TO GET UP? 36 00:02:34,620 --> 00:02:36,620 I AM. 37 00:02:36,620 --> 00:02:38,689 DAWN LIVES WITH ME AND TAKES CARE OF ME, 38 00:02:38,689 --> 00:02:41,275 AND WITHOUT HER, THINGS WOULD BE EVEN WORSE 39 00:02:41,275 --> 00:02:43,413 BECAUSE I CAN'T EVEN GET OUT OF BED ON MY OWN. 40 00:02:43,413 --> 00:02:45,655 THAT'S HOW BAD OFF MY BODY IS NOW. 41 00:02:53,551 --> 00:02:55,827 AND THEN, ONCE I'M UP, I'M BARELY EVEN ABLE TO GO 42 00:02:55,827 --> 00:02:57,344 A FEW FEET AT ONE TIME. 43 00:02:57,344 --> 00:02:59,862 MY WEIGHT IS TOO MUCH FOR ME TO MOVE AROUND. 44 00:03:02,793 --> 00:03:05,413 AND I ALSO HAVE BAD LYMPHEDEMA ON MY LOWER BODY 45 00:03:05,413 --> 00:03:09,344 THAT MAKES ANY MOVEMENT OF MINE REALLY PAINFUL, 46 00:03:09,344 --> 00:03:11,620 SO I HAVE TO DO EVERYTHING RIGHT HERE IN THE SAME ROOM, 47 00:03:11,620 --> 00:03:13,862 INCLUDING GOING TO THE BATHROOM. 48 00:03:13,862 --> 00:03:19,034 SO I HAVE A PORTABLE POTTY CHAIR THAT'S NEXT TO MY BED. 49 00:03:19,034 --> 00:03:21,482 AND WHEN I'M DONE, DAWN HAS TO CLEAN ME UP, 50 00:03:21,482 --> 00:03:24,379 AND THAT'S PROBABLY THE MOST HUMILIATING PART OF MY DAY. 51 00:03:24,379 --> 00:03:27,793 OKAY. BUCKET IS READY. 52 00:03:27,793 --> 00:03:29,931 I'M GOING TO GO AHEAD AND STAND UP AND GO ON OVER. 53 00:03:29,931 --> 00:03:31,724 OKAY.YOU WANT TO HOLD THIS UP? 54 00:03:31,724 --> 00:03:33,310 YEP. 55 00:03:33,310 --> 00:03:37,344 WHAT I DO FOR JOYCE IS GET HER OUT OF BED IN THE MORNING, 56 00:03:37,344 --> 00:03:39,586 HELP HER GO TO THE BATHROOM, 57 00:03:39,586 --> 00:03:43,172 AND THEN I BATHE JOYCE PROBABLY TWO TO THREE TIMES A WEEK. 58 00:03:43,172 --> 00:03:46,413 IT'S A VERY LONG PROCESS, AND BY THE END OF IT, 59 00:03:46,413 --> 00:03:48,448 JOYCE AND I ARE BOTH EXHAUSTED. 60 00:03:51,000 --> 00:03:54,034 BATHING ME IS A VERY EXTENSIVE PROCESS 61 00:03:54,034 --> 00:03:58,517 BECAUSE OF HOW HARD IT IS TO GET TO ALL THE AREAS OF MY BODY. 62 00:03:58,517 --> 00:04:00,275 WE WASH THE LOWER PART OF MY STOMACH 63 00:04:00,275 --> 00:04:06,379 AND UNDERNEATH IT IN MY BED, BUT ONCE SHE'S DONE... 64 00:04:06,379 --> 00:04:07,689 OKAY. 65 00:04:07,689 --> 00:04:10,862 ...SHE HAS TO USE A HAIR DRYER TO DRY THOSE AREAS 66 00:04:10,862 --> 00:04:13,655 BECAUSE IF ANY MOISTURE GETS CAUGHT UNDER A FOLD, 67 00:04:13,655 --> 00:04:15,551 IT'LL GET TRAPPED THERE, AND MOLD CAUSES SORES 68 00:04:15,551 --> 00:04:17,517 THAT WILL GET INFECTED. 69 00:04:17,517 --> 00:04:21,137 BUT DAWN ALSO HAS TO RUB A ZINC-OXIDE CREAM ON ME 70 00:04:21,137 --> 00:04:23,482 TO HELP PREVENT SORES BECAUSE, 71 00:04:23,482 --> 00:04:26,275 WITHOUT IT, THE NATURAL CHAFING I HAVE UNDER MY FOLDS 72 00:04:26,275 --> 00:04:28,862 CAN START TO BREAK THE SKIN OVER TIME, 73 00:04:28,862 --> 00:04:31,068 AND I'M CONCERNED ABOUT THE SORES 74 00:04:31,068 --> 00:04:33,758 BECAUSE THAT'S ONE OF THE THINGS 75 00:04:33,758 --> 00:04:35,724 THAT HAS PUT ME IN THE HOSPITAL BEFORE. 76 00:04:35,724 --> 00:04:37,758 YOU CAN GO AHEAD AND SIT UP. 77 00:04:37,758 --> 00:04:39,931 SO YOU CAN'T RUSH ANY OF THE PROCESS, 78 00:04:39,931 --> 00:04:41,896 OR IT WILL BE REALLY BAD FOR ME. 79 00:04:44,103 --> 00:04:46,482 ONCE SHE DOES THAT, I HAVE TO MOVE BACK ON THE POTTY 80 00:04:46,482 --> 00:04:48,965 TO CLEAN MY BACKSIDE AND OTHER AREAS 81 00:04:48,965 --> 00:04:53,000 THAT GET EASILY INFECTED IF WE IGNORE THEM. 82 00:04:53,000 --> 00:04:56,517 MORE . OKAY. 83 00:04:56,517 --> 00:04:58,931 AND AFTER THAT, WE MOVE TO THE LAST LOCATION. 84 00:04:58,931 --> 00:05:00,620 OKAY. 85 00:05:04,310 --> 00:05:05,896 AND WE FINISH THE UPPER HALF OF MY BODY 86 00:05:05,896 --> 00:05:09,482 AND MY LEGS SITTING IN THE RECLINER WITH, 87 00:05:09,482 --> 00:05:11,068 LIKE, SPONGE WASHING. 88 00:05:15,310 --> 00:05:19,793 BUT THE ENTIRE BATHING PROCESS CAN TAKE CLOSE TO AN HOUR, 89 00:05:19,793 --> 00:05:22,655 AND I'M COMPLETELY PHYSICALLY AND EMOTIONALLY EXHAUSTED 90 00:05:22,655 --> 00:05:24,275 BY THE TIME I'M DONE. 91 00:05:30,482 --> 00:05:33,862 AND DAWN KNOWS I'LL BE STARVING AT THAT POINT, 92 00:05:33,862 --> 00:05:36,241 SO SHE ALWAYS HAS SOMETHING READY FOR ME TO EAT. 93 00:05:41,310 --> 00:05:44,310 I GET SO EXCITED THAT I FINALLY GET TO EAT. 94 00:05:44,310 --> 00:05:45,620 IT'S THE MOMENT I'VE BEEN LOOKING FORWARD 95 00:05:45,620 --> 00:05:48,103 TO SINCE I FINISHED MY LAST MEAL THE NIGHT BEFORE. 96 00:05:53,896 --> 00:05:58,172 THAT FIRST BITE IS THE BEST MOMENT OF MY DAY. 97 00:05:58,172 --> 00:05:59,724 WHEN I'M EATING, I THINK OF NOTHING. 98 00:05:59,724 --> 00:06:02,379 THAT'S WHAT THE BEST PART OF IT IS, 99 00:06:02,379 --> 00:06:03,413 IS WHEN I'M SITTING THERE EATING, 100 00:06:03,413 --> 00:06:04,827 I HAVE NO WORRIES ABOUT ANYTHING. 101 00:06:04,827 --> 00:06:09,172 I'M JUST THINKING ABOUT HOW GOOD THE FOOD IS. 102 00:06:09,172 --> 00:06:10,551 AND THAT'S MY LIFE. 103 00:06:10,551 --> 00:06:12,827 I'LL SIT THERE IN MY RECLINER FOR THE REST OF THE DAY, 104 00:06:12,827 --> 00:06:14,241 AND DAWN WILL BRING ME FOOD, 105 00:06:14,241 --> 00:06:16,862 AND I'LL EAT IT UNTIL IT'S TIME TO GO BACK TO BED. 106 00:06:16,862 --> 00:06:18,551 I BASICALLY JUST LIVE TO EAT NOW, 107 00:06:18,551 --> 00:06:21,793 AND I NEVER LEAVE THIS ROOM, AND THAT'S NOT GOING TO CHANGE 108 00:06:21,793 --> 00:06:25,896 UNLESS I GIVE UP FOOD AND STOP EATING LIKE THIS, BUT I CAN'T. 109 00:06:25,896 --> 00:06:29,000 IT'S WHAT MAKES WAKING UP WORTH IT FOR ME NOW. 110 00:06:29,000 --> 00:06:30,517 THE ONLY THING I CAN REALLY THINK OF 111 00:06:30,517 --> 00:06:33,965 IS IF SOMEHOW I COULD CHANGE MY PAST, 112 00:06:33,965 --> 00:06:35,827 BUT THERE'S NO WAY I CAN DO THAT. 113 00:06:43,896 --> 00:06:45,586 EARLY ON WHEN I WAS REALLY YOUNG, 114 00:06:45,586 --> 00:06:49,103 I WAS A NORMAL-SIZE CHILD. 115 00:06:49,103 --> 00:06:51,931 MY PARENTS GOT DIVORCED, LIKE, WHEN I WAS AROUND 3, 116 00:06:51,931 --> 00:06:55,206 AND MY FATHER WAS NOT PRESENT IN MY LIFE AFTER THEY DIVORCED, 117 00:06:55,206 --> 00:06:58,137 SO I WAS MOSTLY JUST WITH MY MOTHER, 118 00:06:58,137 --> 00:07:01,103 BUT THINGS CHANGED WHEN I WAS 7 BECAUSE THAT'S WHEN MY MOM 119 00:07:01,103 --> 00:07:04,413 STARTED DATING SOMEONE WHO WOULD BECOME MY STEP DAD. 120 00:07:04,413 --> 00:07:06,448 HE HAD THREE SONS AND A DAUGHTER, 121 00:07:06,448 --> 00:07:08,068 BUT WHEN THEY DECIDED TO GET MARRIED, 122 00:07:08,068 --> 00:07:09,758 MY MOM MOVED IN WITH THEM 123 00:07:09,758 --> 00:07:13,103 BUT SENT ME TO LIVE WITH MY GRANDMA. 124 00:07:13,103 --> 00:07:16,689 I FELT ABANDONED BY MY MOM LIKE SHE DIDN'T WANT ME ANYMORE. 125 00:07:18,862 --> 00:07:20,827 SO I WAS UPSET AND REALLY HURT BY THAT, 126 00:07:20,827 --> 00:07:22,517 BUT I DID LOVE BEING WITH MY GRANDMOTHER 127 00:07:22,517 --> 00:07:24,413 BECAUSE SHE GAVE ME CONSTANT ATTENTION 128 00:07:24,413 --> 00:07:25,482 AND WAS ALWAYS FEEDING ME 129 00:07:25,482 --> 00:07:26,931 AND MAKING SURE I HAD WHAT I NEEDED, 130 00:07:26,931 --> 00:07:31,034 AND I THINK THAT'S WHEN MY LOVE FOR FOOD PROBABLY STARTED, 131 00:07:31,034 --> 00:07:32,965 BUT SHE FED ME SO MUCH THAT I PUT ON 132 00:07:32,965 --> 00:07:35,965 AROUND 40 TO 50 POUNDS WHILE I WAS WITH HER. 133 00:07:35,965 --> 00:07:39,931 I WAS 8 THEN AND WAS AROUND 90 TO 100 POUNDS, 134 00:07:39,931 --> 00:07:41,206 SO I WAS GETTING BIG, 135 00:07:41,206 --> 00:07:43,034 BUT I WAS CONSTANTLY ASKING MY MOM 136 00:07:43,034 --> 00:07:45,586 WHEN I COULD GO BACK WITH HER, AND AFTER A WHILE, 137 00:07:45,586 --> 00:07:48,482 SHE EVENTUALLY HAD TO COME AND GET ME TO TAKE ME BACK, 138 00:07:48,482 --> 00:07:52,034 BUT WHEN SHE DID, SHE WAS SHOCKED AND VERY UPSET 139 00:07:52,034 --> 00:07:54,896 BECAUSE OF HOW BIG I'D GOTTEN. 140 00:07:54,896 --> 00:07:56,241 WHEN JOYCE WAS LIVING WITH MY MOTHER, 141 00:07:56,241 --> 00:08:00,379 I HAD NO IDEA MY MOTHER WAS FEEDING HER SO MUCH, 142 00:08:00,379 --> 00:08:03,241 AND WHEN I SAW JOYCE AS LARGE AS SHE WAS, 143 00:08:03,241 --> 00:08:05,172 I WAS JUST HORRIFIED, 144 00:08:05,172 --> 00:08:07,137 AND I WAS REALLY ANGRY AT MY MOTHER, 145 00:08:07,137 --> 00:08:11,517 THAT SHE HAD ALLOWED MY DAUGHTER TO GAIN THAT MUCH WEIGHT. 146 00:08:11,517 --> 00:08:13,827 Joyce: AFTER THAT, MY MOM TOOK ME BACK TO KANSAS 147 00:08:13,827 --> 00:08:15,448 TO LIVE WITH HER AND MY NEW FAMILY, 148 00:08:15,448 --> 00:08:17,620 BUT IT WASN'T HOW I THOUGHT IT'D BE THERE 149 00:08:17,620 --> 00:08:19,241 BECAUSE SHE HAD PUT ME ON A STRICT DIET 150 00:08:19,241 --> 00:08:22,068 AFTER I LEFT MY GRANDMOTHER'S, 151 00:08:22,068 --> 00:08:24,172 SO I WAS IN THIS NEW PLACE WITH A NEW FAMILY, 152 00:08:24,172 --> 00:08:26,241 AND I COULDN'T HAVE THE ONE THING THAT COULD COMFORT ME 153 00:08:26,241 --> 00:08:27,689 AND HELP ME FEEL BETTER, 154 00:08:27,689 --> 00:08:29,137 SO I WAS REALLY UPSET WITH MY MOM, 155 00:08:29,137 --> 00:08:30,379 AND FOR THE NEXT FEW YEARS, 156 00:08:30,379 --> 00:08:33,482 IT SEEMED LIKE WE WERE FIGHTING CONSTANTLY. 157 00:08:33,482 --> 00:08:36,655 THANKFULLY WHEN I WAS 12, MY MOM AND STEP DAD GOT A DIVORCE, 158 00:08:36,655 --> 00:08:38,482 AND WE MOVED OUT, 159 00:08:38,482 --> 00:08:40,517 AND I WAS SO RELIEVED TO BE OUT OF THAT HOME 160 00:08:40,517 --> 00:08:42,034 AND JUST WITH MY MOM. 161 00:08:42,034 --> 00:08:44,655 WE STILL HAD A LOT OF CONFLICT THOUGH BECAUSE SHE KEPT ME 162 00:08:44,655 --> 00:08:48,448 ON THESE ABUSIVE DIETS TO TRY TO GET ME TO LOSE WEIGHT, 163 00:08:48,448 --> 00:08:50,931 BUT IT DIDN'T HELP ME LOSE EVER BECAUSE, 164 00:08:50,931 --> 00:08:55,482 NO MATTER WHAT ANYONE DID, I'D FIND WAYS TO GET FOOD. 165 00:08:55,482 --> 00:08:56,827 AND OVER THE NEXT COUPLE OF YEARS, 166 00:08:56,827 --> 00:09:00,000 I GOT MY LICENSE AND A JOB AT A FAST-FOOD PLACE, 167 00:09:00,000 --> 00:09:02,724 AND AT THAT POINT, I WAS BEYOND MY MOM'S CONSTANT REACH. 168 00:09:02,724 --> 00:09:05,172 SHE COULDN'T STOP ME FROM EATING WHAT I WANTED, 169 00:09:05,172 --> 00:09:08,689 AND SO, AT 16, THAT'S WHEN THE WEIGHT STARTED PILING ON ME, 170 00:09:08,689 --> 00:09:10,724 BUT MY MOM COULD EVENTUALLY TELL WHAT I WAS DOING, 171 00:09:10,724 --> 00:09:12,724 AND WHEN SHE FIGURED IT OUT, SHE WAS REALLY UPSET, 172 00:09:12,724 --> 00:09:15,758 AND SHE TRIED TO GET ME TO STOP EATING. 173 00:09:15,758 --> 00:09:17,068 HER GOAL BECAME TO GET ME AWAY 174 00:09:17,068 --> 00:09:19,241 FROM WORKING AT A FAST-FOOD PLACE, 175 00:09:19,241 --> 00:09:21,551 SO SHE HELPED ME START A HOME DAYCARE CENTER. 176 00:09:21,551 --> 00:09:23,241 I WAS HESITANT TO WORK WITH MY MOM, 177 00:09:23,241 --> 00:09:27,275 BUT I COULDN'T RESIST BECAUSE THAT'S WHAT I WANTED TO DO. 178 00:09:27,275 --> 00:09:29,000 AND I LOVED IT, AND I WAS THANKFUL MY MOM 179 00:09:29,000 --> 00:09:30,448 DID THAT IN THE END, 180 00:09:30,448 --> 00:09:32,758 BUT IT STILL DIDN'T STOP ME FROM EATING LIKE I WANTED, 181 00:09:32,758 --> 00:09:34,172 AND BY THE TIME I GRADUATED HIGH SCHOOL 182 00:09:34,172 --> 00:09:38,000 AND I WAS 18, I WAS AROUND 350 POUNDS. 183 00:09:38,000 --> 00:09:40,965 AFTER HIGH SCHOOL, I WAS WORKING AT THE DAY CARE FULL-TIME, 184 00:09:40,965 --> 00:09:43,689 BUT I WAS STILL EATING JUST AS MUCH AND GAINING, 185 00:09:43,689 --> 00:09:47,827 AND BY THE TIME I WAS 20, I WAS WELL INTO THE MID-400s. 186 00:09:47,827 --> 00:09:50,275 BUT WHEN I WAS 21, I STARTED SEEING SOMEONE, 187 00:09:50,275 --> 00:09:52,448 AND WHEN THINGS STARTED TO GET SERIOUS BETWEEN US, 188 00:09:52,448 --> 00:09:54,344 I STARTED HAVING THESE NIGHTMARES WITH ME 189 00:09:54,344 --> 00:09:57,275 AND AN EVENT THAT HAPPENED WITH ONE OF MY STEPBROTHERS. 190 00:09:59,551 --> 00:10:00,896 WHEN I WAS 8, 191 00:10:00,896 --> 00:10:03,793 MY MOM AND STEP DAD LEFT MY STEPBROTHER TO BABYSIT ME. 192 00:10:03,793 --> 00:10:06,896 I WENT TO SLEEP, AND I WOKE UP WITH HIM SITTING ON MY BED, 193 00:10:06,896 --> 00:10:10,482 AND HE WAS RUBBING MY BACK, AND THAT IS THE INITIAL MEMORY 194 00:10:10,482 --> 00:10:14,862 THAT I HAD FOR YEARS UPON YEARS UPON YEARS. 195 00:10:14,862 --> 00:10:17,413 THE DREAMS ARE JUST KIND OF WHAT FOLLOWED THAT, 196 00:10:17,413 --> 00:10:20,000 ME TRYING TO FIGHT HIM OFF. 197 00:10:20,000 --> 00:10:22,379 LIKE, ONE DREAM WAS, LIKE, LITERALLY ME 198 00:10:22,379 --> 00:10:25,827 OF JUST SCRATCHING IN HIS ARMS. 199 00:10:25,827 --> 00:10:28,172 AT THAT POINT, I DIDN'T KNOW IF THEY WERE JUST DREAMS 200 00:10:28,172 --> 00:10:33,344 OR IF I WAS REALLY PIECING IT TOGETHER MYSELF OR WHAT HAPPENED 201 00:10:33,344 --> 00:10:35,931 BECAUSE IT'S ALL JUST SO DISTORTED, 202 00:10:35,931 --> 00:10:38,965 SO I WENT TO THE COMMUNITY COUNSELING CENTER 203 00:10:38,965 --> 00:10:40,206 AND WENT AND TALKED TO SOMEONE 204 00:10:40,206 --> 00:10:42,758 AND JUST TRY TO PIECE TOGETHER WHAT HAPPENED. 205 00:10:45,275 --> 00:10:48,206 I KEPT ALL OF THIS TO MYSELF. I DIDN'T TELL MY BOYFRIEND. 206 00:10:48,206 --> 00:10:49,724 I JUST BROKE UP WITH HIM. 207 00:10:49,724 --> 00:10:52,448 I DIDN'T EVEN TELL MY MOM UNTIL RECENTLY, 208 00:10:52,448 --> 00:10:54,103 BUT WHEN I TOLD HER WHAT HAD HAPPENED, 209 00:10:54,103 --> 00:10:58,241 SHE DIDN'T REALLY HAVE MUCH OF A REACTION TO IT. 210 00:10:58,241 --> 00:10:59,448 UNFORTUNATELY WHEN I TOLD HER, 211 00:10:59,448 --> 00:11:01,862 IT WAS IN THE MIDDLE OF AN ARGUMENT. 212 00:11:01,862 --> 00:11:03,793 I DIDN'T SAY IT THAT KINDLY. 213 00:11:03,793 --> 00:11:06,758 SHE JUST SAID, "YOU NEVER TOLD ME ANYTHING LIKE THAT," 214 00:11:06,758 --> 00:11:10,793 AND I SAID, "YEAH, I DIDN'T WANT TO GET EVERYBODY UPSET OR MAD," 215 00:11:10,793 --> 00:11:16,172 AND IT KIND OF WAS NOT A SUBJECT THAT KEPT ON GOING. 216 00:11:16,172 --> 00:11:18,241 AT THE TIME WHEN ALL THESE REPRESSED MEMORIES 217 00:11:18,241 --> 00:11:20,379 HAD COME BACK, I JUST TRIED TO MOVE PAST IT 218 00:11:20,379 --> 00:11:21,862 AND GET ON WITH MY LIFE. 219 00:11:21,862 --> 00:11:24,310 I FOCUSED ON BUILDING THE DAY- CARE BUSINESS WITH MY MOM, 220 00:11:24,310 --> 00:11:26,827 AND I KEPT GETTING BIGGER, AND I WAS JUST UNDER 500 221 00:11:26,827 --> 00:11:28,724 BY THE TIME I WAS 25. 222 00:11:31,172 --> 00:11:33,517 AND AROUND THAT TIME IS WHEN MY FATHER PASSED AWAY. 223 00:11:33,517 --> 00:11:36,758 HE HAD A HEART ATTACK AT 44 BECAUSE OF HIS WEIGHT, 224 00:11:36,758 --> 00:11:39,551 AND I KNEW I WOULD END UP LIKE HIM IF I DIDN'T CHANGE, 225 00:11:39,551 --> 00:11:40,862 SO I TRIED TO START CUTTING BACK 226 00:11:40,862 --> 00:11:42,275 ON WHAT I WAS EATING TO LOSE WEIGHT, 227 00:11:42,275 --> 00:11:44,482 BUT THE DAY CARE WAS GROWING, AND I WAS RUNNING IT ALL, 228 00:11:44,482 --> 00:11:46,448 SO EVERY DAY I HAD A LOT OF STRESS, 229 00:11:46,448 --> 00:11:48,620 SO FOOD ALSO HELPED ME DEAL WITH THAT. 230 00:11:48,620 --> 00:11:50,724 IT GOT SO BUSY, I ENDED UP NEEDING HELP, 231 00:11:50,724 --> 00:11:54,379 AND I HIRED MY BEST FRIEND, DAWN, TO HELP ME. 232 00:11:54,379 --> 00:11:56,793 WHEN I FIRST STARTED WORKING FOR JOYCE AT THE DAY CARE, 233 00:11:56,793 --> 00:11:58,896 IT WAS MAYBE 6 MONTHS AFTER 234 00:11:58,896 --> 00:12:01,896 WE HAD INITIALLY MET THROUGH A MUTUAL FRIEND. 235 00:12:01,896 --> 00:12:06,172 AT THE TIME, SHE COULD STILL MOVE SHORT DISTANCES 236 00:12:06,172 --> 00:12:08,206 BY HERSELF WITHOUT A WALKER, 237 00:12:08,206 --> 00:12:11,482 AND THEN JOYCE STARTED GAINING MORE AND MORE WEIGHT 238 00:12:11,482 --> 00:12:13,931 AND JUST WENT DOWNHILL. 239 00:12:16,310 --> 00:12:19,413 Joyce: I WAS IN MY MID-30s WHEN I'D GOTTEN UP TO AROUND 550, 240 00:12:19,413 --> 00:12:21,034 AND MY WEIGHT WAS GETTING TO A POINT 241 00:12:21,034 --> 00:12:23,344 WHERE IT WAS HARD FOR ME TO GET AROUND LIKE I NEEDED, 242 00:12:23,344 --> 00:12:26,206 AND THAT STARTED TO AFFECT THE DAY CARE AND MY BUSINESS 243 00:12:26,206 --> 00:12:28,206 BECAUSE IF I CAN'T REACT FAST TO SOMETHING, 244 00:12:28,206 --> 00:12:30,275 IT COULD BE DANGEROUS FOR THE KIDS, 245 00:12:30,275 --> 00:12:32,586 SO EVENTUALLY IT GOT TO A POINT WHERE I WAS TOO BIG, 246 00:12:32,586 --> 00:12:35,965 AND I HAD TO CLOSE IT, AND IT WAS HEARTBREAKING FOR ME. 247 00:12:38,275 --> 00:12:39,724 AND THEN, A FEW YEARS LATER, 248 00:12:39,724 --> 00:12:42,793 I STARTED DEVELOPING A REALLY BAD LYMPHEDEMA ON MY LOWER BODY, 249 00:12:42,793 --> 00:12:44,551 AND THAT COMBINED WITH MY WEIGHT 250 00:12:44,551 --> 00:12:47,448 CAUSED ME TO BE BEDRIDDEN WHEN I WAS 38, 251 00:12:47,448 --> 00:12:49,172 AND I HAD TO HIRE DAWN TO MOVE IN WITH ME 252 00:12:49,172 --> 00:12:51,275 AND BECOME MY CARETAKER. 253 00:12:51,275 --> 00:12:54,241 Dawn: AS TIME HAD PASSED, JOYCE NEEDED SOME EXTRA HELP, 254 00:12:54,241 --> 00:12:57,206 SO I ENDED UP MOVING INTO THE HOUSE, 255 00:12:57,206 --> 00:13:00,551 LIKE, A PERMANENT FIXTURE IN THE HOUSE. 256 00:13:00,551 --> 00:13:06,551 I HAVEN'T BEEN OUT OF THE HOUSE IN OVER 3 YEARS. 257 00:13:06,551 --> 00:13:07,965 I'M ALREADY 44, 258 00:13:07,965 --> 00:13:10,206 AND I'M THE AGE NOW THAT MY DAD WAS WHEN HE DIED, 259 00:13:10,206 --> 00:13:13,241 AND I THINK I'M EVEN BIGGER THAN HE WAS AT THIS AGE, 260 00:13:13,241 --> 00:13:17,241 SO I'M TERRIFIED THAT I'M CLOSE TO DYING RIGHT NOW 261 00:13:17,241 --> 00:13:18,793 AND THAT I'M GOING TO DIE BEFORE MY TIME 262 00:13:18,793 --> 00:13:20,551 BECAUSE I LET FOOD KILL ME. 263 00:13:26,689 --> 00:13:28,689 HI, JOYCE.HEY, MOM. 264 00:13:28,689 --> 00:13:30,310 COME ON, BEDBO. 265 00:13:34,482 --> 00:13:36,172 I CAN START THE LASAGNA. 266 00:13:36,172 --> 00:13:37,931 MM. 267 00:13:37,931 --> 00:13:41,275 I KNOW MY FAMILY AND DAWN ARE ALL WORRIED ABOUT ME TOO, 268 00:13:41,275 --> 00:13:44,551 AND THEY DON'T THINK I'M GOING TO MAKE IT MUCH LONGER, 269 00:13:44,551 --> 00:13:47,482 BUT JUST LIKE ME, THEY KEEP DOING WHAT THEY'VE BEEN DOING 270 00:13:47,482 --> 00:13:50,344 AND HELP ME EAT THE STUFF I'M NOT SUPPOSED TO HAVE NOW, 271 00:13:52,551 --> 00:13:54,689 AND I KNOW WHEN I DO THAT, MY MOM IS JUDGING ME 272 00:13:54,689 --> 00:13:57,241 WHEN I EAT A LOT, BUT AS MUCH AS IT BOTHERS ME, 273 00:13:57,241 --> 00:13:59,241 THERE'S PART OF ME WHERE I DON'T CARE. 274 00:13:59,241 --> 00:14:02,344 I ALMOST KIND OF HAVE THE ATTITUDE OF, LIKE, DUH, 275 00:14:02,344 --> 00:14:05,793 I DON'T GET THIS BIG EATING SMALL AMOUNTS, 276 00:14:05,793 --> 00:14:08,275 SO WHY WOULD YOU EXPECT ME TO DO SO? 277 00:14:08,275 --> 00:14:11,310 SO I JUST WANT TO SAY, YOU KNOW, "SHUT UP AND GIVE ME THE FOOD 278 00:14:11,310 --> 00:14:14,448 AND THEN LEAVE IF YOU HAVE A PROBLEM WITH IT." 279 00:14:14,448 --> 00:14:16,103 SOMETIMES WHEN I SEE JOYCE 280 00:14:16,103 --> 00:14:18,241 EATING LARGE AMOUNTS OF FOOD, I'M LIVID. 281 00:14:18,241 --> 00:14:22,034 I'M JUST LIVID, BUT I'M REALLY ALWAYS REALLY FEARFUL. 282 00:14:22,034 --> 00:14:26,793 I LIVE IN A LOT OF FEAR BECAUSE I JUST...I JUST... 283 00:14:33,931 --> 00:14:36,172 I JUST FEEL LIKE SHE'S GOING TO DIE 284 00:14:36,172 --> 00:14:40,034 AND THAT THERE'S NOTHING I CAN DO ABOUT IT. 285 00:14:42,344 --> 00:14:45,482 HERE YOU GO.THANKS. 286 00:14:45,482 --> 00:14:47,965 THAT LOOKS GOOD.IT DOES LOOK GOOD. 287 00:14:51,551 --> 00:14:54,137 Dawn: I THINK JOYCE IS AT THE POINT NOW WHERE SHE KNOWS 288 00:14:54,137 --> 00:14:56,344 SHE REALLY DOES HAVE TO DO SOMETHING. 289 00:14:56,344 --> 00:14:59,448 JOYCE CAN'T GO ON MUCH LONGER LIKE THIS. 290 00:14:59,448 --> 00:15:01,103 IT'S GOING TO KILL HER. 291 00:15:03,206 --> 00:15:05,758 Joyce: I KNOW I CAN'T KEEP DOING THIS FOR MUCH LONGER. 292 00:15:05,758 --> 00:15:08,241 EVEN IF I LIVE PAST MY 45th BIRTHDAY, 293 00:15:08,241 --> 00:15:09,655 SOMETHING HAS TO CHANGE SOON 294 00:15:09,655 --> 00:15:11,758 BECAUSE MY ADDICTION TO FOOD IS KILLING ME, 295 00:15:11,758 --> 00:15:14,241 AND IT'S TAKING EVERYTHING. 296 00:15:14,241 --> 00:15:16,620 AND THE WORLD IS JUST PASSING ME BY. 297 00:15:16,620 --> 00:15:18,482 I WATCH ON SOCIAL MEDIA THE WHOLE WORLD 298 00:15:18,482 --> 00:15:21,413 HAPPENING AROUND ME, AND I'M SITTING HERE. 299 00:15:21,413 --> 00:15:24,793 AND IT MAKES ME SO, SO SAD, BUT NONE OF MY SADNESS OR FEAR 300 00:15:24,793 --> 00:15:27,482 HAS BEEN ENOUGH TO MAKE ME STOP FROM EATING, 301 00:15:27,482 --> 00:15:31,241 AND I'M AT A POINT NOW WHERE I JUST DON'T KNOW WHAT TO DO. 302 00:15:31,241 --> 00:15:34,413 Joyce I ALWAYS WISH THAT THERE WAS JUST A PILL THAT SHE COULD TAKE 303 00:15:34,413 --> 00:15:38,827 AND THAT SHE WOULDN'T, YOU KNOW, HAVE THIS HORRIBLE ADDICTION. 304 00:15:40,551 --> 00:15:43,068 Joyce: I KNOW I'M CLOSE TO A BREAKING POINT, 305 00:15:43,068 --> 00:15:46,103 AND THERE'S NOTHING I CAN DO ABOUT IT BECAUSE I CAN'T STOP, 306 00:15:46,103 --> 00:15:47,931 AND I DON'T KNOW HOW TO CHANGE TO GET TO 307 00:15:47,931 --> 00:15:51,206 WHERE I WON'T END UP EATING TO WHERE IT KILLS ME. 308 00:15:51,206 --> 00:15:52,620 SO IT'S INEVITABLE AT THIS POINT 309 00:15:52,620 --> 00:15:54,206 THAT I EITHER FIND SOME SORT OF HELP, 310 00:15:54,206 --> 00:15:56,310 OR NOTHING ELSE IS GOING TO HAPPEN BUT DEATH. 311 00:16:18,931 --> 00:16:20,344 Joyce: I CALLED DR. NOW IN HOUSTON 312 00:16:20,344 --> 00:16:23,344 TO TRY TO GET HELP WITH MY WEIGHT BEFORE IT'S TOO LATE. 313 00:16:23,344 --> 00:16:25,689 I CALLED ALL THE LOCAL DOCTORS, AND NONE OF THEM ARE EVEN 314 00:16:25,689 --> 00:16:29,103 WILLING TO TRY AND HELP ME, SO GOING ALL THE WAY TO TEXAS 315 00:16:29,103 --> 00:16:31,482 IS MY ONLY OPTION, AND I'M TERRIFIED ABOUT IT 316 00:16:31,482 --> 00:16:34,586 BECAUSE THIS ISN'T GOING TO BE EASY AT ALL. 317 00:16:34,586 --> 00:16:37,068 MY BIGGEST PROBLEM IS GETTING THERE, BUT DR. NOW 318 00:16:37,068 --> 00:16:38,620 IS TRYING TO SET UP A TRANSPORT FOR ME 319 00:16:38,620 --> 00:16:42,896 TO TAKE ALL THE WAY TO TEXAS, AND I'M REALLY HOPING HE CAN, 320 00:16:42,896 --> 00:16:44,551 BUT THERE'S NO WAY FOR ME TO COME BACK 321 00:16:44,551 --> 00:16:45,931 OR MAKE THE TRIP AGAIN, 322 00:16:45,931 --> 00:16:48,965 SO THE WAY I FIGURE IT, THIS IS A ONE-WAY TRIP FOR ME, 323 00:16:48,965 --> 00:16:52,103 SO THAT MAKES THIS EVEN SCARIER, BUT 324 00:16:52,103 --> 00:16:53,724 DAWN IS WILLING TO BE DOWN THERE WITH ME 325 00:16:53,724 --> 00:16:57,206 FOR AS LONG AS I NEED TO HELP ME AND TAKE CARE OF ME, 326 00:16:57,206 --> 00:16:59,103 AND SHE'S ALSO PACKING UP ALL OUR STUFF 327 00:16:59,103 --> 00:17:00,724 AND TRYING TO GET EVERYTHING TAKEN CARE OF 328 00:17:00,724 --> 00:17:03,862 SO WE CAN BE FREE AND CLEAR TO MOVE DOWN. 329 00:17:03,862 --> 00:17:06,724 SO POOR DAWN IS DOING PRETTY MUCH ALL OF THE WORK. 330 00:17:09,448 --> 00:17:11,206 Dawn: I AM PREPARING TO GET 331 00:17:11,206 --> 00:17:13,586 JOYCE AND I MOVED DOWN TO HOUSTON. 332 00:17:13,586 --> 00:17:16,137 JOYCE HASN'T BEEN ABLE TO PHYSICALLY HELP ME PACK, 333 00:17:16,137 --> 00:17:17,620 SO IT'S BEEN HARD, 334 00:17:17,620 --> 00:17:20,379 BUT IT IS JOYCE'S LAST CHANCE TO GET THE HELP SHE NEEDS, 335 00:17:20,379 --> 00:17:23,551 AND IF THERE'S ANYTHING THAT I CAN DO FOR JOYCE 336 00:17:23,551 --> 00:17:27,758 TO GET BETTER, I'M GOING TO DO IT. 337 00:17:27,758 --> 00:17:30,586 Joyce: DOING THIS IS A HUGE ACT OF FAITH AND TRUST, 338 00:17:30,586 --> 00:17:33,172 BUT IT'S MY LAST HOPE AND OPTION, 339 00:17:33,172 --> 00:17:35,862 AND I EITHER DO THIS OR DIE SOON, 340 00:17:35,862 --> 00:17:37,620 SO I'M CONFIDENT ABOUT THIS CHOICE, 341 00:17:37,620 --> 00:17:40,724 BUT I STILL FEEL REALLY SCARED. 342 00:17:40,724 --> 00:17:43,413 UPROOTING MY ENTIRE LIFE HERE IS SCARY, 343 00:17:43,413 --> 00:17:46,206 BUT I'M FINDING THE COURAGE TO DO THIS BECAUSE IT'S THE SHOT 344 00:17:46,206 --> 00:17:49,172 THAT I HAVE TO TAKE TO BE ABLE TO LIVE. 345 00:17:49,172 --> 00:17:50,724 BUT MY MOM AND AUNT ARE COMING TODAY 346 00:17:50,724 --> 00:17:52,448 TO SUPPORT ME IN THIS CHOICE 347 00:17:52,448 --> 00:17:55,241 EVEN THOUGH THEY DON'T WANT ME TO LEAVE. 348 00:17:55,241 --> 00:17:56,689 HI, JOYCE. 349 00:17:56,689 --> 00:17:59,655 -HI. -HELLO THERE. 350 00:17:59,655 --> 00:18:01,793 HI! HOW ARE YOU? 351 00:18:01,793 --> 00:18:05,103 GOOD, GOOD, GOOD. 352 00:18:05,103 --> 00:18:06,862 HOW ARE YOU?GOOD. HOW ARE YOU? 353 00:18:06,862 --> 00:18:09,448 GOOD.COME IN. SIT DOWN. 354 00:18:09,448 --> 00:18:11,137 Lucille: SO HOW ARE YOU FEELING? 355 00:18:11,137 --> 00:18:12,172 I'M DOING GOOD. 356 00:18:12,172 --> 00:18:13,586 YOU LOOK GOOD. 357 00:18:13,586 --> 00:18:15,172 YEAH, NOT TOO BAD. 358 00:18:17,172 --> 00:18:18,310 YOUR NEW JOURNEY, RIGHT? 359 00:18:18,310 --> 00:18:20,034 MM-HMM. 360 00:18:20,034 --> 00:18:22,413 IT'LL BE REALLY GOOD. 361 00:18:22,413 --> 00:18:25,034 HOW ARE YOU FEELING ABOUT ALL THIS? 362 00:18:25,034 --> 00:18:27,896 IT REALLY IS A BIG RISK, YOU KNOW? 363 00:18:27,896 --> 00:18:31,758 IT IS A RISK, BUT, I MEAN, WHAT ARE MY... 364 00:18:31,758 --> 00:18:33,206 THIS IS KIND OF LIKE THE END, YOU KNOW? 365 00:18:33,206 --> 00:18:35,931 IF I DON'T DO THIS, THEN IT'S JUST KIND OF WAITING 366 00:18:35,931 --> 00:18:38,137 UNTIL MY BODY GIVES OUT, 367 00:18:38,137 --> 00:18:42,068 AND I'M NOT HERE, SO IT'S WORTH THE RISK TO ME. 368 00:18:42,068 --> 00:18:43,931 TEST ALSO. 369 00:18:43,931 --> 00:18:45,275 MM-HMM.WE FEEL THE SAME WAY. 370 00:18:45,275 --> 00:18:47,379 THIS IS LIKE YOUR LAST CHANCE. 371 00:18:49,931 --> 00:18:52,724 Lucille: JOYCE HAS TO MAKE THE CHANGES TO SAVE HER LIFE. 372 00:18:52,724 --> 00:18:55,827 SHE HAS TO. SHE HAS NO OTHER CHOICE TO BE HONEST WITH YOU. 373 00:18:55,827 --> 00:18:59,689 BUT MY HOPE FOR JOYCE'S FUTURE IS FOR HER TO GET HER LIFE BACK, 374 00:18:59,689 --> 00:19:02,206 TO BE ABLE TO DO ALL THE THINGS THAT SHE LOVES 375 00:19:02,206 --> 00:19:04,172 BECAUSE SHE DESERVES THE BEST. 376 00:19:06,241 --> 00:19:08,034 Joyce: IT MEANS A LOT FOR MY MOM AND AUNT TO COME OVER 377 00:19:08,034 --> 00:19:09,862 AND SHOW ME SUPPORT AND LOVE. 378 00:19:09,862 --> 00:19:13,724 THEY KNOW I NEED IT RIGHT NOW BECAUSE I'M REALLY SCARED. 379 00:19:13,724 --> 00:19:15,344 THIS IS GOING TO BE ONE OF THE HARDEST THINGS 380 00:19:15,344 --> 00:19:17,172 I'VE EVER DONE IN MY LIFE, 381 00:19:17,172 --> 00:19:18,379 AND IT'S GOING TO TAKE EVERYTHING 382 00:19:18,379 --> 00:19:21,413 I HAVE PHYSICALLY AND EMOTIONALLY TO DO IT. 383 00:19:29,517 --> 00:19:32,689 YOU HAVE EVERYTHING PACKED? 384 00:19:32,689 --> 00:19:35,482 HAVE A FEW LITTLE STUFF TO PUT HERE OR THERE BUT NOT MUCH. 385 00:19:35,482 --> 00:19:37,448 OKAY. LET ME THROW THIS OUT THERE. 386 00:19:40,620 --> 00:19:42,793 I GOT THE CALL LAST NIGHT FROM DR. NOW 387 00:19:42,793 --> 00:19:44,758 THAT A MEDICAL TRANSPORT WILL BE HERE TO PICK ME UP 388 00:19:44,758 --> 00:19:48,206 AT 5 A.M. TODAY TO TAKE ME ALL THE WAY TO HOUSTON. 389 00:19:48,206 --> 00:19:49,551 IT'S GOING TO BE A STRAIGHT DRIVE, 390 00:19:49,551 --> 00:19:52,586 BUT IT'S STILL GOING TO BE REALLY LONG. 391 00:19:52,586 --> 00:19:54,724 IT'S ABOUT A 12-HOUR TRIP TO HOUSTON, 392 00:19:54,724 --> 00:19:58,827 AND I'M AFRAID I'M GOING TO BE IN PAIN FOR THE ENTIRE TRIP. 393 00:19:58,827 --> 00:20:01,310 AND THEN I'M REALLY WORRIED THAT THEY'RE GOING TO HAVE 394 00:20:01,310 --> 00:20:03,862 A HARD TIME GETTING ME IN THE TRANSPORT. 395 00:20:03,862 --> 00:20:06,620 IT'S BAD WEATHER, AND IF THEY'RE NOT GOING TO BE ABLE 396 00:20:06,620 --> 00:20:08,000 TO GET ME IN THE VEHICLE, 397 00:20:08,000 --> 00:20:09,275 THEN I'M GOING TO BE OUT IN THE ELEMENTS, 398 00:20:09,275 --> 00:20:12,275 AND THAT'S MAKING ME VERY NERVOUS. 399 00:20:12,275 --> 00:20:15,000 AND I JUST HAVE TO TRUST THIS IS GOING TO BE WORTH IT. 400 00:20:17,448 --> 00:20:19,896 GOOD MORNING. 401 00:20:19,896 --> 00:20:21,965 PRETTY GOOD. 402 00:20:31,172 --> 00:20:32,482 OKAY. 403 00:20:37,482 --> 00:20:40,275 -THAT'LL WORK. -YOU NEED HELP GETTING UP? 404 00:20:40,275 --> 00:20:41,896 Joyce: OH, NO. 405 00:20:45,724 --> 00:20:48,827 Man: YOU DO PRETTY GOOD. 406 00:20:48,827 --> 00:20:51,862 YOU WANT TO COME OVER TOWARDS ME SOME MORE. 407 00:20:51,862 --> 00:20:53,379 THERE YOU GO. 408 00:20:53,379 --> 00:20:56,310 SIT STRAIGHT BACK. GOOD. 409 00:20:56,310 --> 00:20:58,448 AND YOU SCOOT YOUR BUTT AS FAR BACK AS YOU CAN. 410 00:20:58,448 --> 00:21:00,137 THIS IS IT BECAUSE I HAVE A LYMPHEDEMA. 411 00:21:00,137 --> 00:21:01,793 THIS IS IT? IT'S ALRIGHT. 412 00:21:01,793 --> 00:21:03,068 THEY'RE GOING TO GET YOU LEGS, WE'RE GOING TO SWING THEM OVER. 413 00:21:03,068 --> 00:21:04,758 I'M GOING TO TRY AND SUPPORT YOUR BACK. 414 00:21:04,758 --> 00:21:06,310 WE GOT THIS. 415 00:21:06,310 --> 00:21:07,793 THERE WE GO. OKAY. 416 00:21:07,793 --> 00:21:10,413 WE READY? -ONE, TWO, THREE. 417 00:21:10,413 --> 00:21:12,206 I GOT YOU. HOLD ONTO ME. HOLD ONTO ME. 418 00:21:12,206 --> 00:21:14,448 OKAY. JUST SLOW AND EASY. 419 00:21:16,586 --> 00:21:18,310 THERE YOU GO. 420 00:21:18,310 --> 00:21:20,517 HERE. GRAB MY ARM. THERE YOU GO. 421 00:21:20,517 --> 00:21:22,103 THERE. 422 00:21:22,103 --> 00:21:23,517 -ALRIGHT. -ALRIGHT. 423 00:21:23,517 --> 00:21:25,344 -YES. -ALRIGHT. 424 00:21:25,344 --> 00:21:27,517 -THE RIGHT SIDE POCKET. -I DON'T FEEL BALANCED. 425 00:21:30,000 --> 00:21:31,068 -DON'T WORRY. -YOU'RE NOT. I PROMISE. 426 00:21:31,068 --> 00:21:32,482 -JUST TAKE DEEP BREATHS. -HEY. WE GOT YOU. 427 00:21:32,482 --> 00:21:35,413 -DEEP BREATHS. -WE GOT YOU. 428 00:21:35,413 --> 00:21:36,724 Joyce: OH. 429 00:21:36,724 --> 00:21:39,689 THIS IS SO MUCH SCARIER THAN I WAS EVEN IMAGINING, 430 00:21:39,689 --> 00:21:42,068 AND I'M JUST TERRIFIED THAT THIS ISN'T GOING TO WORK, 431 00:21:42,068 --> 00:21:45,586 AND SOMETHING'S GOING TO GO WRONG. 432 00:21:45,586 --> 00:21:47,655 Man: SLOW, SLOW, SLOW, SLOW, SLOW. 433 00:21:47,655 --> 00:21:48,965 DON'T PUSH. -WE'RE NOT. 434 00:21:48,965 --> 00:21:50,344 -OKAY. -WE'RE PULLING. 435 00:21:50,344 --> 00:21:51,448 MAKE IT STRAIGHT. 436 00:21:51,448 --> 00:21:52,862 CAN SOMEONE HOLD MY HAND, ANOTHER PERSON? 437 00:21:52,862 --> 00:21:55,413 -I GOT YOU. -I'M RIGHT HERE. 438 00:21:55,413 --> 00:21:57,586 JUST WANT YOU TO HOLD HER HAND. 439 00:21:57,586 --> 00:21:59,344 -AH. -IT'S OKAY. 440 00:21:59,344 --> 00:22:02,448 -OH. -HEY, THAT WAS JUST YOUR CURB. 441 00:22:02,448 --> 00:22:04,862 THIS TRIP IS A PRETTY BIG DEAL FOR BOTH 442 00:22:04,862 --> 00:22:08,206 JOYCE AND I, SO I'M STRESSED AND ANXIOUS, 443 00:22:08,206 --> 00:22:10,655 BUT I'M VERY READY TO SUPPORT HER, 444 00:22:10,655 --> 00:22:13,586 AND SHE'S GOING TO BE IN FRONT OF ME ON THE MEDICAL TRANSPORT. 445 00:22:13,586 --> 00:22:15,206 Man: ONE, TWO, THREE. 446 00:22:17,827 --> 00:22:21,586 SO THAT WAY, IF THERE'S ANYTHING THAT IHAVE TO HELP WITH, 447 00:22:21,586 --> 00:22:23,275 I CAN GO HELP JOYCE. 448 00:22:23,275 --> 00:22:25,103 I'M JUST PRAYING THAT IT'S SMOOTH FOR HER, 449 00:22:25,103 --> 00:22:26,206 THAT SHE JUST GETS THERE, 450 00:22:26,206 --> 00:22:29,241 AND THERE'S NO PROBLEMS WITH ANYTHING. 451 00:22:29,241 --> 00:22:31,103 -LOVE YOU. -I LOVE YOU. 452 00:22:33,206 --> 00:22:34,344 YOU'RE IN GOOD HANDS. 453 00:22:34,344 --> 00:22:36,137 THESE GUYS ARE GOING TO TAKE CARE OF YOU. 454 00:22:42,482 --> 00:22:44,620 Joyce: I'M ALREADY IN SO MUCH PAIN, 455 00:22:44,620 --> 00:22:48,103 AND THIS IS JUST THE START OF THE WHOLE DRIVE AND JOURNEY, 456 00:22:48,103 --> 00:22:51,482 SO I DON'T KNOW HOW MUCH LONGER I'M GOING TO BE ABLE TO DO THIS 457 00:22:51,482 --> 00:22:54,172 AND WHAT I'M GOING TO DO IF THIS GETS TO BE TOO MUCH FOR ME. 458 00:23:03,896 --> 00:23:05,379 -HELLO? -HI. 459 00:23:05,379 --> 00:23:07,413 DID YOU TAKE A DIFFERENT ROUTE? 460 00:23:10,827 --> 00:23:14,206 AH. 461 00:23:14,206 --> 00:23:17,000 ALRIGHT. JUST KEEP ME POSTED. 462 00:23:17,000 --> 00:23:19,310 OKAY. BYE. 463 00:23:19,310 --> 00:23:21,862 WE'VE ONLY BEEN ON THE ROAD FOR A LITTLE BIT, 464 00:23:21,862 --> 00:23:23,586 LESS THAN AN HOUR, I THINK. 465 00:23:27,413 --> 00:23:29,827 THIS IS HORRIBLE. 466 00:23:29,827 --> 00:23:32,827 DAWN WAS SUPPOSED TO STAY BEHIND US TO HELP ME IF I NEEDED, 467 00:23:32,827 --> 00:23:36,758 AND SHE'S NOT, SO I'M REALLY, REALLY SCARED RIGHT NOW 468 00:23:36,758 --> 00:23:38,862 BECAUSE I DON'T KNOW HOW I'M GOING TO HANDLE THIS 469 00:23:38,862 --> 00:23:42,344 AND DO WHAT I NEED TO BE ABLE TO MAKE IT TO HOUSTON. 470 00:23:42,344 --> 00:23:43,758 IT'S JUST TOO MUCH FOR ME, 471 00:23:43,758 --> 00:23:46,068 AND I DON'T THINK I'M GOING TO BE ABLE TO DO IT. 472 00:24:06,379 --> 00:24:08,413 Dr. Nowzaradan: RIGHT NOW, WE ARE EXPECTING THE ARRIVAL 473 00:24:08,413 --> 00:24:10,965 OF JOYCE DEL VISCO VERY SOON. 474 00:24:10,965 --> 00:24:14,000 WE WERE ABLE TO ARRANGE A MEDICAL TRANSPORT FOR HER 475 00:24:14,000 --> 00:24:17,034 BECAUSE, WITH HOW POOR THE STATE OF HER HEALTH SOUNDS, 476 00:24:17,034 --> 00:24:20,620 SHE LIKELY WOULDN'T HAVE BEEN ABLE TO DO THIS TRIP ON HER OWN 477 00:24:20,620 --> 00:24:23,448 WITHOUT SUFFERING A MEDICAL EMERGENCY. 478 00:24:23,448 --> 00:24:26,482 THIS HAS STILL BEEN A VERY LONG TRIP FOR HER, 479 00:24:26,482 --> 00:24:27,931 SO ONCE SHE ARRIVES, 480 00:24:27,931 --> 00:24:30,758 WE NEED TO GET HER IN QUICKLY AND START RUNNING THE TESTS 481 00:24:30,758 --> 00:24:33,482 WE NEED TO DETERMINE THE STATE OF HER CONDITION 482 00:24:33,482 --> 00:24:35,896 AND IF THERE ARE ANY LIFE-THREATENING ISSUES 483 00:24:35,896 --> 00:24:37,517 WE NEED TO ADDRESS. 484 00:24:50,620 --> 00:24:53,620 HI, JOYCE. -HI, DR. NOW. 485 00:24:53,620 --> 00:24:54,896 HOW YOU DOING? 486 00:24:54,896 --> 00:24:56,965 I'M IN A LOT OF PAIN. 487 00:24:56,965 --> 00:24:58,137 ALRIGHT. 488 00:24:58,137 --> 00:24:59,413 WE'RE GOING TO GET YOU IN REAL QUICK 489 00:24:59,413 --> 00:25:00,689 AND CHECK YOU OUT, OKAY? 490 00:25:00,689 --> 00:25:02,344 OKAY. THANK YOU. 491 00:25:06,896 --> 00:25:09,241 JOYCE'S CONDITION LOOKS TO ALREADY BE 492 00:25:09,241 --> 00:25:10,793 SEVERELY DETERIORATED, 493 00:25:10,793 --> 00:25:13,689 AND SHE LIKELY DOESN'T HAVE MUCH TIME BEFORE THINGS 494 00:25:13,689 --> 00:25:15,344 GET EVEN WORSE FOR HER. 495 00:25:18,379 --> 00:25:21,689 I DON'T FEEL SECURE, GUYS. 496 00:25:31,379 --> 00:25:34,413 SO UNTIL THEN, WE HAVE A LOT WE NEED TO ADDRESS WITH HER 497 00:25:34,413 --> 00:25:36,068 AND NOT A LOT OF TIME TO DO IT 498 00:25:36,068 --> 00:25:38,862 BEFORE SHE GETS TO A VERY CRITICAL POINT 499 00:25:38,862 --> 00:25:41,896 WE MAY NOT BE ABLE TO PULL HER BACK FROM. 500 00:25:41,896 --> 00:25:44,344 GOING TO GET YOU IN THERE FIRST. WE'LL GET YOUR STUFF AFTER. 501 00:25:44,344 --> 00:25:46,448 OKAY. 502 00:25:46,448 --> 00:25:47,862 I HOPE I CAN USE THE BATHROOM. 503 00:25:47,862 --> 00:25:51,896 I HAVEN'T USED IT ALL DAY. 504 00:26:00,172 --> 00:26:02,758 Man: THAT WAY. 505 00:26:16,620 --> 00:26:18,482 UH-HUH. 506 00:26:18,482 --> 00:26:19,758 -YOU'RE NOT FALLING. -WE GOT YOU. WE GOT YOU. -YOU'RE NOT FALLING. 507 00:26:19,758 --> 00:26:21,241 -NO, YOU'RE NOT. -WE GOT YOU. 508 00:26:21,241 --> 00:26:24,413 -OKAY. -EVERYBODY LOCKED? 509 00:26:24,413 --> 00:26:28,103 LET'S COUNT. ONE, TWO, THREE. 510 00:26:28,103 --> 00:26:29,758 OKAY. 511 00:26:29,758 --> 00:26:31,241 ALRIGHT. HEAD'S COMING UP. 512 00:26:31,241 --> 00:26:32,931 HOW YOU DOING, DOLL? 513 00:26:32,931 --> 00:26:35,275 I'M DOING OKAY. 514 00:26:35,275 --> 00:26:37,689 HOW DO YOU FEEL YOU'RE POSITIONED? 515 00:26:37,689 --> 00:26:39,655 I'M FEELING LIKE I'M LEANING THAT WAY. 516 00:26:39,655 --> 00:26:42,517 Man 517 00:26:42,517 --> 00:26:43,965 MUCH BETTER. 518 00:26:43,965 --> 00:26:45,655 -AWESOME. -OKAY. 519 00:26:45,655 --> 00:26:46,862 Dr. Nowzaradan: THANK YOU SO MUCH. 520 00:26:46,862 --> 00:26:48,413 OKAY. THANK YOU. 521 00:26:48,413 --> 00:26:51,034 YOU'RE ANGELS. -MUCH BETTER. 522 00:26:53,620 --> 00:26:57,103 ALRIGHT. NOW THAT WE GOT YOU INSIDE, ARE YOU FEELING OKAY? 523 00:26:57,103 --> 00:26:58,689 FEELING MUCH BETTER NOW. 524 00:26:58,689 --> 00:27:00,137 DO YOU HAVE ANY PAIN ANYWHERE? 525 00:27:00,137 --> 00:27:02,275 JUST A LITTLE BIT, LIKE, RESIDUAL PAIN 526 00:27:02,275 --> 00:27:04,344 FROM BEING IN PAIN FOR SO LONG. 527 00:27:04,344 --> 00:27:06,344 WE'LL GET YOU FEELING BETTER REAL SOON. 528 00:27:06,344 --> 00:27:07,827 OKAY. THANK YOU. 529 00:27:07,827 --> 00:27:09,068 MM. ALRIGHT. 530 00:27:09,068 --> 00:27:11,655 AND NO SHORTNESS OF BREATH? 531 00:27:11,655 --> 00:27:12,931 LITTLE BIT, YEAH. 532 00:27:12,931 --> 00:27:15,275 IT'S HARD FOR ME TO TAKE A DEEP BREATH RIGHT NOW. 533 00:27:15,275 --> 00:27:19,275 OKAY. LET ME LISTEN TO YOUR LUNGS. 534 00:27:19,275 --> 00:27:24,620 TAKE A DEEP BREATH. ALRIGHT. 535 00:27:24,620 --> 00:27:26,793 THE GOOD NEWS IS, YOU DON'T SOUND LIKE 536 00:27:26,793 --> 00:27:30,551 YOU'RE IN ANY SORT OF RESPIRATORY FAILURE RIGHT NOW. 537 00:27:30,551 --> 00:27:32,448 ANY OTHER ISSUES BOTHERING YOU? 538 00:27:32,448 --> 00:27:33,689 YEAH, I'M A LITTLE HUNGRY. 539 00:27:33,689 --> 00:27:35,379 I DIDN'T EAT ALL DAY. 540 00:27:35,379 --> 00:27:36,655 WELL, DON'T WORRY. 541 00:27:36,655 --> 00:27:39,000 YOU HAVE EATEN THE FOOD THAT BELONG TO NEXT 3 YEARS 542 00:27:39,000 --> 00:27:40,241 AHEAD OF TIME, OKAY? 543 00:27:40,241 --> 00:27:43,241 IT MAY BE MORE THAN 3 YEARS, DR. NOW. 544 00:27:43,241 --> 00:27:44,413 IT IS MORE.ALRIGHT. 545 00:27:44,413 --> 00:27:45,482 YOU KNOW THAT, RIGHT? 546 00:27:45,482 --> 00:27:47,103 YES, I DO. 547 00:27:47,103 --> 00:27:49,620 BUT WE'LL GET YOU SOMETHING, OKAY? 548 00:27:49,620 --> 00:27:53,448 ALRIGHT. BUT ANYTHING ELSE BOTHERING YOU OTHER THAN HUNGER? 549 00:27:53,448 --> 00:27:55,758 I DIDN'T GO TO THE BATHROOM THE WHOLE TIME? 550 00:27:55,758 --> 00:27:57,172 YOU NEED TO GO TO BATHROOM? 551 00:27:57,172 --> 00:27:59,034 I DO.ALRIGHT. 552 00:27:59,034 --> 00:28:02,379 HOW MUCH YOU CAN GET UP AND DO ON YOUR OWN? 553 00:28:02,379 --> 00:28:04,724 I CAN WALK A FEW STEPS WITH A WALKER. 554 00:28:04,724 --> 00:28:06,655 OKAY. YOU GO TO BATHROOM BY YOURSELF? 555 00:28:06,655 --> 00:28:08,103 I DO.OKAY. 556 00:28:08,103 --> 00:28:09,758 I USE A BEDSIDE COMMODE. 557 00:28:09,758 --> 00:28:10,827 BEDSIDE COMMODE?MM-HMM. 558 00:28:10,827 --> 00:28:12,068 ALRIGHT. 559 00:28:12,068 --> 00:28:13,413 WE'LL GET YOU ONE SO YOU CAN USE THAT NOW, 560 00:28:13,413 --> 00:28:16,137 BUT THEN AFTER THAT, WE'LL GET YOU SITUATED TO A ROOM 561 00:28:16,137 --> 00:28:19,620 AND GET SOME LAB WORK ON YOU AND RUN SOME TESTS 562 00:28:19,620 --> 00:28:22,241 WE NEED TO DO TO MAKE SURE EVERYTHING IS OKAY. 563 00:28:22,241 --> 00:28:23,655 -OKAY. -OKAY. 564 00:28:30,655 --> 00:28:33,551 HOPEFULLY ONCE WE RUN THE TESTS WE NEED ON JOYCE, 565 00:28:33,551 --> 00:28:35,172 WE ARE ABLE TO DETERMINE 566 00:28:35,172 --> 00:28:38,068 THAT THERE IS NO IMMEDIATE LIFE-THREATENING ISSUE WITH HER 567 00:28:38,068 --> 00:28:39,896 BECAUSE, WITH HER CURRENT CONDITION, 568 00:28:39,896 --> 00:28:42,137 IT IS NOT LIKELY THAT SHE'LL SURVIVE 569 00:28:42,137 --> 00:28:44,344 ANY SERIOUS MEDICAL ISSUES RIGHT NOW, 570 00:28:44,344 --> 00:28:47,965 SO WE WILL NEED TO DO PT WITH HER TO GET HER STAMINA UP 571 00:28:47,965 --> 00:28:50,310 AND STRENGTHEN HER PULMONARY SYSTEM 572 00:28:50,310 --> 00:28:52,689 TO KEEP IT FROM GETTING ANY WORSE, 573 00:28:52,689 --> 00:28:56,068 AND WE WILL LIKELY NEED TO KEEP HER HERE FOR A WHILE. 574 00:28:59,000 --> 00:29:00,689 CAN I HAVE A HUG? 575 00:29:05,862 --> 00:29:08,413 YOU MADE IT. 576 00:29:08,413 --> 00:29:09,896 ALRIGHT. 577 00:29:09,896 --> 00:29:12,793 WE'RE GOING TO GET YOU UP AND LET YOU GO TO BATHROOM. 578 00:29:12,793 --> 00:29:13,931 I'M DR. NOWZARADAN. 579 00:29:13,931 --> 00:29:16,000 I'M DAWN.AND YOU'RE... 580 00:29:16,000 --> 00:29:18,206 SHE'S MY FRIEND AND MY ROOMMATE. 581 00:29:18,206 --> 00:29:21,517 FRIEND AND ROOMMATE, OKAY, GOOD. ALRIGHT. 582 00:29:21,517 --> 00:29:24,034 LET ME GET SOME HELP, AND WE'LL GET YOU UP. 583 00:29:32,137 --> 00:29:33,931 YOU FEEL ANY BETTER, JOYCE? 584 00:29:33,931 --> 00:29:35,586 MUCH BETTER, YEAH. 585 00:29:35,586 --> 00:29:36,793 OKAY, GOOD. 586 00:29:36,793 --> 00:29:40,000 BUT DO YOU KNOW HOW MUCH YOU WEIGH NOW? 587 00:29:40,000 --> 00:29:41,413 ALRIGHT, THEN. 588 00:29:41,413 --> 00:29:44,655 LET ME CHECK YOUR WEIGHT AND FIGURE OUT WHAT YOUR WEIGHT IS. 589 00:29:44,655 --> 00:29:46,586 OKAY. LET'S GET YOU BACK IN BED 590 00:29:46,586 --> 00:29:48,965 AND GET YOUR SIZE IN JUST A COUPLE MINUTE. 591 00:29:48,965 --> 00:29:51,586 -OKAY. -OKAY. 592 00:29:51,586 --> 00:29:54,000 THIS OFF?YEAH, THAT'S FINE. 593 00:30:06,931 --> 00:30:09,000 Man: I'M JUST GOING TO TILT THE CHAIR BACK, IF YOU'LL JUST LEAN BACK, 594 00:30:09,000 --> 00:30:10,551 AND THEN I'LL SCOOT YOU UP IN IT. OKAY? 595 00:30:10,551 --> 00:30:12,241 OKAY. 596 00:30:14,206 --> 00:30:16,310 YOU FEEL IT?UH-HUH. 597 00:30:16,310 --> 00:30:19,517 OKAY. 598 00:30:19,517 --> 00:30:22,862 Dr. Nowzaradan: OVERALL, WE HAVE A VERY DIRE SITUATION WITH JOYCE, 599 00:30:22,862 --> 00:30:24,793 AND WE HAVE A LOT OF WORK TO DO WITH HER 600 00:30:24,793 --> 00:30:28,034 BEFORE WE MAKE ANY SIGNIFICANT IMPROVEMENTS WITH HER HEALTH 601 00:30:28,034 --> 00:30:31,068 TO GET HER IN A BETTER PLACE. 602 00:30:31,068 --> 00:30:33,413 BUT WE'LL DO EVERYTHING WE CAN TO TRY 603 00:30:33,413 --> 00:30:36,000 AND TURN THINGS AROUND FOR HER QUICKLY 604 00:30:36,000 --> 00:30:39,034 BECAUSE IF WE DON'T, SHE WON'T SURVIVE MUCH LONGER. 605 00:30:59,413 --> 00:31:02,241 Joyce: I CAN'T BELIEVE I MADE IT. 606 00:31:02,241 --> 00:31:06,655 I THINK I'D BE REALLY RELIEVED IF I WASN'T IN SO MUCH PAIN, 607 00:31:06,655 --> 00:31:09,103 BUT IT TOOK EVERYTHING IN ME TO DO THIS. 608 00:31:09,103 --> 00:31:11,206 Dr. Nowzaradan: ALRIGHT. THIS YOUR BED. 609 00:31:11,206 --> 00:31:13,172 WE'RE GOING TO GET YOU UP IN HERE, OKAY? 610 00:31:13,172 --> 00:31:14,793 OKAY. 611 00:31:19,448 --> 00:31:21,034 OKAY. READY? 612 00:31:24,965 --> 00:31:27,172 -AAH. -ALRIGHT. 613 00:31:27,172 --> 00:31:30,379 -ONE, TWO, THREE. -GOOD JOB. 614 00:31:30,379 --> 00:31:32,068 -OKAY. -WE CAN PULL THAT SHEET. 615 00:31:32,068 --> 00:31:34,241 LITTLE MORE, YEAH. 616 00:31:34,241 --> 00:31:36,827 Man: ONE, TWO, THREE AND UP. 617 00:31:36,827 --> 00:31:38,517 NOW UP. 618 00:31:38,517 --> 00:31:39,827 OKAY. THERE WE GO. 619 00:31:39,827 --> 00:31:41,103 HOW YOU DOING, JOYCE? 620 00:31:41,103 --> 00:31:44,517 -OKAY. -OKAY, JOYCE. 621 00:31:44,517 --> 00:31:48,172 NOW THAT WE GOT YOU SITUATED, LET'S SEE WHAT THE WEIGHT IS. 622 00:31:48,172 --> 00:31:49,275 -YOU ALRIGHT? -YEAH. 623 00:31:49,275 --> 00:31:50,758 OKAY. JUST KEEP BREATHING. 624 00:31:57,344 --> 00:32:03,137 LOOKS LIKE YOU ARE 758. ALRIGHT, JOYCE. 625 00:32:03,137 --> 00:32:06,413 SO IT LOOKS LIKE WE HAVE A LOT OF WEIGHT TO LOSE WITH YOU, 626 00:32:06,413 --> 00:32:09,310 SO WE'RE GOING TO GET YOU STARTED ON SOME PHYSICAL THERAPY 627 00:32:09,310 --> 00:32:10,931 AND A HEALTHY DIET. 628 00:32:10,931 --> 00:32:13,310 BUT FIRST, WE'RE GOING TO RUN SOME TESTS TO MAKE SURE 629 00:32:13,310 --> 00:32:17,275 THAT NOTHING IS HAPPENING WITH THIS 14-HOUR TRAVEL 630 00:32:17,275 --> 00:32:20,000 AND NO BLOOD CLOT OR ANY OTHER ISSUES. 631 00:32:20,000 --> 00:32:23,000 THEN WE'LL WORK ON GETTING YOUR WEIGHT DOWN 632 00:32:23,000 --> 00:32:24,896 AND HELPING YOU GET MORE MOBILE. 633 00:32:24,896 --> 00:32:26,413 OKAY? -OKAY, THANK YOU. 634 00:32:26,413 --> 00:32:28,206 Dr. Nowzaradan: ALRIGHT. I'LL SEE YOU LATER. 635 00:32:28,206 --> 00:32:29,793 OKAY. SEE YOU LATER. 636 00:32:41,344 --> 00:32:42,551 HI. 637 00:32:42,551 --> 00:32:44,172 HI. 638 00:32:48,586 --> 00:32:53,448 Joyce: I'M IN SO MUCH PAIN, AND ALL I CAN DO RIGHT NOW IS REST, 639 00:32:53,448 --> 00:32:57,000 BUT I'M HOPING ONCE I RECOVER, ALL MY TESTS WILL BE GOOD, 640 00:32:57,000 --> 00:32:59,000 AND I'LL BE ABLE TO START MY WHOLE JOURNEY 641 00:32:59,000 --> 00:33:01,724 TO GETTING HEALTHY AND A NEW LIFE 642 00:33:01,724 --> 00:33:04,655 BECAUSE I'VE WAITED A LONG TIME FOR A CHANCE LIKE THIS, 643 00:33:04,655 --> 00:33:06,689 AND I'M VERY READY FOR IT. 644 00:33:06,689 --> 00:33:09,206 I JUST HOPE IT GETS A LITTLE EASIER FROM HERE. 645 00:33:34,413 --> 00:33:35,758 Dr. Nowzaradan: OVER THE LAST MONTH, 646 00:33:35,758 --> 00:33:39,000 WE HAVE BEEN ABLE TO MAKE SOME PROGRESS WITH JOYCE. 647 00:33:39,000 --> 00:33:40,310 HER TESTS SHOW HER BODY 648 00:33:40,310 --> 00:33:43,275 WAS STARTING TO STRUGGLE A GREAT DEAL JUST TO FUNCTION, 649 00:33:43,275 --> 00:33:46,758 MOSTLY WITH HER RESPIRATORY AND PULMONARY SYSTEM. 650 00:33:46,758 --> 00:33:49,172 SO IT'S BEEN EXTREMELY IMPORTANT FOR US 651 00:33:49,172 --> 00:33:51,896 TO GET HER WEIGHT DOWN AS QUICKLY AS POSSIBLE 652 00:33:51,896 --> 00:33:54,413 WHILE ALSO BUILDING UP HER STAMINA. 653 00:33:54,413 --> 00:33:56,724 SO WE HAVE HAD HER ON A CONTROLLED DIET 654 00:33:56,724 --> 00:33:58,482 THAT SHE HASN'T LIKED TOO MUCH, 655 00:33:58,482 --> 00:34:01,724 AND WE HAVE BEEN WORKING TO DO PT WITH HER, 656 00:34:01,724 --> 00:34:04,137 BUT SHE'S BEEN RESISTANT TO THAT AS WELL, 657 00:34:04,137 --> 00:34:06,413 AND SHE NEEDS TO START COOPERATING 658 00:34:06,413 --> 00:34:08,448 BEFORE IT'S SAFE TO SEND HER HOME 659 00:34:08,448 --> 00:34:11,068 BECAUSE SHE CAN VERY EASILY UNDO THE PROGRESS 660 00:34:11,068 --> 00:34:14,482 WE'VE MADE WITH HER SO FAR. 661 00:34:14,482 --> 00:34:16,896 HI, JOYCE.HI, DR. NOW. 662 00:34:16,896 --> 00:34:19,827 HOW ARE YOU?GOOD. HOW ARE YOU? 663 00:34:19,827 --> 00:34:21,137 I'M DOING OKAY. 664 00:34:21,137 --> 00:34:23,379 SO YOU'RE STILL NOT DOING EVERYTHING YOU NEED 665 00:34:23,379 --> 00:34:24,586 WITH PHYSICAL THERAPY. 666 00:34:24,586 --> 00:34:26,034 WHY IS THAT? 667 00:34:26,034 --> 00:34:28,172 I REALLY AM TRYING, BUT MY BREATHING IS STILL A STRUGGLE, 668 00:34:28,172 --> 00:34:30,413 AND SOMETIMES WITH PHYSICAL THERAPY, 669 00:34:30,413 --> 00:34:32,344 IT GETS A LITTLE, YOU KNOW. 670 00:34:32,344 --> 00:34:34,344 GET SHORT-WINDED?MM-HMM. 671 00:34:34,344 --> 00:34:36,896 WE'RE GETTING YOU TO LOSE WEIGHT AND ADDRESS THAT, 672 00:34:36,896 --> 00:34:39,965 BUT YOU HAVE TO COOPERATE WITH US TO DO YOUR EXERCISES 673 00:34:39,965 --> 00:34:43,034 SO WE CAN MAKE THE SAME PROGRESS WITH YOUR STAMINA 674 00:34:43,034 --> 00:34:45,310 THAT WE HAVE MADE WITH YOUR WEIGHT. 675 00:34:45,310 --> 00:34:47,448 I REALLY AM TRYING, DR. NOW. 676 00:34:47,448 --> 00:34:50,034 WHEN YOU CAME IN, YOU WERE 758, 677 00:34:50,034 --> 00:34:53,724 AND YOUR BMI WAS ALMOST 160. 678 00:34:53,724 --> 00:34:55,068 THAT'S EXTREMELY LARGE. 679 00:34:55,068 --> 00:34:58,103 SO YOU KNOW WHAT NORMAL BMI IS? 680 00:34:58,103 --> 00:34:59,310 LIKE, 30, RIGHT? 681 00:34:59,310 --> 00:35:01,965 EIGHTEEN TO 25. YEAH. 682 00:35:01,965 --> 00:35:04,517 BUT LET'S GET AN UPDATE WITH YOUR WEIGHT RIGHT NOW. 683 00:35:04,517 --> 00:35:05,896 OKAY. 684 00:35:05,896 --> 00:35:08,827 AND LET'S SEE IF WE CAN GET YOUR BED DOWN FIRST. 685 00:35:08,827 --> 00:35:11,137 OKAY. 686 00:35:11,137 --> 00:35:13,689 I'LL TAKE SOME OF THIS STUFF AND PUT IT OVER HERE. 687 00:35:16,413 --> 00:35:17,689 OKAY. THAT'S GOOD. 688 00:35:17,689 --> 00:35:20,862 LET ME CHECK YOUR STOMACH WHILE YOU'RE HERE. 689 00:35:20,862 --> 00:35:25,758 SO THIS IS...DO YOU HAVE ANY STOMACH PAIN OR DISCOMFORT? 690 00:35:25,758 --> 00:35:28,896 NO. 691 00:35:28,896 --> 00:35:31,482 CAN YOU RAISE YOUR HEAD UP FOR ME? 692 00:35:31,482 --> 00:35:36,068 LIKE I MENTIONED, YOU MAY HAVE SOME HERNIA IN HERE, 693 00:35:36,068 --> 00:35:38,482 AND YOU DO HAVE A HERNIA IN BELLY BUTTON, 694 00:35:38,482 --> 00:35:41,620 AND SO WE WILL HAVE TO FIX THAT AT SOME POINT. 695 00:35:41,620 --> 00:35:42,896 ALRIGHT. 696 00:35:42,896 --> 00:35:46,689 SO LET ME GET YOUR SHOES FOR YOU SO YOU CAN GET UP. 697 00:35:46,689 --> 00:35:49,137 ALRIGHT. LET ME GET THE AIR MATTRESS. 698 00:35:49,137 --> 00:35:50,344 YEAH. 699 00:35:50,344 --> 00:35:52,103 ALRIGHT. 700 00:35:52,103 --> 00:35:53,965 AND WHILE YOU'RE IN THAT POSITION, 701 00:35:53,965 --> 00:35:58,241 LET ME CHECK YOUR LYMPHEDEMA AND SEE HOW IT'S DOING. 702 00:35:58,241 --> 00:36:00,482 WHERE'S THAT COMING FROM, THE ABDOMEN? 703 00:36:00,482 --> 00:36:02,931 YEAH, LIKE THE PANNUS. 704 00:36:02,931 --> 00:36:06,000 IT LOOKS LIKE IT'S DOING BETTER, AND IT'S NO LONGER INFECTED. 705 00:36:06,000 --> 00:36:08,793 BUT ULTIMATELY, WE HAVE TO REMOVE IT. 706 00:36:08,793 --> 00:36:12,379 OKAY. LET ME HELP YOU UP. 707 00:36:12,379 --> 00:36:13,965 IS IT GOING OVER THE BED? 708 00:36:13,965 --> 00:36:19,206 SOMETIMES IT GETS STUCK. 709 00:36:19,206 --> 00:36:21,034 THERE WE GO. THANK YOU. THANK YOU. 710 00:36:21,034 --> 00:36:22,931 LET'S DO THIS WITHOUT OXYGEN 711 00:36:22,931 --> 00:36:26,724 BECAUSE YOU DON'T NEED THIS ANYMORE. 712 00:36:26,724 --> 00:36:28,689 ALRIGHT. SO CAN WE LEAVE THIS? 713 00:36:28,689 --> 00:36:30,103 FOR A LITTLE BIT, YEAH. 714 00:36:30,103 --> 00:36:31,689 I'LL JUST NEED THE WALKER. 715 00:36:53,068 --> 00:36:54,620 YOU OKAY?MM-HMM. 716 00:36:54,620 --> 00:36:56,206 OKAY. GOOD JOB. 717 00:36:58,517 --> 00:37:00,137 Dr. Nowzaradan: YOU'RE DOING GOOD. 718 00:37:00,137 --> 00:37:04,931 KEEP WALKING. 719 00:37:04,931 --> 00:37:05,965 I CAN'T. 720 00:37:05,965 --> 00:37:07,551 YOU CAN DO THIS, JOYCE. 721 00:37:13,724 --> 00:37:17,379 Joyce: THIS MUCH ACTIVITY IS REALLY HARD ON MY BODY, 722 00:37:17,379 --> 00:37:19,413 AND I DON'T THINK DR. NOW UNDERSTANDS THAT 723 00:37:19,413 --> 00:37:22,655 AND JUST HOW MUCH THIS IS FOR ME. 724 00:37:22,655 --> 00:37:24,896 BUT I DON'T KNOW IF I CAN DO A WHOLE LOT MORE 725 00:37:24,896 --> 00:37:26,137 BECAUSE THIS IS REALLY PAINFUL, 726 00:37:26,137 --> 00:37:29,241 AND I FEEL LIKE I'M ABOUT AT MY LIMIT. 727 00:37:29,241 --> 00:37:32,034 BUT I'LL TRY TO STAND LONG ENOUGH TO GET MY WEIGHT. 728 00:37:32,034 --> 00:37:34,310 I JUST DON'T KNOW HOW LONG I CAN LAST. 729 00:37:42,862 --> 00:37:44,379 YOU READY?MM-HMM. 730 00:37:44,379 --> 00:37:45,586 ALRIGHT.THIS IS THE FIRST TIME 731 00:37:45,586 --> 00:37:46,724 I'M EVER STEPPING UP ON SOMETHING 732 00:37:46,724 --> 00:37:50,034 FOR A REALLY LONG TIME, SO I'M A LITTLE NERVOUS. 733 00:37:50,034 --> 00:37:53,275 OKAY. OH, DON'T BE NERVOUS. 734 00:37:53,275 --> 00:37:55,758 ALRIGHT. WE'RE ALL SET.OKAY. 735 00:38:07,586 --> 00:38:09,103 ALRIGHT, 388. 736 00:38:09,103 --> 00:38:10,448 THAT CAN'T BE RIGHT. 737 00:38:10,448 --> 00:38:12,551 I GOT TO SIT BACK DOWN. SORRY. 738 00:38:12,551 --> 00:38:14,896 I'M ALMOST FALLING. 739 00:38:14,896 --> 00:38:16,551 ALRIGHT. WE GOT YOU. 740 00:38:16,551 --> 00:38:19,482 OKAY. ALRIGHT. 741 00:38:19,482 --> 00:38:22,000 THREE EIGHTY-EIGHT WAS NOT RIGHT. 742 00:38:22,000 --> 00:38:25,793 THAT WOULD'VE BEEN A MIRACULOUS LOSS. 743 00:38:25,793 --> 00:38:28,172 WE HELPED YOU LOSE A LOT, BUT NOT THAT MUCH. 744 00:38:28,172 --> 00:38:31,068 WE'LL JUST WAIT UNTIL YOU CATCH YOUR BREATH, 745 00:38:31,068 --> 00:38:32,827 AND THEN I WILL REZERO IT, 746 00:38:32,827 --> 00:38:35,103 AND WE CAN GET THE CORRECT WEIGHT. 747 00:38:35,103 --> 00:38:38,344 I'D PREFER TO SKIP IT. 748 00:38:38,344 --> 00:38:42,344 ON THE WAY BACK, I ALMOST WASN'T ABLE TO MAKE MY WAY BACK. 749 00:38:42,344 --> 00:38:43,482 ALRIGHT. 750 00:38:43,482 --> 00:38:44,931 WE'LL TRY AGAIN LATER, 751 00:38:44,931 --> 00:38:47,689 BUT AT LEAST YOU GOT A LITTLE EXERCISE TODAY. 752 00:38:47,689 --> 00:38:50,137 BUT THIS POOR LEVEL OF ACTIVITY IS NOT GOOD. 753 00:38:50,137 --> 00:38:55,586 SO YOU REALIZE YOUR FUNCTION AND CAPACITY IS VERY, VERY LOW, 754 00:38:55,586 --> 00:38:58,482 AND YOU'RE IN A VERY DANGEROUS SITUATION. 755 00:38:58,482 --> 00:39:01,758 SO THIS IS A MATTER OF LIFE AND DEATH FOR YOU, 756 00:39:01,758 --> 00:39:04,137 AND YOU'RE RUNNING OUT OF TIME. 757 00:39:04,137 --> 00:39:08,172 YEAH, PROBABLY MEANS I'M STAYING HERE A LOT LONGER. 758 00:39:08,172 --> 00:39:09,827 WELL, NOT NECESSARILY. 759 00:39:09,827 --> 00:39:11,551 HOW LONG YOU'RE HERE IS UP TO YOU 760 00:39:11,551 --> 00:39:13,379 AND HOW HARD YOU WANT TO WORK. 761 00:39:13,379 --> 00:39:14,655 AND ONCE YOU GET TO THE PLACE 762 00:39:14,655 --> 00:39:17,034 YOU NEED THAT IS SAFE, WE'LL SEND YOU HOME. 763 00:39:17,034 --> 00:39:18,620 OKAY.OKAY? 764 00:39:18,620 --> 00:39:20,034 MM-HMM. ALRIGHT. 765 00:39:20,034 --> 00:39:22,793 LET'S GET YOU BACK TO YOUR ROOM SO YOU CAN REST. 766 00:39:25,241 --> 00:39:28,655 OKAY. 767 00:39:28,655 --> 00:39:31,620 Dr. Nowzaradan: SO FAR, JOYCE HASN'T SHOWN ME MUCH EVIDENCE 768 00:39:31,620 --> 00:39:32,827 THAT SHE'S WILLING TO DO 769 00:39:32,827 --> 00:39:36,000 WHAT SHE NEEDS TO TURN HER SITUATION AROUND. 770 00:39:36,000 --> 00:39:38,517 AND UNTIL I START TO SEE SOME CHANGE WITH THAT, 771 00:39:38,517 --> 00:39:42,068 IT IS TOO DANGEROUS TO SEND HER TO BE BACK ON HER OWN 772 00:39:42,068 --> 00:39:45,344 BECAUSE SHE CAN'T AFFORD TO UNDO THE PROGRESS WE HAVE MADE 773 00:39:45,344 --> 00:39:49,275 IMPROVING HER HEALTH AND GETTING OVER 100 POUNDS OFF OF HER. 774 00:39:49,275 --> 00:39:52,655 SO THE CLOCK IS TICKING FOR HER, AND IF SHE'S NOT CAREFUL, 775 00:39:52,655 --> 00:39:54,965 SHE'S GOING TO RUN OUT OF TIME VERY SOON. 776 00:40:06,758 --> 00:40:09,931 I'LL PUT SOME OXYGEN ON. 777 00:40:09,931 --> 00:40:13,241 THANK YOU. 778 00:40:13,241 --> 00:40:14,551 ALRIGHT. YOU FEELING OKAY? 779 00:40:14,551 --> 00:40:15,758 UH-HUH. 780 00:40:15,758 --> 00:40:17,206 YOU GAVE ME A LITTLE WORKOUT WITH MY LEGS, 781 00:40:17,206 --> 00:40:18,689 BUT I'M DOING GOOD. 782 00:40:18,689 --> 00:40:20,517 WELL, THAT'S THE WHOLE IDEA. 783 00:40:20,517 --> 00:40:22,413 YOU KNOW, YOU ARE 4'11". 784 00:40:22,413 --> 00:40:25,620 FOR YOUR HEIGHT, YOU SHOULD BE UNDER 100 POUNDS, 785 00:40:25,620 --> 00:40:31,482 SO YOU STILL HAVE 500 POUND TO LOSE BEFORE YOU HIT YOUR GOAL, 786 00:40:31,482 --> 00:40:33,344 AND THAT'S NOT GOING TO BE EASY TO DO. 787 00:40:33,344 --> 00:40:35,103 BUT IF YOU DO WHAT YOU NEED, 788 00:40:35,103 --> 00:40:37,310 THEN WE'LL BE ABLE TO GET YOU TO THAT POINT. 789 00:40:37,310 --> 00:40:38,551 OKAY? 790 00:40:38,551 --> 00:40:39,827 THANK YOU FOR HELPING ME. 791 00:40:39,827 --> 00:40:41,448 WELL, THAT'S MY JOB. 792 00:40:41,448 --> 00:40:44,793 BUT REMEMBER, ALL THE HARD WORK IS GOING TO COME FROM YOU. 793 00:40:44,793 --> 00:40:46,137 OKAY? OKAY. 794 00:40:46,137 --> 00:40:48,827 ALRIGHT. I'LL BE BACK TO SEE YOU AGAIN SOON. 795 00:40:48,827 --> 00:40:51,620 IN THE MEANTIME, GET YOU SOME HELP TO GET YOU BACK IN THE BED. 796 00:40:51,620 --> 00:40:53,103 OKAY. THANK YOU. 797 00:40:53,103 --> 00:40:54,413 YOU'RE WELCOME. 798 00:41:00,379 --> 00:41:05,034 Joyce: I REALLY WANT TO GO HOME BECAUSE IT'S REALLY HARD BEING HERE, 799 00:41:05,034 --> 00:41:07,724 BUT I'M HAPPY ABOUT THE PROGRESS I'VE MADE SO FAR 800 00:41:07,724 --> 00:41:10,448 AND HOW MUCH MY HEALTH HAS IMPROVED. 801 00:41:10,448 --> 00:41:13,137 EVEN IF DR. NOW DOESN'T AGREE WITH ME ABOUT THAT, 802 00:41:13,137 --> 00:41:15,517 I REALLY AM WORKING HARD, AND I HAVE NO DOUBT 803 00:41:15,517 --> 00:41:17,344 I CAN KEEP THIS GOING ON MY OWN AND SHOW 804 00:41:17,344 --> 00:41:20,206 DR. NOW I CAN DO THIS WITHOUT HAVING TO BE HERE. 805 00:41:30,206 --> 00:41:32,689 I'M REALLY EXCITED ABOUT TODAY BECAUSE DR. NOW SAID 806 00:41:32,689 --> 00:41:34,965 I COULD FINALLY LEAVE AND GO TO THE NEW APARTMENT 807 00:41:34,965 --> 00:41:38,241 DAWN SET UP FOR US, AND I'M LOOKING FORWARD TO THAT 808 00:41:38,241 --> 00:41:40,758 AND BEING IN A NORMAL PLACE AGAIN. 809 00:41:40,758 --> 00:41:43,793 IT'S BEEN SO HARD HERE, BUT I KNOW IT WAS IMPORTANT. 810 00:41:43,793 --> 00:41:47,655 THEY NEEDED TO GET MY HEALTH TO A MUCH BETTER PLACE, 811 00:41:47,655 --> 00:41:50,862 SO I'M VERY GLAD TO HAVE BEEN ABLE TO GET THAT HELP, 812 00:41:50,862 --> 00:41:53,068 BUT I'M ALSO VERY GLAD THAT IT'S OVER WITH 813 00:41:53,068 --> 00:41:55,793 AND THAT I'M FINALLY GOING TO GET TO LEAVE. 814 00:41:55,793 --> 00:41:58,655 HI.HEY. 815 00:41:58,655 --> 00:42:01,931 OH, MY SOUP.BROUGHT YOU SOUP. 816 00:42:01,931 --> 00:42:03,448 AND MY LITTLE SOUP TRAY. 817 00:42:07,793 --> 00:42:10,448 OVER THE PAST MONTH, I HAVE SEEN SOME POSITIVE 818 00:42:10,448 --> 00:42:14,344 IMPROVEMENT WITH JOYCE, NOT AS MUCH AS I HAD HOPED, 819 00:42:14,344 --> 00:42:16,000 BUT ENOUGH TO GIVE ME HOPE 820 00:42:16,000 --> 00:42:19,379 THAT SHE'S STARTING TO GO IN THE RIGHT DIRECTION. 821 00:42:19,379 --> 00:42:22,413 SHE'S BEEN TRYING A LITTLE HARDER WITH PT, 822 00:42:22,413 --> 00:42:25,103 BUT SHE STILL ISN'T WALKING ON HER OWN, 823 00:42:25,103 --> 00:42:26,862 AND SHE STILL CONVINCED HERSELF 824 00:42:26,862 --> 00:42:29,172 SHE NEEDS HER OXYGEN TANK TO BREATHE 825 00:42:29,172 --> 00:42:31,034 WHEN THERE IS NO REASON FOR IT. 826 00:42:31,034 --> 00:42:34,206 SO WE STILL HAVE A LOT OF WORK TO DO WITH HER. 827 00:42:34,206 --> 00:42:37,413 BUT I THINK THERE IS SOME LIGHT AT THE END OF THE TUNNEL 828 00:42:37,413 --> 00:42:40,275 WITH HER ATTITUDE AND CHOICES SHE'S MAKING, 829 00:42:40,275 --> 00:42:43,068 SO I'M HAPPY ABOUT THAT PROGRESS. 830 00:42:43,068 --> 00:42:46,103 A MONTH AGO, WHEN WE GOT AN ACCURATE WEIGHT, 831 00:42:46,103 --> 00:42:52,103 SHE WAS DOWN TO 637 FROM 758, SO SHE LOST 121 POUNDS 832 00:42:52,103 --> 00:42:54,827 IN THE FIRST MONTH ON A CONTROLLED DIET. 833 00:42:54,827 --> 00:42:58,275 AND NOW THIS ONE, WE HAVE HER DOWN TO 553 834 00:42:58,275 --> 00:43:02,413 FOR A TOTAL WEIGHT LOSS OF 205 POUNDS IN 2 MONTHS, 835 00:43:02,413 --> 00:43:04,413 AND WE HAVE HER IN A MUCH BETTER PLACE 836 00:43:04,413 --> 00:43:07,551 THAN SHE WAS WHEN SHE ARRIVED A COUPLE MONTHS AGO. 837 00:43:07,551 --> 00:43:10,655 SO I FEEL LIKE WE CAN TAKE THE NEXT STEP OF SEEING 838 00:43:10,655 --> 00:43:13,206 HOW SHE DOES ON HER OWN AT HOME. 839 00:43:15,793 --> 00:43:17,034 -HELLO. -HEY. 840 00:43:17,034 --> 00:43:19,206 HI, DR. NOW.HOW Y'ALL DOING? 841 00:43:19,206 --> 00:43:20,275 GOOD. HOW ARE YOU? 842 00:43:20,275 --> 00:43:21,655 I'M DOING GOOD. 843 00:43:21,655 --> 00:43:23,137 SO YOU READY TO GO HOME? 844 00:43:23,137 --> 00:43:25,448 I'M SO READY TO GO HOME.OKAY. 845 00:43:25,448 --> 00:43:27,103 SO WE'RE GOING TO GET YOU GOING HOME, 846 00:43:27,103 --> 00:43:29,137 BUT LEAVING A CONTROLLED ENVIRONMENT 847 00:43:29,137 --> 00:43:32,206 ISN'T SO YOU CAN GO ON VACATION, OKAY? 848 00:43:32,206 --> 00:43:33,310 I KNOW. 849 00:43:33,310 --> 00:43:35,172 YOU NEED TO KEEP WORKING HARD AT HOME 850 00:43:35,172 --> 00:43:37,724 TO MAKE MORE IMPROVEMENTS WITH YOUR MOBILITY 851 00:43:37,724 --> 00:43:40,310 BECAUSE SO FAR, WE HAVEN'T BEEN ABLE TO GET YOU 852 00:43:40,310 --> 00:43:42,275 TO WHERE YOU'RE WALKING ON YOUR OWN, 853 00:43:42,275 --> 00:43:44,034 AND THERE'S NO REASON FOR THAT. 854 00:43:44,034 --> 00:43:47,379 SO WE'RE GOING TO SEND PT TO YOUR HOME THREE TIMES A WEEK. 855 00:43:47,379 --> 00:43:48,655 OKAY?OKAY. 856 00:43:48,655 --> 00:43:50,965 IT'S VERY IMPORTANT YOU STICK WITH YOUR DIET 857 00:43:50,965 --> 00:43:52,517 AND CONTINUE LOSING 858 00:43:52,517 --> 00:43:55,586 TO GET AS MUCH WEIGHT OFF YOUR BODY AS POSSIBLE. 859 00:43:55,586 --> 00:43:57,655 YOU THINK YOU CAN DO THAT?I WILL. 860 00:43:57,655 --> 00:44:00,241 I'M GOING TO 100 PERCENT DO THE DIET ON MY OWN. 861 00:44:00,241 --> 00:44:03,275 I PROMISE.OKAY, GOOD, BECAUSE IN 1 MONTH, 862 00:44:03,275 --> 00:44:06,724 I WANT TO SEE YOU AT MY CLINIC FOR ANOTHER APPOINTMENT, 863 00:44:06,724 --> 00:44:09,413 AND I WANT YOU TO LOSE 50 POUNDS BY THEN. 864 00:44:09,413 --> 00:44:11,896 OKAY, WOW. THAT'S A GOAL. 865 00:44:11,896 --> 00:44:14,448 IF YOU STICK TO THE DIET, THAT SHOULD BE EASY FOR YOU. 866 00:44:14,448 --> 00:44:16,172 OKAY? OKAY. 867 00:44:16,172 --> 00:44:17,206 ALRIGHT.WILL DO. 868 00:44:17,206 --> 00:44:18,586 BUT THEN, HERE IS THE OTHER THING. 869 00:44:18,586 --> 00:44:19,827 OKAY. 870 00:44:19,827 --> 00:44:21,551 WE'RE NOT SENDING ANY MEDICAL TRANSPORT 871 00:44:21,551 --> 00:44:23,000 FOR YOU TO PICK YOU UP. 872 00:44:23,000 --> 00:44:24,896 YOU GOT THAT?I'LL DO MY BEST. 873 00:44:24,896 --> 00:44:26,620 I'LL TRY, DR. NOW. 874 00:44:26,620 --> 00:44:27,931 I HOPE SO. 875 00:44:27,931 --> 00:44:30,137 BUT THERE'S ONE MORE THING I WANT YOU TO DO. 876 00:44:30,137 --> 00:44:31,172 WHAT'S THAT? 877 00:44:31,172 --> 00:44:33,310 I WANT YOU TO GET OFF THIS OXYGEN. 878 00:44:33,310 --> 00:44:34,758 YOU DON'T NEED IT. 879 00:44:34,758 --> 00:44:37,827 SO WHEN YOU GO HOME, YOU NEED TO WEAN YOURSELF OFF OF IT. 880 00:44:37,827 --> 00:44:39,793 YOU'RE ASKING A LOT, DR. NOW. 881 00:44:39,793 --> 00:44:42,172 I'M NOT ASKING FOR ANYTHING YOU CAN'T 882 00:44:42,172 --> 00:44:44,448 OR YOU SHOULDN'T DO, OKAY? 883 00:44:44,448 --> 00:44:46,275 OKAY. THANK YOU.OKAY. 884 00:44:46,275 --> 00:44:48,482 ALRIGHT. I'LL SEE YOU LATER. 885 00:44:48,482 --> 00:44:50,068 THANK YOU.YOU TAKE CARE. 886 00:44:55,103 --> 00:44:58,068 I'M REALLY HOPING JOYCE IS TAKING HER SITUATION 887 00:44:58,068 --> 00:45:02,000 AS SERIOUSLY AS SHE SAYS AND THAT SHE CONTINUES TO IMPROVE 888 00:45:02,000 --> 00:45:04,689 AND DO WHAT SHE NEEDS TO KEEP HEADING IN THE DIRECTION 889 00:45:04,689 --> 00:45:08,103 WE HAVE HER BECAUSE SHE CAN'T AFFORD TO WASTE ANY MORE TIME 890 00:45:08,103 --> 00:45:11,275 PLAYING GAMES OR MAKING EXCUSES. 891 00:45:11,275 --> 00:45:13,896 HER BODY IS NOT GOING TO BE ABLE TO TAKE THE STRAIN 892 00:45:13,896 --> 00:45:15,620 OF HER WEIGHT FOR MUCH LONGER, 893 00:45:15,620 --> 00:45:18,206 ESPECIALLY IF SHE STARTS TO GAIN AGAIN, 894 00:45:18,206 --> 00:45:21,758 BUT I'M ONLY GIVING HER A MONTH BEFORE I WANT TO SEE HER AGAIN 895 00:45:21,758 --> 00:45:23,793 JUST IN CASE SHE GOES OFF THE RAILS. 896 00:45:23,793 --> 00:45:25,620 WE CAN INTERVENE AND STOP HER 897 00:45:25,620 --> 00:45:28,448 BEFORE SHE UNDOES ALL HER PROGRESS. 898 00:45:28,448 --> 00:45:30,862 AND THE PT I'M SENDING TO SEE HER 899 00:45:30,862 --> 00:45:33,689 WILL BE ABLE TO MONITOR HOW SHE'S DOING TO MAKE SURE 900 00:45:33,689 --> 00:45:36,413 WE CAN PREVENT ANY MEDICAL EMERGENCIES 901 00:45:36,413 --> 00:45:38,689 IF HER BODY STARTS TO STRUGGLE TOO MUCH 902 00:45:38,689 --> 00:45:40,862 FROM ANYTHING SHE'S DOING. 903 00:45:40,862 --> 00:45:43,724 SO WE HAVE SET JOYCE UP TO HAVE THE BEST CHANCE 904 00:45:43,724 --> 00:45:46,206 POSSIBLE TO START DOING WHAT SHE NEEDS. 905 00:45:46,206 --> 00:45:48,827 SO WHAT HAPPENS FROM HERE FOR HER 906 00:45:48,827 --> 00:45:51,103 ALL COMES DOWN TO HOW SHE DOES 907 00:45:51,103 --> 00:45:53,793 AND THE CHOICES SHE MAKES THIS NEXT MONTH. 908 00:46:11,068 --> 00:46:13,517 Joyce: I'VE BEEN OUT OF THE HOSPITAL FOR A COUPLE OF WEEKS, 909 00:46:13,517 --> 00:46:16,172 AND IT'S BEEN REALLY NICE TO BE BACK IN AN ENVIRONMENT 910 00:46:16,172 --> 00:46:18,034 THAT ISN'T SO STRESSFUL, 911 00:46:18,034 --> 00:46:19,827 AND MY MOM HAS BEEN DOWN THE PAST WEEK 912 00:46:19,827 --> 00:46:22,931 GETTING EVERYTHING IN PLACE AND MAKING IT NICE HERE. 913 00:46:22,931 --> 00:46:25,344 DR. NOW SENDS OVER PT THREE TIMES A WEEK, 914 00:46:25,344 --> 00:46:26,758 AND THAT'S BEEN HARD, 915 00:46:26,758 --> 00:46:28,172 BUT I HAVE ANOTHER SESSION TODAY, 916 00:46:28,172 --> 00:46:31,034 SO WE'LL JUST HAVE TO SEE HOW IT GOES. 917 00:46:31,034 --> 00:46:32,379 -HEY! HEY, DAWN. HOW ARE YOU? 918 00:46:32,379 --> 00:46:34,206 -I'M GOOD. -HEY, JOYCE. HOW'S IT GOING? 919 00:46:34,206 --> 00:46:35,758 HI, CLINT. HOW ARE YOU? 920 00:46:35,758 --> 00:46:37,620 IT'S GOOD TO SEE YOU. 921 00:46:37,620 --> 00:46:40,241 Joyce: IT ALWAYS FEELS LIKE THEY PUSH ME A LITTLE TOO HARD, 922 00:46:40,241 --> 00:46:42,862 AND BECAUSE OF THAT, MY KNEE HAS BEEN REALLY HURTING, 923 00:46:42,862 --> 00:46:45,724 BUT I'M HOPING THAT I DON'T DO ANYTHING TO MAKE MY KNEE WORSE 924 00:46:45,724 --> 00:46:48,068 BECAUSE IT'S FINALLY FEELING BETTER. 925 00:46:48,068 --> 00:46:50,827 I'M THINKING MAYBE NOT DOING THE OXYGEN AS MUCH 926 00:46:50,827 --> 00:46:52,965 AND TAKING IT OFF WHILE WE'RE WORKING. 927 00:46:52,965 --> 00:46:55,068 Clint: WELL, YOU KNOW WHAT? LET'S DO THIS. 928 00:46:55,068 --> 00:46:57,586 WHY DON'T YOU GO AHEAD AND TAKE IT OFF NOW, 929 00:46:57,586 --> 00:46:59,862 AND WE'LL GET STARTED, 930 00:46:59,862 --> 00:47:02,620 AND WE'LL CHECK YOUR OXYGEN THROUGHOUT THE SESSION. 931 00:47:02,620 --> 00:47:04,379 OKAY? 932 00:47:04,379 --> 00:47:07,034 DR. NOW HAS BEEN WANTING ME TO STOP USING MY OXYGEN 933 00:47:07,034 --> 00:47:09,310 BECAUSE HE THINKS I DON'T NEED IT. 934 00:47:09,310 --> 00:47:12,655 SO I STOP, BUT SLEEPING AND EXERCISING ARE THE ONLY TIME 935 00:47:12,655 --> 00:47:14,724 I STILL GET WORRIED I DON'T HAVE IT 936 00:47:14,724 --> 00:47:16,724 BECAUSE IF IT GETS TOO HARD FOR ME TO BREATHE, 937 00:47:16,724 --> 00:47:19,413 I'M REALLY SCARED ABOUT WHAT COULD HAPPEN. 938 00:47:19,413 --> 00:47:22,517 SO HOPEFULLY I CAN HANDLE IT ALL TODAY AND DO WHAT I NEED. 939 00:47:22,517 --> 00:47:25,931 WE'RE GOING TO DO MARCHING IN PLACE. 940 00:47:25,931 --> 00:47:28,137 I'VE BEEN WORKING REALLY HARD TO DO WHAT I CAN 941 00:47:28,137 --> 00:47:30,758 AND MAKE PROGRESS WITH MY ABILITY TO DO MORE. 942 00:47:30,758 --> 00:47:33,413 I KNOW IT'S NOT AS MUCH AS PT AND DR. NOW WANTS, 943 00:47:33,413 --> 00:47:37,137 BUT I REALLY AM PUSHING MYSELF TO DO AS MUCH AS I CAN. 944 00:47:37,137 --> 00:47:39,137 ALRIGHT. FEELING GOOD? 945 00:47:39,137 --> 00:47:40,724 YOU READY, CATCH YOUR BREATH? 946 00:47:40,724 --> 00:47:42,517 MM-HMM.SO WHAT WE'RE GOING TO DO IS, 947 00:47:42,517 --> 00:47:44,724 WE'RE GOING TO WALK OVER TO THE BED. 948 00:47:44,724 --> 00:47:47,965 SO I WANT YOU STANDING UP RIGHT HERE IN FRONT OF YOUR CHAIR. 949 00:47:50,448 --> 00:47:53,034 DR. NOW WANTS ME TO GET TO HIS CLINIC IN A COUPLE WEEKS 950 00:47:53,034 --> 00:47:55,068 WITHOUT A MEDICAL TRANSPORT, 951 00:47:55,068 --> 00:47:56,517 SO I HAVE TO GET TO WHERE I CAN HANDLE 952 00:47:56,517 --> 00:47:58,965 WALKING TO A CAR AND GETTING IN BY THEN, 953 00:47:58,965 --> 00:48:00,896 OR I'LL MISS MY CHANCE TO SHOW DR. NOW 954 00:48:00,896 --> 00:48:02,862 I CAN DO THIS ON MY OWN. 955 00:48:02,862 --> 00:48:05,241 SO I'M WORKING TO GET MY STAMINA UP TO DO THAT 956 00:48:05,241 --> 00:48:09,068 AND HIT MY WEIGHT-LOSS GOAL BECAUSE I HAVE TO GET SURGERY. 957 00:48:09,068 --> 00:48:11,275 WITHOUT IT, I DON'T HAVE A CHANCE. 958 00:48:14,586 --> 00:48:17,034 GOOD JOB.THANK YOU. 959 00:48:17,034 --> 00:48:18,862 REALLY GOOD, JOYCE. 960 00:48:18,862 --> 00:48:21,310 ALRIGHT, LADIES. ALWAYS NICE TO SEE YOU. 961 00:48:21,310 --> 00:48:22,413 NICE TO SEE YOU. 962 00:48:22,413 --> 00:48:24,068 KEEP IT GOING, OKAY? 963 00:48:24,068 --> 00:48:25,724 SEE YOU MONDAY. HAVE A GOOD WEEKEND. 964 00:48:25,724 --> 00:48:26,758 -OKAY. -BYE. 965 00:48:26,758 --> 00:48:29,862 -ALRIGHT. BUH-BYE. -BYE. 966 00:48:29,862 --> 00:48:31,758 Joyce HE REALLY DOES WORK YOU, 967 00:48:31,758 --> 00:48:35,275 BUT LOOK AT THE PROGRESS YOU'VE MADE. 968 00:48:35,275 --> 00:48:38,137 WHEN SHE FIRST CAME DOWN HERE, SHE COULD BARELY WALK TWO STEPS 969 00:48:38,137 --> 00:48:40,758 WITHOUT HER WALKER, AND, LIKE, TODAY, YOU COULD SEE HER WALK 970 00:48:40,758 --> 00:48:44,137 FROM HER CHAIR TO HER BED, WHICH IS PRETTY AMAZING. 971 00:48:44,137 --> 00:48:46,068 Joyce: I THINK THAT WAS A GOOD WORKOUT TODAY, 972 00:48:46,068 --> 00:48:48,551 AND I'M PROUD OF MYSELF FOR DOING WHAT I NEEDED. 973 00:48:48,551 --> 00:48:50,482 SO I REALLY AM GIVING THIS MY ALL TO GET TO 974 00:48:50,482 --> 00:48:52,620 WHERE I NEED AND MOVE AHEAD. 975 00:48:52,620 --> 00:48:54,241 IT'S JUST A LOT. 976 00:49:05,655 --> 00:49:08,482 I'VE BEEN WORKING REALLY HARD THE PAST MONTH, 977 00:49:08,482 --> 00:49:11,172 BUT I'M STILL STRUGGLING TO GET UP AND WALK, 978 00:49:11,172 --> 00:49:14,448 SO I'M NOT 100 PERCENT SURE WHY. 979 00:49:14,448 --> 00:49:16,689 I'VE DONE PT EVERY TIME THEY COME OVER, 980 00:49:16,689 --> 00:49:20,551 AND I'VE COMPLETELY STUCK TO THE 1,200-CALORIE-A-DAY DIET. 981 00:49:20,551 --> 00:49:23,413 THE ONLY THING I CAN FIGURE IS THAT MAYBE FOR MY BODY, 982 00:49:23,413 --> 00:49:26,448 I CAN'T LOSE WEIGHT ON 1,200 CALORIES. 983 00:49:26,448 --> 00:49:27,620 I THINK I'M DONE.OKAY. 984 00:49:27,620 --> 00:49:29,896 THANK YOU. 985 00:49:29,896 --> 00:49:31,965 AND BECAUSE I'M STILL STRUGGLING TO WALK, 986 00:49:31,965 --> 00:49:35,896 THERE'S NO WAY I CAN GO ANYWHERE WITHOUT A MEDICAL TRANSPORT. 987 00:49:35,896 --> 00:49:37,241 AND I TOLD DR. NOW'S OFFICE 988 00:49:37,241 --> 00:49:39,413 THAT IF THEY WANTED TO SEND A TRANSPORT FOR ME, 989 00:49:39,413 --> 00:49:43,965 I'D BE THERE, BUT THEY DIDN'T, SO THERE'S NOTHING I CAN DO. 990 00:49:43,965 --> 00:49:45,655 DAWN CAN'T PUSH ME IN A WHEELCHAIR 991 00:49:45,655 --> 00:49:50,517 ALL THE WAY TO A VEHICLE AND THEN INTO THE CLINIC. 992 00:49:50,517 --> 00:49:51,896 SO I TOLD TOLD DR. NOW'S OFFICE 993 00:49:51,896 --> 00:49:53,965 THAT WHEN THEY CALLED TO FOLLOW UP WITH ME, 994 00:49:53,965 --> 00:49:55,551 AND THEY SAID DR. NOW WANTED TO SET UP 995 00:49:55,551 --> 00:49:58,310 A VIDEO CALL TO SEE ME AND TALK TO ME, 996 00:49:58,310 --> 00:50:01,000 I'M FIGURING BECAUSE HE THINKS I'M NOT DOING WHAT I NEED. 997 00:50:01,000 --> 00:50:02,310 THERE YOU GO. 998 00:50:02,310 --> 00:50:04,275 BUT I REALLY, REALLY AM, 999 00:50:04,275 --> 00:50:06,482 AND I'M WILLING TO GO SEE HIM IF HE'D HELP ME GET THERE. 1000 00:50:06,482 --> 00:50:08,482 OKAY. 1001 00:50:12,862 --> 00:50:14,724 HI, JOYCE. HOW ARE YOU? 1002 00:50:14,724 --> 00:50:16,310 GOOD. HOW ARE YOU? 1003 00:50:16,310 --> 00:50:17,793 I'M DOING OKAY. 1004 00:50:17,793 --> 00:50:21,448 SO WHAT'S GOING ON FOR YOU TO MISS YOUR APPOINTMENT? 1005 00:50:21,448 --> 00:50:24,586 I'VE HAD SOME TRANSPORTATION ISSUES, AS YOU KNOW, 1006 00:50:24,586 --> 00:50:27,103 SO I'VE BEEN TRYING TO FIGURE OUT HOW TO GET THERE. 1007 00:50:27,103 --> 00:50:28,724 I DID LOOK INTO AN AMBULANCE, 1008 00:50:28,724 --> 00:50:30,344 BUT IT WAS JUST TOO EXPENSIVE FOR ME 1009 00:50:30,344 --> 00:50:34,344 TO AFFORD TO GO THAT WAY. 1010 00:50:34,344 --> 00:50:37,551 WELL, JOYCE, YOU SHOULD HAVE LOST ENOUGH WEIGHT THAT TODAY, 1011 00:50:37,551 --> 00:50:39,206 YOU SHOULD BE ABLE TO WALK AS MUCH 1012 00:50:39,206 --> 00:50:42,275 AS YOU NEED TO THE CLINIC AND COME AND SEE US, 1013 00:50:42,275 --> 00:50:43,862 BUT THAT'S NOT HAPPENING. 1014 00:50:43,862 --> 00:50:46,275 SO WHAT'S GOING ON WITH YOUR EATING HABIT? 1015 00:50:46,275 --> 00:50:48,275 I AM STILL FOLLOWING THE CALORIES, 1016 00:50:48,275 --> 00:50:51,413 BUT I THINK I'M GOING TO HAVE TO TAKE IN A LOT LESS CALORIES 1017 00:50:51,413 --> 00:50:54,000 THAN 1,200 TO MAKE ANY DIFFERENCE. 1018 00:50:54,000 --> 00:50:55,586 YOU'RE EATING TOO MUCH. 1019 00:50:55,586 --> 00:50:58,241 YOU'RE EATING FIVE TO SIX TIMES WHAT YOU SHOULD BE RIGHT NOW, 1020 00:50:58,241 --> 00:51:01,068 AND THAT FOOD IS MORE IMPORTANT THAN SAVING YOUR LIFE. 1021 00:51:01,068 --> 00:51:02,793 NO, IT'S NOT. IT'S JUST... 1022 00:51:02,793 --> 00:51:07,103 IT'S BEEN A STRUGGLE FOR ME TO FIGURE OUT HOW MANY CALORIES 1023 00:51:07,103 --> 00:51:09,206 I NEED TO GET IT OFF FASTER. 1024 00:51:09,206 --> 00:51:14,931 I MEAN, I...ALL HOME-COOKED, LOW-FAT, LOW-CARB, 1025 00:51:14,931 --> 00:51:16,448 HIGH-PROTEIN FOOD. 1026 00:51:16,448 --> 00:51:19,310 IF IT'S LOW-FAT, LOW-CARB, BY NOW, 1027 00:51:19,310 --> 00:51:22,655 YOU SHOULD'VE LOST SOMETHING, BUT THAT'S CLEARLY NOT THE CASE 1028 00:51:22,655 --> 00:51:24,620 BECAUSE YOU LOOK LIKE YOU HAVE GAINED. 1029 00:51:24,620 --> 00:51:26,000 NO, THAT'S NOT TRUE. 1030 00:51:26,000 --> 00:51:27,586 I HAVE LOST WEIGHT BECAUSE I CAN FEEL IT IN A LOT OF WAYS. 1031 00:51:27,586 --> 00:51:30,137 YOU KNOW, MY CLOTHES FIT BETTER, AND IT'S EASIER FOR ME TO SIT UP 1032 00:51:30,137 --> 00:51:32,137 THAN IT WAS WHEN I LEFT THE HOSPITAL. 1033 00:51:32,137 --> 00:51:33,448 SO I KNOW I'M MAKING PROGRESS, 1034 00:51:33,448 --> 00:51:35,137 BUT I MAY NOT HAVE LOST THE AMOUNT OF WEIGHT 1035 00:51:35,137 --> 00:51:37,206 THAT I SHOULD BE LOSING. 1036 00:51:37,206 --> 00:51:39,206 BUT THAT'S BECAUSE I THINK THE DIET IS WRONG, 1037 00:51:39,206 --> 00:51:43,310 AND 1,200 CALORIES IS STILL TOO MUCH FOR ME. 1038 00:51:43,310 --> 00:51:46,172 JOYCE, YOU'RE DELUSIONAL IF YOU BELIEVE THAT. 1039 00:51:46,172 --> 00:51:48,137 IT JUST MEANS THAT YOU'RE DOING OKAY 1040 00:51:48,137 --> 00:51:50,413 BECAUSE YOU FEEL LIKE YOUR CLOTHES ARE BAGGY. 1041 00:51:50,413 --> 00:51:53,827 I CAN SEE YOU RIGHT NOW, AND I CAN TELL YOU HAVE GAINED. 1042 00:51:53,827 --> 00:51:55,689 THE ONLY QUESTION IS HOW MUCH, 1043 00:51:55,689 --> 00:51:58,689 AND THAT'S WHY IT'S IMPORTANT WE SEE YOU IMMEDIATELY 1044 00:51:58,689 --> 00:52:01,655 BECAUSE IF YOU UNDO THE PROGRESS WE MADE WITH YOU, 1045 00:52:01,655 --> 00:52:06,068 YOUR SITUATION IS GOING TO GET MUCH WORSE VERY SOON. 1046 00:52:06,068 --> 00:52:09,620 I'M OFF OF MY OXYGEN. 1047 00:52:09,620 --> 00:52:11,655 I'M NO LONGER USING OXYGEN. 1048 00:52:11,655 --> 00:52:13,758 YOU HAVEN'T NEEDED TO USE THAT FOR A WHILE. 1049 00:52:13,758 --> 00:52:15,827 YOU JUST CONVINCED YOURSELF YOU NEEDED IT. 1050 00:52:15,827 --> 00:52:18,724 SO THE ONLY PROGRESS WITH THAT IS YOU NO LONGER 1051 00:52:18,724 --> 00:52:20,965 PRETENDING YOU CAN'T BREATHE ON YOUR OWN, 1052 00:52:20,965 --> 00:52:24,137 SO THAT DOESN'T SHOW MUCH PROGRESS EITHER. 1053 00:52:24,137 --> 00:52:26,172 WELL, I CAN WALK, SO THERE'S THAT. 1054 00:52:26,172 --> 00:52:27,620 I CAN WALK FURTHER, TOO. 1055 00:52:27,620 --> 00:52:28,862 HOW FAR YOU CAN WALK? 1056 00:52:28,862 --> 00:52:31,000 I WALK ABOUT 40 FEET. 1057 00:52:31,000 --> 00:52:34,137 WELL, PT DOESN'T AGREE WITH YOU ABOUT THAT. 1058 00:52:34,137 --> 00:52:36,724 BUT IF THAT'S TRUE, THEN WHAT'S THE PROBLEM 1059 00:52:36,724 --> 00:52:39,137 WALKING TO THE CAR TO COME HERE? 1060 00:52:39,137 --> 00:52:42,241 IT'S JUST TOO FAR STILL AND TOO HARD FOR ME TO DO. 1061 00:52:42,241 --> 00:52:45,344 JOYCE, I WANT YOU TO STOP MAKING EXCUSES 1062 00:52:45,344 --> 00:52:48,344 AND COME TO THE CLINIC IN THE NEXT 48 HOURS 1063 00:52:48,344 --> 00:52:50,310 IF YOU WANT TO KEEP DOING THE PROGRAM. 1064 00:52:50,310 --> 00:52:51,758 OKAY?OKAY. 1065 00:52:51,758 --> 00:52:54,586 YOU CAN GET HERE WITHOUT MEDICAL TRANSPORT. 1066 00:52:54,586 --> 00:52:57,379 YOU DON'T NEED THAT, AND IT IS JUST AN EXCUSE 1067 00:52:57,379 --> 00:52:59,551 NOT TO DO MUCH PHYSICAL ACTIVITY, 1068 00:52:59,551 --> 00:53:02,413 AND SAYING YOU WON'T FIT ISN'T A GOOD EXCUSE 1069 00:53:02,413 --> 00:53:05,827 EITHER IF YOU WANT TO USE THAT AS YOUR NEXT EXCUSE, 1070 00:53:05,827 --> 00:53:07,448 BECAUSE THERE ARE TAXIS 1071 00:53:07,448 --> 00:53:10,206 WHERE YOU CAN USE A WHEELCHAIR OR A SCOOTER. 1072 00:53:10,206 --> 00:53:13,965 SO YOU NEED TO FIGURE IT OUT AND GET HERE IN THE NEXT 2 DAYS 1073 00:53:13,965 --> 00:53:16,000 SO WE CAN SEE WHERE YOUR WEIGHT IS AT 1074 00:53:16,000 --> 00:53:18,310 IF YOU WANT TO CONTINUE WITH THE PROGRAM. 1075 00:53:18,310 --> 00:53:19,758 YOU GOT THAT? 1076 00:53:19,758 --> 00:53:21,241 YES, I DO. 1077 00:53:21,241 --> 00:53:23,827 WE HAVE A LONG WAY TO GO TO GET YOU TO WHERE YOU NEED, 1078 00:53:23,827 --> 00:53:26,103 BUT THE WAY IT'S BEEN GOING, 1079 00:53:26,103 --> 00:53:28,827 I DON'T THINK WE'RE EVER GOING TO GET THERE, 1080 00:53:28,827 --> 00:53:30,620 AND THAT'S MY CONCERN. 1081 00:53:30,620 --> 00:53:33,862 SO YOU NEED TO WORK HARD TO SHOW ME YOU CAN DO THIS, 1082 00:53:33,862 --> 00:53:35,862 AND WHAT I NEED TO SEE FROM YOU 1083 00:53:35,862 --> 00:53:38,379 IS SOME EFFORT TO TURN YOUR LIFE AROUND 1084 00:53:38,379 --> 00:53:40,344 AND EVIDENCE YOU'RE WILLING TO DO 1085 00:53:40,344 --> 00:53:42,413 WHAT YOU NEED TO SAVE YOUR LIFE. 1086 00:53:42,413 --> 00:53:45,620 IF YOU DON'T DO THIS AND KEEP MAKING MORE EXCUSES, 1087 00:53:45,620 --> 00:53:47,517 IT'S NOT GOING TO BE GOOD FOR YOU. 1088 00:53:47,517 --> 00:53:48,931 RIGHT. 1089 00:53:48,931 --> 00:53:50,620 I DON'T WANT YOU TO THINK THAT THAT'S THE CASE 1090 00:53:50,620 --> 00:53:52,827 BECAUSE I AM WORKING VERY HARD. 1091 00:53:52,827 --> 00:53:54,448 I JUST KNOW THAT I HAVE TO LESSEN. 1092 00:53:54,448 --> 00:53:57,206 TWELVE HUNDRED CALORIES IS TOO MUCH FOR ME. 1093 00:53:57,206 --> 00:54:00,448 YOU KEEP SAYING THAT, BUT YOU'RE EATING FIVE TIMES THAT, 1094 00:54:00,448 --> 00:54:02,379 AND YOU EITHER DON'T REALIZE THAT 1095 00:54:02,379 --> 00:54:05,344 OR THINK YOU CAN CONVINCE ME OF THE DELUSION YOU WANT. 1096 00:54:05,344 --> 00:54:06,965 NO. 1097 00:54:06,965 --> 00:54:09,000 BUT I'M TELLING YOU RIGHT NOW, UNLESS YOU QUIT THE PROGRAM, 1098 00:54:09,000 --> 00:54:10,724 WE'LL FIND OUT WHERE YOUR WEIGHT IS 1099 00:54:10,724 --> 00:54:13,034 AT WHEN YOU GET HERE, AND WE'LL SEE. 1100 00:54:13,034 --> 00:54:14,448 OKAY?OKAY. 1101 00:54:14,448 --> 00:54:17,379 I'M GOING TO WORK MY HARDEST AT GETTING TO BE 1102 00:54:17,379 --> 00:54:21,655 AT THE CLINIC WITH TRANSPORTATION AS SOON AS I CAN. 1103 00:54:21,655 --> 00:54:23,413 I'M GOING TO WORK VERY HARD. 1104 00:54:23,413 --> 00:54:25,000 WELL, YOU HAVE 2 DAYS. 1105 00:54:25,000 --> 00:54:27,827 I THINK THAT'S A LITTLE UNFAIR, BUT I'LL DO MY BEST. 1106 00:54:27,827 --> 00:54:29,620 GOOD. OKAY, JOYCE. 1107 00:54:29,620 --> 00:54:30,862 I HOPE TO SEE YOU SOON. 1108 00:54:30,862 --> 00:54:32,655 IF YOU NEED ANYTHING, LET ME KNOW. 1109 00:54:32,655 --> 00:54:34,482 I NEED MEDICAL TRANSPORT. 1110 00:54:34,482 --> 00:54:35,793 NO, YOU DON'T. 1111 00:54:35,793 --> 00:54:37,965 SO IF YOU NEED ANYTHING ELSE, LET ME KNOW. 1112 00:54:37,965 --> 00:54:39,310 I KNOW MY BODY, BUT OKAY. 1113 00:54:39,310 --> 00:54:41,137 WHATEVER YOU SAY, DR. NOW. 1114 00:54:41,137 --> 00:54:42,758 ALRIGHT. 1115 00:54:47,586 --> 00:54:50,034 I DON'T THINK DR. NOW IS BEING FAIR 1116 00:54:50,034 --> 00:54:52,206 BECAUSE WHETHER HE BELIEVES ME OR NOT, 1117 00:54:52,206 --> 00:54:55,586 I KNOW I'M DOING EVERYTHING I'M SUPPOSED TO BE DOING. 1118 00:54:55,586 --> 00:54:58,000 I CAN'T HELP THAT THE RESULTS DON'T SHOW THAT. 1119 00:54:58,000 --> 00:55:00,482 IT'S THE PROGRAM THAT'S FAILING, NOT ME. 1120 00:55:00,482 --> 00:55:03,413 BUT I'M GOING TO LET THIS GET ME DOWN OR DISCOURAGE ME, 1121 00:55:03,413 --> 00:55:06,206 AND I'LL KEEP WORKING JUST AS HARD AND EVEN HARDER NOW 1122 00:55:06,206 --> 00:55:07,896 BECAUSE I'M GOING TO HAVE TO ADAPT THE PLAN 1123 00:55:07,896 --> 00:55:10,758 I HAVE TO WORK FOR ME, AND I ALSO HAVE TO FIGURE OUT 1124 00:55:10,758 --> 00:55:13,103 HOW TO GET TO HIS OFFICE IN THE NEXT 2 DAYS, 1125 00:55:13,103 --> 00:55:15,000 BUT I JUST DON'T KNOW HOW RIGHT NOW. 1126 00:55:29,482 --> 00:55:32,655 THIS IS NOT SAFE. 1127 00:55:32,655 --> 00:55:35,448 AFTER I TALKED TO DR. NOW A COUPLE DAYS AGO, 1128 00:55:35,448 --> 00:55:39,103 DAWN GOT ME A SCOOTER TO TRY TO USE TO GET AROUND. 1129 00:55:39,103 --> 00:55:40,413 I THINK WE SHOULD GET THE WHEELCHAIR 1130 00:55:40,413 --> 00:55:42,172 JUST IN CASE SHE NEEDS IT. 1131 00:55:42,172 --> 00:55:43,517 AM I ON? 1132 00:55:43,517 --> 00:55:44,689 JUST GO. YOU'RE ON IT. 1133 00:55:44,689 --> 00:55:45,965 I CAN'T JUDGE IF I'M ON THE SIDEWALK. 1134 00:55:45,965 --> 00:55:47,379 I CAN TELL YOU. I'LL TELL YOU IF YOU'RE ON THE SIDEWALK. 1135 00:55:47,379 --> 00:55:50,379 THE BACK OF ME. 1136 00:55:50,379 --> 00:55:52,172 AND THEN I CALLED MY MOM, AND SHE FLEW BACK DOWN 1137 00:55:52,172 --> 00:55:55,172 IMMEDIATELY TO MAKE SURE I GET TO DR. NOW'S. 1138 00:55:55,172 --> 00:55:56,793 AM I GOOD? 1139 00:55:59,172 --> 00:56:00,551 WE FOUND A WAY TO GET A TAXI 1140 00:56:00,551 --> 00:56:02,413 AND GET TO JUST DRIVE YOUR SCOOTER INTO IT, 1141 00:56:02,413 --> 00:56:04,379 AND IT GETS SECURED. 1142 00:56:04,379 --> 00:56:06,206 AND I'M PRAYING I'M ABLE TO DO THIS 1143 00:56:06,206 --> 00:56:08,206 WITHOUT SOMETHING REALLY BAD HAPPENING. 1144 00:56:08,206 --> 00:56:10,827 OKAY. I'LL SEE YOU GUYS OVER THERE. 1145 00:56:10,827 --> 00:56:11,965 -BYE. -BYE. 1146 00:56:11,965 --> 00:56:13,482 Joyce SEE YOU OVER THERE. 1147 00:56:13,482 --> 00:56:15,275 Joyce: AND I'M REALLY SCARED RIGHT NOW, 1148 00:56:15,275 --> 00:56:18,068 AND I REALLY DON'T THINK THIS IS A GOOD IDEA, 1149 00:56:18,068 --> 00:56:20,241 BUT I DON'T REALLY HAVE A CHOICE. 1150 00:56:20,241 --> 00:56:23,172 IF I WANT DR. NOW'S HELP, I HAVE TO DO THIS SOMEHOW. 1151 00:56:29,034 --> 00:56:32,517 THANK GOD I MADE IT WITHOUT ANYTHING BAD HAPPENING, 1152 00:56:32,517 --> 00:56:33,758 BUT THIS IS REALLY PAINFUL, 1153 00:56:33,758 --> 00:56:37,758 AND IT'S PUTTING A LOT OF STRAIN ON MY BODY. 1154 00:56:37,758 --> 00:56:40,448 I HAVE TO TRY TO USE THE SCOOTER AND GO IN THE CLINIC, 1155 00:56:40,448 --> 00:56:42,068 BUT I HATE IT BECAUSE IT'S SO PAINFUL 1156 00:56:42,068 --> 00:56:45,137 TO SIT IN WITH HOW I HAVE TO SIT, 1157 00:56:45,137 --> 00:56:47,689 AND I'M REALLY SCARED I SHOULDN'T BE DOING THIS 1158 00:56:47,689 --> 00:56:50,172 BECAUSE I ALREADY FEEL LIKE I'M AT MY LIMIT. 1159 00:57:12,551 --> 00:57:14,482 UH-OH. 1160 00:57:14,482 --> 00:57:17,034 CAN YOU MAKE IT? OKAY. 1161 00:57:17,034 --> 00:57:19,965 I CAN'T HANDLE THAT HUMP ON THE SCOOTER. 1162 00:57:19,965 --> 00:57:21,379 I HAVE TO WALK IN WITH THE WALKER... 1163 00:57:21,379 --> 00:57:22,724 -DO YOU NEED YOUR WALKER? -I NEED A WALKER. 1164 00:57:22,724 --> 00:57:24,413 ...BUT HAVE THE WHEELCHAIR READY. 1165 00:57:29,310 --> 00:57:32,172 THIS IS TAKING SO MUCH OUT OF ME. 1166 00:57:32,172 --> 00:57:34,827 I WISH DR. NOW WOULD JUST LISTEN TO ME AND SEE THE FACT 1167 00:57:34,827 --> 00:57:37,068 I CAN'T WALK YET ISN'T MY FAULT, 1168 00:57:37,068 --> 00:57:40,551 AND SO HAVING TO DO THIS IS ABUSIVE AND NOT RIGHT. 1169 00:57:40,551 --> 00:57:41,655 WHENEVER YOU'RE READY. ARE YOU THERE? 1170 00:57:41,655 --> 00:57:44,620 YEP. 1171 00:57:46,586 --> 00:57:48,068 OKAY. 1172 00:57:48,068 --> 00:57:49,827 OKAY.OKAY. 1173 00:57:49,827 --> 00:57:53,034 -ARE YOU OKAY? -JOYCE. 1174 00:57:53,034 --> 00:57:54,413 Joyce: WE HAVE TO DO THE WALKER AGAIN 1175 00:57:54,413 --> 00:57:58,517 I THINK BECAUSE I DON'T THINK THIS FITS THROUGH. 1176 00:57:58,517 --> 00:58:00,206 OKAY. 1177 00:58:04,137 --> 00:58:06,068 YOU'RE RUNNING ME OVER. 1178 00:58:06,068 --> 00:58:07,655 READY. 1179 00:58:07,655 --> 00:58:09,275 I'M RIGHT BEHIND YOU. 1180 00:58:11,517 --> 00:58:13,379 THANK GOD I MADE IT HERE, BUT I DON'T EVEN KNOW 1181 00:58:13,379 --> 00:58:16,137 IF I HAVE ANYTHING LEFT TO GET ON THE SCALE. 1182 00:58:16,137 --> 00:58:17,517 I'LL DO MY BEST. 1183 00:58:17,517 --> 00:58:20,413 I'M JUST COMPLETELY AND UTTERLY PHYSICALLY EXHAUSTED. 1184 00:58:37,620 --> 00:58:39,379 THAT CAN'T BE RIGHT. 1185 00:58:39,379 --> 00:58:45,379 THERE'S NO WAY THAT'S RIGHT BECAUSE I'M WORKING SO HARD. 1186 00:58:50,724 --> 00:58:55,034 I KNOW I LOST WEIGHT, A LOT OF WEIGHT! 1187 00:58:55,034 --> 00:58:59,068 SO THAT'S WRONG. IT HAS TO BE WRONG. 1188 00:58:59,068 --> 00:59:01,517 I JUST WISH DR. NOW WOULD BELIEVE ME. 1189 00:59:01,517 --> 00:59:02,758 I'M DOING EVERYTHING RIGHT, 1190 00:59:02,758 --> 00:59:06,689 SO THE PROGRAM AND THE DIET HAS TO BE WRONG 1191 00:59:06,689 --> 00:59:08,965 BECAUSE NONE OF THIS MAKES SENSE. 1192 00:59:20,068 --> 00:59:21,655 COME IN. 1193 00:59:21,655 --> 00:59:23,551 -HELLO. -HELLO, DR. NOW. 1194 00:59:23,551 --> 00:59:25,206 HOW ARE YOU ALL DOING? 1195 00:59:25,206 --> 00:59:27,482 I'M IN A LOT OF PAIN RIGHT NOW. 1196 00:59:27,482 --> 00:59:31,724 WELL, I KNOW IF STOP CONVINCING YOURSELF YOU CAN'T GET UP, 1197 00:59:31,724 --> 00:59:34,758 AND GIVING EXCUSES NOT TO DO ANY ACTIVITY, 1198 00:59:34,758 --> 00:59:36,965 YOU WOULD BE ABLE TO GET AROUND EASIER. 1199 00:59:36,965 --> 00:59:39,793 BUT THIS LEVEL OF ACTIVITY IS STILL LESS THAN 1200 00:59:39,793 --> 00:59:42,034 WHAT YOU SHOULD BE DOING EVERY DAY. 1201 00:59:42,034 --> 00:59:45,689 BUT THE BIGGER PROBLEM RIGHT NOW IS THAT IN THE PAST 6 WEEKS, 1202 00:59:45,689 --> 00:59:48,482 YOU'VE PUT BACK ON ALMOST 60 POUNDS. 1203 00:59:48,482 --> 00:59:50,965 DO YOU WANT TO TELL ME WHY THAT IS? 1204 00:59:50,965 --> 00:59:52,931 I'VE BEEN DOING EVERYTHING I'M SUPPOSED TO, 1205 00:59:52,931 --> 00:59:54,551 AND THEN ACTUALLY WITH THE EATING HABITS, 1206 00:59:54,551 --> 00:59:56,172 I'VE BEEN DOING REALLY, REALLY WELL, 1207 00:59:56,172 --> 00:59:59,517 SO I DON'T KNOW OTHER THAN THE FACT THAT I'M PUTTING ON 1208 00:59:59,517 --> 01:00:03,586 WATER WITH MY LYMPHEDEMA, LIKE, SITTING HERE HAVING IT HANG LOW 1209 01:00:03,586 --> 01:00:07,517 AND NOT HAVE MY LEGS UP MORE FREQUENTLY LIKE I USUALLY DO. 1210 01:00:07,517 --> 01:00:10,310 SO YOU'RE SAYING YOU GAINED 60 POUNDS OF WATER 1211 01:00:10,310 --> 01:00:13,241 ON THE CAR RIDE HERE BECAUSE YOU'RE SITTING UP? 1212 01:00:13,241 --> 01:00:15,172 THAT'S NOT REALITY. 1213 01:00:15,172 --> 01:00:16,827 HONESTLY, I REALLY... 1214 01:00:16,827 --> 01:00:20,103 I DON'T KNOW WHAT ELSE I CAN TELL YOU, BUT IT'S THE TRUTH. 1215 01:00:20,103 --> 01:00:22,241 YOU WANT TO BELIEVE WHATEVER YOU WANT, 1216 01:00:22,241 --> 01:00:23,827 BUT THAT'S NOT GOING TO CHANGE THE FACT 1217 01:00:23,827 --> 01:00:25,413 THAT YOU ARE KILLING YOURSELF, 1218 01:00:25,413 --> 01:00:29,275 AND YOU'RE NOT GOING TO LIVE MUCH LONGER LIKE THIS. 1219 01:00:29,275 --> 01:00:30,655 I'M SORRY. I CAN'T DO THIS, 1220 01:00:30,655 --> 01:00:32,068 AND I DON'T THINK I'M GOING TO BE ABLE 1221 01:00:32,068 --> 01:00:34,965 TO MAKE IT BACK IN THE TAXI LIKE I DID. 1222 01:00:34,965 --> 01:00:36,172 THE CAR RIDE IS TOO MUCH FOR ME, 1223 01:00:36,172 --> 01:00:38,310 AND I THINK I NEED TO GO TO THE HOSPITAL. 1224 01:00:38,310 --> 01:00:41,103 I MEAN, I JUST DON'T... 1225 01:00:41,103 --> 01:00:43,758 I DON'T HAVE THE ABILITY TO WALK. 1226 01:00:43,758 --> 01:00:46,275 LIKE, I'M VERY DIZZY, AND I THINK I'M HAVING A HEART ATTACK. 1227 01:00:48,137 --> 01:00:51,517 YOU DON'T LOOK LIKE YOU ARE. 1228 01:00:51,517 --> 01:00:53,137 NOW YOU DO. 1229 01:00:53,137 --> 01:00:54,862 YOU WANT TO GO IN THE HOSPITAL? 1230 01:00:54,862 --> 01:00:56,793 YES. 1231 01:00:56,793 --> 01:01:00,172 LIKE, MY HIPS ARE JUST SO SPREAD OUT RIGHT NOW, 1232 01:01:00,172 --> 01:01:02,034 AND ALL I KNOW IS SOMETHING WRONG WITH MY HEART 1233 01:01:02,034 --> 01:01:03,793 AND MY WEIGHT HAS BEEN ON MY KNEES, 1234 01:01:03,793 --> 01:01:06,655 SO ITS MAKING MY FEET AND MY LEGS FALL ASLEEP. 1235 01:01:06,655 --> 01:01:11,482 IT HURTS SO BAD, AND I NEED TO LAY DOWN BEFORE I PASS OUT. 1236 01:01:11,482 --> 01:01:14,137 IF YOU THINK YOU'RE DYING, WE GET YOU TO THE HOSPITAL 1237 01:01:14,137 --> 01:01:15,517 AND GET YOU CHECKED OUT. 1238 01:01:15,517 --> 01:01:17,551 -ALRIGHT. -OKAY. -OKAY. 1239 01:01:29,413 --> 01:01:32,862 THIS IS A VERY BAD SITUATION WE HAVE WITH JOYCE. 1240 01:01:32,862 --> 01:01:34,758 NOT ONLY IS SHE GAINING AGAIN 1241 01:01:34,758 --> 01:01:37,413 AND HEADING IN THE WRONG DIRECTION WITH HER HEALTH, 1242 01:01:37,413 --> 01:01:40,517 BUT SHE'S CONVINCING HERSELF SHE'S DOING THE DIET 1243 01:01:40,517 --> 01:01:43,379 AND EVERYTHING SHE NEEDS WHILE ALSO PLAYING GAMES 1244 01:01:43,379 --> 01:01:46,000 AND TRYING TO MANIPULATE THE SITUATION. 1245 01:01:46,000 --> 01:01:48,241 SO THIS IS A VERY SERIOUS PROBLEM, 1246 01:01:48,241 --> 01:01:50,379 AND IT'S ONLY GOING TO GET WORSE 1247 01:01:50,379 --> 01:01:53,517 IF WE CAN'T GET HER TO WAKE UP BEFORE IT'S TOO LATE. 1248 01:01:53,517 --> 01:01:56,862 BUT TO BE SAFE, IF SHE IS CLAIMING THERE IS AN ISSUE, 1249 01:01:56,862 --> 01:01:58,586 WE'LL GET HER TO THE HOSPITAL 1250 01:01:58,586 --> 01:02:01,448 AND RUN SOME TESTS TO SEE WHAT'S GOING ON, 1251 01:02:01,448 --> 01:02:05,620 BUT THERE IS NO REAL POSITIVE OUTCOME TO THIS SITUATION 1252 01:02:05,620 --> 01:02:08,965 BECAUSE EITHER SHE'S SUFFERING A MEDICAL EMERGENCY 1253 01:02:08,965 --> 01:02:11,034 WHERE HER BODY WILL START GIVING OUT, 1254 01:02:11,034 --> 01:02:14,172 AND THERE WILL BE LIKELY NOTHING WE CAN DO TO HELP HER, 1255 01:02:14,172 --> 01:02:17,000 OR WE WILL DETERMINE THERE IS NOTHING WRONG, 1256 01:02:17,000 --> 01:02:20,103 AND SHE'S MAKING ALL THIS UP TO GET OUT OF THIS SITUATION 1257 01:02:20,103 --> 01:02:22,241 AND GET A MEDICAL TRANSPORT HOME. 1258 01:02:22,241 --> 01:02:24,655 EITHER WAY, THE SITUATION IS BAD, 1259 01:02:24,655 --> 01:02:27,793 AND WE ARE IN A VERY DANGEROUS PLACE WITH JOYCE. 1260 01:02:42,862 --> 01:02:47,000 Dr. Nowzaradan: EARLIER TODAY, JOYCE CAME IN FOR AN APPOINTMENT AT THE CLINIC. 1261 01:02:47,000 --> 01:02:49,448 WE HAD A HARD TIME TO GET HER BACK IN THE OFFICE, 1262 01:02:49,448 --> 01:02:52,068 AND SHE STARTED COMPLAINING ABOUT A NUMBER OF ISSUES 1263 01:02:52,068 --> 01:02:54,655 CLAIMING THE ACTIVITY SHE HAD FROM THE TRIP THERE 1264 01:02:54,655 --> 01:02:56,758 PUSHED HER BODY TO THE LIMIT, 1265 01:02:56,758 --> 01:02:58,758 BUT WE FINISHED GIVING HER A CHECKUP 1266 01:02:58,758 --> 01:03:00,137 AND RUNNING SOME TESTS, 1267 01:03:00,137 --> 01:03:03,241 AND THERE ARE NO IMMEDIATE MEDICAL ISSUES WITH HER 1268 01:03:03,241 --> 01:03:04,758 THAT WE NEED TO ADDRESS. 1269 01:03:04,758 --> 01:03:07,931 SO SHE'S FINE, AND SHE LIKELY MADE THIS ALL UP 1270 01:03:07,931 --> 01:03:10,103 TO GET OUT OF AN UNCOMFORTABLE SITUATION 1271 01:03:10,103 --> 01:03:11,517 SHE DIDN'T WANT TO BE IN 1272 01:03:11,517 --> 01:03:14,344 AND TO GET THE MEDICAL TRANSPORT SHE WANTED. 1273 01:03:14,344 --> 01:03:17,103 NOW THIS IS EXTREMELY MANIPULATIVE BEHAVIOR 1274 01:03:17,103 --> 01:03:19,241 THAT I AM VERY CONCERNED ABOUT. 1275 01:03:26,310 --> 01:03:28,724 HI, JOYCE.HI, DR. NOW. 1276 01:03:28,724 --> 01:03:30,310 HOW ARE YOU FEELING? 1277 01:03:30,310 --> 01:03:32,931 I'M FEELING QUITE A BIT BETTER NOW THAT I'M LAYING DOWN. 1278 01:03:32,931 --> 01:03:36,724 WELL, AS YOU KNOW, ALL YOUR TESTS ARE LOOKING GOOD, OKAY? 1279 01:03:36,724 --> 01:03:38,517 ARE THEY?YEAH. 1280 01:03:38,517 --> 01:03:39,793 THANK YOU. 1281 01:03:39,793 --> 01:03:42,448 SO YOU'RE NOT HAVING A HEART ATTACK OR DYING. 1282 01:03:42,448 --> 01:03:44,517 OKAY, WELL, I'M VERY RELIEVED. 1283 01:03:44,517 --> 01:03:47,413 WELL, I THINK YOU ALREADY KNEW EVERYTHING WAS FINE, 1284 01:03:47,413 --> 01:03:49,551 BUT IT'S ONLY A MATTER OF TIME BEFORE YOUR BODY 1285 01:03:49,551 --> 01:03:51,896 ACTUALLY GIVES OUT AND DECIDED 1286 01:03:51,896 --> 01:03:54,344 THAT YOU THINK YOU'RE DOING OKAY. 1287 01:03:54,344 --> 01:03:56,068 BUT YOU'RE NOT ABLE TO WALK. 1288 01:03:56,068 --> 01:03:58,034 TWO MONTHS IS ENOUGH TIME TO MAKE 1289 01:03:58,034 --> 01:04:02,034 A 100-POUND WEIGHT LOSS, OKAY? 1290 01:04:02,034 --> 01:04:04,344 BUT YOU GAINED 60 POUNDS INSTEAD, 1291 01:04:04,344 --> 01:04:06,655 AND IT'S BECAUSE YOU'RE NOT STICKING TO THE DIET 1292 01:04:06,655 --> 01:04:09,068 AND YOU'RE LYING ABOUT IT.NO, I'M NOT. 1293 01:04:09,068 --> 01:04:11,206 I'M STICKING TO A 1,200-CALORIE DIET. 1294 01:04:11,206 --> 01:04:15,655 LIKE, I WATCH IT VERY CLOSELY, AND SO IF I NEED LESS CALORIES, 1295 01:04:15,655 --> 01:04:18,000 I'LL HAVE TO TAKE IN LESS CALORIES. 1296 01:04:18,000 --> 01:04:20,206 OKAY, JOYCE, I'M NOT PLAYING GAMES, 1297 01:04:20,206 --> 01:04:22,172 SO HERE IS WHAT WE'RE GOING TO DO. 1298 01:04:22,172 --> 01:04:25,172 I WANT YOU TO START GOING TO PSYCHOTHERAPY, OKAY? 1299 01:04:25,172 --> 01:04:28,620 SO WE'LL SET THAT UP WITH YOU, AND YOU NEED TO GO TO THAT. 1300 01:04:28,620 --> 01:04:30,793 I'VE ALREADY HAD THERAPY WHEN I WAS YOUNGER. 1301 01:04:30,793 --> 01:04:31,965 YOU NEED MORE. 1302 01:04:31,965 --> 01:04:34,724 OKAY, BUT I NEED MEDICAL TRANSPORT TO GO. 1303 01:04:34,724 --> 01:04:37,137 I CAN'T PUT MY BODY THROUGH THIS AGAIN. 1304 01:04:37,137 --> 01:04:39,103 IF YOU AGREE TO GO TO THERAPY, 1305 01:04:39,103 --> 01:04:42,793 I WILL GET YOU MEDICAL TRANSPORT TO DO IT, OKAY? 1306 01:04:42,793 --> 01:04:44,655 OKAY, THAT'S FAIR. 1307 01:04:44,655 --> 01:04:47,620 AND THEN I WANT YOU TO COME BACK TO SEE ME AT THE CLINIC 1308 01:04:47,620 --> 01:04:49,896 WITHOUT MEDICAL TRANSPORT IN 1 MONTH, 1309 01:04:49,896 --> 01:04:53,068 AND I WANT YOU TO LOSE 50 POUNDS IN THAT TIME. 1310 01:04:53,068 --> 01:04:54,448 OKAY. 1311 01:04:54,448 --> 01:04:59,827 SO I WANT YOU TO BE ABLE TO COME TO OFFICE AND WALK, OKAY? 1312 01:04:59,827 --> 01:05:01,172 OKAY. 1313 01:05:01,172 --> 01:05:05,448 AND BE ABLE TO STAND ON A SCALE WITHOUT ANY HELP. 1314 01:05:05,448 --> 01:05:07,827 YOU GOT IT?YES, I GOT IT. 1315 01:05:07,827 --> 01:05:08,965 ALRIGHT. 1316 01:05:08,965 --> 01:05:10,034 WE'RE GOING TO GET YOU GOING HOME, 1317 01:05:10,034 --> 01:05:11,689 AND IF YOU NEED ANYTHING OTHER 1318 01:05:11,689 --> 01:05:13,965 THAN MEDICAL TRANSPORT, GIVE ME A CALL. 1319 01:05:13,965 --> 01:05:15,931 OKAY, THANK YOU, DR. NOW. 1320 01:05:15,931 --> 01:05:17,206 ALRIGHT. 1321 01:05:17,206 --> 01:05:20,448 AND THIS TIME, I WANT TO SEE REAL CHANGES, OKAY? 1322 01:05:20,448 --> 01:05:22,620 OKAY.NOT FIGURE OF SPEECH. 1323 01:05:22,620 --> 01:05:25,724 OKAY.OKAY? 1324 01:05:25,724 --> 01:05:27,137 ALRIGHT.I'LL SEE YOU LATER. 1325 01:05:27,137 --> 01:05:28,758 OKAY, BYE. 1326 01:05:31,689 --> 01:05:34,965 Dr. Nowzaradan: HOPEFULLY, PSYCHOTHERAPY WILL BE ABLE TO GET THROUGH TO JOYCE 1327 01:05:34,965 --> 01:05:37,172 TO WHERE SHE STARTS DOING WHAT SHE NEEDS, 1328 01:05:37,172 --> 01:05:39,931 BECAUSE SHE CAN'T GO ON MUCH LONGER LIKE THIS, 1329 01:05:39,931 --> 01:05:42,965 AND RIGHT NOW THINGS DON'T LOOK GOOD FOR HER. 1330 01:05:42,965 --> 01:05:45,482 Joyce: I FEEL LIKE DR. NOW HAS BEEN A LITTLE TOO HARSH, 1331 01:05:45,482 --> 01:05:47,448 BUT I'M JUST REALLY RELIEVED TO BE OKAY, 1332 01:05:47,448 --> 01:05:50,172 AND THAT THERE'S NOTHING REALLY BAD HAPPENING WITH MY BODY. 1333 01:05:50,172 --> 01:05:52,206 BUT I'M COMPLETELY DRAINED FROM ALL THIS, 1334 01:05:52,206 --> 01:05:54,068 AND I SHOULDN'T HAVE PUT MY BODY THROUGH IT 1335 01:05:54,068 --> 01:05:56,137 OR HAD TO ENDURE THIS. 1336 01:05:56,137 --> 01:05:58,586 IT WAS TOO DANGEROUS, SO I CAN'T DO IT AGAIN. 1337 01:05:58,586 --> 01:06:00,206 IT'S TOO RISKY. 1338 01:06:00,206 --> 01:06:02,862 BUT RIGHT NOW I JUST WANT TO GET HOME AND RECOVER FROM THIS 1339 01:06:02,862 --> 01:06:05,068 AND THEN KEEP TRYING TO DO WHAT I NEED, 1340 01:06:05,068 --> 01:06:06,827 EVEN THOUGH DR. NOW DOESN'T BELIEVE ME 1341 01:06:06,827 --> 01:06:08,896 WHEN I TELL HIM HOW HARD I'M WORKING. 1342 01:06:08,896 --> 01:06:11,482 BUT RIGHT NOW I JUST NEED TO REST AND RECOVER FROM ALL THIS 1343 01:06:11,482 --> 01:06:13,517 BECAUSE IT WAS TOO MUCH FOR ME. 1344 01:06:20,896 --> 01:06:22,965 TODAY, I'M HEADED TO THERAPY. 1345 01:06:22,965 --> 01:06:25,137 I WAS HOPING THE THERAPIST COULD COME TO ME, 1346 01:06:25,137 --> 01:06:27,862 BUT DR. NOW SAID I HAVE TO GO THERE, 1347 01:06:27,862 --> 01:06:30,551 BUT AT LEAST HE AGREED TO GIVE ME MEDICAL TRANSPORT, 1348 01:06:30,551 --> 01:06:33,068 SO I CAN WITHOUT KILLING MYSELF. 1349 01:06:33,068 --> 01:06:37,241 BUT I'M ONLY GOING BECAUSE DR. NOW MADE IT A REQUIREMENT 1350 01:06:37,241 --> 01:06:39,448 BECAUSE I'VE ALREADY HAD THERAPY IN THE PAST, 1351 01:06:39,448 --> 01:06:43,344 AND I'VE TALKED ABOUT EVERYTHING I NEED AND LET IT ALL GO. 1352 01:06:43,344 --> 01:06:44,758 I HAVE NO BIG PAIN OR PROBLEMS 1353 01:06:44,758 --> 01:06:47,827 WHEN IT COMES TO THAT STUFF OR MY PAST, 1354 01:06:47,827 --> 01:06:49,206 SO I KNOW I DON'T HAVE ANY ISSUES 1355 01:06:49,206 --> 01:06:52,482 THAT ARE DRIVING ME TO EAT OR ANYTHING LIKE THAT. 1356 01:06:52,482 --> 01:06:56,275 SO THIS IS A BIT OF A WASTE OF TIME, BUT DR. NOW 1357 01:06:56,275 --> 01:06:59,793 HAS MADE IT A REQUIREMENT OF HIS PROGRAM, SO I'M DOING IT. 1358 01:07:06,137 --> 01:07:07,758 JOYCE. HI. 1359 01:07:07,758 --> 01:07:09,000 HI, LOLA. 1360 01:07:09,000 --> 01:07:10,551 NICE TO MEET YOU.NICE TO MEET YOU. 1361 01:07:10,551 --> 01:07:12,896 IT'S A PLEASURE. 1362 01:07:12,896 --> 01:07:14,034 OKAY. 1363 01:07:14,034 --> 01:07:16,034 I'M SO GLAD YOU COULD JOIN ME TODAY. 1364 01:07:16,034 --> 01:07:18,620 ME TOO. OKAY. 1365 01:07:18,620 --> 01:07:21,482 SO NOW TELL ME A LITTLE BIT ABOUT YOURSELF. 1366 01:07:21,482 --> 01:07:23,275 WHERE DID YOU GROW UP? 1367 01:07:23,275 --> 01:07:25,827 MOST OF MY LIFE I GREW UP IN KANSAS CITY, MISSOURI. 1368 01:07:25,827 --> 01:07:26,896 OKAY. 1369 01:07:26,896 --> 01:07:28,793 I'VE BEEN RAISED BY JUST MY MOM. 1370 01:07:28,793 --> 01:07:31,551 TELL ME ABOUT YOUR RELATIONSHIP WITH YOUR MOTHER. 1371 01:07:31,551 --> 01:07:34,586 SHE WAS YELLED AT A LOT, SO SHE'LL YELL AT ME. 1372 01:07:34,586 --> 01:07:37,379 SHE WOULD, YOU KNOW, SAY HATEFUL THINGS. 1373 01:07:37,379 --> 01:07:38,724 OKAY. 1374 01:07:38,724 --> 01:07:40,724 AND A LOT OF IT'S ATTACHED WITH ANGER. 1375 01:07:42,793 --> 01:07:44,172 AND HOW DO YOU MEET THAT ANGER? 1376 01:07:44,172 --> 01:07:45,724 WHAT DO YOU MEET IT WITH? 1377 01:07:45,724 --> 01:07:48,551 I HAVE TO BUILD ABOVE HER... 1378 01:07:48,551 --> 01:07:51,172 OKAY....TO GET HER TO STOP 1379 01:07:51,172 --> 01:07:55,965 WOW, AND SO YOU MEET THAT ANGER... 1380 01:07:55,965 --> 01:07:58,379 I EXCEED IT......WITH AMPLIFIED RAGE. 1381 01:07:58,379 --> 01:07:59,689 BECAUSE YOU CAN'T GET IT TO STOP 1382 01:07:59,689 --> 01:08:02,034 WITHOUT DOING THAT. 1383 01:08:02,034 --> 01:08:03,965 WELL, LET ME SAY THIS, JOYCE, 1384 01:08:03,965 --> 01:08:06,793 REGARDING YOUR RELATIONSHIP WITH YOUR MOM. 1385 01:08:06,793 --> 01:08:10,241 IF SHE OR ANYONE ELSE SHOULD BECOME NEGATIVE 1386 01:08:10,241 --> 01:08:12,827 AND COUNTERPRODUCTIVE TO YOUR JOURNEY, 1387 01:08:12,827 --> 01:08:15,103 THEN YOU WOULD HAVE TO REEVALUATE THEIR ROLE 1388 01:08:15,103 --> 01:08:16,482 IN YOUR LIFE. 1389 01:08:16,482 --> 01:08:18,724 NOW, JOYCE, IN YOUR LIFETIME HAVE YOU EVER BEEN 1390 01:08:18,724 --> 01:08:21,965 SEXUALLY ASSAULTED OR MOLESTED? 1391 01:08:21,965 --> 01:08:23,758 I HAVE. 1392 01:08:23,758 --> 01:08:26,413 I'M SO SORRY THAT HAPPENED TO YOU. 1393 01:08:26,413 --> 01:08:30,620 AND AT ONE POINT, IF EVER, DID YOU DISCLOSE TO ANYONE? 1394 01:08:30,620 --> 01:08:33,724 I DIDN'T FOR YEARS BECAUSE I DIDN'T REMEMBER IT ALL, 1395 01:08:33,724 --> 01:08:36,551 AND THEN I STARTED GETTING REALLY INTENSE DREAMS 1396 01:08:36,551 --> 01:08:38,206 OF STUFF THAT HAPPENED. 1397 01:08:38,206 --> 01:08:43,551 AND SO AS THOSE COGNITIONS STARTED TO BECOME MORE CONSCIOUS 1398 01:08:43,551 --> 01:08:46,379 FOR YOU, WHAT WAS YOUR FIRST THOUGHT? 1399 01:08:46,379 --> 01:08:50,000 I DIDN'T WANT TO UPSET MY MOM, AND THEN WHEN I GOT TO AN AGE 1400 01:08:50,000 --> 01:08:51,655 WHERE I FELT COMFORTABLE, I TOLD HER. 1401 01:08:51,655 --> 01:08:55,241 WHAT WAS THAT LIKE FOR YOU DISCLOSING TO YOUR MOM? 1402 01:08:55,241 --> 01:09:00,206 IT WAS IN ONE OF OUR MAJOR, MAJOR EXPLOSIVE ARGUMENTS, 1403 01:09:00,206 --> 01:09:01,758 AND IT DIDN'T HAPPEN WELL. 1404 01:09:01,758 --> 01:09:06,275 SO IS THERE PART OF YOU THAT FEELS SHE ALLOWED IT TO HAPPEN? 1405 01:09:06,275 --> 01:09:07,896 NO, SHE ALLOWED ME TO BE IGNORED. 1406 01:09:07,896 --> 01:09:09,241 THAT'S WHAT I FEEL. 1407 01:09:09,241 --> 01:09:11,000 OKAY. 1408 01:09:11,000 --> 01:09:12,862 THAT'S WHAT I...I DON'T... 1409 01:09:12,862 --> 01:09:14,413 WHAT HAPPENED WITH HIM WAS NOT HER FAULT AT ALL. 1410 01:09:14,413 --> 01:09:15,724 RIGHT. 1411 01:09:15,724 --> 01:09:19,896 I DON'T BLAME HER, BUT I DO BLAME HER FOR IGNORING ME. 1412 01:09:19,896 --> 01:09:22,379 OKAY. 1413 01:09:22,379 --> 01:09:24,172 AND SO WITH THAT BEING SAID, 1414 01:09:24,172 --> 01:09:26,586 WHAT I WOULD REALLY LIKE TO SEE HAPPEN 1415 01:09:26,586 --> 01:09:28,655 IS THAT I'D LIKE TO HAVE YOURSELF AND YOUR MOM 1416 01:09:28,655 --> 01:09:31,620 COME BACK AND SEE ME FOR A FAMILY SESSION. 1417 01:09:31,620 --> 01:09:33,103 OKAY. 1418 01:09:33,103 --> 01:09:36,827 SO THAT WE CAN JUST TALK ABOUT WAYS TO SUPPORT ONE ANOTHER 1419 01:09:36,827 --> 01:09:40,758 ANDWAYS TO CONTINUE HEALING THIS RELATIONSHIP. 1420 01:09:40,758 --> 01:09:43,241 DOES THAT SOUND LIKE SOMETHING YOU'D BE INTERESTED IN DOING? 1421 01:09:43,241 --> 01:09:45,517 YEAH, I CAN DO THAT.OKAY. 1422 01:09:45,517 --> 01:09:47,931 SO THAT'S YOUR ONLY HOMEWORK FOR NOW 1423 01:09:47,931 --> 01:09:52,034 IS TO PERSUADE MOM TO COME ON IN FOR A FAMILY SESSION. 1424 01:09:52,034 --> 01:09:53,413 SOUNDS GOOD. 1425 01:09:53,413 --> 01:09:55,275 I APPRECIATE YOUR TALKING WITH ME TODAY, JOYCE. 1426 01:09:55,275 --> 01:09:56,724 THANK YOU FOR TALKING WITH ME. 1427 01:09:56,724 --> 01:09:59,310 OKAY. NO PROBLEM. 1428 01:09:59,310 --> 01:10:01,655 AND I LOOK FORWARD TO SEEING YOU AND MOM BACK HERE, OKAY? 1429 01:10:01,655 --> 01:10:02,620 OKAY. ALRIGHT. 1430 01:10:02,620 --> 01:10:05,482 I'LL LET DAWN KNOW YOU'RE DONE. 1431 01:10:05,482 --> 01:10:07,448 Joyce: THAT DIDN'T GO LIKE I THOUGHT IT WOULD 1432 01:10:07,448 --> 01:10:09,965 BECAUSE I THINK IT ACTUALLY DID HELP SOME. 1433 01:10:09,965 --> 01:10:12,241 I WASN'T EXPECT THAT, BUT I GUESS THERE ARE 1434 01:10:12,241 --> 01:10:16,689 SOME ISSUES I NEED TO WORK ON, ESPECIALLY WITH MY MOM. 1435 01:10:16,689 --> 01:10:18,310 HEY.HI. 1436 01:10:21,379 --> 01:10:24,103 YOU OKAY? MM-HMM. 1437 01:10:24,103 --> 01:10:25,551 OKAY? 1438 01:10:25,551 --> 01:10:29,172 I LOVE MY MOM, BUT SHE'S DONE THINGS THAT HAVE REALLY HURT ME, 1439 01:10:29,172 --> 01:10:31,344 SO NO MATTER HOW SCARY OR HARD IT IS, 1440 01:10:31,344 --> 01:10:34,310 I HAVE TO TALK TO MY MOM ABOUT THAT. 1441 01:10:34,310 --> 01:10:37,551 AND HOPEFULLY SHE'S WILLING TO COME HERE AND DO THIS WITH ME 1442 01:10:37,551 --> 01:10:40,172 BECAUSE IF SHE DOESN'T, I SEE NOW THAT I WON'T 1443 01:10:40,172 --> 01:10:42,862 BE ABLE TO MAKE ALL THE CHANGES I NEED IN MY LIFE. 1444 01:11:00,689 --> 01:11:03,034 Joyce: IT'S BEEN A MONTH SINCE MY LAST DR. NOW VISIT 1445 01:11:03,034 --> 01:11:05,206 AND STARTING THERAPY, 1446 01:11:05,206 --> 01:11:07,689 AND SINCE THEN I'VE BEEN FOCUSING ON DOING BETTER 1447 01:11:07,689 --> 01:11:10,241 AND WORKING REALLY HARD TO MAKE PROGRESS, 1448 01:11:10,241 --> 01:11:13,068 BUT IT HASN'T BEEN EASY FOR ME. 1449 01:11:13,068 --> 01:11:17,206 I THINK I'M GOING TO MAKE SOME EGG WHITES 1450 01:11:17,206 --> 01:11:20,931 WITH THE PEPPERS AND ONIONS AND A LITTLE BIT OF SAUSAGE. 1451 01:11:20,931 --> 01:11:22,793 OKAY, I'LL GO GET THE STUFF. 1452 01:11:25,724 --> 01:11:28,344 AFTER MY THERAPY APPOINTMENT WITH LOLA, I REALIZED 1453 01:11:28,344 --> 01:11:30,758 THAT I'M NOT GOING TO BE ABLE TO TRULY TURN MY LIFE AROUND 1454 01:11:30,758 --> 01:11:33,068 UNTIL I DEAL WITH THINGS WITH MY MOM, 1455 01:11:33,068 --> 01:11:35,137 BUT SO FAR, I'VE BEEN TOO SCARED TO ASK MY MOM 1456 01:11:35,137 --> 01:11:36,758 TO GO TO THERAPY WITH ME. 1457 01:11:36,758 --> 01:11:37,896 OKAY. 1458 01:11:37,896 --> 01:11:38,896 I'LL BRING YOU THE PEPPERS AND STUFF 1459 01:11:38,896 --> 01:11:39,931 SO YOU CAN START CUTTING THEM. 1460 01:11:39,931 --> 01:11:41,862 OKAY. 1461 01:11:41,862 --> 01:11:44,137 LAST TIME I TALKED TO HER, SHE SAID SHE WAS THINKING ABOUT 1462 01:11:44,137 --> 01:11:47,034 COMING DOWN AND VISITING ME AGAIN IN A FEW WEEKS, 1463 01:11:47,034 --> 01:11:49,655 AND IF SHE DOES, I THINK IT WOULD BE EASIER TO ASK HER THEN 1464 01:11:49,655 --> 01:11:51,931 BECAUSE SHE'LL ALREADY BE HERE. 1465 01:11:51,931 --> 01:11:53,344 I DON'T WANT TO WAIT THAT LONG, 1466 01:11:53,344 --> 01:11:55,827 BUT I DON'T REALLY HAVE ANOTHER CHOICE, 1467 01:11:55,827 --> 01:11:57,586 AND UNTIL MY MOM COMES DOWN, 1468 01:11:57,586 --> 01:11:59,689 I'M DOING AS MUCH AS I CAN TO LOSE MORE WEIGHT 1469 01:11:59,689 --> 01:12:02,206 AND TO WALK MORE. 1470 01:12:02,206 --> 01:12:05,344 DR. NOW STILL HAS PT COMING THREE TIMES A WEEK, 1471 01:12:05,344 --> 01:12:08,862 AND I'M WORKING HARD WITH THE EXERCISES THEY GIVE ME, 1472 01:12:08,862 --> 01:12:10,896 SO I'M EXCITED ABOUT THAT. 1473 01:12:10,896 --> 01:12:13,448 AND ME AND DAWN ARE ONLY EATING HEALTHY STILL. 1474 01:12:15,862 --> 01:12:17,896 I FEEL LIKE I'M DOING REALLY GOOD 1475 01:12:17,896 --> 01:12:20,310 EVEN THOUGH I STILL MAY NOT BE ABLE TO WALK AS MUCH 1476 01:12:20,310 --> 01:12:22,793 AS DR. NOW WANTS ME TO. 1477 01:12:22,793 --> 01:12:24,000 I'M SUPPOSED TO SEE HIM AGAIN 1478 01:12:24,000 --> 01:12:26,103 FOR ANOTHER APPOINTMENT NEXT WEEK, 1479 01:12:26,103 --> 01:12:28,931 BUT HE'S NOT SENDING ANY MEDICAL TRANSPORT, 1480 01:12:28,931 --> 01:12:30,724 SO I'M NOT SURE I'M GOING TO BE ABLE TO DO THAT 1481 01:12:30,724 --> 01:12:33,517 IF DR. NOW WON'T HELP ME GET THERE AGAIN. 1482 01:12:33,517 --> 01:12:35,034 SO DESPITE NOT BEING ABLE TO DEAL 1483 01:12:35,034 --> 01:12:37,689 WITH MY ISSUES WITH MY MOM, I'M TRYING TO GET TO THE POINT 1484 01:12:37,689 --> 01:12:39,896 WHERE IT WON'T BE TOO MUCH FOR ME. 1485 01:12:39,896 --> 01:12:41,310 I'M JUST NOT SURE 1486 01:12:41,310 --> 01:12:43,758 IF I'LL BE ABLE TO GET TO THAT POINT BY NEXT WEEK. 1487 01:12:54,827 --> 01:12:58,034 ME AND MY MOM ARE HERE TO HAVE A THERAPY SESSION TOGETHER. 1488 01:12:58,034 --> 01:13:00,137 SHE CAME INTO TOWN A COUPLE DAYS AGO, 1489 01:13:00,137 --> 01:13:02,241 AND I ASKED HER IF SHE'D DO THIS WITH ME. 1490 01:13:02,241 --> 01:13:05,241 AND SHE SAID SHE'D DO WHATEVER I NEED TO HELP ME GET HEALTHY, 1491 01:13:05,241 --> 01:13:07,827 AND I'M REALLY THANKFUL FOR THAT BECAUSE IT'S IMPORTANT 1492 01:13:07,827 --> 01:13:09,344 I DO THIS TODAY. 1493 01:13:09,344 --> 01:13:11,482 I'M ABLE TO FINALLY TALK TO MY MOM ABOUT THE PAIN 1494 01:13:11,482 --> 01:13:14,275 SHE CAUSED ME GROWING UP AND HOW SHE HURT ME 1495 01:13:14,275 --> 01:13:17,103 BECAUSE WHAT HAPPENED WITH MY STEPBROTHER WAS HER FAULT 1496 01:13:17,103 --> 01:13:19,448 SINCE SHE PUT ME IN THAT SITUATION, 1497 01:13:19,448 --> 01:13:21,448 AND I NEED HER TO UNDERSTAND THAT 1498 01:13:21,448 --> 01:13:24,068 SO I CAN GET PAST THAT PAIN AND BETRAYAL. 1499 01:13:24,068 --> 01:13:26,689 SO I REALLY HOPE I'M ABLE TO DO THAT TODAY 1500 01:13:26,689 --> 01:13:29,137 AND THAT THIS GOES WELL. 1501 01:13:29,137 --> 01:13:30,413 HI, LADIES. 1502 01:13:30,413 --> 01:13:32,034 HI. 1503 01:13:34,137 --> 01:13:35,758 JOYCE, IT'S SO GOOD TO SEE YOU AGAIN. 1504 01:13:35,758 --> 01:13:37,379 NICE TO SEE YOU AGAIN. 1505 01:13:37,379 --> 01:13:38,758 AND YOU MUST BE MAMA JOYCE. 1506 01:13:38,758 --> 01:13:39,965 YES, I AM. NICE TO MEET YOU. 1507 01:13:39,965 --> 01:13:42,344 PLEASURE TO MEET YOU. 1508 01:13:42,344 --> 01:13:45,068 OKAY. 1509 01:13:45,068 --> 01:13:50,896 SO JOYCE, YOU HAD A CHANCE TO MEET WITH ME INDIVIDUALLY, 1510 01:13:50,896 --> 01:13:53,448 AND SO WHAT ARE SOME OF THE THINGS THAT YOU FEEL LIKE 1511 01:13:53,448 --> 01:13:58,517 IT'S IMPORTANT FOR YOURSELF AND MAMA JOYCE TO ADDRESS? 1512 01:14:01,896 --> 01:14:04,793 I THINK MY BIGGEST THING IS IN OUR RELATIONSHIP, 1513 01:14:04,793 --> 01:14:10,068 I DON'T WANT US TO BE HATEFUL OR NOT AS KIND TO EACH OTHER 1514 01:14:10,068 --> 01:14:12,862 AND NOT AS UNDERSTANDING. 1515 01:14:12,862 --> 01:14:17,724 OKAY, MAMA JOYCE, WHAT ARE YOUR THOUGHTS ABOUT THAT? 1516 01:14:17,724 --> 01:14:21,827 I THINK THAT OUR RELATIONSHIP HAS BEEN VERY VOLATILE. 1517 01:14:21,827 --> 01:14:25,103 I THINK THAT WE'VE BEEN HATEFUL TO EACH OTHER. 1518 01:14:25,103 --> 01:14:28,206 WHAT'S BEEN AT THE ROOT OF THAT VOLATILITY? 1519 01:14:28,206 --> 01:14:30,862 WELL, I WAS RAISED IN A VERY VIOLENT FAMILY. 1520 01:14:30,862 --> 01:14:32,344 VIOLENT? YEAH. 1521 01:14:32,344 --> 01:14:37,344 AND, LIKE, AND SO I THINK I JUST STRUGGLED WITH A LOT OF ANGER 1522 01:14:37,344 --> 01:14:40,206 AND A LOT OF RAGE AND THINGS LIKE THAT. 1523 01:14:40,206 --> 01:14:41,931 BECAUSE IT'S HOW YOU WERE SOCIALIZED. 1524 01:14:41,931 --> 01:14:44,034 YEAH, THAT'S HOW I WAS SOCIALIZED, 1525 01:14:44,034 --> 01:14:47,379 AND SO I THINK EVEN THOUGH I'VE WORKED REALLY HARD ON MYSELF 1526 01:14:47,379 --> 01:14:49,827 AND I'M CALMER THAN I'VE EVER BEEN, 1527 01:14:49,827 --> 01:14:53,620 SHE'S, LIKE, REALLY MUCH MORE CALMER THAN I AM AS PERSON. 1528 01:14:53,620 --> 01:14:56,103 I'M NOT. THAT'S NOT MY PERSONALITY. 1529 01:14:56,103 --> 01:14:57,862 WELL, THE THING THAT HAPPENS WHEN A PERSON 1530 01:14:57,862 --> 01:14:59,517 GROWS UP IN DOMESTIC VIOLENCE 1531 01:14:59,517 --> 01:15:02,275 IS THAT THERE'S A HIGH LEVEL OF EMOTION 1532 01:15:02,275 --> 01:15:05,655 EXPRESSED WITHIN THE FAMILY, AND SO THAT BECOMES YOUR NORM. 1533 01:15:05,655 --> 01:15:07,344 YEAH, YEAH. 1534 01:15:07,344 --> 01:15:11,931 BUT I WANT TO MAKE CERTAIN THAT ANY OUTBURSTS OF ANGER 1535 01:15:11,931 --> 01:15:16,310 OR RESENTMENT CAN BE CURBED SO THAT YOU TWO DON'T GO AROUND 1536 01:15:16,310 --> 01:15:18,620 INJURING ONE ANOTHER ANYMORE. 1537 01:15:18,620 --> 01:15:20,206 YEAH.AND SO OPT OUT OF THAT. 1538 01:15:20,206 --> 01:15:25,000 TAKE THAT OUT OF THE WAY YOU TWO COMMUNICATE WITH EACH OTHER. 1539 01:15:25,000 --> 01:15:30,620 SO JOYCE, I KNOW THAT YOU'VE SHARED FEELING VERY ALONE 1540 01:15:30,620 --> 01:15:33,241 AND ISOLATED AS A CHILD 1541 01:15:33,241 --> 01:15:38,000 AND FEELING AS IF YOUR MOTHER WAS NOT ATTENTIVE TO YOU. 1542 01:15:38,000 --> 01:15:40,551 IS THERE ANYTHING THAT YOU WANT TO SAY TO MOM? 1543 01:15:42,896 --> 01:15:45,310 I THINK I'VE SAID IT TO HER BEFORE. 1544 01:15:45,310 --> 01:15:51,000 I DON'T HOLD IT AGAINST HER, AND I FEEL IT'S A FRESH SLATE. 1545 01:15:51,000 --> 01:15:53,482 IS IT HARD FOR YOU TO SIT IN YOUR MOTHER'S PRESENCE 1546 01:15:53,482 --> 01:15:56,827 AND POINT OUT THAT YOU FELT ALONE? 1547 01:15:56,827 --> 01:15:58,310 YEAH. 1548 01:15:58,310 --> 01:16:00,379 JUST, I KNOW THAT I'M IN A POSITION IN MY LIFE 1549 01:16:00,379 --> 01:16:02,655 WHERE I'M NEEDING HER HELP SO MUCH. 1550 01:16:02,655 --> 01:16:06,103 I'M NOT SAYING MUCH AT ALL OTHER THAN THANK YOU 1551 01:16:06,103 --> 01:16:09,896 BECAUSE WITHOUT HER RIGHT NOW THIS WOULDN'T EVEN BE POSSIBLE. 1552 01:16:11,344 --> 01:16:12,620 OKAY. 1553 01:16:12,620 --> 01:16:15,000 GUYS, THANK YOU SO MUCH FOR BEING HERE TODAY. 1554 01:16:15,000 --> 01:16:16,655 THANK YOU.THANK YOU. 1555 01:16:16,655 --> 01:16:20,379 YOU'RE WELCOME. 1556 01:16:20,379 --> 01:16:22,862 IT'S A PLEASURE TO MEET YOU.IT'S A PLEASURE TO MEET YOU. 1557 01:16:22,862 --> 01:16:25,448 NICE SEEING YOU AGAIN.NICE SEEING YOU, TOO. 1558 01:16:25,448 --> 01:16:27,068 Y'ALL HAVE A GREAT REST OF YOUR DAY. 1559 01:16:27,068 --> 01:16:28,103 YOU TOO. YOU TOO. 1560 01:16:28,103 --> 01:16:29,862 BYE LADIES.BYE. 1561 01:16:35,379 --> 01:16:37,241 I APPRECIATE MY MOM DOING THIS WITH ME. 1562 01:16:37,241 --> 01:16:40,551 IT MEANS A LOT, BUT I'M NOT SURE HOW MUCH IT'S HELPED 1563 01:16:40,551 --> 01:16:43,344 BECAUSE I LOST MY NERVE WHEN I WAS GETTING READY TO TALK 1564 01:16:43,344 --> 01:16:45,965 ABOUT THE STUFF THAT'S REALLY HURT ME ABOUT MY STEPBROTHER 1565 01:16:45,965 --> 01:16:48,724 AND, LIKE, HOW HURT AND BETRAYED SHE'S MADE ME FEEL. 1566 01:16:48,724 --> 01:16:51,724 I JUST COULDN'T DO IT, AND I DON'T KNOW WHY. 1567 01:16:51,724 --> 01:16:53,344 BECAUSE I'M SCARED I DIDN'T DEAL WITH THINGS 1568 01:16:53,344 --> 01:16:56,896 HOW I NEEDED TO GET PAST IT ENOUGH LIKE I SHOULD HAVE 1569 01:16:56,896 --> 01:16:59,896 BECAUSE I HAVE TO START MAKING BETTER PROGRESS. 1570 01:16:59,896 --> 01:17:01,689 I WAS HOPING DOING THIS TODAY 1571 01:17:01,689 --> 01:17:03,586 AND DEALING WITH THINGS WITH MY MOM 1572 01:17:03,586 --> 01:17:06,551 WOULD HELP GIVE ME WHAT I NEEDED TO BREAK PAST THE LIMIT 1573 01:17:06,551 --> 01:17:08,310 I'VE HAD ON MY PROGRESS. 1574 01:17:08,310 --> 01:17:10,655 BUT SINCE IT DIDN'T GO LIKE I NEEDED IT, 1575 01:17:10,655 --> 01:17:12,620 I DON'T KNOW WHAT'S GOING TO HAPPEN NOW, 1576 01:17:12,620 --> 01:17:14,206 AND I'M REALLY SCARED. 1577 01:17:29,448 --> 01:17:30,586 YOU'RE GOOD. I GOT YOU. 1578 01:17:34,689 --> 01:17:37,034 OKAY, WE'RE IN THE BACK, BACK UP, OKAY? 1579 01:17:37,034 --> 01:17:39,586 OKAY. 1580 01:17:42,379 --> 01:17:45,482 Joyce: IT'S BEEN 3 MONTHS SINCE MY LAST APPOINTMENT WITH DR. NOW, 1581 01:17:45,482 --> 01:17:47,689 AND I HAVE TO GO BACK AND SEE HIM BECAUSE HE GAVE ME 1582 01:17:47,689 --> 01:17:51,137 A 3-MONTH DEADLINE TO COME BACK, AND I'VE REACHED IT. 1583 01:17:55,068 --> 01:17:57,068 SO I CALLED DR. NOW AND PRETTY MUCH BEGGED HIM 1584 01:17:57,068 --> 01:17:59,137 FOR MEDICAL TRANSPORT. 1585 01:17:59,137 --> 01:18:00,758 AWAY WE GO. 1586 01:18:00,758 --> 01:18:03,551 AND THANKFULLY HE AGREED. 1587 01:18:03,551 --> 01:18:06,310 AFTER THE LAST THERAPY APPOINTMENT I DID WITH MY MOM, 1588 01:18:06,310 --> 01:18:07,689 I WAS A LITTLE DISAPPOINTED 1589 01:18:07,689 --> 01:18:10,379 BECAUSE I CHICKENED OUT ABOUT THE PAIN SHE CAUSED ME, 1590 01:18:10,379 --> 01:18:11,965 AND I'VE TRIED TO WORK UP THE COURAGE 1591 01:18:11,965 --> 01:18:14,758 TO FIND A WAY AND TIME TO TALK TO HER ABOUT IT, 1592 01:18:17,413 --> 01:18:20,103 BUT I JUST HAVEN'T BEEN ABLE TO. 1593 01:18:20,103 --> 01:18:22,310 IT'S BEEN TOO HARD, 1594 01:18:22,310 --> 01:18:26,517 BUT I DECIDED TO NOT LET THAT AFFECT ME AS MUCH AS POSSIBLE. 1595 01:18:26,517 --> 01:18:30,827 DR. NOW TOLD ME THAT MY LAST OFFICIAL WEIGH-IN WAS 611, 1596 01:18:30,827 --> 01:18:33,896 BUT I STILL THERE WAS A MALFUNCTION WITH THE SCALE 1597 01:18:33,896 --> 01:18:36,517 AND THAT I ACTUALLY WEIGH A LOT LESS. 1598 01:18:36,517 --> 01:18:38,241 AND SO I'M REALLY HOPING TO SEE A BIG PAYOFF 1599 01:18:38,241 --> 01:18:41,862 WITH A LOT OF WEIGHT LOSS TODAY. 1600 01:18:41,862 --> 01:18:43,517 JOYCE. 1601 01:18:43,517 --> 01:18:47,034 I'M HOPING I MIGHT ACTUALLY EVEN HIT THE 150-POUND GOAL 1602 01:18:47,034 --> 01:18:48,896 DR. NOW GAVE ME. 1603 01:19:09,896 --> 01:19:12,689 THERE'S JUST NO WAY. 1604 01:19:12,689 --> 01:19:15,931 IT JUST DOESN'T MAKE SENSE, 1605 01:19:15,931 --> 01:19:19,310 BUT I KNOW NOW THE SCALE IS DEFINITELY MESSED UP. 1606 01:19:19,310 --> 01:19:22,586 SO I'M REALLY UPSET BECAUSE ONCE AGAIN I'M FIGURING DR. 1607 01:19:22,586 --> 01:19:24,275 NOW ISN'T GOING TO BELIEVE ME 1608 01:19:24,275 --> 01:19:27,413 WHEN I TELL HIM THAT THE SCALE HAS TO BE WRONG. 1609 01:19:39,793 --> 01:19:41,965 HELLO.HI, DR. NOW. 1610 01:19:41,965 --> 01:19:43,000 HOW ARE YOU ALL DOING? 1611 01:19:43,000 --> 01:19:44,517 -GOOD. -HI, HOW ARE YOU? 1612 01:19:44,517 --> 01:19:46,344 I'M DOING FINE. THANK YOU. 1613 01:19:46,344 --> 01:19:47,413 ALRIGHT, JOYCE. 1614 01:19:47,413 --> 01:19:49,655 SO WE GOT THE MEDICAL TRANSPORT HERE 1615 01:19:49,655 --> 01:19:51,620 BECAUSE YOU'RE STILL NOT WALKING LIKE YOU NEED 1616 01:19:51,620 --> 01:19:53,931 AND MAKING PROGRESS WITH YOUR ACTIVITY. 1617 01:19:53,931 --> 01:19:56,241 AND ON TOP OF THAT IN THE LAST 3 MONTHS 1618 01:19:56,241 --> 01:19:59,344 YOU GAINED ANOTHER 12 POUNDS INSTEAD OF LOSING ANY WEIGHT, 1619 01:19:59,344 --> 01:20:02,551 MUCH LESS THE 150 POUNDS YOU SHOULD HAVE. 1620 01:20:02,551 --> 01:20:04,827 SO THINGS DON'T LOOK GOOD AT ALL. 1621 01:20:04,827 --> 01:20:09,068 AND I'M NOT INTERESTED IN ANY MORE EXCUSES OR GAMES FROM YOU. 1622 01:20:09,068 --> 01:20:10,655 SO IF YOU WANT TO MOVE AHEAD, 1623 01:20:10,655 --> 01:20:14,068 I'M GIVING YOU THE SAME ULTIMATUM AS THE LAST TIME. 1624 01:20:14,068 --> 01:20:16,172 FOR EVERY MONTH THAT PASSES FROM HERE, 1625 01:20:16,172 --> 01:20:18,034 YOU NEED TO LOSE 50 POUNDS. 1626 01:20:18,034 --> 01:20:20,896 BUT IF YOU DON'T COME BACK IN 3 MONTHS, YOU'RE DONE. 1627 01:20:20,896 --> 01:20:23,896 BUT THIS TIME, NO MEDICAL TRANSPORT WILL COME TO GET YOU, 1628 01:20:23,896 --> 01:20:26,482 SO YOU NEED TO BE WALKING ON YOUR OWN, TOO. 1629 01:20:26,482 --> 01:20:28,655 SO WE WILL KEEP SENDING PT TO YOU 1630 01:20:28,655 --> 01:20:30,310 AND PROVIDE PSYCHOTHERAPY, 1631 01:20:30,310 --> 01:20:32,758 BUT OTHER THAN THAT, IF YOU DON'T START LOSING 1632 01:20:32,758 --> 01:20:34,137 AND HIT THESE GOALS, 1633 01:20:34,137 --> 01:20:36,413 THEN AT THIS POINT YOU'RE ON YOUR OWN 1634 01:20:36,413 --> 01:20:37,965 BECAUSE WE'VE GIVEN YOU EVERY TOOL 1635 01:20:37,965 --> 01:20:39,793 AND EVERY OPPORTUNITY, 1636 01:20:39,793 --> 01:20:42,103 AND THERE'S NOT MUCH MORE I CAN DO FOR YOU. 1637 01:20:42,103 --> 01:20:44,586 AFTER A YEAR OF TRYING, YOU HAVEN'T LOST ANYTHING, 1638 01:20:44,586 --> 01:20:49,344 SO AT THIS POINT IT'S CLEAR YOU DON'T REALLY WANT TO DO THIS. 1639 01:20:49,344 --> 01:20:50,862 YOU...I JUST DON'T THINK YOU UNDERSTAND 1640 01:20:50,862 --> 01:20:53,000 HOW HARD THIS HAS BEEN FOR ME 1641 01:20:53,000 --> 01:20:55,413 AND THAT I'VE BEEN WORKING REALLY, REALLY HARD AT IT 1642 01:20:55,413 --> 01:20:57,689 AND I PUT EFFORT IN EVERY SINGLE DAY. 1643 01:21:00,379 --> 01:21:02,172 I JUST...I DON'T KNOW WHAT ELSE TO SAY. 1644 01:21:02,172 --> 01:21:04,413 I REALLY... I'M AT A LOSS FOR WORDS 1645 01:21:04,413 --> 01:21:06,931 BECAUSE I NEVER THOUGHT THAT THIS WOULD HAPPEN. 1646 01:21:06,931 --> 01:21:09,551 WELL, THIS IS ALL A RESULT OF YOUR CHOICES, 1647 01:21:09,551 --> 01:21:11,827 SO NOTHING IS GOING TO GET BETTER FOR YOU 1648 01:21:11,827 --> 01:21:13,965 UNLESS YOU MAKE THE CHOICES YOU NEED. 1649 01:21:13,965 --> 01:21:16,413 AND THE BOTTOM LINE IS YOU DON'T WANT TO. 1650 01:21:16,413 --> 01:21:19,068 AND UNLESS THAT CHANGES, WE CAN'T HELP YOU. 1651 01:21:19,068 --> 01:21:21,793 IF YOU HAVE A MEDICAL EMERGENCY, WE'LL TREAT YOU, 1652 01:21:21,793 --> 01:21:24,172 BUT I HOPE YOU WAKE UP BEFORE THAT HAPPENS 1653 01:21:24,172 --> 01:21:27,137 BECAUSE WE MAY NOT BE ABLE TO DO ANYTHING TO HELP YOU 1654 01:21:27,137 --> 01:21:29,586 TO SAVE YOUR LIFE AT THAT POINT. 1655 01:21:29,586 --> 01:21:31,551 SO I WISH YOU GOOD LUCK. 1656 01:21:31,551 --> 01:21:33,034 OKAY.OKAY. 1657 01:21:33,034 --> 01:21:34,655 BYE.BYE. 1658 01:21:38,034 --> 01:21:39,827 CAN I HAVE THIS WALKER? 1659 01:21:45,965 --> 01:21:47,241 I DON'T EVEN WANT TO LIVE HERE ANYMORE. 1660 01:21:47,241 --> 01:21:49,310 I JUST WANT TO GO HOME. 1661 01:21:49,310 --> 01:21:53,275 IT'S VERY UNFORTUNATE THAT JOYCE HAS WASTED SO MUCH TIME, 1662 01:21:53,275 --> 01:21:55,793 BUT AT THIS POINT, WE HAVE GIVEN HER EVERY TOOL 1663 01:21:55,793 --> 01:21:57,379 AND CHANCE WE CAN. 1664 01:21:57,379 --> 01:22:00,103 HOPEFULLY THIS ULTIMATUM WAKES HER UP, 1665 01:22:00,103 --> 01:22:02,586 BUT WITH WHAT JOYCE HAS SHOWN ME SO FAR, 1666 01:22:02,586 --> 01:22:04,034 I DON'T THINK IT'S LIKELY 1667 01:22:04,034 --> 01:22:06,000 I'M GOING TO SEE MUCH MORE OF HER 1668 01:22:06,000 --> 01:22:09,000 UNLESS IT'S FOR A MEDICAL EMERGENCY. 1669 01:22:12,275 --> 01:22:13,655 Joyce: I DON'T THINK DR. NOW IS BEING FAIR 1670 01:22:13,655 --> 01:22:15,448 OR REASONABLE AT ALL. 1671 01:22:15,448 --> 01:22:17,068 SO I'M REALLY UPSET, AND I'M NOT SURE 1672 01:22:17,068 --> 01:22:20,172 I EVEN WANT TO DO THIS ANYMORE. 1673 01:22:20,172 --> 01:22:21,827 YOU KNOW, I'VE GIVEN 100 PERCENT OF ME 1674 01:22:21,827 --> 01:22:24,172 TO THIS PROGRAM SINCE THE BEGINNING. 1675 01:22:24,172 --> 01:22:26,241 SO I'M NOT FAILING THE PROGRAM. 1676 01:22:26,241 --> 01:22:29,137 THE PROGRAM IS FAILING ME. 1677 01:22:29,137 --> 01:22:31,724 HOW IS THAT MY FAULT? 1678 01:22:31,724 --> 01:22:33,551 I KNOW I'VE MADE PROGRESS AND I'M DOING BETTER 1679 01:22:33,551 --> 01:22:36,206 BECAUSE I CAN FEEL IT, AND MY MOM SEES IT, 1680 01:22:36,206 --> 01:22:38,344 AND DAWN SEES IT TOO. 1681 01:22:38,344 --> 01:22:40,862 SO IF EVERYTHING I'VE DONE IS STILL NOT GOOD ENOUGH FOR DR. 1682 01:22:40,862 --> 01:22:42,275 NOW, 1683 01:22:42,275 --> 01:22:45,137 HOW DO I GO BACK AND FIND A WAY TO GET EVEN MORE NOW? 1684 01:22:56,206 --> 01:22:59,620 IT'S BEEN 3 MONTHS SINCE MY LAST APPOINTMENT WITH DR. NOW. 1685 01:22:59,620 --> 01:23:01,586 I WAS PRETTY UPSET AFTER IT, 1686 01:23:01,586 --> 01:23:03,793 BUT WHEN I CAME HOME, ME, MY MOM, AND DAWN 1687 01:23:03,793 --> 01:23:05,965 ALL TALKED ABOUT WHAT I SHOULD DO, 1688 01:23:05,965 --> 01:23:08,586 AND WE ALL AGREE THAT THE SITUATION THAT DR. NOW 1689 01:23:08,586 --> 01:23:10,724 PUT ME IN WHERE I HAD LESS THAN 3 MONTHS 1690 01:23:10,724 --> 01:23:13,724 TO MAKE THE PROGRESS HE WANTS WASN'T FAIR. 1691 01:23:13,724 --> 01:23:16,275 BUT THEY BOTH ENCOURAGED ME TO STILL NOT GIVE UP 1692 01:23:16,275 --> 01:23:17,931 AND TO KEEP TRYING, 1693 01:23:17,931 --> 01:23:21,137 SO THAT'S WHAT I'VE BEEN DOING, AND I CAN REALLY FEEL HOW GOOD 1694 01:23:21,137 --> 01:23:24,137 I'M DOING JUST IN THE LAST FEW MONTHS. 1695 01:23:24,137 --> 01:23:27,448 SO I THOUGHT MAYBE I'D PRACTICE GOING OVER THAT THRESHOLD 1696 01:23:27,448 --> 01:23:30,758 AND JUST KIND OF SIT OUTSIDE IN THE WHEELCHAIR FOR A LITTLE BIT. 1697 01:23:30,758 --> 01:23:32,103 DO YOU THINK THAT'S A GOOD IDEA? 1698 01:23:32,103 --> 01:23:33,482 Woman: YEAH. 1699 01:23:33,482 --> 01:23:37,275 OKAY, SO WE KIND OF HAVE TO CLEAR A PATHWAY. 1700 01:23:41,517 --> 01:23:43,931 THAT BETTER?YEAH. 1701 01:23:43,931 --> 01:23:45,448 OKAY. 1702 01:23:45,448 --> 01:23:48,517 BUT I'M STILL NOT ABLE TO WALK AS MUCH AS DR. NOW WANTS 1703 01:23:48,517 --> 01:23:51,655 OR GET IN A TAXI OR A REGULAR VEHICLE, 1704 01:23:51,655 --> 01:23:54,206 AND HE STILL WON'T SEND ME A MEDICAL TRANSPORT. 1705 01:23:54,206 --> 01:23:56,965 AND THE 3-MONTH DEADLINE HE GAVE ME TO COME BACK 1706 01:23:56,965 --> 01:24:00,344 WITH THE PROGRESS HE WANTED WAS TODAY. 1707 01:24:00,344 --> 01:24:02,172 DOES THAT DOOR OPEN UP ANY WIDER? 1708 01:24:02,172 --> 01:24:04,103 NO, THAT'S AS FAR AS IT GOES. 1709 01:24:04,103 --> 01:24:06,103 AND I'M WILLING TO GO BACK AND DO THAT, 1710 01:24:06,103 --> 01:24:07,310 BUT I CAN'T IF DR. NOW 1711 01:24:07,310 --> 01:24:09,517 ISN'T GOING TO HELP ME GET THERE. 1712 01:24:09,517 --> 01:24:11,827 BUT I'M NOT GIVING UP ON MYSELF. 1713 01:24:11,827 --> 01:24:14,068 I PLAN TO KEEP WORKING AS HARD AS I CAN 1714 01:24:14,068 --> 01:24:16,655 AND TO CONTINUE PUSHING MYSELF, 1715 01:24:16,655 --> 01:24:18,551 AND MY MOM HAS BEEN COMING DOWN EVERY MONTH 1716 01:24:18,551 --> 01:24:20,758 TO HELP ME AND ENCOURAGE ME. 1717 01:24:20,758 --> 01:24:22,517 THERE YOU GO. 1718 01:24:22,517 --> 01:24:23,689 Joyce 1719 01:24:23,689 --> 01:24:26,586 VERY GOOD. 1720 01:24:26,586 --> 01:24:28,000 I STILL HAVEN'T WORKED UP THE COURAGE 1721 01:24:28,000 --> 01:24:30,965 TO TALK TO HER ABOUT THINGS, 1722 01:24:30,965 --> 01:24:33,551 BUT IT'S NOT AS HIGH OF A PRIORITY FOR ME 1723 01:24:33,551 --> 01:24:34,758 BECAUSE I'VE RESEARCHED IT, 1724 01:24:34,758 --> 01:24:36,275 AND I THINK GETTING MY ACTIVITY UP 1725 01:24:36,275 --> 01:24:38,689 IS GOING TO BE THE KEY TO MAKING MORE PROGRESS. 1726 01:24:38,689 --> 01:24:40,620 I'M SO EXCITED. THIS IS THE FIRST TIME YOU'VE BEEN OUT. 1727 01:24:40,620 --> 01:24:42,965 GIVE ME FIVE. YES, YES, YEAH. 1728 01:24:42,965 --> 01:24:44,413 GOOD DEAL. 1729 01:24:44,413 --> 01:24:46,068 WELL, YOU HAVEN'T BEEN ABLE TO DO THIS IN YEARS 1730 01:24:46,068 --> 01:24:47,379 TO GET OUTSIDE. 1731 01:24:47,379 --> 01:24:49,379 AT YOUR OTHER PLACE IN KANSAS, 1732 01:24:49,379 --> 01:24:51,517 YOU COULDN'T GET ON THE DECK AND SIT OUT THERE. 1733 01:24:51,517 --> 01:24:56,655 YOU COULD NEVER GET OUT THERE, SO THIS IS A BIG ACHIEVEMENT. 1734 01:24:56,655 --> 01:25:00,068 I'M SO PROUD OF YOU. 1735 01:25:00,068 --> 01:25:02,413 I CAME DOWN TO HOUSTON AND TOOK THIS LEAP OF FAITH 1736 01:25:02,413 --> 01:25:04,137 TO SAVE MY LIFE, 1737 01:25:04,137 --> 01:25:06,310 AND I'VE HAD TO GIVE UP EVERYTHING I'VE KNOWN, 1738 01:25:06,310 --> 01:25:08,965 AND IT COST ME MY LIFE IN KANSAS, 1739 01:25:08,965 --> 01:25:10,689 SO I'M NOT STOPPING UNTIL I ACCOMPLISH 1740 01:25:10,689 --> 01:25:12,034 WHAT I CAME HERE TO DO. 1741 01:25:12,034 --> 01:25:14,896 GOT IT. OKAY, I'M GOING TO GRAB YOUR WHEELCHAIR. 1742 01:25:17,275 --> 01:25:19,068 WHAT YOU THINK ABOUT THAT, GUYS? 1743 01:25:19,068 --> 01:25:20,793 GOOD. 1744 01:25:20,793 --> 01:25:23,586 ANOTHER THING YOU ACCOMPLISHED. 1745 01:25:23,586 --> 01:25:25,344 Joyce: I STILL HAVE JUST AS MUCH FAITH AS I DID 1746 01:25:25,344 --> 01:25:27,068 WHEN I FIRST STARTED THIS, 1747 01:25:27,068 --> 01:25:30,068 THAT AS LONG AS I KEEP DOING WHAT I AM AND STAY ON TRACK 1748 01:25:30,068 --> 01:25:32,000 THAT I'LL GET THE LIFE I WANT, AND I'M LOOKING FORWARD TO THAT.