1 00:00:03,517 --> 00:00:04,862 Woman: I KNOW I'M RUNNING OUT OF TIME... 2 00:00:04,862 --> 00:00:07,931 I'M JUST SO ANXIOUS. 3 00:00:07,931 --> 00:00:10,517 ...AND THERE HAS TO BE A WAY FOR ME TO GET HELP. 4 00:00:17,068 --> 00:00:20,517 Woman: SOMEWHERE IN ME IS THIS LITTLE GLIMMER OF HOPE. 5 00:00:20,517 --> 00:00:22,586 I JUST WANT TO BE A NORMAL PERSON. 6 00:00:34,103 --> 00:00:37,241 YOU CAN'T DO IT, AND THEN I JUST GET MAD. 7 00:00:37,241 --> 00:00:38,896 Woman: IF I DON'T MAKE A CHANGE NOW, 8 00:00:38,896 --> 00:00:40,206 I'M SCARED IT'S GONNA BE TOO LATE. 9 00:00:44,827 --> 00:00:47,758 IT HURTS. 10 00:00:47,758 --> 00:00:50,137 Man: I REFUSE TO STOP FIGHTING. 11 00:00:50,137 --> 00:00:52,620 I HAVE TO DO THIS FOR MY CHILDREN. 12 00:00:58,275 --> 00:01:00,206 Bethany: I DON'T KNOW WHY I DIDN'T LOSE ANYTHING. 13 00:01:00,206 --> 00:01:02,172 IT JUST DOESN'T MAKE SENSE. 14 00:01:02,172 --> 00:01:04,827 WHAT YOU'RE SAYING IS WHAT DOESN'T MAKE SENSE. 15 00:01:04,827 --> 00:01:07,827 --Captions by VITAC-- www.vitac.com 16 00:01:07,827 --> 00:01:10,827 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 17 00:01:28,965 --> 00:01:30,413 Bethany: I HATE MY LIFE. 18 00:01:32,413 --> 00:01:36,724 I'M 40 YEARS OLD AND OVER 600 POUNDS NOW, 19 00:01:36,724 --> 00:01:39,413 AND I LITERALLY FEEL LIKE I'M FALLING APART. 20 00:01:44,448 --> 00:01:46,310 I'M LIVING IN CONSTANT MISERY 21 00:01:46,310 --> 00:01:49,689 BECAUSE OF ALL THE PAIN IN MY BODY THAT NEVER GOES AWAY. 22 00:01:52,448 --> 00:01:54,517 AND I HAVE SORES ALL OVER MY BODY 23 00:01:54,517 --> 00:01:56,448 BECAUSE OF HOW MY SKIN BREAKS DOWN 24 00:01:56,448 --> 00:01:59,000 AND HOW THE FOLDS CHAFE WHEN I MOVE AROUND. 25 00:02:03,034 --> 00:02:05,655 BUT I CAN'T JUST TAKE IT EASY AND DO NOTHING ALL DAY, 26 00:02:05,655 --> 00:02:10,620 NO MATTER THE REASON, BECAUSE I'M A MOM OF TWO KIDS. 27 00:02:10,620 --> 00:02:12,172 ISABELLA IS MY OLDEST. 28 00:02:12,172 --> 00:02:14,241 SHE'S 18. 29 00:02:14,241 --> 00:02:17,172 AND MY YOUNGEST IS ZOWIE, WHO'S 10. 30 00:02:17,172 --> 00:02:22,137 MY HUSBAND TRIES TO HELP OUT, BUT HE HAS TO WORK MOST DAYS. 31 00:02:22,137 --> 00:02:23,862 ZOWIE, CAN YOU COME HERE A MINUTE? 32 00:02:30,310 --> 00:02:32,034 CAN YOU HELP ME PUT MY SOCKS ON? 33 00:02:32,034 --> 00:02:36,103 MM-HMM. 34 00:02:36,103 --> 00:02:39,034 A LOT OF TIMES, THEY END UP HAVING TO HELP ME, 35 00:02:39,034 --> 00:02:43,655 AND I HATE THAT, BECAUSE IT MAKES ME FEEL LIKE A BURDEN. 36 00:02:43,655 --> 00:02:45,724 Zowie: MY MOM REALLY STRUGGLES A LOT. 37 00:02:45,724 --> 00:02:49,103 SHE CAN'T REALLY, LIKE, BEND DOWN TO PUT HER SOCKS ON 38 00:02:49,103 --> 00:02:51,448 'CAUSE SHE'S NOT THAT MOBILE. 39 00:02:51,448 --> 00:02:55,827 SO, YEAH, I PUT MY MOM'S SOCKS ON FOR HER. 40 00:02:55,827 --> 00:02:57,758 I DON'T PUT A LOT OF RESPONSIBILITY ON ZOWIE 41 00:02:57,758 --> 00:02:59,103 BECAUSE SHE'S ONLY 10, 42 00:02:59,103 --> 00:03:01,034 BUT IF I NEED HELP FOR BIGGER THINGS, 43 00:03:01,034 --> 00:03:03,517 I TRY TO RELY ON ISABELLA TO HELP ME WITH THAT. 44 00:03:03,517 --> 00:03:05,827 AND A LOT OF TIMES, I FEEL LIKE I PUT HER IN THE POSITION 45 00:03:05,827 --> 00:03:08,620 WHERE SHE ALMOST HAS TO BE THE MOTHER IN THE FAMILY. 46 00:03:10,620 --> 00:03:12,551 WHAT DO YOU WANT FOR BREAKFAST? 47 00:03:12,551 --> 00:03:14,827 I'M GONNA START WITH, LIKE, A HONEY BUN AND A MUFFIN, 48 00:03:14,827 --> 00:03:16,103 AND THEN IF YOU'LL MAKE ME, LIKE, 49 00:03:16,103 --> 00:03:18,310 SOME SCRAMBLED EGGS AND SOME TOAST. 50 00:03:18,310 --> 00:03:19,689 OKAY. 51 00:03:19,689 --> 00:03:21,517 I WOULD SAY I'M THE MOTHER OF THE FAMILY, 52 00:03:21,517 --> 00:03:23,965 BUT I FEEL LIKE 53 00:03:23,965 --> 00:03:28,758 I'M NOT A CONTRIBUTING MEMBER OF THE FAMILY. 54 00:03:28,758 --> 00:03:32,655 SO ISABELLA IS TAKING ON A HUGE AMOUNT OF RESPONSIBILITY. 55 00:03:32,655 --> 00:03:36,068 SHE'LL COOK, CLEAN, AND TAKE ZOWIE TO SCHOOL. 56 00:03:36,068 --> 00:03:40,793 SO SHE'S TAKING ON A LOT, WHICH IS REALLY UNFAIR TO HER. 57 00:03:40,793 --> 00:03:42,344 ISABELLA? YEAH. 58 00:03:42,344 --> 00:03:45,241 I WANT TO HAVE SOMETHING TO EAT WHILE YOU'RE MAKING BREAKFAST. 59 00:03:45,241 --> 00:03:46,068 OKAY. 60 00:03:49,896 --> 00:03:51,827 I THINK I HAVE A LOT OF THE RESPONSIBILITY 61 00:03:51,827 --> 00:03:53,793 FOR THIS HOUSEHOLD. 62 00:03:53,793 --> 00:03:55,827 I DO ALL THE COOKING, I DO ALL THE CLEANING, 63 00:03:55,827 --> 00:03:59,551 AND I MAKE SURE ZOWIE'S FED AND BATHED. 64 00:03:59,551 --> 00:04:02,896 I MAKE SURE THAT WE HAVE GROCERIES IN THE HOUSE. 65 00:04:02,896 --> 00:04:05,931 SO, I MEAN, IT'S A LOT OF PRESSURE PUT ON ME, 66 00:04:05,931 --> 00:04:07,793 BUT I LOVE MY MOM, 67 00:04:07,793 --> 00:04:13,000 AND I WILL DO ANYTHING FOR HER NO MATTER WHAT. 68 00:04:13,000 --> 00:04:15,034 ARE YOU READY FOR SCHOOL?Zowie: YEAH. 69 00:04:15,034 --> 00:04:18,758 GET YOUR SHOES AND YOUR BACKPACK. 70 00:04:18,758 --> 00:04:20,068 I'M GONNA TAKE ZOWIE TO SCHOOL. 71 00:04:20,068 --> 00:04:21,413 Bethany: OKAY. 72 00:04:21,413 --> 00:04:23,517 BE GOOD. I LOVE YOU GUYS. 73 00:04:23,517 --> 00:04:25,206 LOVE YOU, TOO.BYE, MOM. 74 00:04:32,862 --> 00:04:35,620 Bethany: I WISH I COULD DO MORE, AND I WANT TO DO MORE. 75 00:04:35,620 --> 00:04:39,172 BUT AS LONG AS I'M GAINING WEIGHT AND EATING LIKE I DO, 76 00:04:39,172 --> 00:04:42,137 I KNOW I'M NOT GONNA BE ABLE TO. 77 00:04:42,137 --> 00:04:46,793 AND WHAT I CAN DO IS JUST GONNA GET LESS AND LESS. 78 00:04:46,793 --> 00:04:48,482 AND AS MUCH AS I HATE THAT, 79 00:04:48,482 --> 00:04:51,137 I STILL CAN'T STOP EATING LIKE I WANT. 80 00:04:55,689 --> 00:04:57,206 HEY. HEY. 81 00:04:57,206 --> 00:04:58,172 FOOD'S HERE. 82 00:04:58,172 --> 00:05:01,896 OKAY. 83 00:05:01,896 --> 00:05:04,448 MY HUSBAND, SHELDON, COMES HOME ON HIS LUNCH BREAK 84 00:05:04,448 --> 00:05:08,482 TO BRING ME MY NEXT MEAL SO I CAN KEEP EATING. 85 00:05:08,482 --> 00:05:11,965 BETHANY SPENDS THE MAJORITY OF HER TIME ON THE RECLINER. 86 00:05:11,965 --> 00:05:14,482 I'M NOT HERE THROUGHOUT THE DAY, 87 00:05:14,482 --> 00:05:18,172 BUT I KNOW SHE DOESN'T GO OUT, SHE DOESN'T COOK, 88 00:05:18,172 --> 00:05:20,724 AND WE'VE NEVER REALLY FOUGHT HER ON IT 89 00:05:20,724 --> 00:05:26,310 BECAUSE, YOU KNOW, IF MAMA WANTS, MAMA GETS. 90 00:05:26,310 --> 00:05:28,344 SO, I'M NOT GONNA TELL HER HOW TO EAT. 91 00:05:28,344 --> 00:05:31,413 I'M NOT GONNA TELL HER HOW TO TAKE CARE OF HERSELF. 92 00:05:31,413 --> 00:05:33,034 Bethany: WE SOMETIMES EAT TOGETHER, 93 00:05:33,034 --> 00:05:36,172 BUT I PREFER TO BE ALONE WHEN I EAT 94 00:05:36,172 --> 00:05:39,172 BECAUSE, TO ME, IT'S SUCH A PERSONAL EXPERIENCE 95 00:05:39,172 --> 00:05:44,344 THAT I RARELY WANT ANY DISTRACTIONS FROM IT. 96 00:05:44,344 --> 00:05:47,482 BUT AS LONG AS I CAN FOCUS ON THE ENJOYMENT I'M HAVING, 97 00:05:47,482 --> 00:05:50,172 I'M GOOD. 98 00:05:50,172 --> 00:05:51,379 AND SHELDON KNOWS THAT, 99 00:05:51,379 --> 00:05:54,275 SO WE DON'T TALK MUCH WHEN I HAVE FOOD. 100 00:05:54,275 --> 00:05:58,000 BUT ONCE I'M DONE, HE MAKES SURE I HAVE ENOUGH TO HOLD ME OVER 101 00:05:58,000 --> 00:06:00,793 UNTIL ISABELLA AND ZOWIE GET HOME FROM SCHOOL. 102 00:06:06,000 --> 00:06:08,206 AND THEN I USUALLY EITHER KEEP EATING 103 00:06:08,206 --> 00:06:11,206 WITH WHAT ISABELLA BRINGS ME 104 00:06:11,206 --> 00:06:12,793 OR TWO OR THREE TIMES A WEEK, 105 00:06:12,793 --> 00:06:15,620 I TAKE THEM TO THE GROCERY STORE. 106 00:06:15,620 --> 00:06:17,931 IT'S THE ONLY TIME I EVER GO OUT, 107 00:06:17,931 --> 00:06:20,655 AND I CAN'T HANDLE BEING IN THE STORE WITH ALL THE WALKING, 108 00:06:20,655 --> 00:06:23,206 SO I JUST STAY IN THE CAR. 109 00:06:23,206 --> 00:06:25,482 AND EVEN THAT'S HARD ON MY BODY. 110 00:06:25,482 --> 00:06:27,413 BUT WHAT'S GONNA BE EVEN HARDER ON IT 111 00:06:27,413 --> 00:06:30,586 IS IF I DON'T HAVE THE FOOD AND SNACKS THAT I WANT. 112 00:06:30,586 --> 00:06:34,758 SO NO MATTER WHAT, I'M MAKING SURE WE'RE GETTING THOSE THINGS. 113 00:06:34,758 --> 00:06:36,827 AND EVEN THOUGH IT TAKES A LOT OUT OF ME, 114 00:06:36,827 --> 00:06:42,034 IT'S EXCITING FOR ME, BECAUSE I LOVE IT ALL. 115 00:06:42,034 --> 00:06:45,206 MY MOM -- SHE USED TO BE ABLE TO GO TO THE GROCERY STORE 116 00:06:45,206 --> 00:06:47,413 AND AT LEAST RIDE ON THE MOTORIZED CARTS. 117 00:06:47,413 --> 00:06:49,413 AND NOW SHE'S GOTTEN TO THE POINT 118 00:06:49,413 --> 00:06:52,137 WHERE SHE WON'T EVEN GET OUT OF THE CAR. 119 00:06:52,137 --> 00:06:56,689 AND I FEEL LIKE IT'S HARD 'CAUSE I WANT HER TO DO THESE THINGS, 120 00:06:56,689 --> 00:06:58,275 AND SHE CAN'T. 121 00:06:58,275 --> 00:07:00,206 BUT IF YOU TELL HER NO AND YOU DON'T GO DO IT, 122 00:07:00,206 --> 00:07:03,344 SHE'S JUST GONNA GET MAD AND HATEFUL. 123 00:07:03,344 --> 00:07:05,689 BUT IF I DO IT, THEN I'M JUST PUTTING HER 124 00:07:05,689 --> 00:07:08,206 IN A WORSE PLACE THAN SHE'S ALREADY IN. 125 00:07:08,206 --> 00:07:12,000 SO I FEEL LIKE I'M ENABLING HER ALL THE TIME. 126 00:07:12,000 --> 00:07:14,793 IF I COULD GO INSIDE THE SUPERMARKET, 127 00:07:14,793 --> 00:07:16,551 I WOULD JUST WANT TO GET EVERYTHING 128 00:07:16,551 --> 00:07:20,862 AND STAY THERE FOREVER, BECAUSE FOOD IS MY HAPPY PLACE, 129 00:07:20,862 --> 00:07:22,172 AND THERE'S NO BETTER FEELING 130 00:07:22,172 --> 00:07:24,931 THAN BEING AROUND IT AND EATING IT. 131 00:07:24,931 --> 00:07:28,793 AND IF I COULD, I WOULD EVEN TRADE SLEEP FOR FOOD. 132 00:07:28,793 --> 00:07:33,068 AND THERE'S NEVER A MOMENT IN MY LIFE OR EVER IN MY DAY 133 00:07:33,068 --> 00:07:37,241 WHERE I'M READY TO STOP EATING, SO I HAVE TO ALWAYS HAVE IT, 134 00:07:37,241 --> 00:07:40,068 AND MY LIFE ISN'T RIGHT IF I DON'T. 135 00:07:40,068 --> 00:07:42,206 AND THAT'S THE WAY IT'S BEEN FOR ME FOR A WHILE, 136 00:07:42,206 --> 00:07:43,517 SINCE I WAS REALLY YOUNG. 137 00:07:50,551 --> 00:07:54,517 FROM WHAT I REMEMBER, THINGS WERE GOOD IN MY EARLY CHILDHOOD. 138 00:07:54,517 --> 00:07:58,620 IT SEEMED PRETTY NORMAL FOR ME AND HAPPY. 139 00:07:58,620 --> 00:08:01,206 BUT MOST ALL THOSE HAPPY MEMORIES FROM THEN 140 00:08:01,206 --> 00:08:02,551 ARE WITH MY GRANDMOTHER, 141 00:08:02,551 --> 00:08:05,551 BECAUSE MY PARENTS WEREN'T AROUND MUCH. 142 00:08:05,551 --> 00:08:07,068 MY DAD WORKED A LOT. 143 00:08:07,068 --> 00:08:11,137 MY MOM WASN'T HOME VERY OFTEN. 144 00:08:11,137 --> 00:08:15,586 SO MY GRANDMOTHER WAS KIND OF THE ONE WHO RAISED ME, 145 00:08:15,586 --> 00:08:18,655 AND SHE DEFINITELY ALWAYS MADE SURE I WAS FED. 146 00:08:18,655 --> 00:08:20,862 SHE WOULD MAKE THESE INCREDIBLE MEALS FOR ME, 147 00:08:20,862 --> 00:08:25,206 AND WE WOULD JUST EAT AND HAVE A LOT OF FUN TOGETHER. 148 00:08:25,206 --> 00:08:26,724 BUT AS I GOT OLDER, 149 00:08:26,724 --> 00:08:29,862 MY GRANDMOTHER COULDN'T KEEP TAKING CARE OF ME. 150 00:08:29,862 --> 00:08:31,310 IT WAS TOO MUCH FOR HER. 151 00:08:31,310 --> 00:08:33,551 AND WITH MY DAD ALWAYS TRAVELING FOR WORK, 152 00:08:33,551 --> 00:08:37,586 THAT LEFT MY MOM TO BE THE ONE WHO WAS SUPPOSED TO RAISE ME. 153 00:08:37,586 --> 00:08:39,034 BUT SHE HAD PROBLEMS WITH MIGRAINES 154 00:08:39,034 --> 00:08:41,344 THAT SHE WAS TAKING PAINKILLERS FOR, 155 00:08:41,344 --> 00:08:44,379 AND OVER TIME, SHE GOT SEVERELY ADDICTED TO THEM 156 00:08:44,379 --> 00:08:46,862 AND WAS CONSTANTLY STRUNG OUT AND HIGH. 157 00:08:46,862 --> 00:08:50,655 IT SEEMED LIKE IT JUST GOT OUT OF CONTROL WHERE SHE WAS TAKING 158 00:08:50,655 --> 00:08:55,724 A LOT OF PAIN MEDICATIONS AND SHE WAS ASLEEP A LOT. 159 00:08:55,724 --> 00:08:59,862 SO I WAS KIND OF RAISING MYSELF DURING THAT TIME UNSUPERVISED, 160 00:08:59,862 --> 00:09:06,517 AND I DIDN'T REALLY HAVE ANYBODY TO STOP ME FROM EATING SWEETS 161 00:09:06,517 --> 00:09:07,862 AND JUNK FOOD IF I WANTED THEM. 162 00:09:07,862 --> 00:09:10,241 I ATE WHATEVER I WANTED. 163 00:09:10,241 --> 00:09:13,965 SO I STARTED TO PUT ON A LITTLE WEIGHT AROUND THEN. 164 00:09:13,965 --> 00:09:17,586 BUT MY WEIGHT GAIN STILL WASN'T OUT OF CONTROL. 165 00:09:17,586 --> 00:09:20,206 BUT THINGS GOT REALLY BAD WHEN I WAS 12. 166 00:09:20,206 --> 00:09:22,310 THAT'S WHEN FOOD BECAME THIS THING IN LIFE 167 00:09:22,310 --> 00:09:25,655 LIKE IT IS NOW WHERE I HAVE TO HAVE IT. 168 00:09:25,655 --> 00:09:28,310 AND THE FIRST TIME I REMEMBER THAT BEING HOW IT WAS 169 00:09:28,310 --> 00:09:30,551 WAS WHEN MY MOM TRIED TO COMMIT SUICIDE. 170 00:09:30,551 --> 00:09:33,344 SHE TRIED TO TAKE A WHOLE BOTTLE OF PAINKILLERS AT ONCE 171 00:09:33,344 --> 00:09:34,620 AND END HER LIFE. 172 00:09:34,620 --> 00:09:36,586 AND THAT NOT ONLY TRAUMATIZED ME, 173 00:09:36,586 --> 00:09:40,172 BUT AFTERWARD, I FOUND A LETTER, AND IN IT, 174 00:09:40,172 --> 00:09:43,827 SHE SAID I WAS THE REASON SHE WANTED TO COMMIT SUICIDE. 175 00:09:43,827 --> 00:09:46,517 I WAS DEVASTATED, AND THAT WAS THE FIRST TIME 176 00:09:46,517 --> 00:09:48,241 I REMEMBER HAVING THAT FEELING 177 00:09:48,241 --> 00:09:51,758 WHERE I HAD TO HAVE SOMETHING TO TAKE THAT PAIN AWAY, 178 00:09:51,758 --> 00:09:54,965 AND FOOD DID THAT. 179 00:09:54,965 --> 00:09:58,655 SO I STARTED PUTTING ON A LOT OF WEIGHT 180 00:09:58,655 --> 00:10:02,448 AND WAS UP CLOSE TO 300 POUNDS BY THE TIME I WAS 13. 181 00:10:02,448 --> 00:10:04,344 ALL I FELT LIKE I HAD WAS FOOD, 182 00:10:04,344 --> 00:10:07,241 SO I FELT REALLY LONELY DURING THAT TIME. 183 00:10:07,241 --> 00:10:10,275 BUT AS I GOT INTO HIGH SCHOOL, I STARTED MAKING FRIENDS, 184 00:10:10,275 --> 00:10:14,655 SO FOR A LITTLE BIT, I FELT LIKE MY LIFE WAS OPENING UP SOME. 185 00:10:14,655 --> 00:10:17,586 I EVEN STARTED DATING SOMEONE, AND THAT WAS NICE. 186 00:10:17,586 --> 00:10:20,965 IT WAS EXCITING THAT I HAD SOMEBODY THAT WANTED TO SAY 187 00:10:20,965 --> 00:10:23,000 HE WAS MY BOYFRIEND. 188 00:10:23,000 --> 00:10:25,137 BUT IT SEEMED LIKE EVERYTHING QUICKLY TURNED. 189 00:10:25,137 --> 00:10:28,034 THE BOY I STARTED DATING WAS VERY ABUSIVE. 190 00:10:28,034 --> 00:10:31,241 HE STARTED HITTING ME AND THREATENING ME ALL THE TIME, 191 00:10:31,241 --> 00:10:33,206 AND THEN HE ASSAULTED ME. 192 00:10:33,206 --> 00:10:34,931 HE FORCED ME TO HAVE SEX. 193 00:10:34,931 --> 00:10:37,172 WE KISSED AND MADE OUT SOMETIMES, 194 00:10:37,172 --> 00:10:40,965 AND SO HE DECIDED HE WANTED TO GO FURTHER THAN THAT, 195 00:10:40,965 --> 00:10:49,000 AND I DIDN'T, AND I TOLD HIM NO, AND HE FORCED HIMSELF ON ME. 196 00:10:49,000 --> 00:10:52,655 FINALLY, HE BROKE UP WITH ME, AND I WAS SO RELIEVED, 197 00:10:52,655 --> 00:10:54,931 BUT HE JUST KEPT THREATENING MY LIFE AFTER THAT, 198 00:10:54,931 --> 00:10:57,827 AND MY FRIENDS STARTED THREATENING ME, TOO. 199 00:10:57,827 --> 00:11:00,655 I DON'T KNOW WHAT HE TOLD THEM, BUT I JUST DIDN'T CARE. 200 00:11:00,655 --> 00:11:03,310 I JUST CUT OFF EVERYONE IN MY LIFE AT THAT POINT 201 00:11:03,310 --> 00:11:05,310 AND GOT REALLY DEPRESSED. 202 00:11:05,310 --> 00:11:07,758 THE ONLY THING THAT COULD HELP ME ESCAPE IT WAS FOOD, 203 00:11:07,758 --> 00:11:09,655 SO I WAS JUST EATING MY WAY THROUGH LIFE 204 00:11:09,655 --> 00:11:11,344 AT THAT TIME AND GAINING. 205 00:11:11,344 --> 00:11:13,344 SO I PUT ON ANOTHER 100 POUNDS AFTER THAT 206 00:11:13,344 --> 00:11:18,551 AND GOT UP TO THE 400s BY THE TIME I WAS 15. 207 00:11:18,551 --> 00:11:20,103 AND OVER THE NEXT COUPLE OF YEARS, 208 00:11:20,103 --> 00:11:21,758 MY DEPRESSION GOT WORSE, 209 00:11:21,758 --> 00:11:23,103 AND WHEN I WAS 17, 210 00:11:23,103 --> 00:11:26,344 ALL THE ANXIETY OF EVERYTHING FINALLY GOT TO ME, 211 00:11:26,344 --> 00:11:28,931 AND I STARTED HAVING THESE PANIC ATTACKS. 212 00:11:28,931 --> 00:11:31,206 SO MY PARENTS PUT ME IN A TREATMENT FACILITY 213 00:11:31,206 --> 00:11:33,827 FOR A LITTLE WHILE TO DEAL WITH THAT. 214 00:11:33,827 --> 00:11:35,517 BUT WHEN IT WAS TIME FOR ME TO LEAVE, 215 00:11:35,517 --> 00:11:38,482 I DIDN'T WANT TO GO HOME, 'CAUSE I KNEW 216 00:11:38,482 --> 00:11:41,620 I WAS GONNA CONTINUE TO HAVE THE PANIC ATTACKS, 217 00:11:41,620 --> 00:11:42,689 AND I DIDN'T KNOW WHAT THEY WERE. 218 00:11:42,689 --> 00:11:44,103 I REALLY WAS SCARED. 219 00:11:44,103 --> 00:11:45,620 AND SO I TOLD THEM I DIDN'T WANT THAT, 220 00:11:45,620 --> 00:11:48,310 AND MY DAD GOT REALLY UPSET 221 00:11:48,310 --> 00:11:51,172 AND SAID THAT HE WOULD JUST SIGN HIS RIGHTS OVER 222 00:11:51,172 --> 00:11:52,827 AND THAT THE STATE COULD HAVE ME. 223 00:11:52,827 --> 00:11:56,551 AND MY GRANDMOTHER SAID, "NO. WE'RE NOT GONNA DO THAT," 224 00:11:56,551 --> 00:11:58,724 THAT, "SHE CAN COME LIVE WITH ME." 225 00:11:58,724 --> 00:12:03,172 AND SO I MOVED OUT AND LIVED WITH HER FOR ABOUT A YEAR. 226 00:12:03,172 --> 00:12:05,103 BUT ONCE I GRADUATED FROM HIGH SCHOOL, 227 00:12:05,103 --> 00:12:07,241 I MOVED AWAY TO GO TO COLLEGE, 228 00:12:07,241 --> 00:12:11,000 BUT THAT DIDN'T LAST LONG, AND I DROPPED OUT VERY QUICKLY. 229 00:12:11,000 --> 00:12:15,137 I MOVED BACK HOME AND GOT A JOB AS A WAITRESS AT A PIZZA PLACE. 230 00:12:15,137 --> 00:12:17,517 AND I THINK THAT WAS THE BEST DECISION OF MY LIFE, 231 00:12:17,517 --> 00:12:21,172 BECAUSE THAT'S HOW I MET SHELDON. 232 00:12:21,172 --> 00:12:26,068 Sheldon: I HAD SEEN BETHANY WAITRESSING AT A PIZZA PLACE. 233 00:12:26,068 --> 00:12:28,275 I THOUGHT SHE WAS BEAUTIFUL FIRST TIME I SAW HER. 234 00:12:28,275 --> 00:12:31,344 THEN WHEN WE GOT TO TALKING, I THINK IT WAS HER INTELLIGENCE, 235 00:12:31,344 --> 00:12:37,275 MOSTLY, THAT DREW ME IN, AND IT JUST CLICKED. 236 00:12:37,275 --> 00:12:41,344 WE STARTED DATING, AND SIX MONTHS LATER, WE WERE MARRIED. 237 00:12:41,344 --> 00:12:44,103 SO, WE HAD OUR FIRST DAUGHTER TOGETHER, ISABELLA, 238 00:12:44,103 --> 00:12:45,827 WHEN I WAS 21. 239 00:12:45,827 --> 00:12:49,000 AND WITH THAT PREGNANCY, I PUT ON MORE WEIGHT. 240 00:12:49,000 --> 00:12:52,965 SO I WAS JUST ABOUT IN THE 500s THEN. 241 00:12:52,965 --> 00:12:55,344 AND ONE OF MY BIGGEST REGRETS I HAD 242 00:12:55,344 --> 00:12:56,931 WAS DROPPING OUT OF COLLEGE, 243 00:12:56,931 --> 00:13:00,931 SO I DECIDED TO ENROLL AND START TAKING COURSES, 244 00:13:00,931 --> 00:13:03,758 BECAUSE I JUST KIND OF HAD THIS MOMENT OF, LIKE, 245 00:13:03,758 --> 00:13:05,275 "I DON'T HAVE A CAREER. 246 00:13:05,275 --> 00:13:06,620 I DON'T HAVE A JOB." 247 00:13:06,620 --> 00:13:08,620 SO FOR THE NEXT COUPLE OF YEARS, 248 00:13:08,620 --> 00:13:11,655 I GOT REALLY FOCUSED ON EARNING MY BACHELOR'S DEGREE. 249 00:13:11,655 --> 00:13:15,206 BUT ONCE I GOT THAT, AFTERWARDS, I KEPT GOING, 250 00:13:15,206 --> 00:13:19,965 AND I GOT MY MASTER'S DEGREE IN COUNSELING PSYCHOLOGY, 251 00:13:19,965 --> 00:13:22,931 AND I ENDED UP SPECIALIZING IN ADDICTION. 252 00:13:22,931 --> 00:13:26,758 AND THEN I STARTED MY OWN PRACTICE, 253 00:13:26,758 --> 00:13:30,689 COUNSELING PEOPLE STRUGGLING WITH DRUG AND ALCOHOL ADDICTION. 254 00:13:30,689 --> 00:13:33,758 SO I WAS VERY FOCUSED ON MY CAREER DURING THAT TIME, 255 00:13:33,758 --> 00:13:35,655 AND IT WAS THE ONLY TIME IN MY LIFE 256 00:13:35,655 --> 00:13:38,275 THAT MY WEIGHT GAIN TAPERED OFF. 257 00:13:38,275 --> 00:13:40,620 I DIDN'T LOSE MUCH, BUT I DIDN'T GAIN A WHOLE LOT 258 00:13:40,620 --> 00:13:42,586 FOR THOSE SIX YEARS. 259 00:13:42,586 --> 00:13:46,586 BUT WHEN I WAS 27, WE DECIDED TO TRY AND HAVE ANOTHER CHILD, 260 00:13:46,586 --> 00:13:49,172 AND I HAD ZOWIE WHEN I WAS 28. 261 00:13:49,172 --> 00:13:52,724 AND THE WEIGHT GAIN PICKED BACK UP DURING THAT PREGNANCY. 262 00:13:52,724 --> 00:13:54,517 AND THEN ONCE I HAD ZOWIE, 263 00:13:54,517 --> 00:13:57,586 I SUFFERED FROM SEVERE POSTPARTUM DEPRESSION, 264 00:13:57,586 --> 00:13:59,517 WHICH WAS REALLY, REALLY HARD FOR ME. 265 00:13:59,517 --> 00:14:03,206 BUT ONCE AGAIN, WHERE I FOUND SOLACE WAS FOOD. 266 00:14:03,206 --> 00:14:05,517 SO THE NEXT COUPLE OF YEARS, I JUST SHUT DOWN, 267 00:14:05,517 --> 00:14:07,965 AND ALL I CARED ABOUT WAS EATING. 268 00:14:07,965 --> 00:14:10,517 AND THAT MADE IT HARD FOR ME TO EVEN BOND WITH ZOWIE, 269 00:14:10,517 --> 00:14:13,965 BECAUSE I STRUGGLED TO TAKE CARE OF HER DURING ALL OF THIS. 270 00:14:13,965 --> 00:14:16,793 SO I WOULD SAY I WAS A VERY ABSENT PARENT 271 00:14:16,793 --> 00:14:18,068 WHEN ZOWIE WAS AN INFANT. 272 00:14:18,068 --> 00:14:21,689 I DIDN'T BOND WITH HER UNTIL SHE WAS 2, 273 00:14:21,689 --> 00:14:25,310 WHEN I STARTED TO COME OUT OF THAT DEPRESSION SOME. 274 00:14:25,310 --> 00:14:29,827 Isabella: AFTER MY MOM HAD ZOWIE, SHE DIDN'T WANT TO SEE ZOWIE. 275 00:14:29,827 --> 00:14:33,137 NOT THAT SHE DIDN'T LOVE ZOWIE OR THAT ZOWIE WASN'T HER CHILD, 276 00:14:33,137 --> 00:14:36,689 BUT SHE JUST TENDED TO STAY AWAY A LOT, 277 00:14:36,689 --> 00:14:38,896 SO I HAD TO TAKE CARE OF HER. 278 00:14:38,896 --> 00:14:43,931 BUT AFTER SHE WENT THROUGH POSTPARTUM WITH ZOWIE, 279 00:14:43,931 --> 00:14:45,586 MY MOM WAS VERY INVOLVED, 280 00:14:45,586 --> 00:14:49,000 AND SHE BECAME VERY, VERY ACTIVE WITH US. 281 00:14:49,000 --> 00:14:52,310 IT WAS JUST OVER EIGHT YEARS AGO THAT I STARTED TO FEEL LIKE 282 00:14:52,310 --> 00:14:56,172 I GOT OVER THE SEVERE DEPRESSION I HAD AFTER HAVING ZOWIE. 283 00:14:56,172 --> 00:14:59,103 BUT I DON'T FEEL LIKE I'VE EVER FULLY RECOVERED FROM THAT. 284 00:14:59,103 --> 00:15:01,586 SO I'VE STRUGGLED WITH FEELING DEPRESSED AND OVERWHELMED 285 00:15:01,586 --> 00:15:04,206 TO THE POINT THAT I HAVE ANXIETY ATTACKS 286 00:15:04,206 --> 00:15:06,379 IF I'M NOT ABLE TO CALM DOWN. 287 00:15:06,379 --> 00:15:08,655 AND FOOD IS THE ONLY THING THAT CAN CALM ME DOWN, 288 00:15:08,655 --> 00:15:10,758 SO I JUST EAT ALL DAY. 289 00:15:10,758 --> 00:15:14,137 AND THAT'S PRETTY MUCH WHERE I'VE BEEN AT FOR A WHILE NOW, 290 00:15:14,137 --> 00:15:17,827 TO THE POINT NOW WHERE MY LIFE IS CONSTANT EATING 291 00:15:17,827 --> 00:15:22,413 WITH NOTHING TO LOOK FORWARD TO BECAUSE EVERY DAY I GET BIGGER. 292 00:15:22,413 --> 00:15:27,275 I FIGURE I HAVE A YEAR TOPS BEFORE I'M TOO BIG TO GET UP. 293 00:15:27,275 --> 00:15:29,965 AND I'M DOING THIS TO MYSELF, AND I'M ONLY GETTING WORSE, 294 00:15:29,965 --> 00:15:31,655 AND I CAN'T STOP. 295 00:15:34,310 --> 00:15:35,655 Y'ALL FULL? 296 00:15:35,655 --> 00:15:37,862 YOU WANT A BROWNIE?MM-HMM. 297 00:15:37,862 --> 00:15:42,379 SO I JUST FEEL LIKE I'M MISSING OUT ON MY FAMILY AND MY LIFE. 298 00:15:42,379 --> 00:15:46,724 I'M TRADING IT ALL FOR FOOD, AND THAT MAKES ME FEEL SO ALONE. 299 00:15:46,724 --> 00:15:48,724 IT'S BEEN REALLY HARD. 300 00:15:48,724 --> 00:15:52,137 EVEN THOUGH I HAVE GREAT FAMILY AND I HAVE A SUPPORT SYSTEM, 301 00:15:52,137 --> 00:15:54,448 I STILL FEEL LONELY A LOT OF THE TIME 302 00:15:54,448 --> 00:15:56,551 BECAUSE MY FOOD ADDICTION MAKES ME FEEL LIKE 303 00:15:56,551 --> 00:15:59,206 I'M ON THIS ISLAND ALL ALONE. 304 00:15:59,206 --> 00:16:02,000 IT'S ALREADY TAKEN MY ABILITY TO FUNCTION, 305 00:16:02,000 --> 00:16:05,517 MY JOB, MY FAMILY, JUST ABOUT EVERYTHING. 306 00:16:05,517 --> 00:16:09,034 THE ONLY THING LEFT IS FOR IT TO PHYSICALLY TAKE MY LIFE. 307 00:16:09,034 --> 00:16:10,482 ARE YOU DONE? YEAH. 308 00:16:10,482 --> 00:16:11,965 I JUST HAVE, LIKE, A COUPLE MORE BITES. 309 00:16:14,206 --> 00:16:16,103 CAN YOU BRING ME A BROWNIE, THOUGH? 310 00:16:16,103 --> 00:16:18,517 HOW MANY? 311 00:16:18,517 --> 00:16:21,551 JUST BRING ME THE BOX. 312 00:16:21,551 --> 00:16:25,344 Isabella: I HOPE THAT MY MOM CAN LOSE THE WEIGHT 313 00:16:25,344 --> 00:16:30,068 AND BECOME HEALTHY AND BECOME A HUMAN AGAIN. 314 00:16:30,068 --> 00:16:32,344 AND I'VE TOLD HER I WILL DO ANYTHING 315 00:16:32,344 --> 00:16:35,655 FOR HER TO STAY ON TRACK. 316 00:16:35,655 --> 00:16:37,827 IF THAT MEANS I HAVE TO LOCK EVERY CABINET 317 00:16:37,827 --> 00:16:40,931 WHEN I LEAVE THE HOUSE, I WILL DO IT, 318 00:16:40,931 --> 00:16:45,137 BECAUSE I NEED MY MOM. 319 00:16:45,137 --> 00:16:49,965 I DON'T THINK I COULD KEEP GOING IF I LOSE MY MOM. 320 00:16:49,965 --> 00:16:52,551 BUT I ALSO DON'T THINK I WOULD KNOW WHAT TO DO WITH MY LIFE, 321 00:16:52,551 --> 00:16:56,137 BECAUSE MY LIFE REVOLVES AROUND TAKING CARE OF MY MOM. 322 00:17:05,310 --> 00:17:10,379 I LOVE MY MOM, AND MY MOM IS MY BEST FRIEND, 323 00:17:10,379 --> 00:17:13,517 BUT I CAN'T HANDLE IT ANYMORE. 324 00:17:17,620 --> 00:17:21,275 I WOULD LOVE MY MOM TO FEEL HAPPY AGAIN. 325 00:17:21,275 --> 00:17:25,620 I JUST WANT HER TO HAVE ALL THE THINGS THAT SHE HAD BEFORE, 326 00:17:25,620 --> 00:17:28,586 LIKE STANDING FOR A LONG TIME. 327 00:17:28,586 --> 00:17:32,862 SHE LOVED COOKING, BUT NOW SHE CAN'T REALLY COOK. 328 00:17:32,862 --> 00:17:36,275 SO I WOULD LOVE HER TO HAVE THAT FREEDOM AGAIN. 329 00:17:38,448 --> 00:17:40,931 Bethany: I KNOW I'M RUNNING OUT OF TIME, 330 00:17:40,931 --> 00:17:42,793 AND I CAN'T KEEP GOING LIKE THIS, 331 00:17:42,793 --> 00:17:45,965 BUT KNOWING THAT STILL DOESN'T STOP ME, 332 00:17:45,965 --> 00:17:49,103 BECAUSE WHEN THE CRAVINGS COME AND I HAVE TO HAVE WHAT I WANT, 333 00:17:49,103 --> 00:17:51,000 IT'S ALL I CAN THINK ABOUT. 334 00:17:51,000 --> 00:17:53,241 I DON'T THINK ABOUT HOW I'M GONNA DIE 335 00:17:53,241 --> 00:17:54,482 AND HOW I'M GONNA LEAVE MY GIRLS 336 00:17:54,482 --> 00:17:57,310 WITHOUT A MOTHER IF I DON'T STOP. 337 00:17:57,310 --> 00:18:01,206 BUT I CAN'T LET THAT HAPPEN, SO I KNOW AND BELIEVE 338 00:18:01,206 --> 00:18:03,965 THERE HAS TO BE A WAY FOR ME TO GET HELP. 339 00:18:21,000 --> 00:18:23,517 HOW MANY OUTFITS ARE YOU GONNA NEED? 340 00:18:23,517 --> 00:18:26,689 PROBABLY FOUR OUTFITS. 341 00:18:26,689 --> 00:18:28,931 I'VE DECIDED TO TRY AND GO TO HOUSTON 342 00:18:28,931 --> 00:18:31,275 TO SEE DR. NOW AND GET HIS HELP. 343 00:18:31,275 --> 00:18:34,172 I REACHED OUT TO HIS OFFICE AND GOT AN APPOINTMENT SET, 344 00:18:34,172 --> 00:18:35,827 AND IT'S TOMORROW. 345 00:18:35,827 --> 00:18:38,896 SO I'M GONNA HEAD DOWN TODAY BECAUSE IT'S A NINE-HOUR DRIVE 346 00:18:38,896 --> 00:18:41,068 AND I DON'T THINK I CAN DO THAT STRAIGHT, 347 00:18:41,068 --> 00:18:42,965 SO I'M PROBABLY GONNA HAVE TO BREAK IT UP 348 00:18:42,965 --> 00:18:45,413 OVER A COUPLE OF DAYS. 349 00:18:45,413 --> 00:18:47,241 THESE WORK FOR YOU? 350 00:18:47,241 --> 00:18:49,620 SEE WHAT YOU GOT HERE. 351 00:18:49,620 --> 00:18:51,241 YEAH. THAT'LL WORK. 352 00:18:51,241 --> 00:18:54,068 BUT ULTIMATELY, I'M NOT SURE HOW MY BODY'S GONNA HANDLE IT, 353 00:18:54,068 --> 00:18:56,827 SO I'M REALLY NERVOUS ABOUT DOING THIS. 354 00:18:56,827 --> 00:18:59,000 I THINK THE FARTHEST I'VE DRIVEN RECENTLY 355 00:18:59,000 --> 00:19:04,103 IS THREE HOURS AT ONE TIME, BUT NINE HOURS I HAVEN'T DONE. 356 00:19:04,103 --> 00:19:06,241 SO I'M NOT SURE HOW THIS IS GONNA GO, 357 00:19:06,241 --> 00:19:08,000 AND THAT SCARES ME A LITTLE. 358 00:19:08,000 --> 00:19:09,620 SHELDON AND ZOWIE ARE GOING WITH ME, 359 00:19:09,620 --> 00:19:11,586 BUT SHELDON CAN'T HELP DRIVE AT ALL 360 00:19:11,586 --> 00:19:13,241 BECAUSE HE HAS AN EYE CONDITION 361 00:19:13,241 --> 00:19:16,620 THAT MAKES IT DIFFICULT FOR HIM TO DRIVE ON THE INTERSTATE. 362 00:19:16,620 --> 00:19:18,172 SO I DON'T REALLY HAVE AN OPTION. 363 00:19:18,172 --> 00:19:20,896 I HAVE TO DO THE WHOLE DRIVE MYSELF. 364 00:19:20,896 --> 00:19:24,103 ISABELLA HAS A TEST AT SCHOOL, AND SHE'S GRADUATING SOON, 365 00:19:24,103 --> 00:19:26,793 SO I TOLD HER SHE'S GONNA STAY HERE 366 00:19:26,793 --> 00:19:28,758 AND FOCUS ON HER LIFE FOR ONCE. 367 00:19:28,758 --> 00:19:32,413 AND I'M GONNA TRY TO DO WHAT I NEED TO GET HELP, 368 00:19:32,413 --> 00:19:33,758 BUT I'M NOT GONNA LIE. 369 00:19:33,758 --> 00:19:36,344 DOING THIS IS TERRIFYING TO ME. 370 00:19:36,344 --> 00:19:40,068 WHAT'S WRONG?I'M JUST NERVOUS. 371 00:19:40,068 --> 00:19:45,620 IT'LL BE OKAY, MOM. 372 00:19:45,620 --> 00:19:49,379 IT'LL BE OKAY. 373 00:19:49,379 --> 00:19:51,413 OH, I JUST NEVER LEAVE THE HOUSE, SO IT'S JUST... 374 00:19:51,413 --> 00:19:53,758 I KNOW.I'M JUST SO ANXIOUS. 375 00:19:53,758 --> 00:19:54,862 DAD'S WITH YOU.I KNOW. 376 00:19:54,862 --> 00:19:57,172 AND YOU'VE GOT ZOWIE. 377 00:19:57,172 --> 00:19:58,862 I HAVE TO DO THIS. 378 00:19:58,862 --> 00:20:00,275 IT'S GONNA BE FINE. 379 00:20:00,275 --> 00:20:03,724 THERE'S A LOT OF FEAR AND ANXIETY ABOUT, YOU KNOW, 380 00:20:03,724 --> 00:20:05,965 AM I MAKING THIS TRIP FOR NO REASON? 381 00:20:05,965 --> 00:20:09,965 AM I TOO FAR PAST THE POINT OF HIM BEING ABLE TO HELP ME? 382 00:20:09,965 --> 00:20:12,137 THERE'S JUST A LOT OF QUESTIONS. 383 00:20:12,137 --> 00:20:14,000 I'M GONNA BE OKAY. 384 00:20:14,000 --> 00:20:15,310 I'M JUST GONNA SIT HERE FOR A MINUTE 385 00:20:15,310 --> 00:20:17,034 WHILE YOU GUYS GET THE CAR LOADED. 386 00:20:17,034 --> 00:20:19,379 I JUST, LIKE, TRY TO GET MYSELF COLLECTED. 387 00:20:25,103 --> 00:20:26,758 THIS IS REALLY STRESSFUL, 388 00:20:26,758 --> 00:20:29,344 AND HOW I DEAL WITH STRESS IS WITH FOOD. 389 00:20:29,344 --> 00:20:32,517 AND SO IT'S IRONIC SOME THAT I'M GONNA GET THIS HELP, 390 00:20:32,517 --> 00:20:35,103 AND ALL I WANT TO DO RIGHT NOW IS EAT. 391 00:20:35,103 --> 00:20:37,517 BUT I WANT TO BE THERE FOR MY FAMILY. 392 00:20:37,517 --> 00:20:40,241 I NEED TO BE THERE FOR MY DAUGHTERS, AND RIGHT NOW, 393 00:20:40,241 --> 00:20:41,931 I'M NOT GONNA BE. 394 00:20:41,931 --> 00:20:43,000 EVERYTHING'S READY? 395 00:20:43,000 --> 00:20:44,275 I THINK WE'RE GOOD. ARE YOU OKAY? 396 00:20:44,275 --> 00:20:48,793 I'M REALLY SCARED, BUT WE'RE GONNA DO IT, 397 00:20:48,793 --> 00:20:52,379 AND IT'S GONNA BE GOOD. 398 00:20:52,379 --> 00:20:54,758 FOOD IS GONNA KILL ME IF I DON'T DO SOMETHING, 399 00:20:54,758 --> 00:20:56,862 SO I HAVE TO HOPE THIS IS GONNA WORK 400 00:20:56,862 --> 00:20:59,103 AND THAT THERE'S A CHANCE, 401 00:20:59,103 --> 00:21:01,310 'CAUSE I'M NOT READY TO JUST GIVE UP 402 00:21:01,310 --> 00:21:03,965 AND ACCEPT THAT FATE FOR MY FAMILY. 403 00:21:03,965 --> 00:21:06,068 BUT THIS IS ONE OF THE HARDEST AND SCARIEST THINGS 404 00:21:06,068 --> 00:21:08,172 I'VE EVER DONE IN MY LIFE. 405 00:21:08,172 --> 00:21:12,241 IT'S WORTH IT TO ME TO GET THERE AND MAKE A CHANGE 406 00:21:12,241 --> 00:21:16,724 THAN TO STAY HERE AND JUST DETERIORATE. 407 00:21:16,724 --> 00:21:18,482 'CAUSE IF I JUST GIVE UP AND STAY HERE, 408 00:21:18,482 --> 00:21:21,448 MY BODY'S GONNA CONTINUE TO GET WORSE. 409 00:21:21,448 --> 00:21:24,586 SO NO MATTER HOW SCARY GOING OUT INTO THE WORLD IS, 410 00:21:24,586 --> 00:21:27,310 I CAN'T CHICKEN OUT AND QUIT. 411 00:21:27,310 --> 00:21:32,241 I NEED TO DO THIS, AND I NEED TO DO IT NOW BEFORE IT'S TOO LATE. 412 00:21:32,241 --> 00:21:35,586 BUT THE FIRST THING I NEED TO DO IS GET SOMETHING TO EAT. 413 00:21:46,241 --> 00:21:49,620 I DON'T KNOW HOW ELSE TO DEAL WITH HOW MY ANXIETY IS BUILDING, 414 00:21:49,620 --> 00:21:51,034 AND I'M STARVING. 415 00:21:55,000 --> 00:21:57,931 SO I REALLY NEED SOMETHING GOOD TO HOLD ME OVER FOR A BIT, 416 00:21:57,931 --> 00:22:01,896 BECAUSE I'M HOPING TO MAKE IT A WAYS BEFORE WE STOP AGAIN. 417 00:22:01,896 --> 00:22:07,241 YOU WANT YOUR FRIES NOW?MM-HMM. 418 00:22:07,241 --> 00:22:08,896 KETCHUP. 419 00:22:08,896 --> 00:22:12,068 MY PLAN IS TO TRY AND GO 4 1/2 HOURS TODAY 420 00:22:12,068 --> 00:22:16,413 AND THEN 4 1/2 HOURS TOMORROW, BUT I'M JUST NOT SURE 421 00:22:16,413 --> 00:22:20,482 HOW I'M GONNA EVEN HANDLE ONE HOUR ON THE ROAD AT THIS POINT. 422 00:22:20,482 --> 00:22:22,103 I JUST HOPE IT'S NOT TOO HARD ON ME 423 00:22:22,103 --> 00:22:24,655 AND I'M ABLE TO MAKE IT TO DR. NOW IN TIME. 424 00:22:33,655 --> 00:22:36,517 I NEED TO STOP AND GET SOME FOOD, TAKE IT TO THE HOTEL... 425 00:22:36,517 --> 00:22:37,655 GOOD IDEA. 426 00:22:37,655 --> 00:22:40,034 ...'CAUSE I JUST CAN'T BE IN THIS CAR ANYMORE. 427 00:22:43,137 --> 00:22:45,862 WE'VE JUST ABOUT MADE IT TO THE HALFWAY POINT TO HOUSTON 428 00:22:45,862 --> 00:22:48,931 AND AS FAR AS I WAS HOPING TO GO TODAY, 429 00:22:48,931 --> 00:22:52,310 AND ALL I WANT TO DO IS GET SOMETHING TO EAT AND REST. 430 00:22:52,310 --> 00:22:55,172 SO ONCE WE GET SOME FOOD, WE'RE DONE FOR THE DAY 431 00:22:55,172 --> 00:22:58,172 BECAUSE MY WHOLE BODY IS IN A LOT OF PAIN, 432 00:22:58,172 --> 00:23:01,551 ESPECIALLY MY BACK, LEGS, AND KNEES, 433 00:23:01,551 --> 00:23:03,482 AND I'VE NEVER REALLY PUT THOSE PARTS OF MY BODY 434 00:23:03,482 --> 00:23:05,103 THROUGH ANYTHING LIKE THIS. 435 00:23:05,103 --> 00:23:07,655 SO THE PAIN WITH THEM IS AGONIZING, 436 00:23:07,655 --> 00:23:09,206 AND I'M DONE FOR THE DAY. 437 00:23:15,724 --> 00:23:17,068 MY KNEE. 438 00:23:26,758 --> 00:23:30,034 I KNOW WITH HOW BAD I FEEL THAT TOMORROW'S GONNA BE EVEN HARDER, 439 00:23:30,034 --> 00:23:32,206 AND THAT SCARES ME, 440 00:23:32,206 --> 00:23:35,655 SO I'M FEELING REALLY OVERWHELMED RIGHT NOW. 441 00:23:35,655 --> 00:23:36,965 THIS IS JUST A LOT. 442 00:23:36,965 --> 00:23:38,655 I KNEW IT WOULD BE. 443 00:23:38,655 --> 00:23:41,068 BUT I'M STRUGGLING EVEN MORE THAN I WAS WORRIED ABOUT. 444 00:23:41,068 --> 00:23:42,655 OH, GEEZ. 445 00:23:50,241 --> 00:23:54,068 AND WHAT I NEED TO FEEL BETTER IS FOOD, BUT THAT'S THE PROBLEM. 446 00:23:54,068 --> 00:23:55,241 SO IT'S MOMENTS LIKE THESE 447 00:23:55,241 --> 00:23:57,551 THAT I FEEL LIKE I'M FIGHTING A LOSING BATTLE. 448 00:24:00,275 --> 00:24:01,724 YOU ALRIGHT?I'M OKAY. 449 00:24:01,724 --> 00:24:03,827 I'M JUST UPSET.WHY? 450 00:24:03,827 --> 00:24:05,241 I'M NOT GONNA TALK ABOUT IT. 451 00:24:05,241 --> 00:24:06,620 I'M JUST UPSET. 452 00:24:06,620 --> 00:24:09,034 OKAY. 453 00:24:09,034 --> 00:24:10,965 SO I JUST NEED TO EAT AND GO TO BED, 454 00:24:10,965 --> 00:24:13,965 AND HOPEFULLY TOMORROW WILL BE A BETTER DAY. 455 00:24:13,965 --> 00:24:16,000 ZOWIE, DO YOU WANT YOUR FOOD? 456 00:24:16,000 --> 00:24:20,482 ARE YOU HUNGRY?Zowie: YEAH. 457 00:24:20,482 --> 00:24:24,103 I JUST HOPE I CAN MAKE IT THERE, 'CAUSE NO MATTER WHAT IT TAKES, 458 00:24:24,103 --> 00:24:26,586 I HAVE TO GET TO HOUSTON TO SEE DR. NOW. 459 00:24:26,586 --> 00:24:29,586 I JUST REALLY HOPE HE HELPS AND THIS IS ALL WORTH IT. 460 00:24:38,793 --> 00:24:40,206 WE'VE MADE IT TO HOUSTON, 461 00:24:40,206 --> 00:24:42,379 AND I'M JUST TRYING TO HOLD IT TOGETHER. 462 00:24:42,379 --> 00:24:45,620 BECAUSE OF MY PAIN AND NERVES ABOUT SEEING DR. NOW, 463 00:24:45,620 --> 00:24:50,448 I FEEL LIKE I'M GONNA HAVE A PANIC ATTACK. 464 00:24:50,448 --> 00:24:53,344 MY WHOLE BODY IS IN SO MUCH PAIN, 465 00:24:53,344 --> 00:24:56,103 MORE THAN IT HAS BEEN IN A LONG TIME. 466 00:24:56,103 --> 00:24:58,896 BUT I'M TRYING NOT TO EVEN THINK ABOUT THAT RIGHT NOW, 467 00:24:58,896 --> 00:25:01,344 BECAUSE I ALREADY HAVE ENOUGH STRESSING ME OUT 468 00:25:01,344 --> 00:25:04,413 WITH THE FACT THAT I'M ABOUT TO FIND OUT MY CURRENT WEIGHT 469 00:25:04,413 --> 00:25:05,931 AND THEN FIND OUT IF DR. NOW 470 00:25:05,931 --> 00:25:09,000 IS EVEN GONNA BE ABLE TO HELP ME OR NOT. 471 00:25:09,000 --> 00:25:10,206 BETHANY. 472 00:25:10,206 --> 00:25:12,862 IF I GET THE CHANCE TO TURN MY LIFE AROUND, 473 00:25:12,862 --> 00:25:14,448 THEN I HAVE HOPE. 474 00:25:14,448 --> 00:25:16,965 BUT IF DR. NOW TELLS ME HE CAN'T HELP ME, 475 00:25:16,965 --> 00:25:22,517 THEN I HAVE NOTHING LEFT, NO FUTURE OR CHANCE OR ANYTHING. 476 00:25:22,517 --> 00:25:24,413 SO THE REST OF MY LIFE AND EVERYTHING 477 00:25:24,413 --> 00:25:27,793 ALL DEPENDS ON WHAT'S ABOUT TO HAPPEN RIGHT NOW, 478 00:25:27,793 --> 00:25:29,965 SO I'M TERRIFIED. 479 00:25:39,793 --> 00:25:42,655 Bethany: I'M AT DR. NOW'S FOR MY FIRST APPOINTMENT, 480 00:25:42,655 --> 00:25:45,551 AND I REALLY DON'T WANT TO FIND OUT WHAT I WEIGH NOW. 481 00:25:45,551 --> 00:25:47,413 I JUST HOPE IT'S NOT A SHOCKING NUMBER 482 00:25:47,413 --> 00:25:49,862 THAT'S A LOT HIGHER THAN I THOUGHT IT'D BE. 483 00:25:58,068 --> 00:26:01,586 I KIND OF KNEW I WAS PROBABLY IN THE 600s, 484 00:26:01,586 --> 00:26:03,689 BUT IT'S STILL HARD TO SEE. 485 00:26:03,689 --> 00:26:07,517 AND I'M EMBARRASSED THAT SHELDON AND ZOWIE SAW THAT NUMBER, 486 00:26:07,517 --> 00:26:09,793 BECAUSE THIS FEELS LIKE IT MAKES IT REALER 487 00:26:09,793 --> 00:26:13,172 TO MY WHOLE FAMILY FOR ME. 488 00:26:13,172 --> 00:26:17,275 I'M JUST REALLY UPSET THAT I LET MYSELF GET THIS BAD. 489 00:26:17,275 --> 00:26:19,551 I'M NOT REALLY SURE WHAT DR. NOWZARADAN IS GONNA SAY. 490 00:26:19,551 --> 00:26:22,655 I MEAN, I HOPE THAT HE SAYS THAT HE CAN HELP ME 491 00:26:22,655 --> 00:26:25,068 AND THAT HE GIVES ME A CHANCE, BECAUSE WITHOUT IT, 492 00:26:25,068 --> 00:26:28,413 I DON'T KNOW WHAT I'M GONNA DO. 493 00:26:31,137 --> 00:26:31,827 HELLO. 494 00:26:31,827 --> 00:26:32,896 HI.Zowie: HI. 495 00:26:32,896 --> 00:26:35,275 HOW Y'ALL DOING?I'M GOOD. HOW ARE YOU? 496 00:26:35,275 --> 00:26:37,000 ALRIGHT. I'M DR. NOWZARADAN. 497 00:26:37,000 --> 00:26:39,344 I'M BETHANY.NICE TO MEET YOU. 498 00:26:39,344 --> 00:26:40,793 AND THIS YOUNG LADY? 499 00:26:40,793 --> 00:26:42,862 I'M ZOWIE.NICE TO MEET YOU. 500 00:26:42,862 --> 00:26:44,517 NICE TO MEET YOU.SHELDON. 501 00:26:44,517 --> 00:26:46,413 NICE TO MEET YOU, TOO. 502 00:26:46,413 --> 00:26:48,724 ALRIGHT. WHERE Y'ALL COMING FROM? 503 00:26:48,724 --> 00:26:50,172 OKLAHOMA. 504 00:26:50,172 --> 00:26:51,448 OKLAHOMA. 505 00:26:51,448 --> 00:26:53,482 THAT'S NOT TOO BAD A DRIVE HERE. 506 00:26:53,482 --> 00:26:55,310 SO WHAT BROUGHT YOU DOWN TO HOUSTON? 507 00:26:55,310 --> 00:26:56,758 YOU WANT TO LOSE SOME WEIGHT? 508 00:26:56,758 --> 00:26:59,379 YEAH. I KNOW I REALLY NEED TO. 509 00:26:59,379 --> 00:27:00,689 I'VE JUST KIND OF GOTTEN TO THE POINT 510 00:27:00,689 --> 00:27:02,310 THAT I CAN'T DO ANYTHING ANYMORE. 511 00:27:02,310 --> 00:27:05,379 I CAN'T STAND FOR VERY LONG. I CAN'T WALK FOR VERY LONG. 512 00:27:05,379 --> 00:27:07,620 EVERYTHING JUST HURTS NOW. 513 00:27:07,620 --> 00:27:10,517 ALRIGHT. SO, HOW DID YOU GET TO THIS POINT? 514 00:27:10,517 --> 00:27:12,896 TELL ME WHAT'S WRONG WITH YOUR EATING HABITS. 515 00:27:12,896 --> 00:27:14,413 I EAT ALL THE TIME. 516 00:27:14,413 --> 00:27:18,206 I EAT ALL DAY LONG AND EAT STUFF I SHOULDN'T EAT, 517 00:27:18,206 --> 00:27:22,517 LIKE JUNK FOOD AND SWEETS AND ICE CREAM AND STUFF LIKE THAT. 518 00:27:22,517 --> 00:27:24,310 WELL, WHAT YOU'RE TELLING ME 519 00:27:24,310 --> 00:27:26,413 IS YOU KNOW YOU'RE DOING SOMETHING WRONG, 520 00:27:26,413 --> 00:27:28,586 BUT YOU KEEP DOING IT.I KEEP DOING IT. 521 00:27:28,586 --> 00:27:31,068 SO WHY IS THAT, THEN? 522 00:27:31,068 --> 00:27:32,620 IT'S REALLY BECOME, LIKE, 523 00:27:32,620 --> 00:27:35,275 THE WAY THAT I COPE WITH DEPRESSION AND ANXIETY. 524 00:27:35,275 --> 00:27:39,413 WHENEVER I EAT, I FEEL COMFORT, SO WHEN I GET ANXIOUS, 525 00:27:39,413 --> 00:27:41,896 WHICH HAPPENS A LOT, THEN I WANT TO EAT. 526 00:27:41,896 --> 00:27:45,965 SO YOU HAVE ANXIETY, YOU EAT, YOU FEEL BETTER? 527 00:27:45,965 --> 00:27:47,896 WELL, I MEAN, IT'S JUST KIND OF A VICIOUS CYCLE 528 00:27:47,896 --> 00:27:50,241 WHERE I FEEL BAD, AND THEN -- 529 00:27:50,241 --> 00:27:52,724 BUT I FEEL GOOD WHENEVER I EAT, 530 00:27:52,724 --> 00:27:55,551 SO I'LL DO IT AGAIN AND AGAIN, OVER AND OVER. 531 00:27:55,551 --> 00:27:58,931 YOU FEEL LIKE YOU'RE A COMPULSIVE EATER, 532 00:27:58,931 --> 00:28:02,275 AND YOU CONVINCE YOURSELF THAT YOU'RE ANXIOUS 533 00:28:02,275 --> 00:28:03,965 AND YOU SHOULD EAT. 534 00:28:03,965 --> 00:28:06,034 THAT'S NOT GONNA WORK FOR YOU, 535 00:28:06,034 --> 00:28:08,379 AND IT SEEMS TO ME, FROM WHAT YOU'RE SAYING, 536 00:28:08,379 --> 00:28:10,896 YOU'RE JUST LOOKING FOR A MAGIC SOLUTION. 537 00:28:10,896 --> 00:28:11,965 NO, I'M NOT. 538 00:28:11,965 --> 00:28:14,620 I'M HERE TO GET HELP TO CHANGE THAT. 539 00:28:14,620 --> 00:28:16,034 OKAY. 540 00:28:16,034 --> 00:28:19,172 WELL, SURGERY IS GONNA TAKE AWAY THE PHYSICAL...TO EAT, 541 00:28:19,172 --> 00:28:21,172 BUT THERE IS AN EMOTIONAL COMPONENT 542 00:28:21,172 --> 00:28:22,827 THAT NEEDS TO BE ADDRESSED, AS WELL. 543 00:28:22,827 --> 00:28:24,724 OKAY.BUT IF YOU DON'T DO THAT, 544 00:28:24,724 --> 00:28:27,103 IT'S ONLY GONNA BUY YOU A SHORT AMOUNT OF TIME 545 00:28:27,103 --> 00:28:29,724 BEFORE YOU CONTINUE TO GAIN OR STRETCH YOUR STOMACH BACK OUT 546 00:28:29,724 --> 00:28:31,862 TO UNDO YOUR SURGERY. 547 00:28:31,862 --> 00:28:36,310 AND SO SURGERY IS FAR FROM A QUICK FIX. 548 00:28:36,310 --> 00:28:37,758 I GET THAT. 549 00:28:37,758 --> 00:28:38,896 I HOPE SO. 550 00:28:38,896 --> 00:28:42,241 SO WHO ELSE IS IN THE HOUSEHOLD? 551 00:28:42,241 --> 00:28:45,827 MY HUSBAND, ZOWIE, AND THEN I HAVE ANOTHER DAUGHTER, 552 00:28:45,827 --> 00:28:47,517 ISABELLA, WHO'S 18. 553 00:28:47,517 --> 00:28:49,620 SHE COULDN'T BE HERE TODAY. 554 00:28:49,620 --> 00:28:52,827 SO, DOES SHE HAVE ANY WEIGHT PROBLEM? 555 00:28:52,827 --> 00:28:53,758 SHE'S OVERWEIGHT. 556 00:28:53,758 --> 00:28:55,068 SHE'S NOT AS HEAVY AS I AM, 557 00:28:55,068 --> 00:28:57,655 BUT SHE HAS SOME WEIGHT PROBLEMS, TOO. 558 00:28:57,655 --> 00:29:01,724 AND YOUR YOUNGEST ONE, ALSO, IS FACING SOME OF THAT, TOO. 559 00:29:01,724 --> 00:29:03,241 YES. 560 00:29:03,241 --> 00:29:05,275 BUT YOUR HUSBAND DOESN'T SEEM TO HAVE A WEIGHT PROBLEM. 561 00:29:05,275 --> 00:29:08,103 NO. HE'S NEVER HAD A WEIGHT PROBLEM. 562 00:29:08,103 --> 00:29:09,137 ALRIGHT. 563 00:29:09,137 --> 00:29:12,206 WELL, DOES HE BRING YOU HEALTHY FOOD? 564 00:29:12,206 --> 00:29:14,000 NO. ALRIGHT. 565 00:29:14,000 --> 00:29:17,862 THEN IF THAT'S TRUE, YOU HAVE CREATED AN UNHEALTHY DYNAMIC 566 00:29:17,862 --> 00:29:20,931 WITH YOUR KIDS WHERE THEY'RE EITHER ENABLING YOU 567 00:29:20,931 --> 00:29:22,931 OR YOU INFLUENCE THEM. 568 00:29:22,931 --> 00:29:25,206 EITHER WAY, IF YOU WANT A DIRECTION CHANGE 569 00:29:25,206 --> 00:29:26,586 FOR YOUR WHOLE FAMILY, 570 00:29:26,586 --> 00:29:30,206 THEN IT NEEDS TO START WITH YOU, AND IT NEEDS TO START NOW. 571 00:29:30,206 --> 00:29:31,448 OKAY. 572 00:29:31,448 --> 00:29:34,068 SO I'M GONNA PUT YOU ON A 1,200-CALORIE-A-DAY 573 00:29:34,068 --> 00:29:36,137 HIGH-PROTEIN AND LOW-CARB DIET, 574 00:29:36,137 --> 00:29:39,931 AND IT'S GONNA CUT YOUR EATING BACK TO ONLY THREE TIMES A DAY. 575 00:29:39,931 --> 00:29:41,931 OKAY.WHATEVER YOU EAT FOR 20 MINUTES. 576 00:29:41,931 --> 00:29:43,482 THAT'S IT. OKAY. 577 00:29:43,482 --> 00:29:45,034 AND THEN I WANT YOU TO PAY ATTENTION 578 00:29:45,034 --> 00:29:47,793 FOR THE CALORIE CONTENT OF WHAT YOU'RE EATING, 579 00:29:47,793 --> 00:29:49,793 AND, ALSO, I WANT YOU TO PAY ATTENTION 580 00:29:49,793 --> 00:29:51,482 FOR THE TYPE OF FOOD YOU'RE EATING. 581 00:29:51,482 --> 00:29:53,000 OKAY. 582 00:29:53,000 --> 00:29:56,137 AND THERE IS A LIST OF FOOD IN THERE THAT YOU NEED TO AVOID. 583 00:29:56,137 --> 00:29:57,344 OKAY. 584 00:29:57,344 --> 00:29:59,551 IF YOU FOLLOW THIS DIET THAT YOU NEED, 585 00:29:59,551 --> 00:30:02,482 YOU SHOULD BE EASILY ABLE TO LOSE 60 POUNDS 586 00:30:02,482 --> 00:30:04,344 OVER THE NEXT TWO MONTHS. 587 00:30:04,344 --> 00:30:07,448 HOW MUCH YOU CAN WALK BEFORE YOU GET SHORT OF BREATH? 588 00:30:07,448 --> 00:30:10,896 I MEAN, JUST LIKE, YOU KNOW, 15, 20 STEPS. 589 00:30:10,896 --> 00:30:13,103 IT'S NOT VERY FAR ANYMORE.OKAY. 590 00:30:13,103 --> 00:30:15,931 THAT'S ENOUGH TO START EXERCISING LIKE YOU NEED. 591 00:30:15,931 --> 00:30:19,655 SO I'M GONNA GIVE YOU SOME EXERCISES TO START, TOO, OKAY? 592 00:30:19,655 --> 00:30:20,827 OKAY. 593 00:30:20,827 --> 00:30:23,275 BUT ALL I WANT FROM YOU RIGHT NOW IS TO SHOW ME 594 00:30:23,275 --> 00:30:26,275 THAT YOU CAN TAKE BACK SOME CONTROL RIGHT NOW 595 00:30:26,275 --> 00:30:30,000 AND THAT YOU'RE CAPABLE AND WILLING TO DO THAT WORK, OKAY? 596 00:30:30,000 --> 00:30:31,137 OKAY. 597 00:30:31,137 --> 00:30:32,655 THEN WE CAN WORK WITH YOU AND HELP YOU. 598 00:30:32,655 --> 00:30:34,620 YOU THINK YOU CAN DO THAT? 599 00:30:34,620 --> 00:30:36,344 YEAH. I THINK IT'S SOMETHING I CAN DO. 600 00:30:36,344 --> 00:30:38,068 I MEAN, I HAVE EXPERIENCE WITH THAT 601 00:30:38,068 --> 00:30:39,551 BECAUSE I USED TO BE A COUNSELOR. 602 00:30:39,551 --> 00:30:43,620 I DID ADDICTION COUNSELING, SO DRUG AND ALCOHOL COUNSELING. 603 00:30:43,620 --> 00:30:45,344 THAT'S GOOD EXAMPLE OF IRONY, 604 00:30:45,344 --> 00:30:49,068 BECAUSE FOOD ADDICTION AND ALCOHOL PRETTY THE SAME, 605 00:30:49,068 --> 00:30:51,793 AND YOU WERE JUST COUNSELING OTHER PEOPLE NOT TO DO IT, 606 00:30:51,793 --> 00:30:53,827 AND YOU WERE DOING IT YOURSELF. 607 00:30:53,827 --> 00:30:56,000 YEAH, I WAS KIND OF ONE OF THOSE 608 00:30:56,000 --> 00:30:59,379 "PRACTICE WHAT I SAY, NOT WHAT I DO" KIND OF THINGS. 609 00:30:59,379 --> 00:31:02,000 LIKE THOSE PREACHERS THAT THEY DO EVERYTHING WRONG, 610 00:31:02,000 --> 00:31:04,413 AND THEY KEEP PREACHING FOR THE PEOPLE, HUH? 611 00:31:04,413 --> 00:31:07,620 MM-HMM.ALRIGHT. ANY QUESTIONS? 612 00:31:07,620 --> 00:31:09,172 I DON'T THINK SO. 613 00:31:09,172 --> 00:31:10,896 WELL, IF YOU THINK OF ANYTHING 614 00:31:10,896 --> 00:31:13,586 OR IF YOU NEED ANYTHING, LET ME KNOW. 615 00:31:13,586 --> 00:31:15,034 OKAY. ALRIGHT. 616 00:31:15,034 --> 00:31:16,379 I'LL SEE YOU IN TWO MONTHS, 617 00:31:16,379 --> 00:31:19,241 WHERE YOU HOPEFULLY HAVE LOST 60 POUNDS THEN. 618 00:31:19,241 --> 00:31:20,551 I WILL. 619 00:31:20,551 --> 00:31:23,172 ALRIGHT, NICE TO MEET YOU.IT'S NICE TO MEET YOU. 620 00:31:23,172 --> 00:31:25,344 ALRIGHT.NICE TO MEET YOU. 621 00:31:25,344 --> 00:31:26,896 ALRIGHT.THANK YOU, SIR. 622 00:31:26,896 --> 00:31:29,000 I'LL SEE Y'ALL LATER, OKAY?YES, SIR. 623 00:31:29,000 --> 00:31:30,379 ALRIGHT. Y'ALL TAKE CARE. 624 00:31:30,379 --> 00:31:31,448 YOU TOO. 625 00:31:35,758 --> 00:31:37,620 THERE ARE A NUMBER OF FACTORS 626 00:31:37,620 --> 00:31:40,586 THAT HAVE ME CONCERNED ABOUT BETHANY RIGHT NOW, 627 00:31:40,586 --> 00:31:43,275 THE BIGGEST BEING THAT SHE SEEMS TO THINK 628 00:31:43,275 --> 00:31:45,551 THAT THERE IS A MAGIC SOLUTION OUT THERE 629 00:31:45,551 --> 00:31:48,689 THAT IS GOING TO FIX HER WEIGHT PROBLEM AND HEALTH ISSUES. 630 00:31:48,689 --> 00:31:51,103 AND IF THAT'S THE CASE, THERE'S NOT GONNA BE MUCH 631 00:31:51,103 --> 00:31:52,793 WE CAN DO TO HELP HER. 632 00:31:52,793 --> 00:31:55,000 BUT HOPEFULLY SHE DECIDES TO START 633 00:31:55,000 --> 00:31:57,793 MAKING THE CHOICES SHE NEEDS AND DO THE HARD WORK 634 00:31:57,793 --> 00:32:00,724 THAT IT'S GONNA TAKE TO TURN HER SITUATION AROUND. 635 00:32:00,724 --> 00:32:03,586 AND IF SHE DOES THAT AND HITS HER WEIGHT-LOSS GOAL, 636 00:32:03,586 --> 00:32:05,931 THEN WE WILL MOVE AHEAD WITH THE NEXT STEP 637 00:32:05,931 --> 00:32:07,896 OF WEIGHT-LOSS SURGERY FOR HER. 638 00:32:07,896 --> 00:32:10,689 BUT RIGHT NOW, THE FOCUS IS ON HER ABILITY 639 00:32:10,689 --> 00:32:12,275 TO TAKE THIS FIRST STEP 640 00:32:12,275 --> 00:32:15,137 BY CHOOSING TO START TAKING CONTROL OF HER SITUATION, 641 00:32:15,137 --> 00:32:17,724 TO MAKE THIS CHOICE TO START THIS PROCESS, 642 00:32:17,724 --> 00:32:20,896 OR THERE WON'T BE ANYTHING WE CAN DO TO HELP HER. 643 00:32:25,103 --> 00:32:28,827 I'M FEELING EXCITED THAT IT SOUNDS LIKE DR. NOWZARADAN 644 00:32:28,827 --> 00:32:31,000 IS WILLING TO TRY TO HELP ME, 645 00:32:31,000 --> 00:32:33,655 BUT I'M ALSO NERVOUS ABOUT ALL THE HARD WORK 646 00:32:33,655 --> 00:32:35,103 THAT I'M GONNA HAVE TO PUT INTO THIS 647 00:32:35,103 --> 00:32:38,344 AND ALL THE THINGS I'M GONNA HAVE TO CHANGE. 648 00:32:38,344 --> 00:32:41,241 AND I KNOW NONE OF THAT'S GONNA BE EASY TO DO, 649 00:32:41,241 --> 00:32:44,448 BUT I ALSO KNOW I HAVE TO DO IT BECAUSE IF I DON'T, 650 00:32:44,448 --> 00:32:48,241 THEN I FEEL LIKE I'M GOING TO NOT BE HERE MUCH LONGER, 651 00:32:48,241 --> 00:32:50,310 AND I CAN'T LET THAT HAPPEN. 652 00:32:50,310 --> 00:32:53,000 SO NO MATTER WHAT, I'M GONNA DO THIS. 653 00:33:03,241 --> 00:33:06,758 IT'S BEEN ONE MONTH SINCE I SAW DR. NOW AND CAME BACK HOME 654 00:33:06,758 --> 00:33:08,206 AND STARTING TO MAKE THE CHANGES 655 00:33:08,206 --> 00:33:12,793 I NEED TO COMPLY WITH DR. NOW'S DIET AND EXERCISE ROUTINE. 656 00:33:12,793 --> 00:33:15,620 SO I'VE BEEN FOCUSING ON PROTEIN AND LOW-CALORIE FOODS... 657 00:33:18,482 --> 00:33:21,586 ...AND DOING SOME OF THE MEAL PLANS IN DR. NOW'S DIET 658 00:33:21,586 --> 00:33:24,172 THAT PORTION OUT 400-CALORIE MEALS. 659 00:33:24,172 --> 00:33:25,724 BUT IT'S BEEN A BIG ADJUSTMENT, 660 00:33:25,724 --> 00:33:28,103 BECAUSE THEY DON'T TASTE NEAR AS GOOD AS I'D LIKE, 661 00:33:28,103 --> 00:33:29,931 SO I'M JUST TRYING DIFFERENT MEALS 662 00:33:29,931 --> 00:33:33,965 AND DIFFERENT OPTIONS TO SEE WHAT I CAN FIND THAT I LIKE. 663 00:33:33,965 --> 00:33:36,689 BUT SO FAR, MOST OF IT'S PRETTY BLAND. 664 00:33:36,689 --> 00:33:39,206 BUT WHAT I'VE ENJOYED MOST ABOUT THESE MEALS 665 00:33:39,206 --> 00:33:40,586 IS SPENDING TIME WITH ZOWIE, 666 00:33:40,586 --> 00:33:43,241 BECAUSE SHE'S BEEN MY LITTLE HELPER IN THE KITCHEN. 667 00:33:43,241 --> 00:33:44,758 Bethany: DID YOU HAVE A GOOD DAY AT SCHOOL TODAY? 668 00:33:44,758 --> 00:33:47,172 Zowie: MM-HMM.WHAT ARE YOU LEARNING ABOUT? 669 00:33:47,172 --> 00:33:49,551 LEARNING THE SCIENCE METHOD. 670 00:33:49,551 --> 00:33:51,586 THE SCIENTIFIC METHOD?MM-HMM. 671 00:33:55,586 --> 00:33:57,448 I'VE BEEN TRYING TO DO ALL THE COOKING MYSELF 672 00:33:57,448 --> 00:33:59,448 BECAUSE I DON'T WANT TO KEEP FORCING ISABELLA 673 00:33:59,448 --> 00:34:02,172 TO DO EVERYTHING. 674 00:34:02,172 --> 00:34:04,068 AND SHE'S GRADUATING HIGH SCHOOL SOON, 675 00:34:04,068 --> 00:34:06,275 AND I WANT HER TO START FOCUSING ON COLLEGE. 676 00:34:06,275 --> 00:34:09,172 AND I KNOW IF SHE FEELS LIKE SHE NEEDS TO STAY HERE AND HELP ME, 677 00:34:09,172 --> 00:34:10,344 THEN SHE WON'T GO, 678 00:34:10,344 --> 00:34:13,517 AND I DON'T WANT TO CAUSE HER TO MISS OUT. 679 00:34:13,517 --> 00:34:15,551 I NEED TO START DOING THINGS ON MY OWN AGAIN, 680 00:34:15,551 --> 00:34:19,103 AND I'M STARTING WITH COOKING MY OWN MEALS. 681 00:34:19,103 --> 00:34:20,827 THANK YOU FOR HELPING ME. 682 00:34:23,206 --> 00:34:25,344 Zowie: BELLA! BELLA! 683 00:34:25,344 --> 00:34:27,103 ZOWIE.HI. 684 00:34:27,103 --> 00:34:28,896 HI. HEY, BELLA. 685 00:34:28,896 --> 00:34:30,103 IT SMELLS GOOD IN HERE. 686 00:34:30,103 --> 00:34:32,034 I'M MAKING CHICKEN AND VEGETABLES. 687 00:34:32,034 --> 00:34:34,344 YEAH. WITH GARLIC. 688 00:34:34,344 --> 00:34:35,448 GARLIC?MM-HMM. 689 00:34:35,448 --> 00:34:36,793 IT SMELLS GOOD.I WANT TO HELP. 690 00:34:36,793 --> 00:34:39,517 YOU WANT TO HELP MAKE PLATES? 691 00:34:39,517 --> 00:34:41,137 YOU STAY HERE. 692 00:34:41,137 --> 00:34:43,034 OKAY, I'LL STAY HERE.YOU JUST WATCH THE MAGIC, GIRL. 693 00:34:43,034 --> 00:34:46,068 YOU GONNA PAMPER ME? 694 00:34:46,068 --> 00:34:48,655 I'M STILL TOO SORE TO DO MUCH OF THE EXERCISES 695 00:34:48,655 --> 00:34:50,241 THAT DR. NOW GAVE ME, 696 00:34:50,241 --> 00:34:55,724 BUT I'M HOPING TO START DOING THOSE SOON. 697 00:34:55,724 --> 00:34:58,517 RIGHT NOW, MY FOCUS HAS MAINLY BEEN ON TRYING 698 00:34:58,517 --> 00:35:03,241 TO ADJUST TO THE DIET AS MUCH AS I CAN. 699 00:35:03,241 --> 00:35:05,275 AND I THINK I'VE BEEN DOING WELL WITH IT ALL 700 00:35:05,275 --> 00:35:07,862 AND I'M MAKING SOME PROGRESS. 701 00:35:07,862 --> 00:35:11,413 I JUST HOPE IT'S AS ENOUGH AS I NEED. 702 00:35:11,413 --> 00:35:13,448 BUT I GUESS I'LL FIND OUT NEXT MONTH 703 00:35:13,448 --> 00:35:15,965 WHEN I GO BACK TO SEE DR. NOW. 704 00:35:33,034 --> 00:35:34,827 ME AND SHELDON ARE BACK IN HOUSTON 705 00:35:34,827 --> 00:35:37,068 FOR MY NEXT APPOINTMENT, 706 00:35:37,068 --> 00:35:38,655 AND THIS SECOND DRIVE DOWN 707 00:35:38,655 --> 00:35:41,068 WAS ALMOST AS HARD AS THE FIRST TIME. 708 00:35:41,068 --> 00:35:45,137 SO I'M IN A LOT OF PAIN, AND I'M MISERABLE RIGHT NOW. 709 00:35:45,137 --> 00:35:47,137 BETHANY. 710 00:35:47,137 --> 00:35:48,896 BUT I'M REALLY NERVOUS TO BE BACK HERE 711 00:35:48,896 --> 00:35:51,862 AND FIND OUT WHAT PROGRESS I MADE. 712 00:35:51,862 --> 00:35:53,965 DR. NOW SAID I CAN'T GET SURGERY 713 00:35:53,965 --> 00:35:57,137 UNLESS I HIT THE WEIGHT-LOSS GOAL HE GAVE ME. 714 00:35:57,137 --> 00:35:59,172 AND IF I DIDN'T, I DON'T KNOW WHAT THAT'S GONNA MEAN 715 00:35:59,172 --> 00:36:02,310 EXCEPT THAT I'M PROBABLY NOT GETTING SURGERY. 716 00:36:02,310 --> 00:36:04,931 SO I JUST REALLY HOPE THAT MY PROGRESS IS ENOUGH. 717 00:36:18,862 --> 00:36:20,724 Bethany: ME AND SHELDON ARE BACK AT DR. NOW'S 718 00:36:20,724 --> 00:36:22,758 FOR MY FOLLOW-UP APPOINTMENT 719 00:36:22,758 --> 00:36:24,413 AND TO HOPEFULLY SHOW HIM 720 00:36:24,413 --> 00:36:25,931 THAT I'M READY FOR WEIGHT-LOSS SURGERY. 721 00:36:25,931 --> 00:36:29,724 AT MY LAST APPOINTMENT, I WAS 608 POUNDS, 722 00:36:29,724 --> 00:36:32,620 AND I HAD TO LOSE 60 OVER THE LAST TWO MONTHS 723 00:36:32,620 --> 00:36:36,206 TO GET DOWN BELOW 548 FOR MY GOAL. 724 00:36:36,206 --> 00:36:38,517 SO I'M JUST REALLY HOPING THAT I MADE IT UNDER THAT 725 00:36:38,517 --> 00:36:40,862 AND GOT TO WHERE I'M SUPPOSED TO BE. 726 00:36:50,068 --> 00:36:53,000 THAT'S A LITTLE DISHEARTENING. 727 00:36:53,000 --> 00:36:56,482 I GUESS I'M JUST REALLY UPSET THAT I DIDN'T MAKE MY GOAL. 728 00:36:56,482 --> 00:36:58,000 I WANT TO BE ABLE TO DO THE PROGRAM 729 00:36:58,000 --> 00:37:00,793 AND GET THE SURGERY, SO NOT MAKING THE GOAL MEANS 730 00:37:00,793 --> 00:37:05,827 THAT I MIGHT NOT GET TO DO THAT, SO IT'S JUST DISAPPOINTING. 731 00:37:05,827 --> 00:37:09,172 I'M JUST TRYING TO FIGURE OUT, LIKE, WHAT ELSE I COULD BE DOING 732 00:37:09,172 --> 00:37:11,241 'CAUSE I FEEL LIKE I HAVEN'T EATEN 733 00:37:11,241 --> 00:37:13,793 HARDLY ANYTHING FOR THE LAST TWO MONTHS, 734 00:37:13,793 --> 00:37:16,000 S I CAN'T IMAGINE, LIKE, NOT EATING 735 00:37:16,000 --> 00:37:20,103 EVEN MORE THAN WHAT I'VE ALREADY CUT BACK, 736 00:37:20,103 --> 00:37:23,172 AND I'M SCARED THAT DR. NOW'S GONNA BE UPSET WITH ME. 737 00:37:28,137 --> 00:37:28,965 HELLO. 738 00:37:28,965 --> 00:37:29,793 HI.HELLO. 739 00:37:29,793 --> 00:37:30,827 HOW Y'ALL DOING? 740 00:37:30,827 --> 00:37:31,758 GOOD. HOW ARE YOU? 741 00:37:31,758 --> 00:37:34,172 I'M DOING GOOD. THANK YOU. 742 00:37:34,172 --> 00:37:36,758 ALRIGHT. HOW WAS THE TRIP THIS TIME? 743 00:37:36,758 --> 00:37:38,793 IT'S STILL A LONG TRIP. 744 00:37:38,793 --> 00:37:40,517 A LONG TRIP.LOTS OF DRIVING. 745 00:37:40,517 --> 00:37:43,275 WELL, THE TRIP IS NOT GONNA GET ANY EASIER 746 00:37:43,275 --> 00:37:45,068 IF YOU'RE NOT LOSING MUCH WEIGHT, 747 00:37:45,068 --> 00:37:47,931 BECAUSE I SEE YOU ONLY LOST 14 POUNDS, 748 00:37:47,931 --> 00:37:49,965 WHICH IS NOWHERE NEAR YOUR GOAL. 749 00:37:49,965 --> 00:37:52,034 SO WHAT THAT MEANS TO ME 750 00:37:52,034 --> 00:37:54,689 IS THAT YOU MAY HAVE MADE SOME SMALL CHANGES, 751 00:37:54,689 --> 00:37:57,379 BUT YOU'RE STILL HOPING FOR A MAGIC SOLUTION 752 00:37:57,379 --> 00:38:00,689 SO YOU DON'T HAVE TO DO ANY OF THE REALLY HARD WORK. 753 00:38:00,689 --> 00:38:02,172 THAT'S NOT TRUE. 754 00:38:02,172 --> 00:38:03,931 I'VE MADE A LOT OF CHANGES, AND I'M WORKING HARD. 755 00:38:03,931 --> 00:38:07,000 AND I KNOW I'VE STAYED WITHIN THE 1,200 CALORIES, 756 00:38:07,000 --> 00:38:09,655 AND I'M DOING WHAT I SHOULD EVEN THOUGH IT'S HARD, 757 00:38:09,655 --> 00:38:11,931 BUT I HAVEN'T CHEATED. 758 00:38:11,931 --> 00:38:14,862 I'VE STUCK TO IT COMPLETELY FOR THE LAST COUPLE MONTHS. 759 00:38:14,862 --> 00:38:17,620 THAT ALL SOUNDS GREAT, BUT IF THAT WERE ACCURATE, 760 00:38:17,620 --> 00:38:19,689 YOU WOULD HAVE LOST A LOT MORE THAN YOU DID 761 00:38:19,689 --> 00:38:21,241 OVER THE PAST TWO MONTHS. 762 00:38:21,241 --> 00:38:23,931 SO YOU'RE EITHER STILL OVEREATING WITH YOUR MEALS 763 00:38:23,931 --> 00:38:26,000 OR SNACKING ALL DAY OR BOTH, 764 00:38:26,000 --> 00:38:28,827 AND YOU'RE STILL NOT IN CONTROL LIKE YOU NEED TO BE. 765 00:38:28,827 --> 00:38:32,413 AND UNTIL THAT CHANGES, THERE'S NOTHING MORE WE CAN DO FOR YOU. 766 00:38:32,413 --> 00:38:34,103 DO YOU UNDERSTAND THAT? 767 00:38:34,103 --> 00:38:36,724 OKAY, BUT I REALLY AM EATING HEALTHY. 768 00:38:36,724 --> 00:38:38,655 OKAY. SO, RIGHT NOW, WHAT YOU'RE EATING 769 00:38:38,655 --> 00:38:40,689 FOR BREAKFAST, LUNCH, AND DINNER? 770 00:38:40,689 --> 00:38:45,586 FOR BREAKFAST, I DO KIND OF LIKE A PROTEIN BAR, 771 00:38:45,586 --> 00:38:47,724 AND THEN FOR LUNCH, I DO A PROTEIN BAR 772 00:38:47,724 --> 00:38:51,103 AND USUALLY, LIKE, MAYBE SOME CHEESE OR SOMETHING WITH IT. 773 00:38:51,103 --> 00:38:55,137 OKAY, BUT I WANT TO GET AWAY FROM THAT PROTEIN BAR, OKAY? 774 00:38:55,137 --> 00:38:57,068 THAT'S NOT THE HEALTHY.OKAY. 775 00:38:57,068 --> 00:38:59,206 I WANT YOU TO STICK TO NORMAL FOOD. 776 00:38:59,206 --> 00:39:01,724 OKAY.SO FOR DINNER? 777 00:39:01,724 --> 00:39:03,689 WE USUALLY MAKE SOMETHING HEALTHY FOR DINNER, 778 00:39:03,689 --> 00:39:05,448 LIKE I'LL HAVE -- 779 00:39:05,448 --> 00:39:06,620 LIKE THE OTHER DAY, 780 00:39:06,620 --> 00:39:12,379 WE MADE CHICKEN WITH ZUCCHINI AND SQUASH. 781 00:39:12,379 --> 00:39:14,655 ONE DAY, WE MADE CHICKEN AND SALAD. 782 00:39:14,655 --> 00:39:16,655 MM-HMM. OKAY. 783 00:39:16,655 --> 00:39:19,758 YOU'RE NOT REALLY BEING HONEST WITH ME OR YOURSELF. 784 00:39:19,758 --> 00:39:21,793 YOU'RE EATING MORE THAN YOU'RE ADMITTING. 785 00:39:21,793 --> 00:39:25,206 SO YOU ARE EITHER PLAYING GAMES WITH ME OR YOURSELF. 786 00:39:25,206 --> 00:39:27,275 AND UNTIL YOU MAKE THE CHOICES YOU NEED, 787 00:39:27,275 --> 00:39:29,068 THEN THERE'S NO WAY YOU'RE GONNA BE ABLE 788 00:39:29,068 --> 00:39:31,689 TO TURN YOUR SITUATION AROUND AND GET BETTER. 789 00:39:31,689 --> 00:39:34,310 AND YOU NEED TO UNDERSTAND THAT, OKAY? 790 00:39:34,310 --> 00:39:35,620 OKAY. 791 00:39:35,620 --> 00:39:38,206 I KNOW I'VE STAYED WITHIN THE 1,200 CALORIES, 792 00:39:38,206 --> 00:39:40,931 BUT MAYBE THE PROTEIN BARS I HAD 793 00:39:40,931 --> 00:39:42,379 HAD TOO MANY CARBS OR SOMETHING. 794 00:39:42,379 --> 00:39:45,896 YEAH. THOSE ARE COMMERCIAL THINGS. 795 00:39:45,896 --> 00:39:50,000 THEY DON'T LABEL THEM CORRECTLY, AND YOU GET MISLED WITH THEM. 796 00:39:50,000 --> 00:39:53,965 SO IT'S NOT UNDER 1,200 CALORIES NO MATTER WHAT YOU THINK. 797 00:39:53,965 --> 00:39:56,241 YOU GOT THAT? YEAH. OKAY. 798 00:39:56,241 --> 00:39:57,482 ALRIGHT. 799 00:39:57,482 --> 00:40:00,137 SO, I'LL GIVE YOU TWO MORE MONTHS TO LOSE 60 POUNDS 800 00:40:00,137 --> 00:40:01,758 AND HIT THE GOAL I GAVE YOU. 801 00:40:01,758 --> 00:40:04,206 YOU THINK YOU CAN DO THAT? 802 00:40:04,206 --> 00:40:06,793 WELL, I MEAN, I GUESS IF I WERE TO LOSE THAT, 803 00:40:06,793 --> 00:40:08,965 THEN MAYBE I'D BE ABLE TO HAVE SURGERY. 804 00:40:08,965 --> 00:40:11,068 WELL, IF YOU START TAKING RESPONSIBILITY 805 00:40:11,068 --> 00:40:12,275 FOR YOUR SITUATION 806 00:40:12,275 --> 00:40:14,586 AND HIT THIS GOAL BY YOUR NEXT APPOINTMENT, 807 00:40:14,586 --> 00:40:15,793 THEN WE'LL GO FROM THERE. 808 00:40:15,793 --> 00:40:17,655 OKAY. ALRIGHT. 809 00:40:17,655 --> 00:40:19,172 ANY QUESTIONS? 810 00:40:19,172 --> 00:40:20,448 NO. 811 00:40:20,448 --> 00:40:22,724 ALRIGHT. I'LL SEE YOU IN TWO MONTHS. 812 00:40:22,724 --> 00:40:24,137 THANKS.THANK YOU, SIR. 813 00:40:24,137 --> 00:40:25,137 ALRIGHT. TAKE CARE. 814 00:40:25,137 --> 00:40:26,241 YOU TOO. 815 00:40:30,793 --> 00:40:34,448 I'M DISAPPOINTED TO SEE THAT BETHANY IS STILL CHOOSING 816 00:40:34,448 --> 00:40:36,793 TO CONTINUE LIVING IN THE FALSE HOPE 817 00:40:36,793 --> 00:40:40,241 THAT THERE'S GOING TO BE AN EASY FIX OR MAGICAL SOLUTION 818 00:40:40,241 --> 00:40:43,172 TO SAVE HER FROM HER SITUATION. 819 00:40:43,172 --> 00:40:45,896 AND UNLESS THAT CHANGES, THERE'S NOT MUCH WE CAN DO 820 00:40:45,896 --> 00:40:50,689 TO HELP HER UNTIL SHE TAKES RESPONSIBILITY LIKE SHE NEEDS. 821 00:40:50,689 --> 00:40:54,034 BUT IF SHE DOESN'T SHOW THAT INTENT AND DESIRE TO CHANGE, 822 00:40:54,034 --> 00:40:55,965 THEN WE WON'T BE MOVING FORWARD 823 00:40:55,965 --> 00:40:58,931 OR CONSIDER ANY WEIGHT-LOSS SURGERY WITH HER. 824 00:41:01,310 --> 00:41:03,000 Bethany: I'M VERY THANKFUL THAT ONCE AGAIN, 825 00:41:03,000 --> 00:41:06,379 I HAVE A CHANCE TO SHOW DR. NOW I CAN DO THIS. 826 00:41:06,379 --> 00:41:07,689 BUT AT THE SAME TIME, 827 00:41:07,689 --> 00:41:10,448 IT'S DAUNTING TO THINK ABOUT HAVING TO GO BACK HOME 828 00:41:10,448 --> 00:41:12,241 AND NOT ONLY DO THIS ALL OVER AGAIN, 829 00:41:12,241 --> 00:41:15,068 BUT DO EVEN MORE THIS TIME. 830 00:41:15,068 --> 00:41:17,344 SO IT'S JUST MUCH SCARIER THIS TIME, 831 00:41:17,344 --> 00:41:21,275 BECAUSE I KNOW THAT I'M PROBABLY OUT OF CHANCES AFTER THIS, 832 00:41:21,275 --> 00:41:24,965 AND THERE'S NO MARGIN OF ERROR NOW. 833 00:41:24,965 --> 00:41:28,172 SO I EITHER DO IT OR I DON'T AND FAIL, 834 00:41:28,172 --> 00:41:30,034 AND I CAN'T LET THAT HAPPEN. 835 00:41:44,620 --> 00:41:47,896 THIS PAST MONTH HAS BEEN A BIG ADJUSTMENT. 836 00:41:47,896 --> 00:41:52,103 OVER THE LAST MONTH, I'VE TAKEN A NO-HOLDS-BARRED APPROACH 837 00:41:52,103 --> 00:41:56,758 TO KEEPING MYSELF TO DR. NOW'S DIET AND EXERCISE PLAN, 838 00:41:56,758 --> 00:42:00,241 BECAUSE I KNOW HOW IMPORTANT IT IS TO DO THIS THIS TIME. 839 00:42:00,241 --> 00:42:02,103 COULD YOU ALSO GET ME A BOTTLE OF WATER? 840 00:42:02,103 --> 00:42:03,793 MM-HMM. OKAY. 841 00:42:03,793 --> 00:42:05,310 THANK YOU. 842 00:42:05,310 --> 00:42:09,000 SO WHATEVER IT TAKES FOR ME TO DO IT, I'M DOING IT. 843 00:42:09,000 --> 00:42:12,172 THE FIRST THING I DID WAS I GOT RID OF ALL THE JUNK FOOD 844 00:42:12,172 --> 00:42:14,724 AND TEMPTATIONS IN THE HOUSE. 845 00:42:14,724 --> 00:42:17,517 BUT DOING THIS AND MAKING THE CHANGES I NEED THIS TIME 846 00:42:17,517 --> 00:42:20,448 HAS NOT BEEN EASY AT ALL, AND I STILL HAVE WORK TO DO. 847 00:42:23,896 --> 00:42:27,344 Bethany: PHEW. I THINK I'M DONE. 848 00:42:27,344 --> 00:42:28,931 Isabella: ME TOO. 849 00:42:28,931 --> 00:42:30,620 I WAS TRYING TO DECIDE WHAT I WANTED TO DO 850 00:42:30,620 --> 00:42:33,586 FOR SOME EXERCISE TODAY. 851 00:42:33,586 --> 00:42:36,620 I'M DOING BETTER SO FAR THAN LAST TIME. 852 00:42:36,620 --> 00:42:38,724 I'M ALSO WORKING HARD TO BE ACTIVE 853 00:42:38,724 --> 00:42:43,482 AND KEEP UP WITH THE EXERCISES I'M SUPPOSED TO DO EVERY DAY. 854 00:42:43,482 --> 00:42:44,896 I KNOW IT'S KIND OF HOT OUTSIDE, 855 00:42:44,896 --> 00:42:49,482 BUT I WAS THINKING MAYBE JUST DO LIKE A 10-MINUTE WALK. 856 00:42:49,482 --> 00:42:52,586 I'VE REALLY ONLY BEEN ABLE TO DO LIKE FIVE BEFORE, 857 00:42:52,586 --> 00:42:56,137 BUT MAYBE I'LL TRY TO DO 10 TODAY, 858 00:42:56,137 --> 00:42:57,965 SINCE IT'S BEEN ABOUT A WEEK OR SO. 859 00:42:57,965 --> 00:42:59,827 MAKE SURE YOU BRING SOME WATER. IT'S HOT. 860 00:42:59,827 --> 00:43:07,000 I KNOW IT'S HOT OUT THERE. 861 00:43:07,000 --> 00:43:08,724 SO, I SEE WAYS I'M GETTING BETTER, 862 00:43:08,724 --> 00:43:11,448 BUT I'M NOT WHERE I NEED TO BE YET. 863 00:43:11,448 --> 00:43:14,103 MY PROGRESS IS SLOW, BUT STEADY, 864 00:43:14,103 --> 00:43:15,827 AND I'M GETTING BETTER EVERY DAY, 865 00:43:15,827 --> 00:43:18,724 AND THAT'S PROGRESS I'M HAPPY ABOUT. 866 00:43:21,344 --> 00:43:23,517 HEY. STARTING MY 10 MINUTES. 867 00:43:23,517 --> 00:43:25,689 OKAY. 868 00:43:25,689 --> 00:43:27,448 AND I FEEL LIKE I HAVE MORE ENERGY 869 00:43:27,448 --> 00:43:29,931 THAN I'VE HAD IN A LONG TIME. 870 00:43:29,931 --> 00:43:33,034 PHEW. IT'S HOT OUT HERE. 871 00:43:33,034 --> 00:43:37,241 I STARTED WITH A ONE-MINUTE WALK TWICE A DAY, 872 00:43:37,241 --> 00:43:41,068 BUT NOW I'M UP TO THREE 10-MINUTE WALKS A DAY, 873 00:43:41,068 --> 00:43:44,103 AND THAT'S A HUGE INCREASE. 874 00:43:44,103 --> 00:43:50,034 SO I'M REALLY PROUD OF MYSELF, AND ISABELLA IS, TOO. 875 00:43:50,034 --> 00:43:53,965 SO I'M FEELING REALLY GOOD AND A LOT MORE CONFIDENT THIS TIME 876 00:43:53,965 --> 00:43:58,344 THAT I'M ON TRACK AND HEADED WHERE I NEED TO BE. 877 00:43:58,344 --> 00:44:00,482 BUT ULTIMATELY, I WON'T KNOW IF IT'S ENOUGH 878 00:44:00,482 --> 00:44:02,724 UNTIL MY NEXT APPOINTMENT, 879 00:44:02,724 --> 00:44:06,413 SO UNTIL THEN, I'M GONNA KEEP WORKING AS HARD AS I CAN, 880 00:44:06,413 --> 00:44:10,724 BECAUSE I KNOW HOW IMPORTANT IT IS I DO THIS. 881 00:44:10,724 --> 00:44:14,275 MY WHOLE FUTURE AND EVERYTHING I WANT FOR MY LIFE 882 00:44:14,275 --> 00:44:17,068 IS ALL GONNA COME DOWN TO GETTING THIS SURGERY. 883 00:44:17,068 --> 00:44:20,137 SO THIS IS LIFE OR DEATH FOR ME, AND I HAVE TO DO THIS NOW. 884 00:44:39,344 --> 00:44:41,586 Bethany: ME AND SHELDON ARE BACK AT DR. NOW'S 885 00:44:41,586 --> 00:44:44,344 FOR MY THIRD APPOINTMENT, AND I'M REALLY HOPING 886 00:44:44,344 --> 00:44:47,068 THAT THIS ONE GOES BETTER THAN THE LAST ONE. 887 00:44:47,068 --> 00:44:50,172 BUT I'M EXTREMELY NERVOUS ABOUT STEPPING ON THE SCALE 888 00:44:50,172 --> 00:44:54,000 AND SEEING MY PROGRESS. 889 00:44:54,000 --> 00:44:55,689 BETHANY? 890 00:44:55,689 --> 00:44:59,103 AT MY LAST APPOINTMENT, I WAS DOWN TO 594, 891 00:44:59,103 --> 00:45:02,275 AND DR. NOW SAID I HAD TO LOSE 60 POUNDS 892 00:45:02,275 --> 00:45:04,206 OVER THE LAST TWO MONTHS AGAIN. 893 00:45:04,206 --> 00:45:08,241 SO THAT MEANS I HAD TO BE BELOW 543 TODAY, 894 00:45:08,241 --> 00:45:14,344 AND I'M REALLY, REALLY HOPING I DID THAT. 895 00:45:14,344 --> 00:45:18,551 THAT'S PRETTY GOOD.PRETTY GOOD. 896 00:45:18,551 --> 00:45:21,103 I DID SO MUCH BETTER THIS TIME. 897 00:45:21,103 --> 00:45:25,000 I'M REALLY RELIEVED AND PROUD OF MYSELF FOR THAT LOSS, 898 00:45:25,000 --> 00:45:27,310 AND I'M HOPING IT'S CLOSE ENOUGH TO THE GOAL 899 00:45:27,310 --> 00:45:30,068 FOR DR. NOW TO SEE HOW SERIOUS I AM ABOUT SURGERY 900 00:45:30,068 --> 00:45:31,689 AND HOW BAD I WANT IT 901 00:45:31,689 --> 00:45:34,758 AND THAT I'M TAKING CONTROL LIKE HE WANTED. 902 00:45:34,758 --> 00:45:38,000 BUT IF HE DOESN'T, I DON'T KNOW WHAT MORE I CAN DO, 903 00:45:38,000 --> 00:45:40,758 AND I'M JUST REALLY HOPING I'M GONNA GET APPROVED TODAY. 904 00:45:45,172 --> 00:45:46,724 HELLO. HI. 905 00:45:46,724 --> 00:45:48,896 HOW Y'ALL DOING?GOOD. HOW ARE YOU? 906 00:45:48,896 --> 00:45:50,068 GOOD. 907 00:45:50,068 --> 00:45:53,724 ALRIGHT, SO, TODAY YOU ARE DOWN TO 539. 908 00:45:53,724 --> 00:45:54,931 YES. 909 00:45:54,931 --> 00:45:57,620 SO YOU LOST 55 POUNDS IN THE LAST TWO MONTHS. 910 00:45:57,620 --> 00:45:59,172 WELL, I'M PROUD OF YOU 911 00:45:59,172 --> 00:46:02,137 FOR WORKING TO START TAKING CONTROL OF YOUR SITUATION 912 00:46:02,137 --> 00:46:03,448 AND THE CHOICES YOU NEED. 913 00:46:03,448 --> 00:46:05,793 THAT'S AN ENCOURAGING CHANGE WITH YOU. 914 00:46:05,793 --> 00:46:07,275 SO, YOU'RE FEELING A LOT BETTER? 915 00:46:07,275 --> 00:46:09,620 YEAH, I THINK SO. 916 00:46:09,620 --> 00:46:10,896 HOW'S YOUR STAMINA? 917 00:46:10,896 --> 00:46:13,206 WAS YOUR DRIVE DOWN TO HOUSTON BETTER? 918 00:46:13,206 --> 00:46:15,137 YES. IT WAS A LOT EASIER GETTING HERE, 919 00:46:15,137 --> 00:46:17,172 AND I CAN GET HERE IN LESS THAN A DAY NOW. 920 00:46:17,172 --> 00:46:19,965 GREAT. HOW ABOUT YOUR STAMINA WITH OTHER THINGS? 921 00:46:19,965 --> 00:46:21,655 HAS THESE BEEN AN IMPROVEMENT? 922 00:46:21,655 --> 00:46:23,586 YEAH. I'VE BEEN ABLE TO DO A LOT MORE 923 00:46:23,586 --> 00:46:26,413 AND BE ABLE TO GET OUT OF THE HOUSE AND GO DO THINGS. 924 00:46:26,413 --> 00:46:27,862 THAT'S GREAT. 925 00:46:27,862 --> 00:46:30,620 WELL, SINCE YOU DID THAT, THEN WE'RE GONNA APPROVE YOU 926 00:46:30,620 --> 00:46:32,103 FOR WEIGHT-LOSS SURGERY. 927 00:46:32,103 --> 00:46:33,241 REALLY? OKAY? 928 00:46:33,241 --> 00:46:34,482 SO EXCITED. 929 00:46:34,482 --> 00:46:37,551 ALRIGHT, SO, I'M GONNA SET YOU FOR NEXT MONTH. OKAY? 930 00:46:37,551 --> 00:46:38,448 OKAY. 931 00:46:38,448 --> 00:46:40,379 ALRIGHT. SO, IN THE MEANTIME, 932 00:46:40,379 --> 00:46:42,620 I WANT YOU TO CONTINUE LOSING WEIGHT 933 00:46:42,620 --> 00:46:46,551 AND STICK WITH YOUR DIET AND LOSE ANOTHER 30 MORE POUNDS. 934 00:46:46,551 --> 00:46:47,655 OKAY? OKAY. 935 00:46:47,655 --> 00:46:49,034 IT'S VERY IMPORTANT TO DO THIS, 936 00:46:49,034 --> 00:46:51,448 BECAUSE IF YOU DON'T, BY THE DAY OF YOUR SURGERY, 937 00:46:51,448 --> 00:46:52,931 WE WON'T MOVE AHEAD. 938 00:46:52,931 --> 00:46:56,103 BECAUSE YOU NEED TO SHOW ME YOU'RE STICKING WITH THIS, OKAY? 939 00:46:56,103 --> 00:46:57,620 OKAY.AND AFTER SURGERY, 940 00:46:57,620 --> 00:46:59,137 YOU'RE GONNA NEED TO STAY IN HOUSTON 941 00:46:59,137 --> 00:47:02,000 FOR AT LEAST A MONTH BEFORE YOU GO BACK HOME 942 00:47:02,000 --> 00:47:05,068 SO I CAN KEEP AN EYE ON YOU UNTIL YOU'VE FULLY RECOVERED. 943 00:47:05,068 --> 00:47:06,413 OKAY? OKAY. 944 00:47:06,413 --> 00:47:10,068 GREAT. SO, ANY QUESTION REGARDING SURGERY? 945 00:47:10,068 --> 00:47:12,379 WHICH KIND OF SURGERY WILL I HAVE? 946 00:47:12,379 --> 00:47:14,000 I THINK A SLEEVE GASTRECTOMY 947 00:47:14,000 --> 00:47:16,793 IS GOING TO BE BEST OPERATION FOR YOU. 948 00:47:16,793 --> 00:47:17,931 OKAY. 949 00:47:17,931 --> 00:47:19,413 BUT IT'S NOT GONNA SOLVE ALL YOUR PROBLEM 950 00:47:19,413 --> 00:47:21,034 AND FIX YOUR DRIVE TO EAT. 951 00:47:21,034 --> 00:47:23,724 SO YOU'RE GONNA HAVE TO COMMIT TO START PSYCHOTHERAPY 952 00:47:23,724 --> 00:47:26,344 AFTER YOU RECOVER FROM SURGERY TO START TO DEAL 953 00:47:26,344 --> 00:47:29,655 WITH THOSE ISSUES THAT AREN'T PHYSICAL THAT DRIVE YOU TO EAT 954 00:47:29,655 --> 00:47:33,275 IF YOU'RE GONNA HAVE A CHANCE TO BE SUCCESSFUL IN THE LONG RUN. 955 00:47:33,275 --> 00:47:34,482 THAT WORK FOR YOU? 956 00:47:34,482 --> 00:47:36,551 YES. ALRIGHT, GOOD. 957 00:47:36,551 --> 00:47:39,413 JUST KEEP UP THE GOOD WORK, AND I WILL SEE YOU SOON. 958 00:47:39,413 --> 00:47:41,310 OKAY. ALRIGHT. 959 00:47:41,310 --> 00:47:43,793 THANK YOU.THANK YOU, SIR. 960 00:47:43,793 --> 00:47:45,275 ALRIGHT. WE'LL SEE YOU NEXT MONTH. 961 00:47:45,275 --> 00:47:46,448 OKAY. 962 00:47:49,068 --> 00:47:51,862 Dr. Now: I'M VERY HAPPY TO SEE A TURNAROUND IN BETHANY 963 00:47:51,862 --> 00:47:53,965 AND THAT SHE HAS A WILLINGNESS NOW 964 00:47:53,965 --> 00:47:56,344 TO START TAKING SOME OWNERSHIP OF HER LIFE 965 00:47:56,344 --> 00:47:58,482 AND ACCEPT THAT THIS ALL HAD TO START 966 00:47:58,482 --> 00:48:00,517 WITH HER DOING THE WORK SHE NEED 967 00:48:00,517 --> 00:48:01,896 TO TURN HER LIFE AROUND, 968 00:48:01,896 --> 00:48:05,034 INSTEAD OF CONTINUING TO PUT HER HOPE IN THE MAGIC FIX 969 00:48:05,034 --> 00:48:06,655 SHE'S BEEN WAITING FOR. 970 00:48:06,655 --> 00:48:09,413 SO RIGHT NOW, I'M ENCOURAGED AT HER PROGRESS. 971 00:48:09,413 --> 00:48:12,965 AND IF SHE CONTINUE TO LOSE WHAT SHE NEEDS OVER THE NEXT MONTH, 972 00:48:12,965 --> 00:48:17,000 WE WILL TAKE THE NEXT STEP OF GIVING HER WEIGHT-LOSS SURGERY. 973 00:48:17,000 --> 00:48:19,896 BUT EVEN THOUGH SHE'S MAKING A POSITIVE MOVE 974 00:48:19,896 --> 00:48:21,862 IN THE DIRECTION SHE NEEDS, 975 00:48:21,862 --> 00:48:25,482 THERE ARE SOME CORE ISSUES BEHIND HER PATHOLOGICAL EATING 976 00:48:25,482 --> 00:48:28,448 THAT SHE HAS TO LEARN TO COPE WITH IN HEALTHIER WAYS 977 00:48:28,448 --> 00:48:31,965 IF SHE'S GONNA HAVE A CHANCE AT SUCCEEDING IN THE LONG RUN. 978 00:48:31,965 --> 00:48:34,620 BUT AT LEAST RIGHT NOW, SHE HAS MADE THE EFFORT 979 00:48:34,620 --> 00:48:37,172 TO GIVE US A FOUNDATION THAT WE CAN BUILD ON, 980 00:48:37,172 --> 00:48:40,068 AS LONG AS SHE CONTINUES THE DIRECTION SHE'S GOING 981 00:48:40,068 --> 00:48:44,793 AND WORKING HARD TO DO WHAT SHE NEEDS. 982 00:48:44,793 --> 00:48:48,827 Bethany: I'M REALLY EXCITED, AND I CAN'T WAIT TO TELL ISABELLA AND ZOWIE, 983 00:48:48,827 --> 00:48:52,068 BECAUSE I KNOW THEY'RE GONNA BE JUST AS EXCITED AS I AM 984 00:48:52,068 --> 00:48:53,793 THAT I DID IT. 985 00:48:53,793 --> 00:48:55,379 I WISH MY SURGERY WAS SOONER 986 00:48:55,379 --> 00:48:56,862 AND THAT I DIDN'T HAVE TO WAIT A MONTH 987 00:48:56,862 --> 00:48:59,310 TO HIT ANOTHER WEIGHT-LOSS GOAL. 988 00:48:59,310 --> 00:49:01,000 BUT IF THAT'S WHAT IT'S GONNA TAKE, 989 00:49:01,000 --> 00:49:04,551 THEN I'LL KEEP AT IT AND DO IT, BECAUSE GETTING THIS SURGERY 990 00:49:04,551 --> 00:49:06,241 IS ONE OF THE MOST IMPORTANT THINGS 991 00:49:06,241 --> 00:49:09,689 I CAN DO FOR MY LIFE AND MY FAMILY'S LIFE. 992 00:49:09,689 --> 00:49:11,827 AND JUST LIKE THESE LAST TWO MONTHS, 993 00:49:11,827 --> 00:49:14,689 I'LL DO WHATEVER IT TAKES TO MAKE SURE IT HAPPENS. 994 00:49:28,034 --> 00:49:31,137 I'M HERE AT THE HOSPITAL FOR MY WEIGHT-LOSS SURGERY. 995 00:49:31,137 --> 00:49:33,620 EARLIER, DR. NOW CAME IN TO CHECK MY WEIGHT 996 00:49:33,620 --> 00:49:36,137 TO SEE IF I'D HIT THE 30-POUND WEIGHT-LOSS GOAL, 997 00:49:36,137 --> 00:49:39,551 AND I LOST 25 POUNDS, AND I'M DOWN TO 514. 998 00:49:39,551 --> 00:49:41,586 AND HE TOLD ME I WAS CLOSE ENOUGH, 999 00:49:41,586 --> 00:49:45,724 SO HE'S WILLING TO MOVE AHEAD WITH MY SURGERY TODAY. 1000 00:49:45,724 --> 00:49:47,241 YOU GOT THIS.I KNOW. 1001 00:49:47,241 --> 00:49:48,793 IT'S JUST... 1002 00:49:48,793 --> 00:49:50,172 YOU GO BACK, YOU'RE GONNA GO TO SLEEP, THEY'RE GONNA FIX YOU UP, 1003 00:49:50,172 --> 00:49:51,724 YOU'RE GONNA COME OUT, YOU'RE GONNA WAKE UP -- 1004 00:49:51,724 --> 00:49:54,758 EVERYTHING'S GONNA BE GOOD.OKAY. 1005 00:49:54,758 --> 00:49:57,275 YOU WANT TO GIVE HIM YOUR GLASSES? 1006 00:50:00,517 --> 00:50:02,344 Bethany: I DON'T HAVE A FUTURE WITH MY DAUGHTERS 1007 00:50:02,344 --> 00:50:05,482 AND MY HUSBAND WITHOUT THIS, 1008 00:50:05,482 --> 00:50:08,620 SO I SEE THIS SURGERY TODAY AS KIND OF A REBIRTH FOR ME, 1009 00:50:08,620 --> 00:50:10,103 WHERE I'M STARTING A NEW LIFE 1010 00:50:10,103 --> 00:50:13,448 WITH A CHANCE TO HAVE EVERYTHING I'VE ALWAYS WANTED. 1011 00:50:13,448 --> 00:50:16,827 AND THAT LIFE STARTS THE SECOND I WAKE UP FROM THIS SURGERY, 1012 00:50:16,827 --> 00:50:18,620 AND I CAN'T WAIT FOR THAT. 1013 00:50:23,586 --> 00:50:25,586 Dr. Now: TODAY, WE ARE ATTEMPTING TO DO 1014 00:50:25,586 --> 00:50:28,206 A GASTRIC SLEEVE PROCEDURE ON BETHANY. 1015 00:50:28,206 --> 00:50:29,931 SHE'S BEEN ABLE TO STAY ON TRACK 1016 00:50:29,931 --> 00:50:32,931 AND LOSE ANOTHER 26 POUNDS THIS PAST MONTH, 1017 00:50:32,931 --> 00:50:35,482 SO SHE'S SHOWN ME THAT SHE'S APPLYING HERSELF 1018 00:50:35,482 --> 00:50:38,000 AND TRYING TO PUT FORTH THE EFFORT SHE NEEDS 1019 00:50:38,000 --> 00:50:39,896 TO BE READY FOR THIS NEXT STEP. 1020 00:50:39,896 --> 00:50:41,172 ALRIGHT. 1021 00:50:44,586 --> 00:50:47,068 SO WE ARE MOVING AHEAD WITH HER TODAY, 1022 00:50:47,068 --> 00:50:50,586 BUT BETHANY IS STILL VERY HIGH-RISK BECAUSE OF HER WEIGHT. 1023 00:50:54,724 --> 00:50:57,275 SO WE HAVE TO BE CAREFUL NOT TO PUT TOO MUCH STRAIN 1024 00:50:57,275 --> 00:50:59,275 ON HER BODY DURING THE OPERATION. 1025 00:50:59,275 --> 00:51:02,241 AND IF WE START TO HAVE ANY CONCERN THAT THAT'S HAPPENING 1026 00:51:02,241 --> 00:51:04,724 AND SHE'S GETTING TO A POINT THAT IT'S UNSAFE, 1027 00:51:04,724 --> 00:51:07,517 THEN WE WILL HAVE TO STOP THE OPERATION FOR HER SAFETY. 1028 00:51:07,517 --> 00:51:09,413 BUT IF WE ARE ABLE TO COMPLETE IT, 1029 00:51:09,413 --> 00:51:14,034 WHAT THE SURGERY IS GONNA DO IS REDUCE THE STOMACH BY 90%, 1030 00:51:14,034 --> 00:51:18,137 LEAVING A SMALL, NARROW TUBE THAT LOOKS SIMILAR TO A SLEEVE. 1031 00:51:18,137 --> 00:51:21,862 SO, THE PATIENT'S FOOD INTAKE IS PHYSICALLY LIMITED, 1032 00:51:21,862 --> 00:51:25,379 SO THIS OPERATION WILL GIVE HER AN OPPORTUNITY 1033 00:51:25,379 --> 00:51:27,206 TO LOSE EVEN MORE WEIGHT, 1034 00:51:27,206 --> 00:51:30,172 SO THIS WILL BE A VERY BIG HELP FOR BETHANY 1035 00:51:30,172 --> 00:51:33,137 AND AN IMPORTANT TOOL TO HELP HER STAY ON TRACK 1036 00:51:33,137 --> 00:51:41,206 AND CONTINUE LOSING LIKE SHE NEEDS. 1037 00:51:41,206 --> 00:51:43,896 Sheldon: I'M NERVOUS. I'M SCARED. 1038 00:51:43,896 --> 00:51:47,724 I DON'T LIKE WAITING. I DON'T SIT STILL WELL. 1039 00:51:47,724 --> 00:51:50,482 IT'S JUST NERVE-RACKING. 1040 00:51:50,482 --> 00:51:52,448 I DON'T KNOW HOW SHE'S DOING. 1041 00:51:52,448 --> 00:51:54,413 I'M HOPING SHE'S DOING WELL. 1042 00:51:54,413 --> 00:51:56,758 BUT SHE'S NEVER HAD SURGERY BEFORE, 1043 00:51:56,758 --> 00:51:59,172 SO THAT'S A LITTLE SCARY. 1044 00:51:59,172 --> 00:52:01,482 BETHANY IS MY EVERYTHING. 1045 00:52:01,482 --> 00:52:03,413 I DON'T KNOW WHAT I'D DO WITHOUT HER. 1046 00:52:03,413 --> 00:52:07,586 SO I AM DOING MY BEST TO STAY POSITIVE. 1047 00:52:07,586 --> 00:52:10,172 I JUST HOPE THAT EVERYTHING GOES SMOOTH 1048 00:52:10,172 --> 00:52:11,379 AND THERE'S NO PROBLEMS. 1049 00:52:22,310 --> 00:52:23,137 ALRIGHT. 1050 00:52:30,551 --> 00:52:32,103 THERE. THAT'S HER STOMACH. 1051 00:52:34,896 --> 00:52:37,000 ALRIGHT. ROOM LIGHT ON, PLEASE. 1052 00:52:42,344 --> 00:52:45,551 OKAY, ALL FINISHED. 1053 00:52:45,551 --> 00:52:46,896 ALRIGHT. 1054 00:52:46,896 --> 00:52:49,827 BETHANY'S SURGERY WENT VERY WELL. 1055 00:52:49,827 --> 00:52:51,482 SHE HAD A VERY BIG STOMACH, 1056 00:52:51,482 --> 00:52:54,310 AND WE WERE ABLE TO REDUCE IT BY 90%, 1057 00:52:54,310 --> 00:52:57,000 SO THAT'S GONNA HELP HER TO CURB HER APPETITE 1058 00:52:57,000 --> 00:52:59,724 AND PREVENT HER FROM OVEREATING IN ONE SITTING. 1059 00:52:59,724 --> 00:53:01,724 SO WE'LL GET HER TO RECOVERY 1060 00:53:01,724 --> 00:53:04,655 AND KEEP HER ON A LIQUID DIET FOR A MONTH. 1061 00:53:04,655 --> 00:53:07,379 SHE WILL NEED TO STAY IN HOUSTON DURING THAT TIME 1062 00:53:07,379 --> 00:53:11,000 TO MAKE SURE WE CAN ADDRESS ANY ISSUES SHE MAY DEVELOP. 1063 00:53:11,000 --> 00:53:13,551 BUT IF SHE STAYS ON TRACK, SHE SHOULD BE ABLE TO LOSE 1064 00:53:13,551 --> 00:53:16,103 AT LEAST 25 POUNDS THIS NEXT MONTH, 1065 00:53:16,103 --> 00:53:18,172 AND THEN 15 POUNDS A MONTH 1066 00:53:18,172 --> 00:53:20,896 UNTIL SHE IS CLOSER TO HER TARGET WEIGHT. 1067 00:53:20,896 --> 00:53:23,275 BUT WHEN SHE RECOVERS FROM THIS OPERATION, 1068 00:53:23,275 --> 00:53:25,758 THE REAL WORK IS GONNA START FOR HER, 1069 00:53:25,758 --> 00:53:27,413 BECAUSE THERE ARE A LOT OF ISSUES 1070 00:53:27,413 --> 00:53:30,862 THAT WE'RE GONNA NEED TO ADDRESS TO MAKE SURE SHE STAYS ON TRACK. 1071 00:53:30,862 --> 00:53:33,724 BECAUSE IF SHE DOESN'T CONTINUE TO DO WHAT SHE NEEDS 1072 00:53:33,724 --> 00:53:37,551 TO ADDRESS THE CORE ISSUES BEHIND HER PATHOLOGICAL EATING, 1073 00:53:37,551 --> 00:53:41,034 SHE CAN VERY EASILY START TO STRETCH HER STOMACH BACK OUT 1074 00:53:41,034 --> 00:53:42,655 BY PUSHING HERSELF TO OVEREAT. 1075 00:53:42,655 --> 00:53:45,896 BUT WE HAVE GIVEN HER A VERY IMPORTANT TOOL TO HELP HER OUT, 1076 00:53:45,896 --> 00:53:48,965 AND WHAT SHE DOES WITH IT FROM HERE IS ALL UP TO HER. 1077 00:54:07,620 --> 00:54:11,344 IT'S BEEN A LITTLE OVER A MONTH SINCE MY WEIGHT-LOSS SURGERY, 1078 00:54:11,344 --> 00:54:13,551 AND PHYSICALLY, I FEEL FINE. 1079 00:54:13,551 --> 00:54:16,241 BUT I'VE BEEN A LITTLE LONELY THIS PAST MONTH. 1080 00:54:16,241 --> 00:54:17,275 HEY.HEY. 1081 00:54:17,275 --> 00:54:18,275 WE'RE BACK. 1082 00:54:18,275 --> 00:54:20,448 DID YOU FIND EVERYTHING OKAY? 1083 00:54:20,448 --> 00:54:23,620 UH, NO. WE DID OKAY. 1084 00:54:23,620 --> 00:54:25,172 GOT SOME FRUIT FOR DESSERT 1085 00:54:25,172 --> 00:54:29,827 AND SOME GREEN BEANS AND SOME POTATOES AND A CHICKEN. 1086 00:54:29,827 --> 00:54:30,862 SOUNDS GOOD. 1087 00:54:30,862 --> 00:54:32,620 I WISH I COULD HAVE SOME, BUT... 1088 00:54:32,620 --> 00:54:35,172 THAT'S OKAY. 1089 00:54:35,172 --> 00:54:36,758 Betany: DR. NOW WANTED ME TO STAY HERE 1090 00:54:36,758 --> 00:54:39,103 IN HOUSTON A LITTLE LONGER, 1091 00:54:39,103 --> 00:54:41,034 AND HE WANTS ME TO START GOING TO THERAPY 1092 00:54:41,034 --> 00:54:43,862 BEFORE I GO BACK HOME, 1093 00:54:43,862 --> 00:54:46,896 BECAUSE I HAD MY ONE-MONTH POST-OP FOLLOW-UP WITH HIM 1094 00:54:46,896 --> 00:54:49,000 A COUPLE OF DAYS AGO. 1095 00:54:49,000 --> 00:54:53,793 HE WAS CONCERNED THAT I ONLY LOST 14 POUNDS FOR THE MONTH. 1096 00:54:53,793 --> 00:54:56,137 HE SAID DURING THE INITIAL MONTH AFTER SURGERY 1097 00:54:56,137 --> 00:54:59,827 I SHOULD HAVE LOST CLOSER TO 25 POUNDS, 1098 00:54:59,827 --> 00:55:02,034 SO HE'S WORRIED THAT MY EMOTIONAL ISSUES 1099 00:55:02,034 --> 00:55:05,379 ARE STARTING TO SABOTAGE ME ALREADY. 1100 00:55:05,379 --> 00:55:07,655 I HAVEN'T REALLY BEEN ABLE TO OVEREAT ANYTHING 1101 00:55:07,655 --> 00:55:10,275 SINCE I'VE BEEN ON LIQUIDS MOST OF THE TIME, 1102 00:55:10,275 --> 00:55:13,586 SO I DON'T SEE HOW THAT COULD BE POSSIBLE. 1103 00:55:13,586 --> 00:55:15,827 IF ANYTHING WAS AN ISSUE, I THINK IT'S HOW LONELY 1104 00:55:15,827 --> 00:55:19,310 I'VE BEEN HERE IN HOUSTON ON MY OWN. 1105 00:55:19,310 --> 00:55:21,793 THOUGH WHEN I FOUND OUT I'D BE HERE A LITTLE LONGER 1106 00:55:21,793 --> 00:55:23,310 AND IT WOULD BE OVER THE HOLIDAYS, 1107 00:55:23,310 --> 00:55:25,413 MY GIRLS CAME DOWN TO SURPRISE ME 1108 00:55:25,413 --> 00:55:27,758 AND BE HERE FOR THANKSGIVING TODAY, 1109 00:55:27,758 --> 00:55:29,620 AND THAT MEANT A LOT TO ME. 1110 00:55:29,620 --> 00:55:31,965 OKAY. NOW WE JUST WAIT FOR IT TO COOK. 1111 00:55:35,379 --> 00:55:36,931 Bethany: I'M NOT ABLE TO EAT MUCH, 1112 00:55:36,931 --> 00:55:40,413 AND I CAN'T REALLY HAVE WHAT I NORMALLY DO. 1113 00:55:40,413 --> 00:55:42,482 BUT THEY STILL WANT TO HAVE A FULL THANKSGIVING DINNER, 1114 00:55:42,482 --> 00:55:45,275 AND I TOLD THEM THEY COULD DO THAT. 1115 00:55:45,275 --> 00:55:48,068 SO ISABELLA'S GONNA COOK EVERYTHING FOR HER AND ZOWIE, 1116 00:55:48,068 --> 00:55:50,344 AND I'M JUST GONNA BE THANKFUL TO BE WITH THEM, 1117 00:55:50,344 --> 00:55:51,896 EVEN THOUGH I'M NOT EATING. 1118 00:55:53,931 --> 00:55:55,241 Isabella: HMM?YOU DOING OKAY? 1119 00:55:55,241 --> 00:55:56,275 YEAH. 1120 00:55:56,275 --> 00:55:57,517 HEY, ZOWIE, ARE YOU READY TO EAT? 1121 00:55:57,517 --> 00:55:59,689 YEAH. 1122 00:55:59,689 --> 00:56:01,655 WHAT DO YOU WANT FOR DINNER? 1123 00:56:01,655 --> 00:56:02,896 I'LL JUST EAT SOME BROTH, 1124 00:56:02,896 --> 00:56:04,896 AND THEN MAYBE I'LL HAVE A POPSICLE LATER. 1125 00:56:04,896 --> 00:56:05,931 OKAY. 1126 00:56:05,931 --> 00:56:08,068 WHAT ARE YOUTHANKFUL FOR? 1127 00:56:08,068 --> 00:56:09,689 WHAT AM I THANKFUL FOR?MM-HMM. 1128 00:56:09,689 --> 00:56:12,517 WELL, I'M THANKFUL THAT I HAD WEIGHT-LOSS SURGERY. 1129 00:56:12,517 --> 00:56:14,482 I'M THANKFUL FOR UNICORNS. 1130 00:56:14,482 --> 00:56:16,103 YOU'RE THANKFUL FOR UNICORNS? 1131 00:56:19,655 --> 00:56:22,655 Bethany: I'M NOT EVEN HUNGRY FOR ANYTHING, REALLY. 1132 00:56:22,655 --> 00:56:24,034 THE ONLY THINK I'M STRUGGLING WITH 1133 00:56:24,034 --> 00:56:26,275 IS WANTING TO TASTE SOME THINGS, 1134 00:56:26,275 --> 00:56:28,931 WHICH IS A REALLY WEIRD FEELING, 1135 00:56:28,931 --> 00:56:31,931 BECAUSE I'VE NEVER NOT BEEN HUNGRY AND WANTED TO EAT. 1136 00:56:31,931 --> 00:56:34,275 SO I'M JUST NOT USED TO THAT FEELING, 1137 00:56:34,275 --> 00:56:36,034 AND I HAD NO IDEA SOMETHING LIKE THIS 1138 00:56:36,034 --> 00:56:39,103 WAS GONNA BE PART OF THE PROCESS. 1139 00:56:39,103 --> 00:56:41,689 DR. NOW TOLD ME THAT I NEED TO DEAL WITH MY EMOTIONS 1140 00:56:41,689 --> 00:56:43,241 BY GOING TO PSYCHOTHERAPY 1141 00:56:43,241 --> 00:56:46,517 AND GETTING A HANDLE ON WHAT I'M STRUGGLING WITH. 1142 00:56:46,517 --> 00:56:48,241 BUT I HONESTLY DON'T SEE 1143 00:56:48,241 --> 00:56:50,655 HOW THERAPY'S GONNA SOLVE OR FIX THAT, 1144 00:56:50,655 --> 00:56:53,862 SO IT'S THE ONLY THING THAT HAS ME A LITTLE WORRIED RIGHT NOW. 1145 00:56:53,862 --> 00:56:55,965 BUT I'M TRUSTING THAT THIS IS JUST A PROCESS 1146 00:56:55,965 --> 00:56:57,206 THAT'S GONNA TAKE TIME. 1147 00:56:57,206 --> 00:56:59,517 AT LEAST THAT'S WHAT I'M HOPING. 1148 00:56:59,517 --> 00:57:01,310 Isabella: HOW'S YOUR BROTH? 1149 00:57:01,310 --> 00:57:05,310 OH. WELL, YOU KNOW, IT'S BROTH. 1150 00:57:05,310 --> 00:57:08,068 MY ONLY FEAR RIGHT NOW IS THAT IT WON'T GET EASIER 1151 00:57:08,068 --> 00:57:09,689 AND WHAT THAT WILL MEAN IF IT DOESN'T, 1152 00:57:09,689 --> 00:57:13,862 BECAUSE I'M WORKING HARD TO LOSE WEIGHT AND TURN MY LIFE AROUND, 1153 00:57:13,862 --> 00:57:16,758 AND I DON'T WANT TO LET ANYTHING MESS THAT UP. 1154 00:57:27,344 --> 00:57:29,655 I'M HEADED BACK FOR MY TWO-MONTH POST-OP APPOINTMENT 1155 00:57:29,655 --> 00:57:31,758 WITH DR. NOW, AND FOR THE MOST PART, 1156 00:57:31,758 --> 00:57:34,068 I FEEL LIKE I'VE BEEN DOING WELL. 1157 00:57:34,068 --> 00:57:35,896 I'M STILL STRUGGLING WITH SOME CRAVINGS, 1158 00:57:35,896 --> 00:57:38,620 BUT THAT DOESN'T MEAN I'VE GONE OFF THE DIET. 1159 00:57:38,620 --> 00:57:41,310 SO I'M NOT WORRIED ABOUT MY WEIGH-IN. 1160 00:57:41,310 --> 00:57:42,344 THE ONLY THING I'M WORRIED 1161 00:57:42,344 --> 00:57:43,931 THAT DR. NOW'S GONNA HAVE AN ISSUE WITH 1162 00:57:43,931 --> 00:57:46,310 IS THAT I DIDN'T END UP MAKING IT TO PSYCHOTHERAPY 1163 00:57:46,310 --> 00:57:48,137 LIKE HE WANTED, BECAUSE I DIDN'T FEEL LIKE 1164 00:57:48,137 --> 00:57:51,172 I COULD STAY IN HOUSTON FOR LONGER. 1165 00:57:51,172 --> 00:57:54,068 I WAS REALLY THANKFUL MY GIRLS CAME DOWN TO BE WITH ME, 1166 00:57:54,068 --> 00:57:56,068 BUT NOT BEING ABLE TO BE A FAMILY 1167 00:57:56,068 --> 00:57:59,551 AT A TIME WHEN IT'S SUPPOSED TO COME FIRST JUST SEEMED WRONG, 1168 00:57:59,551 --> 00:58:02,482 AND I HATED IT. 1169 00:58:02,482 --> 00:58:04,344 BETHANY? 1170 00:58:04,344 --> 00:58:06,586 I'D ALREADY BEEN IN HOUSTON FOR OVER A MONTH, 1171 00:58:06,586 --> 00:58:09,172 SO WE DECIDED JUST TO HEAD BACK EARLY. 1172 00:58:09,172 --> 00:58:12,620 AND I FIGURED I COULD MAKE IT UP TO DR. NOW BY STAYING ON TRACK 1173 00:58:12,620 --> 00:58:15,000 AND HITTING MY GOAL BY THIS APPOINTMENT 1174 00:58:15,000 --> 00:58:17,896 SO THAT HE COULD SEE THAT I DON'T REALLY NEED THERAPY 1175 00:58:17,896 --> 00:58:20,379 TO ADDRESS ANYTHING WITH MY WEIGHT LOSS. 1176 00:58:20,379 --> 00:58:22,482 AT MY LAST APPOINTMENT, I WAS DOWN TO 500, 1177 00:58:22,482 --> 00:58:23,758 AND DR. NOW SAID 1178 00:58:23,758 --> 00:58:26,448 I SHOULD BE LOSING AT LEAST 15 POUNDS A MONTH. 1179 00:58:26,448 --> 00:58:28,965 SO MY GOAL IS TO BE DOWN TO 484. 1180 00:58:33,275 --> 00:58:34,517 WOW. 1181 00:58:38,034 --> 00:58:41,137 THAT'S A LITTLE SURPRISING. 1182 00:58:41,137 --> 00:58:43,482 I DON'T SEE HOW THAT'S POSSIBLE. 1183 00:58:43,482 --> 00:58:45,689 I'VE STAYED ON THE DIET, AND I'M NOT GIVING IN 1184 00:58:45,689 --> 00:58:47,137 TO ANY OF MY CRAVINGS, 1185 00:58:47,137 --> 00:58:49,551 SO THIS DOESN'T REALLY MAKE SENSE, 1186 00:58:49,551 --> 00:58:50,965 AND I'M A LITTLE FRUSTRATED 1187 00:58:50,965 --> 00:58:54,413 BECAUSE THE SURGERY WAS SUPPOSED TO MAKE EVERYTHING EASIER, 1188 00:58:54,413 --> 00:58:56,862 AND I DON'T FEEL LIKE IT IS RIGHT NOW, 1189 00:58:56,862 --> 00:58:59,379 AND I DON'T UNDERSTAND WHY. 1190 00:58:59,379 --> 00:59:02,344 I JUST HOPE DR. NOW ISN'T TOO UPSET 1191 00:59:02,344 --> 00:59:05,689 AND THAT THIS APPOINTMENT STILL GOES WELL. 1192 00:59:07,206 --> 00:59:09,724 HELLO! Bethany: HI. 1193 00:59:09,724 --> 00:59:10,620 HOW Y'ALL DOING? 1194 00:59:10,620 --> 00:59:11,827 GOOD. HOW ARE YOU? 1195 00:59:11,827 --> 00:59:13,896 GOOD. 1196 00:59:13,896 --> 00:59:19,275 ALRIGHT, SO, WE GOT YOU DOWN TO THE 400s, FINALLY. 1197 00:59:19,275 --> 00:59:22,000 YEAH. I'M EXCITED ABOUT THAT. 1198 00:59:22,000 --> 00:59:24,034 WELL, I'M GLAD YOU HIT THAT MILESTONE, 1199 00:59:24,034 --> 00:59:25,965 BUT HERE'S MY CONCERN. 1200 00:59:25,965 --> 00:59:28,034 THE FIRST MONTH AFTER YOUR SURGERY, 1201 00:59:28,034 --> 00:59:30,758 YOUR WEIGHT LOSS WAS UNDER WHERE IT SHOULD BE. 1202 00:59:30,758 --> 00:59:33,655 AND NOW, A MONTH LATER, IT'S SLOWED DOWN EVEN MORE, 1203 00:59:33,655 --> 00:59:36,586 TO WHERE YOU ONLY LOST 4 POUNDS THIS PAST MONTH 1204 00:59:36,586 --> 00:59:38,482 WHEN YOU SHOULD HAVE LOST 15. 1205 00:59:38,482 --> 00:59:40,793 SO THIS IS A VERY CONCERNING TREND, 1206 00:59:40,793 --> 00:59:43,034 ESPECIALLY SO SOON AFTER SURGERY. 1207 00:59:43,034 --> 00:59:46,379 AND MY CONCERN IS THAT WE STILL HAVE AN ELEMENT OF YOU 1208 00:59:46,379 --> 00:59:49,413 HOPING FOR A MAGIC FIX WITH THIS SURGERY. 1209 00:59:49,413 --> 00:59:51,103 NO. THAT'S NOT TRUE. 1210 00:59:51,103 --> 00:59:54,793 THEN WHY DID YOU MISS PSYCHOTHERAPY THIS LAST MONTH? 1211 00:59:54,793 --> 00:59:57,206 I MEAN, I JUST NEEDED TO CATCH BACK UP ON SOME THINGS 1212 00:59:57,206 --> 01:00:00,034 SINCE I WAS GONE FOR A MONTH, BUT I'M READY TO GO NOW. 1213 01:00:00,034 --> 01:00:01,689 OKAY. HERE'S THE DEAL. 1214 01:00:01,689 --> 01:00:02,931 IF YOU DON'T START DEALING 1215 01:00:02,931 --> 01:00:05,724 WITH THE EMOTIONAL AND PSYCHOLOGICAL ISSUES 1216 01:00:05,724 --> 01:00:08,862 DRIVING YOU TO EAT, THEN YOU'RE GONNA START GAINING AGAIN 1217 01:00:08,862 --> 01:00:11,206 IN A FEW MONTHS AT THIS RATE. 1218 01:00:11,206 --> 01:00:14,793 SO WE'RE GONNA SCHEDULE THAT AGAIN FOR YOU TO GO NEXT WEEK, 1219 01:00:14,793 --> 01:00:16,827 AND YOU'RE GONNA START GOING TO PSYCHOTHERAPY 1220 01:00:16,827 --> 01:00:18,586 AT LEAST EVERY MONTH. 1221 01:00:18,586 --> 01:00:21,655 AND IF NOT, THEN WE'RE GONNA HAVE A SERIOUS PROBLEM, 1222 01:00:21,655 --> 01:00:24,586 BECAUSE IT'S CLEAR THAT YOU ARE STARTING TO FALL BACK 1223 01:00:24,586 --> 01:00:27,068 INTO THIS FALSE HOPE AND MENTALITY 1224 01:00:27,068 --> 01:00:30,482 THAT THE SURGERY IS GOING TO DO ALL THE WORK FOR YOU 1225 01:00:30,482 --> 01:00:32,413 AND BE THIS MAGIC SOLUTION, 1226 01:00:32,413 --> 01:00:35,068 WHEN WE HAVE EXPLAINED HOW IMPORTANT IT IS 1227 01:00:35,068 --> 01:00:37,310 THAT YOU WORK ON THE ISSUES YOU NEED 1228 01:00:37,310 --> 01:00:39,655 AND LEARN TO COPE IN HEALTHIER WAYS 1229 01:00:39,655 --> 01:00:42,551 IF YOU'RE GONNA BE ABLE TO DO THIS FOR THE LONG TERM. 1230 01:00:42,551 --> 01:00:44,724 YOU UNDERSTAND ME?YEAH. 1231 01:00:44,724 --> 01:00:46,379 I REALLY HOPE SO, BETHANY. 1232 01:00:46,379 --> 01:00:48,965 BECAUSE IF YOU PLAY ANY MORE GAMES RIGHT NOW, 1233 01:00:48,965 --> 01:00:51,137 THEN YOU CAN STRETCH YOUR SLEEVE BACK OUT 1234 01:00:51,137 --> 01:00:52,620 AND START GAINING AGAIN. 1235 01:00:52,620 --> 01:00:55,931 AND ONCE THAT HAPPENS, THAT WILL LIKELY BE IT FOR YOU. 1236 01:00:55,931 --> 01:00:58,758 WE WON'T BE ABLE TO HELP YOU AT THAT POINT. 1237 01:00:58,758 --> 01:01:02,310 AND THEN IT'LL BE ONLY A MATTER OF TIME BEFORE YOUR WEIGHT GAIN 1238 01:01:02,310 --> 01:01:04,551 LEADS TO YOUR BODY GIVING OUT. 1239 01:01:04,551 --> 01:01:06,379 SO YOU NEED TO TAKE THIS SERIOUSLY 1240 01:01:06,379 --> 01:01:08,482 IF YOU DON'T WANT THAT TO HAPPEN. 1241 01:01:08,482 --> 01:01:09,896 OKAY. OKAY? 1242 01:01:09,896 --> 01:01:12,310 SO, WE'LL SEE HOW YOU DO NEXT MONTH, 1243 01:01:12,310 --> 01:01:15,655 AND HOPEFULLY, YOU WILL START TO GET BACK ON TRACK BY THEN. 1244 01:01:15,655 --> 01:01:18,689 BUT YOU HAVE TO MAKE SURE YOU START PSYCHOTHERAPY 1245 01:01:18,689 --> 01:01:22,034 AND WORKING ON WHAT YOU NEED, OR THAT'S NOT GONNA HAPPEN. 1246 01:01:22,034 --> 01:01:23,310 OKAY. OKAY? 1247 01:01:23,310 --> 01:01:24,620 GREAT. ALRIGHT. 1248 01:01:24,620 --> 01:01:26,655 GOOD LUCK.ALRIGHT. THANK YOU. 1249 01:01:26,655 --> 01:01:29,689 ALRIGHT. I'LL SEE YOU ALL LATER. 1250 01:01:29,689 --> 01:01:30,965 BYE. 1251 01:01:30,965 --> 01:01:32,275 ALRIGHT. 1252 01:01:38,068 --> 01:01:40,655 Dr. Now: MY CONCERN FOR BETHANY RIGHT NOW 1253 01:01:40,655 --> 01:01:42,724 IS THAT WITH HER EMOTIONAL ISSUES 1254 01:01:42,724 --> 01:01:45,172 COMING TO THE SURFACE AFTER SURGERY, 1255 01:01:45,172 --> 01:01:48,413 BETHANY IS CLEARLY STRUGGLING WITH FALLING BACK 1256 01:01:48,413 --> 01:01:52,655 INTO WANTING A MAGIC SOLUTION TO HER SITUATION. 1257 01:01:52,655 --> 01:01:54,827 AND IF SHE DOESN'T MAKE THE CHOICES SHE SHOULD, 1258 01:01:54,827 --> 01:01:58,206 SHE COULD START TO VERY QUICKLY STRETCH HER STOMACH BACK OUT 1259 01:01:58,206 --> 01:02:00,965 AND LOSE ALL THE PROGRESS SHE HAS MADE. 1260 01:02:00,965 --> 01:02:02,965 SO RIGHT NOW, IT'S VERY IMPORTANT 1261 01:02:02,965 --> 01:02:06,379 THAT SHE TAKES WHAT SHE NEEDS TO DO VERY SERIOUSLY, 1262 01:02:06,379 --> 01:02:08,206 BECAUSE IF SHE CONTINUES TO IGNORE 1263 01:02:08,206 --> 01:02:11,310 THE CORE ISSUES BEHIND HER STRUGGLE, 1264 01:02:11,310 --> 01:02:15,172 THEN IT WILL ONLY BE A MATTER OF TIME BEFORE SHE FAILS. 1265 01:02:17,758 --> 01:02:20,931 Bethany: THAT WENT BETTER THAN I WAS AFRAID IT WOULD GO. 1266 01:02:20,931 --> 01:02:22,965 I'M DEFINITELY GONNA MAKE IT TO THERAPY THIS TIME, 1267 01:02:22,965 --> 01:02:23,896 BECAUSE I DON'T WANT TO DO ANYTHING 1268 01:02:23,896 --> 01:02:25,517 TO RISK UPSETTING DR. NOW 1269 01:02:25,517 --> 01:02:29,172 OR LETTING HIM THINK I'M NOT GIVING THIS EVERYTHING I HAVE. 1270 01:02:29,172 --> 01:02:31,482 I'M JUST WORRIED THAT THERAPY'S NOT GONNA DO MUCH 1271 01:02:31,482 --> 01:02:32,965 LIKE DR. NOW THINKS, 1272 01:02:32,965 --> 01:02:35,241 SO I'M SCARED I'M GONNA HAVE TO BE THE ONE 1273 01:02:35,241 --> 01:02:37,655 THAT FIGURES IT OUT BEFORE THINGS GET WORSE. 1274 01:02:51,482 --> 01:02:53,896 Bethany: RIGHT NOW, I'M HEADED TO START THERAPY 1275 01:02:53,896 --> 01:02:56,137 WITH MY FIRST APPOINTMENT TODAY. 1276 01:02:56,137 --> 01:02:57,827 I WAS GONNA HAVE TO WAIT AROUND IN HOUSTON 1277 01:02:57,827 --> 01:03:00,655 FOR THE APPOINTMENT DR. NOW HAD SET UP FOR ME, 1278 01:03:00,655 --> 01:03:02,103 BUT I CALLED AND TOLD HIM 1279 01:03:02,103 --> 01:03:05,172 IT WOULD REALLY WORK A LOT BETTER FOR ME 1280 01:03:05,172 --> 01:03:08,551 IF I HAD A THERAPIST BACK IN OKLAHOMA I COULD SEE. 1281 01:03:08,551 --> 01:03:10,793 AND THANKFULLY, HE SAID HE UNDERSTOOD THAT. 1282 01:03:10,793 --> 01:03:13,482 BUT I'M ONLY DOING THIS FOR DR. NOW. 1283 01:03:13,482 --> 01:03:15,827 I KNOW HE THINKS I HAVE EMOTIONAL ISSUES 1284 01:03:15,827 --> 01:03:18,517 BEHIND MY OVEREATING BECAUSE I'M USING FOOD TO COPE, 1285 01:03:18,517 --> 01:03:21,482 AND I CAN SEE HOW THAT WAS TRUE AT TIMES IN MY LIFE. 1286 01:03:21,482 --> 01:03:22,896 BUT I'M GOOD NOW, 1287 01:03:22,896 --> 01:03:25,724 AND I DON'T FEEL LIKE I HAVE ANYTHING I NEED TO WRESTLE. 1288 01:03:25,724 --> 01:03:26,965 AND SO I'M NOT REALLY EXPECTING 1289 01:03:26,965 --> 01:03:29,034 TO GET MUCH OUT OF DOING THIS TODAY. 1290 01:03:30,655 --> 01:03:32,586 HI, BETHANY. COME ON IN. 1291 01:03:32,586 --> 01:03:33,965 OKAY. 1292 01:03:36,793 --> 01:03:41,448 COME ON IN AND HAVE A SEAT ON THE COUCH. 1293 01:03:41,448 --> 01:03:44,137 HOW ARE YOU TODAY?I'M GOOD. HOW ARE YOU? 1294 01:03:44,137 --> 01:03:45,896 GOOD, GOOD. 1295 01:03:45,896 --> 01:03:48,206 SO, BETHANY, ONE OF THE THINGS 1296 01:03:48,206 --> 01:03:50,689 THAT I UNDERSTAND THAT YOU KIND OF WANT TO WORK ON 1297 01:03:50,689 --> 01:03:55,310 IS TO GET SOME SKILLS FOR HOW TO CONTINUE TO LOSE WEIGHT. 1298 01:03:55,310 --> 01:03:59,103 AND ONE OF THE THINGS THAT IS IMPORTANT FOR US TO FIGURE OUT 1299 01:03:59,103 --> 01:04:04,310 IS WHY YOU FEEL LIKE YOU ARE EATING A LOT. 1300 01:04:04,310 --> 01:04:09,172 AND SO WHAT KIND OF STRESSORS REALLY GET YOU TO EATING? 1301 01:04:09,172 --> 01:04:10,655 I HAVE REALLY BAD ANXIETY. 1302 01:04:10,655 --> 01:04:13,344 I'VE HAD IT SINCE I WAS ABOUT 14. 1303 01:04:13,344 --> 01:04:18,965 AND WHENEVER I GET OVERWHELMED, I TEND TO JUST EAT. 1304 01:04:18,965 --> 01:04:21,724 OKAY. DID SOMETHING HAPPEN WHEN YOU WERE 14? 1305 01:04:21,724 --> 01:04:23,241 YES. 1306 01:04:23,241 --> 01:04:27,689 I DON'T REALLY LIKE TO TALK ABOUT IT, BUT I WAS -- 1307 01:04:27,689 --> 01:04:32,551 I HAD AN ABUSIVE BOYFRIEND, AND HE SEXUALLY ASSAULTED ME. 1308 01:04:32,551 --> 01:04:34,931 SO -- WHEN I WAS 14.OKAY. 1309 01:04:34,931 --> 01:04:38,896 SO I JUST KIND OF TRIED TO KEEP IT TO MYSELF AND IGNORE IT, 1310 01:04:38,896 --> 01:04:41,344 AND THEN I STARTED HAVING PANIC ATTACKS, 1311 01:04:41,344 --> 01:04:42,793 AND I DIDN'T EVEN KNOW WHAT THEY WERE. 1312 01:04:42,793 --> 01:04:44,827 I REALLY THOUGHT I WAS DYING.RIGHT. 1313 01:04:44,827 --> 01:04:48,689 AND EVENTUALLY, I JUST GOT SO FRUSTRATED 1314 01:04:48,689 --> 01:04:52,344 THAT I ATTEMPTED SUICIDE. 1315 01:04:52,344 --> 01:04:54,103 I DIDN'T REALLY WANT TO KILL MYSELF, 1316 01:04:54,103 --> 01:04:59,068 BUT I FELT LIKE MAYBE THAT WOULD GET ME SOME HELP. 1317 01:04:59,068 --> 01:05:01,827 AND EVENTUALLY, THEY PUT ME INTO, LIKE, 1318 01:05:01,827 --> 01:05:04,172 AN INPATIENT FACILITY FOR CHILDREN. 1319 01:05:04,172 --> 01:05:07,862 AND SO I STAYED THERE PROBABLY A WEEK OR TWO. 1320 01:05:07,862 --> 01:05:09,034 MM-HMM. 1321 01:05:09,034 --> 01:05:11,689 AND I DID HAVE SOME COUNSELING AFTERWARDS 1322 01:05:11,689 --> 01:05:14,931 FOR A LITTLE WHILE, AND, BUT -- 1323 01:05:14,931 --> 01:05:16,655 DO YOU FEEL LIKE THAT HELPED?YEAH, I DO. 1324 01:05:16,655 --> 01:05:17,965 OKAY. YEAH. 1325 01:05:17,965 --> 01:05:20,448 BUT YOU STILL HAVE THE ANXIETY. 1326 01:05:20,448 --> 01:05:21,793 I DO. 1327 01:05:21,793 --> 01:05:26,275 SO, I KIND OF WANTED TO DIG A LITTLE DEEPER 1328 01:05:26,275 --> 01:05:33,344 AS TO, YOU KNOW, WHAT MIGHT BE CONNECTED TO YOU OVEREATING 1329 01:05:33,344 --> 01:05:35,275 AND STRESS EATING. 1330 01:05:35,275 --> 01:05:39,310 SO, HAVE YOU HAD OTHER THINGS HAPPEN BEFORE YOU WERE 14 1331 01:05:39,310 --> 01:05:45,172 THAT WERE VERY DISTURBING FOR YOU, UNCOMFORTABLE? 1332 01:05:45,172 --> 01:05:49,965 WELL, WHEN I WAS ABOUT 12 OR 13, MY MOTHER ATTEMPTED SUICIDE. 1333 01:05:49,965 --> 01:05:51,137 OKAY, OKAY. 1334 01:05:51,137 --> 01:05:53,103 TELL ME A LITTLE BIT MORE ABOUT THAT. 1335 01:05:53,103 --> 01:05:55,586 WELL, SHE HAD TAKEN A BUNCH OF PILLS. 1336 01:05:55,586 --> 01:05:59,551 SO THEY TOOK HER BY AMBULANCE TO WICHITA, 1337 01:05:59,551 --> 01:06:01,689 TO THE HOSPITAL THERE. 1338 01:06:01,689 --> 01:06:04,689 YOU KNOW, AND WHILE THEY WERE GONE, 1339 01:06:04,689 --> 01:06:08,241 I FOUND SOME KIND OF LETTER THAT SHE HAD WRITTEN. 1340 01:06:08,241 --> 01:06:11,586 SHE HAD BASICALLY BLAMED ME IN HER LETTER 1341 01:06:11,586 --> 01:06:13,482 THAT SHE, YOU KNOW -- 1342 01:06:13,482 --> 01:06:15,862 BASICALLY JUST WROTE IN THIS LETTER THAT SHE HATED ME. 1343 01:06:15,862 --> 01:06:19,137 SO I ALWAYS WONDER IF SHE DIDN'T JUST KIND OF RESENT 1344 01:06:19,137 --> 01:06:20,724 THAT SHE HAD ME. 1345 01:06:20,724 --> 01:06:23,517 AND I NEVER REALLY SAID ANYTHING ABOUT THE LETTER. 1346 01:06:23,517 --> 01:06:27,206 I JUST KIND OF PUT IT AWAY AND NEVER BROUGHT IT UP. 1347 01:06:27,206 --> 01:06:29,655 SO, NOBODY ELSE KNOWS ABOUT THE LETTER 1348 01:06:29,655 --> 01:06:31,068 EXCEPT FOR YOU AND MOM? 1349 01:06:31,068 --> 01:06:33,241 I THINK SO. I MEAN, AS FAR AS I KNOW. 1350 01:06:33,241 --> 01:06:35,620 I DON'T THINK MY DAD EVER SAW IT, THAT I KNOW OF. 1351 01:06:35,620 --> 01:06:37,517 THAT'S KIND OF A SECRET, ISN'T IT? 1352 01:06:37,517 --> 01:06:38,965 YEAH, IT IS. 1353 01:06:38,965 --> 01:06:42,482 BUT, I MEAN, I THINK IT'S MORE -- 1354 01:06:42,482 --> 01:06:45,689 FOR ME, IT'S HEALTHIER TO SET LIMITS WITH MY MOM, SO -- 1355 01:06:45,689 --> 01:06:46,862 OKAY. YEAH. 1356 01:06:46,862 --> 01:06:49,310 AND SO, DO YOU THINK THAT TALKING TO YOUR MOM 1357 01:06:49,310 --> 01:06:53,034 ABOUT THAT LETTER WOULD BE ONE OF THOSE LIMITS 1358 01:06:53,034 --> 01:06:56,172 THAT YOU'VE SET THAT YOU DON'T WANT TO CROSS, OR -- 1359 01:06:56,172 --> 01:06:58,551 YEAH. I MEAN... 1360 01:06:58,551 --> 01:07:01,034 I MEAN, I CAN SEE WHERE IT COULD BE HELPFUL, 1361 01:07:01,034 --> 01:07:05,344 BUT IT'S NOT A BOUNDARY I WANT TO CROSS WITH MY MOM RIGHT NOW. 1362 01:07:05,344 --> 01:07:06,482 SO YOU DON'T FEEL LIKE THAT LETTER 1363 01:07:06,482 --> 01:07:08,379 IS SOME SECRET LOOMING OVER YOUR HEADS? 1364 01:07:08,379 --> 01:07:11,034 I DON'T FEEL LIKE THAT. I REALLY DON'T. 1365 01:07:11,034 --> 01:07:11,896 OKAY. ALRIGHT. 1366 01:07:11,896 --> 01:07:12,965 WELL, THANK YOU SO MUCH. 1367 01:07:12,965 --> 01:07:14,068 ALRIGHT.WE'LL SEE YOU NEXT TIME. 1368 01:07:14,068 --> 01:07:15,310 THANK YOU.MM-HMM. 1369 01:07:15,310 --> 01:07:17,758 OOPS. SORRY. 1370 01:07:17,758 --> 01:07:20,586 Bethany: THAT WENT LIKE I THOUGHT IT WOULD. 1371 01:07:20,586 --> 01:07:24,413 AND AS MUCH AS I APPRECIATE SOMEONE GIVING ME THEIR EAR, 1372 01:07:24,413 --> 01:07:28,000 DOING THIS TODAY DIDN'T MAKE MUCH DIFFERENCE AT ALL FOR ME. 1373 01:07:28,000 --> 01:07:29,724 BUT I'M WILLING TO KEEP DOING THIS 1374 01:07:29,724 --> 01:07:33,172 AS LONG AS DR. NOW WANTS ME TO. 1375 01:07:33,172 --> 01:07:36,137 MY ONLY CONCERN IS THAT THE MORE TIME THAT'S WASTED 1376 01:07:36,137 --> 01:07:39,827 FOCUSING ON THINGS THAT AREN'T GONNA HELP ME, 1377 01:07:39,827 --> 01:07:41,551 THE LESS TIME I HAVE TO FIGURE OUT 1378 01:07:41,551 --> 01:07:43,931 WHAT'S REALLY GOING ON 1379 01:07:43,931 --> 01:07:45,758 AND WHY I'M STRUGGLING LIKE I AM, 1380 01:07:45,758 --> 01:07:48,275 EVEN THOUGH I HAD SURGERY. 1381 01:07:48,275 --> 01:07:50,793 AND I'M SCARED THAT IF I DON'T FIGURE IT OUT SOON, 1382 01:07:50,793 --> 01:07:53,413 IT'S JUST GONNA KEEP GETTING WORSE, 1383 01:07:53,413 --> 01:07:55,586 AND I DON'T KNOW IF I'M GONNA BE ABLE TO HANDLE THAT. 1384 01:08:09,793 --> 01:08:11,310 Bethany: HEY, ZOWIE.HI. 1385 01:08:11,310 --> 01:08:12,448 HOW WAS SCHOOL? 1386 01:08:12,448 --> 01:08:13,724 GOOD. 1387 01:08:15,448 --> 01:08:17,000 HOW WAS YOUR DAY? 1388 01:08:17,000 --> 01:08:18,551 GOOD. 1389 01:08:18,551 --> 01:08:20,344 Bethany: THIS PAST MONTH HAS BEEN A LITTLE ROUGH 1390 01:08:20,344 --> 01:08:23,379 BECAUSE I'VE BEEN STRUGGLING WITH FEELING DEPRESSED. 1391 01:08:23,379 --> 01:08:25,965 I THINK I'LL GET A SNACK.YOU WANT A SNACK? 1392 01:08:25,965 --> 01:08:27,206 MM-HMM. OKAY. 1393 01:08:27,206 --> 01:08:28,448 MAYBE DAD CAN HELP YOU. 1394 01:08:28,448 --> 01:08:29,965 YEP. 1395 01:08:29,965 --> 01:08:32,137 IT'S JUST STILL BEEN HARDER THAN I THOUGHT IT WOULD BE, 1396 01:08:32,137 --> 01:08:34,793 AND IT'S NOT GETTING EASIER, 1397 01:08:34,793 --> 01:08:37,206 BECAUSE IT'S LIKE I'VE LOST SOMEONE IMPORTANT TO ME, 1398 01:08:37,206 --> 01:08:40,379 LIKE A REALLY GOOD FRIEND IS OUT OF MY LIFE NOW. 1399 01:08:40,379 --> 01:08:42,931 AND I'M SAD AND LONELY AND SCARED, 1400 01:08:42,931 --> 01:08:46,103 AND I JUST WANT TO GET PAST FEELING ALL OF THAT. 1401 01:08:46,103 --> 01:08:48,448 IT JUST DOESN'T SEEM FAIR. 1402 01:08:48,448 --> 01:08:50,586 WHAT'S MAKING IT EVEN HARDER NOW IS THAT I FEEL LIKE 1403 01:08:50,586 --> 01:08:53,034 I'M SURROUNDED BY A LOT OF THINGS THAT I CAN'T HAVE 1404 01:08:53,034 --> 01:08:55,931 AND THAT ARE TEMPTING ME EVERY DAY. 1405 01:08:55,931 --> 01:08:57,413 IT'S JUST THAT IN THE BEGINNING, 1406 01:08:57,413 --> 01:08:59,344 MY WHOLE FAMILY WAS PULLING FOR ME 1407 01:08:59,344 --> 01:09:01,241 AND HELPING ME TO DO THE DIET. 1408 01:09:01,241 --> 01:09:03,931 AND THEY STILL ARE, BUT IT'S NOT LIKE IT WAS THEN, 1409 01:09:03,931 --> 01:09:05,517 WHEN WE CLEARED OUT THE HOUSE 1410 01:09:05,517 --> 01:09:08,862 AND WE WERE TRYING TO EAT 100% HEALTHY. 1411 01:09:08,862 --> 01:09:11,206 AND I FEEL LIKE IT'S BACK TO THE SAME OLD, SAME OLD, 1412 01:09:11,206 --> 01:09:12,862 SO IT'S JUST ANOTHER THING 1413 01:09:12,862 --> 01:09:15,896 THAT'S NOT WHAT I THOUGHT IT WAS GONNA BE. 1414 01:09:15,896 --> 01:09:20,793 AND SO I JUST FEEL LOST RIGHT NOW -- COMPLETELY LOST. 1415 01:09:20,793 --> 01:09:22,137 AND THAT ALSO MAKES ME SCARED, 1416 01:09:22,137 --> 01:09:25,758 BECAUSE I KNOW I CAN'T KEEP GOING LIKE THIS IF I DO. 1417 01:09:25,758 --> 01:09:28,241 IT'S GONNA GET REALLY BAD SOON, 1418 01:09:28,241 --> 01:09:29,689 SO I HAVE TO GET A HANDLE ON THIS 1419 01:09:29,689 --> 01:09:32,896 AND FIGURE IT OUT BEFORE I START TO LOSE CONTROL. 1420 01:09:32,896 --> 01:09:34,724 AND IF I DON'T FIGURE THIS OUT SOON, 1421 01:09:34,724 --> 01:09:36,241 THEN I DON'T KNOW WHAT'S GONNA HAPPEN. 1422 01:09:57,103 --> 01:10:00,241 Bethany: I'M BACK FOR ANOTHER APPOINTMENT WITH DR. NOW. 1423 01:10:00,241 --> 01:10:03,206 I ALSO HAD MY SECOND THERAPY APPOINTMENT A FEW WEEKS AGO, 1424 01:10:03,206 --> 01:10:06,586 SO DR. NOW SHOULD BE HAPPY I'M DOING THOSE. 1425 01:10:06,586 --> 01:10:07,965 BUT LIKE I'VE BEEN SAYING, 1426 01:10:07,965 --> 01:10:10,241 IT'S NOT REALLY HELPING ME AT ALL. 1427 01:10:10,241 --> 01:10:13,724 THINGS OVERALL HAVEN'T REALLY GOTTEN EASIER OR BETTER, 1428 01:10:13,724 --> 01:10:18,413 BUT I'VE BEEN PUSHING MYSELF TO DO BETTER THIS TIME. 1429 01:10:18,413 --> 01:10:20,793 BETHANY? 1430 01:10:20,793 --> 01:10:23,241 I HAVEN'T GIVEN IN TO ANY OF THE CRAVINGS, 1431 01:10:23,241 --> 01:10:25,206 SO I'M HOPING THAT MY WEIGHT LOSS IS CLOSER 1432 01:10:25,206 --> 01:10:29,862 TO BEING BACK ON TRACK THIS TIME THAN IT WAS LAST TIME. 1433 01:10:29,862 --> 01:10:31,965 AT MY LAST APPOINTMENT TWO MONTHS AGO, 1434 01:10:31,965 --> 01:10:33,862 I WAS DOWN TO 496, 1435 01:10:33,862 --> 01:10:35,931 AND DR. NOW SAID I'M SUPPOSED TO BE LOSING 1436 01:10:35,931 --> 01:10:37,689 AT LEAST 15 POUNDS A MONTH, 1437 01:10:37,689 --> 01:10:40,931 SO THAT MEANS I NEED TO BE BELOW 466 TODAY 1438 01:10:40,931 --> 01:10:42,724 IF I'M WHERE I SHOULD BE. 1439 01:10:42,724 --> 01:10:44,896 AND I'M REALLY HOPING I AM. 1440 01:10:53,862 --> 01:10:57,413 I'M REALLY UPSET, AND I DON'T GET IT. 1441 01:10:57,413 --> 01:11:00,034 WITH HOW HARD I'M TRYING, THIS DOESN'T MAKE ANY SENSE, 1442 01:11:00,034 --> 01:11:02,482 AND IT DOESN'T SEEM FAIR, 1443 01:11:02,482 --> 01:11:04,275 BECAUSE IT'S SUPPOSED TO GET EASIER 1444 01:11:04,275 --> 01:11:06,275 AFTER WEIGHT-LOSS SURGERY. 1445 01:11:06,275 --> 01:11:09,689 BUT IT'S NOT, SO SOMETHING HAS TO BE WRONG. 1446 01:11:09,689 --> 01:11:11,310 I'M GOING TO THERAPY, SO IT CAN'T BE 1447 01:11:11,310 --> 01:11:14,655 THE EMOTIONAL ISSUES LIKE DR. NOW THINKS. 1448 01:11:14,655 --> 01:11:17,482 BUT HE'S PROBABLY NOT GONNA LISTEN TO ME ABOUT IT. 1449 01:11:17,482 --> 01:11:20,310 ALL HE'S GONNA CARE ABOUT IS THAT I DIDN'T HIT HIS GOAL 1450 01:11:20,310 --> 01:11:23,448 AND JUST GO OFF OF THAT INSTEAD OF LISTENING TO ME. 1451 01:11:26,620 --> 01:11:27,482 HELLO! 1452 01:11:27,482 --> 01:11:28,379 HI.HELLO. 1453 01:11:28,379 --> 01:11:29,448 HOW Y'ALL DOING? 1454 01:11:29,448 --> 01:11:30,793 WE'RE GOOD. HOW ARE YOU?GOOD. 1455 01:11:30,793 --> 01:11:32,689 I'M DOING GOOD. 1456 01:11:32,689 --> 01:11:36,241 ALRIGHT, SO, BETHANY, IT IS A LITTLE OVER FOUR MONTHS 1457 01:11:36,241 --> 01:11:37,862 SINCE YOUR WEIGHT-LOSS SURGERY, 1458 01:11:37,862 --> 01:11:39,965 AND YOU ALREADY STARTED GAINING AGAIN. 1459 01:11:39,965 --> 01:11:43,310 SO OBVIOUSLY, THAT'S A REALLY BAD SITUATION WE HAVE WITH YOU. 1460 01:11:43,310 --> 01:11:45,172 SO, YOU WANT TO TELL ME WHAT'S GOING ON 1461 01:11:45,172 --> 01:11:47,103 AND WHY YOU'RE PUSHING YOURSELF TO EAT 1462 01:11:47,103 --> 01:11:49,827 WHAT YOU SHOULDN'T BE AGAIN?I DON'T KNOW. 1463 01:11:49,827 --> 01:11:54,448 I'M STICKING TO THE SHEET THAT YOU GAVE ME OF WHAT NOT TO EAT. 1464 01:11:54,448 --> 01:11:58,482 SO, I'M EATING, LIKE, REAL FOOD, LIKE YOU TOLD ME TO. 1465 01:11:58,482 --> 01:12:01,068 SO I DON'T KNOW WHY I DIDN'T LOSE ANYTHING. 1466 01:12:01,068 --> 01:12:02,965 I DON'T THINK THE SURGERY'S WORKING LIKE IT SHOULD. 1467 01:12:02,965 --> 01:12:05,137 IT JUST DOESN'T MAKE SENSE. 1468 01:12:05,137 --> 01:12:07,965 WHAT YOU'RE SAYING IS WHAT DOESN'T MAKE SENSE. 1469 01:12:07,965 --> 01:12:09,827 LET ME EXPLAIN SOMETHING TO YOU. 1470 01:12:09,827 --> 01:12:12,689 YOU STARTED OUT HOPING IN A MAGIC FIX, 1471 01:12:12,689 --> 01:12:15,413 AND THEN YOU APPLIED YOURSELF AND TOOK CONTROL 1472 01:12:15,413 --> 01:12:18,517 FOR A FEW MONTHS, UNTIL YOU GOT WEIGHT-LOSS SURGERY, 1473 01:12:18,517 --> 01:12:21,965 AND THEN YOUR EMOTIONAL ISSUES CAME TO THE SURFACE. 1474 01:12:21,965 --> 01:12:24,724 AND DEALING WITH THAT IS REALLY HARD STUFF, 1475 01:12:24,724 --> 01:12:27,862 AND NOW YOU'RE HOPING IN A MAGIC FIX FOR THAT. 1476 01:12:27,862 --> 01:12:30,655 AND UNTIL YOU TAKE YOUR PSYCHOTHERAPY SERIOUSLY 1477 01:12:30,655 --> 01:12:33,862 AND DO WHAT YOU NEED WITH THAT, THIS TREND AND DIRECTION 1478 01:12:33,862 --> 01:12:35,793 YOU'RE HEADED IS GONNA CONTINUE. 1479 01:12:35,793 --> 01:12:37,965 AND IF THAT HAPPENS, YOU'RE NOT GONNA MAKE IT. 1480 01:12:37,965 --> 01:12:40,517 SO YOU HAVE A VERY IMPORTANT CHOICE TO MAKE -- 1481 01:12:40,517 --> 01:12:44,103 WHETHER YOU WANT TO TURN YOUR LIFE AROUND OR MAKE EXCUSES 1482 01:12:44,103 --> 01:12:46,448 AND END UP EATING YOURSELF TO DEATH. 1483 01:12:46,448 --> 01:12:48,655 YOU GOT IT? I GUESS. 1484 01:12:48,655 --> 01:12:51,275 SO YOU NEED TO KEEP GOING TO THOSE APPOINTMENTS 1485 01:12:51,275 --> 01:12:54,103 AND DO WHAT YOU NEED TO DO BEFORE IT'S TOO LATE. 1486 01:12:54,103 --> 01:12:56,068 YOU GOT THAT? YEP. 1487 01:12:56,068 --> 01:12:59,931 BUT BEFORE YOU GO BACK HOME, I WANT TO DO AN ENDOSCOPY. 1488 01:12:59,931 --> 01:13:04,931 SO WE CAN DO THAT AND SEE IF WE CAN GET SOME BIOPSY 1489 01:13:04,931 --> 01:13:06,827 OF YOUR STOMACH AND SEE HOW THINGS ARE. 1490 01:13:06,827 --> 01:13:09,103 BECAUSE WITH HOW FAST YOU'RE GAINING AFTER SURGERY, 1491 01:13:09,103 --> 01:13:11,241 I'M VERY CONCERNED YOU MAY ALREADY BE 1492 01:13:11,241 --> 01:13:13,586 STRETCHING YOUR STOMACH BACK OUT. 1493 01:13:13,586 --> 01:13:16,137 SO I'M GONNA SCHEDULE YOU TO DO THAT TOMORROW, 1494 01:13:16,137 --> 01:13:18,034 AND WE'LL SEE WHAT'S GOING ON WITH YOUR STOMACH. 1495 01:13:18,034 --> 01:13:19,586 OKAY. 1496 01:13:19,586 --> 01:13:21,620 OKAY, WE'LL SET YOU UP FOR THE ENDOSCOPY 1497 01:13:21,620 --> 01:13:24,068 AND SEE IF EVERYTHING'S OKAY WITH THAT. 1498 01:13:24,068 --> 01:13:25,517 OKAY? OKAY. 1499 01:13:25,517 --> 01:13:26,896 ALRIGHT. I'LL SEE YOU BOTH SOON. 1500 01:13:26,896 --> 01:13:28,000 OKAY. THANKS.OKAY. THANK YOU. 1501 01:13:28,000 --> 01:13:29,068 ALRIGHT. 1502 01:13:35,103 --> 01:13:37,275 Dr. Now: BETHANY IS STARTING TO HEAD DOWN 1503 01:13:37,275 --> 01:13:40,758 A VERY UNFORTUNATE AND DANGEROUS PATH. 1504 01:13:40,758 --> 01:13:43,103 WHEN A PATIENT HAS THEIR PHYSICAL DRIVE TO EAT 1505 01:13:43,103 --> 01:13:45,310 SUPPRESSED WITH WEIGHT-LOSS SURGERY, 1506 01:13:45,310 --> 01:13:48,137 THEY SHOULD BE ABLE TO START TO SEE MORE CLEARLY 1507 01:13:48,137 --> 01:13:52,517 THE PSYCHOLOGICAL AND EMOTIONAL COMPONENTS BEHIND THEIR EATING. 1508 01:13:52,517 --> 01:13:55,517 BUT BETHANY IS REFUSING TO FACE THE REALITY 1509 01:13:55,517 --> 01:13:58,517 OF WHAT'S BEHIND A LOT OF HER DRIVE TO EAT, 1510 01:13:58,517 --> 01:14:00,413 AND UNLESS SHE MAKES THE CHOICES 1511 01:14:00,413 --> 01:14:03,172 TO STOP AVOIDING THE EMOTIONAL ISSUES 1512 01:14:03,172 --> 01:14:05,793 SHE NEEDS TO DEAL WITH WITH PSYCHOTHERAPY, 1513 01:14:05,793 --> 01:14:08,689 HER SITUATION IS ONLY GONNA GET WORSE 1514 01:14:08,689 --> 01:14:12,379 AS SHE STARTS TO GAIN MORE AND MORE OF HER WEIGHT BACK. 1515 01:14:12,379 --> 01:14:15,551 BUT RIGHT NOW, MY MAIN CONCERN IS IN DETERMINING 1516 01:14:15,551 --> 01:14:18,103 IF SHE STARTED TO STRETCH HER STOMACH BACK OUT, 1517 01:14:18,103 --> 01:14:21,586 SINCE SHE'S ALREADY GAINING SO SOON AFTER SURGERY. 1518 01:14:21,586 --> 01:14:24,793 BECAUSE IF SHE HAS, IT'S POSSIBLE SHE COULD HAVE STARTED 1519 01:14:24,793 --> 01:14:27,655 TO DAMAGE THE AREA AROUND HER SUTURES, 1520 01:14:27,655 --> 01:14:30,551 WHICH WILL CAUSE COMPLICATIONS FOR HER. 1521 01:14:30,551 --> 01:14:34,344 ANY STRETCHING OF HER STOMACH WILL BE REALLY BAD, 1522 01:14:34,344 --> 01:14:38,068 BECAUSE IF SHE'S PUSHING HERSELF TO OVEREAT AGAIN ALREADY, 1523 01:14:38,068 --> 01:14:41,137 THEN WE DON'T HAVE MUCH TIME TO TURN HER SITUATION AROUND 1524 01:14:41,137 --> 01:14:42,827 BEFORE IT'S TOO LATE. 1525 01:14:46,413 --> 01:14:48,206 Bethany: I DON'T EVEN KNOW WHAT TO THINK RIGHT NOW 1526 01:14:48,206 --> 01:14:50,724 WITH WHAT DR. NOW IS SAYING. 1527 01:14:50,724 --> 01:14:53,172 THIS IS GETTING EVEN SCARIER, 1528 01:14:53,172 --> 01:14:55,034 AND I'M REALLY HOPING NOTHING IS WRONG 1529 01:14:55,034 --> 01:14:58,551 AND THAT WHAT HE'S WORRIED ABOUT HASN'T HAPPENED. 1530 01:14:58,551 --> 01:14:59,655 BUT IF THERE'S SOMETHING WRONG, 1531 01:14:59,655 --> 01:15:01,655 I JUST HOPE IT'S NOT SOMETHING SERIOUS 1532 01:15:01,655 --> 01:15:04,793 OR ANYTHING THAT'S GONNA MAKE DOING THIS EVEN HARDER, 1533 01:15:04,793 --> 01:15:06,793 BECAUSE I DON'T THINK I'D BE ABLE TO TAKE 1534 01:15:06,793 --> 01:15:09,310 ANY MORE SETBACKS RIGHT NOW. 1535 01:15:20,206 --> 01:15:23,310 Dr. Now: TODAY, WE ARE DOING AN ENDOSCOPY ON BETHANY. 1536 01:15:23,310 --> 01:15:25,896 WE'RE PUTTING A SMALL CAMERA DOWN HER ESOPHAGUS 1537 01:15:25,896 --> 01:15:29,517 INTO HER DIGESTIVE SYSTEM TO TAKE A LOOK INSIDE TO SEE 1538 01:15:29,517 --> 01:15:33,551 IF SHE'S STARTED TO STRETCH HER STOMACH BACK OUT. 1539 01:15:33,551 --> 01:15:34,586 ALRIGHT. 1540 01:15:41,724 --> 01:15:45,275 FOR HER TO START GAINING LIKE THIS SO SOON AFTER SURGERY, 1541 01:15:45,275 --> 01:15:48,000 IT'S VERY LIKELY SHE HAS STARTED PUSHING HERSELF 1542 01:15:48,000 --> 01:15:50,965 TO OVEREAT A LOT IN ONE SITTING. 1543 01:15:50,965 --> 01:15:53,827 BUT IF SHE IS ALREADY DOING THAT AT THIS POINT, 1544 01:15:53,827 --> 01:15:56,413 IT'S GOING TO BE A VERY BAD SIGN, 1545 01:15:56,413 --> 01:15:59,896 BECAUSE ONCE SHE GETS TO THAT POINT AND THAT STARTS TO HAPPEN, 1546 01:15:59,896 --> 01:16:02,758 IT WON'T TAKE HER LONG TO UNDO HER GASTRIC SLEEVE 1547 01:16:02,758 --> 01:16:04,758 AND REGAIN ALL HER WEIGHT. 1548 01:16:04,758 --> 01:16:07,206 AND AFTER THAT, THERE WILL LIKELY BE NOTHING 1549 01:16:07,206 --> 01:16:10,000 WE CAN DO TO HELP HER, BECAUSE THERE WILL BE NO POINT 1550 01:16:10,000 --> 01:16:12,586 IN DOING A REVISION ON HER TO FIX HER SLEEVE 1551 01:16:12,586 --> 01:16:14,620 IF SHE'S SHOWN US THAT ULTIMATELY, 1552 01:16:14,620 --> 01:16:16,586 SHE'S NOT WILLING TO CONTINUE TO DO 1553 01:16:16,586 --> 01:16:18,241 WHAT SHE NEEDS TO LOSE THE WEIGHT 1554 01:16:18,241 --> 01:16:20,413 AND KEEP IT OFF FOR THE LONG RUN. 1555 01:16:29,448 --> 01:16:30,793 SO, IF THERE IS ANY SIGN 1556 01:16:30,793 --> 01:16:33,310 THAT HER STOMACH IS BEING STRETCHED BACK OUT, 1557 01:16:33,310 --> 01:16:36,758 IT WILL MEAN OUR WINDOW TO GET BETHANY BACK ON TRACK 1558 01:16:36,758 --> 01:16:39,344 AND DOING WHAT SHE NEEDS IS EVEN SHORTER, 1559 01:16:39,344 --> 01:16:42,724 OR AT THE POINT WHERE SHE'S GOING OFF THE RAILS SO FAST 1560 01:16:42,724 --> 01:16:45,103 THAT WE WON'T BE ABLE TO STOP HER. 1561 01:17:02,206 --> 01:17:03,206 WE'RE DONE. 1562 01:17:09,586 --> 01:17:12,172 ALRIGHT, THE GOOD NEWS IS THAT BETHANY'S WEIGHT GAIN 1563 01:17:12,172 --> 01:17:14,137 IS HAPPENING BECAUSE SHE'S EATING 1564 01:17:14,137 --> 01:17:16,896 A LITTLE BIT ALL DAY AND NOT IN ONE SITTING, 1565 01:17:16,896 --> 01:17:20,068 SO SHE HASN'T STARTED STRETCHING HER STOMACH BACK OUT. 1566 01:17:20,068 --> 01:17:21,586 AND THAT'S VERY GOOD. 1567 01:17:21,586 --> 01:17:24,206 BUT THE BAD NEWS IS THAT SHE'S STILL GAINING 1568 01:17:24,206 --> 01:17:26,896 BECAUSE SHE'S FALLING BACK INTO OLD HABITS 1569 01:17:26,896 --> 01:17:30,620 AND TRYING TO USE FOOD TO COPE TO DEAL WITH HER EMOTIONS. 1570 01:17:30,620 --> 01:17:34,206 SO WE HAVE MORE TIME TO TRY TO GET BETHANY BACK ON TRACK. 1571 01:17:34,206 --> 01:17:36,517 BUT THE ONLY THING THAT IS GONNA GET HER TO THAT POINT 1572 01:17:36,517 --> 01:17:38,931 AND HELP HER DO THAT IS PSYCHOTHERAPY, 1573 01:17:38,931 --> 01:17:41,689 BECAUSE SHE HAS TO START TO WORK ON THOSE ISSUES 1574 01:17:41,689 --> 01:17:44,413 AND COPING IN HEALTHIER WAYS. 1575 01:17:44,413 --> 01:17:47,034 IF SHE DOESN'T, THEN IT WILL JUST BE A MATTER OF TIME 1576 01:17:47,034 --> 01:17:49,862 BEFORE SHE STARTS TO UNDO HER SURGERY 1577 01:17:49,862 --> 01:17:52,413 AND LOSE ALL THE PROGRESS SHE'S MADE. 1578 01:17:52,413 --> 01:17:54,000 AND IF THAT STARTS TO HAPPEN, 1579 01:17:54,000 --> 01:17:56,793 SHE'S GOING TO VERY QUICKLY END UP IN A PLACE 1580 01:17:56,793 --> 01:17:58,896 WHERE WE WON'T BE ABLE TO HELP HER 1581 01:17:58,896 --> 01:18:00,344 AND SHE RUNS OUT OF TIME 1582 01:18:00,344 --> 01:18:02,482 AND ENDS BACK WHERE SHE STARTED -- 1583 01:18:02,482 --> 01:18:05,896 OVER 600 POUNDS AND FACING AN EARLY DEATH. 1584 01:18:25,689 --> 01:18:29,448 Bethany: ME AND MY FAMILY ARE ON OUR WAY TO MEET MY PARENTS FOR DINNER. 1585 01:18:29,448 --> 01:18:32,206 A FEW WEEKS AGO, WE THOUGHT MY MOM WAS HAVING A HEART ATTACK 1586 01:18:32,206 --> 01:18:33,724 BECAUSE SHE SUDDENLY STARTED 1587 01:18:33,724 --> 01:18:36,137 TO HAVE SOME REALLY BAD CHEST PAINS. 1588 01:18:36,137 --> 01:18:38,103 THANKFULLY, IT TURNED OUT TO BE SOME OTHER ISSUES 1589 01:18:38,103 --> 01:18:40,137 AND IT WASN'T A HEART ATTACK, 1590 01:18:40,137 --> 01:18:41,896 AND THIS IS THE FIRST NIGHT SINCE THEN 1591 01:18:41,896 --> 01:18:46,275 THAT SHE FEELS WELL ENOUGH TO GO OUT AND SPEND SOME TIME WITH US. 1592 01:18:46,275 --> 01:18:49,034 SO NEEDLESS TO SAY, IT'S BEEN A HECTIC MONTH. 1593 01:18:49,034 --> 01:18:52,068 LAST TIME I SAW DR. NOW WAS THE ENDOSCOPY, 1594 01:18:52,068 --> 01:18:54,275 AND IT WENT WELL, I GUESS. 1595 01:18:54,275 --> 01:18:57,965 HE DIDN'T FIND ANY ISSUES, AND HE SAID EVERYTHING 1596 01:18:57,965 --> 01:18:59,620 LOOKS FINE WITH MY SLEEVE SURGERY 1597 01:18:59,620 --> 01:19:01,275 AND THAT THERE'S NOTHING WRONG WITH IT. 1598 01:19:01,275 --> 01:19:03,000 Keith: HELLO.HOW YOU DOING? 1599 01:19:03,000 --> 01:19:04,034 GOOD. HOW ARE YOU GUYS? 1600 01:19:04,034 --> 01:19:05,965 GOOD.Robin: YOU GONNA SIT OVER HERE? 1601 01:19:05,965 --> 01:19:07,344 YOU WANT TO SIT BY GRANDMA? 1602 01:19:07,344 --> 01:19:10,310 SO, HE STILL THINKS I NEED TO FOCUS ON THERAPY, 1603 01:19:10,310 --> 01:19:12,000 AND THE REASON I'M STRUGGLING SO MUCH 1604 01:19:12,000 --> 01:19:14,206 IS STILL BECAUSE OF UNRESOLVED ISSUES 1605 01:19:14,206 --> 01:19:17,965 HE THINKS I NEED TO ADDRESS, BUT I JUST DON'T AGREE. 1606 01:19:17,965 --> 01:19:21,034 AND I FEEL LIKE AT THIS POINT, HE'S NOT LISTENING TO ME... 1607 01:19:21,034 --> 01:19:23,241 HOW ARE YOU DOING AFTER YOUR... 1608 01:19:23,241 --> 01:19:24,551 OH, ALRIGHT. 1609 01:19:24,551 --> 01:19:26,517 STILL A LITTLE SORE. STILL A LITTLE TENDER, BUT -- 1610 01:19:26,517 --> 01:19:27,793 MM-HMM. 1611 01:19:27,793 --> 01:19:30,413 THEY SAY GET UP AND MOVE AROUND.YEAH, I KNOW. 1612 01:19:30,413 --> 01:19:33,172 THAT'S WHAT THEY TELL ME, TOO, AFTER SURGERY. 1613 01:19:33,172 --> 01:19:34,310 ...OR REALLY UNDERSTANDING 1614 01:19:34,310 --> 01:19:37,137 WHAT I'M GOING THROUGH AND WHAT I NEED. 1615 01:19:37,137 --> 01:19:39,689 AND IT'S JUST GETTING TOO HARD TO CONSTANTLY RESIST 1616 01:19:39,689 --> 01:19:42,103 ALL THE CRAVINGS WHEN I HAVE TO LIVE IN A WORLD 1617 01:19:42,103 --> 01:19:44,413 WHERE I'M ALWAYS SURROUNDED BY THINGS I WANT, 1618 01:19:44,413 --> 01:19:46,172 ESPECIALLY WHEN THE WEIGHT-LOSS SURGERY 1619 01:19:46,172 --> 01:19:53,620 HAS DONE NOTHING IN THE END TO HELP ME WITH THAT AT ALL. 1620 01:19:53,620 --> 01:19:56,344 CHILI, AND I GUESS THE SIDE SALAD, TOO, WITH THAT. 1621 01:19:56,344 --> 01:20:01,862 Waitress: OKAY.THANK YOU. 1622 01:20:01,862 --> 01:20:04,586 IT'S DIFFICULT TO TRY TO GO OUT TO EAT 1623 01:20:04,586 --> 01:20:07,103 AND THEN TRY TO FIND SOMETHING THAT I CAN HAVE. 1624 01:20:10,827 --> 01:20:13,827 Bethany: THIS IS JUST NOWHERE NEAR HOW I THOUGHT I'D BE, 1625 01:20:13,827 --> 01:20:16,137 BECAUSE THE SURGERY WAS SUPPOSED TO BE THE TOOL I NEEDED 1626 01:20:16,137 --> 01:20:18,689 TO HELP ME LOSE EVEN MORE WEIGHT. 1627 01:20:18,689 --> 01:20:20,068 IF IT'S NOT GOING TO DO THAT, 1628 01:20:20,068 --> 01:20:22,689 THEN I DON'T KNOW WHY I'M DOING ALL THIS, 1629 01:20:22,689 --> 01:20:25,206 AND SO I'M STARTING TO THINK I'D BE BETTER OFF 1630 01:20:25,206 --> 01:20:27,965 TRYING TO FIGURE OUT WHAT TO DO ON MY OWN. 1631 01:20:27,965 --> 01:20:30,137 SO I'M MORE SCARED THAN EVER, 1632 01:20:30,137 --> 01:20:33,586 BECAUSE I'M TRYING MY HARDEST AND IT'S STILL NOT GOOD ENOUGH. 1633 01:20:33,586 --> 01:20:37,103 NOTHING I'M DOING, INCLUDING THERAPY, IS EVEN HELPING. 1634 01:20:37,103 --> 01:20:38,275 I'VE HAD MORE APPOINTMENTS, 1635 01:20:38,275 --> 01:20:40,517 AND THE FOCUS IS ALWAYS TALKING TO MY MOM, 1636 01:20:40,517 --> 01:20:43,137 WHEN I'VE SAID 1,000 TIMES 1637 01:20:43,137 --> 01:20:44,724 I'VE ALREADY MOVED PAST THAT IN MY LIFE 1638 01:20:44,724 --> 01:20:46,862 AND MY RELATIONSHIP WITH HER, 1639 01:20:46,862 --> 01:20:49,862 AND I'M NOT EVEN GONNA DARE RISK UPSETTING HER 1640 01:20:49,862 --> 01:20:52,482 WHEN SHE'S STRUGGLING WITH HER OWN HEALTH ISSUES. 1641 01:20:52,482 --> 01:20:55,413 SO I'M STARTING TO FEEL LIKE NOTHING'S GONNA HELP ME 1642 01:20:55,413 --> 01:20:57,724 AND THAT THIS IS ALL HOPELESS, 1643 01:20:57,724 --> 01:20:59,827 AND I JUST DON'T KNOW WHAT I'M GONNA DO. 1644 01:20:59,827 --> 01:21:04,448 AND AT THIS POINT, I'M JUST NOT SURE IF I CAN KEEP DOING THIS, 1645 01:21:04,448 --> 01:21:07,413 AND I'M REALLY SCARED BECAUSE I DON'T WANT TO FAIL. 1646 01:21:20,862 --> 01:21:22,379 I WAS SUPPOSED TO BE BACK IN HOUSTON 1647 01:21:22,379 --> 01:21:25,034 FOR MY NEXT DOCTOR'S APPOINTMENT LAST WEEK, 1648 01:21:25,034 --> 01:21:27,000 BUT I MISSED IT, AND I ASKED DR. NOW 1649 01:21:27,000 --> 01:21:28,862 IF I COULD DO A CALL TO TELL HIM WHY. 1650 01:21:28,862 --> 01:21:32,862 I'M JUST NOT SURE IF I CAN KEEP PUTTING MYSELF THROUGH ALL THIS 1651 01:21:32,862 --> 01:21:34,241 IF THIS IS HOW IT'S GONNA BE 1652 01:21:34,241 --> 01:21:36,931 AND IF I'M NOT GONNA GET THE HELP I NEED. 1653 01:21:36,931 --> 01:21:38,551 I DESPERATELY WANT TO SUCCEED 1654 01:21:38,551 --> 01:21:41,206 AND TO LOSE THE WEIGHT AND GET MY LIFE BACK, 1655 01:21:41,206 --> 01:21:42,965 BUT THE WEIGHT-LOSS SURGERY DIDN'T END UP 1656 01:21:42,965 --> 01:21:45,379 WORKING LIKE I NEEDED AND EXPECTED IT. 1657 01:21:45,379 --> 01:21:47,758 SO IN THE END, AS MUCH AS I WANT TO CHANGE, 1658 01:21:47,758 --> 01:21:49,965 IF I'M NOT GETTING THE TOOLS I NEED TO DO THAT, 1659 01:21:49,965 --> 01:21:51,793 THEN I DON'T SEE THE POINT. 1660 01:21:51,793 --> 01:21:54,068 SO BECAUSE OF THAT, I'M READY TO TELL DR. NOW 1661 01:21:54,068 --> 01:21:57,172 I DON'T PLAN ON CONTINUING WITH HIS PROGRAM, 1662 01:21:57,172 --> 01:21:59,931 AND I JUST HOPE HE UNDERSTANDS THAT. 1663 01:21:59,931 --> 01:22:03,241 I DON'T WANT TO LET HIM DOWN, BUT I CAN'T KEEP DOING THIS. 1664 01:22:03,241 --> 01:22:04,586 IT'S JUST TOO HARD. 1665 01:22:06,793 --> 01:22:09,448 HI, BETHANY. HOW YOU DOING? 1666 01:22:09,448 --> 01:22:11,517 I'M DOING OKAY. HOW ARE YOU? 1667 01:22:11,517 --> 01:22:13,862 I'M DOING FINE, THANK YOU. 1668 01:22:13,862 --> 01:22:15,482 SO, YOU MISSED YOUR APPOINTMENT, 1669 01:22:15,482 --> 01:22:19,275 AND YOU WANTED THIS CALL, SO WHAT'S GOING ON? 1670 01:22:19,275 --> 01:22:21,896 Bethany: WELL, I WANTED TO TALK TO YOU TO TELL YOU 1671 01:22:21,896 --> 01:22:23,620 THAT THIS IS A LOT HARDER THAN I THOUGHT 1672 01:22:23,620 --> 01:22:26,379 AND I'M NOT SURE IF I CAN CONTINUE WITH YOUR PROGRAM. 1673 01:22:26,379 --> 01:22:30,275 THERE'S ALWAYS FOOD AROUND, AND IT'S DIFFICULT TO RESIST. 1674 01:22:30,275 --> 01:22:33,655 I JUST THOUGHT THE SURGERY WOULD HELP TAKE AWAY THE CRAVINGS. 1675 01:22:33,655 --> 01:22:35,689 I SEE. 1676 01:22:35,689 --> 01:22:38,000 BUT YOU WERE VERY SPECIFICALLY TOLD, 1677 01:22:38,000 --> 01:22:41,068 MORE THAN ONCE, THAT THE SURGERY WON'T DO THAT. 1678 01:22:41,068 --> 01:22:42,482 SO YOU HAVE TO DEAL WITH 1679 01:22:42,482 --> 01:22:45,620 THE OTHER EMOTIONAL AND PSYCHOLOGICAL ISSUES 1680 01:22:45,620 --> 01:22:47,689 DRIVING YOU TO EAT TO HAVE ANY CHANCE 1681 01:22:47,689 --> 01:22:50,000 TO BE SUCCESSFUL IN LONG TERM. 1682 01:22:50,000 --> 01:22:51,241 I DON'T AGREE WITH THAT, 1683 01:22:51,241 --> 01:22:53,482 BUT I APPRECIATE THE HELP GETTING ME THIS FAR. 1684 01:22:53,482 --> 01:22:55,931 AND I'M TRYING TO DO EVERYTHING I NEED TO DO, 1685 01:22:55,931 --> 01:22:57,862 BUT IT'S HARDER THAN I THOUGHT, 1686 01:22:57,862 --> 01:23:01,241 AND I DIDN'T REALIZE EVERYTHING IT WAS GONNA TAKE. 1687 01:23:01,241 --> 01:23:04,862 WELL, IF YOU TRUST SOMEONE TO DO THE REALLY HARD WORK FOR YOU 1688 01:23:04,862 --> 01:23:07,000 AND YOU'RE LOOKING FOR A QUICK FIX, 1689 01:23:07,000 --> 01:23:10,551 THEN YOU'RE NOT GONNA FIND IT, AND YOU'RE RUNNING OUT OF TIME. 1690 01:23:10,551 --> 01:23:13,620 BUT YOU NEED TO UNDERSTAND, AT YOUR AGE AND YOUR WEIGHT, 1691 01:23:13,620 --> 01:23:16,689 YOUR BODY IS GONNA VERY QUICKLY BE AT THE BREAKING POINT, 1692 01:23:16,689 --> 01:23:18,241 AND THAT'LL BE IT FOR YOU. 1693 01:23:18,241 --> 01:23:19,724 DO YOU UNDERSTAND? 1694 01:23:19,724 --> 01:23:21,724 YES, I UNDERSTAND. 1695 01:23:21,724 --> 01:23:23,448 I DON'T THINK YOU DO. 1696 01:23:23,448 --> 01:23:24,827 I JUST CAN'T DO IT. 1697 01:23:24,827 --> 01:23:27,206 IT'S BEEN REALLY HARD JUST DEALING WITH CRAVINGS. 1698 01:23:27,206 --> 01:23:32,241 AND I APPRECIATE ALL YOUR HELP, BUT THIS IS WHAT I HAVE TO DO. 1699 01:23:32,241 --> 01:23:33,206 ALRIGHT, BETHANY. 1700 01:23:33,206 --> 01:23:34,724 LET ME KNOW IF YOU WANT US 1701 01:23:34,724 --> 01:23:37,620 TO ARRANGE ANYTHING IN OKLAHOMA FOR YOU. 1702 01:23:37,620 --> 01:23:39,137 BUT I WOULD ADVISE YOU 1703 01:23:39,137 --> 01:23:41,379 TO AT LEAST KEEP GOING TO THERAPY OVER THERE, 1704 01:23:41,379 --> 01:23:43,517 AND WE WILL CONTINUE TO PROVIDE THAT. 1705 01:23:43,517 --> 01:23:45,517 BUT ULTIMATELY, I THINK IT'D BE BEST 1706 01:23:45,517 --> 01:23:47,482 IF YOU CONTINUED WITH THE PROGRAM 1707 01:23:47,482 --> 01:23:50,068 AND DO WHAT YOU NEED BEFORE IT'S TOO LATE. 1708 01:23:50,068 --> 01:23:51,827 OKAY. I'LL THINK ABOUT IT. 1709 01:23:51,827 --> 01:23:53,172 ALRIGHT, BETHANY. 1710 01:23:53,172 --> 01:23:55,103 I WISH YOU GOOD LUCK, AND WE'LL BE IN TOUCH. 1711 01:23:55,103 --> 01:23:57,103 IF YOU NEED ANYTHING, LET ME KNOW, OKAY? 1712 01:23:57,103 --> 01:23:58,689 OKAY. BYE, DR. NOW. 1713 01:24:03,034 --> 01:24:07,206 BETHANY'S CHOICE AT THIS POINT IS OBVIOUSLY VERY UNFORTUNATE. 1714 01:24:07,206 --> 01:24:09,793 BUT THE REALITY IS THAT SHE'S BEEN LOOKING 1715 01:24:09,793 --> 01:24:13,000 FOR A QUICK FIX TO HER SITUATION THE WHOLE TIME, 1716 01:24:13,000 --> 01:24:14,724 AND SHE'S NOT WILLING TO PUT IN THE WORK 1717 01:24:14,724 --> 01:24:17,862 TO DEAL WITH WHAT SHE NEEDS TO SAVE HER LIFE. 1718 01:24:17,862 --> 01:24:21,137 BUT SHE'S PLAYING A VERY RISKY GAME AT THIS POINT, 1719 01:24:21,137 --> 01:24:24,517 BECAUSE IT'S ONLY GOING TO BE A MATTER OF TIME BEFORE HER BODY 1720 01:24:24,517 --> 01:24:28,379 STARTS TO BREAK DOWN MORE THAN IT ALREADY HAS. 1721 01:24:28,379 --> 01:24:31,793 AND ONCE SHE GETS TO THAT POINT, HER HEALTH IS GOING TO START 1722 01:24:31,793 --> 01:24:35,689 TO DECLINE RAPIDLY UNTIL IT'S TOO LATE FOR HER. 1723 01:24:35,689 --> 01:24:38,896 BUT HOPEFULLY, SHE WAKES UP AND DECIDES TO START DOING 1724 01:24:38,896 --> 01:24:42,206 WHAT SHE NEEDS BEFORE THAT HAPPENS. 1725 01:24:42,206 --> 01:24:45,137 IF SHE DOES, WE'LL BE HERE WAITING TO HELP HER. 1726 01:24:45,137 --> 01:24:47,068 BUT UNTIL THEN, SHE'S RISKING HER LIFE, 1727 01:24:47,068 --> 01:24:49,551 AND IT COULD END VERY BADLY FOR HER. 1728 01:24:56,448 --> 01:24:58,793 Bethany: MAKING THIS CHOICE ISN'T EASY, 1729 01:24:58,793 --> 01:25:01,586 BUT I'M NOT GETTING WHAT I NEED OUT OF THE PROGRAM, 1730 01:25:01,586 --> 01:25:04,448 BECAUSE THE SURGERY DIDN'T HELP LIKE I NEEDED IT. 1731 01:25:04,448 --> 01:25:07,137 SO I FEEL LIKE MY ONLY HOPE IS FINDING ANOTHER WAY, 1732 01:25:07,137 --> 01:25:10,000 EVEN THOUGH I DON'T KNOW WHAT THAT WAY IS. 1733 01:25:10,000 --> 01:25:11,793 I'LL CONSIDER WHAT DR. NOW SAID, 1734 01:25:11,793 --> 01:25:14,275 BUT AT THE END OF THE DAY, I'M RUNNING OUT OF TIME. 1735 01:25:14,275 --> 01:25:16,758 AND IF I'M GONNA HAVE ANY CHANCE TO SAVE MY LIFE, 1736 01:25:16,758 --> 01:25:19,310 I FEEL LIKE I HAVE TO BE ABLE TO WALK AWAY FROM WHAT I KNOW 1737 01:25:19,310 --> 01:25:22,896 ISN'T WORKING TO HAVE ANY CHANCE AT FINDING WHAT WILL. 1738 01:25:22,896 --> 01:25:25,103 AND I'M NOT GONNA STOP UNTIL I FIND IT, 1739 01:25:25,103 --> 01:25:26,758 BECAUSE I STILL PLAN ON LOSING THE WEIGHT 1740 01:25:26,758 --> 01:25:29,275 AND GETTING THE LIFE I WANT FOR ME AND MY FAMILY, 1741 01:25:29,275 --> 01:25:31,724 NO MATTER HOW HARD IT IS OR WHAT IT TAKES.