1 00:00:01,480 --> 00:00:04,320 My life is this bed. 2 00:00:04,480 --> 00:00:08,040 I wake up and fall asleep in hopelessness. 3 00:00:08,200 --> 00:00:12,400 HUNDREDS ARE PERFORMED ANNUALLY WEIGHT LOSS SURGERY- 4 00:00:12,560 --> 00:00:14,120 - ON THE SEVERELY OBESENE. 5 00:00:14,280 --> 00:00:17,880 Somewhere in me there is a glimmer of hope left. 6 00:00:18,040 --> 00:00:21,200 I just want to be normal. 7 00:00:27,760 --> 00:00:31,440 THE CHANCE TO SUCCEED IS LESS THAN FIVE PERCENT. 8 00:00:31,600 --> 00:00:35,120 You don't, and I get mad. 9 00:00:35,280 --> 00:00:37,800 If I don't do it now, then it's too late. 10 00:00:37,960 --> 00:00:39,960 FOR ONE YEAR WE FOLLOW A PERSON- 11 00:00:40,120 --> 00:00:42,320 -WHO IS TRYING TO LOSE THEIR WEIGHT UNDER CONTROL. 12 00:00:42,480 --> 00:00:45,440 No, it hurts. 13 00:00:45,600 --> 00:00:50,160 I refuse to stop fighting. I have to, for my children's sake. 14 00:00:51,440 --> 00:00:55,280 THE JOURNEY WE WILL FOLLOW IS SHANNON'S. 15 00:00:55,440 --> 00:00:59,640 It was fine as it was when we left. 16 00:00:59,800 --> 00:01:02,320 Exactly as it was. 17 00:01:06,920 --> 00:01:13,000 SHANNON LOWERY 39 YEARS OLD. WEIGHS OVER 270 KG 18 00:01:13,160 --> 00:01:16,800 TUCSON IN ARIZONA 19 00:01:31,240 --> 00:01:34,520 SIMON - SHANNON'S HUSBAND 20 00:01:42,360 --> 00:01:47,040 i hate my life for I am no longer alive. 21 00:01:47,200 --> 00:01:50,080 I'm too big to do anything. 22 00:01:50,240 --> 00:01:53,880 My life is this bed. 23 00:01:54,040 --> 00:01:57,840 I can get up, but barely. 24 00:01:58,000 --> 00:02:02,600 It hurts so much to move with all this excess weight. 25 00:02:02,760 --> 00:02:06,160 So I stay in bed all day, and it's miserable. 26 00:02:06,320 --> 00:02:11,960 I just sit up so Simon can wash me- 27 00:02:12,120 --> 00:02:15,800 -to go to the toilet and to eat. 28 00:02:15,960 --> 00:02:19,520 -How did you sleep? -Not good. 29 00:02:19,680 --> 00:02:21,320 Same here. 30 00:02:22,960 --> 00:02:28,480 I lie down or sit up and stares at the walls. 31 00:02:28,640 --> 00:02:31,520 I don't even turn on the TV anymore. 32 00:02:31,680 --> 00:02:36,720 I don't paint anymore. I don't do anything I used to do. 33 00:02:36,880 --> 00:02:40,000 It doesn't bring me joy anymore. 34 00:02:40,160 --> 00:02:42,920 I'm just lying here in pain. 35 00:02:43,080 --> 00:02:46,680 I'm never comfortable. 36 00:02:46,840 --> 00:02:50,400 I can't do anything for a longer time. 37 00:02:50,560 --> 00:02:53,600 Just to wash me requires all the energy I have. 38 00:02:53,760 --> 00:03:00,120 Simon must be here all the time and I am completely dependent on him. 39 00:03:02,800 --> 00:03:05,640 What do you want for breakfast? 40 00:03:05,800 --> 00:03:10,120 Maybe some eggs and bacon, if it goes well. 41 00:03:11,360 --> 00:03:16,720 Shannon needs help with everything a normal person can manage on their own. 42 00:03:16,880 --> 00:03:21,520 Simple things that we take for granted she can't do. 43 00:03:21,680 --> 00:03:26,760 I have become her caregiver, and I will gladly take care of her. 44 00:03:26,920 --> 00:03:33,120 It hasn't been easy, but I've come to terms with it. 45 00:03:33,280 --> 00:03:36,640 Simon must help me to go to the toilet. 46 00:03:36,800 --> 00:03:42,480 He helps me up, dresses me, cooks and cleans. 47 00:03:42,640 --> 00:03:44,840 He does the laundry, he does everything. 48 00:03:46,840 --> 00:03:52,000 I know it's food which is the cause of this. 49 00:03:52,160 --> 00:03:55,160 My eating is ruining my life. 50 00:03:55,320 --> 00:03:57,960 But I can't change that. 51 00:03:58,120 --> 00:04:02,200 That's the only thing I feel that I cannot control. 52 00:04:02,360 --> 00:04:05,480 And that is the only pleasure I have left in life. 53 00:04:05,640 --> 00:04:11,200 It makes all the pain go away and it makes me feel better. 54 00:04:11,360 --> 00:04:14,960 When I'm in pain, or feeling lonely and sad- 55 00:04:15,120 --> 00:04:20,600 - then I just think about eating. And that's basically all the time. 56 00:04:20,760 --> 00:04:23,360 I eat to dull the pain. 57 00:04:23,520 --> 00:04:27,480 I can't shake that feeling. I don't know how. 58 00:04:27,640 --> 00:04:31,960 So I keep getting bigger and my life just gets worse. 59 00:04:32,120 --> 00:04:38,320 My life is lying in bed and let Simon take care of me. 60 00:04:38,480 --> 00:04:43,000 I wake up and fall asleep with hopelessness. 61 00:04:43,160 --> 00:04:46,840 The only thing that can get me to forget everything- 62 00:04:47,000 --> 00:04:51,440 - is what kills me and make my life miserable. 63 00:04:51,600 --> 00:04:56,760 I'm stuck in a rut where everything just gets worse. 64 00:04:56,920 --> 00:05:00,960 I don't understand how my life got like this. 65 00:05:04,920 --> 00:05:08,840 I have struggled with weight since I was little. 66 00:05:09,000 --> 00:05:12,720 Food has always been a comfort for me. 67 00:05:12,880 --> 00:05:18,120 I needed it because how I was growing up. 68 00:05:18,280 --> 00:05:23,080 It started when I was five years old and my parents divorced. 69 00:05:23,240 --> 00:05:28,440 I was sent around from home to home after that. 70 00:05:28,600 --> 00:05:31,440 Many adults raised me. 71 00:05:31,600 --> 00:05:35,920 Dad, mom, my aunt for a while. 72 00:05:36,080 --> 00:05:38,240 My grandmother, my great-aunt. 73 00:05:38,400 --> 00:05:42,320 Dad remarried when I lived with him. 74 00:05:43,320 --> 00:05:47,200 My stepmother was the one who took care of me. 75 00:05:47,360 --> 00:05:50,880 She was like a mother should be. 76 00:05:51,040 --> 00:05:54,240 She took care of us kids. 77 00:05:54,400 --> 00:05:59,280 She made sure we got up and went to school- 78 00:05:59,440 --> 00:06:02,520 -and took care of us when we were sick. 79 00:06:02,680 --> 00:06:07,840 We are five siblings and she took care of us all. 80 00:06:08,000 --> 00:06:11,000 But she and my father divorced. 81 00:06:11,160 --> 00:06:15,480 When they separated, she left. 82 00:06:15,640 --> 00:06:19,320 It was a huge deal for me. 83 00:06:19,480 --> 00:06:26,240 It sucked, because when they were married everything was great. 84 00:06:26,400 --> 00:06:31,000 They decided that my brothers would live with her. 85 00:06:31,160 --> 00:06:33,760 I was daddy's girl. 86 00:06:33,920 --> 00:06:39,920 So dad took me. That is how I have understood it. 87 00:06:40,080 --> 00:06:44,520 I don't know exactly how it happened. 88 00:06:44,680 --> 00:06:51,120 Mother has said certain things, then dad says something else. 89 00:06:53,600 --> 00:06:59,480 Her mother abandoned her in the hospital when she was born. 90 00:06:59,640 --> 00:07:03,080 She left the hospital without saying anything to anyone. 91 00:07:03,240 --> 00:07:08,800 She didn't give her a name, so I took her and named her Shannon. 92 00:07:08,960 --> 00:07:12,520 When mom finally reappeared- 93 00:07:12,680 --> 00:07:18,200 -was the first thing she said to Shannon: "Gee, how fat you are." 94 00:07:18,360 --> 00:07:21,040 That was it, in a nutshell. 95 00:07:23,960 --> 00:07:30,000 It was tough living with dad because he was never at home. 96 00:07:30,160 --> 00:07:33,120 He worked to support us. 97 00:07:33,280 --> 00:07:38,800 There was never any food at home because he was always working. 98 00:07:38,960 --> 00:07:42,640 I ate at his job, he worked in fast food. 99 00:07:42,800 --> 00:07:46,520 There, my love for food was awakened. 100 00:07:46,680 --> 00:07:49,280 My stepmother and my brothers had moved. 101 00:07:49,440 --> 00:07:52,160 I was alone most of the time. 102 00:07:52,320 --> 00:07:56,480 Food made me feel better when I felt alone. 103 00:07:56,640 --> 00:07:59,240 Food became a kind of comfort. 104 00:08:00,560 --> 00:08:04,800 I went to dad's work and ate a lot of fast food. 105 00:08:04,960 --> 00:08:10,720 When I was seven years old, I weighed 45 kg. Then I just got fatter. 106 00:08:10,880 --> 00:08:15,360 It was hard for dad to take care of me. 107 00:08:15,520 --> 00:08:19,800 When I was ten I was sent to my great aunt. 108 00:08:19,960 --> 00:08:22,960 She took care of me for a year. 109 00:08:23,120 --> 00:08:26,480 Then I had to live with my mother and my stepdad. 110 00:08:26,640 --> 00:08:30,520 Mother suffered from the muscle disease dystrophy myotonic. 111 00:08:30,680 --> 00:08:37,080 She lived on benefits and was always short of money. 112 00:08:37,240 --> 00:08:43,200 I wanted to eat to feel better, and wanted desperately to eat. 113 00:08:43,360 --> 00:08:46,120 We were short of food. 114 00:08:46,280 --> 00:08:51,160 It was stressful when it was over, because how would we get more? 115 00:08:51,320 --> 00:08:53,960 And I was blamed for that the food ran out. 116 00:08:54,120 --> 00:08:57,560 It got so bad that mom and my stepdad- 117 00:08:57,720 --> 00:09:03,400 -put a large chain with a padlock around the refrigerator. 118 00:09:03,560 --> 00:09:07,400 But they couldn't stop me, I got in. 119 00:09:07,560 --> 00:09:11,880 I weighed about 110 kg when I was 13 years old. 120 00:09:12,040 --> 00:09:15,800 Then they couldn't afford it to take care of me longer. 121 00:09:15,960 --> 00:09:20,080 It was tough. She was in family court- 122 00:09:20,240 --> 00:09:23,640 -and said to the judge that she didn't want me anymore. 123 00:09:23,800 --> 00:09:28,160 When I heard that, I felt so lost and alone. 124 00:09:28,320 --> 00:09:32,080 Like I had nothing left. 125 00:09:32,240 --> 00:09:35,480 I believed that there was something wrong with me. 126 00:09:36,800 --> 00:09:41,120 I wanted to live with my stepmother but she said no. 127 00:09:41,280 --> 00:09:46,080 Then I ate even more and I got up a lot. 128 00:09:46,240 --> 00:09:52,400 When I graduated high school I weighed over 205 kg. 129 00:09:53,600 --> 00:09:57,960 I hoped for a better life after school, but it didn't happen that way. 130 00:09:58,120 --> 00:10:03,960 I got a job and moved in together with some friends. 131 00:10:04,120 --> 00:10:07,840 Three girls I knew through church. It went well for a while. 132 00:10:08,000 --> 00:10:13,920 Then I lost my job and my friends kicked me out. 133 00:10:14,080 --> 00:10:16,800 Then I moved to my father's house. 134 00:10:16,960 --> 00:10:21,640 We reconnected, he had moved back to Arizona. 135 00:10:21,800 --> 00:10:26,240 He had moved in with his girlfriend, my brother and her son. 136 00:10:26,400 --> 00:10:31,840 So there was no place. I called my mom and my stepdad- 137 00:10:32,000 --> 00:10:35,600 -and asked if I could stay with them for a while. 138 00:10:35,760 --> 00:10:41,280 They said yes, so I moved to California. It didn't go well. 139 00:10:41,440 --> 00:10:46,600 I had just moved there when they had a huge argument. 140 00:10:46,760 --> 00:10:51,640 I stepped in, because I believed that my stepfather would beat my mother. 141 00:10:51,800 --> 00:10:53,920 He punched me in the face. 142 00:10:54,080 --> 00:10:58,840 I tried to call the police for them to fetch him. 143 00:10:59,000 --> 00:11:04,720 He pulled out the phone cord. Me thought to go, and heard mother scream. 144 00:11:04,880 --> 00:11:10,240 I turned to re-enter the caravan- 145 00:11:10,400 --> 00:11:13,960 -and then he stood there with a loaded one gun and aimed at me. 146 00:11:14,120 --> 00:11:19,680 My cousin stepped in and took the gun from him. 147 00:11:19,840 --> 00:11:25,120 I stuck and called the police and he was arrested. 148 00:11:25,280 --> 00:11:29,720 It felt best to leave so i did. 149 00:11:29,880 --> 00:11:33,360 I came to Arizona again. I was homeless. 150 00:11:33,520 --> 00:11:37,960 I was too proud to ask dad for help. 151 00:11:38,120 --> 00:11:41,280 But in the end I couldn't take care of myself anymore. 152 00:11:41,440 --> 00:11:45,280 I was so big that I ended up in an accommodation. 153 00:11:45,440 --> 00:11:48,280 Then I weighed over 270 kg. 154 00:11:48,440 --> 00:11:52,000 I needed help with just about everything. 155 00:11:52,160 --> 00:11:58,600 I lived in a nursing home for several years. When I was 29 I met Simon. 156 00:11:58,760 --> 00:12:03,720 I played games online and met new people. 157 00:12:03,880 --> 00:12:05,720 That's how I met Simon. 158 00:12:06,720 --> 00:12:08,520 We met online. 159 00:12:08,680 --> 00:12:12,520 First impression was that she is a beautiful woman. 160 00:12:12,680 --> 00:12:15,640 The first thing I saw was the smile. 161 00:12:15,800 --> 00:12:18,560 It sounds stupid, but it was. 162 00:12:18,720 --> 00:12:22,640 Her personality and her appearance. 163 00:12:22,800 --> 00:12:26,680 She is a beautiful woman. 164 00:12:27,800 --> 00:12:30,720 He proposed after just a few months. 165 00:12:30,880 --> 00:12:35,640 We got married a couple of months later and have been together ever since. 166 00:12:35,800 --> 00:12:39,320 I left the nursing home and we moved in together. 167 00:12:39,480 --> 00:12:43,400 I could just leave home because he took care of me. 168 00:12:43,560 --> 00:12:48,200 So we've never been like a normal married couple. 169 00:12:48,360 --> 00:12:54,160 He has always been mine caregivers, and that's not right. 170 00:12:54,320 --> 00:12:57,640 He deserves a normal marriage. 171 00:12:57,800 --> 00:13:02,560 I haven't been able to give it to him the ten years we've been together. 172 00:13:02,720 --> 00:13:04,720 Because I can't give up food. 173 00:13:04,880 --> 00:13:09,560 Food has always been the most important thing in my life. 174 00:13:09,720 --> 00:13:13,360 It's always there and I can't give it up. 175 00:13:13,520 --> 00:13:20,200 When I eat I am happy. It is pleasure and happiness. 176 00:13:20,360 --> 00:13:24,880 It takes away the pain and the loneliness. 177 00:13:25,040 --> 00:13:29,720 You get rid of all bad thoughts a while. 178 00:13:29,880 --> 00:13:35,200 I tried to stop eating when dad got a gastric bypass five years ago. 179 00:13:35,360 --> 00:13:40,440 I tried his liquid diet to see if i made it. It didn't work. 180 00:13:40,600 --> 00:13:43,680 Food means too much to me. 181 00:13:46,880 --> 00:13:53,080 There has been a lot with that child. I love her deeply- 182 00:13:53,240 --> 00:13:59,440 -but I've been helping her for 40 years. She has to deal with it herself. 183 00:13:59,600 --> 00:14:05,400 I have done everything I can. I can't help her anymore. 184 00:14:05,560 --> 00:14:12,560 In the last ten years, the weight has gone up to over 270 kg. 185 00:14:12,720 --> 00:14:15,960 It doesn't look good to me. 186 00:14:16,120 --> 00:14:19,920 I'm afraid I'll fall asleep one night and not wake up the next day. 187 00:14:20,080 --> 00:14:22,760 That Simon finds me dead. 188 00:14:27,280 --> 00:14:31,960 It's frustrating for her not being able to do more. 189 00:14:32,120 --> 00:14:34,760 I can see past the weight. 190 00:14:34,920 --> 00:14:40,000 But I see how the weight affects our marriage. 191 00:14:40,160 --> 00:14:45,800 When she starts losing weight our lives will change. 192 00:14:45,960 --> 00:14:50,480 I'm getting used to the thought, I only want the best for her. 193 00:14:50,640 --> 00:14:54,320 If I can help her I'd be happy to do so. 194 00:14:54,480 --> 00:14:59,200 Last time I checked I weighed 300kg. I am almost 40 years old. 195 00:15:00,240 --> 00:15:05,960 I know I'm killing myself with every bite I take. 196 00:15:06,120 --> 00:15:09,600 If I don't get help then the body soon gives up. 197 00:15:09,760 --> 00:15:13,120 There needs to be a change. 198 00:15:13,280 --> 00:15:17,520 I need to lose weight. 199 00:15:17,680 --> 00:15:21,440 If not, I will die soon. 200 00:15:35,600 --> 00:15:39,040 FIRST MONTH 201 00:15:45,440 --> 00:15:49,000 Dad talked to me about getting help. 202 00:15:49,160 --> 00:15:51,760 He wants me to go to Dr. Now in Houston- 203 00:15:51,920 --> 00:15:54,960 -and trying to get the surgery which he received. 204 00:15:55,120 --> 00:15:57,080 I said I would think about it. 205 00:15:57,240 --> 00:16:01,520 He wants me to talk to Dr. Now and hear what he says. 206 00:16:01,680 --> 00:16:03,560 I promised to do it. 207 00:16:03,720 --> 00:16:08,840 He arranged a call with Dr. Now tomorrow morning. 208 00:16:16,160 --> 00:16:20,360 I'll hear what he says and if he can help me. 209 00:16:21,920 --> 00:16:24,600 I want help to feel better. 210 00:16:26,000 --> 00:16:30,480 I have to try something. no matter how scary it is. 211 00:16:33,960 --> 00:16:39,600 I have wanted to have an operation since I went over 180 kg. 212 00:16:39,760 --> 00:16:43,400 What scares me the most- 213 00:16:43,560 --> 00:16:46,840 -is that I love food and don't want to give it up. 214 00:16:49,480 --> 00:16:54,480 I hear if there is any hope left when I talk to Dr. Now. 215 00:16:55,840 --> 00:16:58,680 For now it's only going downhill. 216 00:17:00,120 --> 00:17:02,480 So good. 217 00:17:06,160 --> 00:17:08,520 THE NEXT DAY 218 00:17:11,400 --> 00:17:14,520 Hi, Shannon. Dr. Nowzaradan here. How are you? 219 00:17:14,680 --> 00:17:16,560 Hello, nice to see you. 220 00:17:16,720 --> 00:17:19,360 The same. How are you today? 221 00:17:19,520 --> 00:17:22,240 - Just fine. Self? -Good, thanks. 222 00:17:22,400 --> 00:17:27,800 Your father told you that you want help to lose weight. 223 00:17:27,960 --> 00:17:32,600 I know you've operated on people which is in my size- 224 00:17:32,760 --> 00:17:36,000 - and that you are the best at it. 225 00:17:36,160 --> 00:17:41,320 -How old are you? - I'm 39. 226 00:17:41,480 --> 00:17:44,120 What do you weigh? 227 00:17:44,280 --> 00:17:48,880 Around 307 kg, but that was a long time ago I weighed myself. 228 00:17:49,040 --> 00:17:54,040 -How long have you weighed this much? - I weighed myself two years ago. 229 00:17:54,200 --> 00:17:59,280 -Where do you live? -In Tucson. 230 00:17:59,440 --> 00:18:04,040 -It's quite far from Houston. -Yes. 231 00:18:04,200 --> 00:18:07,840 What can you do? and how mobile are you? 232 00:18:08,000 --> 00:18:14,600 I can walk a little and I can touch upper body pretty good. 233 00:18:14,760 --> 00:18:20,120 -How much can you go? -I can go... 234 00:18:20,280 --> 00:18:25,040 ...10-15 steps, maybe more. 235 00:18:25,200 --> 00:18:28,200 The first thing we have to do- 236 00:18:28,360 --> 00:18:32,400 - is to improve your fitness and your mobility. 237 00:18:32,560 --> 00:18:37,520 -Who do you live with? - My husband. 238 00:18:37,680 --> 00:18:42,600 -So he enables this? - I wouldn't say that. 239 00:18:42,760 --> 00:18:46,280 If you can only walk ten steps- 240 00:18:46,440 --> 00:18:50,280 -who cooks and gives to you? 241 00:18:50,440 --> 00:18:55,120 My husband makes dinner, he is the one who cooks. 242 00:18:55,280 --> 00:18:59,160 - He gives you all the food? -Yes. 243 00:18:59,320 --> 00:19:02,720 So he enables your life? 244 00:19:04,800 --> 00:19:09,120 -Yes. - Does your husband work? 245 00:19:09,280 --> 00:19:12,800 He works as my caregiver. 246 00:19:12,960 --> 00:19:17,840 If you can handle yourself so he loses his job? 247 00:19:19,120 --> 00:19:20,720 I assume so. 248 00:19:20,880 --> 00:19:24,560 Will there be a problem if you lose weight? 249 00:19:24,720 --> 00:19:26,080 No. 250 00:19:26,240 --> 00:19:29,360 This is a difficult situation. 251 00:19:29,520 --> 00:19:33,640 When someone in the family is the caregiver- 252 00:19:33,800 --> 00:19:38,120 - then there will be a certain dynamic between them. 253 00:19:38,280 --> 00:19:41,640 That dynamic is negative for your ability- 254 00:19:41,800 --> 00:19:45,560 - to change your life situation. 255 00:19:45,720 --> 00:19:50,000 You get your life back and the caregiver- 256 00:19:50,160 --> 00:19:53,280 -must apply for another job. 257 00:19:53,440 --> 00:19:58,840 My husband stands behind me to one hundred percent. 258 00:19:59,000 --> 00:20:03,400 He does everything for me to get well. 259 00:20:03,560 --> 00:20:08,400 Why do you want to contact me? 260 00:20:08,560 --> 00:20:11,560 What do you hope I can do? 261 00:20:11,720 --> 00:20:17,360 I hope you can give me a bypass surgery- 262 00:20:17,520 --> 00:20:20,920 -which I've been wanting to get my whole adult life. 263 00:20:21,080 --> 00:20:26,560 I want to lose weight and get healthy and be here for my family. 264 00:20:26,720 --> 00:20:30,840 You want one weight loss surgery? 265 00:20:31,000 --> 00:20:37,640 An operation will not solve your problems in the long term. 266 00:20:37,800 --> 00:20:40,680 I do whatever it takes. 267 00:20:40,840 --> 00:20:46,520 Then you have to change your eating habits, can you handle it? 268 00:20:46,680 --> 00:20:48,800 I know I can do it. 269 00:20:48,960 --> 00:20:53,840 How hard are you willing to bet? to change your life? 270 00:20:54,000 --> 00:20:57,160 I am determined to do this- 271 00:20:57,320 --> 00:21:01,400 -and I am willing to do all that is required of me. 272 00:21:01,560 --> 00:21:03,800 My husband is also willing to bet. 273 00:21:03,960 --> 00:21:09,800 You have to show that you are willing to change your eating habits. 274 00:21:09,960 --> 00:21:15,040 I will send you information with instructions. 275 00:21:15,200 --> 00:21:18,360 The instructions are very simple. 276 00:21:18,520 --> 00:21:21,920 You should eat three times a day. No snacking. 277 00:21:22,080 --> 00:21:26,840 Limit your intake to 1,200 calories a day. 278 00:21:27,000 --> 00:21:31,120 Lots of protein, very little carbohydrates. 279 00:21:31,280 --> 00:21:36,040 If you do, you lose a lot very fast. 280 00:21:36,200 --> 00:21:41,000 If you eat 1,200 calories a day then you lose 45 kg in a month. 281 00:21:41,160 --> 00:21:45,120 You get two months to achieve that goal. 282 00:21:45,280 --> 00:21:47,000 Okay. 283 00:21:47,160 --> 00:21:49,920 Do you stick to the diet then you go down it. 284 00:21:50,080 --> 00:21:54,000 - Do you do any training? -Not directly. 285 00:21:54,160 --> 00:21:58,040 You get some exercises as I want you to do. 286 00:21:58,200 --> 00:22:04,720 Get up and walk twice a day to improve fitness. 287 00:22:04,880 --> 00:22:09,480 It is important that you do and lose weight 288 00:22:09,640 --> 00:22:11,280 - so you can come here. 289 00:22:11,440 --> 00:22:15,760 To travel here now in your condition becomes very difficult. 290 00:22:15,920 --> 00:22:18,800 You need to get in better shape. 291 00:22:18,960 --> 00:22:23,920 Then you have to understand that a weight surgery- 292 00:22:24,080 --> 00:22:28,840 -is just a tool to lose weight. 293 00:22:29,000 --> 00:22:34,960 Everything depends what you choose to do. 294 00:22:35,120 --> 00:22:40,160 It was nice talking to you. Call if you have questions. 295 00:22:40,320 --> 00:22:45,000 I will do that, and I will come as soon as I can. 296 00:22:45,160 --> 00:22:49,880 - Take care of yourself. -Thank you very much. 297 00:22:51,560 --> 00:22:55,400 It feels good, Dr. Now thinks that he can help me. 298 00:22:55,560 --> 00:23:00,000 He doesn't think it's too late, I am happy about that. 299 00:23:00,160 --> 00:23:04,040 When he sends the package should I follow the instructions. 300 00:23:04,200 --> 00:23:10,400 I want to show that I intend to do everything required to operate. 301 00:23:10,560 --> 00:23:15,400 It's my last chance before it's too late. 302 00:23:21,160 --> 00:23:24,840 SECOND MONTH 303 00:23:32,520 --> 00:23:38,400 Following Dr. Now's diet has been a big adjustment. 304 00:23:38,560 --> 00:23:41,320 But I adapt and do it. 305 00:23:41,480 --> 00:23:47,360 I didn't stop eating as usual just over one night. 306 00:23:47,520 --> 00:23:53,560 We first had to learn what worked in the diet. 307 00:23:55,160 --> 00:23:56,960 Can you make the bed, baby? 308 00:23:57,120 --> 00:24:02,960 We both did our best so that I will have the operation. 309 00:24:22,120 --> 00:24:24,160 Pull up my pants. 310 00:24:24,320 --> 00:24:29,240 It has been hard, but I have struggled. 311 00:24:29,400 --> 00:24:33,520 Some days are harder than others. 312 00:24:33,680 --> 00:24:36,920 But I'm happy with my progress. 313 00:24:44,920 --> 00:24:48,280 -Have you weighed mine? -Yes, that's right. 314 00:24:48,440 --> 00:24:55,000 The training is tough, because I am so hungry afterwards. 315 00:24:55,160 --> 00:24:58,520 Getting up and walking twice if the day is heavy. 316 00:24:58,680 --> 00:25:02,800 It's not that bad. You know I don't like eggs. 317 00:25:02,960 --> 00:25:07,240 - It could have been worse. - Nobody likes eggs. 318 00:25:07,400 --> 00:25:08,800 My exercises... 319 00:25:10,520 --> 00:25:14,200 It is difficult to move as long as I have to. 320 00:25:14,360 --> 00:25:19,240 I'm afraid to go outside in case I trip. 321 00:25:19,400 --> 00:25:22,080 I don't want anyone to see me. 322 00:25:22,240 --> 00:25:25,520 Especially not the neighbors who have heard of me. 323 00:25:25,680 --> 00:25:28,720 Kids who live nearby. 324 00:25:28,880 --> 00:25:32,800 So I do as much as I can indoors. 325 00:25:35,080 --> 00:25:37,360 The breakfast was not bad. 326 00:25:37,520 --> 00:25:42,960 Maybe we should try to add more vegetables. 327 00:25:43,120 --> 00:25:48,080 The eggs do it a little differently. 328 00:25:48,240 --> 00:25:49,920 Certainly. 329 00:25:51,400 --> 00:25:54,160 I... 330 00:25:54,320 --> 00:26:00,040 ...is not so saturated that I feel sick- 331 00:26:00,200 --> 00:26:03,760 -but I'm full enough. 332 00:26:03,920 --> 00:26:08,360 It's not much food, but I'm satisfied. 333 00:26:08,520 --> 00:26:12,000 I don't know... 334 00:26:12,160 --> 00:26:15,840 ...that I'm so full that I want to puke. 335 00:26:16,000 --> 00:26:22,680 But I'm full. I know I've ingested food. 336 00:26:22,840 --> 00:26:26,200 So it works. 337 00:26:26,360 --> 00:26:32,200 We ate almost only protein, and you get full from protein. 338 00:26:32,360 --> 00:26:34,440 That sounds good. 339 00:26:40,080 --> 00:26:42,840 Now you should get up and go. 340 00:26:44,360 --> 00:26:45,760 -I don't want to. -I know. 341 00:26:45,920 --> 00:26:49,680 But it has to be done. 342 00:26:49,840 --> 00:26:51,800 It must be out of the way. 343 00:26:53,640 --> 00:26:58,200 We'll take this one. Go ahead. 344 00:27:04,280 --> 00:27:08,720 I don't know what I weigh now, but I have to make sure- 345 00:27:08,880 --> 00:27:12,440 -to go down what Dr. Now said. 346 00:27:12,600 --> 00:27:15,760 So I work as hard as I can. 347 00:27:18,440 --> 00:27:20,800 Are you doing well? 348 00:27:24,600 --> 00:27:30,960 One hundred. Very good. 349 00:27:31,120 --> 00:27:36,120 I have no other option to have weight loss surgery. 350 00:27:38,960 --> 00:27:41,000 This is my only chance. 351 00:27:41,160 --> 00:27:44,840 Either I do it, or hope is lost. 352 00:27:54,280 --> 00:27:59,120 THIRD MONTH 353 00:28:03,280 --> 00:28:07,160 We'll try to get to Houston and meet Dr. Now. 354 00:28:07,320 --> 00:28:10,720 I am preparing for the trip. 355 00:28:10,880 --> 00:28:16,720 I have to carry so much just to survive. 356 00:28:16,880 --> 00:28:22,160 -Have you packed the CPAP machine? -Yes. 357 00:28:22,320 --> 00:28:24,920 Deodorant, shower cream- 358 00:28:25,080 --> 00:28:29,400 -clothes, washcloths, gloves, the laundry basket? 359 00:28:30,600 --> 00:28:33,280 Besides packing with everything- 360 00:28:33,440 --> 00:28:40,080 -I'm worried about catching me to the car and drive that far. 361 00:28:40,240 --> 00:28:43,000 But I do it to get help. 362 00:28:46,280 --> 00:28:51,360 The journey takes 17 hours. I hope that I can make it all the way. 363 00:28:53,160 --> 00:28:54,880 So. 364 00:28:55,880 --> 00:29:00,440 Following Dr. Now's diet has been a big adjustment. 365 00:29:00,600 --> 00:29:03,880 But I have adapted and do it. 366 00:29:04,040 --> 00:29:09,360 I hope that all my hard work pays dividends 367 00:29:09,520 --> 00:29:11,840 - so that I can take more. 368 00:29:12,000 --> 00:29:15,960 It won't be easy, but we get help along the way. 369 00:29:18,080 --> 00:29:23,000 Neighbors Drake and Sera, and my father, come with us. 370 00:29:24,320 --> 00:29:27,000 One, two, three. 371 00:29:28,920 --> 00:29:30,800 You can handle it. 372 00:29:31,960 --> 00:29:37,760 The first step is to take me outside the front door. 373 00:29:37,920 --> 00:29:41,360 My wheelchair won't fit in here. 374 00:29:41,520 --> 00:29:45,400 But if I don't make an effort then I won't get any help. 375 00:30:27,360 --> 00:30:30,360 The next step is to get into the car. 376 00:30:30,520 --> 00:30:33,400 It's been ten years since I sat in a car. 377 00:30:33,560 --> 00:30:37,880 The doors are not wide enough. 378 00:30:38,880 --> 00:30:45,840 Getting into one that's big enough is the only option. 379 00:30:46,000 --> 00:30:50,520 I don't know if it works, because I've never tried. 380 00:30:51,720 --> 00:30:55,440 Dad has rented a van, hopefully it works. 381 00:31:07,960 --> 00:31:10,440 DALE-SHANNO'S DAD 382 00:31:10,600 --> 00:31:13,120 You and the wheelchair are going in. 383 00:31:13,280 --> 00:31:18,280 Then you move around so that you sit there. 384 00:31:18,440 --> 00:31:24,040 Maybe we should get a sheet around me to help me in. 385 00:31:24,200 --> 00:31:28,000 Then we do so. 386 00:31:33,040 --> 00:31:37,720 - Then we get... -...turn her. 387 00:31:47,760 --> 00:31:49,800 Okay. 388 00:31:53,960 --> 00:31:55,520 Kinda yes. 389 00:31:55,680 --> 00:32:00,360 I don't know if it works, dad. Everyone must help. 390 00:32:01,680 --> 00:32:03,520 This is not good. 391 00:32:03,680 --> 00:32:07,600 I already need more help than dad and Simon can give me. 392 00:32:07,760 --> 00:32:12,320 I try not to get upset but I'm afraid. 393 00:32:12,480 --> 00:32:17,440 I'm starting to lose it. This could end badly. 394 00:32:17,600 --> 00:32:21,280 Thank goodness we have neighbors that can help. 395 00:32:36,840 --> 00:32:39,920 -Are you in? - I'm in. 396 00:32:41,120 --> 00:32:47,560 - Then we drive. Stand on the other side. -Yes. 397 00:32:50,880 --> 00:32:54,240 - Lean back. - It won't work anymore. 398 00:32:54,400 --> 00:32:55,800 Drag! 399 00:32:59,560 --> 00:33:01,840 -Like that. - Do you have her? 400 00:33:02,000 --> 00:33:04,440 Like that. 401 00:33:05,520 --> 00:33:08,600 - I'm trying to help. -Move the bag. 402 00:33:08,760 --> 00:33:10,080 Like that. 403 00:33:11,440 --> 00:33:14,080 Like that. 404 00:33:14,240 --> 00:33:18,720 It doesn't get any better than this. 405 00:33:20,120 --> 00:33:26,560 Dad has driven a truck, he can drive me straight to Houston. 406 00:33:26,720 --> 00:33:30,640 I'd rather ignore it, but I can't. 407 00:33:30,800 --> 00:33:35,720 I have to go. The visit to Dr. Now is the day after tomorrow. 408 00:33:35,880 --> 00:33:39,600 I hope it goes well and that we will get there quickly. 409 00:33:39,760 --> 00:33:41,840 I just want to get away. 410 00:33:42,000 --> 00:33:45,160 The faster we go the sooner it's over. 411 00:33:46,720 --> 00:33:48,240 Okay. 412 00:33:48,400 --> 00:33:51,240 It takes forever. 413 00:33:51,400 --> 00:33:55,200 - I'll be there soon. - Take care, old lady! 414 00:33:56,680 --> 00:33:59,480 -Finally. - We'll be there soon. 415 00:34:02,960 --> 00:34:07,440 - Now we're on our way, Shannon. - I'm scared. 416 00:34:08,680 --> 00:34:10,320 -No. -What is it? 417 00:34:10,480 --> 00:34:13,680 I'm collapsing. 418 00:34:13,840 --> 00:34:18,040 I need help getting up. 419 00:34:18,200 --> 00:34:20,200 After only an hour, Shannon is in pain. 420 00:34:20,360 --> 00:34:22,840 They stop to try to help her. 421 00:34:23,000 --> 00:34:29,120 There is a lump where I sit, it presses on the coccyx. 422 00:34:30,560 --> 00:34:33,800 Hang in there, my kid. 423 00:34:53,720 --> 00:34:56,040 Down there. 424 00:34:56,200 --> 00:34:57,800 Just drop it. 425 00:34:59,880 --> 00:35:02,920 I thought it would work, but it hurts too much. 426 00:35:03,080 --> 00:35:09,160 We'll try to roll you there and then back again. 427 00:35:10,200 --> 00:35:13,960 I see what she means. Do you see the bullet there? 428 00:35:14,120 --> 00:35:20,640 - Then we'll see. - We try so. 429 00:35:20,800 --> 00:35:25,800 -Is it better? -No. The pillows are wrong. 430 00:35:25,960 --> 00:35:29,680 Don't you see how I'm sitting? 431 00:35:29,840 --> 00:35:33,480 - It hurts so much. -Pull her forward again. 432 00:35:34,800 --> 00:35:36,960 Help her forward. 433 00:35:38,000 --> 00:35:39,800 Okay. 434 00:35:41,880 --> 00:35:43,640 How will it be? 435 00:35:43,800 --> 00:35:48,400 Test now. Otherwise I don't know what we are going to do. 436 00:35:52,720 --> 00:35:56,560 As you had it, Simon. 437 00:35:56,720 --> 00:35:59,880 I just tried make it more convenient for you. 438 00:36:00,040 --> 00:36:04,120 No, as you had it when we left. 439 00:36:04,280 --> 00:36:08,360 -Make it so. -Pull her forward again. 440 00:36:11,360 --> 00:36:17,160 - No, Simon! As you had it! -Oh my God. 441 00:36:17,320 --> 00:36:19,600 Damn it. 442 00:36:19,760 --> 00:36:24,040 As it was when we left. 443 00:36:24,200 --> 00:36:26,000 Put it back. 444 00:36:26,160 --> 00:36:30,480 You better behave yourself, Shannon. 445 00:36:32,200 --> 00:36:35,520 I'm in so much pain, I'm not kidding. 446 00:36:35,680 --> 00:36:38,240 -Up more behind the shoulder... - No. 447 00:36:38,400 --> 00:36:44,280 As you had it when we left was good. 448 00:36:44,440 --> 00:36:47,920 Exactly like that. 449 00:36:48,080 --> 00:36:51,600 I don't know if I can take it anymore. 450 00:36:53,000 --> 00:36:57,400 I'm trying to remember how we put them. 451 00:36:59,520 --> 00:37:04,640 We have 16 hours left and it's already a lot of work. 452 00:37:06,240 --> 00:37:09,880 Just go. There's nothing anyone can do- 453 00:37:10,040 --> 00:37:13,280 -to make it more convenient. 454 00:37:20,080 --> 00:37:22,680 I want to go home. 455 00:37:44,880 --> 00:37:49,120 Dad picks up the car so we can drive on. 456 00:37:50,120 --> 00:37:52,480 Are you ready? 457 00:37:52,640 --> 00:37:56,040 I'm ready when you're ready. 458 00:37:56,200 --> 00:38:01,920 We went yesterday, and the goal was to go straight to Houston. 459 00:38:02,080 --> 00:38:06,840 Dad would drive 17 hours in a row. 460 00:38:07,000 --> 00:38:08,640 It is ours. 461 00:38:10,200 --> 00:38:13,840 After four or five hours I couldn't take it anymore. 462 00:38:15,200 --> 00:38:19,960 I was in a lot of pain and I was hungry. 463 00:38:21,760 --> 00:38:25,000 We had to stay. 464 00:38:28,000 --> 00:38:31,200 I sat in the car for a long time before we left- 465 00:38:31,360 --> 00:38:35,520 - so I sat there for seven or eight hours. 466 00:38:35,680 --> 00:38:39,440 It was too much for me. 467 00:38:39,600 --> 00:38:41,440 Are you getting closer? 468 00:38:41,600 --> 00:38:46,480 I'm not getting any closer because I stand at an angle. 469 00:38:46,640 --> 00:38:50,480 We found a hotel so that I could rest. 470 00:38:50,640 --> 00:38:53,280 I feel a little better now. 471 00:38:56,720 --> 00:39:00,400 One and two, and one and two. 472 00:39:30,880 --> 00:39:34,880 I hope I can take more today than I did yesterday. 473 00:39:35,040 --> 00:39:38,760 We have 12-13 hours left to go. 474 00:39:38,920 --> 00:39:42,000 It's far. 475 00:39:42,160 --> 00:39:45,960 Now I know how hard it is- 476 00:39:46,120 --> 00:39:49,040 -so I'm better prepared today. 477 00:39:50,320 --> 00:39:52,840 It will be easier to harden out. 478 00:39:53,000 --> 00:39:59,000 It was so hard to get in in the car, without success at first. 479 00:39:59,160 --> 00:40:05,760 All the fears I have to show myself out among people... 480 00:40:05,920 --> 00:40:08,640 ...overwhelmed me. 481 00:40:08,800 --> 00:40:10,840 It was too much. 482 00:40:11,000 --> 00:40:12,640 Watch your fingers. 483 00:40:12,800 --> 00:40:16,040 Then the pain became unbearable. 484 00:40:16,200 --> 00:40:20,800 I got scared. I was approaching the pain threshold. 485 00:40:27,760 --> 00:40:34,160 Today I must endure, because we have to get to Houston. 486 00:40:34,320 --> 00:40:39,720 The visit with Dr. Now is tomorrow and I can't miss it. 487 00:40:45,000 --> 00:40:49,120 As much as it hurts, and no matter how i feel... 488 00:40:50,240 --> 00:40:53,040 ...then I have to push through it. 489 00:40:54,400 --> 00:40:59,800 -One, two... -One, two... 490 00:41:13,040 --> 00:41:16,800 We run on three. 491 00:41:16,960 --> 00:41:20,760 One, two, three. 492 00:41:21,760 --> 00:41:25,360 Further in. Like that. 493 00:41:25,520 --> 00:41:29,360 Again on three. 494 00:41:30,920 --> 00:41:32,360 Are you doing well? 495 00:41:32,520 --> 00:41:37,240 One, two, three. 496 00:41:37,400 --> 00:41:41,760 Go ahead, sow. Continue. 497 00:41:41,920 --> 00:41:46,120 Now you are in. 498 00:41:46,280 --> 00:41:50,440 - Will it be good? -As good as it gets. 499 00:41:50,600 --> 00:41:54,440 I hope that when it starts to hurt again... 500 00:41:57,160 --> 00:42:03,920 ...that I can endure without the body reaching its pain threshold. 501 00:42:04,080 --> 00:42:09,600 -Are you sitting comfortably? -As comfortable as it can be. 502 00:42:12,800 --> 00:42:17,000 Then so. 503 00:42:18,440 --> 00:42:24,840 I never made an effort so I don't know what I can handle. 504 00:42:27,320 --> 00:42:30,200 I don't want to find out. 505 00:42:30,360 --> 00:42:33,120 I hope I don't get away today. 506 00:42:40,640 --> 00:42:44,640 I want the chicken sandwich first. 507 00:42:46,080 --> 00:42:48,400 I think it's the one. 508 00:42:48,560 --> 00:42:50,200 I'm doing fine. 509 00:42:52,040 --> 00:42:56,200 I'm in pain, but it's bearable. 510 00:42:58,080 --> 00:43:04,080 I just needed to stop and eat and take a short break. 511 00:43:04,240 --> 00:43:08,080 I know we have a long way to go. 512 00:43:08,240 --> 00:43:12,800 There are at least eight hours left to Houston. 513 00:43:12,960 --> 00:43:16,480 So I'm trying to tough it out. 514 00:43:31,760 --> 00:43:33,200 Like that. 515 00:43:48,800 --> 00:43:54,800 I'm in a lot of pain now, and it's getting unbearable. 516 00:43:59,000 --> 00:44:02,720 I'm toughing it out as best I can. 517 00:44:06,560 --> 00:44:09,880 But I probably can't handle it for a long time. 518 00:44:10,040 --> 00:44:13,720 We have two hours left to drive. 519 00:44:17,960 --> 00:44:24,120 I am worried. I have to go there cost whatever it takes. 520 00:44:24,280 --> 00:44:26,840 If I miss my visiting time- 521 00:44:27,000 --> 00:44:30,840 -then I'm afraid all is lost. 522 00:44:35,880 --> 00:44:39,960 TWO HOURS LATER 523 00:44:40,120 --> 00:44:42,320 THERE IS HALF AN HOUR LEFT TO HOUSTON 524 00:44:42,480 --> 00:44:45,760 BUT THE PAIN IS MORE THAN SHANNON CAN BEAR 525 00:44:45,920 --> 00:44:48,560 THEY CALLED DR NOW TO GET ADVICE. 526 00:44:48,720 --> 00:44:51,520 HE ASKED THEM TO DRIVE SHANNON TO THE HOSPITAL. 527 00:44:55,560 --> 00:44:58,360 We are waiting for Shannon to arrive. 528 00:44:58,520 --> 00:45:01,800 We admit her and take samples. 529 00:45:01,960 --> 00:45:08,120 We have to check that it doesn't work about a life-threatening condition. 530 00:45:08,280 --> 00:45:14,160 When I talked to her she looked to weigh closer to 320 kg. 531 00:45:14,320 --> 00:45:17,840 If she hasn't lost weight as she would- 532 00:45:18,000 --> 00:45:21,200 -and improved his fitness before she went here- 533 00:45:21,360 --> 00:45:27,280 - then the journey may have strained the body to the breaking point. 534 00:45:27,440 --> 00:45:30,840 Her father described how she is now. 535 00:45:31,000 --> 00:45:35,320 It's important to get her in and quickly assess- 536 00:45:35,480 --> 00:45:42,120 -if there is any ailment we must fix it before it gets even worse. 537 00:45:42,280 --> 00:45:47,800 Then we can't do anything for her and she may not survive. 538 00:45:51,640 --> 00:45:55,200 On three. One, two, three. 539 00:45:57,840 --> 00:46:00,400 Good work. 540 00:46:01,800 --> 00:46:06,200 We put in Shannon and will take samples to see- 541 00:46:06,360 --> 00:46:11,520 - if she suffers from something life-threatening. 542 00:46:11,680 --> 00:46:17,080 I can see she hasn't some progress since we spoke. 543 00:46:17,240 --> 00:46:20,680 -Are you doing well? - No, I'm in so much pain. 544 00:46:20,840 --> 00:46:25,160 She weighs almost 335 kg. 545 00:46:25,320 --> 00:46:30,400 Whatever she weighed a month ago so she weighs the same or more now. 546 00:46:30,560 --> 00:46:33,960 It is stressful for the body- 547 00:46:34,120 --> 00:46:38,080 -and she may have been affected of something life-threatening. 548 00:46:38,240 --> 00:46:41,480 Since she is so sedentary- 549 00:46:41,640 --> 00:46:46,080 -she may have had a blood clot in one leg. 550 00:46:46,240 --> 00:46:50,040 A larger movement can upset it- 551 00:46:50,200 --> 00:46:54,040 - so that it travels in the blood to the lungs. 552 00:46:54,200 --> 00:47:00,320 It can lead to pulmonary embolism which can lead to death. 553 00:47:00,480 --> 00:47:02,040 I am very worried. 554 00:47:02,200 --> 00:47:08,240 Her body is near the limit, or it is already there. 555 00:47:08,400 --> 00:47:13,400 Then she will be much worse very fast. 556 00:47:23,600 --> 00:47:29,120 - How are you, Shannon? - I have been feeling better. 557 00:47:29,280 --> 00:47:33,360 - I'm in a lot of pain. - You should get something for the pain. 558 00:47:33,520 --> 00:47:38,560 We'll check that you haven't blood clots in the legs. 559 00:47:38,720 --> 00:47:41,280 You will receive blood thinners. 560 00:47:41,440 --> 00:47:46,480 Right now you weigh... 561 00:47:46,640 --> 00:47:49,600 ...335 kg. 562 00:47:56,560 --> 00:47:58,400 I knew that. 563 00:48:00,360 --> 00:48:04,840 Last we spoke you got a diet plan and exercises. 564 00:48:05,000 --> 00:48:08,720 You would lose 45 kg before you came here. 565 00:48:08,880 --> 00:48:11,840 You obviously haven't changed something. 566 00:48:12,000 --> 00:48:15,360 -How does it happen? -I don't know. 567 00:48:15,520 --> 00:48:19,560 What is the problem? You eat too much. 568 00:48:19,720 --> 00:48:24,560 Did you ask your husband for food or did he just come up with it? 569 00:48:24,720 --> 00:48:28,080 Both and. 570 00:48:28,240 --> 00:48:32,760 Most of the time I nag him until I get what I want. 571 00:48:34,080 --> 00:48:36,520 He gives way and gives me. 572 00:48:36,680 --> 00:48:43,000 -How should we change that dynamic? - I have to change it. 573 00:48:44,640 --> 00:48:48,320 I don't know how, but i will do it. I have to. 574 00:48:50,200 --> 00:48:51,840 You said that two months ago. 575 00:48:52,000 --> 00:48:55,240 You don't have time for this. 576 00:48:55,400 --> 00:48:59,560 Your body can't handle the weight for a long time. 577 00:48:59,720 --> 00:49:03,960 If something happens to you then you won't survive. 578 00:49:04,120 --> 00:49:05,840 I'm afraid of that. 579 00:49:06,000 --> 00:49:11,840 Take it seriously, then. Lose weight before it goes that far. 580 00:49:12,000 --> 00:49:14,040 I know. 581 00:49:14,200 --> 00:49:18,560 I'll do some quick research on you. 582 00:49:21,960 --> 00:49:26,640 The mass you have here and on the back of your legs- 583 00:49:26,800 --> 00:49:30,560 -is where the body stores any excess fat. 584 00:49:30,720 --> 00:49:36,440 The skin in the folds becomes sore of the friction. 585 00:49:36,600 --> 00:49:42,560 We have to look at that, because it looks like it like it's getting infected. 586 00:49:42,720 --> 00:49:46,360 I'll look at the other side. 587 00:49:53,360 --> 00:49:58,960 It looks the same here, and here is also a lot of fat. 588 00:50:01,440 --> 00:50:05,120 You have large fat deposits on the upper arms. 589 00:50:07,360 --> 00:50:13,000 You've gained so much, your body have nowhere to do everything. 590 00:50:13,160 --> 00:50:17,760 You need to lose weight and change your diet. 591 00:50:17,920 --> 00:50:21,920 I will. I will do whatever it takes. 592 00:50:22,080 --> 00:50:25,200 Why haven't you done it? so far? 593 00:50:25,360 --> 00:50:32,080 What is the difference today, towards when you said that last time? 594 00:50:33,280 --> 00:50:37,760 I have too much to live for. 595 00:50:37,920 --> 00:50:43,400 My nephew is six years old, I want to be there for him. 596 00:50:45,680 --> 00:50:49,200 But I also do it for my own sake. 597 00:50:49,360 --> 00:50:53,640 To save your life is more important than food. 598 00:50:53,800 --> 00:50:56,000 Yes, I agree. 599 00:50:56,160 --> 00:51:03,120 It is a difficult situation, you need to lose weight fast. 600 00:51:03,280 --> 00:51:10,120 You have to do exercises and improve your fitness. 601 00:51:10,280 --> 00:51:14,840 See you soon. Let me know if you need anything. 602 00:51:15,000 --> 00:51:16,800 Thanks. 603 00:51:20,480 --> 00:51:23,560 When we have her here at the hospital- 604 00:51:23,720 --> 00:51:26,920 -should we lose her weight and improve her fitness 605 00:51:27,080 --> 00:51:32,400 -before she can go home. But she's really bad there. 606 00:51:32,560 --> 00:51:37,840 Now we have to prioritize taking care of other problems 607 00:51:38,000 --> 00:51:41,120 -so that her body doesn't give up. 608 00:51:41,280 --> 00:51:43,800 If she were to get worse- 609 00:51:43,960 --> 00:51:48,160 -then it's not safe that we can save her. 610 00:51:48,320 --> 00:51:52,400 We have to turn this around- 611 00:51:52,560 --> 00:51:57,600 -before something happens which she does not survive. 612 00:52:01,160 --> 00:52:04,760 THE NEXT DAY 613 00:52:04,920 --> 00:52:07,920 SIMON - SHANNON'S HUSBAND 614 00:52:08,080 --> 00:52:13,160 The test results showed some problems we have to deal with- 615 00:52:13,320 --> 00:52:18,240 -to prevent them from getting worse and the strain becomes more- 616 00:52:18,400 --> 00:52:20,720 -than she can handle. 617 00:52:20,880 --> 00:52:24,280 She has kidney problems, respiratory distress 618 00:52:24,440 --> 00:52:28,560 -and heart problems which we can treat with medicine. 619 00:52:28,720 --> 00:52:31,120 It may take us a few weeks. 620 00:52:31,280 --> 00:52:37,120 Fortunately, nothing is life-threatening except for her weight. 621 00:52:37,280 --> 00:52:42,840 But Shannon's health is lousy, she is in really bad shape. 622 00:52:43,000 --> 00:52:49,600 We keep her here and treat what we can. 623 00:52:49,760 --> 00:52:53,600 She is discharged when it's safe for her- 624 00:52:53,760 --> 00:52:59,840 -and she's in better shape to make it through the journey home. 625 00:53:05,480 --> 00:53:07,640 Hi, Shannon. 626 00:53:07,800 --> 00:53:09,800 Hello, Dr. Now. 627 00:53:09,960 --> 00:53:12,160 -How are you? -Okay. 628 00:53:12,320 --> 00:53:18,000 The test results show many different health problems. 629 00:53:18,160 --> 00:53:24,120 We'll keep you here until it is safe for you to go home again. 630 00:53:24,280 --> 00:53:26,320 The weight is the biggest problem. 631 00:53:26,480 --> 00:53:30,360 Weighing over 320 kg- 632 00:53:30,520 --> 00:53:33,800 -is to risk life daily. 633 00:53:33,960 --> 00:53:37,960 Every day means a bigger one strain on your body- 634 00:53:38,120 --> 00:53:41,960 -and one day it gives up. Then you won't survive. 635 00:53:42,120 --> 00:53:45,880 We need to improve your health- 636 00:53:46,040 --> 00:53:51,560 -before your body gives up and you die. 637 00:53:51,720 --> 00:53:57,240 You have to start going down as much as possible in weight- 638 00:53:57,400 --> 00:53:59,640 -and we will help you. 639 00:53:59,800 --> 00:54:05,440 But you have to go on yourself if you want to live a little longer. 640 00:54:05,600 --> 00:54:10,400 You need to change your eating habits. That also applies to Simon. 641 00:54:10,560 --> 00:54:12,560 You do not collect your own food. 642 00:54:12,720 --> 00:54:17,320 You have to change the dynamic in your relationship- 643 00:54:17,480 --> 00:54:22,000 - and check what you have at home so you can lose weight- 644 00:54:22,160 --> 00:54:26,160 -and get out of this state. 645 00:54:26,320 --> 00:54:29,560 Just meat and vegetables from now on. 646 00:54:29,720 --> 00:54:31,840 He gets to show some stake. 647 00:54:32,000 --> 00:54:38,280 Can you handle denying her when she wants something? 648 00:54:38,440 --> 00:54:40,560 I have to work on it. 649 00:54:40,720 --> 00:54:45,040 Then you both work on it. 650 00:54:45,200 --> 00:54:48,480 In two months you should lose 68 kg. 651 00:54:48,640 --> 00:54:51,640 It is important that you do. 652 00:54:51,800 --> 00:54:54,880 Then you will weigh closer to 226 kg. 653 00:54:55,040 --> 00:54:58,880 It doesn't just get easier to get you here. 654 00:54:59,040 --> 00:55:02,280 There will also be less strain on your body. 655 00:55:02,440 --> 00:55:06,160 You have to do it before you come here again. 656 00:55:06,320 --> 00:55:08,880 You get two months. 657 00:55:09,040 --> 00:55:15,800 But you won't make it to go back and forth all the time. 658 00:55:15,960 --> 00:55:21,480 You have to move here to Houston if you want to follow this program. 659 00:55:21,640 --> 00:55:26,960 It's something you need to do as soon as possible. 660 00:55:27,120 --> 00:55:30,480 You can't hold on to go back and forth. 661 00:55:30,640 --> 00:55:33,160 Lose weight first and foremost. 662 00:55:33,320 --> 00:55:36,680 Follow the diet carefully- 663 00:55:36,840 --> 00:55:40,600 -so that you go down quickly as much as possible. 664 00:55:40,760 --> 00:55:44,560 That is absolutely the most important thing. 665 00:55:44,720 --> 00:55:47,160 -Okay. -Questions? 666 00:55:47,320 --> 00:55:53,040 When I have managed to lose 68 kg- 667 00:55:53,200 --> 00:55:56,040 -can we move here. 668 00:55:56,200 --> 00:56:02,320 We improve your weight and your health as fast as we can. 669 00:56:02,480 --> 00:56:05,280 Then we'll see when you can go home. 670 00:56:05,440 --> 00:56:11,120 Work on the exercises then we will take care of you. 671 00:56:11,280 --> 00:56:12,920 Thank you very much. 672 00:56:13,080 --> 00:56:16,600 Do you have any questions? 673 00:56:16,760 --> 00:56:21,120 No, it's pretty obvious what i have to do. 674 00:56:21,280 --> 00:56:26,680 -You can't let me cheat. -I know. 675 00:56:26,840 --> 00:56:32,880 I get the feeling he gives you more food than you ask for. 676 00:56:33,040 --> 00:56:37,480 - Is that right? - It has happened, unfortunately. 677 00:56:37,640 --> 00:56:43,120 You are an enabler. You have to stop it. 678 00:56:43,280 --> 00:56:48,240 When you give it to her she feels compelled to eat it. 679 00:56:48,400 --> 00:56:53,240 You hurt her, you help to kill her. 680 00:56:53,400 --> 00:56:56,200 -I know. - It's not good. 681 00:56:57,520 --> 00:56:59,840 -Okay? -Okay. 682 00:57:00,000 --> 00:57:03,960 Call if you need anything. 683 00:57:04,120 --> 00:57:08,240 - We'll see how you feel tomorrow. - Thank you, doctor. 684 00:57:08,400 --> 00:57:10,960 - See you later. - See you. 685 00:57:13,600 --> 00:57:15,080 He seems nice. 686 00:57:17,040 --> 00:57:19,640 He's not that scary. 687 00:57:19,800 --> 00:57:24,920 Hopefully she takes it more seriously now than she has done. 688 00:57:25,080 --> 00:57:28,160 She doesn't live long to- 689 00:57:28,320 --> 00:57:31,840 -if she doesn't lose weight quickly. 690 00:57:32,000 --> 00:57:35,200 We will do what we can to make her healthier. 691 00:57:35,360 --> 00:57:42,000 But she has to make the right choice herself if she wants to improve her situation. 692 00:57:42,160 --> 00:57:44,480 It won't be easy. 693 00:57:44,640 --> 00:57:50,880 Especially not as it is with the husband, and how he fattens her. 694 00:57:51,040 --> 00:57:57,560 As it is now her body soon reaches breaking point. 695 00:57:57,720 --> 00:58:01,480 She needs to take this seriously. 696 00:58:16,960 --> 00:58:18,600 I feel better now. 697 00:58:18,760 --> 00:58:24,600 Dr. Now says I'm making progress so I hope to go home today. 698 00:58:26,520 --> 00:58:32,000 I look forward to that, I didn't have meant to be gone this long. 699 00:58:33,440 --> 00:58:35,680 DR NOWZARADAN -BARIATRICIAN 700 00:58:35,840 --> 00:58:40,000 Shannon has been hospitalized for almost two weeks. 701 00:58:40,160 --> 00:58:46,640 We have treated those ailments which could have become life-threatening. 702 00:58:46,800 --> 00:58:52,880 Now she is in such good condition that she can go home again. 703 00:58:53,040 --> 00:58:57,480 We've got her down almost 32 kg- 704 00:58:57,640 --> 00:59:01,600 -by giving her a diet of 1,200 calories a day. 705 00:59:01,760 --> 00:59:05,400 Her health is going in the right direction. 706 00:59:05,560 --> 00:59:09,720 The question now is whether she'll pull it off- 707 00:59:09,880 --> 00:59:12,520 -and continues to lose weight. 708 00:59:12,680 --> 00:59:16,720 Or if she falls into old habits- 709 00:59:16,880 --> 00:59:19,800 - so that all this is undone. 710 00:59:24,080 --> 00:59:27,040 - Hi, Shannon. -Hello, Dr. Now. 711 00:59:27,200 --> 00:59:29,880 -How are you? - Absolutely fine. 712 00:59:30,040 --> 00:59:33,680 -Are you ready to go home? -Yes. 713 00:59:33,840 --> 00:59:37,360 You feel much better now… 714 00:59:37,520 --> 00:59:40,880 -...so I'm writing you out today. -That sounds good. 715 00:59:41,040 --> 00:59:44,400 How it goes now is up to you. 716 00:59:44,560 --> 00:59:50,440 You can continue in the right direction, or you gain weight again. 717 00:59:50,600 --> 00:59:57,280 Are you gaining weight now? then you play with life as a bet. 718 00:59:57,440 --> 01:00:02,480 Stay on track and consider moving to Houston. 719 01:00:02,640 --> 01:00:05,160 It is too difficult for you to travel. 720 01:00:05,320 --> 01:00:11,400 I want you to lose 68 kg in two months, that's your goal. 721 01:00:11,560 --> 01:00:15,080 Two months from today. 722 01:00:15,240 --> 01:00:19,640 It will be easier to travel here if you do. 723 01:00:19,800 --> 01:00:25,000 I'll be in touch then if I haven't heard from you. 724 01:00:25,160 --> 01:00:30,520 Now you get to go home, you will get help right away in here. 725 01:00:30,680 --> 01:00:36,000 The weight is coming down now and you are in much better shape. 726 01:00:36,160 --> 01:00:40,960 Continue like this now. Call if you need anything. 727 01:00:41,120 --> 01:00:44,800 - See you soon then. - See you. 728 01:00:49,920 --> 01:00:54,440 I hope Shannon sees what she can accomplish- 729 01:00:54,600 --> 01:00:59,640 -from what we have done here in a very short time. 730 01:00:59,800 --> 01:01:05,360 That she is motivated to continue in the right direction. 731 01:01:05,520 --> 01:01:08,520 If she sticks to the diet- 732 01:01:08,680 --> 01:01:13,200 -she can easily lose 90 kg in two months- 733 01:01:13,360 --> 01:01:15,920 -and reach well above the target. 734 01:01:16,080 --> 01:01:20,600 It just happens if she is involved in change. 735 01:01:20,760 --> 01:01:25,760 She has to work on to change their eating habits- 736 01:01:25,920 --> 01:01:28,480 -and also change the dynamic in their relationship. 737 01:01:28,640 --> 01:01:32,120 It won't be easy. Especially not if the husband- 738 01:01:32,280 --> 01:01:36,440 -inte är så villig att hjälpa henne as he claims. 739 01:01:36,600 --> 01:01:42,800 Men om hon menar allvar och visar att hon vill ändra sin livsstil- 740 01:01:42,960 --> 01:01:49,000 -så kan vi överväga en operation, om hon flyttar till Houston. 741 01:01:49,160 --> 01:01:54,800 Det kommer att kräva mycket av henne för att nå dit. 742 01:01:58,920 --> 01:02:02,600 A WEEK LATER 743 01:02:07,680 --> 01:02:09,880 Vi har varit hemma några dagar. 744 01:02:10,040 --> 01:02:15,880 Vi sov en natt i Houston när jag blev utskriven, så att jag kunde vila. 745 01:02:16,040 --> 01:02:21,840 Nu känns det skönt att vara hemma och tillbaka i min egen säng. 746 01:02:22,000 --> 01:02:27,360 Den här gången gör vi allt rätt for it to succeed. 747 01:02:27,520 --> 01:02:30,280 Can you give me the cap, Simon? 748 01:02:30,440 --> 01:02:35,680 I thought I was good the first two months. 749 01:02:35,840 --> 01:02:39,800 But I ate way too big portions. 750 01:02:40,880 --> 01:02:45,840 I ate healthier, but had no idea of the quantity. 751 01:02:46,000 --> 01:02:51,160 I ate too much to be full, although the food was healthier. 752 01:02:53,200 --> 01:02:56,840 Now I just eat what I want. 753 01:02:57,000 --> 01:03:00,200 I stop eating, no matter how hungry I am. 754 01:03:02,360 --> 01:03:04,200 I only eat that portion. 755 01:03:04,360 --> 01:03:09,360 And I only eat for 20 minutes, as stated in the instructions. 756 01:03:12,120 --> 01:03:15,360 Not one bite more, even if I'm starving. 757 01:03:15,520 --> 01:03:17,960 It has to go better this time. 758 01:03:18,120 --> 01:03:23,600 I need to lose 68 kg, whatever happens. 759 01:03:24,800 --> 01:03:29,280 So we both struggle to achieve that goal. 760 01:03:29,440 --> 01:03:33,520 I'm thinking of moving to Houston in two months- 761 01:03:33,680 --> 01:03:39,320 -to show Dr. Now that I succeeded and that I mean it. 762 01:03:39,480 --> 01:03:42,960 Can I have a glass of water, Simon? 763 01:03:43,120 --> 01:03:46,000 And that I'm ready for the operation. 764 01:03:55,400 --> 01:03:58,720 ELEVENTH MONTH 765 01:03:58,880 --> 01:04:03,160 IT HAS BEEN SEVEN MONTHS LATE SHANNON'S LAST VISIT. 766 01:04:03,320 --> 01:04:07,640 DUE TO COVID-19 DON'T GET A TRIP ANYWHERE. 767 01:04:07,800 --> 01:04:11,520 SHE HAS NOT BEEN ABLE TO VISIT DR NOWZARADAN. 768 01:04:19,680 --> 01:04:24,880 Shannon is here again, but that took longer than expected. 769 01:04:25,040 --> 01:04:27,320 That's not a good sign- 770 01:04:27,480 --> 01:04:31,600 -as it indicates that she has not made some major progress. 771 01:04:31,760 --> 01:04:35,200 The nurse saw her in the waiting room- 772 01:04:35,360 --> 01:04:38,160 -and don't think she'll fit on the scales. 773 01:04:38,320 --> 01:04:44,760 She must stand in one with bars, but she can't fit in it. 774 01:04:44,920 --> 01:04:51,520 If she doesn't fit in it, so be it she hasn't gone down what she thinks- 775 01:04:51,680 --> 01:04:57,640 - but probably went up what she went down when she was here. It's not good. 776 01:05:04,920 --> 01:05:07,800 -Hello to you! -Hello, doctor. 777 01:05:07,960 --> 01:05:11,200 - How are you, Shannon? - It's going well. 778 01:05:11,360 --> 01:05:17,160 It took you a long time to come here again. 779 01:05:17,320 --> 01:05:20,600 -Yes. - I'm glad you're doing well. 780 01:05:20,760 --> 01:05:25,280 But this excess weight is stressful for your body. 781 01:05:25,440 --> 01:05:28,920 You don't look like you lost anything. 782 01:05:29,080 --> 01:05:32,200 You probably even have gained weight 783 01:05:32,360 --> 01:05:35,720 -and weighs over 320 kg again. 784 01:05:35,880 --> 01:05:40,960 The nurse doesn't believe it that you get a place on the scale. 785 01:05:41,120 --> 01:05:43,360 It's a problem. 786 01:05:43,520 --> 01:05:46,280 Why haven't you gotten anywhere? 787 01:05:46,440 --> 01:05:50,840 I'm trying. I follow the diet. 788 01:05:51,000 --> 01:05:54,160 I thought I did. 789 01:05:54,320 --> 01:06:01,240 I have tried following the diet. It is difficult because of covid. 790 01:06:01,400 --> 01:06:05,400 I haven't been able to eat so healthy as I should. 791 01:06:05,560 --> 01:06:10,360 Why did you go here then, and exposed the body for that strain? 792 01:06:10,520 --> 01:06:14,920 I thought I had gone down, I had to go here. 793 01:06:15,080 --> 01:06:20,480 - I want to move on. -It only works if you lose weight. 794 01:06:20,640 --> 01:06:24,640 You haven't done that and we cannot weigh you. 795 01:06:24,800 --> 01:06:27,240 I think you weigh over 320kg. 796 01:06:27,400 --> 01:06:33,720 We enter a room and then we can talk about this. 797 01:06:44,640 --> 01:06:48,960 I need... We need help. 798 01:06:49,120 --> 01:06:53,080 Drake, can you help Simon? 799 01:06:54,720 --> 01:06:58,600 JAMES "DRAKE" AND SERA SHANNON'S NEIGHBORS 800 01:07:02,080 --> 01:07:04,960 I'm back in Houston. 801 01:07:05,120 --> 01:07:09,240 It has been a long time coming because of everything that has happened. 802 01:07:09,400 --> 01:07:13,800 One, two, three. 803 01:07:13,960 --> 01:07:20,480 I was afraid I would lose the chance to get help from Dr. Now. 804 01:07:20,640 --> 01:07:26,960 As soon as I was allowed, I said that I wanted to come here again- 805 01:07:27,120 --> 01:07:29,760 -and show off my progress. 806 01:07:33,440 --> 01:07:37,240 It has been difficult, but i have tried. 807 01:07:37,400 --> 01:07:41,960 It was easier to go here this time. 808 01:07:43,400 --> 01:07:45,680 It indicates that things are going well. 809 01:07:45,840 --> 01:07:51,400 It's going in the right direction and getting better, as Dr. Now told me. 810 01:07:51,560 --> 01:07:56,760 Maybe not as much as desired, but enough to show Dr Now- 811 01:07:56,920 --> 01:08:00,320 - that I really want this operation. 812 01:08:00,480 --> 01:08:02,920 Don't hurt yourself. 813 01:08:03,080 --> 01:08:06,600 My fitness is better. 814 01:08:06,760 --> 01:08:10,240 I'm just a little tired after the trip. 815 01:08:13,080 --> 01:08:16,160 I don't want to that Dr. Now sees me out of breath- 816 01:08:16,320 --> 01:08:19,880 -and think it depends on that I haven't gotten better. 817 01:08:21,040 --> 01:08:23,800 Because that's what I've become. 818 01:08:25,000 --> 01:08:28,600 I have never given up. 819 01:08:28,760 --> 01:08:32,360 I really need his help. 820 01:08:39,440 --> 01:08:42,200 It probably rides a bit... 821 01:08:44,240 --> 01:08:48,200 I hope I have done enough progress... 822 01:08:49,360 --> 01:08:51,960 ...and that Dr. Now sees what i need. 823 01:08:53,960 --> 01:08:56,680 So that I can move on. 824 01:08:59,480 --> 01:09:03,040 We will take some samples before you leave. 825 01:09:03,200 --> 01:09:08,040 If you want this then you have to stay on track. 826 01:09:08,200 --> 01:09:12,360 Time is running out for you soon. 827 01:09:12,520 --> 01:09:16,880 It has been so stressful, all this with covid. 828 01:09:17,040 --> 01:09:18,800 I thought it went well. 829 01:09:18,960 --> 01:09:24,320 I understand that it's hard, but it is a matter of life and death. 830 01:09:24,480 --> 01:09:28,320 You can't afford it to waste more time. 831 01:09:28,480 --> 01:09:31,480 Are you even trying? What habits have you changed? 832 01:09:31,640 --> 01:09:35,760 I will only eat three times a day, no snacking. 833 01:09:35,920 --> 01:09:42,880 I will not provoke Simon to give me things I shouldn't eat. 834 01:09:43,040 --> 01:09:45,760 How do you help her, Simon? 835 01:09:45,920 --> 01:09:50,280 I have stopped giving her too much food. 836 01:09:50,440 --> 01:09:55,440 I do everything I can, I have to succeed this time. 837 01:09:55,600 --> 01:10:01,880 Obviously you feed her and you kill her. 838 01:10:02,040 --> 01:10:05,720 I'll stop it. 839 01:10:05,880 --> 01:10:10,640 Be a spouse instead of a caregiver. It's a good change. 840 01:10:10,800 --> 01:10:16,840 I don't want you to come here again if you haven't lost weight. 841 01:10:17,000 --> 01:10:18,840 Okay. 842 01:10:19,000 --> 01:10:23,240 You get the same goal again, 68 kg in two months. 843 01:10:23,400 --> 01:10:29,240 If you reach the goal, you can come here, then we'll talk about the next step. 844 01:10:29,400 --> 01:10:33,400 If we move on then you have to move here. 845 01:10:33,560 --> 01:10:40,360 An operation is out of the question until you have lost weight. 846 01:10:40,520 --> 01:10:42,400 We understand. 847 01:10:42,560 --> 01:10:48,160 You must bring the instructions with you again. Read it through every night. 848 01:10:48,320 --> 01:10:50,400 Simon gets a copy. 849 01:10:50,560 --> 01:10:56,040 -Dad gets one too. -Thanks. 850 01:10:56,200 --> 01:10:59,520 Read this instead of sleeping or watch TV. 851 01:10:59,680 --> 01:11:02,280 I will do that. 852 01:11:02,440 --> 01:11:08,440 We will take some samples before you leave and see that everything else looks good. 853 01:11:08,600 --> 01:11:11,200 I'll be right back. 854 01:11:18,840 --> 01:11:23,480 It disappoints me that Shannon wasted the time she had. 855 01:11:23,640 --> 01:11:26,560 Instead of losing weight- 856 01:11:26,720 --> 01:11:29,920 -has she gone up everything she went down here at the hospital. 857 01:11:30,080 --> 01:11:33,440 I understand that it is a stressful time. 858 01:11:33,600 --> 01:11:37,680 But she had six months left to make progress. 859 01:11:37,840 --> 01:11:41,520 Instead she did what she has done all these years. 860 01:11:41,680 --> 01:11:45,000 She has to make up her mind if she wants to save her life- 861 01:11:45,160 --> 01:11:50,720 -or if she should continue blame the circumstances. 862 01:11:50,880 --> 01:11:56,560 Her husband must choose whether he will help her make the changes- 863 01:11:56,720 --> 01:12:01,720 -or help her kill herself. Shannon has no time left now. 864 01:12:01,880 --> 01:12:06,760 Every day that goes by without her making any progress- 865 01:12:06,920 --> 01:12:11,800 -is one less day she wears to change their situation. 866 01:12:14,400 --> 01:12:19,080 I am terribly disappointed, and I'm ashamed. 867 01:12:19,240 --> 01:12:22,640 But I'm not going to give up. 868 01:12:22,800 --> 01:12:26,880 I'm going to keep fighting- 869 01:12:27,040 --> 01:12:30,080 -until it's right, or until time runs out. 870 01:12:31,720 --> 01:12:36,400 I know you can handle this, Shannon. 871 01:12:36,560 --> 01:12:38,000 I will. 872 01:12:49,080 --> 01:12:52,240 THE TWELFTH MONTH 873 01:13:02,760 --> 01:13:09,600 I am very focused on doing the progress I should have made. 874 01:13:09,760 --> 01:13:16,200 I'm fighting harder than ever. I follow the diet. I do everything- 875 01:13:16,360 --> 01:13:20,400 - to get better and be able to do more exercises. 876 01:13:20,560 --> 01:13:22,880 Like that. 877 01:13:31,720 --> 01:13:36,160 To go out among people means a big risk to me. 878 01:13:36,320 --> 01:13:40,680 Especially when I go out by myself. 879 01:13:40,840 --> 01:13:43,920 I have never managed myself. 880 01:13:44,080 --> 01:13:46,680 Neither my husband nor I drive a car. 881 01:13:46,840 --> 01:13:49,720 So I ride the chair to the gym. 882 01:13:52,680 --> 01:13:58,160 - See you later! - See you in a while! 883 01:14:06,400 --> 01:14:12,560 A lot can go wrong when I am out like this in my wheelchair. 884 01:14:12,720 --> 01:14:19,400 It's long, and it's scary to go alone. But it's worth it. 885 01:14:19,560 --> 01:14:25,480 I am willing to take the risk to make more progress. 886 01:14:25,640 --> 01:14:29,800 It feels important to me to work out at the gym. 887 01:14:29,960 --> 01:14:32,960 So I want to test to do this yourself. 888 01:14:33,120 --> 01:14:37,360 Hopefully it goes well and does not become overpowering. 889 01:14:38,360 --> 01:14:41,120 -Hey, Shannon! How are you? -Good. 890 01:14:41,280 --> 01:14:44,960 -Ready to work? - Yep. 891 01:14:45,120 --> 01:14:46,880 Take the right and I'll take the left. 892 01:14:48,760 --> 01:14:50,480 We're going here away. 893 01:14:50,640 --> 01:14:53,840 Okay. Then we drive. 894 01:14:54,960 --> 01:15:00,000 We warm up the arms first. We start like this. 895 01:15:01,080 --> 01:15:04,120 Now we make some like this. 896 01:15:04,280 --> 01:15:06,840 Deep breath. Are you doing well? 897 01:15:07,840 --> 01:15:09,520 -Are you getting hot? -Yes. 898 01:15:09,680 --> 01:15:16,200 We test them here. Lift over the shoulders. 899 01:15:16,360 --> 01:15:19,360 -Satan. - Yes. 900 01:15:21,600 --> 01:15:23,960 Yes. 901 01:15:24,120 --> 01:15:26,680 Two. Good. 902 01:15:26,840 --> 01:15:31,800 Exercising with a trainer is felt strange, I've never done that. 903 01:15:33,800 --> 01:15:37,520 But she was rare, I will enjoy here. 904 01:15:38,520 --> 01:15:44,360 - Great. How does it feel? - I'm already tired. 905 01:15:44,520 --> 01:15:47,920 You're still working on it, that's good. 906 01:15:48,080 --> 01:15:51,280 This is more difficult than I'm used to. 907 01:15:51,440 --> 01:15:55,560 But I want to be better, so I'm not afraid to take in. 908 01:15:55,720 --> 01:16:00,280 Good, good. Terrific work. 909 01:16:00,440 --> 01:16:05,760 I'm in pain and I'm hungry, but this is what I have to do. 910 01:16:05,920 --> 01:16:09,120 Come on, lift higher. 911 01:16:09,280 --> 01:16:12,760 If this makes me more mobile- 912 01:16:12,920 --> 01:16:16,440 - then I intend to bet everything. 913 01:16:16,600 --> 01:16:18,640 - I'm proud of you. - Me too. 914 01:16:18,800 --> 01:16:20,280 You fix this. 915 01:16:21,760 --> 01:16:24,880 Now I was more active- 916 01:16:25,040 --> 01:16:28,880 - than I have been the last ten years. 917 01:16:29,040 --> 01:16:34,440 It feels great. I push myself to do more. 918 01:16:34,600 --> 01:16:39,760 I will continue to do this two or three times a week, or more. 919 01:16:39,920 --> 01:16:42,960 And I won't cheat with the food. 920 01:16:43,120 --> 01:16:46,240 I am completely focused on to reach the goal. 921 01:16:46,400 --> 01:16:51,400 I'll show Dr. Now that I'm ready for weight loss surgery. 922 01:16:52,800 --> 01:16:58,000 -See you on Monday? -Yes, see you on Monday. 923 01:17:13,440 --> 01:17:18,600 I'm in Houston again, and I know that things have gone better now. 924 01:17:19,880 --> 01:17:22,400 One, two. One, two. 925 01:17:22,560 --> 01:17:25,160 A little further ahead. 926 01:17:25,320 --> 01:17:27,160 Walker. 927 01:17:31,400 --> 01:17:35,520 Because of the restrictions could no clinic near me- 928 01:17:35,680 --> 01:17:39,360 -let me weigh myself if I wasn't enrolled with them. 929 01:17:39,520 --> 01:17:42,080 Now I made the journey in one stretch. 930 01:17:42,240 --> 01:17:45,480 I'll put myself on the scale and show him. 931 01:17:45,640 --> 01:17:49,480 I will show how determined I am to make it through this- 932 01:17:49,640 --> 01:17:52,600 -and finally get my surgery. 933 01:17:54,480 --> 01:17:55,800 Miss Lowery? 934 01:18:00,520 --> 01:18:04,200 I have to get through this. I have to. 935 01:18:04,360 --> 01:18:07,440 One, two, three. 936 01:18:08,480 --> 01:18:13,480 Otherwise, Dr. Now will say that I haven't lost anything. 937 01:18:13,640 --> 01:18:18,680 Then I won't have surgery. So I have to make it. 938 01:18:18,840 --> 01:18:20,840 I have made progress. 939 01:18:21,000 --> 01:18:24,880 It settles unless I can prove it. 940 01:18:26,800 --> 01:18:29,200 I have to get up again. 941 01:18:32,040 --> 01:18:35,520 One, two. 942 01:18:35,680 --> 01:18:39,080 One, two, three. 943 01:18:41,800 --> 01:18:43,640 -Are you doing well? -Absolutely. 944 01:18:43,800 --> 01:18:49,080 -Like that. - It's going well, old lady. 945 01:18:49,240 --> 01:18:53,240 - I'm moving the wheelchair. -Go as far in as you can. 946 01:18:55,840 --> 01:19:02,040 Put your hands here then we will turn to you. 947 01:19:02,200 --> 01:19:07,920 -You're there, you fix it. -Come on. 948 01:19:08,080 --> 01:19:11,520 You fix this. 949 01:19:11,680 --> 01:19:15,960 -Can we move this? - Now you stand on it. 950 01:19:16,120 --> 01:19:19,920 -Good. - Good job, Shannon. 951 01:19:24,320 --> 01:19:26,560 316 kg. 952 01:19:26,720 --> 01:19:30,560 -Okay? Okay. -You can go down. 953 01:19:30,720 --> 01:19:32,840 The walker is here. 954 01:19:33,000 --> 01:19:35,680 I'm holding the waistband. 955 01:19:35,840 --> 01:19:41,200 -The edge is right there. -We got you. 956 01:19:42,560 --> 01:19:47,880 - Good job. -You fixed it. 957 01:19:53,320 --> 01:19:59,280 Now I can show dr Now that I have lost weight. 958 01:19:59,440 --> 01:20:01,600 Hopefully that's enough. 959 01:20:07,000 --> 01:20:09,120 Sorry, Drake. 960 01:20:13,760 --> 01:20:19,760 Are you in? One, two, three. 961 01:20:30,360 --> 01:20:33,760 -Watch your fingers. -Like that. 962 01:20:46,760 --> 01:20:51,200 I hope Dr. Now is satisfied with my progress. 963 01:20:59,640 --> 01:21:01,880 -Hello! -Hello, doctor. 964 01:21:02,040 --> 01:21:05,800 -How are you? - Just fine. 965 01:21:05,960 --> 01:21:09,800 -How did you manage to go here? - It was easier this time. 966 01:21:09,960 --> 01:21:15,200 -You have lost weight. - Yes, I have. 967 01:21:15,360 --> 01:21:19,760 You have lost about 18 kg in two months. 968 01:21:19,920 --> 01:21:24,800 It's progress, but not much which you should have gone down. 969 01:21:24,960 --> 01:21:28,480 - It's not good. - I know, I'll be tougher. 970 01:21:28,640 --> 01:21:30,760 What have you changed? 971 01:21:30,920 --> 01:21:36,200 I have stopped snacking, I work out and go to the gym. 972 01:21:36,360 --> 01:21:38,680 Then you have to work harder. 973 01:21:38,840 --> 01:21:44,440 If you don't pick up the pace then time will run out- 974 01:21:44,600 --> 01:21:48,440 -before you have time to improve your health so that the body does not give up. 975 01:21:48,600 --> 01:21:51,880 Although the journey was easier- 976 01:21:52,040 --> 01:21:55,920 - then I am concerned about how stressful it is for you. 977 01:21:56,080 --> 01:22:01,520 I don't want you to go here again until you weigh under 226 kg. 978 01:22:01,680 --> 01:22:05,760 If you get down to it and moving to Houston- 979 01:22:05,920 --> 01:22:09,720 - then we can take the next step and operate on you. 980 01:22:09,880 --> 01:22:11,920 -Okay, doctor. -Good. 981 01:22:12,080 --> 01:22:16,440 Simon, you need to help her more to lose weight. 982 01:22:16,600 --> 01:22:22,080 I will do everything I can, make the necessary changes. 983 01:22:22,240 --> 01:22:24,120 I hope so. 984 01:22:24,280 --> 01:22:30,200 The goal is still to lose 68 kg in two months. 985 01:22:30,360 --> 01:22:32,840 Haven't you moved here then- 986 01:22:33,000 --> 01:22:37,520 -then you will lose another 13 kg in the month after that. 987 01:22:37,680 --> 01:22:41,360 Yes, and we're moving here. 988 01:22:41,520 --> 01:22:46,040 Hopefully see you soon. Get in touch if you have any questions. 989 01:22:46,200 --> 01:22:47,640 We will. 990 01:22:47,800 --> 01:22:51,000 - Take care of yourselves. -Hello then. 991 01:22:56,480 --> 01:23:01,720 It's funny that Shannon starting to make some progress. 992 01:23:01,880 --> 01:23:05,320 But her body can't take long to- 993 01:23:05,480 --> 01:23:08,040 -if she goes down at this rate. 994 01:23:08,200 --> 01:23:14,320 She needs to go down a lot more and move to Houston. 995 01:23:14,480 --> 01:23:19,200 We are not continuing with her until she moves here. 996 01:23:19,360 --> 01:23:23,920 If she moves here then we can work with her again. 997 01:23:24,080 --> 01:23:28,080 Still, we can't do anything- 998 01:23:28,240 --> 01:23:32,360 - which makes a long-term difference until she loses more weight- 999 01:23:32,520 --> 01:23:37,160 -and shows that she is willing to invest in long-term success. 1000 01:23:37,320 --> 01:23:41,120 She has a long way to go before she is on the right track. 1001 01:23:41,280 --> 01:23:43,600 And she doesn't have much time. 1002 01:23:43,760 --> 01:23:46,960 But it's finally going in the right direction. 1003 01:23:47,120 --> 01:23:51,560 Hopefully she continues to do so what she needs to do- 1004 01:23:51,720 --> 01:23:55,000 -so we can move on with her. 1005 01:23:55,160 --> 01:23:58,480 This visit was encouraging. 1006 01:23:58,640 --> 01:24:04,400 I got here, put myself on the scale and showed that I had gone down. 1007 01:24:04,560 --> 01:24:09,160 I am proud of myself. I hear what I have to do. 1008 01:24:09,320 --> 01:24:12,240 So now I'm going to do it. 1009 01:24:12,400 --> 01:24:17,280 I know I can do better. I proved that to myself. 1010 01:24:17,440 --> 01:24:23,080 Simon and I are moving to Houston as soon as we can. 1011 01:24:24,320 --> 01:24:27,200 I will fight and lose more weight. 1012 01:24:27,360 --> 01:24:32,160 It will be exciting to see how much I have gone down the next time. 1013 01:24:32,320 --> 01:24:37,200 Because I know it's going even better next time. 1014 01:24:40,760 --> 01:24:43,680 ONE YEAR AND TWO MONTHS 1015 01:24:53,680 --> 01:24:56,960 The last month it's been going great. 1016 01:24:57,120 --> 01:25:01,320 I have gotten in better shape because I exercise. 1017 01:25:01,480 --> 01:25:04,880 I try to be more active and get out of bed more often. 1018 01:25:07,920 --> 01:25:13,200 I prepare and cook my food to motivate myself- 1019 01:25:13,360 --> 01:25:16,600 -and not be so dependent on Simon. 1020 01:25:16,760 --> 01:25:20,040 I try to do more on my own. 1021 01:25:21,240 --> 01:25:27,720 A year ago I was sitting indoors several months straight. 1022 01:25:27,880 --> 01:25:30,040 Now I go out every day. 1023 01:25:30,200 --> 01:25:35,080 I'm fine, and I know it's moving forward. 1024 01:25:36,280 --> 01:25:42,640 We have found a place in Houston and we're moving in two months. 1025 01:25:42,800 --> 01:25:45,800 Earlier if possible, but it may take a few months. 1026 01:25:45,960 --> 01:25:52,840 The goal is to lose 80 kg before I visit dr Now again. 1027 01:25:53,000 --> 01:25:55,800 That's the goal I'm working towards. 1028 01:25:56,800 --> 01:26:01,240 Dr. Now asked about food was more important than my life. 1029 01:26:01,400 --> 01:26:04,600 The answer is no, not at all. 1030 01:26:04,760 --> 01:26:07,080 I'm going to stop with the contradictory- 1031 01:26:07,240 --> 01:26:12,520 - that what I'm doing doesn't match what I know and what I say. 1032 01:26:12,680 --> 01:26:15,960 I will reach the goal within a year. 1033 01:26:19,080 --> 01:26:20,880 Do you want to add the other two? 1034 01:26:24,640 --> 01:26:28,200 Now I have chosen to live healthy- 1035 01:26:28,360 --> 01:26:31,640 -and feel good mentally and physically. 1036 01:26:31,800 --> 01:26:34,880 It will be my new lifestyle. 1037 01:26:35,040 --> 01:26:39,800 I will leave my old self behind me. 1038 01:26:42,600 --> 01:26:48,160 I look forward to the future, I have opportunities ahead of me. 1039 01:26:48,320 --> 01:26:50,920 Although it is slow- 1040 01:26:51,080 --> 01:26:55,200 -then I saw what I can do when I stood on the scale. 1041 01:26:56,280 --> 01:27:02,600 I'm heading into a future where I can be who I want to be. 1042 01:27:02,760 --> 01:27:08,720 I don't stop fighting to get the life I gave up hope for. 1043 01:27:08,880 --> 01:27:11,840 I look forward to it. 1044 01:27:26,120 --> 01:27:30,120 Text: Gunilla Hay www.sdimedia.com