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1
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[Amy] Previously on...
1000-lb Sisters.
2
00:00:02,403 --> 00:00:03,969
[Michael speaking]
3
00:00:03,971 --> 00:00:04,837
[Tammy speaking]
4
00:00:04,839 --> 00:00:05,871
[Michael] Yep.
5
00:00:05,873 --> 00:00:07,239
[Amy speaking]
6
00:00:12,746 --> 00:00:13,612
Here's what I need from you.
7
00:00:13,614 --> 00:00:14,813
I need you below 400.
8
00:00:14,815 --> 00:00:17,549
I got four weeks to get
under 400 pounds
9
00:00:17,551 --> 00:00:18,584
or I don't get approved
for surgery.
10
00:00:18,586 --> 00:00:20,919
You hit that number
and we're good to go.
11
00:00:20,921 --> 00:00:22,821
[Chris] There's always that little
voice in the back of your head,
12
00:00:22,823 --> 00:00:24,690
"Are you gonna make it?"
13
00:00:24,692 --> 00:00:26,959
[Misty] So what's going on
with you and Phillip?
14
00:00:26,961 --> 00:00:28,927
You have such a [bleep] attitude
15
00:00:28,929 --> 00:00:30,963
since you got with him.
16
00:00:32,766 --> 00:00:34,967
I think the boyfriend's
a hindrance.
17
00:00:34,969 --> 00:00:40,172
On the internet, I was reading that he
doesn't want her to get below 300 pounds...
18
00:00:40,940 --> 00:00:42,307
[Tisa] Yes, you can.
19
00:00:42,309 --> 00:00:43,842
[bleep]
20
00:00:43,844 --> 00:00:48,914
What I want Tammy to do is just try
to walk 10 feet from where we was at.
21
00:00:48,916 --> 00:00:51,817
Now, I cannot push you
in that wheelchair like that
22
00:00:51,819 --> 00:00:53,419
and hurt myself,
23
00:00:53,421 --> 00:00:56,321
because I know
that you can walk.
24
00:00:56,856 --> 00:00:58,290
That's just [bleep]
25
00:01:14,140 --> 00:01:16,141
[Darlene speaking]
26
00:01:17,877 --> 00:01:19,078
[Tammy speaking]
27
00:01:23,883 --> 00:01:25,918
[Tammy speaking]
28
00:01:34,194 --> 00:01:36,228
When's your next appointment
with the doctor?
29
00:01:37,697 --> 00:01:39,331
And Chris is gonna go with you
out there too?
30
00:02:01,788 --> 00:02:05,190
Maybe it might be part of
my fault, and it probably is.
31
00:02:19,405 --> 00:02:22,174
Are you still serious
about having the surgery?
32
00:02:24,177 --> 00:02:25,377
Huh?
33
00:02:27,881 --> 00:02:29,114
[Tammy speaking]
34
00:02:56,109 --> 00:02:58,010
[Darlene] So, how's Tisa?
35
00:02:58,211 --> 00:02:59,378
[Tammy speaking] Good.
36
00:03:25,905 --> 00:03:27,072
Okay.
37
00:03:27,139 --> 00:03:28,941
[Tammy speaking]
38
00:03:54,133 --> 00:03:57,069
Yes, took my pain pill.
39
00:03:57,071 --> 00:03:58,704
[knocking at door]
40
00:03:58,706 --> 00:04:00,072
[Tammy speaking]
41
00:04:01,174 --> 00:04:03,141
- Hey.
- Hey, girl.
42
00:04:06,479 --> 00:04:07,779
This is my mom.
43
00:04:07,781 --> 00:04:09,848
-Hi.
-Your mom? Wow, hey! How are you doing?
44
00:04:09,850 --> 00:04:12,017
- Honey, I'm blessed.
- [Tammy chuckles]
45
00:04:12,019 --> 00:04:15,921
[Tisa] This is the first time seeing
Tammy after that spat that we had.
46
00:04:15,923 --> 00:04:18,457
I would like an apology
from Tammy
47
00:04:18,459 --> 00:04:21,860
but I don't know
if that's gonna happen.
48
00:04:21,862 --> 00:04:25,764
I used to be a nurse, I worked
in the pelvic room at Job Corps
49
00:04:25,766 --> 00:04:27,399
and we had to
the test tubes and all,
50
00:04:27,401 --> 00:04:29,835
see if they had gonorrhea
or something like that.
51
00:04:29,837 --> 00:04:31,937
Oh, you got a tough job!
52
00:04:31,939 --> 00:04:35,941
No, it wasn't bad until this girl
came in and had this funny smell,
53
00:04:35,943 --> 00:04:38,410
and I turned around
and looked at the doctor
54
00:04:38,412 --> 00:04:41,179
and he pulled a $20 bill
out of that girl.
55
00:04:43,516 --> 00:04:44,749
Yeah!
56
00:04:44,751 --> 00:04:47,386
- [Tisa exclaims] - Honey,
you don't think we didn't clean--
57
00:04:47,388 --> 00:04:49,588
Girl, why'd she have
a $20 bill in her coochie for?
58
00:04:49,590 --> 00:04:50,989
I didn't ask no questions.
59
00:04:50,991 --> 00:04:53,091
I just got the heck
out of Dodge.
60
00:04:53,860 --> 00:04:54,893
Darlene...
61
00:04:54,895 --> 00:04:57,095
Have you ever...?
62
00:04:57,730 --> 00:05:01,166
She never did tell me why
she had it in her coochie.
63
00:05:01,168 --> 00:05:04,369
[Tisa laughs]
Tammy, she ain't right.
64
00:05:05,371 --> 00:05:07,839
[Tammy speaking]
65
00:05:07,841 --> 00:05:12,344
It's, like, one of the only
memories she tells. [laughs]
66
00:05:17,517 --> 00:05:19,051
How's it going with y'all?
67
00:05:23,856 --> 00:05:26,258
What all happened
when y'all went swimming?
68
00:05:27,694 --> 00:05:29,294
[Tisa] Well, hell...
69
00:05:29,762 --> 00:05:31,763
I said, "Well, Tammy,
let's just walk
70
00:05:31,765 --> 00:05:34,599
'cause I don't think I can
push you on the concrete."
71
00:05:34,601 --> 00:05:38,737
And she said, "No, that ain't
gonna work. I'm just not gonna do it."
72
00:05:38,739 --> 00:05:40,605
But she can walk!
I know damn well she can walk.
73
00:05:40,607 --> 00:05:43,942
- [Darlene] Yeah.
- Walk good!
74
00:05:43,944 --> 00:05:49,781
To push Tammy is just like you're
working two 12-hour shifts back-to-back.
75
00:05:49,783 --> 00:05:54,986
You know, I want her to get to have
her surgery, like how she wants it,
76
00:05:54,988 --> 00:05:57,689
but she's gonna have to give it,
77
00:05:57,691 --> 00:05:59,424
to get it is not gonna be free.
78
00:06:00,893 --> 00:06:02,160
And she can do it.
79
00:06:03,062 --> 00:06:04,296
I know she can.
80
00:06:04,897 --> 00:06:06,164
[Darlene speaking]
81
00:06:08,201 --> 00:06:10,168
[Tammy speaking]
82
00:06:20,146 --> 00:06:21,413
Well, I didn't know.
83
00:06:22,782 --> 00:06:24,182
[Tammy speaking]
84
00:06:33,393 --> 00:06:35,394
So for me to tell Tisa,
85
00:06:41,734 --> 00:06:45,570
is a big step for me,
86
00:06:45,572 --> 00:06:48,840
Like, I don't tell
people [bleep].
87
00:06:48,842 --> 00:06:51,510
I had no idea that you was
in any kind of pain.
88
00:06:51,512 --> 00:06:52,944
I hide it.
89
00:06:52,946 --> 00:06:55,947
I don't want people to know
how weak I am.
90
00:06:58,851 --> 00:07:01,019
Well, I'm about to cry.
91
00:07:01,021 --> 00:07:03,522
I'm sorry,
I should have told you.
92
00:07:03,524 --> 00:07:06,057
- I'm sorry.
- I had no idea.
93
00:07:08,861 --> 00:07:10,862
- I still love you.
- I still love you, too.
94
00:07:10,864 --> 00:07:12,030
[giggles]
95
00:07:12,598 --> 00:07:14,166
I do.
96
00:07:14,168 --> 00:07:16,535
How am I supposed to know
if she's feeling bad?
97
00:07:16,537 --> 00:07:18,403
She needed to tell me, you know,
98
00:07:18,405 --> 00:07:21,106
'cause I'm thinking that
she just don't wanna do it.
99
00:07:22,141 --> 00:07:24,709
And if you don't tell me,
I'm gonna keep pushing you
100
00:07:24,711 --> 00:07:28,680
till you give me
a legitimate reason why.
101
00:07:28,682 --> 00:07:30,715
But I don't want her
to use that as excuse
102
00:07:30,717 --> 00:07:32,017
every time when
she ain't in pain
103
00:07:32,019 --> 00:07:33,418
to tell me she is in pain.
104
00:07:33,953 --> 00:07:35,554
That's the thing.
105
00:07:35,556 --> 00:07:38,723
I told her, that right there ain't
gonna be her permanent spot
106
00:07:38,725 --> 00:07:40,692
sitting in that damn
wheelchair right there.
107
00:07:40,694 --> 00:07:43,929
Well, Ms. Darlene,
what do you think I can do
108
00:07:43,931 --> 00:07:46,932
to try to get her more
motivated about that walking?
109
00:07:46,934 --> 00:07:49,201
Just get off my back about it.
110
00:07:51,037 --> 00:07:53,271
[Darlene speaking]
111
00:08:02,014 --> 00:08:04,049
[voice breaking]
It's very important.
112
00:08:24,470 --> 00:08:26,404
[Amy speaking]
113
00:08:26,406 --> 00:08:28,373
Let's go over here
and play with some bubbles.
114
00:08:30,710 --> 00:08:32,544
I heard through the grapevine
115
00:08:32,546 --> 00:08:36,081
that Tammy and Tisa got into it,
116
00:08:36,083 --> 00:08:39,951
but I'm glad Tammy finally
apologized for being so rude to her
117
00:08:39,953 --> 00:08:42,854
'cause I can't go back
to working with Tammy.
118
00:08:42,856 --> 00:08:44,356
I need this time for my family.
119
00:08:45,124 --> 00:08:46,391
Yeah!
120
00:08:47,093 --> 00:08:48,426
You like the bubbles?
121
00:08:50,930 --> 00:08:52,230
[Michael speaking]
122
00:08:52,465 --> 00:08:54,099
[Amy speaking]
123
00:09:06,746 --> 00:09:10,115
And I'm like, "That reminds
me so much of Tammy."
124
00:09:10,383 --> 00:09:12,250
He eats more than I do.
125
00:09:13,452 --> 00:09:18,957
And it's scary because I don't
want him to be 600 pounds.
126
00:09:26,832 --> 00:09:29,334
[Amy speaking] My son means
the whole world to me,
127
00:09:29,336 --> 00:09:30,702
so I want what's best for him.
128
00:09:30,704 --> 00:09:34,139
I don't want him to struggle like
me and Tammy did with our weight.
129
00:09:34,141 --> 00:09:37,142
I want him to be
a normal, healthy weight
130
00:09:37,144 --> 00:09:41,146
so he ain't never gotta worry about the
bullies in school or anything like that.
131
00:09:41,881 --> 00:09:44,950
You know, sometimes
when we go places, like,
132
00:09:45,184 --> 00:09:46,985
to the park or something...
133
00:09:50,556 --> 00:09:51,723
Yeah.
134
00:09:51,725 --> 00:09:54,159
[Amy] I've been working hard
to get this weight off.
135
00:09:54,161 --> 00:09:56,895
Last time I weighed myself
a few months ago,
136
00:09:56,897 --> 00:09:58,597
I was about 260.
137
00:09:58,599 --> 00:10:00,865
My ultimate goal is 150.
138
00:10:00,867 --> 00:10:02,801
But now it's hard
to lose weight.
139
00:10:02,803 --> 00:10:05,070
There's so much excess skin,
140
00:10:05,072 --> 00:10:07,706
and it does make it harder
for walking,
141
00:10:07,740 --> 00:10:10,442
so my weight is plateauing.
142
00:10:18,217 --> 00:10:22,320
- Yeah...
- You know, to me it's ugly, the way it looks, it's like...
143
00:10:23,856 --> 00:10:25,223
Yeah.
144
00:10:26,659 --> 00:10:28,827
It makes me feel unattractive.
145
00:10:28,829 --> 00:10:32,664
I just don't feel sexy
with all this skin.
146
00:10:32,666 --> 00:10:37,135
I mean, I felt more confident
when I was 400 pounds
147
00:10:46,846 --> 00:10:48,947
I've actually been doing
research for a while now
148
00:10:48,949 --> 00:10:52,050
and I found a place
in Evansville
149
00:10:52,052 --> 00:10:55,420
that you know
could probably help me.
150
00:10:57,823 --> 00:11:00,925
Well, first I wanna get this
151
00:11:00,927 --> 00:11:02,327
and then this.
152
00:11:03,029 --> 00:11:05,130
If I get all that trimmed up,
153
00:11:08,534 --> 00:11:10,235
And then all this.
154
00:11:11,837 --> 00:11:16,107
- Yeah.
- Because I ain't no grandma yet.
155
00:11:39,832 --> 00:11:41,866
[Misty] I don't think
we're gonna fit through there.
156
00:11:41,868 --> 00:11:43,168
If you turn...
157
00:11:43,170 --> 00:11:44,936
I'm sorry.
158
00:11:44,970 --> 00:11:46,671
Ow! [bleep]
159
00:11:46,673 --> 00:11:48,239
That [bleep] thing's prickly.
160
00:12:06,358 --> 00:12:08,226
When you go in the door,
go to the left.
161
00:12:09,962 --> 00:12:12,130
Do you wanna sit in your chair
or on the couch in there?
162
00:12:13,199 --> 00:12:14,665
Okay.
163
00:12:14,667 --> 00:12:18,670
I don't think Tammy thinks
this is gonna help her very much.
164
00:12:18,672 --> 00:12:21,940
I think the only reason why
Tammy is going to see the therapist
165
00:12:21,942 --> 00:12:25,176
is she has to do it
to be cleared for surgery.
166
00:12:25,178 --> 00:12:26,945
She doesn't really wanna go.
167
00:12:26,947 --> 00:12:29,347
- [Tammy pants]
- [Dr. Hansen] Hi, Tammy.
168
00:12:32,785 --> 00:12:34,953
Okay, where do you
wanna go with it?
169
00:12:34,955 --> 00:12:37,021
Okay, you just walk out,
I got it.
170
00:12:37,023 --> 00:12:38,256
Well, it's not locked.
171
00:12:38,991 --> 00:12:40,225
[Misty] Okay.
172
00:12:40,793 --> 00:12:42,994
[Tammy gasps and coughs]
173
00:12:42,996 --> 00:12:45,997
Tammy, can you close that door?
174
00:12:52,872 --> 00:12:54,305
This wasn't [bleep] thought out.
175
00:13:00,679 --> 00:13:02,213
Um...
176
00:13:02,215 --> 00:13:04,716
I'm gonna have to close
the door, okay?
177
00:13:04,718 --> 00:13:06,684
What I'm telling you is
I gotta catch my breath
178
00:13:06,686 --> 00:13:08,419
before I can stand back up.
179
00:13:12,858 --> 00:13:14,659
[Amy] Today, me and Michael
are going to see
180
00:13:14,661 --> 00:13:17,862
about getting
skin removal surgery.
181
00:13:17,864 --> 00:13:20,765
As you can see, the volume
reduction gives a new jawline.
182
00:13:20,767 --> 00:13:23,067
[Amy speaking]
183
00:13:29,408 --> 00:13:32,644
Let's find out what this
number is and then we'll talk.
184
00:13:32,646 --> 00:13:36,314
If Dr. Smith turns me down
from having the surgery...
185
00:13:42,888 --> 00:13:45,156
[Dr. Hansen] I'm gonna have
to close the door, okay?
186
00:14:09,081 --> 00:14:10,715
It's complete [bleep].
187
00:14:10,717 --> 00:14:12,383
I'm ready to go home.
188
00:14:12,385 --> 00:14:16,020
If you can just move this
over here just a little bit,
189
00:14:16,022 --> 00:14:18,089
'cause she's not
gonna sit on there.
190
00:14:18,624 --> 00:14:20,358
There we go, yeah. Perfect.
191
00:14:20,360 --> 00:14:23,161
That way maybe
we can move her in.
192
00:14:37,710 --> 00:14:40,778
So, our first time meeting is
typically what we call an intake session
193
00:14:40,780 --> 00:14:43,414
and it's really more like a Q&A.
194
00:14:43,416 --> 00:14:47,285
It's an opportunity for me
to just ask her some questions
195
00:14:47,287 --> 00:14:49,721
and get to know her
a little bit,
196
00:14:49,723 --> 00:14:53,124
and to understand the reason why
she struggles with food addiction.
197
00:14:53,459 --> 00:14:55,059
I really want to connect,
198
00:14:55,061 --> 00:14:56,861
I really want to establish
a rapport with her.
199
00:14:56,863 --> 00:14:58,897
All right.
Good morning, Tammy.
200
00:14:58,899 --> 00:15:01,266
Welcome, thank you
for showing up today.
201
00:15:01,867 --> 00:15:04,235
Tell me what brings you
to therapy.
202
00:15:06,939 --> 00:15:10,108
Okay. So when did it start?
203
00:15:12,478 --> 00:15:13,912
[Dr. Hansen] Okay.
204
00:15:13,914 --> 00:15:19,784
Do you tend to eat more,
like, maybe in the evenings?
205
00:15:19,786 --> 00:15:22,420
Do you tend to eat more
when you're bored?
206
00:15:26,825 --> 00:15:28,293
[Dr. Hansen] Okay, okay.
207
00:15:32,064 --> 00:15:34,365
Tammy, how do you feel
when you eat?
208
00:15:40,839 --> 00:15:42,807
You look like
you're scowling at me.
209
00:15:42,809 --> 00:15:44,375
Like you don't want to be here.
210
00:15:50,649 --> 00:15:52,083
How are you feeling
right now, Tammy?
211
00:15:54,119 --> 00:15:56,120
I don't know what that means.
212
00:15:57,423 --> 00:15:58,789
[Dr. Hansen] Okay, okay.
213
00:15:58,924 --> 00:16:02,060
I do need you to kinda answer
some questions for me, all right?
214
00:16:02,528 --> 00:16:04,996
Okay. I'm not saying
you haven't.
215
00:16:04,998 --> 00:16:07,966
I'm just saying I need you to
be a little bit more cooperative
216
00:16:07,968 --> 00:16:09,968
if that's possible, okay?
217
00:16:13,405 --> 00:16:14,739
Well, a lot of times,
218
00:16:14,741 --> 00:16:18,476
when I deal with individuals who
have some type of an addiction,
219
00:16:18,478 --> 00:16:22,914
often it's because they're
struggling with something internally
220
00:16:22,916 --> 00:16:27,151
and that's the best coping
that they can find at that time.
221
00:16:27,486 --> 00:16:29,420
Maybe you've used food
222
00:16:29,422 --> 00:16:32,256
to kinda cope with some stuff
that you're struggling with.
223
00:16:35,861 --> 00:16:38,596
My first impression is that
Tammy is very reserved.
224
00:16:38,598 --> 00:16:44,002
My goal for Tammy is
for her to accept,
225
00:16:45,971 --> 00:16:51,009
validate, acknowledge her reasons
for eating more than what she should.
226
00:16:51,944 --> 00:16:54,012
She knows the reasons,
227
00:16:54,014 --> 00:16:56,814
but she's afraid to tell me.
228
00:16:56,816 --> 00:16:59,617
She's afraid
to tell herself the reasons.
229
00:16:59,619 --> 00:17:03,054
Tammy, in general,
how is your mood?
230
00:17:13,399 --> 00:17:16,934
Okay. How about becoming
easily annoyed or irritable?
231
00:17:16,936 --> 00:17:19,070
[laughs]
232
00:17:20,406 --> 00:17:23,074
- Why are you laughing.
- [continues laughing]
233
00:17:25,978 --> 00:17:28,312
- Because it's true?
- [continues laughing]
234
00:17:29,648 --> 00:17:32,417
Okay. So, what are
some weaknesses?
235
00:17:32,419 --> 00:17:34,185
Some things that you can
kinda work on?
236
00:17:36,422 --> 00:17:38,956
Confidence. Do you struggle
a lot with that?
237
00:17:39,058 --> 00:17:40,324
Yeah, okay.
238
00:17:41,693 --> 00:17:43,961
Are you nervous that people
are gonna judge you and...
239
00:17:55,808 --> 00:17:58,109
Okay. That's a great attitude,
240
00:17:58,111 --> 00:18:02,146
but sometimes it's harder
to practice that, right?
241
00:18:03,148 --> 00:18:04,982
Excellent, okay.
242
00:18:09,888 --> 00:18:11,823
Yeah.
243
00:18:11,825 --> 00:18:13,891
Okay, believing
in yourself, yeah.
244
00:18:13,893 --> 00:18:15,927
That's really hard work,
isn't it? Yeah, okay.
245
00:18:15,929 --> 00:18:18,129
What is your goal?
246
00:18:20,365 --> 00:18:24,102
Okay. Is that something that
you think you could probably do it?
247
00:18:24,104 --> 00:18:27,038
Or are you like, "Gosh, that's a huge
mountain, I'm not sure I could climb"?
248
00:18:27,806 --> 00:18:29,140
You can do it? Okay.
249
00:18:31,844 --> 00:18:33,377
I'm not hearing a lot
of confidence in that.
250
00:18:34,546 --> 00:18:36,347
[mumbles]
251
00:18:36,349 --> 00:18:39,183
Tammy, what are your thoughts
about the session thus far?,
252
00:18:42,654 --> 00:18:44,188
Okay. I don't know
what that means,
253
00:18:44,190 --> 00:18:46,257
so you're gonna have to
verbalize it.
254
00:18:46,259 --> 00:18:50,128
Okay. There's no thoughts about
the things that we talked about today?
255
00:18:51,497 --> 00:18:52,797
Okay...
256
00:18:52,799 --> 00:18:58,102
I never want to force
anyone into therapy.
257
00:18:58,104 --> 00:19:01,973
What are your thoughts, Tammy,
about maybe coming back to see me?
258
00:19:02,274 --> 00:19:04,942
- I guess.
- Okay, okay.
259
00:19:04,944 --> 00:19:09,180
I'm not sensing a lot of motivation
or commitment on your part.
260
00:19:09,182 --> 00:19:11,182
What are your thoughts
as you hear me say that?
261
00:19:17,789 --> 00:19:21,759
'Cause, as I was listening
to you and kinda watching you,
262
00:19:21,761 --> 00:19:23,828
I wasn't getting a lot
of information from you.
263
00:19:23,830 --> 00:19:25,429
As our session progressed--
264
00:19:26,598 --> 00:19:28,633
Exactly. And I was
just gonna say,
265
00:19:28,635 --> 00:19:31,536
as our session progressed,
you did open up a little bit.
266
00:19:31,538 --> 00:19:33,738
I think underneath
all of the stuff,
267
00:19:33,740 --> 00:19:36,174
I think there's somebody
who's really hurt.
268
00:19:36,675 --> 00:19:40,144
That's just my impression
right now.
269
00:19:55,928 --> 00:20:00,097
[Dr. Hansen] So, can you talk to me a
little bit more about this food addiction?
270
00:20:04,336 --> 00:20:05,703
Tammy shut down.
271
00:20:05,705 --> 00:20:09,006
I think she has a lot of
things that she wants to say,
272
00:20:09,008 --> 00:20:13,411
but she is finding it hard
to trust somebody to share
273
00:20:13,413 --> 00:20:15,246
some of her deep secrets with.
274
00:20:17,950 --> 00:20:19,250
Okay, yeah.
275
00:20:46,011 --> 00:20:47,511
Are we walking every day?
276
00:20:47,513 --> 00:20:48,613
- No.
- No.
277
00:20:48,615 --> 00:20:52,717
Today is Chris and I's
follow-up appointment.
278
00:20:52,719 --> 00:20:55,052
[Dr. Smith] All the things we
asked you to do, you didn't do.
279
00:20:55,054 --> 00:20:56,988
It kinda ticks me off.
280
00:21:06,732 --> 00:21:08,432
[Amy speaking]
281
00:21:11,570 --> 00:21:14,839
So, today me and Michael are
going to a plastic surgeon's office
282
00:21:14,841 --> 00:21:18,843
to see about getting
skin removal surgery.
283
00:21:18,845 --> 00:21:20,411
It really affects my confidence
284
00:21:20,413 --> 00:21:21,812
because my belly hangs over.
285
00:21:21,814 --> 00:21:24,048
[Julie] Hello!
286
00:21:24,050 --> 00:21:25,416
[Amy speaking] You know what
a droopy dog is?
287
00:21:31,623 --> 00:21:33,157
Yeah.
288
00:21:37,429 --> 00:21:39,630
All right, guys. So, I'm
going to get you ready
289
00:21:39,632 --> 00:21:41,899
for your chat with Doctor Zieg.
290
00:21:41,901 --> 00:21:43,734
First of all,
you and I need to discover
291
00:21:43,736 --> 00:21:47,171
exactly what changes
you're looking to do.
292
00:21:55,113 --> 00:21:57,315
- All right. Well, we have a solution for that.
- And right here.
293
00:21:57,317 --> 00:21:59,784
We're gonna do
a virtual image of your face,
294
00:21:59,786 --> 00:22:02,887
- and I'm gonna show you the changes that we can make.
- Okay.
295
00:22:02,889 --> 00:22:04,655
Go ahead and stand
in front of this machine.
296
00:22:04,657 --> 00:22:07,992
Now scoot forward one inch.
297
00:22:10,629 --> 00:22:14,365
No, an inch is, like, this
big, okay? So here we go.
298
00:22:16,635 --> 00:22:18,369
And you can go and have a seat.
299
00:22:20,272 --> 00:22:24,241
- So, here we go.
- [Amy] Oh, my God. I'm ugly.
300
00:22:29,481 --> 00:22:32,550
Let's start with the chin because
that's everybody's major concern.
301
00:22:32,552 --> 00:22:35,553
- Mmm-hmm.
- We'll let Dr. Zieg make all the decisions,
302
00:22:35,555 --> 00:22:39,423
but probably starting with just
some liposuction and skin tightening.
303
00:22:39,425 --> 00:22:44,862
As you can see here, the volume
reduction gives a new jawline.
304
00:22:44,864 --> 00:22:46,163
[Amy] Yeah.
305
00:22:47,733 --> 00:22:50,735
So we're gonna
soften this line here.
306
00:22:50,737 --> 00:22:54,138
It's not gonna be completely gone
because that would be awkward
307
00:22:54,140 --> 00:22:57,308
but it's gonna be
less noticeable. And then...
308
00:22:58,043 --> 00:22:59,877
[Julie laughs]
309
00:22:59,879 --> 00:23:01,245
We have the magic.
310
00:23:16,628 --> 00:23:18,095
Hello?
311
00:23:20,399 --> 00:23:22,900
- I'm Paul Zieg.
- Nice to meet you. I'm Amy.
312
00:23:22,902 --> 00:23:23,567
- Hi.
- Hey, I'm Michael.
313
00:23:23,569 --> 00:23:26,003
Hi, Michael.
314
00:23:27,739 --> 00:23:32,643
-So, you had a gastric bypass a
couple of years ago, -[Amy] 2019.
315
00:23:32,645 --> 00:23:35,880
- And lost about 140 pounds?
- [Amy] Yeah.
316
00:23:35,882 --> 00:23:40,151
So, let me see your arm,
if I can.
317
00:23:42,187 --> 00:23:44,622
Want you to, kind of,
make a muscle for me.
318
00:23:44,624 --> 00:23:50,761
I'm going to say that's
probably about five pounds of fat.
319
00:23:50,763 --> 00:23:52,596
- If you can lay back for me for a moment.
- Can I pull this down?
320
00:23:52,598 --> 00:23:54,298
Yeah, you can.
321
00:23:56,601 --> 00:23:59,403
- So do you get rashes in the summertime?
- [Amy] Yeah.
322
00:23:59,405 --> 00:24:01,939
- Right here?
- Especially now that I've lost all the weight.
323
00:24:01,941 --> 00:24:04,375
- Yeah.
- It wasn't as bad as before.
324
00:24:04,377 --> 00:24:05,910
[Dr. Zieg]
That's a very common problem.
325
00:24:05,912 --> 00:24:09,947
[Amy] He examined every
part of me. My boobs, my necks,
326
00:24:21,526 --> 00:24:28,866
So, what I find is that folks search
me out after they get to their goal.
327
00:24:28,868 --> 00:24:31,435
[Dr. Zieg] It would probably
be best for us to focus on
328
00:24:31,437 --> 00:24:35,840
waiting to see
how things go for you.
329
00:24:35,842 --> 00:24:40,444
My suggestions for Amy is
continue on her weight loss journey.
330
00:24:40,446 --> 00:24:42,613
Her body will
still have changes.
331
00:24:42,615 --> 00:24:48,586
After she's done with that then we
can proceed with having the surgery.
332
00:24:48,588 --> 00:24:52,056
I've been down this road with
folks, kind of, hitting a brick wall.
333
00:24:52,058 --> 00:24:53,891
- And things just aren't...
- Yeah. It's kind of...
334
00:24:53,893 --> 00:24:55,926
[Dr. Zieg] Budging anymore.
335
00:24:55,928 --> 00:24:58,262
And they get kind of frustrated.
336
00:25:04,803 --> 00:25:08,572
[Amy] It's hard because,
after my weight loss surgery,
337
00:25:08,574 --> 00:25:12,309
for the first year I dropped
weight like it was nothing.
338
00:25:12,311 --> 00:25:15,713
But now it's, like,
hard to lose a pound.
339
00:25:15,715 --> 00:25:18,415
While it's not an immediate
gratification to get what you want,
340
00:25:18,683 --> 00:25:20,985
the results are nicer.
341
00:25:23,388 --> 00:25:26,957
- It's not a sprint, it's a
marathon. [laughs] - [Amy] Oh.
342
00:25:30,595 --> 00:25:35,165
My next steps are to, you
know, lose more weight because
343
00:25:51,816 --> 00:25:54,084
[Chris] My sister's got this
crazy-ass idea
344
00:25:54,086 --> 00:25:56,420
to go to the spa.
345
00:26:05,997 --> 00:26:07,364
Oh, God.
346
00:26:08,166 --> 00:26:11,068
I might have a problem.
347
00:26:12,871 --> 00:26:15,139
She doesn't...
348
00:26:16,708 --> 00:26:19,209
- There we go. Got it.
- Okay. I got it now.
349
00:26:21,112 --> 00:26:23,948
- That's definitely a small spot.
- [Tammy laughs]
350
00:26:23,950 --> 00:26:26,150
[Chris speaking]
351
00:26:26,152 --> 00:26:28,185
Hey, y'all. It's Amy.
352
00:26:29,821 --> 00:26:30,821
Hey, it's Tammy.
353
00:26:30,823 --> 00:26:31,956
[Amy] And...
354
00:26:31,958 --> 00:26:34,224
- Me.
- [all laughing]
355
00:26:34,226 --> 00:26:36,694
Putting up
with these two [bleep].
356
00:26:36,696 --> 00:26:40,364
In a couple of days, Chris
has his doctor's appointment
357
00:26:40,366 --> 00:26:43,400
to see if he's gonna
get approved for surgery.
358
00:26:43,402 --> 00:26:46,737
And if he gets approved he's
gonna get his surgery the next day.
359
00:26:46,739 --> 00:26:50,140
Dude, he's got this,
so it's just nice to go out
360
00:26:50,142 --> 00:26:52,176
and just let loose
for a little bit
361
00:26:52,811 --> 00:26:54,211
[Amy speaking]
362
00:26:56,648 --> 00:26:58,082
[Tammy speaking]
363
00:27:03,655 --> 00:27:05,756
We have a esthetician coming in,
364
00:27:05,758 --> 00:27:09,326
and we're doing facials and
365
00:27:15,867 --> 00:27:19,269
[Chris] It is relaxing,
so I'm not going to sit there
366
00:27:19,271 --> 00:27:21,405
and say that I didn't enjoy it.
367
00:27:21,407 --> 00:27:26,243
I'm just saying I'm glad they're paying
for it because I'm not paying for it.
368
00:27:27,278 --> 00:27:30,414
So, we are doing
a belly wax today?
369
00:27:31,583 --> 00:27:33,951
- Yep.
- Okay.
370
00:27:33,953 --> 00:27:38,422
I figured, you know, just want a
little strip because, God willing,
371
00:27:38,424 --> 00:27:40,858
if I get my surgery
there is gonna be
372
00:27:40,860 --> 00:27:43,861
four incisions
across my stomach.
373
00:27:43,863 --> 00:27:47,998
So they've talked me into
getting that area waxed.
374
00:27:52,904 --> 00:27:56,940
- Oh, golly, that's gonna hurt like hell.
- [all laughing]
375
00:27:56,942 --> 00:28:00,944
- All right, are you ready?
- Mmm-hmm.
376
00:28:02,113 --> 00:28:03,814
All right.
377
00:28:03,816 --> 00:28:05,049
[Esthetician] One...
378
00:28:05,051 --> 00:28:05,816
[Esthetician] Two...
379
00:28:05,818 --> 00:28:07,785
Three.
380
00:28:07,787 --> 00:28:09,352
- Oh, that wasn't even that bad.
- That wasn't.
381
00:28:09,354 --> 00:28:12,289
- That wasn't as bad as I thought it was going to be.
- [Estheticians laugh]
382
00:28:16,728 --> 00:28:20,264
No, it didn't really hurt as bad
as I expected it to, you know?
383
00:28:23,802 --> 00:28:27,104
- I don't know how women survive.
- [laughs]
384
00:28:31,576 --> 00:28:33,310
[Chris speaking]
385
00:28:42,821 --> 00:28:45,656
I don't know
what this is called, but hey.
386
00:28:45,658 --> 00:28:48,058
I really want to
prove to Tammy that I'm here,
387
00:28:48,060 --> 00:28:51,028
I'm showing her support,
we're working out together.
388
00:28:51,030 --> 00:28:52,229
- Ow.
- [laughs]
389
00:28:52,231 --> 00:28:53,397
Oh.
390
00:28:54,866 --> 00:28:56,266
Oh, God.
391
00:28:58,303 --> 00:29:01,071
[Dr. Smith]
Let's get on the scale.
392
00:29:02,607 --> 00:29:07,077
I'm angry with the fact that she did
not do anything that I asked her to do.
393
00:29:07,079 --> 00:29:09,246
I just really feel like
she's wasting her time.
394
00:29:25,730 --> 00:29:27,631
[Tammy speaking]
395
00:29:27,633 --> 00:29:31,435
I haven't been doing what
Doctor Smith's been asking me.
396
00:29:31,437 --> 00:29:36,240
So now I'm trying to get this
weight loss taken care of because
397
00:29:56,861 --> 00:30:00,831
[Amy speaking] Tammy has a doctor's
appointment with Doctor Smith coming up,
398
00:30:00,833 --> 00:30:03,167
so I really want to prove
to Tammy that I'm here,
399
00:30:03,169 --> 00:30:04,835
I'm showing her support.
400
00:30:04,837 --> 00:30:07,104
I'm right here,
we're working out together.
401
00:30:07,839 --> 00:30:09,239
But, in reality,
402
00:30:15,113 --> 00:30:16,246
Like this.
403
00:30:17,048 --> 00:30:18,248
Okay.
404
00:30:27,959 --> 00:30:29,326
- Ow.
- [laughs]
405
00:30:32,831 --> 00:30:34,031
Oh.
406
00:30:35,867 --> 00:30:37,300
Oh, God.
407
00:30:40,104 --> 00:30:44,341
It seems like Amy has forgotten
everything she learned from Fit 4 Mom.
408
00:30:44,343 --> 00:30:47,945
[Tammy] Hey, I just realized
my massive...
409
00:30:47,947 --> 00:30:50,147
- I missed it.
- [bleep]
410
00:30:51,783 --> 00:30:53,317
Oh, my God.
411
00:30:53,319 --> 00:30:56,019
[Amy speaking]
412
00:30:59,424 --> 00:31:04,328
He loves big women, but
she needs to lose this weight.
413
00:31:23,982 --> 00:31:25,282
[sighs]
414
00:31:26,184 --> 00:31:27,317
Just...
415
00:31:52,844 --> 00:31:54,344
[Tammy speaking]
416
00:32:06,257 --> 00:32:09,026
[Amy speaking]
417
00:32:18,970 --> 00:32:22,005
Tammy told me she broke
up with Phil and I'm like...
418
00:32:24,309 --> 00:32:26,843
Now you need
to work on yourself.
419
00:32:26,845 --> 00:32:30,814
Tammy don't need somebody
that wants her to be a glutton.
420
00:32:30,816 --> 00:32:33,917
Now that your Doctor Smith
appointment is coming up
421
00:32:33,919 --> 00:32:37,721
you got to show some real
progress, so we got to do this,
422
00:32:37,723 --> 00:32:40,223
- like, every day.
- I know.
423
00:32:40,892 --> 00:32:42,960
Even when I'm not around.
424
00:32:45,330 --> 00:32:47,364
[Amy speaking]
425
00:32:55,206 --> 00:33:00,010
- So, you ready to do some squats?
- No. I can't do squats.
426
00:33:00,611 --> 00:33:02,446
[Amy speaking]
427
00:33:28,373 --> 00:33:30,374
Tammy, let me get
the door real quick.
428
00:33:32,643 --> 00:33:34,344
[Chris] This is going to be
the moment of truth.
429
00:33:34,346 --> 00:33:37,447
I'm going to Doctor Smith's
to do a final weigh-in.
430
00:33:41,853 --> 00:33:44,654
[Chris] The last few weeks I've
tried really hard to stay on track.
431
00:33:44,656 --> 00:33:46,923
No starches at all.
432
00:33:46,925 --> 00:33:50,160
Chicken stir-fry
and cauliflower rice.
433
00:33:51,829 --> 00:33:52,796
[Chris speaking]
434
00:33:52,798 --> 00:33:55,232
- [Brittany] No, it's not.
- Yeah, it is.
435
00:33:55,900 --> 00:33:58,402
- Is everybody ready to go?
- [Misty] I think so.
436
00:34:00,004 --> 00:34:03,373
- There's a whole lot of ass in this van today.
- [Misty] Yep.
437
00:34:06,577 --> 00:34:08,845
[Chris]
We brought Misty along because
438
00:34:08,847 --> 00:34:10,580
somebody has to push Tammy
if I get my surgery.
439
00:34:10,582 --> 00:34:13,250
Brittany can't do it.
440
00:34:13,252 --> 00:34:16,219
So, how does everybody feel
about this doctor's appointment?
441
00:34:19,557 --> 00:34:21,058
Why?
442
00:34:34,872 --> 00:34:37,240
Hopefully, God willing
and the creek don't rise,
443
00:34:44,515 --> 00:34:46,516
So...
444
00:34:46,518 --> 00:34:50,087
What happens if you don't
make weight when we get there?
445
00:34:50,089 --> 00:34:52,722
I'll probably be more depressed
than anything. I don't know.
446
00:34:52,724 --> 00:34:55,525
I was gonna say, it would kill
me working that hard to do it
447
00:34:55,527 --> 00:34:57,094
and then not, you know...
448
00:34:57,096 --> 00:35:00,230
- Not getting it?
- Yeah. That would really mess me up.
449
00:35:00,232 --> 00:35:01,965
[Chris] It's gonna suck.
450
00:35:01,967 --> 00:35:06,169
I'm tired of being on a diet all the
time to work towards the surgery
451
00:35:06,171 --> 00:35:08,972
that's, kind of, like
I'm never going to get.
452
00:35:09,407 --> 00:35:12,175
- I'd probably bawl.
- I don't know,
453
00:35:14,912 --> 00:35:19,015
If Doctor Smith turns me down
from having the surgery...
454
00:35:21,786 --> 00:35:23,253
I don't know
what I'm going to do.
455
00:35:26,958 --> 00:35:28,391
[Chris] This is it.
456
00:35:28,459 --> 00:35:31,995
If I'm under 400 pounds that means
tomorrow I'm getting my surgery.
457
00:35:46,043 --> 00:35:47,377
I was going to get the door.
458
00:35:48,613 --> 00:35:51,381
- Well, I didn't see that thing.
- Well...
459
00:35:51,383 --> 00:35:54,851
[Tammy] Today is Chris and I's
one month follow-up appointment.
460
00:35:54,853 --> 00:35:59,589
He's going to find out if he might
get approved for surgery and...
461
00:35:59,591 --> 00:36:02,926
I'm worried about
my appointment too, because...
462
00:36:02,928 --> 00:36:07,030
I know I haven't been doing
exactly everything
463
00:36:07,032 --> 00:36:09,232
Doctor Smith
has wanted me to do.
464
00:36:11,002 --> 00:36:12,335
- Hey, guys.
- [both] Hey.
465
00:36:12,337 --> 00:36:15,105
- How are we?
- I'm good.
466
00:36:15,107 --> 00:36:18,909
Tammy, when I saw you last
time I gave you some goals.
467
00:36:18,911 --> 00:36:20,443
How's that been going?
468
00:36:23,614 --> 00:36:25,115
Not good? Why?
469
00:36:27,185 --> 00:36:29,553
- You don't know?
- I really don't know.
470
00:36:29,555 --> 00:36:31,288
So portion control's
gotten worse?
471
00:36:33,791 --> 00:36:37,260
[Dr. Smith]
It's not improving. Okay.
472
00:36:44,368 --> 00:36:47,037
I think some of the other
goals we had were steps,
473
00:36:47,039 --> 00:36:52,008
and we were going to start at
75 and go up by five each day.
474
00:36:52,010 --> 00:36:52,976
How are we on that?
475
00:36:54,979 --> 00:36:56,179
[Dr. Smith] No?
476
00:36:56,181 --> 00:36:58,381
[Tammy speaking]
477
00:36:58,716 --> 00:37:00,217
Are we walking every day?
478
00:37:00,551 --> 00:37:04,020
No. So we're not even doing
the 75 a day.
479
00:37:05,790 --> 00:37:10,193
I'm angry with the fact that she did
not do anything that I asked her to do.
480
00:37:10,195 --> 00:37:12,896
I just really feel like
she's wasting her time.
481
00:37:12,898 --> 00:37:19,202
Let's get on the scale. Let's have
you weigh, and then let's talk, okay?
482
00:37:24,842 --> 00:37:27,143
[Tammy speaking]
483
00:37:46,197 --> 00:37:47,430
[Dr. Smith] 639.
484
00:37:48,933 --> 00:37:50,300
[Tammy speaking]
485
00:38:03,547 --> 00:38:05,815
That's the first time that
I've seen you in follow-up
486
00:38:05,817 --> 00:38:07,851
- that you didn't gain weight.
- Right.
487
00:38:07,853 --> 00:38:10,320
And that is a positive, and
I'm not going to make light of it,
488
00:38:11,122 --> 00:38:12,922
but it kind of ticks me off.
489
00:38:12,924 --> 00:38:15,158
And you know why?
490
00:38:15,160 --> 00:38:18,094
You told me all the
things we asked you to do,
491
00:38:18,096 --> 00:38:19,595
you didn't do.
492
00:38:19,597 --> 00:38:25,268
Can you imagine if you would actually
do these things that we're working with?
493
00:38:26,637 --> 00:38:29,939
What I'm trying to get you
to understand is that
494
00:38:29,941 --> 00:38:33,710
if you will do what I'm asking
you to do every single day,
495
00:38:33,712 --> 00:38:35,612
you will see results.
496
00:38:35,614 --> 00:38:40,016
The fact of the matter
is it works. It will work.
497
00:38:41,519 --> 00:38:44,287
[Chris] You know, the rumor is
Tammy's relationship is over.
498
00:38:44,289 --> 00:38:47,657
So I don't know if she's been
eating her feelings.
499
00:38:47,659 --> 00:38:52,829
Hell, I don't know what the hell's
going on, but it's frustrating as hell.
500
00:38:52,831 --> 00:38:55,131
What are you thinking right now?
501
00:38:59,003 --> 00:39:01,371
I want to see you back
in about a month, okay?
502
00:39:01,373 --> 00:39:03,139
I'm going to give you
the same goal.
503
00:39:03,141 --> 00:39:05,608
I'm not going to reduce it just
because you're not meeting it.
504
00:39:05,610 --> 00:39:09,479
- Right.
- Tammy, I want to see a log when you come next time.
505
00:39:09,481 --> 00:39:10,914
I want to see a piece of paper,
506
00:39:10,916 --> 00:39:12,716
or something in your phone
that you can show me,
507
00:39:12,718 --> 00:39:15,518
that you put a date
that you walked.
508
00:39:15,520 --> 00:39:21,224
And if you didn't walk on a
date just write you didn't walk.
509
00:39:21,226 --> 00:39:26,029
All right. So we'll see you in about a
month. I want to see 25 pounds gone.
510
00:39:26,031 --> 00:39:29,499
I'll never quit on you, you don't
ever quit on me, and we'll get there.
511
00:39:29,501 --> 00:39:30,666
But right now...
512
00:39:31,836 --> 00:39:35,205
No offence, I think I want it
more than you do for you.
513
00:39:35,207 --> 00:39:38,975
Prove me wrong, okay?
I want you to prove me wrong.
514
00:39:40,010 --> 00:39:41,211
[Tammy speaking]
515
00:39:59,163 --> 00:40:00,263
Chris?
516
00:40:00,265 --> 00:40:03,032
- Okay?
- Mmm-hmm.
517
00:40:04,635 --> 00:40:06,369
- [Tammy] Good luck.
- Appreciate it.
518
00:40:09,607 --> 00:40:13,209
I've been trying to get
this surgery 11 years.
519
00:40:13,211 --> 00:40:17,080
Been a lot of setbacks
for one reason or another.
520
00:40:18,015 --> 00:40:19,382
This is it.
521
00:40:32,663 --> 00:40:33,863
- Hey, guys.
- How's it going?
522
00:40:33,865 --> 00:40:34,931
- [Brittany] Hello.
- How are ya?
523
00:40:34,998 --> 00:40:36,399
Great.
524
00:40:38,736 --> 00:40:42,405
So, I guess the final verdict is
we want to see what this number is,
525
00:40:42,407 --> 00:40:43,840
- don't we?
- Yeah, I guess.
526
00:40:43,842 --> 00:40:45,275
How has your
activity level been?
527
00:40:47,478 --> 00:40:48,645
[Dr. Smith] Okay. Good.
528
00:40:48,647 --> 00:40:51,581
- You feel like you've done what you can do?
- Yeah.
529
00:40:51,583 --> 00:40:55,685
Okay. Good deal. Well, let's
find out what this number is,
530
00:40:55,687 --> 00:40:57,954
- and then we'll talk, okay?
- Yeah.
531
00:40:57,956 --> 00:40:59,489
All right, hop up here for me.
532
00:40:59,491 --> 00:41:00,924
[Chris] I'm taking my shoes off.
533
00:41:00,926 --> 00:41:03,927
[Dr. Smith] Okay, take your
shoes off. We can do that.
534
00:41:03,929 --> 00:41:06,062
Let's weigh you
how we have before.
535
00:41:07,965 --> 00:41:09,265
[Chris] Here we go.
536
00:41:11,769 --> 00:41:15,538
This is it and I am stressing.
537
00:41:15,540 --> 00:41:19,976
I have really buckled down
on what I've been eating, but...
538
00:41:29,487 --> 00:41:31,654
- [Amy] Come play with something you can play with.
- [Michael] Ouch.
539
00:41:31,656 --> 00:41:33,623
[Amy] Oh, I knew you were
going to hit your head.
540
00:41:33,625 --> 00:41:36,693
[Tammy] Next time
on 1000-lb Sisters.
541
00:41:36,695 --> 00:41:39,028
- I can't believe how fast Gage is growing.
- [Michael] I know.
542
00:41:39,030 --> 00:41:41,164
We definitely need more space.
543
00:41:41,665 --> 00:41:43,065
Look at that little house.
544
00:41:43,434 --> 00:41:47,804
Our house is getting too small for
the three of us. We have to move.
545
00:41:47,806 --> 00:41:51,708
-That's perfect. It's right next to the park.
-Yeah.
546
00:41:51,710 --> 00:41:56,179
I'm nervous to tell Tammy
I'm moving out, but it's time.
547
00:41:56,981 --> 00:42:00,950
My ex-boyfriend has been...
548
00:42:01,819 --> 00:42:03,720
harassing me.
549
00:42:03,722 --> 00:42:07,257
The situation with Phillip
got way out of hand.
550
00:42:07,259 --> 00:42:10,527
I got the police involved,
551
00:42:10,529 --> 00:42:13,263
and I never thought I'd be in
this kind of situation.
552
00:42:14,732 --> 00:42:17,133
You know, my job is
to do what's best for you,
553
00:42:17,135 --> 00:42:19,769
and sometimes that may be an
answer you don't want to hear.
554
00:42:19,771 --> 00:42:21,404
I don't understand it.
555
00:42:21,406 --> 00:42:23,973
I don't know how in the hell
this is possible.
43692
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