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These are the user uploaded subtitles that are being translated: 1 00:00:00,800 --> 00:00:02,401 [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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