1
00:00:03,367 --> 00:00:05,867
Sean:
I'M A SLAVE TO MY WEIGHT,

2
00:00:05,867 --> 00:00:09,267
AND I KNOW
MY ADDICTION IS KILLING ME.

3
00:00:14,933 --> 00:00:16,800
[ MOANING ]

4
00:00:16,800 --> 00:00:20,367
MY WEIGHT HAS GIVEN ME
A DEATH SENTENCE.

5
00:00:20,367 --> 00:00:23,267
Nikki: THE THING
I RELIED ON ALL THESE YEARS

6
00:00:23,267 --> 00:00:25,200
IS WHAT'S KILLING ME.

7
00:00:32,200 --> 00:00:34,233
IT'S BROKEN!
WHAT AM I SUPPOSED TO DO?

8
00:00:34,233 --> 00:00:35,833
I DON'T KNOW.
I CAN'T GET OFF.

9
00:00:35,833 --> 00:00:37,633
DON'T LET ME GO, PLEASE.
I'M NOT.

10
00:00:42,333 --> 00:00:44,667
Chad: IT'S HARD TO BE A FATHER
FROM A CHAIR.

11
00:00:44,667 --> 00:00:46,467
[ GRUNTS ]
THANK YOU, HONEY.

12
00:00:46,467 --> 00:00:49,767
I SEE
THAT UNWILLINGNESS.

13
00:00:49,767 --> 00:00:52,633
IF YOU WERE SERIOUS,
YOU'D MAKE CHANGES.

14
00:00:55,900 --> 00:00:58,067
Dr. Nowzaradan:
HE'S WORSE OFF NOW,

15
00:00:58,067 --> 00:01:01,767
AND HE LOOKS LIKE HE PUT
ANOTHER 100 POUNDS ON.

16
00:01:01,767 --> 00:01:04,133
HE MAY BE APPROACHING
1,000 POUNDS.

17
00:01:04,133 --> 00:01:07,133
-- Captions by VITAC --
www.vitac.com

18
00:01:07,133 --> 00:01:10,100
CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

19
00:01:12,067 --> 00:01:14,467
Sean: WHEN YOU BECOME
THE MOST DESTRUCTIVE PERSON

20
00:01:14,467 --> 00:01:16,667
IN YOUR LIFE,

21
00:01:16,667 --> 00:01:18,833
YOU HAVE TO START
TO LOOK OUTSIDE YOURSELF

22
00:01:18,833 --> 00:01:21,200
FOR HELP TO CHANGE.

23
00:01:23,000 --> 00:01:29,074
Watch Online Movies and Series for FREE
www.osdb.link/lm

24
00:01:33,400 --> 00:01:35,167
EVERY DAY I WAKE UP,

25
00:01:35,167 --> 00:01:42,733
I HAVE TO FACE THE REALITY
OF WHAT MY LIFE HAS BECOME.

26
00:01:42,733 --> 00:01:46,067
I'M SO BIG NOW
I CAN HARDLY MOVE.

27
00:01:46,067 --> 00:01:50,067
ALL I CAN DO ON MY OWN IS SCOOCH
TO THE EDGE OF MY BED,

28
00:01:50,067 --> 00:01:55,067
GO TO THE BATHROOM,
AND SEE IF MY MOM'S AWAKE.

29
00:01:55,067 --> 00:01:59,400
I CAN GET UP,
BUT I CAN ONLY WALK A FEW STEPS.

30
00:01:59,400 --> 00:02:03,100
SO I JUST STAY HERE IN THIS BED
NO MATTER WHAT.

31
00:02:03,100 --> 00:02:06,100
I CAN'T DO ANYTHING
FOR MYSELF ANYMORE.

32
00:02:06,100 --> 00:02:07,667
MOM?

33
00:02:07,667 --> 00:02:09,667
HOW YOU DOING, SWEETIE?

34
00:02:09,667 --> 00:02:11,967
-ALL RIGHT.
-GOOD. HOW'D YOU SLEEP?

35
00:02:11,967 --> 00:02:15,800
SEAN HAS TO JUST TOTALLY BE
TAKEN ARE OF FROM HEAD TO TOE.

36
00:02:15,800 --> 00:02:17,333
EVERYTHING HAS TO BE DONE
FOR HIM.

37
00:02:19,800 --> 00:02:22,233
Sean: I ONLY MOVE WHEN I HAVE TO

38
00:02:22,233 --> 00:02:25,567
BECAUSE IT HURTS TO DO ANYTHING.

39
00:02:25,567 --> 00:02:27,700
THE HARDEST DAYS ARE

40
00:02:27,700 --> 00:02:30,800
WHEN I HAVE TO GET UP
FOR MY BATH

41
00:02:30,800 --> 00:02:33,067
'CAUSE IT CAN BE QUITE PAINFUL.

42
00:02:33,067 --> 00:02:34,233
HI.
HOW ARE YOU?

43
00:02:34,233 --> 00:02:36,633
-GOOD. HOW ARE YOU?
-GOOD.

44
00:02:36,633 --> 00:02:38,400
-HOW ARE YOU, SEAN?
-I'M ALL RIGHT.

45
00:02:38,400 --> 00:02:39,600
YEAH?

46
00:02:41,333 --> 00:02:44,467
I'VE KNOWN SEAN AND RENEE
FOR TWO OR THREE YEARS,

47
00:02:44,467 --> 00:02:46,867
AND I COME IN
AND I HELP HER CLEAN UP

48
00:02:46,867 --> 00:02:49,067
AND DO LAUNDRY
AND COOK SOME MEALS

49
00:02:49,067 --> 00:02:51,900
AND HELP GIVE SEAN A BATH.

50
00:02:51,900 --> 00:02:53,367
CAN YOU LIFT?

51
00:02:53,367 --> 00:02:55,700
Renee:
SEAN HAS GOTTEN SO BIG,

52
00:02:55,700 --> 00:03:00,100
I CAN'T HANDLE CLEANING HIM
ON MY OWN ANYMORE.

53
00:03:00,100 --> 00:03:02,367
AND IT'S REALLY IMPORTANT
THAT HE STAYS CLEAN

54
00:03:02,367 --> 00:03:06,067
BECAUSE HE GETS OPEN SORES
REAL EASILY.

55
00:03:06,067 --> 00:03:09,467
WHEN YOU'RE VERY, VERY FAT,
YOUR BODY GOES THIS WAY

56
00:03:09,467 --> 00:03:12,267
BUT THE FAT GOES ANOTHER WAY,
AND SO WHAT HAPPENS IS

57
00:03:12,267 --> 00:03:14,767
YOU START GETTING TEARS
IN YOUR SKIN FROM THAT.

58
00:03:17,267 --> 00:03:19,967
Sean: THE PROBLEM IS
THEY CAN GET WORSE REAL EASY,

59
00:03:19,967 --> 00:03:23,233
SO EVERY DAY
WE HAVE TO TAKE CARE OF THEM.

60
00:03:23,233 --> 00:03:26,167
AND IT IS A PAINFUL PROCESS.

61
00:03:26,167 --> 00:03:28,700
READY, BABE.

62
00:03:28,700 --> 00:03:30,333
HANG ON, I GOT TO GET
MY SHOULDER INTO THIS.

63
00:03:30,333 --> 00:03:31,633
OKAY.

64
00:03:31,633 --> 00:03:33,500
Renee:
HE'S VERY DIFFICULT TO MOVE,

65
00:03:33,500 --> 00:03:36,800
AND IT'S VERY HARD FOR ME TO
LIFT THIS LARGE MASS ON HIS SIDE

66
00:03:36,800 --> 00:03:39,200
AND GET UNDERNEATH IT
AND CLEAN PROPERLY.

67
00:03:39,200 --> 00:03:40,367
Sean: [ GRUNTS ]

68
00:03:40,367 --> 00:03:42,600
WHEN YOU GET A CHANCE,
I NEED A DRY WASHCLOTH.

69
00:03:42,600 --> 00:03:44,500
I GOT IT IN MY EYE.

70
00:03:44,500 --> 00:03:46,400
ALL RIGHT.
YOU OKAY, SEAN?

71
00:03:47,600 --> 00:03:48,900
[ MOANING ]

72
00:03:48,900 --> 00:03:52,200
THE HARDEST PART FOR ME IS
WHEN I HAVE TO LEAN OVER.

73
00:03:52,200 --> 00:03:55,600
I CANNOT BREATHE.

74
00:03:55,600 --> 00:03:58,800
IT'S SUCH A HORRIBLE FEELING
BECAUSE MY BODY,

75
00:03:58,800 --> 00:04:01,067
IT JUST CAN'T HANDLE MUCH,

76
00:04:01,067 --> 00:04:05,667
AND IT'S MOSTLY MY LEGS
AND MY KNEES THAT HURT THE MOST.

77
00:04:05,667 --> 00:04:08,267
THERE YOU GO.

78
00:04:08,267 --> 00:04:10,900
OKAY, KIDDO.

79
00:04:14,400 --> 00:04:18,567
OKAY, WE'RE ALMOST DONE.
TWO SECONDS. OKAY.

80
00:04:18,567 --> 00:04:20,067
Renee: LET ME GET
THIS CORNER DOWN.

81
00:04:20,067 --> 00:04:21,400
ALL RIGHT,
YOU SHOULD BE GOOD, HONEY.

82
00:04:21,400 --> 00:04:23,467
THERE YOU GO.

83
00:04:23,467 --> 00:04:26,100
OKAY.
GOOD JOB.

84
00:04:26,100 --> 00:04:27,733
I'M A PRISONER.

85
00:04:27,733 --> 00:04:29,400
ALL I WANT IS OUT.

86
00:04:29,400 --> 00:04:34,133
AND I NEVER REALLY THOUGHT
MY LIFE WOULD END UP LIKE THIS.

87
00:04:38,733 --> 00:04:40,567
WHEN I WAS REALLY YOUNG,

88
00:04:40,567 --> 00:04:44,067
I HAD A LOT OF DIFFICULTY
CONTROLLING MY EMOTIONS.

89
00:04:46,367 --> 00:04:50,433
I WOULD LASH OUT AT PEOPLE
WHEN I WAS ANGRY.

90
00:04:50,433 --> 00:04:52,267
I WOULD KICK PEOPLE.

91
00:04:52,267 --> 00:04:55,400
I BIT SOMEONE ONCE.

92
00:04:55,400 --> 00:04:57,567
I DIDN'T CONTROL MYSELF WELL

93
00:04:57,567 --> 00:05:01,467
BECAUSE THINGS WERE HARD
AT HOME.

94
00:05:01,467 --> 00:05:03,567
MY DAD WOULD GET ANGRY AT ME,

95
00:05:03,567 --> 00:05:09,300
AND HE HAD A TENDENCY TO GET
IN MY FACE, YELL AT ME.

96
00:05:09,300 --> 00:05:12,767
HE WOULD DO THINGS LIKE
BACK ME INTO A CORNER.

97
00:05:17,367 --> 00:05:18,667
IT WAS SCARY.

98
00:05:18,667 --> 00:05:21,300
I DIDN'T KNOW
HOW TO DEAL WITH IT.

99
00:05:21,300 --> 00:05:23,100
SO I WOULD EAT,

100
00:05:23,100 --> 00:05:26,533
AND SUDDENLY
I FELT A LOT BETTER.

101
00:05:26,533 --> 00:05:31,700
IN THAT MOMENT,
NOTHING ELSE MATTERED.

102
00:05:31,700 --> 00:05:35,667
Renee:
I PROBABLY OVERCOMPENSATED
IN A LOT OF WAYS.

103
00:05:35,667 --> 00:05:38,533
I COULDN'T GO TO THE
STORE WITHOUT BRINGING
HIM HOME A TREAT.

104
00:05:38,533 --> 00:05:41,200
I HAVE AN EATING ISSUE MYSELF,

105
00:05:41,200 --> 00:05:43,200
AND IT'S HARD
TO FIX IN SOMEONE ELSE

106
00:05:43,200 --> 00:05:44,467
WHAT'S WRONG WITH YOU.

107
00:05:46,333 --> 00:05:48,733
Sean: I STARTED PUTTING ON
A LOT OF WEIGHT,

108
00:05:48,733 --> 00:05:53,400
AND BY THE TIME I WAS 9,
I WAS PROBABLY 150 POUNDS.

109
00:05:55,167 --> 00:05:58,067
AND THEN,
WHEN I WAS 10 YEARS OLD,

110
00:05:58,067 --> 00:06:01,867
MY MOM AND DAD SPLIT UP.

111
00:06:01,867 --> 00:06:04,467
Sean:
I REALIZED IT WASN'T HEALTHY

112
00:06:04,467 --> 00:06:07,167
FOR SEAN TO STAY
AROUND HIS FATHER.

113
00:06:07,167 --> 00:06:11,933
BUT THE DIVORCE REALLY HAD
A HARD EFFECT ON SEAN.

114
00:06:11,933 --> 00:06:13,367
IT REALLY BOTHERED HIM.

115
00:06:13,367 --> 00:06:16,367
Sean:
I FELT LIKE IT WAS MY FAULT.

116
00:06:16,367 --> 00:06:21,367
I FELT LIKE MY FAMILY HAD
FALLEN APART BECAUSE OF ME.

117
00:06:21,367 --> 00:06:25,400
SO I KEPT GOING TO FOOD
TO DEAL WITH THOSE FEELINGS.

118
00:06:25,400 --> 00:06:28,600
I WOULD GET OUT OF SCHOOL,
AND MY MOM WOULD BE AT WORK,

119
00:06:28,600 --> 00:06:32,967
SO I'D JUST COME HOME
AND GO STRAIGHT TO THE FRIDGE.

120
00:06:32,967 --> 00:06:36,067
I'D EAT ANYTHING AND EVERYTHING
I COULD GET MY HANDS ON.

121
00:06:36,067 --> 00:06:40,867
THAT'S WHEN THE WEIGHT GAIN
STARTED BUILDING.

122
00:06:40,867 --> 00:06:46,233
I STARTED GAINING
PROBABLY 50 POUNDS A YEAR.

123
00:06:46,233 --> 00:06:48,933
AND BY THE TIME
I WAS IN HIGH SCHOOL,

124
00:06:48,933 --> 00:06:52,967
I WAS OVER 400 POUNDS.

125
00:06:52,967 --> 00:06:55,467
AND MY SENIOR YEAR
IN HIGH SCHOOL,

126
00:06:55,467 --> 00:06:58,067
I HAD A REALLY BAD LEG INJURY.

127
00:06:58,067 --> 00:07:00,800
I FELL DOWN SOME STAIRS.

128
00:07:00,800 --> 00:07:02,267
MY ANKLE TWISTED,

129
00:07:02,267 --> 00:07:06,267
AND I HAD TWO DETACHED LIGAMENTS
IN MY LEG.

130
00:07:06,267 --> 00:07:09,133
AND THAT INJURY MADE ME BEDBOUND

131
00:07:09,133 --> 00:07:14,167
AND PREVENTED ME
FROM FINISHING MY SENIOR YEAR.

132
00:07:14,167 --> 00:07:16,900
IT'S BEEN EIGHT YEARS
SINCE THAT HAPPENED,

133
00:07:16,900 --> 00:07:18,433
AND I'VE BEEN TRAPPED
IN THIS BED,

134
00:07:18,433 --> 00:07:21,867
AND I'VE BEEN GETTING BIGGER
AND BIGGER TO THE POINT NOW

135
00:07:21,867 --> 00:07:24,233
I DON'T EVEN KNOW WHAT I WEIGH.

136
00:07:24,233 --> 00:07:28,767
AND I'M SCARED TO FIND OUT.

137
00:07:28,767 --> 00:07:31,533
MY KNEE HAS NEVER FULLY HEALED,

138
00:07:31,533 --> 00:07:35,433
SO I JUST KIND OF SIT,
WATCH TV,

139
00:07:35,433 --> 00:07:40,400
KNIT, PLAY GAMES.

140
00:07:40,400 --> 00:07:44,833
I MISS BEING ABLE
TO DO SIMPLE THINGS FOR MYSELF.

141
00:07:44,833 --> 00:07:47,100
IT'S JUST NOT POSSIBLE ANYMORE,

142
00:07:47,100 --> 00:07:51,167
AND KNOW IT'S BECAUSE
OF MY EATING.

143
00:07:51,167 --> 00:07:54,367
FOR ME, EATING CAN BE
AN ALL-DAY THING.

144
00:07:59,700 --> 00:08:02,200
I KEEP SNACKS UNDER MY COVERS
JUST TO MAKE SURE

145
00:08:02,200 --> 00:08:06,700
I HAVE SOMETHING NEARBY
WHEN I WANT TO EAT.

146
00:08:06,700 --> 00:08:07,833
Sean: HEY, MOM.

147
00:08:07,833 --> 00:08:10,367
I'M PROBABLY GONNA NEED
A LITTLE SNACK.

148
00:08:10,367 --> 00:08:14,067
SEAN HAS NO APPETITE CONTROL.

149
00:08:14,067 --> 00:08:15,733
HE'S HUNGRY INCESSANTLY.

150
00:08:15,733 --> 00:08:17,833
WHAT DO YOU WANT?

151
00:08:17,833 --> 00:08:19,900
JUST A COUPLE BURGERS
AND A SODA.

152
00:08:19,900 --> 00:08:22,333
MAYBE MEDIUM FRY.

153
00:08:22,333 --> 00:08:25,600
OH, COULD YOU GET ME
ONE OF THOSE CARAMEL SUNDAES?

154
00:08:25,600 --> 00:08:27,233
SURE.
NO PROBLEM.

155
00:08:27,233 --> 00:08:29,733
SOMETIMES, IT'S JUST EASIER
TO GIVE HIM WHAT HE WANTS,

156
00:08:29,733 --> 00:08:32,900
AND UNFORTUNATELY
I DO THAT ALL THE TIME.

157
00:08:32,900 --> 00:08:34,367
OKEYDOKEY.

158
00:08:34,367 --> 00:08:36,800
Renee: I'VE HAD PEOPLE TELL ME,
"YOU DON'T HAVE TO GIVE HIM FOOD

159
00:08:36,800 --> 00:08:38,400
JUST 'CAUSE HE SAYS
HE'S HUNGRY."

160
00:08:38,400 --> 00:08:41,900
BUT I'M A MOM,
AND WHEN YOUR KIDS SAY,

161
00:08:41,900 --> 00:08:45,067
"I'M HUNGRY, MOM,"
YOU WANT TO FEED YOUR KID.

162
00:08:46,067 --> 00:08:47,833
[ GRUNTS ]

163
00:08:47,833 --> 00:08:49,333
OKAY.

164
00:08:49,333 --> 00:08:52,667
BECAUSE SEAN LIKES
TO EAT PRETTY REGULARLY,

165
00:08:52,667 --> 00:08:56,100
FAST FOOD REALLY IS PRETTY MUCH
THE EASIEST THING TO DO.

166
00:08:58,367 --> 00:08:59,500
THANKS.

167
00:08:59,500 --> 00:09:01,867
-HAVE A GREAT DAY.
-THANK YOU VERY MUCH.

168
00:09:03,733 --> 00:09:07,300
HE HAS VERY LITTLE IN LIFE
TO REALLY LOOK FORWARD TO,

169
00:09:07,300 --> 00:09:13,633
SO MY COMING HOME WITH SOMETHING
IS A VERY BIG EVENT FOR HIM.

170
00:09:15,533 --> 00:09:18,767
Sean: FOOD HAS KIND OF BECOME
MY COMFORT --

171
00:09:18,767 --> 00:09:21,433
KIND OF LIKE A CHILD
WITH THEIR BLANKIE.

172
00:09:21,433 --> 00:09:24,067
GRAB THE BAG.

173
00:09:24,067 --> 00:09:27,500
WHEN I'M SAD
OR WHEN I'M STRESSED,

174
00:09:27,500 --> 00:09:30,800
WHEN I'M JUST PLAIN
DOWN IN THE DUMPS,

175
00:09:30,800 --> 00:09:35,400
I TURN TO FOOD.

176
00:09:35,400 --> 00:09:37,267
I DON'T KNOW
WHAT TOMORROW WILL BRING,

177
00:09:37,267 --> 00:09:41,633
BUT AT LEAST
I KNOW FOOD IS THERE.

178
00:09:46,733 --> 00:09:48,800
WHAT DO YOU SAY
WE ORDER IN TONIGHT?

179
00:09:48,800 --> 00:09:49,900
PIZZA SOUNDS GOOD.

180
00:09:49,900 --> 00:09:51,267
PIZZA SOUNDS GOOD?

181
00:09:51,267 --> 00:09:56,167
MY LIFE IS NO WAY
FOR A 26-YEAR-OLD TO LIVE.

182
00:09:56,167 --> 00:10:01,100
I MISS BEING ABLE
TO GET UP, MOVE, GO PLACES.

183
00:10:01,100 --> 00:10:04,067
IT'S BEEN EIGHT YEARS
SINCE I WENT OUT IN PUBLIC.

184
00:10:04,067 --> 00:10:06,667
Renee: OH, HELLO.
HOW ARE YOU?

185
00:10:06,667 --> 00:10:08,467
IT'S PURGATORY.

186
00:10:08,467 --> 00:10:11,167
I CAN'T GO FORWARD.
I CAN'T GO BACK.

187
00:10:11,167 --> 00:10:12,900
JUST STUCK.

188
00:10:12,900 --> 00:10:14,967
Renee: SO, LET ME FIGURE OUT
WHICH ONE'S YOURS.

189
00:10:14,967 --> 00:10:16,633
I'LL GET IT
OVER TO YOU.

190
00:10:16,633 --> 00:10:19,700
UNFORTUNATELY,
THE FOOD THAT I LOVE TO EAT --

191
00:10:19,700 --> 00:10:23,267
THE ADDICTION
THAT I NOW HAVE IS KILLING ME.

192
00:10:23,267 --> 00:10:28,567
AND I KNOW
I'M ALMOST OUT OF TIME.

193
00:10:28,567 --> 00:10:31,633
Renee: SEAN'S MISSING OUT
ON EVERYTHING IN LIFE.

194
00:10:31,633 --> 00:10:36,467
IT'S HEARTBREAKING TO SEE SEAN
IN THE CONDITION THAT HE'S IN.

195
00:10:38,333 --> 00:10:42,500
Sean: I KNOW FOR A FACT
I NEED TO LOSE WEIGHT.

196
00:10:42,500 --> 00:10:47,233
LOSING WEIGHT IS
THE ONLY WAY I CAN SURVIVE THIS.

197
00:10:47,233 --> 00:10:49,067
BUT I CAN'T STOP EATING.

198
00:10:49,067 --> 00:10:50,567
I'M DONE.
-YOU'RE DONE?

199
00:10:54,433 --> 00:10:55,633
SURE.
NO PROBLEM.

200
00:10:55,633 --> 00:10:58,233
Renee:
SEAN IS KILLING HIMSELF SLOWLY.

201
00:10:58,233 --> 00:11:00,333
IF WE DON'T CHANGE,

202
00:11:00,333 --> 00:11:03,400
I DON'T SEE SEAN LIVING
MORE THAN SIX MONTHS.

203
00:11:03,400 --> 00:11:05,767
ALL RIGHT, KIDDO.

204
00:11:05,767 --> 00:11:09,267
EAT WHAT YOU WANT TO EAT.

205
00:11:09,267 --> 00:11:13,500
SOMETHING HAS TO CHANGE.

206
00:11:13,500 --> 00:11:16,533
I'M KILLING MYSELF
MORE AND MORE EACH DAY,

207
00:11:16,533 --> 00:11:19,867
AND I'M TIRED OF JUST EXISTING.

208
00:11:19,867 --> 00:11:21,567
I WANT TO HAVE A FAMILY.

209
00:11:21,567 --> 00:11:24,067
I WOULD LOVE TO HAVE FRIENDS.

210
00:11:24,067 --> 00:11:26,167
I CAN'T EVEN DO THAT NOW.

211
00:11:27,433 --> 00:11:30,467
I NEED TO LOSE WEIGHT
JUST SO I CAN LIVE.

212
00:11:30,467 --> 00:11:34,500
I HAVE NO OTHER OPTIONS.

213
00:11:34,500 --> 00:11:37,400
AND IF I DON'T, I'M DEAD.

214
00:11:43,133 --> 00:11:46,700
JAKE, BE VERY CAREFUL
WITH THAT.

215
00:11:46,700 --> 00:11:48,467
Sean: TODAY,
MY MOM AND I ARE TRYING

216
00:11:48,467 --> 00:11:52,733
TO MOVE TO HOUSTON
TO GET HELP FROM DR. NOW.

217
00:11:52,733 --> 00:11:55,400
AND A LOT OF FRIENDS
FROM OUR CHURCH HAVE COME

218
00:11:55,400 --> 00:11:57,933
TO HELP ME DO THIS.

219
00:11:57,933 --> 00:12:02,567
BUT I'M NOT 100% CERTAIN THIS IS
THE RIGHT DECISION TO MAKE.

220
00:12:02,567 --> 00:12:05,967
SEAN'S SCARED ABOUT LEAVING

221
00:12:05,967 --> 00:12:07,767
EVERYTHING
HE'S EVER KNOWN BEHIND,

222
00:12:07,767 --> 00:12:10,133
BUT IT'S WORTH THE RISK.

223
00:12:10,133 --> 00:12:14,700
Sean: BASICALLY, WE GOT
TO GET ME OUT TO THE VAN.

224
00:12:14,700 --> 00:12:18,067
I'M WORRIED
ABOUT TRYING TO GET OUT THERE.

225
00:12:20,233 --> 00:12:22,067
[ GRUNTS ]

226
00:12:22,067 --> 00:12:24,133
YOU GOT THIS.

227
00:12:24,133 --> 00:12:26,133
Sean: THE LAST TIME
I LEFT THE HOUSE

228
00:12:26,133 --> 00:12:30,200
UNDER MY OWN POWER WAS
YEARS AGO.

229
00:12:30,200 --> 00:12:32,433
[ GROANS ]
GO.

230
00:12:32,433 --> 00:12:35,967
AND I AM EXTREMELY NERVOUS
ABOUT THIS TRIP.

231
00:12:35,967 --> 00:12:38,067
THREE...

232
00:12:38,067 --> 00:12:41,967
IT'S GOING TO TAKE ANYWHERE
BETWEEN 30 TO 40 HOURS

233
00:12:41,967 --> 00:12:43,167
TO DRIVE THERE.

234
00:12:43,167 --> 00:12:45,167
[ BREATHING HEAVILY ]

235
00:12:45,167 --> 00:12:47,867
AND I'M VERY WORRIED ABOUT THAT.

236
00:12:47,867 --> 00:12:49,867
[ GRUNTS ]

237
00:12:49,867 --> 00:12:52,800
IF I FALL,
IT'LL BE NEAR IMPOSSIBLE

238
00:12:52,800 --> 00:12:53,867
FOR PEOPLE TO PICK ME UP.

239
00:12:53,867 --> 00:12:55,100
[ GROANING ]

240
00:12:55,100 --> 00:12:57,067
OH, THAT HURTS.

241
00:12:57,067 --> 00:12:58,800
MY KNEE POPPED.
OW.

242
00:12:58,800 --> 00:13:00,633
Woman: WILL WE WEDGE THAT
UNDER HIS LEG?

243
00:13:00,633 --> 00:13:04,367
I'M LEAVING EVERYTHING I KNOW
TO SAVE MY LIFE.

244
00:13:04,367 --> 00:13:07,833
Woman:
LOOK AT THE SKY.

245
00:13:07,833 --> 00:13:10,500
Renee:
HE NEEDS TO EXPERIENCE LIFE.

246
00:13:10,500 --> 00:13:13,767
THAT'S WHAT I HOPE COMES
OUT OF ALL THIS.

247
00:13:18,133 --> 00:13:19,500
-GOT IT.
-THERE YOU GO.

248
00:13:19,500 --> 00:13:21,967
JAKE?
HELP ME WITH MY LEG.

249
00:13:21,967 --> 00:13:25,733
3, 2, 1.

250
00:13:25,733 --> 00:13:27,233
THERE YOU GO.

251
00:13:27,233 --> 00:13:30,600
THIS IS BY FAR THE BIGGEST RISK
MY MOM AND I HAVE EVER TAKEN.

252
00:13:30,600 --> 00:13:32,300
Renee: GOOD JOB.

253
00:13:32,300 --> 00:13:34,667
JUST THOSE LAST
FEW INCHES, BABE.

254
00:13:34,667 --> 00:13:36,467
AND I'M SCARED
THAT I'M BEYOND HELP

255
00:13:36,467 --> 00:13:40,167
AT THIS POINT,
AND THEN NO MATTER WHAT I DO

256
00:13:40,167 --> 00:13:42,233
OR WHAT HELP I GET,

257
00:13:42,233 --> 00:13:44,767
I'M STILL GOING TO BE DEAD SOON.

258
00:14:04,667 --> 00:14:06,733
Sean:
IT'S BEEN A LONG TRIP SO FAR,

259
00:14:06,733 --> 00:14:08,733
AND THERE'S STILL
A LONG WAY TO GO.

260
00:14:08,733 --> 00:14:11,833
I'M HOPING
THAT THIS IS ALL WORTH IT

261
00:14:11,833 --> 00:14:14,767
'CAUSE IT'S REALLY DIFFICULT.

262
00:14:14,767 --> 00:14:16,600
I AM VERY TIRED.

263
00:14:16,600 --> 00:14:19,267
I'M JUST UNCOMFORTABLE
FROM LYING STILL FOR SO LONG.

264
00:14:22,400 --> 00:14:24,200
AND IT'S A LOT MORE COMPLICATED

265
00:14:24,200 --> 00:14:26,967
TO DO SIMPLE THINGS
I WOULD DO AT HOME.

266
00:14:26,967 --> 00:14:28,267
I'M STUCK!

267
00:14:28,267 --> 00:14:30,333
OH!
-I GOT MY SHOULDER INTO IT.

268
00:14:30,333 --> 00:14:32,300
Sean:
OHH, MY KNEE!

269
00:14:32,300 --> 00:14:34,667
[ GROANS ]
-NO? OKAY.

270
00:14:34,667 --> 00:14:37,833
Renee: I HATE TO SEE MY CHILD
IN SO MUCH PAIN,

271
00:14:37,833 --> 00:14:40,467
BUT I KNOW THIS IS TO HELP HIM.

272
00:14:40,467 --> 00:14:43,367
Sean:
I'M JUST DONE WITH THIS DRIVE.

273
00:14:43,367 --> 00:14:45,700
I WANT TO BE
IN MY OWN BED AGAIN.

274
00:14:45,700 --> 00:14:48,567
HERE'S
YOUR DRUMSTICK.

275
00:14:48,567 --> 00:14:49,867
THANKS.

276
00:14:49,867 --> 00:14:53,633
THE ONLY THING THAT REALLY HELPS
CALM ME DOWN IS FOOD.

277
00:14:57,100 --> 00:14:58,867
OW!

278
00:14:58,867 --> 00:15:01,267
I HATE THIS.

279
00:15:01,267 --> 00:15:03,400
I'M MORE THAN READY
FOR THIS ROAD TRIP TO BE OVER.

280
00:15:09,533 --> 00:15:12,533
SO, IT LOOKS LIKE
WE'RE FINALLY IN HOUSTON.

281
00:15:12,533 --> 00:15:16,733
WE ARE HEADING
TO THE HOSPITAL FIRST.

282
00:15:16,733 --> 00:15:20,667
I JUST WANT TO GET OUR OWN PLACE
AND INTO MY OWN BED.

283
00:15:20,667 --> 00:15:23,567
SO I HOPE
I DON'T HAVE TO STAY LONG.

284
00:15:23,567 --> 00:15:26,567
I DON'T LIKE HOSPITALS AT ALL.

285
00:15:26,567 --> 00:15:28,567
Dr. Nowzaradan:
RIGHT NOW WE ARE EXPECTING

286
00:15:28,567 --> 00:15:31,433
THE ARRIVAL OF SEAN MILLIKEN.

287
00:15:31,433 --> 00:15:34,833
HE SUPPOSEDLY CAN
STILL WALK SOME,

288
00:15:34,833 --> 00:15:36,767
SO WE'LL SEE HOW MOBILE HE IS

289
00:15:36,767 --> 00:15:40,433
AND GET HIM OUT AND INSIDE
AS QUICKLY AS POSSIBLE.

290
00:15:40,433 --> 00:15:42,533
SEAN?
-HELLO.

291
00:15:42,533 --> 00:15:44,133
-HOW ARE YOU TODAY?
-GOOD.

292
00:15:44,133 --> 00:15:46,100
HOW WAS YOUR TRIP?

293
00:15:46,100 --> 00:15:47,767
INTERESTING.

294
00:15:47,767 --> 00:15:50,067
ALL RIGHT.

295
00:15:50,067 --> 00:15:52,067
Dr. Nowzaradan: RIGHT NOW,
SEAN DOESN'T LOOK LIKE

296
00:15:52,067 --> 00:15:54,333
HE'S VERY CONCERNED
ABOUT HIS HEALTH.

297
00:15:54,333 --> 00:15:58,067
HE'S CLEARLY AT LEAST 800 POUNDS
FROM THE LOOKS OF IT.

298
00:15:58,067 --> 00:16:01,133
AND HE HAS SWELLING
UP THE ENTIRE LEFT LEG

299
00:16:01,133 --> 00:16:03,433
AND DEFORMITY OF THE LEFT FOOT.

300
00:16:03,433 --> 00:16:05,100
LET'S BRING HIM IN.

301
00:16:05,100 --> 00:16:08,267
Dr. Nowzaradan: BUT SEAN HAS
SOME MOBILITY, WHICH IS GOOD.

302
00:16:08,267 --> 00:16:09,733
ARE YOU OKAY?

303
00:16:09,733 --> 00:16:11,667
BUT HE CAN'T WALK TOO FAR,

304
00:16:11,667 --> 00:16:14,333
AND HE STILL NEEDS TO BE
IN A WHEELCHAIR.

305
00:16:14,333 --> 00:16:17,500
SO WE GET HIM INSIDE
AND SEE HOW HE'S DOING.

306
00:16:22,633 --> 00:16:25,333
Sean: PLEASE STOP.
I CAN'T GO ANY FURTHER.

307
00:16:25,333 --> 00:16:26,433
STOP!

308
00:16:26,433 --> 00:16:28,667
[ GRUNTS ]
-TELL ME WHEN.

309
00:16:33,367 --> 00:16:35,067
SEAN,
ARE YOU FEELING OKAY?

310
00:16:35,067 --> 00:16:37,500
[ Voice breaking ] NO.
I'M IN EXTREME PAIN.

311
00:16:37,500 --> 00:16:38,933
WHAT'S THE MATTER?

312
00:16:38,933 --> 00:16:43,300
EVERYTHING -- I'M NOT USED
TO SITTING IN A WHEELCHAIR.

313
00:16:43,300 --> 00:16:45,633
OKAY, IF YOU DON'T WANT
TO GO ANY FURTHER,

314
00:16:45,633 --> 00:16:47,400
I'LL EXAMINE YOU HERE.

315
00:16:55,067 --> 00:16:58,067
I'M IN EXTREME PAIN.
-TAKE A DEEP BREATH FOR ME.

316
00:16:58,067 --> 00:17:00,667
SEAN IS THROWING
A LITTLE TANTRUM

317
00:17:00,667 --> 00:17:03,700
BECAUSE HE'S UNCOMFORTABLE
IN HIS WHEELCHAIR.

318
00:17:03,700 --> 00:17:07,933
HE'S LIKELY USED
TO GETTING HIS WAY WITH THAT.

319
00:17:07,933 --> 00:17:11,067
HE LIVES WITH HIS MOTHER,
AND I DON'T THINK IT'S HARD

320
00:17:11,067 --> 00:17:15,133
TO START TO UNDERSTAND
THEIR UNHEALTHY DYNAMIC.

321
00:17:17,633 --> 00:17:18,900
26?
-YEAH.

322
00:17:21,333 --> 00:17:23,867
Renee: THE LAST CALORIES
THAT I WAS TRYING TO GET HIM AT

323
00:17:23,867 --> 00:17:26,167
WAS APPROXIMATELY
2,500 A DAY.

324
00:17:26,167 --> 00:17:28,567
-2,500?
-2,500 A DAY, YEAH.

325
00:17:29,667 --> 00:17:31,367
WHAT?

326
00:17:31,367 --> 00:17:32,400
THAT'S FINE.

327
00:17:32,400 --> 00:17:34,067
WE KNOW
WHAT WE'RE GETTING INTO, YEAH.

328
00:17:34,067 --> 00:17:36,967
THE REALITY IS
SEAN MUST BE TAKING IN

329
00:17:36,967 --> 00:17:40,433
AT LEAST 20,000
TO 30,000 CALORIES A DAY,

330
00:17:40,433 --> 00:17:43,500
AND THAT IS BECAUSE HIS MOTHER
IS BRINGING IT TO HIM.

331
00:17:43,500 --> 00:17:45,367
YOU'RE KILLING HIM
RIGHT NOW.

332
00:17:45,367 --> 00:17:47,933
THIS HAS TO STOP.

333
00:17:47,933 --> 00:17:50,967
THIS IS A VERY UNHEALTHY DYNAMIC
BETWEEN THEM.

334
00:17:53,567 --> 00:17:55,733
OH, NO.

335
00:17:55,733 --> 00:17:57,100
WHAT?

336
00:18:02,467 --> 00:18:07,800
SEAN IS USED TO HIS MOTHER
COMPLETELY TAKING ARE OF HIM.

337
00:18:07,800 --> 00:18:10,767
AS LONG AS SHE DOES
EVERYTHING FOR HIM,

338
00:18:10,767 --> 00:18:13,633
SEAN HAS NO REASON TO LEAVE.

339
00:18:13,633 --> 00:18:16,600
AND SHE CONTROLS HIM
WITH THE FOOD.

340
00:18:16,600 --> 00:18:19,867
WE HAVE TO START MAKING
DRASTIC CHANGES WITH HIM

341
00:18:19,867 --> 00:18:22,600
STARTING
WITH HIS HOME SITUATION.

342
00:18:22,600 --> 00:18:24,867
Dr. Nowzaradan: ALL RIGHT, SEAN,
WE'RE GONNA BRING THE SCALE

343
00:18:24,867 --> 00:18:28,500
AND LET YOU STAND ON IT
AND SEE HOW MUCH YOU WEIGH.

344
00:18:28,500 --> 00:18:31,500
ALL RIGHT, WATCH YOUR FEET.
WATCH YOUR TOES.

345
00:18:43,867 --> 00:18:46,833
ALL RIGHT, THE SCALE SAID
OVER THE LIMIT.

346
00:18:46,833 --> 00:18:50,433
SO, THIS SCALE GOES
ONLY TO 800 POUNDS.

347
00:18:50,433 --> 00:18:52,133
I NEED TO KNOW
YOUR TRUE WEIGHT,

348
00:18:52,133 --> 00:18:54,767
SO WE'RE GOING TO GET YOU
TO A BED SCALE.

349
00:19:03,733 --> 00:19:05,967
Sean: I HATE THIS.

350
00:19:05,967 --> 00:19:08,300
I JUST WANT TO GO HOME.

351
00:19:08,300 --> 00:19:10,600
ALL RIGHT,
WE'RE GONNA GET YOU INTO BED

352
00:19:10,600 --> 00:19:12,200
AND CHECK YOUR WEIGHT.

353
00:19:25,900 --> 00:19:29,500
IT LOOKS LIKE
YOU'RE 919 POUNDS.

354
00:19:29,500 --> 00:19:32,733
YOU MAY BE THE HEAVIEST PERSON
ALIVE RIGHT NOW.

355
00:19:32,733 --> 00:19:34,633
THIS IS NOT
A GOOD PLACE TO BE.

356
00:19:34,633 --> 00:19:38,700
AT YOUR WEIGHT, IT'S A MIRACLE
THAT YOU'RE ALIVE.

357
00:19:38,700 --> 00:19:43,167
BOTH SEAN AND HIS MOM CLAIM
THEY'RE READY TO MAKE CHANGE.

358
00:19:43,167 --> 00:19:46,200
BUT I'M NOT SEEING
ANY EVIDENCE OF THAT.

359
00:19:46,200 --> 00:19:47,433
HE CAN GET UP,

360
00:19:47,433 --> 00:19:51,300
AND HE CAN START TO CHOOSE
TO DO THINGS ON HIS OWN.

361
00:19:51,300 --> 00:19:53,367
Dr. Nowzaradan: HERE'S
WHAT WE'RE GOING TO DO.

362
00:19:53,367 --> 00:19:55,600
I'M GOING TO GIVE YOU
A DIET PLAN,

363
00:19:55,600 --> 00:19:58,700
AND I WANT YOU
TO LOSE AT LEAST 100 POUNDS

364
00:19:58,700 --> 00:20:00,633
OVER THE NEXT COUPLE
OF MONTHS.

365
00:20:00,633 --> 00:20:02,100
IF YOU DO THAT,

366
00:20:02,100 --> 00:20:04,833
I WILL APPROVE YOU
FOR WEIGHT-LOSS SURGERY.

367
00:20:04,833 --> 00:20:06,667
LET'S GET YOU
BACK UP TO YOUR MOM.

368
00:20:06,667 --> 00:20:07,967
Sean: ALL RIGHT,
THAT SOUNDS GOOD.

369
00:20:07,967 --> 00:20:12,633
THE FACT THAT HE'S STILL
SOMEWHAT MOBILE IS PROBABLY

370
00:20:12,633 --> 00:20:15,733
THE ONLY REASON
HE'S STILL ALIVE.

371
00:20:15,733 --> 00:20:18,933
HIS MOM HAS
TO STOP OVERFEEDING HIM,

372
00:20:18,933 --> 00:20:21,367
AND SEAN NEEDS
TO TAKE THIS SERIOUSLY

373
00:20:21,367 --> 00:20:22,933
AND MAKE CHANGES NOW,

374
00:20:22,933 --> 00:20:26,300
OR HE WON'T BE AROUND
MUCH LONGER AT ALL.

375
00:20:38,000 --> 00:20:41,267
Renee: YEAH, I'LL GET YOU
SOMETHING IN A SECOND, HONEY.

376
00:20:41,267 --> 00:20:44,767
Sean: MY MOM AND I HAVE BEEN
IN HOUSTON FOR A MONTH NOW,

377
00:20:44,767 --> 00:20:49,367
AND WE'RE STILL TRYING
TO JUST GET SETTLED.

378
00:20:49,367 --> 00:20:53,267
Renee:
SEAN HASN'T REALLY ADAPTED
TO THE NEW DIET JUST YET.

379
00:20:53,267 --> 00:20:55,700
BUT WE'RE TRYING.

380
00:20:55,700 --> 00:20:57,500
SEAN HAS A BIG APPETITE.

381
00:20:57,500 --> 00:20:59,033
YOU KNOW, HE JUST WANTS
TO EAT CONSTANTLY.

382
00:20:59,033 --> 00:21:01,933
HE NEVER SEEMS
LIKE HE'S GONNA GET FULL.

383
00:21:01,933 --> 00:21:04,867
AND IF HE'S HUNGRY,
HE NEEDS SOMETHING TO EAT.

384
00:21:07,400 --> 00:21:10,133
Sean: TODAY,
I WAS CRAVING A BURGER.

385
00:21:10,133 --> 00:21:15,333
AND I THINK YOU HAVE TO BE ABLE
TO ENJOY FOOD JUST A LITTLE.

386
00:21:15,333 --> 00:21:17,433
THE DOCTOR WANTS ME
ON 800 CALORIES.

387
00:21:17,433 --> 00:21:21,867
I HAVE NO IDEA WHAT
THAT WOULD BE IN ACTUAL FOOD.

388
00:21:21,867 --> 00:21:26,400
ACTUALLY, I THINK
THAT 800 IS A BIT EXTREME.

389
00:21:26,400 --> 00:21:28,400
BUT I'VE CUT BACK A LOT.

390
00:21:28,400 --> 00:21:29,567
I'M TRYING TO KEEP IT DOWN

391
00:21:29,567 --> 00:21:33,467
TO ONE BURGER
OR FAST-FOOD MEAL A DAY.

392
00:21:33,467 --> 00:21:35,867
SO I FEEL LIKE
IT'S A GOOD COMPROMISE

393
00:21:35,867 --> 00:21:38,933
TO SHOW THE DOCTOR
I CAN DO THIS.

394
00:21:38,933 --> 00:21:41,700
AND I HOPE
I'M MAKING GOOD PROGRESS.

395
00:21:48,133 --> 00:21:50,167
I'M GETTING READY
TO HEAD TO THE DOCTOR

396
00:21:50,167 --> 00:21:53,067
TO SEE IF I LOST THE WEIGHT
HE WANTED ME TO LOSE.

397
00:21:53,067 --> 00:21:55,233
[ GRUNTS ]

398
00:21:55,233 --> 00:21:57,767
BUT I'M FINDING IT HARD
TO MOVE RIGHT NOW.

399
00:21:57,767 --> 00:21:59,633
OKAY.

400
00:21:59,633 --> 00:22:02,067
TAKE A MINUTE
AND CATCH YOUR BREATH.

401
00:22:05,133 --> 00:22:08,667
Renee: SEAN AND I DID TRY
TO KEEP THE DOCTOR'S DIET.

402
00:22:08,667 --> 00:22:11,700
BUT WE DIDN'T FEEL COMFORTABLE
PUTTING HIM

403
00:22:11,700 --> 00:22:14,500
ON THAT LOW OF A CALORIE DIET.

404
00:22:14,500 --> 00:22:17,833
BUT I REALLY DO FEEL
SEAN IS DOING BETTER NOW.

405
00:22:20,767 --> 00:22:23,700
I'M NOT NERVOUS
ABOUT MY PROGRESS,

406
00:22:23,700 --> 00:22:27,700
BUT I AM NERVOUS ABOUT
WHAT THE DOCTOR IS GOING TO SAY.

407
00:22:27,700 --> 00:22:30,433
I REALLY NEED THIS SURGERY.

408
00:22:30,433 --> 00:22:34,600
I HAVE TO LOSE
A DRASTIC AMOUNT OF WEIGHT.

409
00:22:34,600 --> 00:22:36,433
OR I KNOW I'M DEAD.

410
00:22:48,300 --> 00:22:50,600
Sean:
I'M ABOUT TO SEE THE DOCTOR

411
00:22:50,600 --> 00:22:53,433
AND FIND OUT IF HE'S GOING
TO GIVE ME WEIGHT-LOSS SURGERY.

412
00:22:55,633 --> 00:22:57,067
IT'S BEEN TWO MONTHS,

413
00:22:57,067 --> 00:23:02,167
AND HE WANTED ME TO LOSE
100 POUNDS AND GET BELOW 800.

414
00:23:02,167 --> 00:23:06,100
BUT IT'S SO HARD
TO MOVE AROUND RIGHT NOW.

415
00:23:06,100 --> 00:23:08,067
IT'S MISERABLE,
AND I JUST WANT TO SEE

416
00:23:08,067 --> 00:23:09,300
IF I'M GETTING MY SURGERY.

417
00:23:21,900 --> 00:23:23,867
SEAN,
HOW DO YOU FEEL?

418
00:23:23,867 --> 00:23:26,133
IN EXTREME PAIN.

419
00:23:26,133 --> 00:23:27,667
WHERE IS YOUR PAIN?

420
00:23:27,667 --> 00:23:30,067
MY TAILBONE
AND MY BACK.

421
00:23:30,067 --> 00:23:36,233
AND HOW IS YOUR DEGREE
OF ABILITY TO MOVE AROUND?

422
00:23:36,233 --> 00:23:37,500
IT'S WORSE.

423
00:23:37,500 --> 00:23:40,167
LET ME JUST CHECK
A FEW THINGS.

424
00:23:40,167 --> 00:23:42,233
SEAN IS SO BIG RIGHT NOW,

425
00:23:42,233 --> 00:23:44,967
HE CANNOT MAKE IT
THROUGH THE WAITING-ROOM DOOR.

426
00:23:44,967 --> 00:23:47,667
HE'S WORSE OFF NOW,
AND HE LOOKS LIKE

427
00:23:47,667 --> 00:23:51,467
HE MAYBE PUT
ANOTHER 50 TO 100 POUNDS ON.

428
00:23:51,467 --> 00:23:54,400
YEAH, YOUR EDEMA IS GETTING
MUCH WORSE.

429
00:23:54,400 --> 00:23:57,967
AT THIS POINT, HE MAY BE
APPROACHING 1,000 POUNDS.

430
00:23:57,967 --> 00:24:02,100
VERY FEW PEOPLE MAKE IT
TO THAT WEIGHT AND SURVIVE LONG.

431
00:24:02,100 --> 00:24:03,867
AGAIN.

432
00:24:05,833 --> 00:24:07,800
OKAY.
BREATHE NORMAL.

433
00:24:07,800 --> 00:24:13,333
SEAN AND HIS MOM ARE NOT TAKING
THIS SERIOUSLY AT ALL.

434
00:24:13,333 --> 00:24:17,400
AND THIS DYNAMIC WITH HIS MOM IS
WHAT WE HAVE TO BREAK.

435
00:24:17,400 --> 00:24:19,767
HOW IS THE NUTRITION?

436
00:24:19,767 --> 00:24:21,067
GOOD, GOOD.

437
00:24:21,067 --> 00:24:24,400
I MEAN, HE'S EATING, YOU KNOW,
JUST GOOD, HEALTHY FOOD,

438
00:24:24,400 --> 00:24:27,733
BUT WE NEED
TO GET ON 800 CALORIES.

439
00:24:27,733 --> 00:24:31,167
RENEE, HIS CONDITION IS
FAR WORSE THAN TWO MONTHS AGO.

440
00:24:31,167 --> 00:24:32,633
THIS IS NOT ACCEPTABLE.

441
00:24:32,633 --> 00:24:35,200
JUST -- I MEAN,
WHAT SHOULD HE BE EATING?

442
00:24:35,200 --> 00:24:36,800
SHOULD HE BE EATING
PROTEIN?

443
00:24:36,800 --> 00:24:41,333
I GAVE YOU ALL THE INFORMATION
YOU NEEDED IN THE DIET PLAN.

444
00:24:41,333 --> 00:24:43,067
YOU'RE NOT GETTING IT.

445
00:24:43,067 --> 00:24:48,133
SEAN IS NEAR DEATH RIGHT NOW,
SO SOMETHING HAS TO BE DONE.

446
00:24:48,133 --> 00:24:50,200
Dr. Nowzaradan:
IF I SEND SEAN HOME,

447
00:24:50,200 --> 00:24:53,833
THIS WILL PROBABLY
THE LAST TIME I SEE HIM.

448
00:24:53,833 --> 00:24:57,133
RIGHT NOW WE NEED TO GET
HIS HEALTH UNDER CONTROL

449
00:24:57,133 --> 00:24:59,433
AND HIS WEIGHT GOING
IN THE RIGHT DIRECTION.

450
00:24:59,433 --> 00:25:03,333
YOU AND YOUR MOM HAVE NOT MADE
A SINGLE POSITIVE CHANGE

451
00:25:03,333 --> 00:25:05,367
AS FAR AS I CAN TELL.

452
00:25:05,367 --> 00:25:07,967
SO I'M ADMITTING YOU
TO THE HOSPITAL IMMEDIATELY

453
00:25:07,967 --> 00:25:10,800
SO WE CAN GET
YOUR HEALTH UNDER CONTROL.

454
00:25:10,800 --> 00:25:13,500
THIS IS GOING TO BE
YOUR LAST CHANCE.

455
00:25:13,500 --> 00:25:15,233
DO THIS OR THAT'S IT.

456
00:25:15,233 --> 00:25:17,667
WE WILL BE ABLE
TO DO IT.

457
00:25:17,667 --> 00:25:20,233
I'M GOING TO ADMIT HIM
TO THE HOSPITAL

458
00:25:20,233 --> 00:25:23,933
AND START HIM
ON 800-CALORIE DIET PER DAY

459
00:25:23,933 --> 00:25:27,067
FOR THE NEXT COUPLE MONTHS.

460
00:25:27,067 --> 00:25:30,600
IF WE DON'T, HIS BODY IS GOING
TO GIVE OUT ANY DAY NOW.

461
00:25:35,367 --> 00:25:37,833
Sean:
I KNOW I NEED HELP.

462
00:25:37,833 --> 00:25:42,300
BUT THIS JUST FEELS UNFAIR
RIGHT NOW.

463
00:25:42,300 --> 00:25:44,300
THERE'S NO REASON
TO BE IN THE HOSPITAL

464
00:25:44,300 --> 00:25:46,933
AWAY FROM MY HOME AND MY BED.

465
00:25:46,933 --> 00:25:49,733
THIS JUST FEELS A BIT EXCESSIVE.

466
00:25:58,167 --> 00:26:01,100
I'VE BEEN IN THE HOSPITAL
TWO MONTHS.

467
00:26:01,100 --> 00:26:03,633
THEY'VE HAD ME
ON A CONTROLLED DIET,

468
00:26:03,633 --> 00:26:06,200
AND I'VE
PRETTY MUCH BEEN STARVING.

469
00:26:06,200 --> 00:26:07,733
Dr. Nowzaradan: HELLO.
HOW ARE YOU ALL DOING?

470
00:26:07,733 --> 00:26:09,067
-FINE, DR. NOW.
-GOOD. THANK YOU.

471
00:26:09,067 --> 00:26:10,833
-I'M DOING ALL RIGHT.
-HOW ARE YOU FEELING, SEAN?

472
00:26:10,833 --> 00:26:11,967
FEELING OKAY.

473
00:26:11,967 --> 00:26:13,600
Dr. Nowzaradan:
WHEN SEAN ARRIVED HERE,

474
00:26:13,600 --> 00:26:18,467
WE WERE ABLE TO WEIGH HIM,
AND HE WAS 1,003 POUNDS.

475
00:26:18,467 --> 00:26:19,933
BUT WE STARTED HIM

476
00:26:19,933 --> 00:26:22,967
ON AN 800-CALORIE-A-DAY,
CONTROLLED DIET,

477
00:26:22,967 --> 00:26:25,867
AND HE STARTED
LOSING WEIGHT RAPIDLY.

478
00:26:28,600 --> 00:26:31,600
Dr. Nowzaradan: 744.

479
00:26:33,267 --> 00:26:34,467
YOU DID GOOD.

480
00:26:34,467 --> 00:26:35,433
AAH.

481
00:26:36,533 --> 00:26:40,300
Dr. Nowzaradan:
NOW THAT WE HAVE HIS WEIGHT
GOING IN THE RIGHT DIRECTION

482
00:26:40,300 --> 00:26:43,133
AND HE'S MOBILE AGAIN,
I'M SENDING HIM HOME

483
00:26:43,133 --> 00:26:46,733
TO SHOW ME THAT HE
AND HIS MOTHER ARE CAPABLE

484
00:26:46,733 --> 00:26:49,433
OF MAKING CHANGES
THEY SAY THEY WANT.

485
00:26:49,433 --> 00:26:52,867
ALL RIGHT, SEAN,
I WANT YOU TO LOSE 100 POUNDS

486
00:26:52,867 --> 00:26:55,133
OVER THE NEXT COUPLE MONTHS
TO SHOW ME

487
00:26:55,133 --> 00:26:57,733
THAT YOU CAN DO THIS
ON YOUR OWN, OKAY?

488
00:26:57,733 --> 00:27:00,100
-THANK YOU, DOCTOR.
-ALL RIGHT.

489
00:27:00,100 --> 00:27:03,067
TO HELP THEM,
I'M SENDING A NUTRITIONIST

490
00:27:03,067 --> 00:27:05,733
AND PHYSICAL THERAPIST
TO SEE THEM.

491
00:27:05,733 --> 00:27:09,067
WE'RE GOING TO GIVE THEM
EVERY TOOL POSSIBLE

492
00:27:09,067 --> 00:27:11,100
TO AVOID SEAN GAINING AGAIN.

493
00:27:15,867 --> 00:27:18,233
Renee: OKAY, SEAN, I'M GONNA
REVIEW YOUR ROUTINE WITH YOU,

494
00:27:18,233 --> 00:27:22,067
AND WE'RE GONNA SEE WHAT WE'RE
GONNA DO TO SWITCH IT UP, OKAY?

495
00:27:22,067 --> 00:27:24,167
Renee:
SEAN'S BEEN A LITTLE RESISTANT,

496
00:27:24,167 --> 00:27:27,133
BUT I'M TRYING TO BE HIS COACH.

497
00:27:27,133 --> 00:27:29,167
Renee:
SO, DO YOUR LEG PUMPS.

498
00:27:29,167 --> 00:27:31,800
AND I THINK WE'RE GONNA BUMP
THE REPS UP, TOO,

499
00:27:31,800 --> 00:27:33,633
BECAUSE WE'VE
ONLY BEEN DOING 10.

500
00:27:33,633 --> 00:27:35,133
MOM, WE ARE BUMPING IT UP.

501
00:27:35,133 --> 00:27:39,633
IF WE'RE DOING IT EVERY HOUR,
I AM BUMPING UP REPS.

502
00:27:39,633 --> 00:27:43,200
I KNOW, BUT WHAT YOU'RE DOING IS
NOT THAT MUCH.

503
00:27:43,200 --> 00:27:45,833
WE'RE ADDING ON
TWICE AS MUCH NOW.

504
00:27:45,833 --> 00:27:47,067
TRY.

505
00:27:47,067 --> 00:27:49,267
YOU TRY IT.

506
00:27:49,267 --> 00:27:52,433
THERE IS
AN ELEMENT IN THIS PROCESS

507
00:27:52,433 --> 00:27:56,700
THAT I FEEL I'M RESPONSIBLE FOR,
SO I ENCOURAGE HIM,

508
00:27:56,700 --> 00:27:59,233
BUT I CAN'T FORCE HIM
TO DO MORE.

509
00:28:00,633 --> 00:28:02,167
IT'S TOO MANY.

510
00:28:02,167 --> 00:28:05,100
OKAY, DO AS MANY
AS YOU CAN TOLERATE.

511
00:28:05,100 --> 00:28:09,067
Sean: MY MOM'S BEEN PUSHING ME
TO DO A LOT.

512
00:28:09,067 --> 00:28:11,600
I'M KIND OF REACHING MY LIMIT
WITH IT ALL.

513
00:28:11,600 --> 00:28:14,067
OKAY, I'LL GET YOU
YOUR WALKER.

514
00:28:14,067 --> 00:28:16,367
AND YOU CAN STAND
TWICE, OKAY?

515
00:28:16,367 --> 00:28:18,600
I CAN'T DO IT RIGHT NOW.

516
00:28:18,600 --> 00:28:20,500
MOM, I LITERALLY CAN'T DO IT
RIGHT NOW.

517
00:28:20,500 --> 00:28:21,500
WHY CAN'T YOU DO IT
RIGHT NOW?

518
00:28:26,600 --> 00:28:29,633
Renee:
WE'VE COME TOO FAR TO GIVE UP.

519
00:28:29,633 --> 00:28:33,167
FOR SEAN, TURNING AROUND
FROM THIS PROCESS IS

520
00:28:33,167 --> 00:28:34,900
PRETTY MUCH A DEATH SENTENCE,

521
00:28:34,900 --> 00:28:39,333
AND WE ALWAYS HAVE
THAT LOOMING OVER US.

522
00:28:56,867 --> 00:28:59,467
Sean: I'VE BEEN WORKING
ON MAKING MORE PROGRESS,

523
00:28:59,467 --> 00:29:03,900
BUT I'M KIND OF GETTING FED UP
WITH ALL THE RESTRICTIONS.

524
00:29:03,900 --> 00:29:07,800
DR. NOW SAID HE'S SENDING SOME
PEOPLE TO HELP ME STAY ON TRACK,

525
00:29:07,800 --> 00:29:11,067
AND TODAY
THE NUTRITIONIST IS COMING.

526
00:29:11,067 --> 00:29:13,500
AND I AM NOT LOOKING FORWARD
TO IT.

527
00:29:14,533 --> 00:29:17,767
HELLO. HI. HOW ARE YOU?
I'M KIM.

528
00:29:17,767 --> 00:29:18,967
-HI, KIM. NICE TO MEET YOU.
-NICE TO MEET YOU, TOO.

529
00:29:18,967 --> 00:29:19,967
-THIS IS SEAN.
-HELLO.

530
00:29:19,967 --> 00:29:21,267
HI, SEAN.
HOW ARE YOU?

531
00:29:21,267 --> 00:29:22,800
Sean: I'M GOOD.
HOW ARE YOU?

532
00:29:22,800 --> 00:29:23,933
I'M GOOD.

533
00:29:23,933 --> 00:29:25,567
I'M HERE TODAY
TO SEE HOW I CAN HELP YOU.

534
00:29:25,567 --> 00:29:28,333
I UNDERSTAND
YOU'VE GOT TO LOSE SOME WEIGHT

535
00:29:28,333 --> 00:29:30,567
SO YOU CAN HAVE SURGERY.
-MM-HMM.

536
00:29:30,567 --> 00:29:33,933
SO, ARE YOU ON
AN 800-CALORIE DIET?

537
00:29:33,933 --> 00:29:36,433
TRUTHFULLY,
WE'RE PROBABLY HITTING CLOSER

538
00:29:36,433 --> 00:29:39,433
TO 1,400
TO 1,500 CALORIES A DAY

539
00:29:39,433 --> 00:29:41,367
AND SOMETIMES
EVEN A LITTLE MORE THAN THAT.

540
00:29:41,367 --> 00:29:45,200
I'M STILL DEALING
WITH TRYING TO SAY NO

541
00:29:45,200 --> 00:29:47,067
TO SEAN ON SNACKS
IN BETWEEN MEALS,

542
00:29:47,067 --> 00:29:49,833
HENCE THE REASON WHY HE STILL
GOT A PIECE OF PIZZA THIS MONTH

543
00:29:49,833 --> 00:29:51,400
AND HE STILL GOT
A DOUGHNUT THIS MONTH.

544
00:29:51,400 --> 00:29:53,500
I KNOW
IT'S A TOUGH, TOUGH THING,

545
00:29:53,500 --> 00:29:57,400
BUT I DO THINK, YOU KNOW,
IF YOU WANT TO HAVE SURGERY

546
00:29:57,400 --> 00:30:00,900
AND YOU WANT THAT TO COME ABOUT
IN A FEW MONTHS OR SO,

547
00:30:00,900 --> 00:30:05,233
YOU NEED
TO REALLY, REALLY BE STRICT.

548
00:30:05,233 --> 00:30:07,600
I'M A LITTLE FREAKED OUT
THAT WE HAVE TO DROP CALORIES

549
00:30:07,600 --> 00:30:10,767
DOWN A LITTLE LOWER THAN WE'VE
ALREADY BEEN STRUGGLING WITH

550
00:30:10,767 --> 00:30:13,467
BECAUSE WE'RE EATING
SO MUCH BETTER THAN WE USED TO,

551
00:30:13,467 --> 00:30:16,300
AND YOU STILL HAVE TO TAKE
A STEP BACK AND GO,

552
00:30:16,300 --> 00:30:18,800
"YEAH, BUT IT'S STILL NOT
WHERE WE NEED TO BE."

553
00:30:18,800 --> 00:30:21,967
I BUY THE PACKAGED APPLES --
YOU KNOW, THOSE.

554
00:30:21,967 --> 00:30:23,967
THOSE ARE USUALLY WHAT
HE WOULD GET WITH HIS LUNCH.

555
00:30:23,967 --> 00:30:26,967
MAYBE RAW CARROTS WITH LUNCH
INSTEAD OF THE APPLES.

556
00:30:26,967 --> 00:30:28,567
WOULD THAT WORK
FOR YOU, SEAN?

557
00:30:28,567 --> 00:30:30,500
I CAN TRY IT.

558
00:30:30,500 --> 00:30:31,500
I SEE SOME PASTA.

559
00:30:31,500 --> 00:30:32,633
DO Y'ALL EAT PASTA?
-YEAH.

560
00:30:32,633 --> 00:30:34,600
-SO, THIS TYPE OF THING...
-OKAY.

561
00:30:34,600 --> 00:30:36,767
...IS SOMETHING THAT WE NEED
TO GET RID OF, OKAY?

562
00:30:36,767 --> 00:30:38,733
SO THIS WOULD BE
SOMETHING TO JUST TOSS OUT.

563
00:30:38,733 --> 00:30:40,000
NO PROBLEM.

564
00:30:40,000 --> 00:30:43,867
Renee: I AM MORE ANXIOUS
BECAUSE MORE IS BEING ASKED.

565
00:30:43,867 --> 00:30:46,633
THAT'S A SCARY PLACE
FOR ME TO BE.

566
00:30:46,633 --> 00:30:49,033
Sean: I DON'T LIKE THIS.

567
00:30:49,033 --> 00:30:53,067
I KNEW THAT SAYING GOODBYE TO
A LOT OF THIS STUFF WAS COMING.

568
00:30:53,067 --> 00:30:56,633
BUT I'M ALREADY TRYING
AND GIVING UP SO MUCH.

569
00:31:00,133 --> 00:31:04,067
I'M NOT IN THE MOOD TO DEAL
WITH THE PHYSICAL THERAPIST.

570
00:31:04,067 --> 00:31:07,100
I THINK I'M DOING FINE
ON MY OWN.

571
00:31:07,100 --> 00:31:09,133
HI.
HOW ARE YOU?

572
00:31:09,133 --> 00:31:10,733
-GOOD. HOW ARE YOU?
-GOOD.

573
00:31:10,733 --> 00:31:11,767
-HOW ARE YOU TODAY?
-I'M GOOD.

574
00:31:11,767 --> 00:31:12,867
GOOD.

575
00:31:12,867 --> 00:31:15,067
SO, LET'S START
WITH JUST RANGE OF MOTION

576
00:31:15,067 --> 00:31:16,367
BEFORE WE TEST STRENGTH.

577
00:31:16,367 --> 00:31:18,500
I WANT TO SEE IF YOU CAN LIFT
BOTH ARMS UP ABOVE YOUR HEAD.

578
00:31:18,500 --> 00:31:20,600
AWESOME.
REACH BACK BEHIND YOUR HEAD.

579
00:31:20,600 --> 00:31:21,833
GOOD.
AND THEN REACH BACK...

580
00:31:21,833 --> 00:31:24,067
Renee: I KNOW
I HAVEN'T BEEN TOO SUCCESSFUL

581
00:31:24,067 --> 00:31:26,233
IN GETTING SEAN TO WORK OUT.

582
00:31:26,233 --> 00:31:28,533
AND WITH
HOW MUCH HE'S BEEN EATING,

583
00:31:28,533 --> 00:31:31,200
HE NEEDS TO BE GETTING UP MORE,

584
00:31:31,200 --> 00:31:33,367
STANDING MORE,
MOVING A LOT MORE.

585
00:31:33,367 --> 00:31:34,867
UP A LITTLE BIT HIGHER.

586
00:31:34,867 --> 00:31:37,067
ALL RIGHTY, SO,
THAT'S DEFINITELY SOMETHING

587
00:31:37,067 --> 00:31:38,267
WE NEED TO WORK ON.

588
00:31:38,267 --> 00:31:40,467
EVEN IN A POSITION LIKE THIS,
YOU SHOULD BE ABLE

589
00:31:40,467 --> 00:31:42,633
TO GET YOUR ENTIRE LEG ELEVATED
OFF OF THE MAT.

590
00:31:42,633 --> 00:31:46,467
THE NEXT THING
WE'RE GONNA DO IS STAND.

591
00:31:46,467 --> 00:31:50,067
Sean: MOVING IS SO PAINFUL
AND HARD FOR ME.

592
00:31:51,433 --> 00:31:54,867
I CAN'T DO
AS MUCH AS THEY WANT ME TO.

593
00:31:59,300 --> 00:32:02,067
THIS ALL JUST FEELS
LIKE TOO MUCH.

594
00:32:04,367 --> 00:32:07,233
LET'S SEE IF WE CAN TAKE
SIX TO EIGHT STEPS.

595
00:32:07,233 --> 00:32:08,433
YOU'RE AT FOUR.

596
00:32:08,433 --> 00:32:09,967
WE WANT TO GO
A LITTLE BIT FURTHER THAN THAT.

597
00:32:12,333 --> 00:32:14,733
OKAY.
WELL, LET'S BACK IT UP.

598
00:32:17,967 --> 00:32:22,733
THE MORE I DO, THE HARDER
IT IS FOR ME TO BREATHE.

599
00:32:22,733 --> 00:32:26,367
IT'S JUST WAY TOO DIFFICULT
AND WAY OVER MY LIMIT.

600
00:32:33,200 --> 00:32:34,800
[ GRUNTS ]

601
00:32:34,800 --> 00:32:36,367
Woman:
WE'RE GONNA HELP YOU.

602
00:32:37,600 --> 00:32:40,067
Dr. Nowzaradan: SEAN IS
COMPLAINING OF CHEST PAIN,

603
00:32:40,067 --> 00:32:41,900
SO WE RUSHED HIM
TO THE HOSPITAL,

604
00:32:41,900 --> 00:32:43,767
AND WE'RE GOING
TO RUN SOME TESTS.

605
00:32:43,767 --> 00:32:45,933
Woman: THAT'S
ALL THE WAY UP, ALL RIGHT?

606
00:32:45,933 --> 00:32:48,500
BUT I DON'T THINK
ANYTHING IS WRONG.

607
00:32:48,500 --> 00:32:53,233
I THINK THE ISSUE IS HE'S NOT
LIKING THE PROGRAM RIGHT NOW.

608
00:32:53,233 --> 00:32:54,933
IF HE'S MAKING THIS UP

609
00:32:54,933 --> 00:32:58,067
TO TRY AND GET OUT
OF STICKING WITH THE PROGRAM,

610
00:32:58,067 --> 00:33:01,400
THEN HE'S IN FOR A WAKE-UP CALL.

611
00:33:01,400 --> 00:33:06,100
SEAN IS PLAYING A DANGEROUS GAME
THAT IS RISKING HIS LIFE

612
00:33:06,100 --> 00:33:09,867
IF HE'S NOT TAKING ADVANTAGE
OF THIS OPPORTUNITY TO GET HELP.

613
00:33:09,867 --> 00:33:12,767
HIS BODY HAS BEEN
THROUGH TOO MUCH

614
00:33:12,767 --> 00:33:15,167
AND IS GOING TO GIVE OUT SOON.

615
00:33:24,867 --> 00:33:27,633
Dr. Nowzaradan: SEAN CAME
TO THE HOSPITAL CLAIMING

616
00:33:27,633 --> 00:33:28,967
HE WAS HAVING CHEST PAIN

617
00:33:28,967 --> 00:33:32,067
AND WORRIED THAT HE WAS HAVING
A HEART ATTACK.

618
00:33:32,067 --> 00:33:34,800
I SUSPECT
THAT HE WAS MAKING IT UP

619
00:33:34,800 --> 00:33:37,467
TO TRY TO GET
OUT OF HIS PHYSICAL THERAPY

620
00:33:37,467 --> 00:33:38,933
AND HIS DIET PLAN,

621
00:33:38,933 --> 00:33:41,067
AND I THINK I'M RIGHT
ABOUT THAT.

622
00:33:41,067 --> 00:33:44,500
SEAN, WE RAN SOME TESTS,
AND NOTHING IS WRONG

623
00:33:44,500 --> 00:33:47,200
EXCEPT THAT YOU NEED
TO LOSE MORE WEIGHT.

624
00:33:47,200 --> 00:33:49,733
SO, I'M GUESSING
THAT YOU HAVEN'T BEEN STICKING

625
00:33:49,733 --> 00:33:51,733
TO YOUR DIET
AND EXERCISE.

626
00:33:56,067 --> 00:33:58,633
OKAY, 787 POUNDS.

627
00:33:58,633 --> 00:34:02,067
THAT'S A WEIGHT GAIN
JUST OVER 40 POUNDS.

628
00:34:02,067 --> 00:34:04,433
THAT IS UNACCEPTABLE.

629
00:34:04,433 --> 00:34:07,167
YOU CAN'T KEEP
MANIPULATING EVERYONE

630
00:34:07,167 --> 00:34:09,533
LIKE YOU HAVE DONE
WITH YOUR MOTHER.

631
00:34:09,533 --> 00:34:13,467
YOU'RE RISKING YOUR LIFE
EVERY DAY YOU DO THIS.

632
00:34:13,467 --> 00:34:15,733
EITHER THIS STOPS NOW,

633
00:34:15,733 --> 00:34:18,233
OR YOU CAN TRY
TO FIGURE IT OUT ON YOUR OWN

634
00:34:18,233 --> 00:34:20,500
BECAUSE YOU SEEM TO THINK
YOU KNOW BETTER.

635
00:34:20,500 --> 00:34:22,800
I'M SENDING YOU HOME,

636
00:34:22,800 --> 00:34:26,100
AND I'M SENDING A PSYCHOLOGIST
TO TALK TO BOTH OF YOU

637
00:34:26,100 --> 00:34:29,967
BECAUSE THIS UNHEALTHY DYNAMIC
YOU BOTH HAVE IS GOING

638
00:34:29,967 --> 00:34:32,067
TO LEAD TO YOUR DEATH.

639
00:34:32,067 --> 00:34:36,967
NEXT TIME I SEE YOU,
I WANT YOU TO LOSE 150 POUNDS.

640
00:34:36,967 --> 00:34:39,433
AND I'M GIVING YOU
TWO MORE MONTHS --

641
00:34:39,433 --> 00:34:42,567
NO MORE GAMES,
NO MORE EXCUSES.

642
00:34:42,567 --> 00:34:45,767
SEAN HAS
TO STOP MANIPULATING HIS MOM,

643
00:34:45,767 --> 00:34:48,833
AND HIS MOM HAS
TO STOP GIVING IN.

644
00:34:48,833 --> 00:34:52,100
IF SHE DOESN'T,
THEN NOTHING IS GOING TO CHANGE,

645
00:34:52,100 --> 00:34:55,633
AND SEAN IS GOING TO DIE
BECAUSE OF HIS WEIGHT.

646
00:34:55,633 --> 00:34:58,500
-ALL RIGHT, FINE.
-THIS IS HIS LAST CHANCE.

647
00:34:58,500 --> 00:35:00,200
HOPEFULLY, HE WILL TAKE IT.

648
00:35:06,167 --> 00:35:08,667
Renee: THE PSYCHIATRIST IS
COMING OVER TODAY,

649
00:35:08,667 --> 00:35:11,133
AND HE'S GOING TO TALK
TO BOTH ME AND SEAN

650
00:35:11,133 --> 00:35:13,500
ABOUT OUR RELATIONSHIP.

651
00:35:13,500 --> 00:35:16,067
I'M NOT SURE HOW TO DO
ANYTHING DIFFERENTLY.

652
00:35:16,067 --> 00:35:17,067
[ KNOCK ON DOOR ]

653
00:35:17,067 --> 00:35:18,533
LOOKS LIKE OUR GUY IS HERE.

654
00:35:18,533 --> 00:35:21,900
Renee: AND I'M WILLING
TO TRY WHATEVER I CAN RIGHT NOW

655
00:35:21,900 --> 00:35:24,133
TO HELP SEAN GET THIS SURGERY.

656
00:35:24,133 --> 00:35:25,900
HELLO.
-HI. HI.

657
00:35:25,900 --> 00:35:27,933
-HOW ARE YOU?
-I'M GOOD. HOW ARE YOU TODAY?

658
00:35:27,933 --> 00:35:29,767
Renee: GOOD.

659
00:35:29,767 --> 00:35:30,767
-HEY, SEAN.
-HI.

660
00:35:30,767 --> 00:35:32,167
-I'M DR. EVERETT.
-NICE TO MEET YOU.

661
00:35:32,167 --> 00:35:34,067
IT'S REALLY NICE TO MEET YOU.
IT'S GOOD TO SEE YOU.

662
00:35:34,067 --> 00:35:37,533
SO, HOW DID
YOUR WEIGHT GAIN GET STARTED?

663
00:35:37,533 --> 00:35:40,633
I GUESS IT STARTED
ABOUT WHEN I WAS MAYBE 10.

664
00:35:40,633 --> 00:35:41,933
OKAY.

665
00:35:41,933 --> 00:35:44,800
ABOUT THAT TIME WAS
WHEN MY PARENTS WERE SPLIT UP.

666
00:35:44,800 --> 00:35:49,067
I THOUGHT IT WAS MY FAULT,
AND SADLY I TURNED TO FOOD.

667
00:35:49,067 --> 00:35:52,567
IT SOUNDS LIKE CHILDHOOD WAS
A LITTLE ROCKY.

668
00:35:52,567 --> 00:35:54,167
IT WAS JUST
A REAL DIFFICULT TIME.

669
00:35:54,167 --> 00:35:58,067
AND I WORKED FULL-TIME,
AND HE CAME HOME AFTER SCHOOL

670
00:35:58,067 --> 00:36:01,300
AND HAD FREE ACCESS, YOU KNOW,
AND ATE WHATEVER HE WANTED.

671
00:36:01,300 --> 00:36:02,800
OH, BOY.

672
00:36:02,800 --> 00:36:05,967
WHAT HUMANS DO IS
THEY START CREATING

673
00:36:05,967 --> 00:36:07,933
PATTERNS OF BEHAVIOR,

674
00:36:07,933 --> 00:36:11,467
AND IF IT FILLS A NEED,
THAT'S WHAT THEY KEEP DOING.

675
00:36:11,467 --> 00:36:14,133
AND NOW
YOU'RE NOT 10 ANYMORE.

676
00:36:14,133 --> 00:36:16,167
NOW YOU'RE 26.
-AND I'M TRYING TO CHANGE.

677
00:36:16,167 --> 00:36:17,633
AND YOU'RE CHANGING IT.

678
00:36:17,633 --> 00:36:19,133
YOU'RE NOT TRYING
TO CHANGE IT.

679
00:36:19,133 --> 00:36:21,833
-I AM CHANGING IT.
-YOU ARE CHANGING IT.

680
00:36:21,833 --> 00:36:25,367
I WANT YOU TO REMEMBER,
"I AM CHANGING THIS.

681
00:36:25,367 --> 00:36:29,067
I AM DETERMINED,
AND I'M NOT GIVING IN

682
00:36:29,067 --> 00:36:32,267
BECAUSE I WANT
TO GET OUT OF THIS BED."

683
00:36:32,267 --> 00:36:36,067
SO, BRINGING GOOD FOOD
INTO THE HOUSE --

684
00:36:36,067 --> 00:36:38,833
SOUNDS LIKE IT WAS
AS MUCH A STRUGGLE FOR YOU

685
00:36:38,833 --> 00:36:40,067
AS IT WAS FOR SEAN.

686
00:36:40,067 --> 00:36:42,967
YEAH, IT WAS.
IT WAS VERY MUCH SO.

687
00:36:42,967 --> 00:36:46,167
COULD YOU THINK
ABOUT SAYING NO

688
00:36:46,167 --> 00:36:49,167
AS A WAY OF SAYING,
"I LOVE YOU"?

689
00:36:49,167 --> 00:36:52,500
I CAN 'CAUSE I'VE KIND OF HAD
TO LEARN TO DO THAT,

690
00:36:52,500 --> 00:36:54,933
AND I CAN'T SAY IT'S A STRUGGLE
I'VE COMPLETELY OVERCOME.

691
00:36:54,933 --> 00:36:56,600
I STILL SUCCUMB
SOMETIMES.

692
00:36:56,600 --> 00:36:57,633
IT'S HARD TO SAY NO.

693
00:36:57,633 --> 00:36:59,067
YEAH,
IT'S HARD TO SAY NO.

694
00:36:59,067 --> 00:37:02,833
ARE YOU READY TO START PUSHING
YOURSELF THERE?

695
00:37:02,833 --> 00:37:03,967
YEAH.

696
00:37:03,967 --> 00:37:07,067
EVERYTHING THAT NORMALLY
YOU BRING HIM

697
00:37:07,067 --> 00:37:10,067
NOW REQUIRES
SOME LEVEL OF MOVEMENT.

698
00:37:10,067 --> 00:37:12,267
AND I DON'T WANT YOU
TO START REAL BIG.

699
00:37:12,267 --> 00:37:14,467
I WANT YOU TO START
WITH SOMETHING

700
00:37:14,467 --> 00:37:16,700
THAT WE KNOW HE COULD DO.
-RIGHT.

701
00:37:16,700 --> 00:37:17,767
ALL RIGHT, GUYS.

702
00:37:17,767 --> 00:37:19,133
WELL, I THINK
WE'RE GONNA CALL IT GOOD.

703
00:37:19,133 --> 00:37:20,667
-THANK YOU.
-GREAT MEETING YOU.

704
00:37:20,667 --> 00:37:23,067
-Y'ALL TAKE CARE. BYE-BYE.
-TAKE CARE.

705
00:37:24,867 --> 00:37:28,200
Sean: I KNOW DEEP DOWN
I COULD DO MORE,

706
00:37:28,200 --> 00:37:31,600
BUT I WANT A LIFE,
SO I'M GOING TO TRY AND DO

707
00:37:31,600 --> 00:37:35,800
WHAT THE DOCTOR NEEDS ME TO
SO I CAN GET THE SURGERY.

708
00:37:35,800 --> 00:37:39,500
BECAUSE WITHOUT IT,
I'M GOING TO DIE.

709
00:37:56,067 --> 00:38:00,800
I REALLY HOPE
I LOST THE 150 I NEEDED.

710
00:38:00,800 --> 00:38:03,533
I AM VERY, VERY NERVOUS.

711
00:38:08,533 --> 00:38:10,600
Dr. Nowzaradan: 636 --

712
00:38:10,600 --> 00:38:12,933
CUTTING IT CLOSE,
BUT YOU DID IT.

713
00:38:12,933 --> 00:38:14,733
SO WE'RE GONNA APPROVE YOU
FOR SURGERY.

714
00:38:14,733 --> 00:38:16,200
THANK YOU.

715
00:38:16,200 --> 00:38:19,833
IT'S BEEN A HARD JOURNEY,
BUT IT'S WELL WORTH IT.

716
00:38:19,833 --> 00:38:22,267
I'M PROUD OF YOU.
I'LL SEE YOU LATER.

717
00:38:22,267 --> 00:38:23,767
-ALL RIGHTY.
-OKAY?

718
00:38:23,767 --> 00:38:25,967
-GOOD TALKING TO YOU, DR. NOW.
-ALL RIGHT.

719
00:38:25,967 --> 00:38:28,533
I CAN'T BELIEVE IT.

720
00:38:28,533 --> 00:38:30,067
FIST BUMP!

721
00:38:30,067 --> 00:38:31,633
YOU DID GOOD!

722
00:38:31,633 --> 00:38:35,100
I'M JUST SO HAPPY
AND PROUD RIGHT NOW.

723
00:38:41,800 --> 00:38:44,100
Dr. Nowzaradan: TODAY,
WE ARE ATTEMPTING TO DO

724
00:38:44,100 --> 00:38:48,333
A GASTRIC-SLEEVE PROCEDURE
ON SEAN.

725
00:38:48,333 --> 00:38:50,633
EVEN WITH ALL HIS WEIGHT LOSS...

726
00:38:56,800 --> 00:39:00,133
HE'S VERY HIGH-RISK,
SO WE HAVE TO BE SURE NOT

727
00:39:00,133 --> 00:39:02,800
TO PUSH HIS BODY TOO FAR.

728
00:39:14,667 --> 00:39:16,467
Dr. Nowzaradan:
TODAY, WE ARE ATTEMPTING TO DO

729
00:39:16,467 --> 00:39:19,067
A GASTRIC-SLEEVE PROCEDURE
ON SEAN.

730
00:39:19,067 --> 00:39:21,333
Dr. Nowzaradan:
CAN I SEE THIS SPOT?

731
00:39:21,333 --> 00:39:24,300
Dr. Nowzaradan:
GASTRIC SLEEVE IS AN OPERATION

732
00:39:24,300 --> 00:39:29,167
THAT ESSENTIALLY WE TAKE 80%
TO 90% OF HIS STOMACH OUT

733
00:39:29,167 --> 00:39:35,633
AND LEAVE A SLEEVE-WIDE, SKINNY
PORTION OF STOMACH IN PLACE.

734
00:39:35,633 --> 00:39:39,067
GASTRIC SLEEVE CAN BE
A SHORTER OPERATION

735
00:39:39,067 --> 00:39:42,400
AND HAVE LESS COMPLICATION
OF ANESTHESIA

736
00:39:42,400 --> 00:39:46,467
ON VERY HEAVY PATIENTS
THAN DOING GASTRIC BYPASS.

737
00:39:49,433 --> 00:39:51,100
Renee:
I'M NERVOUS RIGHT NOW.

738
00:39:51,100 --> 00:39:53,867
I REALLY BELIEVE
EVERYTHING IS GOING TO BE FINE,

739
00:39:53,867 --> 00:39:56,433
BUT THERE'S THE ELEMENT
OF DANGER AND RISK,

740
00:39:56,433 --> 00:39:59,067
AND THAT'S FRIGHTENING.

741
00:39:59,067 --> 00:40:03,767
BUT HE NEEDED THE SURGERY
TO SAVE HIS LIFE.

742
00:40:03,767 --> 00:40:05,467
Dr. Nowzaradan:
WE'RE IN GOOD SHAPE.

743
00:40:05,467 --> 00:40:07,133
ALL RIGHT,
TURN THE LIGHT ON.

744
00:40:10,700 --> 00:40:11,667
ALL RIGHT.

745
00:40:13,300 --> 00:40:16,433
Dr. Nowzaradan:
SEAN'S SURGERY WENT VERY WELL.

746
00:40:16,433 --> 00:40:19,300
THE SURGERY IS GOING TO HELP HIM

747
00:40:19,300 --> 00:40:21,667
TO MAKE MORE PROGRESS
IN THE LONG RUN.

748
00:40:21,667 --> 00:40:24,700
BUT HE STILL NEEDS
TO LOSE A LOT OF WEIGHT.

749
00:40:24,700 --> 00:40:26,900
WE JUST HAVE
TO KEEP HIM MOTIVATED

750
00:40:26,900 --> 00:40:29,733
AND CONTINUE
TO WORK WITH HIM AND HIS MOM,

751
00:40:29,733 --> 00:40:32,700
BUT FOR NOW
HE'S DOING REALLY GOOD.

752
00:40:32,700 --> 00:40:35,333
ONCE HE RECOVERS,
WE CAN GET HIM HOME

753
00:40:35,333 --> 00:40:38,167
SO HE CAN CONTINUE
MAKING PROGRESS ON HIS OWN.

754
00:40:44,800 --> 00:40:48,000
I'VE BEEN HOME
FROM SURGERY FOR A MONTH,

755
00:40:48,000 --> 00:40:51,233
AND I HAVE BEEN GETTING USED
TO ALL THE CHANGES.

756
00:40:51,233 --> 00:40:54,300
AND I'M GLAD THE CRAVINGS AREN'T
AS BAD RIGHT NOW.

757
00:40:54,300 --> 00:40:55,567
SO, 600 -- WE'VE DECIDED

758
00:40:55,567 --> 00:40:57,967
WE'RE GONNA DO MOVIES, RIGHT?
-SUMMER MOVIES.

759
00:40:57,967 --> 00:41:00,267
I COULD BELIEVE IN A FUTURE NOW

760
00:41:00,267 --> 00:41:03,067
WHERE I'LL BE ABLE TO GO OUT
AND DO THINGS.

761
00:41:03,067 --> 00:41:05,833
SO, I'M PLANNING GOALS
WITH MY MOM

762
00:41:05,833 --> 00:41:09,100
FOR STUFF I WANT TO DO
EVERY TIME I HIT A WEIGHT GOAL.

763
00:41:09,100 --> 00:41:11,067
SO, THAT'S 400.

764
00:41:11,067 --> 00:41:13,433
I FEEL LIKE
THEY'RE NOT JUST DREAMS NOW.

765
00:41:13,433 --> 00:41:18,167
AND NOW I CAN HIT ALL
THESE GOALS IN THE NEXT YEAR.

766
00:41:18,167 --> 00:41:20,333
AND THAT'S
WHAT I'M DETERMINED TO DO.

767
00:41:20,333 --> 00:41:22,900
SO, YOU'RE THINKING 200.

768
00:41:22,900 --> 00:41:26,600
HOW ABOUT BIG AMUSEMENT PARK
OR A CRUISE?

769
00:41:26,600 --> 00:41:30,100
IT'S EXCITING TO SEE
MY SON'S LIFE TAKE SHAPE.

770
00:41:30,100 --> 00:41:32,833
Renee: YOU'LL BE HITTING THOSE
GOALS BEFORE WE KNOW IT, BABE.

771
00:41:37,167 --> 00:41:39,633
YOU READY
TO GET YOUR WEIGHT CHECKED?

772
00:41:39,633 --> 00:41:43,067
I HAVE WORKED PRETTY HARD
FOR THIS MOMENT.

773
00:41:43,067 --> 00:41:47,233
YOU'RE DOWN TO 583.
THIS IS GOOD.

774
00:41:47,233 --> 00:41:49,600
-YOU'RE UNDER 600 POUNDS.
-SWEET.

775
00:41:49,600 --> 00:41:50,833
SWEET.
-ALL RIGHT?

776
00:41:50,833 --> 00:41:53,100
-WOW.
-THAT'S AWESOME.

777
00:42:00,133 --> 00:42:01,400
Sean:
I THINK I'D LIKE TO TRY

778
00:42:01,400 --> 00:42:02,767
AND GET OUTSIDE
FOR A LITTLE BIT.

779
00:42:02,767 --> 00:42:04,133
OOH.

780
00:42:04,133 --> 00:42:06,967
Sean: I WAS BARELY ABLE TO MOVE
A YEAR AGO.

781
00:42:06,967 --> 00:42:09,800
NOW, I CAN GET AROUND
A LOT EASIER.

782
00:42:09,800 --> 00:42:12,433
GOOD JOB, SWEETIE.
YOU'RE DOING GREAT.

783
00:42:12,433 --> 00:42:15,400
I STILL HAVE A WAYS TO GO,
BUT I'M CLOSER THAN I'VE BEEN

784
00:42:15,400 --> 00:42:20,500
IN 10 YEARS TO BE BACK OUT THERE
DOING THINGS, LIVING LIFE.

785
00:42:20,500 --> 00:42:23,600
YOU ARE DEFINITELY MOVING
A LOT BETTER, HONEY.

786
00:42:23,600 --> 00:42:26,733
THERE'S A WHOLE WORLD OUT THERE.

787
00:42:28,567 --> 00:42:29,533
OKAY.

788
00:42:30,600 --> 00:42:32,433
AND I JUST CAN'T WAIT
TO GET BACK TO IT.

788
00:42:33,305 --> 00:43:33,545
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