1 00:00:04,400 --> 00:00:07,400 Karina: MY BODY LOOKS DISGUSTING TO ME. 2 00:00:07,400 --> 00:00:09,933 NO NORMAL PERSON SHOULD BE REALLY LIKE THIS. 3 00:00:09,933 --> 00:00:12,633 ** 4 00:00:16,567 --> 00:00:19,367 [ GROANING ] 5 00:00:19,367 --> 00:00:22,300 Woman #1: MY LIFE IS WASTING AWAY, AND I HATE IT. 6 00:00:22,300 --> 00:00:26,400 Karina: I TRIED TO CHANGE, BUT SOMETHING ALWAYS KNOCKS ME DOWN. 7 00:00:26,400 --> 00:00:30,000 ** 8 00:00:30,000 --> 00:00:33,633 ** 9 00:00:33,633 --> 00:00:36,367 Man: MY LIFE, IT'S LIKE LIVING A DEATH SENTENCE. 10 00:00:36,367 --> 00:00:38,533 [ GROANING ] UH, OH, OW! 11 00:00:38,533 --> 00:00:40,633 THIS IS NO LIFE FOR ANYONE. 12 00:00:40,633 --> 00:00:44,833 ** 13 00:00:44,833 --> 00:00:47,467 Woman #2: OH, JUST PRAY FOR ME. 14 00:00:47,467 --> 00:00:49,033 OH, MY LEG! 15 00:00:49,033 --> 00:00:50,233 SIT DOWN RIGHT THERE. 16 00:00:50,233 --> 00:00:51,333 WAIT, YOU'RE MAKING ME MAD. 17 00:00:51,333 --> 00:00:53,467 ALL RIGHT, THIS IS COMPLETELY UNACCEPTABLE. 18 00:00:53,467 --> 00:00:55,133 [ DOOR SLAMS ] 19 00:00:55,133 --> 00:00:57,500 ** 20 00:00:57,500 --> 00:01:00,067 Woman #3: YOU'RE OLD ENOUGH TO FEND FOR YOURSELF. 21 00:01:00,067 --> 00:01:00,867 I KNOW. 22 00:01:00,867 --> 00:01:02,433 YOU CAN KNOW ALL YOU WANT, 23 00:01:02,433 --> 00:01:04,800 BUT IF YOU DON'T DO IT, IT'S NOT GONNA MATTER. 24 00:01:04,800 --> 00:01:07,800 -- Captions by VITAC -- www.vitac.com 25 00:01:07,800 --> 00:01:10,833 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 26 00:01:10,833 --> 00:01:12,733 Karina: DEALING WITH THE STRUGGLES OF THE PAST 27 00:01:12,733 --> 00:01:16,067 CAN HEAL THE PRESENT. 28 00:01:16,067 --> 00:01:19,333 BUT THE ONLY WAY TO GET THERE IS MOVING FORWARD. 29 00:01:19,333 --> 00:01:24,800 ** 30 00:01:24,800 --> 00:01:30,267 ** 31 00:01:30,267 --> 00:01:35,733 ** 32 00:01:35,733 --> 00:01:41,200 ** 33 00:01:41,200 --> 00:01:46,667 ** 34 00:01:46,667 --> 00:01:48,300 MY FIRST THOUGHT IN THE MORNING WHEN I WAKE UP 35 00:01:48,300 --> 00:01:51,100 IS "I'M STILL ALIVE." 36 00:01:51,100 --> 00:01:53,333 ** 37 00:01:53,333 --> 00:01:55,467 "I DIDN'T DIE WHILE I'M ASLEEP." 38 00:01:55,467 --> 00:01:59,333 ** 39 00:01:59,333 --> 00:02:01,900 I DREAD GETTING OUT OF BED IN THE MORNING. 40 00:02:01,900 --> 00:02:05,667 ** 41 00:02:05,667 --> 00:02:07,067 AND 'CAUSE OF MY WEIGHT, 42 00:02:07,067 --> 00:02:12,100 I FEEL LIKE MY BODY'S ALREADY GIVING UP. 43 00:02:12,100 --> 00:02:14,300 I HAVE LOST MOST OF MY MOBILITY 44 00:02:14,300 --> 00:02:17,200 AND I CAN'T STAND ON MY OWN. 45 00:02:17,200 --> 00:02:20,967 BECAUSE OF THAT, I CAN NO LONGER LIVE ALONE. 46 00:02:20,967 --> 00:02:22,300 [ SIGHS ] 47 00:02:22,300 --> 00:02:24,433 EVEN WORSE, I HAVE TO LIVE IN THE MIDDLE 48 00:02:24,433 --> 00:02:26,500 OF MY PARENT'S LIVING ROOM. 49 00:02:26,500 --> 00:02:28,700 IT IS THE ONLY ROOM WHERE I FIT. 50 00:02:28,700 --> 00:02:30,733 AND IT'S CLOSE TO THE BATHROOM. 51 00:02:30,733 --> 00:02:33,967 I KNOW I SHOULD BE LIVING IN MY OWN HOUSE. 52 00:02:33,967 --> 00:02:39,367 I SHOULD BE WORKING INSTEAD OF BEING STUCK IN THIS HOUSE. 53 00:02:39,367 --> 00:02:42,567 ** 54 00:02:42,567 --> 00:02:45,767 ** 55 00:02:45,767 --> 00:02:48,933 SHOWERING HAS BECOME SO DIFFICULT. 56 00:02:55,633 --> 00:02:58,700 ** 57 00:02:58,700 --> 00:03:01,800 FIRST I HAVE TO PUSH MY SHOWER BENCH INTO THE BATHROOM. 58 00:03:01,800 --> 00:03:04,467 AND THEN I USE ROPES TO TURN IT UPRIGHT. 59 00:03:04,467 --> 00:03:08,633 ** 60 00:03:08,633 --> 00:03:12,800 ** 61 00:03:12,800 --> 00:03:15,067 I'M TRYING TO DO EVERYTHING MYSELF, 62 00:03:15,067 --> 00:03:17,100 BUT IT'S GETTING HARD. 63 00:03:17,100 --> 00:03:20,333 ** 64 00:03:20,333 --> 00:03:21,900 I'M VERY AFRAID OF LOSING MY INDEPENDENCE. 65 00:03:21,900 --> 00:03:25,067 I'M VERY AFRAID THAT HERE IN A YEAR OR LESS, 66 00:03:25,067 --> 00:03:28,067 I WOULDN'T BE ABLE TO WIPE MY OWN BUTT. 67 00:03:28,067 --> 00:03:33,733 ONCE I DO THAT, WHAT IS THERE NEXT? DIAPERS? 68 00:03:33,733 --> 00:03:37,100 I DON'T WANT THAT. 69 00:03:37,100 --> 00:03:38,567 BATHING BECOMES SO TIRING FOR ME 70 00:03:38,567 --> 00:03:40,300 THAT SOMETIMES I DON'T EVEN WANT TO TAKE A SHOWER 71 00:03:40,300 --> 00:03:41,600 FOR THE WHOLE WEEK. 72 00:03:41,600 --> 00:03:43,533 I'D RATHER JUST GIVE MYSELF A SPONGE BATH 73 00:03:43,533 --> 00:03:49,467 IN MY PORTA-POTTY WITH BABY WIPES. 74 00:03:49,467 --> 00:03:51,067 BUT I HAVE TAKEN TO THE SHOWER 75 00:03:51,067 --> 00:03:55,100 BECAUSE I WORRY THAT I'M GONNA START TO SMELL. 76 00:03:55,100 --> 00:03:59,133 I'M GONNA START BREAKING OUT INTO RASHES. 77 00:03:59,133 --> 00:04:02,800 MY BODY LOOKS AND FEELS 78 00:04:02,800 --> 00:04:07,200 LIKE A BIG OLD OF BAG OF JELLY, 79 00:04:07,200 --> 00:04:11,300 JUST SOFT AND MUSHY AND DISGUSTING TO ME. 80 00:04:11,300 --> 00:04:15,533 ** 81 00:04:15,533 --> 00:04:19,800 ** 82 00:04:19,800 --> 00:04:21,267 I HATE SEEING MY BODY. 83 00:04:21,267 --> 00:04:26,767 I AM SO ASHAMED OF WHAT IT LOOKS LIKE. 84 00:04:26,767 --> 00:04:28,467 I JUST DON'T FEEL NORMAL. 85 00:04:28,467 --> 00:04:33,933 'CAUSE NO NORMAL PERSON SHOULD BE REALLY LIKE THIS. 86 00:04:33,933 --> 00:04:37,767 BY MOVING JUST A FEW FEET, I LOSE MY BREATH. 87 00:04:37,767 --> 00:04:43,133 [ PANTING ] 88 00:04:43,133 --> 00:04:44,700 MY LIFE HAS BECOME A LIVING HELL 89 00:04:44,700 --> 00:04:47,433 BECAUSE MY WEIGHT ISOLATES ME FROM EVERYTHING 90 00:04:47,433 --> 00:04:49,467 THAT I USE TO LOVE DOING. 91 00:04:49,467 --> 00:04:54,367 ** 92 00:04:54,367 --> 00:04:56,900 I SAY TO MYSELF, 93 00:04:56,900 --> 00:04:59,467 WHERE'S THAT GIRL THAT USED TO BE HAPPY? 94 00:04:59,467 --> 00:05:01,533 WHERE IS SHE? 95 00:05:01,533 --> 00:05:05,100 ** 96 00:05:05,100 --> 00:05:08,600 I FEEL SOMETIMES, CAN I JUST CUT IT OPEN 97 00:05:08,600 --> 00:05:10,600 AND PULL MYSELF OUT OF THERE? 98 00:05:10,600 --> 00:05:13,633 ** 99 00:05:13,633 --> 00:05:16,600 WHAT DID I DO TO GET TO THIS? 100 00:05:16,600 --> 00:05:19,100 [ PANTING ] 101 00:05:19,100 --> 00:05:21,533 ** 102 00:05:21,533 --> 00:05:26,233 I AM THE OLDEST OF THREE KIDS. 103 00:05:26,233 --> 00:05:28,767 AND MY SISTER AND I ARE ONLY 10 MONTHS APART, 104 00:05:28,767 --> 00:05:31,567 BUT WE DIDN'T SPEND MUCH TIME TOGETHER AS KIDS 105 00:05:31,567 --> 00:05:36,533 BECAUSE I WAS VERY SICK AS A CHILD. 106 00:05:36,533 --> 00:05:38,367 I HAD ASTHMA REALLY BAD. 107 00:05:38,367 --> 00:05:41,467 SO I WAS IN AND OUT OF THE HOSPITAL WITH ASTHMA ATTACKS. 108 00:05:41,467 --> 00:05:44,733 AND I WAS IN AN OXYGEN TENT MOST OF THE TIME. 109 00:05:44,733 --> 00:05:47,100 I REMEMBER THEM HOLDING ME DOWN, PINNING ME DOWN, 110 00:05:47,100 --> 00:05:48,767 STICKING I.V.s IN ME. 111 00:05:48,767 --> 00:05:53,133 I FELT LIKE I WAS SUFFOCATING. 112 00:05:53,133 --> 00:05:56,333 BUT MY FAMILY WAS ALWAYS THERE WHEN I WAS SICK. 113 00:05:56,333 --> 00:05:58,433 AND I REMEMBER LOOKING OVER AT MY MOM 114 00:05:58,433 --> 00:06:00,067 AND SEEING HER SITTING THERE, 115 00:06:00,067 --> 00:06:04,367 CRYING AND WATCHING ME SUFFER. 116 00:06:04,367 --> 00:06:06,667 AND THEN, BY THE TIME I WAS AGE FIVE OR SIX, 117 00:06:06,667 --> 00:06:11,267 MY ASTHMA WAS CONTROLLED. 118 00:06:11,267 --> 00:06:12,533 FOR THE FIRST TIME IN MY LIFE, 119 00:06:12,533 --> 00:06:14,067 I WAS FEELING HEALTHY 120 00:06:14,067 --> 00:06:16,433 AND I THOUGHT THIS WOULD BE A HAPPY TIME. 121 00:06:16,433 --> 00:06:22,100 BUT MY ILLNESS TOOK A FINANCIAL TOLL ON MY FAMILY. 122 00:06:22,100 --> 00:06:24,533 SO MY PARENTS WERE ALWAYS WORKING. 123 00:06:24,533 --> 00:06:26,133 AND MY MOM WAS WORKING TWO JOBS. 124 00:06:26,133 --> 00:06:27,867 SHE WOULD LEAVE EARLY IN THE MORNING 125 00:06:27,867 --> 00:06:30,067 AND WE WOULD HARDLY EVER SEE HER. 126 00:06:30,067 --> 00:06:31,333 MY DAD WAS IN THE MILITARY, 127 00:06:31,333 --> 00:06:33,967 SO HE WOULD BE GONE FOR LONG STRETCHES OF TIME, 128 00:06:33,967 --> 00:06:38,600 AND THAT REALLY STARTED TO MESS ME UP. 129 00:06:38,600 --> 00:06:40,767 BECAUSE WHEN I WAS YOUNGER AND IN THE HOSPITAL, 130 00:06:40,767 --> 00:06:42,667 EVERYONE PAID ATTENTION TO ME. 131 00:06:42,667 --> 00:06:47,833 AND NOW IT WAS LIKE I DIDN'T EXIST AT ALL. 132 00:06:47,833 --> 00:06:50,267 BUT I REALLY JUST WANTED A LITTLE ATTENTION. 133 00:06:50,267 --> 00:06:51,667 I WANTED A HUG. 134 00:06:51,667 --> 00:06:53,733 BUT THEY WERE TOO BUSY TO GIVE IT. 135 00:06:53,733 --> 00:06:56,533 SO FOOD WAS MY HUG. 136 00:06:56,533 --> 00:06:58,233 AND I GOT AWAY WITH A LOT OF EATING 137 00:06:58,233 --> 00:07:01,233 BECAUSE NO ONE PAID ATTENTION. 138 00:07:01,233 --> 00:07:05,133 KARINA'S MOTHER REALLY FEEL A LOT OF GUILT. 139 00:07:05,133 --> 00:07:07,267 BUT WE HAD TO WORK IN ORDER TO TRY 140 00:07:07,267 --> 00:07:11,400 TO PROVIDE A BETTER LIFE FOR THEM. 141 00:07:13,000 --> 00:07:19,074 Watch Online Movies and Series for FREE www.osdb.link/lm 142 00:07:21,333 --> 00:07:22,400 ** 143 00:07:22,400 --> 00:07:25,433 AT THAT TIME, ANY STRESS OR LONELINESS, 144 00:07:25,433 --> 00:07:27,167 I RAN TO FOOD. 145 00:07:27,167 --> 00:07:30,200 I JUST STARTED GAINING AND GAINING AND GAINING. 146 00:07:30,200 --> 00:07:32,233 AND WHEN I WAS 10 YEARS OLD, 147 00:07:32,233 --> 00:07:35,100 I PROBABLY WAS A HUNDRED POUNDS. 148 00:07:35,100 --> 00:07:37,300 BEFORE SCHOOL, WITH MY ALLOWANCE, 149 00:07:37,300 --> 00:07:38,700 I WOULD BUY JUNK FOOD -- 150 00:07:38,700 --> 00:07:42,667 CHIPS, SODA, COOKIES, CUPCAKES. 151 00:07:42,667 --> 00:07:46,667 FOOD WAS ALWAYS THERE TO COMFORT ME NO MATTER WHAT. 152 00:07:46,667 --> 00:07:48,533 Marisabel: WHEN WE WERE GROWING UP, 153 00:07:48,533 --> 00:07:51,900 I DID NOTICE THAT KARINA LOVED FOOD. 154 00:07:51,900 --> 00:07:54,700 SHE WOULD EAT ALL THE TIME. 155 00:07:54,700 --> 00:07:59,167 SHE HAS ALWAYS BEEN A LITTLE BIT HEAVIER THAN NORMAL. 156 00:07:59,167 --> 00:08:01,067 AND AS TIME PROGRESSED, 157 00:08:01,067 --> 00:08:03,233 KARINA JUST GOT BIGGER AND BIGGER. 158 00:08:03,233 --> 00:08:04,900 Karina: I WANTED TO BE WITH MY SISTER, 159 00:08:04,900 --> 00:08:06,800 BUT SHE DIDN'T WANT TO BE WITH ME. 160 00:08:06,800 --> 00:08:10,367 AND I DIDN'T HAVE ANY FRIENDS. I WAS REALLY LONELY. 161 00:08:10,367 --> 00:08:13,600 AND WHEN YOU'RE ALONE AND DON'T HAVE NOTHING TO DO, YOU EAT. 162 00:08:13,600 --> 00:08:15,833 NO ONE REALLY GOT WORRIED ABOUT MY EATING 163 00:08:15,833 --> 00:08:20,400 UNTIL I WAS 14 AND I HIT 200 POUNDS. 164 00:08:20,400 --> 00:08:22,867 THAT'S WHEN MY DAD WAS LIKE, "DON'T EAT THAT." 165 00:08:22,867 --> 00:08:25,500 AND THAT JUST MADE ME WANT TO EAT MORE AND MORE. 166 00:08:25,500 --> 00:08:26,733 AND I WOULD. 167 00:08:26,733 --> 00:08:29,933 I SAW THAT SHE WAS JUST OUT OF CONTROL. 168 00:08:29,933 --> 00:08:32,433 AND I DON'T FIND ANY WAY 169 00:08:32,433 --> 00:08:34,433 THAT I CAN STOP HER. 170 00:08:34,433 --> 00:08:36,467 ** 171 00:08:36,467 --> 00:08:39,600 AROUND THIS TIME, I WAS JUST STARTING HIGH SCHOOL. 172 00:08:39,600 --> 00:08:43,600 AND I STARTED TO MAKE FRIENDS FOR THE FIRST TIME IN MY LIFE. 173 00:08:43,600 --> 00:08:46,267 AND I FELT HAPPY. 174 00:08:46,267 --> 00:08:48,700 AND THEN, WHEN I WAS 15, 175 00:08:48,700 --> 00:08:50,267 MY WHOLE WORLD TURNED UPSIDE DOWN. 176 00:08:50,267 --> 00:08:54,200 BECAUSE MY DAD MOVED US FROM CHICAGO TO SAN ANTONIO. 177 00:08:54,200 --> 00:08:57,067 ** 178 00:08:57,067 --> 00:08:58,300 I DIDN'T WANT TO GO. 179 00:08:58,300 --> 00:08:59,900 FOR THE FIRST TIME IN MY LIFE, I HAD FRIENDS, 180 00:08:59,900 --> 00:09:01,833 AND NOW WE HAD TO LEAVE. 181 00:09:01,833 --> 00:09:04,067 I WAS IN A NEW SCHOOL. I DIDN'T KNOW NOBODY. 182 00:09:04,067 --> 00:09:06,167 AND I HATED IT. 183 00:09:06,167 --> 00:09:07,667 ** 184 00:09:07,667 --> 00:09:11,933 I FELT LONELY, SO I ATE AS MUCH FOOD AS I COULD. 185 00:09:11,933 --> 00:09:16,400 AND WITHIN SIX MONTHS, I WAS ALREADY AT 250, 260. 186 00:09:16,400 --> 00:09:17,767 AND THEN JUNIOR YEAR, 187 00:09:17,767 --> 00:09:20,100 I FELL IN WITH THE WRONG CROWD OF PEOPLE. 188 00:09:20,100 --> 00:09:24,967 I WAS BEING REALLY, REALLY REBELLIOUS. 189 00:09:24,967 --> 00:09:28,600 I STARTED SKIPPING SCHOOL, DRINKING, PARTYING. 190 00:09:28,600 --> 00:09:30,867 I WAS EATING TONS OF GREASY, FAST FOOD, 191 00:09:30,867 --> 00:09:35,200 AND THE WEIGHT STARTED PACKING ON. 192 00:09:35,200 --> 00:09:36,867 SO WHEN I WAS 17, 193 00:09:36,867 --> 00:09:39,433 MY PARENTS SENT ME AWAY TO MEXICO TO LIVE WITH MY AUNT 194 00:09:39,433 --> 00:09:41,400 TO TRY TO GET MY BEHAVIOR ON TRACK. 195 00:09:41,400 --> 00:09:44,867 AND TO LOSE WEIGHT AND GET HEALTHY. 196 00:09:44,867 --> 00:09:46,200 IN MEXICO, MY AUNT CONTROLLED MY DIET. 197 00:09:46,200 --> 00:09:48,067 SHE CONTROLLED EVERYTHING. 198 00:09:48,067 --> 00:09:53,067 AND I LOST A 125 POUNDS AND NOW WAS AROUND 175. 199 00:09:53,067 --> 00:09:55,600 AND I CAME BACK HOME. I WAS WEARING JEANS. 200 00:09:55,600 --> 00:09:57,633 I WAS WEARING HEELS. 201 00:09:57,633 --> 00:09:59,700 I FELT GOOD. 202 00:09:59,700 --> 00:10:02,100 BUT THEN I STARTED WORKING IN FAST FOOD RESTAURANTS 203 00:10:02,100 --> 00:10:03,567 WHEN I CAME HOME. 204 00:10:03,567 --> 00:10:05,700 SO FAST FOOD WAS THE ONLY THING I ATE EVERYDAY. 205 00:10:05,700 --> 00:10:11,000 AND I GAINED ALL THE WEIGHT BACK AND MORE. 206 00:10:11,000 --> 00:10:15,600 BY THE TIME I WAS 23, I WAS OVER 400 POUNDS. 207 00:10:15,600 --> 00:10:17,300 I STARTED WORKING IN THE MEDICAL FIELD 208 00:10:17,300 --> 00:10:18,900 AS A NURSE ASSISTANT. 209 00:10:18,900 --> 00:10:22,100 BUT BEING ON MY FEET ALL DAY WAS HARD BECAUSE OF MY WEIGHT, 210 00:10:22,100 --> 00:10:26,333 SO I HAD TO LEAVE MY JOB. 211 00:10:26,333 --> 00:10:28,300 AFTER THAT, I BECAME DEPRESSED 212 00:10:28,300 --> 00:10:30,767 AND DIDN'T HAVE ANY WHERE TO TURN TO. 213 00:10:30,767 --> 00:10:35,033 SO I MOVED BACK IN WITH MY PARENTS. 214 00:10:35,033 --> 00:10:38,533 AND THEN BY THE TIME I WAS 32, I WAS 480. 215 00:10:38,533 --> 00:10:41,767 I STARTED LOOKING AT WHAT I ATE, TRIED SO MANY DIFFERENT DIETS. 216 00:10:41,767 --> 00:10:44,000 I WOULD GO UP AND DOWN, UP AND DOWN. 217 00:10:44,000 --> 00:10:45,467 BUT IT NEVER WORKED. 218 00:10:45,467 --> 00:10:49,600 FOOD OR WEIGHT -- FOOD ALWAYS WINS. 219 00:10:49,600 --> 00:10:52,100 ONCE I WAS OVER 500 POUNDS, I WAS FALLING. 220 00:10:52,100 --> 00:10:53,667 I COULDN'T KEEP MY BALANCE. 221 00:10:53,667 --> 00:10:55,400 I COULDN'T KEEP MY WEIGHT UP 222 00:10:55,400 --> 00:10:56,933 BECAUSE MY LEGS WERE GIVING OUT. 223 00:10:56,933 --> 00:11:00,633 SO THAT'S WHEN I STARTED BEING IN THE WHEELCHAIR. 224 00:11:00,633 --> 00:11:04,067 I FEEL THAT KARINA IS USING THE WHEELCHAIR AS A CRUTCH NOW. 225 00:11:04,067 --> 00:11:06,500 AND SHE STOPPED DOING THINGS FOR HERSELF. 226 00:11:06,500 --> 00:11:10,600 EVERYTHING IS HANDED TO HER. 227 00:11:10,600 --> 00:11:15,533 Karina: I REACHED 600 POUNDS WHEN I WAS 37. 228 00:11:15,533 --> 00:11:17,600 AND I DECIDED TO HAVE A BALLOON PROCEDURE DONE 229 00:11:17,600 --> 00:11:20,133 TO HELP ME WITH MY EATING. 230 00:11:20,133 --> 00:11:22,200 THE SURGEON INSERTED A BALLOON IN MY STOMACH 231 00:11:22,200 --> 00:11:24,067 TO TRY TO CONTROL MY APPETITE 232 00:11:24,067 --> 00:11:26,167 TO MAKE MY STOMACH SMALLER. 233 00:11:26,167 --> 00:11:27,700 HAVING THE BALLOON IN MY STOMACH 234 00:11:27,700 --> 00:11:30,233 HELPED ME LOSE A 120 POUNDS. 235 00:11:30,233 --> 00:11:33,933 BUT THEN I HAD AN ACCIDENT. I FELL THROUGH THE DECK. 236 00:11:33,933 --> 00:11:37,667 BROKE MY LEG, AND EVERYTHING WENT DOWNHILL. 237 00:11:37,667 --> 00:11:39,300 I THEN FELL BACK INTO MY OLD HABITS. 238 00:11:39,300 --> 00:11:42,833 AND STARTED TO GAIN THE WEIGHT RIGHT BACK. 239 00:11:42,833 --> 00:11:44,967 AND NOW I'M AFRAID, I'M ALREADY BACK AT 600 POUNDS 240 00:11:44,967 --> 00:11:49,267 AND I JUST FEEL LIKE I'M TRAPPED AGAIN. 241 00:11:49,267 --> 00:11:52,467 AND I FEEL LIKE I'M A BURDEN TO EVERYONE IN MY FAMILY. 242 00:11:52,467 --> 00:11:56,067 BECAUSE I NEED MY PARENTS TO DO ALMOST EVERYTHING FOR ME, 243 00:11:56,067 --> 00:11:58,933 INCLUDING TAKING ME TO THE GROCERY STORE. 244 00:11:58,933 --> 00:12:03,767 ** 245 00:12:03,767 --> 00:12:07,067 IT IS SO DIFFICULT FOR ME TO ACTUALLY GET OUT OF THE HOUSE. 246 00:12:07,067 --> 00:12:09,600 [ PANTING ] 247 00:12:09,600 --> 00:12:10,800 JUST TO GET OUT OF THE FRONT DOOR 248 00:12:10,800 --> 00:12:15,633 IS A HUGE CHALLENGE FOR ME. 249 00:12:15,633 --> 00:12:18,933 AND BY THE TIME THAT I DO, I'M OUT OF BREATH. 250 00:12:18,933 --> 00:12:23,333 [ PANTING ] 251 00:12:23,333 --> 00:12:26,200 BUT I PREFER TO PICK UP MY OWN FOOD AT THE GROCERY STORE 252 00:12:26,200 --> 00:12:30,200 BECAUSE I'LL GET WHAT I KNOW I LIKE 253 00:12:30,200 --> 00:12:32,667 VERSUS IF I TELL MY MOM OR MY DAD, 254 00:12:32,667 --> 00:12:35,900 SOMETIMES THEY WON'T GET IT. 255 00:12:35,900 --> 00:12:38,067 MY PARENTS HAVE TO DRIVE ME. 256 00:12:38,067 --> 00:12:44,067 AND I SIT IN THE BACK OF THE VAN ON THE FLOOR. 257 00:12:44,067 --> 00:12:45,933 SO THEY LITERALLY HAVE TO FOLD THE SEATS 258 00:12:45,933 --> 00:12:49,867 IN THE VAN DOWN, PUT A BLANKET ON THE FLOOR. 259 00:12:49,867 --> 00:12:55,067 ** 260 00:12:55,067 --> 00:13:01,067 RIDING IN THE BACK OF THE VAN MAKES ME FEEL LIKE I'M CARGO. 261 00:13:01,067 --> 00:13:05,133 LIKE I'M AN ANIMAL BEING TRANSPORTED SOMEWHERE. 262 00:13:05,133 --> 00:13:10,467 ** 263 00:13:10,467 --> 00:13:16,300 AND I FEEL LIKE I AM AN EMBARRASSMENT. 264 00:13:16,300 --> 00:13:18,967 Ezequiel: COME ON, MIJA. 265 00:13:18,967 --> 00:13:21,500 AND GETTING OUT OF THE VAN IS JUST AS HARD, 266 00:13:21,500 --> 00:13:25,767 IF NOT HARDER THAN GETTING INTO THE VAN. 267 00:13:25,767 --> 00:13:28,200 SOME GROCERY STORES HAVE ELECTRIC CARTS 268 00:13:28,200 --> 00:13:30,667 AND I'LL GET ON THE ELECTRIC CART. 269 00:13:30,667 --> 00:13:32,267 SOME OF THEM DON'T. 270 00:13:32,267 --> 00:13:34,067 SO I HAVE TO WHEEL MYSELF. 271 00:13:34,067 --> 00:13:38,433 AND I'M ALREADY EXHAUSTED FROM GETTING IN AND OUT OF THE VAN. 272 00:13:38,433 --> 00:13:40,333 THEN PUSHING MYSELF AROUND THE STORE, 273 00:13:40,333 --> 00:13:43,267 IT'S MORE EXHAUSTING. 274 00:13:43,267 --> 00:13:45,100 OKAY. 275 00:13:45,100 --> 00:13:49,900 I NEED THE PINEAPPLE NECTAR. 276 00:13:53,100 --> 00:13:56,533 ...IS JUICE, CHIPS, 277 00:13:56,533 --> 00:14:00,667 MY SNACK CAKES, ICE CREAM. 278 00:14:00,667 --> 00:14:02,700 THOSE ARE THE MAIN THINGS THAT I NEED TO HAVE. 279 00:14:02,700 --> 00:14:04,767 CAN YOU GET BANANA SPLIT? 280 00:14:04,767 --> 00:14:07,600 GET THE DOUBLE STRAWBERRY. 281 00:14:07,600 --> 00:14:09,767 -THAT'S IT? -THAT'S IT. 282 00:14:09,767 --> 00:14:11,767 [ PANTING ] 283 00:14:11,767 --> 00:14:14,467 WHEN I GO THE GROCERY STORE, IT WEARS ME OUT. 284 00:14:14,467 --> 00:14:18,433 AND EVERY DAY'S GETTING HARDER TO BREATH, HARDER TO MOVE, 285 00:14:18,433 --> 00:14:21,200 HARDER TO DO ANYTHING THAT I USED TO DO. 286 00:14:21,200 --> 00:14:24,433 ** 287 00:14:24,433 --> 00:14:29,700 Ezequiel: IT'S SAD TO SEE KARINA GETTING BIGGER AND BIGGER. 288 00:14:29,700 --> 00:14:33,800 IT'S GETTING HARDER TO TAKE CARE OF HER. 289 00:14:33,800 --> 00:14:35,867 I REALLY HAVE NO IDEA FOR HOW LONG 290 00:14:35,867 --> 00:14:40,667 MY WIFE AND I KEEP DOING THIS. 291 00:14:40,667 --> 00:14:43,133 I WOULD LOVE FOR KARINA TO BECOME INDEPENDENT. 292 00:14:43,133 --> 00:14:47,533 YOU KNOW, BE ABLE TO WORK AND GO GET HER OWN GROCERIES, 293 00:14:47,533 --> 00:14:52,100 DO HER OWN COOKING, HAVE HER OWN PLACE. 294 00:14:52,100 --> 00:14:54,667 LET ME GET IN FIRST AND PUT THE WHEELCHAIR IN. 295 00:14:54,667 --> 00:14:56,767 -THEN PUT EVERYTHING IN. -OKAY. 296 00:14:56,767 --> 00:14:59,100 BUT IT'S JUST A WISH. 297 00:14:59,100 --> 00:15:03,100 [ GRUNTING ] 298 00:15:03,100 --> 00:15:06,533 ** 299 00:15:06,533 --> 00:15:09,467 MY PARENTS, THEY DO ALMOST EVERYTHING FOR ME. 300 00:15:09,467 --> 00:15:14,300 AND I HATE THAT. 301 00:15:14,300 --> 00:15:16,067 IT SHOULD BE VICE VERSA. 302 00:15:16,067 --> 00:15:18,200 MOM, SHE WANTS ME TO GO TO THE STORE 303 00:15:18,200 --> 00:15:21,333 TO GO GET HER SOME EGGS AND MILK. 304 00:15:21,333 --> 00:15:24,200 BUT MY WEIGHT IS COMING BETWEEN ME 305 00:15:24,200 --> 00:15:28,167 AND PEOPLE I LOVE AND PEOPLE I CARE AND EVERYTHING. 306 00:15:28,167 --> 00:15:32,133 ** 307 00:15:53,767 --> 00:15:57,633 [ PANTING ] 308 00:15:57,633 --> 00:16:01,467 ** 309 00:16:11,133 --> 00:16:14,333 ** 310 00:16:14,333 --> 00:16:17,533 ** 311 00:16:17,533 --> 00:16:19,400 -OKAY, JUST LOCK THE DOOR. -YES, I WILL. 312 00:16:19,400 --> 00:16:20,833 -ALL RIGHT, BYE. -BYE. 313 00:16:20,833 --> 00:16:22,533 -HAVE FUN. -OKAY. 314 00:16:22,533 --> 00:16:25,300 YEAH, YEAH. 315 00:16:25,300 --> 00:16:29,067 ** 316 00:16:29,067 --> 00:16:30,700 Karina: MY FAMILY DOESN'T EVEN ASK ME 317 00:16:30,700 --> 00:16:33,500 TO GO OUT TO DINNER ANYMORE 318 00:16:33,500 --> 00:16:34,933 BECAUSE THEY KNOW IT'S TOO DIFFICULT 319 00:16:34,933 --> 00:16:37,500 FOR ME TO LEAVE THE HOUSE. 320 00:16:37,500 --> 00:16:40,633 AND REALLY, I CAN'T WAIT FOR THEM TO LEAVE. 321 00:16:40,633 --> 00:16:44,167 BECAUSE IT'S THE ONLY WAY I CAN EAT WHAT I WANT WITHOUT SHAME. 322 00:16:44,167 --> 00:16:46,633 [ Ringing ] 323 00:16:46,633 --> 00:16:48,200 MAN: Thank you for calling, Would you like to try 324 00:16:48,200 --> 00:16:50,500 our Two medium sausage pizzas for $6.99 each? 325 00:16:50,500 --> 00:16:53,900 I'LL HAVE TWO MEDIUM PIZZAS WITH PEPPERONI AND SAUSAGE... 326 00:16:53,900 --> 00:16:54,800 Okay. 327 00:16:54,800 --> 00:16:55,933 ...ONE ORDER OF YOUR CHEESE STICKS, 328 00:16:55,933 --> 00:16:57,833 24 CHIPOTLE HONEY WINGS, 329 00:16:57,833 --> 00:17:00,700 AND THE DOUBLE CHOCOLATE CHIP BROWNIE. 330 00:17:00,700 --> 00:17:02,700 Delivery or carry out? 331 00:17:02,700 --> 00:17:04,967 UH, THIS WILL BE FOR DELIVERY. 332 00:17:04,967 --> 00:17:07,400 THANK YOU. 333 00:17:07,400 --> 00:17:09,300 [ BEEPS ] 334 00:17:09,300 --> 00:17:13,433 Karina: AROUND MY PARENTS, I TRY TO KEEP A SMALL PORTION. 335 00:17:13,433 --> 00:17:19,100 WHEN THEY'RE NOT AROUND, I EAT WHATEVER I WANT. 336 00:17:19,100 --> 00:17:23,100 I KEEP SNACKS, LIKE, HIDDEN AWAY FROM MY FAMILY TO SEE. 337 00:17:23,100 --> 00:17:28,800 USUALLY I HIDE MY STASH IN THE RECLINER. 338 00:17:28,800 --> 00:17:31,733 CHOCOLATE IS VERY IRRESISTIBLE FOR ME. 339 00:17:31,733 --> 00:17:35,933 I WANT IT ALL THE TIME. 340 00:17:35,933 --> 00:17:37,467 [ KNOCKING ON DOOR ] 341 00:17:37,467 --> 00:17:39,933 ** 342 00:17:39,933 --> 00:17:42,200 THAT'S THE PIZZA. 343 00:17:42,200 --> 00:17:43,067 HELLO. HELLO. 344 00:17:43,067 --> 00:17:43,933 HOW ARE YOU? 345 00:17:43,933 --> 00:17:48,667 FINE. 346 00:17:48,667 --> 00:17:50,567 ALL RIGHT, GOT IT. 347 00:17:50,567 --> 00:17:53,333 THANK YOU. 348 00:17:53,333 --> 00:17:56,133 MY PARENTS KNOW I EAT A LOT. 349 00:17:56,133 --> 00:17:58,467 BUT THEY DON'T KNOW I EAT THIS MUCH. 350 00:17:58,467 --> 00:18:01,733 [ SIGHS ] OKAY. 351 00:18:01,733 --> 00:18:05,867 ** 352 00:18:05,867 --> 00:18:11,167 WHEN I'M EATING, SOMETIMES I FEEL LIKE I'M OUT OF CONTROL. 353 00:18:11,167 --> 00:18:16,267 BUT EACH BITE IS SO SATISFYING. 354 00:18:16,267 --> 00:18:19,233 IT MAKES ME FEEL WARM AND GOOD INSIDE, 355 00:18:19,233 --> 00:18:22,367 IF ONLY FOR A SHORT WHILE. 356 00:18:22,367 --> 00:18:26,100 BUT I'M AFRAID THAT ONE DAY, I'M JUST GONNA EAT TOO MUCH. 357 00:18:26,100 --> 00:18:28,900 I'M PROBABLY GONNA DIE FROM A HEART ATTACK 358 00:18:28,900 --> 00:18:33,100 OR I'M GONNA SUFFOCATE. 359 00:18:33,100 --> 00:18:36,933 BUT I CAN'T STOP MYSELF. 360 00:18:36,933 --> 00:18:41,867 MY FOOD ADDITION IS KILLING ME, LITTLE BY LITTLE. 361 00:18:41,867 --> 00:18:44,900 I MADE MYSELF GET LIKE THIS BECAUSE OF MY EATING DISORDER 362 00:18:44,900 --> 00:18:47,500 AND EVERYTHING AND I HATE MYSELF MORE 363 00:18:47,500 --> 00:18:49,833 AND THAT MAKES ME JUST WANT TO EAT MORE 364 00:18:49,833 --> 00:18:53,300 'CAUSE THAT COMFORTS ME. 365 00:18:53,300 --> 00:18:56,267 SOMETHING HAS TO CHANGE DRASTICALLY. 366 00:18:56,267 --> 00:18:58,300 I NEED HELP. 367 00:18:58,300 --> 00:19:00,433 ** 368 00:19:03,300 --> 00:19:07,067 ** 369 00:19:07,067 --> 00:19:10,767 ** 370 00:19:10,767 --> 00:19:13,333 [ WATER RUNNING ] 371 00:19:13,333 --> 00:19:16,133 Karina: TODAY WE'RE HAVING OUR WEEKLY FAMILY DINNER, 372 00:19:16,133 --> 00:19:18,933 AND I'M USING TODAY TO LET MY FAMILY KNOW 373 00:19:18,933 --> 00:19:22,167 THAT I'M GOING TO TRY TO GET HELP. 374 00:19:22,167 --> 00:19:24,833 I'VE TRIED A LOT OF THINGS TO LOSE WEIGHT. 375 00:19:24,833 --> 00:19:27,600 SO I'M WORRIED MY FAMILY'S GOING TO THINK 376 00:19:27,600 --> 00:19:31,233 THIS IS JUST ANOTHER THING THAT'S GOING TO FAIL. 377 00:19:31,233 --> 00:19:33,567 THEY ALL PAID FOR ME TO GET MY FIRST WEIGHT LOSS SURGERY 378 00:19:33,567 --> 00:19:35,667 OPERATION WITH THE BALLOON. 379 00:19:35,667 --> 00:19:38,633 AND I KNOW MY SISTER FELT I WASTED MONEY. 380 00:19:38,633 --> 00:19:41,400 SO I'M JUST NERVOUS TO TALK TO THEM ABOUT IT. 381 00:19:41,400 --> 00:19:44,700 BECAUSE I DON'T KNOW HOW THEY'RE GOING TO REACT. 382 00:19:44,700 --> 00:19:48,500 THE CHICKEN'S READY. THE ONIONS, AVOCADOS ARE WASHED. 383 00:19:48,500 --> 00:19:50,100 TOMATOES READY. 384 00:19:50,100 --> 00:19:53,067 DOOR SQUEAKING OPEN ] 385 00:19:53,067 --> 00:19:54,867 [ DOOR SQUEAKS CLOSED ] 386 00:19:54,867 --> 00:19:57,800 -HELLO, GIRLS. -HEY. 387 00:19:57,800 --> 00:20:00,800 MWAH, MWAH. 388 00:20:00,800 --> 00:20:03,367 GO GET YOUR GRANDPA. TELL HIM DINNER'S READY. 389 00:20:03,367 --> 00:20:05,300 ** 390 00:20:05,300 --> 00:20:07,267 Marisabel: FAMILY DINNER'S THE ONLY TIME 391 00:20:07,267 --> 00:20:09,000 I SPEND WITH MY SISTER. 392 00:20:09,000 --> 00:20:11,167 IT'S IMPORTANT FOR THE FAMILY TO GET TOGETHER ALL THE TIME 393 00:20:11,167 --> 00:20:13,667 FOR THE CHILDREN'S SAKE. 394 00:20:20,333 --> 00:20:22,867 I KNOW MY PARENTS WILL PROBABLY SUPPORT ME. 395 00:20:22,867 --> 00:20:26,600 BUT I'M NOT SURE HOW MY SISTER WILL REACT BECAUSE SHE ALREADY 396 00:20:26,600 --> 00:20:28,567 FEELS LIKE I'M TAKING AWAY FROM THE WHOLE FAMILY 397 00:20:28,567 --> 00:20:33,500 WITH HOW MUCH EVERYONE HAS TO HELP ME. 398 00:20:33,500 --> 00:20:36,533 BUT THIS IS SOMETHING I JUST HAVE TO DO NO MATTER WHAT. 399 00:20:36,533 --> 00:20:41,800 BEFORE EVERYONE IS FINISHED, I WAS GOING TO SAY, 400 00:20:41,800 --> 00:20:44,767 THERE'S A DOCTOR IN HOUSTON 401 00:20:44,767 --> 00:20:48,000 WHO MIGHT TAKE ME FOR WEIGHT LOSS SURGERY. 402 00:20:48,000 --> 00:20:51,833 REALLY? HOW DID YOU FIND OUT ABOUT HIM? 403 00:20:51,833 --> 00:20:53,167 ONLINE. 404 00:20:53,167 --> 00:20:54,500 MNH. 405 00:20:54,500 --> 00:20:57,333 SO WHAT DO YOU THINK ABOUT IT? 406 00:20:57,333 --> 00:21:00,933 GOOD IF YOU CAN FIND SOMEBODY THAT WILL DO IT FOR YOU, YEAH. 407 00:21:00,933 --> 00:21:03,167 BUT THAT MEANS THAT ONE OF YOU HAS TO TAKE ME 408 00:21:03,167 --> 00:21:06,133 TO HOUSTON WHEN THE APPOINTMENT COMES UP. 409 00:21:06,133 --> 00:21:09,800 WE'LL WORRY ABOUT THAT WHEN THE TIMES COME. 410 00:21:09,800 --> 00:21:11,367 YEAH? WHAT DO YOU THINK? 411 00:21:11,367 --> 00:21:16,067 YEAH. 412 00:21:16,067 --> 00:21:17,833 OKAY. 413 00:21:19,433 --> 00:21:20,700 NO, SHE'S STILL EATING. 414 00:21:20,700 --> 00:21:22,467 YEAH, ON THE LAST ONE. 415 00:21:22,467 --> 00:21:24,700 ** 416 00:21:24,700 --> 00:21:27,067 Marisabel: I THINK IF MY SISTER FOUND SOMEONE THAT CAN ACTUALLY 417 00:21:27,067 --> 00:21:28,967 HELP HER, IT WOULD BE GREAT. 418 00:21:28,967 --> 00:21:33,700 BUT WE'VE TRIED SO MUCH AND FOR SO LONG TO HELP HER 419 00:21:33,700 --> 00:21:38,200 WITH HER EATING HABITS THAT I'M JUST DONE TRYING. 420 00:21:38,200 --> 00:21:41,867 COME ON, SAY GOODBYE AND LET'S GO. 421 00:21:41,867 --> 00:21:45,500 ALL RIGHT, BYE. I'LL SEE YOU. 422 00:21:45,500 --> 00:21:49,300 -SLEEP TIGHT. -OKAY, THANK YOU. 423 00:21:49,300 --> 00:21:51,067 Karina: I WAS REALLY HOPING THAT MY FAMILY 424 00:21:51,067 --> 00:21:53,433 WOULD BE MORE EXCITED FOR ME. 425 00:21:53,433 --> 00:21:56,433 I KNOW WE'VE BEEN THROUGH THIS BEFORE WITH MY BALLOON SURGERY. 426 00:21:56,433 --> 00:21:58,767 BUT IF THIS TIME'S GOING TO BE DIFFERENT, 427 00:21:58,767 --> 00:22:01,833 THEN I NEED MY FAMILY'S SUPPORT. 428 00:22:01,833 --> 00:22:04,533 AND RIGHT NOW, IT DOESN'T FEEL LIKE I HAVE IT. 429 00:22:04,533 --> 00:22:09,333 ** 430 00:22:09,333 --> 00:22:13,700 ** 431 00:22:13,700 --> 00:22:18,367 [ DOG BARKING ] 432 00:22:18,367 --> 00:22:21,400 TODAY IS MY FIRST CONSULT WITH DR. NOW. 433 00:22:21,400 --> 00:22:24,967 AND MY PARENTS HAVE AGREED TO DRIVE ME TO HOUSTON. 434 00:22:24,967 --> 00:22:27,467 I'M A LITTLE NERVOUS BECAUSE 435 00:22:27,467 --> 00:22:29,667 IT'S A THREE-HOUR DRIVE TO HOUSTON. 436 00:22:29,667 --> 00:22:32,500 AND IT'S TOO LONG OF A TRIP FOR ME TO LAY IN THE BACK OF THE VAN 437 00:22:32,500 --> 00:22:35,667 LIKE I USUALLY DO. 438 00:22:35,667 --> 00:22:40,600 -OKAY, MIJA, WE'RE READY. -YEP. 439 00:22:40,600 --> 00:22:43,300 SO TODAY, I'M GOING TO TRY TO GET INTO A CAR SEAT 440 00:22:43,300 --> 00:22:48,400 FOR THE TIME SINCE I BROKE MY LEG ALMOST A YEAR AGO. 441 00:22:48,400 --> 00:22:50,267 AND I'M SCARED THAT I WON'T BE ABLE TO GET 442 00:22:50,267 --> 00:22:52,200 ALL THE WAY UP INTO THE SEAT. 443 00:22:52,200 --> 00:22:54,100 BECAUSE IF I CAN'T, 444 00:22:54,100 --> 00:22:57,433 I WON'T BE ABLE TO MAKE THE TRIP TO HOUSTON. 445 00:22:57,433 --> 00:22:59,833 SO I HAVE TO FIND A WAY TO FIT IN THIS SEAT, 446 00:22:59,833 --> 00:23:02,433 NO MATTER HOW BAD IT HURTS. 447 00:23:02,433 --> 00:23:05,067 IF I DON'T DEAL WITH THE PAIN AND DO THIS, 448 00:23:05,067 --> 00:23:07,933 THEN IT MEANS I STAY HERE AND DON'T GET HELP 449 00:23:07,933 --> 00:23:11,833 AND DIE IN BED SOME DAY SOON. 450 00:23:11,833 --> 00:23:15,133 [ PANTING ] 451 00:23:15,133 --> 00:23:19,367 ** 452 00:23:19,367 --> 00:23:24,300 Ezequiel: BE CAREFUL. 453 00:23:24,300 --> 00:23:26,733 ** 454 00:23:26,733 --> 00:23:29,667 [ GRUNTING ] 455 00:23:29,667 --> 00:23:32,167 [ PANTING ] 456 00:23:32,167 --> 00:23:37,767 ** 457 00:23:37,767 --> 00:23:43,367 ** 458 00:23:43,367 --> 00:23:46,333 IT'S A RELIEF THAT I WAS ABLE TO GET IN THE CAR. 459 00:23:46,333 --> 00:23:51,700 BUT NOW, I'M SCARED OF HOW PAINFUL THIS CAR RIDE WILL BE. 460 00:23:51,700 --> 00:23:53,100 -READY? -YEAH. 461 00:23:53,100 --> 00:23:55,733 I JUST HOPE I MAKE IT. 462 00:23:55,733 --> 00:24:00,800 ** 463 00:24:00,800 --> 00:24:03,867 I'M THANKFUL MY PARENTS ARE HELPING ME DO THIS. 464 00:24:03,867 --> 00:24:06,733 AND I'M GLAD TO HAVE THIS CHANCE FOR HELP. 465 00:24:06,733 --> 00:24:08,333 BUT I'M REALLY SCARED, TOO, 466 00:24:08,333 --> 00:24:10,967 BECAUSE I TRIED THIS BEFORE AND FAILED. 467 00:24:10,967 --> 00:24:13,233 AND THERE'S A PART OF ME THAT IS TERRIFIED 468 00:24:13,233 --> 00:24:15,833 THAT THIS ISN'T GOING TO BE DIFFERENT. 469 00:24:15,833 --> 00:24:18,800 I HAVE DONE SO MANY THINGS TO TRY TO LOSE WEIGHT. 470 00:24:18,800 --> 00:24:22,800 I LOSE WEIGHT, BUT THEN I GAIN IT BACK. 471 00:24:22,800 --> 00:24:25,367 AS TERRIBLE AS I FEEL WHEN I PUT THE WEIGHT BACK ON, 472 00:24:25,367 --> 00:24:27,633 I KNOW IT HURTS MY FAMILY THE MOST. 473 00:24:27,633 --> 00:24:28,867 THIS TIME HAS TO BE DIFFERENT. 474 00:24:28,867 --> 00:24:32,200 I CAN'T KEEP PUTTING MY FAMILY THROUGH THIS. 475 00:24:32,200 --> 00:24:36,733 ** 476 00:24:36,733 --> 00:24:37,933 Ezequiel: DO I EXIT? 477 00:24:37,933 --> 00:24:39,967 YES, IT'S A STRAIGHT ROAD ALL THE WAY 478 00:24:39,967 --> 00:24:43,100 TILL PASSING ALL THIS TRAFFIC. 479 00:24:43,100 --> 00:24:44,567 WE'LL STILL BE THERE WITH EIGHT MINUTES 480 00:24:44,567 --> 00:24:46,300 BEFORE THE DOCTOR'S APPOINTMENT. 481 00:24:46,300 --> 00:24:47,800 HMM. 482 00:24:47,800 --> 00:24:51,067 MY FEAR IS THAT DR. NOW WILL SAY HE CAN'T HELP ME 483 00:24:51,067 --> 00:24:53,800 AND I'LL BE OUT OF OPTIONS. 484 00:24:53,800 --> 00:24:56,400 I SHOULDN'T BE DOING THIS RIGHT BEFORE I SEE THE DOCTOR. 485 00:24:56,400 --> 00:25:01,800 BUT I'M JUST NERVOUS AND I HAVE TO EAT SOMETHING. 486 00:25:01,800 --> 00:25:05,400 I FEEL LIKE I'M AT A POINT WHERE IF THINGS DON'T CHANGE, 487 00:25:05,400 --> 00:25:09,600 BEFORE LONG, I'LL BE BEDBOUND. 488 00:25:09,600 --> 00:25:12,500 I NEED TO GET MY LIFE BACK. 489 00:25:12,500 --> 00:25:14,933 ** 490 00:25:14,933 --> 00:25:19,567 DR. NOW IS MY LAST HOPE TO HAVE A LIFE. 491 00:25:19,567 --> 00:25:21,367 IF HE WON'T TAKE ME AS A PATIENT, 492 00:25:21,367 --> 00:25:25,067 WHAT AM I GONNA DO NEXT? 493 00:25:25,067 --> 00:25:27,133 PUSH. 494 00:25:27,133 --> 00:25:29,800 ** 495 00:25:29,800 --> 00:25:31,300 KARINA GARCIA? 496 00:25:31,300 --> 00:25:34,800 Karina: IT'S BEEN SO LONG SINCE I STOOD ON A SCALE. 497 00:25:34,800 --> 00:25:36,933 AND I WAS SCARED TO EVEN SEE THE NUMBER. 498 00:25:36,933 --> 00:25:41,067 BECAUSE I STOPPED SEEING WHAT MY WEIGHT WAS A WHILE AGO. 499 00:25:41,067 --> 00:25:44,500 I'VE BEEN IN THE CAR FOR SO LONG THAT I DON'T THINK I CAN EVEN 500 00:25:44,500 --> 00:25:47,300 USE MY LEGS TO STAND RIGHT NOW. 501 00:25:47,300 --> 00:25:50,067 AND IF I CAN'T, I DON'T KNOW IF THAT'S GOING 502 00:25:50,067 --> 00:25:53,467 TO MAKE DR. NOW FEEL LIKE I'M JUST A LOST CAUSE. 503 00:25:53,467 --> 00:25:55,800 ONE, TWO... 504 00:25:55,800 --> 00:25:59,400 [ GRUNTING ] 505 00:25:59,400 --> 00:26:01,767 [ PANTING ] 506 00:26:01,767 --> 00:26:04,667 WHERE'S THE CHAIR? 507 00:26:04,667 --> 00:26:06,767 [ SIGHS ] 508 00:26:10,067 --> 00:26:15,067 ** 509 00:26:15,067 --> 00:26:17,367 WHERE'S THE CHAIR? 510 00:26:17,367 --> 00:26:20,233 I CAN'T DO IT. 511 00:26:20,233 --> 00:26:24,733 [ PANTING ] 512 00:26:24,733 --> 00:26:26,567 OKAY, SINCE YOU'RE HAVING TROUBLE WITH THIS ONE, 513 00:26:26,567 --> 00:26:27,800 WE'RE GONNA TRY TO SEE IF WE CAN GET YOU 514 00:26:27,800 --> 00:26:29,400 TO STAND ON THAT ONE, OKAY? 515 00:26:29,400 --> 00:26:33,067 OKAY. 516 00:26:33,067 --> 00:26:34,433 I AM SO EMBARRASSED. 517 00:26:34,433 --> 00:26:39,267 I CAN'T EVEN STAND UP WITHOUT SOMETHING TO HOLD ON TO. 518 00:26:39,267 --> 00:26:41,133 SO I REALLY HOPE THE OTHER SCALE WORKS 519 00:26:41,133 --> 00:26:43,067 AND I'M ABLE TO DO IT. 520 00:26:43,067 --> 00:26:45,367 BECAUSE I DON'T WANT TO START EVERYTHING OUT LIKE THIS 521 00:26:45,367 --> 00:26:47,833 WITH DR. NOW. 522 00:26:47,833 --> 00:26:49,700 I HAVE TO DO THIS. 523 00:26:51,233 --> 00:26:53,967 ONE, TWO. 524 00:26:53,967 --> 00:26:56,400 [ PANTING ] 525 00:26:56,400 --> 00:26:59,800 GOOD. 526 00:26:59,800 --> 00:27:05,600 ** 527 00:27:05,600 --> 00:27:07,333 [ PANTING ] 528 00:27:07,333 --> 00:27:09,867 ** 529 00:27:09,867 --> 00:27:12,167 THAT'S HIGHER THAN I WAS HOPING. 530 00:27:12,167 --> 00:27:15,200 ** 531 00:27:15,200 --> 00:27:18,267 ** 532 00:27:18,267 --> 00:27:21,567 BUT PART OF ME KNEW IT WAS GOING TO BE LIKE THIS. 533 00:27:21,567 --> 00:27:23,467 BUT IT'S STILL A SHOCK TO SEE THAT NUMBER 534 00:27:23,467 --> 00:27:26,533 AND KNOW THAT'S REALLY WHAT I WEIGH. 535 00:27:26,533 --> 00:27:29,400 BUT I'M HOPING TO HEAR FROM THE DOCTOR TODAY 536 00:27:29,400 --> 00:27:31,100 THAT HE'LL TAKE ME ON. 537 00:27:31,100 --> 00:27:33,700 AND GIVE ME A CHANCE TO SHOW HIM 538 00:27:33,700 --> 00:27:36,367 THAT I COULD FOLLOW HIS PROGRAM 539 00:27:36,367 --> 00:27:38,167 BECAUSE I WANT TO GET MY LIFE BACK 540 00:27:38,167 --> 00:27:40,333 AND NOTHING ELSE HAS WORKED. 541 00:27:40,333 --> 00:27:44,967 AND IF HE GIVES ME THE CHANCE, YES, I'M READY TO DO IT. 542 00:27:44,967 --> 00:27:46,800 HELLO, HOW Y'ALL DOING? 543 00:27:46,800 --> 00:27:48,300 FINE AND YOU? 544 00:27:48,300 --> 00:27:51,333 I'M DOING OKAY. 545 00:27:51,333 --> 00:27:52,967 I'M DR. NOWZARADAN. 546 00:27:52,967 --> 00:27:53,800 I'M KARINA. 547 00:27:53,800 --> 00:27:56,067 NICE TO MEET YOU. 548 00:27:56,067 --> 00:27:57,633 -EZEQUIEL. -NICE TO MEET YOU. 549 00:27:57,633 --> 00:28:00,067 -MY WIFE. -AND YOU, TOO. 550 00:28:00,067 --> 00:28:03,400 ALL RIGHT. SO, AS OF TODAY, 551 00:28:03,400 --> 00:28:05,300 YOU ARE 633 POUNDS. 552 00:28:05,300 --> 00:28:06,567 YES, SIR. 553 00:28:06,567 --> 00:28:09,400 CAN YOU TELL ME HOW YOU GOT TO THIS WEIGHT? 554 00:28:09,400 --> 00:28:12,567 WELL, I EAT A LOT OF WHAT I SHOULDN'T. 555 00:28:12,567 --> 00:28:15,733 AND IF I DON'T EAT, I START GETTING HEART BURN. 556 00:28:15,733 --> 00:28:17,067 HEART BURN? 557 00:28:17,067 --> 00:28:20,300 SO YOU HAVE TO EAT 8,000 TO 10,000 CALORIES A DAY 558 00:28:20,300 --> 00:28:23,433 BECAUSE IF YOU DON'T, THEN YOU'LL GET HEARTBURN? 559 00:28:23,433 --> 00:28:26,967 SO YOU JUST GIVE INTO YOUR DESIRE TO EAT? 560 00:28:26,967 --> 00:28:30,633 AND YOU HAVEN'T TRIED TO LOSE ANY WEIGHT BECAUSE OF THAT? 561 00:28:30,633 --> 00:28:32,467 I DID TRY TO GET HELP LAST YEAR. 562 00:28:32,467 --> 00:28:34,933 I GOT A GASTRIC BALLOON PUT IN MY STOMACH. 563 00:28:34,933 --> 00:28:38,567 AND I WAS LOSING WEIGHT. AND THEN I HAD AN ACCIDENT. 564 00:28:38,567 --> 00:28:41,200 I BROKE MY LEG. SO I WAS BEDBOUND. 565 00:28:41,200 --> 00:28:45,067 AND SO I STARTED GAINING AGAIN BECAUSE I WASN'T DOING NOTHING, 566 00:28:45,067 --> 00:28:46,967 JUST LAYING IN BED AND EATING, 567 00:28:46,967 --> 00:28:49,067 AND THEY WOULDN'T DO ANY SURGERY ON ME 568 00:28:49,067 --> 00:28:50,100 BECAUSE OF MY ASTHMA. 569 00:28:50,100 --> 00:28:51,533 AND IT JUST NEVER HEALED? 570 00:28:51,533 --> 00:28:54,067 YES, AND I WAS JUST IN BED THE WHOLE TIME. 571 00:28:54,067 --> 00:28:57,533 OKAY. SO ACCORDING TO YOU, YOU HAVE BEEN IMMOBILE. 572 00:28:57,533 --> 00:29:01,333 THEN WHO IS BRINGING YOU FOOD WHEN YOU HAVE BROKEN LEG 573 00:29:01,333 --> 00:29:03,067 AND YOU CANNOT WALK? 574 00:29:03,067 --> 00:29:04,733 MY PARENTS MOSTLY. 575 00:29:04,733 --> 00:29:07,533 OKAY, SO YOUR PARENTS ARE FEEDING YOU, 576 00:29:07,533 --> 00:29:09,900 AND YOU STILL HAVE THE BALLOON IN YOUR STOMACH. 577 00:29:09,900 --> 00:29:12,533 BUT YOU'RE STILL OVEREATING AND GAINING WEIGHT. 578 00:29:12,533 --> 00:29:14,067 YES. 579 00:29:14,067 --> 00:29:16,200 SO YOU ARE MAKING EXCUSES 580 00:29:16,200 --> 00:29:21,500 THAT ARE ACCEPTABLE TO YOURSELF, BUT NOT TO EVERYONE ELSE. 581 00:29:21,500 --> 00:29:24,067 I'M VERY CONCERNED ABOUT THE DEGREE THAT KARINA 582 00:29:24,067 --> 00:29:26,700 IS ABLE TO MAKE EXCUSES. 583 00:29:26,700 --> 00:29:29,200 SHE JUST HAS THIS LONG LIST OF REASONS 584 00:29:29,200 --> 00:29:31,667 WHY EVERYTHING ISN'T HER FAULT. 585 00:29:31,667 --> 00:29:35,067 AND HER PARENTS DON'T SEEM TO CHALLENGE HER ON THAT 586 00:29:35,067 --> 00:29:38,167 WITH ANY REALITY WHATSOEVER. 587 00:29:38,167 --> 00:29:42,367 SHE CLAIMS HER LEG IS BROKEN AND THAT'S WHY SHE CAN'T WALK. 588 00:29:42,367 --> 00:29:44,600 BUT THERE DOESN'T APPEAR TO BE 589 00:29:44,600 --> 00:29:47,633 ANY SIGNIFICANT ISSUES WITH HER LEG. 590 00:29:47,633 --> 00:29:50,867 AND THE FACT THAT SHE ALREADY HAD A WEIGHT LOSS PROCEDURE 591 00:29:50,867 --> 00:29:53,733 AND IT FAILED IS NOT A GOOD SIGN. 592 00:29:53,733 --> 00:29:57,100 SO THERE IS A LOT WE HAVE TO ADDRESS WITH KARINA. 593 00:29:57,100 --> 00:30:01,767 AND THE EXCUSES ARE WHERE WE HAVE TO START. 594 00:30:01,767 --> 00:30:03,433 ALL RIGHT, KARINA. 595 00:30:03,433 --> 00:30:05,600 WE NEED TO REMOVE THE GASTRIC BALLOON 596 00:30:05,600 --> 00:30:08,067 BEFORE WE CAN DO ANYTHING ELSE ON YOU. 597 00:30:08,067 --> 00:30:09,300 OKAY. 598 00:30:09,300 --> 00:30:11,267 THE BALLOON HAS ALREADY BEEN IN YOUR STOMACH 599 00:30:11,267 --> 00:30:14,800 FOR AT LEAST TWICE AS LONG AS IT'S SUPPOSED TO. 600 00:30:14,800 --> 00:30:17,067 WE ALSO NEED TO ADDRESS YOUR LEG. 601 00:30:17,067 --> 00:30:21,267 BUT THE FACT IT HASN'T HEALED DOESN'T MAKE ANY SENSE. 602 00:30:21,267 --> 00:30:23,700 BONES DON'T JUST NOT HEAL. 603 00:30:23,700 --> 00:30:26,733 SO I THINK THESE ARE ALL JUST EXCUSES. 604 00:30:26,733 --> 00:30:30,367 SO NOW, YOU'RE 633 POUNDS 605 00:30:30,367 --> 00:30:32,867 AND YOU'RE 38 YEARS OLD. 606 00:30:32,867 --> 00:30:34,500 HOW LONG DO YOU THINK YOU'RE GONNA LIVE? 607 00:30:34,500 --> 00:30:37,033 I'M NOT GONNA LIVE MUCH LONGER IF I'M CONTINUING THIS WAY. 608 00:30:37,033 --> 00:30:39,233 -I ALREADY KNOW THAT. -SO YOU ALREADY KNOW THAT? 609 00:30:39,233 --> 00:30:41,433 SO, YOU'RE GONNA HAVE TO MAKE SOME CHANGES. 610 00:30:41,433 --> 00:30:43,767 YOU HAVE TO STOP MAKING EXCUSES. 611 00:30:43,767 --> 00:30:47,600 AND YOUR PARENTS HAVE TO STOP ENABLING YOU. 612 00:30:47,600 --> 00:30:49,533 ARE THEY OKAY WITH THAT? 613 00:30:49,533 --> 00:30:52,200 YES. TO ME, IT'S FINE. 614 00:30:52,200 --> 00:30:53,867 I COOK FOR... 615 00:30:53,867 --> 00:30:55,300 FOR US THREE. 616 00:30:55,300 --> 00:30:58,100 SO IN OTHER WORDS, SHE'S NOT GONNA EAT 617 00:30:58,100 --> 00:31:01,567 NO RICE, NO BEANS, NO. 618 00:31:01,567 --> 00:31:04,567 NO PASTA, NO TOMATO AND NO BREAD, NO RICE. 619 00:31:04,567 --> 00:31:06,133 Karina: NO TORTILLAS. 620 00:31:06,133 --> 00:31:09,133 ALL RIGHT, I'M PUTTING YOU ON A 1,200-CALORIE 621 00:31:09,133 --> 00:31:13,067 LOW-CARB, HIGH-PROTEIN DIET THAT YOU NEED TO FOLLOW NOW. 622 00:31:13,067 --> 00:31:14,767 I WANT YOU TO EAT ONLY THREE TIMES A DAY. 623 00:31:14,767 --> 00:31:16,767 THEY'LL BE NO SNACKING, OKAY? 624 00:31:16,767 --> 00:31:20,067 SO WE ARE ALL ON THE SAME PAGE. 625 00:31:20,067 --> 00:31:21,267 OKAY. 626 00:31:21,267 --> 00:31:23,667 IN ONE MONTH, YOU SHOULD BE ABLE TO LOSE 627 00:31:23,667 --> 00:31:25,700 AT LEAST 40 POUNDS, OKAY? 628 00:31:25,700 --> 00:31:27,733 OKAY, 40 POUNDS IN A MONTH. 629 00:31:27,733 --> 00:31:29,833 RIGHT. 630 00:31:29,833 --> 00:31:34,967 ** 631 00:31:34,967 --> 00:31:38,700 ** 632 00:31:38,700 --> 00:31:41,200 I'M REALLY NERVOUS ABOUT HOW HARD IT'S GOING TO BE 633 00:31:41,200 --> 00:31:44,700 TO MAKE SUCH A BIG CHANGE IN HOW I EAT. 634 00:31:44,700 --> 00:31:46,433 I'M USE TO EATING WHENEVER I WANT. 635 00:31:46,433 --> 00:31:52,267 AND I HATE THE THOUGHT OF NOT BEING ABLE TO DO THAT ANYMORE. 636 00:31:52,267 --> 00:31:55,967 I CAN'T SNACK ANYMORE. 637 00:31:55,967 --> 00:31:58,833 I'M WORRIED THAT I MIGHT SNEAK IN HERE AND THERE 638 00:31:58,833 --> 00:32:04,200 A SLICE OF BREAD OR A SLICE OF CHEESE. 639 00:32:04,200 --> 00:32:08,067 BUT I NEED TO STICK TO THE 1,200 CALORIE LIKE HE SAID. 640 00:32:08,067 --> 00:32:10,767 ** 641 00:32:10,767 --> 00:32:13,867 I'M SCARED OF HOW HARD THIS IS GOING TO BE. 642 00:32:13,867 --> 00:32:18,067 ** 643 00:32:18,067 --> 00:32:22,167 BUT IF I WANT TO GET THE WEIGHT LOSS SURGERY, 644 00:32:22,167 --> 00:32:26,200 I HAVE TO FOLLOW DR. NOW'S PLAN. 645 00:32:26,200 --> 00:32:30,800 I HAVE TO DO IT IF I WANT TO CONTINUE LIVING. 646 00:32:30,800 --> 00:32:35,700 ** 647 00:32:35,700 --> 00:32:40,633 ** 648 00:32:40,633 --> 00:32:43,633 IT'S BEEN A FEW WEEKS SINCE I SAW DR. NOW. 649 00:32:43,633 --> 00:32:47,433 AND I'M REALLY TRYING TO STICK TO THE PLAN. 650 00:32:47,433 --> 00:32:50,833 BUT ADJUSTING TO THIS NEW DIET HAS BEEN REALLY HARD. 651 00:32:50,833 --> 00:32:53,800 ** 652 00:32:53,800 --> 00:32:59,067 I'M SUPPOSE TO ONLY EAT 1,200 CALORIES A DAY. 653 00:32:59,067 --> 00:33:03,100 SO I CUT OUT A LOT OF STUFF THAT I USED TO EAT, 654 00:33:03,100 --> 00:33:07,067 ALL THE CARBS, ALL THE SWEETS. 655 00:33:07,067 --> 00:33:09,833 I MISS ALL THE FOOD I USE TO BE ABLE TO HAVE. 656 00:33:09,833 --> 00:33:13,767 BUT EVEN THOUGH THIS DIET HAS BEEN SO TOUGH, 657 00:33:13,767 --> 00:33:17,467 I'M STICKING TO IT. 658 00:33:17,467 --> 00:33:18,667 I HAVE NOT CHEATED AT ALL. 659 00:33:18,667 --> 00:33:21,167 AND TRUST ME, THERE'S BEEN TEMPTATIONS. 660 00:33:21,167 --> 00:33:24,067 EVERYTHING I EAT, I CHECK CALORIES. 661 00:33:24,067 --> 00:33:26,600 I WEIGH EVERYTHING NOW. 662 00:33:26,600 --> 00:33:29,133 MY MAIN THING IS EATING PROTEIN 663 00:33:29,133 --> 00:33:33,933 WITH MY YOGURT AND MY 200 GRAMS OF GRAPES. 664 00:33:33,933 --> 00:33:36,067 MY CALORIE INTAKE 665 00:33:36,067 --> 00:33:41,100 FOR THE WONDERFUL LUNCH I'M HAVING. 666 00:33:41,100 --> 00:33:45,633 SO IN TOTAL, IT'S 393 CALORIES. 667 00:33:45,633 --> 00:33:48,200 SO IT'S BEEN A COMPLETELY DIFFERENT LIFESTYLE 668 00:33:48,200 --> 00:33:50,533 BUT I'M TRYING TO ADAPT TO IT. 669 00:33:50,533 --> 00:33:54,600 ** 670 00:33:54,600 --> 00:33:57,933 THAT REALLY LOOKS GOOD. 671 00:33:57,933 --> 00:34:00,233 BUT I FEEL LIKE I'M DOING THIS ON MY OWN RIGHT NOW 672 00:34:00,233 --> 00:34:05,667 BECAUSE MY FAMILY HASN'T REALLY BEEN SUPPORTIVE. 673 00:34:05,667 --> 00:34:09,633 AND IT'S NOT THAT I EXPECT THEM TO ONLY EAT HEALTHY LIKE ME, 674 00:34:09,633 --> 00:34:13,067 BUT THEY COULD AT LEAST DO IT AWAY FROM ME. 675 00:34:13,067 --> 00:34:15,200 BECAUSE IT MAKES IT SO MUCH HARDER TO RESIST 676 00:34:15,200 --> 00:34:18,067 GIVING IN AND JUST EATING WHATEVER I WANT. 677 00:34:18,067 --> 00:34:22,933 ** 678 00:34:22,933 --> 00:34:27,900 ** 679 00:34:27,900 --> 00:34:31,333 IT'S THE DAY BEFORE MY NEXT APPOINTMENT WITH DR. NOW. 680 00:34:31,333 --> 00:34:34,433 AND MY PARENTS ARE DRIVING ME TO HOUSTON AGAIN. 681 00:34:36,267 --> 00:34:38,067 SO IT'S GOING TO BE A LONG DAY. 682 00:34:40,100 --> 00:34:41,767 [ SPEAKING SPANISH ] 683 00:34:41,767 --> 00:34:46,967 MWAH! 684 00:34:46,967 --> 00:34:50,067 Marisabel: I CAME JUST CAME TO SEE IF YOU ARE GOING 685 00:34:50,067 --> 00:34:53,467 TO KATALINA'S LAST GAME TOMORROW. 686 00:34:57,200 --> 00:34:59,133 MY DOCTOR'S APPOINTMENT. 687 00:34:59,133 --> 00:35:01,267 SO YOU'RE GOING TO THE DOCTOR FOR WHAT? 688 00:35:01,267 --> 00:35:04,667 A WEIGH IN. I HAVE TO LOSE 40 POUNDS. 689 00:35:04,667 --> 00:35:06,900 WHAT HAVE YOU DONE TO LOSE THE WEIGHT? 690 00:35:06,900 --> 00:35:08,067 KEPT ON MY DIET. 691 00:35:08,067 --> 00:35:09,800 WHAT IS YOUR DIET? 692 00:35:09,800 --> 00:35:12,100 1,200 CALORIES A DAY. 693 00:35:12,100 --> 00:35:13,500 SO YOU STILL CAN'T WALK OR WHAT? 694 00:35:13,500 --> 00:35:15,167 NO. 695 00:35:15,167 --> 00:35:16,500 HMM. 696 00:35:16,500 --> 00:35:18,767 I'M NOT HERE TO PICK ON YOU. 697 00:35:18,767 --> 00:35:21,667 IT'S JUST THAT, I CAME HERE TO TELL HER 698 00:35:21,667 --> 00:35:23,900 IT'S HER GRANDDAUGHTER'S LAST GAME. 699 00:35:23,900 --> 00:35:28,433 AND THIS IS THE THIRD TIME I COME TO TELL HER 700 00:35:28,433 --> 00:35:31,567 SOMETHING ABOUT THE KIDS AND SHE CAN'T GO 701 00:35:31,567 --> 00:35:34,067 BECAUSE SHE'S DEALING WITH YOU. 702 00:35:34,067 --> 00:35:35,667 AND I'M SORRY, 703 00:35:35,667 --> 00:35:39,933 BUT YOU'RE OLD ENOUGH TO FEND FOR YOURSELF. 704 00:35:39,933 --> 00:35:41,467 IT'S A DOCTOR'S APPOINTMENT. 705 00:35:41,467 --> 00:35:43,600 IF IT WASN'T A DOCTOR'S APPOINTMENT, 706 00:35:43,600 --> 00:35:45,400 I'D TELL HER TO GO THE SOCCER GAME. 707 00:35:45,400 --> 00:35:47,267 YEAH, WELL THIS IS THE LAST ONE. 708 00:35:47,267 --> 00:35:49,067 AND THEN NEXT TIME, IT'S GONNA BE ANOTHER 709 00:35:49,067 --> 00:35:50,433 DOCTOR'S APPOINTMENT OR IT'S GONNA BE, 710 00:35:50,433 --> 00:35:52,767 "I GOTTA TAKE HER THERE. I GOTTA TAKE HER HERE." 711 00:35:52,767 --> 00:35:56,200 YOU'RE OLD ENOUGH TO DO FOR YOURSELF. 712 00:35:56,200 --> 00:35:58,867 I KNOW, BUT IT'S JUST SOMETHING WE HAVE TO DO. 713 00:35:58,867 --> 00:36:00,833 BUT IT'S ALWAYS THE SAME THING, I KNOW. 714 00:36:00,833 --> 00:36:03,500 I KNOW. YOU CAN KNOW ALL YOU WANT, 715 00:36:03,500 --> 00:36:07,133 BUT IF YOU DON'T DO IT, IT'S NOT GONNA MATTER. 716 00:36:07,133 --> 00:36:09,167 SO, WHAT YOU NEED TO DO IS DO IT. 717 00:36:09,167 --> 00:36:13,067 I'M PUTTING EVERYTHING I HAVE NOT TO FALL INTO TEMPTATION. 718 00:36:13,067 --> 00:36:16,733 TRUST ME, THERE'S BEEN A LOT OF TEMPTATIONS HERE. 719 00:36:16,733 --> 00:36:20,267 OKAY. WELL, I HAVE TO GO. 720 00:36:20,267 --> 00:36:23,667 BUT THAT'S WHAT IT IS TO HAVE KIDS. 721 00:36:23,667 --> 00:36:26,167 -YEAH? -TO HAVE RESPONSIBILITIES 722 00:36:26,167 --> 00:36:27,700 WHICH IS SOMETHING THAT YOU SHOULD HAVE 723 00:36:27,700 --> 00:36:30,267 AS AN ADULT, TOO. 724 00:36:30,267 --> 00:36:34,100 ALL RIGHT, LET ME GET THE KIDS. 725 00:36:34,100 --> 00:36:38,400 I KNOW MY SISTER'S FRUSTRATED ABOUT HOW MUCH I NEED HELP. 726 00:36:38,400 --> 00:36:40,600 BUT I DON'T THINK SHE UNDERSTANDS HOW HARD 727 00:36:40,600 --> 00:36:43,333 I'M TRYING TO CHANGE ALL THIS. 728 00:36:43,333 --> 00:36:47,500 I FEEL LIKE SHE JUST WANTS TO TEAR ME DOWN SOMETIMES. 729 00:36:47,500 --> 00:36:52,300 AND WHEN SHE DOES, IT MAKES ME JUST WANT TO GO BACK TO FOOD. 730 00:36:52,300 --> 00:36:55,833 I'M NERVOUS WHAT THE SCALE'S GOING TO SAY TOMORROW. 731 00:36:55,833 --> 00:36:58,800 BECAUSE I DON'T KNOW IF I CAN DO THIS. 732 00:36:58,800 --> 00:37:03,700 AND I JUST HOPE I'M GOING TO HIT MY GOAL. 733 00:37:03,700 --> 00:37:05,867 ** 734 00:37:10,067 --> 00:37:15,833 ** 735 00:37:15,833 --> 00:37:20,167 ** 736 00:37:20,167 --> 00:37:24,467 ** 737 00:37:24,467 --> 00:37:26,833 Karina: MY PARENTS AND ME ARE ON OUR WAY TO HOUSTON 738 00:37:26,833 --> 00:37:30,900 TO SEE DR. NOW FOR MY FOLLOW-UP APPOINTMENT. 739 00:37:30,900 --> 00:37:33,833 HE WANTED ME TO LOSE 40 POUNDS IN A MONTH. 740 00:37:33,833 --> 00:37:35,900 BUT I'M NERVOUS. 741 00:37:35,900 --> 00:37:40,333 MY FEAR IS THAT I DIDN'T MAKE THE 40 POUNDS 742 00:37:40,333 --> 00:37:44,267 AND THAT THIS IS MORE THAN JUST ABOUT ME 743 00:37:44,267 --> 00:37:48,300 BECAUSE MY WEIGHT HAS TAKEN A TOLL ON OUR FAMILY. 744 00:37:48,300 --> 00:37:50,600 MY PARENTS ARE MISSING OUT ON SEEING THEIR GRANDCHILDREN 745 00:37:50,600 --> 00:37:53,467 TO TAKE ME TO SEE DR. NOW. 746 00:37:53,467 --> 00:37:57,067 AND I KNOW THAT IS HARD ON THEM 747 00:37:57,067 --> 00:37:59,267 AND REALLY UPSETS MY SISTER. 748 00:37:59,267 --> 00:38:02,667 ** 749 00:38:02,667 --> 00:38:05,967 ** 750 00:38:05,967 --> 00:38:09,300 I REALLY HOPE I GET APPROVED FOR WEIGHT LOSS SURGERY 751 00:38:09,300 --> 00:38:10,867 BECAUSE I KNOW MY BODY 752 00:38:10,867 --> 00:38:15,300 CAN'T KEEP FUNCTIONING THIS WAY MUCH LONGER. 753 00:38:15,300 --> 00:38:17,300 I DON'T KNOW WHAT I WOULD DO 754 00:38:17,300 --> 00:38:20,367 IF MY PARENT'S DIDN'T HELP ME THE WAY THAT THEY DO. 755 00:38:20,367 --> 00:38:24,300 ** 756 00:38:24,300 --> 00:38:28,233 ** 757 00:38:28,233 --> 00:38:30,500 KARINA GARCIA? 758 00:38:30,500 --> 00:38:32,967 I WANT DR. NOW TO TELL ME I HAVE LOST THE WEIGHT 759 00:38:32,967 --> 00:38:34,900 THAT I NEEDED TO AND THAT HE WILL ACCEPT ME 760 00:38:34,900 --> 00:38:40,067 AS A PATIENT FOR SURGERY. 761 00:38:40,067 --> 00:38:41,433 BUT I'M A LITTLE NERVOUS 762 00:38:41,433 --> 00:38:44,367 THAT I WON'T BE ABLE TO STAND UP ONTO THE SCALE. 763 00:38:44,367 --> 00:38:48,500 ** 764 00:38:48,500 --> 00:38:50,600 OKAY. 765 00:38:54,933 --> 00:38:58,133 ONE, TWO. 766 00:38:58,133 --> 00:38:59,400 [ GRUNTING ] 767 00:38:59,400 --> 00:39:01,533 [ PANTING ] 768 00:39:01,533 --> 00:39:06,433 ** 769 00:39:06,433 --> 00:39:09,300 I REALLY NEED TO SEE SOME PROGRESS ON THIS SCALE. 770 00:39:09,300 --> 00:39:12,267 ** 771 00:39:12,267 --> 00:39:17,367 [ PANTING ] 772 00:39:17,367 --> 00:39:18,967 YOU GOT 42 POUNDS. 773 00:39:18,967 --> 00:39:21,233 I DID IT. 774 00:39:21,233 --> 00:39:24,867 HE WANTED 40? HE GOT HIS 40 PLUS TWO. 775 00:39:24,867 --> 00:39:27,233 [ PANTING ] 776 00:39:27,233 --> 00:39:32,267 IT FEELS GOOD. IT'S A LOT OF SACRIFICE. 777 00:39:32,267 --> 00:39:33,833 I STUCK TO THE DIET, 778 00:39:33,833 --> 00:39:36,233 AND IT WAS REALLY REALLY HARD, 779 00:39:36,233 --> 00:39:39,300 BUT IT PAID OFF. 780 00:39:39,300 --> 00:39:42,400 [ SIGHS ] 42 POUNDS. 781 00:39:42,400 --> 00:39:44,667 THAT WAS PRETTY GOOD, MIJA. 782 00:39:44,667 --> 00:39:49,200 I WAS KIND OF SURPRISED THAT YOU WERE ABLE TO DO IT, YOU KNOW? 783 00:39:49,200 --> 00:39:50,933 THAT'S ONLY TELLING ME ONE THING, 784 00:39:50,933 --> 00:39:55,467 THAT IF YOU PUT YOUR MIND TO IT, YOU WILL DO IT. 785 00:39:55,467 --> 00:39:59,067 I KNOW THAT MY PARENTS REMAIN VERY SKEPTICAL, 786 00:39:59,067 --> 00:40:02,300 EVEN THOUGH MY DAD SAID IT WAS VERY GOOD, 787 00:40:02,300 --> 00:40:06,200 THEY DIDN'T SEEM EXCITED AS I THOUGHT THEY WOULD, 788 00:40:06,200 --> 00:40:07,833 WHICH MAKES ME SAD. 789 00:40:07,833 --> 00:40:10,133 I WANT THEM TO BELIEVE IN ME. 790 00:40:10,133 --> 00:40:13,967 [ KNOCKS ON DOOR ] 791 00:40:13,967 --> 00:40:15,367 -HELLO. -HELLO. 792 00:40:15,367 --> 00:40:16,733 -HI. -HOW Y'ALL DOING? 793 00:40:16,733 --> 00:40:21,300 -FINE. -GOOD, DOCTOR. 794 00:40:21,300 --> 00:40:24,700 DID Y'ALL MAKE A GOOD TRIP DOWN TO HOUSTON? 795 00:40:24,700 --> 00:40:26,133 YOU CAN SAY THAT. [ CHUCKLES ] 796 00:40:26,133 --> 00:40:29,533 SO I SEE THAT YOU LOST 42 POUNDS. 797 00:40:29,533 --> 00:40:30,500 YES, I DID. 798 00:40:30,500 --> 00:40:32,167 WELL, I'M IMPRESSED. 799 00:40:32,167 --> 00:40:35,567 SO HOW WAS IT ADAPTING TO THE DIET? 800 00:40:35,567 --> 00:40:37,067 GOOD. I MEAN, I'M WATCHING WHAT I EAT. 801 00:40:37,067 --> 00:40:40,000 I'M WATCHING THE CALORIES. I'M WATCHING EVERYTHING. 802 00:40:40,000 --> 00:40:42,933 AND HOW ABOUT YOUR ENABLING PARENTS? 803 00:40:42,933 --> 00:40:44,200 DID THEY HELP YOU DO IT? 804 00:40:44,200 --> 00:40:47,300 HMM, NO, I'M THE ONLY ONE DOING IT. 805 00:40:47,300 --> 00:40:49,367 THEY'RE STILL DOING WHAT THEY WANT TO DO. 806 00:40:49,367 --> 00:40:51,900 THEY STILL EAT IN FRONT OF ME AND EVERYTHING. 807 00:40:51,900 --> 00:40:55,567 I WANT IT, BUT THEN I GO, 808 00:40:55,567 --> 00:40:57,033 THAT'S TOO MANY CALORIES. 809 00:40:57,033 --> 00:40:58,867 YOU DID IT DESPITE THEM? 810 00:40:58,867 --> 00:41:00,267 YES. 811 00:41:00,267 --> 00:41:02,667 OKAY, FOR NOW, YOU HIT THE GOAL I SET, 812 00:41:02,667 --> 00:41:05,967 SO I'M APPROVING YOU FOR WEIGHT LOSS SURGERY. 813 00:41:05,967 --> 00:41:07,100 [ INHALES DEEPLY ] 814 00:41:07,100 --> 00:41:08,767 [ CHUCKLES ] 815 00:41:08,767 --> 00:41:10,833 -OKAY? -SO I'M APPROVED? 816 00:41:10,833 --> 00:41:13,900 IS EVERYBODY IN THE FAMILY AGREEABLE WITH THAT? 817 00:41:13,900 --> 00:41:15,433 YES. 818 00:41:15,433 --> 00:41:18,100 BUT FIRST, WE HAVE TO TAKE CARE OF A COUPLE OF THINGS. 819 00:41:18,100 --> 00:41:21,667 FOR WEIGHT LOSS SURGERY, WE DEFINITELY NEED YOU 820 00:41:21,667 --> 00:41:24,433 TO BE ABLE TO WALK AROUND BECAUSE THE RISK 821 00:41:24,433 --> 00:41:27,900 OF DEVELOPING BLOOD CLOTS IS GONNA BE VERY HIGH. 822 00:41:27,900 --> 00:41:30,633 SO WE'RE GONNA HAVE TO WORK TOWARD 823 00:41:30,633 --> 00:41:32,067 GETTING YOU TO THAT POINT. 824 00:41:32,067 --> 00:41:35,100 SO I'M GOING TO START YOU ON PHYSICAL THERAPY. 825 00:41:35,100 --> 00:41:36,333 OKAY. 826 00:41:36,333 --> 00:41:38,800 AND THEY WILL ALSO BE ABLE TO IDENTIFY 827 00:41:38,800 --> 00:41:41,667 IF THERE ARE ANY ISSUES WITH YOUR LEG 828 00:41:41,667 --> 00:41:43,767 OR IF YOU STILL HAVE ANY INJURIES 829 00:41:43,767 --> 00:41:45,600 THAT WE HAVE TO CHECK OUT. 830 00:41:45,600 --> 00:41:46,567 OKAY. 831 00:41:46,567 --> 00:41:48,667 BUT AFTER THIS MUCH TIME, 832 00:41:48,667 --> 00:41:50,833 I THINK YOUR LEG IS HEALED. 833 00:41:50,833 --> 00:41:52,967 AND IT'S TIME TO LET THAT GO. 834 00:41:52,967 --> 00:41:55,267 BECAUSE YOU NEED TO GET UP AND WALKING. 835 00:41:55,267 --> 00:41:56,200 MM-HMM. 836 00:41:56,200 --> 00:41:58,167 WE ALSO NEED TO DO AN ENDOSCOPY 837 00:41:58,167 --> 00:42:01,067 TO SEE WHAT'S GOING ON WITH YOUR GASTRIC BALLOON. 838 00:42:01,067 --> 00:42:04,367 BECAUSE THAT HAS TO BE REMOVED BEFORE ANY OPERATION. 839 00:42:04,367 --> 00:42:05,567 OKAY. 840 00:42:05,567 --> 00:42:07,067 BECAUSE YOU HAVE THE BALLOON IN YOUR STOMACH 841 00:42:07,067 --> 00:42:10,400 LONGER THAN ANYBODY ELSE HAS. 842 00:42:10,400 --> 00:42:12,733 SO I DON'T KNOW WHAT TO EXPECT. 843 00:42:12,733 --> 00:42:15,867 SO I WILL SCHEDULE THAT, AND WE GET THAT DONE. 844 00:42:15,867 --> 00:42:20,200 AND WE'LL GET P.T. TO START WITH YOU IN A COUPLE DAYS. 845 00:42:20,200 --> 00:42:22,433 -MM-HMM. -OKAY, GOOD JOB. 846 00:42:22,433 --> 00:42:24,467 I'M HAPPY WITH YOUR PROGRESS. 847 00:42:24,467 --> 00:42:27,333 AND I THINK YOU'RE READY FOR YOUR NEXT STEPS. 848 00:42:27,333 --> 00:42:29,667 SO IT'S NOT THE TIME TO TAKE IT EASY. 849 00:42:29,667 --> 00:42:30,900 YES. 850 00:42:30,900 --> 00:42:33,467 OKAY, KEEP IT UP, AND I'LL SEE YOU SOON. 851 00:42:33,467 --> 00:42:34,500 -OKAY. -YES, DOCTOR. 852 00:42:34,500 --> 00:42:36,500 -OKAY? -THANK YOU. 853 00:42:36,500 --> 00:42:39,400 ** 854 00:42:39,400 --> 00:42:42,433 Dr. Nowzaradan: I'M HAPPY TO SEE KARINA'S PROGRESS 855 00:42:42,433 --> 00:42:45,100 AND THAT SHE'S WILLING TO SHOW SOME LEVEL 856 00:42:45,100 --> 00:42:47,100 OF SELF CONTROL AT TIMES. 857 00:42:47,100 --> 00:42:50,867 BUT SHE SEEMS LIKE THEY HAVE A DYSFUNCTIONAL FAMILY. 858 00:42:50,867 --> 00:42:55,367 THE VIBE SEEMS TO BE THAT THEY HAVE GIVEN UP ON KARINA. 859 00:42:55,367 --> 00:42:59,500 IT COULD LEAD HER EVEN FURTHER OFF TRACK. 860 00:42:59,500 --> 00:43:03,733 SO THAT IS A SITUATION THAT WE WILL NEED TO ADDRESS. 861 00:43:03,733 --> 00:43:05,733 BUT RIGHT NOW, THE PRIORITY 862 00:43:05,733 --> 00:43:09,067 IS DETERMINING HER SITUATION 863 00:43:09,067 --> 00:43:11,367 AND TRY TO REMOVE HER GASTRIC BALLOON 864 00:43:11,367 --> 00:43:14,067 SO THAT WE CAN DO SURGERY 865 00:43:14,067 --> 00:43:16,600 AND GETTING HER WALKING AGAIN. 866 00:43:16,600 --> 00:43:20,567 ** 867 00:43:20,567 --> 00:43:24,567 ** 868 00:43:24,567 --> 00:43:26,433 Karina: MY APPOINTMENT WITH DR. NOW 869 00:43:26,433 --> 00:43:28,833 WENT AS WELL AS I COULD HAVE HOPED FOR. 870 00:43:28,833 --> 00:43:32,467 ** 871 00:43:32,467 --> 00:43:35,633 BUT THIS IS A BIT OF A SET BACK BECAUSE I NEED TO HAVE 872 00:43:35,633 --> 00:43:38,700 THE BALLOON INSIDE MY STOMACH REMOVED. 873 00:43:38,700 --> 00:43:42,867 AND DR. NOW SAID THERE COULD BE COMPLICATIONS. 874 00:43:42,867 --> 00:43:45,167 Ezequiel: OKAY. 875 00:43:45,167 --> 00:43:47,367 WHICH REALLY SCARES ME. 876 00:43:47,367 --> 00:43:50,833 ** 877 00:43:50,833 --> 00:43:52,067 BECAUSE THERE'S A CHANCE 878 00:43:52,067 --> 00:43:55,867 THAT IF THE BALLOON REMOVAL DOESN'T GO WELL, 879 00:43:55,867 --> 00:44:01,100 I WON'T BE ABLE TO HAVE THE SURGERY AND EVERYTHING 880 00:44:01,100 --> 00:44:04,400 I'VE BEEN WORKING FOR WILL ALL BE FOR NOTHING. 881 00:44:04,400 --> 00:44:08,767 ** 882 00:44:08,767 --> 00:44:13,133 ** 883 00:44:13,133 --> 00:44:17,500 ** 884 00:44:17,500 --> 00:44:19,667 DR. NOW APPROVED ME FOR SURGERY, 885 00:44:19,667 --> 00:44:23,067 BUT I NEED TO MAKE SIGNIFICANT PROGRESS WITH MY LEG. 886 00:44:23,067 --> 00:44:26,867 AND HE SET ME UP WITH A PHYSICAL THERAPIST TO HELP ME. 887 00:44:26,867 --> 00:44:29,900 BUT THAT'S NOT GOING TO BE EASY. 888 00:44:29,900 --> 00:44:31,733 I HAVE BASICALLY BEEN WHEELCHAIR BOUND 889 00:44:31,733 --> 00:44:33,833 FOR THE LAST YEAR, AND AS A RESULT, 890 00:44:33,833 --> 00:44:36,133 I DON'T HAVE THAT MUCH STRENGTH. 891 00:44:36,133 --> 00:44:39,300 ** 892 00:44:39,300 --> 00:44:42,167 THERE'S BEEN LOTS OF TIMES I JUST WANT TO 893 00:44:42,167 --> 00:44:46,500 THROW IN THE TOWEL AND JUST GIVE UP. 894 00:44:46,500 --> 00:44:51,600 AND THAT'S WHAT MY SISTER EXPECTS ME TO DO. 895 00:44:51,600 --> 00:44:53,900 AND EVEN IF MY PARENTS DON'T SAY IT, 896 00:44:53,900 --> 00:44:57,500 I KNOW THEY EXPECT ME TO QUIT, TOO. 897 00:44:57,500 --> 00:45:00,800 BUT NOW I'M SO CLOSE TO HAVING MY WEIGHT LOSS SURGERY, 898 00:45:00,800 --> 00:45:02,767 I CAN'T GIVE UP. 899 00:45:02,767 --> 00:45:04,567 -READY? -I'M READY. 900 00:45:04,567 --> 00:45:06,167 COME ON DOWN. 901 00:45:06,167 --> 00:45:07,767 GOOD, GOOD. 902 00:45:07,767 --> 00:45:11,233 [ PANTING ] 903 00:45:11,233 --> 00:45:12,667 LET'S GO AHEAD AND LAY FLAT. 904 00:45:12,667 --> 00:45:15,267 WE'LL DO HAMSTRINGS AND HIP FLEXERS 905 00:45:15,267 --> 00:45:16,600 AND ALL THAT GOOD STUFF. 906 00:45:16,600 --> 00:45:18,967 [ PANTING ] 907 00:45:18,967 --> 00:45:20,500 WE'RE JUST TRYING TO LOOSEN UP THOSE HAMSTRINGS 908 00:45:20,500 --> 00:45:21,367 AND THE KNEE RIGHT? 909 00:45:21,367 --> 00:45:22,600 YEAH. 910 00:45:22,600 --> 00:45:24,467 SO IT DOESN'T FIGHT YOU QUITE SO MUCH 911 00:45:24,467 --> 00:45:25,533 WHEN YOU'RE STANDING? 912 00:45:25,533 --> 00:45:27,067 OKAY. 913 00:45:27,067 --> 00:45:28,267 LET ME KNOW IF I'M HURTING YA. 914 00:45:28,267 --> 00:45:29,900 TRUST ME, I'LL LET YOU KNOW. 915 00:45:29,900 --> 00:45:32,367 [ BOTH LAUGH ] 916 00:45:32,367 --> 00:45:34,700 IN MY MIND, I WAS THINKING, "I HOPE IT DON'T HURT. 917 00:45:34,700 --> 00:45:37,133 I HOPE IT DON'T HURT." 918 00:45:37,133 --> 00:45:39,700 AND THEN IT STARTED TO HURT. 919 00:45:39,700 --> 00:45:41,400 OKAY, THERE'S PAIN RIGHT THERE WHEN YOU DO THAT. 920 00:45:41,400 --> 00:45:42,567 -YEAH? -UH-HUH. 921 00:45:42,567 --> 00:45:44,167 -JUST IN THE KNEE? -UH-HUH. 922 00:45:44,167 --> 00:45:45,800 OKAY. 923 00:45:45,800 --> 00:45:48,567 IT IS THE WORST FEELING BECAUSE IN THE BACK OF MY MIND, 924 00:45:48,567 --> 00:45:50,633 I AM SCARED THAT I CAN'T DO THIS 925 00:45:50,633 --> 00:45:53,967 BECAUSE ALL MY LIFE, I HAVE FAILED. 926 00:45:53,967 --> 00:45:55,200 ALL RIGHT, GONNA HIT THE PARALLEL BARS NOW? 927 00:45:55,200 --> 00:45:58,200 -MM-HMM. -YEAH, ALL RIGHT, LET'S DO IT. 928 00:45:58,200 --> 00:46:00,467 BUT I'M DOING THIS FOR A REASON. 929 00:46:00,467 --> 00:46:02,400 I'M DOING THIS TO IMPROVE MY HEALTH. 930 00:46:02,400 --> 00:46:04,067 AND I'M DOING THIS TO GET THE LIFE 931 00:46:04,067 --> 00:46:08,800 THAT I'VE ALWAYS WANTED AND NEVER HAD. 932 00:46:08,800 --> 00:46:11,533 DR. NOW WANTS ME TO BE ABLE TO WALK. 933 00:46:11,533 --> 00:46:15,867 BUT I FEEL I'M STILL A LONG WAYS FROM BEING ABLE TO DO THAT. 934 00:46:15,867 --> 00:46:17,233 NOT TOO SNUG? IT'S OKAY? 935 00:46:17,233 --> 00:46:18,933 -YOU'RE FINE. -ALL RIGHT. 936 00:46:18,933 --> 00:46:20,633 SO STATIC STANDS? 937 00:46:20,633 --> 00:46:21,900 ALL RIGHT, READY TO GO. 938 00:46:21,900 --> 00:46:25,967 ONE, TWO. 939 00:46:25,967 --> 00:46:29,967 [ MACHINE BEEPS ] 940 00:46:29,967 --> 00:46:32,067 KEEP YOUR POSTURE, RIGHT, HEAD UP. 941 00:46:32,067 --> 00:46:33,500 THERE YOU GO. 942 00:46:33,500 --> 00:46:34,600 THERE YOU GO, DEEP BREATHS. 943 00:46:34,600 --> 00:46:38,200 STANDING IS STILL A BIG CHALLENGE FOR ME. 944 00:46:38,200 --> 00:46:41,333 AND I CAN ONLY STAND FOR A LITTLE WHILE. 945 00:46:41,333 --> 00:46:43,900 AND I NEED SOMETHING TO HOLD ON TO. 946 00:46:43,900 --> 00:46:44,967 OKAY. 947 00:46:44,967 --> 00:46:47,567 YOU GOOD? ALL RIGHT. 948 00:46:47,567 --> 00:46:49,200 THERE YOU GO. [ LAUGHING ] GOOD JOB. 949 00:46:49,200 --> 00:46:50,067 [ MACHINE BEEPING ] 950 00:46:50,067 --> 00:46:52,567 COUNT IT. 121, GOOD JOB. 951 00:46:52,567 --> 00:46:53,867 WE BEAT OUR RECORD. 952 00:46:53,867 --> 00:46:55,333 I KNOW IT. THAT'S AWESOME. 953 00:46:55,333 --> 00:46:57,233 LET ME GET THIS OFF OF YOU. 954 00:46:57,233 --> 00:46:59,200 PHYSICAL THERAPY WENT FINE TODAY. 955 00:46:59,200 --> 00:47:01,167 I FEEL GOOD. 956 00:47:01,167 --> 00:47:04,533 THE THERAPIST WAS PROUD OF ME. 957 00:47:04,533 --> 00:47:09,200 BUT I KNOW I'M STILL NOT EVEN CLOSE TO STANDING ON MY OWN. 958 00:47:09,200 --> 00:47:11,867 AND DR. NOW SAYS IT'S IMPORTANT FOR ME TO BE MOBILE 959 00:47:11,867 --> 00:47:15,700 AFTER MY WEIGHT LOSS SURGERY. 960 00:47:15,700 --> 00:47:19,200 SO I'M SCARED THAT IF I HAVEN'T SHOWN ENOUGH IMPROVEMENT, 961 00:47:19,200 --> 00:47:23,200 DR. NOW WILL CHANGE HIS MIND AND DELAY THE SURGERY. 962 00:47:23,200 --> 00:47:27,800 ** 963 00:47:34,067 --> 00:47:39,900 ** 964 00:47:39,900 --> 00:47:45,767 ** 965 00:47:45,767 --> 00:47:48,900 Karina: RIGHT NOW, MY PARENTS ARE TAKING ME TO SEE DR. NOW 966 00:47:48,900 --> 00:47:51,533 FOR MY ENDOSCOPY TO SEE IF THERE ANY ISSUES 967 00:47:51,533 --> 00:47:56,800 TAKING MY GASTRIC BALLOON OUT. 968 00:47:56,800 --> 00:48:00,833 SO WE'RE JUST GOING TO SEE WHAT CAN BE DONE. 969 00:48:00,833 --> 00:48:03,167 AND I'M NERVOUS THAT WORST CASE SCENARIO, 970 00:48:03,167 --> 00:48:05,733 HE FINDS A PROBLEM THAT NOT ONLY PREVENTS ME 971 00:48:05,733 --> 00:48:07,500 FROM GETTING WEIGHT LOSS SURGERY, 972 00:48:07,500 --> 00:48:10,267 BUT CREATES ANY SORT OF HEALTH THREAT TO ME 973 00:48:10,267 --> 00:48:13,267 SINCE I WAS ONLY SUPPOSED TO HAVE THIS BALLOON FOR SIX MONTHS 974 00:48:13,267 --> 00:48:15,667 AND IT'S BEEN MUCH LONGER THAN THAT. 975 00:48:15,667 --> 00:48:19,067 SO I'M A LITTLE SCARED ABOUT WHAT HE'LL FIND OUT TODAY. 976 00:48:19,067 --> 00:48:22,467 ** 977 00:48:22,467 --> 00:48:25,833 ** 978 00:48:25,833 --> 00:48:28,200 -HI, KARINA. -HELLO. 979 00:48:28,200 --> 00:48:31,067 ALL RIGHT, SO THEY GOT YOUR WEIGHT AFTER CHECKING, 980 00:48:31,067 --> 00:48:33,733 AND YOU'RE ONLY SIX POUNDS SMALLER, 981 00:48:33,733 --> 00:48:37,067 SO THAT'S GOING TO BE AN ISSUE IF YOU DON'T PICK UP THE PACE 982 00:48:37,067 --> 00:48:39,067 BEFORE YOUR WEIGHT LOSS SURGERY. 983 00:48:39,067 --> 00:48:42,833 BUT WE'RE GOING TO SEE IF THAT'S EVEN POSSIBLE TODAY. 984 00:48:42,833 --> 00:48:45,067 HOWEVER, I HEAR FROM PHYSICAL THERAPY 985 00:48:45,067 --> 00:48:48,167 THAT YOU STILL DIDN'T WALK AT YOUR SESSION WITH THEM. 986 00:48:48,167 --> 00:48:49,100 WHY IS THAT? 987 00:48:49,100 --> 00:48:50,933 MY LEG IS NOT STRONG ENOUGH YET 988 00:48:50,933 --> 00:48:53,500 'CAUSE I HAVE ARTHRITIS IN BOTH OF MY KNEES. 989 00:48:53,500 --> 00:48:55,867 YOU SAID YOU BROKE YOUR LEG BEFORE. 990 00:48:55,867 --> 00:48:58,600 AND THAT YOU NEEDED A SURGERY THAT THEY COULDN'T DO. 991 00:48:58,600 --> 00:49:00,533 NOW IT'S ARTHRITIS. 992 00:49:00,533 --> 00:49:03,800 SO IT SOUNDS LIKE A BUNCH OF EXCUSES. 993 00:49:03,800 --> 00:49:05,767 SO AFTER YOUR ENDOSCOPY, 994 00:49:05,767 --> 00:49:07,967 WE WILL DISCUSS YOUR LACK OF WEIGHT LOSS 995 00:49:07,967 --> 00:49:09,667 THIS PAST MONTH, OKAY? 996 00:49:09,667 --> 00:49:11,533 MM-HMM. 997 00:49:11,533 --> 00:49:15,633 I'M NOT TOO HAPPY WITH HOW KARINA HAS DONE THIS PAST MONTH. 998 00:49:15,633 --> 00:49:19,133 SHE HAS QUICKLY FALLEN BACK INTO MAKING EXCUSES. 999 00:49:19,133 --> 00:49:21,267 AND STILL CLAIMING THAT SHE CAN'T WALK 1000 00:49:21,267 --> 00:49:23,967 WHEN THERE IS NO PHYSICAL REASON FOR THAT. 1001 00:49:23,967 --> 00:49:26,500 BUT MY BIGGEST CONCERN RIGHT NOW 1002 00:49:26,500 --> 00:49:29,600 IS IF I'M ABLE TO REMOVE THE BALLOON TODAY. 1003 00:49:29,600 --> 00:49:32,900 BECAUSE IT'S GOING TO FREE UP ALL THAT SPACE IN HER STOMACH 1004 00:49:32,900 --> 00:49:36,967 AND SHE'LL BE ABLE TO OVEREAT EVEN MORE. 1005 00:49:36,967 --> 00:49:39,767 ALL RIGHT, WE'RE GONNA GO AHEAD AND LOOK AT YOUR STOMACH 1006 00:49:39,767 --> 00:49:41,233 AND SEE IF WE CAN TAKE THE BALLOON OUT 1007 00:49:41,233 --> 00:49:44,333 AND SEE WHAT OTHER OPTIONS WE GOT FOR YOU, OKAY? 1008 00:49:44,333 --> 00:49:45,567 OKAY. 1009 00:49:45,567 --> 00:49:47,600 ALL RIGHT, WE'LL GET YOU SITUATED SHORTLY, OKAY? 1010 00:49:47,600 --> 00:49:49,600 OKAY. 1011 00:49:49,600 --> 00:49:52,400 ** 1012 00:49:52,400 --> 00:49:57,633 I'M FEELING NERVOUS ABOUT WHAT'S GOING TO HAPPEN TODAY. 1013 00:49:57,633 --> 00:49:59,667 BECAUSE IF THIS DOESN'T GO WELL, 1014 00:49:59,667 --> 00:50:02,567 I WON'T BE ABLE TO HAVE THE WEIGHT LOSS SURGERY. 1015 00:50:02,567 --> 00:50:05,667 AND ALL THE HARD WORK I'VE DONE OVER THE LAST THREE MONTHS 1016 00:50:05,667 --> 00:50:08,200 WILL BE FOR NOTHING. 1017 00:50:08,200 --> 00:50:11,700 ALL MY LIFE, I'VE BEEN A FAILURE TO MY FAMILY. 1018 00:50:11,700 --> 00:50:14,300 AND I JUST WANT TO PROVE TO THEM THAT I CAN DO THIS, 1019 00:50:14,300 --> 00:50:16,400 THAT I CAN LOSE THE WEIGHT. 1020 00:50:16,400 --> 00:50:19,267 BUT FOR THAT TO HAPPEN, I NEED THIS BALLOON TO COME OUT 1021 00:50:19,267 --> 00:50:21,433 AND EVERYTHING TO BE OKAY. 1022 00:50:21,433 --> 00:50:25,500 ** 1023 00:50:25,500 --> 00:50:27,367 KARINA HAD HER GASTRIC BALLOON 1024 00:50:27,367 --> 00:50:29,600 PUT IN HER STOMACH OUT OF COUNTRY, 1025 00:50:29,600 --> 00:50:34,800 SO IT IS NOT DESIGNED WITH THE HEALTH STANDARDS HERE. 1026 00:50:34,800 --> 00:50:37,400 A GASTRIC BALLOON IS ONLY INTENDED TO BE 1027 00:50:37,400 --> 00:50:39,933 A TEMPORARY SOLUTION FOR WEIGHT LOSS. 1028 00:50:39,933 --> 00:50:44,267 AND THE LIMIT TO KEEP IT WITHIN THE STOMACH IS SIX MONTHS. 1029 00:50:44,267 --> 00:50:46,100 Woman: ROOM LIGHTS. 1030 00:50:49,600 --> 00:50:53,700 AND KARINA RIGHT NOW IS OVER DOUBLE THAT AMOUNT OF TIME, 1031 00:50:53,700 --> 00:50:56,400 SO THERE IS NO TELLING WHAT COULD BE WRONG. 1032 00:50:56,400 --> 00:50:59,300 ** 1033 00:51:19,400 --> 00:51:20,533 UH-HUH. 1034 00:51:20,533 --> 00:51:21,400 [ MACHINE BEEPING ] 1035 00:51:21,400 --> 00:51:23,100 OKAY, 50. 1036 00:51:23,100 --> 00:51:24,700 [ AIR HISSING ] 1037 00:51:24,700 --> 00:51:29,167 ** 1038 00:51:52,200 --> 00:51:53,900 [ MONITOR BEEPING ] 1039 00:51:53,900 --> 00:51:55,933 OKAY, ROOM LIGHT ON. 1040 00:51:55,933 --> 00:51:58,100 ** 1041 00:51:58,100 --> 00:52:01,633 KARINA'S ENDOSCOPY WENT WELL TODAY. 1042 00:52:01,633 --> 00:52:03,400 WHEN SHE RECOVERS FOR A LITTLE WHILE, 1043 00:52:03,400 --> 00:52:07,067 THEN, WE'LL BE ABLE TO DO HER WEIGHT LOSS SURGERY. 1044 00:52:07,067 --> 00:52:09,167 BUT BEFORE THAT, WE NEED TO ADDRESS 1045 00:52:09,167 --> 00:52:11,567 KARINA'S SLOWED DOWN IN HER WEIGHT LOSS. 1046 00:52:11,567 --> 00:52:15,233 AND HER BELIEF THAT THERE'S SOMETHING WRONG WITH HER LEG. 1047 00:52:15,233 --> 00:52:17,733 SO, I'M GOING TO HAVE AN X-RAY DONE 1048 00:52:17,733 --> 00:52:20,533 TO FIGURE OUT WHAT'S GOING ON THERE. 1049 00:52:20,533 --> 00:52:23,500 AND IF SHE DOESN'T KEEP LOSING THE WEIGHT SHE NEEDS 1050 00:52:23,500 --> 00:52:26,800 OVER THE NEXT MONTH, THEN I WON'T MOVE AHEAD 1051 00:52:26,800 --> 00:52:29,100 WITH ANY WEIGHT LOSS SURGERY WITH HER. 1052 00:52:29,100 --> 00:52:33,733 ** 1053 00:52:33,733 --> 00:52:38,333 ** 1054 00:52:38,333 --> 00:52:42,900 TODAY, I'M HOPEFULLY BEING DISCHARGED FROM THE HOSPITAL. 1055 00:52:42,900 --> 00:52:46,900 YESTERDAY, THEY REMOVED THE GASTRIC BALLOON FROM MY STOMACH, 1056 00:52:46,900 --> 00:52:50,933 AND WHEN I WOKE UP AND FOUND OUT, I WAS SO EXCITED 1057 00:52:50,933 --> 00:52:55,233 BECAUSE I KNOW THAT MEANS I CAN GET MY WEIGHT LOSS SURGERY SOON. 1058 00:52:55,233 --> 00:52:57,933 [ KNOCKS ON DOOR ] 1059 00:52:57,933 --> 00:52:58,867 HELLO. 1060 00:52:58,867 --> 00:52:59,900 HI, GOOD MORNING, DR. NOW. 1061 00:52:59,900 --> 00:53:01,867 HOW YOU DOING, KARINA? 1062 00:53:01,867 --> 00:53:03,067 FINE. 1063 00:53:03,067 --> 00:53:04,767 SO WE GOT THE BALLOON OUT. 1064 00:53:04,767 --> 00:53:08,700 BUT I NEED YOU TO UNDERSTAND HOW SERIOUS THIS SITUATION IS. 1065 00:53:08,700 --> 00:53:11,733 NOW THAT ALL THE ROOM IN YOUR STOMACH IS FREED UP, 1066 00:53:11,733 --> 00:53:13,433 YOU CAN OVEREAT AGAIN 1067 00:53:13,433 --> 00:53:16,567 BECAUSE YOUR WEIGHT LOSS SLOWED SIGNIFICANTLY. 1068 00:53:16,567 --> 00:53:19,200 SO I NEED YOU TO SHOW ME THAT YOU'RE WILLING 1069 00:53:19,200 --> 00:53:21,267 TO WORK HARD LIKE YOU NEED TO. 1070 00:53:21,267 --> 00:53:24,067 AND IT WASN'T THE BALLOON THAT DID MOST OF THE WORK 1071 00:53:24,067 --> 00:53:26,600 THE FIRST MONTH. SO TO DO THAT, 1072 00:53:26,600 --> 00:53:29,767 I WANT YOU TO LOSE 40 POUNDS AGAIN THIS NEXT MONTH. 1073 00:53:29,767 --> 00:53:31,667 -OKAY. -AND IF YOU DO THAT, 1074 00:53:31,667 --> 00:53:34,100 I WILL MOVE AHEAD WITH YOUR WEIGHT LOSS SURGERY. 1075 00:53:34,100 --> 00:53:36,633 AND IF NOT, YOU WILL NO LONGER BE APPROVED 1076 00:53:36,633 --> 00:53:38,300 FOR THE OPERATION. 1077 00:53:38,300 --> 00:53:40,533 -YOU UNDERSTAND? -OKAY. 1078 00:53:40,533 --> 00:53:42,967 BUT I'M GOING TO GET X-RAY IN HERE FOR YOUR LEG. 1079 00:53:42,967 --> 00:53:45,300 SO I CAN SEE WHAT'S GOING ON WITH THAT. 1080 00:53:45,300 --> 00:53:48,933 AND IN THE MEANTIME, I WANT YOU TO KEEP GOING TO P.T. 1081 00:53:48,933 --> 00:53:51,300 AND I WANT YOU TO GET UP AND WALK, OKAY? 1082 00:53:51,300 --> 00:53:52,233 ALL RIGHT. 1083 00:53:52,233 --> 00:53:56,067 ALL RIGHT, I'LL SEE YOU SOON. 1084 00:53:56,067 --> 00:53:59,767 KARINA HAD A HUGE BALLOON THAT PREVENTED HER 1085 00:53:59,767 --> 00:54:04,167 FROM HAVING HARDLY ANY FOOD IN HER STOMACH AT ONE TIME. 1086 00:54:04,167 --> 00:54:07,233 SO SEEING THAT COMBINED WITH HER LACK OF WEIGHT LOSS 1087 00:54:07,233 --> 00:54:08,733 THIS PAST MONTH, 1088 00:54:08,733 --> 00:54:12,767 I STILL NEED HER TO SHOW ME THAT SHE'S WILLING TO DO THIS. 1089 00:54:12,767 --> 00:54:15,600 BECAUSE IF SHE'S NOT, SURGERY WILL BE A WASTE 1090 00:54:15,600 --> 00:54:18,400 BECAUSE SHE WILL FAIL. 1091 00:54:18,400 --> 00:54:22,967 SO THIS NEXT MONTH WILL BE AN EVEN BIGGER TEST FOR KARINA. 1092 00:54:22,967 --> 00:54:24,433 ** 1093 00:54:24,433 --> 00:54:25,667 MIJA, YOU READY? 1094 00:54:25,667 --> 00:54:27,067 YES, I'M READY TO GO. 1095 00:54:27,067 --> 00:54:28,700 THE WHEELCHAIR'S IN THE BATHROOM. 1096 00:54:28,700 --> 00:54:30,367 OKAY. 1097 00:54:30,367 --> 00:54:32,100 Karina: I'M A LITTLE DISAPPOINTED TO HEAR 1098 00:54:32,100 --> 00:54:36,100 THAT DR. NOW STILL NEEDS ME TO PROVE TO HIM I CAN DO THIS. 1099 00:54:36,100 --> 00:54:38,533 BECAUSE I FEEL LIKE I DID THAT ALREADY, 1100 00:54:38,533 --> 00:54:42,233 AND I DON'T FEEL LIKE THAT'S FAIR. 1101 00:54:42,233 --> 00:54:44,333 BUT I DON'T WANT TO LOSE HIS HELP. 1102 00:54:44,333 --> 00:54:46,167 -OKAY? -YEAH. 1103 00:54:46,167 --> 00:54:48,800 SO I'M GOING TO STICK WITH IT LIKE I DID THE FIRST MONTH. 1104 00:54:48,800 --> 00:54:51,833 BECAUSE I'M NOT LETTING THIS CHANCE GET AWAY FROM ME. 1105 00:54:51,833 --> 00:54:52,267 ** 1106 00:54:57,333 --> 00:55:01,433 ** 1107 00:55:01,433 --> 00:55:05,467 ** 1108 00:55:05,467 --> 00:55:08,200 [ MICROWAVE BEEPS ] 1109 00:55:08,200 --> 00:55:10,800 SINCE MY ENDOSCOPY AND HAVING MY BALLOON REMOVED, 1110 00:55:10,800 --> 00:55:13,867 I'M FEELING A LOT BETTER. 1111 00:55:13,867 --> 00:55:18,833 I KNOW WITHOUT THE BALLOON, IT'S MUCH EASIER TO OVEREAT. 1112 00:55:18,833 --> 00:55:21,267 SO I'M TRYING TO MARK MY PORTIONS OUT. 1113 00:55:21,267 --> 00:55:24,900 ** 1114 00:55:24,900 --> 00:55:27,533 AND I'M TRYING TO USE MY LEGS AS MUCH AS POSSIBLE, 1115 00:55:27,533 --> 00:55:29,900 BUT THEY STILL HURT A WHOLE LOT. 1116 00:55:29,900 --> 00:55:33,533 ** 1117 00:55:33,533 --> 00:55:37,200 I KNOW DR. NOW SAYS I HAVE TO GET UP AND OUT OF THIS CHAIR, 1118 00:55:37,200 --> 00:55:39,933 BUT I'M REALLY STRUGGLING. 1119 00:55:39,933 --> 00:55:41,433 I JUST HOPE THAT I'VE DONE ENOUGH 1120 00:55:41,433 --> 00:55:46,433 FOR DR. NOW TO SCHEDULE MY WEIGHT LOSS SURGERY. 1121 00:55:50,567 --> 00:55:52,567 HOW WAS YOUR DAY TODAY? 1122 00:55:52,567 --> 00:55:53,533 FINE. 1123 00:55:55,433 --> 00:55:57,933 SOME VEGETABLE SOUP LIKE WITH BEANS AND CORN 1124 00:55:57,933 --> 00:56:01,167 AND CELERY AND CARROTS AND BELL PEPPERS. 1125 00:56:01,167 --> 00:56:03,633 IT'S LIKE ONLY 120 CALORIES, LIKE I TOLD YOU. 1126 00:56:03,633 --> 00:56:04,833 MM-HMM. 1127 00:56:07,933 --> 00:56:10,867 I'M HOPING HE TELLS ME, "LET'S DO THE SURGERY NEXT WEEK 1128 00:56:10,867 --> 00:56:12,467 AND LET'S GO." 1129 00:56:12,467 --> 00:56:13,667 I'M READY. 1130 00:56:22,433 --> 00:56:25,833 THAT AIN'T GONNA HAPPEN... ANY TIME SOON. 1131 00:56:25,833 --> 00:56:30,300 I COULD BARELY TAKE STEPS WITHOUT SITTING DOWN. 1132 00:56:30,300 --> 00:56:33,100 ** 1133 00:56:33,100 --> 00:56:35,667 Karina: I KNOW DR. NOW WANTS ME TO WALK, 1134 00:56:35,667 --> 00:56:38,100 BUT I'M STILL SO BIG 1135 00:56:38,100 --> 00:56:40,067 AND THE LEG INJURY HAS MADE IT SO DIFFICULT 1136 00:56:40,067 --> 00:56:42,667 TO EVEN TRY TO MOVE. 1137 00:56:42,667 --> 00:56:45,267 AND WHEN I TALK TO MY FAMILY ABOUT MY PROGRESS, 1138 00:56:45,267 --> 00:56:48,433 IT USUALLY DISCOURAGES ME. 1139 00:56:48,433 --> 00:56:51,800 I KNOW THEY LOVE ME AND WANT ME TO DO WELL. 1140 00:56:51,800 --> 00:56:54,800 BUT THE THINGS THEY SAY MAKE ME FEEL LIKE 1141 00:56:54,800 --> 00:56:57,067 THEY DON'T THINK I CAN DO THIS. 1142 00:56:57,067 --> 00:56:59,133 I NEED THEM TO BELIEVE IN ME. 1143 00:56:59,133 --> 00:57:02,167 BECAUSE I'M GONNA DO THIS WITH OR WITHOUT THEM. 1144 00:57:02,167 --> 00:57:06,167 ** 1145 00:57:06,167 --> 00:57:10,133 ** 1146 00:57:10,133 --> 00:57:14,133 ** 1147 00:57:14,133 --> 00:57:18,200 TODAY, WE'RE GOING TO DR. NOWZARADAN'S OFFICE. 1148 00:57:18,200 --> 00:57:21,267 I'VE BEEN WATCHING WHAT I EAT AND COUNTING CALORIES, 1149 00:57:21,267 --> 00:57:23,533 BUT THE BALLOON WAS THERE TO HELP ME LOSE WEIGHT, 1150 00:57:23,533 --> 00:57:26,167 AND NOW IT'S GONE. 1151 00:57:26,167 --> 00:57:30,767 SO I REALLY DON'T KNOW WHAT THAT SCALE'S GOING TO SHOW. 1152 00:57:30,767 --> 00:57:33,133 KARINA GARCIA? 1153 00:57:33,133 --> 00:57:35,833 AND I'M NERVOUS BECAUSE I HAVE TO HAD LOST SOME WEIGHT. 1154 00:57:35,833 --> 00:57:38,700 OTHERWISE, I DON'T THINK DR. NOW'S GOING TO APPROVE 1155 00:57:38,700 --> 00:57:40,733 MY WEIGHT LOSS SURGERY. 1156 00:57:40,733 --> 00:57:43,867 BUT IF I KEPT THE WEIGHT LOSS GOING, THEN AT LEAST I STAND 1157 00:57:43,867 --> 00:57:47,067 A CHANCE AT HAVING MY GASTRIC SLEEVE SURGERY SCHEDULED. 1158 00:57:47,067 --> 00:57:50,100 ** 1159 00:57:50,100 --> 00:57:51,700 OKAY. 1160 00:57:51,700 --> 00:57:53,600 [ PANTING ] 1161 00:57:53,600 --> 00:57:55,667 ** 1162 00:57:55,667 --> 00:57:58,700 I FEEL GOOD ABOUT THAT NUMBER ON THE SCALE. 1163 00:57:58,700 --> 00:58:00,400 [ SNIFFLES ] SO HAPPY. 1164 00:58:00,400 --> 00:58:01,600 OKAY. 1165 00:58:01,600 --> 00:58:04,167 [ CHUCKLES ] 1166 00:58:04,167 --> 00:58:08,267 IT'S A RELIEF TO SEE I'M STILL GOING IN THE RIGHT DIRECTION. 1167 00:58:08,267 --> 00:58:11,367 BUT AT THIS POINT, I DON'T KNOW IF LOSING MORE WEIGHT IS ENOUGH 1168 00:58:11,367 --> 00:58:16,433 BECAUSE DR. NOW WANTED ME TO BE ABLE TO MOVE BETTER ON MY OWN. 1169 00:58:16,433 --> 00:58:19,767 AND I'VE BEEN SCARED TO PUSH MYSELF PHYSICALLY. 1170 00:58:19,767 --> 00:58:23,367 SO, I'M WORRIED HE'S GOING TO SAY, "LET'S WAIT A BIT LONGER." 1171 00:58:23,367 --> 00:58:27,167 AND THAT THIS WEIGHT LOSS WAS OKAY, BUT NOT GOOD ENOUGH. 1172 00:58:27,167 --> 00:58:29,067 [ KNOCKS ON DOOR ] 1173 00:58:29,067 --> 00:58:30,667 -HELLO. -HELLO. 1174 00:58:30,667 --> 00:58:31,700 HOW ARE Y'ALL DOING? 1175 00:58:31,700 --> 00:58:34,333 -FINE AND YOU? -ALL RIGHT. 1176 00:58:34,333 --> 00:58:38,800 SO, YOU'RE DOWN TO 541 POUNDS. 1177 00:58:38,800 --> 00:58:40,067 MM-HMM. 1178 00:58:40,067 --> 00:58:42,200 AND THAT'S A WEIGHT LOSS OF 44 POUNDS. 1179 00:58:42,200 --> 00:58:43,600 THAT'S EXCELLENT. 1180 00:58:43,600 --> 00:58:45,267 HOW YOU FEEL WITH THAT? 1181 00:58:45,267 --> 00:58:46,800 LIGHTER ON MY FEET. 1182 00:58:46,800 --> 00:58:49,667 BETTER BREATHING, AND I'M ABLE TO MOVE MORE FASTER. 1183 00:58:49,667 --> 00:58:53,167 HOW WERE YOU FASTER? YOU'RE STILL NOT WALKING. 1184 00:58:53,167 --> 00:58:57,100 AND THAT BRINGS UP ANOTHER ISSUE WE NEED TO DISCUSS. 1185 00:58:57,100 --> 00:58:59,067 I'VE REVIEWED YOU LEG X-RAY. 1186 00:58:59,067 --> 00:59:02,467 AND THERE IS ABSOLUTELY NOTHING WRONG WITH YOUR LEG. 1187 00:59:02,467 --> 00:59:07,400 SO, THIS ISSUE IS EITHER ALL IN YOUR MIND 1188 00:59:07,400 --> 00:59:09,933 OR JUST AN EXCUSE YOU HAVE BEEN MAKING. 1189 00:59:09,933 --> 00:59:13,100 EITHER WAY, YOU'RE DONE SAYING YOU CAN'T WALK. 1190 00:59:13,100 --> 00:59:14,800 IF YOU WANT WEIGHT LOSS SURGERY, 1191 00:59:14,800 --> 00:59:19,200 THEN WHAT I NEED FROM YOU IS AN ACKNOWLEDGEMENT 1192 00:59:19,200 --> 00:59:21,900 THAT YOU'RE DONE WITH THIS EXCUSE. 1193 00:59:21,900 --> 00:59:24,767 ALL RIGHT. OKAY. 1194 00:59:24,767 --> 00:59:28,067 ALL RIGHT, I'LL BE EXPECTING A GOOD REPORT 1195 00:59:28,067 --> 00:59:30,767 AT YOUR NEXT PHYSICAL THERAPIST SESSION. 1196 00:59:30,767 --> 00:59:32,500 IF YOU DON'T KEEP TO THAT, 1197 00:59:32,500 --> 00:59:35,300 THIS IS GOING TO BE A SIGNIFICANT ISSUE 1198 00:59:35,300 --> 00:59:39,133 IF YOU EXPECT TO STAY IN THIS PROGRAM, OKAY? 1199 00:59:39,133 --> 00:59:40,233 OKAY. 1200 00:59:40,233 --> 00:59:42,300 I'M GLAD WE UNDERSTAND EACH OTHER. 1201 00:59:42,300 --> 00:59:44,433 SO YOU HAVE COME A LONG WAY. 1202 00:59:44,433 --> 00:59:50,067 SO WE'RE GONNA SET YOU UP FOR SURGERY IN ONE MONTH. 1203 00:59:50,067 --> 00:59:51,067 -OKAY? -OKAY. 1204 00:59:51,067 --> 00:59:52,700 Ezequiel: OKAY, THAT'S PRETTY GOOD. 1205 00:59:52,700 --> 00:59:54,933 ALL RIGHT, I THINK THIS IS GOING TO BE EASIER FOR YOU 1206 00:59:54,933 --> 00:59:58,600 TO CONTROL YOUR EATING HABIT, OKAY. 1207 00:59:58,600 --> 01:00:00,900 I'M VERY IMPRESSED WITH KARINA 1208 01:00:00,900 --> 01:00:03,033 AND THE PROGRESS SHE MADE SO FAR. 1209 01:00:03,033 --> 01:00:05,467 SHE'S SHOWN ME SHE'S COMMITTED 1210 01:00:05,467 --> 01:00:08,267 TO THIS PROGRAM AND GETTING HEALTHY. 1211 01:00:08,267 --> 01:00:11,067 BUT THIS IS JUST THE BEGINNING OF THE HARD ROAD 1212 01:00:11,067 --> 01:00:13,033 KARINA HAS AHEAD. 1213 01:00:13,033 --> 01:00:15,433 THE ODDS ARE STACKED AGAINST HER 1214 01:00:15,433 --> 01:00:18,533 SINCE THIS WILL BE HER SECOND ATTEMPT 1215 01:00:18,533 --> 01:00:20,667 AT A WEIGHT LOSS PROCEDURE. 1216 01:00:20,667 --> 01:00:24,367 AND SHE CAN'T STAY AS INACTIVE AS SHE IS 1217 01:00:24,367 --> 01:00:27,967 AND EXPECT TO KEEP MAKING PROGRESS DOWN THE ROAD. 1218 01:00:27,967 --> 01:00:32,167 BUT OVERALL, I'M PLEASED AND CONFIDENT THAT SHE'S READY 1219 01:00:32,167 --> 01:00:34,600 FOR HER WEIGHT LOSS SURGERY. 1220 01:00:34,600 --> 01:00:36,300 ANY QUESTIONS? 1221 01:00:36,300 --> 01:00:38,067 NO, I'M EXCITED NOW. 1222 01:00:38,067 --> 01:00:40,000 -[ CHUCKLES ] -ALL RIGHT, I'LL SEE YOU THEN. 1223 01:00:40,000 --> 01:00:44,267 -OKAY DOCTOR, THANK YOU. -MM-HMM. 1224 01:00:44,267 --> 01:00:46,767 WOW. 1225 01:00:48,000 --> 01:00:51,567 -RELIEF, HAPPY. -GOOD. 1226 01:00:51,567 --> 01:00:55,600 Maria: SHE'S FINALLY GET THE SURGERY SHE ALWAYS DREAM OF. 1227 01:00:55,600 --> 01:00:59,233 AND I FEEL HAPPY FOR HER. 1228 01:00:59,233 --> 01:01:02,467 I'M RELIEVED, BUT HOPEFULLY HER BODY CAN TAKE IT. 1229 01:01:02,467 --> 01:01:05,200 AND AFTER THAT, SHE GONNA HAVE TO START 1230 01:01:05,200 --> 01:01:08,100 BECOMING A PRODUCTIVE CITIZEN. 1231 01:01:08,100 --> 01:01:13,767 ** 1232 01:01:13,767 --> 01:01:15,667 Karina: DR. NOW HAS APPROVED ME FOR SURGERY. 1233 01:01:15,667 --> 01:01:18,233 BUT HE SAID FOR THE WEIGHT TO REALLY COME OFF, 1234 01:01:18,233 --> 01:01:20,467 I WOULD NEED TO BE MORE MOBILE. 1235 01:01:20,467 --> 01:01:24,133 ** 1236 01:01:24,133 --> 01:01:26,833 I'VE BEEN WORKING HARD TO SHOW HIM AND MY FAMILY 1237 01:01:26,833 --> 01:01:29,600 THAT I'M SERIOUS ABOUT THIS. 1238 01:01:29,600 --> 01:01:33,600 AND I KNOW THERE'S A LOT MORE FOR ME TO DO. 1239 01:01:33,600 --> 01:01:36,633 BUT I REALLY THINK I'M GOING TO BE ABLE TO STAY ON TRACK 1240 01:01:36,633 --> 01:01:38,733 AND USE THIS OPPORTUNITY WITH THE SURGERY 1241 01:01:38,733 --> 01:01:41,500 TO MOVE BETTER AND DO MORE THINGS ON MY OWN... 1242 01:01:41,500 --> 01:01:46,267 ** 1243 01:01:46,267 --> 01:01:49,067 ...SO MY FAMILY DOESN'T HAVE TO TAKE CARE OF ME. 1244 01:01:49,067 --> 01:01:51,067 ** 1245 01:01:56,133 --> 01:02:01,267 ** 1246 01:02:01,267 --> 01:02:06,333 ** 1247 01:02:06,333 --> 01:02:11,400 ** 1248 01:02:11,400 --> 01:02:15,100 Karina: TODAY, DR. NOW IS DOING MY GASTRIC SLEEVE SURGERY. 1249 01:02:15,100 --> 01:02:19,367 AND I'M REALLY NERVOUS BECAUSE IT'S A BIG PROCEDURE. 1250 01:02:19,367 --> 01:02:21,400 BUT I'VE BEEN WORKING TOWARDS THIS MOMENT, 1251 01:02:21,400 --> 01:02:23,633 AND MORE THAN ANYTHING IN MY LIFE, 1252 01:02:23,633 --> 01:02:26,967 I WANT IT TO GO WELL. 1253 01:02:26,967 --> 01:02:28,300 IN THE BACK OF MY MIND, 1254 01:02:28,300 --> 01:02:31,067 I'M ALWAYS AFRAID SOMETHING'S GOING TO GO WRONG. 1255 01:02:31,067 --> 01:02:34,800 BECAUSE BAD THINGS KIND OF ALWAYS HAPPEN TO ME. 1256 01:02:34,800 --> 01:02:36,267 BUT IT'S A RISK THAT I HAVE TO TAKE 1257 01:02:36,267 --> 01:02:38,367 IF I WANT TO GET MY LIFE BACK. 1258 01:02:38,367 --> 01:02:40,833 BECAUSE I DON'T HAVE ANY OTHER CHOICE 1259 01:02:40,833 --> 01:02:43,433 AND I DON'T HAVE A LIFE RIGHT NOW. 1260 01:02:43,433 --> 01:02:46,933 SO I JUST HOPE AND PRAY IT GOES OKAY. 1261 01:02:46,933 --> 01:02:51,833 ** 1262 01:02:51,833 --> 01:02:55,100 Dr. Nowzaradan: KARINA SHOULD HAVE HAD ENOUGH TIME TO RECOVER 1263 01:02:55,100 --> 01:02:58,867 FROM HER GASTRIC BALLOON REMOVAL. 1264 01:02:58,867 --> 01:03:04,200 AND, SO, TODAY, WE ARE DOING A SLEEVE GASTRECTOMY ON HER. 1265 01:03:04,200 --> 01:03:08,800 PATIENTS HER SIZE ARE VERY HIGH RISK TO DO SURGERY ON. 1266 01:03:13,833 --> 01:03:17,533 AND WITH KARINA, THE CONCERN IS WITH THE FACT 1267 01:03:17,533 --> 01:03:19,867 THAT SHE CARRIES MOST OF HER WEIGHT 1268 01:03:19,867 --> 01:03:21,967 AT THE FRONT OF HER ABDOMEN. 1269 01:03:21,967 --> 01:03:24,833 WE CAN TURN THE ROOM LIGHT OFF. 1270 01:03:24,833 --> 01:03:28,333 AND THE WEIGHT ALSO MAKES IT EXTREMELY DIFFICULT 1271 01:03:28,333 --> 01:03:32,533 TO MANEUVER ANY INSTRUMENT TO PERFORM THIS SURGERY. 1272 01:03:37,067 --> 01:03:41,133 SO THIS IS GOING TO BE A COMPLICATED PROCEDURE. 1273 01:03:41,133 --> 01:03:44,567 GET THE SUCTION UP THERE SO I CAN SEE WHERE THE BLEEDING IS. 1274 01:03:44,567 --> 01:03:47,800 AND ALSO, LAYING HER DOWN ON HER BACK IS GOING TO 1275 01:03:47,800 --> 01:03:50,667 PUT PRESSURE ON HER PULMONARY SYSTEM, 1276 01:03:50,667 --> 01:03:52,967 AND IF WE AREN'T CAREFUL, 1277 01:03:52,967 --> 01:03:55,667 SHE MAY STOP BREATHING JUST FROM THE FACT 1278 01:03:55,667 --> 01:03:59,267 THAT THERE'S GOING TO BE A SIGNIFICANT AMOUNT OF WEIGHT 1279 01:03:59,267 --> 01:04:02,533 ON HER CHEST AND LUNGS THAT IT CAN'T HANDLE IT. 1280 01:04:02,533 --> 01:04:05,067 THEN WE'LL HAVE TO STOP. 1281 01:04:05,067 --> 01:04:07,667 BUT HOPEFULLY THAT WON'T BE THE CASE 1282 01:04:07,667 --> 01:04:11,200 BECAUSE KARINA WON'T BE ABLE TO MAINTAIN HER PROGRESS 1283 01:04:11,200 --> 01:04:13,533 WITHOUT THIS SURGERY. 1284 01:04:13,533 --> 01:04:17,467 ** 1285 01:04:17,467 --> 01:04:18,967 Ezequiel: KARINA MEANS A LOT TO ME. 1286 01:04:18,967 --> 01:04:21,567 SHE'S MY FIRST BORN DAUGHTER. 1287 01:04:21,567 --> 01:04:24,800 SHE'S AN IMPORTANT PART OF MY FAMILY, OF MY LIFE. 1288 01:04:24,800 --> 01:04:28,200 WAITING HERE FOR HOURS, NOT KNOWING ANYTHING 1289 01:04:28,200 --> 01:04:33,133 AND JUST WAITING TO SEE WHAT'S GOING ON IS NERVE-RACKING. 1290 01:04:33,133 --> 01:04:35,667 ALL RIGHT, KEEP PUSHING FORWARD. 1291 01:04:35,667 --> 01:04:36,967 ALL RIGHT, YOU'RE GOOD. 1292 01:04:36,967 --> 01:04:38,767 -GOOD? -JUST LEAVE IT THERE. 1293 01:04:38,767 --> 01:04:40,233 Man: OKAY. 1294 01:04:40,233 --> 01:04:42,933 Dr. Nowzaradan: GASTRIC SLEEVE IS AN EFFECTIVE PROCEDURE 1295 01:04:42,933 --> 01:04:44,333 TO LOSE WEIGHT. 1296 01:04:44,333 --> 01:04:48,633 IT IS AN OPERATION THAT REDUCES THE SIZE OF THE STOMACH 1297 01:04:48,633 --> 01:04:53,400 70% TO 80% AND PATIENT 1298 01:04:53,400 --> 01:04:56,233 WILL BE ABLE TO EAT LESS AND WILL BE ABLE 1299 01:04:56,233 --> 01:04:58,200 TO LOSE SOME WEIGHT. 1300 01:04:58,200 --> 01:05:00,367 ** 1301 01:05:00,367 --> 01:05:02,633 ROOM LIGHT BACK ON. 1302 01:05:03,900 --> 01:05:07,133 ** 1303 01:05:07,133 --> 01:05:11,233 ALL RIGHT, WE'RE DONE. 1304 01:05:11,233 --> 01:05:14,933 ALL RIGHT, KARINA'S SURGERY WENT VERY WELL. 1305 01:05:14,933 --> 01:05:18,500 IT WAS A LITTLE BIT STRUGGLE BECAUSE OF HER SIZE 1306 01:05:18,500 --> 01:05:21,833 AND HER STOMACH, BUT WE WERE ABLE TO COMPLETE 1307 01:05:21,833 --> 01:05:24,767 THE SLEEVE GASTRECTOMY ON HER. 1308 01:05:24,767 --> 01:05:28,067 THE SURGERY TODAY WILL HELP KARINA TO STAY ON TRACK 1309 01:05:28,067 --> 01:05:29,967 FOR THE LONG TERM. 1310 01:05:29,967 --> 01:05:32,467 AND SHE SHOULD BE ABLE TO LOSE 40 POUNDS 1311 01:05:32,467 --> 01:05:35,533 IN THE FIRST MONTH AFTER SURGERY. 1312 01:05:35,533 --> 01:05:38,700 THEN AROUND 20 POUNDS IN THE FOLLOWING MONTHS 1313 01:05:38,700 --> 01:05:41,967 UNTIL SHE GETS CLOSE TO HER TARGET WEIGHT. 1314 01:05:41,967 --> 01:05:46,100 BUT EVEN THOUGH KARINA DID WELL WITH HER GOAL BEFORE SURGERY, 1315 01:05:46,100 --> 01:05:49,733 THIS IS HER SECOND WEIGHT LOSS PROCEDURE. 1316 01:05:49,733 --> 01:05:52,400 AND PATIENTS HER SIZE THAT HAVE FAILED 1317 01:05:52,400 --> 01:05:54,767 AT LEAST ONE WEIGHT LOSS OPERATION 1318 01:05:54,767 --> 01:05:58,800 HAVE ONLY A 2% CHANCE OF LONG-TERM SUCCESS, 1319 01:05:58,800 --> 01:06:02,200 AND TO MAKE HER SITUATION EVEN MORE DIRE, 1320 01:06:02,200 --> 01:06:04,900 SHE DOESN'T HAVE STRONG SUPPORT AT HOME. 1321 01:06:04,900 --> 01:06:08,067 SO THAT'S NOT A GOOD OUTLOOK. 1322 01:06:08,067 --> 01:06:13,567 ** 1323 01:06:13,567 --> 01:06:19,133 ** 1324 01:06:19,133 --> 01:06:24,700 ** 1325 01:06:24,700 --> 01:06:28,867 Karina: IT'S HARD TO BE HERE RIGHT NOW. 1326 01:06:28,867 --> 01:06:31,367 I'VE MISSED OUT ON SO MUCH OF MY LIFE 1327 01:06:31,367 --> 01:06:33,600 AND IT FEELS LIKE THE CHANCE TO BE BACK OUT THERE 1328 01:06:33,600 --> 01:06:39,500 AND ACTIVE AND LIVING LIFE IS SO CLOSE. 1329 01:06:39,500 --> 01:06:44,133 BUT I'M STILL STUCK HERE IN THIS CHAIR AT MY HOUSE RIGHT NOW. 1330 01:06:44,133 --> 01:06:46,567 SO IT'S FRUSTRATING. 1331 01:06:46,567 --> 01:06:48,267 BECAUSE I JUST WANT TO GET OUT THERE, 1332 01:06:48,267 --> 01:06:52,067 AND I DIDN'T EXPECT IT TO BE SO HARD. 1333 01:06:52,067 --> 01:06:54,467 AND I STILL FEEL LIKE MY FAMILY 1334 01:06:54,467 --> 01:06:57,300 DOESN'T THINK I'M GONNA DO IT. 1335 01:06:57,300 --> 01:07:01,067 BUT I KNOW IF I STICK TO IT AND KEEP WORKING HARD, 1336 01:07:01,067 --> 01:07:03,533 THEN I'LL GET THERE. 1337 01:07:03,533 --> 01:07:06,567 AND ALL OF THIS WILL CHANGE SOON ENOUGH. 1338 01:07:06,567 --> 01:07:08,733 [ SIGHS ] 1339 01:07:08,733 --> 01:07:12,200 I JUST HOPE I DON'T START TO MESS IT UP LIKE BEFORE, 1340 01:07:12,200 --> 01:07:14,200 LIKE I DID WITH THE GASTRIC BALLOON, 1341 01:07:14,200 --> 01:07:16,367 AND I ENDED UP GIVING MY FAMILY ONE MORE REASON 1342 01:07:16,367 --> 01:07:19,967 NOT TO BELIEVE IN ME. 1343 01:07:19,967 --> 01:07:24,067 MY PARENTS AND MY SISTER ARE STILL PUSHING ME TO GET A JOB, 1344 01:07:24,067 --> 01:07:28,867 BUT I DON'T KNOW HOW I CAN DO THAT. 1345 01:07:28,867 --> 01:07:33,267 I DESPERATELY WANT TO, BUT I STILL CAN'T GET AROUND. 1346 01:07:33,267 --> 01:07:36,100 I HAVE A LONG WAYS TO GO STILL. 1347 01:07:36,100 --> 01:07:38,400 AND IF THEY KEEP PUSHING ME LIKE THIS, 1348 01:07:38,400 --> 01:07:41,433 THEN I KNOW I'M NOT GOING TO MAKE IT. 1349 01:07:41,433 --> 01:07:44,267 THE STRESS IS GOING TO BE TOO MUCH FOR ME. 1350 01:07:44,267 --> 01:07:46,700 AND I'M GOING TO START GIVING IN. 1351 01:07:46,700 --> 01:07:47,233 ** 1352 01:07:53,200 --> 01:07:57,567 ** 1353 01:07:57,567 --> 01:08:02,067 ** 1354 01:08:02,067 --> 01:08:06,400 ** 1355 01:08:06,400 --> 01:08:08,667 Karina: IT'S BEEN TWO MONTHS SINCE MY SURGERY 1356 01:08:08,667 --> 01:08:13,333 AND ONE MONTH SINCE MY LAST APPOINTMENT WITH DR. NOW. 1357 01:08:13,333 --> 01:08:16,300 AND I'M NERVOUS THAT THIS CHECKUP WON'T BE AS GOOD 1358 01:08:16,300 --> 01:08:17,733 AS THE LAST ONE. 1359 01:08:17,733 --> 01:08:22,067 BECAUSE IT'S BEEN MORE OF A STRUGGLE WITH ALL THE STRESS 1360 01:08:22,067 --> 01:08:24,700 AND GOING BACK ON SOLID FOODS. 1361 01:08:24,700 --> 01:08:27,267 SO I'M JUST ANXIOUS RIGHT NOW. 1362 01:08:27,267 --> 01:08:31,067 AND I REALLY HOPE THAT DR. NOW ISN'T UPSET WITH ME. 1363 01:08:31,067 --> 01:08:33,733 ** 1364 01:08:33,733 --> 01:08:35,267 KARINA GARCIA? 1365 01:08:35,267 --> 01:08:37,967 I WAS 494 AT MY LAST APPOINTMENT. 1366 01:08:37,967 --> 01:08:39,333 DO YOU NEED HELP? 1367 01:08:39,333 --> 01:08:40,600 I GOT IT. 1368 01:08:40,600 --> 01:08:42,367 AND DR. NOW SAYS I SHOULD BE LOSING 1369 01:08:42,367 --> 01:08:45,967 AT LEAST 20 POUNDS A MONTH. 1370 01:08:45,967 --> 01:08:47,867 SO HOPEFULLY, I'M ON TRACK. 1371 01:08:47,867 --> 01:08:50,633 AND I LOST THE WEIGHT I NEED TO DO THAT. 1372 01:08:50,633 --> 01:08:55,067 ** 1373 01:08:55,067 --> 01:08:59,400 ** 1374 01:08:59,400 --> 01:09:03,833 ** 1375 01:09:03,833 --> 01:09:07,500 COME WITH ME. 1376 01:09:07,500 --> 01:09:11,167 THAT'S NOT THE NUMBER I WAS HOPING TO SEE. 1377 01:09:11,167 --> 01:09:15,700 IT'S A LITTLE SCARY TO SEE MY PROGRESS SLOWING DOWN. 1378 01:09:15,700 --> 01:09:19,567 BECAUSE THAT'S WHAT HAPPENED WITH MY LAST PROCEDURE. 1379 01:09:19,567 --> 01:09:22,167 AND I CAN'T LET THAT HAPPEN AGAIN. 1380 01:09:22,167 --> 01:09:25,333 'CAUSE THIS IS THE LAST CHANCE TO GET ANY SORT OF HELP 1381 01:09:25,333 --> 01:09:28,400 TO LOSE WEIGHT. 1382 01:09:28,400 --> 01:09:31,667 [ KNOCKS ON DOOR ] 1383 01:09:31,667 --> 01:09:32,800 -HELLO. -HELLO. 1384 01:09:32,800 --> 01:09:34,933 -HI, DOCTOR. -HOW Y'ALL DOING? 1385 01:09:34,933 --> 01:09:36,233 GOOD, YOURSELF? 1386 01:09:36,233 --> 01:09:41,400 ALL RIGHT. SO YOU ONLY LOST SEVEN POUNDS THIS PAST MONTH. 1387 01:09:41,400 --> 01:09:44,400 AND I SEE STILL YOU ARE IN THE WHEELCHAIR. 1388 01:09:44,400 --> 01:09:47,767 SO WHAT'S GOING ON? HOW IS YOUR ACTIVITY? 1389 01:09:47,767 --> 01:09:49,667 IT'S INCREASING, LITTLE BY LITTLE. 1390 01:09:49,667 --> 01:09:51,633 ARE YOU ABLE TO WALK? 1391 01:09:51,633 --> 01:09:55,433 UM, I'M TRYING TO DO EVERYTHING WHAT THEY TELL ME TO DO 1392 01:09:55,433 --> 01:09:56,933 AT THE PHYSICAL THERAPY. 1393 01:09:56,933 --> 01:09:59,233 I DON'T THINK THAT'S COMPLETELY ACCURATE. 1394 01:09:59,233 --> 01:10:02,400 BECAUSE PHYSICAL THERAPY SAYS YOU'RE STILL NOT 1395 01:10:02,400 --> 01:10:03,667 WALKING WITH THEM. 1396 01:10:03,667 --> 01:10:06,367 AND THERE IS NO REASON FOR THAT OTHER THAN 1397 01:10:06,367 --> 01:10:08,567 YOU CHOOSING TO BE LAZY. 1398 01:10:08,567 --> 01:10:10,933 I'VE BEEN UNDER THE WEATHER, SO... 1399 01:10:10,933 --> 01:10:13,533 I'VE BEEN LIKE, KIND OF, LIKE, MORE WEAK. 1400 01:10:13,533 --> 01:10:16,367 SO IT'S TIME TO STOP WITH THE EXCUSES. 1401 01:10:16,367 --> 01:10:18,867 YOU'RE STARTING TO RUN TO FOOD AGAIN. 1402 01:10:18,867 --> 01:10:23,233 YOU'RE STILL NOT WALKING, AND YOU'RE LYING TO ME. 1403 01:10:23,233 --> 01:10:25,167 MM-HMM. 1404 01:10:25,167 --> 01:10:27,700 IF WE DON'T GET AHEAD OF THESE ISSUES, 1405 01:10:27,700 --> 01:10:31,400 THEN YOU'LL HAVE NO WEIGHT LOSS THE NEXT MONTH. 1406 01:10:31,400 --> 01:10:33,967 SO I'M MAKING AN APPOINTMENT FOR YOU 1407 01:10:33,967 --> 01:10:35,467 TO START PSYCHOTHERAPY. 1408 01:10:35,467 --> 01:10:36,933 OKAY. 1409 01:10:36,933 --> 01:10:40,867 SO WE CAN START TO GET AT SOME THESE UNDERLINED ISSUES. 1410 01:10:40,867 --> 01:10:43,300 DO YOU UNDERSTAND? 1411 01:10:43,300 --> 01:10:46,833 OKAY, AND BY YOUR NEXT APPOINTMENT, 1412 01:10:46,833 --> 01:10:50,000 I WANT YOU WALKING AND DOWN 60 POUNDS. 1413 01:10:50,000 --> 01:10:51,500 OKAY. 1414 01:10:51,500 --> 01:10:53,800 ALL RIGHT, SUPER. 1415 01:10:53,800 --> 01:10:57,900 ** 1416 01:10:57,900 --> 01:11:02,667 KARINA'S PATTERN SEEMS TO BE THAT SHE STAYED DETERMINED 1417 01:11:02,667 --> 01:11:07,067 FOR A WHILE AND THEN SHE STARTS GIVING IN TO HER EMOTIONS 1418 01:11:07,067 --> 01:11:10,400 AND STARTS MAKING EXCUSES. 1419 01:11:10,400 --> 01:11:14,500 HER FAMILY DOESN'T SEEM TO OFFER HER MUCH SUPPORT. 1420 01:11:14,500 --> 01:11:17,600 AND THE LACK OF SUPPORT IS A FACTOR 1421 01:11:17,600 --> 01:11:21,167 THAT PLAYS INTO HER EMOTIONAL STATE. 1422 01:11:21,167 --> 01:11:23,233 AND WE NEED TO CHANGE THAT. 1423 01:11:23,233 --> 01:11:25,233 ** 1424 01:11:25,233 --> 01:11:28,667 Karina: I KNOW DR. NOW WAS DISAPPOINTED IN ME. 1425 01:11:28,667 --> 01:11:31,200 AND I KNOW THAT I REALLY NEED TO GET UP AND WALK. 1426 01:11:31,200 --> 01:11:33,533 IF DR. NOW THINKS THAT SEEING A THERAPIST 1427 01:11:33,533 --> 01:11:36,300 WILL HELP ME TO DO THAT, I'M WILLING TO DO IT. 1428 01:11:36,300 --> 01:11:39,200 ** 1429 01:11:39,200 --> 01:11:43,800 I WANT TO PROVE EVERYONE WRONG. 1430 01:11:43,800 --> 01:11:45,567 NOBODY BELIEVES IN ME. 1431 01:11:45,567 --> 01:11:48,167 AND I'M GOING TO DO WHATEVER IT TAKES 1432 01:11:48,167 --> 01:11:50,267 TO SHOW THEM I CAN DO THIS. 1433 01:11:50,267 --> 01:11:54,367 ** 1434 01:11:54,367 --> 01:11:58,500 ** 1435 01:11:58,500 --> 01:12:02,667 ** 1436 01:12:02,667 --> 01:12:05,467 TODAY, I'M HEADED TO SEE A THERAPIST. 1437 01:12:05,467 --> 01:12:07,400 DR. NOW THINKS I HAVE ISSUES 1438 01:12:07,400 --> 01:12:09,967 THAT ARE HOLDING ME BACK FROM WALKING. 1439 01:12:09,967 --> 01:12:12,700 ** 1440 01:12:12,700 --> 01:12:15,833 I'VE NEVER REALLY DONE ANYTHING LIKE THIS. 1441 01:12:15,833 --> 01:12:19,133 ** 1442 01:12:19,133 --> 01:12:22,100 SO I JUST DON'T KNOW WHAT TO EXPECT. 1443 01:12:22,100 --> 01:12:25,867 ** 1444 01:12:25,867 --> 01:12:29,767 I'M JUST HOPING IT'S NOT GOING TO BE WEIRD OR UNCOMFORTABLE. 1445 01:12:29,767 --> 01:12:32,900 ** 1446 01:12:32,900 --> 01:12:34,167 -GOOD MORNING, KARINA. -GOOD MORNING. 1447 01:12:34,167 --> 01:12:35,933 -NICE TO MEET YOU. -NICE TO MEET YOU. 1448 01:12:35,933 --> 01:12:36,867 -YOU READY TO COME ON BACK? -MM-HMM. 1449 01:12:36,867 --> 01:12:40,233 OKAY. 1450 01:12:40,233 --> 01:12:44,767 YOU CAN GO RIGHT OVER HERE. 1451 01:12:44,767 --> 01:12:48,300 SO, WELCOME. 1452 01:12:48,300 --> 01:12:49,667 I'M GONNA GET STARTED BY 1453 01:12:49,667 --> 01:12:51,867 JUST KIND OF ME GETTING TO KNOW YOU A LITTLE BIT BETTER. 1454 01:12:51,867 --> 01:12:53,100 -OKAY. -OKAY. 1455 01:12:53,100 --> 01:12:56,067 SO TELL ME ABOUT YOUR BACKGROUND WITH YOUR FAMILY. 1456 01:12:56,067 --> 01:12:58,867 UM, I WAS MORE CLOSER TO MY GRANDPARENTS 1457 01:12:58,867 --> 01:13:01,133 THAN TO MY PARENTS 'CAUSE MY PARENTS WERE ALWAYS WORKING. 1458 01:13:01,133 --> 01:13:04,400 AND MY SISTER WAS ALWAYS -- SHE WAS THE POPULAR ONE. 1459 01:13:04,400 --> 01:13:06,467 SHE WAS MORE WITH THE FRIENDS THAN WITH ME. 1460 01:13:06,467 --> 01:13:10,100 OKAY. I KNOW THAT YOU WERE DEALING WITH SOME ASTHMA. 1461 01:13:10,100 --> 01:13:12,933 TELL ME ABOUT THAT WHOLE PROCESS. 1462 01:13:12,933 --> 01:13:14,733 WHEN I WAS ALMOST LIKE AN INFANT, 1463 01:13:14,733 --> 01:13:16,167 I WAS IN AND OUT OF HOSPITALS. 1464 01:13:16,167 --> 01:13:18,400 -OKAY. -I DO REMEMBER THAT. 1465 01:13:18,400 --> 01:13:21,867 AND I DO REMEMBER MY MOM ALWAYS BEING THERE. 1466 01:13:21,867 --> 01:13:23,800 AND AS I GOT OLDER, 1467 01:13:23,800 --> 01:13:27,200 MY ASTHMA JUST KIND OF, LIKE, WENT AWAY OR... 1468 01:13:27,200 --> 01:13:29,333 OKAY. THAT OFTEN HAPPENS WITH KIDS. 1469 01:13:29,333 --> 01:13:32,467 HOW DID THAT CHANGE IN TERMS OF THE ATTENTION FROM YOUR MOM? 1470 01:13:32,467 --> 01:13:35,067 PROBABLY, I MEAN, 'CAUSE SHE WAS ALWAYS MORE WORKING NOW. 1471 01:13:35,067 --> 01:13:36,300 OKAY. 1472 01:13:36,300 --> 01:13:39,133 SO WHAT I SEE A LOT WITH KIDS AND WITH ADULTS 1473 01:13:39,133 --> 01:13:41,067 IS THAT WHEN THEY'VE GONE THROUGH A PROCESS 1474 01:13:41,067 --> 01:13:44,233 OF HAVING A CHRONIC MEDICAL CONDITION, 1475 01:13:44,233 --> 01:13:46,767 THEY DO GET A LOT OF ATTENTION FROM PARENTS. 1476 01:13:46,767 --> 01:13:48,467 BUT THEN AS THEY START TO FEEL BETTER, 1477 01:13:48,467 --> 01:13:50,467 THE RELATIONSHIP CHANGES. 1478 01:13:50,467 --> 01:13:53,433 AND SOMETIMES, PEOPLE START FINDING OTHER WAYS 1479 01:13:53,433 --> 01:13:56,167 SO THAT THEY CAN REGAIN THAT RELATIONSHIP. 1480 01:13:56,167 --> 01:13:58,800 HMM, I DIDN'T, WHEN I WAS LITTLE, 1481 01:13:58,800 --> 01:14:00,500 I DIDN'T THINK I WASN'T GETTING THE ATTENTION 1482 01:14:00,500 --> 01:14:02,267 OR ANYTHING LIKE THAT. OKAY. 1483 01:14:02,267 --> 01:14:05,467 IT CAN HAPPEN SOMETIMES IN A VERY DEEPLY UNCONSCIOUS WAY, 1484 01:14:05,467 --> 01:14:07,500 SO IT'S SOMETHING TO KIND OF PAY ATTENTION TO. 1485 01:14:07,500 --> 01:14:10,467 SO, HOW'S YOUR RELATIONSHIP WITH YOUR SISTER NOW? 1486 01:14:10,467 --> 01:14:14,233 SHE HAS MENTIONED THAT SHE FEELS ANGRY SOMETIMES 1487 01:14:14,233 --> 01:14:16,267 THAT MY PARENTS CAN'T BE THERE FOR HER 1488 01:14:16,267 --> 01:14:18,567 'CAUSE THEIR DEALING WITH ME. HMM. 1489 01:14:18,567 --> 01:14:21,400 SO DO YOU FEEL LIKE RECONNECTING WITH YOUR SISTER 1490 01:14:21,400 --> 01:14:23,800 IN A POSITIVE WAY IS SOMETHING THAT WOULD BE HELPFUL FOR YOU? 1491 01:14:23,800 --> 01:14:25,533 I WISH WE COULD BE CLOSER LIKE WE WERE 1492 01:14:25,533 --> 01:14:27,100 WHEN WE WERE YOUNGER. MM-HMM. 1493 01:14:27,100 --> 01:14:29,067 BUT I KNOW IT'S NOT GOING TO HAPPEN RIGHT NOW. 1494 01:14:29,067 --> 01:14:33,067 SO MAYBE A POSSIBLE GOAL IS TO FIND A POSITIVE WAY 1495 01:14:33,067 --> 01:14:34,733 TO RECONNECT WITH YOUR SISTER? 1496 01:14:34,733 --> 01:14:36,167 -MM-HMM. -OKAY. 1497 01:14:36,167 --> 01:14:38,267 ANY FINAL QUESTIONS OR THOUGHTS? 1498 01:14:38,267 --> 01:14:39,200 -NO. -NO, OKAY. 1499 01:14:39,200 --> 01:14:40,600 IT WAS A JOY MEETING YOU. 1500 01:14:40,600 --> 01:14:43,600 I WISH YOU WELL ON YOUR JOURNEY. 1501 01:14:43,600 --> 01:14:45,367 -NICE TO MEET YOU. -NICE TO MEET YOU. 1502 01:14:45,367 --> 01:14:47,133 ALL RIGHT, AFTER YOU. 1503 01:14:47,133 --> 01:14:50,967 ** 1504 01:14:50,967 --> 01:14:55,900 Karina: I WAS NERVOUS COMING IN HERE TODAY, BUT I'M GLAD I DID. 1505 01:14:55,900 --> 01:15:00,267 I SPENT SO MUCH TIME ISOLATING MYSELF FROM THE WORLD. 1506 01:15:00,267 --> 01:15:03,633 SO IT WAS NICE TO HAVE SOMEONE TO TALK TO. 1507 01:15:03,633 --> 01:15:04,800 -BYE. -BYE. 1508 01:15:04,800 --> 01:15:07,500 -THANKS FOR COMING OUT AGAIN. -THANK YOU. 1509 01:15:07,500 --> 01:15:09,933 I DO THINK ABOUT MY PARENTS AND MY SISTER, A LOT. 1510 01:15:09,933 --> 01:15:14,667 AND HOW MUCH MY WEIGHT HAS PUT A STRAIN ON OUR RELATIONSHIPS. 1511 01:15:14,667 --> 01:15:15,933 I DON'T WANT TO BE A BURDEN. 1512 01:15:15,933 --> 01:15:17,933 AND I WANT THEM TO KNOW HOW MUCH I APPRECIATE 1513 01:15:17,933 --> 01:15:21,500 WHAT THEY'VE DONE FOR ME. 1514 01:15:21,500 --> 01:15:24,267 I JUST HOPE I CAN TAKE WHAT WE'VE TALKED ABOUT TODAY 1515 01:15:24,267 --> 01:15:27,633 AND DO SOMETHING WITH IT. 1516 01:15:27,633 --> 01:15:30,067 [ PANTING ] 1517 01:15:30,067 --> 01:15:34,067 ** 1518 01:15:34,067 --> 01:15:38,067 ** 1519 01:15:38,067 --> 01:15:42,100 ** 1520 01:15:42,100 --> 01:15:44,067 -HI, MIJA. -HEY. 1521 01:15:44,067 --> 01:15:45,067 WHAT ARE YOU DOING? 1522 01:15:45,067 --> 01:15:47,367 JUST WRITING SOME STUFF DOWN. 1523 01:15:47,367 --> 01:15:49,267 SINCE SEEING THE THERAPIST, 1524 01:15:49,267 --> 01:15:52,100 I'VE DECIDED THAT I NEED TO START DOING MORE. 1525 01:15:52,100 --> 01:15:57,433 SO I'VE STARTED A JOURNAL, AND IT FEELS LIKE IT'S HELPING. 1526 01:15:57,433 --> 01:16:03,233 BUT I REALIZED THIS HAS TO JUST TO BE A STARTING POINT. 1527 01:16:03,233 --> 01:16:05,767 SO I KNOW I'M GONNA HAVE TO START TALKING ABOUT 1528 01:16:05,767 --> 01:16:08,567 SOME OF IT TO MY FAMILY. 1529 01:16:08,567 --> 01:16:12,067 ** 1530 01:16:12,067 --> 01:16:15,367 IT'S BEEN A LONG PATH THIS YEAR. 1531 01:16:15,367 --> 01:16:17,800 YOU KNOW I'M VERY GRATEFUL THAT YOU GUYS HAVE BEEN THERE 1532 01:16:17,800 --> 01:16:20,067 WITH ME THROUGH THE WHOLE PROCESS OF EVERYTHING 1533 01:16:20,067 --> 01:16:23,333 SINCE MY ACCIDENT AND THEN THROUGH THE SURGERY 1534 01:16:23,333 --> 01:16:24,267 AND THROUGH EVERYTHING. 1535 01:16:24,267 --> 01:16:26,333 HOPEFULLY, I WASN'T MUCH OF... 1536 01:16:28,267 --> 01:16:30,067 ...HAVING ME AROUND THAT MUCH, RIGHT NOW. 1537 01:16:30,067 --> 01:16:34,467 WHAT CAN WE TELL YOU MIJA, I MEAN, YOU'RE OUR DAUGHTER. 1538 01:16:34,467 --> 01:16:36,500 YEAH. 1539 01:16:36,500 --> 01:16:39,533 BUT I KNOW I TOOK A LOT OF YOUR TIME 1540 01:16:39,533 --> 01:16:40,933 THAT YOU COULD BE DOING SOMETHING ELSE. 1541 01:16:40,933 --> 01:16:44,367 AND I JUST WANT TO SAY THANK YOU. 1542 01:16:44,367 --> 01:16:48,267 YOU'RE QUITE WELCOME. 1543 01:16:48,267 --> 01:16:51,067 I FEEL GOOD RIGHT NOW. 1544 01:16:51,067 --> 01:16:53,100 I THINK TALKING WITH MY PARENTS WENT WELL, 1545 01:16:53,100 --> 01:16:56,267 AND I FEEL LIKE THEY'RE PROUD OF ME. 1546 01:16:56,267 --> 01:16:58,467 BUT I STILL NEED TO START TALKING TO MY SISTER 1547 01:16:58,467 --> 01:17:01,867 ABOUT SOME OF THE ISSUES WE'VE HAD. 1548 01:17:01,867 --> 01:17:03,800 AND THAT'S MAKING ME NERVOUS. 1549 01:17:03,800 --> 01:17:05,733 [ KETTLE WHISTLING ] 1550 01:17:05,733 --> 01:17:09,067 I SEE DR. NOW AGAIN SOON. 1551 01:17:09,067 --> 01:17:11,200 SO I'M TRYING HARD TO DO EVERYTHING I CAN 1552 01:17:11,200 --> 01:17:13,167 TO CHANGE THINGS AND DEAL WITH WHAT I NEED 1553 01:17:13,167 --> 01:17:14,867 TO STAY ON TRACK. 1554 01:17:14,867 --> 01:17:19,433 AND I'M REALLY HOPING THAT I HIT MY WEIGHT LOSS GOAL. 1555 01:17:19,433 --> 01:17:22,067 BECAUSE I NEED HIS HELP, AND I DON'T WANT TO LOSE IT. 1556 01:17:22,067 --> 01:17:26,567 ** 1557 01:17:26,567 --> 01:17:31,067 ** 1558 01:17:31,067 --> 01:17:35,600 ** 1559 01:17:35,600 --> 01:17:39,867 I'M HEADED TO MY NEXT APPOINTMENT WITH DR. NOW. 1560 01:17:39,867 --> 01:17:42,533 AND I'M REALLY NERVOUS. 1561 01:17:42,533 --> 01:17:44,667 LAST TIME DIDN'T GO SO WELL. 1562 01:17:44,667 --> 01:17:46,600 SO I'M HOPING TODAY GOES BETTER 1563 01:17:46,600 --> 01:17:49,433 AND THAT I HIT DR. NOW'S GOAL. 1564 01:17:49,433 --> 01:17:52,067 ** 1565 01:17:52,067 --> 01:17:57,633 BECAUSE I KNOW IF I DIDN'T, IT'S NOT GOING TO BE GOOD. 1566 01:17:57,633 --> 01:17:59,400 I'VE STARTED STANDING AND TRYING TO GET UP 1567 01:17:59,400 --> 01:18:01,933 A LITTLE BIT AT A TIME. 1568 01:18:01,933 --> 01:18:07,633 I JUST HOPE IT'S ENOUGH FOR DR. NOW. 1569 01:18:07,633 --> 01:18:09,667 I KNOW THAT EVERYTHING IS DEPENDING 1570 01:18:09,667 --> 01:18:11,967 ON THIS WEIGH IN TODAY. 1571 01:18:11,967 --> 01:18:15,400 ** 1572 01:18:15,400 --> 01:18:18,867 ** 1573 01:18:18,867 --> 01:18:20,867 KARINA GARCIA? 1574 01:18:20,867 --> 01:18:25,200 AND IF I'M NOT LOSING LIKE I NEED OR IF I'M GAINING, 1575 01:18:25,200 --> 01:18:27,167 THEN I'M LIKELY GOING TO LOSE 1576 01:18:27,167 --> 01:18:29,333 ALL OF DR. NOW'S HELP. 1577 01:18:29,333 --> 01:18:31,633 ** 1578 01:18:31,633 --> 01:18:34,367 SO I'M HOPING THAT THE NUMBER IS AT LEAST CLOSE 1579 01:18:34,367 --> 01:18:37,133 BECAUSE I DON'T WANT TO GIVE UP. 1580 01:18:37,133 --> 01:18:41,067 I WANT MY LIFE BACK, AND THIS IS MY LAST CHANCE TO GET IT. 1581 01:18:47,667 --> 01:18:52,067 ** 1582 01:18:52,067 --> 01:18:56,367 ** 1583 01:18:56,367 --> 01:19:02,100 Karina: I'M AT DR. NOW'S FOR MY WEIGHT CHECK. 1584 01:19:02,100 --> 01:19:04,933 HE TOLD ME I HAD TO LOSE 60 POUNDS BY THIS VISIT 1585 01:19:04,933 --> 01:19:07,067 IF I WANTED TO STAY ON TRACK. 1586 01:19:07,067 --> 01:19:11,433 SO THAT MEANS I NEED TO AT LEAST BE DOWN TO 427. 1587 01:19:11,433 --> 01:19:13,267 427. 1588 01:19:13,267 --> 01:19:15,333 -HMM, 427. -[ LAUGHING ] 1589 01:19:15,333 --> 01:19:17,567 -WOW. -LOOK AT YOU. 1590 01:19:17,567 --> 01:19:20,667 [ PANTING ] 1591 01:19:20,667 --> 01:19:23,767 I WAS SURPRISED THAT I LOST THAT MUCH WEIGHT. 1592 01:19:23,767 --> 01:19:27,300 I'M LIKE, STILL IN SHOCK. 1593 01:19:27,300 --> 01:19:30,400 I KNOW MY PARENTS ARE PROUD THAT I'M STICKING TO THE DIET 1594 01:19:30,400 --> 01:19:32,067 AND I'M CONTINUALLY LOSING WEIGHT 1595 01:19:32,067 --> 01:19:34,700 BECAUSE THEY WANT TO SEE ME BE A MORE PRODUCTIVE PERSON 1596 01:19:34,700 --> 01:19:38,700 AND THEY'RE SEEING THAT. AND I'M HAPPY. 1597 01:19:38,700 --> 01:19:41,067 [ KNOCKS ON DOOR ] 1598 01:19:41,067 --> 01:19:42,200 -HELLO. -HELLO. 1599 01:19:42,200 --> 01:19:43,867 -HELLO, DOCTOR. -HOW Y'ALL DOING? 1600 01:19:43,867 --> 01:19:45,233 FINE AND YOU? 1601 01:19:45,233 --> 01:19:46,633 ALL RIGHT. 1602 01:19:46,633 --> 01:19:50,233 SO YOU'RE DONE TO 427 POUNDS. 1603 01:19:50,233 --> 01:19:55,067 YOU TOOK ME VERY LITERALLY AND LOST EXACTLY 60 POUNDS, HUH? 1604 01:19:55,067 --> 01:19:56,200 YES, SIR. 1605 01:19:56,200 --> 01:19:58,733 WELL, GREAT JOB, YOU'RE BACK ON TRACK. 1606 01:19:58,733 --> 01:20:01,767 AND OVERALL, YOU'VE LOST 206 POUNDS 1607 01:20:01,767 --> 01:20:05,800 AND PHYSICAL THERAPY SAYS YOU STARTED TO JUST BARELY 1608 01:20:05,800 --> 01:20:06,733 WALK AGAIN. 1609 01:20:06,733 --> 01:20:09,000 NOT FULLY, BUT YOU STARTED FINE. 1610 01:20:09,000 --> 01:20:10,300 SO THAT'S EXCELLENT. 1611 01:20:10,300 --> 01:20:12,300 I'VE BEEN FOLLOWING YOUR ORDERS. 1612 01:20:12,300 --> 01:20:13,767 HOW DO YOU FEEL NOW? 1613 01:20:13,767 --> 01:20:15,933 LIGHTER AND HAPPY THAT I'M DOWN THAT MUCH WEIGHT. 1614 01:20:15,933 --> 01:20:19,133 SO NEXT TIME I SEE YOU, I WANT YOU TO WALK IN 1615 01:20:19,133 --> 01:20:21,633 AND NOT TO BE IN WHEELCHAIR ANYMORE, OKAY? 1616 01:20:21,633 --> 01:20:22,567 ALL RIGHT. 1617 01:20:22,567 --> 01:20:24,000 SHE DOING BETTER AT HOME? 1618 01:20:24,000 --> 01:20:27,133 YEAH, SHE DOES. VERY HAPPY THAT SHE'S LOSING THE WEIGHT. 1619 01:20:27,133 --> 01:20:30,433 THIS IS LIKE A MIRACLE. THANK YOU VERY MUCH, DOCTOR. 1620 01:20:30,433 --> 01:20:32,367 YOU'RE MORE THAN WELCOME. 1621 01:20:32,367 --> 01:20:35,967 I'M VERY HAPPY TO SEE KARINA IS BACK ON TRACK. 1622 01:20:35,967 --> 01:20:38,567 SHE HAD A SETBACK, BUT SHE PUSHED THROUGH, 1623 01:20:38,567 --> 01:20:42,633 AND SHE'S SHOWING US ALL SHE CAN DO IS JUST LIKE SHE SAID. 1624 01:20:42,633 --> 01:20:45,267 HER FAMILY SEEMS TO BE COMING AROUND. 1625 01:20:45,267 --> 01:20:49,167 AND IF THEY CAN START TO BE THAT EMOTIONAL SUPPORT FOR HER, 1626 01:20:49,167 --> 01:20:51,300 THAT'S GOING TO HELP EVEN MORE. 1627 01:20:51,300 --> 01:20:54,533 SO I'M VERY ENCOURAGED BY HER TODAY. 1628 01:20:54,533 --> 01:20:56,067 SO IF YOU STICK WITH IT, 1629 01:20:56,067 --> 01:20:58,700 WITH SOME SKIN REMOVAL SURGERIES, 1630 01:20:58,700 --> 01:21:01,967 YOU CAN BE AT YOUR TARGET WEIGHT OF 170 1631 01:21:01,967 --> 01:21:03,767 WITHIN THE NEXT YEAR. 1632 01:21:03,767 --> 01:21:06,167 SO DON'T LOSE FOCUS, OKAY? 1633 01:21:06,167 --> 01:21:07,100 OKAY. 1634 01:21:07,100 --> 01:21:08,967 I'M PROUD OF YOUR EFFORT. 1635 01:21:08,967 --> 01:21:11,600 AND STICK WITH IT. NICE TO SEE YOU ALL AGAIN. 1636 01:21:11,600 --> 01:21:13,233 BYE. 1637 01:21:13,233 --> 01:21:17,133 ** 1638 01:21:17,133 --> 01:21:19,733 OKAY, LET'S... 1639 01:21:19,733 --> 01:21:21,700 LET'S GET UP AND LET'S GO. 1640 01:21:21,700 --> 01:21:25,367 ** 1641 01:21:25,367 --> 01:21:29,767 I'M SO IN SHOCK THAT ALL THIS WEIGHT I HAVE LOST. 1642 01:21:29,767 --> 01:21:32,800 I'M JUST PROUD OF MYSELF THAT I'M SHOWING THE DOCTOR 1643 01:21:32,800 --> 01:21:34,300 THAT I WAS GONNA STICK TO THE DIET 1644 01:21:34,300 --> 01:21:36,067 AND I WAS GONNA FOLLOW WHAT HE SAID. 1645 01:21:36,067 --> 01:21:40,700 AND I DID IT. SO I'M HAPPY THAT HE'S PROUD. 1646 01:21:40,700 --> 01:21:42,667 THE DOCTOR SAID MY GOAL WEIGHT'S 170. 1647 01:21:42,667 --> 01:21:45,867 AND IT'S STILL HARD FOR ME TO BELIEVE. 1648 01:21:45,867 --> 01:21:47,300 I KNOW I'M HEADING THAT WAY, 1649 01:21:47,300 --> 01:21:51,867 AND I'M THRILLED WITH EVERYTHING THAT'S HAPPENING. 1650 01:21:51,867 --> 01:21:54,667 IT'S BEEN A LONG ROAD AND A SACRIFICE. 1651 01:21:54,667 --> 01:21:56,667 BUT IT'S JUST A SACRIFICE THAT I HAVE TO DO 1652 01:21:56,667 --> 01:21:59,200 IF I WANT TO HAVE THE LIFE I WANT TO HAVE. 1653 01:21:59,200 --> 01:22:04,100 ** 1654 01:22:04,100 --> 01:22:09,767 ** 1655 01:22:09,767 --> 01:22:13,567 I'M PROUD OF MYSELF FOR HOW FAR I'M COMING. 1656 01:22:13,567 --> 01:22:17,267 AND I'M PUSHING MYSELF TO GO EVEN FURTHER. 1657 01:22:17,267 --> 01:22:19,333 I KNOW THAT MEANS I STILL HAVE TO KEEP DEALING 1658 01:22:19,333 --> 01:22:22,067 WITH THE EMOTIONAL STUFF IN ME, TOO. 1659 01:22:22,067 --> 01:22:26,267 SO TODAY, I'M PLANNING ON TRYING TO TALK TO MY SISTER. 1660 01:22:26,267 --> 01:22:27,867 BECAUSE MY SISTER HAS ALWAYS BEEN THE ONE 1661 01:22:27,867 --> 01:22:30,567 WHO'S THE HARDEST ON ME. 1662 01:22:30,567 --> 01:22:32,733 AND I KNOW IT'S BECAUSE OF ALL THE FRUSTRATION 1663 01:22:32,733 --> 01:22:35,500 AND BITTERNESS SHE HAS FROM HOW MUCH THE FAMILY 1664 01:22:35,500 --> 01:22:37,900 HAS HAD TO TAKE CARE OF ME AND ALL THE ATTENTION 1665 01:22:37,900 --> 01:22:40,200 I TOOK WITH THAT. 1666 01:22:40,200 --> 01:22:42,133 -HEY. -HEY. 1667 01:22:42,133 --> 01:22:44,933 -WHAT ARE YOU DOING? -LAUNDRY. 1668 01:22:44,933 --> 01:22:46,667 OH, WHERE'S MOMMY? 1669 01:22:46,667 --> 01:22:49,867 IN HER ROOM WITH PAPI. THEY ARE BOTH UNDER THE WEATHER. 1670 01:22:49,867 --> 01:22:50,700 OH, THEY ARE? 1671 01:22:50,700 --> 01:22:51,633 YEAH. 1672 01:22:51,633 --> 01:22:53,233 LET'S GO TO THE OTHER ROOM. 1673 01:22:53,233 --> 01:22:54,067 YOU GOT IT? 1674 01:22:54,067 --> 01:22:55,500 YEAH. 1675 01:22:55,500 --> 01:22:58,167 AND THERE'S A PART OF ME THAT UNDERSTANDS HER FRUSTRATION 1676 01:22:58,167 --> 01:23:00,133 AND CONCERN WITH ME. 1677 01:23:00,133 --> 01:23:04,833 BUT THERE'S ALSO A PART OF ME THAT GETS SO HURT BY THAT. 1678 01:23:04,833 --> 01:23:07,633 AND IT'S HARD NOT TO BE NERVOUS RIGHT NOW. 1679 01:23:07,633 --> 01:23:10,867 ** 1680 01:23:10,867 --> 01:23:13,667 SO HOW HAVE YOU BEEN? I HAVEN'T REALLY TALKED TO YOU 1681 01:23:13,667 --> 01:23:15,733 SINCE THE WHOLE SURGERY THING. 1682 01:23:15,733 --> 01:23:17,233 I'M DOING MUCH BETTER. 1683 01:23:17,233 --> 01:23:20,100 I MEAN I'M ABLE TO MOVE MORE THAN USUAL. 1684 01:23:20,100 --> 01:23:21,700 WELL, THAT'S GOOD. 1685 01:23:21,700 --> 01:23:23,867 WHEN ARE YOU GONNA PHYSICALLY BE ABLE 1686 01:23:23,867 --> 01:23:26,200 TO START WALKING WITHOUT A WHEELCHAIR? 1687 01:23:26,200 --> 01:23:28,967 HOPEFULLY IN A MONTH OR TWO. 1688 01:23:28,967 --> 01:23:32,433 IS THAT LIKE YOUR GOAL, OR IS THAT WHAT THEY TOLD YOU? 1689 01:23:32,433 --> 01:23:33,933 THAT'S MY GOAL. 1690 01:23:33,933 --> 01:23:35,467 ONE THING IS SETTING GOALS, AND ANOTHER THING IS DOING. 1691 01:23:35,467 --> 01:23:37,467 AND WE ALL SET GOALS. 1692 01:23:37,467 --> 01:23:40,267 BUT WE DON'T ALWAYS ACCOMPLISH EVERY GOAL. 1693 01:23:40,267 --> 01:23:43,600 TRUE. BUT I'M GONNA TRY. 1694 01:23:43,600 --> 01:23:45,700 AND I HOPE WE CAN GET TO A BETTER PLACE 1695 01:23:45,700 --> 01:23:47,467 AS I SHOW YOU THAT I'M CHANGING. 1696 01:23:47,467 --> 01:23:50,400 HOPEFULLY, THAT WILL MAKE OUR RELATIONSHIP BETTER BETWEEN US. 1697 01:23:50,400 --> 01:23:53,867 YEAH. MAYBE WE CAN HANG OUT AND RECONNECT 1698 01:23:53,867 --> 01:23:55,500 AND DO WHATEVER IT IS THAT WE NEED TO DO 1699 01:23:55,500 --> 01:23:57,733 TO BETTER THE RELATIONSHIP. 1700 01:23:57,733 --> 01:24:02,433 I'M VERY HAPPY THAT YOU'RE DOING SOMETHING FOR YOURSELF. 1701 01:24:02,433 --> 01:24:04,500 I'M PROUD. 1702 01:24:04,500 --> 01:24:07,167 I FEEL LIKE THE CONVERSATION WENT WELL. 1703 01:24:07,167 --> 01:24:12,533 IT WASN'T HOW I PICTURED IT, BUT I THINK IT WAS PROGRESS. 1704 01:24:12,533 --> 01:24:14,400 I HAVE TO GO PICK UP THE KIDS. 1705 01:24:14,400 --> 01:24:15,633 OKAY. 1706 01:24:15,633 --> 01:24:17,567 ALL RIGHT, WELL, IT WAS NICE SEEING YOU. 1707 01:24:17,567 --> 01:24:18,367 ALL RIGHT. 1708 01:24:18,367 --> 01:24:20,533 -BYE. -BYE. 1709 01:24:20,533 --> 01:24:22,967 HOPEFULLY, I'LL PROVE TO HER THAT I'M CHANGING 1710 01:24:22,967 --> 01:24:25,200 AND THAT THIS TIME, I'M GOING TO DO IT. 1711 01:24:25,200 --> 01:24:29,967 ** 1712 01:24:29,967 --> 01:24:34,700 ** 1713 01:24:34,700 --> 01:24:39,467 ** 1714 01:24:39,467 --> 01:24:42,800 I'M EXCITED BECAUSE I FINALLY MADE IT BELOW 400 POUNDS 1715 01:24:42,800 --> 01:24:44,800 AND, SO, TODAY, I'M CELEBRATING 1716 01:24:44,800 --> 01:24:48,867 BY MOVING FROM THE LIVING ROOM TO A BEDROOM. 1717 01:24:48,867 --> 01:24:51,433 I HAVEN'T BEEN IN A BEDROOM IN YEARS. 1718 01:24:51,433 --> 01:24:55,367 AND THAT'S BEEN PART OF THE BURDEN TO MY FAMILY. 1719 01:24:55,367 --> 01:24:59,067 SO I'M TAKING THE STEP TO CHANGE THAT TODAY. 1720 01:24:59,067 --> 01:25:03,500 AND I'M ABLE TO GET AROUND IN A WALKER NOW. 1721 01:25:03,500 --> 01:25:08,067 SO I FINALLY FEEL LIKE I'M NO LONGER STUCK IN THIS HOUSE. 1722 01:25:08,067 --> 01:25:09,867 I'M NOT OUT IN THE WORLD YET. 1723 01:25:09,867 --> 01:25:12,833 BUT WITH ALL MY PROGRESS, I FINALLY BELIEVE 1724 01:25:12,833 --> 01:25:17,300 THAT I'M GOING TO DO THIS AND THAT I'M GETTING BACK OUT THERE. 1725 01:25:17,300 --> 01:25:19,667 I MISSED OUT ON TOO MUCH. 1726 01:25:19,667 --> 01:25:22,600 AND I FINALLY CHANGED THAT. 1727 01:25:22,600 --> 01:25:25,233 I'M EXCITED ABOUT WHAT TOMORROW HOLDS 1728 01:25:25,233 --> 01:25:27,400 BECAUSE FOR THE FIRST TIME IN A LONG WHILE, 1729 01:25:27,400 --> 01:25:29,167 I ACTUALLY HAVE A FUTURE. 1730 01:25:29,167 --> 01:25:31,867 SO I HAVE HOPE, AND THAT'S AN AMAZING FEELING. 1730 01:25:32,305 --> 01:26:32,250 Support us and become VIP member to remove all ads from www.OpenSubtitles.org