1 00:00:03,413 --> 00:00:07,137 ♪♪ 2 00:00:07,137 --> 00:00:11,586 Woman: SOME DAYS, I FEEL LIKE A TICKING TIME BOMB. 3 00:00:11,586 --> 00:00:13,310 Woman: I'M JUST HORRIFIED BY WHAT I LOOK LIKE. 4 00:00:13,310 --> 00:00:15,931 IT'S JUST A BLOB OF FAT. 5 00:00:15,931 --> 00:00:18,896 Woman: WHEN I LOOK IN THE MIRROR, I SEE A MONSTER. 6 00:00:18,896 --> 00:00:21,482 Woman: I HAVE TO BE CLEANED OUTSIDE LIKE AN ANIMAL, 7 00:00:21,482 --> 00:00:23,655 AND IT'S VERY EMBARRASSING. 8 00:00:23,655 --> 00:00:26,379 ♪♪ 9 00:00:26,379 --> 00:00:28,689 I KNOW I DON'T HAVE MUCH TIME LEFT 10 00:00:28,689 --> 00:00:31,103 IF I DON'T TAKE DRASTIC ACTION. 11 00:00:31,103 --> 00:00:34,000 -I LOVE Y'ALL. -Children: LOVE YOU, TOO. 12 00:00:34,000 --> 00:00:44,034 ♪♪ 13 00:00:44,034 --> 00:00:47,241 Woman: I FEEL LIKE I'M TAKING BACK CONTROL OF MY LIFE. 14 00:00:47,241 --> 00:00:48,586 LOOK AT THAT! 15 00:00:48,586 --> 00:00:49,965 Woman: IT JUST GIVES ME MOTIVATION TO MOVE FORWARD, 16 00:00:49,965 --> 00:00:52,724 TO KNOW THAT I CANDO THIS. -Man: I FEEL GREAT. 17 00:00:52,724 --> 00:00:54,620 EVERY DAY IS SOMETHING NEW. 18 00:00:54,620 --> 00:00:57,896 ♪♪ 19 00:00:57,896 --> 00:01:00,103 Woman: I'VE GOT A NEW LIFE, AND I CAN'T WAIT TO SEE 20 00:01:00,103 --> 00:01:02,172 WHERE IT TAKES ME NEXT. 21 00:01:02,172 --> 00:01:05,379 Woman: I'M THANKFUL AND EXCITED ABOUT THE FUTURE. 22 00:01:05,379 --> 00:01:08,137 Woman: AND WE AREN'T GONNA STOP ANY TIME SOON. 23 00:01:08,137 --> 00:01:12,482 ♪♪ 24 00:01:12,482 --> 00:01:14,000 Doug: I FEEL LIKE I'M ON THE RIGHT TRACK NOW 25 00:01:14,000 --> 00:01:15,758 AND I FEEL GOOD. 26 00:01:15,758 --> 00:01:19,034 --Captions by VITAC-- www.vitac.com 27 00:01:19,034 --> 00:01:20,862 ♪♪ 28 00:01:20,862 --> 00:01:23,724 Doug: I DREAD GETTING UP IN THE MORNING. 29 00:01:23,724 --> 00:01:25,068 I CAN BARELY MOVE, 30 00:01:25,068 --> 00:01:28,379 AND MY WHOLE BODY JUST ACHES LIKE I'M GOING TO DIE. 31 00:01:28,379 --> 00:01:30,413 Ashley: [ Crying ] HE'S TRAPPED IN HIS BODY, 32 00:01:30,413 --> 00:01:34,137 AND THAT MAKES ME FEEL INCREDIBLY SAD. 33 00:01:34,137 --> 00:01:38,379 ♪♪ 34 00:01:38,379 --> 00:01:40,413 Doug: THE FACT THAT I CAN'T DO ANYTHING 35 00:01:40,413 --> 00:01:42,275 MAKES ASHLEY FRUSTRATED, 36 00:01:42,275 --> 00:01:45,931 BECAUSE I CAN'T TAKE CARE OF MY FAMILY LIKE THEY NEED. 37 00:01:45,931 --> 00:01:48,655 THE ONLY THING I'M GOOD FOR IS GETTING FOOD. 38 00:01:48,655 --> 00:01:51,413 IT'S HARD TO GO OUT, BUT I KNOW IT'S MY CHANCE 39 00:01:51,413 --> 00:01:53,620 TO SNEAK AN EXTRA MEAL. 40 00:01:53,620 --> 00:01:56,241 Ashley: I CAN'T PROVE IT, BUT I KNOW THAT HE EATS FOOD 41 00:01:56,241 --> 00:01:57,586 WHEN I'M NOT AROUND. 42 00:01:57,586 --> 00:01:59,793 I CAN'T STOP THAT. 43 00:01:59,793 --> 00:02:02,068 Doug: I CAN'T KEEP LIVING LIKE THIS. 44 00:02:02,068 --> 00:02:03,586 I FOUND A SURGEON IN HOUSTON, 45 00:02:03,586 --> 00:02:06,137 AND WE'RE LOOKING INTO WEIGHT LOSS SURGERY. 46 00:02:06,137 --> 00:02:09,137 I DON'T KNOW WHAT TO EXPECT, BUT ALL I KNOW IS, 47 00:02:09,137 --> 00:02:13,413 I'M COMMITTED TO DO WHATEVER I HAVE TO, TO LOSE THE WEIGHT. 48 00:02:13,413 --> 00:02:15,241 ♪♪ 49 00:02:15,241 --> 00:02:17,034 I'M SHOCKED RIGHT NOW. 50 00:02:17,034 --> 00:02:19,586 THAT'S A LOT HIGHER THAN I THOUGHT. 51 00:02:19,586 --> 00:02:21,241 YOUR ADDICTION IS FOOD. 52 00:02:21,241 --> 00:02:25,655 YOU NEED TO DEVELOP LONG-TERM HABIT OF USING IT PROPERLY. 53 00:02:25,655 --> 00:02:27,034 WHAT ARE WE LOOKING AT ON CALORIES? 54 00:02:27,034 --> 00:02:28,724 Ashley: 350 CALORIES. 55 00:02:28,724 --> 00:02:32,827 Doug: EVERY DAY, EVERY MINUTE FEELS LIKE A TEST OF MY WILL 56 00:02:32,827 --> 00:02:35,137 AND IT'S HARDER THAN ASHLEY REALIZES, 57 00:02:35,137 --> 00:02:38,931 BECAUSE SHE DOESN'T KNOW HOW MUCH I WAS ACTUALLY EATING. 58 00:02:40,448 --> 00:02:42,689 I'M GLAD TO SEE THAT YOU MADE SOME PROGRESS, 59 00:02:42,689 --> 00:02:44,413 BUT YOU SHOULD HAVE BEEN ABLE TO LOSE 60 00:02:44,413 --> 00:02:46,620 A LOT MORE WEIGHT THIS MONTH. 61 00:02:46,620 --> 00:02:52,241 DOUG IS MOSTLY LIKELY STILL EATING SOME THINGS HE SHOULDN'T. 62 00:02:52,241 --> 00:02:54,586 Doug: NOT GETTING APPROVED FOR WEIGHT LOSS SURGERY 63 00:02:54,586 --> 00:02:56,034 REALLY SCARED ME. 64 00:02:56,034 --> 00:02:59,551 SO I'VE BEEN 100% COMMITTED TO MAKING THIS HAPPEN. 65 00:02:59,551 --> 00:03:03,241 Ashley: HIS RELATIONSHIP WITH THE KIDS IS STARTING TO EVOLVE, 66 00:03:03,241 --> 00:03:06,482 AND IT'S BEEN EXCITING TO WATCH. -[ LAUGHS ] 67 00:03:06,482 --> 00:03:09,724 Doug: ASHLEY FINDS CREATIVE WAYS TO MAKE THE MEALS BIGGER 68 00:03:09,724 --> 00:03:11,379 AND KEEP THE CALORIE COUNTS DOWN. 69 00:03:11,379 --> 00:03:12,965 SEEMS LIKE A LOT FOR 300 CALORIES. 70 00:03:12,965 --> 00:03:14,827 I KNOW, RIGHT? 71 00:03:14,827 --> 00:03:16,931 IF I DON'T HIT MY GOAL THIS TIME, 72 00:03:16,931 --> 00:03:20,068 I MAY BE ABOUT TO LOSE EVERYTHING. 73 00:03:20,068 --> 00:03:21,965 Ashley: OH, MY GOSH! YOU DID IT! 74 00:03:21,965 --> 00:03:25,034 YOU SHOWED ME THAT YOU CAN WORK HARD AT THIS, 75 00:03:25,034 --> 00:03:27,379 SO I'M APPROVING YOU FOR WEIGHT LOSS SURGERY. 76 00:03:27,379 --> 00:03:30,931 -OKAY. [ LAUGHS ] -I DID NOT SEE THAT ONE COMING! 77 00:03:30,931 --> 00:03:33,103 Dr. Nowzaradan: TODAY, WE'RE ATTEMPTING TO PERFORM 78 00:03:33,103 --> 00:03:35,689 A GASTRIC BYPASS SURGERY ON DOUG. 79 00:03:35,689 --> 00:03:38,862 GASTRIC BYPASS IS THE MOST EFFECTIVE WAY 80 00:03:38,862 --> 00:03:42,000 TO TREAT MORBIDLY OBESE PATIENTS. 81 00:03:42,000 --> 00:03:44,413 ALL RIGHT, WE GOT IT. 82 00:03:44,413 --> 00:03:47,827 SURGERY WENT VERY WELL AND EVERYTHING LOOKING GOOD. 83 00:03:47,827 --> 00:03:50,379 THIS IS REALLY JUST THE BEGINNING FOR DOUG. 84 00:03:50,379 --> 00:03:53,551 NOW IT'S TIME TO FACE HIS EMOTIONAL ISSUES 85 00:03:53,551 --> 00:03:56,137 IF HE WANT TO SUCCEED LONG-TERM. 86 00:03:56,137 --> 00:03:58,034 Doug: IT'S BEEN HARDER THAN I EXPECTED. 87 00:03:58,034 --> 00:04:00,517 I CANNOT BELIEVE YOU'RE EATING THAT AS FAST AS YOU ARE. 88 00:04:00,517 --> 00:04:03,034 Doug: SOME OF THE TEMPTATIONS HAVE BEEN COMING BACK, 89 00:04:03,034 --> 00:04:04,965 AND IT SCARES ME WHEN I FEEL THAT DESIRE 90 00:04:04,965 --> 00:04:07,000 TO EAT STUFF I SHOULDN'T. 91 00:04:07,000 --> 00:04:10,689 I SAW DR. NOW A MONTH AGO AND ONLY LOST 12 POUNDS, 92 00:04:10,689 --> 00:04:13,689 SO HE WANTED ME TO DO BETTER THIS MONTH. 93 00:04:13,689 --> 00:04:16,379 TWO MONTHS AFTER SURGERY, YOUR STOMACH IS SO SMALL 94 00:04:16,379 --> 00:04:18,241 THAT YOU CAN'T EAT MUCH OF ANYTHING. 95 00:04:18,241 --> 00:04:22,448 THAT MEANS YOU'RE OVEREATING THROUGHOUT THE WHOLE DAY. 96 00:04:22,448 --> 00:04:25,655 DOUG'S COMPLETELY GIVEN IN TO HIS CRAVINGS, 97 00:04:25,655 --> 00:04:27,965 SO I'M GOING TO SEND HIM TO A THERAPIST 98 00:04:27,965 --> 00:04:32,689 SO HE CAN ADDRESS THE CORE ISSUES DRIVING HIM TO EAT. 99 00:04:32,689 --> 00:04:35,517 Doug: ONCE I GOT THE SURGERY, I THOUGHT ALL THE TEMPTATION 100 00:04:35,517 --> 00:04:38,034 AND CRAVINGS WERE BEHIND ME. 101 00:04:38,034 --> 00:04:39,965 I HAVE TO FIGURE THIS OUT. 102 00:04:39,965 --> 00:04:43,000 SO RIGHT AROUND THE TIME WHEN YOUR MOM LEFT, 103 00:04:43,000 --> 00:04:46,034 YOU CAN RECALL NEEDING ORDER IN YOUR LIFE. 104 00:04:46,034 --> 00:04:48,965 I DON'T GENERALLY SEE A CORRELATION. 105 00:04:48,965 --> 00:04:53,413 WRITE A LETTER TO YOUR MOTHER TO GET THOSE THINGS OUT. 106 00:04:53,413 --> 00:04:56,172 Doug: WHEN MY MOM WENT AWAY, IT LEFT SO MANY QUESTIONS 107 00:04:56,172 --> 00:04:58,034 AND EMOTIONS RUNNING THROUGH ME, 108 00:04:58,034 --> 00:05:02,448 AND IT LED ME DOWN A PATH WHERE I ALMOST GOT TO 700 POUNDS. 109 00:05:02,448 --> 00:05:07,758 ♪♪ 110 00:05:07,758 --> 00:05:10,482 MY WHOLE LIFE, I NEVER KNEW WHY MY MOM LEFT, 111 00:05:10,482 --> 00:05:12,724 AND HEARING THAT THE REASON WASN'T ME 112 00:05:12,724 --> 00:05:15,758 HAS BEEN SOMETHING I'VE WANTED TO HEAR SINCE THAT DAY. 113 00:05:15,758 --> 00:05:18,413 NOW I CAN START TO MOVE FORWARD. 114 00:05:18,413 --> 00:05:20,448 I FEEL LIKE I'M FINALLY STARTING TO SEE 115 00:05:20,448 --> 00:05:22,103 A BIG DIFFERENCE IN MY BODY. 116 00:05:22,103 --> 00:05:23,724 A LOT OF MY SKIN IS SAGGING 117 00:05:23,724 --> 00:05:26,000 BECAUSE OF ALL THE WEIGHT I'VE LOST. 118 00:05:26,000 --> 00:05:28,724 AND THE DOCTOR SAID AS SOON AS I GET UNDER 480, 119 00:05:28,724 --> 00:05:31,896 HE'LL CONSIDER ME FOR SKIN REMOVAL SURGERY. 120 00:05:31,896 --> 00:05:35,172 AND YOU'RE DOING GREAT AND I THINK YOU'RE READY 121 00:05:35,172 --> 00:05:38,137 FOR SKIN REMOVAL SURGERY. 122 00:05:38,137 --> 00:05:40,206 Doug: IF YOU TOLD ME THIS TIME LAST YEAR 123 00:05:40,206 --> 00:05:42,206 THAT I'D BE HALFWAY TO MY TARGET WEIGHT, 124 00:05:42,206 --> 00:05:44,241 I JUST WOULDN'T HAVE BELIEVED IT. 125 00:05:44,241 --> 00:05:46,862 WE'VE STARTED TO DO SO MUCH MORE AS A FAMILY. 126 00:05:46,862 --> 00:05:48,586 WE'RE GETTING OUT AND DOING SOME STUFF 127 00:05:48,586 --> 00:05:52,172 THAT I WOULD'VE NEVER BEEN ABLE TO DO JUST A FEW MONTHS AGO. 128 00:05:52,172 --> 00:05:53,620 AH! 129 00:05:53,620 --> 00:05:57,482 I'VE GOT MY LIFE BACK AND I'M NEVER GIVING IT BACK UP. 130 00:05:57,482 --> 00:06:06,413 ♪♪ 131 00:06:06,413 --> 00:06:11,586 ♪♪ 132 00:06:11,586 --> 00:06:13,241 I'M SO THANKFUL FOR THIS PAST YEAR 133 00:06:13,241 --> 00:06:16,000 AND HOW LIFE-CHANGING IT'S BEEN. 134 00:06:16,000 --> 00:06:17,827 IT'S BEEN ABOUT 10 MONTHS SINCE MY SURGERY 135 00:06:17,827 --> 00:06:21,068 AND I'VE LOST OVER 200 POUNDS. 136 00:06:21,068 --> 00:06:23,241 AND I REALLY NEVER EXPECTED THE WEIGHT 137 00:06:23,241 --> 00:06:25,827 TO COME OFF LIKE IT DID. 138 00:06:25,827 --> 00:06:29,517 I HAVEN'T WEIGHED THIS LITTLE IN 14 YEARS 139 00:06:29,517 --> 00:06:33,344 AND I'M STARTING TO BE ABLE TO DO MORE. 140 00:06:33,344 --> 00:06:34,931 IT MEANS A LOT TO ME, 141 00:06:34,931 --> 00:06:38,000 'CAUSE IT MAKES ME A BETTER HUSBAND, FATHER, 142 00:06:38,000 --> 00:06:39,758 MADE ME FEEL A LOT BETTER ABOUT MYSELF, 143 00:06:39,758 --> 00:06:42,000 AS FAR AS MY PLACE IN THE FAMILY. 144 00:06:42,000 --> 00:06:45,758 AND RIGHT NOW, THERE'S REALLY NOT A WHOLE LOT THAT I CAN'T DO. 145 00:06:45,758 --> 00:06:47,413 HEY, I'M GONNA GO OVER HERE. 146 00:06:47,413 --> 00:06:50,000 I'M-A DUMP MY HEAD UNDER THAT. 147 00:06:50,000 --> 00:06:53,689 NOW I HAVE MORE MOBILITY, MORE ENERGY. 148 00:06:53,689 --> 00:06:56,793 IT'S -- IT'S A BIG CHANGE. 149 00:06:56,793 --> 00:06:58,620 OH, THAT'S SO NICE. 150 00:06:58,620 --> 00:07:01,758 AND I LOVE THAT I CAN SPEND MORE TIME WITH MY FAMILY 151 00:07:01,758 --> 00:07:05,862 AND BE ACTIVE WITH THEM NOW, INSTEAD OF JUST STAYING HOME, 152 00:07:05,862 --> 00:07:07,931 ESPECIALLY NOW THAT THE KIDS ARE GETTING OLDER 153 00:07:07,931 --> 00:07:10,689 AND WANTING TO DO THINGS LIKE WE'RE DOING TODAY. 154 00:07:10,689 --> 00:07:13,241 HELP ME SIT DOWN RIGHT HERE. 155 00:07:13,241 --> 00:07:15,172 BEFORE WEIGHT LOSS SURGERY, IT WAS NOT POSSIBLE 156 00:07:15,172 --> 00:07:18,827 TO TAKE ANYBODY OUT ON AN EXTENDED EXCURSION. 157 00:07:18,827 --> 00:07:21,896 SO I'M EXTREMELY HAPPY RIGHT NOW WITH HOW THINGS ARE GOING 158 00:07:21,896 --> 00:07:24,448 AND HOW MY LIFE IS IMPROVING. 159 00:07:24,448 --> 00:07:26,896 WHOO-HOO! 160 00:07:26,896 --> 00:07:29,896 A YEAR AGO, NOT ONLY WAS DOUG JUST NOT CAPABLE 161 00:07:29,896 --> 00:07:33,275 OF DOING SOMETHING THIS STRENUOUS, 162 00:07:33,275 --> 00:07:35,034 BUT HE COULDN'T HAVE HELPED WITH THE KIDS. 163 00:07:35,034 --> 00:07:37,172 THERE'S JUST NO WAY. 164 00:07:37,172 --> 00:07:40,241 SO NEVER IN OUR WILDEST DREAMS WOULD WE HAVE THOUGHT 165 00:07:40,241 --> 00:07:42,586 WE COULD'VE DONE SOMETHING LIKE THIS. 166 00:07:44,793 --> 00:07:47,965 Doug: I'M REALLY HAPPY WITH HOW THINGS ARE GOING RIGHT NOW. 167 00:07:47,965 --> 00:07:50,275 THE ONLY DOWNSIDE TO ALL THE WEIGHT LOSS 168 00:07:50,275 --> 00:07:51,793 IS THE EXCESS SKIN. 169 00:07:51,793 --> 00:07:54,655 SO Y'ALL GO DO THE LAZY RIVER, AND ME AND THE GIRLS WILL PLAY. 170 00:07:54,655 --> 00:07:56,103 ♪♪ 171 00:07:56,103 --> 00:07:59,206 Doug: AND THE MORE I LOSE, THE WORSE IT GETS, 172 00:07:59,206 --> 00:08:00,620 BECAUSE IT'S REALLY UNCOMFORTABLE 173 00:08:00,620 --> 00:08:02,448 AND IT LOOKS REALLY BAD 174 00:08:02,448 --> 00:08:04,137 AND THE WAY IT HANGS MAKE IT IMPOSSIBLE 175 00:08:04,137 --> 00:08:05,827 TO HIDE WITH CLOTHING. 176 00:08:05,827 --> 00:08:08,413 BECAUSE MY EXCESS SKIN, IT MAKES ME LOOK 177 00:08:08,413 --> 00:08:10,793 KIND OF MISSHAPEN, I GUESS. 178 00:08:10,793 --> 00:08:12,620 AND MY CLOTHES DON'T WEAR RIGHT. 179 00:08:12,620 --> 00:08:14,689 I'M STILL KIND OF SHOWING THE GUT. 180 00:08:14,689 --> 00:08:16,448 I'M STILL SHOWING THE FLAB AND STUFF. 181 00:08:16,448 --> 00:08:18,310 AND I KNOW THAT IT'S NOT ALL FAT, 182 00:08:18,310 --> 00:08:19,931 I KNOW THAT IT'S EXTRA SKIN, 183 00:08:19,931 --> 00:08:21,793 BUT I WANNA LOOK NORMAL, YOU KNOW. 184 00:08:21,793 --> 00:08:24,896 I WANNA GET BACK TO LOOKING LIKE A NORMAL GUY. 185 00:08:26,620 --> 00:08:29,965 Ashley: DOUG DOESN'T REALLY SHOW THAT HE'S SELF-CONSCIOUS. 186 00:08:29,965 --> 00:08:32,758 YOU CAN JUST TELL BECAUSE HE'LL, LIKE, PULL AT HIS SHIRT 187 00:08:32,758 --> 00:08:34,862 OR HE'LL CHECK HIS SHORTS. 188 00:08:34,862 --> 00:08:36,137 AND IT'S REALLY ODD, BECAUSE I THINK 189 00:08:36,137 --> 00:08:38,241 THAT HE'S MORE SELF-CONSCIOUS NOW 190 00:08:38,241 --> 00:08:40,793 WITH THE LOOSE SKIN THAN HE WAS AT A BIGGER SIZE. 191 00:08:40,793 --> 00:08:45,206 SO DEFINITELY DEALING WITH SOME BODY IMAGE ISSUES. 192 00:08:45,206 --> 00:08:47,344 Doug: I FEEL LIKE I'M ON THE RIGHT TRACK, 193 00:08:47,344 --> 00:08:50,310 AS LONG AS I CAN GET THIS EXCESS SKIN ADDRESSED SOON. 194 00:08:50,310 --> 00:08:52,206 AND THANKFULLY, DR. NOW APPROVED ME FOR THAT 195 00:08:52,206 --> 00:08:54,241 AT MY LAST APPOINTMENT. 196 00:08:54,241 --> 00:08:56,793 RIGHT NOW, IT'S SCHEDULED FOR ABOUT SIX WEEKS FROM NOW, 197 00:08:56,793 --> 00:08:59,103 BECAUSE I ASKED DR. NOW TO GIVE ME A LITTLE TIME 198 00:08:59,103 --> 00:09:01,379 SO ASHLEY CAN SCHEDULE TIME OFF FROM WORK, 199 00:09:01,379 --> 00:09:03,413 BECAUSE IT'S GONNA BE A LOT TO HELP ME RECOVER 200 00:09:03,413 --> 00:09:05,758 AND TAKE CARE OF EVERYTHING ELSE. 201 00:09:05,758 --> 00:09:08,413 SO WE GOT IT ALL WORKED OUT FOR ME TO HAVE SURGERY, 202 00:09:08,413 --> 00:09:10,206 BUT DR. NOW SAID, IN THE MEANTIME, 203 00:09:10,206 --> 00:09:13,034 I NEED TO LOSE AS MUCH WEIGHT AS I CAN. 204 00:09:13,034 --> 00:09:15,586 AND I STILL KNOW I HAVE A LOT OF WEIGHT TO LOSE. 205 00:09:15,586 --> 00:09:18,793 ♪♪ 206 00:09:18,793 --> 00:09:21,758 WHAT'S THE, UH -- WHAT'S THE MAXIMUM WEIGHT ON THE SLIDE? 207 00:09:21,758 --> 00:09:24,413 I WANNA SAY IT'S 400 POUNDS, BUT I CAN CHECK AND MAKE SURE. 208 00:09:24,413 --> 00:09:25,586 YEAH, COULD YOU GO CHECK ON THAT FOR ME? 209 00:09:25,586 --> 00:09:26,827 YEAH. 210 00:09:26,827 --> 00:09:28,724 AND THE MORE WEIGHT I CAN LOSE BEFORE THEN, 211 00:09:28,724 --> 00:09:31,241 THE BETTER I'LL HEAL. 212 00:09:31,241 --> 00:09:32,758 300 POUNDS? 213 00:09:32,758 --> 00:09:35,344 MAYBE NEXT TIME. 214 00:09:35,344 --> 00:09:37,655 SO I'M WORKING REALLY HARD TO SEE A LOT OF PROGRESS 215 00:09:37,655 --> 00:09:39,965 BY MY NEXT DOCTOR'S VISIT IN A MONTH. 216 00:09:39,965 --> 00:09:47,482 ♪♪ 217 00:09:47,482 --> 00:09:49,000 WHAT GOES IN A SALAD? 218 00:09:49,000 --> 00:09:51,344 [ LAUGHS ] 219 00:09:51,344 --> 00:09:53,517 Doug: MY NEXT DOCTOR'S APPOINTMENT'S 220 00:09:53,517 --> 00:09:55,206 IN A COUPLE OF WEEKS, 221 00:09:55,206 --> 00:09:57,793 AND I'M EXCITED BECAUSE I'VE STARTED A NEW DIET 222 00:09:57,793 --> 00:10:00,965 THAT I'M HOPING HELPS ME MAKE EVEN MORE PROGRESS, 223 00:10:00,965 --> 00:10:03,172 BECAUSE I WAS READING ONLINE ABOUT ALL THE HEALTH BENEFITS 224 00:10:03,172 --> 00:10:05,344 THERE ARE IF I STOPPED EATING MEAT 225 00:10:05,344 --> 00:10:08,379 AND HOW BAD IT IS FOR YOUR HEART AND YOUR BODY. 226 00:10:08,379 --> 00:10:12,241 SO I'M COMPLETELY MEAT-FREE AND MOSTLY ON VEGETABLES. 227 00:10:12,241 --> 00:10:14,793 BUT AFTER GASTRIC BYPASS, THERE ARE A LOT OF REQUIREMENTS 228 00:10:14,793 --> 00:10:17,896 TO MAINTAIN HOW MUCH PROTEIN YOU'RE EATING, 229 00:10:17,896 --> 00:10:19,586 SO THAT'S WHY DR. NOW SAYS 230 00:10:19,586 --> 00:10:22,172 YOU HAVE TO EAT MEAT, CHICKEN, OR FISH. 231 00:10:22,172 --> 00:10:25,379 BUT I'M WORKING TO FIND OTHER SOURCES OF PROTEIN 232 00:10:25,379 --> 00:10:28,310 AND MY HOPE IS WHEN I LOSE A LOT MORE WEIGHT DOING THIS, 233 00:10:28,310 --> 00:10:31,689 THAT DR. NOW SEES THAT THIS WORKS 234 00:10:31,689 --> 00:10:33,724 AND THAT WILL ALLOW ME TO HAVE A LITTLE MORE FREEDOM 235 00:10:33,724 --> 00:10:36,620 WITH WHAT I'M SUPPOSED TO BE EATING RIGHT NOW, 236 00:10:36,620 --> 00:10:39,862 'CAUSE I DO MISS STARCHES, LIKE BREAD. 237 00:10:39,862 --> 00:10:42,896 AND I'M HOME ALL DAY RIGHT NOW, TAKING CARE OF THE KIDS 238 00:10:42,896 --> 00:10:47,068 NOW THAT I CAN, AND ASHLEY IS WORKING ALL DAY. 239 00:10:47,068 --> 00:10:48,413 AND BEING MR. MOM MEANS 240 00:10:48,413 --> 00:10:51,620 I HAVE A LOT TO JUGGLE WITH ALL THREE KIDS. 241 00:10:51,620 --> 00:10:53,793 SO I HAD TO ADAPT TO SOMETHING THAT IS THE DIET 242 00:10:53,793 --> 00:10:55,965 THAT I NEED AND WORKS FOR ME. 243 00:10:55,965 --> 00:10:57,896 BUT IT'S ALSO ONE I CAN STICK TO, 244 00:10:57,896 --> 00:11:00,758 CONSIDERING HOW MY LIFE IS NOW. 245 00:11:00,758 --> 00:11:03,137 BUT I KNOW ASHLEY'S WORRIED THAT THIS NEW DIET 246 00:11:03,137 --> 00:11:04,896 ISN'T THE BEST FOR ME 247 00:11:04,896 --> 00:11:07,689 AND IT'S MOSTLY THE BREAD THAT SHE'S WORRIED ABOUT ME HAVING. 248 00:11:09,344 --> 00:11:11,068 SO ARE WE GONNA TALK ABOUT THE CARBS 249 00:11:11,068 --> 00:11:13,344 OR ARE WE GONNA NOT TALK ABOUT THE CARBS? 250 00:11:13,344 --> 00:11:15,344 WELL, WHAT DO YOU WANNA TALK ABOUT? 251 00:11:15,344 --> 00:11:18,379 YOU'RE EATING THEM. A LOT OF THEM. 252 00:11:18,379 --> 00:11:20,758 A LOT COMPARED TO WHAT YOU USED TO EAT. 253 00:11:20,758 --> 00:11:22,344 WHAT'S THE DEAL? 254 00:11:22,344 --> 00:11:25,586 IT'S NOT THAT I HAVE TO HAVE CARBS. IT'S BUSY DURING THE DAY. 255 00:11:25,586 --> 00:11:27,965 IT'S JUST A LOT EASIER TO MAKE THIS 256 00:11:27,965 --> 00:11:29,482 AND EAT WHAT I'M MAKING THEM. 257 00:11:29,482 --> 00:11:32,724 IT'S ONE LESS THING FOR ME TO WORRY ABOUT DURING THE DAY. 258 00:11:32,724 --> 00:11:38,206 YOU KNOW, THEY'RE A HANDFUL ON THEIR BEST DAYS. 259 00:11:38,206 --> 00:11:40,241 IS IT JUST BECAUSE YOU'RE OVERWHELMED? 260 00:11:40,241 --> 00:11:43,448 BECAUSE IF I WAS HERE AND I WAS OVERWHELMED, 261 00:11:43,448 --> 00:11:45,344 EVEN IF EVERYBODY WAS ACTING WILD AND CRAZY 262 00:11:45,344 --> 00:11:49,137 AND WE HAD 48 THINGS GOING ON, WOULD I EAT THE SANDWICH? 263 00:11:51,965 --> 00:11:55,689 I SEE YOU MAKING YOURSELF LESS AND LESS IMPORTANT. 264 00:11:55,689 --> 00:11:58,620 YOU WERE EATING JUST WHAT YOUWERE SUPPOSED TO BE EATING. 265 00:11:58,620 --> 00:12:00,206 YOU KNOW, YOUR MEALS. 266 00:12:00,206 --> 00:12:02,793 THEN YOU WENT TO, "WELL, I'M GONNA MODIFY THIS 267 00:12:02,793 --> 00:12:04,586 "SO THAT WE CAN ALL EAT THE SAME THINGS, 268 00:12:04,586 --> 00:12:06,689 "BUT I'M STILL GONNA TRY TO FOLLOW THE RULES," 269 00:12:06,689 --> 00:12:09,517 TO, "I'M JUST GONNA EAT WHATEVER THEY EAT." 270 00:12:09,517 --> 00:12:12,965 YOU'RE MAKING YOURSELF THE LEAST IMPORTANT PERSON AGAIN, 271 00:12:12,965 --> 00:12:15,827 AND THAT WORRIES ME. 272 00:12:15,827 --> 00:12:18,413 Ashley: NOTHING IS PHYSICALLY BROKEN WITH DOUG RIGHT NOW. 273 00:12:18,413 --> 00:12:23,275 DOUG IS HAVING ISSUES MENTALLY WITH COPING MECHANISMS, 274 00:12:23,275 --> 00:12:27,137 WITH STRESS, WITH DEPRESSION. 275 00:12:27,137 --> 00:12:29,620 YOU HAVE MADE SOME REALLY HUGE, 276 00:12:29,620 --> 00:12:33,862 MAJOR STRIDES IN YOUR WEIGHT LOSS JOURNEY, 277 00:12:33,862 --> 00:12:37,275 AND YOU FEEL LIKE YOU CAN'T BE HAPPY ABOUT IT. 278 00:12:37,275 --> 00:12:40,241 AND BECAUSE YOU CAN'T BE HAPPY ABOUT THOSE VICTORIES, 279 00:12:40,241 --> 00:12:42,482 IT'S LIKE YOU HAVE NO MOTIVATION TO MOVE FORWARD ANYMORE, 280 00:12:42,482 --> 00:12:44,379 BECAUSE YOU FEEL LIKE YOU CAN'T CELEBRATE 281 00:12:44,379 --> 00:12:45,551 WHERE YOU'RE AT RIGHT NOW. 282 00:12:45,551 --> 00:12:49,482 I JUST DON'T WANT YOU TO GO THE OTHER DIRECTION. 283 00:12:49,482 --> 00:12:51,724 Doug: I KNOW ASHLEY JUST WANTS ME TO DO WELL 284 00:12:51,724 --> 00:12:54,482 AND SHE'S SCARED RIGHT NOW, WITH ME TRYING TO FIGURE OUT MY LIFE. 285 00:12:54,482 --> 00:12:56,724 BUT I FEEL LIKE SHE'S OVERREACTING A LITTLE, 286 00:12:56,724 --> 00:12:59,586 BECAUSE IT'S NOT NEARLY ANYWHERE LIKE I USED TO EAT. 287 00:12:59,586 --> 00:13:04,034 ♪♪ 288 00:13:04,034 --> 00:13:05,931 BUT I'VE DONE MY RESEARCH AND I FEEL LIKE 289 00:13:05,931 --> 00:13:07,896 I KNOW WHAT I'M DOING RIGHT NOW. 290 00:13:07,896 --> 00:13:09,793 SO I'M HOPING WHEN WE GO SEE DR. NOW AGAIN 291 00:13:09,793 --> 00:13:10,896 FOR MY NEXT APPOINTMENT 292 00:13:10,896 --> 00:13:13,206 AND THEY ALL SEE HOW MUCH I'VE LOST, 293 00:13:13,206 --> 00:13:15,413 THAT SHE'LL GET A LITTLE MORE COMFORTABLE WITH MY CHOICES 294 00:13:15,413 --> 00:13:17,689 AND TRUST THAT I KNOW WHAT I'M DOING. 295 00:13:17,689 --> 00:13:19,413 SO UNTIL THEN, I KNOW EVERY TIME 296 00:13:19,413 --> 00:13:22,310 I TAKE A BITE OF SOMETHING WITH CARBS, 297 00:13:22,310 --> 00:13:25,379 IT'S JUST GONNA WORRY HER ABOUT IT, BECAUSE SHE'S SCARED 298 00:13:25,379 --> 00:13:28,896 I'LL GO BACK TO THE WAY I WAS AND START GAINING AGAIN. 299 00:13:28,896 --> 00:13:31,000 BUT I'M NOT GONNA LET THAT HAPPEN. 300 00:13:31,000 --> 00:13:33,655 ♪♪ 301 00:13:35,448 --> 00:13:43,793 ♪♪ 302 00:13:43,793 --> 00:13:46,724 ♪♪ 303 00:13:46,724 --> 00:13:48,620 Doug: ME AND ASHLEY ARE BACK AT DR. NOW'S 304 00:13:48,620 --> 00:13:53,137 FOR MY NEXT APPOINTMENT TO SEE HOW MUCH PROGRESS I'VE MADE. 305 00:13:53,137 --> 00:13:54,931 I KNOW I'M HOPING TO SEE A BIG LOSS TODAY 306 00:13:54,931 --> 00:13:56,793 TO SHOW ASHLEY AND DR. NOW 307 00:13:56,793 --> 00:13:59,689 THAT I CAN MAKE SOME CHANGES TO MY DIET. 308 00:13:59,689 --> 00:14:01,827 DOUG ARMSTRONG? 309 00:14:01,827 --> 00:14:03,344 BUT I KNOW THE NUMBER ON THE SCALE 310 00:14:03,344 --> 00:14:05,448 IS WHAT I NEED TO PROVE THAT, 311 00:14:05,448 --> 00:14:09,034 SO I'M HOPING TO SEE A GOOD DROP IN MY WEIGHT. 312 00:14:09,034 --> 00:14:12,379 AT MY LAST WEIGH-IN TWO MONTHS AGO, I WAS 462, 313 00:14:12,379 --> 00:14:16,068 AND I'M SUPPOSED TO BE LOSING 25 POUNDS A MONTH RIGHT NOW, 314 00:14:16,068 --> 00:14:18,862 SO I SHOULD BE BELOW 412 TODAY, 315 00:14:18,862 --> 00:14:21,000 BUT I'M HOPING I'VE LOST MUCH MORE THAN THAT. 316 00:14:21,000 --> 00:14:27,172 ♪♪ 317 00:14:27,172 --> 00:14:29,482 THAT'S DISAPPOINTING, 318 00:14:29,482 --> 00:14:32,379 AND I'M OBVIOUSLY NOT HAPPY. 319 00:14:32,379 --> 00:14:34,758 I'M NOT SURE WHAT DR. NOW'S GONNA SAY, 320 00:14:34,758 --> 00:14:38,206 BUT IT'S PROBABLY NOT GOOD. 321 00:14:38,206 --> 00:14:41,620 I REALLY FELT LIKE I WAS MAKING GOOD PROGRESS AND DOING WELL, 322 00:14:41,620 --> 00:14:43,862 SO THIS IS SOMEWHAT OF A SURPRISE RIGHT NOW. 323 00:14:43,862 --> 00:14:45,379 [ KNOCK ON DOOR ] 324 00:14:47,517 --> 00:14:48,689 -HELLO. -HI. 325 00:14:48,689 --> 00:14:51,344 -HOW Y'ALL DOING? -DOING ALL RIGHT. 326 00:14:51,344 --> 00:14:54,241 -GOOD. -ALL RIGHT, DOUG. 327 00:14:54,241 --> 00:14:56,620 YOU'RE SUPPOSED TO BE LOSING 25 POUNDS A MONTH 328 00:14:56,620 --> 00:14:58,931 TO STAY ON TRACK AND LOSE AS MUCH AS YOU CAN 329 00:14:58,931 --> 00:15:01,137 TO PREPARE FOR YOUR SKIN REMOVAL, 330 00:15:01,137 --> 00:15:03,310 BUT INSTEAD, YOU GAINED 6 POUNDS. 331 00:15:03,310 --> 00:15:04,793 UH-HUH. 332 00:15:04,793 --> 00:15:07,724 SO WHAT'S GOING ON IN YOUR LIFE AND WHAT'S HAPPENING? 333 00:15:07,724 --> 00:15:08,827 BIGGEST THING RIGHT NOW IS, 334 00:15:08,827 --> 00:15:11,551 ABOUT A MONTH AGO, UM, THERE WAS -- 335 00:15:11,551 --> 00:15:13,517 UH, THERE'S BEEN A CHANGE IN MY DIET. 336 00:15:13,517 --> 00:15:15,724 I FOUND A VEGETARIAN DIET ONLINE 337 00:15:15,724 --> 00:15:17,793 THAT I'VE BEEN DOING TO, UH, BE HEALTHIER. 338 00:15:17,793 --> 00:15:20,586 AND ABOUT A MONTH AGO, I JUST STOPPED EATING MEAT ALL TOGETHER 339 00:15:20,586 --> 00:15:23,310 AND HAVE BEEN GETTING MY PROTEIN IN OTHER SOURCES. 340 00:15:23,310 --> 00:15:25,034 BUT I KNOW IT'S A LITTLE DIFFERENT THAN YOUR DIET, 341 00:15:25,034 --> 00:15:27,172 SINCE I'M NOT EATING MEAT FOR PROTEIN. 342 00:15:27,172 --> 00:15:29,517 SO LET ME GET THIS RIGHT. 343 00:15:29,517 --> 00:15:33,689 YOU DECIDED THAT YOU'RE NOT GONNA FOLLOW THE INSTRUCTIONS 344 00:15:33,689 --> 00:15:38,344 AND BE ECCENTRIC AND FOLLOW SOME SORT OF MAGICAL INSTRUCTION 345 00:15:38,344 --> 00:15:39,620 THAT SOMEBODY GAVE YOU? 346 00:15:39,620 --> 00:15:41,275 OH, IT'S -- REALLY, NOBODY'S GIVING ME 347 00:15:41,275 --> 00:15:42,793 REALLY ANY INSTRUCTIONS OR ANYTHING. 348 00:15:42,793 --> 00:15:45,034 ALL RIGHT, SO YOU'RE NOT PAYING ATTENTION WHAT WE TELL YOU. 349 00:15:45,034 --> 00:15:46,413 RIGHT. WELL, I MEAN, I'M -- 350 00:15:46,413 --> 00:15:48,000 I'M PAYING ATTENTION TO IT, I JUST -- IT'S... 351 00:15:48,000 --> 00:15:51,103 DOUG, I'M NOT GONNA WASTE MY TIME PLAYING GAMES, 352 00:15:51,103 --> 00:15:53,379 SO LET ME SPELL IT OUT FOR YOU RIGHT NOW. 353 00:15:53,379 --> 00:15:55,103 IT'S BEEN JUST UNDER A YEAR 354 00:15:55,103 --> 00:15:57,724 SINCE YOU HAD YOUR GASTRIC BYPASS, 355 00:15:57,724 --> 00:15:59,965 AND YOU HAVEN'T REALLY LOST WHAT YOU SHOULD 356 00:15:59,965 --> 00:16:01,862 AND NOW YOU'RE GAINING. 357 00:16:01,862 --> 00:16:06,413 SO LET ME TELL YOU RIGHT NOW, IF YOU PUT THE MATH TO IT, 358 00:16:06,413 --> 00:16:09,551 YOU'RE A FAILURE WITH THE OPERATION, OKAY. 359 00:16:09,551 --> 00:16:11,103 OKAY. 360 00:16:11,103 --> 00:16:14,517 YOU SHOULD BE LOSING 25 POUNDS A MONTH RIGHT NOW, 361 00:16:14,517 --> 00:16:16,344 BUT YOU'RE NOT. -OKAY. 362 00:16:16,344 --> 00:16:18,448 YOU STRUGGLE TO DO HALF THAT MOST OF THE TIME. 363 00:16:18,448 --> 00:16:22,482 AND THEN THE NEXT STEP TOWARDS FAILURE IS YOU START GAINING 364 00:16:22,482 --> 00:16:25,517 AND YOU START EATING WHAT YOU AREN'T SUPPOSED TO. 365 00:16:25,517 --> 00:16:28,896 YOU DON'T EAT SALAD AND VEGETABLES ANYMORE. 366 00:16:28,896 --> 00:16:32,448 THE VEGETABLES ARE FOR PEOPLE WITH BIG STOMACH TO FOLLOW THAT, 367 00:16:32,448 --> 00:16:34,620 AND YOU DON'T HAVE BIG STOMACH. 368 00:16:34,620 --> 00:16:38,103 AND IF YOU EAT VEGETABLES AFTER GASTRIC BYPASS SURGERY, 369 00:16:38,103 --> 00:16:39,689 YOUR STOMACH IS GONNA GET BIGGER 370 00:16:39,689 --> 00:16:41,758 AND YOU'RE GONNA EAT MORE AND MORE. 371 00:16:41,758 --> 00:16:43,034 OKAY. 372 00:16:43,034 --> 00:16:46,413 YOU ONLY HAVE ROOM FOR SOMETHING LIKE PROTEIN. 373 00:16:46,413 --> 00:16:48,862 JUST ON THE -- THE HEALTH BENEFITS, THINGS LIKE THAT, 374 00:16:48,862 --> 00:16:50,793 MY FAMILY, YOU KNOW, HAS A -- 375 00:16:50,793 --> 00:16:53,206 A HISTORY OF HEART DISEASE AND... 376 00:16:53,206 --> 00:16:55,862 OKAY. YOU -- I DON'T KNOW WHICH, UH, 377 00:16:55,862 --> 00:16:57,793 INFORMATION YOU'RE GETTING, 378 00:16:57,793 --> 00:17:00,172 BUT THERE'S A LOT OF MISINFORMATION OUT THERE 379 00:17:00,172 --> 00:17:01,448 THAT TELL YOU, 380 00:17:01,448 --> 00:17:04,000 OH, EATING MEAT IS NOT GOOD FOR YOUR HEART. 381 00:17:04,000 --> 00:17:05,517 THAT'S A BUNCH OF CRAP. 382 00:17:05,517 --> 00:17:10,586 OKAY, THAT'S NOT THE REALITY OF THE PHYSIOLOGY OF HUMAN BEING. 383 00:17:10,586 --> 00:17:13,862 YOUR MEAT IS IMPORTANT PART OF YOUR NUTRITION. 384 00:17:13,862 --> 00:17:17,034 AND MEAT IS NOT GOING TO GIVE YOU HEART DISEASE. 385 00:17:17,034 --> 00:17:18,965 -SO YOU'RE NOT -- OKAY, -SO, I MEAN, BUT THE THING IS, 386 00:17:18,965 --> 00:17:21,206 I MEAN, SINCE I HAVEN'T BEEN EATING IT, 387 00:17:21,206 --> 00:17:24,000 I'VE HAD MORE ENERGY THAN I'VE HAD. 388 00:17:24,000 --> 00:17:26,275 THE FACT THAT YOU ARE FEELING MORE ENERGY, 389 00:17:26,275 --> 00:17:28,758 BECAUSE YOU'RE TAKING TOO MUCH CARB IN YOUR DIET. 390 00:17:28,758 --> 00:17:32,103 BECAUSE IF YOU'RE GAINING, THEN YOU'RE EATING CARBS. 391 00:17:32,103 --> 00:17:35,068 AND THAT'S NOT MORE ENERGY, THAT'S DOPAMINE. 392 00:17:35,068 --> 00:17:36,413 OKAY. 393 00:17:36,413 --> 00:17:39,482 BECAUSE YOUR BRAIN IS RESPONDING JUST LIKE A DRUG ADDICT 394 00:17:39,482 --> 00:17:41,068 GETTING A FIX. 395 00:17:41,068 --> 00:17:45,275 SO ALL THIS STUFF ABOUT GETTING MORE HEALTHY IS BALONEY. 396 00:17:45,275 --> 00:17:47,241 YOU'RE EATING CARBS, AREN'T YOU? 397 00:17:47,241 --> 00:17:48,758 UH-HUH. 398 00:17:48,758 --> 00:17:51,586 SO IF YOU DON'T GET BACK ON THE DIET RIGHT NOW, PRETTY SOON, 399 00:17:51,586 --> 00:17:53,482 YOU'RE GONNA BE BACK TO 600 POUNDS AGAIN. 400 00:17:53,482 --> 00:17:55,103 BACK TO 600 POUNDS AGAIN. YEAH. YEAH. 401 00:17:55,103 --> 00:17:59,275 YOU WOULDN'T BE 600 POUNDS IF YOU DIDN'T HAVE EATING DISORDER. 402 00:17:59,275 --> 00:18:02,172 -FOLLOW THE INSTRUCTIONS -- -SO I'M JUST NOT DOING OKAY? 403 00:18:02,172 --> 00:18:05,413 IT'S CUT-AND-DRY LIKE THAT? I MEAN... 404 00:18:05,413 --> 00:18:08,275 YOU'RE CONFUSING YOURSELF AND YOU'RE READING A LOT 405 00:18:08,275 --> 00:18:10,862 OF MISINFORMATION AND YOU'RE BELIEVING IT. 406 00:18:10,862 --> 00:18:14,137 AND THE MEAT AND THIS IDEA ABOUT HEALTHY HEART, 407 00:18:14,137 --> 00:18:15,758 THAT'S NOT REALITY. 408 00:18:15,758 --> 00:18:17,379 STICK TO THE DIET I GAVE YOU, 409 00:18:17,379 --> 00:18:20,068 AND THAT WILL GET YOU TO WHERE YOU NEED. 410 00:18:20,068 --> 00:18:21,965 -OKAY. -BUT AS OF RIGHT NOW, 411 00:18:21,965 --> 00:18:24,344 I'M CANCELING YOUR EXCESS SKIN REMOVAL, 412 00:18:24,344 --> 00:18:27,137 BECAUSE WE CAN'T DO THAT SURGERY IF YOU'RE GAINING. 413 00:18:27,137 --> 00:18:28,310 OKAY. 414 00:18:28,310 --> 00:18:29,931 AND IF YOU WANT TO BE APPROVED AGAIN, 415 00:18:29,931 --> 00:18:33,689 THEN YOU NEED TO PROVE TO ME THAT YOU'RE BACK ON TRACK. 416 00:18:33,689 --> 00:18:37,103 AND TO DO THAT, I WANT YOU TO GET UNDER 400 POUNDS. 417 00:18:37,103 --> 00:18:38,310 OKAY. 418 00:18:38,310 --> 00:18:41,206 SO THE CHOICE OF WHAT YOU WANNA DO IS YOURS. 419 00:18:43,137 --> 00:18:46,551 WE HAVE A VERY BAD SITUATION DEVELOPING WITH DOUG. 420 00:18:46,551 --> 00:18:50,551 95% OF PATIENTS WHO ARE THE SIZE HE IS FAIL LONG-TERM 421 00:18:50,551 --> 00:18:54,137 AFTER THE SURGERY AND GAIN ALL THEIR WEIGHT BACK. 422 00:18:54,137 --> 00:18:56,137 FIRST, THEIR WEIGHT LOSS SLOWS, 423 00:18:56,137 --> 00:18:58,137 THEN THEY START TO GAIN A LITTLE, 424 00:18:58,137 --> 00:19:00,482 AND THEN THEY START EATING FOODS 425 00:19:00,482 --> 00:19:03,103 THAT LEAD TO STRETCHING THEIR STOMACH BACK OUT 426 00:19:03,103 --> 00:19:05,448 AND UNDOING THE SURGERY. 427 00:19:05,448 --> 00:19:07,620 AND THE NEXT STEP IS THAT THEY WILL CONTINUE 428 00:19:07,620 --> 00:19:09,000 TO GAIN MORE AND MORE, 429 00:19:09,000 --> 00:19:12,551 UNTIL THEY GET BACK TO THEIR ORIGINAL WEIGHT OR HIGHER. 430 00:19:12,551 --> 00:19:15,034 SO OUT OF THOSE FOUR STEPS, 431 00:19:15,034 --> 00:19:17,862 DOUG IS AT THREE, HEADED TO FOUR. 432 00:19:17,862 --> 00:19:22,551 SO DOUG IS RIGHT AT THE CLIFF OF SPIRALING OUT OF CONTROL 433 00:19:22,551 --> 00:19:25,206 AND IF HE DOESN'T GET BACK ON TRACK RIGHT NOW, 434 00:19:25,206 --> 00:19:28,689 THEN HIS SITUATION IS ABOUT TO GET MUCH WORSE. 435 00:19:28,689 --> 00:19:32,241 BUT I'M HOPING TODAY WAS A WAKE-UP CALL. 436 00:19:32,241 --> 00:19:34,793 ALL RIGHT, I'LL SEE YOU BOTH IN TWO MONTHS. 437 00:19:34,793 --> 00:19:37,896 AND IF YOU WANNA MOVE AHEAD AND STAY IN THIS PROGRAM, 438 00:19:37,896 --> 00:19:40,827 THEN I EXPECT YOU TO HIT YOUR GOALS BY THEN. 439 00:19:40,827 --> 00:19:42,068 -GOT IT? -UH-HUH. 440 00:19:42,068 --> 00:19:43,827 ALL RIGHT, SEE YOU BOTH SOON. 441 00:19:43,827 --> 00:19:45,413 -ALL RIGHT. OKAY. -THANK YOU. 442 00:19:45,413 --> 00:19:46,758 THANK YOU. 443 00:19:50,689 --> 00:19:53,482 [ DOOR CLOSES ] 444 00:19:53,482 --> 00:19:56,275 Ashley: DR. NOWZARADAN RESPONDED PRETTY HARSHLY TO DOUG, 445 00:19:56,275 --> 00:19:57,896 NOT SURPRISINGLY. 446 00:19:57,896 --> 00:20:00,137 I FELT LIKE THAT WAS A LITTLE BIT DISCOURAGING FOR DOUG, 447 00:20:00,137 --> 00:20:03,344 BUT THE FACT OF THE MATTER IS, THE MAJORITY OF THE TIME, 448 00:20:03,344 --> 00:20:05,517 BEFORE DOUG STOPPED EATING MEAT, 449 00:20:05,517 --> 00:20:07,827 DOUG HAS NOT BEEN HITTING HIS WEIGHT LOSS GOALS. 450 00:20:07,827 --> 00:20:10,448 ♪♪ 451 00:20:10,448 --> 00:20:13,241 Doug: I'M PRETTY UPSET RIGHT NOW 452 00:20:13,241 --> 00:20:15,413 AND I'M NOT HAPPY ABOUT MY SURGERY BEING CANCELED 453 00:20:15,413 --> 00:20:17,827 ALL BECAUSE I'M NOT ON THE RIGHT DIET. 454 00:20:17,827 --> 00:20:20,137 SO I DON'T THINK DR. NOW WAS FAIR 455 00:20:20,137 --> 00:20:24,034 WITH SOME OF THE THINGS HE SAID, ESPECIALLY THAT I'M A FAILURE. 456 00:20:24,034 --> 00:20:26,793 I'VE LOST A LOT OF WEIGHT IN THE FIRST YEAR. 457 00:20:26,793 --> 00:20:29,103 I'M STILL LOSING WEIGHT. 458 00:20:29,103 --> 00:20:32,448 SO BEING A FAILURE? I DON'T THINK SO. 459 00:20:32,448 --> 00:20:34,379 AND I'M NOT GONNA LET SOMEBODY ELSE TELL ME 460 00:20:34,379 --> 00:20:36,344 I'M A FAILURE AT SOMETHING, 461 00:20:36,344 --> 00:20:39,793 SO I DON'T REALLY AGREE WITH DR. NOW RIGHT NOW, 462 00:20:39,793 --> 00:20:42,275 AND I'M NOT SURE HIS DIET IS RIGHT FOR ME AT THIS POINT. 463 00:20:42,275 --> 00:20:51,413 ♪♪ 464 00:20:51,413 --> 00:20:53,137 ♪♪ 465 00:20:53,137 --> 00:20:55,448 WHAT DO Y'ALL WANT FOR SUPPER? 466 00:20:55,448 --> 00:20:56,620 -SUPPER. -SUPPER. 467 00:20:56,620 --> 00:20:58,827 -YOU WANT SOME BROCCOLI? -BRO-CI. 468 00:20:58,827 --> 00:21:00,000 CAULIFLOWER? 469 00:21:00,000 --> 00:21:01,620 -CARROTS. -CARROTS. 470 00:21:01,620 --> 00:21:04,275 AND SOME SMOKED SAUSAGE. 471 00:21:04,275 --> 00:21:07,310 -SAUSAGE. SAUSAGE! -YEAH! 472 00:21:07,310 --> 00:21:09,206 I'LL BE BACK. 473 00:21:10,586 --> 00:21:12,517 I'VE HAD SOME TIME TO THINK AND PROCESS EVERYTHING 474 00:21:12,517 --> 00:21:14,482 DR. NOW SAID, 475 00:21:14,482 --> 00:21:17,896 AND ME AND ASHLEY TALKED A LOT ABOUT IT, 476 00:21:17,896 --> 00:21:21,206 AND I CAN UNDERSTAND WHERE HE'S COMING FROM. 477 00:21:21,206 --> 00:21:22,931 BUT I STILL DON'T AGREE THAT I'M A FAILURE, 478 00:21:22,931 --> 00:21:25,344 SO I'M TAKING ISSUE WITH THAT, 479 00:21:25,344 --> 00:21:28,275 BECAUSE I'VE ALREADY COME A LONG WAY. 480 00:21:28,275 --> 00:21:31,448 AND TO LOSE WHAT I'VE LOST AND TO DO WHAT I'VE DONE, 481 00:21:31,448 --> 00:21:33,517 THAT'S NOT A FAILURE. 482 00:21:33,517 --> 00:21:36,758 BUT I'M WORKING HARD RIGHT NOW TO GET BACK ON TRACK 483 00:21:36,758 --> 00:21:38,448 AND I'M EATING MEAT AGAIN 484 00:21:38,448 --> 00:21:40,931 AND NOT EATING A LOT OF VEGETABLES. 485 00:21:40,931 --> 00:21:44,482 AFTER I'D GONE ALMOST TWO MONTHS WITHOUT EATING MEAT, 486 00:21:44,482 --> 00:21:46,931 I COULD SEE WHERE I WASN'T GETTING THE PROTEIN 487 00:21:46,931 --> 00:21:50,379 THAT I NEEDED, AND I SEE WHERE HE WAS COMING FROM ON IT. 488 00:21:50,379 --> 00:21:54,310 SO I-I JUST SLOWLY STARTED PUTTING MEAT BACK INTO MY DIET. 489 00:21:55,758 --> 00:21:58,137 BUT I DO REALLY MISS CARBS. 490 00:21:58,137 --> 00:22:02,482 AND I KNEW THIS PROCESS WAS GONNA BE HARD, 491 00:22:02,482 --> 00:22:04,310 BUT THIS FAR INTO IT, 492 00:22:04,310 --> 00:22:07,551 I THOUGHT IT WOULD START GETTING A LITTLE BIT EASIER. 493 00:22:07,551 --> 00:22:10,689 AND ADAPTING TO THIS DAILY ROUTINE 494 00:22:10,689 --> 00:22:13,068 AND DEALING WITH ALL THE THINGS 495 00:22:13,068 --> 00:22:16,206 THAT HAPPEN IN A FAMILY'S DAILY LIFE, 496 00:22:16,206 --> 00:22:18,793 IT'S SOMETIMES OVERWHELMING. 497 00:22:18,793 --> 00:22:21,379 AND I'M AT THE HOUSE ALL DAY WITH THE KIDS, 498 00:22:21,379 --> 00:22:23,172 FROM THE TIME THEY WAKE UP 499 00:22:23,172 --> 00:22:25,655 UNTIL WE'RE PUTTING 'EM TO SLEEP. 500 00:22:25,655 --> 00:22:28,827 AND EVERY DAY IS COMPLETELY FULL. 501 00:22:28,827 --> 00:22:31,000 AND WHAT I'M THINKING, LIKE, WHAT'S MY ROLE? 502 00:22:31,000 --> 00:22:34,482 YOU KNOW, LIKE, IS THIS ALL THAT I'M HERE FOR? 503 00:22:34,482 --> 00:22:36,482 BUT I DON'T KNOW WHO I AM. 504 00:22:36,482 --> 00:22:40,413 LIKE, I DON'T KNOW WHAT MY PURPOSE IS NOW. 505 00:22:40,413 --> 00:22:43,655 AND I THINK THAT I WOULD LIKE TO BE ON THE ROAD 506 00:22:43,655 --> 00:22:46,551 TOWARDS SOME KIND OF CAREER, 507 00:22:46,551 --> 00:22:51,517 WHETHER IT BE COMPUTERS, I.T., OR GRAPHIC DESIGN, 508 00:22:51,517 --> 00:22:54,241 I WANNA BE ABLE TO SAY, YOU KNOW, THIS IS WHAT I DO, 509 00:22:54,241 --> 00:22:56,379 I'M THE BEST AT WHAT I DO, 510 00:22:56,379 --> 00:22:59,931 AND SHOW MY KIDS, FINALLY, WHAT I'M CAPABLE OF. 511 00:23:02,448 --> 00:23:04,103 HELLO, HELLO! 512 00:23:04,103 --> 00:23:06,413 -AH! -HI, DAD! 513 00:23:06,413 --> 00:23:08,137 -HI! -DINNER'S ALREADY READY? 514 00:23:08,137 --> 00:23:11,103 -YEP. LET'S GO SIT AT THE TABLE. -HIGH CHAIR. 515 00:23:11,103 --> 00:23:12,620 -HIGH CHAIR. -HIGH CHAIR. 516 00:23:12,620 --> 00:23:14,103 -HIGH CHAIR. -[ BABBLES ] 517 00:23:14,103 --> 00:23:15,310 -UH-OH. -COME ON. 518 00:23:15,310 --> 00:23:16,517 BABY'S ON THE LOOSE. 519 00:23:19,034 --> 00:23:21,448 Ashley: DOUG HAS REALLY BEEN STRUGGLING. 520 00:23:21,448 --> 00:23:23,310 HE IS VERY WOUNDED THAT 521 00:23:23,310 --> 00:23:26,310 DR. NOWZARADAN CALLED HIM A FAILURE, 522 00:23:26,310 --> 00:23:31,103 AND I THINK THAT THAT HAS REALLY BEEN A MENTAL BLOCK FOR HIM. 523 00:23:31,103 --> 00:23:33,172 AND I THINK HE'S REALLY OVERWHELMED 524 00:23:33,172 --> 00:23:35,965 BY THE RESPONSIBILITIES OF HIS DAY-TO-DAY LIFE, 525 00:23:35,965 --> 00:23:39,793 AND I THINK HE MAY HAVE SOME IDENTITY ISSUES. 526 00:23:39,793 --> 00:23:42,068 ♪♪ 527 00:23:42,068 --> 00:23:45,344 Doug: EVERYTHING ABOUT MY LIFE HAS CHANGED IN THE PAST YEAR, 528 00:23:45,344 --> 00:23:49,379 AND ALL THE THINGS THAT I FELT KIND OF DEFINED ME ARE GONE 529 00:23:49,379 --> 00:23:52,551 AND THAT'S HARD ANDMAKES ME WANNA EAT EVEN MORE. 530 00:23:54,172 --> 00:23:56,758 BUT I KNOW THAT IF I WANT TO DO THIS, 531 00:23:56,758 --> 00:24:00,068 THEN STICKING TO DR. NOW'S DIET IS THE ONLY CHOICE, 532 00:24:00,068 --> 00:24:02,068 BECAUSE I DEFINITELY WANNA GET 533 00:24:02,068 --> 00:24:04,586 MY EXCESS SKIN REMOVAL SURGERY BACK. 534 00:24:04,586 --> 00:24:06,724 SO I'M HOPING THAT BY MY NEXT APPOINTMENT, 535 00:24:06,724 --> 00:24:10,000 I GET BACK TO WHERE I NEED AND THAT I'M ON TRACK AGAIN, 536 00:24:10,000 --> 00:24:11,379 SO THAT I CAN KEEP MOVING FORWARD 537 00:24:11,379 --> 00:24:14,620 AND REACH MY TARGET WEIGHT IN THE NEXT YEAR. 538 00:24:14,620 --> 00:24:16,758 BUT IT'S STILL A LITTLE HARD THAT NO MATTER HOW MUCH WEIGHT 539 00:24:16,758 --> 00:24:19,241 I LOSE, I'M STILL A FAILURE, 540 00:24:19,241 --> 00:24:22,275 AND I DON'T KNOW WHAT IT'S GONNA TAKE TO CHANGE THAT. 541 00:24:22,275 --> 00:24:24,241 ♪♪ 542 00:24:26,724 --> 00:24:36,689 ♪♪ 543 00:24:36,689 --> 00:24:40,931 ♪♪ 544 00:24:46,103 --> 00:24:49,172 ♪♪ 545 00:24:49,172 --> 00:24:51,620 Dr. Nowzaradan: I'M CONCERNED ABOUT DOUG'S PROGRESS. 546 00:24:51,620 --> 00:24:53,241 THE LAST TIME I SAW HIM, 547 00:24:53,241 --> 00:24:56,827 I WARNED HIM THAT HE'S ON THE VERGE OF GAINING RAPIDLY, 548 00:24:56,827 --> 00:24:58,896 UNLESS HE CHANGES THINGS NOW. 549 00:24:58,896 --> 00:25:02,931 AND IF HE DOESN'T, HE'S GONNA BE BACK TO HIS ORIGINAL WEIGHT. 550 00:25:02,931 --> 00:25:06,758 SO THIS IS VERY BAD SITUATION, SO I'M TRYING TO ENCOURAGE HIM 551 00:25:06,758 --> 00:25:08,689 TO BE ABLE TO COME AND SEE US 552 00:25:08,689 --> 00:25:13,620 AND FIND OUT WHERE HIS WEIGHT'S AT AND WHAT'S GOING ON WITH HIM. 553 00:25:13,620 --> 00:25:14,931 -Hello? -HI, DOUG. 554 00:25:14,931 --> 00:25:17,034 THIS IS DR. NOWZARADAN. 555 00:25:17,034 --> 00:25:19,931 -Hey. -SO THE REASON I'M CALLING YOU 556 00:25:19,931 --> 00:25:22,758 IS THAT YOU HAVE MISSED TWO APPOINTMENTS NOW. 557 00:25:22,758 --> 00:25:24,689 MOST TIME, WHEN THAT HAPPEN, 558 00:25:24,689 --> 00:25:27,586 PEOPLE ARE NOT DOING TOO WELL WITH THEIR DIET, 559 00:25:27,586 --> 00:25:30,862 AND THE PATIENT IS LOOKING TO AVOID THE SCALE AND ME. 560 00:25:30,862 --> 00:25:32,413 SO HOW YOU DOING WITH YOUR DIET? 561 00:25:32,413 --> 00:25:34,827 It's been a struggle. I'm not gonna lie. 562 00:25:34,827 --> 00:25:36,000 I know I've been giving in, 563 00:25:36,000 --> 00:25:37,172 but I'm eating meat like you said. 564 00:25:37,172 --> 00:25:38,413 It's just the carbs that get me, 565 00:25:38,413 --> 00:25:40,137 so I know I'm probably not hitting my goals. 566 00:25:40,137 --> 00:25:41,448 And I'll be honest with you, 567 00:25:41,448 --> 00:25:43,241 I guess I'm kind of feeling defeated. 568 00:25:43,241 --> 00:25:44,793 WHY IS THAT? 569 00:25:44,793 --> 00:25:46,862 Well, you know, I mean, almost like I feel like 570 00:25:46,862 --> 00:25:49,931 I'm not allowed to feel any kind of a victory, 571 00:25:49,931 --> 00:25:52,206 I guess, for anything that I've done so far. 572 00:25:52,206 --> 00:25:53,655 But I feel like I've done well. 573 00:25:53,655 --> 00:25:56,241 It's a lot of changes happening in my body and -- 574 00:25:56,241 --> 00:25:58,896 WHAT DO YOU MEAN, THE CHANGES HAPPENING IN YOUR BODY? 575 00:25:58,896 --> 00:26:00,896 Talking about losing weight. 576 00:26:00,896 --> 00:26:02,793 WHAT ABOUT IT? IS THAT GOOD OR BAD? 577 00:26:02,793 --> 00:26:04,448 Well, apparently, it's bad. 578 00:26:04,448 --> 00:26:07,172 WELL, YOU STARTED WITH 687 POUNDS 579 00:26:07,172 --> 00:26:10,413 AND YOU DOWN TO UPPER 400s. 580 00:26:10,413 --> 00:26:14,206 SO EVEN THOUGH YOUR WEIGHT LOSS ISN'T WHERE IT SHOULD BE, 581 00:26:14,206 --> 00:26:16,724 WHAT IS BAD ABOUT LOSING 200 POUNDS? 582 00:26:16,724 --> 00:26:19,000 You're the one that said I was a failure 583 00:26:19,000 --> 00:26:20,344 the last time we spoke. 584 00:26:20,344 --> 00:26:21,758 COME ON, DOUG, SERIOUSLY. 585 00:26:21,758 --> 00:26:24,413 ARE YOU TELLING ME YOU HAVE BEEN POUTING LIKE A CHILD, 586 00:26:24,413 --> 00:26:25,620 BECAUSE I TOLD YOU, 587 00:26:25,620 --> 00:26:28,103 YOU'RE FAILING YOUR WEIGHT LOSS SURGERY? 588 00:26:28,103 --> 00:26:29,379 Um... 589 00:26:29,379 --> 00:26:31,275 THE REALITY IS, YOU ARE, 590 00:26:31,275 --> 00:26:34,586 AND THAT SHOULD MOTIVATE YOU TO TRY HARDER, RIGHT? 591 00:26:34,586 --> 00:26:36,000 Right. 592 00:26:36,000 --> 00:26:39,000 But I don't function with the -- talk to me like a child. 593 00:26:39,000 --> 00:26:41,448 It's completely dismissing anything I've done 594 00:26:41,448 --> 00:26:42,931 and telling me that I'm a failure. 595 00:26:42,931 --> 00:26:44,586 That's what's weighed heavy on my mind 596 00:26:44,586 --> 00:26:46,620 since the last time we spoke face-to-face. 597 00:26:46,620 --> 00:26:49,034 ALL RIGHT, DOUG, YOU ARE NOT UNDERSTANDING 598 00:26:49,034 --> 00:26:51,068 WHAT WE'RE TELLING YOU, OKAY. 599 00:26:51,068 --> 00:26:54,793 YOU'RE NOT THE -- A CHILD AND YOU'RE AN ADULT. 600 00:26:54,793 --> 00:26:58,275 AND WE'RE TELLING YOU, LOOK, THE WAY THAT YOU ARE GOING 601 00:26:58,275 --> 00:27:01,482 RIGHT NOW, STATISTICALLY, YOU'RE GONNA FAIL THE OPERATION, 602 00:27:01,482 --> 00:27:04,137 BECAUSE YOU HAVEN'T FIGURED OUT WHAT THE PROBLEMS ARE. 603 00:27:04,137 --> 00:27:08,172 SO IT'S ALL UP TO YOU AND HOW MUCH YOU WANT THIS. 604 00:27:08,172 --> 00:27:10,758 BECAUSE EVERY CHOICE THAT A PATIENT CAN MAKE 605 00:27:10,758 --> 00:27:13,517 THAT LEADS YOU TO FAILURE, YOU'RE MAKING. 606 00:27:13,517 --> 00:27:15,896 AND NOW YOU'RE MISSING APPOINTMENTS. 607 00:27:15,896 --> 00:27:19,482 AND NOT JUST WITH ME, BUT YOU HAVEN'T BEEN TO PSYCHOTHERAPY 608 00:27:19,482 --> 00:27:21,965 IN A MONTH, WHICH IS A BIG PROBLEM, TOO, 609 00:27:21,965 --> 00:27:25,586 BECAUSE THAT MEANS YOU'RE NO LONGER WORKING ON 610 00:27:25,586 --> 00:27:27,310 YOUR EMOTIONAL ISSUES 611 00:27:27,310 --> 00:27:30,620 AND YOU'RE IN A DOWNWARD SPIRAL RIGHT NOW. 612 00:27:30,620 --> 00:27:32,103 AND IF THAT DOESN'T CHANGE, 613 00:27:32,103 --> 00:27:34,344 YOU'RE GONNA END UP GAINING ALL YOUR WEIGHT BACK. 614 00:27:34,344 --> 00:27:36,586 AND YOUR RESPONSE IS TO POUT? 615 00:27:36,586 --> 00:27:39,931 AND THIS IS NOT THE WAY IT SHOULD BE, OKAY. 616 00:27:39,931 --> 00:27:43,068 YOU NEED TO UNDERSTAND THAT YOU HAVE THE PROBLEM 617 00:27:43,068 --> 00:27:45,379 AND WE'RE HERE -- -I know, I know I do. 618 00:27:45,379 --> 00:27:47,931 OKAY, WE'RE HERE TO HELP YOU OUT, 619 00:27:47,931 --> 00:27:49,827 TO GET YOU IN THE RIGHT TRACK. 620 00:27:49,827 --> 00:27:53,241 AND WHAT WE'RE TELLING YOU IS FOR YOUR OWN GOOD. 621 00:27:53,241 --> 00:27:56,137 SO IF YOU'RE FAILING, I'M NOT GONNA IGNORE THAT, 622 00:27:56,137 --> 00:27:57,517 BECAUSE THAT DOESN'T HELP YOU. 623 00:27:57,517 --> 00:27:59,068 YOU UNDERSTAND? 624 00:27:59,068 --> 00:28:00,413 I understand. 625 00:28:00,413 --> 00:28:03,724 ALL RIGHT, SO RIGHT NOW, YOU'RE HEADED IN A BAD DIRECTION, 626 00:28:03,724 --> 00:28:05,448 AND WE NEED TO CORRECT THAT. 627 00:28:05,448 --> 00:28:08,068 SO I WANT YOU TO COME IN IMMEDIATELY 628 00:28:08,068 --> 00:28:10,689 SO I CAN SEE WHERE YOUR WEIGHT'S AT. 629 00:28:10,689 --> 00:28:14,000 AND WE NEED TO FIGURE OUT WHAT'S GOING ON WITH YOU, OKAY? 630 00:28:14,000 --> 00:28:15,862 -Yes, sir. -ALL RIGHT, DOUG. 631 00:28:15,862 --> 00:28:18,241 -I'LL SEE YOU HERE SOON. -All right. 632 00:28:18,241 --> 00:28:19,655 ALL RIGHT, BYE-BYE. 633 00:28:19,655 --> 00:28:22,965 ♪♪ 634 00:28:22,965 --> 00:28:26,275 DOUG SEEMS TO HAVE GONE FURTHER IN THE WRONG DIRECTION 635 00:28:26,275 --> 00:28:28,172 SINCE HIS LAST APPOINTMENT. 636 00:28:28,172 --> 00:28:31,413 AND I WAS HOPING THE FACT THAT HE GAINED THEN 637 00:28:31,413 --> 00:28:34,275 WAS A WAKE-UP CALL, AS WELL AS EXPLAINING TO HIM 638 00:28:34,275 --> 00:28:36,379 THE REALITY OF HIS SITUATION. 639 00:28:36,379 --> 00:28:41,551 BUT IT SEEMS HE USED ALL THAT TO POUT THESE PAST TWO MONTHS, 640 00:28:41,551 --> 00:28:45,931 AND THIS IS A HALLMARK OF HIGHLY DYSFUNCTIONAL PERSON 641 00:28:45,931 --> 00:28:48,758 THAT HAS NOT REALLY UNDERSTOOD 642 00:28:48,758 --> 00:28:51,379 WHAT ARE THE ISSUES THAT DRIVING HIM TO EAT 643 00:28:51,379 --> 00:28:54,137 AND HOW HE'S GONNA CHANGE HIS LIFE. 644 00:28:54,137 --> 00:28:56,551 SO RIGHT NOW, WE NEED TO GET HIM BACK HERE 645 00:28:56,551 --> 00:28:58,586 TO SEE WHERE HIS WEIGHT IS AT 646 00:28:58,586 --> 00:29:00,448 AND IF HE'S STARTED GAINING A LOT. 647 00:29:00,448 --> 00:29:04,862 BECAUSE IF HE HAS, IT MAY BE TOO LATE FOR US TO INTERVENE 648 00:29:04,862 --> 00:29:06,931 AND GET HIS WEIGHT BACK DOWN 649 00:29:06,931 --> 00:29:11,034 AND HE WILL END UP BACK OVER 600 POUNDS. 650 00:29:11,034 --> 00:29:18,034 ♪♪ 651 00:29:18,034 --> 00:29:25,275 ♪♪ 652 00:29:25,275 --> 00:29:27,241 Doug: I'M HEADED TO SEE DR. NOW THIS MORNING, 653 00:29:27,241 --> 00:29:31,655 AND I'M NOT LOOKING FORWARD TO IT, BUT I'M GOING. 654 00:29:31,655 --> 00:29:33,413 SO I GOT UP REALLY EARLY TODAY 655 00:29:33,413 --> 00:29:36,137 AND DRIVING SIX HOURS TO HOUSTON. 656 00:29:36,137 --> 00:29:40,103 AND IT'S BEEN ABOUT FOUR MONTHS SINCE I'VE SEEN DR. NOW. 657 00:29:40,103 --> 00:29:41,379 BUT I'M GOING BACK TO SEE THE DOCTOR 658 00:29:41,379 --> 00:29:43,758 BECAUSE HE WANTED TO SEE ME IN PERSON, 659 00:29:43,758 --> 00:29:45,655 SO HE CAN KIND OF JUDGE HOW I'M DOING 660 00:29:45,655 --> 00:29:49,000 AND SEE WHAT'S GOING ON WITH ME. 661 00:29:49,000 --> 00:29:51,551 AND I KNOW HE'S PROBABLY WORRIED ABOUT ME GAINING, 662 00:29:51,551 --> 00:29:54,000 BUT I HONESTLY DON'T KNOW WHERE MY WEIGHT'S AT RIGHT NOW, 663 00:29:54,000 --> 00:29:56,689 SO I KNOW MY PROGRESS MIGHT NOT BE THAT GREAT. 664 00:29:56,689 --> 00:30:00,689 'CAUSE DR. NOW WAS EXPECTING ME TO LOSE 25 POUNDS A MONTH. 665 00:30:00,689 --> 00:30:03,379 AT THIS POINT, I HAVEN'T BEEN LOSING THAT. 666 00:30:03,379 --> 00:30:06,482 I HAVEN'T BEEN LOSING, REALLY, ANYTHING. 667 00:30:06,482 --> 00:30:08,965 AND I'M STRUGGLING ABOUT WHETHER OR NOT I SHOULD EVEN DO THIS 668 00:30:08,965 --> 00:30:10,413 AND GO SEE HIM NOW, 669 00:30:10,413 --> 00:30:13,137 OR REALLY IF I SHOULD EVEN KEEP SEEING HIM, AT THIS POINT, 670 00:30:13,137 --> 00:30:16,206 BECAUSE I DON'T THINK IT HELPS ME WHEN DR. NOW TELLS ME STUFF 671 00:30:16,206 --> 00:30:17,275 LIKE I'M A FAILURE. 672 00:30:17,275 --> 00:30:19,137 AND IF IT GOES LIKE IT DID LAST TIME, 673 00:30:19,137 --> 00:30:23,172 THEN I'M WORRIED IT COULD MAKE ALL THIS WORSE. 674 00:30:23,172 --> 00:30:24,655 SO? 675 00:30:24,655 --> 00:30:25,862 SO? 676 00:30:25,862 --> 00:30:28,310 -WHAT DO YOU THINK? -I DON'T WANNA GO. 677 00:30:28,310 --> 00:30:30,655 -[ CHUCKLES ] -I KNOW YOU DON'T WANNA GO. 678 00:30:30,655 --> 00:30:32,137 TELL ME ABOUT IT. 679 00:30:32,137 --> 00:30:33,793 WELL, JUST AFTER LAST TIME, 680 00:30:33,793 --> 00:30:36,896 I JUST DON'T WANNA HAVE ANOTHER BAD APPOINTMENT. 681 00:30:36,896 --> 00:30:38,172 AND WHEN YOU SAY "BAD APPOINTMENT," 682 00:30:38,172 --> 00:30:39,586 WHAT DO YOU MEAN? 683 00:30:39,586 --> 00:30:43,137 I JUST DON'T WANNA HEAR ANYTHING THAT'S GONNA... 684 00:30:43,137 --> 00:30:46,655 POSSIBLY SET ME BACK ANY FURTHER THAN IT ALREADY HAS. 685 00:30:46,655 --> 00:30:50,068 I MEAN, I KNOW I DIDN'T HIT ANY KIND OF GOAL THIS TIME. 686 00:30:50,068 --> 00:30:52,206 IS IT A MATTER OF NOT WANTING TO HEAR THE TRUTH, 687 00:30:52,206 --> 00:30:54,931 SOMEONE TO TELL YOU THE FACTS THAT YOU HAVEN'T DONE 688 00:30:54,931 --> 00:30:56,724 WHAT YOU'RE SUPPOSED TO DO, 689 00:30:56,724 --> 00:30:59,965 OR IS IT 100% THE WAY THAT HE APPROACHES YOU? 690 00:30:59,965 --> 00:31:02,482 IT'S THE WAY HE APPROACHES ME. 691 00:31:02,482 --> 00:31:05,172 -OKAY. -I'M NOT NAIVE TO THE FACTS, 692 00:31:05,172 --> 00:31:08,551 BUT I ALSO DON'T APPRECIATE BEING CALLED A FAILURE, EITHER. 693 00:31:08,551 --> 00:31:10,103 I DON'T FEEL LIKE A FAILURE. 694 00:31:10,103 --> 00:31:12,241 IF YOU DON'T FEEL LIKE A FAILURE, 695 00:31:12,241 --> 00:31:13,586 THEN YOU NEED TO KEEP DOING 696 00:31:13,586 --> 00:31:17,344 WHAT YOU'RE SUPPOSED TO BE DOING AND MOVE FORWARD. 697 00:31:17,344 --> 00:31:21,965 LISTEN TO WHAT HE HAS TO SAY, ACKNOWLEDGE THE FACTS, 698 00:31:21,965 --> 00:31:26,379 AND JUST WORK ON TRYING TO GET PAST THAT EMOTIONAL THING, 699 00:31:26,379 --> 00:31:28,931 THAT EMOTIONAL BLOCK THAT YOU HAVE THAT MAKES YOU SHUT DOWN 700 00:31:28,931 --> 00:31:31,620 WHEN HE STARTS SAYING WHAT HE SAYS. 701 00:31:35,517 --> 00:31:36,620 I'M GONNA TRY. 702 00:31:36,620 --> 00:31:39,482 I'M NOT GONNA AVOID IT OR ANYTHING. 703 00:31:39,482 --> 00:31:41,793 AND WHO KNOWS? HE MAY SURPRISE YOU. 704 00:31:41,793 --> 00:31:42,965 GET ME A NEW CAR OR SOMETHING? 705 00:31:42,965 --> 00:31:44,965 NO, I'M JUST SAYING, HE MAY... 706 00:31:44,965 --> 00:31:47,172 HE MAY HAVE SOME WORDS OF ENCOURAGEMENT FOR YOU. 707 00:31:47,172 --> 00:31:49,137 ♪♪ 708 00:31:49,137 --> 00:31:51,000 Doug: I'M TRYING TO GET PAST THIS, BUT I DON'T KNOW HOW. 709 00:31:51,000 --> 00:31:54,862 I'LL SEE Y'ALL LATER. [ SIGHS ] 710 00:31:54,862 --> 00:31:56,793 AND IF IT WERE COMPLETELY UP TO ME RIGHT NOW, 711 00:31:56,793 --> 00:31:59,137 THEN I WOULDN'T BE DOING THIS. 712 00:31:59,137 --> 00:32:00,862 [ KISSES ] -SO I JUST HOPE THIS ISN'T 713 00:32:00,862 --> 00:32:04,206 A BAD DECISION, BECAUSE IF DR. NOW STARTS TO TELL ME 714 00:32:04,206 --> 00:32:07,482 I'M A FAILURE AGAIN, THEN I THINK I'M DONE. 715 00:32:07,482 --> 00:32:09,068 AND AS MUCH AS I DON'T WANT THAT, 716 00:32:09,068 --> 00:32:12,448 I ALSO DON'T NEED HIM TO CRITICIZE ME LIKE HE DOES. 717 00:32:12,448 --> 00:32:15,275 SO, HOPEFULLY, THIS GOES WELL TODAY, 718 00:32:15,275 --> 00:32:16,827 BUT I DON'T THINK IT WILL. 719 00:32:16,827 --> 00:32:18,482 ♪♪ 720 00:32:21,413 --> 00:32:30,689 ♪♪ 721 00:32:30,689 --> 00:32:31,793 Doug: I'M HERE AT DR. NOW'S, 722 00:32:31,793 --> 00:32:34,172 BECAUSE I MISSED MY LAST TWO APPOINTMENTS, 723 00:32:34,172 --> 00:32:37,448 SO HE CALLED ME AND TOLD ME I NEEDED TO COME IN. 724 00:32:37,448 --> 00:32:40,379 BUT I'M STRUGGLING A LOT RIGHT NOW, 725 00:32:40,379 --> 00:32:42,689 AND I KNOW I JUST GOTTA GET MY MIND RIGHT 726 00:32:42,689 --> 00:32:44,758 AND GET BACK ON TRACK. 727 00:32:44,758 --> 00:32:46,241 BECAUSE IT'S LIKE I'M LOST. 728 00:32:46,241 --> 00:32:49,482 IT'S LIKE I'M IN A DARK ROOM WITH NO FLASHLIGHT 729 00:32:49,482 --> 00:32:53,000 AND JUST KIND OF FEELING AROUND. 730 00:32:53,000 --> 00:32:54,655 BUT PART OF ME DOESN'T WANNA BE HERE, 731 00:32:54,655 --> 00:32:57,413 JUST TO BE TOLD I'M STILL FAILING. 732 00:32:57,413 --> 00:33:00,448 AND IF THAT'S HOW TODAY GOES, THEN I'M GONNA TELL DR. NOW 733 00:33:00,448 --> 00:33:02,793 I DON'T THINK I NEED TO KEEP DOING THIS, 734 00:33:02,793 --> 00:33:06,000 BECAUSE ALL THIS ISN'T HELPING ME. 735 00:33:06,000 --> 00:33:08,517 DOUGLAS ARMSTRONG? 736 00:33:08,517 --> 00:33:09,862 Doug: SO I'M NOT LOOKING FORWARD 737 00:33:09,862 --> 00:33:11,965 TO SEEING WHERE MY WEIGHT'S AT TODAY, 738 00:33:11,965 --> 00:33:15,275 AND I DON'T NEED ANOTHER LECTURE FROM DR. NOW ABOUT IT. 739 00:33:15,275 --> 00:33:17,724 BUT IT'S BEEN FOUR MONTHS, AND IF I STAYED ON TRACK, 740 00:33:17,724 --> 00:33:20,655 THEN I SHOULD BE BELOW 369 TODAY. 741 00:33:20,655 --> 00:33:23,000 BUT I DON'T THINK I'M ANYWHERE CLOSE TO THAT WEIGHT. 742 00:33:23,000 --> 00:33:29,275 ♪♪ 743 00:33:29,275 --> 00:33:32,206 THAT'S REALLY DISCOURAGING.[ EXHALES DEEPLY ] 744 00:33:32,206 --> 00:33:34,379 AND I DON'T KNOW WHAT 745 00:33:34,379 --> 00:33:38,275 DR. NOW IS GONNA THINK ABOUT A WEIGHT GAIN, 746 00:33:38,275 --> 00:33:41,241 SO I'M NOT LOOKING FORWARD TO THIS. 747 00:33:41,241 --> 00:33:42,655 I WAS TRYING TO AVOID ALL THIS NOW 748 00:33:42,655 --> 00:33:45,793 SO IT DOESN'T MAKE IT HARDER FOR ME, 749 00:33:45,793 --> 00:33:48,000 'CAUSE I DON'T NEED TO HEAR I'M A FAILURE AGAIN. 750 00:33:48,000 --> 00:33:50,241 [ KNOCK ON DOOR ] 751 00:33:50,241 --> 00:33:52,482 -HELLO. -HELLO. 752 00:33:52,482 --> 00:33:54,551 HOW ARE YOU, DOUG? 753 00:33:54,551 --> 00:33:56,137 I GUESS I'M DOING ALL RIGHT. 754 00:33:56,137 --> 00:33:58,034 WELL, WHEN YOU SKIP YOUR APPOINTMENT, 755 00:33:58,034 --> 00:34:00,551 I WAS CONCERNED THAT WAS IT FOR YOU 756 00:34:00,551 --> 00:34:03,344 AND THOUGHT WE'RE GONNA NOT SEE YOU ANYMORE, HUH? 757 00:34:03,344 --> 00:34:06,034 NAH, I'D HAVE EVENTUALLY COME BACK. [ CHUCKLES ] 758 00:34:06,034 --> 00:34:10,034 SO LAST TIME YOU WERE HERE, YOU WERE UP TO 469, 759 00:34:10,034 --> 00:34:12,862 AND NOW YOU HAVE GAINED AN ADDITIONAL FEW POUNDS 760 00:34:12,862 --> 00:34:16,413 AND YOU'RE AT 472 POUNDS. 761 00:34:16,413 --> 00:34:18,655 SO YOU'RE CONTINUING TO GAIN. 762 00:34:18,655 --> 00:34:19,931 YEAH. 763 00:34:19,931 --> 00:34:21,896 THE ONLY GOOD NEWS IS, IT'S NOT A LOT YET, 764 00:34:21,896 --> 00:34:25,137 BUT AT THIS POINT, THAT IS ONLY A MATTER OF TIME. 765 00:34:25,137 --> 00:34:26,275 RIGHT. 766 00:34:26,275 --> 00:34:27,689 ALL RIGHT, SO WHAT'S THE ISSUE HERE 767 00:34:27,689 --> 00:34:30,206 THAT'S LEADING YOU TO CONTINUE TO GAIN? 768 00:34:30,206 --> 00:34:32,931 WELL, UH, THAT'S THE THING, I-I DON'T KNOW. 769 00:34:32,931 --> 00:34:36,344 UM, I'VE JUST BEEN FALLING OFF, UH, 770 00:34:36,344 --> 00:34:38,275 JUST NOT MAKING ANY OF THE RIGHT CHOICES. 771 00:34:38,275 --> 00:34:40,034 I JUST KIND OF LOST MY WAY, I THINK. 772 00:34:40,034 --> 00:34:43,000 SO WHAT SEEMS TO BE YOUR ISSUE? 773 00:34:43,000 --> 00:34:46,551 YOU'RE HUNGRY ALL THE TIME OR YOU'RE EATING FROM HABIT? 774 00:34:46,551 --> 00:34:49,655 NO, IT'S I'M EATING WHATEVER I'M FEEDING THE KIDS. 775 00:34:49,655 --> 00:34:52,137 YOU KNOW, MOST DAYS, WE'RE EATING OATMEAL, 776 00:34:52,137 --> 00:34:53,655 SOMETHING LIKE THAT FOR BREAKFAST. 777 00:34:53,655 --> 00:34:56,655 AND THEN A SANDWICH AND SOME CHIPS OR SOMETHING FOR LUNCH. 778 00:34:56,655 --> 00:34:59,620 AND THEN I MAY HAVE SOME POTATOES OR SOMETHING 779 00:34:59,620 --> 00:35:00,965 WITH DINNER. 780 00:35:00,965 --> 00:35:02,379 YOU KNOW, STARCHY POTATOES OR SOMETHING LIKE THAT. 781 00:35:02,379 --> 00:35:05,655 SO YOU'RE STILL EATING CARBS AND YOU'RE EATING MEAT? 782 00:35:05,655 --> 00:35:08,103 -YEP. -ARE THERE OTHER ISSUES? 783 00:35:08,103 --> 00:35:10,275 YOU FEEL LIKE EATING MORE THAN YOU SHOULD BE? 784 00:35:10,275 --> 00:35:11,517 I-I DON'T KNOW. 785 00:35:11,517 --> 00:35:14,413 I JUST -- I DO, I GET FULL. 786 00:35:14,413 --> 00:35:16,793 SO WHY DO YOU THINK YOU'RE DOING THIS? 787 00:35:16,793 --> 00:35:18,827 THIS IS THE -- THE FRUSTRATING PART FOR ME, 788 00:35:18,827 --> 00:35:21,724 IS WHEN YOU'RE AS BIG AS I WAS, 789 00:35:21,724 --> 00:35:24,103 YOU KNOW, NOBODY HAS ANY EXPECTATIONS FOR WHAT -- 790 00:35:24,103 --> 00:35:27,586 WHAT YOU'RE DOING, NOBODY HOLDS YOU ACCOUNTABLE FOR ANYTHING. 791 00:35:27,586 --> 00:35:28,931 IT'S OVERWHELMING, I THINK, 792 00:35:28,931 --> 00:35:31,310 TO HAVE A LOT MORE OF THIS ACCOUNTABILITY. 793 00:35:31,310 --> 00:35:34,724 SO YOU'RE SAYING, YOU CAN'T COPE WITH THE CHANGES? 794 00:35:34,724 --> 00:35:36,241 I GUESS NOT. 795 00:35:36,241 --> 00:35:38,931 YOU KNOW IT'S VERY IMPORTANT FOR YOU TO SEE A THERAPIST... 796 00:35:38,931 --> 00:35:40,206 RIGHT. 797 00:35:40,206 --> 00:35:42,137 ...BECAUSE YOU NEED TO FIGURE OUT ALL THOSE ISSUES. 798 00:35:42,137 --> 00:35:44,448 -MM-HMM. -AND IF YOU LEAVE 'EM LIKE THAT, 799 00:35:44,448 --> 00:35:47,689 IT'S GONNA BE LIKE A SPRING THAT YOU'RE SQUEEZING 800 00:35:47,689 --> 00:35:49,172 AND IT'S GONNA COME TO A POINT 801 00:35:49,172 --> 00:35:52,034 WHERE SOMETHING'S GONNA COME OUT AND EXPLODE. 802 00:35:52,034 --> 00:35:54,379 AND THAT SEEMS TO BE WHERE YOU'RE AT. 803 00:35:54,379 --> 00:35:56,000 YEAH, AND THAT'S KIND OF HOW I FEEL. 804 00:35:56,000 --> 00:35:58,517 I THINK THAT'S WHAT'S KIND OF GOT ME KIND OF SHAKEN RIGHT NOW, 805 00:35:58,517 --> 00:36:00,103 IS JUST, YOU KNOW, 806 00:36:00,103 --> 00:36:02,827 I HAD STARTED WITH THEM, WITH THE THERAPIST 807 00:36:02,827 --> 00:36:04,448 AND WORKED THROUGH A COUPLE OF THINGS 808 00:36:04,448 --> 00:36:07,206 AND I FEEL LIKE I WAS, LIKE, DIGGING THROUGH THE LAYERS 809 00:36:07,206 --> 00:36:09,931 AND GETTING DOWN THERE AND HAVE GOTTEN INTO -- 810 00:36:09,931 --> 00:36:12,206 INTO SOME TERRITORY THAT I'M JUST UNFAMILIAR WITH, 811 00:36:12,206 --> 00:36:13,724 THAT I JUST HAVEN'T REALLY ACKNOWLEDGED 812 00:36:13,724 --> 00:36:15,413 IN A LONG TIME, I THINK. 813 00:36:15,413 --> 00:36:18,931 WELL, YOU HAVE TO MAKE SURE THAT YOU'RE GOING TO PSYCHOTHERAPY 814 00:36:18,931 --> 00:36:21,724 AND WORKING THROUGH YOUR EMOTIONAL ISSUES, 815 00:36:21,724 --> 00:36:26,000 BECAUSE THESE ISSUES ARE LEADING YOU DOWN A VERY DANGEROUS PATH. 816 00:36:26,000 --> 00:36:27,206 YEAH. 817 00:36:27,206 --> 00:36:29,862 AND IF WE DON'T GET YOU TURNED AROUND RIGHT NOW, 818 00:36:29,862 --> 00:36:32,241 THEN YOU'RE NOT JUST GONNA GO OFF THE TRACK, 819 00:36:32,241 --> 00:36:33,793 YOU'RE GONNA FLY OFF THE TRACK 820 00:36:33,793 --> 00:36:36,793 AND START TO GAIN WEIGHT RAPIDLY ANY DAY NOW, 821 00:36:36,793 --> 00:36:39,448 AND THEN WE REALLY WILL NEVER SEE YOU AGAIN. 822 00:36:39,448 --> 00:36:42,206 BECAUSE WHEN PATIENTS GET TO THAT POINT, 823 00:36:42,206 --> 00:36:44,896 THEY JUST GIVE UP AND NEVER COME BACK. 824 00:36:44,896 --> 00:36:46,586 SO I'M GOING TO RESCHEDULE 825 00:36:46,586 --> 00:36:49,482 YOUR LAST PSYCHOTHERAPY APPOINTMENT YOU MISSED 826 00:36:49,482 --> 00:36:50,724 FOR NEXT WEEK. 827 00:36:50,724 --> 00:36:53,000 AND YOU HAVE TO GO IF YOU WANT ANY CHANCE 828 00:36:53,000 --> 00:36:55,172 TO TURN YOUR SITUATION AROUND. 829 00:36:55,172 --> 00:36:56,310 YOU UNDERSTAND? 830 00:36:56,310 --> 00:36:57,793 -YEAH. -GOOD. 831 00:36:57,793 --> 00:37:00,172 AND I DON'T WANT YOU TO START MISSING THAT APPOINTMENT, 832 00:37:00,172 --> 00:37:02,965 BECAUSE THESE APPOINTMENTS ARE IMPORTANT, 833 00:37:02,965 --> 00:37:05,620 BECAUSE YOU NEED SOMEBODY TO HOLD YOU ACCOUNTABLE. 834 00:37:05,620 --> 00:37:07,758 AND IF YOU LOSE THAT, YOU'RE NOT GONNA BE ABLE 835 00:37:07,758 --> 00:37:10,172 TO GET BACK ON TRACK LIKE YOU NEED. 836 00:37:10,172 --> 00:37:12,482 AND WE WON'T BE ABLE TO INTERVENE 837 00:37:12,482 --> 00:37:15,517 IF YOU GO TOO LONG WITHOUT THAT ACCOUNTABILITY. 838 00:37:15,517 --> 00:37:16,758 RIGHT. 839 00:37:16,758 --> 00:37:17,896 IS THAT ALL SOMETHING YOU CAN DO? 840 00:37:17,896 --> 00:37:19,068 -YEAH. -GREAT. 841 00:37:19,068 --> 00:37:21,344 AND THE OTHER THING I WANT YOU TO DO, 842 00:37:21,344 --> 00:37:23,793 GET AWAY FROM WHATEVER YOU'RE GONNA FEED FOR THE KIDS. 843 00:37:23,793 --> 00:37:25,620 YOU NEED TO HAVE YOUR OWN MENU. 844 00:37:25,620 --> 00:37:28,034 YOU NEED TO CUT ALL THE CARBS OUT OF YOUR DIET. 845 00:37:28,034 --> 00:37:30,551 -OKAY. -AND THE GOAL IS RIGHT NOW, 846 00:37:30,551 --> 00:37:33,068 TO GET YOUR WEIGHT UNDER 400 POUNDS, 847 00:37:33,068 --> 00:37:35,896 AND THEN WE'RE GONNA SEE WHAT OPTIONS WE GOT. 848 00:37:35,896 --> 00:37:38,448 YEP. 849 00:37:38,448 --> 00:37:42,931 I'M EVEN MORE CONCERNED ABOUT DOUG NOW THAN I WAS BEFORE 850 00:37:42,931 --> 00:37:45,137 BECAUSE DOUG SEEMS TO BE STRUGGLING 851 00:37:45,137 --> 00:37:47,241 WITH A LOT OF EMOTIONS 852 00:37:47,241 --> 00:37:49,068 AND NONE OF THIS IS GONNA CHANGE, 853 00:37:49,068 --> 00:37:51,586 UNLESS HE STARTS TO FACE THESE ISSUES. 854 00:37:51,586 --> 00:37:55,379 SO, HOPEFULLY, HE SHOWS UP AT HIS PSYCHOTHERAPY APPOINTMENT 855 00:37:55,379 --> 00:37:58,551 AND START TO DO THAT, BECAUSE IF HE DOESN'T, 856 00:37:58,551 --> 00:38:00,931 I DON'T THINK HE WILL BE BACK NEXT TIME, 857 00:38:00,931 --> 00:38:05,172 BECAUSE OF HOW MUCH HE'LL BE GAINING AT THAT POINT. 858 00:38:05,172 --> 00:38:07,724 ALL RIGHT, DOUG, I'LL SEE YOU IN THREE MONTHS AND GOOD LUCK. 859 00:38:07,724 --> 00:38:09,620 AND IF YOU NEED ANYTHING, YOU JUST CALL. 860 00:38:09,620 --> 00:38:11,034 OKAY. THANK YOU. 861 00:38:11,034 --> 00:38:12,413 ALL RIGHT, SEE YOU THEN. 862 00:38:12,413 --> 00:38:18,241 ♪♪ 863 00:38:18,241 --> 00:38:20,724 Doug: THAT DIDN'T GO AS BAD AS I THOUGHT, 864 00:38:20,724 --> 00:38:22,448 AND I DID FEEL LIKE THE DOCTOR 865 00:38:22,448 --> 00:38:24,137 HAD SOME ENCOURAGING WORDS FOR ME 866 00:38:24,137 --> 00:38:27,862 AND THAT HE WAS TRULY CONCERNED THAT I'D GOTTEN OFF TRACK. 867 00:38:27,862 --> 00:38:31,758 HE WAS DISAPPOINTED, BUT HE WAS MORE CONCERNED. 868 00:38:31,758 --> 00:38:34,965 AND HE WAS VERY ADAMANT THAT I GO SEE A THERAPIST 869 00:38:34,965 --> 00:38:36,724 AND THAT I JUST NEED TO FOCUS ON TRYING 870 00:38:36,724 --> 00:38:38,965 TO FIND OUT WHAT IS WRONG, FIX IT, 871 00:38:38,965 --> 00:38:42,689 SO I CAN GET BACK TO DOING WHAT I NEED TO DO. 872 00:38:42,689 --> 00:38:44,034 AND IF I DON'T, THEN IT'S GONNA BE LIKE 873 00:38:44,034 --> 00:38:46,827 THE SPRING UNDER PRESSURE HE DESCRIBED, 874 00:38:46,827 --> 00:38:49,586 BUT THAT'S ACTUALLY HOW I ALREADY FEEL. 875 00:38:49,586 --> 00:38:51,241 ♪♪ 876 00:38:54,586 --> 00:39:01,275 ♪♪ 877 00:39:01,275 --> 00:39:05,586 ♪♪ 878 00:39:05,586 --> 00:39:08,965 Doug: TODAY, I'M GOING TO SEE MY THERAPIST. 879 00:39:08,965 --> 00:39:11,965 I KNOW I'VE MISSED SOME APPOINTMENTS AND AVOIDED GOING. 880 00:39:11,965 --> 00:39:16,965 IT'S JUST BEEN SO HARD LATELY, BUT I'M GLAD I'M GOING BACK 881 00:39:16,965 --> 00:39:19,068 BECAUSE THERE'S A LOT I STILL NEED TO DEAL WITH 882 00:39:19,068 --> 00:39:23,689 SO THAT MY EMOTIONS DON'T KEEP DRIVING ME TO EAT. 883 00:39:23,689 --> 00:39:25,034 ARE YOU EXCITED? 884 00:39:25,034 --> 00:39:27,172 -EXCITED, NERVOUS. -YEAH? 885 00:39:27,172 --> 00:39:28,931 WHAT ARE YOU GONNA TALK TO HER ABOUT TODAY? 886 00:39:28,931 --> 00:39:31,000 -AH... -IF YOU WANNA TELL ME? 887 00:39:31,000 --> 00:39:33,551 WELL, I MEAN, I AIN'T GOT NOTHIN' TO HIDE FROM YOU. 888 00:39:33,551 --> 00:39:34,827 WELL, I GOT A COUPLE THINGS I HIDE FROM YOU, 889 00:39:34,827 --> 00:39:36,586 BUT... -[ LAUGHS ] 890 00:39:36,586 --> 00:39:39,206 NO, I JUST, UH, DEALING WITH CHANGE 891 00:39:39,206 --> 00:39:41,034 AND MY DAY-TO-DAY LIFE'S 892 00:39:41,034 --> 00:39:43,827 CHANGED, LIKE, 1,000% 893 00:39:43,827 --> 00:39:45,206 FROM WHERE IT WAS, SO... -YEAH. 894 00:39:45,206 --> 00:39:48,172 BUT I FEEL LIKE I'M NOT ALLOWED TO BE HAPPY FROM WHERE I'M AT. 895 00:39:48,172 --> 00:39:49,448 RIGHT. 896 00:39:49,448 --> 00:39:51,965 ALL RIGHT, WELL, I GOTTA GO. [ SIGHS ] 897 00:39:51,965 --> 00:39:53,137 OKAY. 898 00:39:53,137 --> 00:39:54,862 ♪♪ 899 00:39:54,862 --> 00:39:57,241 Doug: THERE'S BEEN A LOT OF CHANGES TO ME PHYSICALLY 900 00:39:57,241 --> 00:40:00,137 AND MENTALLY AND EMOTIONALLY.MWAH. 901 00:40:00,137 --> 00:40:01,965 -BYE. -BYE. 902 00:40:01,965 --> 00:40:05,931 AND IT'S REALLY HARD TO PINPOINT WHAT THEY ARE. 903 00:40:05,931 --> 00:40:08,896 I'VE BEEN BIG MY WHOLE LIFE. 904 00:40:08,896 --> 00:40:11,379 I WAS AT MY BIGGEST FOR QUITE A LONG TIME, 905 00:40:11,379 --> 00:40:15,172 AND IT'S ADJUSTING TO A NEW LIFE. 906 00:40:15,172 --> 00:40:16,827 I'D KIND OF LIKE TO SEE IF SHE CAN HELP ME 907 00:40:16,827 --> 00:40:19,344 WITH WAYS TO COPE WITH THAT 908 00:40:19,344 --> 00:40:21,827 AND, YOU KNOW, MAKE IT THROUGH THIS TRANSITIONAL PHASE 909 00:40:21,827 --> 00:40:23,655 THAT WE'RE IN RIGHT NOW. 910 00:40:23,655 --> 00:40:26,965 AND IF I DON'T, I KNOW I'M GONNA KEEP GAINING 911 00:40:26,965 --> 00:40:30,241 AND IT'S GONNA GET WORSE AND WORSE, LIKE DR. NOW SAYS. 912 00:40:30,241 --> 00:40:32,793 BUT I DESPERATELY WANT TO SUCCEED, 913 00:40:32,793 --> 00:40:34,862 SO THAT'S WHY I WANNA DO THIS. 914 00:40:34,862 --> 00:40:39,275 ♪♪ 915 00:40:39,275 --> 00:40:40,827 [ Singsongy ] HELLO, DOUG. 916 00:40:40,827 --> 00:40:43,965 ♪♪ 917 00:40:43,965 --> 00:40:45,620 WHY DON'T WE JUST KIND OF GET STARTED 918 00:40:45,620 --> 00:40:47,931 WITH YOU TELLING ME WHERE YOU ARE RIGHT NOW? 919 00:40:47,931 --> 00:40:50,931 UM...LET ME SEE. 920 00:40:50,931 --> 00:40:53,689 WELL, YOU KNOW I'VE BEEN WORKING ON MY RELATIONSHIP WITH MY MOM. 921 00:40:53,689 --> 00:40:56,413 OR AT LEAST, I HAD STARTED AND MADE SOME PROGRESS. 922 00:40:56,413 --> 00:40:57,724 SO YOU STILL BLAME ME? 923 00:40:57,724 --> 00:41:01,517 NO. I DON'T. 924 00:41:01,517 --> 00:41:02,689 THAT'S GOOD. 925 00:41:02,689 --> 00:41:04,551 I DON'T. 926 00:41:04,551 --> 00:41:07,689 I WANT YOU IN MY LIFE. 927 00:41:07,689 --> 00:41:09,206 AND I THINK WE'RE AFRAID TO TALK TO EACH OTHER 928 00:41:09,206 --> 00:41:12,620 AND I THINK IT'S 'CAUSE YOU THINK THAT I RESENT YOU, 929 00:41:12,620 --> 00:41:14,482 AND I THINK THAT YOU RESENT ME. 930 00:41:14,482 --> 00:41:17,482 -I DON'T RESENT YOU. -I DON'T RESENT YOU, EITHER. 931 00:41:17,482 --> 00:41:21,137 SO WE NEED TO GET ALL THAT CLEARED OUT OF THE AIR 932 00:41:21,137 --> 00:41:24,793 AND JUST BASICALLY START OVER. 933 00:41:24,793 --> 00:41:28,103 BUT THEN THERE WAS JUST NO EFFORT FROM HER SIDE, SO... 934 00:41:28,103 --> 00:41:30,103 -OKAY. -SO THERE'S NOTHING NEW THERE. 935 00:41:30,103 --> 00:41:33,206 BUT THAT WHOLE PROCESS, IT REALLY HELPED. 936 00:41:33,206 --> 00:41:34,482 -LIKE... -MM-HMM. 937 00:41:34,482 --> 00:41:36,793 ...SETTING THINGS INTO MOTION AND KIND OF SAYING, 938 00:41:36,793 --> 00:41:38,413 "OKAY, THIS IS WHAT I'M GONNA DO, 939 00:41:38,413 --> 00:41:40,206 "AND IF THIS DOESN'T WORK THIS TIME, 940 00:41:40,206 --> 00:41:41,862 THEN I'M JUST NOT GONNA TRY ANYMORE." 941 00:41:41,862 --> 00:41:44,344 KIND OF JUST HELP YOU TO FLUSH IT OUT. 942 00:41:44,344 --> 00:41:45,862 -YEAH, JUST LET IT GO. -GET IT OUT OF YOUR SYSTEM. 943 00:41:45,862 --> 00:41:48,413 THERE'S OTHER THINGS NOW THAT I'M DEALING WITH. 944 00:41:48,413 --> 00:41:51,448 CHANGE PHYSICALLY, YOU KNOW, AFTER LOSING SO MUCH WEIGHT 945 00:41:51,448 --> 00:41:53,896 AND A LOT OF MY PERSONALITY AND STUFF 946 00:41:53,896 --> 00:41:56,517 WAS TIED TO BEING A BIG GUY. 947 00:41:56,517 --> 00:42:00,620 BEFORE, YOU MENTIONED THAT THAT WAS YOUR WAY 948 00:42:00,620 --> 00:42:02,034 OF REALLY BEING INVISIBLE, 949 00:42:02,034 --> 00:42:05,448 SO THAT NO ONE WAS ABLE TO REALLY SEE YOU. 950 00:42:05,448 --> 00:42:08,172 WHEN YOU ARE SMALLER NOW, 951 00:42:08,172 --> 00:42:10,413 DOES THAT MEAN THAT NOW YOU HAVE TO SHOW UP? 952 00:42:10,413 --> 00:42:12,620 NOT JUST YOU AND YOUR FRAME... 953 00:42:12,620 --> 00:42:14,689 -RIGHT. -...BUT YOU,YOUR PERSONALITY, 954 00:42:14,689 --> 00:42:16,724 WHO YOU REALLY ARE AUTHENTICALLY. 955 00:42:16,724 --> 00:42:19,931 YEAH. I KIND OF FEEL LIKE THERE'S A LOT MORE EXPECTATION 956 00:42:19,931 --> 00:42:21,103 WITH ME NOW. 957 00:42:21,103 --> 00:42:23,517 IS THAT SCARY, THAT YOU HAVE TO SHOW UP? 958 00:42:23,517 --> 00:42:26,206 IT IS. IT COMES BACK TO HAVING 959 00:42:26,206 --> 00:42:28,689 CONFIDENCE AND FAITH IN YOURSELF. 960 00:42:28,689 --> 00:42:30,551 THERE'S ALWAYS THAT LITTLE THING THAT WAS IN MY HEAD 961 00:42:30,551 --> 00:42:31,862 THAT WAS LIKE, YOU KNOW, 962 00:42:31,862 --> 00:42:35,068 "ARE YOU REALLY DOING THIS AS GOOD AS YOU CAN?" 963 00:42:35,068 --> 00:42:38,000 IT ALSO DOESN'T HELP THAT I HAD A CONVERSATION WITH THE DOCTOR, 964 00:42:38,000 --> 00:42:40,724 AND HE TOLD ME I WAS A STATISTICAL FAILURE. 965 00:42:40,724 --> 00:42:42,000 IT WAS JUST A BIG THING 966 00:42:42,000 --> 00:42:44,379 AND I TAKE THAT KIND OF STUFF SERIOUSLY. 967 00:42:44,379 --> 00:42:46,137 LIKE, IF YOU'RE TELLING ME I'M FAILING AT SOMETHING, 968 00:42:46,137 --> 00:42:47,758 THEN I'M GONNA TRY TO FIX IT. 969 00:42:47,758 --> 00:42:50,862 BUT, LIKE, CAN I -- CAN I TAKE A MINUTE TO -- 970 00:42:50,862 --> 00:42:53,310 TO FEEL GOOD ABOUT THIS, BEFORE SOMEBODY TELLS ME 971 00:42:53,310 --> 00:42:55,586 THAT I HAVE NO RIGHT TO FEEL GOOD ABOUT IT? 972 00:42:55,586 --> 00:42:57,275 LIKE, SERIOUSLY, I LOST A GROWN MAN. 973 00:42:57,275 --> 00:42:59,482 -LIKE, SERIOUSLY, YOU KNOW? -OH, RIGHT. OH, RIGHT. 974 00:42:59,482 --> 00:43:02,241 IT'S LIKE -- AND I FEEL LIKE, IT'S KIND OF OVERLOOKED 975 00:43:02,241 --> 00:43:03,413 AND IT'S LIKE, 976 00:43:03,413 --> 00:43:05,655 WELL, GIVE ME A LITTLE BIT OF CREDIT FOR SOMETHING. 977 00:43:05,655 --> 00:43:06,931 RIGHT. 978 00:43:06,931 --> 00:43:09,517 I MEAN, MY -- MY WHOLE LIFE BASICALLY CHANGED. 979 00:43:09,517 --> 00:43:11,655 ALL I HAD TO WORRY ABOUT WAS MYSELF, 980 00:43:11,655 --> 00:43:14,172 AND NOW I'M HEAD OF A FAMILY 981 00:43:14,172 --> 00:43:17,482 AND I HAVE RESPONSIBILITIES AND THINGS IN THE HOUSE, 982 00:43:17,482 --> 00:43:20,275 AND, YOU KNOW, I'M THE ONE THAT STAYS HOME WITH THEM. 983 00:43:20,275 --> 00:43:22,586 I DON'T KNOW. I FEEL LIKE I'VE KIND OF LOST MY IDENTITY 984 00:43:22,586 --> 00:43:24,965 AS AN INDIVIDUAL, YOU KNOW. 985 00:43:24,965 --> 00:43:30,310 AND IT'S JUST ALL ABOUT, YOU KNOW, KIDS' MEALS, 986 00:43:30,310 --> 00:43:31,827 KIDS' SCHOOL, 987 00:43:31,827 --> 00:43:35,482 KIDS' SOCCER PRACTICE, YOU KNOW, AND ALL THAT KIND OF STUFF. 988 00:43:35,482 --> 00:43:39,068 BEFORE THE SURGERY, FOOD WAS YOUR GO-TO, 989 00:43:39,068 --> 00:43:42,103 FOOD WAS YOUR FRIEND. -MM-HMM. 990 00:43:42,103 --> 00:43:44,275 UH, SO YOU REALLY DIDN'T HAVE TO FIGURE OUT WHAT YOU LIKED. 991 00:43:44,275 --> 00:43:47,241 YOU REALLY DIDN'T HAVE TO FIGURE OUT WHO YOU WERE, 992 00:43:47,241 --> 00:43:50,241 'CAUSE YOU COULD SIT DOWN WITH WHATEVER IT IS 993 00:43:50,241 --> 00:43:53,103 THAT YOU WERE EATING AND KIND OF VEG OUT ON THAT. 994 00:43:53,103 --> 00:43:55,413 -MM-HMM. -AND IT WAS OKAY. 995 00:43:55,413 --> 00:43:59,379 THAT WAS A PASTIME FOR YOU, AND YOU HAD TIME TO DO IT. 996 00:43:59,379 --> 00:44:01,689 YOU WOULD FIND TIME TO DO IT, RIGHT? 997 00:44:01,689 --> 00:44:03,724 YOU WOULD FIND TIME TO TAKE A SPIN 998 00:44:03,724 --> 00:44:05,586 AROUND THE -- THE NEIGHBORHOOD. 999 00:44:05,586 --> 00:44:07,724 -MM-HMM. -RIGHT? 1000 00:44:07,724 --> 00:44:10,965 GOD FORBID, THERE'D BE A DRIVE-THRU PIZZA PLACE HERE. 1001 00:44:10,965 --> 00:44:12,448 RIGHT, SO HOW INTERESTING IS THAT, 1002 00:44:12,448 --> 00:44:14,103 THAT YOU WOULD FIND TIME FOR THAT? 1003 00:44:14,103 --> 00:44:16,241 YEAH. HOW DO YOU REPLACE THAT? 1004 00:44:16,241 --> 00:44:18,827 LIKE, WHAT DO YOU REPLACE THAT WITH? 1005 00:44:18,827 --> 00:44:20,931 -THIS THE FUN PART. -UH-HUH? 1006 00:44:20,931 --> 00:44:22,965 BECAUSE YOU GET TO EXPLORE. 1007 00:44:22,965 --> 00:44:26,724 HOWEVER, YOU HAVE TO BUILD IT INTO YOUR SCHEDULE, 1008 00:44:26,724 --> 00:44:29,517 JUST LIKE YOU DO ANYTHING ELSE. 1009 00:44:29,517 --> 00:44:34,206 YOU FIND SOMETHING THAT IS GOOD, THAT'S HEALTHY, 1010 00:44:34,206 --> 00:44:37,896 THAT'S BENEFICIAL TO IMPROVE YOU 1011 00:44:37,896 --> 00:44:39,620 AND YOUR QUALITY OF LIFE. 1012 00:44:39,620 --> 00:44:41,689 WHEN YOU TAKE CARE OF YOU FIRST, 1013 00:44:41,689 --> 00:44:43,655 IT SHIFTS EVERYTHING ELSE IN YOUR LIFE 1014 00:44:43,655 --> 00:44:47,241 SO THAT YOU ARE BETTER FOR EVERYONE ELSE. 1015 00:44:47,241 --> 00:44:49,896 THERE'S NOTHING SELFISH ABOUT THAT. 1016 00:44:49,896 --> 00:44:53,275 I DON'T THINK I'VE EVER REALLY THOUGHT OF IT THAT WAY. 1017 00:44:53,275 --> 00:44:56,137 -IT'S REALLY GOOD. -IT'S GOOD, RIGHT? 1018 00:44:56,137 --> 00:44:57,931 -IT'S GOOD. -[ LAUGHS ] 1019 00:44:57,931 --> 00:44:59,896 I LIKE THAT. 1020 00:44:59,896 --> 00:45:01,724 -SO 30 MINUTES A DAY... -OKAY. 1021 00:45:01,724 --> 00:45:04,034 ...FIND SOMETHING FOR YOU, JUST FOR YOU. 1022 00:45:04,034 --> 00:45:05,172 -OKAY. -ALL RIGHT? 1023 00:45:05,172 --> 00:45:08,103 -I CAN DO THAT. -ALL RIGHT. GOOD DEAL. 1024 00:45:08,103 --> 00:45:09,931 WELL, THANK YOU SO MUCH FOR COMING IN TODAY. 1025 00:45:09,931 --> 00:45:11,931 -YEAH, THANK YOU. -I APPRECIATE IT. TAKE CARE. 1026 00:45:11,931 --> 00:45:13,068 I'LL LOOK FORWARD TO SEEING YOU AGAIN. 1027 00:45:13,068 --> 00:45:15,586 SAME HERE, THANK YOU. 1028 00:45:18,068 --> 00:45:20,448 Doug: WHEN I WAS 600 POUNDS, NO ONE EXPECTED MUCH FROM ME 1029 00:45:20,448 --> 00:45:22,655 BECAUSE OF MY SIZE, 1030 00:45:22,655 --> 00:45:23,965 AND NOW THAT I'M LOSING THE WEIGHT, 1031 00:45:23,965 --> 00:45:25,413 THAT'S ALL CHANGING. 1032 00:45:25,413 --> 00:45:27,482 AND IT MAKES SENSE TO ME THAT I NEED TO EXPLORE THE PERSON 1033 00:45:27,482 --> 00:45:31,000 I'M BECOMING AND WHAT MY IDENTITY IS NOW, 1034 00:45:31,000 --> 00:45:32,482 BECAUSE I'M NO LONGER THE BIG GUY 1035 00:45:32,482 --> 00:45:36,206 WHOSE ONLY PURPOSE WAS TO EAT AND WHO'S SCARED TO FAIL. 1036 00:45:36,206 --> 00:45:38,206 I'M MORE. 1037 00:45:38,206 --> 00:45:41,724 I NEED TO FIGURE OUT WHAT THAT MORE IS, 1038 00:45:41,724 --> 00:45:44,000 AND I KNOW I CAN'T WASTE ANY MORE TIME 1039 00:45:44,000 --> 00:45:45,310 BECAUSE I DON'T WANT MY WEIGHT GAIN 1040 00:45:45,310 --> 00:45:48,034 TO GET ANY WORSE THAN IT ALREADY HAS. 1041 00:45:48,034 --> 00:45:50,793 BUT THAT'S EXACTLY WHAT'S ABOUT TO HAPPEN, 1042 00:45:50,793 --> 00:45:52,758 AND THINGS ARE ABOUT TO GET A LOT WORSE, 1043 00:45:52,758 --> 00:45:55,310 UNLESS I START TO FIGURE ALL THIS OUT SOON. 1044 00:45:55,310 --> 00:45:56,241 ♪♪ 1045 00:46:00,068 --> 00:46:09,344 ♪♪ 1046 00:46:09,344 --> 00:46:11,620 Doug: SINCE SEEING MY THERAPIST AGAIN, 1047 00:46:11,620 --> 00:46:15,310 SHE SAID TO FIND SOMETHING THAT WOULD BE JUST FOR ME, 1048 00:46:15,310 --> 00:46:18,103 AND ART IS DEFINITELY MY PASSION. 1049 00:46:18,103 --> 00:46:21,068 SO I'VE STARTED GETTING BACK INTO DOING, 1050 00:46:21,068 --> 00:46:23,793 UM, GRAPHIC DESIGN STUFF 1051 00:46:23,793 --> 00:46:26,517 AND ASHLEY'S BEEN HELPING ME FIND SOME TIME TO DO THAT. 1052 00:46:26,517 --> 00:46:28,620 AND IT'S BEEN GOING REALLY WELL, 'CAUSE I'VE ALREADY STARTED OFF 1053 00:46:28,620 --> 00:46:32,000 DOING STUFF FOR FRIENDS AND FAMILY -- 1054 00:46:32,000 --> 00:46:36,068 KIDS' UNIFORM DESIGNS, OR MY COUSIN RUNS AN RV PARK 1055 00:46:36,068 --> 00:46:39,413 AND I DID THEIR MAP FOR THEIR RV PARK. 1056 00:46:39,413 --> 00:46:41,344 SO IT'S BEEN REALLY NICE FOR ME TO HAVE TIME 1057 00:46:41,344 --> 00:46:43,448 TO DO THAT KIND OF STUFF, 1058 00:46:43,448 --> 00:46:45,586 AND IT'S REALLY HELPED WITH THE STRESS LEVELS 1059 00:46:45,586 --> 00:46:47,620 AND EVERYTHING, OF BEING HERE ALL DAY 1060 00:46:47,620 --> 00:46:49,551 WITH THE KIDS AND THE DIET, 1061 00:46:49,551 --> 00:46:52,000 SO IT'S HELPED OUT A LOT. 1062 00:46:53,551 --> 00:46:55,448 AND IT MAKES ME FEEL LIKE I'M ACCOMPLISHING SOMETHING 1063 00:46:55,448 --> 00:46:57,068 THAT I'M GOOD AT, 1064 00:46:57,068 --> 00:47:00,000 SO I FEEL LIKE I'M SLOWLY GETTING TO A BETTER PLACE. 1065 00:47:00,000 --> 00:47:02,241 AND AFTER GETTING BACK FROM THE THERAPIST, 1066 00:47:02,241 --> 00:47:05,034 I OPENED UP A LITTLE BIT MORE TO ASHLEY ABOUT MY STRUGGLES 1067 00:47:05,034 --> 00:47:06,724 AND HOW WHEN I'M THE ONLY ONE ON THE DIET, 1068 00:47:06,724 --> 00:47:09,172 IT MAKES IT A LOT HARDER. 1069 00:47:09,172 --> 00:47:11,689 BUT IT'S NOT LIKE SHE'S JUST EATING JUNK FOOD, 1070 00:47:11,689 --> 00:47:14,448 BECAUSE A LOT OF THE TIME, SHE DOES EAT WHAT I'M EATING 1071 00:47:14,448 --> 00:47:16,793 AND SHE'S BEEN LOSING, TOO. 1072 00:47:16,793 --> 00:47:19,965 SHE WAS ALMOST 270 WHEN I GOT MY SURGERY. 1073 00:47:19,965 --> 00:47:24,241 Ashley: ABOUT EIGHT YEARS AGO, I WAS OVER 300 POUNDS. 1074 00:47:24,241 --> 00:47:27,275 I COULDN'T BARELY TIE MY SHOES, I WAS SO HEAVY. 1075 00:47:27,275 --> 00:47:29,448 I WAS MISERABLE, HURT ALL THE TIME. 1076 00:47:29,448 --> 00:47:33,448 I WAS TOO YOUNG TO BE THAT BIG AND TO BE THAT SICKLY. 1077 00:47:33,448 --> 00:47:36,034 SO I HAD THE WEIGHT LOSS SURGERY 1078 00:47:36,034 --> 00:47:40,862 AND I WAS DOWN TO MY GOAL WEIGHT OF 175 POUNDS. 1079 00:47:40,862 --> 00:47:43,482 NOW I'M CLOSE TO 60 POUNDS HEAVIER 1080 00:47:43,482 --> 00:47:46,103 THAN I WAS WHEN WE FIRST STARTED DATING. 1081 00:47:46,103 --> 00:47:48,724 AND INSTEAD OF BEING THE MOTIVATION FOR HIM 1082 00:47:48,724 --> 00:47:49,965 TO EAT BETTER, 1083 00:47:49,965 --> 00:47:54,068 I HAVE, IN TURN, STARTED EATING WORSE. 1084 00:47:54,068 --> 00:47:56,965 Doug: AND NOW ASHLEY'S DOWN TO AROUND 230, 1085 00:47:56,965 --> 00:47:59,931 AND SHE'S SETTING A GOAL OF GETTING DOWN TO 175, 1086 00:47:59,931 --> 00:48:02,896 AND WE'RE GONNA START DOING THIS TOGETHER. 1087 00:48:02,896 --> 00:48:05,827 IT'S JUST THOSE MOMENTS WHEN SHE EATS BREAD OR PIZZA AROUND ME 1088 00:48:05,827 --> 00:48:08,206 THAT MAKE IT HARD FOR ME. 1089 00:48:08,206 --> 00:48:10,586 SO SHE SAID SHE UNDERSTOOD AND TOLD ME THAT 1090 00:48:10,586 --> 00:48:13,137 IF I AGREE TO STICK WITH IT AND WORK HARD, 1091 00:48:13,137 --> 00:48:15,655 THEN SHE'LL DO THE SAME DIET WITH ME. 1092 00:48:15,655 --> 00:48:18,965 AND IT SURPRISED ME HOW ENCOURAGING THAT'S BEEN FOR ME, 1093 00:48:18,965 --> 00:48:21,448 BECAUSE I DIDN'T REALIZE HOW LONELY I FELT FEELING LIKE 1094 00:48:21,448 --> 00:48:23,620 I HAVE TO FIGURE OUT ALL THIS ON MY OWN. 1095 00:48:23,620 --> 00:48:25,827 -HI, DAD! -HI. 1096 00:48:25,827 --> 00:48:27,655 -YOU GONNA GO READ YOUR BOOKS? -[ GRUNTS ] 1097 00:48:27,655 --> 00:48:29,896 HEY, I CAN'T RIGHT NOW, I'M WORKING. 1098 00:48:29,896 --> 00:48:32,482 ALL RIGHT, LET'S GO. NEED HELP? 1099 00:48:32,482 --> 00:48:36,034 -NO, I'M GOOD. -[ ASHLEY LAUGHS ] 1100 00:48:36,034 --> 00:48:38,896 I THINK THAT DOUG HAS LEARNED HOW TO MANAGE 1101 00:48:38,896 --> 00:48:41,931 HIS STRESS AND ANXIETY A LOT BETTER. 1102 00:48:41,931 --> 00:48:45,689 HE DEFINITELY USES ART TO RELAX. 1103 00:48:45,689 --> 00:48:48,724 AND HE'S ALSO LEARNED JUST HOW TO COMMUNICATE BETTER. 1104 00:48:48,724 --> 00:48:52,758 HE USED TO BE VERY AFRAID TO TELL PEOPLE HOW HE FELT 1105 00:48:52,758 --> 00:48:55,758 AND SO HE WOULD USE FOOD TO COPE WITH THOSE FEELINGS 1106 00:48:55,758 --> 00:48:59,379 THAT HE COULDN'T TALK ABOUT. 1107 00:48:59,379 --> 00:49:01,655 AND NOW HE'S DEFINITELY OPENING UP MORE 1108 00:49:01,655 --> 00:49:05,275 AND HE'S NOT AFRAID TO SAY WHAT HE FEELS. 1109 00:49:05,275 --> 00:49:08,931 SO HE'S DONE REALLY GOOD, AND I CAN TELL IN HIS FACE 1110 00:49:08,931 --> 00:49:11,482 AND IN HIS SHOULDERS THAT HE'S SLIMMED DOWN 1111 00:49:11,482 --> 00:49:16,000 AND HE'S LOST AN INSANE AMOUNT OF INCHES OFF OF HIS WAIST 1112 00:49:16,000 --> 00:49:19,965 AND HE'S DOWN ANOTHER SHIRT SIZE. 1113 00:49:19,965 --> 00:49:21,137 WHAT ARE YOU DOING? 1114 00:49:21,137 --> 00:49:22,551 GETTING CLOTHES TO GO TO THE GYM. 1115 00:49:22,551 --> 00:49:23,655 OOH, YOU'RE GOING TO THE GYM? 1116 00:49:23,655 --> 00:49:25,034 -GET DOWN, MOLLY. -YEP. 1117 00:49:25,034 --> 00:49:26,724 -IN THE RAIN? -MM-HMM. 1118 00:49:26,724 --> 00:49:29,275 -OH, GOOD JOB, BABE. -WELL, I'M-A GO CHANGE. 1119 00:49:29,275 --> 00:49:30,482 -TELL DADDY BYE. -BYE-BYE! 1120 00:49:30,482 --> 00:49:31,724 BYE! 1121 00:49:31,724 --> 00:49:34,068 Cooper: SEE YOU IN A YEAR. 1122 00:49:34,068 --> 00:49:35,241 YEAH. 1123 00:49:35,241 --> 00:49:36,482 Ashley: BLOW HIM SOME KISSES. 1124 00:49:36,482 --> 00:49:39,103 MWAH! 1125 00:49:39,103 --> 00:49:41,034 Doug: I KNOW I'VE COME A LONG WAY 1126 00:49:41,034 --> 00:49:42,655 AND I HAVEN'T REALLY FELT THIS GOOD 1127 00:49:42,655 --> 00:49:45,275 IN PROBABLY 20 YEARS. 1128 00:49:45,275 --> 00:49:47,000 I'M WEARING A WAIST SIZE NOW 1129 00:49:47,000 --> 00:49:49,862 THAT I HAVEN'T WORN SINCE HIGH SCHOOL. 1130 00:49:49,862 --> 00:49:53,517 SO I'M SEEING A LOT OF CHANGES IN OVERALL HEALTH 1131 00:49:53,517 --> 00:49:54,793 AND OVERALL HAPPINESS, 1132 00:49:54,793 --> 00:49:57,482 SO THAT'S GENERALLY WHAT I LIKE TO FOCUS ON. 1133 00:49:58,793 --> 00:50:00,275 -Ashley: BYE. -Doug: BYE. 1134 00:50:00,275 --> 00:50:01,655 -Cooper: I LOVE YA. -Doug: LOVE YOU. 1135 00:50:01,655 --> 00:50:03,241 Cooper: I LOVE YOU MORE. 1136 00:50:03,241 --> 00:50:05,241 LOVE YOUMORE. 1137 00:50:05,241 --> 00:50:07,896 I KNOW I STILL HAVE A LOT OF WORK TO DO, 1138 00:50:07,896 --> 00:50:09,793 BUT WHEN I WAS AT MY HEAVIEST, 1139 00:50:09,793 --> 00:50:12,206 I WOULDN'T HAVE FELT MOTIVATION TO COME OUT AND WORKOUT 1140 00:50:12,206 --> 00:50:13,586 AND GET OUT WHEN IT'S RAINING 1141 00:50:13,586 --> 00:50:16,758 OR PUT ANY KIND OF EFFORT INTO THAT. 1142 00:50:16,758 --> 00:50:19,448 ♪♪ 1143 00:50:19,448 --> 00:50:22,034 AND I REMIND MYSELF THAT EVEN BEING ABLE TO DO 1144 00:50:22,034 --> 00:50:24,413 WHAT I'M DOING NOW AND GOING OUT LIKE THIS 1145 00:50:24,413 --> 00:50:26,586 IS A COMPLETE CHANGE. 1146 00:50:26,586 --> 00:50:28,482 OH, WELL. 1147 00:50:28,482 --> 00:50:30,137 CAN YOU TURN YOUR LEGS ANY? 1148 00:50:30,137 --> 00:50:32,931 [ BREATHING HEAVILY ] 1149 00:50:32,931 --> 00:50:36,068 -Cooper: DAD? -OKAY. 1150 00:50:36,068 --> 00:50:38,034 YEAH, I'M GONNA TAKE MY CAR. 1151 00:50:38,034 --> 00:50:40,551 YOU WANNA JUST FOLLOW US? DO YOU NEED HELP? 1152 00:50:40,551 --> 00:50:42,068 [ Strained voice ] NO, I GOT IT. 1153 00:50:42,068 --> 00:50:45,103 Doug: THE ONLY THING I'M REALLY WORRIED ABOUT AT THIS POINT, 1154 00:50:45,103 --> 00:50:48,379 IS GOING BACK TO SEE DR. NOW. 1155 00:50:48,379 --> 00:50:50,965 I HAVE ABOUT A MONTH TO MAKE MORE PROGRESS, 1156 00:50:50,965 --> 00:50:52,862 SO I'M PUSHING MYSELF REALLY HARD RIGHT NOW 1157 00:50:52,862 --> 00:50:55,172 TO LOSE AS MUCH AS POSSIBLE, 1158 00:50:55,172 --> 00:50:56,448 BECAUSE IF I GO BACK, 1159 00:50:56,448 --> 00:50:58,827 AND DR. NOW TELLS ME I'M FAILING AGAIN, 1160 00:50:58,827 --> 00:51:02,241 THEN I'M WORRIED IT'S GONNA SEND ME BACK TO WHERE I WAS. 1161 00:51:02,241 --> 00:51:05,620 BUT I FEEL LIKE I'M ON THE RIGHT TRACK NOW AND I FEEL GOOD. 1162 00:51:05,620 --> 00:51:08,586 AND I KNOW THAT IF I WANNA KEEP DOING THIS, 1163 00:51:08,586 --> 00:51:12,068 THEN MY ONLY OPTION IS TO WORK HARD AND HIT MY GOALS. 1164 00:51:12,068 --> 00:51:14,551 BECAUSE IF DR. NOW IS HARD ON ME AGAIN, 1165 00:51:14,551 --> 00:51:17,827 I DON'T KNOW IF I'LL BE ABLE TO GET BACK ON TRACK AS EASILY 1166 00:51:17,827 --> 00:51:20,551 AND I CAN'T LET MYSELF START GAINING AGAIN. 1167 00:51:20,551 --> 00:51:24,896 ♪♪ 1168 00:51:24,896 --> 00:51:34,551 ♪♪ 1169 00:51:34,551 --> 00:51:37,551 WE'RE HEADED BACK TO DR. NOW'S FOR MY NEXT APPOINTMENT 1170 00:51:37,551 --> 00:51:41,103 AND I'M EXTREMELY ANXIOUS TO FIND OUT WHERE MY WEIGHT'S AT. 1171 00:51:41,103 --> 00:51:44,310 I KNOW I'VE BEEN WORKING HARD AND IF I DON'T SEE THE RESULTS 1172 00:51:44,310 --> 00:51:48,931 I'M HOPING TO SEE, THEN IT'S GONNA BE EXTREMELY DISCOURAGING. 1173 00:51:48,931 --> 00:51:51,448 IT'S BEEN TWO MONTHS SINCE MY LAST APPOINTMENT, 1174 00:51:51,448 --> 00:51:54,620 AND DR. NOW REALLY DIDN'T GIVE ME A GOAL SINCE I WAS GAINING. 1175 00:51:54,620 --> 00:51:56,689 BUT HE WANTED ME TO GET BACK ON TRACK 1176 00:51:56,689 --> 00:51:58,586 AND I'M SHOOTING TO BE BELOW 400 POUNDS 1177 00:51:58,586 --> 00:52:01,379 TO GET APPROVED FOR SURGERY AGAIN. 1178 00:52:01,379 --> 00:52:04,620 BUT I'M REALLY WORRIED THAT IF I HAVEN'T LOST ENOUGH WEIGHT, 1179 00:52:04,620 --> 00:52:07,448 DR. NOW IS GONNA COME DOWN ON ME LIKE HE DID BEFORE. 1180 00:52:07,448 --> 00:52:08,931 AND IF THAT HAPPENS, 1181 00:52:08,931 --> 00:52:10,689 I'M SCARED IT'S GONNA SEND ME BACK TO THE SAME PLACE 1182 00:52:10,689 --> 00:52:13,206 I WAS, WHERE I WAS STRUGGLING. 1183 00:52:13,206 --> 00:52:14,689 AND I DON'T WANT THAT 1184 00:52:14,689 --> 00:52:16,931 BECAUSE I'VE WORKED SO HARD TO GET BACK ON TRACK 1185 00:52:16,931 --> 00:52:20,137 SO I COULD MAKE PROGRESS AND GET MY SKIN REMOVAL SURGERY. 1186 00:52:20,137 --> 00:52:22,275 SO I REALLY HOPE TODAY GOES WELL. 1187 00:52:22,275 --> 00:52:23,000 ♪♪ 1188 00:52:29,551 --> 00:52:37,275 ♪♪ 1189 00:52:37,275 --> 00:52:39,137 Doug: ME AND ASHLEY ARE AT DR. NOW'S 1190 00:52:39,137 --> 00:52:41,413 TO FIND OUT WHERE MY WEIGHT'S AT. 1191 00:52:41,413 --> 00:52:43,655 AND WITH ASHLEY DOING THE PROGRAM WITH ME, 1192 00:52:43,655 --> 00:52:46,137 SHE WANTS TO TRACK HER PROGRESS, TOO. 1193 00:52:46,137 --> 00:52:47,689 SO SHE ASKED DR. NOW IF SHE COULD 1194 00:52:47,689 --> 00:52:49,379 START GETTING WEIGHED WHEN WE COME IN 1195 00:52:49,379 --> 00:52:52,275 SO THAT HE COULD HELP HER LOSE MORE IF SHE NEEDS. 1196 00:52:52,275 --> 00:52:54,310 BUT I'M REALLY WORRIED IF I HAVEN'T LOST ENOUGH, 1197 00:52:54,310 --> 00:52:56,000 THAT TODAY'S APPOINTMENT WON'T GO WELL 1198 00:52:56,000 --> 00:52:58,793 AND THAT COULD SET ME BACK AGAIN. 1199 00:52:58,793 --> 00:53:01,793 DOUGLAS ARMSTRONG? 1200 00:53:01,793 --> 00:53:04,655 Doug: I'M SUPPOSED TO BE LOSING AT LEAST 25 POUNDS A MONTH, 1201 00:53:04,655 --> 00:53:09,862 AND I WAS UP TO 472 POUNDS TWO MONTHS AGO WHEN I WAS HERE. 1202 00:53:09,862 --> 00:53:11,896 BUT I'M SHOOTING TO BE BELOW 400 POUNDS, 1203 00:53:11,896 --> 00:53:13,758 'CAUSE THAT'S THE NUMBER DR. NOW TOLD ME 1204 00:53:13,758 --> 00:53:16,034 WOULD PROVE TO HIM THAT I'M READY FOR SKIN SURGERY 1205 00:53:16,034 --> 00:53:17,827 AND I WAS BACK ON TRACK LIKE I NEED. 1206 00:53:17,827 --> 00:53:19,896 SO THAT'S WHAT I'M HOPING TO HAVE DONE TODAY. 1207 00:53:22,620 --> 00:53:27,137 ♪♪ 1208 00:53:27,137 --> 00:53:28,827 Doug: I'M REALLY RELIEVED RIGHT NOW, 1209 00:53:28,827 --> 00:53:31,068 BECAUSE UNTIL YOU STEP ON THAT SCALE, 1210 00:53:31,068 --> 00:53:34,000 YOU NEVER REALLY KNOW WHERE THAT NUMBER IS GONNA BE AT. 1211 00:53:34,000 --> 00:53:36,241 SO I'M REALLY HAPPY I GOT TO WHERE I NEED THIS TIME 1212 00:53:36,241 --> 00:53:39,206 AND I KNOW ASHLEY'S HOPING TO HIT HER GOAL, TOO, 1213 00:53:39,206 --> 00:53:40,724 WHICH IS TO LOSE ABOUT 30 POUNDS 1214 00:53:40,724 --> 00:53:42,620 AND GET DOWN BACK UNDER 200 POUNDS. 1215 00:53:42,620 --> 00:53:44,758 ♪♪ 1216 00:53:44,758 --> 00:53:46,931 192 POUNDS. 1217 00:53:46,931 --> 00:53:52,034 ♪♪ 1218 00:53:52,034 --> 00:53:54,586 Doug: I'M REALLY PROUD THAT WE BOTH HIT OUR GOALS, 1219 00:53:54,586 --> 00:53:57,172 AND I'M HOPING THAT MEANS THAT TODAY IS GONNA GO WELL. 1220 00:53:57,172 --> 00:53:59,586 AND HOPEFULLY, DR. NOW THINKS I'VE WORKED HARD ENOUGH 1221 00:53:59,586 --> 00:54:01,241 AND FEELS THAT I'M BACK ON TRACK 1222 00:54:01,241 --> 00:54:05,413 AND APPROVES ME FOR SKIN REMOVAL AGAIN. 1223 00:54:05,413 --> 00:54:07,724 I'M DEFINITELY PROUD OF WHERE I'VE COME FROM AND -- 1224 00:54:07,724 --> 00:54:09,758 AND WHERE I AM NOW. 1225 00:54:09,758 --> 00:54:11,586 I'M STARTING TO FEEL NORMAL AGAIN 1226 00:54:11,586 --> 00:54:13,517 AND I FEEL REALLY RELIEVED 1227 00:54:13,517 --> 00:54:17,862 THAT I'M GETTING CLOSER TO MY WEIGHT LOSS GOAL. 1228 00:54:17,862 --> 00:54:20,034 -YOU DID REALLY GOOD. -THANK YOU. 1229 00:54:20,034 --> 00:54:21,413 BUT I CAN ALREADY -- I CAN TELL 1230 00:54:21,413 --> 00:54:23,000 YOU'VE BEEN DOING REALLY GOOD, ANYWAY. 1231 00:54:23,000 --> 00:54:24,068 THANKS. 1232 00:54:24,068 --> 00:54:25,724 AND I'M GOING IN THE RIGHT DIRECTION. 1233 00:54:25,724 --> 00:54:29,724 ♪♪ 1234 00:54:29,724 --> 00:54:30,896 -Dr. Nowzaradan: HELLO. -Doug: HELLO. 1235 00:54:30,896 --> 00:54:32,724 -Ashley: HI. -HOW Y'ALL DOING? 1236 00:54:32,724 --> 00:54:34,172 DOING ALL RIGHT. 1237 00:54:34,172 --> 00:54:36,517 ALL RIGHT, DOUG, IT LOOKS LIKE YOU'RE BACK ON TRACK 1238 00:54:36,517 --> 00:54:38,275 AND YOU'RE DOING A LOT BETTER NOW. 1239 00:54:38,275 --> 00:54:43,551 AND YOU'RE DOWN TO 393, SO YOU LOST 79 POUNDS. 1240 00:54:43,551 --> 00:54:45,068 YEP. 1241 00:54:45,068 --> 00:54:47,448 SO YOU'RE DOING REALLY GOOD, SO I'M PROUD OF YOU. 1242 00:54:47,448 --> 00:54:48,862 I KNEW YOU COULD DO IT. 1243 00:54:48,862 --> 00:54:52,551 BUT THE FLIP SIDE IS THAT YOU GOT 200 POUNDS TO GO. 1244 00:54:52,551 --> 00:54:55,172 -RIGHT. -BUT LET'S SEE THE EXTRA SKIN. 1245 00:54:55,172 --> 00:54:57,206 HOW IS THAT DOING? 1246 00:54:57,206 --> 00:54:59,896 AS FAR AS THE -- THE SKIN ITSELF, 1247 00:54:59,896 --> 00:55:01,793 I'M NOT HAVING ANY KIND OF RASHES 1248 00:55:01,793 --> 00:55:03,724 OR CHAFING OR ANYTHING LIKE THAT. 1249 00:55:03,724 --> 00:55:07,655 THIS ON MY LEGS HERE, THIS IS REALLY JUST A-A NUISANCE. 1250 00:55:07,655 --> 00:55:10,275 EXTRA SKIN HANGING DOWN AND GETTING IN YOUR WAY. 1251 00:55:10,275 --> 00:55:13,275 I'VE JUST NOW GOTTEN TO WHERE I CAN JOG ON THE TREADMILL, 1252 00:55:13,275 --> 00:55:17,517 AND, UM, IT DOES AFFECT THE WAY THAT I ACTUALLY JOG. 1253 00:55:17,517 --> 00:55:19,758 HOW ABOUT EXTRA SKIN ON THE ARM? 1254 00:55:19,758 --> 00:55:22,620 UM, YEAH, ESPECIALLY ON MY ARMS. 1255 00:55:22,620 --> 00:55:25,068 -FLAPPING WHEN YOU DO ANYTHING. -YEAH. 1256 00:55:25,068 --> 00:55:28,827 OKAY. WELL, YOU DO LOOK LIKE YOU'RE IN NEED 1257 00:55:28,827 --> 00:55:30,896 OF SKIN REMOVAL AROUND YOUR ARMS. 1258 00:55:30,896 --> 00:55:32,068 YEAH, THIS IS... 1259 00:55:32,068 --> 00:55:34,655 AND SINCE YOU GOT BELOW 400 POUNDS, 1260 00:55:34,655 --> 00:55:37,931 I THINK YOU'RE READY FOR YOUR FIRST EXCESS SKIN REMOVAL, 1261 00:55:37,931 --> 00:55:39,896 SO I'M APPROVING YOU. 1262 00:55:39,896 --> 00:55:42,034 WE NEED TO WAIT ON YOUR ABDOMEN 1263 00:55:42,034 --> 00:55:44,586 BECAUSE YOU STILL HAVE A LOT OF WEIGHT TO LOSE. 1264 00:55:44,586 --> 00:55:46,137 BUT YOUR ARMS ARE READY, 1265 00:55:46,137 --> 00:55:49,034 AND THAT WILL TAKE A WHOLE SURGERY TO ADDRESS. 1266 00:55:49,034 --> 00:55:51,586 SO WE'LL SCHEDULE YOUR SURGERY FOR NEXT MONTH, 1267 00:55:51,586 --> 00:55:54,620 SO YOU CAN ARRANGE TIME OFF OF WORK, ASHLEY. 1268 00:55:54,620 --> 00:55:57,689 AND IN THE MEANTIME, YOU NEED TO KEEP LOSING, DOUG. 1269 00:55:57,689 --> 00:55:59,206 OKAY. 1270 00:55:59,206 --> 00:56:01,448 AND, ASHLEY, YOU'RE DOING THE PROGRAM WITH HIM 1271 00:56:01,448 --> 00:56:03,689 TO SUPPORT HIM. I THINK THAT'S GREAT. 1272 00:56:03,689 --> 00:56:06,310 YOU'RE DOWN TO 192. 1273 00:56:06,310 --> 00:56:09,689 WHEN DOUG GOT SURGERY, YOU WERE AROUND 270, 1274 00:56:09,689 --> 00:56:10,793 SO YOU'RE DOING GREAT. 1275 00:56:10,793 --> 00:56:12,482 -THANK YOU. -HOW YOU FEEL? 1276 00:56:12,482 --> 00:56:13,586 I FEEL A LOT BETTER. 1277 00:56:13,586 --> 00:56:17,137 I FEEL MORE NORMAL, LIKE MYSELF AGAIN. 1278 00:56:17,137 --> 00:56:20,275 SO I'M HAPPY WITH WHAT I'VE DONE SO FAR. 1279 00:56:20,275 --> 00:56:23,724 WELL, YOU SAID YOUR TARGET IS TO GET TO 175 POUNDS. 1280 00:56:23,724 --> 00:56:26,413 SO RIGHT NOW, JUST STICK TO WHAT YOU'RE DOING, 1281 00:56:26,413 --> 00:56:29,827 AND WE'LL SEE HOW YOU'RE DOING AT THE NEXT APPOINTMENT. 1282 00:56:29,827 --> 00:56:33,000 BUT WITH WHERE YOUR WEIGHT IS AT, YOU SHOULD BE ABLE TO LOSE 1283 00:56:33,000 --> 00:56:37,517 5 TO 10 POUNDS A MONTH ON THE 1,200 CALORIE A DAY DIET. 1284 00:56:37,517 --> 00:56:40,689 I THINK IT'S GREAT YOU'RE BOTH DOING THIS TOGETHER. 1285 00:56:40,689 --> 00:56:43,586 AND, DOUG, YOU SEEM TO BE IN BETTER PLACE 1286 00:56:43,586 --> 00:56:45,310 THAN LAST TIME I SAW YOU. 1287 00:56:45,310 --> 00:56:47,000 I'M GLAD TO SEE THAT. 1288 00:56:47,000 --> 00:56:50,172 SO YOU BOTH STICK WITH IT AND I'LL SEE YOU SOON. 1289 00:56:50,172 --> 00:56:52,206 -ALL RIGHT, THANK YOU SO MUCH. -OKAY. ALL RIGHT. 1290 00:56:52,206 --> 00:56:54,137 -THANKS SO MUCH. -NICE TO SEE YOU GUYS. 1291 00:56:54,137 --> 00:56:56,965 -YES. NICE TO SEE YOU, TOO. -ALL RIGHT. 1292 00:56:58,551 --> 00:57:01,827 I'M REALLY HAPPY TO SEE THAT DOUG IS BACK TO LOSING WEIGHT 1293 00:57:01,827 --> 00:57:03,344 AND DOING WHAT HE NEEDS, 1294 00:57:03,344 --> 00:57:06,000 AND THAT HE MADE IT BELOW 400 TODAY. 1295 00:57:06,000 --> 00:57:09,344 AND I THINK IT'S GREAT THAT ASHLEY IS DOING THIS WITH HIM 1296 00:57:09,344 --> 00:57:11,379 AND MAKING THE PROGRESS SHE HAS. 1297 00:57:11,379 --> 00:57:14,586 SO THEY ARE BOTH HEADED IN THE RIGHT DIRECTION. 1298 00:57:14,586 --> 00:57:17,689 BUT DOUG IS AN EXTREMELY EMOTIONAL PERSON, 1299 00:57:17,689 --> 00:57:22,862 SO MAKING SURE HE'S GOING TO THERAPY IS THE KEY RIGHT NOW. 1300 00:57:22,862 --> 00:57:26,931 BUT WITH WHERE HE'S AT, I FEEL HE'S READY FOR HIS FIRST 1301 00:57:26,931 --> 00:57:29,931 EXCESS SKIN REMOVAL ON HIS ARMS. 1302 00:57:32,000 --> 00:57:34,931 Doug: THE APPOINTMENT WENT BETTER THAN I THOUGHT IT WOULD, 1303 00:57:34,931 --> 00:57:37,620 AND I'M REALLY HAPPY ABOUT THAT. 1304 00:57:37,620 --> 00:57:39,758 I KNOW IT'S A HUGE ENCOURAGEMENT FOR ME, 1305 00:57:39,758 --> 00:57:42,758 AND I'M SURE IT IS FOR ASHLEY, TOO. 1306 00:57:42,758 --> 00:57:44,137 AND I'M REALLY JUST -- I'M LOOKING FORWARD 1307 00:57:44,137 --> 00:57:46,206 TO THE ARM SURGERY. 1308 00:57:46,206 --> 00:57:49,413 I WANT BOTH ME AND ASHLEY TO BE SUCCESSFUL AT THIS 1309 00:57:49,413 --> 00:57:51,931 AND TO HAVE A HEALTHY LIFE TOGETHER. 1310 00:57:51,931 --> 00:57:53,344 SHE HAS LESS TO LOSE THAN ME, 1311 00:57:53,344 --> 00:57:55,620 BUT SHE'S ALREADY GETTING CLOSE TO HER TARGET, 1312 00:57:55,620 --> 00:57:57,310 AND I WANT TO BE THERE FOR HER. 1313 00:57:57,310 --> 00:57:58,896 SO I'M NOT LETTING UP, 1314 00:57:58,896 --> 00:58:01,379 BECAUSE I HAVE A LOT OF CATCHING UP TO DO. 1315 00:58:01,379 --> 00:58:11,379 ♪♪ 1316 00:58:11,379 --> 00:58:19,724 ♪♪ 1317 00:58:19,724 --> 00:58:21,206 Doug: I'M HERE IN THE HOSPITAL 1318 00:58:21,206 --> 00:58:23,275 FOR MY FIRST EXCESS SKIN REMOVAL, 1319 00:58:23,275 --> 00:58:25,965 AND I'M FEELING A LITTLE NERVOUS. 1320 00:58:25,965 --> 00:58:30,344 STARTING TO GET MORE REAL AS IT'S GETTING CLOSER TO SURGERY. 1321 00:58:30,344 --> 00:58:33,448 AND I CAN TELL ASHLEY'S WORRIED ABOUT ME, TOO. 1322 00:58:33,448 --> 00:58:36,551 BUT I KNOW THAT THIS SURGERY IS SOMETHING I NEED. 1323 00:58:36,551 --> 00:58:38,137 HOW YOU FEELING, BABE? 1324 00:58:38,137 --> 00:58:39,793 OH, I'M JUST ANXIOUS. 1325 00:58:39,793 --> 00:58:41,448 JUST WANTING TO GET IT OVER WITH. 1326 00:58:41,448 --> 00:58:44,206 YEAH. 1327 00:58:44,206 --> 00:58:46,896 Ashley: I THINK DOUG IS PROBABLY MORE NERVOUS THIS SURGERY 1328 00:58:46,896 --> 00:58:49,310 THAN DURING HIS WEIGHT LOSS SURGERY. 1329 00:58:49,310 --> 00:58:51,448 WE'VE HAD LOTS OF LONG CONVERSATIONS 1330 00:58:51,448 --> 00:58:53,689 ABOUT THE RISKS VERSUS THE BENEFITS 1331 00:58:53,689 --> 00:58:55,448 OF HAVING SKIN REMOVAL SURGERY. 1332 00:58:55,448 --> 00:58:56,758 AND AT THE END OF THE DAY, 1333 00:58:56,758 --> 00:58:58,758 THIS IS SOMETHING THAT HE WANTED TO DO. 1334 00:58:58,758 --> 00:59:01,103 SO I'M JUST REMINDING MYSELF THAT THIS IS GONNA 1335 00:59:01,103 --> 00:59:03,103 BE BETTER FOR US IN THE LONG RUN. 1336 00:59:03,103 --> 00:59:04,965 -LOVE YOU. -LOVE YOU. 1337 00:59:04,965 --> 00:59:06,172 -DO GOOD. -I WILL. 1338 00:59:06,172 --> 00:59:10,689 -OKAY. BYE. -BYE. 1339 00:59:10,689 --> 00:59:12,758 Doug: THE EXCESS SKIN WILL GET DOWNRIGHT UNBEARABLE 1340 00:59:12,758 --> 00:59:16,344 IF SOMETHING ISN'T DONE AND IT'S NOT REMOVED. 1341 00:59:16,344 --> 00:59:19,172 SO IT HAS TO COME OFF, BECAUSE I CAN'T LIVE THE REST OF MY LIFE 1342 00:59:19,172 --> 00:59:21,827 WITH IT ON MY BODY LIKE THIS. 1343 00:59:21,827 --> 00:59:25,931 BUT THIS OPERATION, IT'S STILL A REALLY SCARY THING TO UNDERGO 1344 00:59:25,931 --> 00:59:29,620 AND I'M JUST REALLY HOPING THERE ARE NO COMPLICATIONS TODAY. 1345 00:59:29,620 --> 00:59:31,448 AND EACH BIG STEP I MAKE 1346 00:59:31,448 --> 00:59:34,344 IS A STEP CLOSER TO THE LIFE I WANT. 1347 00:59:34,344 --> 00:59:37,724 AND TO GET THERE, I'M GONNA HAVE TO TAKE SOME REALLY BIG STEPS. 1348 00:59:37,724 --> 00:59:41,586 ♪♪ 1349 00:59:41,586 --> 00:59:42,896 Dr. Nowzaradan: TODAY, WE ARE DOING 1350 00:59:42,896 --> 00:59:44,965 DOUG'S FIRST EXCESS SKIN REMOVAL. 1351 00:59:44,965 --> 00:59:50,103 AND WE ARE TAKING BETWEEN 5 TO 10 POUNDS OFF OF HIS ARMS. 1352 00:59:50,103 --> 00:59:52,517 THAT IS NOT A SIGNIFICANT AMOUNT OF EXCESS SKIN 1353 00:59:52,517 --> 00:59:56,379 COMPARED TO WHAT HE HAS HANGING ON HIS ABDOMEN, 1354 00:59:56,379 --> 00:59:59,620 BECAUSE THERE IS PROBABLY 30 TO 40 POUNDS THERE. 1355 00:59:59,620 --> 01:00:01,655 BUT UNTIL DOUG LOSES MORE WEIGHT, 1356 01:00:01,655 --> 01:00:05,862 THERE IS TOO MUCH FAT AROUND HIS ABDOMEN TO SAFELY DO THAT NOW, 1357 01:00:05,862 --> 01:00:08,206 WITHOUT UNNECESSARY COMPLICATION 1358 01:00:08,206 --> 01:00:10,275 THAT COULD PREVENT HIM FROM HEALING. 1359 01:00:12,655 --> 01:00:15,241 BUT FOR RIGHT NOW, WE CAN START WITH HIS ARMS 1360 01:00:15,241 --> 01:00:18,310 AND THEN HE WILL PROBABLY NEED TWO MORE REMOVALS 1361 01:00:18,310 --> 01:00:21,620 TO ADDRESS HIS LEGS AND THEN HIS ABDOMEN. 1362 01:00:21,620 --> 01:00:25,275 SO THIS IS THE FIRST OF THREE SURGERIES THAT HE WILL NEED 1363 01:00:25,275 --> 01:00:27,724 AND IT WILL HELP HIM TO FEEL A LOT BETTER, 1364 01:00:27,724 --> 01:00:31,275 BECAUSE EXCESS SKIN ON THE ARMS WILL GET IN THE WAY 1365 01:00:31,275 --> 01:00:34,620 AND BECOME MORE AND MORE UNCOMFORTABLE OVER TIME 1366 01:00:34,620 --> 01:00:37,241 AS IT BEGIN TO CHAFE. 1367 01:00:37,241 --> 01:00:40,896 IT MAY NOT SEEM LIKE A LOT, BUT IN THAT AREA OF THE BODY, 1368 01:00:40,896 --> 01:00:43,413 WHEN HE'S CONSTANTLY MOVING, 1369 01:00:43,413 --> 01:00:46,034 IT IS A LOT OF SKIN TO GET IN THE WAY. 1370 01:00:46,034 --> 01:00:49,206 SO THIS WILL BE ANOTHER BIG STEP FOR DOUG TODAY 1371 01:00:49,206 --> 01:00:51,689 AND IT WILL TAKE ABOUT A MONTH TO HEAL. 1372 01:00:53,586 --> 01:00:56,586 ALL RIGHT, THIS IS WHAT WE TAKE OFF FROM THE ARM 1373 01:00:56,586 --> 01:00:59,379 AND ARMPIT AND SIDE OF THE CHEST. 1374 01:00:59,379 --> 01:01:02,793 SEE IF WE CAN PUT THAT BACK TABLE. 1375 01:01:02,793 --> 01:01:04,862 ALL RIGHT... 1376 01:01:06,275 --> 01:01:09,724 I DON'T EXPECT THIS PROCEDURE TO TAKE VERY LONG, 1377 01:01:09,724 --> 01:01:13,206 BUT WE ARE GOING TO WORK TO KEEP DOUG UNDER ANESTHESIA 1378 01:01:13,206 --> 01:01:15,793 FOR AS SHORT A TIME AS POSSIBLE, 1379 01:01:15,793 --> 01:01:19,241 BECAUSE DOUG IS STILL CLOSE TO 400 POUNDS, 1380 01:01:19,241 --> 01:01:21,241 SO HE'S STILL HIGH RISK. 1381 01:01:23,137 --> 01:01:26,896 BUT THERE ARE HUNDREDS OF BLOOD VESSELS THAT WE HAVE TO TIE OFF 1382 01:01:26,896 --> 01:01:29,689 AND THAT TAKES TIME AND INCREASES THE DURATION 1383 01:01:29,689 --> 01:01:31,724 HE IS UNDER ANESTHESIA. 1384 01:01:31,724 --> 01:01:36,103 BUT WE CAN'T RUSH, BECAUSE IF THERE IS EVEN ONE 1385 01:01:36,103 --> 01:01:40,068 THAT WE DON'T TIE OFF, IT COULD BECOME DEADLY FOR HIM. 1386 01:01:40,068 --> 01:01:45,310 AND IF WE ENCOUNTER ANY ISSUES, THEN WE'LL STOP THE SURGERY, 1387 01:01:45,310 --> 01:01:47,000 BECAUSE WE NEED TO BE CAREFUL 1388 01:01:47,000 --> 01:01:49,931 WITH HOW MUCH STRAIN WE PUT ON HIS BODY. 1389 01:01:49,931 --> 01:01:53,000 ♪♪ 1390 01:01:53,000 --> 01:01:55,482 Ashley: DOUG IS THE BEST THING THAT'S EVER HAPPENED TO ME. 1391 01:01:55,482 --> 01:01:56,827 HE'S PRETTY MUCH MY EVERYTHING. 1392 01:01:56,827 --> 01:01:58,586 HIM AND THE KIDS, THEY ENCOMPASS EVERYTHING 1393 01:01:58,586 --> 01:02:00,655 THAT'S IMPORTANT TO ME. 1394 01:02:00,655 --> 01:02:04,586 SO FOR HIM TO HAVE SUCH AN EXTENSIVE, INVASIVE SURGERY, 1395 01:02:04,586 --> 01:02:06,793 IT'S DEFINITELY MORE NERVE-WRACKING, 1396 01:02:06,793 --> 01:02:09,896 AND I JUST HOPE WE DON'T HAVE ANY SETBACKS. 1397 01:02:09,896 --> 01:02:13,379 BUT IT'S ALMOST TORTURE TO HAVE TO SIT AND WAIT, 1398 01:02:13,379 --> 01:02:14,965 BECAUSE I JUST WANNA KNOW. 1399 01:02:14,965 --> 01:02:17,206 I WANNA KNOW WHAT'S GOING ON, I WANNA KNOW IF HE'S OKAY. 1400 01:02:17,206 --> 01:02:20,137 ♪♪ 1401 01:02:24,620 --> 01:02:30,206 ALL RIGHT, THIS IS THE SKIN WE TAKE OFF FROM THE RIGHT ARM. 1402 01:02:30,206 --> 01:02:32,620 SEE IF YOU CAN PUT THAT BACK TABLE. 1403 01:02:39,689 --> 01:02:42,241 AND WE'RE DONE. 1404 01:02:42,241 --> 01:02:44,034 DOUG'S SURGERY WENT VERY WELL. 1405 01:02:44,034 --> 01:02:46,931 ♪♪ 1406 01:02:46,931 --> 01:02:48,758 LET'S CHECK THE WEIGHT. 1407 01:02:51,137 --> 01:02:54,448 AND WE'VE GOT A LITTLE BIT OVER SEVEN POUNDS SKIN 1408 01:02:54,448 --> 01:02:58,517 OFF THE ARM AND THE SIDE OF CHEST AND THE ARMPIT. 1409 01:02:58,517 --> 01:03:02,965 SO HE SHOULD FEEL A LOT BETTER ONCE HE FULLY RECOVERS. 1410 01:03:02,965 --> 01:03:06,931 AND HE WILL BE ABLE TO GET UP AND MOVE AROUND LATER TODAY, 1411 01:03:06,931 --> 01:03:09,413 BUT HE WILL HAVE TO TAKE IT EASY FOR AWHILE, 1412 01:03:09,413 --> 01:03:13,448 BECAUSE IT WILL TAKE HIM FOUR TO SIX WEEKS TO FULLY RECOVER. 1413 01:03:13,448 --> 01:03:17,241 AND A LITTLE WHILE, HE WON'T BE ABLE TO LIFT MUCH 1414 01:03:17,241 --> 01:03:21,413 AND HE WILL HAVE TO BE CAREFUL THAT WON'T DAMAGING ANY SUTURES 1415 01:03:21,413 --> 01:03:25,172 THAT WOULD CREATE ISSUES WITH HIS HEALING. 1416 01:03:25,172 --> 01:03:29,172 BUT WE WILL MAKE SURE HE GETS ACTIVE AS SOON AS HE CAN. 1417 01:03:30,586 --> 01:03:33,034 AND WE NEED TO MAKE SURE DURING THAT TIME, 1418 01:03:33,034 --> 01:03:37,724 HE DOESN'T GET BORED AND START TO OVEREAT BECAUSE OF THAT. 1419 01:03:37,724 --> 01:03:42,379 BECAUSE GAINING DURING RECOVERY FROM SKIN REMOVAL CAN BE BAD, 1420 01:03:42,379 --> 01:03:45,379 BECAUSE IT WILL PREVENT THE SUTURES 1421 01:03:45,379 --> 01:03:50,000 FROM HEALING PROPERLY WITH HOW THE FAT COLLECT AROUND THERE, 1422 01:03:50,000 --> 01:03:52,517 WHICH WILL MEAN THAT WE'LL HAVE TO PERFORM 1423 01:03:52,517 --> 01:03:54,965 ANOTHER SURGERY TO CORRECT THAT. 1424 01:03:54,965 --> 01:03:58,034 SO WE HAVE TO MAKE SURE THAT DOESN'T HAPPEN. 1425 01:03:58,034 --> 01:03:58,586 ♪♪ 1426 01:04:03,517 --> 01:04:11,517 ♪♪ 1427 01:04:11,517 --> 01:04:15,206 ♪♪ 1428 01:04:15,206 --> 01:04:17,551 Doug: IT'S BEEN A COUPLE DAYS SINCE MY SURGERY, 1429 01:04:17,551 --> 01:04:20,724 AND I'M DOING OKAY BUT I'M REALLY SORE, 1430 01:04:20,724 --> 01:04:23,137 AND IT HURTS A LOT IF I MOVE TOO MUCH. 1431 01:04:23,137 --> 01:04:26,655 BUT I HAVE TO GET UP AND DO MY DAILY EXERCISES. 1432 01:04:26,655 --> 01:04:29,620 I'M GONNA NEED YOU TO QUIT BEING OVERZEALOUS. 1433 01:04:29,620 --> 01:04:31,103 WHAT? I CAN DO STUFF. 1434 01:04:31,103 --> 01:04:32,310 I KNOW. 1435 01:04:32,310 --> 01:04:34,793 -ARM'S ITCHING RIGHT THERE. -DON'T. 1436 01:04:37,000 --> 01:04:38,137 LOOK AT ALL MY STUFF. 1437 01:04:38,137 --> 01:04:39,689 LOOK AT ALL YOUR STUFF. 1438 01:04:39,689 --> 01:04:41,896 YOU'RE JUST LIKE, "HEY, I'M DOING AWESOME." 1439 01:04:41,896 --> 01:04:45,551 ALL KINDS OF... [ SPEAKS INDISTINCTLY ] 1440 01:04:45,551 --> 01:04:48,206 Ashley: I WAS ACTUALLY REALLY EXPECTING IT TO BE 1441 01:04:48,206 --> 01:04:50,448 MUCH MORE DIFFICULT OF A RECOVERY, 1442 01:04:50,448 --> 01:04:53,172 BUT HE'S JUST DONE PHENOMENAL, 1443 01:04:53,172 --> 01:04:55,896 AND I REALLY SEE THE SPARK AND THE MOTIVATION 1444 01:04:55,896 --> 01:04:59,034 THAT'S DRIVING HIM TO REALLY WORK TOWARDS, 1445 01:04:59,034 --> 01:05:02,758 YOU KNOW, BEING DISCHARGED AND GETTING TO GO HOME. 1446 01:05:02,758 --> 01:05:04,896 Doug: ASHLEY HAS BEEN HERE TAKING REAL GOOD CARE OF ME, 1447 01:05:04,896 --> 01:05:06,586 AND THAT'S HELPED A LOT. 1448 01:05:06,586 --> 01:05:09,172 AND AS PAINFUL AND DIFFICULT AS THIS IS RIGHT NOW, 1449 01:05:09,172 --> 01:05:12,379 IT'S BEEN REALLY GREAT TO HAVE SOME TIME WITH JUST US, 1450 01:05:12,379 --> 01:05:14,137 BECAUSE BETWEEN HER WORK AND THE KIDS, 1451 01:05:14,137 --> 01:05:16,344 WE DON'T GET MUCH TIME TOGETHER AT ALL. 1452 01:05:16,344 --> 01:05:18,034 AND BEFORE THIS PAST YEAR AND A HALF, 1453 01:05:18,034 --> 01:05:20,172 I WAS TOO BIG TO DO MUCH OF ANYTHING, 1454 01:05:20,172 --> 01:05:23,241 ASIDE FROM EAT AND JUST SIT AROUND ALL DAY, 1455 01:05:23,241 --> 01:05:26,758 AND THAT WAS BECOMING A REAL PROBLEM IN OUR RELATIONSHIP. 1456 01:05:26,758 --> 01:05:29,413 Ashley: [ Crying ] IT IS EXHAUSTING 1457 01:05:29,413 --> 01:05:32,448 TAKING CARE OF NEWBORNS, TWINS. 1458 01:05:32,448 --> 01:05:35,482 WHEN YOU HAVE A SPOUSE WHO CAN'T HELP YOU 1459 01:05:35,482 --> 01:05:37,689 LIKE A NORMAL SPOUSE COULD, 1460 01:05:37,689 --> 01:05:40,137 IT'S ALMOST LIKE BEING A SINGLE PARENT. 1461 01:05:40,137 --> 01:05:43,551 I DON'T WANNA BREAK UP OUR FAMILY, 1462 01:05:43,551 --> 01:05:47,000 BUT WE CAN'T GO ON LIKE THIS. 1463 01:05:47,000 --> 01:05:48,448 -OKAY, YOU READY? -YEP. 1464 01:05:48,448 --> 01:05:50,206 -OKAY. LET'S GO. -LET'S GO. 1465 01:05:51,793 --> 01:05:54,241 Doug: I WAS JUST ABSENT FROM NOT JUST OUR RELATIONSHIP, 1466 01:05:54,241 --> 01:05:57,275 BUT WITH MY WHOLE FAMILY, AND I KNOW 1467 01:05:57,275 --> 01:06:00,206 IF I HADN'T DONE SOMETHING TO GET MY WEIGHT UNDER CONTROL, 1468 01:06:00,206 --> 01:06:03,137 THEN THINGS BETWEEN US WERE GONNA GET REALLY BAD 1469 01:06:03,137 --> 01:06:05,862 AND I DON'T EVEN WANNA THINK ABOUT WHAT COULD'VE HAPPENED. 1470 01:06:05,862 --> 01:06:08,655 SO LOSING THE WEIGHT IS NOT ONLY TURNING MY HEALTH AROUND, 1471 01:06:08,655 --> 01:06:10,068 IT'S TURNED MY MARRIAGE AROUND 1472 01:06:10,068 --> 01:06:12,586 AND I FEEL LIKE ME AND ASHLEY ARE CLOSER THAN EVER NOW. 1473 01:06:14,724 --> 01:06:16,137 WHEN YOU GET AS BIG AS I WAS, 1474 01:06:16,137 --> 01:06:18,551 YOUR WEIGHT LITERALLY STEALS YOUR WHOLE LIFE. 1475 01:06:18,551 --> 01:06:21,413 BUT THIS PAST YEAR AND A HALF HAS BEEN GREAT. 1476 01:06:21,413 --> 01:06:23,862 BUT IT'S BEEN SO MUCH HARDER THAN I EVER THOUGHT IT WOULD BE, 1477 01:06:23,862 --> 01:06:27,137 BECAUSE OF ALL THE EMOTIONAL STUFF YOU HAVE TO STRUGGLE WITH 1478 01:06:27,137 --> 01:06:29,793 AND THAT'S PROBABLY THE BIGGEST SURPRISE TO ME. 1479 01:06:29,793 --> 01:06:31,206 BUT I'M STARTING TO SEE THE LIGHT 1480 01:06:31,206 --> 01:06:32,241 AT THE END OF THE TUNNEL. 1481 01:06:34,551 --> 01:06:36,068 AND HAVING ASHLEY DOING THIS WITH ME, 1482 01:06:36,068 --> 01:06:37,310 I FEEL LIKE I'M GETTING TO A PLACE 1483 01:06:37,310 --> 01:06:40,172 WHERE I CAN STICK WITH THIS AND MAKE IT, 1484 01:06:40,172 --> 01:06:43,068 AND IT'S BEEN A LONG TIME SINCE I THOUGHT THAT, 1485 01:06:43,068 --> 01:06:46,000 SO I'M EXCITED ABOUT THE POSSIBILITIES AHEAD. 1486 01:06:46,000 --> 01:06:47,586 AND RIGHT NOW, I'M PLANNING SOME THINGS FOR 1487 01:06:47,586 --> 01:06:50,241 WHEN I RECOVER TO SHOW ASHLEY HOW MUCH I CARE FOR HER 1488 01:06:50,241 --> 01:06:52,862 AND APPRECIATE EVERYTHING SHE'S DONE FOR ME. 1489 01:06:52,862 --> 01:06:54,275 BECAUSE IF IT WASN'T FOR HER, 1490 01:06:54,275 --> 01:06:56,896 I KNOW I WOULDN'T EVEN BE HERE RIGHT NOW, 1491 01:06:56,896 --> 01:06:59,137 AND I WANT TO SHOW HER HOW MUCH THAT MEANS TO ME 1492 01:06:59,137 --> 01:07:01,413 AND HOW MUCH SHEMEANS TO ME. 1493 01:07:01,413 --> 01:07:07,551 ♪♪ 1494 01:07:07,551 --> 01:07:12,137 ♪♪ 1495 01:07:12,137 --> 01:07:14,241 Doug: IT'S BEEN ABOUT A MONTH SINCE MY SURGERY, 1496 01:07:14,241 --> 01:07:16,379 AND I'M COMPLETELY RECOVERED. 1497 01:07:16,379 --> 01:07:20,275 AND AS FAR AS MY APPEARANCE GOES WITH THE SKIN REMOVAL SURGERY, 1498 01:07:20,275 --> 01:07:22,655 I THINK THE BIGGER DIFFERENCE HAS REALLY BEEN WITH TORSO 1499 01:07:22,655 --> 01:07:24,068 AND MY CHEST. 1500 01:07:24,068 --> 01:07:26,068 IT'S MADE MY SHIRTS FIT A LOT BETTER. 1501 01:07:26,068 --> 01:07:29,034 I WAS WEARING A 6X OR 7X T-SHIRTS, 1502 01:07:29,034 --> 01:07:31,758 AND NOW I'M TO A 3X. 1503 01:07:31,758 --> 01:07:33,068 I DIDN'T REALLY THINK IT WAS GONNA BE 1504 01:07:33,068 --> 01:07:34,206 THAT BIG OF A DIFFERENCE, 1505 01:07:34,206 --> 01:07:36,724 BUT IT'S BEEN PRETTY OVERWHELMING. 1506 01:07:36,724 --> 01:07:39,620 -Cooper: BYE, MOMMY! -BYE! 1507 01:07:39,620 --> 01:07:41,000 THINGS ARE GOING WELL, 1508 01:07:41,000 --> 01:07:42,965 AND ME AND ASHLEY HAVE STARTED DOING WORKOUTS TOGETHER, 1509 01:07:42,965 --> 01:07:45,206 AND I'VE BEEN LOVING IT. 1510 01:07:45,206 --> 01:07:47,000 I CAN GET MY EXERCISE, AND ME AND ASHLEY 1511 01:07:47,000 --> 01:07:49,758 CAN TALK ABOUT OUR DAY AND CONNECT 1512 01:07:49,758 --> 01:07:52,206 BEFORE THE WHOLE WHIRLWIND OF EVERYTHING WE HAVE TO DEAL WITH, 1513 01:07:52,206 --> 01:07:56,241 WITH HER WORK AND THE KIDS AND WHERE OUR LIVES ARE AT NOW. 1514 01:07:56,241 --> 01:07:58,551 BUT WE'RE BOTH WORKING REALLY HARD TO HIT OUR NEXT GOALS 1515 01:07:58,551 --> 01:08:01,379 BEFORE OUR NEXT DOCTOR'S APPOINTMENTS IN A MONTH. 1516 01:08:01,379 --> 01:08:04,758 YOU JUST WANT TO MAKE THE BLOCK, THE BIG BLOCK? 1517 01:08:04,758 --> 01:08:06,000 YEAH. 1518 01:08:07,793 --> 01:08:09,793 ASHLEY WANTS TO GET TO HER TARGET WEIGHT 1519 01:08:09,793 --> 01:08:12,896 AND SHE'S ONLY AROUND 20 POUNDS AWAY FROM THAT, 1520 01:08:12,896 --> 01:08:16,068 AND I'M WORKING TO GET APPROVED FOR MY NEXT SKIN REMOVAL. 1521 01:08:16,068 --> 01:08:19,586 BUT I KNOW I HAVE ABOUT 150 POUNDS STILL LEFT TO GO. 1522 01:08:19,586 --> 01:08:20,965 AND DR. NOW SAID I PROBABLY HAVE 1523 01:08:20,965 --> 01:08:22,965 AROUND 30 TO 40 POUNDS OF EXCESS SKIN 1524 01:08:22,965 --> 01:08:25,275 FORMING ON MY STOMACH. 1525 01:08:25,275 --> 01:08:27,068 SO THAT WILL BE A BIG PART OF MY WEIGHT LOSS 1526 01:08:27,068 --> 01:08:29,586 AND A HUGE STEP FOR ME. 1527 01:08:29,586 --> 01:08:31,586 SO I'M WORKING HARD TO GET UNDER 350, 1528 01:08:31,586 --> 01:08:33,931 LIKE DR. NOW SAID, SO THAT I CAN GET APPROVED FOR THAT 1529 01:08:33,931 --> 01:08:37,275 AND KEEP MOVING FORWARD 1530 01:08:37,275 --> 01:08:40,827 BECAUSE I'M MORE MOTIVATED THAN EVER RIGHT NOW. 1531 01:08:40,827 --> 01:08:42,689 AND I KNOW THE SOONER I GET TO MY GOAL 1532 01:08:42,689 --> 01:08:44,896 AND HAVE ALL THE SURGERIES BEHIND ME, 1533 01:08:44,896 --> 01:08:48,379 THE SOONER I CAN START TO DO SO MANY OTHER THINGS. 1534 01:08:48,379 --> 01:08:50,931 AND THE NEXT BIG THING FOR ME IS GETTING A JOB, 1535 01:08:50,931 --> 01:08:54,551 BUT I KNOW I CAN'T START ONE UNTIL AFTER I GET MY SURGERIES, 1536 01:08:54,551 --> 01:08:57,068 'CAUSE I CAN'T JUST TAKE WEEKS OFF AT THE BEGINNING. 1537 01:08:57,068 --> 01:08:59,689 SO I NEED TO GET TO MY GOAL SO I CAN START HELPING ASHLEY 1538 01:08:59,689 --> 01:09:01,862 PROVIDE FOR OUR FAMILY, 1539 01:09:01,862 --> 01:09:03,620 AND DO HELP ME FIND MORE OF MY IDENTITY, 1540 01:09:03,620 --> 01:09:07,103 DOING SOMETHING I ENJOY AND I'M GOOD AT. 1541 01:09:07,103 --> 01:09:08,379 AND I'M HOPING I'LL BE ABLE TO GET 1542 01:09:08,379 --> 01:09:11,275 SOME KIND OF GRAPHIC DESIGN JOB. 1543 01:09:11,275 --> 01:09:13,758 SO THAT'S MY NEXT REALLY BIG GOAL, 1544 01:09:13,758 --> 01:09:16,206 AND TO GET THERE, I HAVE TO LOSE THE WEIGHT. 1545 01:09:16,206 --> 01:09:17,689 SO I WANT TO GET TO MY TARGET WEIGHT 1546 01:09:17,689 --> 01:09:19,793 IN THE NEXT FIVE TO SIX MONTHS 1547 01:09:19,793 --> 01:09:22,137 AND FINISH MY WEIGHT LOSS JOURNEY, 1548 01:09:22,137 --> 01:09:23,689 'CAUSE I WANT TO START DOING ALL THE THINGS 1549 01:09:23,689 --> 01:09:26,068 I'VE DREAMED OF FOR SO LONG 1550 01:09:26,068 --> 01:09:29,586 AND TO BE THE HUSBAND AND FATHER I'VE ALWAYS WANTED TO BE 1551 01:09:29,586 --> 01:09:32,517 AND I DON'T WANT TO WASTE ANY MORE TIME. 1552 01:09:32,517 --> 01:09:34,310 I'VE ALREADY MISSED OUT ON SO MUCH 1553 01:09:34,310 --> 01:09:36,034 AND I'M NOT LETTING MYSELF LOSE ANOTHER MINUTE 1554 01:09:36,034 --> 01:09:37,931 TO MY WEIGHT HOLDING ME BACK. 1555 01:09:37,931 --> 01:09:45,000 ♪♪ 1556 01:09:45,000 --> 01:09:51,862 ♪♪ 1557 01:09:51,862 --> 01:09:54,862 ME AND ASHLEY ARE HEADED BACK TO DR. NOW'S AGAIN, 1558 01:09:54,862 --> 01:09:58,068 AND I DON'T KNOW WHY, BUT I'M EXTREMELY NERVOUS. 1559 01:09:58,068 --> 01:09:59,241 I GUESS I'M ALWAYS GONNA STRUGGLE 1560 01:09:59,241 --> 01:10:02,586 WITH THAT FEAR OF FAILURE OR NOT DOING ENOUGH. 1561 01:10:02,586 --> 01:10:03,793 BUT THE BIG THING I'M WORRIED ABOUT 1562 01:10:03,793 --> 01:10:06,275 IS WHETHER I HIT MY GOAL TODAY. 1563 01:10:06,275 --> 01:10:07,482 BECAUSE I KNOW IF I DIDN'T, 1564 01:10:07,482 --> 01:10:09,482 IT'S NOT ONLY GONNA BE HARD TO HEAR 1565 01:10:09,482 --> 01:10:11,931 WHAT DR. NOW HAS TO SAY, BUT IT'LL ALSO MEAN 1566 01:10:11,931 --> 01:10:14,793 THAT I'M NOT GONNA GET APPROVED FOR MY NEXT SKIN SURGERY. 1567 01:10:14,793 --> 01:10:17,620 AND IF I DIDN'T, I KNOW IT'S GONNA HIT ME HARD. 1568 01:10:17,620 --> 01:10:18,965 BECAUSE THAT WILL MEAN THAT THE SOONEST 1569 01:10:18,965 --> 01:10:20,310 I HAVE TO CHANCE TO GET TO MY GOAL 1570 01:10:20,310 --> 01:10:22,793 AND BE DONE WITH ALL MY SURGERIES IS EIGHT MONTHS, 1571 01:10:22,793 --> 01:10:25,413 INSTEAD OF FIVE TO SIX MONTHS. 1572 01:10:25,413 --> 01:10:27,586 BUT I'VE BEEN WORKING HARD TO PREVENT THAT, 1573 01:10:27,586 --> 01:10:30,241 BECAUSE I HAVE A LOT OF MOMENTUM AND I'M DOING REALLY WELL 1574 01:10:30,241 --> 01:10:34,137 AND I DON'T WANT ANY SETBACKS AT THIS POINT THAT'LL SLOW ME DOWN. 1575 01:10:34,137 --> 01:10:37,068 SO I NEED TO GET TO THE FINISH LINE, 1576 01:10:37,068 --> 01:10:40,482 BUT I KNOW IT ALL DEPENDS ON MY WEIGH-IN TODAY. 1577 01:10:40,482 --> 01:10:40,551 ♪♪ 1578 01:10:45,793 --> 01:10:52,310 ♪♪ 1579 01:10:52,310 --> 01:10:56,965 ♪♪ 1580 01:10:56,965 --> 01:11:00,206 ASHLEY AND ME ARE BACK AT DR. NOW'S FOR OUR APPOINTMENT 1581 01:11:00,206 --> 01:11:03,586 AND WE'RE ABOUT TO FIND OUT IF WE HIT OUR GOALS OR NOT. 1582 01:11:03,586 --> 01:11:06,827 ASHLEY WAS REALLY CLOSE TO HER GOAL AT THE LAST APPOINTMENT, 1583 01:11:06,827 --> 01:11:09,068 BECAUSE SHE WAS ALREADY DOWN TO 197 1584 01:11:09,068 --> 01:11:13,827 AND HER GOAL WAS TO LOSE AROUND 20 POUNDS AND GET TO 175. 1585 01:11:13,827 --> 01:11:16,551 DOUGLAS ARMSTRONG? 1586 01:11:16,551 --> 01:11:18,068 SHE'S BEEN WORKING HARD WITH ME, 1587 01:11:18,068 --> 01:11:21,241 BUT SHE'S ALSO BEEN STAYING OFF THE SCALES TO DO THIS WITH ME 1588 01:11:21,241 --> 01:11:25,551 AND FIND OUT WHERE SHE'S AT WHEN WE COME FOR THESE APPOINTMENTS. 1589 01:11:25,551 --> 01:11:28,965 BUT THE LAST TIME I WAS WEIGHED WAS MY SURGERY TWO MONTHS AGO, 1590 01:11:28,965 --> 01:11:31,137 AND I WAS DOWN TO 374. 1591 01:11:31,137 --> 01:11:34,137 SO THAT MEANS I SHOULD BE DOWN TO 324 TODAY. 1592 01:11:34,137 --> 01:11:36,448 AND IF I DID THAT, I'LL ALSO BE BELOW 350, 1593 01:11:36,448 --> 01:11:39,862 LIKE I NEED, TO GET MY SECOND EXCESS SKIN REMOVAL. 1594 01:11:39,862 --> 01:11:42,896 SO I REALLY HOPE I'M WHERE I NEED TO BE TO KEEP MOVING AHEAD. 1595 01:11:42,896 --> 01:11:52,137 ♪♪ 1596 01:11:52,137 --> 01:11:54,482 Doug: THAT'S A LITTLE DISAPPOINTING. 1597 01:11:54,482 --> 01:11:55,931 IT'S STILL AL LOT OF PROGRESS, 1598 01:11:55,931 --> 01:11:58,586 JUST NOT WHERE I NEED TO BE TO GET SKIN REMOVAL, 1599 01:11:58,586 --> 01:12:03,034 SO I'M A LITTLE WORRIED RIGHT NOW ABOUT HOW THIS IS GONNA GO. 1600 01:12:03,034 --> 01:12:04,586 Ashley: THAT WAS A LITTLE BIT DISCOURAGING. 1601 01:12:04,586 --> 01:12:07,034 SO NOW I'M KIND OF CONCERNED ABOUT MY WEIGHT LOSS, 1602 01:12:07,034 --> 01:12:10,379 BECAUSE I FEEL LIKE WE'VE BOTH BEEN IN THIS TOGETHER. 1603 01:12:10,379 --> 01:12:12,655 WE'LL JUST HAVE TO SEE WHAT THE SCALE SAYS. 1604 01:12:15,448 --> 01:12:17,448 -YAY! -ALL RIGHT. 1605 01:12:17,448 --> 01:12:19,931 AWESOME. AWESOME. 1606 01:12:19,931 --> 01:12:21,689 GOOD JOB, BABY. 1607 01:12:21,689 --> 01:12:23,724 Ashley: I'M HAVING MIXED EMOTIONS. 1608 01:12:23,724 --> 01:12:26,551 I HATE THE FACT THAT DOUG DIDN'T MAKE HIS GOAL, 1609 01:12:26,551 --> 01:12:29,413 BUT I'M ALSO VERY EXCITED ABOUT MY PROGRESS. 1610 01:12:29,413 --> 01:12:32,103 SO I'M JUST GONNA KEEP DOING WHAT I'M SUPPOSED TO BE DOING 1611 01:12:32,103 --> 01:12:33,448 AND SEE WHAT HAPPENS NEXT. 1612 01:12:33,448 --> 01:12:36,448 ♪♪ 1613 01:12:36,448 --> 01:12:38,137 Doug: I'M REALLY PROUD OF ASHLEY, 1614 01:12:38,137 --> 01:12:39,482 BUT I'M A LITTLE SCARED RIGHT NOW 1615 01:12:39,482 --> 01:12:42,448 ABOUT HOW THIS IS GONNA GO WITH DR. NOW FOR ME. 1616 01:12:42,448 --> 01:12:45,965 ♪♪ 1617 01:12:45,965 --> 01:12:47,793 -HELLO. -Armstrongs: HELLO. 1618 01:12:47,793 --> 01:12:50,275 -HOW Y'ALL DOING? -DOING GOOD. 1619 01:12:50,275 --> 01:12:51,448 ALL RIGHT. 1620 01:12:51,448 --> 01:12:55,827 SO, DOUG, YOU'RE DOWN TO 353. 1621 01:12:55,827 --> 01:13:00,137 BUT IF YOU STAYED ON TRACK, YOU WOULD BE CLOSER TO 324. 1622 01:13:00,137 --> 01:13:03,310 SO YOU COULD'VE DONE BETTER, BUT YOU'RE A TALL GUY, 1623 01:13:03,310 --> 01:13:06,482 SO YOUR FINAL GOAL WEIGHT IS 200 POUNDS. 1624 01:13:06,482 --> 01:13:08,551 AND WITH HOW CLOSE YOU'RE GETTING, 1625 01:13:08,551 --> 01:13:11,379 YOUR PROGRESS WILL START TO GET A LITTLE SLOWER. 1626 01:13:11,379 --> 01:13:12,655 RIGHT. 1627 01:13:12,655 --> 01:13:14,724 BUT YOU STILL NEED TO WORK TO MAINTAIN A LOSS 1628 01:13:14,724 --> 01:13:16,655 OF AT LEAST 15 POUNDS A MONTH 1629 01:13:16,655 --> 01:13:19,827 UNTIL YOU GET INTO 200s, OKAY? 1630 01:13:19,827 --> 01:13:21,068 OKAY. 1631 01:13:21,068 --> 01:13:23,758 BUT THE POSITIVE IS THAT YOU'RE STILL LOSING 1632 01:13:23,758 --> 01:13:27,034 AND YOU OFFICIALLY LOST HALF OF YOUR WEIGHT. 1633 01:13:27,034 --> 01:13:28,689 THAT -- THAT'S CRAZY. 1634 01:13:28,689 --> 01:13:30,965 HOW DOES THAT FEEL? IT FEELS GREAT. 1635 01:13:30,965 --> 01:13:32,724 IT'S REALLY KIND OF HARD TO DESCRIBE. 1636 01:13:32,724 --> 01:13:34,724 -IT'S, UH... -YOU JUST LOST A PERSON, HUH? 1637 01:13:34,724 --> 01:13:36,586 YEAH. IT'S REALLY UNREAL. 1638 01:13:36,586 --> 01:13:39,310 IT'S A MENTAL AND PHYSICAL CHANGE 1639 01:13:39,310 --> 01:13:41,172 THAT'S JUST BEEN PRETTY CRAZY. 1640 01:13:41,172 --> 01:13:43,758 BUT YOU'RE STICKING TO YOUR PSYCHOTHERAPY, RIGHT? 1641 01:13:43,758 --> 01:13:46,137 -YES, SIR. -OKAY. 1642 01:13:46,137 --> 01:13:47,655 YOU'RE DOING GOOD, BUT UNFORTUNATELY, 1643 01:13:47,655 --> 01:13:50,000 WITH HOW HIGH YOUR WEIGHT STILL IS, 1644 01:13:50,000 --> 01:13:53,379 YOU'RE NOT READY FOR YOUR NEXT EXCESS SKIN REMOVAL. 1645 01:13:53,379 --> 01:13:55,586 -OKAY. -BUT I'LL MAKE YOU A DEAL. 1646 01:13:55,586 --> 01:13:58,206 I'LL GO AHEAD AND SCHEDULE IT FOR TWO MONTHS FROM NOW 1647 01:13:58,206 --> 01:14:01,103 IF YOU STICK TO YOUR 15 POUND A MONTH GOAL 1648 01:14:01,103 --> 01:14:03,689 AND GET DOWN TO 328 POUNDS BY THEN. 1649 01:14:03,689 --> 01:14:06,862 -DOES THAT SOUND FAIR? -THAT SEEMS ABSOLUTELY FAIR. 1650 01:14:06,862 --> 01:14:10,103 GREAT. SO WE'LL SCHEDULE THAT AND IF YOU HIT THAT GOAL 1651 01:14:10,103 --> 01:14:12,310 WHEN YOU SHOW UP, THEN WE'LL DO IT. 1652 01:14:12,310 --> 01:14:14,068 ALL RIGHT, THANK YOU. 1653 01:14:14,068 --> 01:14:16,896 WELL, LET'S SEE HOW IS ASHLEY DOING. 1654 01:14:16,896 --> 01:14:20,241 ASHLEY'S ACTUALLY DOWN TO 172 POUNDS, 1655 01:14:20,241 --> 01:14:23,172 FROM A HIGH OF AROUND 270 A YEAR AGO. 1656 01:14:23,172 --> 01:14:27,551 SO YOU LOST ALMOST 100 POUNDS, SO THAT'S EXCELLENT PROGRESS. 1657 01:14:27,551 --> 01:14:30,000 YOUR PREVIOUS WEIGHT LOSS SURGERY HAS HELPED YOU, 1658 01:14:30,000 --> 01:14:32,241 NOW THAT YOU ADJUSTED YOUR DIET BACK 1659 01:14:32,241 --> 01:14:35,034 TO WHERE IT NEEDED TO BE THIS PAST YEAR. 1660 01:14:35,034 --> 01:14:36,896 -YES. -WHICH IS VERY GOOD. 1661 01:14:36,896 --> 01:14:38,172 -THANK YOU. -YOU FEELING GOOD? 1662 01:14:38,172 --> 01:14:40,068 OH, YEAH. I FEEL SO MUCH BETTER. 1663 01:14:40,068 --> 01:14:41,827 THAT'S A LOT OF WEIGHT TO LOSE, HUH? 1664 01:14:41,827 --> 01:14:44,482 I HAVE A LITTLE BIT MORE TO LOSE, BUT I'M -- 1665 01:14:44,482 --> 01:14:46,172 I THINK I'M... I'M ALMOST THERE. 1666 01:14:46,172 --> 01:14:48,655 WELL, YOU'RE AT A HEALTHY PLACE TO MAINTAIN 1667 01:14:48,655 --> 01:14:50,620 IF YOU WANT TO STOP HERE. 1668 01:14:50,620 --> 01:14:52,103 BUT IF YOU WANT TO LOSE MORE, 1669 01:14:52,103 --> 01:14:54,448 JUST BE CAREFUL NOT TO GO OVERBOARD 1670 01:14:54,448 --> 01:14:56,758 AND TRY NOT TO LOSE OVER 10 POUNDS 1671 01:14:56,758 --> 01:14:59,344 FROM WHERE YOU'RE AT NOW, OKAY? 1672 01:14:59,344 --> 01:15:00,862 ALL RIGHT, SUPER. 1673 01:15:00,862 --> 01:15:03,172 ASHLEY, YOU'RE DOING GREAT, I'M PROUD OF YOUR EFFORT, 1674 01:15:03,172 --> 01:15:08,034 AND I THINK THIS GONNA BE GOOD MOTIVATION FOR DOUG AS WELL. 1675 01:15:08,034 --> 01:15:11,793 Doug: THE WHOLE DIET THING HAS BEEN A DRASTIC CHANGE. 1676 01:15:11,793 --> 01:15:14,586 SO THANK YOU SO MUCH FOR HA-- 1677 01:15:14,586 --> 01:15:16,862 FOR LETTING ME GO THROUGH THAT PROCESS, 1678 01:15:16,862 --> 01:15:19,310 BECAUSE IT HAS BEEN A BIG MOTIVATION FOR ME 1679 01:15:19,310 --> 01:15:20,620 TO KEEP MOVING FORWARD WITH IT. 1680 01:15:20,620 --> 01:15:24,000 WELL, EVERYBODY FALL OFF THE TRACK, UH, ONCE A WHILE. 1681 01:15:24,000 --> 01:15:25,758 -RIGHT. -BUT THE IMPORTANT THING IS 1682 01:15:25,758 --> 01:15:28,448 GET BACK ON TRACK AND START WORKING HARD. 1683 01:15:28,448 --> 01:15:29,655 -YEAH. -JUST REMEMBER -- 1684 01:15:29,655 --> 01:15:33,586 YOU WERE 684 POUNDS, AND THAT'S A BIG NUMBER. 1685 01:15:33,586 --> 01:15:35,034 YEAH, I THINK ABOUT IT. 1686 01:15:35,034 --> 01:15:36,310 YEAH, I THINK ABOUT IT ALL THE TIME, 1687 01:15:36,310 --> 01:15:38,344 AND IT'S A BIG CHANGE AND IT'S -- 1688 01:15:38,344 --> 01:15:40,551 IT'S A BIG CHANGE, BUT LOOK FORWARD. 1689 01:15:40,551 --> 01:15:41,724 YES. 1690 01:15:41,724 --> 01:15:42,689 WHERE ARE YOU GONNA BE 10 YEARS FROM NOW? 1691 01:15:42,689 --> 01:15:44,000 RIGHT. 1692 01:15:44,000 --> 01:15:46,206 YOU CAN BE 500 POUNDS OR YOU CAN BE 250 POUNDS. 1693 01:15:46,206 --> 01:15:48,379 NO, YEAH, I'M THE LOWER ONE. 1694 01:15:48,379 --> 01:15:51,344 BUT YOUR NEXT MOTIVATION IS GONNA BE YOUR SKIN SURGERY 1695 01:15:51,344 --> 01:15:52,482 ON YOUR STOMACH, 1696 01:15:52,482 --> 01:15:54,448 AND THAT'S GONNA MAKE A HUGE DIFFERENCE ON YOU. 1697 01:15:54,448 --> 01:15:56,793 YEAH, THAT'S -- THAT'S WHAT ME AND ASHLEY HAVE TALKED ABOUT. 1698 01:15:56,793 --> 01:15:58,620 OKAY. ALL RIGHT. 1699 01:15:58,620 --> 01:16:01,620 I'M GLAD YOU'RE BACK ON TRACK. I'M GLAD YOU'RE DOING SO WELL. 1700 01:16:01,620 --> 01:16:05,137 AND, YOU KNOW, FOR A WHILE, YOU STRUGGLED, 1701 01:16:05,137 --> 01:16:06,689 BUT EVERYBODY DOES. 1702 01:16:06,689 --> 01:16:08,586 SO I'M PROUD OF YOU BOTH. 1703 01:16:08,586 --> 01:16:09,758 KEEP UP THE GOOD WORK, 1704 01:16:09,758 --> 01:16:11,689 AND I WILL SEE YOU IN TWO MONTHS. 1705 01:16:11,689 --> 01:16:13,862 ALL RIGHT? 1706 01:16:13,862 --> 01:16:15,413 -IT'S BEEN PLEASURE. -THANKS SO MUCH. 1707 01:16:15,413 --> 01:16:16,689 I'LL SEE Y'ALL LATER. 1708 01:16:16,689 --> 01:16:18,896 -ALL RIGHT. -OKAY. 1709 01:16:18,896 --> 01:16:21,965 ♪♪ 1710 01:16:21,965 --> 01:16:23,137 [ Whispers ] GOOD JOB. 1711 01:16:23,137 --> 01:16:24,620 GOOD -- GOOD JOB TO YOU, DARLING. 1712 01:16:24,620 --> 01:16:26,724 PHEW! 1713 01:16:26,724 --> 01:16:28,586 Dr. Nowzaradan: I THINK DOUG IS DOING WELL. 1714 01:16:28,586 --> 01:16:32,310 HIS WEIGHT LOSS IS A LITTLE ON THE SLOW SIDE THIS TIME, 1715 01:16:32,310 --> 01:16:33,896 BUT AT LEAST HE'S LOSING 1716 01:16:33,896 --> 01:16:36,344 AND HE'S DEALING WITH WHAT HE NEEDS. 1717 01:16:36,344 --> 01:16:38,896 UNFORTUNATELY, HE HASN'T LOST ENOUGH 1718 01:16:38,896 --> 01:16:42,344 TO GET ALL THE EXCESS SKIN AROUND HIS STOMACH REMOVED. 1719 01:16:42,344 --> 01:16:45,551 BUT HOPEFULLY, GIVING HIM THIS CHALLENGE TO LOSE ANOTHER 1720 01:16:45,551 --> 01:16:47,000 30 POUNDS TO BE READY 1721 01:16:47,000 --> 01:16:51,413 FOR THAT WILL HELP GIVE HIM A LITTLE BIT MORE MOTIVATION. 1722 01:16:51,413 --> 01:16:55,862 AND IF HE DOES, AFTER SURGERY, HE WILL BE IN THE 200s. 1723 01:16:55,862 --> 01:16:57,551 AND I'M CONFIDENT HE WILL, 1724 01:16:57,551 --> 01:17:00,448 AS LONG AS HE STICK TO HIS PSYCHOTHERAPY 1725 01:17:00,448 --> 01:17:03,931 AND KEEP WORKING ON HIS EMOTIONAL ISSUES. 1726 01:17:03,931 --> 01:17:06,655 AND ASHLEY HAS DONE VERY WELL, TOO. 1727 01:17:06,655 --> 01:17:10,034 SHE HAD WEIGHT LOSS SURGERY BEFORE SHE MET DOUG, 1728 01:17:10,034 --> 01:17:12,000 BUT SHE GAINED ALL HER WEIGHT BACK, 1729 01:17:12,000 --> 01:17:14,379 BECAUSE OF HIS BAD EATING HABITS. 1730 01:17:14,379 --> 01:17:17,137 BUT NOW THAT THEY ARE BOTH STICKING TO THE DIET 1731 01:17:17,137 --> 01:17:18,793 THEY WERE SUPPOSED TO, 1732 01:17:18,793 --> 01:17:21,275 THEY'RE GETTING TO A MUCH BETTER PLACE. 1733 01:17:21,275 --> 01:17:25,068 SO WITH DOUG EATING RIGHT, THEY BOTH CAN WORK TOGETHER 1734 01:17:25,068 --> 01:17:26,586 TO SUPPORT EACH OTHER 1735 01:17:26,586 --> 01:17:30,137 IN MAINTAINING HEALTHY LIFESTYLE AS A FAMILY. 1736 01:17:30,137 --> 01:17:32,310 SO THEY ARE BOTH DOING GREAT, 1737 01:17:32,310 --> 01:17:35,965 AND I'M PROUD OF HOW FAR THEY HAVE COME. 1738 01:17:35,965 --> 01:17:37,793 -LET'S GO. -OKAY. 1739 01:17:37,793 --> 01:17:40,241 Ashley: I DON'T WANT DOUG TO BE DISCOURAGED 1740 01:17:40,241 --> 01:17:42,551 BECAUSE HE HASN'T HIT HIS WEIGHT LOSS GOAL, 1741 01:17:42,551 --> 01:17:46,068 BUT ULTIMATELY, DR. NOWZARADAN IS HAPPY 1742 01:17:46,068 --> 01:17:48,551 THAT BOTH OF US HAVE LOST SOME WEIGHT. 1743 01:17:48,551 --> 01:17:51,965 AND I'M FEELING REALLY OPTIMISTIC AND REALLY POSITIVE 1744 01:17:51,965 --> 01:17:54,310 THAT DOUG WILL DEFINITELY GET TO HIS SKIN SURGERY. 1745 01:17:54,310 --> 01:17:58,724 IT'S JUST A MATTER OF TIME AND PATIENCE. 1746 01:17:58,724 --> 01:18:00,103 Doug: I FEEL REALLY GOOD RIGHT NOW 1747 01:18:00,103 --> 01:18:02,551 AND I'M HAPPY WITH HOW THE APPOINTMENT WENT TODAY, 1748 01:18:02,551 --> 01:18:05,000 ESPECIALLY COMPARED TO HOW IT COULD'VE GONE. 1749 01:18:05,000 --> 01:18:07,068 BUT I APPRECIATED DR. NOW'S PERSPECTIVE 1750 01:18:07,068 --> 01:18:09,586 ABOUT WHERE MY WEIGHT LOSS SHOULD BE NOW. 1751 01:18:09,586 --> 01:18:12,068 AND IT MAY BE A LITTLE LATER THAN I WAS HOPING, 1752 01:18:12,068 --> 01:18:13,241 BUT I'M VERY GLAD 1753 01:18:13,241 --> 01:18:15,758 I HAVE THE CHANCE TO GET MY NEXT SKIN REMOVAL HERE 1754 01:18:15,758 --> 01:18:17,103 IN A COUPLE MONTHS, 1755 01:18:17,103 --> 01:18:19,586 AND DR. NOW'S GOAL TO HIT IT BY THEN SEEMS REASONABLE. 1756 01:18:19,586 --> 01:18:22,448 SO NO MATTER WHAT, I'M GONNA WORK HARD AND DO THAT. 1757 01:18:22,448 --> 01:18:24,034 SO I'M FEELING REALLY GOOD RIGHT NOW 1758 01:18:24,034 --> 01:18:27,758 AND I'M EXCITED ABOUT WHERE BOTH ME AND ASHLEY ARE AT RIGHT NOW 1759 01:18:27,758 --> 01:18:30,517 AND THAT I GET TO TAKE ANOTHER BIG STEP HERE SOON. 1760 01:18:30,517 --> 01:18:39,896 ♪♪ 1761 01:18:39,896 --> 01:18:48,413 ♪♪ 1762 01:18:48,413 --> 01:18:50,724 Doug: I'M REALLY EXCITED ABOUT TODAY 1763 01:18:50,724 --> 01:18:52,206 BECAUSE FOR MOST OF OUR RELATIONSHIP, 1764 01:18:52,206 --> 01:18:54,241 ASHLEY HAS HAD TO TAKE CARE OF ME. 1765 01:18:54,241 --> 01:18:56,517 AND EVEN JUST A FEW MONTHS AGO, GETTING MY SKIN SURGERY, 1766 01:18:56,517 --> 01:18:58,896 SHE STAYED WITH ME AND HELPED ME DO EVERYTHING. 1767 01:18:58,896 --> 01:19:00,379 AND SO I'VE BEEN DYING TO GET TO THE POINT 1768 01:19:00,379 --> 01:19:02,068 WHERE I CAN DO SOMETHING TO SHOW HER 1769 01:19:02,068 --> 01:19:05,482 HOW MUCH I APPRECIATE ALL SHE'S DONE FOR ME. 1770 01:19:05,482 --> 01:19:08,758 SO TONIGHT, I ARRANGED FOR THE KIDS TO GO TO ASHLEY'S MOM, 1771 01:19:08,758 --> 01:19:10,206 MADE A RESERVATION FOR DINNER, 1772 01:19:10,206 --> 01:19:14,344 AND I HAVE A BIG SURPRISE FOR HER, AND I CAN'T WAIT. 1773 01:19:14,344 --> 01:19:16,137 I REALLY WANTED TO PLAN EVERYTHING TONIGHT, 1774 01:19:16,137 --> 01:19:18,862 JUST SO ASHLEY DIDN'T HAVE TO WORRY ABOUT ANYTHING, 1775 01:19:18,862 --> 01:19:22,310 SO THAT SHE COULD JUST KIND OF RELAX AND HAVE A GOOD TIME. 1776 01:19:22,310 --> 01:19:25,482 -HEY. -HEY. 1777 01:19:25,482 --> 01:19:28,586 -YOU LOOK NICE. -THANK YOU. YOU DO, TOO, SKINNY. 1778 01:19:28,586 --> 01:19:30,758 OH. 1779 01:19:30,758 --> 01:19:32,172 I LIKE IT. 1780 01:19:32,172 --> 01:19:34,689 I DO, TOO. MMM. 1781 01:19:34,689 --> 01:19:36,206 OH. 1782 01:19:36,206 --> 01:19:38,793 -MM. -ALL RIGHT. 1783 01:19:38,793 --> 01:19:40,413 YOU LOOK SUPER-SNAZZY. 1784 01:19:40,413 --> 01:19:42,655 YOU DO, TOO. 1785 01:19:42,655 --> 01:19:45,034 SHOULD DO THIS MORE OFTEN. 1786 01:19:45,034 --> 01:19:46,448 TAKE ME SOMEWHERE. 1787 01:19:46,448 --> 01:19:48,310 ALL RIGHT. 1788 01:19:48,310 --> 01:19:49,724 I THINK DOUG LOOKS AMAZING. 1789 01:19:49,724 --> 01:19:52,482 I MEAN, HE WAS CUTE BEFORE, BUT NOW IT'S JUST... 1790 01:19:52,482 --> 01:19:54,310 OH, I JUST CAN'T BELIEVE IT. 1791 01:19:54,310 --> 01:19:56,758 ♪♪ 1792 01:19:56,758 --> 01:19:58,931 THANK YOU, SIR. 1793 01:19:58,931 --> 01:20:04,724 BEFORE, HE WAS A REALLY BIG GUY, AND EVERYBODYNOTICED HIM. 1794 01:20:04,724 --> 01:20:07,551 ♪♪ 1795 01:20:07,551 --> 01:20:11,931 AND NOW HE'S JUST KIND OF A BIG GUY AND HE'S MORE, 1796 01:20:11,931 --> 01:20:14,275 YOU KNOW, WHAT THE WORLD WOULD EXPECT AS NORMAL. 1797 01:20:14,275 --> 01:20:17,275 AND YOU CAN TELL THAT HE DOESN'T REALLY THINK 1798 01:20:17,275 --> 01:20:19,137 ABOUT HIS PHYSICAL APPEARANCE TOO MUCH 1799 01:20:19,137 --> 01:20:21,103 WHEN WE'RE OUT IN PUBLIC ANYMORE, 1800 01:20:21,103 --> 01:20:23,172 SO THAT JUST MAKES HIM EVEN MORE ATTRACTIVE, 1801 01:20:23,172 --> 01:20:28,689 BECAUSE HE'S NOT FOCUSED ON ANY TYPE OF PHYSICAL LIMITATIONS. 1802 01:20:28,689 --> 01:20:31,448 HE JUST LOOKS FABULOUS. 1803 01:20:31,448 --> 01:20:34,137 AND IT'S BEEN A REALLY LONG TIME SINCE WE'VE GONE OUT 1804 01:20:34,137 --> 01:20:35,655 WITH JUST THE TWO OF US, 1805 01:20:35,655 --> 01:20:39,413 SO I'M REALLY LOOKING FORWARD TO SPENDING TIME WITH JUST HIM. 1806 01:20:39,413 --> 01:20:41,896 ♪♪ 1807 01:20:41,896 --> 01:20:45,241 -WELL, THANK YOU, SIR. -MM-HMM. 1808 01:20:45,241 --> 01:20:50,965 ♪♪ 1809 01:20:50,965 --> 01:20:52,724 Doug: ASHLEY HAS ALWAYS LOOKED AMAZING, 1810 01:20:52,724 --> 01:20:56,620 BUT TO SEE HER THIS HEALTHY AND HAPPY IS WONDERFUL, 1811 01:20:56,620 --> 01:20:59,172 AND TO KNOW THAT MY BAD INFLUENCE WITH MY EATING HABITS 1812 01:20:59,172 --> 01:21:01,344 HAS BEEN UNDONE NOW, 1813 01:21:01,344 --> 01:21:03,310 BECAUSE IT'S BEEN SOMETHING I'VE FELT GUILTY ABOUT 1814 01:21:03,310 --> 01:21:05,551 FOR ALMOST OUR WHOLE RELATIONSHIP. 1815 01:21:05,551 --> 01:21:08,620 AND THAT ALONE IS A HUGE BURDEN OFF OF ME. 1816 01:21:08,620 --> 01:21:11,620 SO OUR LIVES ARE SO MUCH BETTER IN SO MANY WAYS 1817 01:21:11,620 --> 01:21:15,068 AND WE WANNA GET OUT AND ENJOY IT AS MUCH AS WE CAN. 1818 01:21:16,206 --> 01:21:17,448 HOW ARE WE DOING THIS EVENING, GUYS? 1819 01:21:17,448 --> 01:21:19,344 HEY. -DOING ALL RIGHT. 1820 01:21:19,344 --> 01:21:20,724 WHAT CAN I GET YOU GUYS? 1821 01:21:20,724 --> 01:21:22,448 UM, WE'RE ACTUALLY GONNA SHARE A PLATE. 1822 01:21:22,448 --> 01:21:23,862 OKAY. 1823 01:21:23,862 --> 01:21:25,241 WE WANT THE STUFFED CHICKEN 1824 01:21:25,241 --> 01:21:27,172 WITH THE WHITE, UH, WINE CREAM SAUCE. 1825 01:21:27,172 --> 01:21:28,517 -OKAY. -THAT'S IT. 1826 01:21:28,517 --> 01:21:30,793 -ABSOLUTELY. -AND AN EXTRA PLATE? 1827 01:21:30,793 --> 01:21:32,482 Doug: ASHLEY HAS JUST REALLY SUPPORTED ME 1828 01:21:32,482 --> 01:21:34,000 THROUGH THIS WHOLE JOURNEY, 1829 01:21:34,000 --> 01:21:37,551 HELPING ME WHENEVER I STRUGGLED WITH THE DIET OR WITH PAIN. 1830 01:21:37,551 --> 01:21:39,931 SHE'S THE ONE THAT REALLY PUSHED ME 1831 01:21:39,931 --> 01:21:41,344 WHENEVER I THOUGHT THAT I COULDN'T GET 1832 01:21:41,344 --> 01:21:43,172 PAST CERTAIN OBSTACLES 1833 01:21:43,172 --> 01:21:46,068 OR CERTAIN MILESTONES DURING THIS JOURNEY. 1834 01:21:46,068 --> 01:21:50,034 SHE'S BEEN MY ROCK, SO, I MEAN, SHE'S JUST THE REASON 1835 01:21:50,034 --> 01:21:53,137 I'M STANDING HERE IN FRONT OF YOU TODAY. 1836 01:21:53,137 --> 01:21:54,827 SO I WANT HER TO FEEL SPECIAL TONIGHT, 1837 01:21:54,827 --> 01:21:57,448 TO KNOW HOW MUCH I LOVE HER AND APPRECIATE HER 1838 01:21:57,448 --> 01:22:00,517 AND I REALLY HOPE ASHLEY'S SURPRISED BY THIS, 1839 01:22:00,517 --> 01:22:03,137 BECAUSE SHE'S ALWAYS WANTED TO GO OUT AND DO THIS, 1840 01:22:03,137 --> 01:22:06,655 BUT I'VE NEVER BEEN ABLE TO TAKE HER. 1841 01:22:06,655 --> 01:22:09,724 WE'RE GONNA GET OUR STUFF TO GO 1842 01:22:09,724 --> 01:22:12,413 BECAUSE I HAVE SOMETHING ELSE PLANNED FOR US TONIGHT. 1843 01:22:12,413 --> 01:22:13,931 -OH, YEAH? -MM-HMM. 1844 01:22:13,931 --> 01:22:15,206 LIKE? 1845 01:22:15,206 --> 01:22:18,517 WE'RE GONNA GO TO A BALLROOM DANCING CLASS. 1846 01:22:18,517 --> 01:22:20,586 -I'M SORRY, WHAT? -BALLROOM DANCING. 1847 01:22:20,586 --> 01:22:22,448 [ LAUGHS ] ARE YOU SERIOUS? 1848 01:22:22,448 --> 01:22:24,172 [ GASPS ] REALLY? 1849 01:22:24,172 --> 01:22:25,344 MM-HMM. 1850 01:22:25,344 --> 01:22:27,310 YOU? AND ME? 1851 01:22:27,310 --> 01:22:28,655 -ESPECIALLY ME. -I KNOW. 1852 01:22:28,655 --> 01:22:31,137 -YEAH. MM. -AWESOME. 1853 01:22:31,137 --> 01:22:32,482 Doug: I PLANNED THE DANCE CLASS. 1854 01:22:32,482 --> 01:22:34,137 THIS IS SOMETHING NEW, IT'S SOMETHING DIFFERENT. 1855 01:22:34,137 --> 01:22:37,206 WE'VE NEVER REALLY DONE ANYTHING LIKE THAT. 1856 01:22:37,206 --> 01:22:39,896 AND THIS TIME TWO YEARS AGO, ALL I WAS CAPABLE OF 1857 01:22:39,896 --> 01:22:42,275 WAS SITTING IN MY CHAIR OR IN BED AT HOME, 1858 01:22:42,275 --> 01:22:45,034 UNLESS I WAS GETTING FOOD. 1859 01:22:45,034 --> 01:22:47,551 -READY? -MM-HMM. 1860 01:22:47,551 --> 01:22:49,793 Doug: I CAN'T DO ANYTHING BY MYSELF. 1861 01:22:49,793 --> 01:22:51,758 I FEEL LIKE AN INVALID. 1862 01:22:51,758 --> 01:22:53,620 [ GRUNTS ] 1863 01:22:56,586 --> 01:22:59,137 I JUST DID NOTHING 'CAUSE I WAS TOO BIG. 1864 01:22:59,137 --> 01:23:00,896 BUT NOW MY LIFE IS COMPLETELY DIFFERENT, 1865 01:23:00,896 --> 01:23:03,896 BECAUSE I'M COMPLETELY DIFFERENT. 1866 01:23:03,896 --> 01:23:06,137 DOUG BEING ABLE TO PULL SOMETHING LIKE THIS OFF, 1867 01:23:06,137 --> 01:23:07,620 WHERE HE HAS PLANNED EVERYTHING 1868 01:23:07,620 --> 01:23:09,862 AND EVEN SOMETHING TO SURPRISE ME, 1869 01:23:09,862 --> 01:23:13,620 REALLY MAKES ME APPRECIATE HIM EVEN MORE. 1870 01:23:13,620 --> 01:23:16,689 THIS IS SOMETHING THAT WE'VE NEVER DONE BEFORE 1871 01:23:16,689 --> 01:23:20,689 AND FOR HIM TO EVEN TRY IS JUST SO AWESOME. 1872 01:23:20,689 --> 01:23:24,689 SO I HAVE SO MUCH LOVE AND RESPECT FOR HIM FOR IT. 1873 01:23:24,689 --> 01:23:26,310 THANK YOU, SIR. 1874 01:23:31,827 --> 01:23:33,724 Doug: I STILL HAVE SOME WORK TO DO, 1875 01:23:33,724 --> 01:23:34,931 BUT I FEEL LIKE I'VE ALREADY MADE IT 1876 01:23:34,931 --> 01:23:37,310 TO A PLACE WHERE I'M HAPPY. 1877 01:23:37,310 --> 01:23:39,068 MY SKIN SURGERY'S IN A COUPLE WEEKS 1878 01:23:39,068 --> 01:23:42,275 AND I'M STILL WORKING EXTRA HARD TO MOVE AHEAD WITH THAT 1879 01:23:42,275 --> 01:23:44,551 AND I'M STILL AIMING TO GET DONE WITH ALL MY SURGERIES 1880 01:23:44,551 --> 01:23:48,482 AND TO MY TARGET IN LESS THAN SIX MONTHS FROM NOW. 1881 01:23:48,482 --> 01:23:52,137 AND I'M CONFIDENT I CAN DO THAT IF I STAY FOCUSED. 1882 01:23:52,137 --> 01:23:53,517 AND WITH EACH DAY THAT PASSES, 1883 01:23:53,517 --> 01:23:56,068 I GET MORE DETERMINED AND RESOLVE NOT TO DO ANYTHING 1884 01:23:56,068 --> 01:23:59,862 THAT COULD JEOPARDIZE WHAT I HAVE NOW. 1885 01:23:59,862 --> 01:24:03,000 Ashley: THERE ARE TOO MANY DIFFERENCES TO COUNT 1886 01:24:03,000 --> 01:24:06,655 IN HOW DOUG WAS AT THE BEGINNING OF THIS JOURNEY 1887 01:24:06,655 --> 01:24:08,344 VERSUS HOW HE IS NOW. 1888 01:24:08,344 --> 01:24:11,827 HE REALLY IS A COMPLETELY DIFFERENT PERSON, 1889 01:24:11,827 --> 01:24:14,517 BUT ALL FOR THE BETTER. 1890 01:24:14,517 --> 01:24:16,034 -Woman: HELLO! -HELLO. 1891 01:24:16,034 --> 01:24:17,793 WELCOME TO OUR STUDIO. 1892 01:24:17,793 --> 01:24:20,517 Ashley: HELLO, HELLO. WATCH YOUR STEP, BABE. 1893 01:24:20,517 --> 01:24:23,068 BEING ABLE TO TAKE ASHLEY TO A BALLROOM DANCING CLASS 1894 01:24:23,068 --> 01:24:25,862 MAKES ME FEEL REALLY GOOD ABOUT MYSELF 1895 01:24:25,862 --> 01:24:28,965 AND THIS JOURNEY THAT I'VE BEEN ON. 1896 01:24:28,965 --> 01:24:32,448 AND LIVING THE LIFE I HAVE NOW MAKES ME NEVER WANNA GO BACK. 1897 01:24:32,448 --> 01:24:34,206 I'M NOT GONNA LET ANYTHING TAKE ME TO A PLACE 1898 01:24:34,206 --> 01:24:36,551 WHERE I RISK LOSING THE LIFE I HAVE NOW 1899 01:24:36,551 --> 01:24:39,931 AND THE PERSON I AM NOW. 1900 01:24:39,931 --> 01:24:41,206 ♪♪ 1901 01:24:41,206 --> 01:24:43,206 Ashley: I DEFINITELY THINK THE LAST YEAR 1902 01:24:43,206 --> 01:24:46,172 HAS BEEN A STRUGGLE FOR DOUG EMOTIONALLY, 1903 01:24:46,172 --> 01:24:49,137 BUT SOMETHING'S HAPPENED IN THE LAST YEAR 1904 01:24:49,137 --> 01:24:52,103 WHERE A LIGHT HAS GONE ON FOR DOUG. 1905 01:24:52,103 --> 01:24:57,482 HIS CHARACTER HAS CHANGED, PERSONALITY HAS CHANGED, 1906 01:24:57,482 --> 01:25:01,758 AND IT'S JUST -- IT'S FUN TO BE WITH HIM. 1907 01:25:01,758 --> 01:25:04,655 IT FEELS AMAZING TO BE OUT WITH ASHLEY TONIGHT, 1908 01:25:04,655 --> 01:25:05,965 NOT JUST BECAUSE, YOU KNOW, 1909 01:25:05,965 --> 01:25:07,517 BEING ABLE TO GET OUT OF THE HOUSE, 1910 01:25:07,517 --> 01:25:10,862 BUT JUST BEING ABLETO GET OUT AND DO SOMETHING LIKE THIS 1911 01:25:10,862 --> 01:25:14,551 IS, UH...IT -- IT'S JUST REALLY NO WORDS FOR IT. 1912 01:25:14,551 --> 01:25:16,344 IT FEELS REALLY GOOD. 1913 01:25:16,344 --> 01:25:19,758 BEING 600 POUNDS ISN'T WORTH NOT BEING ABLE TO LIVE. 1914 01:25:19,758 --> 01:25:21,034 SO NO MATTER WHAT, I'M MAKING SURE 1915 01:25:21,034 --> 01:25:23,310 I NEVER GO BACK THERE EVER AGAIN. 1916 01:25:23,310 --> 01:25:26,034 I LIKE WHO I AM NOW AND THE LIFE I HAVE 1917 01:25:26,034 --> 01:25:28,241 AND I'M NOT DOING ANYTHING TO LOSE EITHER. 1918 01:25:28,241 --> 01:25:31,482 SO WE'RE GONNA MAKE SURE, NO MATTER WHAT, I'M A SUCCESS. 1919 01:25:31,482 --> 01:25:32,586 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS