"My 600-lb Life" Lupe & Ashley D.

1 00:00:02,300 --> 00:00:06,667 -- Captions by VITAC -- www.vitac.com 2 00:00:06,667 --> 00:00:08,533 Milla: I CAN'T EVEN TAKE CARE OF MYSELF. 3 00:00:08,533 --> 00:00:11,500 MY CHILDREN HAVE TO DO EVERYTHING FOR ME. 4 00:00:11,500 --> 00:00:13,967 Charity: I FEEL LIKE SOME MONSTER. 5 00:00:13,967 --> 00:00:16,267 Woman: I'M IN SO MUCH PAIN. 6 00:00:16,267 --> 00:00:19,000 [ Crying ] IT'S MISERABLE. 7 00:00:19,000 --> 00:00:22,700 Brittani: MY BODY IS THE MOST DISGUSTING THING IN THE WORLD. 8 00:00:22,700 --> 00:00:25,200 ** 9 00:00:25,200 --> 00:00:26,933 Woman #2: I'M TERRIFIED RIGHT NOW. 10 00:00:26,933 --> 00:00:30,933 June: I'M RISKING MY LIFE FOR A BETTER LIFE. 11 00:00:30,933 --> 00:00:32,967 I LOVE YOU, MOMMY. 12 00:00:34,000 --> 00:00:40,074 Watch Online Movies and Series for FREE www.osdb.link/lm 13 00:00:43,533 --> 00:00:46,167 -OOH, CHILD! -PULL. GOOD. THERE YOU GO! 14 00:00:46,167 --> 00:00:47,667 GOOD JOB. 15 00:00:47,667 --> 00:00:51,300 Teretha: I'M GETTING STRONGER, BUT I KNOW I HAVE A LONG WAY TO GO. 16 00:00:51,300 --> 00:00:53,967 Paula: I CAN'T WAIT TO SEE WHAT THE FUTURE HOLDS. 17 00:00:53,967 --> 00:00:57,600 ** 18 00:00:57,600 --> 00:01:02,267 Susan: I AM NOW EXPRESSING MYSELF AND LIVING MY OWN TRUTH. 19 00:01:02,267 --> 00:01:04,833 Milla: I'M SO HAPPY ABOUT THE PROGRESS I'VE MADE. 20 00:01:04,833 --> 00:01:08,933 June: I AM LIVING LIFE, AND I'M LOVING EVERY SECOND OF IT. 21 00:01:11,067 --> 00:01:13,533 Ashley: I'VE ACCOMPLISHED A LOT THIS YEAR. 22 00:01:13,533 --> 00:01:15,633 Lupe: THIS FEELS AMAZING. 23 00:01:15,633 --> 00:01:18,867 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 24 00:01:18,867 --> 00:01:23,333 FOR TWO DECADES, I'VE BEEN 400 OR 500 POUNDS. 25 00:01:23,333 --> 00:01:25,067 BEING THIS OVERWEIGHT, 26 00:01:25,067 --> 00:01:27,400 EVERYTHING I DO IS HARD, AND IT'S A STRUGGLE. 27 00:01:27,400 --> 00:01:31,967 AND WORDS CAN'T EVEN EXPLAIN HOW MUCH I HATE BEING IN THIS BED. 28 00:01:31,967 --> 00:01:34,200 BUT MY HUSBAND, GILBERT, IS MY CARETAKER. 29 00:01:34,200 --> 00:01:36,633 OKAY. 30 00:01:36,633 --> 00:01:38,433 HE TAKES CARE OF ME ALL THE TIME. 31 00:01:38,433 --> 00:01:40,567 [ Crying ] I DON'T WANT TO LIVE LIKE THIS ANYMORE. 32 00:01:40,567 --> 00:01:43,100 I WANT A NORMAL LIFE. I WANT TO GET HEALTHY. 33 00:01:43,100 --> 00:01:45,567 I DON'T WANT TO LIVE THIS WAY. 34 00:01:45,567 --> 00:01:48,467 I FOUND A DOCTOR THAT WILL HELP ME LOSE THE WEIGHT, 35 00:01:48,467 --> 00:01:50,967 BUT HE'S IN HOUSTON, TEXAS. 36 00:01:50,967 --> 00:01:53,700 I'M LEAVING EVERYTHING I KNOW TO SAVE MY LIFE. 37 00:01:53,700 --> 00:01:55,067 [ SPEAKS INDISTINCTLY ] 38 00:01:55,067 --> 00:01:57,733 I'M NERVOUS, BUT I HAVE A LOT OF SUPPORT, 39 00:01:57,733 --> 00:02:00,167 AND IT'S GONNA SEE ME THROUGH THIS JOURNEY. 40 00:02:05,567 --> 00:02:08,167 -WHAT'S WRONG? -I'M IN PAIN. MY LEGS HURT. 41 00:02:08,167 --> 00:02:11,500 -Yes, this is Dr. Nowzaradan. -I'M CALLING FOR MY WIFE, LUPE. 42 00:02:11,500 --> 00:02:13,233 Okay, come to the hospital. 43 00:02:13,233 --> 00:02:16,433 We'll get her to emergency room immediately. 44 00:02:16,433 --> 00:02:18,767 LUPE IS LUCKY, BECAUSE IF HER CAR RIDE 45 00:02:18,767 --> 00:02:22,533 WAS TWO TO THREE HOURS LONGER, SHE WOULD NOT HAVE SURVIVED. 46 00:02:22,533 --> 00:02:24,267 SHE'S BEEN KILLING HERSELF, 47 00:02:24,267 --> 00:02:27,267 AND HER HUSBAND HAS BEEN HELPING HER TO DO THAT. 48 00:02:27,267 --> 00:02:29,633 TAKE IT EASY. SHE'S IN VERY BAD SHAPE. 49 00:02:29,633 --> 00:02:31,467 HER HEART IS IN FAILURE. 50 00:02:31,467 --> 00:02:34,367 -642 POUNDS. -ARE YOU SURE THAT'S RIGHT? 51 00:02:34,367 --> 00:02:37,967 WE NEED TO GET HER WEIGHT TO START DROPPING DOWN IMMEDIATELY 52 00:02:37,967 --> 00:02:41,067 SO WE CAN GIVE HER HEART A CHANCE TO RECOVER. 53 00:02:41,067 --> 00:02:44,367 Lupe: I'VE BEEN IN THE HOSPITAL FOR A COUPLE WEEKS NOW, 54 00:02:44,367 --> 00:02:47,567 AND I'M TRYING TO ADJUST TO THE NEW DIET. 55 00:02:47,567 --> 00:02:50,667 BUT I FEEL LIKE I'M STARVING ALL THE TIME. 56 00:02:50,667 --> 00:02:54,933 ** 57 00:02:54,933 --> 00:02:58,200 Dr. Nowzaradan: LUPE HAS DONE WELL, AND WE HAVE HER HEART 58 00:02:58,200 --> 00:03:00,967 AND WHOLE BODY IN MUCH HEALTHIER PLACE. 59 00:03:00,967 --> 00:03:02,700 SO WE ARE SENDING HER HOME 60 00:03:02,700 --> 00:03:05,067 TO TRY AND MAKE PROGRESS ON HER OWN. 61 00:03:05,067 --> 00:03:08,500 Lupe: I KNOW I NEED TO GET MY EATING UNDER CONTROL, 62 00:03:08,500 --> 00:03:12,767 BUT THERE ARE DAYS YOU JUST HAVE TO ENJOY LIFE AND CELEBRATE. 63 00:03:12,767 --> 00:03:15,333 Dr. Nowzaradan: LET'S CHECK YOUR WEIGHT AND SEE WHERE YOU'RE AT. 64 00:03:15,333 --> 00:03:18,367 -THREE. OKAY. -ALL RIGHT. 65 00:03:18,367 --> 00:03:20,967 LUPE, THIS IS RIDICULOUS THAT YOU GAINED MORE WEIGHT 66 00:03:20,967 --> 00:03:23,133 THAN YOU LOST IN JUST A MONTH. 67 00:03:23,133 --> 00:03:25,133 SO, I'M KEEPING YOU IN THE HOSPITAL 68 00:03:25,133 --> 00:03:26,867 TO START CONTROL DIET AGAIN. 69 00:03:26,867 --> 00:03:29,400 AND YOU'RE DOWN TO YOUR LAST CHANCE. 70 00:03:29,400 --> 00:03:33,167 ** 71 00:03:33,167 --> 00:03:35,467 THERE YOU GO. GOOD JOB. 72 00:03:35,467 --> 00:03:38,067 Lupe: I'M DOING REALLY WELL, AND I'VE BEEN ABLE TO WALK 73 00:03:38,067 --> 00:03:41,067 MORE THAN I COULD IN THE PAST 10 YEARS. 74 00:03:41,067 --> 00:03:43,300 Dr. Nowzaradan: REGARDLESS OF HER PROGRESS, 75 00:03:43,300 --> 00:03:46,567 SHE HAS TO PROVE THAT SHE CAN DO THIS ON HER OWN. 76 00:03:46,567 --> 00:03:49,233 UNTIL SHE DOES THAT, SHE WILL NOT BE READY 77 00:03:49,233 --> 00:03:52,200 FOR ANY WEIGHT-LOSS SURGERY. 78 00:03:52,200 --> 00:03:55,367 Lupe: I REALIZED HOW HARD I NEED TO BE WORKING FOR THIS. 79 00:03:55,367 --> 00:03:58,867 I FEEL LIKE I'M RACING A CLOCK RIGHT NOW, 80 00:03:58,867 --> 00:04:01,467 AND THAT MY TIME IS RUNNING SO SHORT. 81 00:04:01,467 --> 00:04:04,200 ALL RIGHT, LUPE. THIS IS THE MOMENT OF TRUTH. 82 00:04:04,200 --> 00:04:07,200 -OKAY. -439 POUNDS. 83 00:04:07,200 --> 00:04:09,533 Gilbert: HEY! OH, MY GOD! THAT'S CRAZY! 84 00:04:09,533 --> 00:04:10,867 ALL RIGHT. YOU DID IT. 85 00:04:10,867 --> 00:04:13,867 I'M APPROVING YOU FOR WEIGHT-LOSS SURGERY. 86 00:04:13,867 --> 00:04:15,267 ** 87 00:04:15,267 --> 00:04:17,667 Dr. Nowzaradan: ALL RIGHT. WE COMPLETED THE SLEEVE. 88 00:04:17,667 --> 00:04:20,067 AND LUPE'S SURGERY WENT VERY WELL. 89 00:04:20,067 --> 00:04:21,967 MY PRIMARY CONCERN NOW 90 00:04:21,967 --> 00:04:24,333 IS CHANGING THE UNHEALTHY DYNAMIC 91 00:04:24,333 --> 00:04:26,333 SHE HAS WITH HER HUSBAND. 92 00:04:26,333 --> 00:04:29,367 ** 93 00:04:32,533 --> 00:04:35,700 I DON'T DESERVE ANYTHING LESS THAN ANY WOMAN OUT THERE. 94 00:04:35,700 --> 00:04:37,300 -I KNOW THAT, LOVE. -OKAY, THEN. 95 00:04:37,300 --> 00:04:39,667 Gilbert: OUR SEXUAL RELATIONSHIP IS DIFFICULT. 96 00:04:39,667 --> 00:04:42,867 I GET SEXUALLY FRUSTRATED, AND I TEND TO SLIP. 97 00:04:42,867 --> 00:04:46,467 Lupe: I DON'T KNOW HOW TO REPAIR EVERYTHING WITH GILBERT, 98 00:04:46,467 --> 00:04:49,467 AND THAT MAKES ME FEEL LIKE GIVING UP RIGHT NOW. 99 00:04:49,467 --> 00:04:51,067 Dr. Nowzaradan: LUPE IS NOT DEALING 100 00:04:51,067 --> 00:04:53,833 WITH THE ISSUES IN HER LIFE IN A RIGHT WAY, 101 00:04:53,833 --> 00:04:57,567 AND THAT IS CREATING A VERY DANGEROUS SITUATION FOR HER. 102 00:04:57,567 --> 00:05:00,300 SHE HAS SPENT THE LAST TWO MONTHS IN BED 103 00:05:00,300 --> 00:05:01,633 BARELY EVEN MOVING, 104 00:05:01,633 --> 00:05:06,300 AND SHE IS LESS MOBILE NOW SINCE LAST TIME I SAW HER. 105 00:05:06,300 --> 00:05:09,500 I'M NOT GONNA STAND TODAY AND FALL AND GO BACKWARDS. 106 00:05:09,500 --> 00:05:11,067 YOU CAN STAND. YOU JUST DON'T WANT TO STAND. 107 00:05:11,067 --> 00:05:13,367 HERE, I CAN BARELY GET MYSELF TO THE EDGE OF THE BED. 108 00:05:13,367 --> 00:05:14,867 YOU'RE PLAYING WITH EVERYBODY AROUND YOU. 109 00:05:14,867 --> 00:05:15,933 NO, I'M NOT. 110 00:05:15,933 --> 00:05:17,500 YOU GOT TO USE YOUR UPPER BODY AND STAND. 111 00:05:17,500 --> 00:05:19,600 -I'M GONNA FALL. -YOU'RE NOT GONNA FALL. 112 00:05:19,600 --> 00:05:23,333 YOU REFUSE TO GET OUT OF THIS CONDITION. 113 00:05:23,333 --> 00:05:24,967 Dr. Nowzaradan: LAST THING WE'RE GONNA TRY 114 00:05:24,967 --> 00:05:28,800 IS TO SEND A PSYCHOLOGIST TO MEET WITH YOU AND GILBERT 115 00:05:28,800 --> 00:05:32,267 TO DEAL WITH THE ISSUES THAT ARE KEEPING YOU IN THE BED. 116 00:05:32,267 --> 00:05:33,800 Gilbert: I WANT OUR MARRIAGE TO WORK. 117 00:05:33,800 --> 00:05:36,167 I WANT YOU TO GET UP. I WANT YOU TO WALK. 118 00:05:36,167 --> 00:05:38,533 WHEN TRUST IN A RELATIONSHIP IS BROKEN, 119 00:05:38,533 --> 00:05:40,500 IT IS VERY, VERY HARD TO GET THAT BACK. 120 00:05:40,500 --> 00:05:43,200 YOU CAN GET THAT BACK, BUT IT TAKES A LOT OF WORK. 121 00:05:47,100 --> 00:05:50,300 Lupe: GILBERT AND I ARE TRYING TO SPEND MORE TIME TOGETHER. 122 00:05:50,300 --> 00:05:52,400 AND I'M SO ENCOURAGED 123 00:05:52,400 --> 00:05:54,433 BY EVERYTHING THAT'S HAPPENED LATELY, 124 00:05:54,433 --> 00:05:58,233 THAT IT'S HELPING DRIVE ME TO WANT TO DO MORE. 125 00:05:58,233 --> 00:05:59,467 360. 126 00:05:59,467 --> 00:06:00,800 WHOO! 127 00:06:00,800 --> 00:06:03,400 [ LAUGHTER ] 128 00:06:03,400 --> 00:06:05,633 Dr. Nowzaradan: UNFORTUNATELY, LUPE GOT TO THE POINT 129 00:06:05,633 --> 00:06:09,733 WHERE SHE'S PHYSICALLY LOSING THE ABILITY TO STAND. 130 00:06:09,733 --> 00:06:12,067 SO WE'LL ADDRESS THIS ISSUE 131 00:06:12,067 --> 00:06:14,767 AS YOU START LOSING SOME MORE WEIGHT, OKAY? 132 00:06:14,767 --> 00:06:17,300 WE STILL HAVE A LOT OF WORK TO DO WITH HER, 133 00:06:17,300 --> 00:06:20,233 BUT SHE'S A FIGHTER AT THE END OF THE DAY. 134 00:06:26,267 --> 00:06:29,300 ** 135 00:06:40,433 --> 00:06:42,300 Lupe: IF YOU WOULD'VE ASKED ME A YEAR AGO 136 00:06:42,300 --> 00:06:45,100 IF I'D THOUGHT I'D BE ABLE TO LOSE ALMOST 300 POUNDS, 137 00:06:45,100 --> 00:06:47,200 I WOULD'VE SAID THERE'S NO WAY. 138 00:06:49,400 --> 00:06:50,933 I WOULD'VE HOPED I COULD, 139 00:06:50,933 --> 00:06:55,500 BUT I WOULD'VE NEVER THOUGHT I COULD MAKE IT AS FAR AS I HAVE. 140 00:06:55,500 --> 00:06:58,700 BUT THE BIGGEST SETBACK FOR ME IN THE LAST FEW MONTHS 141 00:06:58,700 --> 00:07:03,267 HAS BEEN MY HIP PAIN THAT KEEPS ME IN BED. 142 00:07:03,267 --> 00:07:06,533 SO, DR. NOWZARADAN SAYS I NEED TO MAKE SURE 143 00:07:06,533 --> 00:07:09,900 THAT I CONTINUE MAKING PROGRESS AND LOSING WEIGHT. 144 00:07:09,900 --> 00:07:11,067 SLOW, SLOW, BABE. 145 00:07:11,067 --> 00:07:13,067 RIGHT THERE IS MY BACK. JUST PULL IT. 146 00:07:13,067 --> 00:07:14,467 -PULL IT? -YEAH, STRETCH IT. 147 00:07:14,467 --> 00:07:15,733 OKAY. 148 00:07:15,733 --> 00:07:18,867 AND HE WANTS ME TO TRY AND MOVE AS MUCH AS I CAN 149 00:07:18,867 --> 00:07:21,867 SO IT DOESN'T GET WORSE. 150 00:07:21,867 --> 00:07:23,867 SO NO MATTER HOW MUCH IT HURTS, 151 00:07:23,867 --> 00:07:27,933 I PUSH MYSELF TO SIT UP AND EXERCISE. 152 00:07:27,933 --> 00:07:31,100 THE MOST FRUSTRATING THING HAVING LOST ALL THIS WEIGHT 153 00:07:31,100 --> 00:07:35,533 IS NOT BEING ABLE TO STAND AND WALK. 154 00:07:35,533 --> 00:07:37,400 OKAY, READY? 155 00:07:37,400 --> 00:07:41,200 ** 156 00:07:41,200 --> 00:07:42,400 OKAY. 157 00:07:42,400 --> 00:07:45,200 I'M SCARED OF FALLING BECAUSE OF MY BAD HIP. 158 00:07:45,200 --> 00:07:46,433 I DON'T WANT TO BREAK IT. 159 00:07:46,433 --> 00:07:48,767 [ SIGHS ] 160 00:07:48,767 --> 00:07:50,567 -OKAY, I'M DONE. -OKAY. 161 00:07:50,567 --> 00:07:52,633 -SURE? -YES. 162 00:07:52,633 --> 00:07:53,833 SINCE I CAN'T GET UP, 163 00:07:53,833 --> 00:07:55,967 GILBERT HAS BEEN TEACHING ME SHADOW BOXING 164 00:07:55,967 --> 00:08:00,500 TO DO SOMETHING ACTIVE WITH MY UPPER BODY. 165 00:08:00,500 --> 00:08:02,100 GOT THIS, ALI? 166 00:08:04,400 --> 00:08:08,733 AND IT DOES WEAR ME OUT, SO IT'S A GOOD WORKOUT. 167 00:08:08,733 --> 00:08:11,633 AND THAT HELPS ME, 'CAUSE IT KIND OF GETS THE ANGER OUT 168 00:08:11,633 --> 00:08:13,700 AND THE ANXIETY. 169 00:08:13,700 --> 00:08:16,900 [ SMOOCHES ] PROUD OF YOU. 170 00:08:16,900 --> 00:08:20,400 BUT IT'S FRUSTRATING TO STILL BE IN THIS BED 171 00:08:20,400 --> 00:08:24,133 AND THAT I'M NOT ABLE TO DO THINGS FOR MYSELF YET. 172 00:08:24,133 --> 00:08:26,400 OKAY, YOU GOT IT. 173 00:08:26,400 --> 00:08:28,167 LUPE'S DEALING WITH A LOT, 174 00:08:28,167 --> 00:08:30,367 BEING IN BED WITH ALL THAT ENERGY. 175 00:08:30,367 --> 00:08:32,067 SHE WANTS TO GET UP. 176 00:08:32,067 --> 00:08:33,933 AND I TRY TO DO WHAT I CAN FOR HER 177 00:08:33,933 --> 00:08:37,333 TO STOP THE ANXIETY AND THE DEPRESSION, 178 00:08:37,333 --> 00:08:40,233 BUT THERE ARE SOME GOOD MOMENTS EVERY DAY. 179 00:08:40,233 --> 00:08:42,500 LOSING THE WEIGHT HAS BROUGHT US CLOSER, 180 00:08:42,500 --> 00:08:44,833 AND OUR SEX LIFE'S GOTTEN WAY BETTER. 181 00:08:44,833 --> 00:08:46,933 MY WIFE AND I HAVE BEEN 24/7 UP IN HERE. 182 00:08:46,933 --> 00:08:48,333 [ CHUCKLES ] 183 00:08:48,333 --> 00:08:50,600 I STILL HAVE TO DO EVERYTHING FOR HER. 184 00:08:50,600 --> 00:08:51,633 I GOT IT. 185 00:08:51,633 --> 00:08:52,833 AND I'M OKAY WITH THAT. 186 00:08:52,833 --> 00:08:54,167 HOLD ON, BABE. HOLD ON. 187 00:08:54,167 --> 00:08:56,200 BUT I STILL HOPE AND PRAY THAT WE CAN BECOME 188 00:08:56,200 --> 00:08:58,200 MORE LIKE HUSBAND AND WIFE 189 00:08:58,200 --> 00:09:00,600 INSTEAD OF ME BEING HER CARETAKER. 190 00:09:00,600 --> 00:09:02,200 OKAY. 191 00:09:05,900 --> 00:09:07,767 Lupe: IT'S SO FRUSTRATING. 192 00:09:10,933 --> 00:09:13,567 I WANT TO THROW MYSELF OFF THE BED AT TIMES. 193 00:09:15,600 --> 00:09:17,600 BUT I'M TRYING TO STAY ON TRACK, 194 00:09:17,600 --> 00:09:20,433 BECAUSE EVERY DAY, MY HIP HURTS MORE AND MORE, 195 00:09:20,433 --> 00:09:22,800 AND I FEEL LIKE IT'S GETTING UNBEARABLE. 196 00:09:22,800 --> 00:09:27,100 SO I HAVE TO FIGURE OUT HOW TO FINALLY GET OUT OF THIS BED 197 00:09:27,100 --> 00:09:29,533 AND START DOING THINGS ON MY OWN. 198 00:09:29,533 --> 00:09:32,567 ** 199 00:09:35,533 --> 00:09:38,200 Ashley: THERE'S NOT A DAY THAT GOES BY THAT I DON'T HAVE PAIN, 200 00:09:38,200 --> 00:09:41,767 AND MY WEIGHT HAS MADE IT ALMOST UNBEARABLE TO GET AROUND. 201 00:09:41,767 --> 00:09:44,400 MY STOMACH HANGS SO HEAVY ON MY BACK, 202 00:09:44,400 --> 00:09:46,633 SOMETIMES WHEN I'M STANDING, 203 00:09:46,633 --> 00:09:49,667 I'M SCARED OF PHYSICALLY BREAKING MY OWN BACK. 204 00:09:49,667 --> 00:09:52,600 [ Crying ] I DON'T WANT MY HUSBAND TO HAVE TO BURY ME. 205 00:09:52,600 --> 00:09:56,200 AND IF I KEEP GOING, THAT'S WHAT'S GONNA HAPPEN. 206 00:09:56,200 --> 00:09:59,067 I'M THROWING MY LIFE AWAY FOR FOOD. 207 00:09:59,067 --> 00:10:02,100 ** 208 00:10:04,567 --> 00:10:06,700 MY HUSBAND IS A TRUCK DRIVER, 209 00:10:06,700 --> 00:10:11,233 AND HE'S GONE PROBABLY 70 TO 100 HOURS A WEEK. 210 00:10:11,233 --> 00:10:14,633 SO BASICALLY EVERYTHING THAT INVOLVES STANDING 211 00:10:14,633 --> 00:10:18,267 AND WALKING AROUND A LOT, PATRICK DOES FOR ME. 212 00:10:18,267 --> 00:10:20,300 GO GET THE BLUE BUCKET FOR MAMA. 213 00:10:20,300 --> 00:10:22,233 WE'RE GONNA DO SOME LAUNDRY REAL QUICK. 214 00:10:25,067 --> 00:10:26,900 Patrick: IT'S HARD FOR HER TO WALK, 215 00:10:26,900 --> 00:10:30,533 SO I DO THE STUFF THAT SHE WANTS ME TO DO EVERY DAY. 216 00:10:30,533 --> 00:10:32,500 WILL YOU PUT THEM IN THE DRYER, PRETTY PLEASE? 217 00:10:32,500 --> 00:10:34,633 MM-HMM. 218 00:10:34,633 --> 00:10:39,667 Ashley: I JUST WANT TO BE A GOOD MOM AND TAKE CARE OF HIM. 219 00:10:39,667 --> 00:10:44,033 BUT I DON'T UNDERSTAND WHY I LET MYSELF GET THIS WAY. 220 00:10:44,033 --> 00:10:46,900 I HAVE LET MYSELF DOWN. 221 00:10:46,900 --> 00:10:49,467 I'M LETTING MY HUSBAND DOWN AND MY SON. 222 00:10:49,467 --> 00:10:51,800 I WANT HIM TO HAVE A REAL MOM, 223 00:10:51,800 --> 00:10:55,633 AND I WANT TO DO THE THINGS THAT MY MOM DIDN'T DO WITH ME. 224 00:10:55,633 --> 00:10:57,633 BUT I NEED HELP. 225 00:10:57,633 --> 00:11:00,733 ** 226 00:11:04,767 --> 00:11:07,200 I'M NERVOUS TO GO TO THE DOCTOR TODAY. 227 00:11:07,200 --> 00:11:12,267 OTHER DOCTORS HAVE REFUSED TO HELP ME BECAUSE OF MY SIZE. 228 00:11:12,267 --> 00:11:15,900 I'M WORRIED THIS DOCTOR'S GONNA SAY THE SAME THING. 229 00:11:15,900 --> 00:11:19,200 SO THIS HAS POTENTIAL TO BE DEVASTATING 230 00:11:19,200 --> 00:11:23,067 OR ONE OF THE BEST THINGS TO HAPPEN IN MY LIFE. 231 00:11:23,067 --> 00:11:26,767 I JUST HOPE I DIDN'T WAIT TOO LONG. 232 00:11:26,767 --> 00:11:29,067 Dr. Nowzaradan: AT YOUR WEIGHT, EVERY PART OF YOUR BODY 233 00:11:29,067 --> 00:11:31,167 IS UNDER STRAIN JUST TO FUNCTION. 234 00:11:31,167 --> 00:11:33,067 SO YOU NEED TO START A NEW DIET 235 00:11:33,067 --> 00:11:36,933 TO LOSE 50 POUNDS OVER THE NEXT MONTH. 236 00:11:36,933 --> 00:11:41,267 THIS IS GONNA BE THE HARDEST THING I'VE EVER DONE IN MY LIFE. 237 00:11:41,267 --> 00:11:43,467 I'M EATING A PIECE OF CHICKEN, 238 00:11:43,467 --> 00:11:46,533 AND JAKE IS EATING, YOU KNOW, A HAMBURGER. 239 00:11:46,533 --> 00:11:49,833 I WISH I HAD MORE OF MY HUSBAND'S SUPPORT. 240 00:11:49,833 --> 00:11:52,100 BUT IN KNEW THE HARDEST PART IS FINDING SOMETHING 241 00:11:52,100 --> 00:11:55,600 THAT REPLACES THE COMFORT THAT FOOD GIVES ME. 242 00:11:55,600 --> 00:11:57,533 I'M REALLY SCARED RIGHT NOW. 243 00:11:57,533 --> 00:12:00,833 DR. NOWZARADAN WANTED ME TO GET UNDER 675, 244 00:12:00,833 --> 00:12:02,500 AND I HOPE I'VE DONE THAT. 245 00:12:02,500 --> 00:12:06,433 Woman: 667. 246 00:12:06,433 --> 00:12:08,567 Ashley: I'M KIND OF IN SHOCK. 247 00:12:08,567 --> 00:12:10,067 I'M GONNA GO AHEAD AT THIS POINT 248 00:12:10,067 --> 00:12:12,367 AND APPROVE YOU FOR WEIGHT-LOSS SURGERY. 249 00:12:12,367 --> 00:12:15,333 -SO, HOW DOES THAT SOUND TO YOU? -GOOD. 250 00:12:15,333 --> 00:12:18,067 I LOVE YOU, MOMMY. 251 00:12:18,067 --> 00:12:22,800 Dr. Nowzaradan: TODAY, WE'RE ATTEMPTING TO DO GASTRIC BYPASS ON ASHLEY. 252 00:12:22,800 --> 00:12:25,300 OKAY, WE'RE DONE. 253 00:12:25,300 --> 00:12:27,300 IT WAS CHALLENGING TO DO, 254 00:12:27,300 --> 00:12:29,967 BUT OVERALL, EVERYTHING WENT VERY WELL. 255 00:12:29,967 --> 00:12:33,967 ASHLEY SHOULD BE ABLE TO LOSE ABOUT 30 POUNDS A MONTH NOW. 256 00:12:33,967 --> 00:12:37,067 ** 257 00:12:40,067 --> 00:12:42,233 Ashley: IT'S GETTING HARDER AND HARDER TO COPE, 258 00:12:42,233 --> 00:12:45,133 BUT I CAN'T GO BACK TO THE WAY I WAS. 259 00:12:45,133 --> 00:12:48,200 [ VOMITING ] 260 00:12:48,200 --> 00:12:51,533 Dr. Nowzaradan: RIGHT NOW, I'M TAKING ASHLEY TO EMERGENCY SURGERY 261 00:12:51,533 --> 00:12:54,933 BECAUSE SHE MAY BE ABUSING HER PAIN MEDICATION, 262 00:12:54,933 --> 00:12:57,367 AND THIS COULD BE A LIFE-THREATENING SITUATION 263 00:12:57,367 --> 00:12:58,967 FOR HER RIGHT NOW. 264 00:12:58,967 --> 00:13:01,300 YEAH, PERFORATED ULCER. 265 00:13:01,300 --> 00:13:03,067 THAT'S GONNA BE BAD. 266 00:13:03,067 --> 00:13:04,633 WE HAVE HER STABLE NOW, 267 00:13:04,633 --> 00:13:08,567 BUT SHE'LL BE IN CRITICAL CONDITION FOR NEXT 72 HOURS. 268 00:13:08,567 --> 00:13:13,067 ASHLEY USES SELF-DESTRUCTIVE WAYS TO COPE WITH HER EMOTIONS, 269 00:13:13,067 --> 00:13:15,733 AND THAT HAS TO STOP IMMEDIATELY. 270 00:13:15,733 --> 00:13:17,633 Ashley: THE DOC SAID I NEED TO SEE A THERAPIST 271 00:13:17,633 --> 00:13:20,067 AS SOON AS I'M ABLE TO GET AROUND AGAIN. 272 00:13:20,067 --> 00:13:22,333 I WAS A PRODUCT OF SEXUAL ABUSE. 273 00:13:22,333 --> 00:13:24,667 I TURNED TO FOOD FOR COMFORT. 274 00:13:24,667 --> 00:13:26,967 FOOD ALMOST KILLED ME. 275 00:13:26,967 --> 00:13:30,333 I'VE BEEN WORKING HARD TRYING TO DEAL WITH MY EMOTIONS 276 00:13:30,333 --> 00:13:32,300 INSTEAD OF RUNNING FROM THEM. 277 00:13:34,567 --> 00:13:37,567 SO, YOU'RE DOWN 255 POUNDS. 278 00:13:37,567 --> 00:13:39,900 HOW DOES IT FEEL TO LOSE ALL THAT WEIGHT? 279 00:13:39,900 --> 00:13:42,300 CRAZY. IT'S AMAZING. 280 00:13:42,300 --> 00:13:44,867 ASHLEY HAS MADE GREAT PROGRESS, 281 00:13:44,867 --> 00:13:48,267 AND I'M LOOKING FORWARD TO SEEING HER HIT HER GOAL WEIGHT 282 00:13:48,267 --> 00:13:49,933 IN THE NEXT YEAR OR SO. 283 00:13:49,933 --> 00:13:53,233 Ashley: I AM SO GLAD FOR THIS PAST YEAR. 284 00:13:53,233 --> 00:13:56,533 NOW I CAN BE A PART OF MY FAMILY 285 00:13:56,533 --> 00:14:00,833 AND GIVE BACK TO THEM INSTEAD OF THEM JUST TAKING CARE OF ME. 286 00:14:04,100 --> 00:14:07,133 ** 287 00:14:17,200 --> 00:14:20,600 I'VE COME SO FAR IN THIS PAST YEAR. 288 00:14:20,600 --> 00:14:22,133 I CAN DO SO MUCH MORE, 289 00:14:22,133 --> 00:14:25,833 AND I'M A LOT MORE ACTIVE THAN I'VE EVER BEEN. 290 00:14:25,833 --> 00:14:28,600 YOU READY? 291 00:14:28,600 --> 00:14:30,133 ONE OF THE BIGGEST CHANGES 292 00:14:30,133 --> 00:14:32,600 IS HOW I CAN GET UP AND DO THINGS FOR PATRICK NOW, 293 00:14:32,600 --> 00:14:35,667 INSTEAD OF HIM HAVING TO DO EVERYTHING FOR ME. 294 00:14:35,667 --> 00:14:38,233 HE CAN BE A KID, AND I CAN BE A MOM, 295 00:14:38,233 --> 00:14:41,067 AND THAT'S WHAT I'M MOST THANKFUL FOR. 296 00:14:41,067 --> 00:14:42,333 GET IN, BABY. 297 00:14:42,333 --> 00:14:44,967 SO TODAY, I'M HELPING PATRICK GET READY FOR SCHOOL 298 00:14:44,967 --> 00:14:47,633 BY TAKING HIM TO GET THE SUPPLIES HE NEEDS. 299 00:14:47,633 --> 00:14:52,933 AND I WOULD'VE NEVER BEEN ABLE TO DO THIS JUST SIX MONTHS AGO. 300 00:14:52,933 --> 00:14:55,900 THIS YEAR, HE IS GOING INTO THE FIRST GRADE, 301 00:14:55,900 --> 00:14:58,567 AND HE'S SO EXCITED. 302 00:14:58,567 --> 00:15:01,633 PATRICK IS GROWING UP VERY FAST ON ME. 303 00:15:01,633 --> 00:15:05,667 IT'S LIKE I TURNED AROUND, AND HE'S NOT MY BABY ANYMORE. 304 00:15:09,133 --> 00:15:10,533 [ GRUNTS ] 305 00:15:10,533 --> 00:15:12,633 I'M EXCITED TO BE ABLE TO DO THIS 306 00:15:12,633 --> 00:15:14,967 AND SHARE THIS TIME WITH HIM. 307 00:15:14,967 --> 00:15:17,933 BEFORE, I WOULDN'T HAVE BEEN ABLE TO GET OUT OF THE CAR 308 00:15:17,933 --> 00:15:20,167 AND GO INTO THE STORE. 309 00:15:20,167 --> 00:15:21,800 YOU SURE YOU DON'T WANT TO COME INSIDE? 310 00:15:21,800 --> 00:15:23,500 NO, BABY, I DON'T WANT TO GO INSIDE. 311 00:15:23,500 --> 00:15:24,767 ALL RIGHT. 312 00:15:24,767 --> 00:15:26,100 IT WOULD'VE HURT TOO MUCH, 313 00:15:26,100 --> 00:15:28,133 AND I WOULD'VE BEEN WAY TOO SELF-CONSCIOUS 314 00:15:28,133 --> 00:15:29,467 AT WHO WAS STARING AT ME. 315 00:15:29,467 --> 00:15:31,467 COME ON. 316 00:15:31,467 --> 00:15:34,367 [ Crying ] I JUST HATE BEING STARED AT. 317 00:15:34,367 --> 00:15:37,600 IT MAKES ME FEEL LIKE I'M NOT A PERSON, 318 00:15:37,600 --> 00:15:39,067 LIKE I'M AN OBJECT. 319 00:15:39,067 --> 00:15:41,067 [ SOBS ] 320 00:15:41,067 --> 00:15:44,533 BUT NOW I DON'T EVEN THINK TWICE OR WORRY ABOUT ANYONE. 321 00:15:46,500 --> 00:15:48,533 I KNOW I STILL HAVE A LONG WAY TO GO, 322 00:15:48,533 --> 00:15:51,300 BUT I'M STARTING TO FEEL NORMAL AGAIN. 323 00:15:51,300 --> 00:15:53,200 I CAN BE A PART OF MY SON'S LIFE, 324 00:15:53,200 --> 00:15:55,267 AND THAT'S A PRICELESS GIFT. 325 00:15:55,267 --> 00:15:58,400 -YOU READY, BUD? -YEP, I'M READY. 326 00:15:58,400 --> 00:16:03,333 NOW I CAN WALK AROUND AS MUCH AS I WANT AND DO WHAT I NEED. 327 00:16:03,333 --> 00:16:04,667 ALL RIGHT, BABY. 328 00:16:04,667 --> 00:16:08,333 -DO YOU WANT TO GET BLUE? -YEAH. 329 00:16:08,333 --> 00:16:11,567 BUT THE ONLY DIFFICULTY I'M STARTING TO HAVE 330 00:16:11,567 --> 00:16:15,200 IS MY SAGGING SKIN. 331 00:16:15,200 --> 00:16:17,967 AND I'M A LITTLE WORRIED AS I CONTINUE TO LOSE MORE WEIGHT... 332 00:16:17,967 --> 00:16:19,200 THANK YOU. 333 00:16:19,200 --> 00:16:21,133 ...THAT THE SKIN IS GOING TO GET WORSE 334 00:16:21,133 --> 00:16:24,067 AND MAKE IT HARDER TO MOVE AROUND. 335 00:16:24,067 --> 00:16:27,533 AND I'M SO SCARED THAT IF I START TO SLOW DOWN 336 00:16:27,533 --> 00:16:30,067 AND STOP BEING SO ACTIVE 337 00:16:30,067 --> 00:16:32,833 THAT I'LL START TO GAIN AGAIN 338 00:16:32,833 --> 00:16:36,633 AND THAT I'LL END UP BACK LIKE I WAS. 339 00:16:36,633 --> 00:16:39,833 AND I WOULDN'T BE ABLE TO TAKE IT IF THAT HAPPENED. 340 00:16:41,967 --> 00:16:45,933 I FEEL REALLY GOOD ABOUT MY WEIGHT-LOSS PROGRESS SO FAR. 341 00:16:45,933 --> 00:16:49,067 BUT I'VE LOST SO MUCH WEIGHT AT THIS POINT 342 00:16:49,067 --> 00:16:53,533 THAT MY SAGGING SKIN IS STARTING TO BECOME EXTREMELY PAINFUL. 343 00:16:53,533 --> 00:16:56,200 AND WHEN I MOVE AROUND, IT BOUNCES AND HITS MY BODY, 344 00:16:56,200 --> 00:16:58,200 AND IT JUST HURTS A LOT. 345 00:16:58,200 --> 00:17:01,567 BEFORE, WHEN IT WAS SOLID, 346 00:17:01,567 --> 00:17:04,233 MY SKIN, YOU KNOW, WAS TIGHT. 347 00:17:04,233 --> 00:17:09,267 NOW THAT I'VE LOST A LOT OF WEIGHT, IT JUST -- IT HANGS. 348 00:17:09,267 --> 00:17:11,667 SO MY FOCUS RIGHT NOW IS LOSING ENOUGH WEIGHT 349 00:17:11,667 --> 00:17:14,467 TO GET IN THE LOW 350s, 350 00:17:14,467 --> 00:17:16,233 BECAUSE THAT'S WHEN DR. NOW SAID 351 00:17:16,233 --> 00:17:19,500 I'D BE READY FOR MY FIRST SKIN-REMOVAL SURGERY. 352 00:17:19,500 --> 00:17:23,167 SO I'M GOING TO PUSH MYSELF TO MAKE AS MUCH PROGRESS AS I CAN, 353 00:17:23,167 --> 00:17:27,333 BECAUSE I WANT TO HIT MY GOAL WITHIN THE NEXT YEAR. 354 00:17:27,333 --> 00:17:29,500 I KNOW IT'S GONNA BE HARD, 355 00:17:29,500 --> 00:17:32,767 BUT I FEEL VERY READY FOR MY NEXT BIG STEP. 356 00:17:35,700 --> 00:17:38,733 ** 357 00:17:48,800 --> 00:17:52,800 Lupe: TODAY, I'M GOING TO DR. NOW'S CLINIC FOR MY NEXT APPOINTMENT. 358 00:17:52,800 --> 00:17:56,800 BUT I'M NOT SURE IF I'M GONNA EVEN BE ABLE TO STAND UP, 359 00:17:56,800 --> 00:18:01,167 BECAUSE I'M NOT ABLE TO PUT ANY PRESSURE ON MY HIP RIGHT NOW. 360 00:18:01,167 --> 00:18:03,600 IT JUST CAN'T TAKE IT. 361 00:18:03,600 --> 00:18:06,500 SO I HAD TO GET AN AMBULANCE TO BRING ME HERE. 362 00:18:06,500 --> 00:18:08,700 BUT I'M HOPING I'VE MADE SOME GOOD PROGRESS 363 00:18:08,700 --> 00:18:11,867 AND LOST A LOT OF WEIGHT. 364 00:18:11,867 --> 00:18:15,167 AT MY LAST WEIGH-IN, I WAS 360 POUNDS. 365 00:18:17,667 --> 00:18:19,733 360. WHOO! 366 00:18:19,733 --> 00:18:21,833 [ LAUGHTER ] 367 00:18:23,900 --> 00:18:25,733 AND THE DOC WANTS ME TO KEEP LOSING 368 00:18:25,733 --> 00:18:28,600 AT LEAST 20 POUNDS A MONTH RIGHT NOW, 369 00:18:28,600 --> 00:18:31,567 SO I NEED TO BE BELOW 320 TO STAY ON TRACK. 370 00:18:31,567 --> 00:18:33,067 OH, IN JESUS' NAME. 371 00:18:35,400 --> 00:18:37,433 GOOD JOB, LOVE. YOU GOT IT. 372 00:18:37,433 --> 00:18:41,933 ** 373 00:18:41,933 --> 00:18:45,167 OKAY, THERE? 374 00:18:45,167 --> 00:18:46,333 -THERE WE GO. -THERE YOU GO. 375 00:18:46,333 --> 00:18:48,167 ALL RIGHT, WE'RE GONNA PULL YOU BACK A LITTLE BIT. 376 00:18:48,167 --> 00:18:51,933 I JUST NEED A MINUTE. HOLD ON. 377 00:18:51,933 --> 00:18:54,067 THERE YOU GO. SEE, YOU DID IT. 378 00:18:54,067 --> 00:18:55,733 IT'S NOT WHERE WE QUITE WANT IT, BUT... 379 00:18:55,733 --> 00:18:57,233 I KNOW. 380 00:18:57,233 --> 00:18:59,067 OKAY. 381 00:18:59,067 --> 00:19:02,667 -SORRY. -THERE WE GO. 382 00:19:02,667 --> 00:19:05,833 I'M UPSET THAT I'VE BEEN TRYING TO DO EVERYTHING, 383 00:19:05,833 --> 00:19:08,233 NOT HARDLY EATING OR ANYTHING, AND IT'S NOT ENOUGH. 384 00:19:08,233 --> 00:19:10,533 HE WANTS ME A CERTAIN WEIGHT. 385 00:19:10,533 --> 00:19:13,367 AND I JUST HOPE DR. NOW ISN'T TOO UPSET, 386 00:19:13,367 --> 00:19:16,300 BECAUSE I WANT HIM TO FIND A WAY TO FIX MY HIP, 387 00:19:16,300 --> 00:19:18,600 BECAUSE I CAN'T KEEP LIVING LIKE THIS. 388 00:19:18,600 --> 00:19:21,467 [ KNOCK ON DOOR ] COME IN. 389 00:19:21,467 --> 00:19:23,100 -HELLO. -HI. 390 00:19:23,100 --> 00:19:24,200 HOW Y'ALL DOING? 391 00:19:24,200 --> 00:19:26,267 GOOD. GOOD, DOC. HOW YOU DOING? 392 00:19:26,267 --> 00:19:27,733 I'M DOING OKAY. 393 00:19:27,733 --> 00:19:32,067 SO, LOOK LIKE YOU'RE NOT LOSING ANY REAL WEIGHT RIGHT NOW. 394 00:19:32,067 --> 00:19:34,267 YES, THAT'S WHAT I'M FRUSTRATED ABOUT. 395 00:19:34,267 --> 00:19:37,733 WITH ALL THE PROGRESS WE HAD WITH THE WEIGHT LOSS SURGERY, 396 00:19:37,733 --> 00:19:40,733 YOU'RE BACK TO SQUARE ONE IN THE STRETCHER, 397 00:19:40,733 --> 00:19:42,333 AND YOU'RE NOT GETTING UP. 398 00:19:42,333 --> 00:19:44,433 WELL, I HAD TO COME IN A STRETCHER BECAUSE MY HIP -- 399 00:19:44,433 --> 00:19:45,833 I CAN'T PUSH ON IT. 400 00:19:45,833 --> 00:19:49,067 THIS IS THE SAME HIP AND THE SAME ISSUE YOU HAD 401 00:19:49,067 --> 00:19:51,200 WHEN YOU WERE ALMOST 600 POUNDS. 402 00:19:51,200 --> 00:19:53,300 AND YOU COULD GET UP THEN. 403 00:19:53,300 --> 00:19:56,533 WHEN YOU WERE 600 POUNDS, YOU WERE MOTIVATED. 404 00:19:56,533 --> 00:19:58,367 BUT YOU LOST THE MOTIVATION, 405 00:19:58,367 --> 00:20:01,233 AND THAT'S BECOMING YOUR REAL PROBLEM. 406 00:20:01,233 --> 00:20:04,533 LOOK AT TODAY. YOU STOOD ON A SCALE FOR A MINUTE. 407 00:20:04,533 --> 00:20:08,133 THE DIFFERENCE IS YOU KNOW THAT YOU HAVE TO SHOW ME YOUR WEIGHT 408 00:20:08,133 --> 00:20:12,400 AND YOUR PROGRESS TO GET APPROVED, SO YOU'RE MOTIVATED. 409 00:20:12,400 --> 00:20:15,100 THERE'S NO WAY THAT SHE CAN GET THE SKIN REMOVAL? 410 00:20:15,100 --> 00:20:18,833 SHE'S NOT MAKING ANY PROGRESS TO GET SKIN REMOVAL RIGHT NOW. 411 00:20:18,833 --> 00:20:22,400 SHE NEEDS TO LOSE MORE WEIGHT BEFORE SHE'S READY FOR THAT, 412 00:20:22,400 --> 00:20:25,133 AND SHE NEEDS TO GET UP AND MOVE AROUND. 413 00:20:25,133 --> 00:20:27,633 AND YOU NEED TO HELP HER WITH THAT. 414 00:20:27,633 --> 00:20:30,967 WITH YOUR BODY TYPE, YOU HAVE TO GET UNDER 300 POUNDS 415 00:20:30,967 --> 00:20:34,367 BEFORE YOU'RE GOING TO BE READY FOR ANY SKIN SURGERY. 416 00:20:34,367 --> 00:20:38,167 AND THEN THAT WILL HELP YOU TO GET TO THE 200s. 417 00:20:38,167 --> 00:20:40,533 AND THEN IT WILL BE SAFE FOR US 418 00:20:40,533 --> 00:20:44,700 TO EXPLORE POSSIBILITY OF DOING ANY HIP SURGERY. 419 00:20:44,700 --> 00:20:47,733 LUPE WAS IN A COMA A FEW YEARS BACK, 420 00:20:47,733 --> 00:20:50,700 AND IMMOBILE FOR AN EXTENDED PERIOD OF TIME. 421 00:20:50,700 --> 00:20:52,600 AND THAT CAUSED HER HIP BONE 422 00:20:52,600 --> 00:20:55,667 TO START TO FUSE TO HER UPPER FEMUR. 423 00:20:55,667 --> 00:20:58,600 BUT IT JUST MAKES IT DIFFICULT FOR HER TO MOVE, 424 00:20:58,600 --> 00:21:02,067 BUT DOESN'T MEAN THAT SHE CAN'T GET UP. 425 00:21:02,067 --> 00:21:03,333 IF YOU WANT TO DO ANYTHING, 426 00:21:03,333 --> 00:21:06,533 I HAVE TO SEE YOU LOSE WEIGHT AND BE MORE MOBILE. 427 00:21:06,533 --> 00:21:07,667 I'LL GIVE YOU A MONTH. 428 00:21:07,667 --> 00:21:08,867 -YES. -BUT IN A MONTH, 429 00:21:08,867 --> 00:21:11,900 I WANT YOU TO LOSE AT LEAST 20 POUNDS, OKAY? 430 00:21:11,900 --> 00:21:13,533 ALL RIGHT, I'LL SEE YOU NEXT MONTH. 431 00:21:13,533 --> 00:21:15,433 -OKAY, GOD BLESS YOU. -GOD BLESS YOU. 432 00:21:15,433 --> 00:21:17,800 -THANK YOU. -YOU'RE WELCOME. 433 00:21:17,800 --> 00:21:19,800 YOU HAVE TO BE MORE ACTIVE. 434 00:21:19,800 --> 00:21:21,933 THAT'S WHAT -- I DON'T THINK YOU'RE BEING ENOUGH 435 00:21:21,933 --> 00:21:24,067 AS ACTIVE AS YOU NEED TO BE, YOU KNOW? 436 00:21:24,067 --> 00:21:25,933 I UNDERSTAND THAT. I AM ACTIVE, 437 00:21:25,933 --> 00:21:27,533 BUT HE WANTS ME TO BE MORE. OKAY. 438 00:21:27,533 --> 00:21:28,633 YEAH. 439 00:21:28,633 --> 00:21:31,733 LUPE'S IMMOBILITY IS IN HER HEAD. 440 00:21:31,733 --> 00:21:34,233 SHE'S LIKELY AFRAID WHAT WILL HAPPEN 441 00:21:34,233 --> 00:21:37,900 IF HER DYNAMIC WITH GILBERT IS CHANGED. 442 00:21:37,900 --> 00:21:40,533 BUT SHE CAN'T KEEP LIVING IN FEAR. 443 00:21:40,533 --> 00:21:43,700 SHE HAS TO START TO STAND UP, AND AS SOON AS SHE DOES, 444 00:21:43,700 --> 00:21:45,533 SHE WILL FEEL MORE CONFIDENT, 445 00:21:45,533 --> 00:21:48,533 AND THAT FEAR WILL START TO GO AWAY. 446 00:21:48,533 --> 00:21:52,967 IF SHE DOESN'T, HER CONDITION IS GOING TO GET WORSE AND WORSE. 447 00:21:54,967 --> 00:21:57,800 Lupe: I FEEL DISCOURAGED, BUT I JUST GOT TO TAKE WHAT HE SAID 448 00:21:57,800 --> 00:21:59,767 AND ROLL WITH IT AND PUSH FORWARD. 449 00:21:59,767 --> 00:22:03,333 I CAN'T LET IT BRING ME DOWN AND GO BACKWARDS. 450 00:22:03,333 --> 00:22:05,933 HE GAVE ME A MONTH, SO I REALLY WANT TO PUSH HARD 451 00:22:05,933 --> 00:22:09,867 TO SHOW HIM THAT I NEED THE SURGERY. 452 00:22:09,867 --> 00:22:11,967 I JUST HOPE I CAN DO IT. 453 00:22:29,967 --> 00:22:32,967 Lupe: SINCE SEEING DR. NOW, I'VE BEEN TRYING TO GET UP 454 00:22:32,967 --> 00:22:35,933 AND STAND LIKE HE WANTS ME TO. 455 00:22:35,933 --> 00:22:38,067 I STILL DON'T THINK HE REALLY UNDERSTANDS 456 00:22:38,067 --> 00:22:40,700 HOW HARD IT IS TO MOVE EVEN A LITTLE, 457 00:22:40,700 --> 00:22:43,200 BUT I'M TRYING TO DO IT. 458 00:22:43,200 --> 00:22:44,600 AND GILBERT'S BEEN HELPING 459 00:22:44,600 --> 00:22:48,400 BY MASSAGING MY LEGS TO GET MY BLOOD FLOWING. 460 00:22:48,400 --> 00:22:52,267 AND THEN I'M GETTING UP AND SITTING AT THE END OF MY BED 461 00:22:52,267 --> 00:22:56,200 AND TRYING TO STAND FOR A MOMENT. 462 00:22:56,200 --> 00:22:57,667 -READY? -MM-HMM. 463 00:22:57,667 --> 00:23:00,567 SOON AS YOU GET YOUR STEP UP, I'LL MOVE MY FOOT LIKE ALWAYS. 464 00:23:00,567 --> 00:23:02,567 -YEAH, I'LL TELL YOU WHEN. -JUST TELL ME. 465 00:23:02,567 --> 00:23:04,467 OKAY, GO UP. WAIT. 466 00:23:04,467 --> 00:23:05,733 PUT YOUR FOOT -- YOU GOT IT? 467 00:23:05,733 --> 00:23:09,367 I FIGURE IF I PUSH MYSELF A LITTLE MORE EACH TIME, 468 00:23:09,367 --> 00:23:11,567 I'LL BE ABLE TO DO MORE AND MORE. 469 00:23:11,567 --> 00:23:13,067 -OKAY, GOT IT? -MM-HMM. 470 00:23:13,067 --> 00:23:16,800 LAST TIME, I WAS ABLE TO STAND FOR FOUR SECONDS. 471 00:23:16,800 --> 00:23:19,833 SO THIS TIME, I WANT TO DO IT FOR AT LEAST FIVE. 472 00:23:22,067 --> 00:23:24,767 -YOU GOT IT, RIGHT? -I KNOW, I KNOW. 473 00:23:24,767 --> 00:23:26,133 DON'T MOVE YET. 474 00:23:26,133 --> 00:23:31,933 ONE, TWO, THREE, FOUR, 475 00:23:31,933 --> 00:23:35,233 FIVE, AND SIX. 476 00:23:35,233 --> 00:23:37,133 -[ SIGHS ] -GOOD JOB. 477 00:23:37,133 --> 00:23:38,733 YEAH! 478 00:23:38,733 --> 00:23:43,733 IT FEELS REALLY GOOD TO START TO STAND ON MY OWN. 479 00:23:43,733 --> 00:23:47,367 I HAVEN'T BEEN ABLE TO TAKE MY FIRST STEP YET, 480 00:23:47,367 --> 00:23:50,700 BUT I'M HOPING THAT BY NEXT MONTH I'LL BE ABLE TO, 481 00:23:50,700 --> 00:23:53,700 AND I'LL SHOW DR. NOW HOW MUCH PROGRESS I'M MAKING 482 00:23:53,700 --> 00:23:57,067 AND THAT HE'LL THINK I'M READY FOR SKIN REMOVAL, 483 00:23:57,067 --> 00:24:01,500 BECAUSE MY ULTIMATE GOAL IS TO BECOME COMPLETELY INDEPENDENT 484 00:24:01,500 --> 00:24:06,267 AND NOT NEED GILBERT OR ANYONE TO TAKE CARE OF ME. 485 00:24:06,267 --> 00:24:10,267 I WANT TO BE MY OWN WOMAN, SO I'M FIGHTING HARD FOR THAT, 486 00:24:10,267 --> 00:24:14,100 BECAUSE NOTHING ELSE MATTERS IF I CAN'T DO THAT. 487 00:24:14,100 --> 00:24:17,133 ** 488 00:24:30,433 --> 00:24:33,200 Ashley: I'M REALLY SCARED RIGHT NOW. 489 00:24:33,200 --> 00:24:35,867 I WAS OUT WITH MY FATHER AND STEPMOM, 490 00:24:35,867 --> 00:24:37,933 AND I JUST STARTED TO HURT ALL OVER, 491 00:24:37,933 --> 00:24:40,367 AND MY LEGS STARTED GOING NUMB. 492 00:24:40,367 --> 00:24:42,600 SO WE RUSHED TO THE HOSPITAL. 493 00:24:42,600 --> 00:24:45,967 -HI, ASHLEY. HOW Y'ALL DOING? -HELLO, DR. NOWZARADAN. 494 00:24:45,967 --> 00:24:49,733 ALL RIGHT, SO, WHAT'S GOING ON WITH YOU? 495 00:24:49,733 --> 00:24:53,733 MY PROBLEM IS I'M NUMB FROM ABOUT HERE DOWN. 496 00:24:53,733 --> 00:24:55,233 WHEN DID THIS START? 497 00:24:55,233 --> 00:24:59,300 I WENT TO MY DAD'S ON SATURDAY TO VISIT WITH THEM, 498 00:24:59,300 --> 00:25:03,700 AND BY THE TIME I MADE IT IN THE HOUSE, I JUST GOT REALLY DIZZY. 499 00:25:03,700 --> 00:25:05,067 AND I COULDN'T EVEN STAND UP. 500 00:25:05,067 --> 00:25:06,867 I COULDN'T PUT NO WEIGHT ON MY LEGS. 501 00:25:06,867 --> 00:25:08,867 OKAY, WE'LL GET THIS FIGURED OUT. 502 00:25:08,867 --> 00:25:12,933 WHAT I'M GONNA DO IS GO AHEAD AND GET YOU IN THE HOSPITAL. 503 00:25:12,933 --> 00:25:15,933 I WANT AN MRI, AND THEN WE GO FROM THERE. 504 00:25:15,933 --> 00:25:17,633 -OKAY? -THANK YOU, DR. NOWZARADAN. 505 00:25:17,633 --> 00:25:20,067 ALL RIGHT, OKAY. WE'LL TAKE CARE OF YOU. 506 00:25:20,067 --> 00:25:22,567 -THANK YOU. -MM-HMM. 507 00:25:22,567 --> 00:25:27,067 Dr. Nowzaradan: ASHLEY HAS TOLD ME THAT SHE HAD BACK ISSUES AS A CHILD, 508 00:25:27,067 --> 00:25:30,433 SO IT IS NOT BEYOND THE REALM OF POSSIBILITY 509 00:25:30,433 --> 00:25:33,833 THAT A SLIPPED DISC COULD BE PUTTING PRESSURE ON THE NERVE, 510 00:25:33,833 --> 00:25:38,333 CAUSING HER DIZZINESS AND HER NUMBNESS THAT SHE'S DESCRIBING. 511 00:25:44,067 --> 00:25:47,267 ...TO IDENTIFY IF THERE IS ANY PROBLEM THERE 512 00:25:47,267 --> 00:25:50,933 THAN CAN BE CAUSING THIS. 513 00:25:50,933 --> 00:25:54,433 Ashley: I HAVE HAD BACK ISSUES EVER SINCE I WAS LITTLE. 514 00:25:54,433 --> 00:25:57,533 AND NOW THAT I'VE LOST A SIGNIFICANT AMOUNT OF WEIGHT, 515 00:25:57,533 --> 00:26:01,167 I HAVE GAINED AN INCH AND A HALF IN HEIGHT. 516 00:26:01,167 --> 00:26:02,867 THE WEIGHT IS COMING OFF, 517 00:26:02,867 --> 00:26:08,333 AND IT'S ALLOWING MY BACK TO STRAIGHTEN BACK OUT. 518 00:26:08,333 --> 00:26:11,267 BUT THE WAY DR. NOWZARADAN EXPLAINED IT TO ME, 519 00:26:11,267 --> 00:26:14,800 AS IT STRAIGHTENS OUT, I CAN PINCH NERVES. 520 00:26:14,800 --> 00:26:16,700 I CAN EVEN BECOME PARALYZED. 521 00:26:16,700 --> 00:26:18,233 -TWO, THREE. -OHH! 522 00:26:18,233 --> 00:26:20,667 WE GOT YOU, DARLING. DON'T YOU WORRY. 523 00:26:20,667 --> 00:26:22,767 AND WHEN I WAS YOUNGER, I HAD GOTTEN SO BIG 524 00:26:22,767 --> 00:26:24,367 I COULDN'T FIT IN AN MRI, 525 00:26:24,367 --> 00:26:27,067 SO THEY COULDN'T SEE WHAT WAS WRONG. 526 00:26:27,067 --> 00:26:29,767 SO I'M REALLY GLAD THAT I CAN AT LEAST FIT NOW, 527 00:26:29,767 --> 00:26:31,800 AND THEY CAN RUN THE TESTS THEY NEED TO 528 00:26:31,800 --> 00:26:35,067 TO FIGURE OUT WHAT'S WRONG WITH ME. 529 00:26:35,067 --> 00:26:37,600 BUT I'M TRYING TO MENTALLY PREPARE MYSELF 530 00:26:37,600 --> 00:26:39,900 FOR THE WORST RIGHT NOW, 531 00:26:39,900 --> 00:26:41,633 BECAUSE I'M SCARED THAT WHATEVER'S WRONG 532 00:26:41,633 --> 00:26:43,067 MEANS I'M GOING TO LOSE EVERYTHING 533 00:26:43,067 --> 00:26:45,867 I'VE WORKED SO HARD TO GAIN OVER THIS LAST YEAR. 534 00:26:48,067 --> 00:26:51,567 [ SPEAKING INDISTINCTLY ] 535 00:26:51,567 --> 00:26:53,567 PRETTY UNDER-WHELMING OVERALL. 536 00:26:53,567 --> 00:26:55,700 -NO HERNIATIONS. -SUPER. THAT'S GREAT. 537 00:26:55,700 --> 00:26:57,367 NO -- NOTHING SURGICAL, THAT'S FOR SURE. 538 00:26:57,367 --> 00:26:58,867 -ALL RIGHT. -OKAY? 539 00:26:58,867 --> 00:27:01,233 THE TINCTURE OF TIME, HOPEFULLY. THANKS. 540 00:27:04,367 --> 00:27:08,400 SO AT THIS POINT, I'M NOT SURE IF THERE IS ANY PHYSICAL ISSUES 541 00:27:08,400 --> 00:27:12,800 THAT WE NEED TO RESOLVE, OR IF THERE IS SOMETHING MORE. 542 00:27:12,800 --> 00:27:14,133 GETTING MOBILE AGAIN 543 00:27:14,133 --> 00:27:17,533 AND LOSING THE WEIGHT LIKE ASHLEY HAS IS SCARY, 544 00:27:17,533 --> 00:27:20,933 BECAUSE SHE'S GETTING A LIFE THAT SHE ALWAYS WANTED. 545 00:27:20,933 --> 00:27:24,933 AND ONE SMALL SETBACK COULD DISCOURAGE HER SO MUCH 546 00:27:24,933 --> 00:27:29,633 THAT SHE WILL START TO USE IT AS AN EXCUSE TO BECOME IMMOBILE, 547 00:27:29,633 --> 00:27:33,067 AND THEN SHE WILL START TO GAIN AGAIN. 548 00:27:33,067 --> 00:27:36,500 SO I NEED TO DETERMINE WHAT IS AS AT THE ROOT HERE 549 00:27:36,500 --> 00:27:38,967 AND RESOLVE THE ISSUE AS SOON AS POSSIBLE 550 00:27:38,967 --> 00:27:42,300 SO HER SITUATION DOES NOT GET ANY WORSE. 551 00:27:56,800 --> 00:28:00,767 Ashley: YESTERDAY, THEY FINISHED RUNNING ALL THEIR TESTS ON ME. 552 00:28:00,767 --> 00:28:03,267 AND NOW I'M WAITING FOR DR. NOW TO COME TELL ME 553 00:28:03,267 --> 00:28:06,800 WHAT HAS BEEN CAUSING MY NUMBNESS AND DIZZINESS. 554 00:28:06,800 --> 00:28:10,633 AND I'M REALLY NERVOUS IT'S GONNA BE SOMETHING BAD. 555 00:28:10,633 --> 00:28:13,067 [ KNOCK ON DOOR ] Ashley: COME IN. 556 00:28:15,067 --> 00:28:17,367 OKAY, ASHLEY. HOW ARE YOU FEELING? 557 00:28:19,333 --> 00:28:22,867 MY LEGS ARE STILL BOTH -- THEY'RE NUMB. 558 00:28:22,867 --> 00:28:25,633 AND THIS ONE HAS A LOT OF JUST PAIN IN IT. 559 00:28:25,633 --> 00:28:28,067 -OKAY. -AND MY HANDS, 560 00:28:28,067 --> 00:28:29,433 BECAUSE I WAS HAVING TO LAY 561 00:28:29,433 --> 00:28:31,400 WITH MY HANDS ABOVE MY HEAD FOR SO LONG... 562 00:28:31,400 --> 00:28:33,200 -MM-HMM. -...I HAVEN'T GOT THE FEELING 563 00:28:33,200 --> 00:28:35,667 BACK IN THEM YET. THEY'RE STILL NUMB. 564 00:28:35,667 --> 00:28:38,433 ALL RIGHT. LET ME EXPLAIN TO YOU WHAT'S GOING ON. 565 00:28:38,433 --> 00:28:41,433 YOUR MRI AND ALL YOUR TESTS LOOK GOOD. 566 00:28:41,433 --> 00:28:44,533 THERE'S ABSOLUTELY NOTHING PHYSICALLY WRONG WITH YOU. 567 00:28:44,533 --> 00:28:47,667 SO WHAT THIS IS IS YOUR BODY RESPONDING 568 00:28:47,667 --> 00:28:52,633 TO PSYCHOLOGICAL ISSUE FROM FEAR OR STRESS. 569 00:28:52,633 --> 00:28:55,367 AND THESE ARE JUST HINDERING YOU 570 00:28:55,367 --> 00:28:58,667 FROM PROGRESSING TO NEXT LEVEL. 571 00:28:58,667 --> 00:29:00,700 Dr. Nowzaradan: ASHLEY'S DIZZINESS AND NUMBNESS 572 00:29:00,700 --> 00:29:04,533 ARE NOT RESULT OF ANYTHING PHYSICALLY WRONG WITH HER. 573 00:29:04,533 --> 00:29:07,100 THEY ARE ALL PSYCHOLOGICAL. 574 00:29:07,100 --> 00:29:09,200 SHE HAS A LOT OF FEAR RIGHT NOW, 575 00:29:09,200 --> 00:29:12,833 AND THAT IS STARTING TO AFFECT HER AND HER BODY. 576 00:29:12,833 --> 00:29:15,400 EVEN THOUGH THERE IS NO PHYSICAL CAUSE FOR IT, 577 00:29:15,400 --> 00:29:17,500 THE SYMPTOM ARE STILL REAL 578 00:29:17,500 --> 00:29:21,100 AND CAN GET WORSE IF WE DON'T ADDRESS THE ISSUE. 579 00:29:21,100 --> 00:29:25,800 AND IF THAT HAPPENS, SHE'LL BRING ABOUT WHAT SHE FEARS MOST. 580 00:29:25,800 --> 00:29:29,800 SHE WILL END UP IMMOBILE AGAIN, AND SHE'LL GAIN WEIGHT. 581 00:29:29,800 --> 00:29:34,167 SO WHEN WE NEED TO TURN THE SITUATION AROUND IMMEDIATELY. 582 00:29:34,167 --> 00:29:36,933 SO, WHAT WE NEED TO DO TO TREAT THIS 583 00:29:36,933 --> 00:29:40,133 IS TO GET YOU SOME PSYCHOLOGICAL HELP. 584 00:29:40,133 --> 00:29:43,200 WE NEED YOU TO START SEEING A PSYCHOTHERAPIST, 585 00:29:43,200 --> 00:29:46,633 AND WE'RE ALSO GOING TO SEND YOU TO A PHYSICAL THERAPIST 586 00:29:46,633 --> 00:29:48,367 TO MAKE SURE YOU'RE STAYING ACTIVE 587 00:29:48,367 --> 00:29:51,433 AND ARE DOING YOUR EXERCISES. 588 00:29:51,433 --> 00:29:54,600 WE'RE GOING TO GET ALL THIS FIGURED OUT, OKAY? 589 00:29:54,600 --> 00:29:56,067 OKAY, DR. NOWZARADAN. 590 00:29:56,067 --> 00:29:58,433 OKAY, SO LET ME MAKE ARRANGEMENTS 591 00:29:58,433 --> 00:30:00,333 FOR ALL THOSE THINGS FOR YOU, OKAY? 592 00:30:00,333 --> 00:30:01,900 OKAY. 593 00:30:01,900 --> 00:30:03,867 ALL RIGHT. I'LL SEE YOU SOON. 594 00:30:03,867 --> 00:30:08,600 ** 595 00:30:08,600 --> 00:30:12,733 Ashley: I DON'T REALLY UNDERSTAND HOW THIS IS ALL IN MY HEAD. 596 00:30:12,733 --> 00:30:16,733 SO I DON'T SEE HOW THERAPY IS GONNA HELP ME. 597 00:30:16,733 --> 00:30:21,700 BUT IF DR. NOW SAYS IT'LL HELP, I'LL DO IT. 598 00:30:21,700 --> 00:30:25,233 I JUST DON'T GET HOW THERE'S NOTHING WRONG WITH ME RIGHT NOW. 599 00:30:28,133 --> 00:30:31,167 ** 600 00:30:41,700 --> 00:30:45,933 TODAY, I'M GOING TO SEE THE THERAPIST AGAIN. 601 00:30:45,933 --> 00:30:49,100 MY MOM IS GOING WITH ME SO I DON'T CHICKEN OUT, 602 00:30:49,100 --> 00:30:52,200 BUT I DO THINK SEEING A THERAPIST WILL DO SOME GOOD. 603 00:30:58,600 --> 00:31:00,067 IT STILL MAKES ME NERVOUS 604 00:31:00,067 --> 00:31:03,233 TO THINK ABOUT ALL THE EMOTIONS THEY MAY ASK ME ABOUT. 605 00:31:11,733 --> 00:31:14,800 BUT I THINK THIS WILL BE A GOOD NEXT STEP. 606 00:31:17,467 --> 00:31:19,467 ASHLEY? I'M ANGELA. 607 00:31:19,467 --> 00:31:21,067 -I'M ASHLEY. -NICE TO MEET YOU. 608 00:31:21,067 --> 00:31:23,800 COME ON IN. 609 00:31:23,800 --> 00:31:27,467 FEEL FREE TO SIT ON THE COUCH. 610 00:31:27,467 --> 00:31:28,700 HOW ARE YOU FEELING? 611 00:31:28,700 --> 00:31:30,567 -AWKWARD. [ CHUCKLES ] -YEAH? 612 00:31:30,567 --> 00:31:32,167 THE FIRST SESSION IS ALWAYS AWKWARD. 613 00:31:32,167 --> 00:31:34,100 YEAH. 614 00:31:34,100 --> 00:31:35,833 WELL, DO YOU HAVE ANY QUESTIONS FOR ME, 615 00:31:35,833 --> 00:31:37,533 OR DO YOU WANT TO JUMP RIGHT IN AND -- 616 00:31:37,533 --> 00:31:39,267 UM... 617 00:31:39,267 --> 00:31:40,700 GUESS WE'LL JUST JUMP RIGHT IN. 618 00:31:40,700 --> 00:31:41,967 -OKAY. -YEAH. 619 00:31:41,967 --> 00:31:44,067 CAN YOU TELL ME A LITTLE BIT ABOUT YOUR JOURNEY 620 00:31:44,067 --> 00:31:46,133 AND HOW WE GOT HERE? 621 00:31:46,133 --> 00:31:49,233 EARLY CHILDHOOD, MY PARENTS GOT A DIVORCE, 622 00:31:49,233 --> 00:31:52,067 AND WE ACTUALLY MOVED IN WITH MY MOM. 623 00:31:52,067 --> 00:31:54,333 WELL, I ENDED UP... 624 00:31:58,433 --> 00:32:02,567 ...BEING SEXUALLY ABUSED BY MY BABYSITTER'S HUSBAND. 625 00:32:02,567 --> 00:32:06,100 AND IT KIND OF JUST STARTED ALL THIS, I GUESS. 626 00:32:06,100 --> 00:32:09,933 -HOW OLD WERE YOU? -7 TO 8. 627 00:32:09,933 --> 00:32:12,700 THAT'S HARD STUFF. 628 00:32:12,700 --> 00:32:16,433 AND I KIND OF BUILT UP, LIKE, A SECURITY WALL. 629 00:32:16,433 --> 00:32:18,233 [ SNIFFLES ] AND MINE WAS WITH FOOD, 630 00:32:18,233 --> 00:32:23,067 SO I LITERALLY BUILT A WALL AROUND ME, SO... 631 00:32:23,067 --> 00:32:26,367 I'M NOT ONE THAT OPENS UP A LOT. 632 00:32:26,367 --> 00:32:30,367 BUT NOW I'M BATTLING SOMETHING THAT'S INSIDE, 633 00:32:30,367 --> 00:32:32,967 AND NOT EVERYBODY UNDERSTANDS THAT. 634 00:32:35,333 --> 00:32:38,067 WE CAN BURY AND BURY, AND THEN EVENTUALLY, IT HAS TO COME OUT. 635 00:32:38,067 --> 00:32:39,067 AND IT USUALLY COMES OUT 636 00:32:39,067 --> 00:32:41,500 IN ANXIETY, DEPRESSION, OR ADDICTION. 637 00:32:41,500 --> 00:32:44,433 [ Chuckling ] YEAH, I'M PROOF. 638 00:32:44,433 --> 00:32:46,367 YEAH. 639 00:32:46,367 --> 00:32:48,867 I SPEND A LOT OF TIME BY MYSELF. 640 00:32:48,867 --> 00:32:51,300 -YEAH. -I'M A STAY-AT-HOME MOM. 641 00:32:51,300 --> 00:32:53,133 MY HUSBAND'S GONE A LOT. 642 00:32:53,133 --> 00:32:55,400 AND I KNOW WHO I AM, 643 00:32:55,400 --> 00:32:57,800 BUT THEN AGAIN, I HAVE NO SENSE OF WHO I AM. 644 00:32:57,800 --> 00:32:59,067 SOUNDS LIKE WE NEED TO WORK 645 00:32:59,067 --> 00:33:01,133 ON YOU OWNING YOUR PLACE IN THE WORLD, YOU KNOW? 646 00:33:01,133 --> 00:33:03,367 -I THINK -- -THAT'S WHERE I'M LOST. 647 00:33:03,367 --> 00:33:05,167 YEAH, I CAN HEAR THAT. 648 00:33:05,167 --> 00:33:06,333 I THINK, YOU KNOW -- 649 00:33:06,333 --> 00:33:08,867 I'M, LIKE, IN LIMBO. 650 00:33:08,867 --> 00:33:10,767 YEAH, YEAH. 651 00:33:10,767 --> 00:33:14,667 AND I CAN LOOK AT PICTURES AND SEE HOW MUCH I'VE CHANGED. 652 00:33:14,667 --> 00:33:17,167 BUT THEN AGAIN, I LOOK IN THE MIRROR, 653 00:33:17,167 --> 00:33:21,067 AND SOMETIMES, I JUST STILL SEE MY 725-POUND SELF. 654 00:33:21,067 --> 00:33:22,333 YEAH. 655 00:33:22,333 --> 00:33:24,867 IT'S STARTING TO WEAR -- IT'S STARTING TO WEAR ME OUT. 656 00:33:24,867 --> 00:33:26,833 SURE, YEAH. IT'S EXHAUSTING. 657 00:33:26,833 --> 00:33:29,733 -YEAH. -YEAH. 658 00:33:29,733 --> 00:33:31,500 HOW ARE YOU FEELING? 659 00:33:31,500 --> 00:33:33,333 -I FEEL A LITTLE BIT LIGHTER. -OKAY. 660 00:33:33,333 --> 00:33:35,233 I DO. I FEEL LIKE I'VE TALKED ABOUT THINGS 661 00:33:35,233 --> 00:33:37,500 THAT I HAVEN'T BEEN ABLE TO KIND OF GET OFF MY CHEST, 662 00:33:37,500 --> 00:33:40,333 -SO I'M GLAD YOU LISTENED. -YEAH. OF COURSE. 663 00:33:40,333 --> 00:33:42,167 I FEEL LIKE I DON'T HAVE ANYBODY AROUND ME 664 00:33:42,167 --> 00:33:44,400 THAT KIND OF UNDERSTANDS WHAT I'M GOING THROUGH, SO... 665 00:33:44,400 --> 00:33:46,067 YEAH. OKAY. 666 00:33:46,067 --> 00:33:48,833 WELL, I DO WANT TO SEND YOU AWAY WITH SOME HOMEWORK. 667 00:33:48,833 --> 00:33:51,100 I THINK IT WOULD BE REALLY GOOD TO TRACK YOUR MOODS. 668 00:33:51,100 --> 00:33:55,300 SO ANY TIME THOSE SELF-DEFEATING THOUGHTS START TO COME UP, 669 00:33:55,300 --> 00:33:58,467 ESPECIALLY AROUND BODY IMAGE, I WANT YOU TO WRITE THAT DOWN. 670 00:33:58,467 --> 00:34:00,767 AND THEN WE CAN DIRECTLY COUNTERACT THOSE THOUGHTS 671 00:34:00,767 --> 00:34:03,567 AND THOSE THEMES. 672 00:34:03,567 --> 00:34:04,733 -WELL, THANK YOU. -DEFINITELY. 673 00:34:04,733 --> 00:34:06,900 -THANK YOU. -HOPE TO SEE YOU SOON. 674 00:34:06,900 --> 00:34:08,833 YEAH. 675 00:34:08,833 --> 00:34:10,167 I'LL SHOW YOU OUT HERE. 676 00:34:10,167 --> 00:34:11,967 Ashley: I'M GLAD I CAME TODAY. 677 00:34:11,967 --> 00:34:13,967 IT FELT REALLY GOOD TO GET SOME OF THESE THINGS 678 00:34:13,967 --> 00:34:18,367 THAT I'VE HAD BOTTLED UP INSIDE OUT IN THE OPEN. 679 00:34:18,367 --> 00:34:20,067 I FEEL 100 TIMES BETTER 680 00:34:20,067 --> 00:34:22,100 NOW THAT I JUST KIND OF LET IT OFF MY CHEST -- 681 00:34:22,100 --> 00:34:24,800 WHAT I'M FEELING, WHAT I'M GOING THROUGH. 682 00:34:24,800 --> 00:34:26,333 AND HOPEFULLY, I WILL BE ABLE 683 00:34:26,333 --> 00:34:29,467 TO MAKE THIS A CONSISTENT THING IN MY LIFE, 684 00:34:29,467 --> 00:34:31,467 BECAUSE I THINK THIS COULD REALLY HELP ME A LOT 685 00:34:31,467 --> 00:34:34,967 ON MY JOURNEY. 686 00:34:34,967 --> 00:34:37,567 [ SIREN WAILING ] 687 00:34:40,533 --> 00:34:43,567 ** 688 00:34:47,533 --> 00:34:50,967 Lupe: I'VE BEEN TRYING TO PUSH MYSELF TO STAND UP AND TAKE SOME STEPS. 689 00:34:50,967 --> 00:34:52,467 AND I WAS TRYING TO WALK, 690 00:34:52,467 --> 00:34:54,600 AND I FELT SOMETHING POP IN MY HIP, 691 00:34:54,600 --> 00:34:56,833 SO I CALLED 911. 692 00:34:59,833 --> 00:35:03,600 AND I'M REALLY WORRIED I'VE BEEN PUSHING MY BODY TOO HARD... 693 00:35:03,600 --> 00:35:06,067 ONE, TWO, THREE. 694 00:35:06,067 --> 00:35:08,567 ...AND THAT I REALLY HURT MYSELF. 695 00:35:08,567 --> 00:35:12,233 I'M HOPING THIS HOSPITAL VISIT WON'T SET ME BACK. 696 00:35:14,433 --> 00:35:18,133 -HOW YOU HOLDING UP, LOVE? -OKAY. 697 00:35:18,133 --> 00:35:19,767 THEY DIDN'T GIVE YOU ANYTHING YET, DID THEY? 698 00:35:19,767 --> 00:35:21,167 LIKE MEDICINE OR ANYTHING LIKE THAT? 699 00:35:21,167 --> 00:35:22,467 NO, THEY DIDN'T GIVE ME ANYTHING. 700 00:35:22,467 --> 00:35:23,567 WELL, HAVE THEM CHECK, 701 00:35:23,567 --> 00:35:26,067 'CAUSE I WANT TO MAKE SURE YOU'RE NOT PREGNANT. 702 00:35:26,067 --> 00:35:29,700 JUST TO BE ON THE SAFE SIDE. 703 00:35:29,700 --> 00:35:32,367 WITH ALL MY WEIGHT I'VE LOST, GILBERT AND I HAVE BEEN ABLE 704 00:35:32,367 --> 00:35:35,100 TO BE MORE INTIMATE AND SEXUALLY ACTIVE. 705 00:35:35,100 --> 00:35:39,467 AND I HAVEN'T HAD MY PERIOD FOR LIKE A MONTH, MAYBE FIVE WEEKS. 706 00:35:39,467 --> 00:35:42,067 AND I'VE BEEN GETTING SICK. 707 00:35:42,067 --> 00:35:44,667 SO I TOLD GILBERT I COULD BE PREGNANT. 708 00:35:44,667 --> 00:35:45,900 SO WE'RE CONCERNED. 709 00:35:45,900 --> 00:35:47,867 THEY MAY NOT BE ABLE TO RUN SOME TESTS 710 00:35:47,867 --> 00:35:51,067 BECAUSE IT COULD HURT THE BABY IF I'M PREGNANT. 711 00:35:51,067 --> 00:35:52,533 I HAVE WANTED A BABY, 712 00:35:52,533 --> 00:35:54,767 BUT I DON'T WANT THEM TRYING TO TAKE MY BABY AWAY 713 00:35:54,767 --> 00:35:56,733 BECAUSE I'M NOT CAPABLE OF GETTING OUT OF BED 714 00:35:56,733 --> 00:35:57,967 OR TAKING CARE OF IT. 715 00:35:57,967 --> 00:35:59,433 I HAD A QUESTION ABOUT -- 716 00:35:59,433 --> 00:36:00,833 WHAT IS SHE GETTING DONE RIGHT NOW, 717 00:36:00,833 --> 00:36:03,700 -A SONAR? -A C.T. OF HER STOMACH. 718 00:36:03,700 --> 00:36:06,533 OH, OKAY. JUST BECAUSE MIGHT BE A POSSIBILITY 719 00:36:06,533 --> 00:36:09,733 THAT SHE COULD BE PREGNANT, BUT I'M NOT SURE. 720 00:36:09,733 --> 00:36:11,867 I JUST WANT TO BE SAFE, THAT'S ALL. 721 00:36:11,867 --> 00:36:13,500 OKAY. LET ME TALK TO THEM FOR A MINUTE. 722 00:36:13,500 --> 00:36:14,667 OKAY. 723 00:36:14,667 --> 00:36:16,200 Gilbert: IF SHE TURNS OUT TO BE PREGNANT, 724 00:36:16,200 --> 00:36:19,267 THEN I GUESS IT'S GONNA PUT A PAUSE ON ALL THE PROCEDURES, 725 00:36:19,267 --> 00:36:21,733 AND WE'RE GONNA GO A DIFFERENT ROUTE ON THE JOURNEY, 726 00:36:21,733 --> 00:36:24,233 A MORE HEALTHIER ROUTE FOR HER AND OUR BABY. 727 00:36:24,233 --> 00:36:27,300 BUT IF NOT, THEN WE'RE GONNA CONTINUE TO PUSH 728 00:36:27,300 --> 00:36:30,900 AND CONTINUE TO GET MY WIFE ON HER FEET. 729 00:36:30,900 --> 00:36:32,367 [ CHUCKLES ] THAT'D BE SOMETHING. 730 00:36:32,367 --> 00:36:34,567 OH, MY GOSH. [ LAUGHS ] 731 00:36:41,633 --> 00:36:42,967 OKAY. SORRY ABOUT THAT, SIR. 732 00:36:42,967 --> 00:36:44,933 -MY BAD. -IT'S OKAY. 733 00:36:44,933 --> 00:36:47,067 Lupe: I'VE WANTED A BABY FOR SO LONG, 734 00:36:47,067 --> 00:36:50,833 BUT I'VE BEEN THINKING THAT I'M NOT READY TO BE PREGNANT. 735 00:36:50,833 --> 00:36:55,533 AND RIGHT NOW IS NOT THE BEST TIME. 736 00:36:55,533 --> 00:36:58,167 I DON'T EVEN KNOW HOW I'D TAKE CARE OF IT... 737 00:37:00,433 --> 00:37:04,333 ...AND HOW GILBERT WOULD BE ABLE TO HANDLE THE BABY AND ME. 738 00:37:04,333 --> 00:37:06,967 SO I DON'T KNOW WHAT TO DO, 739 00:37:06,967 --> 00:37:10,067 AND I'M JUST FEELING REALLY OVERWHELMED RIGHT NOW. 740 00:37:10,067 --> 00:37:13,100 MAYBE NOW'S NOT THE TIME FOR ME TO BE PREGNANT. 741 00:37:29,967 --> 00:37:33,300 Lupe: I'M IN THE HOSPITAL BECAUSE THE LAST TIME I TRIED TO WALK, 742 00:37:33,300 --> 00:37:35,967 I FELT A POP AND SOME PAIN. 743 00:37:37,933 --> 00:37:43,167 SO I CALLED 911 TO FIND OUT IF I REALLY HURT MYSELF OR NOT. 744 00:37:43,167 --> 00:37:45,833 BUT GILBERT STOPPED THEM FROM RUNNING TESTS ON ME 745 00:37:45,833 --> 00:37:48,700 BECAUSE WE THOUGHT I MIGHT BE PREGNANT. 746 00:37:48,700 --> 00:37:51,067 SO THEY GAVE ME A PREGNANCY TEST, 747 00:37:51,067 --> 00:37:54,733 BUT THAT CAME BACK NEGATIVE. 748 00:37:54,733 --> 00:37:57,533 Gilbert: I'M REALLY DISAPPOINTED RIGHT NOW, 749 00:37:57,533 --> 00:38:01,700 BECAUSE I THOUGHT LUPE AND I WERE FINALLY HAVING A BABY. 750 00:38:01,700 --> 00:38:04,733 BUT IT WASN'T OUR TIME, I SUPPOSE. 751 00:38:04,733 --> 00:38:07,500 WE HAVE TO GET LUPE TO A MORE HEALTHY PLACE 752 00:38:07,500 --> 00:38:09,767 BEFORE SHE'S READY, 753 00:38:09,767 --> 00:38:13,967 BUT IT WON'T STOP US FROM TRYING. 754 00:38:13,967 --> 00:38:15,867 Lupe: PART OF ME IS A LITTLE DISAPPOINTED, 755 00:38:15,867 --> 00:38:19,267 BUT THERE'S ANOTHER PART OF ME THAT'S RELIEVED. 756 00:38:19,267 --> 00:38:20,500 AND NOW I'M JUST WONDERING 757 00:38:20,500 --> 00:38:22,967 ABOUT WHAT I MAY HAVE DONE TO HURT MYSELF. 758 00:38:22,967 --> 00:38:26,433 SO I'M HOPING TO GET THAT ANSWER HERE REALLY SOON. 759 00:38:26,433 --> 00:38:28,967 [ KNOCK ON DOOR ] 760 00:38:28,967 --> 00:38:30,067 GOOD MORNING. 761 00:38:30,067 --> 00:38:31,533 -GOOD MORNING. -GOOD MORNING. 762 00:38:31,533 --> 00:38:33,467 WELL, HOW ARE YOU FEELING THIS MORNING? 763 00:38:33,467 --> 00:38:34,933 THIS PAIN DON'T REALLY HURT 764 00:38:34,933 --> 00:38:36,567 UNLESS I'M SITTING UP ALL THE WAY. 765 00:38:36,567 --> 00:38:38,867 LIKE, IF IT HANGS A LITTLE BIT RIGHT HERE. 766 00:38:38,867 --> 00:38:42,133 OKAY. AND HAVE YOU BEEN UP TODAY? 767 00:38:42,133 --> 00:38:43,700 -NO. -OKAY. 768 00:38:43,700 --> 00:38:46,167 SO, WE HAVE DONE COMPLETE CHECKUP ON YOU. 769 00:38:46,167 --> 00:38:48,667 IT SEEMS LIKE THERE IS NO NEW INJURY 770 00:38:48,667 --> 00:38:51,500 -OR DAMAGE TO YOUR BODY, OKAY? -OKAY. 771 00:38:56,067 --> 00:38:59,100 ...EVERYTHING LOOKS GOOD, AND YOU ARE DOING FINE. 772 00:38:59,100 --> 00:39:00,200 OKAY. 773 00:39:00,200 --> 00:39:01,833 SO, THIS IS WHAT IT MEANS, RIGHT? 774 00:39:01,833 --> 00:39:02,867 YEAH. 775 00:39:02,867 --> 00:39:04,600 IT MEANS THAT THERE ARE NO SETBACK 776 00:39:04,600 --> 00:39:08,400 OR CONCERN ABOUT GETTING UP AND WALKING AGAIN. 777 00:39:08,400 --> 00:39:11,267 THE ISSUE IS THAT YOU'RE JUST AFRAID TO DO IT. 778 00:39:11,267 --> 00:39:14,700 -YEAH. -AND EXCUSES NEED TO STOP, OKAY? 779 00:39:14,700 --> 00:39:15,833 OKAY. 780 00:39:15,833 --> 00:39:19,233 LUPE IS CONTINUING MAKING EXCUSES 781 00:39:19,233 --> 00:39:22,400 AS TO WHY SHE CAN'T GET UP AND WALK. 782 00:39:22,400 --> 00:39:25,867 BUT RIGHT NOW, IF SHE WANTS TO CONTINUE MAKING PROGRESS, 783 00:39:25,867 --> 00:39:28,133 SHE NEEDS TO BE ABLE TO GET OUT OF BED. 784 00:39:28,133 --> 00:39:31,267 AND SKIN SURGERY WILL HELP WITH THAT. 785 00:39:31,267 --> 00:39:35,433 YOU NEED TO HIT YOUR GOALS TO GET YOUR SKIN SURGERY. 786 00:39:35,433 --> 00:39:38,967 AND THEN WE'LL SEE IF WE CAN FIX YOUR HIP, OKAY? 787 00:39:38,967 --> 00:39:40,067 OKAY. 788 00:39:40,067 --> 00:39:41,767 HEY, WE BOTH CAN FIT IN THE BED, DOC. 789 00:39:41,767 --> 00:39:43,967 ALL RIGHT, SO I GUESS THAT'S IMPROVEMENT? 790 00:39:43,967 --> 00:39:46,067 -THAT'S IMPROVEMENT. -OKAY. 791 00:39:46,067 --> 00:39:48,533 KEEP MAKING THE PROGRESS I TOLD YOU TO MAKE 792 00:39:48,533 --> 00:39:51,867 AND LOSE 20 POUNDS OVER THE NEXT MONTH, OKAY? 793 00:39:51,867 --> 00:39:53,233 YOU CAN DO THIS. 794 00:39:53,233 --> 00:39:55,300 I'M READY, WHENEVER. 795 00:39:55,300 --> 00:39:56,333 ALL RIGHT, SUPER. 796 00:39:56,333 --> 00:39:58,833 -THANK YOU. -OKAY. 797 00:39:58,833 --> 00:40:02,867 LUPE NEEDS TO STOP COMING UP WITH A REASON AND EXCUSES 798 00:40:02,867 --> 00:40:05,067 WHY SHE CANNOT START WALKING 799 00:40:05,067 --> 00:40:07,500 AND PUSH TO MAKE THE PROGRESS SHE NEEDS 800 00:40:07,500 --> 00:40:10,167 SO SHE DOESN'T GO BACKWARD AGAIN. 801 00:40:12,367 --> 00:40:14,300 Lupe: I KNOW I NEED TO MAKE MORE PROGRESS, 802 00:40:14,300 --> 00:40:18,200 AND I FEEL LIKE I'M TRYING AS HARD AS I CAN. 803 00:40:18,200 --> 00:40:21,367 BUT IF DR. NOW WANTS ME TO WORK HARDER AT IT, I WILL. 804 00:40:23,333 --> 00:40:26,033 FOR SO MANY YEARS, I WAS SCARED TO FALL 805 00:40:26,033 --> 00:40:27,800 BECAUSE I KNEW NO ONE WOULD BE ABLE 806 00:40:27,800 --> 00:40:31,433 TO HELP PICK ME UP IF I DID. 807 00:40:31,433 --> 00:40:34,733 AND THAT FEAR DOESN'T GO AWAY OVERNIGHT. 808 00:40:34,733 --> 00:40:38,633 BUT I'M DETERMINED TO DO THIS NO MATTER HOW HARD IT IS, 809 00:40:38,633 --> 00:40:40,333 BECAUSE NOTHING ELSE MATTERS 810 00:40:40,333 --> 00:40:43,600 IF I HAVE TO SPEND THE REST OF MY LIFE IN BED. 811 00:40:45,800 --> 00:40:48,833 ** 812 00:40:55,467 --> 00:40:57,033 Ashley: ALL RIGHT, BABY. I'LL BE BACK. 813 00:40:57,033 --> 00:40:59,467 ALL RIGHT. I'LL BE RIGHT HERE. 814 00:40:59,467 --> 00:41:01,367 YOU BETTER BE. 815 00:41:01,367 --> 00:41:05,700 Ashley: AFTER SEEING THE THERAPIST, I'VE BEEN FEELING A LOT BETTER. 816 00:41:05,700 --> 00:41:07,267 OOH, IT'S COLD. 817 00:41:10,633 --> 00:41:14,433 MY NUMBNESS AND DIZZINESS HAVEN'T COMPLETELY GONE AWAY, 818 00:41:14,433 --> 00:41:17,767 BUT IT'S NOT NEARLY AS BAD AS IT WAS. 819 00:41:17,767 --> 00:41:21,100 DR. NOW HAD A PHYSICAL THERAPIST COME OVER A FEW TIMES, 820 00:41:21,100 --> 00:41:22,667 AND HE TOLD ME THE GOAL 821 00:41:22,667 --> 00:41:26,867 IS JUST FIND A WAY TO DO SOMETHING ACTIVE EVERY DAY. 822 00:41:26,867 --> 00:41:31,633 SO MY MOM AND I HAVE BEEN TAKING WALKS DOWN THE STREET AND BACK. 823 00:41:31,633 --> 00:41:33,367 WE'VE STARTED TALKING SOME, 824 00:41:33,367 --> 00:41:36,267 AND I FEEL LIKE JUST DOING THIS IS BRINGING US CLOSER TOGETHER. 825 00:41:36,267 --> 00:41:38,467 AND I'M FOCUSING ON MAKING ENOUGH PROGRESS 826 00:41:38,467 --> 00:41:41,100 TO GET MY SKIN REMOVAL SURGERY. 827 00:41:41,100 --> 00:41:44,633 I'VE BEEN THINKING ABOUT GOING TO A GYM WITH A TRAINER. 828 00:41:44,633 --> 00:41:47,367 -UH-HUH. -I THINK JUST FOOD AND WALKING'S 829 00:41:47,367 --> 00:41:49,667 -NOT GONNA GET IT ANYMORE. -NO, IT'S NOT. 830 00:41:49,667 --> 00:41:52,300 'CAUSE MENTALLY, 831 00:41:52,300 --> 00:41:55,533 I KNOW I'VE LOST THE WEIGHT, 832 00:41:55,533 --> 00:41:58,800 BUT WHEN I SEE IT MYSELF, 833 00:41:58,800 --> 00:42:00,767 IT'S LIKE I CAN'T GET IT THROUGH MY THICK SKULL, 834 00:42:00,767 --> 00:42:02,367 'CAUSE IT'S STILL HERE. 835 00:42:02,367 --> 00:42:03,600 YEAH. 836 00:42:03,600 --> 00:42:06,233 I WANT THIS SKIN OFF OF ME. 837 00:42:06,233 --> 00:42:10,467 JUST A YEAR AGO, I WOULD NEVER HAVE GUESSED I COULD DO THIS. 838 00:42:10,467 --> 00:42:13,667 MY STOMACH HANGS SO HEAVY ON MY BACK. 839 00:42:13,667 --> 00:42:16,067 SOMETIMES WHEN I'M STANDING, 840 00:42:16,067 --> 00:42:19,433 I'M SCARED OF PHYSICALLY BREAKING MY OWN BACK. 841 00:42:19,433 --> 00:42:22,267 DR. NOW TOLD ME TO GET BELOW 350 POUNDS 842 00:42:22,267 --> 00:42:25,467 TO GET TO WHERE I WOULD BE READY FOR SKIN-REMOVAL SURGERY. 843 00:42:27,567 --> 00:42:29,600 WELL, THANK YOU FOR COMING TO WALK WITH ME. 844 00:42:29,600 --> 00:42:31,300 WELL, OF COURSE, DEAR. 845 00:42:31,300 --> 00:42:34,400 YOU KNOW, I TOLD YOU I WOULD WALK WITH YOU WHEN I'M HOME. 846 00:42:34,400 --> 00:42:38,067 I KNOW, AND I NEED TO TAKE YOU UP ON IT MORE OFTEN. 847 00:42:38,067 --> 00:42:40,467 RIGHT NOW, I FEEL LIKE I CAN DO ANYTHING. 848 00:42:40,467 --> 00:42:42,367 AND WHEN I SEE DR. NOW SOON, 849 00:42:42,367 --> 00:42:45,267 I HOPE THE SCALE SHOWS THE PROGRESS I NEED. 850 00:42:45,267 --> 00:42:50,433 SO I'M WORKING MY HARDEST TO GET THERE AND HIT MY GOAL. 851 00:42:50,433 --> 00:42:53,467 ** 852 00:43:06,267 --> 00:43:08,400 Lupe: OVER THE PAST COUPLE MONTHS... 853 00:43:08,400 --> 00:43:09,733 DON'T EVEN NEED ME ANYMORE. 854 00:43:09,733 --> 00:43:12,933 ...I'VE BEEN GETTING UP AND OUT OF BED AS MUCH AS I CAN. 855 00:43:12,933 --> 00:43:17,067 MORE INDEPENDENT BY YOURSELF WITH THAT WALKER NOW. 856 00:43:17,067 --> 00:43:19,633 IT WAS REALLY HARD AT FIRST, BUT I PUSHED MYSELF 857 00:43:19,633 --> 00:43:23,567 UNTIL I COULD STAY OUT OF MY BED ALL DAY. 858 00:43:23,567 --> 00:43:25,100 YOU GONNA MAKE ME A BURGER, OR WHAT? 859 00:43:25,100 --> 00:43:26,333 YEAH. 860 00:43:26,333 --> 00:43:28,067 HERE YOU GO. 861 00:43:28,067 --> 00:43:30,633 I'M EVEN STARTING TO FEEL A LITTLE MORE INDEPENDENT 862 00:43:30,633 --> 00:43:33,133 AND CONFIDENT IN MYSELF. 863 00:43:33,133 --> 00:43:35,700 AND I TRY TO HELP DO SOME CHORES AROUND THE HOUSE 864 00:43:35,700 --> 00:43:37,600 AND COOK DINNER. 865 00:43:37,600 --> 00:43:39,167 SO I'M FEELING REALLY GOOD, 866 00:43:39,167 --> 00:43:42,267 AND I THINK I'M MAKING PROGRESS WITH MY WEIGHT, TOO. 867 00:43:44,233 --> 00:43:47,233 I STILL CAN'T EAT MUCH SINCE I HAD WEIGHT-LOSS SURGERY, 868 00:43:47,233 --> 00:43:50,733 BUT I DO MISS THE FOOD I CRAVE SOMETIMES. 869 00:43:50,733 --> 00:43:53,467 OKAY. 870 00:43:53,467 --> 00:43:55,067 AND WHEN I DO, I DON'T FEEL LIKE 871 00:43:55,067 --> 00:43:58,667 GILBERT REALLY UNDERSTANDS MY STRUGGLE. 872 00:43:58,667 --> 00:44:01,300 I'M READY TO DRINK. 873 00:44:01,300 --> 00:44:04,300 CELEBRATE. 874 00:44:04,300 --> 00:44:07,067 JUST A BEER OR TWO, THOUGH. SOCIAL DRINKING. 875 00:44:07,067 --> 00:44:09,267 I'M NOT DRINKING. 876 00:44:09,267 --> 00:44:10,800 I CAN'T EVEN REALLY EAT, TO BE HONEST WITH YOU. 877 00:44:10,800 --> 00:44:12,233 YEAH, 'CAUSE YOU WANT TO DRINK. THAT'S ALL. 878 00:44:12,233 --> 00:44:14,267 -NO, NO. 'CAUSE I'M ANXIOUS. -YES, EXACTLY. 879 00:44:14,267 --> 00:44:16,667 I FEEL REALLY ANXIOUS RIGHT NOW. NO, YOU'RE ANXIOUS 880 00:44:16,667 --> 00:44:18,233 'CAUSE YOU WANT TO DRINK, OKAY? 881 00:44:18,233 --> 00:44:20,133 -NO, THAT'S NOT TRUE. -YES. 882 00:44:20,133 --> 00:44:21,767 I'M NERVED UP. I DON'T SHOW IT A LOT. 883 00:44:21,767 --> 00:44:23,267 YOU WANT TO CELEBRATE THE LAST TIME, 884 00:44:23,267 --> 00:44:25,700 AND YOUR WIFE AIN'T DRINKING, SO YOU SHOULDN'T BE DRINKING. 885 00:44:25,700 --> 00:44:27,367 JUST SOCIAL DRINKING. 886 00:44:27,367 --> 00:44:29,367 IS IT SOCIALLY WHEN YOU'RE BY YOURSELF DRINKING? 887 00:44:29,367 --> 00:44:31,400 BABE, COME ON. DON'T START TRIPPING. IT'S A GOOD DAY. 888 00:44:31,400 --> 00:44:32,667 EXACTLY. 889 00:44:32,667 --> 00:44:34,067 WHEN GILBERT GETS LIKE THIS, 890 00:44:34,067 --> 00:44:36,567 IT MAKES ME WONDER IF HE'S UP TO HIS OLD GAMES AGAIN, 891 00:44:36,567 --> 00:44:39,067 TALKING TO OTHER WOMEN BEHIND MY BACK. 892 00:44:39,067 --> 00:44:41,200 I HEAR YOU TELL THIS CHICK THAT, 893 00:44:41,200 --> 00:44:43,067 "OH, I'LL SHOW YOU A GOOD TIME, AND THEN WE'LL GO ON 894 00:44:43,067 --> 00:44:44,300 -FROM THERE." -I DON'T KNOW HOW 895 00:44:44,300 --> 00:44:45,967 YOU GOT ON THE PHONE RIGHT WHEN THAT HAPPENED, 896 00:44:45,967 --> 00:44:48,067 BUT THAT'S ON ME. 897 00:44:48,067 --> 00:44:50,533 I GOT CAUGHT, SO... 898 00:44:50,533 --> 00:44:53,700 AND NO MATTER WHAT, I DON'T DESERVE THAT. 899 00:44:53,700 --> 00:44:55,700 SO NOTHING IS GONNA STOP ME 900 00:44:55,700 --> 00:44:59,633 FROM GETTING TO A PLACE WHERE I CAN BE COMPLETELY INDEPENDENT. 901 00:44:59,633 --> 00:45:02,700 I'M NOT GONNA LIE. JUST A COUPLE BEERS, LOVE. 902 00:45:02,700 --> 00:45:05,233 I'LL JUST DRINK LIKE A 40 AND BE GOOD. 903 00:45:23,633 --> 00:45:26,300 Ashley: TODAY, I'M HEADED TO DR. NOWZARADAN'S OFFICE 904 00:45:26,300 --> 00:45:30,133 TO SEE WHAT MY CURRENT WEIGHT IS 905 00:45:30,133 --> 00:45:33,233 AND IF IT'S ENOUGH TO GET SKIN-REMOVAL SURGERY. 906 00:45:36,167 --> 00:45:37,567 LAST THEY CHECKED MY WEIGHT 907 00:45:37,567 --> 00:45:39,800 WAS WHEN I WENT INTO THE HOSPITAL, 908 00:45:39,800 --> 00:45:43,800 AND I HADN'T LOST MUCH FROM MY 470 WEIGH-IN. 909 00:45:43,800 --> 00:45:47,833 IF I STAYED ON TRACK AND LOST 20 POUNDS EACH MONTH SINCE THEN, 910 00:45:47,833 --> 00:45:51,067 I SHOULD BE BELOW 410 POUNDS TODAY. 911 00:45:51,067 --> 00:45:54,633 OKAY, GIVE ME YOUR HAND. 912 00:45:54,633 --> 00:45:56,867 BUT I'VE BEEN WORKING REALLY HARD, 913 00:45:56,867 --> 00:46:00,167 SO I HOPE I'M CLOSER TO THE 350 MARK 914 00:46:00,167 --> 00:46:04,633 SO THAT I CAN GET APPROVED FOR SKIN-REMOVAL SURGERY TODAY. 915 00:46:04,633 --> 00:46:06,467 Woman: 397. 916 00:46:09,100 --> 00:46:11,733 -GOOD JOB. -ALL RIGHT! 917 00:46:11,733 --> 00:46:13,533 IT'S NOT AS LOW AS I WAS HOPING, 918 00:46:13,533 --> 00:46:17,967 BUT I'M REALLY EXCITED TO SEE MYSELF UNDER 400 POUNDS FINALLY. 919 00:46:17,967 --> 00:46:20,367 I FEEL REALLY GOOD ABOUT IT. 920 00:46:20,367 --> 00:46:24,467 NOW BACK DOWN TO THE SIZE I WAS WHEN I GRADUATED HIGH SCHOOL. 921 00:46:24,467 --> 00:46:26,067 BUT I REALLY HOPE THIS IS ENOUGH 922 00:46:26,067 --> 00:46:28,433 TO GET APPROVED FOR SKIN REMOVAL. 923 00:46:28,433 --> 00:46:30,667 DID GOOD. 924 00:46:30,667 --> 00:46:32,067 THANK YOU. 925 00:46:34,800 --> 00:46:37,067 -HELLO. -HELLO, DR. NOWZARADAN. 926 00:46:37,067 --> 00:46:38,333 HOW YOU DOING, ASHLEY? 927 00:46:38,333 --> 00:46:41,067 I'M DOING GOOD. I'M EATING FINE. 928 00:46:41,067 --> 00:46:43,133 I USUALLY EAT TWO TO THREE TIMES A DAY, 929 00:46:43,133 --> 00:46:46,067 -AND I'M MAINLY DOING PROTEIN. -GOOD. 930 00:46:46,067 --> 00:46:49,933 SO YOUR WEIGHT LOSS IS GOING WELL, AND YOU ARE AT 300s NOW. 931 00:46:49,933 --> 00:46:52,533 -ARE YOU EXCITED? -YES, SIR. [ CHUCKLES ] 932 00:46:52,533 --> 00:46:55,100 HOW'S YOUR ACTIVITY? 933 00:46:55,100 --> 00:46:57,233 IT'S INCREASED QUITE A BIT. 934 00:46:57,233 --> 00:47:00,100 ANY ISSUE WITH THE EXTRA SKIN ON YOUR BODY? 935 00:47:00,100 --> 00:47:02,267 YES, MY STOMACH 936 00:47:02,267 --> 00:47:04,467 AND ESPECIALLY THIS RIGHT HERE. 937 00:47:04,467 --> 00:47:06,067 THIS EXTRA SKIN RIGHT HERE -- 938 00:47:06,067 --> 00:47:09,167 IT GETS IRRITATED RIGHT HERE REAL BAD. 939 00:47:09,167 --> 00:47:11,700 -UH-HUH. -AND I HAVE SO MUCH SKIN 940 00:47:11,700 --> 00:47:14,133 ON MY ABDOMEN THAT IT GETS IRRITATED. 941 00:47:14,133 --> 00:47:15,167 OKAY. 942 00:47:15,167 --> 00:47:17,067 AND I CAN FOLD IT UP LIKE A TACO. 943 00:47:17,067 --> 00:47:18,200 [ CHUCKLES ] 944 00:47:18,200 --> 00:47:22,667 OKAY, LET ME SEE YOUR EXCESS SKIN. 945 00:47:22,667 --> 00:47:23,833 ALL RIGHT. 946 00:47:23,833 --> 00:47:27,833 SO YOU GOT A LOT OF EXTRA SKIN GOING AROUND IN HERE 947 00:47:27,833 --> 00:47:29,800 THAT NEED TO COME OFF. 948 00:47:29,800 --> 00:47:33,500 BUT YOU STILL NEED TO MAKE MORE PROGRESS BEFORE YOU'RE READY. 949 00:47:33,500 --> 00:47:36,500 YOU NEED TO GET DOWN BELOW 350 STILL. 950 00:47:36,500 --> 00:47:37,733 OKAY. 951 00:47:37,733 --> 00:47:40,133 Dr. Nowzaradan: ASHLEY HAS A LOT OF EXCESS SKIN, 952 00:47:40,133 --> 00:47:43,633 BUT SHE STILL HAVE A GOOD AMOUNT OF FAT IN HER ABDOMEN 953 00:47:43,633 --> 00:47:45,400 THAT NEED TO BE REDUCED 954 00:47:45,400 --> 00:47:48,400 BEFORE SHE'S READY FOR ANY SKIN REMOVAL. 955 00:47:48,400 --> 00:47:52,100 BUT IF SHE STAYS ON TRACK, SHE WILL BE READY SOON. 956 00:47:52,100 --> 00:47:54,167 IF YOU LOSE 20 POUNDS A MONTH, 957 00:47:54,167 --> 00:47:56,067 YOU WILL BE READY IN A FEW MONTHS. 958 00:47:56,067 --> 00:47:58,633 I'M READY TO GET THIS OFF OF ME. 959 00:47:58,633 --> 00:48:01,333 ARE YOU GETTING ANY SUPPORT FROM YOUR FAMILY? 960 00:48:01,333 --> 00:48:03,900 IS YOUR HUSBAND DOING DIET WITH YOU? 961 00:48:03,900 --> 00:48:07,500 I'M NOT AS STRICT AS SHE IS, BUT JUST KIND OF PLAYING AROUND, 962 00:48:07,500 --> 00:48:09,400 I'VE ABOUT 20, 25 POUNDS. 963 00:48:09,400 --> 00:48:13,067 YOU SHOULD STICK WITH THE PLAN THAT SHE'S ON AND DO IT WITH HER 964 00:48:13,067 --> 00:48:15,733 -TO AT LEAST SUPPORT HER. -YEP. 965 00:48:15,733 --> 00:48:19,833 Dr. Nowzaradan: ASHLEY PROBABLY HAS BEEN BIG ENABLERS IN HER PAST, 966 00:48:19,833 --> 00:48:21,900 BUT RIGHT NOW, ASHLEY'S WORKING HARD 967 00:48:21,900 --> 00:48:25,367 AND STAYING STRONG TO DO WHAT SHE NEEDS. 968 00:48:25,367 --> 00:48:27,567 KEEP AT IT, BECAUSE YOU'RE DOING GOOD. 969 00:48:28,967 --> 00:48:30,467 ALL RIGHT. SUPER. 970 00:48:31,333 --> 00:48:33,067 SEE YOU IN A COUPLE MONTHS. 971 00:48:33,067 --> 00:48:36,100 ** 972 00:48:42,567 --> 00:48:45,333 Ashley: I WORKED REALLY HARD TO GET APPROVED TODAY, 973 00:48:45,333 --> 00:48:48,133 SO IT'S DISAPPOINTING THAT I DIDN'T DO IT. 974 00:48:50,267 --> 00:48:53,967 BUT I'M STICKING WITH IT BECAUSE I'M AT LEAST CLOSE TO MY GOAL. 975 00:48:56,967 --> 00:49:00,733 I'M NOT LETTING THIS SLOW ME DOWN OR GET OFF TRACK. 976 00:49:00,733 --> 00:49:02,067 I LOOK AT IT THIS WAY. 977 00:49:02,067 --> 00:49:04,367 ON THE BRIGHT SIDE, THE MORE WEIGHT I LOSE, 978 00:49:04,367 --> 00:49:06,600 THE MORE SKIN HE'S GONNA BE ABLE TO TAKE OFF, 979 00:49:06,600 --> 00:49:09,867 AND THE BETTER THE OUTCOME WILL BE. 980 00:49:13,367 --> 00:49:16,400 ** 981 00:49:22,200 --> 00:49:26,767 Lupe: MY NEXT APPOINTMENT WITH DR. NOW IS IN A FEW DAYS. 982 00:49:26,767 --> 00:49:29,067 AND I'M HOPING HE'LL BE REALLY IMPRESSED 983 00:49:29,067 --> 00:49:31,200 WITH HOW FAR I'VE COME. 984 00:49:31,200 --> 00:49:32,400 ONE, TWO. 985 00:49:32,400 --> 00:49:34,067 I'VE PUSHED MYSELF EVERY SINGLE DAY 986 00:49:34,067 --> 00:49:35,433 TO DO WHAT HE'S TOLD ME. 987 00:49:38,300 --> 00:49:40,967 AND NOW I'M NOT ONLY GETTING UP AND WALKING, 988 00:49:40,967 --> 00:49:44,933 BUT I CAN MAKE IT INTO THE OTHER ROOM BEFORE I HAVE TO SIT DOWN. 989 00:49:44,933 --> 00:49:48,500 SO I'M HOPING DR. NOW THINKS I'M READY FOR MY SKIN REMOVAL, 990 00:49:48,500 --> 00:49:50,967 BECAUSE IT'S REALLY STARTING TO HOLD ME BACK. 991 00:49:50,967 --> 00:49:52,833 GOT YOUR WALK ON. BABE, THIS IS THE FIRST TIME 992 00:49:52,833 --> 00:49:54,967 I'M IN BACK OF YOU WHEN YOU'RE WALKING. YOU KNOW THAT? 993 00:49:54,967 --> 00:49:59,267 -I'M-A SQUEEZE YOUR CHEEKS. -PLEASE STOP. STOP! 994 00:49:59,267 --> 00:50:02,167 AND I'M REALLY EXCITED ABOUT HOW IT'S GONNA CHANGE MY BODY 995 00:50:02,167 --> 00:50:04,667 TO HAVE ALL THIS EXTRA SKIN GONE. 996 00:50:04,667 --> 00:50:07,267 I WANT TO THROW THIS DAMN WHEELCHAIR OUT THE WINDOW. 997 00:50:07,267 --> 00:50:09,433 SICK AND TIRED OF THIS DAMN WHEELCHAIR. 998 00:50:12,833 --> 00:50:14,600 YOU KNOW WHAT, LOVE? 999 00:50:14,600 --> 00:50:17,867 I'M SO PROUD OF YOU. I HAVE A SURPRISE FOR YOU. OKAY? 1000 00:50:17,867 --> 00:50:20,567 -WHAT, NOT DRINKING ANYMORE? -'CAUSE OF YOUR ACCOMPLISHMENTS, 1001 00:50:20,567 --> 00:50:22,033 MAYBE I CAN GET A BEER AFTER THIS? 1002 00:50:22,033 --> 00:50:24,767 NO. [ BOTH LAUGH ] 1003 00:50:24,767 --> 00:50:26,467 I GOT SOMETHING FOR YOU. 1004 00:50:26,467 --> 00:50:28,067 I KNOW THAT ME GETTING TO A PLACE 1005 00:50:28,067 --> 00:50:31,733 WHERE I'M DOING MORE FOR MYSELF ISN'T EASY FOR GILBERT. 1006 00:50:31,733 --> 00:50:33,333 BUT HE SHOULD BE PROUD OF ME, 1007 00:50:33,333 --> 00:50:35,667 AND I FEEL LIKE HE'S STARTING TO SEE THAT. 1008 00:50:37,833 --> 00:50:40,333 THIS IS FOR YOU, MY LOVE. 1009 00:50:40,333 --> 00:50:41,767 SO PROUD OF YOU. 1010 00:50:41,767 --> 00:50:44,700 ** 1011 00:50:44,700 --> 00:50:46,400 MY BABY. 1012 00:50:49,400 --> 00:50:50,833 I LOVE YOU, LOVE. 1013 00:50:50,833 --> 00:50:52,733 SO I'M REALLY PROUD OF MYSELF 1014 00:50:52,733 --> 00:50:56,200 AND EXCITED ABOUT ALL MY PROGRESS. 1015 00:50:56,200 --> 00:50:59,667 I JUST HOPE DR. NOW THINKS IT'S ENOUGH WHEN I SEE HIM. 1016 00:51:03,067 --> 00:51:07,867 ** 1017 00:51:07,867 --> 00:51:12,633 I'M PRAYING THAT TODAY I GET APPROVED FOR SKIN REMOVAL. 1018 00:51:12,633 --> 00:51:17,767 I WAS 356 POUNDS THE LAST TIME I WAS WEIGHED WITH DR. NOW. 1019 00:51:17,767 --> 00:51:20,800 LUPE SAMANO? 1020 00:51:20,800 --> 00:51:24,067 AND THAT WAS ALMOST SIX MONTHS AGO. 1021 00:51:24,067 --> 00:51:25,567 I KNOW I SHOULD HAVE BEEN KEEPING UP 1022 00:51:25,567 --> 00:51:27,333 WITH MY WEIGHT CHECKS MORE 1023 00:51:27,333 --> 00:51:30,233 AND THAT MY WEIGHT LOSS HAD SLOWED DOWN. 1024 00:51:30,233 --> 00:51:34,067 BUT I'VE BEEN DOING EVERYTHING DR. NOWZARADAN HAS ASKED ME. 1025 00:51:36,567 --> 00:51:38,633 SO I'M JUST HOPING ALL THAT PAYS OFF 1026 00:51:38,633 --> 00:51:41,067 WITH THE NUMBER I'M ABOUT TO SEE. 1027 00:51:43,733 --> 00:51:46,933 Woman: 280. 1028 00:51:46,933 --> 00:51:51,067 I'M VERY EXCITED ABOUT THAT. 1029 00:51:51,067 --> 00:51:53,700 -THAT'S GOOD, LOVE. 280. -YEAH. 1030 00:51:53,700 --> 00:51:54,967 I HAVEN'T BEEN THAT WEIGHT 1031 00:51:54,967 --> 00:51:59,433 SINCE I WAS ABOUT MAYBE 9 YEARS OLD. 1032 00:51:59,433 --> 00:52:04,467 SO THAT'S A BIG ACCOMPLISHMENT FOR ME, AND IT'S A BIG DEAL. 1033 00:52:04,467 --> 00:52:09,533 SO I'M EXCITED TO HEAR WHAT DR. NOWZARADAN THINKS TODAY. 1034 00:52:09,533 --> 00:52:10,567 HELLO. 1035 00:52:10,567 --> 00:52:12,433 -HI. -HEY. HOW YOU DOING, DOC? 1036 00:52:12,433 --> 00:52:15,367 I'M DOING OKAY. HOW Y'ALL DOING? DOING GREAT. 1037 00:52:15,367 --> 00:52:19,833 ALL RIGHT, SO YOU FINALLY HIT THAT 280 MAGIC NUMBER, HUH? 1038 00:52:19,833 --> 00:52:21,733 -YEAH, IT'S LIKE THAT. -ALL RIGHT. 1039 00:52:21,733 --> 00:52:23,133 SUPER. 1040 00:52:23,133 --> 00:52:26,067 SO, ARE YOU GETTING UP EVERY DAY AND WALKING? 1041 00:52:26,067 --> 00:52:27,967 EXCELLENT. YOU'RE DOING GREAT, 1042 00:52:27,967 --> 00:52:30,567 AND YOU MADE IT UNDER 300 POUNDS, 1043 00:52:30,567 --> 00:52:33,333 SO I'M APPROVING YOU FOR SKIN SURGERY. 1044 00:52:33,333 --> 00:52:36,200 -OKAY. -BUT THIS IS A VERY BIG SURGERY. 1045 00:52:36,200 --> 00:52:38,567 THIS IS GOING TO TAKE FOUR TO SIX HOURS, 1046 00:52:38,567 --> 00:52:42,233 AND WE'RE GONNA BE ABLE TO REMOVE BETWEEN 20 TO 30 POUNDS. 1047 00:52:42,233 --> 00:52:44,800 BUT IT IS GOING TO MAKE A HUGE DIFFERENCE FOR YOU. 1048 00:52:44,800 --> 00:52:45,800 -OKAY. -OKAY. 1049 00:52:45,800 --> 00:52:47,500 -YEAH. -IT'LL BE BETTER, YEAH. 1050 00:52:47,500 --> 00:52:50,167 LET ME TAKE A LOOK AT YOUR SKIN. 1051 00:52:50,167 --> 00:52:53,233 I'M HAPPY TO SEE LUPE IS DOING WELL. 1052 00:52:53,233 --> 00:52:57,467 AND GILBERT SEEMS TO BE SUPPORTIVE OF HER RIGHT NOW. 1053 00:52:57,467 --> 00:53:01,233 SHE'S GETTING UP AND WALKING AND OVERCOMING HER FEAR. 1054 00:53:01,233 --> 00:53:04,933 SO REMOVING ALL THIS EXCESS SKIN WILL NOT ONLY HELP HER 1055 00:53:04,933 --> 00:53:07,467 TO GET UP AND MOVE AROUND EASIER, 1056 00:53:07,467 --> 00:53:10,767 BUT WILL ALSO HELP HER TO GET CLOSER 1057 00:53:10,767 --> 00:53:13,967 TO HAVE CORRECTIVE SURGERY FOR HER HIP. 1058 00:53:13,967 --> 00:53:16,467 THAT WILL BE A VERY HIGH-RISK PROCEDURE, 1059 00:53:16,467 --> 00:53:19,467 SO SHE NEEDS TO GET CLOSER TO HER TARGET WEIGHT 1060 00:53:19,467 --> 00:53:21,833 BEFORE SHE CAN HAVE THAT SURGERY. 1061 00:53:21,833 --> 00:53:26,667 YOU HAVE COME A LONG WAY FROM BEING 600 POUND TO 280, HUH? 1062 00:53:26,667 --> 00:53:28,367 YEAH. THANK YOU SO MUCH. 1063 00:53:28,367 --> 00:53:30,267 -YEAH. -WELL, YOU'RE WELCOME. 1064 00:53:30,267 --> 00:53:32,067 THAT'S MY JOB TO GET YOU WELL. 1065 00:53:32,067 --> 00:53:34,067 YOU'VE SAVED MY LIFE, SO... 1066 00:53:34,067 --> 00:53:35,467 ALL RIGHT. YOU'RE DOING GOOD. 1067 00:53:35,467 --> 00:53:41,100 SO, I'LL SEE YOU IN THE HOSPITAL AND GET YOU FIXED UP, OKAY? 1068 00:53:41,100 --> 00:53:45,267 -ALL RIGHT. -ENJOY YOUR EVENING. 1069 00:53:45,267 --> 00:53:47,133 THIS IS IT, LOVE. 1070 00:53:47,133 --> 00:53:50,300 ** 1071 00:53:50,300 --> 00:53:52,967 Lupe: I'M SO PROUD OF MYSELF RIGHT NOW. 1072 00:53:52,967 --> 00:53:54,467 IT'S BEEN HARD TO GET HERE. 1073 00:53:54,467 --> 00:53:57,067 AND TO HEAR DR. NOWZARADAN TELL ME I'M DOING GOOD 1074 00:53:57,067 --> 00:53:59,367 IS AN INCREDIBLE FEELING. 1075 00:53:59,367 --> 00:54:03,067 I KNOW THIS IS GOING TO BE A BIG SURGERY, 1076 00:54:03,067 --> 00:54:07,200 AND IT'S GOING TO TAKE A WHOLE LOT TO EVEN RECOVER FROM IT. 1077 00:54:07,200 --> 00:54:08,567 BUT I'M READY. 1078 00:54:08,567 --> 00:54:12,467 AND I JUST CAN'T WAIT TO GET GOING MORE WITH MY LIFE. 1079 00:54:12,467 --> 00:54:14,733 IT'S FINALLY STARTING TO HAPPEN. 1080 00:54:20,600 --> 00:54:23,633 ** 1081 00:54:29,333 --> 00:54:32,667 Lupe: THE DAY OF MY SKIN REMOVAL IS FINALLY HERE. 1082 00:54:32,667 --> 00:54:37,100 THE CLOSER IT'S GOTTEN TO THIS DAY, THE MORE SCARED I'VE BEEN. 1083 00:54:37,100 --> 00:54:40,067 BUT I CAN'T BE UP AND INDEPENDENT LIKE I WANT 1084 00:54:40,067 --> 00:54:41,367 IF I DON'T GET THE SURGERY. 1085 00:54:41,367 --> 00:54:44,400 Woman: THIS IS SO AWESOME! 1086 00:54:44,400 --> 00:54:48,267 SO NO MATTER HOW SCARED I GET OR HOW HARD IT IS, 1087 00:54:48,267 --> 00:54:50,633 I'M GOING THROUGH WITH THIS TODAY. 1088 00:54:50,633 --> 00:54:53,667 ** 1089 00:54:58,067 --> 00:55:02,867 Dr. Nowzaradan: TODAY, WE ARE ATTEMPTING TO DO SKIN-REMOVAL SURGERY ON LUPE. 1090 00:55:14,800 --> 00:55:17,600 AND THIS IS GOING TO BE A HUGE IMPROVEMENT 1091 00:55:17,600 --> 00:55:20,400 FOR HER BODY AND HER MOBILITY. 1092 00:55:22,867 --> 00:55:26,067 BUT THIS IS A VERY COMPLICATED PROCEDURE 1093 00:55:26,067 --> 00:55:29,567 THAT WILL TAKE A LONG TIME. 1094 00:55:29,567 --> 00:55:31,800 AND WE HAVE TO BE VERY CAREFUL 1095 00:55:31,800 --> 00:55:34,733 TO MAKE SURE EVERY BLOOD VESSEL IS TIED OFF 1096 00:55:34,733 --> 00:55:36,900 SO THERE IS NO EXCESS BLEEDING 1097 00:55:36,900 --> 00:55:39,400 THAT WILL BECOME LIFE-THREATENING. 1098 00:55:45,133 --> 00:55:46,600 AND WE HAVE TO MAKE SURE 1099 00:55:46,600 --> 00:55:49,367 EVERYTHING IS REMOVED PROPORTIONALLY 1100 00:55:49,367 --> 00:55:53,233 SO IT ALL LOOK RIGHT WHEN IT HEALS. 1101 00:55:53,233 --> 00:55:57,167 IT'LL PROBABLY TAKE TWO OF YOU TO TAKE IT OVER THERE. 1102 00:56:01,067 --> 00:56:03,767 OKAY, WE SUCCESSFULLY REMOVED THE EXCESS SKIN 1103 00:56:03,767 --> 00:56:06,167 FROM HER LOWER ABDOMEN. 1104 00:56:08,700 --> 00:56:12,967 AND NOW WE JUST NEED TO SUTURE HER UP, AND WE'LL BE DONE. 1105 00:56:15,067 --> 00:56:18,900 LUPE'S SURGERY WENT VERY WELL. 1106 00:56:18,900 --> 00:56:23,833 IT'S A LOT OF SKIN WE TOOK OFF OF HER. 1107 00:56:23,833 --> 00:56:26,700 ALL THIS, THEY'RE GONNA PUT IT ON THE SCALE. 1108 00:56:29,067 --> 00:56:32,800 32 POUND. 1109 00:56:32,800 --> 00:56:35,933 THAT'S GOING TO MAKE A HUGE DIFFERENCE FOR HER. 1110 00:56:35,933 --> 00:56:37,900 Man: ONE, TWO, THREE. 1111 00:56:37,900 --> 00:56:40,133 -GOOD JOB. -WATCH THOSE MUSCLES. 1112 00:56:40,133 --> 00:56:43,367 IT WILL TAKE LUPE A FEW WEEKS TO FULLY HEAL. 1113 00:56:43,367 --> 00:56:44,800 BUT WE NEED TO MAKE SURE 1114 00:56:44,800 --> 00:56:47,867 SHE DOESN'T USE THE DIFFICULTY OF RECOVERY 1115 00:56:47,867 --> 00:56:51,567 AS AN EXCUSE TO BECOME IMMOBILE AGAIN. 1116 00:56:51,567 --> 00:56:54,967 SHE NEEDS TO TAKE IT EASY FOR A BIT 1117 00:56:54,967 --> 00:56:57,633 AND MAKE SURE SHE DOESN'T OVERDO IT 1118 00:56:57,633 --> 00:57:00,300 AND DAMAGE THE SUTURES. 1119 00:57:00,300 --> 00:57:02,233 BUT SHE SHOULD BE ABLE TO RECOVER WELL 1120 00:57:02,233 --> 00:57:06,267 AND GET BACK TO EVERYTHING SHE WAS DOING VERY SOON. 1121 00:57:09,133 --> 00:57:12,167 ** 1122 00:57:20,767 --> 00:57:23,200 Ashley: AFTER SEEING DR. NOW AT MY LAST APPOINTMENT, 1123 00:57:23,200 --> 00:57:26,400 I WAS DISAPPOINTED THAT I DIDN'T GET APPROVED FOR SURGERY. 1124 00:57:26,400 --> 00:57:28,067 HEY, PEP-PEP, COME HERE. 1125 00:57:28,067 --> 00:57:30,367 GET MOMMY THE WORCESTERSHIRE. 1126 00:57:30,367 --> 00:57:32,667 BUT I HAVEN'T LET IT GET ME DISCOURAGED. 1127 00:57:32,667 --> 00:57:35,633 AND I'M STILL STICKING TO THE DIET 1128 00:57:35,633 --> 00:57:38,567 AND WHAT I'M SUPPOSED TO BE EATING. 1129 00:57:38,567 --> 00:57:41,633 I DON'T WANT TO GO OFF TRACK AND START GAINING AGAIN. 1130 00:57:43,667 --> 00:57:45,067 YES, PLEASE, MOM. 1131 00:57:45,067 --> 00:57:47,300 I DON'T WANT TO LOSE ALL MY PROGRESS, 1132 00:57:47,300 --> 00:57:50,167 AND MY GOAL IS STILL TO GET BELOW 350 1133 00:57:50,167 --> 00:57:52,233 SO I CAN GET APPROVED NEXT TIME. 1134 00:57:52,233 --> 00:57:54,467 -ALL RIGHT. IT'S COOKING. -ALL RIGHT. THANK YOU, MAMA. 1135 00:57:54,467 --> 00:57:57,133 I DON'T WANT TO MESS UP ALL MY PROGRESS, 1136 00:57:57,133 --> 00:58:00,433 SO I'M STICKING TO MY DIET AND EATING HEALTHY. 1137 00:58:00,433 --> 00:58:03,067 I'M GONNA PUT THESE IN THE FRIDGE. 1138 00:58:03,067 --> 00:58:06,067 [ SPEAKING INDISTINCTLY ] 1139 00:58:06,067 --> 00:58:08,200 DR. NOWZARADAN'S RIGHT THAT IT'S HARDER 1140 00:58:08,200 --> 00:58:10,700 WITHOUT MY FAMILY EATING WHAT I EAT. 1141 00:58:10,700 --> 00:58:15,967 BUT EVEN THOUGH THEY'RE ON THIS JOURNEY WITH ME, THEY AREN'T ME. 1142 00:58:15,967 --> 00:58:18,700 I'M GONNA SET THIS TIMER SO WE DON'T FORGET, OKAY, MOM? 1143 00:58:18,700 --> 00:58:23,133 AND I DON'T EXPECT THEM TO HAVE TO EAT WHAT I EAT. 1144 00:58:23,133 --> 00:58:25,933 BUT IT HAS BEEN A LITTLE HARDER RECENTLY. 1145 00:58:25,933 --> 00:58:28,267 THE LONGER YOU GO WITHOUT EATING THE THINGS YOU LIKE, 1146 00:58:28,267 --> 00:58:30,533 THE HARDER IT IS TO RESIST THEM. 1147 00:58:30,533 --> 00:58:33,633 BUT I'M TRYING TO EAT EVEN HEALTHIER RIGHT NOW 1148 00:58:33,633 --> 00:58:36,433 AND PUSHING MYSELF TO LOSE EVEN MORE WEIGHT. 1149 00:58:36,433 --> 00:58:38,967 SO I DECIDED I DON'T WANT TO HIT MY GOAL IN THREE MONTHS 1150 00:58:38,967 --> 00:58:40,867 LIKE DR. NOW SAID. 1151 00:58:43,133 --> 00:58:47,233 I WANT TO LOSE THE NEXT 50 POUNDS IN TWO MONTHS. 1152 00:58:47,233 --> 00:58:50,667 SO I'M EATING REALLY SMALL PORTIONS, 1153 00:58:50,667 --> 00:58:52,867 BECAUSE I WANT TO GET MY SKIN-REMOVAL SURGERY 1154 00:58:52,867 --> 00:58:54,633 AS SOON AS I CAN. 1155 00:58:57,233 --> 00:59:00,100 THE VEGGIES ARE DARK BECAUSE I PUT WORCESTERSHIRE SA-- 1156 00:59:00,100 --> 00:59:02,867 -[ SCOFFS ] -WORCESTERSHIRE SAUCE ON IT? 1157 00:59:04,833 --> 00:59:07,767 I WANT DR. NOW TO BE SURPRISED AT HOW WELL I'VE DONE 1158 00:59:07,767 --> 00:59:10,933 AND HOW MUCH I'VE LOST. 1159 00:59:10,933 --> 00:59:16,467 AND THEN I WANT TO HEAR HIM SAY HE THINKS I'M READY FOR SURGERY. 1160 00:59:16,467 --> 00:59:18,667 AND I CAN'T WAIT FOR THAT. 1161 00:59:21,467 --> 00:59:24,500 ** 1162 00:59:42,633 --> 00:59:44,800 I'M REALLY SCARED RIGHT NOW. 1163 00:59:44,800 --> 00:59:47,400 I DON'T KNOW WHAT'S WRONG WITH ME. 1164 00:59:47,400 --> 00:59:50,500 A FEW DAYS AGO, MY STOMACH STARTED TO REALLY HURT. 1165 00:59:50,500 --> 00:59:52,700 AND THEN THIS MORNING, THE PAIN GOT UNBEARABLE, 1166 00:59:52,700 --> 00:59:54,767 AND I WAS RUSHED TO THE HOSPITAL. 1167 00:59:54,767 --> 00:59:58,767 AND DR. NOWZARADAN SAYS I HAVE TO GO INTO SURGERY RIGHT NOW. 1168 01:00:01,467 --> 01:00:03,500 [ WOMAN SPEAKS INDISTINCTLY OVER P.A. ] 1169 01:00:03,500 --> 01:00:08,467 ASHLEY HAS BEEN PUSHING HERSELF TO LOSE WEIGHT VERY RAPIDLY. 1170 01:00:08,467 --> 01:00:10,833 BUT A SIDE EFFECT OF RAPID WEIGHT LOSS 1171 01:00:10,833 --> 01:00:13,533 CAN BE FORMATION OF GALLSTONES, 1172 01:00:13,533 --> 01:00:15,333 WHICH IS NOT ONLY PAINFUL, 1173 01:00:15,333 --> 01:00:17,967 BUT CAN LEAD TO A DANGEROUS SITUATION... 1174 01:00:22,700 --> 01:00:25,500 SO WE NEED TO GET HER INTO SURGERY FAST 1175 01:00:25,500 --> 01:00:28,033 AND REMOVE HER GALLBLADDER NOW... 1176 01:00:28,033 --> 01:00:30,433 Woman: THIS IS JUST OXYGEN. 1177 01:00:30,433 --> 01:00:33,800 ...BEFORE ANYTHING LIFE-THREATENING OCCURS. 1178 01:00:53,533 --> 01:00:55,633 Dr. Nowzaradan: ASHLEY HAS BEEN PUSHING HERSELF 1179 01:00:55,633 --> 01:00:58,767 TO LOSE A LOT OF WEIGHT REALLY FAST. 1180 01:00:58,767 --> 01:01:01,433 BUT A SIDE EFFECT OF RAPID WEIGHT LOSS 1181 01:01:01,433 --> 01:01:04,067 CAN BE FORMATION OF GALLSTONES. 1182 01:01:04,067 --> 01:01:07,833 AND HER GALLBLADDER IS IN VERY BAD SHAPE RIGHT NOW. 1183 01:01:07,833 --> 01:01:12,067 SO WE NEED TO DO AN EMERGENCY SURGERY SO I CAN REMOVE IT. 1184 01:01:14,167 --> 01:01:16,833 BUT THIS IS GOING TO BE A VERY DIFFICULT SURGERY, 1185 01:01:16,833 --> 01:01:21,300 BECAUSE IF IT'S RUPTURED, IT CAN BE DEADLY. 1186 01:01:21,300 --> 01:01:23,633 CAN YOU TURN THE ROOM LIGHT OFF? 1187 01:01:26,400 --> 01:01:28,900 A LITTLE TO THE LEFT. [ MONITOR BEEPING RAPIDLY ] 1188 01:01:28,900 --> 01:01:30,533 SLOWLY. 1189 01:01:30,533 --> 01:01:33,300 SHE HAS A LOT OF FATTY TISSUE IN HER ABDOMEN, 1190 01:01:33,300 --> 01:01:37,133 SO THIS IS GONNA BE A LITTLE BIT CHALLENGING. 1191 01:01:37,133 --> 01:01:39,700 KEEP GOING. 1192 01:01:39,700 --> 01:01:44,067 ALL RIGHT. I'M ALMOST THERE. 1193 01:01:44,067 --> 01:01:46,567 OKAY. LET'S REMOVE IT. 1194 01:01:46,567 --> 01:01:49,600 ** 1195 01:01:52,400 --> 01:01:57,167 OKAY. THE GALLBLADDER HAS BEEN REMOVED. 1196 01:01:57,167 --> 01:01:59,333 LET'S SUTURE HER UP. 1197 01:01:59,333 --> 01:02:02,933 ** 1198 01:02:02,933 --> 01:02:05,600 SURGERY IS COMPLETE. 1199 01:02:05,600 --> 01:02:08,333 ALL RIGHT. ASHLEY'S SURGERY WENT VERY WELL. 1200 01:02:08,333 --> 01:02:09,633 WE GOT HER GALLBLADDER OUT. 1201 01:02:09,633 --> 01:02:12,700 SHE HAD A LOT OF SCAR TISSUE FROM PREVIOUS SURGERY. 1202 01:02:12,700 --> 01:02:16,467 WE TOOK THOSE DOWN, AND SHE SHOULD DO OKAY. 1203 01:02:16,467 --> 01:02:20,367 THIS WILL KEEP ASHLEY IN BED FOR THE NEXT DAY OR SO. 1204 01:02:20,367 --> 01:02:23,067 AND SHE SHOULD BE ABLE TO RECOVER COMPLETELY 1205 01:02:23,067 --> 01:02:25,133 AND GET BACK TO HER WEIGHT LOSS. 1206 01:02:25,133 --> 01:02:29,833 BUT THIS TIME AROUND, SHE NEEDS TO NOT PUSH HERSELF SO HARD. 1207 01:02:29,833 --> 01:02:32,633 EATING ALMOST NOTHING ISN'T HEALTHY. 1208 01:02:32,633 --> 01:02:34,300 IT IS ABOUT EATING RIGHT, 1209 01:02:34,300 --> 01:02:37,533 AND EATING LESS IS NOT ALWAYS BETTER. 1210 01:02:37,533 --> 01:02:40,367 AND SO WE WILL MAKE SURE SHE UNDERSTANDS THAT, 1211 01:02:40,367 --> 01:02:45,600 AND SHE'LL GET BACK TO LOSING WEIGHT AT A HEALTHY PACE. 1212 01:02:45,600 --> 01:02:48,200 ASHLEY GETS AFRAID VERY EASILY. 1213 01:02:48,200 --> 01:02:50,533 AND IF SHE STARTS TO BECOME AFRAID 1214 01:02:50,533 --> 01:02:52,600 OF HOW LITTLE SHE'S EATING, 1215 01:02:52,600 --> 01:02:55,700 SHE MAY START TO OVEREAT AND GAIN AGAIN. 1216 01:02:55,700 --> 01:02:58,133 BUT WE WILL ADDRESS EVERYTHING WITH HER 1217 01:02:58,133 --> 01:03:00,967 AND SEE IF WE CAN CORRECT HER BEHAVIOR. 1218 01:03:04,733 --> 01:03:08,667 ** 1219 01:03:08,667 --> 01:03:09,900 Lupe: IT'S BEEN ABOUT A MONTH 1220 01:03:09,900 --> 01:03:12,200 SINCE I HAD MY SKIN-REMOVAL SURGERY, 1221 01:03:12,200 --> 01:03:13,867 AND I WAS HEALING WELL. 1222 01:03:13,867 --> 01:03:16,933 YOU NEED TO COME AND CHECK MY WOUND, BABE. 1223 01:03:16,933 --> 01:03:18,567 THEY'RE STILL HURTING. 1224 01:03:20,900 --> 01:03:22,233 MM-HMM. 1225 01:03:22,233 --> 01:03:23,800 BUT GILBERT WAS REALLY INSISTENT 1226 01:03:23,800 --> 01:03:25,633 THAT WE HAVE SEX WHEN I GOT HOME, 1227 01:03:25,633 --> 01:03:30,367 BECAUSE WITH ME BEING IN THE HOSPITAL, IT HAD BEEN A WHILE. 1228 01:03:30,367 --> 01:03:34,533 AND AFTERWARDS, IT FELT LIKE I HAD RIPPED OPEN MY SUTURES. 1229 01:03:36,167 --> 01:03:39,133 OW, THAT HURT. 1230 01:03:39,133 --> 01:03:40,967 [ WHIMPERS ] 1231 01:03:40,967 --> 01:03:43,167 I WAS HOPING IT WOULD START TO HEAL, 1232 01:03:43,167 --> 01:03:46,067 BUT THE PAIN IS SO UNBEARABLE RIGHT NOW. 1233 01:03:46,067 --> 01:03:47,600 I ASKED GILBERT TO CALL AN AMBULANCE 1234 01:03:47,600 --> 01:03:51,100 TO TAKE ME TO THE HOSPITAL SO I CAN SEE DR. NOWZARADAN. 1235 01:03:51,100 --> 01:03:53,333 OW. 1236 01:03:53,333 --> 01:03:56,700 SORRY, LOVE, FOR KIND OF [BLEEP] UP YOUR WOUND 1237 01:03:56,700 --> 01:03:58,667 FROM SEX. 1238 01:03:58,667 --> 01:04:00,067 I APOLOGIZE. 1239 01:04:00,067 --> 01:04:02,067 I DO WHAT I GOT TO DO. I'M A MAN. 1240 01:04:02,067 --> 01:04:03,400 I HAVE MY NEEDS. 1241 01:04:03,400 --> 01:04:05,433 BUT YOU AIN'T GOT TO BRING THAT UP TO THE DOCTOR. 1242 01:04:05,433 --> 01:04:07,600 HE DON'T NEED TO KNOW THAT [BLEEP] 1243 01:04:07,600 --> 01:04:09,233 JUST SAY IT'S THE DRAINAGE TUBES. 1244 01:04:09,233 --> 01:04:10,967 WE'LL JUST MOVE ALONG WITH THAT [BLEEP] 1245 01:04:10,967 --> 01:04:13,833 -DON'T BRING THAT UP, PLEASE? -I'M NOT! LEAVE ME ALONE. 1246 01:04:13,833 --> 01:04:17,067 -MY GOD. -[BLEEP] 1247 01:04:17,067 --> 01:04:19,067 I FEEL LIKE WHEN I REALLY NEED GILBERT, 1248 01:04:19,067 --> 01:04:23,767 HE ONLY MAKES THINGS WORSE, AND HE ISN'T THERE FOR ME. 1249 01:04:23,767 --> 01:04:25,800 I NEED A BEER, LOVE. I'M STRESSING. 1250 01:04:25,800 --> 01:04:27,733 IT'S THE WEEKEND. I'M STRESSING 1251 01:04:27,733 --> 01:04:29,700 'CAUSE OF THIS [BLEEP] WE KEEP GOING THROUGH, 1252 01:04:29,700 --> 01:04:31,300 THIS ROLLER-COASTER JOURNEY. 1253 01:04:31,300 --> 01:04:34,100 I NEED TO GET TO THE HOSPITAL RIGHT NOW, 1254 01:04:34,100 --> 01:04:36,433 AND ALL HE CAN THINK ABOUT IS GETTING DRUNK. 1255 01:04:36,433 --> 01:04:38,167 I'M NOT DRINKING TO GET [BLEEP] UP. 1256 01:04:38,167 --> 01:04:41,067 I'M DRINKING TO GET A SLIGHT BUZZ, AND THAT'S IT, SO... 1257 01:04:41,067 --> 01:04:44,100 ** 1258 01:04:47,267 --> 01:04:49,067 WHY CAN'T I HAVE NORMAL WEEKEND? 1259 01:04:49,067 --> 01:04:50,767 WE'RE ALWAYS AT THE HOSPITAL ON THE WEEKENDS. 1260 01:04:50,767 --> 01:04:53,067 [ LAUGHS ] 1261 01:04:53,067 --> 01:04:55,467 FIVE HOURS IN THE E.R. 1262 01:04:55,467 --> 01:04:57,867 OH, MY GOD. UNBELIEVABLE. 1263 01:04:57,867 --> 01:05:00,967 ** 1264 01:05:07,167 --> 01:05:09,900 [ KNOCK ON DOOR ] 1265 01:05:09,900 --> 01:05:11,633 -HI. -HI. 1266 01:05:11,633 --> 01:05:13,333 YEAH, COME IN. HI. 1267 01:05:16,567 --> 01:05:19,267 Gilbert: I'VE BEEN PUTTING MY WIFE FIRST AND TAKING CARE OF HER 1268 01:05:19,267 --> 01:05:22,233 AND MAKING SURE SHE GETS TO WHERE SHE HAS TO BE. 1269 01:05:22,233 --> 01:05:23,733 WHAT ABOUT ME? 1270 01:05:23,733 --> 01:05:26,200 ONE, TWO, THREE. 1271 01:05:28,167 --> 01:05:30,200 -OH, MY GOD. -NO, DON'T MOVE. 1272 01:05:32,633 --> 01:05:34,900 Lupe: I'M SCARED RIGHT NOW, 1273 01:05:34,900 --> 01:05:37,167 AND I NEED GILBERT TO BE BY MY SIDE, 1274 01:05:37,167 --> 01:05:39,600 NOT DRUNK AND BARELY ABLE TO STAND. 1275 01:05:39,600 --> 01:05:43,300 I DESERVE A LOT BETTER THAN THAT. 1276 01:05:43,300 --> 01:05:48,233 HE CARES MORE ABOUT HIMSELF AND WHAT HE WANTS THAN ME. 1277 01:05:48,233 --> 01:05:50,167 -YOU GOT IT FROM HERE? -YEAH. 1278 01:05:50,167 --> 01:05:51,467 SO I'LL GO BY MYSELF. 1279 01:05:51,467 --> 01:05:53,633 OKAY. 1280 01:05:53,633 --> 01:05:54,833 AND I MAY NEED TO THINK 1281 01:05:54,833 --> 01:05:57,567 ABOUT MAKING SOME BIGGER CHANGES IN MY LIFE. 1282 01:06:02,533 --> 01:06:05,567 ** 1283 01:06:17,667 --> 01:06:20,533 Ashley: WHEN I HAD TO GO INTO EMERGENCY SURGERY LAST MONTH, 1284 01:06:20,533 --> 01:06:22,267 IT REALLY SCARED ME. 1285 01:06:22,267 --> 01:06:24,833 WELL, THEY'RE GONNA EAT WHAT I MAKE THEM EAT, BUT -- 1286 01:06:24,833 --> 01:06:28,533 I DIDN'T REALIZE LOSING WEIGHT THAT FAST COULD DO THAT. 1287 01:06:31,500 --> 01:06:34,867 I JUST WANTED TO LOSE WEIGHT SO I COULD GET SKIN REMOVAL. 1288 01:06:38,267 --> 01:06:41,433 BUT I UNDERSTAND NOW HOW DANGEROUS THAT IS. 1289 01:06:44,300 --> 01:06:47,667 SO I'M TRYING TO MAKE SURE I EAT MORE THAN I WAS 1290 01:06:47,667 --> 01:06:51,767 AND THAT I DON'T PUSH MYSELF TO LOSE TOO MUCH TOO QUICK. 1291 01:06:51,767 --> 01:06:54,233 SO, RIGHT NOW, I'M JUST TRYING TO FIND THE BALANCE 1292 01:06:54,233 --> 01:06:58,600 SO I CAN KEEP MOVING TOWARD GETTING UNDER 350 POUNDS, 1293 01:06:58,600 --> 01:07:02,900 SO I CAN FINALLY GET MY SKIN SURGERY APPROVAL. 1294 01:07:02,900 --> 01:07:04,533 [ MICROWAVE BEEPS ] 1295 01:07:04,533 --> 01:07:06,500 Boy: I LOVE MY CARROTS. 1296 01:07:06,500 --> 01:07:08,833 Boy #2: HOW CAN YOU LOVE YOUR CARROTS? 1297 01:07:08,833 --> 01:07:12,900 I SEE THE DOCTOR IN A MONTH. 1298 01:07:12,900 --> 01:07:16,600 AND I'M JUST TERRIFIED THAT WORST-CASE SCENARIO, 1299 01:07:16,600 --> 01:07:20,300 I'M GOING TO START TO GAIN AGAIN. 1300 01:07:20,300 --> 01:07:25,433 AND JUST THE THOUGHT OF THAT MAKES ME SO AFRAID. 1301 01:07:25,433 --> 01:07:27,367 I CAN'T GO BACK TO THE WAY I WAS, 1302 01:07:27,367 --> 01:07:30,700 SO NO MATTER WHAT, I HAVE TO STAY ON TRACK. 1303 01:07:30,700 --> 01:07:33,800 IF I DON'T, I'M GOING TO LOSE EVERYTHING. 1304 01:07:53,133 --> 01:07:54,800 Lupe: AFTER A REALLY HARD MONTH, 1305 01:07:54,800 --> 01:07:57,133 THINGS ARE GETTING A LITTLE BETTER FOR ME. 1306 01:07:57,133 --> 01:07:58,700 WHEN I GOT TO THE HOSPITAL, 1307 01:07:58,700 --> 01:08:01,300 DR. NOWZARADAN TOOK ONE LOOK AT MY SUTURES 1308 01:08:01,300 --> 01:08:03,500 AND RUSHED ME INTO SURGERY. 1309 01:08:03,500 --> 01:08:06,633 AND IT WAS A REALLY HARD RECOVERY AFTER THAT. 1310 01:08:09,100 --> 01:08:11,467 BUT I'M STARTING TO TURN A CORNER NOW. 1311 01:08:11,467 --> 01:08:12,633 Gilbert: I'M BACK, LOVE. 1312 01:08:12,633 --> 01:08:14,833 AND THINGS ARE BETTER WITH ME AND GILBERT. 1313 01:08:14,833 --> 01:08:16,967 HE APOLOGIZED FOR HOW HE ACTED, 1314 01:08:16,967 --> 01:08:19,967 AND HE'S BEEN REALLY SWEET TO ME SINCE THEN. 1315 01:08:19,967 --> 01:08:22,433 BECAUSE I'M SO PROUD OF YOU, LOVE, 1316 01:08:22,433 --> 01:08:24,533 I GOT YOU SOME NEW OUTFITS. 1317 01:08:24,533 --> 01:08:26,633 OOH-HOO! 1318 01:08:26,633 --> 01:08:28,767 YOU GONNA PUT THIS ON FOR ME LATER TONIGHT? 1319 01:08:28,767 --> 01:08:31,567 -YES, GILBERT. -OKAY. 1320 01:08:31,567 --> 01:08:33,233 THANK YOU, BABE. 1321 01:08:33,233 --> 01:08:35,367 I FIGURED WE'D GO OUTSIDE, YOU KNOW? 1322 01:08:35,367 --> 01:08:36,900 Gilbert: I WANT LUPE TO REALIZE THE FACT 1323 01:08:36,900 --> 01:08:39,633 THAT SHE'S NOT 650 OR 700 NO MORE. 1324 01:08:39,633 --> 01:08:41,467 SHE'S MY WEIGHT OR LESS. 1325 01:08:41,467 --> 01:08:44,567 SHE DON'T NEED TO BE IN THE BED ALL DAY, YOU KNOW? 1326 01:08:44,567 --> 01:08:47,267 Lupe: I'M REALLY PUSHING MYSELF TO DO MORE RIGHT NOW. 1327 01:08:47,267 --> 01:08:52,100 AND EVERY DAY, GILBERT HELPS ME STAND. 1328 01:08:52,100 --> 01:08:56,767 AND THEN WE GO OUTSIDE, AND I SEE HOW FAR I CAN WALK. 1329 01:08:56,767 --> 01:08:58,867 AND I TRY TO GO A LITTLE BIT FARTHER 1330 01:08:58,867 --> 01:09:02,833 THAN I DID THE LAST TIME. 1331 01:09:02,833 --> 01:09:04,633 YOU GOT IT, BABY. THERE YOU GO. 1332 01:09:04,633 --> 01:09:07,933 I KNOW SOMETIMES GILBERT CAN BE A LITTLE SELFISH, 1333 01:09:07,933 --> 01:09:12,467 BUT I KNOW IT HAS TO BE HARD TO DO EVERYTHING HE DOES FOR ME. 1334 01:09:12,467 --> 01:09:15,067 THAT'S ONE OF THE REASONS I WANT TO GET MORE INDEPENDENT 1335 01:09:15,067 --> 01:09:17,167 AND DO THINGS FOR MYSELF, 1336 01:09:17,167 --> 01:09:19,133 SO HE DOESN'T HAVE TO ANYMORE, 1337 01:09:19,133 --> 01:09:21,400 AND WE CAN BE HUSBAND AND WIFE. 1338 01:09:21,400 --> 01:09:22,900 -I WANT TO SIT DOWN, BABE. -OKAY. 1339 01:09:22,900 --> 01:09:24,800 MY RIGHT LEG'S GIVING OUT. 1340 01:09:28,067 --> 01:09:29,100 THAT WAS GOOD. 1341 01:09:29,100 --> 01:09:33,267 SO I'M DOING THIS NO MATTER WHAT. 1342 01:09:33,267 --> 01:09:34,667 Lupe: YOU WANT TO RACE? 1343 01:09:36,467 --> 01:09:39,500 ** 1344 01:09:43,767 --> 01:09:46,300 Ashley: I'M AT MY NEXT APPOINTMENT WITH DR. NOWZARADAN, 1345 01:09:46,300 --> 01:09:48,133 AND I'M REALLY NERVOUS RIGHT NOW. 1346 01:09:48,133 --> 01:09:50,900 Woman: ASHLEY DUNN? 1347 01:09:50,900 --> 01:09:55,367 LAST TIME I HAD MY WEIGHT CHECKED, I WAS DOWN TO 361. 1348 01:09:55,367 --> 01:09:58,567 SO ALL I HAD TO LOSE TO GET DOWN UNDER 350 1349 01:09:58,567 --> 01:10:02,300 AND QUALIFY FOR SKIN-REMOVAL SURGERY WAS 11 POUNDS. 1350 01:10:02,300 --> 01:10:04,367 BUT SINCE I'VE BEEN HAVING TO EAT MORE, 1351 01:10:04,367 --> 01:10:06,933 I HAVE NO IDEA WHAT MY PROGRESS HAS BEEN. 1352 01:10:09,133 --> 01:10:12,067 Woman: 395. 1353 01:10:12,067 --> 01:10:15,500 LIKE, WHAT THE HELL? 1354 01:10:15,500 --> 01:10:19,500 I'M LITERALLY IN SHOCK RIGHT NOW. 1355 01:10:19,500 --> 01:10:23,967 I'M ALMOST BACK UP TO WHAT I WAS FOUR MONTHS AGO. 1356 01:10:23,967 --> 01:10:25,500 Ashley: I'M JUST TIRED OF THIS. 1357 01:10:25,500 --> 01:10:28,433 I THOUGHT I HAD KIND OF CONQUERED THE DEMONS, 1358 01:10:28,433 --> 01:10:30,833 BUT I HAVEN'T. THEY'RE STILL THERE. 1359 01:10:30,833 --> 01:10:32,800 [ KNOCK ON DOOR ] 1360 01:10:32,800 --> 01:10:35,067 -HELLO. -HELLO, DR. NOWZARADAN. 1361 01:10:35,067 --> 01:10:37,600 -HOW Y'ALL DOING? -I'VE BEEN BETTER. 1362 01:10:37,600 --> 01:10:41,700 I WASN'T TOO HAPPY WITH MY SCALE WEIGHT THIS TIME. 1363 01:10:41,700 --> 01:10:44,367 YOU GAINED OVER 30 POUNDS THIS PAST MONTH, 1364 01:10:44,367 --> 01:10:46,067 WHICH ISN'T GOOD AT ALL. 1365 01:10:46,067 --> 01:10:48,167 I CAN'T LIE TO YOU. I'VE BEEN MESSING UP. 1366 01:10:48,167 --> 01:10:50,300 I THINK IT'S JUST MY BRAIN. 1367 01:10:50,300 --> 01:10:52,500 -IT'S WHAT? -IT'S JUST MENTAL, THOUGH. 1368 01:10:52,500 --> 01:10:54,800 WE WALKED THROUGH THIS AFTER SURGERY, 1369 01:10:54,800 --> 01:10:57,200 BECAUSE THIS WAS ONE OF MY CONCERNS. 1370 01:10:57,200 --> 01:11:00,467 YOU GET AFRAID, AND YOU START OVER-THINKING THINGS, 1371 01:11:00,467 --> 01:11:02,800 AND YOU START TO LET THAT FEAR 1372 01:11:02,800 --> 01:11:05,600 AFFECT YOUR BEHAVIOR IN NEGATIVE WAYS. 1373 01:11:05,600 --> 01:11:08,067 I'VE GOT PRETTY GOOD CONTROL OVER IT MOST OF THE TIME. 1374 01:11:08,067 --> 01:11:10,067 BUT IT GETS THE BETTER OF ME. 1375 01:11:10,067 --> 01:11:13,100 YOU'RE USING EVERYTHING THAT HAPPENED WITH YOUR GALLBLADDER 1376 01:11:13,100 --> 01:11:15,167 AS AN EXCUSE RIGHT NOW. 1377 01:11:15,167 --> 01:11:16,667 I KNOW. 1378 01:11:16,667 --> 01:11:18,667 ONE OF ASHLEY'S BIGGEST ISSUES 1379 01:11:18,667 --> 01:11:23,100 IS HOW SHE DEAL WITH FEAR IN SELF-DESTRUCTIVE WAYS. 1380 01:11:23,100 --> 01:11:27,267 SHE LET HER FEAR JUSTIFY GIVING IN TO HER TEMPTATION, 1381 01:11:27,267 --> 01:11:28,500 BUT SHE KNOWS BETTER. 1382 01:11:28,500 --> 01:11:31,200 SHE HAS A MANUAL ON HOW TO DO THIS, 1383 01:11:31,200 --> 01:11:33,567 COVERING WHAT SHE SHOULD EAT. 1384 01:11:33,567 --> 01:11:37,067 SO, TELL ME HOW YOU CHANGED YOUR EATING HABITS. 1385 01:11:37,067 --> 01:11:41,067 I EAT MEAT AND VEGGIES, AND I EAT THREE TIMES A DAY. 1386 01:11:41,067 --> 01:11:44,633 YOUR STOMACH IS MUCH SMALLER AFTER WEIGHT-LOSS SURGERY, 1387 01:11:44,633 --> 01:11:47,467 SO YOU ONLY HAVE ROOM FOR PROTEIN. 1388 01:11:47,467 --> 01:11:51,467 VEGETABLE AND SALAD WILL FILL YOU WITH VERY LITTLE NUTRITION, 1389 01:11:51,467 --> 01:11:53,833 AND YOUR BODY WILL STILL BE HUNGRY, 1390 01:11:53,833 --> 01:11:55,700 AND YOU'LL OVEREAT AGAIN. 1391 01:11:55,700 --> 01:11:57,867 I GOT TO GET MY STUFF TOGETHER. 1392 01:11:57,867 --> 01:12:01,267 AND YOU NEED TO STAY ACTIVE, TOO. 1393 01:12:01,267 --> 01:12:05,367 OKAY, GET BACK ON TRACK AND LOSE 20 POUNDS A MONTH. 1394 01:12:05,367 --> 01:12:09,867 NO MORE EXCUSES OR LETTING FEAR GET TO YOU. 1395 01:12:09,867 --> 01:12:11,900 YOU CAN DO THIS, ASHLEY. 1396 01:12:11,900 --> 01:12:13,967 I CAME TOO FAR NOW TO GO BACK. 1397 01:12:13,967 --> 01:12:15,700 ALL RIGHT. I'LL SEE YOU NEXT MONTH. 1398 01:12:15,700 --> 01:12:18,567 -THANK YOU, DR. NOWZARADAN. -ALL RIGHT. 1399 01:12:18,567 --> 01:12:20,067 THE REALITY OF THE SITUATION 1400 01:12:20,067 --> 01:12:23,200 IS THAT ASHLEY KNEW WHEN SHE WAS OVEREATING. 1401 01:12:23,200 --> 01:12:25,767 AND I NEED HER TO GET BACK ON TRACK NOW, 1402 01:12:25,767 --> 01:12:28,733 BECAUSE ONCE THE WEIGHT GAINS START AGAIN, 1403 01:12:28,733 --> 01:12:31,233 IT MAY BECOME OUT OF CONTROL. 1404 01:12:31,233 --> 01:12:35,400 ** 1405 01:12:35,400 --> 01:12:37,133 WE CAN'T GIVE UP. 1406 01:12:37,133 --> 01:12:39,867 I'M NOT. 1407 01:12:39,867 --> 01:12:42,733 IT'S JUST LIFE, AND I'M GONNA HAVE TO FIGURE IT OUT. 1408 01:12:44,833 --> 01:12:47,533 Ashley: I'M REALLY DISAPPOINTED IN MYSELF. 1409 01:12:49,500 --> 01:12:51,833 I WAS SO DETERMINED TO LOSE THE WEIGHT. 1410 01:12:51,833 --> 01:12:54,367 WHEN I GOT THROWN FOR A CURVE WITH MY GALLBLADDER, 1411 01:12:54,367 --> 01:12:55,700 I DIDN'T KNOW WHAT TO DO. 1412 01:12:55,700 --> 01:12:59,133 SO I JUST ATE. 1413 01:12:59,133 --> 01:13:01,833 BUT I CAN'T GO BACK TO THE WAY I WAS. 1414 01:13:01,833 --> 01:13:03,833 MY SON AND MY HUSBAND ARE RELYING ON ME, 1415 01:13:03,833 --> 01:13:07,767 AND I'M NOT GOING TO LET THEM DOWN. 1416 01:13:07,767 --> 01:13:09,767 NO MATTER WHAT IT TAKES, 1417 01:13:09,767 --> 01:13:12,533 I'M GONNA WORK AS HARD AS I'VE EVER WORKED. 1418 01:13:14,500 --> 01:13:17,533 ** 1419 01:13:22,700 --> 01:13:25,200 BABE, ALL I'M SAYING IT'S 10 YEARS THAT WE'VE BEEN TOGETHER, 1420 01:13:25,200 --> 01:13:26,900 AND YOU WANT TO BREAK THIS UP. 1421 01:13:31,967 --> 01:13:33,400 YOU'RE SAYING THAT YOU'RE IN LOVE WITH ME, 1422 01:13:33,400 --> 01:13:34,967 YOU DON'T WANT TO LEAVE ME, AND ALL THIS STUFF, 1423 01:13:34,967 --> 01:13:36,567 BUT YOU WANT TO SEPARATE. 1424 01:13:36,567 --> 01:13:38,533 YOU COULD GIVE ME ONE MORE CHANCE, LOVE. 1425 01:13:38,533 --> 01:13:40,433 THAT'S ALL I ASK. 1426 01:13:40,433 --> 01:13:42,733 10 YEARS, LOVE. 10 YEARS OF ME TAKING CARE OF YOU. 1427 01:13:42,733 --> 01:13:44,567 YOU CAN GIVE ME ONE CHANCE. 1428 01:13:44,567 --> 01:13:47,233 I CAN'T BELIEVE THIS IS HAPPENING. 1429 01:13:47,233 --> 01:13:50,900 SHE'S WORRIED THAT I'M DOING SOME OF THE SAME STUFF AGAIN. 1430 01:13:50,900 --> 01:13:52,967 I'M ASKING YOU, WHAT ARE YOU DOING ON YOUR PHONE? 1431 01:13:52,967 --> 01:13:54,967 I'M GONNA HAVE TO GO ON THERE AND FIND OUT FOR MYSELF. 1432 01:13:54,967 --> 01:13:56,700 THERE'S ALL KINDS OF CHICKS. 1433 01:13:56,700 --> 01:13:59,067 SOMETIMES I FEEL LIKE I'M OUT LOOKING FOR AFFECTION SOMETIMES 1434 01:13:59,067 --> 01:14:01,733 'CAUSE I DON'T GET IT FROM YOU. 1435 01:14:01,733 --> 01:14:03,300 I LOVE YOU, LOVE. 1436 01:14:06,733 --> 01:14:09,267 I KNOW I LIED, BUT 10 YEARS TOGETHER -- 1437 01:14:09,267 --> 01:14:12,800 I'VE BEEN BY HER FOR ALL THAT TIME TAKING CARE OF HER 1438 01:14:12,800 --> 01:14:16,067 AND NEVER WOULD EXPECT IT TO GET TO THIS. 1439 01:14:16,067 --> 01:14:18,400 [ Crying ] THIS IS TOO MUCH FOR ME TO HANDLE. 1440 01:14:18,400 --> 01:14:20,433 [ CRYING ] 1441 01:14:22,400 --> 01:14:23,900 PLEASE HELP HER UNDERSTAND, LORD, 1442 01:14:23,900 --> 01:14:27,167 THAT I NEED HER TO HELP ME. 1443 01:14:27,167 --> 01:14:28,833 [ CRYING ] 1444 01:14:56,067 --> 01:14:59,500 Lupe: I'M IN A HOTEL RIGHT NOW BECAUSE I'VE LEFT GILBERT. 1445 01:14:59,500 --> 01:15:04,067 I'M DONE WITH HIS CHEATING, HIS DRINKING, AND HIS ABUSE. 1446 01:15:04,067 --> 01:15:07,600 AND I'VE SEEN THAT AS I LOSE WEIGHT MORE, 1447 01:15:07,600 --> 01:15:11,067 IT'S GETTING WORSE -- HIS INSECURITIES, HIS JEALOUSY. 1448 01:15:11,067 --> 01:15:13,367 THAT'S NOT A LIFE FOR ME. 1449 01:15:13,367 --> 01:15:17,067 AND FINDING OUT HE WAS STILL CONTACTING OTHER WOMEN ONLINE 1450 01:15:17,067 --> 01:15:19,800 WAS THE FINAL STRAW FOR ME. 1451 01:15:19,800 --> 01:15:21,567 I DESERVE BETTER. 1452 01:15:21,567 --> 01:15:23,500 BUT I STILL NEED SOME HELP. 1453 01:15:23,500 --> 01:15:25,600 [ KNOCK ON DOOR ] 1454 01:15:25,600 --> 01:15:29,233 SO MY COUSIN IS COMING IN FROM SAN ANTONIO TO MEET ME TODAY. 1455 01:15:29,233 --> 01:15:31,733 -HEY! -HEY. 1456 01:15:31,733 --> 01:15:34,067 OH, MY GOD. GIRL, YOU LOOK GOOD. 1457 01:15:34,067 --> 01:15:36,267 [ CHUCKLES ] 1458 01:15:36,267 --> 01:15:39,600 [ CRYING ] 1459 01:15:39,600 --> 01:15:41,967 -THANK YOU. -WE'RE GONNA DO THIS TOGETHER. 1460 01:15:41,967 --> 01:15:43,933 GIRL, YOU'LL BE ABLE TO DO THIS. 1461 01:15:43,933 --> 01:15:46,733 YOU'RE VERY STRONG. LOOK AT HOW FAR YOU'VE COME. 1462 01:15:46,733 --> 01:15:48,667 WANT TO GO SIT DOWN? 1463 01:15:48,667 --> 01:15:52,133 NO, LIKE, THAT'S WHY I'M HERE. LET ME HELP YOU. 1464 01:15:52,133 --> 01:15:54,733 [ BOTH CHUCKLE ] 1465 01:15:54,733 --> 01:15:56,667 SO, HOW IS IT GOING? 1466 01:15:56,667 --> 01:15:58,900 I FINALLY MADE THE MOVE THAT I NEEDED TO MAKE 1467 01:15:58,900 --> 01:16:00,533 A LONG TIME AGO, YOU KNOW? 1468 01:16:00,533 --> 01:16:03,467 -I AGREE. -AND AS MUCH AS IT HURTS ME, 1469 01:16:03,467 --> 01:16:05,400 I HAVE TO STAND STRONG. 1470 01:16:05,400 --> 01:16:07,300 JUST BECAUSE HE TAKES CARE OF ME, HE WIPES MY ASS, 1471 01:16:07,300 --> 01:16:10,633 WHATEVER HE DOES, IT DOESN'T MEAN THAT I HAVE TO PUT UP 1472 01:16:10,633 --> 01:16:12,200 -WITH WHAT I PUT UP WITH. -NO, YOU DON'T. 1473 01:16:12,200 --> 01:16:14,667 I'M SORRY. I'M NOT GONNA LIVE THIS WAY NO MORE. 1474 01:16:14,667 --> 01:16:16,333 WELL, I'M PROUD OF YOU. 1475 01:16:16,333 --> 01:16:17,767 I KNOW IT'S HARD. I KNOW IT'S HARD. 1476 01:16:17,767 --> 01:16:19,567 GIRL, IT IS HARD AFTER ALMOST NINE YEARS. 1477 01:16:19,567 --> 01:16:21,067 IT HAS TO CHANGE. 1478 01:16:21,067 --> 01:16:25,767 I'M NOT GILBERT, BUT I WILL TAKE CARE OF YOU, YOU KNOW? 1479 01:16:25,767 --> 01:16:28,467 I JUST NEED -- LIKE I TOLD HIM, I NEED SPACE. 1480 01:16:28,467 --> 01:16:32,067 I'M FEELING LIKE I CAN FINALLY START TO BE ME NOW. 1481 01:16:32,067 --> 01:16:34,933 THERE'S SO MUCH LIFE I HAVEN'T EXPERIENCED, 1482 01:16:34,933 --> 01:16:38,200 AND GILBERT'S NOT GOING TO STOP ME FROM THAT NO MATTER WHAT. 1483 01:16:40,167 --> 01:16:43,200 ** 1484 01:16:52,900 --> 01:16:54,267 Ashley: I'VE BEEN THINKING A LOT 1485 01:16:54,267 --> 01:16:57,067 ABOUT WHAT DR. NOWZARADAN SAID AT MY LAST APPOINTMENT, 1486 01:16:57,067 --> 01:16:59,467 AND I KNOW HE'S RIGHT. 1487 01:16:59,467 --> 01:17:04,800 SO I'M GETTING BACK ON TRACK. 1488 01:17:04,800 --> 01:17:08,767 I ALSO TALKED TO MY WHOLE FAMILY ABOUT SUPPORTING ME MORE. 1489 01:17:08,767 --> 01:17:12,900 AND JAKE SAID HE WASN'T SURE HE COULD DO THE DIET WITH ME. 1490 01:17:12,900 --> 01:17:14,667 BUT HE'LL AT LEAST WORK OUT WITH ME. 1491 01:17:14,667 --> 01:17:15,900 ALL RIGHT, BABY. YOU READY? 1492 01:17:15,900 --> 01:17:18,567 [ SIGHS ] ARE YOU? 1493 01:17:18,567 --> 01:17:20,533 AS I'LL EVER BE. 1494 01:17:20,533 --> 01:17:23,933 SO TODAY, WE ARE STARTING A NEW WORKOUT PLAN TOGETHER, 1495 01:17:23,933 --> 01:17:25,367 AND I'M EXCITED ABOUT IT. 1496 01:17:25,367 --> 01:17:28,667 MY GOAL IS TO GET BACK ON TRACK AND LOSE THE WEIGHT I NEED 1497 01:17:28,667 --> 01:17:31,800 TO FINALLY GET APPROVED FOR SKIN SURGERY. 1498 01:17:31,800 --> 01:17:33,367 BRING THAT WOODEN CHAIR OVER HERE. 1499 01:17:33,367 --> 01:17:34,700 SET IT RIGHT THERE. 1500 01:17:34,700 --> 01:17:36,833 READY? SET? 1501 01:17:36,833 --> 01:17:38,100 OKAY, GO. 1502 01:17:38,100 --> 01:17:42,800 BUT ALL I WANT TO START SEEING IS PROGRESS AGAIN. 1503 01:17:42,800 --> 01:17:44,333 WALK. 1504 01:17:44,333 --> 01:17:47,200 SO MY GOAL FOR MY DOCTOR'S APPOINTMENT NEXT MONTH 1505 01:17:47,200 --> 01:17:49,400 IS TO AT LEAST LOSE 20 POUNDS. 1506 01:17:49,400 --> 01:17:51,067 I JUST HAVE TO COMMIT. 1507 01:17:51,067 --> 01:17:54,233 -OTHER ONE NOW? -YEP. 1508 01:17:54,233 --> 01:17:55,833 SO THAT'S WHAT I'M DOING. 1509 01:17:55,833 --> 01:17:58,833 NO MORE EXCUSES OR GIVING INTO FEAR, 1510 01:17:58,833 --> 01:18:02,400 BECAUSE I KNOW I CAN DO THIS. 1511 01:18:02,400 --> 01:18:06,333 -YOU DID GOOD, BABE. -YEAH. YOU, TOO. 1512 01:18:06,333 --> 01:18:09,367 ** 1513 01:18:16,133 --> 01:18:17,800 Lupe: TODAY, I'M HERE TO SEE DR. NOW 1514 01:18:17,800 --> 01:18:20,167 TO FIND OUT HOW MUCH PROGRESS I'M MAKING. 1515 01:18:20,167 --> 01:18:22,467 LUPE SAMANO? 1516 01:18:22,467 --> 01:18:27,733 I WAS AT 243 POUNDS AFTER MY SKIN-REMOVAL SURGERY. 1517 01:18:27,733 --> 01:18:31,267 AND MY GOAL IS TO GET TO 180 1518 01:18:31,267 --> 01:18:33,733 AND THEN GET MY HIP SURGERY. 1519 01:18:33,733 --> 01:18:36,800 SO I'M HOPING I'M AT LEAST CLOSE TODAY. 1520 01:18:46,933 --> 01:18:48,867 I'M HAPPY WITH THAT. 1521 01:18:48,867 --> 01:18:50,833 I'M JUST REALLY EXCITED RIGHT NOW, 1522 01:18:50,833 --> 01:18:54,533 AND I HOPE DR. NOW IS, TOO. 1523 01:18:54,533 --> 01:18:56,767 -HELLO. -HI, DR. NOW. 1524 01:18:56,767 --> 01:18:58,333 HOW ARE YOU TODAY? 1525 01:18:58,333 --> 01:19:00,433 GOOD AND NOT GOOD. 1526 01:19:00,433 --> 01:19:02,933 WE HAD A LOT GOING ON BETWEEN ME AND GILBERT. 1527 01:19:02,933 --> 01:19:05,833 WE'D BEEN ARGUING AND THAT, AND IT STARTED GETTING PHYSICAL, 1528 01:19:05,833 --> 01:19:09,400 SO I HAD TO TAKE MYSELF OUT OF THE SITUATION, YOU KNOW? 1529 01:19:09,400 --> 01:19:12,700 WELL, I'M SORRY TO HEAR THAT. BUT YOU'RE MAKING GOOD PROGRESS, 1530 01:19:12,700 --> 01:19:16,567 AND YOU'RE LESS THAN 40 POUNDS FROM YOUR FINAL TARGET WEIGHT. 1531 01:19:16,567 --> 01:19:18,433 AND ONCE YOU HIT YOUR TARGET, 1532 01:19:18,433 --> 01:19:21,433 OUR GOAL WILL BE TO TRY TO FIX YOUR HIP. 1533 01:19:21,433 --> 01:19:24,267 SO MAKE SURE THAT SHE STICKS WITH THE DIET, OKAY? 1534 01:19:24,267 --> 01:19:27,333 -YES, SIR. -THAT'S GONNA BE VERY IMPORTANT. 1535 01:19:27,333 --> 01:19:31,300 THIS TIME NEXT YEAR, YOUR LIFE WILL BE COMPLETELY CHANGED. 1536 01:19:31,300 --> 01:19:32,667 -THANK YOU. -OKAY? 1537 01:19:32,667 --> 01:19:33,700 -THANK YOU. -ALL RIGHT. 1538 01:19:33,700 --> 01:19:35,200 WE'LL SEE YOU IN ONE MONTH, OKAY? 1539 01:19:35,200 --> 01:19:36,900 OKAY. 1540 01:19:36,900 --> 01:19:40,967 LUPE HAS LOST OVER 420 POUNDS IN 2 YEARS, 1541 01:19:40,967 --> 01:19:42,733 WHICH IS A LOT OF WEIGHT. 1542 01:19:42,733 --> 01:19:44,633 HOPEFULLY, SHE WILL NOT ALLOW GILBERT 1543 01:19:44,633 --> 01:19:47,400 TO DO ANYTHING TO SLOW DOWN HER PROGRESS, 1544 01:19:47,400 --> 01:19:50,267 BUT I THINK SHE'S GROWING STRONGER EVERY DAY. 1545 01:19:50,267 --> 01:19:55,767 AND SHE CAN HANDLE HERSELF NOW THAT SHE'S BECOMING MORE MOBILE. 1546 01:19:55,767 --> 01:19:57,733 -I LIKE THAT MAN. -[ CHUCKLES ] 1547 01:19:57,733 --> 01:19:59,533 HE IS STRAIGHT TO THE POINT. 1548 01:19:59,533 --> 01:20:01,567 SO, THERE YOU GO. 1549 01:20:01,567 --> 01:20:03,600 Lupe: DR. NOW -- I KNOW THAT HE UNDERSTANDS, 1550 01:20:03,600 --> 01:20:06,033 YOU KNOW, WHAT I'M GOING THROUGH AND ALL THAT. 1551 01:20:06,033 --> 01:20:09,167 I HAVE A DOCTOR THAT REALLY CARES AND IS THERE 1552 01:20:09,167 --> 01:20:11,533 AND THAT BELIEVES IN ME. 1553 01:20:11,533 --> 01:20:13,833 HE'S SEEN HOW FAR I'VE COME, AND HE'S PROUD OF ME. 1554 01:20:13,833 --> 01:20:16,500 AND THAT'S WHY I LOVE DR. NOW SO MUCH. 1555 01:20:16,500 --> 01:20:19,333 I'M GOING TO KEEP LOSING WEIGHT AND HIT MY GOAL, 1556 01:20:19,333 --> 01:20:22,467 BECAUSE I CAN'T WAIT TO GET MY HIP SURGERY. 1557 01:20:22,467 --> 01:20:25,167 AND I'M FINALLY WITHIN ARM'S REACH OF IT. 1558 01:20:25,167 --> 01:20:28,700 SO I'M NOT LETTING ANYTHING STOP ME FROM GETTING THERE. 1559 01:20:30,600 --> 01:20:34,267 ** 1560 01:20:34,267 --> 01:20:38,600 RIGHT NOW, I'M ON THE WAY TO GO SEE DR. NOWZARADAN. 1561 01:20:38,600 --> 01:20:41,433 MY LAST APPOINTMENT WAS NOT AS GOOD 1562 01:20:41,433 --> 01:20:44,233 AS I WOULD'VE LIKED TO HAVE BEEN. 1563 01:20:44,233 --> 01:20:47,700 ** 1564 01:20:47,700 --> 01:20:49,467 Woman: ASHLEY DUNN? 1565 01:20:49,467 --> 01:20:51,133 SO TODAY, I'M JUST HOPING 1566 01:20:51,133 --> 01:20:54,167 I STARTED MY WEIGHT GOING BACK IN THE RIGHT DIRECTION. 1567 01:20:57,967 --> 01:20:59,800 Woman: 375. 1568 01:21:00,667 --> 01:21:03,633 I'M HAPPY WITH THAT. 1569 01:21:03,633 --> 01:21:06,567 IT'S NOT AS MUCH AS I WOULD'VE WANTED BEFORE, 1570 01:21:06,567 --> 01:21:08,800 BUT NOW I KNOW IT'S GOOD PROGRESS. 1571 01:21:08,800 --> 01:21:12,967 AND I'M ONLY 25 POUNDS AWAY FROM GETTING MY SKIN REMOVAL. 1572 01:21:12,967 --> 01:21:14,067 HELLO. 1573 01:21:14,067 --> 01:21:15,100 -HEY. -HI, DR. NOWZARADAN. 1574 01:21:15,100 --> 01:21:17,433 -HOW Y'ALL DOING? -DOING GOOD. 1575 01:21:17,433 --> 01:21:20,933 SO YOU LOST 20 POUNDS, AND YOU'RE BACK ON THE RIGHT TRACK. 1576 01:21:20,933 --> 01:21:22,333 HOW DO YOU FEEL? 1577 01:21:22,333 --> 01:21:25,133 UM, I'M GOOD, 1578 01:21:25,133 --> 01:21:27,933 BUT I DON'T FEEL LIKE I ACCOMPLISHED A LOT THIS YEAR. 1579 01:21:27,933 --> 01:21:30,100 YOU HAD A LOT HAPPEN THIS YEAR, 1580 01:21:30,100 --> 01:21:32,967 AND YOU WORKED THROUGH PSYCHOSOMATIC CONDITIONS. 1581 01:21:32,967 --> 01:21:36,500 YEAH. AND YOU'RE STILL MOVING FORWARD. 1582 01:21:36,500 --> 01:21:40,167 YOU DIDN'T GET SKIN-REMOVAL SURGERY, BUT YOU'RE VERY CLOSE, 1583 01:21:40,167 --> 01:21:42,367 AND YOU'RE DOING GOOD NOW. 1584 01:21:42,367 --> 01:21:45,933 YOU SHOULD BE PROUD OF YOURSELF, BECAUSE I AM, OKAY? 1585 01:21:45,933 --> 01:21:47,300 YEAH. 1586 01:21:47,300 --> 01:21:49,167 AND WE'LL SEE HOW YOU DO NEXT MONTH, 1587 01:21:49,167 --> 01:21:52,167 AND THEN WE'LL THINK ABOUT GETTING THAT SKIN OFF. 1588 01:21:52,167 --> 01:21:54,700 THANK YOU. THAT'S MY TOP PRIORITY. 1589 01:21:54,700 --> 01:21:56,733 -THANK YOU, DR. NOWZARADAN. -ALL RIGHT. SUPER. 1590 01:21:56,733 --> 01:22:00,867 IT WOULD HAVE BEEN NICE IF ASHLEY HAD MADE MORE PROGRESS, 1591 01:22:00,867 --> 01:22:03,967 BUT IN LIGHT OF EVERYTHING SHE HAD TO DEAL WITH, 1592 01:22:03,967 --> 01:22:07,167 A 100-POUND WEIGHT LOSS FOR THIS YEAR IS GOOD. 1593 01:22:07,167 --> 01:22:11,500 AND I THINK THIS NEXT YEAR WILL BE VERY GOOD FOR ASHLEY. 1594 01:22:11,500 --> 01:22:15,400 Ashley: THIS PAST YEAR HASN'T BEEN WHAT I EXPECTED AT ALL. 1595 01:22:15,400 --> 01:22:19,467 BUT HEARING DR. NOWZARADAN PUT IT IN PERSPECTIVE LIKE HE DID 1596 01:22:19,467 --> 01:22:23,900 HELPED ME SEE THAT I HAVE DONE A LOT THIS YEAR. 1597 01:22:23,900 --> 01:22:26,167 AND I'M NOT LETTING FEAR OR ANYTHING ELSE 1598 01:22:26,167 --> 01:22:28,133 CONTROL ME ANY LONGER. 1599 01:22:32,600 --> 01:22:34,833 I'M IN CONTROL OF MY CHOICES, 1600 01:22:34,833 --> 01:22:38,833 AND I'M CHOOSING THE LIFE I WANT TO HAVE. 1601 01:22:38,833 --> 01:22:42,067 AND NO MATTER WHAT, I'M GETTING THERE. 1602 01:22:44,800 --> 01:22:47,833 ** 1603 01:22:51,333 --> 01:22:53,167 Lupe: TODAY, I'M TAKING MY THINGS 1604 01:22:53,167 --> 01:22:56,067 AND MOVING TO SAN ANTONIO WITH MY COUSIN. 1605 01:22:56,067 --> 01:22:58,900 AND I'M NOT LOOKING FORWARD TO SEEING GILBERT. 1606 01:23:06,667 --> 01:23:09,433 I DON'T WANT TO DEAL WITH HIM TRYING TO TALK ME OUT OF IT 1607 01:23:09,433 --> 01:23:11,167 OR ARGUING WITH ME. 1608 01:23:13,567 --> 01:23:14,733 MISS ME, MY LOVE? 1609 01:23:14,733 --> 01:23:16,833 YES, I MISS YOU. 1610 01:23:16,833 --> 01:23:19,633 OKAY. 1611 01:23:19,633 --> 01:23:22,600 GOT YOU THIS, BABY. 1612 01:23:22,600 --> 01:23:24,633 IT'S FOR YOU. 1613 01:23:24,633 --> 01:23:26,533 -WHY CAN'T YOU LOOK AT ME? -[ SIGHS ] 1614 01:23:26,533 --> 01:23:28,500 WHY? BECAUSE IT HURTS ME WHAT WE'RE GOING THROUGH, 1615 01:23:28,500 --> 01:23:30,700 BUT IT HAS TO BE DONE. THAT'S WHY. 1616 01:23:30,700 --> 01:23:33,067 YOU THINK IT'S EASY 'CAUSE I'M GOING? IT'S NOT. 1617 01:23:33,067 --> 01:23:34,900 -IT'S NOT. -SO, YOU ASK ME 1618 01:23:34,900 --> 01:23:38,800 WHY I'M NOT LOOKING AT YOU -- THAT'S WHY. 1619 01:23:38,800 --> 01:23:40,600 YOU HAVE TO CHANGE YOUR WAYS. 1620 01:23:40,600 --> 01:23:42,633 DON'T DRINK NO MORE. HONESTLY. 1621 01:23:42,633 --> 01:23:44,167 I CAN'T BE HERE EVERY DAY LIKE THIS, 1622 01:23:44,167 --> 01:23:45,767 BECAUSE THAT'S WHY I'M DRINKING. YOU'RE NOT SAFE TO BE HERE. 1623 01:23:45,767 --> 01:23:47,733 -I'M NOT TELLING YOU TO BE HERE. -I FEEL IF I GO SOMEWHERE, 1624 01:23:47,733 --> 01:23:49,333 -YOU'RE GONNA TRIP. -YEAH, I DO TRIP, 1625 01:23:49,333 --> 01:23:51,500 BUT HAVE THE REASON TO TRIP BECAUSE OF THE WAY YOU ARE. 1626 01:23:51,500 --> 01:23:53,700 WELL, WHY THE HELL YOU LEAV-- WHY YOU WANT YOUR COUSIN FOR? 1627 01:23:53,700 --> 01:23:55,067 WE'RE TAKING TIME APART, GILBERT. 1628 01:23:55,067 --> 01:23:57,733 -AREN'T WE SPLIT UP? -SPLIT UP, TAKING TIME APART. 1629 01:23:57,733 --> 01:23:59,500 WHENEVER YOU WANT TO COME BACK, THOUGH, I'M HERE, LOVE. 1630 01:23:59,500 --> 01:24:02,233 I AM, FOR YOU, FOR US, TO FIGHT FOR THIS MARRIAGE, 1631 01:24:02,233 --> 01:24:03,667 'CAUSE I LOVE YOU SO MUCH, BABY. 1632 01:24:03,667 --> 01:24:05,133 I KNOW WHAT WE'RE GOING THROUGH, 1633 01:24:05,133 --> 01:24:07,300 BUT I'M NOT GONNA SIT HERE AND GIVE IT UP. 1634 01:24:07,300 --> 01:24:11,700 ** 1635 01:24:11,700 --> 01:24:14,133 Lupe: THIS IS ONE OF THE HARDEST THINGS I'VE EVER DONE, 1636 01:24:14,133 --> 01:24:16,167 BECAUSE I DO LOVE GILBERT. 1637 01:24:16,167 --> 01:24:18,100 BUT HE WON'T CHANGE HOW HE TREATS ME, 1638 01:24:18,100 --> 01:24:22,467 AND I DON'T HAVE TO TAKE IT ANYMORE. 1639 01:24:22,467 --> 01:24:27,533 IT'S WHAT NEEDS TO BE DONE FOR ME TO BECOME THE PERSON I WANT. 1640 01:24:27,533 --> 01:24:30,067 SO IT'S TIME FOR ME TO MOVE ON. 1641 01:24:33,433 --> 01:24:36,467 ** 1642 01:24:40,767 --> 01:24:42,900 IT'S BEEN A COUPLE WEEKS SINCE I MOVED OUT, 1643 01:24:42,900 --> 01:24:46,333 AND NEXT MONTH, I'LL BE LIVING IN SAN ANTONIO WITH MY COUSIN. 1644 01:24:46,333 --> 01:24:48,967 BUT I'M FEELING REALLY GOOD RIGHT NOW. 1645 01:24:48,967 --> 01:24:51,333 I'M GONNA GET THE TWO FISH TACOS. 1646 01:24:51,333 --> 01:24:53,667 -I'LL BE RIGHT BACK WITH THOSE. -THANK YOU. 1647 01:24:53,667 --> 01:24:56,500 SO, HOW ARE YOU LIKING YOUR NEW LIFE? 1648 01:24:56,500 --> 01:24:59,433 IT, LIKE, BRINGS FEAR, BUT I'M CONQUERING IT. 1649 01:24:59,433 --> 01:25:02,233 I CAN DO THIS. 1650 01:25:02,233 --> 01:25:04,400 THAT IS THE FIRST TIME I'VE HEARD YOU SAY, 1651 01:25:04,400 --> 01:25:06,967 "I CAN DO SOMETHING." 1652 01:25:06,967 --> 01:25:08,667 -THERE YOU GO. -THANK YOU. 1653 01:25:08,667 --> 01:25:10,333 AND THERE'S YOUR SALAD. 1654 01:25:10,333 --> 01:25:13,433 I'M STICKING TO THE DIET AND MAKING MORE PROGRESS. 1655 01:25:15,900 --> 01:25:17,400 AND THE MORE I'M AWAY FROM GILBERT, 1656 01:25:17,400 --> 01:25:20,700 THE MORE I SEE HOW HE WAS HOLDING ME BACK. 1657 01:25:20,700 --> 01:25:25,133 AND I'M SO EXCITED TO TRY AND DO MORE AND MORE EVERY DAY. 1658 01:25:25,133 --> 01:25:28,767 THE NEW LUPE'S COMING OUT. 1659 01:25:28,767 --> 01:25:31,167 I NEVER WANT TO GO BACK TO THE OLD LUPE. 1660 01:25:31,167 --> 01:25:32,267 [ Chuckling ] AND THE WORLD BETTER BE READY FOR THE NEW LUPE. 1660 01:25:33,305 --> 01:26:33,694 Watch Online Movies and Series for FREE www.osdb.link/lm