"My 600-lb Life" Joe W. & Pauline

1 00:00:02,300 --> 00:00:06,600 -- Captions by VITAC -- www.vitac.com 2 00:00:06,600 --> 00:00:08,533 Milla: I CAN'T EVEN TAKE CARE OF MYSELF. 3 00:00:08,533 --> 00:00:11,433 MY CHILDREN HAVE TO DO EVERYTHING FOR ME. 4 00:00:11,433 --> 00:00:13,967 Charity: I FEEL LIKE SOME MONSTER. 5 00:00:13,967 --> 00:00:16,267 Nikki: 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: 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 --> 00:01:09,400 June: I AM LIVING LIFE, AND I'M LOVING EVERY SECOND OF IT. 21 00:01:10,533 --> 00:01:13,333 Joe: IT FEELS LIKE I'M LITERALLY LIVING A DREAM. 22 00:01:13,333 --> 00:01:15,633 -THANK YOU SO MUCH. -OH! 23 00:01:15,633 --> 00:01:18,800 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 24 00:01:18,800 --> 00:01:20,533 [ GRUNTS ] 25 00:01:20,533 --> 00:01:24,433 I FEEL LIKE A PRISONER INSIDE THIS BODY, 26 00:01:24,433 --> 00:01:29,400 AND I WOULDN'T WISH THIS ON MY WORST ENEMY. 27 00:01:29,400 --> 00:01:31,333 DAMN IT. 28 00:01:34,433 --> 00:01:35,433 [ SIGHS ] 29 00:01:35,433 --> 00:01:37,933 I GOT TO GET THIS WEIGHT OFF OF ME. 30 00:01:37,933 --> 00:01:43,200 IF I DON'T, I WILL BE CONFINED UNTIL I DRAW MY LAST BREATH. 31 00:01:48,633 --> 00:01:53,467 I'VE GOT TO FIGHT FOR MY LIFE, SO WE'RE MOVING TO HOUSTON. 32 00:01:53,467 --> 00:01:55,600 MY MOM IS LEAVING BEHIND EVERYTHING 33 00:01:55,600 --> 00:01:58,067 TO COME AND HELP TAKE CARE OF ME. 34 00:01:58,067 --> 00:01:59,167 ON THE ROAD WE GO. 35 00:01:59,167 --> 00:02:02,333 THIS IS GOING TO BE A TEST. 36 00:02:02,333 --> 00:02:04,967 DO I HAVE WHAT IT TAKES TO GET THIS DONE? 37 00:02:07,067 --> 00:02:08,500 [ PANTING ] 38 00:02:08,500 --> 00:02:10,800 OHH. 39 00:02:10,800 --> 00:02:13,067 Dr. Nowzaradan: BEING 800 POUNDS, 40 00:02:13,067 --> 00:02:14,933 YOU ARE BY NO MEANS IN CONDITION 41 00:02:14,933 --> 00:02:17,967 TO CONSIDER ANY KIND OF WEIGHT-LOSS SURGERY. 42 00:02:17,967 --> 00:02:21,667 I NEED TO YOU TO GET DOWN TO 650 POUNDS 43 00:02:21,667 --> 00:02:23,567 OVER THE NEXT COUPLE MONTHS. 44 00:02:23,567 --> 00:02:24,733 I'VE BEEN TRYING TO EAT LESS, 45 00:02:24,733 --> 00:02:27,467 BUT I'M NOT SURE HOW WELL I'M DOING. 46 00:02:27,467 --> 00:02:29,167 [ PANTING ] 47 00:02:33,200 --> 00:02:36,267 I SAW YOU A COUPLE MONTHS AGO AND GAVE YOU A CHANCE. 48 00:02:36,267 --> 00:02:37,667 YOU STILL GAINED WEIGHT. 49 00:02:37,667 --> 00:02:40,667 AND YOU ARE ON BORROWED TIME HERE. 50 00:02:40,667 --> 00:02:43,200 TRY AGAIN. 51 00:02:45,467 --> 00:02:50,233 MY FATHER, HE WOULD IGNORE ME COMPLETELY. 52 00:02:50,233 --> 00:02:51,733 I ASKED MYSELF, 53 00:02:51,733 --> 00:02:54,933 "WHY DOESN'T THIS MAN WANT TO PAY ATTENTION TO ME?" 54 00:02:54,933 --> 00:02:57,700 SO I ATE TO DEAL WITH MY FEELINGS. 55 00:02:57,700 --> 00:03:01,700 AND IF I'M TO BECOME COMPLETELY BETTER, 56 00:03:01,700 --> 00:03:04,433 THEN I HAVE TO DEAL WITH THIS. 57 00:03:04,433 --> 00:03:05,967 Rachel: YOU HAVE THE KIND OF OPTIMISM 58 00:03:05,967 --> 00:03:09,267 AND THE STRENGTH THAT YOU NEED, I THINK, TO GET THROUGH THIS. 59 00:03:09,267 --> 00:03:10,500 YEAH. 60 00:03:10,500 --> 00:03:13,133 Joe: I EITHER GET APPROVED FOR THE SURGERY, 61 00:03:13,133 --> 00:03:15,767 OR MY JOURNEY IS OVER TODAY. 62 00:03:15,767 --> 00:03:17,400 THIS IS MY LAST CHANCE, 63 00:03:17,400 --> 00:03:20,200 AND EVERYTHING IS RIDING ON WHAT THE SCALE SAYS. 64 00:03:21,300 --> 00:03:23,133 Woman: 652. 65 00:03:23,133 --> 00:03:26,533 HOW DO YOU FEEL ABOUT SETTING YOU UP FOR SURGERY NEXT WEEK? 66 00:03:26,533 --> 00:03:28,700 Joe: [ Chuckling ] I CAN'T BELIEVE IT! 67 00:03:28,700 --> 00:03:31,967 HE FINALLY APPROVED ME FOR SURGERY. 68 00:03:31,967 --> 00:03:33,767 WE DID IT! 69 00:03:33,767 --> 00:03:36,133 WE WAITED SO LONG TO HEAR THIS HAPPENED 70 00:03:36,133 --> 00:03:39,067 AND IT'S FINALLY HERE. 71 00:03:39,067 --> 00:03:43,300 Joe: TODAY IS THE MOMENT I RETAKE MY LIFE 72 00:03:43,300 --> 00:03:45,700 AND SAY, "NO MORE." 73 00:03:45,700 --> 00:03:48,700 Dr. Nowzaradan: JOE'S SURGERY WENT VERY WELL. 74 00:03:48,700 --> 00:03:52,533 JOE IS GONNA START TO LOSE WEIGHT REAL QUICK NOW. 75 00:03:52,533 --> 00:03:55,533 THERE ARE SO MANY POSSIBILITIES FOR MY FUTURE NOW. 76 00:03:55,533 --> 00:03:57,600 FOR THE FIRST TIME IN A LONG TIME, 77 00:03:57,600 --> 00:03:59,733 I FEEL LIKE I HAVE HOPE. 78 00:03:59,733 --> 00:04:01,900 THE BIGGEST CHANGE IN MY LIFE RIGHT NOW 79 00:04:01,900 --> 00:04:03,500 IS THAT I'VE MET SOMEONE ONLINE, 80 00:04:03,500 --> 00:04:05,667 AND WE'VE BEEN TALKING ALMOST EVERY DAY. 81 00:04:05,667 --> 00:04:08,800 I CAN DEFINITELY SAY YOU ARE DEFINITELY BEAUTIFUL. 82 00:04:08,800 --> 00:04:11,800 NOW I'M FLYING ON A PLANE FOR THE FIRST TIME, 83 00:04:11,800 --> 00:04:15,900 AND I GET TO MEET THE WOMAN I LOVE IN PERSON 84 00:04:15,900 --> 00:04:18,067 OHH! [ CHUCKLES ] 85 00:04:18,067 --> 00:04:20,900 NO MATTER HOW HARD IT IS, I'M GOING TO MAKE IT TO IOWA 86 00:04:20,900 --> 00:04:23,167 TO SEE SARAH FOR THE FIRST TIME. 87 00:04:23,167 --> 00:04:26,733 FOR YOU...MA'AM. THANK YOU. 88 00:04:26,733 --> 00:04:29,733 WOW. YOU LOOK BEAUTIFUL. 89 00:04:32,300 --> 00:04:33,800 KISSING SARAH FOR THE FIRST TIME, 90 00:04:33,800 --> 00:04:35,867 IT'S LIKE A LITTLE SPARK GOING. 91 00:04:38,333 --> 00:04:40,467 OH, MY GOD, IT HURTS. 92 00:04:40,467 --> 00:04:43,533 I FELT LIKE MY LIFE WAS FINALLY TURNING AROUND. 93 00:04:43,533 --> 00:04:45,367 I JUST HOPE I'M NOT ABOUT TO LOSE EVERYTHING 94 00:04:45,367 --> 00:04:47,567 BECAUSE I PUSHED MYSELF TOO HARD. 95 00:04:47,567 --> 00:04:50,367 ** 96 00:04:54,067 --> 00:04:56,100 NOW I'M WORKING OUT AS HARD AS I CAN 97 00:04:56,100 --> 00:04:58,233 TO TRY AND GET MY SKIN SURGERY. 98 00:05:01,300 --> 00:05:03,067 YOU LOST ANOTHER 100 POUNDS, 99 00:05:03,067 --> 00:05:05,367 SO I'M APPROVING YOU FOR SURGERY. 100 00:05:05,367 --> 00:05:08,200 WHAT'S WAITING FOR ME ON THE OTHER SIDE OF THE SURGERY 101 00:05:08,200 --> 00:05:10,100 IS A BETTER LIFE. 102 00:05:10,100 --> 00:05:14,633 HE'S GONNA DO MUCH BETTER WITH THIS NEW ABDOMEN HE GOT. 103 00:05:14,633 --> 00:05:19,300 I CAN SEE MYSELF FINALLY STARTING TO LOOK SEMI-NORMAL. 104 00:05:24,367 --> 00:05:27,600 WHEN I MET YOU, I MET MY DESTINY. 105 00:05:27,600 --> 00:05:30,167 WILL YOU MARRY ME? 106 00:05:30,167 --> 00:05:32,367 YES. 107 00:05:32,367 --> 00:05:36,367 I THINK I LOOK GOOD RIGHT NOW, SO I'M KIND OF SURPRISED. 108 00:05:36,367 --> 00:05:38,667 AND I'M JUST NOW PICTURING MYSELF STANDING THERE, 109 00:05:38,667 --> 00:05:41,200 WAITING FOR SARAH TO COME DOWN THE AISLE TO ME. 110 00:05:41,200 --> 00:05:44,533 ** 111 00:05:55,167 --> 00:05:57,900 BRAINS! 112 00:05:57,900 --> 00:05:59,367 I COULD'VE NEVER IMAGINED THAT 113 00:05:59,367 --> 00:06:02,100 MY LIFE WOULD BE SO MUCH BETTER IN JUST TWO YEARS. 114 00:06:02,100 --> 00:06:03,633 [ LAUGHS ] 115 00:06:05,467 --> 00:06:09,333 I'VE GONE FROM BEING TRAPPED IN MY HOME ALL DAY LONG 116 00:06:09,333 --> 00:06:12,100 TO HAVING THE LIFE I HAVE NOW, 117 00:06:12,100 --> 00:06:17,300 WHERE I'M ABOUT TO MARRY THE WOMAN OF MY DREAMS, 118 00:06:17,300 --> 00:06:19,800 AND WHO HAS AN INCREDIBLE 8-YEAR-OLD DAUGHTER 119 00:06:19,800 --> 00:06:22,500 I'M GOING TO BE A FATHER TO. 120 00:06:22,500 --> 00:06:25,167 I WOULDN'T HAVE EVEN DARED TO DREAM FOR WHAT I HAVE NOW, 121 00:06:25,167 --> 00:06:27,900 SO I'M JUST THANKFUL BEYOND WORDS, 122 00:06:27,900 --> 00:06:30,833 AND I'M NOT TAKING ANYTHING FOR GRANTED. 123 00:06:31,633 --> 00:06:33,200 AAH! 124 00:06:33,200 --> 00:06:34,800 [ LAUGHS ] 125 00:06:34,800 --> 00:06:38,067 I KNOW BEING A HUSBAND AND A DAD IS GOING TO BE HARD WORK, 126 00:06:38,067 --> 00:06:40,967 BUT I'M READY FOR IT. 127 00:06:40,967 --> 00:06:42,533 COME ON! 128 00:06:42,533 --> 00:06:44,900 Sarah: JOE IS ONE OF THE MOST CARING AND POSITIVE PEOPLE 129 00:06:44,900 --> 00:06:46,433 I HAVE EVER MET, 130 00:06:46,433 --> 00:06:49,267 AND I'M SO BLESSED TO HAVE HIM IN MY LIFE NOW. 131 00:06:49,267 --> 00:06:52,267 -HA, GOTCHA! -[ LAUGHS ] 132 00:06:52,267 --> 00:06:53,933 Joe: EVEN JUST A YEAR AGO, 133 00:06:53,933 --> 00:06:56,467 I COULDN'T EVEN TAKE CARE OF MYSELF. 134 00:06:56,467 --> 00:06:59,833 BUT ALL OF THAT HAS COMPLETELY CHANGED NOW. 135 00:06:59,833 --> 00:07:04,500 FIRST BIG CHANGE IS THAT I NO LONGER HAVE TO CALL ANYBODY 136 00:07:04,500 --> 00:07:08,833 TO GET ME OFF THE FLOOR OR OFF THE GROUND. 137 00:07:08,833 --> 00:07:12,067 NOW I CAN JUST PLOP RIGHT UP. 138 00:07:12,067 --> 00:07:16,767 I DEFINITELY CAN WALK FURTHER AND DON'T TIRE AS EASILY. 139 00:07:16,767 --> 00:07:18,500 ALL RIGHT, LET'S GO INSIDE. 140 00:07:18,500 --> 00:07:21,067 OKAY. [ CHUCKLES ] 141 00:07:21,067 --> 00:07:23,533 Joe: BUT THE GREATEST THREAT TO MY NEW LIFE 142 00:07:23,533 --> 00:07:25,800 IS THAT I COULD START GAINING AGAIN. 143 00:07:25,800 --> 00:07:28,800 ** 144 00:07:28,800 --> 00:07:31,067 I'M GONNA FINISH UP OVER HERE REAL FAST, OKAY? 145 00:07:31,067 --> 00:07:32,867 SO I'M GONNA DO EVERYTHING I CAN 146 00:07:32,867 --> 00:07:36,067 TO MAKE SURE I DON'T GO BACK THERE. 147 00:07:36,067 --> 00:07:38,667 WITH OUR WEDDING DATE ONLY A FEW MONTHS AWAY, 148 00:07:38,667 --> 00:07:42,100 I'VE BEEN SPENDING MORE TIME UP HERE IN DUBUQUE, IOWA. 149 00:07:42,100 --> 00:07:43,967 SARAH'S BEEN LIVING WITH HER MOM, 150 00:07:43,967 --> 00:07:45,067 AND I'VE BEEN STAYING WITH HER 151 00:07:45,067 --> 00:07:47,167 UNTIL WE CAN FIND A PLACE OF OUR OWN 152 00:07:47,167 --> 00:07:48,867 AND I CAN OFFICIALLY MOVE UP HERE. 153 00:07:48,867 --> 00:07:50,700 THIS LOOKS REALLY GOOD. 154 00:07:50,700 --> 00:07:52,300 AND WE ARE DONE. 155 00:07:52,300 --> 00:07:54,933 HOT, HOT, HOT, HOT! WHOO! 156 00:07:54,933 --> 00:07:58,700 BUT RIGHT NOW, I'M JUST GETTING TO KNOW HAYLEY 157 00:07:58,700 --> 00:08:01,667 AND SARAH AND I ARE PREPARING FOR THE WEDDING. 158 00:08:01,667 --> 00:08:04,067 I STILL HAVE ABOUT 150 POUNDS TO GO 159 00:08:04,067 --> 00:08:07,233 BEFORE I HIT MY TARGET WEIGHT. 160 00:08:07,233 --> 00:08:10,767 AND I STILL NEED AT LEAST TWO MORE SKIN-REMOVAL SURGERIES, 161 00:08:10,767 --> 00:08:12,567 AND I'M HOPING TO HAVE THEM THIS YEAR 162 00:08:12,567 --> 00:08:13,933 AND GET TO MY GOAL WEIGHT. 163 00:08:13,933 --> 00:08:16,567 SO EVEN THOUGH I'M UP HERE IN IOWA, 164 00:08:16,567 --> 00:08:18,833 I'M STILL COMMITTED TO DR. NOW'S PROGRAM, 165 00:08:18,833 --> 00:08:20,800 AND I'M GONNA BE TRAVELING DOWN 166 00:08:20,800 --> 00:08:24,267 TO SEE HIM FOR MY APPOINTMENTS. 167 00:08:24,267 --> 00:08:26,200 BUT ONCE SARAH AND I GET MARRIED, 168 00:08:26,200 --> 00:08:29,300 WE NEED TO FIND A PLACE OF OUR OWN 169 00:08:29,300 --> 00:08:31,200 AND I NEED TO START PROVIDING FOR THEM, 170 00:08:31,200 --> 00:08:33,067 SO I NEED TO HAVE A JOB. 171 00:08:35,833 --> 00:08:39,933 I KNOW THIS NEXT YEAR ISN'T GONNA BE EASY. 172 00:08:39,933 --> 00:08:43,667 -READY FOR BED, KIDDO? -YEAH. 173 00:08:43,667 --> 00:08:47,633 BUT NO MATTER HOW HARD IT'S GONNA BE OR HOW STRESSFUL, 174 00:08:47,633 --> 00:08:49,600 I'M GOING TO MAKE SURE IT HAPPENS. 175 00:08:52,667 --> 00:08:53,867 NOW THAT SHE'S IN BED, 176 00:08:53,867 --> 00:08:55,633 WE CAN TALK ABOUT THE WEDDING A LITTLE BIT. 177 00:08:55,633 --> 00:08:57,067 YEAH. 178 00:08:57,067 --> 00:08:59,600 Joe: I SEE DR. NOW AGAIN IN MONTH, 179 00:08:59,600 --> 00:09:02,067 AND I'M HOPING THAT WE CAN COME UP WITH A PLAN 180 00:09:02,067 --> 00:09:04,900 FOR WHEN WE CAN GET MY EXCESS-SKIN REMOVAL 181 00:09:04,900 --> 00:09:07,333 IN A TIMEFRAME THAT WORKS FOR MY WEDDING. 182 00:09:09,467 --> 00:09:12,267 SO I'M NOT SURE HOW IT'S ALL GONNA HAPPEN, 183 00:09:12,267 --> 00:09:15,900 BUT WE CAN FIGURE IT OUT TOGETHER AS A FAMILY. 184 00:09:18,600 --> 00:09:21,467 Pauline: I AM ABSOLUTELY TRAPPED IN THIS BODY. 185 00:09:21,467 --> 00:09:25,067 I'VE LET MYSELF GET WAY OUT OF CONTROL. 186 00:09:25,067 --> 00:09:29,067 I JUST WONDER IF I'LL EVER HAVE A NORMAL LIFE. 187 00:09:33,567 --> 00:09:37,067 I CAN'T EVEN MOVE WITHOUT HELP, 188 00:09:37,067 --> 00:09:38,600 AND HAVING MY SON TAKE CARE OF ME 189 00:09:38,600 --> 00:09:41,867 IS ONE OF THE WORST THINGS EVER. 190 00:09:41,867 --> 00:09:45,067 Dillon: I LOVE MY MOM, BUT SINCE SHE'S THIS HEAVY, 191 00:09:45,067 --> 00:09:46,800 WHATEVER I'M DOING, I HAVE TO STOP 192 00:09:46,800 --> 00:09:49,267 AND JUST TAKE CARE OF HER AND HELP HER. 193 00:09:49,267 --> 00:09:53,367 Pauline: I POSSIBLY COULD RUIN MY SON'S LIFE. 194 00:09:53,367 --> 00:09:55,167 I GOT TO GET THIS UNDER CONTROL. 195 00:09:55,167 --> 00:09:58,333 [ Crying ] I THINK THAT BY ME GETTING RESCUED, 196 00:09:58,333 --> 00:10:00,267 IT'S GONNA RESCUE HIM, TOO. 197 00:10:06,500 --> 00:10:08,067 OH, GOSH. 198 00:10:10,500 --> 00:10:14,000 UNLESS WE GET A HANDLE ON THE COMPULSIVE EATING, 199 00:10:14,000 --> 00:10:17,100 WE'RE NOT GONNA BENEFIT FROM SURGERY. 200 00:10:17,100 --> 00:10:21,900 I WANT YOU TO LOSE 50 POUNDS OVER THE NEXT COUPLE MONTHS. 201 00:10:21,900 --> 00:10:24,633 I AM HAPPY THAT HE'S WILLING TO GIVE ME A CHANCE, 202 00:10:24,633 --> 00:10:28,600 SO I'M GONNA LOSE THE WEIGHT I NEED TO GET THIS SURGERY. 203 00:10:28,600 --> 00:10:30,367 IT'S BEEN A HARD MONTH. 204 00:10:30,367 --> 00:10:31,800 I'VE BEEN TRYING TO EAT BETTER, 205 00:10:31,800 --> 00:10:34,333 BUT THERE STILL IS MOSTLY JUST FAST FOOD AROUND, 206 00:10:34,333 --> 00:10:37,400 SO THAT MAKES IT TOUGH. 207 00:10:37,400 --> 00:10:39,433 I SEE THE DOCTOR NEXT MONTH, 208 00:10:39,433 --> 00:10:41,833 AND I'M GONNA TRY AND DO WHAT I CAN 209 00:10:41,833 --> 00:10:43,800 TO LOSE THE WEIGHT I NEED. 210 00:10:43,800 --> 00:10:45,700 BUT IT'S HARD. 211 00:10:47,933 --> 00:10:49,267 [ WHIMPERING ] 212 00:10:49,267 --> 00:10:51,467 OKAY. 213 00:10:51,467 --> 00:10:53,100 I FEEL NAUSEOUS. 214 00:10:53,100 --> 00:10:54,767 PAULINE, YOU GAINED WEIGHT 215 00:10:54,767 --> 00:10:57,567 AND YOU'RE GETTING TO BE 700 POUNDS, 216 00:10:57,567 --> 00:11:00,433 SO I'M ADMITTING YOU TO THE HOSPITAL RIGHT NOW. 217 00:11:00,433 --> 00:11:02,400 I'M GONNA PUT YOU ON A MONITORED DIET 218 00:11:02,400 --> 00:11:06,633 BECAUSE SOMETHING DRASTIC HAS TO BE DONE. 219 00:11:06,633 --> 00:11:08,533 I'VE BEEN IN THE HOSPITAL FOR A WHILE NOW, 220 00:11:08,533 --> 00:11:10,200 AND THERE ARE TIMES 221 00:11:10,200 --> 00:11:13,567 I FEEL LIKE I'M BEING PUSHED A LITTLE TOO HARD. 222 00:11:13,567 --> 00:11:14,933 Dr. Nowzaradan: PAULINE'S LOSING WEIGHT 223 00:11:14,933 --> 00:11:17,133 BECAUSE OF HER CONTROLLED DIET, 224 00:11:17,133 --> 00:11:19,867 SO I'M GONNA GO AHEAD AND DO A BYPASS ON HER. 225 00:11:19,867 --> 00:11:22,567 BUT SHE STILL HAS TO MAKE DECISION 226 00:11:22,567 --> 00:11:23,967 TO BE HEALTHY ON HER OWN, 227 00:11:23,967 --> 00:11:27,467 BECAUSE THIS IS PAULINE'S LAST OPPORTUNITY 228 00:11:27,467 --> 00:11:30,567 TO TURN HER LIFE AROUND. 229 00:11:30,567 --> 00:11:32,333 Pauline: THE DOCTOR CAN'T TELL ME WHAT'S GOOD FOR ME, 230 00:11:32,333 --> 00:11:34,767 SO I'M REALLY NOT WORRIED ABOUT 231 00:11:34,767 --> 00:11:39,100 HOW MUCH CRABS IS IN THE RICE 'CAUSE I KNOW MY BODY. 232 00:11:39,100 --> 00:11:41,400 THE WAY THAT YOU'RE SITTING HERE AFTER SURGERY 233 00:11:41,400 --> 00:11:44,767 AND YOU WANT TO GO ROLL WITH THIS THING INSTEAD OF WALKING? 234 00:11:44,767 --> 00:11:47,567 I CAN'T WALK THAT FAR WITHOUT GETTING DIZZY. 235 00:11:47,567 --> 00:11:50,167 DO YOU REALIZE THE ONLY WEIGHT YOU HAVE LOST 236 00:11:50,167 --> 00:11:52,700 HAS BEEN WHEN WE PUT YOU IN THE HOSPITAL? 237 00:11:52,700 --> 00:11:54,667 THIS IS NOT WORKING FOR YOU. 238 00:11:54,667 --> 00:11:56,800 THIS IS [BLEEP] 239 00:11:56,800 --> 00:12:00,067 Dr. Nowzaradan: SHE'S PUSHED HER BODY TO THE LIMIT SO LONG 240 00:12:00,067 --> 00:12:01,467 THAT I'M CONCERNED 241 00:12:01,467 --> 00:12:05,733 SHE MAY NOT BE ABLE TO LIVE ANOTHER YEAR LIKE THIS. 242 00:12:05,733 --> 00:12:08,167 Pauline: I FEEL LIKE I'M MAKING THE PROGRESS I WANT, 243 00:12:08,167 --> 00:12:11,467 AND I DO HAVE TO TAKE IT AT MY OWN PACE. 244 00:12:11,467 --> 00:12:14,800 ** 245 00:12:19,133 --> 00:12:22,600 PAULINE WAS SO ADAMANT ABOUT THE PAINKILLERS LAST TIME. 246 00:12:22,600 --> 00:12:27,333 MY CONCERN RIGHT NOW IS SHE HAS BEEN ABUSING THAT MEDICATION. 247 00:12:27,333 --> 00:12:29,233 OHH! 248 00:12:29,233 --> 00:12:31,600 I NEED SOME PAIN MEDICINE, PLEASE. 249 00:12:31,600 --> 00:12:34,067 AND AN EXCESSIVE AMOUNT OF PAINKILLER 250 00:12:34,067 --> 00:12:37,433 WILL CAUSE AN ULCER TO FORM IN HER STOMACH, 251 00:12:37,433 --> 00:12:41,867 WHICH EXPLAINS HER LACK OF APPETITE OVER THE LAST MONTH. 252 00:12:41,867 --> 00:12:45,067 WE HAVE NOT BEEN ABLE TO STABILIZE PAULINE'S CONDITION, 253 00:12:45,067 --> 00:12:47,600 SO WE HAVE NO OTHER CHOICE BUT EMERGENCY SURGERY 254 00:12:47,600 --> 00:12:50,200 AND TRY AND REMOVE HER STOMACH ULCER 255 00:12:50,200 --> 00:12:53,767 AND CLOSE UP ANY LEAK IN THE ABDOMINAL CAVITY. 256 00:12:53,767 --> 00:12:56,433 THIS IS HER ONLY HOPE TO SURVIVE. 257 00:12:56,433 --> 00:12:59,467 ** 258 00:13:04,433 --> 00:13:07,133 Dr. Nowzaradan: I'M SENDING YOU TO A PHYSICAL-THERAPY CONSULTANT 259 00:13:07,133 --> 00:13:10,067 TO WORK WITH YOU AND GET YOU UP AND MOVING AGAIN. 260 00:13:10,067 --> 00:13:11,867 HOW AM I GONNA DO ANY PHYSICAL THERAPY 261 00:13:11,867 --> 00:13:15,067 IF I DON'T HAVE ANY MEDICINE FOR MY KNEES? 262 00:13:15,067 --> 00:13:17,133 YOU DO NOT NEED MEDICINE TO STAND UP. 263 00:13:17,133 --> 00:13:18,133 OKAY. 264 00:13:18,133 --> 00:13:21,367 YOU NEED TO GET UP AND MOVE. 265 00:13:21,367 --> 00:13:24,133 Pauline: MOVING AROUND IN THE POOL ISN'T SO BAD, 266 00:13:24,133 --> 00:13:27,800 SO I'M LOOKING FORWARD TO DOING MORE. 267 00:13:27,800 --> 00:13:31,833 WHEN YOU LEFT THE HOSPITAL, YOU WERE 333 POUNDS. 268 00:13:31,833 --> 00:13:33,833 YOU GAINED 20 POUNDS. 269 00:13:33,833 --> 00:13:36,133 THIS IS NOT ACCEPTABLE. 270 00:13:36,133 --> 00:13:37,867 I HAD REALLY BAD KNEE PAIN, AND... 271 00:13:37,867 --> 00:13:41,200 PAULINE, YOU'RE GETTING THAT MUCH AWAY 272 00:13:41,200 --> 00:13:43,833 FROM ME FIRING YOU FROM MY CARE. 273 00:13:43,833 --> 00:13:45,400 BUT WHAT HAVE I DONE WRONG? 274 00:13:45,400 --> 00:13:47,300 IF YOU'RE NOT GONNA START LISTENING HERE, 275 00:13:47,300 --> 00:13:49,800 I'M NOT GONNA TAKE CARE OF YOU. 276 00:13:49,800 --> 00:13:53,067 Pauline: I'VE TAKEN WHAT DR. NOWZARADAN HAS SAID TO HEART, 277 00:13:53,067 --> 00:13:55,500 AND I'VE BEEN TRYING TO EAT HEALTHIER. 278 00:13:55,500 --> 00:13:56,900 AND I'M TRYING TO GET UP, 279 00:13:56,900 --> 00:13:58,467 AND I'M TRYING TO STAY MORE ACTIVE 280 00:13:58,467 --> 00:14:01,333 AND DO MORE ON MY OWN. 281 00:14:01,333 --> 00:14:02,967 ALL RIGHT! 282 00:14:02,967 --> 00:14:06,733 SO, WITH THIS PROGRESS, I'M APPROVING YOU FOR SKIN SURGERY. 283 00:14:06,733 --> 00:14:07,933 -CAN I HUG YOU? -SURE. 284 00:14:07,933 --> 00:14:10,333 [ LAUGHS ] THANK YOU SO MUCH, DR. NOW. 285 00:14:10,333 --> 00:14:12,333 -YOU'RE WELCOME. -I APPRECIATE YOUR HELP. 286 00:14:12,333 --> 00:14:15,133 ** 287 00:14:28,867 --> 00:14:31,500 Pauline: THE PAST TWO YEARS HAVEN'T BEEN EASY. 288 00:14:31,500 --> 00:14:35,500 THERE HAVE BEEN SETBACKS AND DIFFICULTIES, 289 00:14:35,500 --> 00:14:40,367 AND IT'S TAKEN SO MUCH FOR ME TO MAKE THE PROGRESS I HAVE. 290 00:14:40,367 --> 00:14:44,467 I'VE HAD TO WORK HARDER THAN I EVER IMAGINED I WOULD, 291 00:14:44,467 --> 00:14:46,167 BUT I WOULDN'T CHANGE ANY OF IT 292 00:14:46,167 --> 00:14:48,567 BECAUSE IT GOT ME THIS FAR. 293 00:14:48,567 --> 00:14:52,633 AND TODAY, I'VE LOST ALMOST 370 POUNDS 294 00:14:52,633 --> 00:14:55,333 AND I'M ABLE TO TAKE CARE OF MYSELF 295 00:14:55,333 --> 00:14:58,333 AND DO EVERYTHING I NEED ON MY OWN. 296 00:14:58,333 --> 00:15:00,400 SO I'M PROUD OF HOW FAR I'VE COME, 297 00:15:00,400 --> 00:15:04,933 BUT THERE ARE DAYS IT'S NOT EASY. 298 00:15:04,933 --> 00:15:07,700 AND IT'S LIKE THERE'S TWO PARTS OF ME -- 299 00:15:07,700 --> 00:15:10,067 ONE PART THAT WANTS TO GET HEALTHY 300 00:15:10,067 --> 00:15:12,867 AND DO MORE EVERY DAY, 301 00:15:12,867 --> 00:15:15,433 AND THERE'S THIS OTHER PART OF ME 302 00:15:15,433 --> 00:15:19,133 THAT JUST WANTS TO GIVE IN AND EAT EVERYTHING I WANT. 303 00:15:19,133 --> 00:15:23,333 I FEEL LIKE THE FAT GIRL IN ME IS ALWAYS SABOTAGING ME, 304 00:15:23,333 --> 00:15:28,200 AND I CONSTANTLY HAVE TO REASON WITH HER AND TELL HER, "NO." 305 00:15:28,200 --> 00:15:31,667 BUT SHE'S ALWAYS GOING TO BE THERE, 306 00:15:31,667 --> 00:15:34,633 AND IT'S A CONSTANT BATTLE. 307 00:15:34,633 --> 00:15:37,333 I'VE BEEN DOING A LOT OF THINGS I'M HAPPY ABOUT, 308 00:15:37,333 --> 00:15:40,067 ESPECIALLY VOLUNTEERING WITH THE PET SHELTER. 309 00:15:40,067 --> 00:15:43,567 SO, MY LIFE IS GETTING BETTER. 310 00:15:43,567 --> 00:15:45,700 DILL, DINNER'S READY. 311 00:15:45,700 --> 00:15:48,300 MM. 312 00:15:48,300 --> 00:15:53,300 BUT EVEN THOUGH I'M WORKING ON LETTING THINGS IN MY PAST GO, 313 00:15:53,300 --> 00:15:54,767 YEARS OF EMOTIONAL BAGGAGE 314 00:15:54,767 --> 00:15:57,900 ISN'T GOING TO JUST GO AWAY AND NEVER COME BACK. 315 00:16:00,267 --> 00:16:04,267 SO, I STILL HAVE MY HARD DAYS, AND DURING THOSE TIMES, 316 00:16:04,267 --> 00:16:08,333 IT'S MORE OF A LOGICAL CHOICE I'M MAKING. 317 00:16:08,333 --> 00:16:10,100 I JUST KNOW, IF I GIVE IN, 318 00:16:10,100 --> 00:16:12,333 I'M GOING TO PAY FOR IT DOWN THE ROAD. 319 00:16:15,267 --> 00:16:18,633 AND THESE LAST COUPLE OF WEEKS, I'VE BEEN REALLY DOWN. 320 00:16:18,633 --> 00:16:21,667 ** 321 00:16:24,800 --> 00:16:27,200 BUT WHAT'S SCARING ME ABOUT THIS MONTH 322 00:16:27,200 --> 00:16:30,333 IS THAT DR. NOW APPROVED ME FOR EXCESS-SKIN REMOVAL SURGERY 323 00:16:30,333 --> 00:16:32,267 AT MY LAST APPOINTMENT WITH HIM. 324 00:16:34,267 --> 00:16:36,600 AND I KNOW, IF I GAIN RIGHT NOW, 325 00:16:36,600 --> 00:16:39,067 THEN HE'S NOT GONNA LET ME GO AHEAD WITH IT. 326 00:16:39,067 --> 00:16:40,567 AND I DON'T WANT TO LOSE THAT 327 00:16:40,567 --> 00:16:42,267 BECAUSE I HAVE A SIGNIFICANT AMOUNT 328 00:16:42,267 --> 00:16:44,233 OF EXCESS SKIN ON MY BODY, 329 00:16:44,233 --> 00:16:46,733 AND I WANT IT ALL GONE. 330 00:16:46,733 --> 00:16:49,500 THE DAY BEFORE SURGERY, I'M SUPPOSED TO GO TO HIS CLINIC 331 00:16:49,500 --> 00:16:51,300 FOR TESTS TO GET READY, 332 00:16:51,300 --> 00:16:53,933 AND I'M TRYING TO STAY ON TRACK. 333 00:16:53,933 --> 00:16:57,667 I FEEL LIKE I WENT THROUGH A LOT OF STUMBLING BLOCKS 334 00:16:57,667 --> 00:16:59,200 AND A LOT OF TROUBLES. 335 00:16:59,200 --> 00:17:01,933 NOW THAT I AM HALF OF WHAT I USED TO BE, 336 00:17:01,933 --> 00:17:03,400 I REFUSE TO GIVE UP. 337 00:17:03,400 --> 00:17:07,167 I'VE OVERCOME TOO MUCH TO NOT KEEP FIGHTING. 338 00:17:07,167 --> 00:17:10,867 AND I KNOW RIGHT NOW MY GOAL HAS TO BE TO KEEP LOSING WEIGHT, 339 00:17:10,867 --> 00:17:14,700 SO WHEN I SEE DR. NOW NEXT, THAT I DON'T GIVE HIM ANY REASON 340 00:17:14,700 --> 00:17:17,567 NOT TO MOVE AHEAD WITH MY SURGERY, 341 00:17:17,567 --> 00:17:19,833 AND FIGHT TO MAKE ENOUGH PROGRESS 342 00:17:19,833 --> 00:17:21,533 BECAUSE A SETBACK LIKE THAT 343 00:17:21,533 --> 00:17:23,833 IS GOING TO BE SO DISCOURAGING TO ME. 344 00:17:23,833 --> 00:17:25,867 [ DOGS BARKING ] 345 00:17:29,800 --> 00:17:32,833 ** 346 00:17:36,633 --> 00:17:38,467 Pauline: RIGHT NOW, I'M HEADED TO SEE DR. NOW 347 00:17:38,467 --> 00:17:40,233 FOR MY PRE-OP APPOINTMENT 348 00:17:40,233 --> 00:17:44,667 WHERE HE'S GONNA CHECK ON ME AND SEE HOW I'M DOING. 349 00:17:44,667 --> 00:17:47,467 I'M ALWAYS NERVOUS ABOUT STEPPING ON THE SCALE. 350 00:17:47,467 --> 00:17:50,300 THAT'S SOMETHING THAT NEVER GOES AWAY. 351 00:17:50,300 --> 00:17:54,967 IT'S JUST A NERVE-WRACKING THING. 352 00:17:54,967 --> 00:17:58,300 BUT I'M WORRIED ABOUT WHAT MY WEIGHT LOSS IS 353 00:17:58,300 --> 00:18:01,400 BECAUSE MY LEGS HAVE BEEN REALLY HURTING, 354 00:18:01,400 --> 00:18:04,933 AND I'M STILL STRUGGLING A LOT... 355 00:18:04,933 --> 00:18:09,067 SO I KNOW I'M NOT DOING GREAT. 356 00:18:09,067 --> 00:18:10,667 PAULINE POTTER? 357 00:18:10,667 --> 00:18:14,600 WHEN I WAS HERE LAST MONTH, MY WEIGHT WAS AT 308. 358 00:18:14,600 --> 00:18:17,567 AND I'M SUPPOSED TO BE LOSING 20 POUNDS A MONTH, 359 00:18:17,567 --> 00:18:20,600 SO I NEED TO BE DOWN TO 288 360 00:18:20,600 --> 00:18:23,300 FOR DR. NOW TO BE HAPPY RIGHT NOW. 361 00:18:23,300 --> 00:18:26,933 BUT I'M JUST HOPING FOR ANY PROGRESS TODAY. 362 00:18:26,933 --> 00:18:28,733 Crap. 363 00:18:28,733 --> 00:18:31,367 [ BREATHES SHARPLY ] 364 00:18:31,367 --> 00:18:34,767 I CAN'T BELIEVE IT. 365 00:18:34,767 --> 00:18:37,233 THAT'S REALLY NOT GOOD. 366 00:18:37,233 --> 00:18:40,333 I'M REALLY FRUSTRATED RIGHT NOW, 367 00:18:40,333 --> 00:18:42,933 AND I'M NOT LOOKING FORWARD TO WHAT DR. NOW IS GOING TO SAY. 368 00:18:42,933 --> 00:18:44,133 [ KNOCK ON DOOR ] 369 00:18:44,133 --> 00:18:45,467 HELLO. 370 00:18:45,467 --> 00:18:46,667 HELLO. 371 00:18:46,667 --> 00:18:49,367 -HOW ARE YOU ALL DOING? -GOOD. HOW ARE YOU? 372 00:18:49,367 --> 00:18:50,667 ALL RIGHT. 373 00:18:50,667 --> 00:18:54,833 SO, YOU'RE BACK UP TO 327 TODAY. 374 00:18:54,833 --> 00:18:55,933 I KNOW. 375 00:18:55,933 --> 00:18:57,400 YOU WERE DOING SO WELL. 376 00:18:57,400 --> 00:18:58,567 WHAT HAPPENED? 377 00:18:58,567 --> 00:19:00,600 I HAVE REALLY BAD KNEE PAIN. 378 00:19:00,600 --> 00:19:03,767 SO, WHAT ARE YOU DOING FOR YOUR KNEE PAIN? 379 00:19:03,767 --> 00:19:05,733 NOT A LOT. 380 00:19:05,733 --> 00:19:07,867 I KNOW YOU TOLD ME TO PUSH THROUGH THE PAIN, 381 00:19:07,867 --> 00:19:10,067 BUT IT'S REALLY HARD TO GET THE RIGHT MIND-SET 382 00:19:10,067 --> 00:19:11,367 TO PUSH THROUGH THE PAIN 383 00:19:11,367 --> 00:19:13,667 WHEN IT HURTS SO MUCH. 384 00:19:13,667 --> 00:19:15,300 YOUR LEGS ARE HURTING 385 00:19:15,300 --> 00:19:18,867 BECAUSE YOUR JOINTS ARE ABSORBING ALL THE SHOCK 386 00:19:18,867 --> 00:19:20,267 WHEN YOU WALK AROUND, 387 00:19:20,267 --> 00:19:23,833 SO IF YOU GET SOME SHOES AND BECOME MORE ACTIVE, 388 00:19:23,833 --> 00:19:27,100 THEN YOUR PAIN WILL START TO DECREASE SIGNIFICANTLY. 389 00:19:27,100 --> 00:19:28,433 MAKE SENSE? 390 00:19:28,433 --> 00:19:29,667 YOU'RE RIGHT. 391 00:19:29,667 --> 00:19:32,633 BUT LET'S TALK ABOUT YOUR WEIGHT RIGHT NOW. 392 00:19:32,633 --> 00:19:37,233 IT'S BEEN A YEAR AND NINE MONTHS SINCE YOUR GASTRIC BYPASS. 393 00:19:37,233 --> 00:19:40,633 AT THIS POINT, YOU SHOULD BE DOWN TO 200 POUNDS, 394 00:19:40,633 --> 00:19:42,067 BUT YOU'RE NOT. 395 00:19:42,067 --> 00:19:43,433 SO, WHY IS THAT? 396 00:19:43,433 --> 00:19:45,767 I THINK THAT YOU FIXED MY TUMMY, 397 00:19:45,767 --> 00:19:47,233 BUT YOU DIDN'T FIX MY HEAD 398 00:19:47,233 --> 00:19:50,067 AND SO I STILL HAVE 700-POUND THINKING. 399 00:19:50,067 --> 00:19:52,733 I STILL WANT TO EAT WHEN I'M NOT HUNGRY 400 00:19:52,733 --> 00:19:57,067 OR I STILL WANT TO KEEP EATING EVEN AFTER I'M FULL. 401 00:19:57,067 --> 00:19:58,933 SO, WHAT DO YOU THINK IS DRIVING YOU 402 00:19:58,933 --> 00:20:02,933 TO EAT MORE OFTEN AND OVEREAT? 403 00:20:02,933 --> 00:20:06,267 I THINK IT'S JUST WHATEVER HAS BEEN IN MY HEAD FOR 53 YEARS 404 00:20:06,267 --> 00:20:08,933 IS STILL IN THERE. 405 00:20:08,933 --> 00:20:10,067 Dr. Nowzaradan: I'M VERY CONCERNED 406 00:20:10,067 --> 00:20:12,033 ABOUT PAULINE RIGHT NOW. 407 00:20:12,033 --> 00:20:16,000 SHE HAS HAD MOMENTS WHERE SHE LOST A LOT OF WEIGHT AT ONCE, 408 00:20:16,000 --> 00:20:18,700 AND THEN SHE STARTS TO GAIN AGAIN. 409 00:20:18,700 --> 00:20:21,867 BUT IT'S BECOME SO FREQUENT THAT, AT THIS POINT, 410 00:20:21,867 --> 00:20:25,867 I AM WORRIED SHE'S JUST GOING TO SPIRAL OUT OF CONTROL. 411 00:20:25,867 --> 00:20:28,267 WELL, YOU'RE STARTING TO GAIN AGAIN. 412 00:20:28,267 --> 00:20:30,500 AND WHAT'S GONNA HAPPEN IN FOUR OR FIVE YEARS 413 00:20:30,500 --> 00:20:32,700 IS YOU'RE GONNA BE BACK TO 600 POUNDS. 414 00:20:32,700 --> 00:20:35,833 NO. I'M REALLY GONNA TRY NOT TO LET THAT HAPPEN. 415 00:20:35,833 --> 00:20:38,433 YOU'RE STILL DEALING WITH THE SAME ISSUES 416 00:20:38,433 --> 00:20:40,633 THAT LED YOU TO THIS POINT. 417 00:20:40,633 --> 00:20:42,733 HAVE YOU STILL BEEN GOING TO THERAPY? 418 00:20:42,733 --> 00:20:43,967 NO. 419 00:20:43,967 --> 00:20:46,900 YOU NEED TO GO BACK TO SEEING THE THERAPIST. 420 00:20:46,900 --> 00:20:48,967 NOTHING'S GOING TO CHANGE 421 00:20:48,967 --> 00:20:52,000 UNLESS YOU KEEP MAKING PROGRESS WITH THAT, TOO. 422 00:20:52,000 --> 00:20:53,333 OKAY. 423 00:20:53,333 --> 00:20:55,667 BUT RIGHT NOW, YOU'RE NO LONGER IN A PLACE 424 00:20:55,667 --> 00:20:57,867 THAT IS SAFE TO DO YOUR SURGERY, 425 00:20:57,867 --> 00:21:00,733 SO I'M CANCELING IT FOR TOMORROW. 426 00:21:00,733 --> 00:21:04,533 SO, GET SOME SHOES AND GET MORE ACTIVE 427 00:21:04,533 --> 00:21:07,633 SO YOU CAN KEEP LOSING 20 POUNDS A MONTH. 428 00:21:07,633 --> 00:21:10,067 AND IF YOU WANT SKIN-REMOVAL SURGERY, 429 00:21:10,067 --> 00:21:13,167 THEN GET BACK TO AROUND 300 POUNDS. 430 00:21:13,167 --> 00:21:14,267 OKAY. 431 00:21:14,267 --> 00:21:16,233 YOU'RE HERE TO IMPROVE YOUR HEALTH 432 00:21:16,233 --> 00:21:18,067 -AND HAVE A MEANINGFUL LIFE. -RIGHT. 433 00:21:18,067 --> 00:21:19,733 AND THAT'S GONNA BE THE GOAL FOR YOU, OKAY? 434 00:21:19,733 --> 00:21:20,867 OKAY. 435 00:21:20,867 --> 00:21:22,267 SO, YOU NEED TO STICK WITH THAT. 436 00:21:22,267 --> 00:21:23,333 OKAY. 437 00:21:23,333 --> 00:21:24,933 -ALL RIGHT, I'LL SEE YOU SOON. -OKAY. 438 00:21:24,933 --> 00:21:27,300 -ALL RIGHT. -THANKS, DR. NOW. 439 00:21:27,300 --> 00:21:28,767 Dr. Nowzaradan: PAULINE 440 00:21:28,767 --> 00:21:32,167 IS ON A VERY UNFORTUNATE TRAJECTORY RIGHT NOW, 441 00:21:32,167 --> 00:21:33,867 BUT I'M HOPING 442 00:21:33,867 --> 00:21:37,133 THE THERAPIST WILL BE ABLE TO HELP HER DEAL WITH THE ISSUES 443 00:21:37,133 --> 00:21:39,800 THAT ARE DRIVING HER TO EAT RIGHT NOW. 444 00:21:39,800 --> 00:21:41,900 [ SIGHS ] 445 00:21:41,900 --> 00:21:45,767 Pauline: TODAY WAS PRETTY MUCH A WORST-CASE SCENARIO FOR ME. 446 00:21:45,767 --> 00:21:51,500 I FEEL LIKE I LET DR. NOW DOWN, AND I LET MYSELF DOWN. 447 00:21:51,500 --> 00:21:55,633 AND I JUST HAVE TO TAKE RESPONSIBILITY FOR THAT. 448 00:21:55,633 --> 00:21:58,367 I HAVE NO ONE TO BLAME BUT MYSELF, 449 00:21:58,367 --> 00:22:01,733 SO I KNOW I HAVE A LOT OF WORK TO DO. 450 00:22:01,733 --> 00:22:04,967 BUT ALL I CAN DO IS GO AND TRY AGAIN. 451 00:22:04,967 --> 00:22:07,900 ** 452 00:22:17,100 --> 00:22:18,500 Joe: TODAY, SARAH AND I 453 00:22:18,500 --> 00:22:22,067 ARE GOING TO TRY AND PICK OUR WEDDING CAKES, 454 00:22:22,067 --> 00:22:25,267 AND I'M EXCITED ABOUT ALL OUR WEDDING PLANNING. 455 00:22:25,267 --> 00:22:27,900 THE ONLY THING THAT I HAVE ANY HESITATION ABOUT 456 00:22:27,900 --> 00:22:31,600 IS THE PLANNING THAT REVOLVES AROUND FOOD. 457 00:22:31,600 --> 00:22:34,233 THERE'S A PART OF ME THAT WANTS TO SAY, "YOU KNOW WHAT? 458 00:22:34,233 --> 00:22:35,800 WE'RE GONNA BE DIFFERENT, 459 00:22:35,800 --> 00:22:40,133 AND WE'RE NOT GONNA HAVE CAKE OR CANDY OR UNHEALTHY STUFF." 460 00:22:40,133 --> 00:22:43,233 BUT THE REALITY IS THAT GOOD TIMES AND FOOD 461 00:22:43,233 --> 00:22:46,433 JUST SEEM TO ALWAYS GO TOGETHER FOR EVERYONE. 462 00:22:46,433 --> 00:22:48,200 -HI. HOW ARE YOU GUYS TODAY? -GOOD MORNING. 463 00:22:48,200 --> 00:22:49,833 WE'RE HERE FOR A WEDDING-CAKE TESTING. 464 00:22:49,833 --> 00:22:51,500 OKAY, COOL. SO, IF YOU WANT TO TAKE A SEAT, 465 00:22:51,500 --> 00:22:52,400 I'LL BE RIGHT WITH YOU. 466 00:22:52,400 --> 00:22:54,533 -AWESOME. THANK YOU. -OKAY. 467 00:22:54,533 --> 00:22:57,333 Joe: WE CELEBRATE THINGS WITH FOOD, 468 00:22:57,333 --> 00:23:00,900 AND THAT MAKES IT HARD TO DEAL WITH ANY BIG EVENT 469 00:23:00,900 --> 00:23:04,133 BECAUSE THINGS LIKE CAKE AND CANDY 470 00:23:04,133 --> 00:23:06,767 AREN'T A PART OF MY DIET ANYMORE. 471 00:23:06,767 --> 00:23:10,533 SO, THESE ARE JUST SOME OF OUR MOST POPULAR WEDDING FLAVORS. 472 00:23:10,533 --> 00:23:13,667 WE HAVE OUR CLASSIC WHITE CAKE, OUR CLASSIC CHOCOLATE. 473 00:23:13,667 --> 00:23:15,900 THESE ARE FROSTINGS, AND THEN FILLINGS. 474 00:23:15,900 --> 00:23:18,833 WE HAVE STRAWBERRY, RASPBERRY, AND LEMON. 475 00:23:18,833 --> 00:23:19,833 OOH. 476 00:23:19,833 --> 00:23:21,067 SO, I'LL LEAVE YOU GUYS TO IT, 477 00:23:21,067 --> 00:23:23,067 AND MIX AND MATCH AND SEE WHAT YOU LIKE BEST. 478 00:23:23,067 --> 00:23:25,567 -AWESOME. THANK YOU. -OKAY. YEP. 479 00:23:25,567 --> 00:23:26,833 WHAT DO YOU WANT? 480 00:23:26,833 --> 00:23:27,800 I'M GONNA TRY CHOCOLATE FIRST. 481 00:23:27,800 --> 00:23:28,767 OF COURSE. 482 00:23:28,767 --> 00:23:29,833 I'LL GIVE YOU A CHOCOLATE. 483 00:23:29,833 --> 00:23:30,967 YEAH. 484 00:23:30,967 --> 00:23:34,067 WELL, I CAN'T HAVE MUCH. YOU KNOW THAT. 485 00:23:34,067 --> 00:23:35,833 Joe: FOR THE WEDDING, WE HAVE TO HAVE A DINNER 486 00:23:35,833 --> 00:23:37,467 AND THERE HAS TO BE CAKE. 487 00:23:37,467 --> 00:23:40,267 AND THERE'S APPETIZERS AND CANDY OR SNACKS 488 00:23:40,267 --> 00:23:42,667 THAT HAVE TO BE OUT AT THE RECEPTION. 489 00:23:42,667 --> 00:23:43,933 AND SO, I KNOW 490 00:23:43,933 --> 00:23:47,200 THAT THIS IS GOING TO TAKE A LOT OF SELF-CONTROL. 491 00:23:47,200 --> 00:23:50,500 SO I HAVE TO BE REALLY CAREFUL RIGHT NOW 492 00:23:50,500 --> 00:23:54,200 BECAUSE I SEE DR. NOW AGAIN IN A COUPLE OF WEEKS, 493 00:23:54,200 --> 00:23:56,567 AND I DON'T WANT TO MESS UP MY PROGRESS. 494 00:23:59,533 --> 00:24:03,700 THIS IS A MILESTONE FOR ME JUST BECAUSE, YOU KNOW, BEFORE, 495 00:24:03,700 --> 00:24:07,533 I WOULDN'T HAVE ANY CONTROL OVER WHAT I WAS EATING. 496 00:24:07,533 --> 00:24:09,167 CAKE WOULD BE LIKE, "OKAY, 497 00:24:09,167 --> 00:24:13,267 I'M JUST GONNA GO AND GO AND GO AND GO NOT STOP." 498 00:24:13,267 --> 00:24:15,500 NOW, I HAVE ENOUGH CONTROL TO BE LIKE, 499 00:24:15,500 --> 00:24:18,200 "OKAY, WELL, WE'RE JUST GONNA HAVE JUST A LITTLE BIT, 500 00:24:18,200 --> 00:24:20,867 AND THE REST OF IT CAN GO SOMEWHERE ELSE." 501 00:24:20,867 --> 00:24:23,267 SO, WHAT DID YOU GUYS THINK? 502 00:24:23,267 --> 00:24:24,633 IT WAS VERY GOOD. 503 00:24:24,633 --> 00:24:28,700 WE WILL BE BACK IN THE NEXT WEEK OR SO TO ORDER. 504 00:24:28,700 --> 00:24:30,300 ALL RIGHT. WELL, IT WAS NICE MEETING YOU GUYS. 505 00:24:30,300 --> 00:24:32,267 THANK YOU. [ CHUCKLES ] 506 00:24:32,267 --> 00:24:34,533 ** 507 00:24:34,533 --> 00:24:36,433 I DON'T WANT OUR BIG DAY TO BE TAINTED 508 00:24:36,433 --> 00:24:39,733 WITH THE FACT THAT I STARTED TO GAIN AGAIN THROUGH ALL THIS, 509 00:24:39,733 --> 00:24:43,133 SO I'M GOING TO FOCUS ON DOING WHAT I NEED. 510 00:24:43,133 --> 00:24:44,767 ** 511 00:24:54,100 --> 00:24:57,733 I'M BACK IN HOUSTON FOR MY NEXT APPOINTMENT WITH DR. NOW, 512 00:24:57,733 --> 00:25:01,067 AND I'M NOT SURE WHAT TO EXPECT TODAY. 513 00:25:01,067 --> 00:25:02,733 I'M STILL EATING HEALTHY, 514 00:25:02,733 --> 00:25:04,133 BUT THERE'S BEEN A LOT OF PLANNING 515 00:25:04,133 --> 00:25:06,067 REVOLVING AROUND FOOD. 516 00:25:06,067 --> 00:25:07,933 AND A LOT OF THE TIME, 517 00:25:07,933 --> 00:25:10,067 I DON'T KNOW HOW MANY CALORIES ARE IN SOMETHING 518 00:25:10,067 --> 00:25:13,100 THAT'S BEING PUT IN FRONT OF ME. 519 00:25:13,100 --> 00:25:17,200 SO I'M JUST A LITTLE CONCERNED ABOUT ALL THAT. 520 00:25:17,200 --> 00:25:20,433 I STILL HAVE A LOT OF EXCESS SKIN AROUND MY LEGS AND ARMS, 521 00:25:20,433 --> 00:25:22,700 AND I DO WORRY ABOUT WHAT SARAH'S GOING TO THINK 522 00:25:22,700 --> 00:25:25,833 AS I LOSE MORE WEIGHT AND IT GETS WORSE. 523 00:25:25,833 --> 00:25:27,167 JOE WEXLER? 524 00:25:27,167 --> 00:25:31,567 SO IT'S IMPORTANT TO ME TO GET DOWN TO WHERE I NEED, 525 00:25:31,567 --> 00:25:35,067 BUT THE LAST TIME I WAS HERE, I WAS 374, 526 00:25:35,067 --> 00:25:38,600 AND I NEED TO BE AT 324 TO STAY ON TRACK. 527 00:25:38,600 --> 00:25:40,467 IF I'M NOT, THEN I'M GONNA BE 528 00:25:40,467 --> 00:25:43,867 NOWHERE CLOSE TO MY NEXT SURGERY. 529 00:25:43,867 --> 00:25:45,800 365. 530 00:25:45,800 --> 00:25:46,933 OKAY. 531 00:25:46,933 --> 00:25:48,233 YOU CAN GO AHEAD AND GO TO THE ROOM. 532 00:25:48,233 --> 00:25:51,333 -THANK YOU. -MM-HMM. 533 00:25:51,333 --> 00:25:54,333 IT'S NOT THE BEST NUMBER, BUT IT'S STILL A LOSS. 534 00:25:54,333 --> 00:25:59,067 BUT I'M NOT SURE WHAT THAT MEANS ABOUT MY SKIN-REMOVAL SURGERY. 535 00:25:59,067 --> 00:26:01,167 [ KNOCK ON DOOR ] 536 00:26:01,167 --> 00:26:02,933 HEY, JOE. HI. HOW'S IT GOING? 537 00:26:02,933 --> 00:26:05,567 I'M DOING OKAY. HOW ABOUT YOURSELF? 538 00:26:05,567 --> 00:26:06,767 GOOD, GOOD. 539 00:26:06,767 --> 00:26:09,733 SO, YOU LOST OVER 400 POUNDS, HUH? 540 00:26:09,733 --> 00:26:11,067 YES, SIR. 541 00:26:11,067 --> 00:26:14,900 WHICH IS GREAT, BUT WHY IS YOUR WEIGHT LOSS SLOWING? 542 00:26:14,900 --> 00:26:18,067 WELL, I MEAN, THERE'S BEEN A LITTLE BIT OF STRESS 543 00:26:18,067 --> 00:26:20,833 AND JUST GETTING READY FOR A WEDDING, SO... 544 00:26:20,833 --> 00:26:21,900 COME ON, JOE. 545 00:26:21,900 --> 00:26:23,800 YOU KNOW WHAT'S GOING ON IN YOUR LIFE 546 00:26:23,800 --> 00:26:26,867 CAN NEVER BECOME AN EXCUSE TO BE UNHEALTHY. 547 00:26:26,867 --> 00:26:27,867 -RIGHT. -OKAY? 548 00:26:27,867 --> 00:26:30,067 YOU NEED TO UNDERSTAND NOT TO LET 549 00:26:30,067 --> 00:26:32,767 THIS STRESS PROJECT ON YOUR EATING HABIT, 550 00:26:32,767 --> 00:26:36,167 AND YOU NEED TO KEEP AN EYE ON YOUR CALORIE INTAKE. 551 00:26:36,167 --> 00:26:37,467 SURE. 552 00:26:37,467 --> 00:26:41,200 TO LOSE ONLY FOUR TO FIVE POUNDS A MONTH AT YOUR WEIGHT 553 00:26:41,200 --> 00:26:45,667 MEANS THAT YOU'RE STILL TAKING IN AROUND 3,500 CALORIES, 554 00:26:45,667 --> 00:26:48,267 AND YOU'RE NOT REALIZING IT. 555 00:26:48,267 --> 00:26:49,767 OKAY. 556 00:26:49,767 --> 00:26:52,067 Dr. Nowzaradan: AFTER JOE'S LAST SKIN SURGERY, 557 00:26:52,067 --> 00:26:56,067 HE STARTED TO LOSE SOME MOMENTUM WITH HIS WEIGHT LOSS. 558 00:26:56,067 --> 00:26:57,667 AND RIGHT NOW, I'M CONCERNED 559 00:26:57,667 --> 00:27:00,933 THAT HE'S GETTING MORE AND MORE DISTRACTED. 560 00:27:00,933 --> 00:27:03,633 A LOT IS CHANGING VERY QUICKLY FOR HIM, 561 00:27:03,633 --> 00:27:07,733 AND AS TIME GOES ON, THE EXCITEMENT WILL WEAR OFF 562 00:27:07,733 --> 00:27:11,833 WHILE HIS RESPONSIBILITIES CONTINUE TO GROW. 563 00:27:11,833 --> 00:27:15,867 SO IF HE DOESN'T LEARN HOW TO HANDLE THAT STRESS NOW, 564 00:27:15,867 --> 00:27:19,933 HE'S NOT GOING TO HAVE A CHANCE LATER ON IN HIS LIFE. 565 00:27:19,933 --> 00:27:21,067 ALL RIGHT. 566 00:27:21,067 --> 00:27:23,133 LET ME LOOK AT THE EXCESS SKIN. 567 00:27:23,133 --> 00:27:24,267 RIGHT. 568 00:27:24,267 --> 00:27:27,067 SO, LIKE, RIGHT HERE. 569 00:27:27,067 --> 00:27:29,833 YOU CAN SEE, LIKE... 570 00:27:29,833 --> 00:27:32,700 THERE STILL TOO MUCH FAT AROUND THAT AREA, 571 00:27:32,700 --> 00:27:34,100 SO WHAT WE NEED TO DO 572 00:27:34,100 --> 00:27:38,800 IS WE NEED TO CONCENTRATE ON GETTING YOUR WEIGHT DOWN... 573 00:27:38,800 --> 00:27:39,833 MM-HMM. 574 00:27:39,833 --> 00:27:42,633 ...AND GET YOU TO UNDER 300 575 00:27:42,633 --> 00:27:46,233 BEFORE WE CONSIDER DOING ANY SKIN SURGERY. 576 00:27:46,233 --> 00:27:48,767 SO YOU NEED TO KEEP LOSING MORE WEIGHT. 577 00:27:48,767 --> 00:27:49,867 SURE. THANK YOU. 578 00:27:49,867 --> 00:27:51,367 OKAY, JOE. NICE TO SEE YOU AGAIN. 579 00:27:51,367 --> 00:27:53,733 NICE TO SEE YOU, TOO. ALL RIGHT. 580 00:27:54,800 --> 00:27:58,133 JOE STILL HAS A GOOD WAYS TO GO 581 00:27:58,133 --> 00:28:00,267 TO GET TO HIS FINAL GOAL WEIGHT, 582 00:28:00,267 --> 00:28:02,633 SO HE NEEDS TO GET BACK ON TRACK NOW 583 00:28:02,633 --> 00:28:07,100 IF HE WANTS TO HAVE A CHANCE TO GET THERE ANY TIME SOON. 584 00:28:07,100 --> 00:28:10,633 ** 585 00:28:10,633 --> 00:28:14,100 Joe: TODAY'S APPOINTMENT DIDN'T GO EXACTLY LIKE I HOPED, 586 00:28:14,100 --> 00:28:18,367 SO THAT'S A LITTLE BIT OF A DOWNER RIGHT NOW. 587 00:28:18,367 --> 00:28:20,067 I HAVE TO GET UNDER 300 NOW 588 00:28:20,067 --> 00:28:22,733 TO GET APPROVED FOR SKIN-REMOVAL SURGERY, 589 00:28:22,733 --> 00:28:25,700 AND THAT'S 65 POUNDS AWAY. 590 00:28:25,700 --> 00:28:27,800 SO THAT'S WHAT I HAVE TO LOSE QUICKLY 591 00:28:27,800 --> 00:28:31,200 IF I WANT TO BE ABLE TO GET THE SURGERY. 592 00:28:31,200 --> 00:28:33,967 WITH THE WEDDING AND ALL, I'M NOT LETTING ANYTHING HAPPEN 593 00:28:33,967 --> 00:28:35,567 TO MAKE ME WAIT A YEAR OR SO 594 00:28:35,567 --> 00:28:37,600 TO KEEP MAKING THE PROGRESS I NEED. 595 00:28:37,600 --> 00:28:41,100 SO IF I HAVE TO WORK HARDER, THEN I WILL. 596 00:28:41,100 --> 00:28:42,067 ** 597 00:28:45,567 --> 00:28:48,600 ** 598 00:28:52,933 --> 00:28:56,133 WE'RE ON OUR WAY TO A SHOE STORE 599 00:28:56,133 --> 00:28:59,400 TO SEE IF THERE ARE ANY WALKING SHOES 600 00:28:59,400 --> 00:29:02,833 THAT WILL FIT THESE WIDE, SWOLLEN FEET OF MINE. 601 00:29:02,833 --> 00:29:05,700 I THINK I'M MOSTLY JUST NERVOUS THAT 602 00:29:05,700 --> 00:29:07,733 THERE'S NOT GONNA BE ANYTHING THAT FITS ME, 603 00:29:07,733 --> 00:29:11,200 WHICH IS WHY I HAVEN'T WORN SHOES FOR SO LONG ALREADY. 604 00:29:13,867 --> 00:29:17,333 Pauline: FOR YEARS, I HAVEN'T EVEN TRIED TO WEAR SHOES. 605 00:29:17,333 --> 00:29:20,267 BEING AS BIG AS I WAS AND WITH THE LYMPHEDEMA, 606 00:29:20,267 --> 00:29:23,900 THERE WAS JUST NO WAY I COULD GET ANY SIZE SHOE ON ME. 607 00:29:23,900 --> 00:29:27,067 AND IF I COULD, I'M SURE IT WOULD'VE BEEN SO UNCOMFORTABLE 608 00:29:27,067 --> 00:29:29,900 TO EVEN TRY TO WEAR. 609 00:29:29,900 --> 00:29:34,933 BUT DR. NOW THINKS THEY'LL HELP WITH MY LEG AND JOINT PAIN, 610 00:29:34,933 --> 00:29:39,233 AS WELL AS MAKE IT EASIER FOR ME TO BE MORE ACTIVE. 611 00:29:39,233 --> 00:29:41,067 SO I'M WILLING TO GO SEE IF IT'S POSSIBLE 612 00:29:41,067 --> 00:29:44,367 FOR ANYTHING TO FIT MY FOOT NOW. 613 00:29:44,367 --> 00:29:46,467 OF COURSE IT'S PACKED. 614 00:29:46,467 --> 00:29:49,500 ** 615 00:29:52,333 --> 00:29:54,433 WHAT CAN WE HELP WITH TODAY? 616 00:29:56,300 --> 00:29:58,067 [ SIGHS ] 617 00:29:58,067 --> 00:30:00,067 I HAVEN'T WORN SHOES FOR QUITE A WHILE, 618 00:30:00,067 --> 00:30:02,333 AND I HAVE LYMPHEDEMA SO IT HANGS -- 619 00:30:02,333 --> 00:30:04,800 MY LEGS HANG OVER MY ANKLES AND STUFF, 620 00:30:04,800 --> 00:30:07,133 WHICH IS WHY I STOPPED WEARING SHOES. 621 00:30:07,133 --> 00:30:09,933 I DON'T KNOW IF I'M GONNA BE ABLE TO FIT IN A WOMAN'S SHOE. 622 00:30:09,933 --> 00:30:11,700 OKAY. LET ME SEE WHAT WE GOT BACK THERE, 623 00:30:11,700 --> 00:30:13,200 AND I'LL BE RIGHT BACK. 624 00:30:13,200 --> 00:30:14,500 [ CLEARS THROAT ] 625 00:30:14,500 --> 00:30:16,733 I DON'T REALLY LET ANYONE SEE MY FEET -- 626 00:30:16,733 --> 00:30:20,667 NO MATTER WHAT -- BECAUSE OF THE LYMPHEDEMA, 627 00:30:20,667 --> 00:30:24,033 AND I JUST CAN'T TAKE THE COMPRESSION SOCKS OFF. 628 00:30:28,167 --> 00:30:31,167 ALL RIGHT, HERE WE GO. 629 00:30:31,167 --> 00:30:33,900 PUTTING ON CLOSED-TOE SHOES USUALLY, YOU KNOW, 630 00:30:33,900 --> 00:30:35,667 CAN BE DIFFERENT IF YOU'RE NOT USED TO IT. 631 00:30:35,667 --> 00:30:37,067 SO, HERE. I'LL HELP YOU OUT HERE. 632 00:30:37,067 --> 00:30:39,033 OH, YEAH. THIS IS NOT GONNA... 633 00:30:41,400 --> 00:30:43,067 I DON'T THINK THAT ONE'S GONNA FIT. 634 00:30:43,067 --> 00:30:44,700 IT'S ALREADY TOO TIGHT. 635 00:30:44,700 --> 00:30:47,633 IS IT TOO TIGHT? 636 00:30:47,633 --> 00:30:48,967 OKAY. 637 00:30:48,967 --> 00:30:51,500 LET'S TRY THIS AGAIN. 638 00:30:54,033 --> 00:30:56,567 LET'S SEE. 639 00:30:58,833 --> 00:31:01,300 HERE WE GO. 640 00:31:01,300 --> 00:31:02,867 YOU JUST TELL ME WHEN. OKAY. 641 00:31:02,867 --> 00:31:04,900 I'LL JUST PUT A COMFORTABLE AMOUNT OF PRESSURE THERE. 642 00:31:04,900 --> 00:31:07,200 THAT'S PROBABLY OKAY. 643 00:31:07,200 --> 00:31:09,233 YOU WANT TO STAND UP AND SEE HOW THEY FEEL? 644 00:31:09,233 --> 00:31:10,800 SURE. I THINK I CAN DO IT. 645 00:31:10,800 --> 00:31:12,967 [ GRUNTS ] 646 00:31:12,967 --> 00:31:15,067 OH, LORD. 647 00:31:15,067 --> 00:31:18,533 I DIDN'T THINK ANYTHING WOULD ACTUALLY FIT, 648 00:31:18,533 --> 00:31:22,100 BUT IT'S BEEN A LONG TIME SINCE I'VE HAD SHOES ON, 649 00:31:22,100 --> 00:31:25,433 AND IT FEELS REALLY DIFFERENT THAN I REMEMBER. 650 00:31:25,433 --> 00:31:26,733 HOW'S THE CUSHION FEEL? CAN YOU TELL IT? 651 00:31:26,733 --> 00:31:28,233 THE CUSHION FEELS PRETTY GOOD. 652 00:31:28,233 --> 00:31:30,900 THE SHOES LOOK NICE, BUT MY FEET LOOK BAD. 653 00:31:30,900 --> 00:31:32,267 [ CHUCKLES ] 654 00:31:32,267 --> 00:31:33,333 I THINK THEY LOOK JUST FINE. 655 00:31:33,333 --> 00:31:36,300 MY LEGS LOOK TERRIBLE. 656 00:31:36,300 --> 00:31:37,667 IT'S A LITTLE SCARY 657 00:31:37,667 --> 00:31:41,067 BECAUSE I CAN'T FEEL WHERE MY FEET ARE AS MUCH, 658 00:31:41,067 --> 00:31:44,633 AND IT MAKES ME FEEL LIKE I'M GOING TO TRIP. 659 00:31:44,633 --> 00:31:47,300 SO THIS IS GOING TO TAKE A LOT OF GETTING USED TO 660 00:31:47,300 --> 00:31:50,367 AND JUST SOME TIME WALKING WITH THEM. 661 00:31:50,367 --> 00:31:52,267 BUT IT'S EXCITING BECAUSE THIS MEANS 662 00:31:52,267 --> 00:31:54,667 I'M GOING TO BE ABLE TO DO MORE 663 00:31:54,667 --> 00:31:59,067 AND START WALKING AROUND WITHOUT AS MUCH PAIN. 664 00:31:59,067 --> 00:32:00,833 -THANK YOU SO MUCH. -YES, MA'AM. 665 00:32:00,833 --> 00:32:01,867 -HAPPY TO HELP. -APPRECIATE YOUR HELP. 666 00:32:01,867 --> 00:32:03,433 VERY HAPPY TO HELP. 667 00:32:03,433 --> 00:32:07,067 ** 668 00:32:07,067 --> 00:32:08,300 GOOD LUCK WITH EVERYTHING. 669 00:32:08,300 --> 00:32:10,867 THANKS. YOU HAVE A GREAT DAY. 670 00:32:12,367 --> 00:32:16,367 SO, I PLAN TO START WEARING THEM A LITTLE BIT EVERY DAY 671 00:32:16,367 --> 00:32:18,567 UNTIL I GET USED TO THEM, 672 00:32:18,567 --> 00:32:20,800 AND THEN I'LL START TO GET MORE ACTIVE 673 00:32:20,800 --> 00:32:22,300 AND START WALKING AROUND 674 00:32:22,300 --> 00:32:25,833 WITHOUT AS MUCH PAIN. 675 00:32:25,833 --> 00:32:28,867 ** 676 00:32:31,233 --> 00:32:33,300 [ TRAIN WHISTLE BLOWS ] 677 00:32:33,300 --> 00:32:36,733 ** 678 00:32:38,300 --> 00:32:41,800 Joe: TODAY, I'M GETTING BACK TO THE GYM AND WORKING OUT. 679 00:32:44,300 --> 00:32:47,233 WITH PREPARING FOR THE WEDDING AND TO MAKE A MOVE, 680 00:32:47,233 --> 00:32:49,800 IT'S BEEN HARD TO KEEP UP WITH WORKING OUT. 681 00:32:51,900 --> 00:32:55,100 BUT IF I WANT TO KEEP MAKING MORE PROGRESS, 682 00:32:55,100 --> 00:32:57,400 THEN I KNOW I HAVE TO WORK HARD AT IT. 683 00:32:57,400 --> 00:33:00,500 SO NO MATTER WHAT I HAVE GOING ON 684 00:33:00,500 --> 00:33:02,900 OVER THE NEXT COUPLE OF MONTHS, 685 00:33:02,900 --> 00:33:05,333 I'M STAYING ON TRACK. 686 00:33:06,900 --> 00:33:12,067 I DESPERATELY NEED TO GET MY SKIN-REMOVAL SURGERY. 687 00:33:12,067 --> 00:33:15,967 AS MY WEDDING GETS CLOSER, IT'S ON MY MIND MORE. 688 00:33:15,967 --> 00:33:19,067 BUT MY WEDDING IS IN TWO MONTHS, SO THERE'S NO TIME 689 00:33:19,067 --> 00:33:21,767 FOR ME TO HAVE IT AND RECOVER BEFORE THEN. 690 00:33:21,767 --> 00:33:23,800 SO I CALLED DR. NOW AND TOLD HIM 691 00:33:23,800 --> 00:33:26,500 I'M NOT GONNA MAKE IT TO MY NEXT APPOINTMENT, 692 00:33:26,500 --> 00:33:29,067 BUT I WON'T MISS THE NEXT ONE FOR ANYTHING. 693 00:33:29,067 --> 00:33:32,167 ** 694 00:33:34,067 --> 00:33:37,867 I'M GONNA SHOW UP AND WOW HIM WITH MY WEIGHT LOSS, 695 00:33:37,867 --> 00:33:41,100 AND THEN HE'LL APPROVE ME FOR MY EXCESS-SKIN SURGERY. 696 00:33:43,433 --> 00:33:45,067 HE TOLD ME HE HOPES SO 697 00:33:45,067 --> 00:33:47,467 AND EXPECTS ME TO STICK TO MY MONTHLY GOALS 698 00:33:47,467 --> 00:33:49,267 UNTIL I COME BACK, 699 00:33:49,267 --> 00:33:52,767 SO THAT'S EXACTLY WHAT I'M GONNA DO. 700 00:33:54,467 --> 00:33:56,433 IT'S AMAZING TO ME -- 701 00:33:56,433 --> 00:34:00,300 THE DRASTIC 180 THAT I'VE MADE FROM WHERE I WAS 702 00:34:00,300 --> 00:34:03,233 WHEN I STARTED THE WEIGHT-LOSS JOURNEY TILL NOW. 703 00:34:03,233 --> 00:34:08,133 DR. NOW SAVED ME, AND I OWE HIM EVERYTHING. 704 00:34:09,733 --> 00:34:14,900 HE'S DONE SO MUCH FOR ME, SO I'M NOT GONNA LET HIM DOWN. 705 00:34:14,900 --> 00:34:17,833 IT WILL BE FOUR MONTHS WHEN I SEE DR. NOW AGAIN, 706 00:34:17,833 --> 00:34:22,233 SO THAT PUTS MY WEIGHT-LOSS GOAL AT 100 POUNDS. 707 00:34:22,233 --> 00:34:26,600 AND I KNOW THAT I CAN DO IT IF I WORK HARD. 708 00:34:26,600 --> 00:34:30,400 AND I'M SO MOTIVATED RIGHT NOW THAT NOTHING'S GONNA STOP ME. 709 00:34:33,367 --> 00:34:36,200 IT'S NOT JUST MY LIFE RIDING ON IT ALL NOW. 710 00:34:36,200 --> 00:34:38,400 IT'S SARAH AND HAYLEY'S, TOO. 711 00:34:38,400 --> 00:34:41,200 SO NO MATTER WHAT I HAVE GOING ON IN MY LIFE, 712 00:34:41,200 --> 00:34:42,433 THEY'RE MY PRIORITY, 713 00:34:42,433 --> 00:34:44,533 SO THAT MAKES MY HEALTH A PRIORITY. 714 00:34:44,533 --> 00:34:48,533 SO I'M MAKING SURE I HIT MY GOALS, NO MATTER WHAT IT TAKES. 715 00:34:50,267 --> 00:34:53,400 ** 716 00:34:59,067 --> 00:35:00,900 Pauline: I'VE BEEN TRYING TO GET MORE ACTIVE 717 00:35:00,900 --> 00:35:03,633 OVER THE LAST COUPLE OF WEEKS. 718 00:35:03,633 --> 00:35:05,967 AND FOR THE FIRST WEEK AFTER GETTING MY SHOES, 719 00:35:05,967 --> 00:35:09,333 I TRIED WEARING THEM AT LEAST AN HOUR EVERY DAY. 720 00:35:09,333 --> 00:35:11,633 BUT I JUST COULDN'T GET USED TO THEM 721 00:35:11,633 --> 00:35:15,333 BECAUSE I'M AFRAID OF TRIPPING AND FALLING. 722 00:35:15,333 --> 00:35:20,233 SO IT WAS PRETTY SCARY TO STAND UP AND HAVE THE SHOES ON, 723 00:35:20,233 --> 00:35:22,200 BUT I'VE ACTUALLY STILL BEEN ABLE 724 00:35:22,200 --> 00:35:24,067 TO START WALKING AROUND THE BLOCK WITH DILLON 725 00:35:24,067 --> 00:35:25,633 TO GET EXERCISE, 726 00:35:25,633 --> 00:35:28,433 EVEN WITHOUT MY SHOES. 727 00:35:28,433 --> 00:35:29,700 IT'S A BEAUTIFUL DAY OUTSIDE. 728 00:35:29,700 --> 00:35:35,467 HOW 'BOUT IF WE GO FOR A W-A-L-K WITH THE DOGS? 729 00:35:35,467 --> 00:35:36,733 Dillon: OKAY. 730 00:35:36,733 --> 00:35:41,233 I DON'T HAVE A WALKER. I ONLY HAVE MY WHEELCHAIR. 731 00:35:41,233 --> 00:35:43,667 BUT I CAN USE THE HANDLES ON MY WHEELCHAIR 732 00:35:43,667 --> 00:35:45,900 TO GO SHORT DISTANCES, 733 00:35:45,900 --> 00:35:48,200 SO I HAVE NOTHING TO LEAN ON 734 00:35:48,200 --> 00:35:52,933 TO ALLEVIATE THE PAIN OF MY WEIGHT ON MY LEGS AND JOINTS. 735 00:35:52,933 --> 00:35:59,133 THE PAIN IS JUST SO BAD, AND THEY SWELL EASILY. 736 00:35:59,133 --> 00:36:02,533 LIKE, IF I TRY TO LIVE ANY KIND OF A NORMAL LIFE, 737 00:36:02,533 --> 00:36:07,067 THEY START SWELLING, AND WATER POOLS IN THEM. 738 00:36:07,067 --> 00:36:09,133 BUT DILLON HAD A REALLY GOOD IDEA. 739 00:36:09,133 --> 00:36:11,200 HE WENT AND FOUND A SHOPPING CART, 740 00:36:11,200 --> 00:36:13,500 SO I HOLD ONTO IT SO I CAN LEAN ON IT 741 00:36:13,500 --> 00:36:16,067 WHEN THE PAIN GETS TO BE TOO MUCH. 742 00:36:21,067 --> 00:36:24,133 WE GO OUTSIDE, AND THERE'S THE CIRCLE SIDEWALK, 743 00:36:24,133 --> 00:36:26,833 AND I'M TRYING TO WALK IT A FEW TIMES A WEEK 744 00:36:26,833 --> 00:36:29,333 AND SEE HOW MANY TIMES I CAN MAKE IT AROUND. 745 00:36:29,333 --> 00:36:32,600 SO FAR, MY RECORD IS THREE LAPS, 746 00:36:32,600 --> 00:36:36,600 AND MY GOAL IS TO BE ABLE TO DO ONE LAP WITHOUT THE CART. 747 00:36:36,600 --> 00:36:38,800 I KNOW I HAVE TO PUSH THROUGH THE PAIN NO MATTER WHAT 748 00:36:38,800 --> 00:36:41,533 IF I WANT TO START MAKING PROGRESS. 749 00:36:41,533 --> 00:36:45,067 DR. NOW THINKS WHEN MY WEIGHT LOSS STARTS TO SLOW DOWN, 750 00:36:45,067 --> 00:36:49,067 IT HAS MORE TO DO WITH MY EMOTIONAL ISSUES. 751 00:36:49,067 --> 00:36:54,067 BUT I KNOW WHAT I NEED TO WORK THROUGH, AND I HAVE BEEN. 752 00:36:54,067 --> 00:36:57,467 BUT THAT'S SOMETHING I REALLY WANT TO DO AT MY OWN PACE, 753 00:36:57,467 --> 00:37:02,500 SO I'VE BEEN HESITANT TO GO BACK TO THERAPY. 754 00:37:02,500 --> 00:37:05,267 I DON'T WANT TO UPSET DR. NOW, 755 00:37:05,267 --> 00:37:08,300 BUT I DON'T THINK HE UNDERSTANDS HOW HARD IT IS 756 00:37:08,300 --> 00:37:10,633 TO TALK ABOUT ALL THE PAIN AND EMOTION 757 00:37:10,633 --> 00:37:12,900 THAT HAS BEEN BURIED FOR YEARS 758 00:37:12,900 --> 00:37:15,067 AND TO DO IT CONSTANTLY. 759 00:37:15,067 --> 00:37:19,867 SO I JUST NEED SOME TIME BEFORE I'M READY TO DO THAT. 760 00:37:19,867 --> 00:37:23,900 I KNOW THAT MAY MEAN I'M RISKING GAINING EVEN MORE WEIGHT, 761 00:37:23,900 --> 00:37:25,533 BUT IT'S JUST BEEN A LOT HARDER 762 00:37:25,533 --> 00:37:28,233 TO DEAL WITH ALL THAT STUFF THAT'S IN ME, 763 00:37:28,233 --> 00:37:30,733 SO I'M GOING TO DO IT ON MY TIMETABLE 764 00:37:30,733 --> 00:37:33,433 OR NOT AT ALL. 765 00:37:33,433 --> 00:37:35,867 AND UNTIL THEN, THERE'S NOTHING ANYONE CAN SAY 766 00:37:35,867 --> 00:37:37,767 TO GET ME TO DO IT. 767 00:37:37,767 --> 00:37:38,567 ** 768 00:37:42,867 --> 00:37:45,900 ** 769 00:37:55,500 --> 00:37:58,833 Joe: I'VE BEEN WORKING REALLY HARD TO LOSE MORE WEIGHT, 770 00:37:58,833 --> 00:38:01,067 AND I FEEL LIKE I HAVE BEEN. 771 00:38:03,167 --> 00:38:04,933 AND WHEN I LOOK IN THE MIRROR, 772 00:38:04,933 --> 00:38:08,300 IT DOES ALL LOOK LIKE IT'S HANGING LOWER. 773 00:38:08,300 --> 00:38:12,567 SO IT SHOWS ME THE NEED TO HAVE SKIN REMOVAL. 774 00:38:12,567 --> 00:38:15,167 YEAH, I DEFINITELY THINK THE LEGS ARE THE PRIORITY NEXT 775 00:38:15,167 --> 00:38:17,733 BECAUSE THEY FEEL LIKE WET SANDBAGS. 776 00:38:17,733 --> 00:38:21,200 THEY'RE REALLY HEAVY AND JUST KIND OF, LIKE, GROSS. 777 00:38:21,200 --> 00:38:25,167 SO I HOPE DR. NOW WILL TAKE THAT OFF THERE, 778 00:38:25,167 --> 00:38:29,100 AND THEN I HEAL UP, AND THEN WE'LL SEE. 779 00:38:29,100 --> 00:38:31,300 I WOULD WANT ALL THIS OFF NO MATTER WHAT, 780 00:38:31,300 --> 00:38:33,700 BUT GETTING MARRIED AND BEING MORE INTIMATE NOW 781 00:38:33,700 --> 00:38:37,067 MAKES IT EVEN MORE A CONCERN OF MINE. 782 00:38:37,067 --> 00:38:39,467 I KNOW SARAH LOVES ME NO MATTER WHAT, 783 00:38:39,467 --> 00:38:42,833 BUT I STILL WANT MY BODY TO LOOK GOOD FOR HER. 784 00:38:42,833 --> 00:38:46,700 AND RIGHT NOW, I DON'T FEEL LIKE IT DOES. 785 00:38:46,700 --> 00:38:48,700 AND I DON'T WANT THAT HOLDING ME BACK 786 00:38:48,700 --> 00:38:51,967 OR MAKING ME HESITANT TO BE WITH HER AT ANY TIME. 787 00:38:51,967 --> 00:38:54,600 SO I'M GONNA KEEP LOSING THE WEIGHT 788 00:38:54,600 --> 00:38:56,367 AND GET DOWN TO THE 300s 789 00:38:56,367 --> 00:39:00,433 BY THE TIME I SEE DR. NOW AFTER MY WEDDING. 790 00:39:00,433 --> 00:39:03,800 AND UNTIL THEN, I HAVE TO KEEP WORKING OUT AND EATING RIGHT 791 00:39:03,800 --> 00:39:04,867 THROUGH ALL THE STRESS 792 00:39:04,867 --> 00:39:07,500 AND THE PREPARATIONS FOR THE WEDDING 793 00:39:07,500 --> 00:39:10,100 AND NOT GIVE IN TO ANY OF IT. 794 00:39:10,100 --> 00:39:13,300 BUT WHAT'S BEEN THE MOST STRESSFUL THING FOR ME RIGHT NOW 795 00:39:13,300 --> 00:39:15,467 IS GETTING MY MOM TO THE WEDDING. 796 00:39:19,633 --> 00:39:24,067 SHE'S BEEN SAYING SHE DOESN'T THINK SHE CAN MAKE IT, 797 00:39:24,067 --> 00:39:28,133 AND THE THOUGHT OF THAT MAKES ME REALLY SAD. 798 00:39:28,133 --> 00:39:29,833 BESIDES SARAH AND HAYLEY, 799 00:39:29,833 --> 00:39:33,933 SHE'S THE MOST IMPORTANT PERSON IN MY LIFE, 800 00:39:33,933 --> 00:39:37,200 AND I CAN'T IMAGINE MY BIG DAY WITHOUT HER. 801 00:39:37,200 --> 00:39:39,067 HI, MOM. HOW'S IT GOING? 802 00:39:42,200 --> 00:39:44,133 DOING FINE, THANKS. 803 00:39:44,133 --> 00:39:47,067 SO, ARE YOU GONNA BE ABLE TO COME TO THE WEDDING, 804 00:39:47,067 --> 00:39:49,100 OR WHAT'S THE STORY THERE? 805 00:40:00,467 --> 00:40:03,800 IF YOU'RE ABLE TO COME, I WOULD LOVE TO HAVE YOU HERE, 806 00:40:03,800 --> 00:40:05,333 UM, YOU KNOW, 807 00:40:05,333 --> 00:40:07,733 BECAUSE WITHOUT YOUR HELP, 808 00:40:07,733 --> 00:40:10,400 I WOULDN'T BE HERE NOW WHERE I AM. 809 00:40:13,300 --> 00:40:14,367 RIGHT. 810 00:40:17,600 --> 00:40:19,133 ALL RIGHT. LOVE YOU. 811 00:40:19,133 --> 00:40:21,433 [ CELLPHONE BEEPS ] 812 00:40:21,433 --> 00:40:22,867 SHE'S NOT ABLE TO COME 813 00:40:22,867 --> 00:40:25,500 BECAUSE SHE SAYS SHE HAS NO HELP TO GET HERE, 814 00:40:25,500 --> 00:40:28,733 SO I FEEL BAD BECAUSE I'M NOT THERE TO HELP HER. 815 00:40:28,733 --> 00:40:30,967 BUT SHE'S SUCH AN IMPORTANT PART OF MY LIFE, 816 00:40:30,967 --> 00:40:34,700 AND I NEED HER TO BE THERE TO SUPPORT ME FOR THAT DAY. 817 00:40:34,700 --> 00:40:38,500 IT'S TIME FOR ME TO MOVE ON TO THE NEXT CHAPTER OF MY LIFE. 818 00:40:38,500 --> 00:40:41,100 I JUST HOPE SHE'S ABLE TO BE THERE FOR IT. 819 00:40:42,833 --> 00:40:45,867 ** 820 00:40:52,133 --> 00:40:55,433 Pauline: AS HESITANT AS I AM, 821 00:40:55,433 --> 00:40:58,200 I DECIDED TO GO BACK TO A THERAPIST AGAIN. 822 00:41:00,700 --> 00:41:03,967 IT'S NOT THAT I DON'T THINK IT HELPS, 823 00:41:03,967 --> 00:41:05,567 BECAUSE I KNOW I NEED TO WORK THROUGH 824 00:41:05,567 --> 00:41:08,200 A LOT OF MY EMOTIONAL ISSUES 825 00:41:08,200 --> 00:41:12,633 AND I STRUGGLE WITH DEPRESSION AND FEELING DOWN RIGHT NOW. 826 00:41:12,633 --> 00:41:16,067 I WANT TO HAVE A MORE POSITIVE OUTLOOK. 827 00:41:16,067 --> 00:41:18,933 I JUST WANT TO DO THIS PART AT MY OWN PACE, 828 00:41:18,933 --> 00:41:23,433 BUT DR. NOW WANTS ME TO GO RIGHT NOW, SO I AM. 829 00:41:23,433 --> 00:41:24,900 -HI, PAULINE. -HI. 830 00:41:24,900 --> 00:41:27,267 -COME ON BACK. -OKAY. 831 00:41:29,533 --> 00:41:33,167 ALL RIGHT, PAULINE. WELL, LET'S GET STARTED. 832 00:41:33,167 --> 00:41:34,367 SO, WHY DON'T YOU TELL ME A LITTLE BIT 833 00:41:34,367 --> 00:41:37,133 ABOUT HOW THINGS ARE GOING FOR YOU RIGHT NOW? 834 00:41:37,133 --> 00:41:38,533 WELL, I GOT THE GASTRIC BYPASS. 835 00:41:38,533 --> 00:41:40,967 -AND I'VE LOST OVER 300 POUNDS. -OKAY. 836 00:41:40,967 --> 00:41:42,800 BUT I STILL HAVE ABOUT 150 TO GO, 837 00:41:42,800 --> 00:41:45,467 AND I SEEM TO BE KIND OF AT A STANDSTILL 838 00:41:45,467 --> 00:41:47,900 FOR THE LAST SEVERAL MONTHS -- LIKE, MAYBE FIVE MONTHS. 839 00:41:47,900 --> 00:41:49,800 IN FACT, I'VE ACTUALLY GAINED. 840 00:41:49,800 --> 00:41:52,900 SO, HOW DO YOU FEEL ABOUT WHERE YOU ARE RIGHT NOW? 841 00:41:52,900 --> 00:41:54,267 HOW DO YOU... 842 00:41:54,267 --> 00:41:56,133 I FEEL I'M DISAPPOINTING EVERYBODY, INCLUDING MYSELF. 843 00:41:56,133 --> 00:41:59,067 ARE YOU DISAPPOINTED, OR IS THERE SOMETHING ELSE? 844 00:41:59,067 --> 00:42:00,367 -LIKE, MAYBE... -I DON'T KNOW. 845 00:42:00,367 --> 00:42:03,433 LIKE, I FEEL LIKE I DON'T HAVE A GOOD EXCUSE 846 00:42:03,433 --> 00:42:05,567 WHY I EVEN WAS AN OVEREATER TO START WITH. 847 00:42:05,567 --> 00:42:09,200 I NEVER HAD ABUSE. I WAS NEVER MOLESTED AS A KID. 848 00:42:09,200 --> 00:42:11,333 DID YOU GET A LOT OF VALIDATION GROWING UP? 849 00:42:11,333 --> 00:42:12,600 YOU KNOW WHAT I MEAN BY VALIDATION? 850 00:42:12,600 --> 00:42:14,067 -I DON'T KNOW. -"HEY, YOU DID A GREAT JOB," 851 00:42:14,067 --> 00:42:16,067 OR "YOU'RE REALLY SMART," OR... 852 00:42:16,067 --> 00:42:18,367 I DON'T THINK MY MOM KNEW HOW TO DO THAT, YOU KNOW. 853 00:42:18,367 --> 00:42:19,667 WE HAD SEVEN KIDS. 854 00:42:19,667 --> 00:42:21,233 AND WHERE DID YOU FALL IN THE MIX? 855 00:42:21,233 --> 00:42:22,533 I WAS THE VERY OLDEST. 856 00:42:22,533 --> 00:42:24,100 SO IT SOUNDS LIKE YOU WERE BUSY 857 00:42:24,100 --> 00:42:26,500 TAKING CARE OF OTHER PEOPLE'S NEEDS AS THE OLDEST, 858 00:42:26,500 --> 00:42:28,133 HELPING OUT YOUR MOM AND, YOU KNOW... 859 00:42:28,133 --> 00:42:31,533 SO, I WONDER IF SOMEHOW YOUR WEIGHT WAS A WAY OF SAYING, 860 00:42:31,533 --> 00:42:33,600 "OH, I GET TO DO WHAT I WANT." 861 00:42:33,600 --> 00:42:35,500 AND SOMETIMES WHAT THAT SHOWS UP AS 862 00:42:35,500 --> 00:42:38,767 IS NOT REALLY KNOWING HOW TO TAKE CARE OF YOURSELF. 863 00:42:38,767 --> 00:42:41,333 BUT, INSTEAD, YOU WERE FEEDING YOUR NEEDS THROUGH FOOD. 864 00:42:41,333 --> 00:42:43,067 LIKE, FOOD IS LOVE. 865 00:42:43,067 --> 00:42:44,733 I FEEL THAT WAY SOMETIMES NOW. 866 00:42:44,733 --> 00:42:47,933 LIKE, EVEN AFTER SURGERY, MY FIRST EXCITEMENT IS, 867 00:42:47,933 --> 00:42:49,667 "WHAT ARE THE SNACKS GONNA BE?" 868 00:42:49,667 --> 00:42:52,233 EVEN IF IT'S SOMETHING I CAN'T HAVE. 869 00:42:52,233 --> 00:42:53,600 SO, WHAT HAPPENS -- 870 00:42:53,600 --> 00:42:56,100 LET'S SAY YOU DO LOSE THE WEIGHT AND YOU MEET YOUR GOAL. 871 00:42:56,100 --> 00:42:59,567 DO YOU HAVE ANY FEARS OF WHAT THINGS WILL BE LIKE THEN? 872 00:42:59,567 --> 00:43:02,233 I'M NOT THAT 700-POUND PERSON STUCK IN BED ANYMORE. 873 00:43:02,233 --> 00:43:03,467 MM-HMM. 874 00:43:03,467 --> 00:43:05,467 BUT I ALMOST HAVE SOME OF THOSE SAME FEELINGS, 875 00:43:05,467 --> 00:43:08,900 LIKE, I ALMOST FEEL STILL, 876 00:43:08,900 --> 00:43:12,333 LIKE, LEFT OUT OR NOT GOOD ENOUGH. 877 00:43:12,333 --> 00:43:13,600 [ Voice breaking ] IT'S ALMOST LIKE 878 00:43:13,600 --> 00:43:15,933 MY FEARS ARE HOLDING ME BACK FROM REALLY EVEN TRYING, 879 00:43:15,933 --> 00:43:18,667 BECAUSE BEFORE WE EVER GOT HERE I WAS WORRIED ABOUT 880 00:43:18,667 --> 00:43:20,233 IF THERE WAS STAIRS. THE STAIRS. 881 00:43:20,233 --> 00:43:22,533 YEAH, OR IF THERE'S A CHAIR. YOU CAN'T DO IT. 882 00:43:22,533 --> 00:43:23,633 YEAH. YOU CAN'T DO IT. 883 00:43:23,633 --> 00:43:25,800 I'M CONSTANTLY WORRIED 884 00:43:25,800 --> 00:43:27,733 BECAUSE I'M NOT AS GOOD AS EVERYONE ELSE. 885 00:43:27,733 --> 00:43:29,167 I MESSED UP AGAIN. 886 00:43:29,167 --> 00:43:31,433 YOU'RE ALWAYS AFRAID THAT YOU'RE NOT GOOD ENOUGH. 887 00:43:31,433 --> 00:43:35,400 I WANT YOU TO FOCUS ON GIVING YOURSELF APPROVAL, 888 00:43:35,400 --> 00:43:37,367 GIVING YOURSELF ACCEPTANCE. 889 00:43:37,367 --> 00:43:39,433 YOU KNOW, YOU DON'T HAVE TO BE SO HARD ON YOURSELF. 890 00:43:39,433 --> 00:43:41,100 I ALWAYS SAY THE FAT GIRL IN ME -- 891 00:43:41,100 --> 00:43:43,067 -"THE FAT GIRL" COULDN'T DO IT. -SHE CAN'T DO IT. 892 00:43:43,067 --> 00:43:44,533 I'M NOT SURE THAT I'M REALLY COMFORTABLE 893 00:43:44,533 --> 00:43:46,600 WITH YOU CALLING HER "THE FAT GIRL." 894 00:43:46,600 --> 00:43:48,467 YOU'RE INSULTING YOURSELF. 895 00:43:48,467 --> 00:43:50,833 SO, WE NEED TO CREATE MORE LOVE ON THE INSIDE, 896 00:43:50,833 --> 00:43:52,467 MORE SELF-LOVE. 897 00:43:52,467 --> 00:43:55,567 SO I WOULD LIKE FOR YOU TO TRY TO MAKE A COMMITMENT 898 00:43:55,567 --> 00:43:58,733 WHERE MAYBE EVERY DAY YOU WRITE DOWN 899 00:43:58,733 --> 00:44:01,667 FIVE POSITIVE THINGS ABOUT YOURSELF, 900 00:44:01,667 --> 00:44:04,933 THINGS THAT HELP YOU JUST TO FEEL GOOD. 901 00:44:04,933 --> 00:44:07,167 RIGHT. SO IT NEEDS TO BE, 902 00:44:07,167 --> 00:44:10,267 "I WANT TO DO THIS FOR ME 'CAUSE I DESERVE THIS. 903 00:44:10,267 --> 00:44:11,933 I DESERVE TO FEEL GOOD." 904 00:44:11,933 --> 00:44:14,467 THAT'S WHAT I GOT TO KEEP TELLING MYSELF. 905 00:44:14,467 --> 00:44:16,567 -OKAY? -OKAY. 906 00:44:16,567 --> 00:44:17,633 -ALL RIGHT. -WELL, THANK YOU VERY MUCH. 907 00:44:17,633 --> 00:44:19,800 THANK YOU. 908 00:44:19,800 --> 00:44:21,833 Pauline: I KNOW I HAVE A LOT OF FEAR -- 909 00:44:21,833 --> 00:44:26,133 A FEAR OF FAILURE, A FEAR OF LETTING PEOPLE DOWN, 910 00:44:26,133 --> 00:44:28,467 A FEAR OF REJECTION. 911 00:44:28,467 --> 00:44:29,767 BUT I DIDN'T REALIZE 912 00:44:29,767 --> 00:44:33,800 IT'S ALL COMING FROM THIS FEELING ABOUT MYSELF. 913 00:44:33,800 --> 00:44:37,900 I SEE MYSELF AS A FAILURE, AND WHEN I LOOK AT MY DAY, 914 00:44:37,900 --> 00:44:42,233 I DON'T SEE WHAT I COULD DO OR WHAT'S POSSIBLE. 915 00:44:42,233 --> 00:44:44,800 I ONLY SEE WHAT I CAN'T DO. 916 00:44:44,800 --> 00:44:46,133 I KNOW I NEED TO TRY 917 00:44:46,133 --> 00:44:49,100 AND FIND WAYS TO SEE THE THINGS I'M CAPABLE OF 918 00:44:49,100 --> 00:44:52,533 AND WHAT I CAN DO WHEN I PUT MY MIND TO IT, 919 00:44:52,533 --> 00:44:54,833 AND TO SEE MYSELF IN A POSITIVE WAY. 920 00:44:54,833 --> 00:44:57,800 BUT I DON'T KNOW HOW TO CHANGE THAT RIGHT NOW. 921 00:44:57,800 --> 00:44:58,933 ** 922 00:45:03,500 --> 00:45:06,533 ** 923 00:45:13,767 --> 00:45:15,767 Joe: RIGHT NOW, WE'RE GOING TO THE REHEARSAL 924 00:45:15,767 --> 00:45:18,067 TO PREPARE FOR TOMORROW. 925 00:45:18,067 --> 00:45:20,367 AND THEN, WE HAVE THE REHEARSAL DINNER TONIGHT. 926 00:45:21,567 --> 00:45:23,900 WE'RE BOTH REALLY EXCITED RIGHT NOW 927 00:45:23,900 --> 00:45:27,100 BECAUSE IT MEANS OUR BIG DAY IS TOMORROW, 928 00:45:27,100 --> 00:45:30,733 AND WE JUST CAN'T WAIT. 929 00:45:30,733 --> 00:45:33,967 THIS IS GOING TO BE A REALLY HAPPY TIME, 930 00:45:33,967 --> 00:45:37,233 AND WE GET TO SHARE IT WITH SO MANY PEOPLE IN OUR LIVES, 931 00:45:37,233 --> 00:45:39,600 INCLUDING MY MOM. 932 00:45:39,600 --> 00:45:42,433 SHE CAME STRAIGHT TO THE CHURCH FROM TENNESSEE, 933 00:45:42,433 --> 00:45:46,300 AND I'M SO EXCITED FOR HER TO SEE ME. 934 00:45:46,300 --> 00:45:47,733 I'M GLAD YOU COULD MAKE IT. 935 00:45:47,733 --> 00:45:49,133 OH, THANK YOU. 936 00:45:49,133 --> 00:45:50,667 I DIDN'T THINK I WAS GOING TO. 937 00:45:50,667 --> 00:45:52,333 YEAH? WELL... 938 00:45:52,333 --> 00:45:53,533 I CAN'T BELIEVE YOU. 939 00:45:55,633 --> 00:45:57,433 I'VE CHANGED THE HAIR, TOO. 940 00:45:57,433 --> 00:45:59,467 -IT AIN'T GRAY NO MORE. -YEP. 941 00:45:59,467 --> 00:46:02,133 WANT TO GO IN AND LET'S GET THIS THING GOING? 942 00:46:02,133 --> 00:46:03,767 WE GOT TO GET YOU HITCHED. 943 00:46:03,767 --> 00:46:05,333 YEAH. [ CHUCKLES ] 944 00:46:05,333 --> 00:46:08,367 ARE YOU CARRYING HER, OR DO YOU WANT ME TO? 945 00:46:08,367 --> 00:46:09,967 -COME ON. -COME HERE, LITTLE GIRL. 946 00:46:09,967 --> 00:46:12,133 [ GRUNTS ] 947 00:46:12,133 --> 00:46:15,100 Joe: I JUST CAN'T BELIEVE THAT THIS ALL HAPPENING, 948 00:46:15,100 --> 00:46:18,767 THAT I WOULD FIND SOMEONE LIKE SARAH IN THIS WORLD. 949 00:46:18,767 --> 00:46:20,200 IT'S JUST A DREAM COME TRUE 950 00:46:20,200 --> 00:46:23,400 THAT I GET TO SPEND THE REST OF MY LIFE WITH HER. 951 00:46:23,400 --> 00:46:28,267 SO THERE REALLY ARE NO WORDS FOR HOW HAPPY I AM. 952 00:46:28,267 --> 00:46:31,900 I WAS LIVING A NIGHTMARE JUST A COUPLE OF YEARS AGO, 953 00:46:31,900 --> 00:46:34,400 TRAPPED IN MY HOUSE AND MY BODY 954 00:46:34,400 --> 00:46:37,867 WITH SOMEONE HAVING TO TAKE CARE OF ME ALL DAY. 955 00:46:37,867 --> 00:46:40,700 AND NOW I'M ABOUT TO HAVE A FAMILY, 956 00:46:40,700 --> 00:46:43,633 AND I'M GONNA BE THE ONE PROVIDING FOR THEM. 957 00:46:43,633 --> 00:46:45,067 SO I'LL HAVE YOU GUYS WALK UP, 958 00:46:45,067 --> 00:46:46,333 AND YOU CAN STAND RIGHT THERE. 959 00:46:46,333 --> 00:46:50,200 AT THIS POINT, I'LL HAVE YOU FACE EACH OTHER. 960 00:46:50,200 --> 00:46:53,433 I'VE HAD TO WORK SO HARD TO GET HERE, 961 00:46:53,433 --> 00:46:57,600 AND I'M PROUD OF WHAT I'VE ACCOMPLISHED IN THAT TIME. 962 00:46:57,600 --> 00:47:02,200 EVEN THOUGH I HAVE A WAYS TO GO, I'M HAPPY RIGHT NOW. 963 00:47:02,200 --> 00:47:03,467 AND I'M EXCITED 964 00:47:03,467 --> 00:47:07,300 ABOUT ALL THE WAYS IT'S GONNA GET EVEN BETTER. 965 00:47:07,300 --> 00:47:10,200 Sarah: JOE IS SUCH A KIND AND CARING MAN, 966 00:47:10,200 --> 00:47:13,133 AND I AM SO LUCKY TO HAVE FOUND HIM. 967 00:47:13,133 --> 00:47:16,833 AND I'M EXCITED FOR THE WEDDING, BUT I HAVE SOME BUTTERFLIES 968 00:47:16,833 --> 00:47:19,967 ABOUT TALKING IN FRONT OF SO MANY PEOPLE. 969 00:47:19,967 --> 00:47:22,600 IT'S DEFINITELY KIND OF STRESSFUL, 970 00:47:22,600 --> 00:47:24,267 AND THERE'S JUST A LOT OF TENSION 971 00:47:24,267 --> 00:47:27,633 WITH MY MOM PREPARING FOR THE WEDDING. 972 00:47:27,633 --> 00:47:29,567 BUT I'M REALLY HAPPY, 973 00:47:29,567 --> 00:47:31,933 AND I'M REALLY LOOKING FORWARD TO STARTING MY LIFE WITH JOE. 974 00:47:31,933 --> 00:47:33,267 [ LAUGHTER ] 975 00:47:33,267 --> 00:47:36,667 WHEN ARE YOU GOING TO HAVE KERAH AND STEVIE WALK? 976 00:47:36,667 --> 00:47:39,500 -RIGHT BEFORE. -LONG AS THEY'RE SEATED. 977 00:47:39,500 --> 00:47:40,600 AND THEN I INTRODUCE YOU 978 00:47:40,600 --> 00:47:43,200 AS MR. AND MRS. JOE AND SARAH WEXLER, 979 00:47:43,200 --> 00:47:44,200 HUSBAND AND WIFE. 980 00:47:44,200 --> 00:47:45,967 AND THEN, AT THAT POINT, YOU CAN KISS. 981 00:47:45,967 --> 00:47:48,500 -YEAH! YES. -[ LAUGHS ] 982 00:47:48,500 --> 00:47:52,333 PRACTICE, COME ON. IT'S A DRILL. 983 00:47:53,600 --> 00:47:58,067 Joe: PART OF ME CAN'T BELIEVE THAT THIS DAY IS ALMOST HERE, 984 00:47:58,067 --> 00:48:00,700 AND I'M JUST SO HAPPY RIGHT NOW. 985 00:48:00,700 --> 00:48:02,400 ** 986 00:48:08,533 --> 00:48:09,700 ** 987 00:48:09,700 --> 00:48:11,367 -I NEED TO TALK TO YOU. -YES. 988 00:48:11,367 --> 00:48:12,600 [ SARAH CRYING ] 989 00:48:19,333 --> 00:48:22,167 [ CRYING CONTINUES ] 990 00:48:31,533 --> 00:48:32,767 [ SIGHS ] 991 00:48:40,933 --> 00:48:42,267 [ SNIFFLES ] 992 00:48:45,767 --> 00:48:48,667 Joe: THE TENSION OF LIVING WITH SARAH'S MOM 993 00:48:48,667 --> 00:48:52,067 IS STARTING TO TAKE ITS TOLL. 994 00:48:52,067 --> 00:48:54,600 IT'S NOT A SOLUTION THAT'S GONNA WORK ANYMORE. 995 00:48:54,600 --> 00:48:56,267 WATCH YOUR ARM. 996 00:48:58,700 --> 00:49:01,067 SO I HAVE TO FIND A JOB VERY SOON, 997 00:49:01,067 --> 00:49:05,100 BECAUSE I HAVE TO START TAKING CARE OF MY FAMILY. 998 00:49:05,100 --> 00:49:09,067 AND TOMORROW, THEY COMPLETELY BECOME MY RESPONSIBILITY. 999 00:49:13,333 --> 00:49:15,200 Sarah: I HAVE A FEELING THAT I'M JUST GONNA GET CORNERED. 1000 00:49:15,200 --> 00:49:16,600 LIKE EVERYBODY'S GONNA BE LIKE, "WHAT THE HELL?" 1001 00:49:16,600 --> 00:49:17,833 AND IF SHE'S THERE, 1002 00:49:17,833 --> 00:49:20,467 IT'S GONNA MAKE IT EVEN WORSE FOR ME RIGHT NOW. 1003 00:49:20,467 --> 00:49:23,067 IT'S HER FAULT THAT WE'RE RUNNING BEHIND, 1004 00:49:23,067 --> 00:49:25,333 AND I'M -- I FEEL SO GUILTY. 1005 00:49:28,433 --> 00:49:32,367 I'M NOT LETTING THE STRESS OF ANY OF THIS GET TO ME. 1006 00:49:32,367 --> 00:49:36,433 WE'RE JUST GONNA FOCUS ON OUR WEDDING DAY RIGHT NOW, 1007 00:49:36,433 --> 00:49:38,967 AND THEN I'LL FIGURE OUT OUR LIVING SITUATION 1008 00:49:38,967 --> 00:49:41,633 AND GETTING WORK SO I CAN DO WHAT WE NEED. 1009 00:49:43,933 --> 00:49:46,933 BUT I CAN HANDLE IT, 1010 00:49:46,933 --> 00:49:48,300 AND I'LL STILL STAY FOCUSED 1011 00:49:48,300 --> 00:49:51,300 ON LOSING WEIGHT AND GETTING MY SKIN SURGERY, 1012 00:49:51,300 --> 00:49:55,067 NO MATTER HOW MUCH IS ON MY PLATE. 1013 00:49:55,067 --> 00:49:58,433 BUT THERE'S STILL SO MUCH TO BE THANKFUL FOR. 1014 00:49:58,433 --> 00:50:02,133 WE GET TO SPEND THE REST OF OUR LIVES TOGETHER, 1015 00:50:02,133 --> 00:50:03,500 AND WE GET TO CELEBRATE THAT 1016 00:50:03,500 --> 00:50:07,200 WITH OUR FRIENDS AND FAMILY, NO MATTER WHAT. 1017 00:50:07,200 --> 00:50:09,300 AND I'M SO THANKFUL MY MOM IS HERE 1018 00:50:09,300 --> 00:50:11,800 AND SHE'S WITH ME ON THIS BIG DAY. 1019 00:50:11,800 --> 00:50:14,933 SO, YOU LIKE IT, LIVING UP HERE? 1020 00:50:14,933 --> 00:50:18,300 EH, IT REMINDS ME OF JOHNSON CITY. 1021 00:50:18,300 --> 00:50:20,433 EXCEPT WE GOT A MISSISSIPPI RIVER HERE. 1022 00:50:20,433 --> 00:50:22,667 HOW DID YOUR INTERVIEW GO? 1023 00:50:22,667 --> 00:50:24,433 GOOD, GOOD, YOU KNOW? 1024 00:50:24,433 --> 00:50:25,833 WITH THE CITY? 1025 00:50:25,833 --> 00:50:28,300 YEAH. THEY SAID THEY'D LET ME KNOW IN A WEEK. 1026 00:50:28,300 --> 00:50:29,833 MM. THAT WOULD BE GOOD. 1027 00:50:29,833 --> 00:50:31,567 IS SARAH NERVOUS? 1028 00:50:31,567 --> 00:50:33,267 EH, SO-SO. 1029 00:50:33,267 --> 00:50:35,800 TOMORROW IS THE BIG DAY. 1030 00:50:35,800 --> 00:50:37,300 CLOSE THE CHAPTER OF ONE THING 1031 00:50:37,300 --> 00:50:40,067 AND OPEN IT TO THE BEGINNING OF A NEW ONE. 1032 00:50:40,067 --> 00:50:41,467 I'M PROUD OF YOU, SON. 1033 00:50:41,467 --> 00:50:42,967 IT'S A BIG STEP. 1034 00:50:42,967 --> 00:50:44,467 YEAH? 1035 00:50:44,467 --> 00:50:48,300 I KNOW YOU'LL BE A GOOD DADDY AND A GOOD HUSBAND. 1036 00:50:48,300 --> 00:50:49,833 MM-HMM. 1037 00:50:50,700 --> 00:50:52,500 I LOVE YOU, TOO. 1038 00:50:52,500 --> 00:50:54,467 THANK YOU. 1039 00:50:54,467 --> 00:50:57,400 [ GRUNTS ] [ SMOOCHES ] 1040 00:50:57,400 --> 00:51:00,167 I'M READY TO FULFILL MY RESPONSIBILITIES 1041 00:51:00,167 --> 00:51:03,800 TO BE THE HUSBAND AND FATHER I NEED TO BE, 1042 00:51:03,800 --> 00:51:07,533 BECAUSE THAT'S THE MOST IMPORTANT THING RIGHT NOW. 1043 00:51:07,533 --> 00:51:10,100 -BYE, EVERYBODY! -iADIóS! 1044 00:51:10,100 --> 00:51:11,567 AND NO MATTER WHAT, 1045 00:51:11,567 --> 00:51:13,900 I'M GONNA DO WHAT I NEED FOR MY FAMILY. 1046 00:51:15,800 --> 00:51:18,600 ** 1047 00:51:18,600 --> 00:51:20,600 Pauline: RIGHT NOW, I'M HEADED BACK 1048 00:51:20,600 --> 00:51:22,567 FOR MY NEXT APPOINTMENT WITH DR. NOW. 1049 00:51:24,467 --> 00:51:27,067 I'VE BEEN TRYING TO WORK ON THINGS, 1050 00:51:27,067 --> 00:51:29,800 BUT IT HASN'T BEEN EASY. 1051 00:51:29,800 --> 00:51:33,467 IT WAS SUCH A SETBACK TO LOSE THAT APPROVAL. 1052 00:51:33,467 --> 00:51:36,967 AND I KNOW, IF I COULD WORK TO GET TO THAT POINT AGAIN, 1053 00:51:36,967 --> 00:51:40,067 IT'LL BE A HUGE ENCOURAGEMENT TO ME. 1054 00:51:40,067 --> 00:51:44,267 BUT WHEN I FEEL LIKE I WORK HARD AND IT'S STILL NOT ENOUGH, 1055 00:51:44,267 --> 00:51:48,667 IT'S HARD NOT TO JUST FEEL LIKE A FAILURE. 1056 00:51:48,667 --> 00:51:50,400 I DON'T WANT TO KEEP LIVING IN THIS PLACE 1057 00:51:50,400 --> 00:51:51,933 WHERE I KEEP FAILING, 1058 00:51:51,933 --> 00:51:53,500 BECAUSE, AT SOME POINT, 1059 00:51:53,500 --> 00:51:56,233 I THINK THAT'S ALL I'M GOING TO SEE. 1060 00:51:56,233 --> 00:51:58,767 SO I'M JUST REALLY HOPING THAT I MADE SOME PROGRESS TODAY. 1061 00:52:03,800 --> 00:52:06,833 ** 1062 00:52:11,467 --> 00:52:13,933 Pauline: I'M AT DR. NOW'S OFFICE AGAIN, 1063 00:52:13,933 --> 00:52:16,067 AND I'M ABOUT TO FIND OUT WHAT MY WEIGHT IS 1064 00:52:16,067 --> 00:52:20,533 TO SEE IF I'VE MADE ANY PROGRESS. 1065 00:52:20,533 --> 00:52:25,233 I HAD GAINED LAST TIME AND WAS UP TO 327, 1066 00:52:25,233 --> 00:52:29,833 SO I NEED TO BE AT LEAST 287 TO GET BACK ON TRACK TODAY. 1067 00:52:29,833 --> 00:52:32,067 AND I'M NOT SURE IF I'M CLOSE OR NOT. 1068 00:52:34,067 --> 00:52:35,633 YAY. 1069 00:52:35,633 --> 00:52:39,233 ** 1070 00:52:39,233 --> 00:52:43,167 IT'S NOT AS MUCH OF A LOSS AS DR. NOW WANTED, 1071 00:52:43,167 --> 00:52:46,233 BUT I'M JUST HAPPY IT'S NOT A GAIN RIGHT NOW. 1072 00:52:46,233 --> 00:52:50,900 6 POUNDS IS STILL A LOSS, AND I'M PROUD OF THEM. 1073 00:52:50,900 --> 00:52:54,400 AND I REALLY HOPE DR. NOW IS PLEASED. 1074 00:52:54,400 --> 00:52:55,933 [ KNOCK ON DOOR ] 1075 00:52:55,933 --> 00:52:58,067 -HELLO. -HELLO. 1076 00:52:58,067 --> 00:52:59,567 -HOW ARE YOU ALL DOING? -GOOD. 1077 00:52:59,567 --> 00:53:01,900 -HOW ARE YOU? -ALL RIGHT. 1078 00:53:01,900 --> 00:53:05,067 SO, YOU'RE DOWN TO 321 TODAY. 1079 00:53:05,067 --> 00:53:06,200 YEAH. 1080 00:53:06,200 --> 00:53:08,067 I'M GLAD THAT YOU'RE NOT GAINING WEIGHT, 1081 00:53:08,067 --> 00:53:10,867 BUT THAT'S NOT VERY MUCH LOSS AT ALL. 1082 00:53:10,867 --> 00:53:12,433 SO, WHAT HAVE YOU BEEN DOING? 1083 00:53:12,433 --> 00:53:14,567 I'M -- SERIOUSLY, I AM ON THE RIGHT TRACK. 1084 00:53:14,567 --> 00:53:17,100 I'VE BEEN USING MY LEG PUMPS, BEEN EATING GOOD, 1085 00:53:17,100 --> 00:53:18,967 BEEN DRINKING LOTS OF WATER. 1086 00:53:18,967 --> 00:53:20,933 BUT YOU STILL HAVEN'T GOT ANY SHOES. 1087 00:53:20,933 --> 00:53:23,233 I'VE TRIED, BUT I'M STILL FIGHTING WITH LYMPHEDEMA, 1088 00:53:23,233 --> 00:53:25,867 AND IT'S TAKING A LITTLE WHILE TO GET USED TO THEM. 1089 00:53:25,867 --> 00:53:27,200 SO, I'M WORKING ON IT. 1090 00:53:27,200 --> 00:53:29,333 HAVE YOU BEEN SEEING THE THERAPIST? 1091 00:53:29,333 --> 00:53:30,567 YEAH, YEAH. 1092 00:53:30,567 --> 00:53:33,600 I HOPE THAT MEANS THAT THE SHIP IS TURNING AROUND 1093 00:53:33,600 --> 00:53:36,667 AND THAT YOU'RE ABOUT TO GET A LOT MORE MOMENTUM 1094 00:53:36,667 --> 00:53:40,933 AND START LOSING AT LEAST 20 POUNDS A MONTH. 1095 00:53:40,933 --> 00:53:44,900 PAULINE HAS REPEATEDLY LOST AND THEN GAINED AGAIN, 1096 00:53:44,900 --> 00:53:48,633 SO UNTIL SHE SHOWS ME MORE CONSISTENT WEIGHT LOSS 1097 00:53:48,633 --> 00:53:50,533 OVER MULTIPLE APPOINTMENTS, 1098 00:53:50,533 --> 00:53:54,600 I AM NOT CONVINCED THIS CHANGE IS HERE TO STAY. 1099 00:53:54,600 --> 00:53:57,667 AND SHE STILL NEEDS TO KEEP SEEING HER THERAPIST 1100 00:53:57,667 --> 00:54:00,800 TO MAKE SURE SHE'S ADDRESSING THE CORE ISSUES 1101 00:54:00,800 --> 00:54:04,433 TO KEEP MAKING PROGRESS. 1102 00:54:04,433 --> 00:54:06,900 I'M DOING SO GOOD, AND I LOST SOME WEIGHT, 1103 00:54:06,900 --> 00:54:09,500 SO I'M ON MY WAY THERE. 1104 00:54:09,500 --> 00:54:12,333 DO YOU THINK I'M READY FOR SKIN-REMOVAL SURGERY AGAIN? 1105 00:54:12,333 --> 00:54:16,833 NO, NOT UNTIL YOU GET BACK DOWN TO AROUND 300 AGAIN. 1106 00:54:16,833 --> 00:54:17,900 OKAY. 1107 00:54:17,900 --> 00:54:19,600 SO, KEEP AT IT, AND YOU SHOULD BE ABLE 1108 00:54:19,600 --> 00:54:21,567 TO LOSE 20 POUNDS EACH MONTH. 1109 00:54:21,567 --> 00:54:22,700 OKAY, GREAT. 1110 00:54:22,700 --> 00:54:24,267 OKAY, SEE YOU SOON. 1111 00:54:24,267 --> 00:54:26,800 AND DON'T GIVE UP ON THE SHOES, OKAY? 1112 00:54:26,800 --> 00:54:28,867 OKAY. [ DOOR OPENS ] 1113 00:54:31,367 --> 00:54:33,067 [ SPEAKING INDISTINCTLY ] 1114 00:54:33,067 --> 00:54:36,700 Pauline: I THINK TODAY'S VISIT WENT OKAY. 1115 00:54:36,700 --> 00:54:39,333 DR. NOW WASN'T UPSET WITH ME, 1116 00:54:39,333 --> 00:54:42,867 BUT HE WANTS ME TO TRY HARDER. 1117 00:54:42,867 --> 00:54:45,333 I GET ALL OF HIS CONCERN FOR ME RIGHT NOW, 1118 00:54:45,333 --> 00:54:49,067 BUT IT'S JUST HARD TO DEAL WITH EVERYTHING EMOTIONALLY 1119 00:54:49,067 --> 00:54:51,067 THAT I'M SUPPOSED TO. 1120 00:54:51,067 --> 00:54:54,167 BUT ALL I NEED TO DO IS LOSE ANOTHER 20 POUNDS 1121 00:54:54,167 --> 00:54:56,100 TO GET APPROVED AGAIN. 1122 00:54:56,100 --> 00:54:57,833 SO IF I WORK HARD, 1123 00:54:57,833 --> 00:55:00,600 I KNOW I COULD DO THAT BY MY NEXT APPOINTMENT. 1124 00:55:00,600 --> 00:55:02,300 ** 1125 00:55:08,500 --> 00:55:11,567 [ INDISTINCT CONVERSATIONS ] 1126 00:55:11,567 --> 00:55:14,867 -YOU LOOK SO PRETTY! -I LOVE YOU. 1127 00:55:14,867 --> 00:55:18,767 ** 1128 00:55:18,767 --> 00:55:24,067 Joe: SO, THE DAY I DREAMED OF HAS FINALLY COME. 1129 00:55:24,067 --> 00:55:26,067 [ GRUNTS ] 1130 00:55:26,067 --> 00:55:30,967 AND I'M EXCITED, BUT I'M INCREDIBLY NERVOUS, TOO. 1131 00:55:30,967 --> 00:55:34,567 AND I CAN'T BELIEVE IT'S REALLY HAPPENING. 1132 00:55:34,567 --> 00:55:36,467 IT WAS JUST A YEAR AND HALF AGO 1133 00:55:36,467 --> 00:55:40,067 I FINALLY GOT APPROVED FOR MY GASTRIC BYPASS SURGERY. 1134 00:55:40,067 --> 00:55:41,300 [ SIGHS ] 1135 00:55:41,300 --> 00:55:43,133 SURGERY'S NEXT WEEK. 1136 00:55:43,133 --> 00:55:44,800 -NEXT WEEK? -YEP. 1137 00:55:44,800 --> 00:55:46,400 WHOA! 1138 00:55:46,400 --> 00:55:47,633 WE DID IT! 1139 00:55:47,633 --> 00:55:49,900 WE'VE WAITED SO LONG TO HEAR THIS HAPPENED, 1140 00:55:49,900 --> 00:55:53,167 AND IT'S FINALLY HERE. [ SNIFFLES ] 1141 00:55:53,167 --> 00:55:56,067 Joe: AND NOW MY LIFE IS A COMPLETE 180 1142 00:55:56,067 --> 00:55:58,200 FROM WHAT IT WAS THEN. 1143 00:55:58,200 --> 00:56:01,333 AND MY MOM WAS THERE FOR ME THE WHOLE TIME THROUGH IT. 1144 00:56:01,333 --> 00:56:04,367 ** 1145 00:56:05,067 --> 00:56:06,467 [ SMOOCHES ] 1146 00:56:06,467 --> 00:56:07,500 Joe: IT MEANS THE WORLD TO ME 1147 00:56:07,500 --> 00:56:09,100 THAT SHE'S HERE WITH ME RIGHT NOW. 1148 00:56:09,100 --> 00:56:10,867 -HOLD STILL. -YEAH? 1149 00:56:10,867 --> 00:56:12,933 SOMETHING'S -- HERE. YOU NEED TO TUCK THIS PART IN. 1150 00:56:12,933 --> 00:56:14,333 [ SNIFFLES ] 1151 00:56:14,333 --> 00:56:17,667 Joe: THERE'S NO WAY I COULD HAVE DONE THIS WITHOUT HER. 1152 00:56:17,667 --> 00:56:20,700 ** 1153 00:56:25,400 --> 00:56:27,167 I'M PROUD OF YOU, SON. 1154 00:56:27,167 --> 00:56:28,667 THANK YOU. 1155 00:56:30,267 --> 00:56:32,500 WELL, I COULDN'T HAVE GOTTEN THIS FAR WITHOUT YOU. 1156 00:56:36,433 --> 00:56:38,067 I LOVE YOU. 1157 00:56:38,067 --> 00:56:39,867 [ SNIFFLES ] 1158 00:56:39,867 --> 00:56:42,067 [ CRYING ] 1159 00:56:42,067 --> 00:56:45,567 ** 1160 00:56:45,567 --> 00:56:48,667 ALL RIGHT, LET'S DO IT. 1161 00:56:48,667 --> 00:56:51,433 AS NERVOUS AS I AM, I'M JUST HAPPY 1162 00:56:51,433 --> 00:56:54,433 AND I'M READY FOR THIS HUGE STEP IN MY LIFE. 1163 00:56:58,133 --> 00:57:00,667 I HAD COMPLETELY GIVEN UP ON ANY CHANCE 1164 00:57:00,667 --> 00:57:03,167 OF EVER BEING ABLE TO FIND SOMEONE. 1165 00:57:05,533 --> 00:57:07,533 THAT'S JUST SOMETHING YOU GIVE UP ON 1166 00:57:07,533 --> 00:57:10,167 WHEN YOU'RE OVER 700 POUNDS. 1167 00:57:10,167 --> 00:57:13,200 ** 1168 00:57:18,800 --> 00:57:22,733 BUT LOSING ALL THE WEIGHT AND MEETING SARAH 1169 00:57:22,733 --> 00:57:24,500 CHANGED ALL THAT. 1170 00:57:24,500 --> 00:57:27,233 ** 1171 00:57:28,900 --> 00:57:30,467 Officiant: PLEASE BE SEATED. 1172 00:57:33,133 --> 00:57:35,067 DEAR FRIENDS, WE'VE COME TOGETHER 1173 00:57:35,067 --> 00:57:37,433 TO WITNESS THE MARRIAGE OF JOE AND SARAH, 1174 00:57:37,433 --> 00:57:38,700 TO SURROUND THEM WITH OUR PRAYERS, 1175 00:57:38,700 --> 00:57:40,933 AND TO SHARE IN THEIR JOY. 1176 00:57:40,933 --> 00:57:46,067 JOE AND SARAH HAVE WRITTEN THEIR OWN VOWS FOR THIS SERVICE. 1177 00:57:46,067 --> 00:57:49,167 [ SIGHS ] THE MOMENT I MET YOU, 1178 00:57:49,167 --> 00:57:52,767 I KNEW YOU'D BE SOMEONE I COULD RELATE TO. 1179 00:57:52,767 --> 00:57:55,133 I PROMISE TO LOVE YOU FOREVER 1180 00:57:55,133 --> 00:57:58,133 AND BE YOUR BEST FRIEND AND YOUR CLOSEST COMPANION 1181 00:57:58,133 --> 00:58:00,133 ALL OF THE DAYS OF OUR LIVES. 1182 00:58:00,133 --> 00:58:02,400 ** 1183 00:58:04,933 --> 00:58:07,067 YOU HAVE TAUGHT ME WHAT IT TRULY MEANS 1184 00:58:07,067 --> 00:58:10,433 TO LOVE SOMETHING MORE THAN MYSELF. 1185 00:58:10,433 --> 00:58:13,667 YOU'RE THE ANSWER TO EVERY PRAYER THAT I'VE EVER PRAYED. 1186 00:58:13,667 --> 00:58:15,900 I LOVE YOU WITH ALL MY HEART. 1187 00:58:15,900 --> 00:58:18,833 ** 1188 00:58:18,833 --> 00:58:23,333 SARAH, I GIVE YOU THIS RING AS A SYMBOL OF MY VOW. 1189 00:58:23,333 --> 00:58:29,267 WITH ALL THAT I AM AND ALL THAT I HAVE, I HONOR YOU. 1190 00:58:29,267 --> 00:58:30,833 I KNOW INTRODUCE TO YOU 1191 00:58:30,833 --> 00:58:33,233 MR. AND MRS. JOE AND SARAH WEXLER, 1192 00:58:33,233 --> 00:58:35,533 HUSBAND AND WIFE. 1193 00:58:35,533 --> 00:58:40,100 [ CHEERS AND APPLAUSE ] 1194 00:58:40,100 --> 00:58:44,067 Joe: IT FEELS LIKE I'M LITERALLY LIVING A DREAM. 1195 00:58:44,067 --> 00:58:46,400 IT'S JUST AMAZING TO ME. [ CHEERS AND APPLAUSE ] 1196 00:58:46,400 --> 00:58:48,633 IT'S LIKE I WAS TELEPORTED OUT OF MY LIFE 1197 00:58:48,633 --> 00:58:50,500 AND INTO SOMEONE ELSE'S, 1198 00:58:50,500 --> 00:58:52,067 BECAUSE I JUST CAN'T BELIEVE 1199 00:58:52,067 --> 00:58:55,400 THIS IS ALL HAPPENING TO ME. 1200 00:58:55,400 --> 00:58:57,067 Man: LADIES AND GENTLEMEN, 1201 00:58:57,067 --> 00:58:58,600 THE TWO HAPPIEST PEOPLE ON THE PLANET... 1202 00:58:58,600 --> 00:58:59,700 [ BOTH LAUGHING ] 1203 00:58:59,700 --> 00:59:03,167 I CAUGHT YA! ...SARAH AND JOE WEXLER! 1204 00:59:03,167 --> 00:59:05,667 [ CHEERS AND WHISTLING ] 1205 00:59:05,667 --> 00:59:08,167 Joe: THIS AMAZING LIFE IS MINE NOW, 1206 00:59:08,167 --> 00:59:10,167 SO I'M WILLING TO DO WHATEVER IT TAKES 1207 00:59:10,167 --> 00:59:13,667 TO BE THE MAN I NEED TO BE. 1208 00:59:13,667 --> 00:59:16,267 AND THAT INCLUDES MAKING SURE I GET A JOB 1209 00:59:16,267 --> 00:59:18,933 AND THAT I GET TO A HEALTHY PLACE WITH MY BODY 1210 00:59:18,933 --> 00:59:22,667 AND THAT I DON'T QUIT UNTIL I GET TO MY TARGET WEIGHT 1211 00:59:22,667 --> 00:59:25,700 AND HAVE ALL MY FINAL SKIN-REMOVAL SURGERIES, 1212 00:59:25,700 --> 00:59:29,733 BECAUSE SO MUCH IS RIDING ON IT. 1213 00:59:29,733 --> 00:59:33,067 THERE'S NO FOOD OR TEMPTATION GREAT ENOUGH 1214 00:59:33,067 --> 00:59:36,500 TO MAKE ME WANT TO RISK LOSING THIS LIFE I HAVE NOW. 1215 00:59:42,100 --> 00:59:45,133 ** 1216 00:59:49,300 --> 00:59:50,733 Pauline: I'VE BEEN THINKING ABOUT WAYS 1217 00:59:50,733 --> 00:59:54,467 I COULD START TO FEEL MORE POSITIVE ABOUT MYSELF 1218 00:59:54,467 --> 00:59:58,867 AND HOW TO GET OUT OF THIS FUNK I'VE BEEN IN. 1219 00:59:58,867 --> 01:00:01,833 SO I STARTED TO MAKE A LIST OF ALL THE THINGS 1220 01:00:01,833 --> 01:00:05,300 I WANT TO IMPROVE ABOUT MYSELF TO FEEL BETTER, 1221 01:00:05,300 --> 01:00:09,833 AND MY TEETH HAVE BEEN A BIG ISSUE FOR ME. 1222 01:00:09,833 --> 01:00:14,400 I SPENT YEARS NOT TAKING CARE OF MYSELF VERY WELL, 1223 01:00:14,400 --> 01:00:17,467 AND THAT'S DAMAGED MY BODY. 1224 01:00:17,467 --> 01:00:21,167 AND MY TEETH ARE NO EXCEPTION. 1225 01:00:21,167 --> 01:00:23,233 WHEN YOU'RE 600 POUNDS, 1226 01:00:23,233 --> 01:00:26,833 YOU CAN'T EXACTLY GET UP AND GO BRUSH YOUR TEETH, 1227 01:00:26,833 --> 01:00:30,900 SO I WANTED TO GET THEM FIXED FOR A WHILE. 1228 01:00:30,900 --> 01:00:34,033 I NEVER SMILE BECAUSE I'M EMBARRASSED ABOUT MY TEETH, 1229 01:00:34,033 --> 01:00:37,100 SO I'M DOING SOMETHING ABOUT IT. 1230 01:00:37,100 --> 01:00:39,333 PAULINE? GOOD MORNING. 1231 01:00:39,333 --> 01:00:41,267 -YOU READY? -YEAH. 1232 01:00:41,267 --> 01:00:44,200 AND WHAT I THINK I'VE REALIZED IS 1233 01:00:44,200 --> 01:00:47,000 THAT I DON'T SEE MYSELF AS SOMEONE WORTH INVESTING IN 1234 01:00:47,000 --> 01:00:50,200 AS LONG AS I HAVE THIS WEIGHT ON ME. 1235 01:00:50,200 --> 01:00:52,933 IT'S LIKE I PUT MY LIFE ON HOLD 1236 01:00:52,933 --> 01:00:58,200 AND I'M TREATING MYSELF AS IF I DON'T DESERVE IT... 1237 01:00:58,200 --> 01:00:59,367 OR I'M NOT WORTH IT 1238 01:00:59,367 --> 01:01:03,433 UNTIL I LOSE ALL OF THIS WEIGHT OFF OF ME. 1239 01:01:03,433 --> 01:01:05,900 HELLO. HI. 1240 01:01:05,900 --> 01:01:07,233 HOW ARE YOU? I'M DR. ALANI. 1241 01:01:07,233 --> 01:01:08,300 HI. NICE TO MEET YOU. 1242 01:01:08,300 --> 01:01:09,967 YOU ARE PAULINE? YES, I AM. 1243 01:01:09,967 --> 01:01:12,300 WELCOME TO THE OFFICE. THANK YOU. 1244 01:01:12,300 --> 01:01:13,867 -HOW ARE YOU? -GOOD. 1245 01:01:13,867 --> 01:01:16,333 FEELING GOOD TODAY? A LITTLE NERVOUS... 1246 01:01:16,333 --> 01:01:18,233 OKAY. ...BUT I DON'T KNOW WHY. 1247 01:01:18,233 --> 01:01:20,067 I'VE NEVER BEEN NERVOUS, 1248 01:01:20,067 --> 01:01:22,300 BUT I JUST WORK MYSELF UP A LITTLE BIT. 1249 01:01:22,300 --> 01:01:25,067 YOU'RE AT THE DENTAL OFFICE. [ LAUGHS ] 1250 01:01:25,067 --> 01:01:27,900 SO, LET ME SHOW YOU WHAT WE'RE GOING TO DO, OKAY? 1251 01:01:27,900 --> 01:01:29,333 [ CHUCKLES ] OKAY, TURN TOWARD ME. 1252 01:01:29,333 --> 01:01:30,833 BITE DOWN. 1253 01:01:30,833 --> 01:01:32,733 YOU SEE THAT YOU'VE GOT A LOT OF DECAY HERE? 1254 01:01:32,733 --> 01:01:35,700 SO WE NEED TO TAKE OUT THE DECAY, BUILD THE TOOTH UP, 1255 01:01:35,700 --> 01:01:37,367 AND, ALSO, PUT A CROWN. 1256 01:01:37,367 --> 01:01:39,133 SO BASICALLY, WE'LL JUST CROWN 1257 01:01:39,133 --> 01:01:41,600 EVERYTHING THAT YOU HAVE EXISTING UP HERE. 1258 01:01:41,600 --> 01:01:43,700 AND THEN, I THINK YOU'RE GONNA LOOK REALLY GOOD. 1259 01:01:43,700 --> 01:01:46,967 YOU'LL BE EXCITED. 1260 01:01:46,967 --> 01:01:49,067 WHAT WE WANT YOU TO DO -- JUST RELAX. 1261 01:01:49,067 --> 01:01:50,867 YOU KNOW MY SHOTS DON'T HURT, RIGHT? 1262 01:01:50,867 --> 01:01:52,367 -YEP. -OKAY. 1263 01:01:52,367 --> 01:01:54,500 I'M GONNA GO REALLY SLOW. 1264 01:01:54,500 --> 01:01:56,500 JUST A LITTLE PINCH. 1265 01:01:56,500 --> 01:01:58,133 -YOU OKAY? -MM-HMM. 1266 01:01:58,133 --> 01:01:59,767 OKAY. 1267 01:01:59,767 --> 01:02:03,167 [ AIR RUSHING ] 1268 01:02:03,167 --> 01:02:04,967 Pauline: I'M GOING TO START DOING THINGS NOW 1269 01:02:04,967 --> 01:02:08,333 THAT MAKE ME FEEL BETTER ABOUT MYSELF. 1270 01:02:08,333 --> 01:02:12,067 THERE'S NO REASON I SHOULD BE WAITING ON THE SIDELINES 1271 01:02:12,067 --> 01:02:14,200 LIKE I AM 1272 01:02:14,200 --> 01:02:16,133 AND MAKING EXCUSES 1273 01:02:16,133 --> 01:02:18,100 BECAUSE I'M AFRAID OF FAILING. 1274 01:02:20,533 --> 01:02:25,567 SO I'M TAKING THIS STEP TO BE HAPPIER WITH MYSELF. 1275 01:02:25,567 --> 01:02:29,367 AND HOPEFULLY, THIS IS JUST THE FIRST STEP OF MANY 1276 01:02:29,367 --> 01:02:33,067 THAT I TAKE ON MY JOURNEY TO FIND THE POSITIVE. 1277 01:02:35,100 --> 01:02:36,533 OPEN BIG. 1278 01:02:36,533 --> 01:02:38,433 SO PRECISE. 1279 01:02:38,433 --> 01:02:39,533 NOW JUST STAY CLOSED. 1280 01:02:39,533 --> 01:02:42,200 DON'T MOVE. DON'T MOVE. 1281 01:02:42,200 --> 01:02:45,067 -HER BITE LOOKS REALLY GOOD. -IT DOES. 1282 01:02:45,067 --> 01:02:47,667 ALL RIGHT, DONE! 1283 01:02:47,667 --> 01:02:49,333 OKAY. SO, HANG ON. 1284 01:02:49,333 --> 01:02:50,900 WE'RE GONNA SIT YOU ALL THE WAY UP. 1285 01:02:50,900 --> 01:02:52,367 [ CHUCKLES ] 1286 01:02:54,833 --> 01:02:56,767 OH, MY GOD. 1287 01:02:56,767 --> 01:02:58,267 [ GASPS ] 1288 01:03:00,067 --> 01:03:02,633 [ Voice breaking ] THANK YOU SO MUCH. 1289 01:03:02,633 --> 01:03:04,400 [ CHUCKLES ] [ SNIFFLES ] 1290 01:03:04,400 --> 01:03:06,333 -YOU DID A GREAT JOB. -NO PROBLEM. OH! 1291 01:03:06,333 --> 01:03:08,400 IT'S GONNA BRING TEARS. WHERE'S KLEENEXES? 1292 01:03:08,400 --> 01:03:10,167 -[ Laughing ] I KNOW. I KNOW. -I'LL START CRYING. 1293 01:03:10,167 --> 01:03:12,567 IT'S JUST SO REWARDING TO SEE THE RESULTS. 1294 01:03:12,567 --> 01:03:14,833 IT REALLY IS. 1295 01:03:14,833 --> 01:03:19,433 I FEEL LIKE I'M JUST BEAMING, LIKE I CAN'T STOP SMILING. 1296 01:03:19,433 --> 01:03:21,633 -HIGH FIVE, GIRLFRIEND. -[ LAUGHS ] 1297 01:03:21,633 --> 01:03:24,467 OKAY. THANK YOU. 1298 01:03:24,467 --> 01:03:25,700 Pauline: I'D LOST MY SMILE, 1299 01:03:25,700 --> 01:03:28,700 AND I FIGURED IF I COULD GET THAT BACK 1300 01:03:28,700 --> 01:03:30,833 AND I START TO FEEL LIKE SMILING, 1301 01:03:30,833 --> 01:03:33,967 THAT'S GOING TO START TO HAVE AN EVEN BIGGER EFFECT 1302 01:03:33,967 --> 01:03:35,933 ON ME AND MY LIFE 1303 01:03:35,933 --> 01:03:39,600 AND HOW I SEE MYSELF AND THE WORLD. 1304 01:03:39,600 --> 01:03:41,400 I HAVE TEETH AGAIN. 1305 01:03:41,400 --> 01:03:44,967 WOW, THEY LOOK REALLY GOOD. [ CHUCKLES ] 1306 01:03:44,967 --> 01:03:47,333 AND I'M HOPING THAT, THE MORE I SMILE, 1307 01:03:47,333 --> 01:03:50,467 THE MORE THAT'S GOING TO BECOME CONTAGIOUS 1308 01:03:50,467 --> 01:03:54,067 AND IT'S GONNA START TO EVEN AFFECT MY WHOLE DEMEANOR. 1309 01:03:54,067 --> 01:03:56,100 ** 1310 01:04:02,833 --> 01:04:07,300 Joe: SARAH AND I HAVE BEEN MARRIED FOR A MONTH NOW, 1311 01:04:07,300 --> 01:04:11,233 AND I'M LOVING EVERY MINUTE OF IT. 1312 01:04:11,233 --> 01:04:15,067 AND ONE OF FAVORITE THINGS THAT WE'VE STARTED DOING TOGETHER 1313 01:04:15,067 --> 01:04:18,933 IS TAKING WALKS A FEW TIMES A WEEK TO STAY ACTIVE. 1314 01:04:20,233 --> 01:04:22,933 REMEMBER THE LAST TIME WE WERE UP HERE? 1315 01:04:22,933 --> 01:04:24,067 OUR WEDDING DAY? 1316 01:04:24,067 --> 01:04:25,633 YEP. 1317 01:04:25,633 --> 01:04:27,233 AND WE LOVE WALKING IN THE PARK 1318 01:04:27,233 --> 01:04:31,133 WHERE I MET SARAH IN PERSON FOR THE FIRST TIME 1319 01:04:31,133 --> 01:04:33,800 AND WHERE WE HAD OUR FIRST DATE. 1320 01:04:33,800 --> 01:04:37,767 BACK THEN, I STILL WASN'T ABLE TO GET AROUND MUCH 1321 01:04:37,767 --> 01:04:41,700 AND I'D HURT MY KNEE COMING BACK UP THE STAIRS. 1322 01:04:41,700 --> 01:04:44,600 'CAUSE EVEN THOUGH I'D LOST A LOT, 1323 01:04:44,600 --> 01:04:47,333 I HAD SO MUCH WEIGHT ON MY BODY STILL, 1324 01:04:47,333 --> 01:04:50,900 I ALMOST COULDN'T HANDLE ALL THE WALKING. 1325 01:04:52,700 --> 01:04:55,500 SO IT'S FUN TO BE HERE 1326 01:04:55,500 --> 01:04:59,167 AND REMINISCE ABOUT OUR LIFE NOW COMPARED TO THEN. 1327 01:04:59,167 --> 01:05:00,500 -YAY! -[ GRUNTS ] 1328 01:05:00,500 --> 01:05:01,700 GOOD JOB, JOE! 1329 01:05:01,700 --> 01:05:03,100 [ LAUGHS ] 1330 01:05:03,100 --> 01:05:04,700 [ LAUGHS ] 1331 01:05:04,700 --> 01:05:07,333 ** 1332 01:05:07,333 --> 01:05:09,233 ENGAGE. ALL RIGHT. 1333 01:05:09,233 --> 01:05:10,500 Joe: IT'S FUN WORKING OUT WITH SARAH 1334 01:05:10,500 --> 01:05:13,100 JUST BECAUSE HAVING MY SOUL MATE WITH ME, 1335 01:05:13,100 --> 01:05:14,333 IT MAKES ME FEEL GOOD 1336 01:05:14,333 --> 01:05:16,400 KNOWING THAT SHE'S THERE TO SUPPORT ME, 1337 01:05:16,400 --> 01:05:18,567 ENCOURAGE ME TO PUSH 1338 01:05:18,567 --> 01:05:21,133 THAT LITTLE BIT FURTHER AND LITTLE BIT HARDER, 1339 01:05:21,133 --> 01:05:23,167 AND KNOWING THAT, NO MATTER WHAT, 1340 01:05:23,167 --> 01:05:25,867 I HAVE HER THERE TO PICK ME UP IF I FAIL, 1341 01:05:25,867 --> 01:05:28,767 BUT, ALSO, SEE ME SUCCEED. 1342 01:05:31,300 --> 01:05:34,400 AFTER THE WEDDING, I OFFICIALLY MOVED UP TO IOWA. 1343 01:05:34,400 --> 01:05:37,367 AND WE WERE PLANNING ON FINDING A PLACE OF OUR OWN, 1344 01:05:37,367 --> 01:05:40,900 BUT IT'S TAKING A LITTLE LONGER FOR ME TO FIND A JOB. 1345 01:05:40,900 --> 01:05:43,200 AND WE'VE BEEN DISCUSSING A REALISTIC TIMELINE 1346 01:05:43,200 --> 01:05:45,600 WITH EVERYTHING BEFORE US. 1347 01:05:45,600 --> 01:05:48,333 THERE'S A LOT OF THINGS ON THE HORIZON, 1348 01:05:48,333 --> 01:05:50,933 SO WE TALKED ABOUT IMMEDIATE PLANS 1349 01:05:50,933 --> 01:05:53,600 AND EVERYTHING THAT I HAVE TO JUGGLE. 1350 01:05:53,600 --> 01:05:57,333 GETTING SKIN SURGERY IS A REALLY BIG DEAL TO ME. 1351 01:05:57,333 --> 01:05:59,333 IT'S SOMETHING I REALLY WANT TO DO, 1352 01:05:59,333 --> 01:06:02,067 BUT I CAN'T HAVE IT IF WE'RE MOVING 1353 01:06:02,067 --> 01:06:04,500 AND I'M STARTING A NEW JOB. 1354 01:06:04,500 --> 01:06:07,300 SO WE DECIDED THAT I'D HAVE TO HIT MY GOAL 1355 01:06:07,300 --> 01:06:09,600 OF GETTING UNDER 300 POUNDS 1356 01:06:09,600 --> 01:06:11,067 AND APPROVED FOR SKIN REMOVAL 1357 01:06:11,067 --> 01:06:14,900 AT MY NEXT APPOINTMENT IN A COUPLE OF WEEKS. 1358 01:06:14,900 --> 01:06:17,600 IF I DO, I'LL HAVE MY SKIN SURGERY. 1359 01:06:17,600 --> 01:06:20,133 AND THEN, WE'LL FOCUS ON ME GETTING A JOB 1360 01:06:20,133 --> 01:06:23,067 AND US MOVING OUT ONCE I RECOVER. 1361 01:06:23,067 --> 01:06:25,200 BUT IF I DON'T HIT MY GOAL THIS TIME, 1362 01:06:25,200 --> 01:06:27,900 THEN WE DECIDED THAT I'D WAIT AT LEAST A YEAR 1363 01:06:27,900 --> 01:06:31,467 TO GET THE SKIN-REMOVAL SURGERY. 1364 01:06:31,467 --> 01:06:35,900 SO I HAVE TO HIT MY GOAL, AND I'M DETERMINED TO DO IT, 1365 01:06:35,900 --> 01:06:38,433 BECAUSE IF I DON'T DO IT THIS TIME, 1366 01:06:38,433 --> 01:06:40,400 THEN I DON'T KNOW WHEN I'M GONNA BE ABLE TO. 1367 01:06:47,300 --> 01:06:50,333 ** 1368 01:06:59,333 --> 01:07:01,400 Joe: SARAH AND I FLEW INTO HOUSTON TOGETHER 1369 01:07:01,400 --> 01:07:02,967 FOR A WEEKEND AWAY 1370 01:07:02,967 --> 01:07:06,700 AND SO I CAN HAVE MY NEXT DOCTOR'S APPOINTMENT. 1371 01:07:06,700 --> 01:07:08,267 HER MOM'S WATCHING HAYLEY, 1372 01:07:08,267 --> 01:07:12,267 SO WE'RE GONNA TAKE ADVANTAGE OF SOME TIME TOGETHER. 1373 01:07:12,267 --> 01:07:14,333 BUT, FIRST, I HAVE MY APPOINTMENT, 1374 01:07:14,333 --> 01:07:16,767 AND "NERVOUS" WOULDN'T EVEN BEGIN TO DESCRIBE 1375 01:07:16,767 --> 01:07:19,167 HOW I FEEL RIGHT NOW. 1376 01:07:19,167 --> 01:07:21,433 SO MUCH IS RIDING ON THIS WEIGH-IN 1377 01:07:21,433 --> 01:07:23,467 AND WHETHER OR NOT I HIT MY GOAL 1378 01:07:23,467 --> 01:07:26,867 TO QUALIFY FOR MY NEXT SKIN REMOVAL. 1379 01:07:26,867 --> 01:07:28,067 IT'S BEEN FOUR MONTHS 1380 01:07:28,067 --> 01:07:30,633 SINCE I'VE BEEN HERE TO SEE DR. NOW, 1381 01:07:30,633 --> 01:07:34,133 AND I WAS AT 365 THE LAST TIME I WAS HERE. 1382 01:07:34,133 --> 01:07:38,867 SO IF I STAYED ON TRACK, THAT WOULD PUT ME AT 265 TODAY. 1383 01:07:38,867 --> 01:07:40,967 BUT I'LL BE HONEST. 1384 01:07:40,967 --> 01:07:43,900 ALL I CARE ABOUT IS GETTING UNDER 300 POUNDS TODAY 1385 01:07:43,900 --> 01:07:45,500 TO HIT MY GOAL FOR SKIN REMOVAL. 1386 01:07:47,600 --> 01:07:50,267 -304. -YAY! 1387 01:07:52,200 --> 01:07:54,067 PROGRESS. 1388 01:07:54,067 --> 01:07:57,200 ** 1389 01:07:57,200 --> 01:08:00,567 I'M JUST A FEW POUNDS AWAY, 1390 01:08:00,567 --> 01:08:01,967 BUT I HAVE NO IDEA 1391 01:08:01,967 --> 01:08:05,667 IF I'M CLOSE ENOUGH TO GET APPROVED. 1392 01:08:05,667 --> 01:08:07,300 [ KNOCK ON DOOR ] 1393 01:08:08,200 --> 01:08:09,300 Dr. Nowzaradan: HELLO. 1394 01:08:09,300 --> 01:08:10,700 HI, DR. NOW. HI. 1395 01:08:10,700 --> 01:08:12,367 -HOW ARE YOU ALL DOING? -DOING ALL RIGHT. 1396 01:08:12,367 --> 01:08:15,433 -HOW ARE YOU? -I AM DOING OKAY. 1397 01:08:15,433 --> 01:08:17,167 CONGRATULATIONS TO YOU BOTH. 1398 01:08:17,167 --> 01:08:18,767 THANK YOU VERY MUCH. 1399 01:08:18,767 --> 01:08:19,900 JOE, YOU'RE LOOKING GOOD. 1400 01:08:19,900 --> 01:08:21,267 THANK YOU, SIR. 1401 01:08:21,267 --> 01:08:24,567 SO, YOU'RE DOWN TO 304 TODAY. 1402 01:08:24,567 --> 01:08:25,800 YES, SIR. 1403 01:08:25,800 --> 01:08:28,333 WHEN I SAW FIRST TIME, YOU'RE SEATED THERE, 1404 01:08:28,333 --> 01:08:29,533 WOULD NOT RECOGNIZE YOU. 1405 01:08:29,533 --> 01:08:30,733 [ CHUCKLES ] NO. 1406 01:08:30,733 --> 01:08:32,433 I FEEL DIFFERENT, TOO. 1407 01:08:32,433 --> 01:08:35,133 WELL, ANY EXTRA SKIN BECOMING AN ISSUE FOR YOU? 1408 01:08:35,133 --> 01:08:36,900 YEAH, DEFINITELY THE LEGS. 1409 01:08:36,900 --> 01:08:38,533 IT'S, LIKE, RUBBING AND STUFF, 1410 01:08:38,533 --> 01:08:41,567 AND VERY UNCOMFORTABLE AND HURTING AND WHATNOT, SO... 1411 01:08:41,567 --> 01:08:43,167 SO, LET'S TAKE A LOOK AT YOUR LEG 1412 01:08:43,167 --> 01:08:44,767 AND SEE WHAT'S GOING ON WITH THAT. 1413 01:08:44,767 --> 01:08:46,333 SURE. 1414 01:08:48,367 --> 01:08:52,233 YOU'VE GOT A LOT OF EXTRA SKIN ON BOTH LEGS, 1415 01:08:52,233 --> 01:08:54,067 BUT MORE ON THE RIGHT, HUH? 1416 01:08:54,067 --> 01:08:55,367 YEAH. 1417 01:08:55,367 --> 01:08:59,433 I THINK WE CAN TAKE THE EXTRA SKIN OFF IN BOTH LEGS 1418 01:08:59,433 --> 01:09:03,800 AND MAKE THEM A LITTLE BIT MORE TIGHT AND SMALLER 1419 01:09:03,800 --> 01:09:06,633 SO YOU DON'T HAVE ALL THAT EXTRA SKIN IN YOUR WAY. 1420 01:09:06,633 --> 01:09:07,967 AWESOME. 1421 01:09:07,967 --> 01:09:10,900 SO I'M APPROVING YOU FOR SKIN SURGERY FOR BOTH LEGS. 1422 01:09:10,900 --> 01:09:13,067 AWESOME. THANK YOU. 1423 01:09:13,067 --> 01:09:14,500 ALL RIGHT, JOE. YOU'RE DOING GREAT. 1424 01:09:14,500 --> 01:09:16,933 SO I'M GONNA SET YOU UP FOR SURGERY NEXT MONTH. 1425 01:09:16,933 --> 01:09:17,933 OKAY. 1426 01:09:17,933 --> 01:09:19,100 AND I'LL SEE YOU IN THE HOSPITAL. 1427 01:09:19,100 --> 01:09:20,433 OKAY, SOUNDS GOOD. OKAY? 1428 01:09:20,433 --> 01:09:21,867 THANK YOU SO MUCH. NICE TO SEE YOU. 1429 01:09:21,867 --> 01:09:23,867 NICE TO SEE YOU AGAIN. THANK YOU. 1430 01:09:23,867 --> 01:09:25,067 ALL RIGHT. I'LL SEE YOU ALL LATER. 1431 01:09:25,067 --> 01:09:26,733 ALL RIGHT. THANK YOU. 1432 01:09:26,733 --> 01:09:28,667 Dr. Nowzaradan: JOE IS NOT COMPLETELY ON TRACK 1433 01:09:28,667 --> 01:09:30,200 WITH HIS MONTHLY GOALS, 1434 01:09:30,200 --> 01:09:32,400 BUT HE'S STILL MAKING GOOD PROGRESS, 1435 01:09:32,400 --> 01:09:35,467 IN SPITE OF ALL THE EVENTS AND RESPONSIBILITY 1436 01:09:35,467 --> 01:09:37,400 IN HIS LIFE NOW. 1437 01:09:37,400 --> 01:09:40,067 HE'S NOT LETTING THE STRESS GET TO HIM, 1438 01:09:40,067 --> 01:09:43,300 AND HE'S MAINTAINING A POSITIVE OUTLOOK WITH EVERYTHING. 1439 01:09:43,300 --> 01:09:46,367 SO I THINK HE'S GOING TO DO WELL. 1440 01:09:47,767 --> 01:09:51,067 Joe: I'M BEYOND EXCITED RIGHT NOW. 1441 01:09:51,067 --> 01:09:53,367 DURING THE WEDDING AND ALL THE EVENTS AROUND IT, 1442 01:09:53,367 --> 01:09:55,200 WITH ALL THAT FOOD, 1443 01:09:55,200 --> 01:09:58,567 IT WASN'T EASY, BUT I WAS DETERMINED. 1444 01:09:58,567 --> 01:10:02,033 AND NOW I CAN'T WAIT TO HAVE MY SURGERY. 1445 01:10:02,033 --> 01:10:04,067 I KNOW RECOVERY ISN'T EASY, 1446 01:10:04,067 --> 01:10:06,433 BUT I'M GONNA HAVE THE BEST WOMAN IN THE WORLD 1447 01:10:06,433 --> 01:10:07,967 TAKING CARE OF ME, 1448 01:10:07,967 --> 01:10:09,733 SO I'M READY FOR THIS. 1449 01:10:12,633 --> 01:10:15,667 ** 1450 01:10:19,567 --> 01:10:21,400 Pauline: I'M CONTINUING ON MY JOURNEY 1451 01:10:21,400 --> 01:10:23,267 TO BE MORE POSITIVE. 1452 01:10:23,267 --> 01:10:26,233 WHEN I WAS AT MY HEAVIEST, I ALWAYS THOUGHT, 1453 01:10:26,233 --> 01:10:28,700 "IF I COULD LOSE ALL THIS WEIGHT, 1454 01:10:28,700 --> 01:10:32,367 ONE THING I WOULD GO WOULD BE TO HELP OTHER PEOPLE OUT, 1455 01:10:32,367 --> 01:10:36,200 OR TO JUST DO SOMETHING TO LIFT THEIR SPIRITS." 1456 01:10:36,200 --> 01:10:39,333 SO THAT'S THE NEXT ITEM ON MY LIST. 1457 01:10:39,333 --> 01:10:41,967 DILLON AND I HAVE MADE THESE LITTLE BAGS 1458 01:10:41,967 --> 01:10:45,433 WITH SOME FOOD AND ESSENTIAL ITEMS IN IT, 1459 01:10:45,433 --> 01:10:48,200 AND WE'RE GOING TO GO OUT AND JUST FIND PEOPLE IN NEED 1460 01:10:48,200 --> 01:10:50,433 TO GIVE THEM TO. 1461 01:10:50,433 --> 01:10:54,700 I KNOW WHAT IT'S LIKE TO BE IN NEED AND TO BE IGNORED. 1462 01:10:54,700 --> 01:10:58,333 IT'S FUNNY HOW INVISIBLE YOU CAN STILL FEEL AT TIMES, 1463 01:10:58,333 --> 01:11:01,167 EVEN WHEN YOU'RE 600 POUNDS. 1464 01:11:01,167 --> 01:11:04,700 PEOPLE EITHER STARE AND POINT OR IGNORE YOU, 1465 01:11:04,700 --> 01:11:07,867 AND BEING HOMELESS IS PROBABLY NOT A LOT DIFFERENT. 1466 01:11:07,867 --> 01:11:08,933 GOD BLESS YOU. 1467 01:11:08,933 --> 01:11:09,967 THANK YOU, MA'AM. I APPRECIATE IT. 1468 01:11:09,967 --> 01:11:11,533 YOU'RE WELCOME. 1469 01:11:11,533 --> 01:11:14,567 I KNOW HOW EASY IT IS TO END UP SOMEWHERE IN LIFE 1470 01:11:14,567 --> 01:11:17,267 THAT YOU NEVER THOUGHT YOU WOULD, 1471 01:11:17,267 --> 01:11:20,933 AND YOU START TO LOSE HOPE AND GIVE UP, 1472 01:11:20,933 --> 01:11:23,867 AND YOU JUST ACCEPT YOUR SITUATION. 1473 01:11:23,867 --> 01:11:27,067 WOULD YOU GUYS LIKE A TREAT BAG? 1474 01:11:27,933 --> 01:11:29,300 GOD BLESS YOU. 1475 01:11:29,300 --> 01:11:30,667 THANK YOU AGAIN, ALL RIGHT? THANK YOU. 1476 01:11:30,667 --> 01:11:31,967 YOU'RE WELCOME. 1477 01:11:34,800 --> 01:11:36,267 -HERE YOU GO. -OH, THANK YOU SO MUCH. 1478 01:11:36,267 --> 01:11:38,233 GOD BLESS YOU. THANK YOU. 1479 01:11:38,233 --> 01:11:39,733 THERE ARE SO MANY PEOPLE IN THIS WORLD 1480 01:11:39,733 --> 01:11:43,567 THAT WOULD GIVE ALMOST ANYTHING FOR A SECOND CHANCE AT LIFE, 1481 01:11:43,567 --> 01:11:47,733 SO ME DOING THIS TODAY REMINDS ME OF THAT. 1482 01:11:47,733 --> 01:11:51,567 IN A WEIRD WAY, DOING THIS IS HELPING ME 1483 01:11:51,567 --> 01:11:55,233 JUST AS MUCH AS IT HOPEFULLY HELPS THEM. 1484 01:11:55,233 --> 01:11:58,533 I'M TRYING TO BRIGHTEN THEIR DAY AND REMIND THEM 1485 01:11:58,533 --> 01:12:02,600 THERE ARE PEOPLE OUT THERE THAT SEE THEM AND CARE 1486 01:12:02,600 --> 01:12:04,067 AND NOT TO GIVE UP HOPE. 1487 01:12:04,067 --> 01:12:06,433 GOD BLESS YOU. 1488 01:12:06,433 --> 01:12:09,700 I'M SO BLESSED TO HAVE WHAT I HAVE, 1489 01:12:09,700 --> 01:12:12,067 AND I CAN'T LET MYSELF DO ANYTHING 1490 01:12:12,067 --> 01:12:13,933 TO TAKE THAT FOR GRANTED. 1491 01:12:13,933 --> 01:12:16,467 AND WHEN I GIVE IN AND EAT WHAT I SHOULDN'T, 1492 01:12:16,467 --> 01:12:18,967 THAT'S EXACTLY WHAT I'M DOING. 1493 01:12:21,067 --> 01:12:24,133 ** 1494 01:12:36,967 --> 01:12:38,133 Joe: TODAY IS THE DAY 1495 01:12:38,133 --> 01:12:41,467 OF MY SECOND EXCESS-SKIN REMOVAL SURGERY. 1496 01:12:41,467 --> 01:12:42,867 TO KEEP LOSING THE WEIGHT 1497 01:12:42,867 --> 01:12:45,933 AND HAVE THIS PAINFUL MASS ON YOU, JUST PULLING YOU DOWN 1498 01:12:45,933 --> 01:12:48,700 IS MISERABLE TO LIVE WITH. 1499 01:12:48,700 --> 01:12:51,833 SO, NO MATTER HOW HARD THE SURGERIES ARE, 1500 01:12:51,833 --> 01:12:55,100 I'D TAKE THEM OVER A LIFETIME OF EXCESS SKIN ON MY BODY 1501 01:12:55,100 --> 01:12:57,800 IN A HEARTBEAT. 1502 01:12:57,800 --> 01:13:01,967 SO I'M REALLY HAPPY TO BE GETTING THIS OPERATION TODAY. 1503 01:13:01,967 --> 01:13:05,067 I JUST HOPE IT ALL GOES WITHOUT COMPLICATION. 1504 01:13:08,867 --> 01:13:11,200 Dr. Nowzaradan: TODAY, THIS EXCESS-SKIN REMOVAL 1505 01:13:11,200 --> 01:13:15,067 IS GOING TO HELP JOE TO BECOME MUCH MORE MOBILE 1506 01:13:15,067 --> 01:13:16,967 AND MAKE A SIGNIFICANT DIFFERENCE 1507 01:13:16,967 --> 01:13:20,067 FOR HIS OVERALL QUALITY OF LIFE. 1508 01:13:20,067 --> 01:13:23,900 BUT THIS OPERATION IS GOING TO BE A LONG ONE. 1509 01:13:23,900 --> 01:13:26,733 OKAY, STARTING THE FIRST INCISION. 1510 01:13:26,733 --> 01:13:28,333 SKIN REMOVAL IN THE LEGS 1511 01:13:28,333 --> 01:13:31,667 REQUIRES MORE ATTENTION TO SYMMETRY, 1512 01:13:31,667 --> 01:13:34,667 BECAUSE BOTH LEGS HAVE TO MATCH. 1513 01:13:34,667 --> 01:13:37,800 WE'RE PROBABLY GONNA HAVE TO TIE CLOSE TO 400 BLOOD VESSELS 1514 01:13:37,800 --> 01:13:39,133 BEFORE WE GET THROUGH, 1515 01:13:39,133 --> 01:13:42,300 AND THE BIG CHALLENGE WILL BE, IF ANY OF THEM GET LOOSE, 1516 01:13:42,300 --> 01:13:43,667 HE'S GONNA HAVE A BLEED. 1517 01:13:43,667 --> 01:13:45,300 AND THAT'S GONNA BE A SERIOUS PROBLEM, 1518 01:13:45,300 --> 01:13:47,300 SO WE NEED TO WATCH FOR THAT. 1519 01:13:47,300 --> 01:13:50,300 ** 1520 01:13:50,300 --> 01:13:52,967 Sarah: I HAVE BEEN A NERVOUS WRECK ALL DAY. 1521 01:13:52,967 --> 01:13:54,167 THE WORST PART, I THINK, 1522 01:13:54,167 --> 01:13:55,967 IS NOT KNOWING EXACTLY WHAT'S GOING ON 1523 01:13:55,967 --> 01:13:57,867 AND NOT BEING ABLE TO SEE HIM. 1524 01:13:57,867 --> 01:14:01,067 AND I'M A LITTLE WORRIED IF THERE'S GONNA BE COMPLICATIONS. 1525 01:14:01,067 --> 01:14:03,467 JOE MEANS EVERYTHING TO ME, 1526 01:14:03,467 --> 01:14:05,567 SO I'M TRYING TO BE OPTIMISTIC 1527 01:14:05,567 --> 01:14:08,733 THAT EVERYTHING IS GONNA GO AS PLANNED. 1528 01:14:08,733 --> 01:14:10,233 Dr. Nowzaradan: AFTER THIS OPERATION, 1529 01:14:10,233 --> 01:14:13,400 IT WILL TAKE JOE ABOUT A MONTH AND A HALF TO TWO MONTHS 1530 01:14:13,400 --> 01:14:14,967 TO FULLY RECOVER 1531 01:14:14,967 --> 01:14:19,267 BECAUSE ANY REMOVAL ON THE LEGS IS A VERY DIFFICULT RECOVERY. 1532 01:14:29,067 --> 01:14:31,333 BUT ONCE HE RECOVERS, 1533 01:14:31,333 --> 01:14:34,833 HE WILL BE VERY HAPPY WITH THE CHANGES IN HIS BODY. 1534 01:14:38,133 --> 01:14:40,833 AND WE'RE DONE. 1535 01:14:40,833 --> 01:14:44,067 JOE'S SURGERY WENT VERY WELL TODAY. 1536 01:14:44,067 --> 01:14:45,767 Man: HEY, JOE, WE'RE ALL DONE. 1537 01:14:45,767 --> 01:14:49,433 SO, THIS IS THE SKIN WE TOOK OFF OF HIM. 1538 01:14:49,433 --> 01:14:52,700 IT'S A LITTLE BIT OVER SEVEN POUNDS. 1539 01:14:52,700 --> 01:14:57,167 AFTER THIS OPERATION, JOE SHOULD BE UNDER 300 NOW. 1540 01:14:57,167 --> 01:14:59,433 HE STILL NEEDS TO LOSE AROUND 100 POUNDS 1541 01:14:59,433 --> 01:15:01,233 TO GET TO HIS TARGET WEIGHT, 1542 01:15:01,233 --> 01:15:05,067 AND HE WILL NEED A COUPLE MORE SKIN REMOVALS STILL. 1543 01:15:05,067 --> 01:15:08,633 BUT HIS RECOVERY IS NOT GOING TO BE EASY. 1544 01:15:08,633 --> 01:15:11,067 BUT I HAVE NO DOUBT THAT JOE IS GOING TO GET THROUGH IT. 1545 01:15:17,533 --> 01:15:20,567 ** 1546 01:15:28,733 --> 01:15:30,900 Pauline: DILLON AND ME ARE IN GALVESTON 1547 01:15:30,900 --> 01:15:34,267 BECAUSE WE ARE GOING ON A DOLPHIN SIGHT-SEEING TOUR. 1548 01:15:34,267 --> 01:15:36,800 ** 1549 01:15:38,133 --> 01:15:39,667 I'VE NEVER BEEN ON THE WATER, 1550 01:15:39,667 --> 01:15:41,600 AND I'VE NEVER SEEN DOLPHINS UP CLOSE. 1551 01:15:41,600 --> 01:15:43,967 AND IT'S SOMETHING I'VE ALWAYS WANTED TO DO, 1552 01:15:43,967 --> 01:15:45,600 SO I'M DOING IT. 1553 01:15:47,833 --> 01:15:50,700 AND THIS IS ANOTHER THING I WAS WAITING TO TRY AND DO 1554 01:15:50,700 --> 01:15:52,567 AFTER I GOT TO MY TARGET WEIGHT, 1555 01:15:52,567 --> 01:15:55,267 BUT I'M DOING IT NOW. 1556 01:15:56,833 --> 01:16:01,333 IT'S NEXT ON MY JOURNEY TO DO THE THINGS I'VE DENIED MYSELF 1557 01:16:01,333 --> 01:16:04,767 AND TO BECOME MORE POSITIVE THROUGH THAT. 1558 01:16:04,767 --> 01:16:07,467 SINCE I'VE DECIDED TO START DOING THESE THINGS, 1559 01:16:07,467 --> 01:16:09,333 I'M NOT LIVING IN FEAR. 1560 01:16:11,467 --> 01:16:14,600 I DO FEEL I'M NOT AS DOWN WHEN I START EACH DAY. 1561 01:16:14,600 --> 01:16:16,433 SORRY. 1562 01:16:16,433 --> 01:16:18,733 IT'S NOT THAT I'M NOT STRUGGLING RIGHT NOW 1563 01:16:18,733 --> 01:16:21,500 OR THAT I'M NO LONGER LIVING IN ANY SHAME OR FEAR. 1564 01:16:21,500 --> 01:16:25,133 BUT I DO FEEL AN IMPROVEMENT, 1565 01:16:25,133 --> 01:16:30,100 AND THAT HAS HAD AN EFFECT IN EVERY ASPECT OF MY LIFE. 1566 01:16:30,100 --> 01:16:33,467 SO I'M REALLY PROUD OF MYSELF. 1567 01:16:33,467 --> 01:16:36,133 AND IT'S SLOW, BUT I'M GETTING THERE. 1568 01:16:36,133 --> 01:16:39,600 ** 1569 01:16:48,967 --> 01:16:52,233 I'VE LIVED IN SHAME FOR SO LONG, AND I DIDN'T REALIZE IT. 1570 01:16:52,233 --> 01:16:54,400 IT WAS JUST FEAR TO ME, 1571 01:16:54,400 --> 01:16:55,833 AND I DIDN'T THINK I DESERVED 1572 01:16:55,833 --> 01:16:58,133 TO HAVE THE LIFE THAT I WANTED. 1573 01:16:58,133 --> 01:17:01,867 AND I'M WORKING ON CHANGING HOW I SEE MYSELF. 1574 01:17:01,867 --> 01:17:04,533 I'M GLAD I CAN SEE THAT STARTING TO CHANGE IN ME, 1575 01:17:04,533 --> 01:17:07,433 AND THAT IS GIVING ME HOPE. 1576 01:17:07,433 --> 01:17:08,800 Dillon: IT MAKES ME PRETTY HAPPY 1577 01:17:08,800 --> 01:17:11,633 THAT SHE'S TAKING THESE STEPS AND PROGRESSING FURTHER 1578 01:17:11,633 --> 01:17:13,767 AND DOING STUFF THAT SHE HASN'T BEEN ABLE TO DO. 1579 01:17:13,767 --> 01:17:16,533 AND I DIDN'T THINK SHE WAS EVEN GONNA BE ABLE 1580 01:17:16,533 --> 01:17:20,067 TO MAKE THIS STEP TODAY, BUT IT'S PRETTY EXCITING. 1581 01:17:22,067 --> 01:17:27,233 [ Voice breaking ] A DAY LIKE TODAY MAKES ME, UM... 1582 01:17:27,233 --> 01:17:30,400 REALLY GRATEFUL THAT I MADE THIS MOVE, YOU KNOW? 1583 01:17:30,400 --> 01:17:31,967 I'M REALLY HAPPY. [ SNIFFLES ] 1584 01:17:31,967 --> 01:17:36,133 IT WAS A BIG STEP TO UPROOT MY KID 1585 01:17:36,133 --> 01:17:39,067 AND MOVE FROM ANOTHER STATE 1586 01:17:39,067 --> 01:17:41,067 AND LEAVE ALL MY FRIENDS AND FAMILY, 1587 01:17:41,067 --> 01:17:43,900 AND IT'S BEEN HARD. 1588 01:17:43,900 --> 01:17:45,333 BUT I THINK I WOULD DO IT AGAIN. 1589 01:17:45,333 --> 01:17:47,933 I FEEL LIKE NOW THAT I'M ON THE GOOD SIDE OF IT 1590 01:17:47,933 --> 01:17:49,800 AND ALL THE BAD IS BEHIND ME, 1591 01:17:49,800 --> 01:17:52,967 AND I FEEL LIKE THERE'S NOTHING BUT GOOD TO COME. 1592 01:17:55,833 --> 01:17:58,867 ** 1593 01:18:05,933 --> 01:18:08,700 TODAY, I'M HEADING BACK TO SEE DR. NOW 1594 01:18:08,700 --> 01:18:12,600 TO SEE IF I'M MAKING PROGRESS AGAIN. 1595 01:18:12,600 --> 01:18:16,800 I HAVE NO IDEA WHAT THE SCALE'S GONNA SAY. 1596 01:18:16,800 --> 01:18:21,200 I'M HOPING I'M BACK ON TRACK LIKE I THINK I AM. 1597 01:18:21,200 --> 01:18:24,233 I'VE HAD TO MISS A COUPLE OF APPOINTMENTS WITH DR. NOW, 1598 01:18:24,233 --> 01:18:28,367 BUT I WAS AT 321 THE LAST TIME I WAS HERE. 1599 01:18:28,367 --> 01:18:32,933 SO I SHOULD BE DOWN TO 221 IF I STAYED ON TRACK, 1600 01:18:32,933 --> 01:18:35,767 AND I'M JUST HOPING I'M DOING BETTER THIS TIME. 1601 01:18:41,200 --> 01:18:42,833 I THINK SO. 1602 01:18:42,833 --> 01:18:44,467 HELL, YEAH. 1603 01:18:44,467 --> 01:18:47,733 YOUR SCALE'S WRONG, OR I LOST A LOT OF WEIGHT. 1604 01:18:47,733 --> 01:18:50,133 [ CHUCKLES ] 1605 01:18:50,133 --> 01:18:54,467 IT'S NOT NEAR DR. NOW'S GOAL, BUT I'M LOSING MORE WEIGHT. 1606 01:18:54,467 --> 01:18:57,067 AND THIS IS THE FIRST TIME SINCE I WAS A CHILD 1607 01:18:57,067 --> 01:18:59,400 THAT I'VE BEEN IN THE 200s, 1608 01:18:59,400 --> 01:19:01,633 SO I HOPE HE'S HAPPY WITH THAT. 1609 01:19:01,633 --> 01:19:03,900 AND HOPEFULLY, I'M IN A GOOD PLACE AGAIN 1610 01:19:03,900 --> 01:19:07,300 TO GET APPROVED FOR MY EXCESS-SKIN REMOVAL. 1611 01:19:07,300 --> 01:19:09,833 TWO YEARS AFTER A WEIGHT-LOSS SURGERY, 1612 01:19:09,833 --> 01:19:12,600 YOU REALLY HAVE TO WORK HARD FOR EVERY POUND YOU LOSE. 1613 01:19:12,600 --> 01:19:16,900 SO FOR 29 POUNDS TO JUST FALL OFF THAT EASY, 1614 01:19:16,900 --> 01:19:18,700 I'M JUST FLABBERGASTED. 1615 01:19:18,700 --> 01:19:20,067 [ KNOCK ON DOOR ] 1616 01:19:20,067 --> 01:19:21,733 HELLO. HELLO. 1617 01:19:21,733 --> 01:19:23,500 HOW ARE YOU ALL DOING? GOOD. 1618 01:19:23,500 --> 01:19:25,433 HOW ARE YOU? I'M DOING OKAY. 1619 01:19:25,433 --> 01:19:27,967 SO, I SEE YOU LOST SOME WEIGHT TODAY. 1620 01:19:27,967 --> 01:19:30,233 I LOST A LITTLE BIT. YES, I DID. [ CHUCKLES ] 1621 01:19:30,233 --> 01:19:31,833 SO, HOW DO YOU FEEL? 1622 01:19:31,833 --> 01:19:32,933 IT FEELS GOOD. 1623 01:19:32,933 --> 01:19:34,400 I FEEL LIKE I'M A LOT BETTER 1624 01:19:34,400 --> 01:19:36,700 AND I'M A LOT MORE POSITIVE ABOUT THINGS. 1625 01:19:36,700 --> 01:19:39,400 SO, THAT TELLS ME THAT, IF YOU WANT TO, 1626 01:19:39,400 --> 01:19:42,667 YOU CAN LOSE WEIGHT AND STICK WITH YOUR DIET, HUH? 1627 01:19:42,667 --> 01:19:44,100 -YEAH. -THAT'S GOOD. 1628 01:19:44,100 --> 01:19:47,700 SO, LET ME SEE YOUR EXCESS SKIN ON YOUR STOMACH. 1629 01:19:51,100 --> 01:19:55,933 ALL RIGHT. SO, IT'S LOOKING VERY LOOSE. 1630 01:19:55,933 --> 01:19:57,967 OKAY, ALL RIGHT. 1631 01:19:57,967 --> 01:20:02,000 SO, YOU'RE DOING GOOD, AND YOU'RE MAKING PROGRESS. 1632 01:20:02,000 --> 01:20:03,933 SO, I THINK YOU'RE READY ONCE MORE 1633 01:20:03,933 --> 01:20:05,867 FOR EXCESS-SKIN REMOVAL. 1634 01:20:05,867 --> 01:20:08,000 SO I'M APPROVING YOU FOR THAT. 1635 01:20:08,000 --> 01:20:09,167 -OKAY. -OKAY? 1636 01:20:09,167 --> 01:20:11,233 I'M SCHEDULING YOU FOR THE NEXT MONTH, 1637 01:20:11,233 --> 01:20:13,867 AND WE'LL DO THE OPERATION THEN. 1638 01:20:13,867 --> 01:20:16,300 SO, IT'S THE SAME DEAL AS LAST TIME. 1639 01:20:16,300 --> 01:20:18,333 IF YOU GAIN, I'LL CANCEL IT. 1640 01:20:18,333 --> 01:20:21,500 SO, DON'T LET THAT HAPPEN, ALL RIGHT? 1641 01:20:21,500 --> 01:20:22,533 -KEEP IT UP. -ALL RIGHT. 1642 01:20:22,533 --> 01:20:23,700 -YOU'RE DOING GREAT. -THANK YOU. 1643 01:20:23,700 --> 01:20:25,167 I'M PROUD OF YOU. 1644 01:20:25,167 --> 01:20:28,033 Dr. Nowzaradan: I'M HAPPY TO SEE PAULINE IS LOSING MORE WEIGHT 1645 01:20:28,033 --> 01:20:31,533 AND FEELS MORE POSITIVE ABOUT THINGS, 1646 01:20:31,533 --> 01:20:35,067 BUT SHE HAS HAD TIMES THAT SHE WILL START TO LOSE, 1647 01:20:35,067 --> 01:20:37,167 AND SHE GAINS AGAIN. 1648 01:20:37,167 --> 01:20:41,000 SO NOW THAT SHE IS HEADING IN A GOOD DIRECTION AGAIN, 1649 01:20:41,000 --> 01:20:44,067 SHE NEEDS TO MAKE SURE SHE MAINTAINS IT 1650 01:20:44,067 --> 01:20:47,667 BECAUSE THIS COMING YEAR IS GOING TO BE PIVOTAL FOR HER. 1651 01:20:47,667 --> 01:20:51,500 IF SHE STARTS FALLING BACK INTO OLD HABITS 1652 01:20:51,500 --> 01:20:53,133 TWO YEARS AFTER SURGERY, 1653 01:20:53,133 --> 01:20:55,733 HER BYPASS WILL START TO FAIL. 1654 01:20:55,733 --> 01:20:57,167 AND THIS NEXT YEAR 1655 01:20:57,167 --> 01:21:00,400 WILL BE EITHER THE YEAR THAT SHE MAKES IT TO HER GOAL 1656 01:21:00,400 --> 01:21:01,667 OR WILL BE THE YEAR 1657 01:21:01,667 --> 01:21:04,767 THAT SHE WILL GAIN ALL HER WEIGHT BACK. 1658 01:21:04,767 --> 01:21:10,567 SO I'M HOPING THIS POSITIVE CHANGE IS HERE TO STAY FOR HER. 1659 01:21:10,567 --> 01:21:13,233 Pauline: I'M REALLY HAPPY RIGHT NOW. 1660 01:21:13,233 --> 01:21:17,600 I'M FAR FROM WHERE I NEED TO BE, BUT FOR THE FIRST TIME, 1661 01:21:17,600 --> 01:21:20,667 I BELIEVE THAT I NOT ONLY CAN GET THERE, 1662 01:21:20,667 --> 01:21:24,500 BUT THAT I DESERVE TO BE WHERE I WANT. 1663 01:21:24,500 --> 01:21:28,900 AND EVEN IF I'M NOT, I SHOULDN'T LIVE LIFE IN THE FEAR I HAVE. 1664 01:21:28,900 --> 01:21:32,967 MY LIFE IS CHANGING FOR THE BETTER DAY BY DAY, 1665 01:21:32,967 --> 01:21:35,233 AND "THE FAT GIRL" IN ME IS DEAD 1666 01:21:35,233 --> 01:21:38,800 BECAUSE SHE'S LOST HER VOICE. 1667 01:21:38,800 --> 01:21:42,633 THE PERSON I WANT TO BE IS WHO HAS A VOICE IN MY LIFE, 1668 01:21:42,633 --> 01:21:44,800 AND I'M ONLY LISTENING TO HER NOW. 1669 01:21:46,933 --> 01:21:49,933 AND I CAN HEAR HER LOUD AND CLEAR. 1670 01:21:52,967 --> 01:21:56,067 ** 1671 01:22:00,300 --> 01:22:03,500 Joe: IT'S BEEN AROUND SIX WEEKS SINCE MY SURGERY, 1672 01:22:03,500 --> 01:22:06,767 AND I'M STARTING TO FEEL LIKE MY OLD SELF AGAIN. 1673 01:22:06,767 --> 01:22:09,367 IT HASN'T BEEN AN EASY RECOVERY, 1674 01:22:09,367 --> 01:22:11,733 BUT I HAD SARAH BY MY SIDE THE WHOLE TIME, 1675 01:22:11,733 --> 01:22:13,600 TAKING CARE OF ME, 1676 01:22:13,600 --> 01:22:16,567 SO I WAS IN GOOD HANDS. 1677 01:22:16,567 --> 01:22:20,533 AND I CAN'T BELIEVE HOW MUCH EASIER IT IS TO GET AROUND 1678 01:22:20,533 --> 01:22:22,933 WITHOUT ALL THE EXCESS SKIN ON MY LEGS, 1679 01:22:22,933 --> 01:22:27,633 SO I'M LOVING HOW I FEEL RIGHT NOW. 1680 01:22:27,633 --> 01:22:31,733 AND WITH THE EXCESS SKIN REMOVED AND MY CONTINUED WEIGHT LOSS, 1681 01:22:31,733 --> 01:22:34,433 I'M DOWN TO 287. 1682 01:22:34,433 --> 01:22:36,267 AND I'M JUST ENJOYING GETTING BACK 1683 01:22:36,267 --> 01:22:39,733 TO BEING A HUSBAND AND A FATHER. 1684 01:22:39,733 --> 01:22:43,933 I'M JUST SO THANKFUL FOR ALL THE JOY IN MY LIFE. 1685 01:22:43,933 --> 01:22:45,367 AAH! 1686 01:22:45,367 --> 01:22:48,567 [ LAUGHTER ] 1687 01:22:48,567 --> 01:22:51,233 OH, AND BY THE WAY -- YOU'RE IT. 1688 01:22:51,233 --> 01:22:53,167 -WHOO-HOO-HOO! -[ LAUGHS ] 1689 01:22:53,167 --> 01:22:56,133 I FEEL COMPLETE NOW. 1690 01:22:56,133 --> 01:23:00,467 WHEN BEFORE, I WAS WILLING TO JUST LET MYSELF DIE 1691 01:23:00,467 --> 01:23:05,233 BECAUSE I HAD NOTHING TO LIVE FOR AND I HAD NO LIFE, 1692 01:23:05,233 --> 01:23:08,267 AND NOW I HAVE EVERYTHING TO LIVE FOR. 1693 01:23:08,267 --> 01:23:10,533 BUT THERE'S NO TIME FOR ME TO SLOW DOWN 1694 01:23:10,533 --> 01:23:13,500 BECAUSE I STILL HAVE A TARGET WEIGHT TO GET TO 1695 01:23:13,500 --> 01:23:15,833 IN THE NEXT SIX TO EIGHT MONTHS. 1696 01:23:18,100 --> 01:23:21,433 ** 1697 01:23:21,433 --> 01:23:24,433 AND RIGHT NOW, I HAVE WORK TO DO. 1698 01:23:24,433 --> 01:23:28,167 I WAS ABLE TO START A JOB AS AN I.T. SPECIALIST, 1699 01:23:28,167 --> 01:23:32,933 AND SARAH AND I ARE STARTING TO LOOK FOR PLACES OF OUR OWN. 1700 01:23:32,933 --> 01:23:37,400 BUT WE HAVEN'T FOUND THE PLACE YET. 1701 01:23:37,400 --> 01:23:40,433 WE WANT IT BIG ENOUGH TO GROW OUR FAMILY 1702 01:23:40,433 --> 01:23:43,800 AS WE GET TO THE PLACE TO MAYBE HAVE ANOTHER CHILD. 1703 01:23:43,800 --> 01:23:45,067 JOE, I ASSUME? 1704 01:23:45,067 --> 01:23:46,500 HI. HOW'S IT GOING? 1705 01:23:46,500 --> 01:23:47,700 GOOD TO SEE YOU GUYS. 1706 01:23:47,700 --> 01:23:49,233 HI. 1707 01:23:49,233 --> 01:23:53,700 Joe: DEFINITELY ENJOYING THE PROCESS OF LOOKING FOR A HOUSE. 1708 01:23:53,700 --> 01:23:55,600 WANT TO CHECK OUT THE BACKYARD? 1709 01:23:55,600 --> 01:23:57,767 -SURE. -SURE. 1710 01:23:57,767 --> 01:24:00,567 IT'S A LITTLE STRESSFUL TO THINK ABOUT THE FINANCES, 1711 01:24:00,567 --> 01:24:02,333 BUT I'M GONNA WORK ON THAT 1712 01:24:02,333 --> 01:24:04,633 AND MAKE SURE MY FAMILY HAS WHAT THEY NEED. 1713 01:24:04,633 --> 01:24:08,067 THE JOB I HAVE NOW ISN'T THE HIGHEST-PAYING JOB, 1714 01:24:08,067 --> 01:24:10,833 BUT THERE'S A LOT OF POTENTIAL TO GROW IN MY ROLE. 1715 01:24:12,933 --> 01:24:15,833 AND I KNOW THERE'S A LOT TO DO IN THE NEAR FUTURE, 1716 01:24:15,833 --> 01:24:18,767 AND THAT ALL OF IT'S NOT GONNA BE EASY. 1717 01:24:18,767 --> 01:24:21,300 BUT I GET TO DO IT WITH SARAH AND HAYLEY, 1718 01:24:21,300 --> 01:24:23,867 AND WITH THEM, I CAN FACE ANYTHING. 1719 01:24:23,867 --> 01:24:27,400 I CAN DEFINITELY SEE HAVING DINNER AS A FAMILY HERE. 1720 01:24:27,400 --> 01:24:28,500 MM-HMM. 1721 01:24:28,500 --> 01:24:29,867 SO, WHAT DO YOU GUYS SAY 1722 01:24:29,867 --> 01:24:31,767 WE CHECK OUT THIS PLACE THAT'S NOT TOO FAR FROM HERE? 1723 01:24:31,767 --> 01:24:33,733 -SURE. -SURE, YEAH. 1724 01:24:33,733 --> 01:24:36,667 I'M NOT TAKING ANY PART OF MY NEW LIFE FOR GRANTED 1725 01:24:36,667 --> 01:24:39,167 EVEN FOR A SECOND. 1726 01:24:39,167 --> 01:24:41,767 TO FIND SOMEONE TO LOVE LIKE I LOVE SARAH 1727 01:24:41,767 --> 01:24:43,967 IS AN AMAZING THING. 1728 01:24:43,967 --> 01:24:46,067 I GOT MY PERFECT SOUL MATE ALREADY 1729 01:24:46,067 --> 01:24:48,300 AND PERFECT LITTLE 8-YEAR-OLD KIDDO. 1730 01:24:48,300 --> 01:24:50,400 NOW WE JUST NEED A PLACE TO CALL OUR OWN. 1731 01:24:50,400 --> 01:24:51,933 AND WE'LL SETTLE DOWN, 1732 01:24:51,933 --> 01:24:54,433 AND WHO KNOWS WHAT THE FUTURE HOLDS FOR US? 1733 01:24:56,500 --> 01:24:58,700 I JUST WANT A PLACE FOR US 1734 01:24:58,700 --> 01:25:03,067 WHERE I WANT TO BE ABLE TO GROW SARAH A GARDEN. 1735 01:25:03,067 --> 01:25:04,233 SHE WANTS FLOWERS -- 1736 01:25:04,233 --> 01:25:06,400 LILAC BUSHES AND ROSES AND STUFF. 1737 01:25:06,400 --> 01:25:09,600 THAT'S SOMETHING I WANT TO DO FOR HER. 1738 01:25:09,600 --> 01:25:12,767 Sarah: I COULDN'T BE HAPPIER ABOUT LIFE WITH JOE. 1739 01:25:12,767 --> 01:25:16,067 AND I'M SO PROUD OF HIM 1740 01:25:16,067 --> 01:25:18,067 NOT BECAUSE OF ALL OF HIS PROGRESS, 1741 01:25:18,067 --> 01:25:20,600 BUT BECAUSE OF THE MAN HE IS. 1742 01:25:20,600 --> 01:25:24,100 AND I KNOW WE'RE GONNA HAVE A GREAT LIFE TOGETHER. 1743 01:25:24,100 --> 01:25:26,667 Joe: I'M MORE MOTIVATED THAN EVER, 1744 01:25:26,667 --> 01:25:28,867 AND I'M NOT LETTING ANYTHING GET IN THE WAY 1745 01:25:28,867 --> 01:25:32,067 OF ME BEING THE BEST HUSBAND AND FATHER I CAN BE. 1745 01:25:33,305 --> 01:26:33,694