"My 600-lb Life: Where Are They Now?" Kirsten, Michael, and Roni

1 00:00:03,413 --> 00:00:06,655 ♪♪ 2 00:00:06,655 --> 00:00:11,551 Woman: SOME DAYS I FEEL LIKE A TICKING TIME-BOMB. 3 00:00:11,551 --> 00:00:13,206 Woman: I'M JUST HORRIFIED BY WHAT I LOOK LIKE. 4 00:00:13,206 --> 00:00:15,655 IT'S JUST A BLOB OF FAT. 5 00:00:15,655 --> 00:00:18,655 Woman: WHEN I LOOK IN THE MIRROR, I SEE A MONSTER. 6 00:00:18,655 --> 00:00:21,689 Woman: I HAVE TO BE CLEANED OUTSIDE LIKE AN ANIMAL, 7 00:00:21,689 --> 00:00:23,137 AND IT'S VERY EMBARRASSING. 8 00:00:23,137 --> 00:00:26,379 ♪♪ 9 00:00:26,379 --> 00:00:28,448 Woman: I KNOW I DON'T HAVE MUCH TIME LEFT 10 00:00:28,448 --> 00:00:30,862 IF I DON'T TAKE DRASTIC ACTION. 11 00:00:30,862 --> 00:00:33,724 -I LOVE YOU. -I LOVE YOU TOO. 12 00:00:33,724 --> 00:00:39,724 ♪♪ 13 00:00:39,724 --> 00:00:44,172 ♪♪ 14 00:00:44,172 --> 00:00:47,000 Woman: I FEEL LIKE I'M TAKING BACK CONTROL OF MY LIFE. 15 00:00:47,000 --> 00:00:48,379 LOOK AT THAT! 16 00:00:48,379 --> 00:00:49,482 Woman: IT JUST GIVES ME MOTIVATION TO MOVE FORWARD 17 00:00:49,482 --> 00:00:51,896 TO KNOW THAT I CAN DO THIS. 18 00:00:51,896 --> 00:00:54,448 Man: I FEEL GREAT. EVERY DAY IS SOMETHING NEW. 19 00:00:54,448 --> 00:00:57,655 ♪♪ 20 00:00:57,655 --> 00:00:59,551 Woman: I'VE GOT A NEW LIFE, AND I CAN'T WAIT 21 00:00:59,551 --> 00:01:01,965 TO SEE WHERE IT TAKES ME NEXT. 22 00:01:01,965 --> 00:01:04,931 Woman: I'M THANKFUL AND EXCITED ABOUT THE FUTURE! 23 00:01:04,931 --> 00:01:08,379 Man: I'VE GOT MY LIFE BACK, AND I'M NEVER GIVING IT BACK UP. 24 00:01:08,379 --> 00:01:11,517 ♪♪ 25 00:01:11,517 --> 00:01:13,034 Woman: THIS IS JUST THE NEXT STEP 26 00:01:13,034 --> 00:01:15,655 IN GETTING TO THE PERSON I WANT TO BE. 27 00:01:15,655 --> 00:01:18,655 --Captions by VITAC-- www.vitac.com 28 00:01:18,655 --> 00:01:21,620 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 29 00:01:21,620 --> 00:01:23,482 ♪♪ 30 00:01:23,482 --> 00:01:24,758 Kirsten: I'M COMPLETELY MISERABLE 31 00:01:24,758 --> 00:01:27,793 EVERY MOMENT OF EVERY MINUTE, OF EVERY SECOND. 32 00:01:27,793 --> 00:01:29,379 [ CRYING ] 33 00:01:29,379 --> 00:01:31,241 I'M A PRISONER IN THIS FAT. 34 00:01:31,241 --> 00:01:32,931 IT'S SO HORRIBLE. 35 00:01:32,931 --> 00:01:34,344 [ Voice breaking ] A LOT TIMES I GO TO BED, AND I'M LIKE, 36 00:01:34,344 --> 00:01:36,965 "GOD, JUST LET ME NOT WAKE UP IN THE MORNING." 37 00:01:36,965 --> 00:01:39,793 ♪♪ 38 00:01:39,793 --> 00:01:41,275 Cris: SIT DOWN. 39 00:01:41,275 --> 00:01:43,344 [ Sobbing ] I DON'T WANT TO! 40 00:01:43,344 --> 00:01:45,241 Cris: KIRSTEN HAS TO HAVE SOME KIND OF HELP 41 00:01:45,241 --> 00:01:47,275 WITH ALMOST EVERYTHING IN LIFE. 42 00:01:47,275 --> 00:01:48,965 AND I'M AFRAID THAT HER BODY'S 43 00:01:48,965 --> 00:01:51,413 GONNA GIVE OUT ON HER EVENTUALLY. 44 00:01:51,413 --> 00:01:53,310 Kirsten: MY FAMILY DOES EVERYTHING FOR ME. 45 00:01:53,310 --> 00:01:55,310 I'M AN INVALID. 46 00:01:55,310 --> 00:01:57,517 Neiko: MY MOM'S BASICALLY JUST BED-BOUND. 47 00:01:57,517 --> 00:01:59,931 AND I CAN'T TALK TO HER ABOUT HER FOOD 48 00:01:59,931 --> 00:02:02,103 AND HER EATING PORTIONS 49 00:02:02,103 --> 00:02:05,103 OR SHE'LL GET REALLY, REALLY OFFENDED. 50 00:02:05,103 --> 00:02:06,000 YOU WANT SOME? 51 00:02:06,965 --> 00:02:08,172 Kirsten: FOOD IS FILLING A VOID. 52 00:02:08,172 --> 00:02:09,724 THAT'S THE ONLY THING I HAVE LEFT. 53 00:02:09,724 --> 00:02:13,172 I DON'T KNOW WHAT I AM WITHOUT IT. 54 00:02:13,172 --> 00:02:14,758 Lexie: MY MOM'S WEIGHT IS OUT OF CONTROL, 55 00:02:14,758 --> 00:02:17,655 AND IT'S HARD FOR ME TO SEE 56 00:02:17,655 --> 00:02:20,724 THAT SHE CAN'T DO THINGS ON HER OWN. 57 00:02:20,724 --> 00:02:22,965 Kirsten: I'VE MISSED OUT ON A LOT WITH MY DAUGHTER 58 00:02:22,965 --> 00:02:24,931 THAT I WILL NEVER GET BACK. 59 00:02:24,931 --> 00:02:27,275 [ Voice breaking ] AND IF I KEEP GETTING BIGGER, 60 00:02:27,275 --> 00:02:28,896 THEN I'M GONNA BE DEAD. 61 00:02:28,896 --> 00:02:37,310 ♪♪ 62 00:02:37,310 --> 00:02:40,034 SO, YOU'RE 612 POUNDS. 63 00:02:40,034 --> 00:02:41,310 WHAT'S THE HEAVIEST YOU HAVE BEEN? 64 00:02:41,310 --> 00:02:43,068 THIS IS THE HEAVIEST. 65 00:02:43,068 --> 00:02:45,448 KIRSTEN'S IN VERY BAD SHAPE. 66 00:02:45,448 --> 00:02:47,413 YOU HAVE HERNIAS? 67 00:02:47,413 --> 00:02:50,000 I HAVE ONE HERE AND DOWN HERE YOU CAN'T SEE. 68 00:02:50,000 --> 00:02:51,551 WE'RE GONNA PUT YOU ON A DIET 69 00:02:51,551 --> 00:02:54,137 TO GET YOU HEALTHY ENOUGH TO REPAIR THE HERNIA 70 00:02:54,137 --> 00:02:56,517 TO MAKE WEIGHT-LOSS SURGERY AN OPTION FOR YOU. 71 00:02:56,517 --> 00:02:58,103 OKAY. 72 00:02:58,103 --> 00:03:00,551 YOU NEED TO LOSE AT LEAST 50 POUNDS FOR NEXT MONTH. 73 00:03:00,551 --> 00:03:01,896 OKAY. 74 00:03:01,896 --> 00:03:05,413 Kirsten: THIS IS MY ONLY CHANCE, SO I'M GONNA TAKE IT. 75 00:03:05,413 --> 00:03:10,931 ♪♪ 76 00:03:10,931 --> 00:03:12,137 [ GIGGLES ] 77 00:03:12,137 --> 00:03:13,793 IT'S NOT FUNNY TO GO -- 78 00:03:13,793 --> 00:03:15,482 Kirsten: I'M TRYING TO EAT HEALTHY, 79 00:03:15,482 --> 00:03:17,793 BUT NEIKO JUST EATS WHATEVER HE WANTS. 80 00:03:17,793 --> 00:03:21,000 SO IT'S HARD TO KEEP MY MIND OFF OF FOOD. 81 00:03:21,000 --> 00:03:22,275 NEIKO MAKES IT SO MUCH HARDER 82 00:03:22,275 --> 00:03:23,965 TO GET MY LIFE BACK ON TRACK. 83 00:03:23,965 --> 00:03:25,379 SO I TOLD MY MOM IT WAS TIME 84 00:03:25,379 --> 00:03:27,793 FOR NEIKO TO GO BACK TO WASHINGTON. 85 00:03:27,793 --> 00:03:30,344 BYE, FATTY-TWO SHOE. 86 00:03:30,344 --> 00:03:32,000 NEIKO WAS MAKING IT SO HARD, 87 00:03:32,000 --> 00:03:36,000 BUT I'VE BEEN TRYING, AND I REALLY HOPE I'VE DONE ENOUGH. 88 00:03:36,000 --> 00:03:38,620 THE WEIGHT YOU LOST IS GOING TO HELP YOU 89 00:03:38,620 --> 00:03:42,551 WITH YOUR HERNIA SURGERY, SO DON'T SLOW DOWN. 90 00:03:42,551 --> 00:03:45,551 I FEEL ALMOST LIKE MAYBE IT'S TOO GOOD TO BE TRUE. 91 00:03:45,551 --> 00:03:50,379 Dr. Now: KIRSTEN HAS ONE OF THE WORST HERNIA I'VE EVER SEEN. 92 00:03:50,379 --> 00:03:51,862 AND THERE IS NOT ENOUGH ROOM 93 00:03:51,862 --> 00:03:55,310 TO GET HER ORGAN BACK UNDER HER ABDOMINAL WALL. 94 00:03:55,310 --> 00:03:58,172 SO WE'LL REDUCE THE SIZE OF HER STOMACH 95 00:03:58,172 --> 00:04:03,103 AND GIVE HER IN FACT, SIMILAR TO A MINI-GASTRIC BYPASS. 96 00:04:03,103 --> 00:04:07,724 OKAY, THINGS ARE LOOKING GOOD. 97 00:04:07,724 --> 00:04:13,862 ♪♪ 98 00:04:13,862 --> 00:04:17,758 ALL RIGHT. 99 00:04:17,758 --> 00:04:20,103 WE HAVE BEEN ABLE TO GET HER WEIGHT DOWN, 100 00:04:20,103 --> 00:04:22,517 BUT SHE HAD TO START MAKING CONNECTION 101 00:04:22,517 --> 00:04:25,689 BETWEEN HER EMOTIONS AND HER HUNGER. 102 00:04:25,689 --> 00:04:30,517 SO THE NEXT STEP WILL BE TO SEE A THERAPIST IMMEDIATELY. 103 00:04:30,517 --> 00:04:33,793 Lola: SOME OF THE TRAUMA YOU'VE EXPERIENCED IN YOUR LIFE 104 00:04:33,793 --> 00:04:37,758 CONTRIBUTES TO YOUR DEPRESSIVE EPISODES. 105 00:04:37,758 --> 00:04:39,206 YOU REPEAT AFTER ME -- 106 00:04:39,206 --> 00:04:40,413 I WILL NOT... 107 00:04:40,413 --> 00:04:41,620 I WILL NOT... 108 00:04:41,620 --> 00:04:43,172 ...ABUSE MY BODY... 109 00:04:43,172 --> 00:04:44,241 ...ABUSE MY BODY... 110 00:04:44,241 --> 00:04:46,000 -...WITH FOOD. -...WITH FOOD. 111 00:04:46,000 --> 00:04:47,241 [ Sniffles ] 112 00:04:47,241 --> 00:04:53,793 ♪♪ 113 00:04:53,793 --> 00:04:55,896 Kirsten: I'VE MESSED UP SO MUCH OF MY LIFE, 114 00:04:55,896 --> 00:04:58,103 AND I'M TRYING TO FIX THAT NOW. 115 00:04:58,103 --> 00:04:59,689 I MISS OUT ON EVERYTHING, YOU KNOW, 116 00:04:59,689 --> 00:05:02,000 BUT I CAN'T CHANGE IT NOW. I CAN ONLY TRY TO GET BETTER. 117 00:05:02,000 --> 00:05:04,413 YOU'VE REALLY CHANGED A LOT SINCE I'VE LEFT. 118 00:05:04,413 --> 00:05:06,482 I LOVE YOU. -I LOVE YOU, TOO. 119 00:05:06,482 --> 00:05:08,586 I KNOW I HAVE A LOT TO MAKE UP FOR, 120 00:05:08,586 --> 00:05:11,896 AND I WANT TO BE THE BEST MOM I CAN. 121 00:05:11,896 --> 00:05:14,275 I'M FEELING A LOT HEALTHIER. 122 00:05:14,275 --> 00:05:16,965 I'M DOING MORE AND MORE ON MY OWN. 123 00:05:16,965 --> 00:05:20,620 AND IT'S SCARY, BUT IT FEELS GOOD. 124 00:05:20,620 --> 00:05:24,586 TODAY, YOU ARE DOWN TO 442 POUNDS. 125 00:05:24,586 --> 00:05:26,034 I'M PROUD OF YOU. 126 00:05:26,034 --> 00:05:28,862 Dr. Now: I'M HAPPY WITH THE PROGRESS KIRSTEN IS MAKING. 127 00:05:28,862 --> 00:05:32,758 I THINK IN SOME POINT, SHE MAY NEED TO HAVE FULL BYPASS, 128 00:05:32,758 --> 00:05:37,068 BUT I'M OPTIMISTIC ABOUT HER LONG-TERM SUCCESS RIGHT NOW. 129 00:05:37,068 --> 00:05:38,517 THANK YOU. I REALLY APPRECIATE IT. 130 00:05:38,517 --> 00:05:40,379 AH, YOU'RE WELCOME. 131 00:05:40,379 --> 00:05:42,103 Kirsten: I SURE IN THE HELL DON'T EVER WANT TO BE CLOSE 132 00:05:42,103 --> 00:05:44,413 TO 600 POUNDS AGAIN. 133 00:05:44,413 --> 00:05:47,275 SO I'M GONNA WORK HARD AND MAKE THE MOST OUT OF EVERY DAY 134 00:05:47,275 --> 00:05:50,482 SO I CAN BE THE PERSON, THE MOTHER, AND THE DAUGHTER 135 00:05:50,482 --> 00:05:51,689 THAT I WANT TO BE. 136 00:05:51,689 --> 00:05:59,689 ♪♪ 137 00:05:59,689 --> 00:06:07,103 ♪♪ 138 00:06:07,103 --> 00:06:09,793 IT'S BEEN ABOUT 10 MONTHS SINCE I'VE HAD MY HERNIA SURGERY 139 00:06:09,793 --> 00:06:12,310 WHERE DR. NOW REMOVED PART OF MY STOMACH, 140 00:06:12,310 --> 00:06:16,551 AND MY LIFE IS A LOT BETTER NOW. 141 00:06:16,551 --> 00:06:18,103 I'VE LOST A LOT OF WEIGHT, 142 00:06:18,103 --> 00:06:22,931 AND AS MY BODY CHANGES, I'VE BEEN ABLE TO DO A LOT MORE. 143 00:06:22,931 --> 00:06:25,862 SO I FEEL MUCH MORE CAPABLE OF DOING THINGS ON MY OWN -- 144 00:06:25,862 --> 00:06:28,965 GETTING AROUND, DOING CHORES, BATHING MYSELF. 145 00:06:28,965 --> 00:06:32,137 IT'S BEEN A HUGE CHANGE SINCE WHEN I WAS 612 POUNDS 146 00:06:32,137 --> 00:06:36,551 AND MY MOM AND MY KIDS HAD TO TAKE CARE OF ME. 147 00:06:36,551 --> 00:06:38,517 I STILL DON'T, LIKE, GO OUT AND DO STUFF, 148 00:06:38,517 --> 00:06:42,620 BUT I'M NOT SITTING IN MY ROOM BEING MISERABLE LIKE I WAS. 149 00:06:42,620 --> 00:06:45,896 BUT I STILL HAVE MY PROBLEMS. 150 00:06:45,896 --> 00:06:48,827 I GET TIRED PRETTY QUICKLY, AND MY LEGS START HURTING. 151 00:06:48,827 --> 00:06:52,137 -I'M DONE CLEANING THE KITCHEN. -OH, GOOD. 152 00:06:52,137 --> 00:06:55,172 THEN, ALL I WANT TO DO IS GET OFF MY FEET. 153 00:06:55,172 --> 00:06:57,103 SO I KNOW I STILL HAVE A LOT OF WEIGHT TO LOSE 154 00:06:57,103 --> 00:06:58,551 TO FEEL BETTER. 155 00:06:58,551 --> 00:07:02,034 BUT MY LIFE IS BETTER THAN WHAT IT WAS. 156 00:07:02,034 --> 00:07:05,620 OH, I SEE YOU GOT THE DISHES ALL DONE. YAY. 157 00:07:05,620 --> 00:07:08,517 PHYSICALLY, I CAN SEE A BIG CHANGE IN KIRSTEN. 158 00:07:08,517 --> 00:07:11,413 I MEAN, 200 POUNDS IS QUITE A BIT. 159 00:07:11,413 --> 00:07:14,965 JUST THE CHANGES OF HER WANTING TO DO A LITTLE BIT MORE 160 00:07:14,965 --> 00:07:17,379 IS POSITIVE TO ME. 161 00:07:17,379 --> 00:07:20,931 IN THE PAST, SHE HAS RELIED ON PEOPLE DOING THINGS FOR HER 162 00:07:20,931 --> 00:07:22,931 INSTEAD OF TAKING CARE OF HERSELF, 163 00:07:22,931 --> 00:07:24,620 AND SHE'S IN A LOT BETTER SHAPE NOW 164 00:07:24,620 --> 00:07:28,206 TO DO THINGS FOR HERSELF. 165 00:07:28,206 --> 00:07:30,448 I'M REALLY EXCITED ABOUT ALL THE NEW CHANGES 166 00:07:30,448 --> 00:07:32,517 THAT ARE PART OF MY LIFE. 167 00:07:32,517 --> 00:07:34,413 SO THE ONLY FRUSTRATING THING RIGHT NOW 168 00:07:34,413 --> 00:07:36,206 IS I FEEL LIKE MY MOM IS PUSHING ME 169 00:07:36,206 --> 00:07:38,724 TO DO TOO MUCH RIGHT NOW, AND WHEN I GET TO THAT POINT, 170 00:07:38,724 --> 00:07:42,310 THINGS CAN GET TENSE BETWEEN US. 171 00:07:42,310 --> 00:07:45,862 I'M HUNGRY! YOU CAN MAKE CHICKEN TACO MEAT! 172 00:07:45,862 --> 00:07:48,137 I HATE TO BREAK IT TO YOU, BUT YOU'RE GONNA GO IN THERE -- 173 00:07:48,137 --> 00:07:49,344 I DON'T KNOW HOW! 174 00:07:49,344 --> 00:07:50,758 OH, BALONEY. GET YOUR BUTT IN THERE. 175 00:07:50,758 --> 00:07:52,000 I DON'T KNOW HOW TO MAKE IT, MOM. 176 00:07:52,000 --> 00:07:53,793 WE'RE TALKING ABOUT INDEPENDENCE HERE, GIRL! 177 00:07:53,793 --> 00:07:56,000 I ONLY KNOW HOW TO BOIL THE WATER AND THE CHICKEN, 178 00:07:56,000 --> 00:07:58,827 AND THEN I DON'T KNOW HOW TO MAKE THE REST OF IT. 179 00:07:58,827 --> 00:08:00,655 YOU MADE ME LIKE THIS, MOM. [ CHUCKLES ] 180 00:08:00,655 --> 00:08:02,413 NO, I DIDN'T. BULL[BLEEP] 181 00:08:02,413 --> 00:08:03,689 [ Laughing ] IT'S ALL YOUR FAULT. 182 00:08:03,689 --> 00:08:05,896 GET YOUR BUTT IN HERE. NOW YOU'RE PISSING ME OFF. 183 00:08:05,896 --> 00:08:07,172 ♪♪ 184 00:08:07,172 --> 00:08:09,931 I LOVE KIRSTEN, BUT I HAVE NO DESIRE 185 00:08:09,931 --> 00:08:11,931 TO TAKE CARE OF HER MY WHOLE LIFE, 186 00:08:11,931 --> 00:08:15,551 AND I THINK THAT KIRSTEN IS CAPABLE OF BEING INDEPENDENT. 187 00:08:15,551 --> 00:08:17,931 SO IT'S TIME FOR ME TO GO BACK HOME, 188 00:08:17,931 --> 00:08:20,862 BECAUSE MY FAMILY NEEDS ME THERE, TOO. 189 00:08:20,862 --> 00:08:22,482 GET IN HERE. 190 00:08:22,482 --> 00:08:26,310 SO I JUST FEEL THAT SHE'S JUST GONNA HAVE TO FORCE HERSELF 191 00:08:26,310 --> 00:08:27,551 TO DO SOME THINGS 192 00:08:27,551 --> 00:08:29,827 THAT MAYBE SHE'S NOT REAL COMFORTABLE WITH. 193 00:08:29,827 --> 00:08:34,517 IT'S NOT MY FAULT THAT THE STOVE CATCHES ON FIRE! 194 00:08:34,517 --> 00:08:36,103 Kirsten: MY MOM HAS DECIDED IT'S TIME FOR HER 195 00:08:36,103 --> 00:08:38,724 TO GO BACK TO WASHINGTON IN A FEW MONTHS. 196 00:08:38,724 --> 00:08:41,310 AND PART OF ME IS SCARED BECAUSE THIS IS A BIG DEAL 197 00:08:41,310 --> 00:08:46,344 TO BE 2,500 MILES FROM ANYBODY AND BE HERE BY MYSELF. 198 00:08:46,344 --> 00:08:48,793 I WISH I COULD GO BACK TO WASHINGTON NOW, 199 00:08:48,793 --> 00:08:52,793 BECAUSE BOTH OF MY KIDS ARE THERE AND I REALLY MISS THEM. 200 00:08:52,793 --> 00:08:55,172 ONE PACKET OR TWO PACKETS OF SEASONING? 201 00:08:55,172 --> 00:08:57,172 TWO. 202 00:08:57,172 --> 00:08:59,344 BUT I CAN'T GIVE UP AT THIS POINT. 203 00:08:59,344 --> 00:09:04,241 I NEED TO STAY IN HOUSTON UNTIL I GET MY NEXT OPERATION. 204 00:09:04,241 --> 00:09:08,344 THERE, LOOK AT THAT. TACO SALAD. 205 00:09:08,344 --> 00:09:10,000 AND I WANT TO GET APPROVED 206 00:09:10,000 --> 00:09:13,517 AND HAVE MY OPERATION BEFORE SHE GOES. 207 00:09:13,517 --> 00:09:16,379 BECAUSE EVEN THOUGH I CAN DO A LOT MORE ON MY OWN, 208 00:09:16,379 --> 00:09:19,310 I STILL RELY ON MY MOTHER FOR A LOT, 209 00:09:19,310 --> 00:09:22,896 LIKE DRIVING ME TO THE DOCTOR'S OR TO THE GROCERY STORE. 210 00:09:22,896 --> 00:09:25,896 ALSO, MY MOM STILL COOKS A LOT OF THE MEALS. 211 00:09:25,896 --> 00:09:30,241 BUT THANKFULLY, MY MEALS ARE PRETTY SIMPLE NOW ON THIS DIET. 212 00:09:30,241 --> 00:09:33,137 A YEAR AGO, I WAS EATING ALL DAY LONG. 213 00:09:33,137 --> 00:09:35,379 AND NOW IT'S LIKE I'M ONLY EATING TWICE A DAY. 214 00:09:35,379 --> 00:09:38,344 I'M NOT SNACKING. I DON'T EAT NO CARBOHYDRATES. 215 00:09:38,344 --> 00:09:41,379 IT'S JUST VEGETABLES AND LEAN MEAT. THAT'S IT. 216 00:09:41,379 --> 00:09:43,241 SO I'M WORKING HARD BECAUSE I KNOW I NEED 217 00:09:43,241 --> 00:09:45,448 TO BE ABLE TO GET MY FULL BYPASS HERE SOON 218 00:09:45,448 --> 00:09:48,344 SO I DON'T START GAINING. 219 00:09:48,344 --> 00:09:49,862 I'M GOING TO GO SEE DR. NOW IN A MONTH, 220 00:09:49,862 --> 00:09:52,172 AND EVEN THOUGH HE HASN'T GIVEN ME A GOAL 221 00:09:52,172 --> 00:09:54,310 I NEED TO HIT TO GET BYPASS, 222 00:09:54,310 --> 00:09:56,758 HE TOLD ME IF I KEEP WORKING ON MY EMOTIONAL ISSUES, 223 00:09:56,758 --> 00:09:58,137 I CAN KEEP LOSING WEIGHT, 224 00:09:58,137 --> 00:10:00,275 HE'LL APPROVE ME FOR THE SURGERY. 225 00:10:00,275 --> 00:10:03,034 SO I'M GONNA STAY FOCUSED RIGHT NOW, 226 00:10:03,034 --> 00:10:06,758 BECAUSE I WANT TO SUCCEED. 227 00:10:06,758 --> 00:10:11,517 ♪♪ 228 00:10:11,517 --> 00:10:16,482 Michael: SOMETIMES I FEEL LIKE A MONSTER OR AN ANIMAL, YOU KNOW, 229 00:10:16,482 --> 00:10:18,482 I'M NOT A HUMAN BEING. 230 00:10:18,482 --> 00:10:20,586 I JUST HATE MY BODY, 231 00:10:20,586 --> 00:10:22,793 AND I KNOW I'M NOT SUPPOSED TO BE THIS WAY. 232 00:10:22,793 --> 00:10:30,344 ♪♪ 233 00:10:30,344 --> 00:10:31,758 IT DOES MAKE ME FEEL GUILTY 234 00:10:31,758 --> 00:10:34,793 THAT I'VE DONE THIS TO MY FAMILY 235 00:10:34,793 --> 00:10:37,448 AND BECOME SUCH A BURDEN TO THEM. 236 00:10:37,448 --> 00:10:43,586 IF WE DON'T HELP MICHAEL, WHO ELSE IS GONNA HELP HIM? 237 00:10:43,586 --> 00:10:46,724 Michael: BUT WHEN I GET HUNGRY, IT DOESN'T MATTER WHAT I FEEL 238 00:10:46,724 --> 00:10:48,103 OR WHAT I WANT TO CHANGE. 239 00:10:48,103 --> 00:10:51,103 ALL I CAN THINK ABOUT IS EATING. 240 00:10:51,103 --> 00:10:52,827 Roni: I HAVE TO MAKE SURE THAT MICHAEL 241 00:10:52,827 --> 00:10:55,862 GETS WHAT HE WANTS TO EAT, WHEN HE WANTS TO EAT IT, 242 00:10:55,862 --> 00:10:58,310 OR ELSE HE'LL GET VERY ANGRY. 243 00:10:58,310 --> 00:11:01,517 I DO HAVE MY LITTLE FITS I THROW. 244 00:11:01,517 --> 00:11:03,482 SOMETIMES SHE MAKES HEALTHIER FOOD, 245 00:11:03,482 --> 00:11:06,827 AND I WILL LASH OUT AT HER. 246 00:11:06,827 --> 00:11:11,896 I KNOW MY WIFE IS AT HER BREAKING POINT, 247 00:11:11,896 --> 00:11:13,586 AND I DON'T WANT TO LOSE MY FAMILY, 248 00:11:13,586 --> 00:11:16,068 AND I DON'T WANT TO DIE SOON. 249 00:11:16,068 --> 00:11:21,827 ♪♪ 250 00:11:21,827 --> 00:11:25,172 I'M SCARED IF DR. NOW DOESN'T HELP, 251 00:11:25,172 --> 00:11:28,034 THEN I HAVE NO HOPE. 252 00:11:28,034 --> 00:11:31,724 I'M GOING TO PUT YOU ON A 1,200-CALORIE-A-DAY DIET. 253 00:11:31,724 --> 00:11:35,413 THIS SHOULD ALLOW YOU TO LOSE 50 POUNDS OVER THE NEXT MONTH 254 00:11:35,413 --> 00:11:36,689 IF YOU WANT TO GET SURGERY 255 00:11:36,689 --> 00:11:40,172 AND CONTINUE ON A PROGRAM WITH ME. 256 00:11:40,172 --> 00:11:42,482 Roni: HE DOESN'T DO ANYTHING, ALL DAY LONG, 257 00:11:42,482 --> 00:11:44,413 AND I DON'T BELIEVE THAT THE DOCTOR 258 00:11:44,413 --> 00:11:45,827 WILL WANT TO DO SURGERY ON HIM 259 00:11:45,827 --> 00:11:49,310 IF HE'S NOT SHOWING INITIATIVE OF LOSING WEIGHT. 260 00:11:49,310 --> 00:11:52,793 ♪♪ 261 00:11:52,793 --> 00:11:55,862 Dr. Now: I'VE EXPECTED YOU TO LOSE 50 POUNDS, 262 00:11:55,862 --> 00:11:57,724 AND YOU LOST 16. 263 00:11:57,724 --> 00:11:59,379 YOUR LACK OF PROGRESS SHOWS ME 264 00:11:59,379 --> 00:12:01,896 THAT YOU AREN'T REALLY GETTING THIS. 265 00:12:01,896 --> 00:12:05,413 SO I WANT YOU TO LOSE 100 POUNDS OVER NEXT TWO MONTHS. 266 00:12:05,413 --> 00:12:06,827 OKAY. 267 00:12:06,827 --> 00:12:12,310 IF YOU DON'T, THEN I DON'T THINK I CAN HELP YOU. 268 00:12:12,310 --> 00:12:14,310 Michael: SINCE SEEING THE DOCTOR LAST, 269 00:12:14,310 --> 00:12:18,000 I'VE BEEN WORKING A LOT HARDER AT DOING WHAT I'M SUPPOSED TO. 270 00:12:18,000 --> 00:12:19,965 I'VE BEEN GETTING MY STAMINA BACK UP, 271 00:12:19,965 --> 00:12:23,103 AND I DON'T EVEN NEED MY WHEELCHAIR RIGHT NOW. 272 00:12:23,103 --> 00:12:25,344 I KNOW I HAVE TO DO BETTER. 273 00:12:25,344 --> 00:12:28,206 MY LIFE AND MY FAMILY ARE ALL DEPENDING ON THAT. 274 00:12:28,206 --> 00:12:32,103 Dr. Now: SO, YOU LOST 84 POUNDS IN THIS PAST COUPLE OF MONTHS, 275 00:12:32,103 --> 00:12:34,724 SO I'M APPROVING YOU FOR WEIGHT-LOSS SURGERY. 276 00:12:34,724 --> 00:12:37,379 [ BOTH LAUGHING ] 277 00:12:37,379 --> 00:12:42,413 Dr. Now: TODAY WE ARE ATTEMPTING A GASTRIC BYPASS ON MICHAEL. 278 00:12:42,413 --> 00:12:44,758 THIS SURGERY WILL GIVE HIM ANOTHER TOOL 279 00:12:44,758 --> 00:12:46,620 TO CONTINUE LOSING WEIGHT 280 00:12:46,620 --> 00:12:49,862 AS LONG AS HE'S WILLING TO STICK WITH HIS DIET. 281 00:12:49,862 --> 00:12:52,310 OKAY, ALL FINISHED. 282 00:12:52,310 --> 00:12:57,137 NOW THAT HIS PHYSICAL COMPULSION TO EAT HAS BEEN SUPPRESSED, 283 00:12:57,137 --> 00:13:00,689 THE EMOTIONAL ISSUES WILL COME TO THE SURFACE, 284 00:13:00,689 --> 00:13:03,172 AND HE HAS TO DEAL WITH THEM. 285 00:13:03,172 --> 00:13:06,620 OTHERWISE, HE WILL START GAINING WEIGHT. 286 00:13:06,620 --> 00:13:09,275 Michael: THINGS HAVE BEEN DIFFICULT THIS PAST MONTH. 287 00:13:09,275 --> 00:13:11,793 I'VE BEEN STRUGGLING A LOT WITH MY ANGER COMING BACK. 288 00:13:11,793 --> 00:13:13,965 SO RONI TALKED TO DR. NOWZARADAN, 289 00:13:13,965 --> 00:13:17,344 AND HE'S SENDING US TO A THERAPIST TODAY. 290 00:13:17,344 --> 00:13:19,793 Roni: ANGER ISSUES, OBVIOUSLY A PSYCHOLOGICAL ONE. 291 00:13:19,793 --> 00:13:22,862 I DON'T THINK THE WEIGHT HAD ANYTHING TO DO WITH THAT. 292 00:13:22,862 --> 00:13:26,275 I LIKE BEING IN CONTROL, MAKE SURE EVERYTHING'S STRAIGHT. 293 00:13:26,275 --> 00:13:29,724 I RATHER KEEP IT BUNDLED UP AND NOT SAY ANYTHING ABOUT IT. 294 00:13:29,724 --> 00:13:31,586 BUT IF I JUST SHOW MY EMOTIONS, 295 00:13:31,586 --> 00:13:33,793 IT'S JUST YELLING AND GETTING ANGRY. 296 00:13:33,793 --> 00:13:38,172 WHEN YOU DON'T ALLOW YOURSELF TO FEEL ALL OF YOUR EMOTIONS, 297 00:13:38,172 --> 00:13:41,068 THE GO-TO EMOTION BECOMES ANGER. 298 00:13:41,068 --> 00:13:44,275 YOU GUYS ARE GONNA HAVE TO START BEING ABLE TO TRUST ONE ANOTHER 299 00:13:44,275 --> 00:13:46,137 WITH YOUR TRUE FEELINGS, 300 00:13:46,137 --> 00:13:49,482 AND THAT'S WHAT'S GONNA END THIS RELATIONSHIP WITH FOOD. 301 00:13:49,482 --> 00:13:52,000 Michael: ALL THE YEARS I TREATED MY EMOTIONS LIKE A PROBLEM, 302 00:13:52,000 --> 00:13:55,241 AND THAT'S JUST BOTTLED EVERYTHING UP AND MADE IT WORSE, 303 00:13:55,241 --> 00:13:57,620 SO I KNOW I HAVE TO START LEARNING HOW TO DEAL WITH IT 304 00:13:57,620 --> 00:13:59,655 IN WAYS THAT DON'T INVOLVE OVEREATING 305 00:13:59,655 --> 00:14:02,103 OR GETTING MAD AT MY FAMILY. 306 00:14:02,103 --> 00:14:06,482 TO SEE MY WEIGHT BELOW 350 IS JUST AN INCREDIBLE FEELING. 307 00:14:06,482 --> 00:14:08,482 Dr. Now: WELL, MICHAEL, YOU DID GREAT. 308 00:14:08,482 --> 00:14:11,000 YOU MADE IT BELOW THE GOAL I WANTED YOU TO HIT. 309 00:14:11,000 --> 00:14:12,103 HOW DOES THAT FEEL? 310 00:14:12,103 --> 00:14:14,137 I'M ABLE TO DO A LOT MORE THINGS 311 00:14:14,137 --> 00:14:17,172 AND EXPERIENCE LIFE LITTLE BY LITTLE. 312 00:14:17,172 --> 00:14:19,344 Roni: MICHAEL'S LOST OVER 200 POUNDS. 313 00:14:19,344 --> 00:14:21,000 NOW THAT THE WEIGHT'S COMING OFF, 314 00:14:21,000 --> 00:14:24,172 HIS WHOLE ENERGY LEVEL HAS TRIPLED. 315 00:14:24,172 --> 00:14:26,137 Michael: TAKEN A LOT TO GET TO THIS POINT, 316 00:14:26,137 --> 00:14:27,482 BUT I'M SO GLAD 317 00:14:27,482 --> 00:14:31,517 I CAN FINALLY JUST START TO ENJOY MY LIFE AND MY FAMILY. 318 00:14:31,517 --> 00:14:41,517 ♪♪ 319 00:14:41,517 --> 00:14:47,517 ♪♪ 320 00:14:47,517 --> 00:14:52,827 ♪♪ 321 00:14:52,827 --> 00:14:56,034 I'VE LOST ABOUT 270 POUNDS 322 00:14:56,034 --> 00:14:58,413 SINCE I STARTED THIS WHOLE JOURNEY, 323 00:14:58,413 --> 00:15:00,758 AND I FEEL GREAT ABOUT IT. 324 00:15:00,758 --> 00:15:01,965 I'M LOSING MY STOMACH. 325 00:15:01,965 --> 00:15:03,965 IT'S STARTING TO GET A LITTLE SAGGIER, 326 00:15:03,965 --> 00:15:07,551 AND MY ARMS ARE STARTING TO GET SMALLER. 327 00:15:07,551 --> 00:15:11,896 MY LEGS ARE STARTING TO GET SMALLER. 328 00:15:11,896 --> 00:15:15,344 DR. NOW SAID HE WANTED ME TO BE CLOSE TO 300 POUNDS 329 00:15:15,344 --> 00:15:17,310 OR UNDER 300 POUNDS. 330 00:15:17,310 --> 00:15:23,724 THEN HE'S GONNA BE ABLE TO DO THE SKIN SURGERY. 331 00:15:23,724 --> 00:15:27,344 -ARE THOSE YOUR 3X SHORTS? -YEAH. 332 00:15:27,344 --> 00:15:30,413 Roni: MICHAEL HAS REALLY CHANGED A LOT OVER THE PAST YEAR. 333 00:15:30,413 --> 00:15:32,551 YOU KNOW, WHEN WE GO BUY CLOTHES FOR HIM, 334 00:15:32,551 --> 00:15:35,551 THAT'S HOW I COULD TELL, BECAUSE HE WEARS, YOU KNOW, 335 00:15:35,551 --> 00:15:38,000 FOUR SIZES SMALLER THAN WHAT HE USED TO WEAR. 336 00:15:38,000 --> 00:15:40,551 THOSE ONES LOOK BIG FOR YOU ALREADY, TOO. 337 00:15:40,551 --> 00:15:42,689 GOOD JOB. 338 00:15:42,689 --> 00:15:44,689 BUT OTHER THAN WHAT HE LOOKS LIKE, 339 00:15:44,689 --> 00:15:49,172 I ALSO FEEL LIKE HIS PERSONALITY HAS REALLY CHANGED. 340 00:15:49,172 --> 00:15:52,620 -[ SPEAKS INDISTINCTLY ] YEAH. 341 00:15:52,620 --> 00:15:54,827 HIS TEMPER THAT HE WAS ALWAYS DEALING WITH 342 00:15:54,827 --> 00:15:58,448 HAS GONE DOWN, AND I KNOW AS HE CONTINUES TO LOSE WEIGHT 343 00:15:58,448 --> 00:16:01,103 AND KEEPS FEELING BETTER ABOUT HIMSELF, 344 00:16:01,103 --> 00:16:05,448 THAT ANGER IS JUST GONNA KEEP GOING DOWN. 345 00:16:05,448 --> 00:16:09,379 DJ: MY DAD'S MOODS HAVE GOTTEN BETTER. 346 00:16:09,379 --> 00:16:12,862 WE HAVE A LOT MORE FUN IN THE FAMILY THAN WE DID BEFORE. 347 00:16:12,862 --> 00:16:14,827 HOLD ON! YOU PUT THIS ONE ON, RIGHT? 348 00:16:14,827 --> 00:16:19,586 -YEAH. -OKAY, HOLD ON. 349 00:16:19,586 --> 00:16:23,206 [ LAUGHING ] 350 00:16:23,206 --> 00:16:25,344 Roni: I THINK THAT HIS RELATIONSHIP WITH OUR SON 351 00:16:25,344 --> 00:16:27,137 HAS GOTTEN A LOT BETTER. 352 00:16:27,137 --> 00:16:30,172 D.J. GOES TO HIM A LOT MORE NOW 353 00:16:30,172 --> 00:16:35,655 FOR WHATEVER, YOU KNOW, "BOY ISSUES." 354 00:16:35,655 --> 00:16:38,862 I'M TRYING. IT'S JUST IT'S HARD 355 00:16:38,862 --> 00:16:41,241 GOING FROM BEING THIS MEAN PERSON ALL THE TIME 356 00:16:41,241 --> 00:16:43,241 AND YELLING ALL THE TIME TO NOT YELLING ALL THE TIME. 357 00:16:43,241 --> 00:16:45,241 OH, THIS ONE'S GOOD RIGHT HERE, BABY. LOOK AT THAT. 358 00:16:45,241 --> 00:16:46,724 THIS IS A LOT DIFFERENT THAN THE WAY WE USED TO EAT. 359 00:16:46,724 --> 00:16:53,827 WE WOULD'VE HAD RICE AND BEANS AND, LIKE, TONS OF TORTILLAS. 360 00:16:53,827 --> 00:16:54,931 Roni: I DEFINITELY THINK 361 00:16:54,931 --> 00:16:56,965 THAT GOING THROUGH THIS WEIGHT-LOSS JOURNEY 362 00:16:56,965 --> 00:17:00,827 HAS MADE US CLOSER AS A FAMILY. 363 00:17:00,827 --> 00:17:02,379 AND I THINK WE'VE BEEN PRETTY GOOD 364 00:17:02,379 --> 00:17:05,068 ABOUT KEEPING EACH OTHER'S DIETS IN CHECK, 365 00:17:05,068 --> 00:17:06,620 MAKING SURE FOR THE MOST PART 366 00:17:06,620 --> 00:17:10,310 WE EAT HIGH-PROTEIN, LOW-CARB FOOD. 367 00:17:10,310 --> 00:17:13,103 WE'RE JUST DOING OUR BEST TO STAY ACCOUNTABLE. 368 00:17:13,103 --> 00:17:15,689 7,240 STEPS SO FAR, BABE. 369 00:17:15,689 --> 00:17:16,793 -TODAY? -YEAH. 370 00:17:16,793 --> 00:17:18,068 THAT'S GOOD, BABE. 371 00:17:18,068 --> 00:17:20,344 HAVING SEEN MICHAEL'S CHANGE OVER THE YEAR 372 00:17:20,344 --> 00:17:25,137 HAS MADE ME WANT TO TRY TO GET THE GASTRIC BYPASS MYSELF. 373 00:17:25,137 --> 00:17:27,206 I JUST DON'T WANT TO GET TO THE POINT 374 00:17:27,206 --> 00:17:30,172 WHERE MY FAMILY HAD TO TAKE CARE OF ME 375 00:17:30,172 --> 00:17:32,793 THE WAY WE HAD TO TAKE CARE OF MICHAEL. 376 00:17:32,793 --> 00:17:35,551 I WANT US ALL TO BE HEALTHY AND HAPPY, 377 00:17:35,551 --> 00:17:37,586 SO THE PLAN IS FOR BOTH OF US 378 00:17:37,586 --> 00:17:39,827 TO GO TO HOUSTON AND SEE DR. NOW 379 00:17:39,827 --> 00:17:43,275 TO MAKE SURE THAT MICHAEL IS ON TRACK WITH HIS WEIGHT LOSS 380 00:17:43,275 --> 00:17:45,172 TO EVENTUALLY GET SKIN SURGERY, 381 00:17:45,172 --> 00:17:48,862 AND HOPEFULLY I CAN GET APPROVED FOR GASTRIC BYPASS. 382 00:17:48,862 --> 00:17:50,793 ♪♪ 383 00:17:54,000 --> 00:17:59,896 ♪♪ 384 00:17:59,896 --> 00:18:05,344 ♪♪ 385 00:18:05,344 --> 00:18:06,724 Roni: MICHAEL AND I ARE HEADED 386 00:18:06,724 --> 00:18:09,448 TO SEE DR. NOW FOR OUR APPOINTMENT. 387 00:18:09,448 --> 00:18:13,448 AND I'M A LOT MORE NERVOUS THAN I THOUGHT I WOULD BE. 388 00:18:13,448 --> 00:18:15,275 BUT I WOULD LIKE TO TALK TO DR. NOW 389 00:18:15,275 --> 00:18:18,000 ABOUT POSSIBLY HELPING ME TO GET THE SURGERY 390 00:18:18,000 --> 00:18:21,068 AND TAKING THE STEPS THAT I NEED TO TAKE 391 00:18:21,068 --> 00:18:24,413 IN ORDER TO BE APPROVED FOR SURGERY. 392 00:18:24,413 --> 00:18:26,206 SO I WANT TO MAKE A GOOD IMPRESSION 393 00:18:26,206 --> 00:18:30,620 WITH MY FIRST OFFICIAL WEIGH-IN WITH DR. NOW. 394 00:18:30,620 --> 00:18:32,482 MICHAEL DOMINGUEZ? 395 00:18:32,482 --> 00:18:35,758 Michael: IT'S BEEN ABOUT A YEAR SINCE I HAD SURGERY, 396 00:18:35,758 --> 00:18:37,827 AND I'M ABLE TO DO A LOT OF THINGS 397 00:18:37,827 --> 00:18:40,551 THAT I HAVEN'T DONE IN YEARS. 398 00:18:40,551 --> 00:18:42,103 I DON'T KNOW IF I MADE THE PROGRESS 399 00:18:42,103 --> 00:18:43,448 THAT DR. NOW EXPECTS FROM ME, 400 00:18:43,448 --> 00:18:46,724 BUT I KNOW I'VE MADE SOME PROGRESS. 401 00:18:46,724 --> 00:18:50,068 MICHAEL WAS AT 348 THE LAST TIME WE WERE HERE, 402 00:18:50,068 --> 00:18:54,137 AND HE'S SUPPOSED TO BE LOSING ABOUT 20 POUNDS A MONTH, 403 00:18:54,137 --> 00:18:56,965 SO HE SHOULD BE DOWN TO 308 TODAY. 404 00:18:56,965 --> 00:19:00,827 AND I WAS AROUND 350 THE LAST TIME I CHECKED MY WEIGHT, 405 00:19:00,827 --> 00:19:04,655 SO I'M HOPING THAT WE'RE BOTH DOWN IN THE LOW 300s TODAY 406 00:19:04,655 --> 00:19:07,275 SO WE CAN SHOW DR. NOW THAT WE CAN DO THIS TOGETHER. 407 00:19:07,275 --> 00:19:12,241 ♪♪ 408 00:19:12,241 --> 00:19:16,448 OKAY, I'VE LOST WEIGHT. 409 00:19:16,448 --> 00:19:18,310 MICHAEL STILL LOST, 410 00:19:18,310 --> 00:19:20,758 BUT IT'S NOT AS MUCH AS HE NEEDS. 411 00:19:20,758 --> 00:19:23,586 BUT I JUST REALLY HOPE I LOST A GOOD BIT. 412 00:19:23,586 --> 00:19:28,931 ♪♪ 413 00:19:28,931 --> 00:19:32,103 THAT'S REALLY DISAPPOINTING. 414 00:19:32,103 --> 00:19:34,758 AND MENTALLY IT'S REALLY DISCOURAGING 415 00:19:34,758 --> 00:19:39,586 WHEN I TRY EVERYTHING I'VE DONE AND NO WEIGHT IS COMING OFF. 416 00:19:39,586 --> 00:19:41,241 I JUST WANT TO BE ABLE TO GET SURGERY 417 00:19:41,241 --> 00:19:42,827 SO THAT WE CAN MAKE REAL PROGRESS 418 00:19:42,827 --> 00:19:44,965 WITH MY WEIGHT AND MY HEALTH. 419 00:19:44,965 --> 00:19:49,517 SO I JUST KIND OF NEED SOME HELP. 420 00:19:49,517 --> 00:19:50,586 HELLO! 421 00:19:50,586 --> 00:19:51,551 -HI. -HEY, HOW'S IT GOING DR. NOW? 422 00:19:51,551 --> 00:19:52,758 HOW Y'ALL DOING? 423 00:19:52,758 --> 00:19:55,137 -DOING PRETTY GOOD. -GOOD. HOW ARE YOU? 424 00:19:55,137 --> 00:19:58,758 ALL RIGHT, MICHAEL, YOU ARE 337 TODAY 425 00:19:58,758 --> 00:20:01,827 WITH A TOTAL WEIGHT LOSS OF ONLY 11 POUNDS 426 00:20:01,827 --> 00:20:04,275 OVER THE LAST 2 MONTHS INSTEAD OF 40. 427 00:20:04,275 --> 00:20:05,517 MM-HMM. 428 00:20:05,517 --> 00:20:08,379 SO ONE-FOURTH OF WHAT YOU'RE SUPPOSED TO LOSE 429 00:20:08,379 --> 00:20:09,517 AFTER GASTRIC BYPASS. 430 00:20:09,517 --> 00:20:11,103 SO WHAT'S GOING ON WITH YOUR EATING HABITS? 431 00:20:11,103 --> 00:20:12,827 WELL, YOU KNOW, IT'S COMING AND GOING, 432 00:20:12,827 --> 00:20:15,103 BUT, YOU KNOW, I'M STILL LOSING WEIGHT, SO... 433 00:20:15,103 --> 00:20:17,758 I WOULDN'T CALL WHAT YOU'VE DONE WEIGHT LOSS. 434 00:20:17,758 --> 00:20:21,448 I CALL THAT READY TO START GAINING BACK 435 00:20:21,448 --> 00:20:22,655 WHERE YOU WERE 600 POUNDS. 436 00:20:22,655 --> 00:20:24,000 MM-HMM. 437 00:20:24,000 --> 00:20:27,551 SO THAT LITTLE WEIGHT LOSS IS VERY ALARMING. 438 00:20:27,551 --> 00:20:30,965 AND YOU GIVE ME THIS ATTITUDE LIKE NOTHING'S WRONG. 439 00:20:30,965 --> 00:20:32,413 SO WHAT'S GOING ON? 440 00:20:32,413 --> 00:20:36,068 SOMETIMES I EAT TO WHERE I FEEL SICK 441 00:20:36,068 --> 00:20:39,862 AND I THINK I'M EATING TOO MUCH SOMETIMES. 442 00:20:39,862 --> 00:20:42,896 I STILL HAVE THE MIND SET OF MY STOMACH'S BIG. 443 00:20:42,896 --> 00:20:46,517 SO YOU KNOW YOU'RE OVEREATING, AND YOU'RE ALSO TELLING ME 444 00:20:46,517 --> 00:20:50,137 THAT YOU DIAGNOSE A PSYCHOLOGICAL ISSUE BEHIND YOUR EATING? 445 00:20:50,137 --> 00:20:52,275 SO I'M GUESSING THAT'S WHY 446 00:20:52,275 --> 00:20:55,275 YOU'RE MISSING YOUR PSYCHOTHERAPY APPOINTMENTS. 447 00:20:55,275 --> 00:20:58,034 SO WE SEEM TO HAVE A SITUATION WITH YOU 448 00:20:58,034 --> 00:21:00,413 WHERE YOU'RE STARTING TO GO OFF THE RAIL 449 00:21:00,413 --> 00:21:03,551 AND WORRY ABOUT TO START GAINING AGAIN. 450 00:21:03,551 --> 00:21:07,103 AND ALL THE DEFECTIVE SURGERY WILL FADE AWAY. 451 00:21:07,103 --> 00:21:09,862 YOU NEED TO UNDERSTAND WHAT ISSUE YOU GOT 452 00:21:09,862 --> 00:21:13,862 WITH YOUR EATING HABITS AND EVERY DAY WORK ON THEM. 453 00:21:13,862 --> 00:21:16,103 SO THAT MEAN THAT YOU HAVE TO KEEP GOING 454 00:21:16,103 --> 00:21:19,551 TO YOUR PSYCHOTHERAPY TO DEAL WITH YOUR EMOTIONS. 455 00:21:19,551 --> 00:21:21,103 AND YOU NEED TO GET BACK ON TRACK 456 00:21:21,103 --> 00:21:24,448 AND START LOSING AT LEAST 20 POUNDS A MONTH 457 00:21:24,448 --> 00:21:27,344 OR YOUR SITUATION IS ONLY GOING TO GET WORSE. 458 00:21:27,344 --> 00:21:28,655 YOU UNDERSTAND THAT? 459 00:21:28,655 --> 00:21:29,931 -OKAY. -OKAY? 460 00:21:29,931 --> 00:21:33,103 ALL RIGHT, RONI. SO, HOW ARE YOU DOING? 461 00:21:33,103 --> 00:21:34,310 I'VE LOST SOME WEIGHT, 462 00:21:34,310 --> 00:21:38,379 BUT NOT, YOU KNOW, AS MUCH AS I WANT TO. 463 00:21:38,379 --> 00:21:39,931 LOOKS TO ME ABOUT EIGHT POUNDS. 464 00:21:39,931 --> 00:21:41,344 YES. 465 00:21:41,344 --> 00:21:44,000 SO, WHAT SEEMS TO BE CHALLENGES WITH YOUR EATING HABITS? 466 00:21:44,000 --> 00:21:46,965 I THINK MY DEPRESSION AND MY ANXIETY. 467 00:21:46,965 --> 00:21:49,241 SOMETIMES I CAN'T EVEN LEAVE THE HOUSE 468 00:21:49,241 --> 00:21:50,827 'CAUSE IT GETS REALLY BAD. 469 00:21:50,827 --> 00:21:53,103 SO YOU'RE RUNNING TO FOOD FOR COMFORT, 470 00:21:53,103 --> 00:21:55,896 AND IT COMES FROM EMOTIONAL ISSUES 471 00:21:55,896 --> 00:21:57,862 THAT NEED TO BE DEALT WITH. 472 00:21:57,862 --> 00:22:00,793 SO WE NEED TO START YOU ON PSYCHOTHERAPY, TOO. 473 00:22:00,793 --> 00:22:02,896 OKAY, BUT I ALSO WANT TO SEE 474 00:22:02,896 --> 00:22:05,586 ABOUT GETTING GASTRIC-BYPASS SURGERY FROM YOU, TOO. 475 00:22:05,586 --> 00:22:07,689 BECAUSE I WOULD JUST LOVE TO BE OKAY IN MY MIND 476 00:22:07,689 --> 00:22:10,482 AND THEN BE OKAY PHYSICALLY. 477 00:22:10,482 --> 00:22:12,724 SO, YOU CAN'T PUT YOUR HOPE 478 00:22:12,724 --> 00:22:15,103 ON A WEIGHT-LOSS SURGERY TO CORRECT EVERYTHING, 479 00:22:15,103 --> 00:22:18,068 SO YOU HAVE TO UNDERSTAND IT'S ONLY A TOOL. 480 00:22:18,068 --> 00:22:19,275 MM-HMM. 481 00:22:19,275 --> 00:22:20,482 AND HOW ARE YOU GONNA USE THAT TOOL 482 00:22:20,482 --> 00:22:21,862 TO CHANGE YOUR EATING HABIT? 483 00:22:21,862 --> 00:22:23,172 YEAH. 484 00:22:23,172 --> 00:22:24,827 I DON'T THINK AN AGGRESSIVE SURGERY LIKE BYPASS 485 00:22:24,827 --> 00:22:26,724 WILL BE RIGHT FOR YOU. 486 00:22:26,724 --> 00:22:28,793 MAYBE A GASTRIC SLEEVE. 487 00:22:28,793 --> 00:22:31,586 SO LET'S START WITH PSYCHOTHERAPY 488 00:22:31,586 --> 00:22:33,862 AND GET YOU THROUGH THESE LIST OF PLANS FIRST 489 00:22:33,862 --> 00:22:36,379 TO SHOW ME THAT YOU CAN DO THIS AND MAKE THE CHANGE. 490 00:22:36,379 --> 00:22:37,620 OKAY. 491 00:22:37,620 --> 00:22:39,793 SO I WANT TO SEE HOW YOUR PROGRESS IS GOING 492 00:22:39,793 --> 00:22:41,655 AND THEN WE'RE GONNA SEE WHAT ELSE WE'LL GET 493 00:22:41,655 --> 00:22:43,000 FROM BOTH OF YOU, OKAY? 494 00:22:43,000 --> 00:22:44,103 -OKAY. -OKAY. 495 00:22:44,103 --> 00:22:45,827 ♪♪ 496 00:22:45,827 --> 00:22:48,034 Dr. Now: THE SITUATION WITH MICHAEL AND RONI 497 00:22:48,034 --> 00:22:50,620 IS NOT LOOKING VERY GOOD RIGHT NOW. 498 00:22:50,620 --> 00:22:52,862 MICHAEL HAD BEEN MAKING GOOD PROGRESS, 499 00:22:52,862 --> 00:22:54,482 BUT MY CONCERN IS 500 00:22:54,482 --> 00:22:58,206 THAT HE'S GETTING OVERCONFIDENT AND COMFORTABLE. 501 00:22:58,206 --> 00:23:02,413 BUT HE HAD BEEN WORKING ON HIS ANGER WITH A THERAPIST, 502 00:23:02,413 --> 00:23:04,413 AND HE NEED TO CONTINUE THAT. 503 00:23:04,413 --> 00:23:07,724 AND IF HE DOESN'T, HE'S JUST GOING TO CONTINUE ON THIS PATH 504 00:23:07,724 --> 00:23:11,896 UNTIL HE GETS BACK UP TO HIS ORIGINAL WEIGHT. 505 00:23:11,896 --> 00:23:15,517 WHAT REGARDING RONI, IF SHE WANT TO BE PART OF THE PROGRAM 506 00:23:15,517 --> 00:23:17,344 AND GET WEIGHT-LOSS SURGERY, 507 00:23:17,344 --> 00:23:19,310 THEN SHE'S GOING TO HAVE TO SHOW ME 508 00:23:19,310 --> 00:23:22,034 THAT SHE'S WILLING TO CONTROL HER EATING 509 00:23:22,034 --> 00:23:23,862 AND WORK HARD TO DO THIS. 510 00:23:23,862 --> 00:23:26,517 BUT WITH BOTH OF THEM STRUGGLING RIGHT NOW, 511 00:23:26,517 --> 00:23:29,724 HOPEFULLY THEY'LL BE ABLE TO TURN THIS AROUND, 512 00:23:29,724 --> 00:23:31,000 BECAUSE IF THEY DON'T, 513 00:23:31,000 --> 00:23:33,137 THEY CAN START TO INFLUENCE EACH OTHER 514 00:23:33,137 --> 00:23:35,275 IN EVEN MORE NEGATIVE WAYS 515 00:23:35,275 --> 00:23:38,551 AND MAKE THEIR SITUATION EVEN WORSE. 516 00:23:38,551 --> 00:23:40,862 ALL RIGHT, I'LL SEE BOTH OF YOU IN TWO MONTHS. 517 00:23:40,862 --> 00:23:42,482 -THANK YOU SO MUCH, DR. NOW. -ALL RIGHT. 518 00:23:42,482 --> 00:23:43,862 THANK YOU, DR. NOW. 519 00:23:43,862 --> 00:23:45,482 ALL RIGHT, NICE TO SEE YOU. 520 00:23:45,482 --> 00:23:46,517 -NICE TO SEE YOU, TOO. -NICE TO SEE YOU. 521 00:23:46,517 --> 00:23:48,931 ♪♪ 522 00:23:48,931 --> 00:23:51,275 WE GOT TO CUT EVERYTHING OUT THAT'S NOT GOOD FOR US, 523 00:23:51,275 --> 00:23:52,862 THE BAD STUFF. 524 00:23:52,862 --> 00:23:54,137 YEAH. 525 00:23:54,137 --> 00:23:57,793 YOU KNOW, WE SHOULD BE ABLE TO DO OKAY. 526 00:23:57,793 --> 00:23:59,896 Michael: I AGREE WITH EVERYTHING HE SAID, 527 00:23:59,896 --> 00:24:02,310 SO I JUST GOT TO GET BACK ON TRACK, 528 00:24:02,310 --> 00:24:05,586 AND I JUST GOT TO STAY FOCUSED AND DO EVERYTHING I GOT TO DO, 529 00:24:05,586 --> 00:24:09,034 BECAUSE I'M SUPER MOTIVATED TO REACH MY GOAL. 530 00:24:09,034 --> 00:24:12,068 I'M NOT SURE HOW FAST I'LL GET THERE, BUT I'LL GET THERE. 531 00:24:12,068 --> 00:24:15,448 ♪♪ 532 00:24:15,448 --> 00:24:18,103 Roni: I DON'T THINK DR. NOW WAS TOO HARSH ON MICHAEL. 533 00:24:18,103 --> 00:24:19,689 I THINK THAT MICHAEL NEEDED TO HEAR THAT, 534 00:24:19,689 --> 00:24:23,344 I THINK I NEEDED TO HEAR THAT. 535 00:24:23,344 --> 00:24:26,689 I'M JUST GLAD TO HAVE THIS OPPORTUNITY TO GET SURGERY 536 00:24:26,689 --> 00:24:30,517 AND THAT DR. NOW IS WILLING TO WORK WITH ME, 537 00:24:30,517 --> 00:24:34,206 BECAUSE AS OF TODAY, MICHAEL IS SMALLER THAN ME. 538 00:24:34,206 --> 00:24:35,965 AND I KNOW IF I DON'T GET HELP, 539 00:24:35,965 --> 00:24:38,379 I'M JUST GONNA KEEP GAINING 540 00:24:38,379 --> 00:24:41,448 AND OUR ROLES WILL BE REVERSED EVENTUALLY. 541 00:24:41,448 --> 00:24:42,931 SO I'M GONNA WORK REALLY HARD 542 00:24:42,931 --> 00:24:49,896 TO MAKE SURE THAT DOESN'T HAPPEN. 543 00:24:49,896 --> 00:24:54,137 ♪♪ 544 00:24:54,137 --> 00:24:57,310 I'M GOING TO MY FIRST THERAPY APPOINTMENT TODAY, 545 00:24:57,310 --> 00:25:01,103 AND I THINK IT'S GONNA BE GOOD TO HAVE SOMEONE TO TALK TO 546 00:25:01,103 --> 00:25:05,137 AND TO START TO WORK THROUGH A NUMBER OF THINGS. 547 00:25:05,137 --> 00:25:07,620 AND SINCE ME AND MICHAEL HAVE GONE TO LOLA BEFORE, 548 00:25:07,620 --> 00:25:10,000 I ASKED DR. NOW IF I CAN GO TO HER, 549 00:25:10,000 --> 00:25:11,896 AND HE SAID THAT WAS FINE. 550 00:25:11,896 --> 00:25:14,137 BUT MICHAEL ISN'T COMING TODAY 551 00:25:14,137 --> 00:25:16,620 BECAUSE HE THINKS HE DOESN'T NEED TO DO THIS. 552 00:25:16,620 --> 00:25:18,655 Michael: AND SO SEE YOU LATER. 553 00:25:18,655 --> 00:25:19,517 MWAH! 554 00:25:19,517 --> 00:25:21,724 SEE YOU IN AN HOUR. 555 00:25:21,724 --> 00:25:23,137 IT'S DISAPPOINTING, THOUGH, 556 00:25:23,137 --> 00:25:25,931 BECAUSE A YEAR AGO, WE BOTH WENT TOGETHER, 557 00:25:25,931 --> 00:25:28,413 AND I FELT IT HELPED US A LOT. 558 00:25:28,413 --> 00:25:31,724 DOES IT ALWAYS HAVE TO BE SOME KIND OF TRAUMA 559 00:25:31,724 --> 00:25:32,896 FOR A PERSON TO GAIN WEIGHT? 560 00:25:32,896 --> 00:25:35,551 WHEN PEOPLE OVERINDULGE IN FOOD 561 00:25:35,551 --> 00:25:37,724 OR ADDICTION IS PRESENT, 562 00:25:37,724 --> 00:25:43,172 IT'S INDICATIVE OF A DEEPER PROBLEM. 563 00:25:43,172 --> 00:25:46,310 I'VE SEEN HOW MICHAEL'S EMOTIONS HAVE LED HIM 564 00:25:46,310 --> 00:25:49,068 TO FOOD AND A LOT OF ANGER ISSUES. 565 00:25:49,068 --> 00:25:50,724 -HI, RONI! -HI. 566 00:25:50,724 --> 00:25:52,379 COME ON BACK! 567 00:25:52,379 --> 00:25:54,344 AND WHEN HE DOESN'T DEAL WITH ALL THAT, 568 00:25:54,344 --> 00:25:56,275 IT ONLY GETS WORSE. 569 00:25:56,275 --> 00:26:00,034 AND I DON'T WANT THAT TO HAPPEN TO ME. 570 00:26:00,034 --> 00:26:03,000 SO, RONI, TELL ME WHY YOU THINK YOU'RE HERE TODAY? 571 00:26:03,000 --> 00:26:05,172 I'VE BEEN KIND OF STRUGGLING WITH, LIKE, THE CRAVINGS 572 00:26:05,172 --> 00:26:09,034 AND STUFF LIKE THAT, BUT, LIKE, I DON'T FEEL HUNGRY, 573 00:26:09,034 --> 00:26:11,344 BUT IN MY MIND, THEY'RE STILL THERE, 574 00:26:11,344 --> 00:26:13,482 AND I JUST WANT TO SNACK ON, LIKE, CHEEZ-ITS OR SOMETHING, 575 00:26:13,482 --> 00:26:14,965 AND I -- YOU KNOW? 576 00:26:14,965 --> 00:26:17,862 YOU KNOW RIGHT NOW YOU CAN'T AND YOU SHOULDN'T. 577 00:26:17,862 --> 00:26:18,965 YEAH, I SHOULDN'T. 578 00:26:18,965 --> 00:26:21,413 OKAY. SO, BEFORE WE GET INTO THAT, 579 00:26:21,413 --> 00:26:22,689 I THINK IT'S REALLY IMPORTANT 580 00:26:22,689 --> 00:26:26,793 THAT WE TRACK THE PATH OF STRUGGLES WITH WEIGHT. 581 00:26:26,793 --> 00:26:28,068 OKAY. 582 00:26:28,068 --> 00:26:30,482 SO, TELL ME A LITTLE BIT ABOUT YOUR CHILDHOOD. 583 00:26:30,482 --> 00:26:33,068 -MY GRANDPARENTS RAISED ME. -MM-HMM. 584 00:26:33,068 --> 00:26:36,000 AND WE WOULD GO DAYS WITHOUT EVEN EATING. 585 00:26:36,000 --> 00:26:37,206 I DON'T KNOW, LIKE, 586 00:26:37,206 --> 00:26:39,206 IT JUST SEEMED LIKE LIKE WE NEVER HAD ANY FOOD, 587 00:26:39,206 --> 00:26:42,379 LIKE, JUST BEING HUNGRY AND, LIKE, MAKING EXCUSES OF SAYING, 588 00:26:42,379 --> 00:26:43,931 "HEY, I'M GONNA GO TO MY FRIEND'S HOUSE." 589 00:26:43,931 --> 00:26:45,793 WHY? BECAUSE I KNEW THEY HAD FOOD. 590 00:26:45,793 --> 00:26:48,310 SO YOU LEARNED EARLY ON HOW TO SURVIVE? 591 00:26:48,310 --> 00:26:50,413 YEAH. YOU KNOW, I DO ALSO KNOW 592 00:26:50,413 --> 00:26:52,413 THAT IT HAS A LOT TO DO WITH MICHAEL, TOO, YOU KNOW, 593 00:26:52,413 --> 00:26:54,689 BECAUSE WHEN WE FIRST MET LIKE THAT, 594 00:26:54,689 --> 00:26:56,586 WE WOULD GO OUT TO EAT THREE TO FOUR TIMES A DAY 595 00:26:56,586 --> 00:26:58,793 BECAUSE MICHAEL WAS ALREADY BIG, YOU KNOW? 596 00:26:58,793 --> 00:27:00,517 AND ME JUST, YOU KNOW -- 597 00:27:00,517 --> 00:27:01,931 HAVING THAT ADDICTIVE PERSONALITY... 598 00:27:01,931 --> 00:27:03,965 -MM-HMM. THERE YOU GO. -...WENT RIGHT ALONG WITH IT. 599 00:27:03,965 --> 00:27:06,827 TELL ME ABOUT YOUR RELATIONSHIP WITH MICHAEL 600 00:27:06,827 --> 00:27:08,620 AND WHAT IT LOOKS LIKE TODAY? 601 00:27:08,620 --> 00:27:11,103 MY RELATIONSHIP WITH MICHAEL HAS GOTTEN A LOT BETTER. 602 00:27:11,103 --> 00:27:12,241 MM-HMM. 603 00:27:12,241 --> 00:27:15,689 BUT HE GETS ANGRY LIKE HE USED TO BE BEFORE 604 00:27:15,689 --> 00:27:19,379 WHERE HE TENDS TO YELL AT ME OR THE KIDS OR SOMETHING. 605 00:27:19,379 --> 00:27:21,655 I'M JUST LIKE, "DUDE, YOU'RE BELITTLING US. 606 00:27:21,655 --> 00:27:24,275 YOU'RE BULLYING US. LIKE, QUIT IT ALREADY." 607 00:27:24,275 --> 00:27:28,275 BUT I'M LEARNING HOW TO TALK TO HIM IN A BETTER WAY 608 00:27:28,275 --> 00:27:31,068 TO WHERE IT'S LIKE I'M GONNA TELL YOU HOW I FEEL. 609 00:27:31,068 --> 00:27:33,482 DON'T GET MAD. IF YOU GET MAD, I'M GONNA WALK AWAY. 610 00:27:33,482 --> 00:27:35,965 ASSERTIVENESS IS DEFINITELY IMPORTANT 611 00:27:35,965 --> 00:27:38,862 IN YOUR WEIGHT-LOSS JOURNEY. 612 00:27:38,862 --> 00:27:41,793 YOUR PRIORITY IN YOU HAVE TO TAKE CARE OF YOU. 613 00:27:41,793 --> 00:27:43,103 YES, MM-HMM. 614 00:27:43,103 --> 00:27:44,517 TELL MICHAEL HI FOR ME. 615 00:27:44,517 --> 00:27:45,896 I WILL. I'LL TELL THAT BRAT HI. 616 00:27:45,896 --> 00:27:47,344 GOODBYE! [ LAUGHS ] 617 00:27:47,344 --> 00:27:48,793 Roni: I THINK TODAY WENT WELL, 618 00:27:48,793 --> 00:27:50,551 AND I THINK IT'S REALLY GONNA HELP ME 619 00:27:50,551 --> 00:27:55,000 TO STOP USING FOOD TO DEAL WITH MY EMOTIONS. 620 00:27:55,000 --> 00:27:57,689 I THINK THE OVERALL THING THAT I NEED TO DO 621 00:27:57,689 --> 00:27:59,310 IS JUST KIND OF MAKE MYSELF A PRIORITY 622 00:27:59,310 --> 00:28:02,344 AND TAKE CARE OF MYSELF. 623 00:28:02,344 --> 00:28:03,344 HI, BABE. 624 00:28:03,344 --> 00:28:04,206 HOW'D IT GO? 625 00:28:04,206 --> 00:28:05,620 IT WENT GOOD. 626 00:28:05,620 --> 00:28:07,482 I KNOW I NEED TO STAND UP FOR WHAT I NEED 627 00:28:07,482 --> 00:28:10,620 TO MAKE SURE THAT I CONTINUE TO LOSE WEIGHT, 628 00:28:10,620 --> 00:28:13,689 AND HOPEFULLY I'LL SEE THE BENEFIT ON THE SCALE 629 00:28:13,689 --> 00:28:17,172 WHEN I GO BACK TO SEE DR. NOW. 630 00:28:17,172 --> 00:28:21,827 ♪♪ 631 00:28:21,827 --> 00:28:23,620 I'M GOING TO SEE DR. NOW TODAY 632 00:28:23,620 --> 00:28:27,827 TO SEE IF I'M APPROVED TO GET MY GASTRIC-BYPASS OPERATION. 633 00:28:27,827 --> 00:28:30,000 I CONTINUE TO LOSE WEIGHT. 634 00:28:30,000 --> 00:28:32,551 YOU KNOW, IT'S SLOWED DOWN A LOT THIS LAST FEW MONTHS. 635 00:28:32,551 --> 00:28:36,448 BUT I'M STILL LOSING WEIGHT. I'M NOT GAINING. 636 00:28:36,448 --> 00:28:38,379 HOPEFULLY, HE'LL BE ABLE TO SCHEDULE 637 00:28:38,379 --> 00:28:41,448 MY WEIGHT-LOSS SURGERY NOW. 638 00:28:41,448 --> 00:28:45,827 BUT I'M NOT EVEN GONNA GET MY HOPES UP. 639 00:28:45,827 --> 00:28:47,655 Kirsten: I KNOW MY WEIGHT LOSS IS SLOWING, 640 00:28:47,655 --> 00:28:49,655 AND THINKING ABOUT MY MOM LEAVING 641 00:28:49,655 --> 00:28:53,931 AND ME BEING ON MY OWN IS GIVING ME A LOT OF ANXIETY. 642 00:28:53,931 --> 00:28:56,275 BUT FOR RIGHT NOW, SHE AGREED TO STAY A LITTLE LONGER, 643 00:28:56,275 --> 00:28:57,689 BECAUSE IF I GET MY SURGERY, 644 00:28:57,689 --> 00:28:59,655 I'M GONNA NEED HELP RECOVERING. 645 00:28:59,655 --> 00:29:01,310 KIRSTEN PEREZ? 646 00:29:01,310 --> 00:29:03,827 SO I REALLY HOPE THAT'S WHAT HAPPENS, 647 00:29:03,827 --> 00:29:05,275 BECAUSE IF I DON'T GET IT TODAY, 648 00:29:05,275 --> 00:29:08,137 MY FEAR IS MY MOM WILL JUST GO BACK HOME, 649 00:29:08,137 --> 00:29:10,068 AND I'LL BE ON MY OWN NOW. 650 00:29:10,068 --> 00:29:11,793 I'M NOT EVEN SURE WHERE I'M GOING TO LIVE 651 00:29:11,793 --> 00:29:13,482 ONCE MY MOM LEAVES. 652 00:29:13,482 --> 00:29:15,068 I FEEL LIKE EVERYTHING IS JUST GOING WRONG 653 00:29:15,068 --> 00:29:17,620 AND FALLING APART RIGHT NOW. 654 00:29:17,620 --> 00:29:18,931 SO I REALLY NEED TO GET APPROVED TODAY 655 00:29:18,931 --> 00:29:20,965 SO THINGS CAN START GOING RIGHT. 656 00:29:20,965 --> 00:29:22,517 ♪♪ 657 00:29:26,172 --> 00:29:32,000 ♪♪ 658 00:29:32,000 --> 00:29:33,620 Kirsten: ME AND MY MOM ARE HERE AT DR. NOW'S 659 00:29:33,620 --> 00:29:35,413 FOR MY NEXT APPOINTMENT, 660 00:29:35,413 --> 00:29:37,068 AND I'M HOPING I MADE THE PROGRESS I NEED 661 00:29:37,068 --> 00:29:40,310 TO GET APPROVED FOR GASTRIC BYPASS TODAY. 662 00:29:40,310 --> 00:29:43,137 AT MY LAST APPOINTMENT, I WAS 442, 663 00:29:43,137 --> 00:29:46,448 AND I'M SUPPOSE TO BE LOSING 15 POUNDS A MONTH. 664 00:29:46,448 --> 00:29:49,310 SO THAT MEANS I NEED TO BE AT 412 TODAY. 665 00:29:49,310 --> 00:29:55,517 ♪♪ 666 00:29:55,517 --> 00:29:57,310 OKAY. 667 00:29:57,310 --> 00:30:00,068 THAT'S NOT GOOD. 668 00:30:00,068 --> 00:30:03,206 THE NUMBERS ARE GETTING LESS AND LESS EVERY TIME I COME IN. 669 00:30:03,206 --> 00:30:06,793 SO I JUST WANT TO GET THIS OVER WITH. 670 00:30:06,793 --> 00:30:09,482 AND I'M GUESSING DR. NOW WON'T BE HAPPY, 671 00:30:09,482 --> 00:30:11,793 BUT I'M DOING THE SAME THING THAT I WAS DOING, 672 00:30:11,793 --> 00:30:14,931 SO IT'S JUST GETTING A LITTLE DISCOURAGING. 673 00:30:14,931 --> 00:30:18,103 ♪♪ 674 00:30:18,103 --> 00:30:19,724 [ KNOCK AT DOOR ] 675 00:30:19,724 --> 00:30:20,586 Dr. Now: HELLO. 676 00:30:20,586 --> 00:30:21,413 -HELLO. -HI. 677 00:30:21,413 --> 00:30:24,275 -HOW Y'ALL DOING? -GOOD. 678 00:30:24,275 --> 00:30:30,482 ALL RIGHT, SO, YOU'RE DOWN TO 416 TODAY. 679 00:30:30,482 --> 00:30:34,000 ALL RIGHT, SO, YOU LOST 26 POUNDS IN LAST COUPLE OF MONTHS. 680 00:30:34,000 --> 00:30:36,551 -I HAVE. -NOT QUITE 30, BUT CLOSE. 681 00:30:36,551 --> 00:30:38,689 SO YOUR WEIGHT LOSS IS SLOWING. 682 00:30:38,689 --> 00:30:39,965 HOW'S YOUR DIET GOING? 683 00:30:39,965 --> 00:30:41,827 IT'S GOING GOOD. 684 00:30:41,827 --> 00:30:43,620 I'M JUST EATING TWICE A DAY. 685 00:30:43,620 --> 00:30:44,931 I'M EATING A LOT OF VEGETABLES. 686 00:30:44,931 --> 00:30:46,137 MM-HMM. 687 00:30:46,137 --> 00:30:48,275 BUT IT'S LIKE A LARGE PORTION OF IT. 688 00:30:48,275 --> 00:30:50,241 SO HOW'S YOUR ACTIVITY? 689 00:30:50,241 --> 00:30:51,758 I'M GETTING BETTER. 690 00:30:51,758 --> 00:30:54,172 I HAVE BEEN GETTING OUT OF THE HOUSE MORE AND WALKING, 691 00:30:54,172 --> 00:30:57,034 DOING STUFF -- I'VE BEEN DOING EXERCISES IN MY ROOM. 692 00:30:57,034 --> 00:30:59,758 WELL, YOU HAVE BEEN MAKING GOOD PROGRESS. 693 00:30:59,758 --> 00:31:03,172 AND SO FAR, YOU'VE LOST 196 POUNDS, 694 00:31:03,172 --> 00:31:04,517 WHICH ISN'T BAD. 695 00:31:04,517 --> 00:31:06,586 SO, HOW YOU FEELING LOSING -- 696 00:31:06,586 --> 00:31:08,275 I'VE BEEN FEELING A LOT BETTER. 697 00:31:08,275 --> 00:31:10,827 I CAN GO SHOPPING NOW AND NOT HAVE TO -- 698 00:31:10,827 --> 00:31:12,862 I CAN ACTUALLY WALK IN THE STORE AND DO STUFF, 699 00:31:12,862 --> 00:31:15,344 AND I CAN BUY CLOTHES OFF THE RACK. 700 00:31:15,344 --> 00:31:17,482 OKAY, WELL, YOU'VE BEEN STAYING ON TRACK, 701 00:31:17,482 --> 00:31:18,965 AND YOU'VE BEEN DOING WELL. 702 00:31:18,965 --> 00:31:21,689 AND YOU'RE ONLY FOUR POUNDS OFF YOUR GOAL, 703 00:31:21,689 --> 00:31:24,517 WHICH COULD BE A NORMAL FLUCTUATION OF WEIGHT. 704 00:31:24,517 --> 00:31:27,172 BUT I NEED TO MAKE SURE BEFORE I FEEL YOU'RE READY 705 00:31:27,172 --> 00:31:30,172 TO HAVE SURGERY AND GET YOUR FULL BYPASS. 706 00:31:30,172 --> 00:31:33,275 SO I WANT YOU TO STAY ON TRACK THESE NEXT TWO MONTHS 707 00:31:33,275 --> 00:31:35,586 AND LOSE ANOTHER 30 POUNDS. 708 00:31:35,586 --> 00:31:36,827 AND IF YOU DO THAT, 709 00:31:36,827 --> 00:31:39,000 WHEN YOU COME BACK, I WILL APPROVE YOU. 710 00:31:39,000 --> 00:31:41,137 SOUND GOOD? -OKAY. 711 00:31:41,137 --> 00:31:44,482 SO INCREASE YOUR ACTIVITY, STICK WITH YOUR DIET, 712 00:31:44,482 --> 00:31:46,586 AND WE'LL SEE YOU IN TWO MONTHS. 713 00:31:46,586 --> 00:31:49,379 OKAY. THANK YOU. 714 00:31:49,379 --> 00:31:50,379 ALL RIGHT, YOU'RE DOING GREAT. 715 00:31:50,379 --> 00:31:52,000 I'M PROUD OF YOU, OKAY? 716 00:31:52,000 --> 00:31:53,551 ALL RIGHT. -THANK YOU. 717 00:31:53,551 --> 00:31:57,793 ♪♪ 718 00:31:57,793 --> 00:31:59,379 THAT'S WHY I DIDN'T GET MY HOPES UP. 719 00:31:59,379 --> 00:32:00,620 WELL, YOU ARE LOSING WEIGHT GOOD. 720 00:32:00,620 --> 00:32:02,000 MAYBE YOU DON'T NEED THAT SURGERY. 721 00:32:02,000 --> 00:32:03,862 OH, I KNOW. IT'S JUST I DON'T KNOW. 722 00:32:03,862 --> 00:32:05,689 ♪♪ 723 00:32:05,689 --> 00:32:09,413 Dr. Now: KIRSTEN IS DOING VERY WELL. SHE HAS COME A LONG WAY. 724 00:32:09,413 --> 00:32:11,965 SHE HAS OVERCOME HER DEPRESSION 725 00:32:11,965 --> 00:32:16,379 AND HAS BEEN MAKING GOOD PROGRESS DESPITE HER STRUGGLES. 726 00:32:16,379 --> 00:32:19,034 SHE SHOULD HAVE LOST 30 POUNDS THIS PAST MONTH, 727 00:32:19,034 --> 00:32:21,172 AND SHE'S VERY CLOSE TO THAT. 728 00:32:21,172 --> 00:32:22,965 SO MY ONLY CONCERN IS 729 00:32:22,965 --> 00:32:25,862 IF SHE'S SLOWLY STARTING TO OVEREAT AGAIN 730 00:32:25,862 --> 00:32:30,586 OR IF THIS IS JUST A MINOR FLUCTUATION OF HER WEIGHT LOSS. 731 00:32:30,586 --> 00:32:32,931 BUT IF SHE MAINTAINS THE SAME PROGRESS 732 00:32:32,931 --> 00:32:34,758 OVER THE NEXT TWO MONTHS, 733 00:32:34,758 --> 00:32:38,103 THEN I'LL FEEL CONFIDENT THAT SHE'S STILL WORKING HARD, 734 00:32:38,103 --> 00:32:41,172 AND I WILL APPROVE HER TO HAVE WEIGHT-LOSS SURGERY, 735 00:32:41,172 --> 00:32:43,724 BECAUSE I DO THINK SHE'S GONNA NEED THAT 736 00:32:43,724 --> 00:32:46,965 FOR THE LONG TERM WITH HOW MUCH SHE STRUGGLES. 737 00:32:46,965 --> 00:32:48,482 BUT IF SHE DOESN'T, 738 00:32:48,482 --> 00:32:51,586 THAT MEANS SHE STARTING TO GET BACK INTO TEMPTATION 739 00:32:51,586 --> 00:32:53,482 AND STARTING TO OVEREAT. 740 00:32:53,482 --> 00:32:57,137 AND WE CAN'T DO THE BYPASS IF SHE'S GOING TO START GAINING. 741 00:32:57,137 --> 00:32:59,724 [ BREATHING HEAVILY ] 742 00:32:59,724 --> 00:33:01,931 Kirsten: I'M OBVIOUSLY FRUSTRATED. 743 00:33:01,931 --> 00:33:04,827 I GOT MY HOPES UP THAT I WAS GETTING BYPASS TODAY. 744 00:33:04,827 --> 00:33:06,206 BUT I'M NOT GONNA GET DOWN ABOUT IT 745 00:33:06,206 --> 00:33:08,482 BECAUSE I AM LOSING WEIGHT. 746 00:33:08,482 --> 00:33:10,793 THAT'S ALL I CAN HOPE FOR, YOU KNOW? 747 00:33:10,793 --> 00:33:12,827 I'M JUST GONNA KEEP DOING IT DAY BY DAY 748 00:33:12,827 --> 00:33:17,068 AND JUST KEEP WORKING ON MYSELF LITTLE BY LITTLE. 749 00:33:17,068 --> 00:33:19,344 AND HOPEFULLY, I FINALLY GET APPROVED NEXT TIME. 750 00:33:19,344 --> 00:33:25,206 ♪♪ 751 00:33:25,206 --> 00:33:34,000 ♪♪ 752 00:33:34,000 --> 00:33:36,137 MY MOM AND I MADE A DEAL. 753 00:33:36,137 --> 00:33:38,724 SHE'S AGREED TO STAY FOR A MONTH OR TWO TO HELP ME MOVE OUT 754 00:33:38,724 --> 00:33:41,103 IF I AGREE TO WORK MY HARDEST AND DO EVERYTHING I CAN 755 00:33:41,103 --> 00:33:45,413 TO GET APPROVED FOR GASTRIC BYPASS. 756 00:33:45,413 --> 00:33:49,344 SO MY MOM FOUND AN AQUATIC THERAPY TRAINER AT A LOCAL POOL, 757 00:33:49,344 --> 00:33:53,172 AND I DECIDED TO GIVE THAT A TRY AND SEE HOW IT GOES. 758 00:33:53,172 --> 00:33:54,379 -HELLO. -HELLO. 759 00:33:54,379 --> 00:33:56,034 -I'M HANNAH. -NICE TO MEET YOU. I'M KIRSTEN. 760 00:33:56,034 --> 00:33:57,896 -GOOD TO MEET YOU. HI. -HI. I'M CRIS. 761 00:33:57,896 --> 00:33:59,206 HANNAH. NICE TO MEET YOU. 762 00:33:59,206 --> 00:34:00,586 ALL RIGHT, READY TO GET STARTED? 763 00:34:00,586 --> 00:34:01,965 -SURE. -ALL RIGHT. 764 00:34:01,965 --> 00:34:05,103 ♪♪ 765 00:34:05,103 --> 00:34:06,862 I'M REALLY HOPING THAT BEING IN THE POOL 766 00:34:06,862 --> 00:34:08,862 MAKES IT EASIER FOR ME TO MOVE. 767 00:34:08,862 --> 00:34:10,965 I HAVE SUCH A BAD HIP AND KNEE PAIN 768 00:34:10,965 --> 00:34:15,379 THAT NORMAL EXERCISE, IT HURTS TOO MUCH. 769 00:34:15,379 --> 00:34:18,241 GETTING IN THE POOL IS SUCH A WEIRD FEELING. 770 00:34:18,241 --> 00:34:22,482 ALMOST IMMEDIATELY, I COULD FEEL THE WEIGHT COME OFF OF ME. 771 00:34:22,482 --> 00:34:23,896 THERE WE GO. 772 00:34:23,896 --> 00:34:25,448 CAN YOU TELL THE RESISTANCE TODAY? 773 00:34:25,448 --> 00:34:27,724 -YEAH. -THAT'S GOOD. 774 00:34:27,724 --> 00:34:30,034 I WAS A LITTLE SCARED AT FIRST, BUT AS I GOT INTO IT, 775 00:34:30,034 --> 00:34:31,517 I REALLY LIKED IT. 776 00:34:31,517 --> 00:34:33,517 ♪♪ 777 00:34:33,517 --> 00:34:36,793 BUT AT THE SAME TIME, I FEEL LIKE I GOT A GOOD WORKOUT. 778 00:34:36,793 --> 00:34:39,275 Hannah: LET'S DO 50 BUTTERFLY KICKS. 779 00:34:39,275 --> 00:34:42,275 AND SO THIS MEANS YOU HAVE TO COME AND WORK OUT EVERY DAY. 780 00:34:42,275 --> 00:34:44,758 I CAN'T. THAT'S JUST TOO MUCH. 781 00:34:44,758 --> 00:34:47,206 TUESDAY, THURSDAY. 782 00:34:47,206 --> 00:34:48,137 THAT MIGHT WORK. 783 00:34:48,137 --> 00:34:49,689 THERE WE GO. THAT MIGHT WORK. 784 00:34:49,689 --> 00:34:51,034 I'M WORKING MY HARDEST TO HIT THE GOAL 785 00:34:51,034 --> 00:34:53,379 THAT DR. NOW SAID I NEED. 786 00:34:53,379 --> 00:34:54,689 AND I HAVE ONE MORE MONTH BEFORE THEN 787 00:34:54,689 --> 00:34:57,896 TO LOSE AS MUCH AS I CAN. 788 00:34:57,896 --> 00:35:00,344 AND MAYBE IF I FINALLY GET APPROVED THEN, 789 00:35:00,344 --> 00:35:03,310 MY MOM WILL STAY EVEN LONGER TO HELP ME THROUGH THAT. 790 00:35:03,310 --> 00:35:06,689 SO A LOT IS RIDING ON ME HITTING MY GOAL AT THIS NEXT VISIT, 791 00:35:06,689 --> 00:35:08,379 BECAUSE I KNOW IT'S GONNA BE A LOT HARDER 792 00:35:08,379 --> 00:35:10,103 IN SO MANY WAYS IF I DON'T. 793 00:35:10,103 --> 00:35:19,379 ♪♪ 794 00:35:19,379 --> 00:35:21,758 Michael: WE'RE ON OUR WAY TO DR. NOW'S 795 00:35:21,758 --> 00:35:23,241 FOR A FOLLOW-UP APPOINTMENT 796 00:35:23,241 --> 00:35:26,862 AND TO SEE HOW MUCH I'VE LOST IN A COUPLE OF MONTHS. 797 00:35:26,862 --> 00:35:28,034 BUT I DON'T THINK HE'S GONNA BE HAPPY 798 00:35:28,034 --> 00:35:30,551 ABOUT THE WEIGHT THAT I'VE LOST SO FAR, 799 00:35:30,551 --> 00:35:32,068 BECAUSE EVERY TIME I GET ON THE SCALE, 800 00:35:32,068 --> 00:35:35,000 I HAVE NOT LOST ALL THE WEIGHT THAT HE WANTED ME TO. 801 00:35:35,000 --> 00:35:36,724 BUT WE'LL SEE WHAT HAPPENS. 802 00:35:36,724 --> 00:35:42,344 ♪♪ 803 00:35:42,344 --> 00:35:45,965 Roni: GETTING SURGERY IS EVERYTHING FOR ME RIGHT NOW. 804 00:35:45,965 --> 00:35:48,655 SO I'VE BEEN WORKING REALLY HARD. 805 00:35:48,655 --> 00:35:51,724 BUT MICHAEL HASN'T BEEN DOING AS MUCH. 806 00:35:51,724 --> 00:35:54,517 MR. AND MRS. DOMINGUEZ? 807 00:35:54,517 --> 00:35:57,931 HE HASN'T GONE TO THERAPY LIKE DR. NOW WANTED. 808 00:35:57,931 --> 00:35:59,965 SO I'M CONCERNED ABOUT THE EFFECT 809 00:35:59,965 --> 00:36:03,413 THAT THAT'S GONNA HAVE ON HIS PROGRESS. 810 00:36:03,413 --> 00:36:05,310 BUT IF HE GOT BACK ON TRACK, 811 00:36:05,310 --> 00:36:08,931 THEN HE SHOULD HAVE LOST 40 POUNDS TO GET UNDER 297. 812 00:36:08,931 --> 00:36:16,793 ♪♪ 813 00:36:16,793 --> 00:36:17,965 Michael: EVEN THOUGH IT'S NOT THE NUMBER 814 00:36:17,965 --> 00:36:19,482 THAT DR. NOW'S GONNA WANT TO SEE, 815 00:36:19,482 --> 00:36:22,137 I'M HAPPY WHERE I'M AT, AND IT IS WHAT IT IS. 816 00:36:22,137 --> 00:36:25,310 ♪♪ 817 00:36:25,310 --> 00:36:27,931 Roni: I REALLY HOPE I DIDN'T DO AS POORLY. 818 00:36:27,931 --> 00:36:31,862 I NEEDED TO LOSE 50 POUNDS TO GET UNDER 292. 819 00:36:31,862 --> 00:36:37,517 ♪♪ 820 00:36:37,517 --> 00:36:40,172 I'M REALLY HAPPY RIGHT NOW. 821 00:36:40,172 --> 00:36:41,655 WHEN MICHAEL'S WEIGH-IN CAME UP, 822 00:36:41,655 --> 00:36:44,689 I GOT SO SCARED THAT I WAS DOING BAD, TOO. 823 00:36:44,689 --> 00:36:46,551 SO I'M SO RELIEVED, 824 00:36:46,551 --> 00:36:49,448 AND I'M HOPING THAT DR. NOW THINKS THAT THIS IS ENOUGH 825 00:36:49,448 --> 00:36:51,586 TO APPROVE ME FOR WEIGHT-LOSS SURGERY. 826 00:36:51,586 --> 00:36:54,931 ♪♪ 827 00:36:54,931 --> 00:36:55,965 HELLO. 828 00:36:55,965 --> 00:36:56,931 -HOW'S IT GOING, DR. NOW? -HI. 829 00:36:56,931 --> 00:36:57,758 HOW Y'ALL DOING? 830 00:36:57,758 --> 00:36:59,379 GOOD. HOW ARE YOU? 831 00:36:59,379 --> 00:37:00,689 ALL RIGHT. 832 00:37:00,689 --> 00:37:02,758 SO, MICHAEL, YOU DIDN'T GO TO THERAPY, 833 00:37:02,758 --> 00:37:06,137 AND YOU'RE STILL OVEREATING, BECAUSE YOU GAINED NINE POUNDS. 834 00:37:06,137 --> 00:37:07,310 MM-HMM. 835 00:37:07,310 --> 00:37:08,896 SO INSTEAD OF USING THE TWO MONTHS 836 00:37:08,896 --> 00:37:10,103 TO GET BACK ON TRACK, 837 00:37:10,103 --> 00:37:11,413 YOU HAVE GOTTEN WORSE. 838 00:37:11,413 --> 00:37:14,965 ARE YOU JUST GOING BACK TO ALL YOUR OLD WAYS? 839 00:37:14,965 --> 00:37:17,551 ARE YOU EVEN STAYING ACTIVE AT THIS POINT? 840 00:37:17,551 --> 00:37:19,034 NOT REALLY. 841 00:37:19,034 --> 00:37:20,379 I'M NOT GETTING OUT THERE AS MUCH AS I USED TO. 842 00:37:20,379 --> 00:37:21,620 SO, WHY IS THAT? 843 00:37:21,620 --> 00:37:23,827 IT'S HARD TO STAY MOTIVATED. 844 00:37:23,827 --> 00:37:26,000 YOU DON'T SEEM TOO CONCERNED ABOUT THAT. 845 00:37:26,000 --> 00:37:27,103 I WAS MOTIVATED. 846 00:37:27,103 --> 00:37:28,310 I WAS DOING EVERYTHING I HAD TO DO. 847 00:37:28,310 --> 00:37:30,103 IT'S JUST I LOST IT. 848 00:37:30,103 --> 00:37:32,448 TO TRY TO DO THAT EVERY DAY, IT'S HARD. 849 00:37:32,448 --> 00:37:34,068 IT'S SUPPOSED TO BE HARD. 850 00:37:34,068 --> 00:37:36,413 NO, I UNDERSTAND THAT. YEAH, YOU KNOW? 851 00:37:36,413 --> 00:37:39,344 IF IT WASN'T HARD, YOU WOULDN'T NEED SOMEONE TO HELP YOU. 852 00:37:39,344 --> 00:37:41,586 ALL YOUR ANGER ISSUES ARE STILL THERE, 853 00:37:41,586 --> 00:37:44,103 AND YOU'RE GOING BACK TO FOOD FOR COMFORT. 854 00:37:44,103 --> 00:37:47,034 AND IF YOU DON'T GO TO PSYCHOTHERAPY TO DEAL WITH THAT, 855 00:37:47,034 --> 00:37:49,448 YOUR EMOTIONS AND YOUR OVEREATING 856 00:37:49,448 --> 00:37:51,862 IS GONNA GET WORSE FROM HERE. 857 00:37:51,862 --> 00:37:54,655 SO WE WILL SET ANOTHER APPOINTMENT FOR YOU 858 00:37:54,655 --> 00:37:56,000 TO GO BACK TO THERAPY. 859 00:37:56,000 --> 00:37:57,931 AND UNTIL YOU DECIDE TO DO THAT, 860 00:37:57,931 --> 00:37:59,965 THERE'S NOTHING MORE FOR US TO DISCUSS 861 00:37:59,965 --> 00:38:01,827 OR ANYTHING WE CAN DO TO HELP YOU. 862 00:38:01,827 --> 00:38:03,068 I JUST -- 863 00:38:03,068 --> 00:38:05,137 AND IF YOU DON'T DO THIS, YOU'RE GONNA KEEP GAINING. 864 00:38:05,137 --> 00:38:08,344 SO THE CHOICE IS YOURS. 865 00:38:08,344 --> 00:38:09,758 ALL RIGHT, RONI. 866 00:38:09,758 --> 00:38:12,034 DESPITE MICHAEL'S BAD INFLUENCE, 867 00:38:12,034 --> 00:38:14,137 YOU DID GREAT THIS PAST TWO MONTHS. 868 00:38:14,137 --> 00:38:16,517 YOU WERE JUST TWO POUNDS SHORT OF YOUR GOAL, 869 00:38:16,517 --> 00:38:17,724 BUT THAT'S CLOSE ENOUGH. 870 00:38:17,724 --> 00:38:20,034 SO, YOU'RE NOT DOING TOO BAD. 871 00:38:20,034 --> 00:38:22,275 OH, OKAY. THEN I'M NOT TOO BAD. 872 00:38:22,275 --> 00:38:23,482 I'LL TAKE IT. OKAY. 873 00:38:23,482 --> 00:38:26,034 SO I THINK YOU'RE READY AND WILL BENEFIT 874 00:38:26,034 --> 00:38:27,586 FROM WEIGHT-LOSS SURGERY, 875 00:38:27,586 --> 00:38:29,620 SO I'M APPROVING YOU FOR THAT TODAY. 876 00:38:29,620 --> 00:38:30,655 SOUND GOOD? 877 00:38:30,655 --> 00:38:32,000 THAT SOUNDS EXCELLENT. 878 00:38:32,000 --> 00:38:33,448 THANK YOU SO MUCH, DOCTOR. 879 00:38:33,448 --> 00:38:36,965 OKAY, AND REMEMBER, THE SURGERY ISN'T A MAGIC PILL. 880 00:38:36,965 --> 00:38:38,896 IT'S JUST AN EXTRA TOOL... -YES. 881 00:38:38,896 --> 00:38:41,172 THAT YOU CAN CONTROL YOUR EATING HABIT. 882 00:38:41,172 --> 00:38:42,655 YES, I AGREE. 883 00:38:42,655 --> 00:38:46,034 AND OF COURSE IF YOU DON'T USE THAT TOOL PROPERLY 884 00:38:46,034 --> 00:38:49,000 AND THROW IT AWAY LIKE HE IS... -YEAH. 885 00:38:49,000 --> 00:38:50,241 ...YOU'RE NOT GONNA LOSE WEIGHT. 886 00:38:50,241 --> 00:38:51,103 YEAH. 887 00:38:51,103 --> 00:38:52,379 HMM, WE'LL GET THERE. 888 00:38:52,379 --> 00:38:54,103 I'M HOPING YOU DO, MICHAEL. 889 00:38:54,103 --> 00:38:57,000 BUT, RONI, I NEED TO SCHEDULE YOU FOR SOME TESTS 890 00:38:57,000 --> 00:38:58,896 AND DO AN ENDOSCOPY, 891 00:38:58,896 --> 00:39:00,965 MAKE SURE EVERYTHING IS OKAY WITH YOUR STOMACH. 892 00:39:00,965 --> 00:39:02,551 OKAY. 893 00:39:02,551 --> 00:39:04,620 AND I THINK YOU'RE GONNA BE A GOOD CANDIDATE FOR SLEEVE... 894 00:39:04,620 --> 00:39:06,137 OKAY. 895 00:39:06,137 --> 00:39:08,517 ...WHICH IS GOING TO BE VERY EFFECTIVE FOR YOUR WEIGHT LOSS. 896 00:39:08,517 --> 00:39:09,862 OKAY. 897 00:39:09,862 --> 00:39:11,793 MAYBE MOTIVATE HIM A LITTLE BIT MORE 898 00:39:11,793 --> 00:39:14,379 TO BE IN HEALTHY EATING HABIT 899 00:39:14,379 --> 00:39:17,448 AND TO DO HIS PSYCHOTHERAPY LIKE YOU HAVE. 900 00:39:17,448 --> 00:39:19,827 AND SO WE WILL DO YOUR TEST HERE IN A WEEK, 901 00:39:19,827 --> 00:39:22,689 AND IF EVERYTHING LOOKS GOOD, WE WILL MOVE YOU FORWARD. 902 00:39:22,689 --> 00:39:23,931 OKAY. 903 00:39:23,931 --> 00:39:26,034 ALL RIGHT, I'LL SEE YOU BOTH SOON. 904 00:39:26,034 --> 00:39:27,379 THANK YOU, DOCTOR. 905 00:39:27,379 --> 00:39:29,413 -NICE TO SEE YOU. -NICE TO SEE YOU. 906 00:39:29,413 --> 00:39:31,517 NICE TO SEEING YOU LOOKING GOOD, BUT YOU NEED TO LOOK BETTER. 907 00:39:31,517 --> 00:39:32,827 I GOT YA. 908 00:39:32,827 --> 00:39:34,724 I'LL BE BACK, AND I'LL BE BETTER. 909 00:39:34,724 --> 00:39:35,758 ALL RIGHT, THANKS. 910 00:39:35,758 --> 00:39:37,137 -THANK YOU, DOCTOR. -YEAH, YEAH. 911 00:39:37,137 --> 00:39:39,620 ♪♪ 912 00:39:39,620 --> 00:39:40,689 YOU'RE GOOD BABE. JUST CALM DOWN. 913 00:39:40,689 --> 00:39:42,275 I KNOW IT'S JUST -- 914 00:39:42,275 --> 00:39:43,551 DON'T PUT ME IN A BAD MOOD, 'CAUSE I'M, LIKE, SO HAPPY. 915 00:39:43,551 --> 00:39:44,724 I KNOW YOU ARE, BABE. I'M SORRY, I'M NOT TRYING -- 916 00:39:44,724 --> 00:39:47,793 SO JUST YELL ALL YOU WANT IN THE CAR. 917 00:39:47,793 --> 00:39:50,793 IT'S VERY DISAPPOINTING TO SEE MICHAEL CONTINUE 918 00:39:50,793 --> 00:39:52,413 DOWN THE PATH HE'S ON. 919 00:39:52,413 --> 00:39:55,310 AND HE IS AT A VERY DANGEROUS PACE RIGHT NOW. 920 00:39:55,310 --> 00:39:57,448 BUT THE ONLY THING THAT WILL CHANGE THAT 921 00:39:57,448 --> 00:39:59,862 IS IF HE GOES TO PSYCHOTHERAPY, 922 00:39:59,862 --> 00:40:03,517 BECAUSE ALL HIS ANGER IS STILL THERE BELOW THE SURFACE. 923 00:40:03,517 --> 00:40:05,137 AND IF HE DOESN'T DEAL WITH IT, 924 00:40:05,137 --> 00:40:08,137 THE WHOLE SITUATION IS GOING TO GET WORSE. 925 00:40:08,137 --> 00:40:10,344 BUT DESPITE HIS LACK OF PROGRESS, 926 00:40:10,344 --> 00:40:12,103 RONI HAS DONE VERY WELL, 927 00:40:12,103 --> 00:40:15,241 AND SHE DID IT WHILE MICHAEL WAS OVEREATING. 928 00:40:15,241 --> 00:40:19,034 LONG-TERM, THEIR DYNAMIC MAY BECOME MORE OF AN ISSUE, 929 00:40:19,034 --> 00:40:21,344 BUT FOR RIGHT NOW, SHE'S WORKING HARD 930 00:40:21,344 --> 00:40:23,034 AND DOING WHAT SHE NEEDS. 931 00:40:23,034 --> 00:40:27,551 SO I'M CONFIDENT SHE'S READY FOR SURGERY. 932 00:40:27,551 --> 00:40:31,000 Roni: I'M REALLY EXCITED I GOT APPROVED FOR SURGERY TODAY. 933 00:40:31,000 --> 00:40:34,103 BUT I'M ALSO DISAPPOINTED THAT MICHAEL DID SO POORLY 934 00:40:34,103 --> 00:40:37,206 AND THAT HE'S GETTING SO FAR OFF-TRACK. 935 00:40:37,206 --> 00:40:38,896 BUT I'M NOT GONNA LET THAT BRING ME DOWN 936 00:40:38,896 --> 00:40:41,517 OR GET IN THE WAY OF HOW I FEEL. 937 00:40:41,517 --> 00:40:43,896 AND HE COULD EITHER START TO DO WHAT HE NEEDS 938 00:40:43,896 --> 00:40:48,000 AND DO THIS WITH ME, OR I'M FINE DOING IT ON MY OWN. 939 00:40:48,000 --> 00:40:49,310 IT'S HIS CHOICE. 940 00:40:49,310 --> 00:40:51,275 ♪♪ 941 00:40:57,379 --> 00:41:07,655 ♪♪ 942 00:41:07,655 --> 00:41:10,482 Kirsten: ME AND MY MOM ARE HEADED TO SEE DR. NOW AGAIN. 943 00:41:10,482 --> 00:41:12,310 AND I'M TRYING NOT TO GET MY HOPES UP, 944 00:41:12,310 --> 00:41:13,620 BECAUSE IF I DON'T GET APPROVED TODAY, 945 00:41:13,620 --> 00:41:16,758 THEN I'M NOT SURE IF I CAN KEEP DOING THIS, 946 00:41:16,758 --> 00:41:18,758 BECAUSE I WORKED HARD THESE PAST TWO MONTHS, 947 00:41:18,758 --> 00:41:21,413 EVEN THOUGH I'M UNDER A LOT OF STRESS. 948 00:41:21,413 --> 00:41:23,689 AND I HAVE TO MOVE, AND MY MOM'S ONLY STAYING ANOTHER MONTH 949 00:41:23,689 --> 00:41:25,275 TO HELP WITH THAT. 950 00:41:25,275 --> 00:41:27,931 SO IF ON TOP OF ALL THIS, I'M STILL NOT GETTING SURGERY, 951 00:41:27,931 --> 00:41:31,344 THEN I MAY JUST MOVE BACK TO WASHINGTON WITH HER. 952 00:41:31,344 --> 00:41:32,586 AND MY MOM AGREES 953 00:41:32,586 --> 00:41:36,448 THAT IT'S PROBABLY FOR THE BEST IF WE GO BACK, 954 00:41:36,448 --> 00:41:39,724 BECAUSE WHY FIND A NEW PLACE AND TAKE ON THE BURDEN OF THAT? 955 00:41:39,724 --> 00:41:41,172 IF I'M NOT GONNA MAKE ANY MORE PROGRESS 956 00:41:41,172 --> 00:41:43,896 OR EVER GET THE SURGERY 957 00:41:43,896 --> 00:41:47,068 AND IF THIS IS ALL FOR NOTHING, THEN WHAT'S THE POINT? 958 00:41:47,068 --> 00:41:50,827 SO IT'S NOW OR NEVER. 959 00:41:50,827 --> 00:41:53,620 BUT I WAS 416 THE LAST TIME I WAS HERE, 960 00:41:53,620 --> 00:41:55,103 AND DR. NOW SAYS I SHOULD BE LOSING 961 00:41:55,103 --> 00:41:57,379 AT LEAST 15 POUNDS A MONTH. 962 00:41:57,379 --> 00:42:01,448 SO THAT MEANS I NEED TO BE BELOW 386 TODAY TO HIT MY GOAL, 963 00:42:01,448 --> 00:42:03,206 SO I HOPE THAT'S WHAT I DID. 964 00:42:03,206 --> 00:42:08,448 ♪♪ 965 00:42:08,448 --> 00:42:13,275 ♪♪ 966 00:42:13,275 --> 00:42:17,206 THAT'S PRETTY MUCH THE SAME THING I DID LAST TIME. 967 00:42:17,206 --> 00:42:18,448 BUT I DON'T KNOW IF DR. NOW'S 968 00:42:18,448 --> 00:42:21,241 GONNA THINK THAT'S ENOUGH OR NOT, 969 00:42:21,241 --> 00:42:22,206 BECAUSE I DON'T KNOW WHAT TO DO ANYMORE, 970 00:42:22,206 --> 00:42:23,689 AND I CAN'T KEEP DOING THIS, 971 00:42:23,689 --> 00:42:27,137 AND IT'S GETTING TOO HARD. 972 00:42:27,137 --> 00:42:28,827 SO I HAVE TO GET APPROVED TODAY. 973 00:42:28,827 --> 00:42:33,379 [ SIGHING ] 974 00:42:33,379 --> 00:42:34,379 BUT I'M SCARED RIGHT NOW, 975 00:42:34,379 --> 00:42:38,448 AND I DON'T KNOW WHAT'S GONNA HAPPEN. 976 00:42:38,448 --> 00:42:40,620 I FEEL LIKE MONTHS LIKE THIS ARE THE MONTHS 977 00:42:40,620 --> 00:42:45,000 THAT TELL ME GASTRIC BYPASS IS THE TOOL THAT IS GONNA HELP ME 978 00:42:45,000 --> 00:42:48,965 MAKE SURE THAT I'M NOT GONNA GAIN THE WEIGHT BACK. 979 00:42:48,965 --> 00:42:49,482 [ KNOCK AT DOOR ] 980 00:42:49,482 --> 00:42:53,068 COME IN. 981 00:42:53,068 --> 00:42:54,103 HELLO. 982 00:42:54,103 --> 00:42:54,931 -HELLO. -HELLO. 983 00:42:54,931 --> 00:42:56,241 HOW Y'ALL DOING? 984 00:42:56,241 --> 00:42:58,379 OKAY. I DIDN'T DO VERY WELL THIS TIME 985 00:42:58,379 --> 00:42:59,965 BECAUSE I DIDN'T GET TO MY GOAL. 986 00:42:59,965 --> 00:43:02,413 BUT YOU'RE CLOSE -- ONLY TWO POUNDS OFF. 987 00:43:02,413 --> 00:43:04,241 AND THAT'S BETTER THAN LAST TIME. 988 00:43:04,241 --> 00:43:08,137 AND ON TOP OF THAT, YOU LOST A TOTAL OF 225 POUNDS, 989 00:43:08,137 --> 00:43:09,344 WHICH IS OKAY, 990 00:43:09,344 --> 00:43:11,137 AND SOMETIMES YOU GET A PLATEAU... 991 00:43:11,137 --> 00:43:12,551 -YEAH. -...AND THEN YOU LOSE WEIGHT. 992 00:43:12,551 --> 00:43:15,931 BECAUSE YOU'VE DONE ALL THIS WITHOUT ANY WEIGHT-LOSS SURGERY, 993 00:43:15,931 --> 00:43:18,103 SO STOP BEING SO HARD ON YOURSELF. 994 00:43:18,103 --> 00:43:20,620 YOU'RE DOING WELL, AND YOU'RE STAYING CONSISTENT. 995 00:43:20,620 --> 00:43:21,931 AND BECAUSE OF THAT, 996 00:43:21,931 --> 00:43:23,827 I THINK YOU'RE READY FOR YOUR NEXT STEP. 997 00:43:23,827 --> 00:43:25,517 GOOD. 998 00:43:25,517 --> 00:43:27,034 SO I'M APPROVING YOU FOR YOUR WEIGHT-LOSS SURGERY. 999 00:43:27,034 --> 00:43:27,965 OKAY. 1000 00:43:27,965 --> 00:43:29,620 -OKAY? -YEAH. 1001 00:43:29,620 --> 00:43:32,275 IT'S GONNA HELP YOU TO LOSE MORE WEIGHT. 1002 00:43:32,275 --> 00:43:35,275 HMM, YES, BUT THE ONLY ISSUE IS I'M MOVING IN A MONTH. 1003 00:43:35,275 --> 00:43:36,379 YOU'RE MOVING? 1004 00:43:36,379 --> 00:43:37,862 YEAH. 1005 00:43:37,862 --> 00:43:39,689 THAT WOULDN'T BE GOOD TO DO WHILE YOU'RE RECOVERING, 1006 00:43:39,689 --> 00:43:42,103 SO WE'LL WAIT UNTIL RIGHT AFTER THAT. 1007 00:43:42,103 --> 00:43:43,344 OKAY. 1008 00:43:43,344 --> 00:43:45,379 AND IN THE MEANTIME, DON'T GET TOO RELAXED. 1009 00:43:45,379 --> 00:43:49,103 STAY ON TRACK AND KEEP WITH YOUR DIET AND EXERCISE, 1010 00:43:49,103 --> 00:43:51,724 AND WE'LL KEEP MOVING FORWARD WITH YOU. 1011 00:43:51,724 --> 00:43:52,758 OKAY, THANK YOU. 1012 00:43:52,758 --> 00:43:54,758 ALL RIGHT, YOU'RE GONNA DO GOOD. 1013 00:43:54,758 --> 00:43:56,068 I'LL SEE YOU LATER. -OKAY. 1014 00:43:56,068 --> 00:43:59,000 -THANK YOU. -OKAY. 1015 00:43:59,000 --> 00:44:02,724 ♪♪ 1016 00:44:02,724 --> 00:44:03,793 [ CHUCKLES ] 1017 00:44:03,793 --> 00:44:05,620 Dr. Now: I THINK KIRSTEN IS DOING WELL. 1018 00:44:05,620 --> 00:44:09,724 HER WEIGHT LOSS HAS BEEN STEADY AND CONSISTENT FOR A WHILE NOW. 1019 00:44:09,724 --> 00:44:11,827 AND EVEN THOUGH IT IS SLOWING, 1020 00:44:11,827 --> 00:44:14,724 SHE'S STILL LOSING AROUND WHAT SHE SHOULD 1021 00:44:14,724 --> 00:44:17,827 BEING ON 1,200-CALORIES-A-DAY DIET. 1022 00:44:17,827 --> 00:44:19,931 SO SHE'S DOING WHAT SHE NEEDS, 1023 00:44:19,931 --> 00:44:24,172 AND WEIGHT LOSS SURGERY WILL BE AN IMPORTANT NEXT STEP FOR HER 1024 00:44:24,172 --> 00:44:27,310 TO BE ABLE TO LOSE MORE AND STICK TO IT 1025 00:44:27,310 --> 00:44:31,931 AND HELP GET HER TO HER TARGET. 1026 00:44:31,931 --> 00:44:34,965 Cris: I'M REALLY KIND OF SHOCKED AFTER LAST VISIT. 1027 00:44:34,965 --> 00:44:37,965 WE THOUGHT THAT SHE WASN'T GONNA BE A CANDIDATE. 1028 00:44:37,965 --> 00:44:40,517 SO I'M JUST KIND OF TRYING TO GET IT THROUGH MY HEAD 1029 00:44:40,517 --> 00:44:45,103 HOW WE'RE GONNA WORK ALL THIS OUT. 1030 00:44:45,103 --> 00:44:47,724 Kirsten: I'M COMPLETELY SURPRISED RIGHT NOW. 1031 00:44:47,724 --> 00:44:50,000 I DID NOT THINK THAT DR. NOW WAS GOING TO TELL ME 1032 00:44:50,000 --> 00:44:53,241 THAT WEIGHT-LOSS SURGERY WAS POSSIBLE. 1033 00:44:53,241 --> 00:44:55,758 SO I DON'T EVEN REALLY KNOW WHAT TO THINK, 1034 00:44:55,758 --> 00:44:57,896 BUT I HAVE TO FIGURE OUT A LOT NOW. 1035 00:44:57,896 --> 00:44:59,931 SO I'M EXCITED, BUT I'M ALSO REALLY SCARED, 1036 00:44:59,931 --> 00:45:02,482 AND I'M NOT SURE WHAT I'M GONNA DO. 1037 00:45:02,482 --> 00:45:12,344 ♪♪ 1038 00:45:12,344 --> 00:45:14,344 Roni: TODAY, I'M GETTING AN ENDOSCOPY 1039 00:45:14,344 --> 00:45:16,103 TO MAKE SURE I DON'T HAVE ANY ISSUES 1040 00:45:16,103 --> 00:45:19,896 THAT'LL PREVENT ME FROM GETTING GASTRIC SLEEVE SURGERY. 1041 00:45:19,896 --> 00:45:22,206 I FEEL GOOD HEALTH WISE. 1042 00:45:22,206 --> 00:45:24,103 BUT I'M NERVOUS DR. NOW WILL FIND SOMETHING 1043 00:45:24,103 --> 00:45:28,137 THAT'LL KEEP ME FROM GOING FORWARD WITH SURGERY, 1044 00:45:28,137 --> 00:45:29,655 'CAUSE I NEED THIS TOOL 1045 00:45:29,655 --> 00:45:32,620 SO I CAN LOSE WEIGHT AND NOT STRUGGLE SO MUCH. 1046 00:45:32,620 --> 00:45:38,344 ♪♪ 1047 00:45:38,344 --> 00:45:40,517 I'M WORKING ON THE MENTAL AND THE EMOTIONAL SIDE 1048 00:45:40,517 --> 00:45:42,172 OF WEIGHT LOSS. 1049 00:45:42,172 --> 00:45:44,344 BUT I NEED ALL THESE TOOLS TOGETHER 1050 00:45:44,344 --> 00:45:46,517 TO NOT ONLY GET TO MY TARGET WEIGHT, 1051 00:45:46,517 --> 00:45:49,896 BUT TO MAINTAIN IT FOR THE REST OF MY LIFE. 1052 00:45:49,896 --> 00:45:52,758 SO I JUST REALLY NEED THIS TO GO WELL. 1053 00:45:52,758 --> 00:45:57,620 ♪♪ 1054 00:45:57,620 --> 00:46:00,000 Dr. Now: TODAY, WE ARE RUNNING TESTS ON RONI 1055 00:46:00,000 --> 00:46:02,000 TO MAKE SURE SHE'S HEALTHY ENOUGH 1056 00:46:02,000 --> 00:46:05,551 AND THAT IT'S SAFE TO DO WEIGHT-LOSS SURGERY ON HER. 1057 00:46:05,551 --> 00:46:08,034 AND RIGHT NOW, WE'RE DOING AN ENDOSCOPY 1058 00:46:08,034 --> 00:46:11,758 TO SEE WHAT'S GOING ON IN HER STOMACH. 1059 00:46:11,758 --> 00:46:13,793 AND THERE ARE A NUMBER OF ISSUES THAT WE COULD FIND 1060 00:46:13,793 --> 00:46:17,379 THAT WOULD PREVENT US FROM MOVING AHEAD WITH SURGERY, 1061 00:46:17,379 --> 00:46:19,689 BECAUSE THAT WILL MAKE IT TOO RISKY 1062 00:46:19,689 --> 00:46:23,931 BECAUSE OF THE COMPLICATION THAT THEY COULD LEAD TO. 1063 00:46:23,931 --> 00:46:25,896 SO WE'RE GONNA MAKE SURE THERE IS NO HIATAL HERNIA 1064 00:46:25,896 --> 00:46:27,517 AND NO GASTRITIS, 1065 00:46:27,517 --> 00:46:31,448 NO ULCER OR ANY INFECTION IN THE LINE OF STOMACH. 1066 00:46:31,448 --> 00:46:33,310 SO IF WE FIND ANY OF THESE, 1067 00:46:33,310 --> 00:46:35,689 WE WON'T BE ABLE TO MOVE AHEAD WITH SURGERY 1068 00:46:35,689 --> 00:46:37,931 UNLESS WE ADDRESS THEM. 1069 00:46:39,862 --> 00:46:41,931 YEAH. 1070 00:46:41,931 --> 00:46:44,517 ALL RIGHT, HOLD IT THERE. 1071 00:46:44,517 --> 00:46:46,172 [ WHOOSHING ] 1072 00:46:46,172 --> 00:46:49,793 WHEN WE FINISH, YOU CAN REMOVE THE CAMERA. 1073 00:46:49,793 --> 00:46:52,517 ALL DONE. JUST WAKING UP, OKAY? 1074 00:46:52,517 --> 00:46:54,620 [ MOANING ] 1075 00:46:54,620 --> 00:46:56,758 Dr. Now: RONI'S ENDOSCOPY WENT VERY WELL, 1076 00:46:56,758 --> 00:47:00,931 BUT HER OXYGEN SATURATION WAS VERY LOW DURING THE PROCEDURE, 1077 00:47:00,931 --> 00:47:04,517 WHICH INDICATES THAT SHE HAS A SEVERE PULMONARY PROBLEM 1078 00:47:04,517 --> 00:47:06,344 THAT WE NEED TO WORK ON. 1079 00:47:06,344 --> 00:47:08,827 SO, SHE HAS SOME ASTHMA AND BREATHING PROBLEM 1080 00:47:08,827 --> 00:47:11,137 THAT WE NEED TO ADDRESS BEFORE IT'S SAFE 1081 00:47:11,137 --> 00:47:13,965 FOR HER TO HAVE SURGERY. 1082 00:47:13,965 --> 00:47:16,517 WE ALSO DISCOVERED SHE DOES HAVE GASTRITIS 1083 00:47:16,517 --> 00:47:19,862 AND HIATAL HERNIA, SO WE HAVE TO TREAT THAT SITUATION, 1084 00:47:19,862 --> 00:47:21,551 AND WE TOOK SOME BIOPSY. 1085 00:47:21,551 --> 00:47:22,827 WE'RE GONNA HAVE TO WAIT AND SEE 1086 00:47:22,827 --> 00:47:25,827 WHAT THOSE BIOPSY REPORTS WAS SHOWING. 1087 00:47:25,827 --> 00:47:28,551 BUT THESE ARE ALL ISSUES THAT MAKE IT TOO RISKY 1088 00:47:28,551 --> 00:47:30,310 TO DO SURGERY RIGHT NOW. 1089 00:47:30,310 --> 00:47:36,310 ♪♪ 1090 00:47:36,310 --> 00:47:40,965 ♪♪ 1091 00:47:40,965 --> 00:47:43,310 WELL, HONEY, I HAVE SOME BAD NEWS. 1092 00:47:43,310 --> 00:47:46,793 WE FOUND SOME ISSUES THAT WE NEED TO TREAT AND ADDRESS. 1093 00:47:46,793 --> 00:47:50,137 BUT WE WILL HAVE TO WAIT FOR YOUR BIOPSIES TO COME BACK 1094 00:47:50,137 --> 00:47:51,931 TO KNOW THE EXTENT OF IT. 1095 00:47:51,931 --> 00:47:52,862 OKAY. 1096 00:47:52,862 --> 00:47:54,241 BUT THE BIGGER PROBLEM 1097 00:47:54,241 --> 00:47:57,517 IS THAT YOUR LUNGS ARE PRETTY MARGINAL. 1098 00:47:57,517 --> 00:48:01,724 ANESTHESIA HAD SOME ISSUES WITH YOUR OXYGEN SATURATION. 1099 00:48:01,724 --> 00:48:05,586 AND IF WE DID SOMETHING AS INVASIVE AS WEIGHT-LOSS SURGERY, 1100 00:48:05,586 --> 00:48:09,206 THERE WOULD LIKELY BE AN ISSUE THAT WILL CAUSE US TO STOP 1101 00:48:09,206 --> 00:48:12,000 TO PREVENT IT FROM BECOMING LIFE-THREATENING. 1102 00:48:12,000 --> 00:48:15,758 SO WE'LL GET YOU MEDICATION AND TREAT YOUR OTHER ISSUES, 1103 00:48:15,758 --> 00:48:20,068 BUT WHAT I NEED YOU TO DO IS TO WORK ON YOUR LUNGS. 1104 00:48:20,068 --> 00:48:24,034 AND TO DO THAT, I NEED YOU TO START DOING SOME EXERCISES 1105 00:48:24,034 --> 00:48:27,137 AT LEAST THREE TIMES A WEEK FOR NEXT COUPLE OF MONTHS. 1106 00:48:27,137 --> 00:48:30,206 AND AT THAT POINT, WE CAN TRY AGAIN, OKAY? 1107 00:48:30,206 --> 00:48:31,137 OKAY. 1108 00:48:31,137 --> 00:48:32,758 ALL RIGHT, ONCE I KNOW MORE, 1109 00:48:32,758 --> 00:48:35,758 I'LL COME BACK AND ANSWER ANY QUESTIONS YOU MIGHT HAVE. 1110 00:48:35,758 --> 00:48:36,793 OKAY? -OKAY. 1111 00:48:36,793 --> 00:48:37,827 -ALL RIGHT? -ALL RIGHT, SOUNDS GOOD. 1112 00:48:37,827 --> 00:48:39,275 -I'LL SEE YOU. -THANK YOU, DOCTOR. 1113 00:48:39,275 --> 00:48:41,448 -AND YOU'RE WELCOME. -THANK YOU. 1114 00:48:41,448 --> 00:48:43,241 ♪♪ 1115 00:48:43,241 --> 00:48:46,655 Roni: I'M OBVIOUSLY REALLY DISAPPOINTED RIGHT NOW. 1116 00:48:46,655 --> 00:48:50,241 I WAS REALLY HOPING THAT THERE WEREN'T ANY BIG ISSUES. 1117 00:48:50,241 --> 00:48:53,172 SO THIS IS WHAT I WAS SCARED OF. 1118 00:48:53,172 --> 00:48:55,275 BECAUSE I KNOW THAT IT'S MY WEIGHT 1119 00:48:55,275 --> 00:48:57,310 THAT'S LED TO ALL THOSE ISSUES, 1120 00:48:57,310 --> 00:49:01,137 AND I DIDN'T REALIZE THAT I HAD GOTTEN THAT BAD. 1121 00:49:01,137 --> 00:49:03,103 SO I'M FEELING REALLY DISCOURAGED, 1122 00:49:03,103 --> 00:49:05,137 AND I JUST WANT TO GO HOME RIGHT NOW. 1123 00:49:05,137 --> 00:49:12,413 ♪♪ 1124 00:49:12,413 --> 00:49:14,413 MY MOM IS GOING BACK TO WASHINGTON WITH DAD TOMORROW, 1125 00:49:14,413 --> 00:49:15,896 AND I'M GOING TO STAY HERE IN TEXAS 1126 00:49:15,896 --> 00:49:19,344 SO I CAN GET MY WEIGHT-LOSS SURGERY IN A FEW WEEKS. 1127 00:49:19,344 --> 00:49:21,448 MY MOM AND I HAVE FOUND AN AFFORDABLE HOTEL 1128 00:49:21,448 --> 00:49:25,551 FOR ME TO STAY AT FOR THE NEXT MONTH OR TWO. 1129 00:49:25,551 --> 00:49:27,758 I'M NOT HAPPY ABOUT HAVING TO MOVE INTO A HOTEL, 1130 00:49:27,758 --> 00:49:30,413 BUT THE APARTMENT IS JUST TOO EXPENSIVE. 1131 00:49:30,413 --> 00:49:33,413 MY MOM HAS BEEN HERE ALMOST A YEAR AND A HALF. 1132 00:49:33,413 --> 00:49:35,896 SHE MISSES MY DAD, AND SHE MISSES MY KIDS, 1133 00:49:35,896 --> 00:49:37,448 BECAUSE SHE PRETTY MUCH HELPED RAISED THEM 1134 00:49:37,448 --> 00:49:40,586 SINCE THEY WERE LITTLE. 1135 00:49:40,586 --> 00:49:44,896 IT'S A LONG TIME TO BE AWAY FROM YOUR LIFE. 1136 00:49:44,896 --> 00:49:47,275 I JUST WISH MY MOM WASN'T LEAVING, 1137 00:49:47,275 --> 00:49:49,758 AND THERE'S A PART OF ME THAT JUST THINKS I SHOULD QUIT 1138 00:49:49,758 --> 00:49:51,896 AND GO BACK HOME NOW WITH HER. 1139 00:49:51,896 --> 00:49:53,655 LET ME JUST SIT DOWN A MINUTE. 1140 00:49:53,655 --> 00:49:55,758 YEAH, THAT'S FINE. I GOT TO GO GET THE BAGS. 1141 00:49:55,758 --> 00:49:57,793 [ BREATHING HEAVILY ] 1142 00:49:57,793 --> 00:49:59,931 BUT, THEN, WHY DID I DO ALL THIS AND SUFFER 1143 00:49:59,931 --> 00:50:03,620 IF I'M JUST GONNA THROW IT ALL AWAY? 1144 00:50:03,620 --> 00:50:06,241 IT JUST STINKS. 1145 00:50:06,241 --> 00:50:08,517 I'M NEEDED BACK HOME, AND FINANCIALLY, 1146 00:50:08,517 --> 00:50:10,000 IT'S BEEN A BURDEN, 1147 00:50:10,000 --> 00:50:16,344 BECAUSE WE'VE KIND OF PAID FOR EVERYTHING FOR HER TO BE HERE. 1148 00:50:16,344 --> 00:50:18,172 IS THERE ANY WAY THAT YOU CAN COME DOWN FOR THE SURGERY 1149 00:50:18,172 --> 00:50:19,379 WHEN I GET IT? 1150 00:50:19,379 --> 00:50:20,551 I CAN'T. 1151 00:50:20,551 --> 00:50:22,206 YOU SHOULD HAVE A PRETTY QUICK TURNAROUND. 1152 00:50:22,206 --> 00:50:23,448 I ALREADY KNOW THAT BECAUSE I DIDN'T HAVE 1153 00:50:23,448 --> 00:50:26,793 THAT BIG OF A PROBLEM AFTER MY HERNIA SURGERY. 1154 00:50:26,793 --> 00:50:30,689 [ SNIFFLES ] 1155 00:50:30,689 --> 00:50:35,413 OKAY, GIVE ME A HUG. 1156 00:50:35,413 --> 00:50:37,275 SEE YOU WHEN I GET BACK TO WASHINGTON. 1157 00:50:37,275 --> 00:50:38,862 WELL, I'LL TALK TO YOU ON THE PHONE, 1158 00:50:38,862 --> 00:50:40,206 SO I'M NOT CALLING YOU. 1159 00:50:40,206 --> 00:50:41,206 YEAH, YOU WILL. 1160 00:50:41,206 --> 00:50:43,586 BYE. -OKAY, GOODBYE, YOU. 1161 00:50:43,586 --> 00:50:44,965 -I'LL BE FINE. -YOU'LL BE GOOD. 1162 00:50:44,965 --> 00:50:46,344 YOU'LL HAVE A GOOD SURGERY. 1163 00:50:46,344 --> 00:50:49,275 YOU'LL GET THAT WEIGHT OFF YA, AND EVERYTHING WILL BE FINE. 1164 00:50:49,275 --> 00:50:50,413 OKAY. 1165 00:50:50,413 --> 00:50:51,931 ALL RIGHT. 1166 00:50:51,931 --> 00:50:55,206 OKAY, I LOVE YOU. BYE. -I LOVE YOU, TOO. 1167 00:50:55,206 --> 00:50:57,896 Cris: IT WOULD BE NICE IF I COULD STILL BE HERE FOR KIRSTEN, 1168 00:50:57,896 --> 00:51:00,655 'CAUSE I STARTED THIS JOURNEY WITH HER. 1169 00:51:00,655 --> 00:51:05,655 BUT I THINK THAT SHE'S GONNA BE JUST FINE. 1170 00:51:05,655 --> 00:51:07,034 Kirsten: I KNOW IN THE PAST I DID GET USE TO MY MOM 1171 00:51:07,034 --> 00:51:09,137 DOING EVERYTHING FOR ME... 1172 00:51:09,137 --> 00:51:10,448 YOU CAN'T SEE WHAT? 1173 00:51:10,448 --> 00:51:11,689 THE BENCH, MOM. [ SOBS ] 1174 00:51:11,689 --> 00:51:13,241 OKAY, YOU'RE FINE. IT'S RIGHT UNDER YA. 1175 00:51:13,241 --> 00:51:15,034 I NEED IT OVER! [ SOBS ] 1176 00:51:15,034 --> 00:51:16,413 OVER WHICH WAY? THIS WAY. 1177 00:51:16,413 --> 00:51:19,586 SIT DOWN. YOU'RE FINE, YOU'RE FINE. 1178 00:51:19,586 --> 00:51:23,724 Kirsten: ...BUT THAT TIME IS UP. 1179 00:51:23,724 --> 00:51:25,137 I KNOW IF IT GETS TOO HARD 1180 00:51:25,137 --> 00:51:27,689 THAT I'M JUST GONNA HAVE TO QUIT AND GO HOME. 1181 00:51:27,689 --> 00:51:30,655 AND THEN THAT WILL MEAN I'LL START GAINING AGAIN, 1182 00:51:30,655 --> 00:51:32,931 AND I'LL END UP BACK OVER 600 POUNDS. 1183 00:51:32,931 --> 00:51:35,862 ♪♪ 1184 00:51:35,862 --> 00:51:37,758 I'M JUST REALLY SCARED. 1185 00:51:37,758 --> 00:51:39,655 ♪♪ 1186 00:51:46,413 --> 00:51:52,413 ♪♪ 1187 00:51:52,413 --> 00:52:00,206 ♪♪ 1188 00:52:00,206 --> 00:52:02,586 Michael: RIGHT NOW WE'RE LEAVING TO GO THE GYM 1189 00:52:02,586 --> 00:52:05,103 AND TRY THE TREADMILL AND SEE HOW IT GOES. 1190 00:52:05,103 --> 00:52:10,689 BUT RONI HAS VERY BAD ANXIETY GOING TO A GYM. 1191 00:52:10,689 --> 00:52:12,724 Roni: I JUST DON'T LIKE FEELING LIKE I'M BEING JUDGED 1192 00:52:12,724 --> 00:52:15,068 FOR WHAT MY BODY LOOKS LIKE. 1193 00:52:15,068 --> 00:52:18,586 IT'S JUST HUMILIATING. 1194 00:52:18,586 --> 00:52:21,620 DR. NOW SAYS I HAVE TO BUILD UP MY LUNG CAPACITY 1195 00:52:21,620 --> 00:52:23,413 FOR MY OPERATION, 1196 00:52:23,413 --> 00:52:27,000 SINCE I'M GONNA BE UNDER ANESTHESIA FOR SEVERAL HOURS. 1197 00:52:27,000 --> 00:52:31,103 BUT WALKING INTO THE GYM IS, YOU KNOW, REALLY NERVE-RACKING, 1198 00:52:31,103 --> 00:52:33,034 JUST PEOPLE STARING. 1199 00:52:33,034 --> 00:52:35,655 THAT GIVES ME REALLY BAD ANXIETY. 1200 00:52:35,655 --> 00:52:36,586 -I'M WATCHING. -GET ON. 1201 00:52:36,586 --> 00:52:38,103 -I'M NOT GONNA GET ON. -WHY NOT? 1202 00:52:38,103 --> 00:52:38,931 YOU WANTED TO DO THIS. 1203 00:52:38,931 --> 00:52:41,827 COME ON! 1204 00:52:41,827 --> 00:52:44,620 I REALLY DON'T WANT TO DO THIS [BLEEP] 1205 00:52:44,620 --> 00:52:46,586 [ BEEPING ] 1206 00:52:46,586 --> 00:52:47,724 JUST BEING IN HERE 1207 00:52:47,724 --> 00:52:51,655 MAKES ME FEEL LIKE I'M DESTINED TO FAIL. 1208 00:52:51,655 --> 00:52:53,103 THE PLACE IS KIND OF JUST SPINNING, 1209 00:52:53,103 --> 00:52:58,172 AND PALMS GET REALLY TINGLY AND SWEATY. 1210 00:52:58,172 --> 00:53:00,620 OH, MY GOD, THIS [BLEEP] SUCKS, TOO. 1211 00:53:00,620 --> 00:53:03,034 I DON'T WANT TO DO THIS ANYMORE. 1212 00:53:03,034 --> 00:53:04,275 ♪♪ 1213 00:53:04,275 --> 00:53:05,931 MY ANXIETY LEVEL IS, LIKE, UP TO HERE, DUDE. 1214 00:53:05,931 --> 00:53:07,793 I'M ABOUT TO LEAVE. 1215 00:53:07,793 --> 00:53:09,034 LIKE, SERIOUSLY, I'M ABOUT TO LEAVE. 1216 00:53:09,034 --> 00:53:11,413 LIKE REALLY. LIKE -- 1217 00:53:11,413 --> 00:53:14,034 COME ON, BABE. IT IS WHAT IT IS. 1218 00:53:14,034 --> 00:53:16,103 I DON'T KNOW HOW I'M GONNA DO THIS. 1219 00:53:16,103 --> 00:53:20,103 IT'S JUST SO OVERWHELMING TO DO ANY KIND OF EXERCISE. 1220 00:53:20,103 --> 00:53:23,586 IT JUST MAKES ME WANT TO GIVE UP. 1221 00:53:23,586 --> 00:53:26,103 AND I DON'T KNOW WHY I CAN'T GET PAST IT. 1222 00:53:26,103 --> 00:53:36,034 ♪♪ 1223 00:53:36,034 --> 00:53:39,068 COME ON. 1224 00:53:39,068 --> 00:53:40,862 I'VE BEEN TAKING MORE WALKS ALMOST DAILY 1225 00:53:40,862 --> 00:53:43,793 AS MY EXERCISE ROUTINE. 1226 00:53:43,793 --> 00:53:45,344 I JUST COULDN'T HANDLE THE ANXIETY 1227 00:53:45,344 --> 00:53:48,724 THAT COMES OVER ME WHEN GOING TO THE GYM. 1228 00:53:48,724 --> 00:53:51,482 BUT IT'S SOMETHING THAT I NEED TO WORK ON. 1229 00:53:51,482 --> 00:53:53,034 BUT RIGHT NOW, I NEED TO FOCUS 1230 00:53:53,034 --> 00:53:56,655 ON GETTING MY BODY HEALTHY FOR SURGERY. 1231 00:53:56,655 --> 00:54:00,724 AND MICHAEL HASN'T BEEN MUCH HELP WITH MY ANXIETY. 1232 00:54:00,724 --> 00:54:03,172 HE JUST MAKES IT WORSE, ESPECIALLY NOW, 1233 00:54:03,172 --> 00:54:05,655 'CAUSE WE'VE BEEN FIGHTING MORE LATELY. 1234 00:54:05,655 --> 00:54:08,137 I CAN'T KEEP PUSHING HIM TO GET HIS ACT TOGETHER 1235 00:54:08,137 --> 00:54:10,551 JUST TO HAVE HIM BLOW UP AT ME, 1236 00:54:10,551 --> 00:54:12,551 SO I'LL JUST LET HIM WORK ON HIS WEIGHT LOSS 1237 00:54:12,551 --> 00:54:14,517 THE WAY HE WANTS. 1238 00:54:14,517 --> 00:54:16,551 -I KNOW. WHAT? -COME ON. 1239 00:54:16,551 --> 00:54:18,068 I'M NOT PICKING YOU UP. 1240 00:54:18,068 --> 00:54:20,620 -WHAT? -[ LAUGHS ] 1241 00:54:20,620 --> 00:54:22,344 I LIKE GOING ON WALKS WITH MY MOM 1242 00:54:22,344 --> 00:54:25,000 Briana: TO THIS, LIKE, MINE AND HER TIME, 1243 00:54:25,000 --> 00:54:29,172 AND WE JUST TALK ABOUT EVERYTHING AND ANYTHING. 1244 00:54:29,172 --> 00:54:32,448 I'M REALLY SUPPORTIVE WITH MY MOM. 1245 00:54:32,448 --> 00:54:33,689 EVEN AFTER THE SURGERY, 1246 00:54:33,689 --> 00:54:36,137 I'M GONNA BE WITH HER EVERY STEP OF THE WAY. 1247 00:54:36,137 --> 00:54:39,206 COME ON, DANNY. 1248 00:54:39,206 --> 00:54:41,551 Roni: I'VE BEEN ABLE TO REALLY CONNECT WITH BRIANA 1249 00:54:41,551 --> 00:54:43,379 WHEN WE GO ON WALKS TOGETHER. 1250 00:54:43,379 --> 00:54:46,172 SO AT LEAST I HAVE MY KIDS HELPING ME, 1251 00:54:46,172 --> 00:54:49,896 AND I KNOW I STILL HAVE SUPPORT TO HELP ME THROUGH THIS PROCESS. 1252 00:54:49,896 --> 00:54:55,896 ♪♪ 1253 00:54:55,896 --> 00:55:00,655 ♪♪ 1254 00:55:00,655 --> 00:55:04,068 Kirsten: TODAY, I'M FINALLY GETTING WEIGHT-LOSS SURGERY. 1255 00:55:04,068 --> 00:55:05,379 AND I'M GLAD THAT IT'S HAPPENING, 1256 00:55:05,379 --> 00:55:06,482 BUT I DON'T REALLY FEEL LIKE 1257 00:55:06,482 --> 00:55:09,275 IT'S SOMETHING TO CELEBRATE RIGHT NOW, 1258 00:55:09,275 --> 00:55:12,310 BECAUSE I'M STILL DOING THIS ON MY OWN, AND I'M ALONE. 1259 00:55:12,310 --> 00:55:14,965 NONE OF MY FAMILY CAME DOWN FOR THIS TODAY, 1260 00:55:14,965 --> 00:55:18,172 AND I FEEL LIKE I'M COMPLETELY ABANDONED, 1261 00:55:18,172 --> 00:55:21,517 AND THERE'S NO ONE I CAN GO TO FOR SUPPORT. 1262 00:55:21,517 --> 00:55:24,000 SO THAT'S MAKING THIS ALL A LITTLE HARD. 1263 00:55:24,000 --> 00:55:26,896 AND PUTTING MY NERVES ON EDGE A LITTLE BIT. 1264 00:55:26,896 --> 00:55:29,586 I'VE WORKED REALLY HARD TO GET HERE, 1265 00:55:29,586 --> 00:55:31,206 BUT ALL I REALLY WANT IS TO GET THIS OVER WITH, 1266 00:55:31,206 --> 00:55:33,275 BECAUSE I'M SCARED IF I THINK ABOUT IT TOO MUCH, 1267 00:55:33,275 --> 00:55:35,620 I'LL JUST CHICKEN OUT AND GO HOME. 1268 00:55:35,620 --> 00:55:37,758 SO I'M NOT THINKING ABOUT ANYTHING, 1269 00:55:37,758 --> 00:55:39,655 AND I JUST WANT TO GET THIS ALL BEHIND ME. 1270 00:55:39,655 --> 00:55:44,517 ♪♪ 1271 00:55:44,517 --> 00:55:47,137 Dr. Now: TODAY, WE'RE ATTEMPTING TO DO 1272 00:55:47,137 --> 00:55:50,448 A FULL GASTRIC-SLEEVE PROCEDURE ON KIRSTEN. 1273 00:55:50,448 --> 00:55:52,655 SHE WANTED A BYPASS, 1274 00:55:52,655 --> 00:55:55,172 BUT THAT'S NOT GOING TO BE POSSIBLE TODAY, 1275 00:55:55,172 --> 00:55:59,103 BECAUSE SHE HAD SURGERY LAST YEAR FOR INTERNAL HERNIA, 1276 00:55:59,103 --> 00:56:01,689 AND WE HAVE TO ACCESS TO HAVE THEM THROUGH THE MESH. 1277 00:56:01,689 --> 00:56:04,862 AND THIS STAPLE LINE CAN LEAK 1278 00:56:04,862 --> 00:56:06,931 AND HAVE COMPLICATIONS WITH THAT. 1279 00:56:06,931 --> 00:56:08,517 BUT MORE IMPORTANT, 1280 00:56:08,517 --> 00:56:11,931 THE SCAR TISSUE AROUND HER STOMACH AND INTESTINES 1281 00:56:11,931 --> 00:56:15,103 CAN MAKE THE SURGERY MORE COMPLICATED. 1282 00:56:17,413 --> 00:56:20,931 SO DOING THIS SLEEVE WILL BE COMPLICATED ENOUGH. 1283 00:56:20,931 --> 00:56:22,482 TURN THE ROOM LIGHT OFF. 1284 00:56:22,482 --> 00:56:25,586 AND IF WE ENCOUNTER ANY ISSUES, 1285 00:56:25,586 --> 00:56:28,724 WE MAY HAVE TO END THE OPERATION EARLY. 1286 00:56:28,724 --> 00:56:31,344 WHEN I DID HER HERNIA SURGERY LAST YEAR, 1287 00:56:31,344 --> 00:56:35,000 I ALSO DID A MINI SLEEVE TO HELP HER OUT, 1288 00:56:35,000 --> 00:56:38,000 AND I PLAN TO JUST FOLLOW THAT STAPLE LINE 1289 00:56:38,000 --> 00:56:40,862 AND COMPLETE THAT TO MAKE IT A FULL SLEEVE. 1290 00:56:40,862 --> 00:56:43,413 BUT WE'RE GONNA HAVE TO BE VERY CAREFUL, 1291 00:56:43,413 --> 00:56:48,068 BECAUSE KIRSTEN IS STILL SUPER-MORBIDLY OBESE. 1292 00:56:49,931 --> 00:56:54,275 SO ANY NUMBER OF SMALL ISSUES CAN PUSH HER BODY TO THE LIMIT 1293 00:56:54,275 --> 00:56:57,689 AND LEAD TO A LIFE-THREATENING SITUATION. 1294 00:56:57,689 --> 00:57:01,275 IF WE ARE NOT CAREFUL, IT COULD BE VERY DANGEROUS. 1295 00:57:01,275 --> 00:57:03,103 SO WE WILL MAKE SURE 1296 00:57:03,103 --> 00:57:06,620 TO KEEP HER ON ANESTHESIA AS LITTLE AS POSSIBLE 1297 00:57:06,620 --> 00:57:10,310 AND KEEP AN EYE ON HER TO MAKE SURE SHE'S DOING OKAY. 1298 00:57:10,310 --> 00:57:13,586 BUT THE SCAR TISSUE IS GONNA SLOW THINGS DOWN 1299 00:57:13,586 --> 00:57:15,724 AND WAS AN ISSUE THE LAST TIME. 1300 00:57:15,724 --> 00:57:19,620 BUT IF THERE'S A WAY TO SAFELY COMPLETE HER OPERATION, 1301 00:57:19,620 --> 00:57:20,931 WE WILL DO IT, 1302 00:57:20,931 --> 00:57:24,413 BECAUSE THIS SURGERY WILL HELP HER A LOT. 1303 00:57:24,413 --> 00:57:26,758 GASTRIC SLEEVE IS AN OPERATION 1304 00:57:26,758 --> 00:57:30,620 THAT WILL REMOVE 80% TO 90% OF THE STOMACH 1305 00:57:30,620 --> 00:57:32,931 AND WE LEAVE A LONG, SKINNY TUBE 1306 00:57:32,931 --> 00:57:36,137 THAT CONNECTS THE ESOPHAGUS TO THE SMALL INTESTINES. 1307 00:57:36,137 --> 00:57:40,206 THE SURGERY WILL ALSO ALTER THE DIGESTIVE SYSTEM 1308 00:57:40,206 --> 00:57:42,172 AND METABOLISM OF A PERSON, 1309 00:57:42,172 --> 00:57:46,965 SO THE PATIENT IS LESS HUNGRY AND CAN GET FULL REALLY QUICK. 1310 00:57:46,965 --> 00:57:48,137 HOLD IT. 1311 00:57:52,896 --> 00:57:56,137 ♪♪ 1312 00:57:56,137 --> 00:58:01,275 ALL RIGHT, KIRSTEN'S SURGERY WENT VERY WELL. 1313 00:58:01,275 --> 00:58:02,689 SHE HAD THE SLEEVE, 1314 00:58:02,689 --> 00:58:06,310 AND WE'RE GONNA GET HER TO THE RECOVERY ROOM RIGHT NOW. 1315 00:58:06,310 --> 00:58:08,896 WE REMOVED ABOUT 80% OF HER STOMACH TODAY. 1316 00:58:08,896 --> 00:58:12,068 SO THIS IS GONNA HELP HER TO EAT A LOT LESS 1317 00:58:12,068 --> 00:58:14,068 AND GET FULL MUCH QUICKER. 1318 00:58:14,068 --> 00:58:17,137 BUT ONCE SHE RECOVERS, WE HAVE TO DETERMINE 1319 00:58:17,137 --> 00:58:18,931 WHAT THE NEXT STEPS ARE FOR HER, 1320 00:58:18,931 --> 00:58:21,482 BECAUSE SHE LET ME KNOW RIGHT BEFORE SURGERY 1321 00:58:21,482 --> 00:58:24,034 THAT SHE LIVES ON HER OWN WITH NO SUPPORT. 1322 00:58:24,034 --> 00:58:25,551 AND THAT'S NOT GOOD, 1323 00:58:25,551 --> 00:58:28,758 BECAUSE SHE CAN'T BE ON HER OWN DURING RECOVERY 1324 00:58:28,758 --> 00:58:31,000 TO PREVENT HER FROM DOING TOO MUCH. 1325 00:58:31,000 --> 00:58:32,310 BUT, ALSO, 1326 00:58:32,310 --> 00:58:35,965 LONELINESS PLAYS A SIGNIFICANT PART AFTER THE PROCEDURE 1327 00:58:35,965 --> 00:58:39,551 BECAUSE IT MAKES THE TEMPTATION TO OVEREAT GREATER. 1328 00:58:39,551 --> 00:58:41,034 SO IF WE SEND HER HOME, 1329 00:58:41,034 --> 00:58:43,551 SHE COULD END UP IN A VERY BAD SITUATION, 1330 00:58:43,551 --> 00:58:45,517 AND WE NEED TO PREVENT THAT. 1331 00:58:45,517 --> 00:58:45,793 ♪♪ 1332 00:58:52,862 --> 00:58:58,862 ♪♪ 1333 00:58:58,862 --> 00:59:05,137 ♪♪ 1334 00:59:05,137 --> 00:59:09,482 Roni: I'M HERE AT THE HOSPITAL TO GET MY WEIGHT-LOSS SURGERY. 1335 00:59:09,482 --> 00:59:11,241 DR. NOW RAN THE TEST AGAIN, 1336 00:59:11,241 --> 00:59:13,586 AND THIS TIME, EVERYTHING LOOKED GOOD, 1337 00:59:13,586 --> 00:59:16,965 AND HE TOLD ME I GOT MY LUNGS IN A BETTER PLACE, 1338 00:59:16,965 --> 00:59:21,517 SO HE SCHEDULED ME, AND I'M HERE. 1339 00:59:21,517 --> 00:59:23,448 ONE MORE KISS. 1340 00:59:23,448 --> 00:59:26,689 BYE, BABY. I'LL SEE YOU IN A FEW. 1341 00:59:26,689 --> 00:59:30,862 AND I'M SO EXCITED TO BE HERE, BUT I'M A LITTLE NERVOUS, TOO, 1342 00:59:30,862 --> 00:59:33,620 BECAUSE I KNOW THIS ISN'T A SIMPLE SURGERY, 1343 00:59:33,620 --> 00:59:35,241 AND THERE'S ALWAYS A POSSIBILITY 1344 00:59:35,241 --> 00:59:37,551 SOMETHING CAN GO SERIOUSLY WRONG. 1345 00:59:37,551 --> 00:59:40,000 LOVE YOU. 1346 00:59:40,000 --> 00:59:42,241 BUT I'M ON A JOURNEY TO BETTER MYSELF, 1347 00:59:42,241 --> 00:59:43,862 AND I KNOW I NEED THIS. 1348 00:59:43,862 --> 00:59:45,206 AND WITHOUT IT, 1349 00:59:45,206 --> 00:59:48,275 I'M HEADED TO A PLACE WHERE I COULD DIE EARLY, 1350 00:59:48,275 --> 00:59:51,448 SO I KNOW THIS IS SOMETHING THAT I HAVE TO DO 1351 00:59:51,448 --> 00:59:53,655 AND TRUST THAT I'M IN GOOD HANDS 1352 00:59:53,655 --> 00:59:55,896 AND THAT IT'S ALL GONNA BE ALL RIGHT. 1353 00:59:55,896 --> 01:00:00,000 ♪♪ 1354 01:00:00,000 --> 01:00:03,620 Dr. Now: TODAY, WE ARE ATTEMPTING A GASTRIC SLEEVE ON RONI. 1355 01:00:03,620 --> 01:00:05,689 SHE'S BEEN MAKING GOOD PROGRESS, 1356 01:00:05,689 --> 01:00:09,068 BUT SHE WILL NEED SURGERY TO MAINTAIN HER PROGRESS 1357 01:00:09,068 --> 01:00:11,241 AND WEIGHT LOSS. 1358 01:00:11,241 --> 01:00:14,448 SO HOPEFULLY, WE DON'T ENCOUNTER ANY ISSUES 1359 01:00:14,448 --> 01:00:15,620 THAT WOULD PREVENT US 1360 01:00:15,620 --> 01:00:19,310 FROM SAFELY COMPLETING HER OPERATION TODAY. 1361 01:00:19,310 --> 01:00:21,827 LET'S START. 1362 01:00:21,827 --> 01:00:24,827 WITH MICHAEL STILL NOT GOING TO PSYCHOTHERAPY 1363 01:00:24,827 --> 01:00:28,172 AND LIKELY STARTING TO GAIN EVEN MORE, 1364 01:00:28,172 --> 01:00:33,620 SHE WILL NEED MORE AND MORE HELP TO KEEP HER ON TRACK. 1365 01:00:33,620 --> 01:00:35,137 HOLD THAT STILL. 1366 01:00:35,137 --> 01:00:37,206 PULL BACK SO WE CAN SEE WHAT'S GOING ON. 1367 01:00:37,206 --> 01:00:39,448 DON'T PULL TOO FAR. 1368 01:00:39,448 --> 01:00:42,655 HE WILL EVENTUALLY START TO INFLUENCE HER, 1369 01:00:42,655 --> 01:00:44,551 AND THE BIGGEST LONG-TERM PROBLEM 1370 01:00:44,551 --> 01:00:49,241 IS GOING TO BE THEIR DYNAMIC BECAUSE AS MICHAEL GETS WORSE, 1371 01:00:49,241 --> 01:00:52,517 THEIR RELATIONSHIP WILL GET MORE DYSFUNCTIONAL. 1372 01:00:52,517 --> 01:00:55,448 AND UNLESS WE ARE ABLE TO ADDRESS THAT, 1373 01:00:55,448 --> 01:00:59,896 THEN THIS WILL EVENTUALLY START TO INFLUENCE RONI NEGATIVELY 1374 01:00:59,896 --> 01:01:02,655 AND LEAD TO HER GAINING AGAIN. 1375 01:01:02,655 --> 01:01:05,655 ♪♪ 1376 01:01:05,655 --> 01:01:07,000 Michael: ALL SURGERIES HAVE RISKS, 1377 01:01:07,000 --> 01:01:09,137 BUT I FEEL LIKE I DON'T EVEN WANT TO THINK ABOUT 1378 01:01:09,137 --> 01:01:10,862 ANYTHING NEGATIVE HAPPENING. 1379 01:01:10,862 --> 01:01:13,310 SHE'S BASICALLY THE BACKBONE OF OUR FAMILY. 1380 01:01:13,310 --> 01:01:16,862 LET'S JUST STAY POSITIVE. 1381 01:01:16,862 --> 01:01:18,551 Dr. Now: ALMOST THERE. 1382 01:01:18,551 --> 01:01:23,000 GRADUALLY TAKE IT OUT. 1383 01:01:23,000 --> 01:01:25,137 GOT IT. 1384 01:01:25,137 --> 01:01:28,000 WE CAN SUTURE HER UP. 1385 01:01:28,000 --> 01:01:33,689 OKAY, ROOM LIGHT ON, GAS OFF. 1386 01:01:33,689 --> 01:01:37,103 ALL RIGHT, WE ARE FINISHED. 1387 01:01:37,103 --> 01:01:39,206 RONI'S SURGERY WENT VERY WELL. 1388 01:01:39,206 --> 01:01:41,310 WE WERE ABLE TO DO A SUB-GASTRECTOMY, 1389 01:01:41,310 --> 01:01:43,724 AND WE'RE GONNA GET HER TO A RECOVERY ROOM. 1390 01:01:43,724 --> 01:01:45,379 WITH RONI, I WOULD SAY 1391 01:01:45,379 --> 01:01:50,034 WE TOOK ABOUT 85% OF HER STOMACH OUT TODAY. 1392 01:01:50,034 --> 01:01:52,896 THIS IS ABOUT 10 INCHES LONG. 1393 01:01:52,896 --> 01:01:54,931 SO WITH TODAY'S OPERATION, 1394 01:01:54,931 --> 01:01:58,965 SHE SHOULD BE ABLE TO START LOSING ABOUT 20 POUNDS A MONTH 1395 01:01:58,965 --> 01:02:03,827 UP UNTIL SHE STARTS GETTING CLOSER TO HER IDEAL BODY WEIGHT. 1396 01:02:03,827 --> 01:02:05,724 BUT ONCE SHE'S RECOVERED, 1397 01:02:05,724 --> 01:02:08,172 WE NEED TO MAKE SURE HER SITUATION AT HOME 1398 01:02:08,172 --> 01:02:12,689 AND HER DYNAMIC WITH MICHAEL IS NOT GETTING WORSE, 1399 01:02:12,689 --> 01:02:16,000 BECAUSE THAT WILL START TO MAKE IT HARDER AND HARDER FOR HER 1400 01:02:16,000 --> 01:02:20,448 TO HANDLE HER EMOTIONS AS TIME GOES ON. 1401 01:02:20,448 --> 01:02:22,724 SO WE NEED TO MAKE SURE RONI KEEPS GOING 1402 01:02:22,724 --> 01:02:26,068 TO HER PSYCHOTHERAPY APPOINTMENT LIKE SHE HAS, 1403 01:02:26,068 --> 01:02:28,000 BECAUSE IT IS THE ONLY WAY 1404 01:02:28,000 --> 01:02:30,689 SHE'S GOING TO BE ABLE TO MAINTAIN HER FOCUS. 1405 01:02:30,689 --> 01:02:33,310 IF MICHAEL CONTINUES TO GET WORSE, 1406 01:02:33,310 --> 01:02:36,620 AND THE DYNAMIC DOES, AS WELL, AS RESULT. 1407 01:02:36,620 --> 01:02:40,275 BUT RIGHT NOW, WE WILL LET HER REST, 1408 01:02:40,275 --> 01:02:41,689 AND WHILE SHE RECOVERS, 1409 01:02:41,689 --> 01:02:45,344 WE'LL GET HER HOME AND SEE HOW SHE'S DOING VERY SOON. 1410 01:02:45,344 --> 01:02:51,344 ♪♪ 1411 01:02:51,344 --> 01:02:58,413 ♪♪ 1412 01:02:58,413 --> 01:03:02,068 Kirsten: I'VE BEEN OUT OF THE HOSPITAL FOR ABOUT A MONTH NOW. 1413 01:03:02,068 --> 01:03:04,310 DR. NOW ARRANGED FOR A CARE ASSISTANT 1414 01:03:04,310 --> 01:03:08,103 TO HELP ME FOR A LITTLE BIT AFTER I GOT BACK TO THIS HOTEL. 1415 01:03:08,103 --> 01:03:10,000 BUT AFTER A COUPLE WEEKS, I RECOVERED ENOUGH 1416 01:03:10,000 --> 01:03:13,241 TO DO EVERYTHING ON MY OWN AGAIN, 1417 01:03:13,241 --> 01:03:16,310 AND I'VE BEEN ALONE SINCE THEN. 1418 01:03:16,310 --> 01:03:18,517 I'M TRULY MISERABLE AND LONELY, 1419 01:03:18,517 --> 01:03:21,137 AND I HAVE TO DO EVERYTHING ON MY OWN NOW. 1420 01:03:21,137 --> 01:03:24,137 AND I'M DONE WITH IT, AND AT THIS POINT, 1421 01:03:24,137 --> 01:03:28,241 I CAN'T DO THIS ANY LONGER. 1422 01:03:28,241 --> 01:03:31,137 AS MUCH AS I KNOW THAT DR. NOW WON'T LIKE THIS, 1423 01:03:31,137 --> 01:03:33,931 I JUST THINK I NEED TO GO HOME. 1424 01:03:33,931 --> 01:03:35,758 SO I'M GOING TO TELL HIM AT MY NEXT APPOINTMENT 1425 01:03:35,758 --> 01:03:38,827 IF THERE'S NO ISSUES WITH MY RECOVERY OR MY HEALTH, 1426 01:03:38,827 --> 01:03:41,827 THEN I'M HEADED BACK HOME TO WASHINGTON. 1427 01:03:41,827 --> 01:03:45,206 I TRIED TO DO THIS ON MY OWN, BUT I JUST CAN'T. 1428 01:03:45,206 --> 01:03:47,000 I NEED MY FAMILY, 1429 01:03:47,000 --> 01:03:49,068 BUT I'M NOT SURE WHAT THAT'S GONNA MEAN FOR ME 1430 01:03:49,068 --> 01:03:51,137 ON DR. NOW'S PROGRAM. 1431 01:03:51,137 --> 01:03:53,620 BUT ALL I KNOW IS THAT I CAN'T KEEP DOING THIS. 1432 01:03:53,620 --> 01:03:56,724 SO THIS IS SOMETHING I HAVE TO DO, 1433 01:03:56,724 --> 01:03:57,896 NO MATTER THE COST. 1434 01:04:03,620 --> 01:04:11,655 ♪♪ 1435 01:04:11,655 --> 01:04:13,137 Roni: MICHAEL'S ON HIS WAY OVER, 1436 01:04:13,137 --> 01:04:17,448 BUT BRIANA'S BEEN KEEPING ME COMPANY. 1437 01:04:17,448 --> 01:04:19,172 EVEN AFTER A DAY, 1438 01:04:19,172 --> 01:04:23,896 I COULD REALLY TELL THE DIFFERENCE IN MY APPETITE. 1439 01:04:23,896 --> 01:04:25,620 HOW ARE YOU FEELING TODAY? 1440 01:04:25,620 --> 01:04:27,241 HAVE YOU BEEN HUNGRY? 1441 01:04:27,241 --> 01:04:29,448 -NO, NOT REALLY. -NO? 1442 01:04:29,448 --> 01:04:32,689 LIKE, I FEEL THIRSTY, BUT, LIKE, YOU CAN'T DRINK, YOU KNOW? 1443 01:04:32,689 --> 01:04:34,931 LIKE YOU WOULD DRINK BEFORE. 1444 01:04:34,931 --> 01:04:35,896 YEAH. 1445 01:04:35,896 --> 01:04:36,862 [ KNOCK AT DOOR ] 1446 01:04:36,862 --> 01:04:39,137 ♪♪ 1447 01:04:39,137 --> 01:04:40,482 HI, RONI. 1448 01:04:40,482 --> 01:04:42,103 HI, DR. NOW. 1449 01:04:42,103 --> 01:04:44,551 I SEE YOU'RE ALL DRESSED UP BUT NO PLACE TO GO. 1450 01:04:44,551 --> 01:04:46,724 AND NO PLA-- YEAH, THAT'S EXACTLY RIGHT. 1451 01:04:46,724 --> 01:04:48,206 [ LAUGHS ] 1452 01:04:48,206 --> 01:04:50,482 I'M JUST WAITING FOR MY KNIGHT IN SHINING ARMOR. [ LAUGHS ] 1453 01:04:50,482 --> 01:04:52,379 THEN LET ME SEE HOW THE INCISIONS ARE LOOKING. 1454 01:04:52,379 --> 01:04:55,137 YEAH. 1455 01:04:55,137 --> 01:04:58,551 OKAY, WHEN YOU GET HOME, YOU'RE GONNA TAKE ALL THE BANDAGES OFF. 1456 01:04:58,551 --> 01:05:00,482 -OKAY. -AND YOU CAN TAKE A SHOWER. 1457 01:05:00,482 --> 01:05:01,655 -OKAY. -ALL RIGHT. 1458 01:05:01,655 --> 01:05:04,620 SO YOU'RE GONNA GET FULL REAL QUICK, 1459 01:05:04,620 --> 01:05:08,620 AND JUST MAKE SURE THAT YOU DON'T OVEREAT, 1460 01:05:08,620 --> 01:05:10,241 BECAUSE IF YOU OVEREAT, IT'LL COME UP. 1461 01:05:10,241 --> 01:05:11,517 YEAH. 1462 01:05:11,517 --> 01:05:12,689 YOU SHOULD BE ABLE TO LOSE 1463 01:05:12,689 --> 01:05:16,586 ABOUT 23-25 POUNDS EACH MONTH NOW, OKAY? 1464 01:05:16,586 --> 01:05:20,758 HOPEFULLY THIS WILL HELP MICHAEL TO STICK WITH THE DIET, 1465 01:05:20,758 --> 01:05:23,000 BECAUSE I DON'T SEE HE'S LOSING MUCH WEIGHT. 1466 01:05:23,000 --> 01:05:24,482 YEAH, YEAH. 1467 01:05:24,482 --> 01:05:26,551 SO I DON'T KNOW WHAT'S GOING ON WITH HIS EATING. 1468 01:05:26,551 --> 01:05:28,172 OUR TIMES, LIKE WHEN HE WORKS, 1469 01:05:28,172 --> 01:05:30,206 LIKE, I WORK EARLY MORNINGS, AND HE WORKS LATE AT NIGHT. 1470 01:05:30,206 --> 01:05:31,689 SO, I MEAN... 1471 01:05:31,689 --> 01:05:33,482 SO YOU DON'T KNOW WHAT'S GOING ON WITH HIM? 1472 01:05:33,482 --> 01:05:34,655 MNH-MNH. -YEAH. 1473 01:05:34,655 --> 01:05:38,551 SO THIS MAYBE HELP HIM TO LOSE WEIGHT, AS WELL. 1474 01:05:38,551 --> 01:05:39,931 YEAH. 1475 01:05:39,931 --> 01:05:41,137 OKAY, GOOD. SEE YOU SOON. 1476 01:05:41,137 --> 01:05:43,620 -THANK YOU, DR. NOW. -ALL RIGHT. 1477 01:05:43,620 --> 01:05:44,586 ♪♪ 1478 01:05:44,586 --> 01:05:46,517 I FEEL LIKE AT THIS POINT, 1479 01:05:46,517 --> 01:05:50,448 MICHAEL AND ME ARE STARTING TO LIVE SEPARATE LIVES, 1480 01:05:50,448 --> 01:05:52,103 AND HE'S CONTINUING TO MAKE 1481 01:05:52,103 --> 01:05:55,206 SELF-DESTRUCTIVE CHOICES FOR HIMSELF. 1482 01:05:55,206 --> 01:05:59,931 FOR OVER A DECADE, I WAITED ON MICHAEL HAND AND FOOT, 1483 01:05:59,931 --> 01:06:02,896 BUT HE HAS HIS CHANCE NOW TO TURN HIS LIFE AROUND, 1484 01:06:02,896 --> 01:06:06,551 AND I DESERVE TO BE HEALTHY AND HAPPY, TOO. 1485 01:06:06,551 --> 01:06:10,551 AND I'M NOT GONNA LET ANYONE TAKE THAT FROM ME OR STOP ME. 1486 01:06:10,551 --> 01:06:20,448 ♪♪ 1487 01:06:20,448 --> 01:06:22,068 Kirsten: TODAY, I'M HEADED BACK TO SEE DR. NOW 1488 01:06:22,068 --> 01:06:23,896 FOR MY NEXT APPOINTMENT, 1489 01:06:23,896 --> 01:06:25,413 AND I'M REALLY NERVOUS RIGHT NOW 1490 01:06:25,413 --> 01:06:29,689 'CAUSE I'M GONNA TELL HIM I HAVE TO GO BACK HOME TO WASHINGTON, 1491 01:06:29,689 --> 01:06:32,931 AND I DON'T THINK HE'S GONNA LIKE THAT. 1492 01:06:32,931 --> 01:06:34,413 BUT I'M MOVING BACK TO WASHINGTON 1493 01:06:34,413 --> 01:06:37,000 BECAUSE I WANT TO BE WITH MY FAMILY. 1494 01:06:37,000 --> 01:06:38,827 I WANT TO BE WITH MY KIDS. 1495 01:06:38,827 --> 01:06:41,827 I'M TIRED OF BEING HERE BY MYSELF. 1496 01:06:41,827 --> 01:06:45,689 AND I'M HOPING IF I'M MAKING THE PROGRESS I NEED 1497 01:06:45,689 --> 01:06:47,517 THAT IT WILL SHOW DR. NOW THAT I'M GONNA BE OKAY 1498 01:06:47,517 --> 01:06:50,931 GOING BACK HOME. 1499 01:06:50,931 --> 01:06:53,482 WHEN I HAD MY SURGERY, I WAS DOWN TO 386, 1500 01:06:53,482 --> 01:06:54,931 AND DR. NOW SAYS I SHOULD BE LOSING 1501 01:06:54,931 --> 01:06:57,413 AT LEAST 15 POUNDS A MONTH. 1502 01:06:57,413 --> 01:06:59,344 SO I HOPE I'VE LOST ENOUGH TO HIT MY GOAL. 1503 01:06:59,344 --> 01:07:03,620 ♪♪ 1504 01:07:03,620 --> 01:07:09,689 THAT'S REALLY GOOD. 1505 01:07:09,689 --> 01:07:10,655 WHICH ROOM, NUMBER 5? 1506 01:07:10,655 --> 01:07:13,310 -NUMBER 5. -OKAY. 1507 01:07:13,310 --> 01:07:14,586 I'M REALLY HAPPY RIGHT NOW 1508 01:07:14,586 --> 01:07:18,482 BECAUSE I KNOW THE SURGERY'S HELPING LIKE I NEED. 1509 01:07:18,482 --> 01:07:21,586 BECAUSE I'M MAKING MORE PROGRESS THAN I WAS BEFORE SURGERY, 1510 01:07:21,586 --> 01:07:23,551 AND IT WASN'T AS HARD 1511 01:07:23,551 --> 01:07:26,551 BECAUSE THE TEMPTATIONS WEREN'T THERE. 1512 01:07:26,551 --> 01:07:27,758 SO I FEEL GOOD ABOUT THAT NUMBER, 1513 01:07:27,758 --> 01:07:29,827 AND I HOPE DR. NOW DOES, TOO. 1514 01:07:29,827 --> 01:07:31,206 [ KNOCK AT DOOR ] 1515 01:07:31,206 --> 01:07:32,482 COME IN. 1516 01:07:32,482 --> 01:07:34,137 -HELLO. -HELLO. 1517 01:07:34,137 --> 01:07:35,482 HOW ARE YOU DOING, KIRSTEN? 1518 01:07:35,482 --> 01:07:37,103 I'M DOING OKAY. 1519 01:07:37,103 --> 01:07:40,827 ALL RIGHT, YOU'RE DOWN 38 POUNDS IN TWO MONTHS TODAY. 1520 01:07:40,827 --> 01:07:43,827 SO THE SURGERY IS HELPING YOU TO MAKE MORE PROGRESS 1521 01:07:43,827 --> 01:07:45,862 AND STAY ON TRACK RIGHT NOW, 1522 01:07:45,862 --> 01:07:47,551 AND YOU'RE DOING GREAT. 1523 01:07:47,551 --> 01:07:50,000 YOU ALMOST LOST ABOUT 270 POUNDS. 1524 01:07:50,000 --> 01:07:51,310 CAN YOU TELL THE DIFFERENCE? 1525 01:07:51,310 --> 01:07:52,620 YEAH, I CAN. 1526 01:07:52,620 --> 01:07:54,068 LET'S TAKE A LOOK AT YOUR SKIN 1527 01:07:54,068 --> 01:08:00,172 AND SEE HOW THE EXTRA SKIN'S DOING IN YOUR STOMACH. 1528 01:08:00,172 --> 01:08:03,655 SO YOU'RE GETTING TO THE POINT THAT SKIN SURGERY 1529 01:08:03,655 --> 01:08:06,275 IS GONNA HELP YOU A LOT 1530 01:08:06,275 --> 01:08:10,241 AND GET ALL THAT EXTRA SKIN OFF AND GET YOUR MOBILITY BETTER, 1531 01:08:10,241 --> 01:08:13,241 AND THAT'S GONNA BE A POSITIVE THING. 1532 01:08:13,241 --> 01:08:15,344 SO IF YOU STAY ON TRACK, 1533 01:08:15,344 --> 01:08:18,620 YOU COULD BE READY FOR THAT HERE IN COUPLE MONTHS. 1534 01:08:18,620 --> 01:08:20,034 DOES THAT SOUND GOOD? 1535 01:08:20,034 --> 01:08:21,517 YEAH. 1536 01:08:21,517 --> 01:08:23,862 HAVE YOU FIGURED OUT YOUR LIVING SITUATION YET 1537 01:08:23,862 --> 01:08:26,517 AND GOTTEN OUT OF THE HOTEL? 1538 01:08:26,517 --> 01:08:29,103 I'M PLANNING ON GOING BACK TO WASHINGTON NEXT WEEK. 1539 01:08:29,103 --> 01:08:32,137 WELL, THAT IS NOT GOOD TO HEAR. 1540 01:08:32,137 --> 01:08:34,379 THAT'S WHERE YOU HAD 1541 01:08:34,379 --> 01:08:39,034 ALL KIND OF PSYCHOLOGICAL DEPENDENCY TO EVERYBODY. 1542 01:08:39,034 --> 01:08:41,724 WELL, YEAH, BUT I CAN'T REALLY AFFORD TO STAY HERE ANYMORE 1543 01:08:41,724 --> 01:08:43,137 SINCE MY MOM'S GONE, 1544 01:08:43,137 --> 01:08:45,965 AND I FIGURED THAT ONCE I GOT DOWN TO MY GOAL WEIGHT, 1545 01:08:45,965 --> 01:08:47,413 I WOULD TRY TO COME BACK AFTER I SAVE MONEY 1546 01:08:47,413 --> 01:08:50,000 SO I COULD COME BACK AND SEE ABOUT GETTING THE SKIN SURGERY. 1547 01:08:50,000 --> 01:08:53,689 WELL, YOU'RE ALMOST READY TO BE HAVING YOUR SKIN SURGERY. 1548 01:08:53,689 --> 01:08:59,896 SO THIS IS TOO CLOSE TO GO BACK AND COME BACK. 1549 01:08:59,896 --> 01:09:00,896 YEAH, BUT I DON'T KNOW WHERE I'M GONNA LIVE. 1550 01:09:00,896 --> 01:09:02,586 I'M LIVING IN A MOTEL RIGHT NOW. 1551 01:09:02,586 --> 01:09:04,103 WELL, I THINK GOING BACK 1552 01:09:04,103 --> 01:09:07,655 TO WHERE YOU WERE HIGHLY DYSFUNCTIONAL 1553 01:09:07,655 --> 01:09:10,793 IS GONNA GET YOU BACK TO THE SAME OLD HABITS. 1554 01:09:10,793 --> 01:09:14,310 FROM MY STANDPOINT, GOING BACK TO THE SAME ENVIRONMENT 1555 01:09:14,310 --> 01:09:16,931 IS NOT GONNA BE THE RIGHT THING TO DO. 1556 01:09:16,931 --> 01:09:19,034 I THINK YOU NEED TO STAY INDEPENDENT 1557 01:09:19,034 --> 01:09:23,034 AND PURSUE WHAT YOU'RE DOING RIGHT NOW AND BE PROACTIVE, 1558 01:09:23,034 --> 01:09:25,965 CHANGE YOUR LIFE AND NOT TO BE DEPENDENT 1559 01:09:25,965 --> 01:09:30,344 ON THE PEOPLE THAT GOT YOU TO BE 600 POUNDS. 1560 01:09:30,344 --> 01:09:31,206 OKAY. 1561 01:09:31,206 --> 01:09:32,517 -OKAY? -YEAH. 1562 01:09:32,517 --> 01:09:34,724 AND HERE'S THE BOTTOM LINE. 1563 01:09:34,724 --> 01:09:37,068 YOU COMMITTED TO BE DOWN HERE TO DO THIS, 1564 01:09:37,068 --> 01:09:40,517 AND IF YOU'RE GOING TO MAKE A SELF-DESTRUCTIVE DECISION 1565 01:09:40,517 --> 01:09:43,689 LIKE THIS, THEN IT IS YOUR CHOICE, 1566 01:09:43,689 --> 01:09:45,034 BUT YOU WON'T BE ABLE 1567 01:09:45,034 --> 01:09:47,586 TO CONTINUE WITH THE WEIGHT-LOSS PROGRAM. 1568 01:09:47,586 --> 01:09:48,448 OKAY. 1569 01:09:48,448 --> 01:09:50,482 -OKAY? -YEAH. 1570 01:09:50,482 --> 01:09:53,482 WHY DON'T YOU GO VISIT AND COME BACK 1571 01:09:53,482 --> 01:09:54,931 AND DO YOUR SKIN SURGERY? 1572 01:09:54,931 --> 01:09:56,241 OKAY. 1573 01:09:56,241 --> 01:09:57,586 YOU COME BACK NEXT MONTH, 1574 01:09:57,586 --> 01:09:59,517 WE'RE GONNA BE ABLE TO SET A DATE FOR YOU. 1575 01:09:59,517 --> 01:10:01,068 OKAY. 1576 01:10:01,068 --> 01:10:02,724 YOU'RE GONNA LOSE ABOUT 30-40 POUNDS OF EXTRA SKIN 1577 01:10:02,724 --> 01:10:08,172 AND WE'LL BE MUCH CLOSER TO YOUR TARGET WEIGHT. 1578 01:10:08,172 --> 01:10:09,000 OKAY. 1579 01:10:09,000 --> 01:10:10,379 ALL RIGHT? 1580 01:10:10,379 --> 01:10:14,034 Dr. Now: KIRSTEN IS MAKING PROGRESS AND DOING WELL, 1581 01:10:14,034 --> 01:10:16,655 BUT I DON'T THINK GOING BACK TO WASHINGTON 1582 01:10:16,655 --> 01:10:19,689 IS GONNA BE GOOD SOLUTION FOR KIRSTEN, 1583 01:10:19,689 --> 01:10:22,793 BECAUSE WHEN SHE WAS THERE, SHE WAS HIGHLY DYSFUNCTIONAL, 1584 01:10:22,793 --> 01:10:24,448 AND SHE GAINED ALL THE WEIGHT. 1585 01:10:24,448 --> 01:10:26,620 SHE DIDN'T CARE ABOUT ANYTHING, 1586 01:10:26,620 --> 01:10:29,275 AND GOING BACK TO THAT ENVIRONMENT 1587 01:10:29,275 --> 01:10:32,068 WILL GRADUALLY GET HER BACK TO THE SAME ATTITUDE, 1588 01:10:32,068 --> 01:10:33,758 BECAUSE VERY SOON, 1589 01:10:33,758 --> 01:10:36,068 IT WILL START TO GET HARDER FOR HER AGAIN, 1590 01:10:36,068 --> 01:10:37,551 AND AT THAT POINT, 1591 01:10:37,551 --> 01:10:40,689 IF SHE'S BACK IN HER OLD ENVIRONMENT 1592 01:10:40,689 --> 01:10:43,344 WITHOUT ACCOUNTABILITY AND SUPPORT, 1593 01:10:43,344 --> 01:10:46,413 SHE WILL START TO GAIN AGAIN. 1594 01:10:46,413 --> 01:10:48,793 ALL RIGHT, I'LL SEE YOU WHEN YOU COME BACK FROM YOUR TRIP. 1595 01:10:48,793 --> 01:10:50,620 -OKAY, THANK YOU. -ALL RIGHT. 1596 01:10:50,620 --> 01:10:51,689 NICE SEEING YOU AGAIN. 1597 01:10:51,689 --> 01:10:53,275 YOU'RE DOING GREAT, AND I'M PROUD OF YOU 1598 01:10:53,275 --> 01:10:54,620 STICKING WITH THE PROGRAM. 1599 01:10:54,620 --> 01:10:56,034 I'LL SEE YOU NEXT MONTH. -OKAY. 1600 01:10:56,034 --> 01:11:01,000 ♪♪ 1601 01:11:01,000 --> 01:11:03,931 HOPEFULLY SHE THINKS IT THROUGH AND DECIDES TO STAY 1602 01:11:03,931 --> 01:11:10,413 AND GET SKIN REMOVAL, BUT SHE SEEMED VERY INTENT ON LEAVING. 1603 01:11:10,413 --> 01:11:12,517 AND I'M NOT SURE IF ANYTHING 1604 01:11:12,517 --> 01:11:17,551 IS GOING TO CHANGE HER MIND RIGHT NOW, BUT WE WILL SEE. 1605 01:11:17,551 --> 01:11:21,172 Kirsten: I KNOW DR. NOW THINKS I NEED TO STAY, BUT I JUST CAN'T. 1606 01:11:21,172 --> 01:11:24,586 I DIDN'T WANT TO ARGUE WITH HIM, BUT THERE'S JUST NO WAY. 1607 01:11:24,586 --> 01:11:26,034 AND I HAVE THE SURGERY NOW, 1608 01:11:26,034 --> 01:11:29,137 AND THAT WAS THE BIGGEST THING I WANTED. 1609 01:11:29,137 --> 01:11:31,620 NOW HE TOLD ME THAT I SHOULD GO VISIT AND THEN COME BACK, 1610 01:11:31,620 --> 01:11:34,862 BUT I DON'T KNOW HOW I'M GONNA DO IT ON MY OWN. 1611 01:11:34,862 --> 01:11:37,344 SO I FEEL STRESSED OUT WHEN HE TELLS ME I NEED TO STAY, 1612 01:11:37,344 --> 01:11:39,793 BECAUSE PART OF ME KNOWS THAT I DO, 1613 01:11:39,793 --> 01:11:41,793 AND I WANT THAT SURGERY REALLY BAD 1614 01:11:41,793 --> 01:11:45,034 BUT CAN'T KEEP AFFORDING TO LIVE IN A MOTEL. 1615 01:11:45,034 --> 01:11:47,000 IT'S NOT REALISTIC. 1616 01:11:47,000 --> 01:11:48,620 I HAVE WORKED REALLY HARD TO GET THIS FAR, 1617 01:11:48,620 --> 01:11:50,551 AND IT WOULD REALLY BE [BLEEP] IF I WENT BACK 1618 01:11:50,551 --> 01:11:53,275 AND THEN ENDED UP NOT COMING BACK TO GET THE SKIN REMOVAL, 1619 01:11:53,275 --> 01:11:54,275 BUT IT IS WHAT IT IS. 1620 01:12:00,206 --> 01:12:08,275 ♪♪ 1621 01:12:08,275 --> 01:12:14,586 ♪♪ 1622 01:12:14,586 --> 01:12:17,275 IT'S 4:00 IN THE MORNING AND I'M ON MY WAY TO THE AIRPORT. 1623 01:12:17,275 --> 01:12:18,827 AFTER ALMOST TWO YEARS IN HOUSTON, 1624 01:12:18,827 --> 01:12:21,793 I'M FINALLY MOVING BACK HOME TO WASHINGTON. 1625 01:12:21,793 --> 01:12:24,517 I HAVEN'T SEEN MY KIDS IN ALMOST EIGHT MONTHS. 1626 01:12:24,517 --> 01:12:27,172 I'M REALLY EXCITED TO SHOW THEM THE PROGRESS THAT I MADE, 1627 01:12:27,172 --> 01:12:28,724 NOT JUST WITH MY WEIGHT LOSS, 1628 01:12:28,724 --> 01:12:31,965 BUT ALSO HOW I'VE GROWN AS A PERSON. 1629 01:12:31,965 --> 01:12:33,620 BEING ABLE TO TAKE CARE OF MYSELF 1630 01:12:33,620 --> 01:12:35,379 WHILE BEING ALL ALONE FOR TWO MONTHS, 1631 01:12:35,379 --> 01:12:38,206 I WAS ABLE TO STICK WITH MY WEIGHT-LOSS PROGRAM. 1632 01:12:38,206 --> 01:12:41,000 THANK YOU. 1633 01:12:41,000 --> 01:12:44,482 I NEVER IMAGINED THAT I WOULD BE AT THIS POINT. 1634 01:12:44,482 --> 01:12:45,758 WHEN I STARTED MY WEIGHT-LOSS JOURNEY, 1635 01:12:45,758 --> 01:12:50,827 I COULD HARDLY WALK 20 FEET. 1636 01:12:50,827 --> 01:12:54,275 [ WHEEZING ] 1637 01:12:54,275 --> 01:12:56,310 BUT NOW I CAN WALK THROUGH THIS AIRPORT. 1638 01:12:56,310 --> 01:12:59,724 I STILL GET WINDED, BUT I'VE COME A LONG WAYS. 1639 01:12:59,724 --> 01:13:01,586 -GOOD MORNING. -MORNING. 1640 01:13:01,586 --> 01:13:02,655 OKAY, WHAT ALL DO YOU NEED? 1641 01:13:02,655 --> 01:13:03,862 BOARDING PASS AND YOUR I.D. 1642 01:13:03,862 --> 01:13:04,724 OKAY. 1643 01:13:04,724 --> 01:13:06,655 YOU NERVOUS? [ LAUGHS ] 1644 01:13:06,655 --> 01:13:07,965 I DON'T KNOW WHAT I'M DOING. 1645 01:13:07,965 --> 01:13:10,310 I HAVEN'T FLOWN IN LIKE 12 YEARS. 1646 01:13:10,310 --> 01:13:12,655 DOING THIS IS A BIG STEP FOR ME TODAY. 1647 01:13:12,655 --> 01:13:15,310 BUT I'M SAD BECAUSE THE FACT I'M DOING THIS TODAY 1648 01:13:15,310 --> 01:13:18,482 MEANS I'M QUITTING DR. NOW'S PROGRAM 1649 01:13:18,482 --> 01:13:22,034 AND THAT I'M LIKELY NOT ABLE TO GET EXTRA SKIN REMOVAL. 1650 01:13:22,034 --> 01:13:25,000 BUT I KNOW DOWN THE ROAD, I COULD FIGURE SOMETHING OUT. 1651 01:13:25,000 --> 01:13:27,965 AND NOW THAT I HAVE THE TOOLS, I KNOW THAT I'LL BE ABLE 1652 01:13:27,965 --> 01:13:29,793 TO DO THIS FOR AS LONG AS I NEED, 1653 01:13:29,793 --> 01:13:33,379 EVEN IF I'M BACK HOME IN MY OLD ENVIRONMENT. 1654 01:13:33,379 --> 01:13:35,068 SO I FEEL GOOD ABOUT MY DECISION, 1655 01:13:35,068 --> 01:13:37,758 BUT I CAN'T WAIT TO GET HOME TO SEE MY FAMILY. 1656 01:13:37,758 --> 01:13:47,793 ♪♪ 1657 01:13:47,793 --> 01:13:50,068 THANK YOU GUYS FOR COMING WITH ME TODAY. 1658 01:13:50,068 --> 01:13:52,655 MM-HMM. 1659 01:13:52,655 --> 01:13:56,034 Roni: ME AND THE KIDS ARE ON OUR WAY TO GO SEE DR. NOW. 1660 01:13:56,034 --> 01:13:58,793 IT'S BEEN A FEW MONTHS SINCE MY SURGERY, 1661 01:13:58,793 --> 01:14:02,517 AND A LOT HAS HAPPENED SINCE MY LAST APPOINTMENT WITH HIM. 1662 01:14:02,517 --> 01:14:04,482 MICHAEL AND I HAD A FIGHT A FEW NIGHTS AGO 1663 01:14:04,482 --> 01:14:07,275 WHERE HE WAS COMPLETELY OUT OF CONTROL. 1664 01:14:07,275 --> 01:14:10,310 HE GOT MAD AT ME AND SLAMMED MY FINGER IN THE DOOR, 1665 01:14:10,310 --> 01:14:14,482 AND MY FINGER ACTUALLY GOT INJURED. 1666 01:14:14,482 --> 01:14:18,379 IT WAS BAD, AND I HAD TO GET A LOT OF STITCHES, 1667 01:14:18,379 --> 01:14:20,241 BUT MICHAEL AND I HAVE SEPARATED, 1668 01:14:20,241 --> 01:14:22,655 BECAUSE I'M DONE DEALING WITH HIS ISSUES. 1669 01:14:22,655 --> 01:14:27,931 SO IT'S JUST A SCARY TIME FOR ME WITH A LOT OF UNKNOWNS. 1670 01:14:27,931 --> 01:14:30,310 RONI DOMINGUEZ. 1671 01:14:30,310 --> 01:14:34,275 BUT I'M NOT LETTING HIM TAKE ME AND MY KIDS DOWN WITH HIM, 1672 01:14:34,275 --> 01:14:35,896 SO RIGHT NOW, 1673 01:14:35,896 --> 01:14:38,931 I'M JUST TRYING TO FOCUS ON MY WEIGHT AND MY HEALTH. 1674 01:14:38,931 --> 01:14:43,689 ♪♪ 1675 01:14:43,689 --> 01:14:48,310 I FEEL GOOD ABOUT THAT, AND IT REALLY MAKES ME FEEL GOOD 1676 01:14:48,310 --> 01:14:51,965 'CAUSE I KNOW THAT MY WEIGHT'S JUST GONNA KEEP DROPPING, 1677 01:14:51,965 --> 01:14:55,344 SO I'M HAPPY WITH MY PROGRESS. 1678 01:14:55,344 --> 01:14:56,551 GETTING THE WEIGHT-LOSS SURGERY'S 1679 01:14:56,551 --> 01:14:58,172 BEEN GOOD FOR ME SO FAR. 1680 01:14:58,172 --> 01:15:00,517 ALL ELSE HAS NOT. 1681 01:15:00,517 --> 01:15:01,965 YOU KNOW, I HAD WEIGHT-LOSS SURGERY 1682 01:15:01,965 --> 01:15:07,275 SO, YOU KNOW, I COULD BETTER MY LIFE, 1683 01:15:07,275 --> 01:15:08,896 AND IT DID, BUT JUST, LIKE, 1684 01:15:08,896 --> 01:15:12,344 OTHER ASPECTS OF MY LIFE GOT REALLY WORSE. 1685 01:15:12,344 --> 01:15:15,000 [ KNOCK AT DOOR ] 1686 01:15:15,000 --> 01:15:15,965 HELLO. 1687 01:15:15,965 --> 01:15:17,206 HI, DOCTOR. 1688 01:15:17,206 --> 01:15:18,034 HOW ARE Y'ALL DOING? 1689 01:15:18,034 --> 01:15:19,482 GOOD. HOW ARE YOU? 1690 01:15:19,482 --> 01:15:21,931 YOU GOT YOUR WHOLE FAMILY HERE TO SUPPORT YOU. 1691 01:15:21,931 --> 01:15:22,931 MM-HMM. 1692 01:15:22,931 --> 01:15:25,206 BUT MICHAEL ISN'T HERE, 1693 01:15:25,206 --> 01:15:28,206 SO I'M GUESSING HE'S NOT STICKING WITH THINGS ANYMORE. 1694 01:15:28,206 --> 01:15:30,862 SO THAT'S NOT A GOOD SIGN. 1695 01:15:30,862 --> 01:15:34,137 AND WHAT'S UP WITH THAT FINGER? 1696 01:15:34,137 --> 01:15:36,482 [ SIGHS ] I'M GONNA CRY. 1697 01:15:36,482 --> 01:15:39,068 I DON'T KNOW IF YOU KNOW THIS, BUT, LIKE, MICHAEL, 1698 01:15:39,068 --> 01:15:41,413 THROUGH THE NINE YEARS THAT WE WERE TOGETHER, 1699 01:15:41,413 --> 01:15:44,896 HE WAS VERBALLY AND MENTALLY AND EMOTIONALLY ABUSIVE TO ME 1700 01:15:44,896 --> 01:15:47,068 AND TO THE KIDS. 1701 01:15:47,068 --> 01:15:49,344 AND FRIDAY, WE GOT INTO A BIG ARGUMENT, 1702 01:15:49,344 --> 01:15:53,103 AND HE WENT TO THE RESTROOM, AND HE WAS, LIKE, YELLING, 1703 01:15:53,103 --> 01:15:55,000 CALLING ME NAMES AND EVERYTHING. 1704 01:15:55,000 --> 01:15:57,137 I PUSHED OPEN THE DOOR, 1705 01:15:57,137 --> 01:16:02,931 AND HE SLAMMED THE DOOR SO HARD THAT I LOST A FINGER. 1706 01:16:02,931 --> 01:16:05,724 ♪♪ 1707 01:16:05,724 --> 01:16:09,241 THAT'S A LOT OF EMOTION AND PHYSICAL TRAUMA, HUH? 1708 01:16:09,241 --> 01:16:10,413 YEAH. 1709 01:16:10,413 --> 01:16:13,172 YEAH, WE'RE NO LONGER OBVIOUSLY TOGETHER. 1710 01:16:13,172 --> 01:16:14,413 HE'S NOT AT THE HOUSE. 1711 01:16:14,413 --> 01:16:18,206 AND YOU'RE STAYING STRONG AND POSITIVE? 1712 01:16:18,206 --> 01:16:20,275 I'M TRYING TO, BUT IT'S JUST ME AND THE KIDS NOW, AND -- 1713 01:16:20,275 --> 01:16:24,689 SO HOW THEY ARE DEALING WITH THAT ISSUE, TOO? 1714 01:16:24,689 --> 01:16:25,931 THEY'RE NOT DEALING REALLY GOOD, 1715 01:16:25,931 --> 01:16:28,448 BUT THEY DON'T REALLY SHOW IT AS MUCH AS I DO, 1716 01:16:28,448 --> 01:16:30,379 BECAUSE I JUST FEEL BAD, YOU KNOW, 1717 01:16:30,379 --> 01:16:32,000 BECAUSE I PUT THEM THROUGH THIS 1718 01:16:32,000 --> 01:16:34,793 WHEN I SHOULD'VE LEFT A LONG TIME AGO. 1719 01:16:34,793 --> 01:16:36,965 WELL, I'M VERY SORRY THAT HAPPENED 1720 01:16:36,965 --> 01:16:39,931 AND THAT ALL OF YOU ARE DEALING WITH THIS. 1721 01:16:39,931 --> 01:16:42,482 MICHAEL HAS BEEN REFUSING PSYCHOTHERAPY 1722 01:16:42,482 --> 01:16:44,103 FOR HIS ANGER ISSUES, 1723 01:16:44,103 --> 01:16:47,862 AND IT SEEMS HE'S CONTINUING ON A SELF DESTRUCTIVE PATH 1724 01:16:47,862 --> 01:16:50,413 THAT IS NOT GONNA END WELL FOR HIM. 1725 01:16:50,413 --> 01:16:52,275 YOU PROBABLY WON'T SEE MIKE ANYMORE. 1726 01:16:52,275 --> 01:16:53,862 I AGREE WITH THAT. 1727 01:16:53,862 --> 01:16:56,586 AND SO HE'S DONE WITH THE WEIGHT-LOSS PROGRAM, 1728 01:16:56,586 --> 01:17:00,965 AND THE FOCUS NOW IS ON GETTING YOU TO WHERE YOU NEED. 1729 01:17:00,965 --> 01:17:01,793 OKAY. 1730 01:17:01,793 --> 01:17:05,344 SO, WHAT WAS DONE TO IT? 1731 01:17:05,344 --> 01:17:08,620 I HAD TO BE RUSHED TO THE TRAUMA CENTER IN BELMONT, 1732 01:17:08,620 --> 01:17:13,275 AND THEY COULDN'T SAVE IT. 1733 01:17:13,275 --> 01:17:15,689 IT HAD COMPLETELY BROKEN OFF ON THE DOOR, 1734 01:17:15,689 --> 01:17:18,103 MY BONE AND EVERYTHING. 1735 01:17:18,103 --> 01:17:19,551 SO I HAVE TROUBLE RIGHT NOW 1736 01:17:19,551 --> 01:17:21,000 BECAUSE I CAN'T CHANGE THE BANDAGE 1737 01:17:21,000 --> 01:17:23,689 BECAUSE THE BANDAGE IS STUCK TO MY FINGER 1738 01:17:23,689 --> 01:17:25,827 AND I CAN'T GET IT OFF. 1739 01:17:25,827 --> 01:17:26,827 -OKAY. -IT JUST HURTS. 1740 01:17:26,827 --> 01:17:28,241 WE'LL TAKE CARE OF IT. 1741 01:17:28,241 --> 01:17:31,758 ALL RIGHT, LET ME GET SOME STUFF AND CHECK YOUR BANDAGES, OKAY? 1742 01:17:31,758 --> 01:17:32,724 OKAY. 1743 01:17:32,724 --> 01:17:36,344 ♪♪ 1744 01:17:36,344 --> 01:17:39,103 IT'S GONNA HURT. 1745 01:17:39,103 --> 01:17:41,586 I'M SO SCARED. 1746 01:17:41,586 --> 01:17:45,448 [ SIGHS ] 1747 01:17:45,448 --> 01:17:47,620 ALL RIGHT. 1748 01:17:47,620 --> 01:17:49,931 I'M SO SCARED 'CAUSE, LIKE, IT HURTS SO BAD. 1749 01:17:49,931 --> 01:17:58,310 ♪♪ 1750 01:17:58,310 --> 01:18:00,655 IT'S JUST THAT PART THAT'S STUCK. 1751 01:18:00,655 --> 01:18:04,448 [ SOBBING ] 1752 01:18:04,448 --> 01:18:06,655 SO, NOW THIS. 1753 01:18:06,655 --> 01:18:07,965 IT'S NOT GONNA BURN? 1754 01:18:07,965 --> 01:18:12,310 NO. 1755 01:18:12,310 --> 01:18:16,172 OKAY? 1756 01:18:16,172 --> 01:18:21,689 I DON'T WANT TO LOOK AT IT. 1757 01:18:21,689 --> 01:18:25,241 THIS PART, JUST PUT SOME OINTMENT ON IT 1758 01:18:25,241 --> 01:18:28,379 AND SOAK IT, WILL COME OFF. 1759 01:18:28,379 --> 01:18:30,896 THIS IS NON-STICKING GAUZE ONLY. 1760 01:18:30,896 --> 01:18:32,379 OKAY. [ SNIFFLES ] 1761 01:18:32,379 --> 01:18:36,068 AND KEEP IT THAT WAY SO IT WON'T GET SWELLING. 1762 01:18:36,068 --> 01:18:38,241 KEEP EXERCISING IT. -OKAY. 1763 01:18:38,241 --> 01:18:40,275 AND IF YOU HAVE ANY PROBLEM, CALL. 1764 01:18:40,275 --> 01:18:42,413 BUT I THINK YOU'LL MANAGE OKAY. 1765 01:18:42,413 --> 01:18:43,413 YEAH, I THINK SO, TOO. 1766 01:18:43,413 --> 01:18:45,068 AND I WANT TO MAKE SURE 1767 01:18:45,068 --> 01:18:47,482 THAT YOU KEEP GOING TO PSYCHOTHERAPY RIGHT NOW 1768 01:18:47,482 --> 01:18:49,413 EVEN WITH ALL THIS GOING ON 1769 01:18:49,413 --> 01:18:52,448 BECAUSE IF YOU DON'T DEAL WITH YOUR EMOTION AND TRAUMA, 1770 01:18:52,448 --> 01:18:54,758 THEN YOU WILL START USING FOOD AGAIN, OKAY? 1771 01:18:54,758 --> 01:18:56,103 MM-HMM. 1772 01:18:56,103 --> 01:18:59,103 ALL RIGHT, KEEP UP THE GOOD WORK AND IF YOU STAY ON TRACK, 1773 01:18:59,103 --> 01:19:02,103 WE CAN DISCUSS EXCESS SKIN REMOVAL HERE SOON, 1774 01:19:02,103 --> 01:19:03,724 AND I WILL SEE YOU IN A COUPLE WEEKS 1775 01:19:03,724 --> 01:19:05,551 SO I CAN CHECK ON YOUR FINGER. 1776 01:19:05,551 --> 01:19:06,551 THANK YOU SO MUCH, DOCTOR. 1777 01:19:06,551 --> 01:19:08,000 ALL RIGHT, SEE YOU THEN. 1778 01:19:08,000 --> 01:19:13,689 ♪♪ 1779 01:19:13,689 --> 01:19:15,241 DOES YOUR FINGER FEEL BETTER? 1780 01:19:15,241 --> 01:19:19,206 IT DOES. IT FEELS CLEANER NOW, TOO. 1781 01:19:19,206 --> 01:19:21,241 Dr. Now: I THINK RONI IS DOING WELL, 1782 01:19:21,241 --> 01:19:24,241 ESPECIALLY CONSIDERING EVERYTHING SHE HAS GOING ON 1783 01:19:24,241 --> 01:19:25,965 IN HER LIFE RIGHT NOW. 1784 01:19:25,965 --> 01:19:29,068 AND IT'S NOT ONLY UNFORTUNATE THE CHOICE MICHAEL HAS MADE 1785 01:19:29,068 --> 01:19:32,000 AND HOW IT'S LEADING HIM TO A PLACE 1786 01:19:32,000 --> 01:19:34,896 WHERE HE LIKELY WON'T BE ABLE TO SURVIVE LONG, 1787 01:19:34,896 --> 01:19:37,482 BUT FOR THE EFFECT AND DAMAGE IT'S DOING 1788 01:19:37,482 --> 01:19:39,758 TO HIS FAMILY, AS WELL. 1789 01:19:39,758 --> 01:19:42,551 BUT I'M CONFIDENT RONI WILL KEEP DOING WHAT SHE NEEDS 1790 01:19:42,551 --> 01:19:44,172 TO STAY ON TRACK 1791 01:19:44,172 --> 01:19:48,379 AND THAT WE CAN GET HER TO HER TARGET WEIGHT HERE SOON. 1792 01:19:48,379 --> 01:19:52,000 LET'S GO. 1793 01:19:52,000 --> 01:19:53,758 Roni: IT WAS A RELIEF TO TELL SOMEONE 1794 01:19:53,758 --> 01:19:55,965 ABOUT WHAT HAPPENED WITH MICHAEL. 1795 01:19:55,965 --> 01:19:59,275 IT'S BEEN JUST BETWEEN THE KIDS AND ME. 1796 01:19:59,275 --> 01:20:01,482 I DON'T KNOW WHAT'S GONNA HAPPEN NOW. 1797 01:20:01,482 --> 01:20:03,758 I DON'T KNOW WHERE MICHAEL WENT, 1798 01:20:03,758 --> 01:20:06,379 AND I DON'T KNOW WHAT WE NEED TO DO AT THIS POINT, 1799 01:20:06,379 --> 01:20:08,586 BUT I KNOW I CAN'T LET THIS STOP ALL THIS PROGRESS I'VE MADE 1800 01:20:15,172 --> 01:20:25,137 ♪♪ 1801 01:20:25,137 --> 01:20:32,000 ♪♪ 1802 01:20:32,000 --> 01:20:33,689 Kirsten: I'VE BEEN HOME AND BACK WITH MY FAMILY 1803 01:20:33,689 --> 01:20:36,379 FOR A COUPLE MONTHS NOW, 1804 01:20:36,379 --> 01:20:37,965 AND IT'S BEEN GREAT. 1805 01:20:37,965 --> 01:20:41,482 BEING WITH MY KIDS AND MY PARENTS AGAIN HAS BEEN AMAZING, 1806 01:20:41,482 --> 01:20:43,689 AND I FEEL LIKE I'M MAKING GOOD PROGRESS STILL. 1807 01:20:43,689 --> 01:20:45,103 I DON'T KNOW MY WEIGHT 1808 01:20:45,103 --> 01:20:48,482 BECAUSE I DON'T HAVE A DOCTOR UP HERE YET, 1809 01:20:48,482 --> 01:20:50,068 BUT MY CLOTHES ARE GETTING BAGGIER AND BAGGIER, 1810 01:20:50,068 --> 01:20:53,103 SO I FIGURE THAT MEANS I'M DOING WELL. 1811 01:20:53,103 --> 01:20:54,827 RIGHT NOW, WE'RE SETTING UP TO THROW A PARTY 1812 01:20:54,827 --> 01:20:57,689 FOR MY DAUGHTER, 1813 01:20:57,689 --> 01:20:59,482 AND IT'S REALLY IMPORTANT TO ME THAT I'M HERE 1814 01:20:59,482 --> 01:21:03,000 AND I'M ABLE TO DO THIS. 1815 01:21:03,000 --> 01:21:05,379 Neiko: TWO YEARS AGO, MY MOM WOULDN'T HAVE EVEN BEEN INVOLVED 1816 01:21:05,379 --> 01:21:06,862 WITH THIS BIRTHDAY. 1817 01:21:06,862 --> 01:21:08,827 I WOULD HAVE HAD TO DO EVERYTHING. 1818 01:21:08,827 --> 01:21:10,965 I FEEL LIKE I HAVE A WHOLE NEW MOM. 1819 01:21:10,965 --> 01:21:14,172 SHE CAN GET UP AND DO MORE STUFF. 1820 01:21:14,172 --> 01:21:16,586 Kirsten: TWO YEARS AGO, I WOULDN'T EVEN HAVE BEEN ABLE 1821 01:21:16,586 --> 01:21:18,000 TO THINK ABOUT GETTING UP 1822 01:21:18,000 --> 01:21:20,000 AND HELPING WITH SOMETHING LIKE THIS. 1823 01:21:20,000 --> 01:21:28,965 ♪♪ 1824 01:21:28,965 --> 01:21:31,068 [ SIGHS ] 1825 01:21:31,068 --> 01:21:35,655 BUT I'M REALLY HAPPY AND EXCITED RIGHT NOW. 1826 01:21:35,655 --> 01:21:39,655 AND MY PLAN IS TO STICK TO THE DIET AND KEEP LOSING WEIGHT. 1827 01:21:39,655 --> 01:21:42,275 AND IN A FEW MONTHS, I WANT TO GO BACK DOWN TO HOUSTON 1828 01:21:42,275 --> 01:21:44,620 AND SHOW DR. NOW MY PROGRESS 1829 01:21:44,620 --> 01:21:49,551 AND SEE IF HE'LL LET ME GET SKIN REMOVAL THEN. 1830 01:21:49,551 --> 01:21:52,827 AND I'M HOPING IF I WORKED HARD AND LOST A LOT OF WEIGHT, 1831 01:21:52,827 --> 01:21:55,482 HE'D LET ME DO THAT. 1832 01:21:55,482 --> 01:21:58,068 I'LL JUST HAVE TO WAIT AND SEE. 1833 01:21:58,068 --> 01:21:59,344 BUT EVEN IF HE DOESN'T SAY YES, 1834 01:21:59,344 --> 01:22:02,241 I'M GLAD I'M BACK WITH MY FAMILY. 1835 01:22:02,241 --> 01:22:04,103 AND IT'S BEEN GREAT SHOWING THEM ALL MY PROGRESS 1836 01:22:04,103 --> 01:22:07,620 AND HOW FAR I'VE COME. 1837 01:22:07,620 --> 01:22:12,758 AND I KNOW THEY'RE IMPRESSED BY THAT. 1838 01:22:12,758 --> 01:22:15,344 HEY, HAPPY BIRTHDAY! 1839 01:22:15,344 --> 01:22:16,344 HEY. 1840 01:22:16,344 --> 01:22:18,517 Cris: IT'S THE BIRTHDAY GIRL. 1841 01:22:18,517 --> 01:22:21,862 ♪♪ 1842 01:22:21,862 --> 01:22:24,862 OH, MY GOD, I HAVEN'T SEEN YOU IN SO LONG. 1843 01:22:24,862 --> 01:22:26,517 YOU LOOK AWESOME. -THANK YOU. 1844 01:22:26,517 --> 01:22:28,310 Kirsten: SO I'M REALLY HAPPY RIGHT NOW, 1845 01:22:28,310 --> 01:22:32,379 AND I'M OPTIMISTIC THAT I CAN KEEP DOING THIS. 1846 01:22:32,379 --> 01:22:33,793 AND I CAN MAKE MORE PROGRESS 1847 01:22:33,793 --> 01:22:37,172 RIGHT HERE AT HOME LIKE I NEED. 1848 01:22:37,172 --> 01:22:39,724 I DON'T KNOW WHAT THE FUTURE HOLDS, 1849 01:22:39,724 --> 01:22:42,793 BUT I DO KNOW I'M HAPPY TO BE HERE WITH MY FAMILY. 1850 01:22:42,793 --> 01:22:45,793 ♪ HAPPY BIRTHDAY TO YOU ♪ 1851 01:22:45,793 --> 01:22:50,137 [ ALL CHEERING ] 1852 01:22:50,137 --> 01:22:56,344 ♪♪ 1853 01:22:56,344 --> 01:22:58,172 -READY? -YEAH. 1854 01:22:58,172 --> 01:23:00,068 GO AHEAD. 1855 01:23:00,068 --> 01:23:02,931 Roni: TODAY, WE ARE MOVING A LOT OF OUR STUFF TO STORAGE. 1856 01:23:02,931 --> 01:23:04,310 I HAVE MOVERS COMING, 1857 01:23:04,310 --> 01:23:06,000 AND THEY'RE GONNA COME GET IT AND PUT IT IN STORAGE 1858 01:23:06,000 --> 01:23:09,413 BECAUSE WE ARE MOVING BACK TO ARIZONA 1859 01:23:09,413 --> 01:23:13,379 BECAUSE I FILED FOR DIVORCE WITH MICHAEL. 1860 01:23:13,379 --> 01:23:16,482 ORIGINALLY, THE PLAN WAS WE WERE GONNA STAY 1861 01:23:16,482 --> 01:23:18,827 FOR DANIEL TO GRADUATE HIGH SCHOOL, 1862 01:23:18,827 --> 01:23:21,586 BUT ME AND DANIEL, WE AGREED THAT IT WAS THE BEST THING 1863 01:23:21,586 --> 01:23:26,103 FOR US TO GO BACK. 1864 01:23:26,103 --> 01:23:29,551 DJ: LEAVING MY DAD HERE I THINK IS THE BEST 1865 01:23:29,551 --> 01:23:31,517 FOR THE SITUATION WE'RE IN. 1866 01:23:31,517 --> 01:23:33,241 -I GOT IT. -GO. 1867 01:23:33,241 --> 01:23:35,379 -QUIT! -[ LAUGHS ] 1868 01:23:35,379 --> 01:23:36,758 Roni: THE KIDS ARE, LIKE, GREAT. 1869 01:23:36,758 --> 01:23:38,034 EVERY TIME D.J. SEES ME CRYING, 1870 01:23:38,034 --> 01:23:39,862 LIKE, HE'LL STOP WHATEVER HE'S DOING 1871 01:23:39,862 --> 01:23:42,206 JUST TO COME AND MAKE SURE THAT I'M OKAY. 1872 01:23:42,206 --> 01:23:45,172 BRIANA THE SAME WAY. LIKE, THEY'RE BY MY SIDE. 1873 01:23:45,172 --> 01:23:46,517 THEY STILL LOVE MIKE, TOO, 1874 01:23:46,517 --> 01:23:50,551 BUT THEY'RE REALLY ANGRY ABOUT THE WHOLE SITUATION, TOO. 1875 01:23:50,551 --> 01:23:53,758 I'M JUST TRYING TO HURRY UP AND GET BACK TO ARIZONA, 1876 01:23:53,758 --> 01:23:58,931 WHERE I HAVE SOME FAMILY SUPPORT. 1877 01:23:58,931 --> 01:24:01,206 I'M NOT HAPPY THAT, YOU KNOW, 1878 01:24:01,206 --> 01:24:02,827 THINGS WORKED OUT BETWEEN ME AND MICHAEL, 1879 01:24:02,827 --> 01:24:04,620 BECAUSE I LOVE HIM, AND I WILL ALWAYS LOVE HIM, 1880 01:24:04,620 --> 01:24:07,344 BUT OUR RELATIONSHIP IS NOT GOOD, 1881 01:24:07,344 --> 01:24:10,310 SO I HAD TO, YOU KNOW, VENTURE OFF AND DO MY OWN THING 1882 01:24:10,310 --> 01:24:13,793 AND GET HEALTHY FOR MYSELF. 1883 01:24:13,793 --> 01:24:16,206 I DID TELL DR. NOW, 1884 01:24:16,206 --> 01:24:19,103 AND HE SAID HE COMPLETELY UNDERSTANDS 1885 01:24:19,103 --> 01:24:21,172 AND THAT I HAVE HIS SUPPORT 1886 01:24:21,172 --> 01:24:25,068 AND THAT HE KNOWS I'M NOT GOING INTO AN ENVIRONMENT THAT IS BAD 1887 01:24:25,068 --> 01:24:26,724 OR THAT ENABLES ME. 1888 01:24:26,724 --> 01:24:29,103 IN FACT, IT'S THE OPPOSITE. 1889 01:24:29,103 --> 01:24:32,482 THOUGH HE SAID AS LONG AS I FLY BACK FOR MY APPOINTMENTS, 1890 01:24:32,482 --> 01:24:36,000 HE WILL CONTINUE TO WORK WITH ME. 1891 01:24:36,000 --> 01:24:38,551 AND LOLA SAID SHE'S WILLING TO DO OUR APPOINTMENTS 1892 01:24:38,551 --> 01:24:42,034 OVER THE PHONE IF THAT'S WHAT I NEED. 1893 01:24:42,034 --> 01:24:45,448 SO I FEEL REALLY GOOD RIGHT NOW TO HAVE ALL THIS SUPPORT. 1894 01:24:45,448 --> 01:24:47,206 I THINK WITH THE WEIGHT-LOSS JOURNEY, 1895 01:24:47,206 --> 01:24:49,413 LIKE, IT DID MAKE ME STRONGER IN DEALING WITH THE RELATIONSHIP. 1896 01:24:49,413 --> 01:24:52,000 IT MADE ME FEEL MORE CONFIDENT. 1897 01:24:52,000 --> 01:24:55,103 IT FEELS GOOD TO BE INDEPENDENT. 1898 01:24:55,103 --> 01:24:59,310 LIKE, I'VE NEVER DRIVEN A MOVING TRUCK, BUT, YOU KNOW, I DID IT. 1899 01:24:59,310 --> 01:25:01,103 DJ: I'M EXTREMELY PROUD OF MY MOM 1900 01:25:01,103 --> 01:25:04,862 NOT ONLY FOR LOSING WEIGHT BUT FOR THE INDEPENDENCE SHE HAS. 1901 01:25:04,862 --> 01:25:06,896 TAKE THAT TV, THIS CRATE. 1902 01:25:06,896 --> 01:25:08,655 Roni: I JUST WANT TO KEEP LOSING WEIGHT 1903 01:25:08,655 --> 01:25:11,172 AND JUST, YOU KNOW, FEELING BETTER ABOUT MYSELF. 1904 01:25:11,172 --> 01:25:12,758 I THINK THE WAY I'M GONNA MAKE SURE 1905 01:25:12,758 --> 01:25:14,896 THAT I'M NOT GONNA FALL BACK INTO OLD EATING HABITS 1906 01:25:14,896 --> 01:25:17,413 IS JUST KEEP MY MIND STRONG AND JUST KEEP GOING 1907 01:25:17,413 --> 01:25:18,793 AND DOING WHAT I'M DOING NOW. 1908 01:25:18,793 --> 01:25:22,172 SO I FEEL LIKE I'M GONNA DO GOOD WITH THAT. 1909 01:25:22,172 --> 01:25:23,827 I'M GOING BACK TO MY OLD LIFE IN ARIZONA, 1910 01:25:23,827 --> 01:25:26,827 BUT IT'S NOT REALLY MY OLD LIFE BECAUSE IT'S MY NEW LIFE NOW, 1911 01:25:26,827 --> 01:25:28,517 BECAUSE IT'S GONNA BE WITHOUT MIKE. 1912 01:25:28,517 --> 01:25:29,931 IT'S NOT EVEN A NEW CHAPTER. 1913 01:25:29,931 --> 01:25:31,793 LIKE, I'M, LIKE, LITERALLY ENDING THIS BOOK, 1914 01:25:31,793 --> 01:25:32,448 AND I'M STARTING A WHOLE NEW BOOK.