"My 600-lb Life: Where Are They Now?" James and Cynthia

1 00:00:07,570 --> 00:00:12,050 WOMAN 1: Some days I feel like a ticking time bomb. 2 00:00:12,050 --> 00:00:13,710 WOMAN 2: I'm just horrified by what I look like. 3 00:00:13,710 --> 00:00:16,170 It's just a blob of fat. 4 00:00:16,170 --> 00:00:19,310 WOMAN 3: When I look in the mirror, I see a monster. 5 00:00:19,310 --> 00:00:21,870 I have to be cleaned outside like an animal. 6 00:00:21,870 --> 00:00:24,030 And it's very embarrassing. 7 00:00:26,830 --> 00:00:29,070 WOMAN 2: I know I don't have much time left 8 00:00:29,070 --> 00:00:31,160 if I don't take drastic action. 9 00:00:31,160 --> 00:00:32,130 I love you. 10 00:00:32,130 --> 00:00:33,580 ALL: Love you too. 11 00:00:35,000 --> 00:00:41,074 Watch Online Movies and Series for FREE www.osdb.link/lm 12 00:00:44,790 --> 00:00:48,250 WOMAN 4: I feel like I'm taking back control of my life. 13 00:00:48,250 --> 00:00:49,990 WOMAN 2: It just gives me motivation to move forward 14 00:00:49,990 --> 00:00:51,610 to know that I can do this. 15 00:00:51,610 --> 00:00:53,110 MAN 1: I feel great. 16 00:00:53,110 --> 00:00:54,240 Every day is something new. 17 00:00:58,290 --> 00:01:00,150 WOMAN 5: I've got a new life, and I can't wait 18 00:01:00,150 --> 00:01:02,630 to see where it takes me next. 19 00:01:02,630 --> 00:01:05,490 WOMAN 6: I'm thankful and excited about the future. 20 00:01:05,490 --> 00:01:06,720 MAN 2: I've got my life back. 21 00:01:06,720 --> 00:01:08,310 And I'm never giving it back up. 22 00:01:11,960 --> 00:01:13,230 JAMES: I know I'm making progress now, 23 00:01:13,230 --> 00:01:15,260 and that's all I want to do is keep on making more progress. 24 00:01:19,000 --> 00:01:21,960 [MUSIC PLAYING] 25 00:01:25,420 --> 00:01:27,980 JAMES (VOICEOVER): I'm just in so much pain. 26 00:01:27,980 --> 00:01:32,180 I'm not living life because I'm trapped in this bed all day. 27 00:01:32,180 --> 00:01:34,880 JAMES: I want to get up so bad, but I can't. 28 00:01:34,880 --> 00:01:37,800 It feels like my legs are starting to rot. 29 00:01:37,800 --> 00:01:39,860 And now I'm at a point where I don't even know 30 00:01:39,860 --> 00:01:41,060 if I'll be able to walk again. 31 00:01:44,880 --> 00:01:48,530 I just can't do anything for myself anymore. 32 00:01:48,530 --> 00:01:51,930 So I've got to depend completely on my girlfriend, Lisa, 33 00:01:51,930 --> 00:01:55,150 or my daughter, Bayley, to help me out. 34 00:01:55,150 --> 00:01:57,520 James cannot take care of himself at all. 35 00:01:57,520 --> 00:02:00,160 And it breaks my heart. 36 00:02:00,160 --> 00:02:02,000 They all have to cater to me. 37 00:02:02,000 --> 00:02:03,460 Ow, my leg. 38 00:02:03,460 --> 00:02:05,350 It's very humiliating. 39 00:02:05,350 --> 00:02:08,180 But food is what I live for. 40 00:02:08,180 --> 00:02:10,270 I can't really take it much longer. 41 00:02:10,270 --> 00:02:12,820 But he's bedridden, so I'm an enabler. 42 00:02:12,820 --> 00:02:15,290 I carry the food to him. 43 00:02:15,290 --> 00:02:16,920 But I don't know how to stop. 44 00:02:16,920 --> 00:02:18,490 JAMES (VOICEOVER): It's so important now for me 45 00:02:18,490 --> 00:02:22,050 to change my life, because I know if I don't, that I 46 00:02:22,050 --> 00:02:23,100 won't be around much longer. 47 00:02:29,540 --> 00:02:31,950 So what what do you think your weight is now? 48 00:02:31,950 --> 00:02:35,870 I want to guess around 750. 49 00:02:35,870 --> 00:02:38,950 OK, the only chance you've got is weight loss surgery. 50 00:02:38,950 --> 00:02:40,480 And for that, you need to come to Texas. 51 00:02:40,480 --> 00:02:41,180 OK? 52 00:02:47,080 --> 00:02:50,650 And I want to start you on 1,200 calorie a day, 53 00:02:50,650 --> 00:02:52,710 so when you get down here, I want 54 00:02:52,710 --> 00:02:54,360 you to be under 600 pounds. 55 00:02:54,360 --> 00:02:56,510 And if you are, I'll approve you for surgery. 56 00:03:01,870 --> 00:03:03,500 JAMES (VOICEOVER): My family got everything we're 57 00:03:03,500 --> 00:03:05,330 taking packed up last night. 58 00:03:05,330 --> 00:03:07,880 And now the fire department is going to take me to Houston. 59 00:03:07,880 --> 00:03:10,610 [GRUNT] But it's so painful to move. 60 00:03:10,610 --> 00:03:13,540 So doing something like this is going to hurt a lot. 61 00:03:13,540 --> 00:03:14,520 Oh! 62 00:03:14,520 --> 00:03:16,480 Oh my legs are stuck. 63 00:03:21,520 --> 00:03:23,570 Oh, man, that is so rough. 64 00:03:23,570 --> 00:03:26,920 We are fixing to be at the hospital. 65 00:03:26,920 --> 00:03:28,820 Oh, thank god. 66 00:03:28,820 --> 00:03:30,710 Keep your hands in, James! 67 00:03:30,710 --> 00:03:32,100 JAMES: Don't drop me! 68 00:03:32,100 --> 00:03:33,540 Don't drop me! 69 00:03:33,540 --> 00:03:34,760 No! 70 00:03:34,760 --> 00:03:36,140 DR. NOWZARADAN: Just looking at him, 71 00:03:36,140 --> 00:03:39,120 you can tell that he's in pretty bad state. 72 00:03:39,120 --> 00:03:41,510 His cellulitis is out of control, 73 00:03:41,510 --> 00:03:43,870 and he doesn't look to have lost any weight 74 00:03:43,870 --> 00:03:45,540 in the past four months. 75 00:03:45,540 --> 00:03:47,930 735 pounds. 76 00:03:47,930 --> 00:03:49,880 This is unacceptable. 77 00:03:49,880 --> 00:03:52,070 James need to take responsibility 78 00:03:52,070 --> 00:03:54,710 for his behavior, but his girlfriend 79 00:03:54,710 --> 00:03:56,420 has been enabling him. 80 00:03:56,420 --> 00:03:58,050 If we don't give him want he wants-- 81 00:03:58,050 --> 00:04:00,740 He can scream all he wants to. 82 00:04:00,740 --> 00:04:03,500 You are the one that, you've got him in this bed, 83 00:04:03,500 --> 00:04:07,880 and you're the one making his life miserable right now. 84 00:04:07,880 --> 00:04:10,910 If James and his family don't start to understand 85 00:04:10,910 --> 00:04:13,760 how dangerous his situation is, then he's 86 00:04:13,760 --> 00:04:15,450 not going to survive for long. 87 00:04:24,410 --> 00:04:27,400 [PAINFUL GRUNTS] 88 00:04:28,160 --> 00:04:29,690 JAMES (VOICEOVER): I'm really happy to be here 89 00:04:29,690 --> 00:04:30,980 and have all that over with. 90 00:04:30,980 --> 00:04:34,980 And now, I just want to focus on my weight loss. 91 00:04:34,980 --> 00:04:39,360 Dr. Now wants me to lose 85 pounds in two months. 92 00:04:39,360 --> 00:04:42,860 So I've worked really hard to exercise like he wanted me to. 93 00:04:42,860 --> 00:04:46,760 Changing my diet has been the bigger struggle though. 94 00:04:46,760 --> 00:04:48,090 I feel like I'm hardly eating. 95 00:04:54,290 --> 00:04:55,340 Now I'm starving. 96 00:04:55,340 --> 00:04:56,900 My head's hurting. 97 00:04:56,900 --> 00:04:58,070 What do you think you want? 98 00:04:58,070 --> 00:04:59,660 I have some fish. 99 00:04:59,660 --> 00:05:01,380 I don't want that [BLEEP]. 100 00:05:01,380 --> 00:05:03,600 Order me Chinese. 101 00:05:03,600 --> 00:05:05,150 Egg rolls and rice-- 102 00:05:05,150 --> 00:05:06,870 fried rice. 103 00:05:06,870 --> 00:05:10,410 This stuff is good. 104 00:05:10,410 --> 00:05:13,000 Today I'm going to visit James. 105 00:05:13,000 --> 00:05:16,750 I gave him a challenge to get under 600 pounds in two months, 106 00:05:16,750 --> 00:05:19,660 but he has not been back to see me since then. 107 00:05:19,660 --> 00:05:20,800 Diet's going great. 108 00:05:20,800 --> 00:05:21,910 I feel a lot looser. 109 00:05:21,910 --> 00:05:24,370 It doesn't look like you have lost weight. 110 00:05:24,370 --> 00:05:28,990 There is no way that James is eating only 800 calories a day, 111 00:05:28,990 --> 00:05:31,530 because he is bigger now than the day I met him. 112 00:05:36,910 --> 00:05:38,740 They way me when I got here. 113 00:05:38,740 --> 00:05:39,820 You've gained weight? 114 00:05:39,820 --> 00:05:41,170 A bunch. 115 00:05:41,170 --> 00:05:43,750 They said away 840 pounds now. 116 00:05:46,790 --> 00:05:48,740 You're eating yourself to death, 117 00:05:48,740 --> 00:05:50,010 and you don't want to quit that. 118 00:05:55,530 --> 00:05:58,110 We have you down to 786. 119 00:05:58,110 --> 00:06:01,700 So you need to lose 100 pound over next two months 120 00:06:01,700 --> 00:06:02,810 on your own. 121 00:06:02,810 --> 00:06:03,830 All right. 122 00:06:03,830 --> 00:06:05,960 If you don't, we are finished. 123 00:06:05,960 --> 00:06:07,850 This is your last chance. 124 00:06:07,850 --> 00:06:10,320 We always have hope for every patient. 125 00:06:10,320 --> 00:06:16,160 But he either chooses to do this, or he chooses to die. 126 00:06:16,160 --> 00:06:19,190 So you are 788 pound. 127 00:06:19,190 --> 00:06:23,460 You're still not losing weight, and your gaining again. 128 00:06:23,460 --> 00:06:25,670 I don't know what else we can do for you. 129 00:06:25,670 --> 00:06:29,030 I think the best thing for you is to go back to Kentucky. 130 00:06:29,030 --> 00:06:30,000 I'm done. 131 00:06:30,000 --> 00:06:33,770 If you want to be considered at all ever again, 132 00:06:33,770 --> 00:06:36,840 when you show up you need to be under 600 pound. 133 00:06:36,840 --> 00:06:38,480 LISA: OK. 134 00:06:38,480 --> 00:06:42,490 I am determined to prove that I'm gonna lose the weight. 135 00:06:56,570 --> 00:06:58,610 My last meeting with the doctor-- 136 00:06:58,610 --> 00:07:01,510 I don't think it went as good as I planned. 137 00:07:01,510 --> 00:07:05,080 The doctor was very upset with me, and he chewed me out. 138 00:07:05,080 --> 00:07:06,920 He told me that I need to reach a certain weight 139 00:07:06,920 --> 00:07:08,320 before I come back and see him. 140 00:07:08,320 --> 00:07:10,620 And, I don't know, it triggered something, and you know, 141 00:07:10,620 --> 00:07:15,030 it just wanted me to go and prove to him that I can do it. 142 00:07:15,030 --> 00:07:15,730 Lisa? 143 00:07:18,530 --> 00:07:19,930 Huh? 144 00:07:19,930 --> 00:07:21,760 I was going to do a little exercising. 145 00:07:21,760 --> 00:07:23,110 Fix this pillow. 146 00:07:23,110 --> 00:07:24,790 You don't look very comfortable. 147 00:07:27,610 --> 00:07:31,870 I was crushed by the doctor's appointment myself. 148 00:07:31,870 --> 00:07:35,830 But I think it kind of put the fear in me, too 149 00:07:35,830 --> 00:07:40,780 that he's got to do better than he did 150 00:07:40,780 --> 00:07:45,060 or he won't be here much longer. 151 00:07:45,060 --> 00:07:46,830 JAMES (VOICEOVER): My strategy over the past couple 152 00:07:46,830 --> 00:07:50,110 months is stay right within the guidelines of what the doctors 153 00:07:50,110 --> 00:07:55,060 said-- that's 800 calories, and exercise two to three times 154 00:07:55,060 --> 00:07:56,800 a day. 155 00:07:56,800 --> 00:07:59,290 My energy level's increase tremendously, 156 00:07:59,290 --> 00:08:01,450 because when I first started exercising I 157 00:08:01,450 --> 00:08:03,410 could do ten weight lifts. 158 00:08:03,410 --> 00:08:05,710 But now, I can do 100 one way and 100 the other way 159 00:08:05,710 --> 00:08:08,560 like it ain't nothing. 160 00:08:08,560 --> 00:08:10,000 I got these ready for you. 161 00:08:14,610 --> 00:08:17,530 I'll show you some real power. 162 00:08:17,530 --> 00:08:19,870 LISA (VOICEOVER): Since the last time James seen the doctor, 163 00:08:19,870 --> 00:08:23,520 I think he got in his head that he needed to lose the weight. 164 00:08:23,520 --> 00:08:26,260 And it's finally set in his mind that he's got to do this 165 00:08:26,260 --> 00:08:27,970 or he's gone die. 166 00:08:27,970 --> 00:08:31,900 It took a while, but he's been doing awesome. 167 00:08:31,900 --> 00:08:34,230 And I'd like to see him get the weight loss surgery. 168 00:08:37,000 --> 00:08:39,600 Burn, burn, burn. 169 00:08:39,600 --> 00:08:41,710 I know I'm making progress now, and that's all I want to do 170 00:08:41,710 --> 00:08:44,150 is keep on making more progress. 171 00:08:44,150 --> 00:08:46,760 And I'm looking forward to getting up, walking out 172 00:08:46,760 --> 00:08:47,860 this door, and getting in the car 173 00:08:47,860 --> 00:08:51,130 and driving, because I want to get out and do things. 174 00:08:51,130 --> 00:08:52,780 I want to enjoy life. 175 00:08:52,780 --> 00:08:54,550 It's going to take a little bit more hard work, 176 00:08:54,550 --> 00:08:55,900 but I know I'm on the right path. 177 00:09:03,560 --> 00:09:06,170 CYNTHIA (VOICEOVER): Every day I'm just praying that this body 178 00:09:06,170 --> 00:09:07,790 doesn't give out. 179 00:09:07,790 --> 00:09:09,570 My ankles are swollen. 180 00:09:09,570 --> 00:09:11,980 My knees are constantly in pain. 181 00:09:11,980 --> 00:09:15,580 I'm completely trapped in this body, and I hate it. 182 00:09:21,010 --> 00:09:23,650 I'm a single mother of five children, 183 00:09:23,650 --> 00:09:27,300 and my weight has become a burden to my family. 184 00:09:27,300 --> 00:09:28,000 Ukiah? 185 00:09:31,600 --> 00:09:34,600 I want to be there for my kids, but I just can't 186 00:09:34,600 --> 00:09:36,810 physically do that anymore. 187 00:09:36,810 --> 00:09:38,600 It scares me. 188 00:09:38,600 --> 00:09:41,980 While she tries not to be lazy, she tries to do a lot. 189 00:09:41,980 --> 00:09:44,600 But she can't. 190 00:09:44,600 --> 00:09:45,730 CYNTHIA (VOICEOVER): By the time I 191 00:09:45,730 --> 00:09:50,390 get to work I'm so physically wiped out, and I'm starving. 192 00:09:50,390 --> 00:09:52,170 All I want to do is eat. 193 00:09:52,170 --> 00:09:55,670 And when I give him, I get depressed. 194 00:09:55,670 --> 00:09:58,180 But I just can't stop eating. 195 00:09:58,180 --> 00:10:01,820 If I don't do something drastic, I'll die at an early age. 196 00:10:10,520 --> 00:10:13,310 My biggest fear is that he'll say that there's 197 00:10:13,310 --> 00:10:15,550 nothing he can do for me. 198 00:10:15,550 --> 00:10:18,890 I feel like this this is make or brake for me. 199 00:10:18,890 --> 00:10:23,280 But I have no idea what I'm about to learn about myself. 200 00:10:23,280 --> 00:10:25,530 If you want to be around for your kids, 201 00:10:25,530 --> 00:10:29,100 you need to start making changes now. 202 00:10:29,100 --> 00:10:32,290 I want you to lose 30 pounds in one month. 203 00:10:32,290 --> 00:10:34,200 And if you can make these changes, 204 00:10:34,200 --> 00:10:37,450 weight loss surgery could be an option for you down the road. 205 00:10:37,450 --> 00:10:38,610 OK. 206 00:10:38,610 --> 00:10:40,570 I know it will be tough. 207 00:10:40,570 --> 00:10:43,500 But this is my time to change. 208 00:10:43,500 --> 00:10:44,980 That's one. 209 00:10:44,980 --> 00:10:48,050 It's been a couple of weeks since that same Dr. Now, 210 00:10:48,050 --> 00:10:51,800 and I'm doing my best to follow his plans. 211 00:10:51,800 --> 00:10:54,450 But with five kids, and all their activities, 212 00:10:54,450 --> 00:10:58,720 there's just no time to do anything but get fast food. 213 00:10:58,720 --> 00:11:01,860 But I am trying to eat less. 214 00:11:01,860 --> 00:11:03,960 Cynthia has made some progress, 215 00:11:03,960 --> 00:11:07,320 but she's still letting circumstances in her life 216 00:11:07,320 --> 00:11:09,800 dictate her eating habits. 217 00:11:09,800 --> 00:11:11,880 I want you to lose another 30 pounds 218 00:11:11,880 --> 00:11:13,610 like you were supposed to. 219 00:11:13,610 --> 00:11:15,800 If you do, I'll approve you for surgery. 220 00:11:20,250 --> 00:11:22,810 CYNTHIA (VOICEOVER): It's been a hard couple of weeks. 221 00:11:22,810 --> 00:11:25,470 And now I'm feeling sick and run down. 222 00:11:25,470 --> 00:11:29,620 But I'm just trying to get through one day at a time. 223 00:11:29,620 --> 00:11:32,790 I'm worried I didn't hit my goal again. 224 00:11:32,790 --> 00:11:35,370 We got a serious problem with you. 225 00:11:35,370 --> 00:11:39,240 You need to lose the 30 pounds if you want this chance. 226 00:11:39,240 --> 00:11:40,750 You're doing it for your kids. 227 00:11:40,750 --> 00:11:42,180 So keep going in that direction. 228 00:11:42,180 --> 00:11:44,840 But my kids look at me every [BLEEP] night, 229 00:11:44,840 --> 00:11:46,190 mama, what's for dinner? 230 00:11:46,190 --> 00:11:49,160 Sometimes I don't have a [BLEEP] answer. 231 00:11:49,160 --> 00:11:52,070 Although I don't completely agree with Dr. Nowzaradan, 232 00:11:52,070 --> 00:11:54,030 I don't want to lose this opportunity. 233 00:11:54,030 --> 00:11:57,710 So I've decided to work even harder to do this. 234 00:11:57,710 --> 00:12:01,130 I'm really nervous to find out what my progress, 235 00:12:01,130 --> 00:12:04,810 but I worked harder than I ever have. 236 00:12:04,810 --> 00:12:06,590 You are making good progress, and I 237 00:12:06,590 --> 00:12:08,240 think you're going to be a candidate 238 00:12:08,240 --> 00:12:09,560 for weight loss surgery, OK? 239 00:12:16,310 --> 00:12:17,050 I love ya. 240 00:12:17,050 --> 00:12:19,300 ALL: Love you too. 241 00:12:19,300 --> 00:12:22,060 CYNTHIA (VOICEOVER): I'm so glad this day has finally come. 242 00:12:22,060 --> 00:12:24,940 I know this is going to be one of the most significant 243 00:12:24,940 --> 00:12:27,550 turning points in my life. 244 00:12:27,550 --> 00:12:29,720 DR. NOWZARADAN: Today, we are attempting to perform 245 00:12:29,720 --> 00:12:32,590 a gastrectomy on Cynthia. 246 00:12:32,590 --> 00:12:35,320 This surgery will help to prevent her 247 00:12:35,320 --> 00:12:39,580 from turning to food, but if she doesn't deal with her deeper 248 00:12:39,580 --> 00:12:42,310 issues, it's only a matter of time 249 00:12:42,310 --> 00:12:45,620 before she turns back to it. 250 00:12:45,620 --> 00:12:46,650 I don't want to hurt nothing. 251 00:12:46,650 --> 00:12:48,040 CYNTHIA: I'm good. 252 00:12:48,040 --> 00:12:51,610 I've lost all cravings for food, and it's a completely 253 00:12:51,610 --> 00:12:54,970 unfamiliar sensation to me. 254 00:12:54,970 --> 00:12:57,230 It's been 10 days since my surgery. 255 00:12:57,230 --> 00:12:59,670 And I have to get back to my kids. 256 00:12:59,670 --> 00:13:01,820 - You're OK to go back. - OK. 257 00:13:01,820 --> 00:13:03,840 But I'm arranging for you to seeing 258 00:13:03,840 --> 00:13:06,310 a therapist in Oklahoma City. - OK. 259 00:13:06,310 --> 00:13:09,440 Because I want you to be successful long term. 260 00:13:09,440 --> 00:13:10,420 What brought you here. 261 00:13:10,420 --> 00:13:14,350 My doc wants his patients to see a therapist, 262 00:13:14,350 --> 00:13:19,000 but I just don't see a need for me to come to therapy. 263 00:13:19,000 --> 00:13:22,840 I don't think that Cynthia is very receptive to therapy. 264 00:13:22,840 --> 00:13:25,480 She denies that her eating might connect 265 00:13:25,480 --> 00:13:28,340 with her emotional problems. 266 00:13:28,340 --> 00:13:30,710 CYNTHIA (VOICEOVER): I feel like this is a start of a new life. 267 00:13:30,710 --> 00:13:33,290 I've already missed out on doing so much. 268 00:13:33,290 --> 00:13:35,390 I don't want to waste another minute. 269 00:13:35,390 --> 00:13:37,280 And I've decided to stop trying to live 270 00:13:37,280 --> 00:13:41,510 up to everyone's expectations, including Dr. Now's. 271 00:13:41,510 --> 00:13:45,140 If he's pushing me for therapy, I don't need to see him. 272 00:13:45,140 --> 00:13:46,800 I just think I have to do it on my own. 273 00:14:01,180 --> 00:14:02,620 It's been a little over six months 274 00:14:02,620 --> 00:14:05,110 since I had my weight loss surgery. 275 00:14:05,110 --> 00:14:08,410 And I'm still working hard to make progress. 276 00:14:08,410 --> 00:14:11,460 But losing around 160 pounds already 277 00:14:11,460 --> 00:14:14,720 has made a big change in my life. 278 00:14:14,720 --> 00:14:19,640 And I am probably the happiest I've been in a long time. 279 00:14:19,640 --> 00:14:22,300 And I can tell I'm losing more each day, 280 00:14:22,300 --> 00:14:25,060 because my clothes got so baggy and I've had 281 00:14:25,060 --> 00:14:27,400 to buy a whole new wardrobe. 282 00:14:27,400 --> 00:14:29,710 And before my weight loss surgery, 283 00:14:29,710 --> 00:14:32,200 I was in pain to where I felt like I 284 00:14:32,200 --> 00:14:36,220 needed pain pill at least three days our of the week. 285 00:14:36,220 --> 00:14:39,510 Now, my mobility and me being able to get around 286 00:14:39,510 --> 00:14:40,220 has become easier. 287 00:14:46,240 --> 00:14:48,130 But I know that I'm working hard, 288 00:14:48,130 --> 00:14:50,030 so I expect to see results. 289 00:14:50,030 --> 00:14:53,950 If I don't see results, I think you it will worry me. 290 00:14:53,950 --> 00:14:55,940 So I'm getting to where I need. 291 00:14:55,940 --> 00:14:57,880 But there are still things that remind me 292 00:14:57,880 --> 00:15:00,560 that I have a long way to go. 293 00:15:00,560 --> 00:15:02,530 So I'm still working to lose more weight 294 00:15:02,530 --> 00:15:05,100 and sticking to the diet. 295 00:15:05,100 --> 00:15:08,070 And I'm resisting temptation, because I have five kids 296 00:15:08,070 --> 00:15:10,770 and it's not fair for them they have to do the diet I'm on. 297 00:15:13,520 --> 00:15:16,450 My kids are really at active, and none of them 298 00:15:16,450 --> 00:15:18,940 seem to be battling a weight issue. 299 00:15:18,940 --> 00:15:21,730 So I don't feel a need to change their diet. 300 00:15:21,730 --> 00:15:23,830 So they still pretty much eat the way 301 00:15:23,830 --> 00:15:26,510 that they've always eaten. 302 00:15:26,510 --> 00:15:29,520 So I get what I need for me, and what they want. 303 00:15:29,520 --> 00:15:31,830 FAST FOOD WORKER: Can I take your order, please? 304 00:15:31,830 --> 00:15:36,980 Could I have a scrambled egg and a sausage patty, 305 00:15:36,980 --> 00:15:39,880 and four sausage biscuit and hash brown? 306 00:15:39,880 --> 00:15:41,580 Thank you. FAST FOOD WORKER: Thank you. 307 00:15:44,430 --> 00:15:46,350 CYNTHIA (VOICEOVER): I know that I'm not losing weight 308 00:15:46,350 --> 00:15:49,020 at the rate that Doctor Now would like me to, 309 00:15:49,020 --> 00:15:51,400 but I have to be happy with my progress, 310 00:15:51,400 --> 00:15:53,610 no matter what anybody else thinks. 311 00:15:53,610 --> 00:15:57,000 So when I get there, I get there. 312 00:15:57,000 --> 00:16:00,210 And I don't want to be a small girl, because I have 313 00:16:00,210 --> 00:16:02,050 been a big girl all my life. 314 00:16:02,050 --> 00:16:05,850 So I don't necessarily see me as super small. 315 00:16:05,850 --> 00:16:09,150 I just want to be able to enjoy life and travel 316 00:16:09,150 --> 00:16:11,110 and keep up with my kids. 317 00:16:11,110 --> 00:16:13,530 But I don't think a happy Cynthia 318 00:16:13,530 --> 00:16:16,320 is going to be a size 12. 319 00:16:16,320 --> 00:16:19,170 But I embrace every pound that I lose. 320 00:16:19,170 --> 00:16:21,870 It's just, I'm not over-the-top, bubbly, jump 321 00:16:21,870 --> 00:16:23,640 up and down kind of person. 322 00:16:23,640 --> 00:16:25,220 I just kind of take it how comes, 323 00:16:25,220 --> 00:16:29,460 and when milestones happen, I accept them and move on. 324 00:16:29,460 --> 00:16:33,690 And the next major surgery with Dr. Nowzaradan is skin surgery. 325 00:16:33,690 --> 00:16:36,060 But I won't let myself get caught up 326 00:16:36,060 --> 00:16:39,780 in being consumed about that. 327 00:16:39,780 --> 00:16:42,550 I'm kind of like the tortoise-- slow and steady wins the race. 328 00:16:42,550 --> 00:16:45,240 I'll just do it at my pace. 329 00:16:45,240 --> 00:16:49,230 But my next appointment with Doctor Now is in a few months. 330 00:16:49,230 --> 00:16:52,770 And he wanted me to pick up the pace with my weight loss. 331 00:16:52,770 --> 00:16:55,080 But I can already do a lot more, and that's 332 00:16:55,080 --> 00:16:57,000 the big thing I wanted-- 333 00:16:57,000 --> 00:17:00,610 to be there for my kids and be a part of their lives. 334 00:17:00,610 --> 00:17:03,870 And I promised Ukiah I would come to her next dance recital, 335 00:17:03,870 --> 00:17:06,520 because I was too big to go last year. 336 00:17:06,520 --> 00:17:08,640 And I'm looking forward to being there in the stands 337 00:17:08,640 --> 00:17:10,470 and seeing her perform. 338 00:17:10,470 --> 00:17:13,690 It broke my heart that I couldn't do it last year. 339 00:17:13,690 --> 00:17:16,440 So I'm going to make sure I show her that I'm in a better place 340 00:17:16,440 --> 00:17:19,580 now, and how close I'm getting to being done 341 00:17:19,580 --> 00:17:20,690 with my weight loss journey. 342 00:17:33,020 --> 00:17:35,240 Today I'm going to see James, because Lisa 343 00:17:35,240 --> 00:17:39,830 called me and told me that James lost the weight he needs. 344 00:17:39,830 --> 00:17:43,120 And she wanted him to come back to the hospital. 345 00:17:43,120 --> 00:17:45,590 But obviously, I am skeptical. 346 00:17:45,590 --> 00:17:48,560 So I am going to go over and see him first. 347 00:17:48,560 --> 00:17:52,490 Instead of wasting a lot of people's time and resources 348 00:17:52,490 --> 00:17:55,550 to bring him back to the hospital to just find out that 349 00:17:55,550 --> 00:17:57,080 she's lying again. 350 00:17:57,080 --> 00:17:59,300 They lied so many times and given me 351 00:17:59,300 --> 00:18:02,260 delusional perspectives that the only thing that's 352 00:18:02,260 --> 00:18:04,970 going to convince me is proof. 353 00:18:04,970 --> 00:18:09,570 So he can either lose weight, or we not treating him anymore. 354 00:18:09,570 --> 00:18:12,170 But then he looks like he's making progress 355 00:18:12,170 --> 00:18:14,520 for the first time on his own, then we 356 00:18:14,520 --> 00:18:16,920 will consider him from there. 357 00:18:16,920 --> 00:18:19,910 But if this is another one of their games, 358 00:18:19,910 --> 00:18:21,950 this will be it for James, because I 359 00:18:21,950 --> 00:18:23,640 give him one last chance. 360 00:18:23,640 --> 00:18:25,670 And the best thing for him and Lisa 361 00:18:25,670 --> 00:18:28,700 will be to go back to Kentucky. 362 00:18:28,700 --> 00:19:02,490 So I'm hoping that he's telling me the truth this time 363 00:19:02,490 --> 00:19:03,980 [KNOCKING] 364 00:19:03,980 --> 00:19:04,790 Is that him knocking? 365 00:19:07,920 --> 00:19:08,620 Hi. 366 00:19:08,620 --> 00:19:10,020 - Hi, Lisa. - Hi. 367 00:19:10,020 --> 00:19:10,930 How are you doing, Dr. Now? 368 00:19:10,930 --> 00:19:12,350 I'm doing OK. Hi, James. 369 00:19:12,350 --> 00:19:13,570 JAMES: Hi, doctor. 370 00:19:13,570 --> 00:19:14,490 How are you? 371 00:19:14,490 --> 00:19:18,100 Well, I mean, I feel much better. 372 00:19:18,100 --> 00:19:19,290 Energy's gone up. 373 00:19:19,290 --> 00:19:21,390 And how is your diet doing? 374 00:19:21,390 --> 00:19:22,510 It's going well. 375 00:19:22,510 --> 00:19:24,590 Of course, I'm not near as hungry as I used to be. 376 00:19:24,590 --> 00:19:26,490 I don't crave much no more. - OK. 377 00:19:26,490 --> 00:19:29,200 So are you feeling like you're doing better? 378 00:19:29,200 --> 00:19:29,950 Oh, yeah. 379 00:19:29,950 --> 00:19:30,890 How's your exercise? 380 00:19:30,890 --> 00:19:32,410 What are we doing with that? 381 00:19:32,410 --> 00:19:34,510 I exercise three times a day. 382 00:19:34,510 --> 00:19:36,580 I do a lot of weight lifting, because I 383 00:19:36,580 --> 00:19:39,280 want to be able to push myself up and pull myself 384 00:19:39,280 --> 00:19:40,600 when I get ready to stand up. 385 00:19:40,600 --> 00:19:42,880 I got to be able to have my upper strength. 386 00:19:42,880 --> 00:19:45,790 Well, if Lisa is still feeding you to death, 387 00:19:45,790 --> 00:19:48,950 and she bring you the food and you eat, 388 00:19:48,950 --> 00:19:52,150 and are you yelling at her like you did before to bring more? 389 00:19:52,150 --> 00:19:54,230 Ask her. 390 00:19:54,230 --> 00:19:55,160 He's doing great. 391 00:19:55,160 --> 00:19:58,100 He don't ask for anything, but if he did ask for anything, 392 00:19:58,100 --> 00:19:59,570 I think I'd have to clobber him. 393 00:19:59,570 --> 00:20:02,230 I'm not ever going to be an enabler again. 394 00:20:02,230 --> 00:20:02,930 OK. 395 00:20:02,930 --> 00:20:05,360 That's something I don't want to be again, because I 396 00:20:05,360 --> 00:20:07,940 think that you got that drilled into my head 397 00:20:07,940 --> 00:20:09,380 that I was an enabler. 398 00:20:09,380 --> 00:20:10,380 And so-- 399 00:20:10,380 --> 00:20:11,100 All right. 400 00:20:11,100 --> 00:20:13,350 Well, if you are losing, your cellulitis 401 00:20:13,350 --> 00:20:15,920 will start to clean up some and the swelling 402 00:20:15,920 --> 00:20:17,250 will have gone down. 403 00:20:17,250 --> 00:20:20,590 So let's see how things are looking on you. 404 00:20:20,590 --> 00:20:25,730 The cellulitis in the leg seem like doing better. 405 00:20:25,730 --> 00:20:27,940 Is it getting softer in this side? 406 00:20:27,940 --> 00:20:29,470 Let' see how the other leg-- 407 00:20:29,470 --> 00:20:32,750 I think it's gotten softer. 408 00:20:32,750 --> 00:20:36,400 It looks like it's gotten a lot pinker. 409 00:20:36,400 --> 00:20:37,960 DR. NOWZARADAN: Well, your leg look better, 410 00:20:37,960 --> 00:20:39,430 and it sounds like you're putting 411 00:20:39,430 --> 00:20:40,810 forward some effort now. 412 00:20:40,810 --> 00:20:43,550 And it seems like you're losing some weight. 413 00:20:43,550 --> 00:20:45,260 So that's positive. 414 00:20:45,260 --> 00:20:46,060 I want to keep losing. 415 00:20:46,060 --> 00:20:47,420 That's what I want to do. 416 00:20:47,420 --> 00:20:48,520 DR. NOWZARADAN: All right, James. 417 00:20:48,520 --> 00:20:52,250 We will arrange transport for you to come to hospital soon. 418 00:20:52,250 --> 00:20:55,650 In the meantime, make sure that you don't gain anything, 419 00:20:55,650 --> 00:20:58,150 because if you don't have a lot of progress, 420 00:20:58,150 --> 00:21:00,750 then we have a problem. 421 00:21:00,750 --> 00:21:02,540 You understand? All right. 422 00:21:02,540 --> 00:21:06,010 You two, keep up the good work. 423 00:21:06,010 --> 00:21:08,160 - This time I'm ready, doc. - All right. 424 00:21:08,160 --> 00:21:09,590 I'm ready to go. 425 00:21:09,590 --> 00:21:10,500 OK, Lisa. I'll see you all. 426 00:21:10,500 --> 00:21:11,790 - Thank you. - OK. 427 00:21:11,790 --> 00:21:12,700 All right. Thank you, doctor. 428 00:21:12,700 --> 00:21:13,770 You all take care. You're welcome. 429 00:21:13,770 --> 00:21:14,670 We'll see you over there. 430 00:21:18,080 --> 00:21:20,870 James seems like he has made some improvement 431 00:21:20,870 --> 00:21:22,850 and he has lost some weight. 432 00:21:22,850 --> 00:21:25,940 I can tell that his swelling in his leg and cellulitis 433 00:21:25,940 --> 00:21:27,680 is much better. 434 00:21:27,680 --> 00:21:30,670 His skin is loser and his breathing has improved, 435 00:21:30,670 --> 00:21:33,710 and his attitude and his disposition 436 00:21:33,710 --> 00:21:35,600 has gotten much better. 437 00:21:35,600 --> 00:21:38,690 So since him and Lisa both seem to be trying, 438 00:21:38,690 --> 00:21:41,390 we're going to go ahead and get him back in the program 439 00:21:41,390 --> 00:21:45,650 and see if we can help him until his weight loss surgery. 440 00:21:45,650 --> 00:21:50,170 And if he gets under 600 pounds, and his body is healthy enough, 441 00:21:50,170 --> 00:21:52,670 we can't consider him for that. 442 00:21:52,670 --> 00:21:55,430 But I'm concerned that his weight loss may still 443 00:21:55,430 --> 00:22:00,590 be minimal, because it's hard to tell how much he's lost exactly 444 00:22:00,590 --> 00:22:03,080 because he's still so big. 445 00:22:03,080 --> 00:22:05,480 But we will give them the benefit of the doubt 446 00:22:05,480 --> 00:22:08,810 and see if this is legitimate or just another game. 447 00:22:22,220 --> 00:22:23,990 CYNTHIA (VOICEOVER): This is a really big day for me, 448 00:22:23,990 --> 00:22:27,770 because today is Ukaih's dance recital where she performs all 449 00:22:27,770 --> 00:22:30,080 her dance styles once a year. 450 00:22:30,080 --> 00:22:32,240 And I'm very excited about it. 451 00:22:32,240 --> 00:22:35,360 She's been dancing since she was four years old. 452 00:22:35,360 --> 00:22:37,070 And I missed the last couple of years 453 00:22:37,070 --> 00:22:39,140 because I'd gotten so big. 454 00:22:39,140 --> 00:22:43,260 I could only watch her through a window when she was practicing. 455 00:22:43,260 --> 00:22:45,470 And it broke my heart to have to tell her that I 456 00:22:45,470 --> 00:22:47,950 couldn't be there for her. 457 00:22:47,950 --> 00:22:49,990 Are you going to be able to come to the festival? 458 00:22:49,990 --> 00:22:52,120 CYNTHIA: Probably not this year, because you know, 459 00:22:52,120 --> 00:22:53,710 I can't do all the walking. 460 00:22:53,710 --> 00:22:55,640 But I'm going to try to watch you dance today. 461 00:22:58,490 --> 00:23:02,150 I want to be out there with my kids. 462 00:23:02,150 --> 00:23:04,370 I want to be there when the look up in the stands, 463 00:23:04,370 --> 00:23:06,840 because kids need that. 464 00:23:06,840 --> 00:23:07,600 She's a dancer. 465 00:23:07,600 --> 00:23:09,110 She performs. 466 00:23:09,110 --> 00:23:11,330 And I can't make it to her performances. 467 00:23:11,330 --> 00:23:14,360 I know she's amazing, but I don't get to see what the see. 468 00:23:19,700 --> 00:23:21,860 So I promised her last year I'd make sure 469 00:23:21,860 --> 00:23:24,360 that I'd be there this year. 470 00:23:24,360 --> 00:23:26,010 And the best part of today is just 471 00:23:26,010 --> 00:23:27,980 going to be watching her shine. 472 00:23:27,980 --> 00:23:29,610 I love to see her dance. 473 00:23:29,610 --> 00:23:32,380 And just living in her moment is going to be amazing. 474 00:23:35,460 --> 00:23:37,790 Because I take tremendous pride in seeing her 475 00:23:37,790 --> 00:23:41,790 thrive and do her thing. 476 00:23:41,790 --> 00:23:43,860 You can tell when she's really into a dance, 477 00:23:43,860 --> 00:23:46,740 because she puts her all into it. 478 00:23:46,740 --> 00:23:49,290 And kids need to know that you are there 479 00:23:49,290 --> 00:23:52,570 and that they have your support. 480 00:23:52,570 --> 00:23:55,460 [APPLAUSE] 481 00:23:57,400 --> 00:24:00,040 In moments like this, and being able to do this, 482 00:24:00,040 --> 00:24:03,790 is why I'm working as hard as I am. 483 00:24:03,790 --> 00:24:05,420 Thank you. 484 00:24:05,420 --> 00:24:09,110 I wanted my momma to be able to see me go throughout they years 485 00:24:09,110 --> 00:24:12,030 and be able to dance my whole life. 486 00:24:12,030 --> 00:24:13,820 And it made me feel really good, because I 487 00:24:13,820 --> 00:24:15,800 knew that I was doing good as long as she was happy 488 00:24:15,800 --> 00:24:16,500 and smiling. 489 00:24:19,690 --> 00:24:21,290 CYNTHIA (VOICEOVER): Losing all the weight I had 490 00:24:21,290 --> 00:24:22,980 and the progress I'm making, has started 491 00:24:22,980 --> 00:24:24,770 to give me my life back. 492 00:24:24,770 --> 00:24:26,750 And it's so encouraging. 493 00:24:26,750 --> 00:24:29,280 And this, today, makes me want to work even harder to keep 494 00:24:29,280 --> 00:24:32,520 losing, to get to the next step in this process, which 495 00:24:32,520 --> 00:24:35,270 is skin surgery. 496 00:24:35,270 --> 00:24:37,310 My kids are the reason why I went on this journey 497 00:24:37,310 --> 00:24:39,830 in the first place. 498 00:24:39,830 --> 00:24:41,450 And I know it won't be long before they're 499 00:24:41,450 --> 00:24:44,460 gone and on their own. 500 00:24:44,460 --> 00:24:46,190 So I want to make the most of this time, 501 00:24:46,190 --> 00:24:49,070 and do as much as I can with them. 502 00:24:49,070 --> 00:24:52,610 But I've missed so much of their lives already. 503 00:24:52,610 --> 00:24:55,340 So I'm going to push myself to work harder to do everything 504 00:24:55,340 --> 00:24:59,080 I can to get to the next step, and get approved for surgery 505 00:24:59,080 --> 00:25:00,710 by my next appointment. 506 00:25:13,740 --> 00:25:14,870 JAMES (VOICEOVER): Today I'm being 507 00:25:14,870 --> 00:25:17,120 transferred to the hospital. 508 00:25:17,120 --> 00:25:19,010 And it's been a few months since I weighed, 509 00:25:19,010 --> 00:25:20,740 so I feel pretty nervous. 510 00:25:20,740 --> 00:25:23,030 I just don't know what to expect, 511 00:25:23,030 --> 00:25:25,600 but I'm hoping that Dr. Now notices more progress 512 00:25:25,600 --> 00:25:29,290 and he'll tell me that I can get ready for weight loss surgery. 513 00:25:29,290 --> 00:25:31,230 Well, they ought to be here pretty soon. 514 00:25:35,410 --> 00:25:36,210 You think you'll be OK? 515 00:25:36,210 --> 00:25:37,810 I think it will be a lot different-- you getting 516 00:25:37,810 --> 00:25:40,350 in the ambulance this time. 517 00:25:40,350 --> 00:25:42,560 Yeah, I hope. 518 00:25:42,560 --> 00:25:45,290 But that don't calm my nerves. 519 00:25:45,290 --> 00:25:48,760 [KNOCKING] 520 00:25:48,760 --> 00:25:49,680 - Come in. - Hello. 521 00:25:49,680 --> 00:25:51,550 - Hi. - How's it going Mr. King? 522 00:25:51,550 --> 00:25:53,960 All right. 523 00:25:53,960 --> 00:25:55,520 What makes me stressed a little bit 524 00:25:55,520 --> 00:25:57,930 is getting on the stretcher. 525 00:25:57,930 --> 00:25:59,660 You still got it in the back of your head, you know, 526 00:25:59,660 --> 00:26:01,740 how hard it was the very first time. 527 00:26:01,740 --> 00:26:03,310 PARAMEDIC: We're gonna need you to suck in, 528 00:26:03,310 --> 00:26:04,260 while we go through this door. All right? 529 00:26:04,260 --> 00:26:05,970 - I know. - Keep your elbows in. 530 00:26:05,970 --> 00:26:07,110 There you go. There you go. 531 00:26:07,110 --> 00:26:08,610 [GRUNTING] 532 00:26:08,610 --> 00:26:09,780 JAMES: Oh, my legs. 533 00:26:09,780 --> 00:26:11,540 PARAMEDIC: We're almost there. Ready? 534 00:26:11,540 --> 00:26:12,310 JAMES: Oh! 535 00:26:12,310 --> 00:26:13,290 PARAMEDIC: Look, all right, it's over. 536 00:26:13,290 --> 00:26:15,730 It's done. JAMES: Oh, my legs are stuck. 537 00:26:15,730 --> 00:26:16,710 Oh! 538 00:26:16,710 --> 00:26:20,120 1, 2, 3. 539 00:26:20,120 --> 00:26:21,890 JAMES (VOICEOVER): But I think this time it should be 540 00:26:21,890 --> 00:26:23,060 quite a bit easier, I'm hoping. 541 00:26:23,060 --> 00:26:24,820 1, 2, 3. 542 00:26:28,820 --> 00:26:30,490 Sorry about the bump. 543 00:26:37,300 --> 00:26:38,220 It's tight, but-- 544 00:26:38,220 --> 00:26:39,490 LISA: Actually, that's not too bad. 545 00:26:39,490 --> 00:26:41,620 WOMAN PARAMEDIC: That was better than, like, all the other Times 546 00:26:41,620 --> 00:26:42,690 MAN PARAMEDIC: Straight through. 547 00:26:42,690 --> 00:26:43,390 Beautiful. 548 00:26:43,390 --> 00:26:46,680 That was much easier that time than it ever has been. 549 00:26:46,680 --> 00:26:47,670 MAN PARAMEDIC: And up. 550 00:26:47,670 --> 00:26:49,150 Man, that was much easier. 551 00:26:49,150 --> 00:26:50,520 [CHATTER] 552 00:26:53,090 --> 00:26:55,850 So I'm hoping that he weighs at least 100 pounds less, 553 00:26:55,850 --> 00:26:57,460 so please pray about it. 554 00:27:04,390 --> 00:27:05,790 MAN PARAMEDIC: All right, buddy, I'm gonna 555 00:27:05,790 --> 00:27:06,850 get your vitals for you, OK? 556 00:27:12,330 --> 00:27:13,900 JAMES: My legs is hurting a little bit, 557 00:27:13,900 --> 00:27:18,670 but this has been the easiest it's been to be moved around. 558 00:27:18,670 --> 00:27:21,640 I'm excited, but I'm nervous still, because I don't 559 00:27:21,640 --> 00:27:24,150 know where I'm at weight-wise. 560 00:27:24,150 --> 00:27:27,010 And the next step is hopefully weight surgery. 561 00:27:27,010 --> 00:27:28,580 MAN PARAMEDIC: Unless your numbers aren't good. 562 00:27:31,290 --> 00:27:32,460 We're going to get you out of here. 563 00:27:32,460 --> 00:27:33,320 OK, boss? - OK. 564 00:27:33,320 --> 00:27:36,350 We got to tie my legs up though, if you don't mind. 565 00:27:36,350 --> 00:27:38,440 Oh man, it's hurting my leg now. 566 00:27:38,440 --> 00:27:39,560 This strap's too tight. 567 00:27:39,560 --> 00:27:41,460 MAN PARAMEDIC: I'm going to loosen you back a little bit, 568 00:27:41,460 --> 00:27:43,950 that way we can get this on. 569 00:27:43,950 --> 00:27:45,770 JAMES: I don't want my feet to catch on that side. 570 00:27:45,770 --> 00:27:46,420 MAN PARAMEDIC: Yeah, we'll take care of it. 571 00:27:46,420 --> 00:27:47,670 JAMES: I've had that problem before. 572 00:27:47,670 --> 00:27:49,240 MAN PARAMEDIC: Make sure his fee don't hit, OK? 573 00:27:52,010 --> 00:27:54,920 Pretty soon I'll be walking right in there. 574 00:27:54,920 --> 00:27:57,410 How do you think it was coming out the door? 575 00:27:57,410 --> 00:27:58,730 Much easier. 576 00:27:58,730 --> 00:28:00,410 Didn't even touch, hardly. 577 00:28:00,410 --> 00:28:01,780 This is the whole different-- 578 00:28:01,780 --> 00:28:04,430 LISA: Got to have the-- the numbers ought to be good. 579 00:28:12,540 --> 00:28:13,260 Hi, James. 580 00:28:13,260 --> 00:28:14,220 JAMES: Hi, Dr. Now. 581 00:28:14,220 --> 00:28:15,190 How are you? 582 00:28:15,190 --> 00:28:15,890 JAMES: Good. 583 00:28:15,890 --> 00:28:17,260 DR. NOWZARADAN: You feeling OK right now? 584 00:28:17,260 --> 00:28:18,690 JAMES: Mm-hmm. - All right. 585 00:28:18,690 --> 00:28:21,410 Let's get you up in there. 586 00:28:21,410 --> 00:28:24,340 Last time James was here it was two months, 587 00:28:24,340 --> 00:28:27,730 and he was 788 pounds then. 588 00:28:27,730 --> 00:28:31,430 But the goal he was given was to get under 600 pounds. 589 00:28:31,430 --> 00:28:34,250 And he and Lisa says he's been working hard, 590 00:28:34,250 --> 00:28:36,390 and the think he is close to that. 591 00:28:36,390 --> 00:28:38,060 So we will see. 592 00:28:38,060 --> 00:28:40,520 Hopefully he has made some good progress, 593 00:28:40,520 --> 00:28:43,610 and he's getting to a healthier place to get surgery. 594 00:28:43,610 --> 00:28:47,300 Because James can't keep going like he has. 595 00:28:47,300 --> 00:28:50,180 His body has been, and is limited, for a while. 596 00:28:50,180 --> 00:28:52,930 It is just a matter of time, one small thing 597 00:28:52,930 --> 00:28:56,410 will push it past the limit, and he won't survive. 598 00:28:56,410 --> 00:28:58,520 So he need to get his weight to a place 599 00:28:58,520 --> 00:29:01,310 where his body can survive surgery. 600 00:29:01,310 --> 00:29:05,420 So we can start by removing the masses on his legs that has 601 00:29:05,420 --> 00:29:09,200 cellulitis, because it's just a matter of time before they can 602 00:29:09,200 --> 00:29:11,390 get infected so bad that his body 603 00:29:11,390 --> 00:29:13,010 cannot handle it and he dies. 604 00:29:47,980 --> 00:29:49,230 All right, James. 605 00:29:49,230 --> 00:29:51,470 It's time to see where your weight's at. 606 00:29:54,200 --> 00:29:59,810 Your weight is at 350 kilogram, which you 607 00:29:59,810 --> 00:30:05,640 will be equal to 770 pounds. 608 00:30:05,640 --> 00:30:07,670 JAMES: Wow. 609 00:30:07,670 --> 00:30:10,780 And last time you were here you were 788. 610 00:30:10,780 --> 00:30:13,980 And so that's only 18 pounds in two months, 611 00:30:13,980 --> 00:30:18,080 instead of 188, which is hardly any weight loss. 612 00:30:18,080 --> 00:30:21,290 So I'm very disappointed with you and Lisa right now. 613 00:30:21,290 --> 00:30:23,760 Because it means that you still eating 614 00:30:23,760 --> 00:30:28,550 around 7,000 calories a day, and you think you are doing 1,200. 615 00:30:28,550 --> 00:30:33,110 So you two have only marginally improved. 616 00:30:33,110 --> 00:30:35,510 And you got to be around 600 pounds 617 00:30:35,510 --> 00:30:37,610 before we can do anything. 618 00:30:37,610 --> 00:30:41,060 But the one positive thing is that for the first time 619 00:30:41,060 --> 00:30:44,970 since you started these process, you lost weight on your own. 620 00:30:44,970 --> 00:30:48,230 And that's the only reason I'm considering allowing 621 00:30:48,230 --> 00:30:49,910 you back on the program. 622 00:30:49,910 --> 00:30:50,930 Far out. 623 00:30:50,930 --> 00:30:53,270 You're heading in the right direction right now, 624 00:30:53,270 --> 00:30:56,930 but you have to work much harder if you want to do this. 625 00:30:56,930 --> 00:30:59,300 And as long as you keep making progress, 626 00:30:59,300 --> 00:31:00,500 we will work with you. 627 00:31:00,500 --> 00:31:03,260 But both of you consider yourself 628 00:31:03,260 --> 00:31:05,360 under probation right now. - OK. 629 00:31:05,360 --> 00:31:06,350 Yes, sir. 630 00:31:06,350 --> 00:31:07,220 DR. NOWZARADAN: All right. 631 00:31:07,220 --> 00:31:08,620 So tomorrow we run some tests on you. 632 00:31:08,620 --> 00:31:10,900 We're gonna look down your stomach, see how things are. 633 00:31:10,900 --> 00:31:11,600 JAMES: OK. 634 00:31:11,600 --> 00:31:13,210 Also, we're gonna get some ultrasound 635 00:31:13,210 --> 00:31:14,240 and see what's going on. 636 00:31:14,240 --> 00:31:15,350 OK? 637 00:31:15,350 --> 00:31:18,350 And while we doing that, you obviously will be back 638 00:31:18,350 --> 00:31:21,090 on a 1,200 calorie a day diet. 639 00:31:21,090 --> 00:31:21,950 JAMES: OK. 640 00:31:21,950 --> 00:31:23,390 All right. 641 00:31:23,390 --> 00:31:24,120 I'll see you tomorrow. 642 00:31:24,120 --> 00:31:25,070 JAMES: All right. 643 00:31:25,070 --> 00:31:27,730 OK? 644 00:31:27,730 --> 00:31:30,530 James' progress is disappointing. 645 00:31:30,530 --> 00:31:35,520 But my big concern is that this all could be just a game. 646 00:31:35,520 --> 00:31:37,370 And they need the absolute minimum 647 00:31:37,370 --> 00:31:39,500 to make a little progress. 648 00:31:39,500 --> 00:31:44,270 And soon, they'll both go right back to their old habits. 649 00:31:44,270 --> 00:31:47,690 But James will need to pick up the pace, 650 00:31:47,690 --> 00:31:50,230 because he doesn't have any more time to waste. 651 00:31:53,260 --> 00:31:55,040 It's very depressing, because I thought 652 00:31:55,040 --> 00:31:56,620 I'd lost a lot more weight. 653 00:31:56,620 --> 00:31:59,460 But evidently, I didn't. 654 00:31:59,460 --> 00:32:00,990 I don't know-- going by how I felt, 655 00:32:00,990 --> 00:32:02,860 and when they brought me out of the house, 656 00:32:02,860 --> 00:32:04,270 it was so much easier. 657 00:32:04,270 --> 00:32:06,150 But I got no answers for why there was 658 00:32:06,150 --> 00:32:08,010 only that little weight loss. 659 00:32:08,010 --> 00:32:09,880 I don't have a clue. 660 00:32:09,880 --> 00:32:13,350 But I'm going to keep on doing what I did. 661 00:32:13,350 --> 00:32:15,900 You know, I mean, as far as changing stuff, 662 00:32:15,900 --> 00:32:18,150 there's not really much more I can 663 00:32:18,150 --> 00:32:19,830 do to change that, you know, because I'm 664 00:32:19,830 --> 00:32:21,600 doing everything right. 665 00:32:21,600 --> 00:32:23,900 I'm just gonna see what the doctor says tomorrow. 666 00:32:23,900 --> 00:32:24,910 That's the best thing to do. 667 00:32:38,890 --> 00:32:42,620 Today I'm going to have an endoscopy done. 668 00:32:42,620 --> 00:32:46,490 And I'd be lying if I said that I wasn't worried, because I 669 00:32:46,490 --> 00:32:49,990 know I'm not in good shape, and I know my weight's contributed 670 00:32:49,990 --> 00:32:51,040 to my health being poor. 671 00:32:53,640 --> 00:32:55,470 LISA: I'm really concerned about James, 672 00:32:55,470 --> 00:32:58,620 because I don't know what I would do if something major was 673 00:32:58,620 --> 00:33:00,630 wrong that he wouldn't be able to fight 674 00:33:00,630 --> 00:33:02,810 it off because of his size. 675 00:33:02,810 --> 00:33:05,880 And so, it could be a major disaster 676 00:33:05,880 --> 00:33:09,240 because of the medical problems that he's been having. 677 00:33:09,240 --> 00:33:11,430 So I'm worried about his kidneys, 678 00:33:11,430 --> 00:33:13,770 and also worried about what might 679 00:33:13,770 --> 00:33:15,040 be going on in his stomach. 680 00:33:18,830 --> 00:33:20,950 DR. NOWZARADAN: It seems in the past two months 681 00:33:20,950 --> 00:33:24,000 James physical condition has gotten much worse. 682 00:33:27,800 --> 00:33:30,940 So today, we are doing and endoscopy on James 683 00:33:30,940 --> 00:33:34,030 to see what other severe issues he may have that 684 00:33:34,030 --> 00:33:35,650 may be life threatening to him. 685 00:33:39,490 --> 00:33:43,510 Because right now, he's hanging by a thread. 686 00:33:43,510 --> 00:33:47,160 And we have already discovered a number of serious issues 687 00:33:47,160 --> 00:33:50,100 with the test we have ran. 688 00:33:50,100 --> 00:33:54,000 James is in heart failure, and his kidneys aren't functioning 689 00:33:54,000 --> 00:33:56,610 properly, and he has anemia. 690 00:33:56,610 --> 00:34:00,150 So his body isn't getting the oxygen he needs. 691 00:34:00,150 --> 00:34:03,490 And we need to find out what other medical issues there 692 00:34:03,490 --> 00:34:06,990 are with James, because all the weight on his body 693 00:34:06,990 --> 00:34:12,320 is taking its toll and is about to hit its breaking point. 694 00:34:12,320 --> 00:34:14,620 And once that happens, there is likely 695 00:34:14,620 --> 00:34:16,360 no way we can bring him back. 696 00:34:34,930 --> 00:34:38,180 We had James in the hospital for about a month now. 697 00:34:38,180 --> 00:34:41,000 So we can treat him for a number of health issues 698 00:34:41,000 --> 00:34:42,340 and get his weight down. 699 00:34:42,340 --> 00:34:45,050 But there's no way James had realized some 700 00:34:45,050 --> 00:34:47,380 of the health issues, and the effect 701 00:34:47,380 --> 00:34:49,360 they were having on his body. 702 00:34:49,360 --> 00:34:52,840 And I think that's why he and Lisa started to try, 703 00:34:52,840 --> 00:34:55,420 so he can get back in the hospital. 704 00:34:55,420 --> 00:34:58,450 And if that's the case, even though they knew his health was 705 00:34:58,450 --> 00:35:00,620 starting to fail, they both still 706 00:35:00,620 --> 00:35:03,400 didn't change James's died on that much, 707 00:35:03,400 --> 00:35:05,620 and he was still overeating. 708 00:35:05,620 --> 00:35:08,500 But for right now, we've been able to improve 709 00:35:08,500 --> 00:35:12,250 his condition some to where he's not in imminent danger. 710 00:35:12,250 --> 00:35:15,610 And we have his weight down to 638. 711 00:35:15,610 --> 00:35:18,250 So in one month he lost 130 pounds 712 00:35:18,250 --> 00:35:21,280 on a 1,200-calorie-a-day diet. 713 00:35:21,280 --> 00:35:24,050 So with where James is at right now, 714 00:35:24,050 --> 00:35:27,130 we're going to send him home today to see if he will 715 00:35:27,130 --> 00:35:29,320 keep losing weight on his own. 716 00:35:29,320 --> 00:35:33,010 Because we need to see if he and Lisa are actually 717 00:35:33,010 --> 00:35:35,200 going to do what they need before we 718 00:35:35,200 --> 00:35:37,570 can consider any next step. 719 00:35:37,570 --> 00:35:41,620 Because we have had to deal with Lisa over feeding him and lying 720 00:35:41,620 --> 00:35:44,010 about it numerous times. 721 00:35:44,010 --> 00:35:47,290 Why won't you stop over feeding him? 722 00:35:47,290 --> 00:35:48,820 I don't know what the issue is. 723 00:35:48,820 --> 00:35:50,600 I know, like I said, that we have-- 724 00:35:50,600 --> 00:35:54,700 he has cheated some, but I will not bring him nothing else-- 725 00:35:54,700 --> 00:35:57,160 Some is not-- it's not some. 726 00:35:57,160 --> 00:36:03,260 It's every day and every hour and every meal. 727 00:36:03,260 --> 00:36:05,170 So she could be the most dangerous 728 00:36:05,170 --> 00:36:09,780 thing for him right now. How you doing? 729 00:36:09,780 --> 00:36:11,520 How you feel today. 730 00:36:11,520 --> 00:36:13,120 Better, doctor, better. 731 00:36:13,120 --> 00:36:15,730 All right, so you ready to go home? 732 00:36:15,730 --> 00:36:17,740 - Yeah. - OK. 733 00:36:17,740 --> 00:36:20,350 You had your weight down over 130 pounds, 734 00:36:20,350 --> 00:36:23,290 and improved your condition to the point that you're not 735 00:36:23,290 --> 00:36:26,440 as critical, but you've seen how much weight you can lose 736 00:36:26,440 --> 00:36:30,190 if you actually stick to a 1,200-calorie-a-day diet, 737 00:36:30,190 --> 00:36:31,950 don't you? 738 00:36:31,950 --> 00:36:35,640 So what I want you to do is lose 50 pounds in one month. 739 00:36:35,640 --> 00:36:36,560 OK? 740 00:36:36,560 --> 00:36:37,470 All right. 741 00:36:37,470 --> 00:36:40,080 That should be very easy to do seeing 742 00:36:40,080 --> 00:36:43,930 as how you lost three times on the diet this past month. 743 00:36:43,930 --> 00:36:45,750 So this is a simple goal. 744 00:36:45,750 --> 00:36:49,770 But I need you to understand how close to death you were. 745 00:36:49,770 --> 00:36:52,380 And that your condition is deteriorating. 746 00:36:52,380 --> 00:36:57,210 And the reality is that there is nothing surgically 747 00:36:57,210 --> 00:36:59,650 we can do to induce weight loss on you, 748 00:36:59,650 --> 00:37:01,530 because you would not tolerate. 749 00:37:01,530 --> 00:37:06,090 I mean, one little endoscopy anesthesia we did-- 750 00:37:06,090 --> 00:37:08,310 everything was unstable. 751 00:37:08,310 --> 00:37:10,910 And all your issues aren't completely gone, 752 00:37:10,910 --> 00:37:14,920 and will come back very quickly if you don't do what you need. 753 00:37:14,920 --> 00:37:16,950 So you need to fully understand-- 754 00:37:16,950 --> 00:37:22,170 disaster is coming for you, and it is inevitable at this point 755 00:37:22,170 --> 00:37:23,600 if you don't change. 756 00:37:23,600 --> 00:37:25,370 I mean, we've been doing what we're supposed to do. 757 00:37:25,370 --> 00:37:27,600 There's not much more I can change. 758 00:37:27,600 --> 00:37:29,660 We try to make sure he doesn't have any carbs. 759 00:37:29,660 --> 00:37:31,750 He has salad and vegetables. 760 00:37:31,750 --> 00:37:32,760 We don't have potatoes. 761 00:37:32,760 --> 00:37:33,990 We don't have bread. 762 00:37:33,990 --> 00:37:35,610 You know you're not, because you 763 00:37:35,610 --> 00:37:36,990 know how much you're eating. 764 00:37:36,990 --> 00:37:37,830 I'm not. 765 00:37:37,830 --> 00:37:40,530 I mean, what you're saying is just-- 766 00:37:40,530 --> 00:37:44,950 it's impossible that you have the same weight, 767 00:37:44,950 --> 00:37:47,110 and coming in and telling me that you're 768 00:37:47,110 --> 00:37:49,150 eating 1,200 calorie. 769 00:37:49,150 --> 00:37:51,810 It's not like he's eating pizzas and ice 770 00:37:51,810 --> 00:37:52,980 cream and stuff like that. 771 00:37:52,980 --> 00:38:00,330 He's eating mostly protein and vegetables, sugar free gelatin. 772 00:38:00,330 --> 00:38:02,360 Whatever he's eating, he's eating too much. 773 00:38:02,360 --> 00:38:03,570 That's what I'm saying. 774 00:38:03,570 --> 00:38:06,790 The portion control-- he's having too much portions. 775 00:38:06,790 --> 00:38:09,660 Because James is always wanting extras. 776 00:38:09,660 --> 00:38:13,950 Between you two, he's killing himself. 777 00:38:13,950 --> 00:38:15,330 And you helping him. 778 00:38:15,330 --> 00:38:17,020 Since day one that I'm seeing him, 779 00:38:17,020 --> 00:38:19,030 his condition has gone down. 780 00:38:19,030 --> 00:38:22,830 And if it doesn't stop, we may have to intervene in a way 781 00:38:22,830 --> 00:38:24,180 that you won't like. 782 00:38:24,180 --> 00:38:26,340 You got that? 783 00:38:26,340 --> 00:38:28,990 So the games stop now. 784 00:38:28,990 --> 00:38:31,180 And the other thing is that when you get home, 785 00:38:31,180 --> 00:38:32,900 you starting psychotherapy. 786 00:38:32,900 --> 00:38:34,310 You got that? - Yeah. 787 00:38:34,310 --> 00:38:35,010 I mean-- 788 00:38:35,010 --> 00:38:36,710 DR. NOWZARADAN: And you're going to work with them. 789 00:38:36,710 --> 00:38:37,540 No excuses. 790 00:38:37,540 --> 00:38:39,580 You understand me? 791 00:38:39,580 --> 00:38:40,770 I don't-- 792 00:38:40,770 --> 00:38:43,050 I mean, there's not much more I can change. 793 00:38:43,050 --> 00:38:45,510 If we don't make any drastic changes, 794 00:38:45,510 --> 00:38:48,500 there's nothing we can do. 795 00:38:48,500 --> 00:38:49,300 I'm going to show you. 796 00:38:49,300 --> 00:38:50,030 I'm gonna lose it. 797 00:38:50,030 --> 00:38:51,940 I'm gonna lose it. 798 00:38:51,940 --> 00:38:53,510 You want me to lose 50 pounds in a month? 799 00:38:53,510 --> 00:38:54,890 I'll show you. 800 00:38:54,890 --> 00:38:56,900 Challenge accepted. - OK. 801 00:38:56,900 --> 00:38:58,300 Good luck. - All right. 802 00:38:58,300 --> 00:38:59,740 Thanks, doc. - Thank you. 803 00:39:03,230 --> 00:39:05,360 It always hits home when you hear a doctor 804 00:39:05,360 --> 00:39:07,830 say that he's getting worse. 805 00:39:07,830 --> 00:39:10,130 But I know that James can do better, 806 00:39:10,130 --> 00:39:12,530 and hopefully he can lose the weight that he 807 00:39:12,530 --> 00:39:14,550 needs in the next month. 808 00:39:14,550 --> 00:39:16,740 I understand where the doctor's coming from, 809 00:39:16,740 --> 00:39:19,430 but I think I can lose 50 pounds in a month. 810 00:39:19,430 --> 00:39:20,510 And I'm gonna prove it. 811 00:39:20,510 --> 00:39:22,180 Because I'm never gonna give up. 812 00:39:32,020 --> 00:39:33,790 CYNTHIA (VOICEOVER): Today I'm headed back to see Dr. 813 00:39:33,790 --> 00:39:35,610 now for my next appointment. 814 00:39:35,610 --> 00:39:37,600 And I'm hoping I hit my goal, or at least got 815 00:39:37,600 --> 00:39:40,390 close, because I do want to start getting 816 00:39:40,390 --> 00:39:42,500 some of my skin surgeries. 817 00:39:42,500 --> 00:39:46,540 Because the skin on my arms is starting to bother me, 818 00:39:46,540 --> 00:39:49,790 and I know I need to hit my goal for him to consider it. 819 00:39:49,790 --> 00:39:51,250 But it's hard for me to predict what 820 00:39:51,250 --> 00:39:54,250 Dr. Nowzaradan's gonna say. 821 00:39:54,250 --> 00:39:59,110 And then my last check in three months ago I was down to 454. 822 00:39:59,110 --> 00:40:02,060 And he wants me to be losing 20 pounds a month. 823 00:40:02,060 --> 00:40:05,920 So that means I need to be down to 394 today. 824 00:40:05,920 --> 00:40:07,610 And I feel like I should be in that range. 825 00:40:15,200 --> 00:40:17,810 I'm pretty pleased with weigh in. 826 00:40:17,810 --> 00:40:20,300 It's less than Dr. Now's goal, but I 827 00:40:20,300 --> 00:40:23,440 think this shows progress. 828 00:40:23,440 --> 00:40:26,940 And it means that I'm on the right track. 829 00:40:26,940 --> 00:40:29,370 [KNOCKING] 830 00:40:30,840 --> 00:40:31,800 DR. NOWZARADAN: Hello. 831 00:40:31,800 --> 00:40:32,690 How you doing? 832 00:40:32,690 --> 00:40:33,660 DR. NOWZARADAN: I'm doing OK. 833 00:40:33,660 --> 00:40:34,660 How about yourself? 834 00:40:34,660 --> 00:40:36,310 I'm good. 835 00:40:36,310 --> 00:40:37,200 All right. 836 00:40:37,200 --> 00:40:38,550 Nice to see you again. 837 00:40:38,550 --> 00:40:39,720 Nice to see you too. 838 00:40:39,720 --> 00:40:43,480 DR. NOWZARADAN: Soon you're down to 417 pound today. 839 00:40:43,480 --> 00:40:47,580 So that is loss of 12 to 13 pound a month 840 00:40:47,580 --> 00:40:49,650 over the past three months, which 841 00:40:49,650 --> 00:40:51,480 is a little bit over half of what 842 00:40:51,480 --> 00:40:53,040 you were supposed to be losing. 843 00:40:53,040 --> 00:40:56,320 Which isn't terribly bad, but you're still losing 844 00:40:56,320 --> 00:40:57,940 slower than you should be. 845 00:40:57,940 --> 00:41:00,150 But let me guess, you are in no hurry 846 00:41:00,150 --> 00:41:02,040 as long as you're losing, right? 847 00:41:02,040 --> 00:41:04,720 CYNTHIA: I have pushed myself a little hard this past month. 848 00:41:04,720 --> 00:41:05,910 Well, that's good to hear. 849 00:41:05,910 --> 00:41:08,350 But how are your eating habits? 850 00:41:08,350 --> 00:41:11,630 Because your extra calories are coming from somewhere. 851 00:41:11,630 --> 00:41:13,060 My diet is pretty good. 852 00:41:13,060 --> 00:41:15,060 I mean, I'm not perfect. 853 00:41:15,060 --> 00:41:18,930 So I have days where I slip, but overall, it's pretty good. 854 00:41:18,930 --> 00:41:20,730 DR. NOWZARADAN: With where your progress is at, 855 00:41:20,730 --> 00:41:24,060 you probably eating around 2,000 calorie a day. 856 00:41:24,060 --> 00:41:27,660 So cut that back, and that'll be the biggest thing. 857 00:41:27,660 --> 00:41:29,250 And then get more active. 858 00:41:29,250 --> 00:41:31,890 But even though your progress is a little slow, 859 00:41:31,890 --> 00:41:33,780 you've been consistent, and you lost 860 00:41:33,780 --> 00:41:37,230 193 pounds over the last year. 861 00:41:37,230 --> 00:41:39,660 So you are making progress. 862 00:41:39,660 --> 00:41:42,520 How is the extra skin looking? - You know what? 863 00:41:42,520 --> 00:41:45,090 The only thing that really bothers me is my arms. 864 00:41:45,090 --> 00:41:48,540 Like, my stomach is not, you know, too bad for me. 865 00:41:48,540 --> 00:41:51,870 My thighs are, you know, getting a little jiggly, 866 00:41:51,870 --> 00:41:53,940 but it's not horrible, and it doesn't 867 00:41:53,940 --> 00:41:55,770 stop me from doing anything. 868 00:41:55,770 --> 00:41:57,850 Right now, your stomach is not a problem. 869 00:41:57,850 --> 00:42:01,650 But you know, you get under 300, maybe it won't be a problem. 870 00:42:01,650 --> 00:42:03,630 But the problem with the arm we got 871 00:42:03,630 --> 00:42:09,810 is that all the nerves that run down here, and in this fat pad, 872 00:42:09,810 --> 00:42:12,600 and if we take that, you're going to have numbness in here. 873 00:42:12,600 --> 00:42:15,360 So we need to lose a bit more weight before we 874 00:42:15,360 --> 00:42:17,430 can take that skin off. 875 00:42:17,430 --> 00:42:21,600 I think you'll be ready to have a skin removed from your arms 876 00:42:21,600 --> 00:42:23,520 if you lose another 50 pounds. 877 00:42:23,520 --> 00:42:26,300 And if you're serious about picking up the pace, 878 00:42:26,300 --> 00:42:28,800 then I'll schedule a skin removal for your arms 879 00:42:28,800 --> 00:42:29,950 for two months from now. 880 00:42:29,950 --> 00:42:32,610 And if you lose 50 pounds by then, 881 00:42:32,610 --> 00:42:35,190 then we want to move ahead and do that. 882 00:42:35,190 --> 00:42:36,860 Does that sound like a fair challenge? 883 00:42:36,860 --> 00:42:37,680 Yeah. 884 00:42:37,680 --> 00:42:39,140 That sounds fair. 885 00:42:39,140 --> 00:42:41,010 DR. NOWZARADAN: But if you don't hit that, 886 00:42:41,010 --> 00:42:43,530 then there will be no way we can move ahead. 887 00:42:43,530 --> 00:42:45,260 OK. 888 00:42:45,260 --> 00:42:47,220 Dr. Now, I am-- 889 00:42:47,220 --> 00:42:48,930 I'm happy with where I am. 890 00:42:48,930 --> 00:42:52,320 Like, I agree with you that there are some things 891 00:42:52,320 --> 00:42:55,260 that I could tighten up, because I know 892 00:42:55,260 --> 00:42:57,140 what your expectations are. 893 00:42:57,140 --> 00:42:59,880 And so I'm willing to do that. 894 00:42:59,880 --> 00:43:01,960 But like, I'm pretty pleased with where I've come 895 00:43:01,960 --> 00:43:04,860 in this year, and I've done-- 896 00:43:04,860 --> 00:43:09,160 200 pounds was like, unimaginable to me a year ago. 897 00:43:09,160 --> 00:43:11,670 I never thought that I could do-- 898 00:43:11,670 --> 00:43:13,410 to lose that much weight. 899 00:43:13,410 --> 00:43:15,300 So like, I'm pretty in shock when 900 00:43:15,300 --> 00:43:17,120 I look at the scale to see-- 901 00:43:17,120 --> 00:43:18,230 But you're not there. 902 00:43:18,230 --> 00:43:20,450 Are you saying that you're happy with your current weight? 903 00:43:20,450 --> 00:43:21,150 No. 904 00:43:21,150 --> 00:43:22,620 I'm just-- I'm happy-- 905 00:43:22,620 --> 00:43:25,720 like, I'm happier than I've been probably, in 15 years. 906 00:43:25,720 --> 00:43:29,070 So like, I'm not happy to the point where I want to stop. 907 00:43:29,070 --> 00:43:30,610 That's not what I'm saying. 908 00:43:30,610 --> 00:43:32,490 I'm just-- I'm happy with my progress, 909 00:43:32,490 --> 00:43:35,250 and I don't really get anxious when 910 00:43:35,250 --> 00:43:37,950 I don't hit the 20-pound mark. 911 00:43:37,950 --> 00:43:39,210 I think as long as I'm-- 912 00:43:39,210 --> 00:43:42,510 I'm losing, I know that I'm still doing some of the things 913 00:43:42,510 --> 00:43:44,400 that you-- you've prescribed to me. 914 00:43:44,400 --> 00:43:45,380 Right? 915 00:43:45,380 --> 00:43:47,350 And so I know I'm on the right track. 916 00:43:47,350 --> 00:43:49,650 DR. NOWZARADAN: Well, it's not about a final number. 917 00:43:49,650 --> 00:43:51,600 It is about getting healthy. 918 00:43:51,600 --> 00:43:53,970 Our goal is healthy body weight, and your 919 00:43:53,970 --> 00:43:55,720 able to eat and maintain. 920 00:43:55,720 --> 00:43:59,190 So we'll see as you get closer to your target weight. 921 00:43:59,190 --> 00:44:00,820 - OK. - OK. 922 00:44:00,820 --> 00:44:02,700 I'll see you a couple of months, and hopefully you'll 923 00:44:02,700 --> 00:44:04,860 be 50 pound lighter by then. 924 00:44:04,860 --> 00:44:06,060 - OK. - All right. 925 00:44:06,060 --> 00:44:07,470 CYNTHIA: All right. - Bye. 926 00:44:10,230 --> 00:44:12,840 Cynthia weight loss has been slow for a while. 927 00:44:12,840 --> 00:44:16,840 And although it's not ideal, she has at least been consistent. 928 00:44:16,840 --> 00:44:19,560 And I'm hoping the challenge to get the skin 929 00:44:19,560 --> 00:44:21,570 removal will motivate her a little 930 00:44:21,570 --> 00:44:23,880 to start losing like she needs. 931 00:44:23,880 --> 00:44:26,790 But we will see. 932 00:44:26,790 --> 00:44:29,780 CYNTHIA (VOICEOVER): I feel like today's appointment went well. 933 00:44:29,780 --> 00:44:31,530 And I'm glad to have this opportunity 934 00:44:31,530 --> 00:44:33,750 to get skin surgery. 935 00:44:33,750 --> 00:44:35,790 I want to keep moving forward, and this is a chance 936 00:44:35,790 --> 00:44:38,610 to take another big step. 937 00:44:38,610 --> 00:44:40,390 So I'm going to rise to the challenge, 938 00:44:40,390 --> 00:44:41,470 and work hard to do this. 939 00:44:59,820 --> 00:45:03,530 Today I'm headed back to the gym to do another workout. 940 00:45:03,530 --> 00:45:05,640 I started doing them right after my last doctor 941 00:45:05,640 --> 00:45:07,820 visit about a month ago when Dr. Now 942 00:45:07,820 --> 00:45:09,830 gave me the challenge to lose another 45 943 00:45:09,830 --> 00:45:12,690 pounds in two months. 944 00:45:12,690 --> 00:45:14,330 Even though I've been happy with the rate 945 00:45:14,330 --> 00:45:16,500 of progress and weight loss I've had, 946 00:45:16,500 --> 00:45:18,960 I decided I wanted to do this. 947 00:45:18,960 --> 00:45:21,090 Because being able to do more with my kids 948 00:45:21,090 --> 00:45:23,490 has motivated me to work harder and push 949 00:45:23,490 --> 00:45:26,280 myself to do what I can, so I can move 950 00:45:26,280 --> 00:45:29,700 ahead with my skin removal. 951 00:45:29,700 --> 00:45:32,680 And working out is a very necessary evil. 952 00:45:32,680 --> 00:45:34,950 And so, I know if I want to continue 953 00:45:34,950 --> 00:45:37,430 in the direction I'm going in that's something I have to do. 954 00:45:40,520 --> 00:45:42,270 Over the month I've been coming here, 955 00:45:42,270 --> 00:45:44,540 it kind of helped me overcome a gym phobia. 956 00:45:44,540 --> 00:45:46,760 Because when you're 600-plus pounds, 957 00:45:46,760 --> 00:45:48,560 you think everybody in the gym is looking at you 958 00:45:48,560 --> 00:45:52,750 and judging you, and I haven't had that experience at all. 959 00:45:52,750 --> 00:45:55,250 But to get a better work out, I got a trainer. 960 00:45:55,250 --> 00:45:57,260 And I've been working out with him three days a week. 961 00:45:57,260 --> 00:45:58,190 Hey, lady. How are you? 962 00:45:58,190 --> 00:45:59,240 Hey. How you doing? 963 00:45:59,240 --> 00:46:00,680 Hey, it's good to see you. 964 00:46:00,680 --> 00:46:03,650 Today we're going to work a little bit more of a circuit. 965 00:46:03,650 --> 00:46:05,120 CYNTHIA: OK. 966 00:46:05,120 --> 00:46:06,650 CYNTHIA (VOICEOVER): It is amazing to work out 967 00:46:06,650 --> 00:46:09,830 with a trainer because I know if I have to come 968 00:46:09,830 --> 00:46:11,840 in here three times a week on my own, 969 00:46:11,840 --> 00:46:14,230 it probably wouldn't happen. 970 00:46:14,230 --> 00:46:16,010 But when you know you have somebody 971 00:46:16,010 --> 00:46:17,690 waiting for you at a specific time, 972 00:46:17,690 --> 00:46:19,270 you know you need to be there. 973 00:46:19,270 --> 00:46:22,220 19-- one more, press it out, and 20. 974 00:46:22,220 --> 00:46:24,280 Shoulders to the waist. All right. 975 00:46:24,280 --> 00:46:27,080 And I'll take those, and we're going to increase 976 00:46:27,080 --> 00:46:29,410 the weight on this next set. 977 00:46:29,410 --> 00:46:30,580 CYNTHIA (VOICEOVER): That first day 978 00:46:30,580 --> 00:46:35,260 working out was a huge shock to my system, and it hurt a lot. 979 00:46:35,260 --> 00:46:38,410 But that didn't scare me away, and I stuck with it. 980 00:46:38,410 --> 00:46:39,760 And now I can do a lot more. 981 00:46:39,760 --> 00:46:40,940 Seven-- good job. 982 00:46:40,940 --> 00:46:42,640 Keep going. 983 00:46:42,640 --> 00:46:44,620 CYNTHIA (VOICEOVER): And I'm excited to see how each day 984 00:46:44,620 --> 00:46:46,850 I can do a little bit more. 985 00:46:46,850 --> 00:46:50,260 And it encourages me a lot when that happens. 986 00:46:50,260 --> 00:46:52,750 Because a year ago, I couldn't hardly walk from my car 987 00:46:52,750 --> 00:46:54,820 to wherever I was going without getting so 988 00:46:54,820 --> 00:46:58,530 winded I had to take a break. 989 00:46:58,530 --> 00:47:01,020 When I get to work, I can't even make it in the building 990 00:47:01,020 --> 00:47:04,800 and to my classroom without stopping. 991 00:47:04,800 --> 00:47:09,090 So I kind of map my route to where I know there 992 00:47:09,090 --> 00:47:10,480 are chairs that I can sit in. 993 00:47:15,330 --> 00:47:19,890 By the time I get to my room, I'm so physically wiped out, 994 00:47:19,890 --> 00:47:20,590 and I'm starving. 995 00:47:24,630 --> 00:47:28,660 But my stamina has gone up like, 1,000% since then. 996 00:47:28,660 --> 00:47:30,730 So there's just no comparison. 997 00:47:30,730 --> 00:47:32,490 Excellent-- that's how you do it. 998 00:47:32,490 --> 00:47:34,620 You push-- you keep pushing. 999 00:47:34,620 --> 00:47:37,260 Don't let your mind tell you to stop. 1000 00:47:37,260 --> 00:47:38,120 Good job. 1001 00:47:38,120 --> 00:47:40,650 All right, let's get over to the leg press machine. 1002 00:47:40,650 --> 00:47:44,380 CYNTHIA (VOICEOVER): My work outs have become quite intense. 1003 00:47:44,380 --> 00:47:47,640 I'm now doing deadlifts, and all kinds of crazy 1004 00:47:47,640 --> 00:47:50,520 foolishness that I never thought I'd be able to do when I 1005 00:47:50,520 --> 00:47:52,840 first started going to the gym. 1006 00:47:52,840 --> 00:47:56,520 1, 2, 3-- 1007 00:47:56,520 --> 00:47:57,690 CYNTHIA (VOICEOVER): And my trainer 1008 00:47:57,690 --> 00:48:02,320 tries very hard to push me to my limit, but not too far. 1009 00:48:02,320 --> 00:48:04,030 And I surprise myself all the time 1010 00:48:04,030 --> 00:48:06,750 when he pushes me to do another rep, 1011 00:48:06,750 --> 00:48:09,720 or he throws something new at me that I don't think I can do 1012 00:48:09,720 --> 00:48:12,960 and I'm able to conquer it. 1013 00:48:12,960 --> 00:48:14,550 And I realize getting more active 1014 00:48:14,550 --> 00:48:16,950 is the most important thing for me. 1015 00:48:16,950 --> 00:48:19,590 Because even if I lose all the weight, without having 1016 00:48:19,590 --> 00:48:21,810 the stamina to keep up with my kids, 1017 00:48:21,810 --> 00:48:24,000 I'll still pretty much be in the same place with them. 1018 00:48:24,000 --> 00:48:26,170 AARON: 19, and 20. That's good. 1019 00:48:26,170 --> 00:48:28,910 Stop there, lock your side. 1020 00:48:28,910 --> 00:48:29,610 All right. 1021 00:48:29,610 --> 00:48:30,420 Good job. 1022 00:48:30,420 --> 00:48:31,620 CYNTHIA (VOICEOVER): So I'm not only 1023 00:48:31,620 --> 00:48:34,440 hoping this helps me lose a little bit more, 1024 00:48:34,440 --> 00:48:36,510 but I'm working hard to make sure all of me 1025 00:48:36,510 --> 00:48:40,240 is where I need to be here soon. 1026 00:48:40,240 --> 00:48:43,980 It's a month before my excess skin removal surgery, 1027 00:48:43,980 --> 00:48:47,040 and I'm keeping my eye on the prize, 1028 00:48:47,040 --> 00:48:50,550 so I get down under 350 so I can move ahead with my surgery 1029 00:48:50,550 --> 00:48:53,490 and have the life that I want with my kids, 1030 00:48:53,490 --> 00:48:54,900 before they're all grown up. 1031 00:48:54,900 --> 00:48:56,040 AARON One more, and 15. 1032 00:48:56,040 --> 00:48:57,660 Good job! 1033 00:48:57,660 --> 00:48:58,880 That's how you do it. 1034 00:48:58,880 --> 00:48:59,700 Don't stop. 1035 00:49:15,080 --> 00:49:17,390 JAMES: Oh, my legs. Oh! 1036 00:49:17,390 --> 00:49:20,460 It's hurting. 1037 00:49:20,460 --> 00:49:22,930 [CHATTER] 1038 00:49:23,760 --> 00:49:25,700 Oh! Ow! 1039 00:49:36,390 --> 00:49:38,210 I'm going into the hospital because 1040 00:49:38,210 --> 00:49:40,700 of a infection in my legs. 1041 00:49:40,700 --> 00:49:42,950 And I'm hoping Dr. now can do something about it, 1042 00:49:42,950 --> 00:49:49,250 cause it's slowing me down on progress and on my weight loss. 1043 00:49:49,250 --> 00:49:51,780 But I hope I haven't gained a lot of weight, or any weight, 1044 00:49:51,780 --> 00:49:52,740 as far as that goes. 1045 00:49:57,710 --> 00:49:58,760 I got to stay positive, though. 1046 00:50:06,710 --> 00:50:09,490 Feel like I just been on this vicious cycle. 1047 00:50:09,490 --> 00:50:13,790 And I need the infection on my legs under control. 1048 00:50:13,790 --> 00:50:15,630 I don't know what's going to happen after this. 1049 00:50:18,230 --> 00:50:19,330 Thank you all very much. 1050 00:50:41,630 --> 00:50:45,050 Earlier today, James called for an emergency ambulance 1051 00:50:45,050 --> 00:50:48,680 because he has an infection from his cellulitis. 1052 00:50:48,680 --> 00:50:52,730 But he also gained again, so Lisa is still over feeding 1053 00:50:52,730 --> 00:50:55,050 him and killing him. 1054 00:50:55,050 --> 00:50:57,700 And right now, she is the bigger problem, 1055 00:50:57,700 --> 00:51:01,100 because she's the one that constantly lies to protect him 1056 00:51:01,100 --> 00:51:03,150 and covers up for him. 1057 00:51:03,150 --> 00:51:07,580 We're gonna just have to stick to the plan 1058 00:51:07,580 --> 00:51:09,250 of making the change of going to the protein-- 1059 00:51:09,250 --> 00:51:11,620 There is no "we," it's you. 1060 00:51:11,620 --> 00:51:12,670 There's no "we." 1061 00:51:12,670 --> 00:51:13,570 It's you. 1062 00:51:13,570 --> 00:51:15,240 You are bringing the food. 1063 00:51:15,240 --> 00:51:17,560 You are helping him to kill him. 1064 00:51:17,560 --> 00:51:18,530 So why you doing that? 1065 00:51:18,530 --> 00:51:21,050 Because if I don't bring it to him, 1066 00:51:21,050 --> 00:51:24,200 I will pay hell the rest of the day. 1067 00:51:24,200 --> 00:51:28,610 Lisa, now, is she's helping to kill James every time 1068 00:51:28,610 --> 00:51:32,780 she feeds him, and that he could die any minute from his weight. 1069 00:51:32,780 --> 00:51:34,610 But she still won't stop. 1070 00:51:34,610 --> 00:51:37,580 And the only reason he has even survived 1071 00:51:37,580 --> 00:51:41,260 is because we have intervened and saved his life. 1072 00:51:41,260 --> 00:51:44,210 And if we send James home with the infection 1073 00:51:44,210 --> 00:51:47,420 from his cellulitis, it will kill him in weeks. 1074 00:51:47,420 --> 00:51:50,270 So at this point, we have to take more and more drastic 1075 00:51:50,270 --> 00:51:54,050 steps if we going to have any chance to save James's life. 1076 00:51:58,360 --> 00:52:00,250 Hey, Lisa. Hi, James. 1077 00:52:00,250 --> 00:52:01,210 Hi, doctor. 1078 00:52:01,210 --> 00:52:02,190 Hello. 1079 00:52:02,190 --> 00:52:04,400 - How are you all doing? - Hi. 1080 00:52:04,400 --> 00:52:05,520 How are you doing? 1081 00:52:05,520 --> 00:52:06,800 All right. 1082 00:52:06,800 --> 00:52:11,340 So as you know, James, today you just weighed 750 pound. 1083 00:52:11,340 --> 00:52:15,180 That's a weight gain of 112 pounds in one month. 1084 00:52:15,180 --> 00:52:18,960 And the leg are more infected than before. 1085 00:52:18,960 --> 00:52:21,760 And infection is building up, and it get in bloodstream, 1086 00:52:21,760 --> 00:52:23,620 we're going to have a serious problem. 1087 00:52:23,620 --> 00:52:27,990 So right now, you're weeks away from that happening and dying. 1088 00:52:27,990 --> 00:52:30,800 Can you do a biopsy or anything on that to actually 1089 00:52:30,800 --> 00:52:33,020 find out what it is, because we've really never been 1090 00:52:33,020 --> 00:52:34,940 told what it is in all honesty. 1091 00:52:34,940 --> 00:52:36,950 If we find out what it is, what 1092 00:52:36,950 --> 00:52:39,160 are we going to do about it? - I don't know. 1093 00:52:39,160 --> 00:52:39,860 You're the doctor. 1094 00:52:39,860 --> 00:52:41,060 I don't know what you're going to do about it. 1095 00:52:41,060 --> 00:52:42,920 Well, we're gonna have to lose some weight before we 1096 00:52:42,920 --> 00:52:44,980 can do anything about it. 1097 00:52:44,980 --> 00:52:45,990 I know that, doctor. 1098 00:52:45,990 --> 00:52:46,910 I understand that. 1099 00:52:46,910 --> 00:52:49,160 I'm just saying about the bubbles on his legs. 1100 00:52:49,160 --> 00:52:51,230 They keep on multiplying-- 1101 00:52:51,230 --> 00:52:52,770 like the blisters. 1102 00:52:52,770 --> 00:52:56,570 Well, that's a product of poor circulation 1103 00:52:56,570 --> 00:52:59,510 when the fat smothers the blood vessels, 1104 00:52:59,510 --> 00:53:02,520 and the tissue's dying, and this is a dead tissue. 1105 00:53:02,520 --> 00:53:05,180 These bubble you see are dead tissue. 1106 00:53:05,180 --> 00:53:06,800 OK. I didn't know that. 1107 00:53:06,800 --> 00:53:07,820 I thought it was-- 1108 00:53:07,820 --> 00:53:11,490 I didn't know it was cause of circulation and all that. 1109 00:53:11,490 --> 00:53:13,900 Is this how you want to live, James? 1110 00:53:13,900 --> 00:53:15,280 It takes five people to lift you? 1111 00:53:15,280 --> 00:53:17,610 JAMES: No. It's miserable. 1112 00:53:17,610 --> 00:53:18,340 It is miserable. 1113 00:53:18,340 --> 00:53:19,890 But who's fault is it? 1114 00:53:19,890 --> 00:53:21,090 Mine. 1115 00:53:21,090 --> 00:53:22,270 Well, you know that. 1116 00:53:22,270 --> 00:53:24,100 You knew that from day one. 1117 00:53:24,100 --> 00:53:25,560 So what are you gonna do about it? 1118 00:53:29,010 --> 00:53:31,940 I don't know if you're even considering 1119 00:53:31,940 --> 00:53:33,490 this weight loss surgery. 1120 00:53:33,490 --> 00:53:37,720 Because if you did, you would have worked toward having it. 1121 00:53:37,720 --> 00:53:40,370 I think about this on a daily basis. 1122 00:53:40,370 --> 00:53:41,860 Whether you thinking about it, whether you 1123 00:53:41,860 --> 00:53:43,760 do something about it. 1124 00:53:43,760 --> 00:53:44,790 What's the difference? 1125 00:53:47,640 --> 00:53:49,540 I don't know. 1126 00:53:49,540 --> 00:53:51,350 Well, we're going to make some more changes, 1127 00:53:51,350 --> 00:53:52,570 but can you please-- 1128 00:53:52,570 --> 00:53:55,060 Lisa, I don't believe a word you said. 1129 00:53:55,060 --> 00:53:57,680 You know, how many times you say this. 1130 00:53:57,680 --> 00:54:00,940 And at this point, whether it's intentional or not, 1131 00:54:00,940 --> 00:54:03,400 is irrelevant, because there's no argument. 1132 00:54:03,400 --> 00:54:04,480 You're killing him. 1133 00:54:04,480 --> 00:54:07,460 And you both keep coming here and playing games. 1134 00:54:07,460 --> 00:54:09,530 Dr. Now, but can you please give-- 1135 00:54:09,530 --> 00:54:12,280 Our plan is to put him on certain diet. 1136 00:54:12,280 --> 00:54:16,160 And you follow the diet, and give him proper amount of food 1137 00:54:16,160 --> 00:54:20,290 so he doesn't get himself to the 750 pound. 1138 00:54:20,290 --> 00:54:22,960 You do your part, and he does his part, 1139 00:54:22,960 --> 00:54:25,460 or I'm through with you. 1140 00:54:25,460 --> 00:54:26,940 You understand this? 1141 00:54:26,940 --> 00:54:28,590 Yeah, I understand. 1142 00:54:28,590 --> 00:54:31,720 So I'm sick and tired of wasting my time, 1143 00:54:31,720 --> 00:54:34,810 coming here, bringing all the people working for you, 1144 00:54:34,810 --> 00:54:37,170 and you do nothing. 1145 00:54:37,170 --> 00:54:38,440 We need you to help us. 1146 00:54:38,440 --> 00:54:39,970 We don't need you to degrade us. 1147 00:54:39,970 --> 00:54:40,700 OK? 1148 00:54:40,700 --> 00:54:42,330 We need you to help us. 1149 00:54:42,330 --> 00:54:44,950 That is exactly what I'm doing. 1150 00:54:44,950 --> 00:54:46,080 I'm offering you help. 1151 00:54:46,080 --> 00:54:48,120 And the problem is that you abuse it all, 1152 00:54:48,120 --> 00:54:49,620 and you lying about it. 1153 00:54:49,620 --> 00:54:52,590 And you two keep wasting all the energy 1154 00:54:52,590 --> 00:54:54,690 and resources given to you. 1155 00:54:54,690 --> 00:54:56,100 And you saying you need help? 1156 00:54:56,100 --> 00:54:59,110 We don't have to be degraded and put down like that. 1157 00:54:59,110 --> 00:55:00,260 We're trying. 1158 00:55:00,260 --> 00:55:01,770 I'm not degrading you. 1159 00:55:01,770 --> 00:55:05,160 You're the one who is degrading everyone here 1160 00:55:05,160 --> 00:55:08,760 when you come in and undo all the weight loss 1161 00:55:08,760 --> 00:55:11,600 and rehabilitation we given to James. 1162 00:55:11,600 --> 00:55:15,800 James, can you [INAUDIBLE]. 1163 00:55:15,800 --> 00:55:17,910 Is it something that bothered you? 1164 00:55:17,910 --> 00:55:19,140 Well, yeah. 1165 00:55:19,140 --> 00:55:20,610 So why can't you-- 1166 00:55:20,610 --> 00:55:21,550 JAMES: I had no antibiotics. 1167 00:55:21,550 --> 00:55:22,650 LISA: --the swelling bothers me. 1168 00:55:22,650 --> 00:55:23,350 Yeah. 1169 00:55:23,350 --> 00:55:24,600 Why can't we do anything about it? 1170 00:55:24,600 --> 00:55:25,300 I don't know. 1171 00:55:25,300 --> 00:55:27,090 I ain't had no antibiotics or nothing. 1172 00:55:27,090 --> 00:55:28,760 Antibiotics is no going to be your problem. 1173 00:55:28,760 --> 00:55:30,540 Your problem is your weight. 1174 00:55:30,540 --> 00:55:31,580 I understand that, doctor. 1175 00:55:31,580 --> 00:55:32,850 But you got to get the infection down. 1176 00:55:35,490 --> 00:55:37,320 DR. NOWZARADAN: The whole antibiotic in the world 1177 00:55:37,320 --> 00:55:41,000 is not going to take it down, because you got so many area 1178 00:55:41,000 --> 00:55:44,990 that is hidden from the circulation in your leg 1179 00:55:44,990 --> 00:55:48,020 that no blood supply is going to get to it. 1180 00:55:48,020 --> 00:55:50,940 The only solution is to lose weight. 1181 00:55:50,940 --> 00:55:54,070 And all I see is that Lisa brings 1182 00:55:54,070 --> 00:55:55,780 you the food that killing you. 1183 00:55:55,780 --> 00:55:59,050 And frankly, I don't appreciate that you guys come in here 1184 00:55:59,050 --> 00:56:02,120 and lie to me that you following the diet. 1185 00:56:02,120 --> 00:56:04,400 I told you that I cheated a couple times. 1186 00:56:04,400 --> 00:56:05,720 DR. NOWZARADAN: A couple times is not 1187 00:56:05,720 --> 00:56:07,790 going to get you to 750 pounds. 1188 00:56:07,790 --> 00:56:08,890 See, no matter what I tell you, 1189 00:56:08,890 --> 00:56:09,920 you're not going to believe me. 1190 00:56:09,920 --> 00:56:11,150 But that's OK. 1191 00:56:11,150 --> 00:56:13,640 DR. NOWZARADAN: James, we got to talk further about some things 1192 00:56:13,640 --> 00:56:14,840 that we need to address. 1193 00:56:14,840 --> 00:56:17,990 And it's steps that we're going to have to take. 1194 00:56:17,990 --> 00:56:19,100 All right. 1195 00:56:19,100 --> 00:56:22,040 I want to see if we can clean your legs 1196 00:56:22,040 --> 00:56:25,150 and see if we can get in better shape and get you back home. 1197 00:56:40,430 --> 00:56:42,060 CYNTHIA (VOICEOVER): I've been working my hardest 1198 00:56:42,060 --> 00:56:45,310 over the last two months. 1199 00:56:45,310 --> 00:56:47,850 And I think I've lost a good amount of weight, 1200 00:56:47,850 --> 00:56:50,800 because I'm starting to have a lot of excess skin. 1201 00:56:50,800 --> 00:56:54,120 It's really starting to sag all around my body. 1202 00:56:54,120 --> 00:56:55,800 And it's uncomfortable. 1203 00:56:55,800 --> 00:56:57,760 And I don't like it at all. 1204 00:56:57,760 --> 00:56:59,940 And now that I have even more of it, 1205 00:56:59,940 --> 00:57:03,580 it all is starting to really bother me. 1206 00:57:03,580 --> 00:57:07,240 The excess skin is not attractive. 1207 00:57:07,240 --> 00:57:11,370 And not the body image that I want. 1208 00:57:11,370 --> 00:57:17,640 I don't like the physical appearance of my arms. 1209 00:57:17,640 --> 00:57:20,070 CYNTHIA (VOICEOVER): I knew skin was going to be an issue when 1210 00:57:20,070 --> 00:57:22,740 I started the journey, so I'm working 1211 00:57:22,740 --> 00:57:26,700 to alleviate that problem. 1212 00:57:26,700 --> 00:57:28,650 On top of that as I lose more, this 1213 00:57:28,650 --> 00:57:30,910 is only going to get worse. 1214 00:57:30,910 --> 00:57:33,950 And I know I have to do something about it. 1215 00:57:33,950 --> 00:57:36,930 And it's more important to me now that I get to where I need, 1216 00:57:36,930 --> 00:57:39,630 to get all this off of me. 1217 00:57:39,630 --> 00:57:42,000 So I'm hoping I can start with this first one 1218 00:57:42,000 --> 00:57:45,330 to address my arms, and then get to where I need once I 1219 00:57:45,330 --> 00:57:47,570 recover to get the others. 1220 00:57:47,570 --> 00:57:49,800 But I find out if I hit my goal and I can 1221 00:57:49,800 --> 00:57:52,230 move ahead with it tomorrow. 1222 00:57:52,230 --> 00:57:54,540 And if I'm not losing as much as I should, 1223 00:57:54,540 --> 00:57:58,080 then that means this is all going to take much longer. 1224 00:57:58,080 --> 00:58:00,270 And I'm anxious to be past all the weight 1225 00:58:00,270 --> 00:58:03,360 loss and surgeries and recoveries 1226 00:58:03,360 --> 00:58:05,190 so I can be where I need. 1227 00:58:05,190 --> 00:58:06,750 Because every month that passes is 1228 00:58:06,750 --> 00:58:11,280 less time I can go out and do the things I want with my kids. 1229 00:58:11,280 --> 00:58:14,400 So I need to do this now, and if I don't, then I 1230 00:58:14,400 --> 00:58:16,980 might need to put all these surgeries on pause so I can 1231 00:58:16,980 --> 00:58:19,410 just be with my kids right now. 1232 00:58:19,410 --> 00:58:21,060 So hopefully tomorrow goes well. 1233 00:58:38,710 --> 00:58:41,980 When I checked in earlier they checked my weight, 1234 00:58:41,980 --> 00:58:43,610 and I'm down to 365. 1235 00:58:43,610 --> 00:58:46,120 And that's a weight loss of 52 pounds. 1236 00:58:46,120 --> 00:58:49,360 So all my hard work paid off, and Dr. Now said we move 1237 00:58:49,360 --> 00:58:51,130 ahead with my skin removal. 1238 00:58:51,130 --> 00:58:52,060 [KNOCKING] 1239 00:58:52,060 --> 00:58:54,820 CYNTHIA: Come in. 1240 00:58:54,820 --> 00:58:56,290 CYNTHIA (VOICEOVER): But as excited as I am, 1241 00:58:56,290 --> 00:59:01,830 it's hard not to be nervous going into surgery, 1242 00:59:01,830 --> 00:59:04,310 especially one like this that's hard to recover from. 1243 00:59:07,560 --> 00:59:12,040 And I can tell that my children are worried about me right now. 1244 00:59:12,040 --> 00:59:16,910 But I remind them that this is how I'm getting my life back, 1245 00:59:16,910 --> 00:59:21,150 and I'm in good hands, and that I'm taking another big step 1246 00:59:21,150 --> 00:59:24,030 today to getting my life back so I can 1247 00:59:24,030 --> 00:59:26,500 be the mom that I want to them. 1248 00:59:26,500 --> 00:59:27,950 You not scared? 1249 00:59:27,950 --> 00:59:29,520 Why you not scared? 1250 00:59:29,520 --> 00:59:32,450 Because you said in the beginning 1251 00:59:32,450 --> 00:59:36,120 that he was the best doctor and you trust him. 1252 00:59:36,120 --> 00:59:36,870 CYNTHIA: All right. 1253 00:59:36,870 --> 00:59:37,760 Come give me some love. 1254 00:59:40,800 --> 00:59:42,840 CYNTHIA (VOICEOVER): Today is a good day. 1255 00:59:42,840 --> 00:59:45,990 And it may be scary, but that's because turning 1256 00:59:45,990 --> 00:59:48,870 your life around and doing what you need is scary times. 1257 00:59:52,740 --> 00:59:54,430 And I'm doing what I have to fix my life 1258 00:59:54,430 --> 00:59:58,500 and body to get to where I need and to have the life I want. 1259 01:00:00,800 --> 01:00:01,900 DR. NOWZARADAN (VOICEOVER): Today 1260 01:00:01,900 --> 01:00:04,840 we are doing the first excess skin removal on Cynthia 1261 01:00:04,840 --> 01:00:09,200 to remove excess skin from her arms. 1262 01:00:09,200 --> 01:00:11,700 We're not going to remove a lot, but this amount 1263 01:00:11,700 --> 01:00:15,700 should help her a great deal. DR. NOWZARADAN: OK. 1264 01:00:15,700 --> 01:00:18,560 Starting the first incision. 1265 01:00:18,560 --> 01:00:20,360 DR. NOWZARADAN (VOICEOVER): When it comes to the areas 1266 01:00:20,360 --> 01:00:23,810 around the arms and the legs, there is typically not 1267 01:00:23,810 --> 01:00:27,500 a large amount of excess skin. 1268 01:00:27,500 --> 01:00:29,060 But even a small amount of hanging 1269 01:00:29,060 --> 01:00:34,040 skin around the arms and legs can cause extreme discomfort. 1270 01:00:34,040 --> 01:00:37,860 And it's also the areas that are more visible. 1271 01:00:37,860 --> 01:00:38,660 DR. NOWZARADAN: Hold it. 1272 01:00:38,660 --> 01:00:40,740 Hold it. 1273 01:00:40,740 --> 01:00:41,910 DR. NOWZARADAN (VOICEOVER): So this 1274 01:00:41,910 --> 01:00:46,470 will help her in a lot of ways, not just with her discomfort, 1275 01:00:46,470 --> 01:00:48,510 but with her confidence. 1276 01:00:48,510 --> 01:00:50,940 So this will be a good step forward to getting 1277 01:00:50,940 --> 01:01:04,430 her to her target weight 1278 01:01:04,430 --> 01:01:06,110 I thought that I was OK. 1279 01:01:06,110 --> 01:01:07,630 I was a little nervous though. 1280 01:01:07,630 --> 01:01:10,410 But I think I'll be ready when I find out if everything is good. 1281 01:01:14,320 --> 01:01:17,750 DR. NOWZARADAN: Clip it right here. 1282 01:01:17,750 --> 01:01:19,720 DR. NOWZARADAN (VOICEOVER): Like with all skin removal, 1283 01:01:19,720 --> 01:01:24,880 this operation involves tying of hundreds of blood vessels. 1284 01:01:24,880 --> 01:01:28,330 And we have to be careful not to miss a single one, 1285 01:01:28,330 --> 01:01:32,170 because even one can become life threatening. 1286 01:01:32,170 --> 01:01:35,070 So this operation is not simple and will take 1287 01:01:35,070 --> 01:01:36,210 a little bit of time today. 1288 01:01:39,800 --> 01:01:42,590 But once we are done and Cynthia recovers, 1289 01:01:42,590 --> 01:01:47,910 she will notice a huge improvement in her upper body. 1290 01:01:47,910 --> 01:01:49,380 All right. All finished. 1291 01:01:53,000 --> 01:01:54,750 I think this surgery went very well. 1292 01:01:54,750 --> 01:02:00,120 We were able to take skin in both arms and arm pit. 1293 01:02:00,120 --> 01:02:00,810 Look at that. 1294 01:02:00,810 --> 01:02:04,460 That's a little bit over 4 pounds. 1295 01:02:04,460 --> 01:02:06,650 And she should be able to get back to doing 1296 01:02:06,650 --> 01:02:09,460 things within a few days. 1297 01:02:09,460 --> 01:02:12,140 But she will have to take it easy for the next six weeks 1298 01:02:12,140 --> 01:02:15,200 or so while she heals. 1299 01:02:15,200 --> 01:02:18,260 And then, the next step for her is to lose enough weight 1300 01:02:18,260 --> 01:02:21,630 to be able to remove excess skin around her abdomen 1301 01:02:21,630 --> 01:02:23,940 and her lower body. 1302 01:02:23,940 --> 01:02:27,410 But my concern is that Cynthia has been expressing that she's 1303 01:02:27,410 --> 01:02:29,620 worrying about getting too small, 1304 01:02:29,620 --> 01:02:34,080 and I don't want that to start to influence her progress, 1305 01:02:34,080 --> 01:02:37,730 because she is a long way from being anywhere close to needing 1306 01:02:37,730 --> 01:02:39,560 to worry about that. 1307 01:02:39,560 --> 01:02:42,290 And if she gets too hesitant to lose what she need 1308 01:02:42,290 --> 01:02:45,050 to get her next surgery, then she gonna 1309 01:02:45,050 --> 01:02:47,430 have a lot of excess skin. 1310 01:02:47,430 --> 01:02:51,260 So I'm hoping with how motivated she has been lately that we 1311 01:02:51,260 --> 01:02:54,360 will be able to keep her going, and get 1312 01:02:54,360 --> 01:02:55,760 her to where she needs to be. 1313 01:03:20,450 --> 01:03:23,590 CYNTHIA (VOICEOVER): It's been a week since surgery, 1314 01:03:23,590 --> 01:03:25,920 and I have to stay in Houston until I've healed 1315 01:03:25,920 --> 01:03:28,670 enough to be able to go back. 1316 01:03:28,670 --> 01:03:31,730 The sutures do hurt some, and I know that's just 1317 01:03:31,730 --> 01:03:35,440 going to take time to get past. 1318 01:03:35,440 --> 01:03:39,610 But doing this and trying to recover while I watch five kids 1319 01:03:39,610 --> 01:03:41,560 is hard. 1320 01:03:41,560 --> 01:03:44,080 Because I still have all my responsibilities, 1321 01:03:44,080 --> 01:03:45,820 so I can't just take a couple of weeks 1322 01:03:45,820 --> 01:03:49,060 off and do nothing until I recover. 1323 01:03:49,060 --> 01:03:51,130 When you're a mom, you can't just take a break 1324 01:03:51,130 --> 01:03:53,300 from taking care of your kids. 1325 01:03:53,300 --> 01:03:56,420 Hey, Robert. Robert? 1326 01:03:56,420 --> 01:03:57,290 ROBERT: Yes, ma'am. 1327 01:03:57,290 --> 01:03:58,150 Come here. 1328 01:03:58,150 --> 01:03:59,020 ROBERT: Coming. 1329 01:03:59,020 --> 01:04:00,990 CYNTHIA (VOICEOVER): But I'm proud of my older ones helping 1330 01:04:00,990 --> 01:04:04,360 me, because I wouldn't even be able to do 1331 01:04:04,360 --> 01:04:06,730 this if I didn't have them. 1332 01:04:06,730 --> 01:04:08,780 And I'm trying to do what Dr. Now says 1333 01:04:08,780 --> 01:04:11,710 and be active, but not overdo it. 1334 01:04:14,440 --> 01:04:17,870 But right now with how my kids need me, I'm not sure 1335 01:04:17,870 --> 01:04:20,520 I can do this again, especially with a bigger 1336 01:04:20,520 --> 01:04:23,110 surgery around my abdomen. 1337 01:04:23,110 --> 01:04:25,850 So this is making me second guess doing another one. 1338 01:04:29,440 --> 01:04:31,270 And once I recover from this, I'm 1339 01:04:31,270 --> 01:04:33,550 going to have to tell Dr. Now that everything 1340 01:04:33,550 --> 01:04:35,110 needs to go on pause right now. 1341 01:04:35,110 --> 01:04:36,920 Hey, give me the blanket. 1342 01:04:36,920 --> 01:04:38,280 Oh. 1343 01:04:38,280 --> 01:04:40,990 CYNTHIA (VOICEOVER): And I need to take a break. 1344 01:04:40,990 --> 01:04:44,530 I'm just not going to be able to do this again, because I 1345 01:04:44,530 --> 01:04:48,080 just have to focus on my kids. 1346 01:04:48,080 --> 01:04:52,860 So I'm done with the program, because this is too much. 1347 01:05:05,100 --> 01:05:06,270 DR. NOWZARADAN (VOICEOVER): We have 1348 01:05:06,270 --> 01:05:08,460 been treating James infection and we 1349 01:05:08,460 --> 01:05:11,220 have got in a better place. 1350 01:05:11,220 --> 01:05:13,590 But we haven't been able to address the biggest 1351 01:05:13,590 --> 01:05:16,730 problem, which is Lisa. 1352 01:05:16,730 --> 01:05:21,080 She's helping to kill him and she won't stop. 1353 01:05:21,080 --> 01:05:23,360 And I talked to James about the need 1354 01:05:23,360 --> 01:05:28,530 to keep her away right now and separate them for his own good. 1355 01:05:28,530 --> 01:05:33,090 But he refused, and he got extremely upset, because he 1356 01:05:33,090 --> 01:05:36,130 won't be away from her. 1357 01:05:36,130 --> 01:05:38,890 But if we send him home and cut him off, 1358 01:05:38,890 --> 01:05:41,110 it will be a death sentence unless we 1359 01:05:41,110 --> 01:05:42,830 can intervene with Lisa. 1360 01:05:46,340 --> 01:05:50,750 So from time to time we have to call around protective services 1361 01:05:50,750 --> 01:05:54,110 to intervene and change the dynamic of household 1362 01:05:54,110 --> 01:05:55,480 that is harming the person. 1363 01:05:58,320 --> 01:06:00,720 But the problem that we are up against 1364 01:06:00,720 --> 01:06:05,150 is that the food addiction is not fully understood. 1365 01:06:05,150 --> 01:06:07,820 So we have to get them to understand 1366 01:06:07,820 --> 01:06:12,560 what she's doing is no different than poisoning him slowly. 1367 01:06:12,560 --> 01:06:13,690 WOMAN (ON PHONE): Adult Protective 1368 01:06:13,690 --> 01:06:15,380 Services, how may I help you? 1369 01:06:15,380 --> 01:06:17,190 Yeah, this is Dr. Nowzaradan. 1370 01:06:17,190 --> 01:06:21,950 I'm calling for a patient I have, James King. 1371 01:06:21,950 --> 01:06:25,670 We got a situation that we need intervention. 1372 01:06:25,670 --> 01:06:28,410 While he's totally bedridden, and he 1373 01:06:28,410 --> 01:06:31,010 is overfed by his girlfriend. 1374 01:06:31,010 --> 01:06:34,330 He's not able to get up and get his food. 1375 01:06:34,330 --> 01:06:35,780 WOMAN (ON PHONE): Does he eat on his own, 1376 01:06:35,780 --> 01:06:37,670 or does she actually have to feed him-- 1377 01:06:37,670 --> 01:06:39,120 food to mouth? 1378 01:06:39,120 --> 01:06:41,570 No, he eats on his own. WOMAN (ON PHONE): OK. 1379 01:06:41,570 --> 01:06:43,670 So how is she overfeeding him? 1380 01:06:43,670 --> 01:06:45,610 Because her son was 800 pounds. 1381 01:06:45,610 --> 01:06:49,090 He is bedridden, and because he got food addiction, 1382 01:06:49,090 --> 01:06:50,800 and she provided him food-- 1383 01:06:50,800 --> 01:06:54,000 anywhere up to 30,000 calories a day. 1384 01:06:54,000 --> 01:06:55,590 And that's killing him. 1385 01:06:55,590 --> 01:06:56,690 WOMAN (ON PHONE): OK, so he's not 1386 01:06:56,690 --> 01:06:58,250 following his adjusted diet. 1387 01:06:58,250 --> 01:06:59,240 No. 1388 01:06:59,240 --> 01:07:01,250 WOMAN (ON PHONE): Are there any other concerns with him? 1389 01:07:01,250 --> 01:07:05,420 The concern with him that he's going to die soon if we don't 1390 01:07:05,420 --> 01:07:08,590 get him to lose some weight. 1391 01:07:08,590 --> 01:07:10,120 WOMAN (ON PHONE): Is he aware of this? 1392 01:07:10,120 --> 01:07:12,620 Yes. 1393 01:07:12,620 --> 01:07:15,740 WOMAN (ON PHONE): Has he stated why he's not losing weight? 1394 01:07:15,740 --> 01:07:20,330 Well, the bottom line is that James is a hostage at home 1395 01:07:20,330 --> 01:07:22,700 because he's strapped in his bed, 1396 01:07:22,700 --> 01:07:27,470 and he has no control over who brings in the food, 1397 01:07:27,470 --> 01:07:30,330 and what food he get there, and people that 1398 01:07:30,330 --> 01:07:33,410 are interested to keep him disabled 1399 01:07:33,410 --> 01:07:36,390 and have the benefit from his disability-- 1400 01:07:36,390 --> 01:07:38,180 they going to keep feeding him. 1401 01:07:38,180 --> 01:07:42,230 So we need somebody to protect him at this point. 1402 01:07:42,230 --> 01:07:44,300 WOMAN (ON PHONE): And what makes you think that the girlfriend 1403 01:07:44,300 --> 01:07:46,160 is taking advantage of him? 1404 01:07:46,160 --> 01:07:48,110 Because the scale doesn't lie. 1405 01:07:48,110 --> 01:07:51,290 For a year we trying to get him to lose weight. 1406 01:07:51,290 --> 01:07:53,110 Every time we have him in the hospital, 1407 01:07:53,110 --> 01:07:57,160 and over a month we can't get his weight over 100 pounds. 1408 01:07:57,160 --> 01:08:00,530 Then we send him home, he gain all of it back. 1409 01:08:00,530 --> 01:08:05,120 I was hoping that you all can do something to protect James 1410 01:08:05,120 --> 01:08:09,170 for his eating habit from people bringing him to much food 1411 01:08:09,170 --> 01:08:11,720 and overfeeding until it kills him. 1412 01:08:11,720 --> 01:08:14,100 So we need an intervention in his home. 1413 01:08:14,100 --> 01:08:15,030 WOMAN (ON PHONE): All right. 1414 01:08:15,030 --> 01:08:16,290 I'll go on ahead and type this up, 1415 01:08:16,290 --> 01:08:18,160 and suggest that APS investigate it. 1416 01:08:18,160 --> 01:08:18,860 All right. 1417 01:08:18,860 --> 01:08:19,960 Thank you so much. 1418 01:08:19,960 --> 01:08:20,530 WOMAN (ON PHONE): You're welcome. 1419 01:08:20,530 --> 01:08:21,140 Bye-bye. - Bye-bye. 1420 01:08:25,910 --> 01:08:27,280 DR. NOWZARADAN (VOICEOVER): Hopefully APS 1421 01:08:27,280 --> 01:08:30,900 will be able to help and intervene, 1422 01:08:30,900 --> 01:08:35,820 because Lisa will keep feeding him until he dies, 1423 01:08:35,820 --> 01:08:39,210 and he's not going to live long like this, 1424 01:08:39,210 --> 01:08:41,110 and we are going to lose him soon. 1425 01:09:00,790 --> 01:09:02,620 DR. NOWZARADAN: Once again we have gotten 1426 01:09:02,620 --> 01:09:04,690 James's health back under control 1427 01:09:04,690 --> 01:09:07,280 and cleared up his infection for now. 1428 01:09:07,280 --> 01:09:10,990 But he can basically come back if they both go home 1429 01:09:10,990 --> 01:09:12,910 and do the same thing again. 1430 01:09:12,910 --> 01:09:14,760 And right now, we have James's weight 1431 01:09:14,760 --> 01:09:16,460 going in the right direction. 1432 01:09:16,460 --> 01:09:21,300 And he has lost about 50 pounds, but I'm doing an experiment. 1433 01:09:21,300 --> 01:09:24,670 And I have the staff watching Lisa when she comes. 1434 01:09:24,670 --> 01:09:26,920 But this week I have them stop watching 1435 01:09:26,920 --> 01:09:30,460 her to see if James will have gained some 1436 01:09:30,460 --> 01:09:32,350 when we check his weight today. 1437 01:09:32,350 --> 01:09:36,160 And if he does, then she will have taken this window 1438 01:09:36,160 --> 01:09:39,580 of opportunity to sneak food in to make 1439 01:09:39,580 --> 01:09:41,020 his condition worse again. 1440 01:09:41,020 --> 01:09:45,460 And then we have definitive proof that any chance Lisa get, 1441 01:09:45,460 --> 01:09:49,450 she's gonna feed him to have him gain and slowly kill him. 1442 01:09:49,450 --> 01:09:53,560 But with his condition improved and his infection cleared up, 1443 01:09:53,560 --> 01:09:57,610 we need to send him home because the hospital can't become 1444 01:09:57,610 --> 01:09:59,830 his personal weight loss camp. 1445 01:09:59,830 --> 01:10:03,250 But we have to wait and see what APS decides. 1446 01:10:10,300 --> 01:10:13,680 Hey, James. - Hello. 1447 01:10:13,680 --> 01:10:16,340 How you doing? 1448 01:10:16,340 --> 01:10:17,190 Pretty good, I guess. 1449 01:10:17,190 --> 01:10:21,410 All right, so we are ready to send you home, 1450 01:10:21,410 --> 01:10:24,710 and your infection is much, much better. 1451 01:10:24,710 --> 01:10:27,080 But you're not out of the woods yet. 1452 01:10:27,080 --> 01:10:31,280 So we need to continue washing every day, 1453 01:10:31,280 --> 01:10:34,790 and make sure that we gonna wrap them every day. 1454 01:10:34,790 --> 01:10:36,920 And that's going to be very important, 1455 01:10:36,920 --> 01:10:39,890 because that infection will come back if we don't 1456 01:10:39,890 --> 01:10:43,630 have a proper hygiene in this. 1457 01:10:43,630 --> 01:10:49,340 So we getting the home care to come and work with you guys. 1458 01:10:49,340 --> 01:10:50,900 OK? - OK. 1459 01:10:50,900 --> 01:10:53,720 And we'll have you back down to around 698. 1460 01:10:53,720 --> 01:10:56,700 But we'll check and see your progress today. 1461 01:10:56,700 --> 01:11:01,110 And as far as your weight is concerned-- 1462 01:11:01,110 --> 01:11:12,460 346 kilograms, which translate on 761. 1463 01:11:12,460 --> 01:11:14,640 That's even higher than when you arrived. 1464 01:11:14,640 --> 01:11:16,240 How's that? 1465 01:11:16,240 --> 01:11:19,410 You know what causes that, right? 1466 01:11:19,410 --> 01:11:21,280 You got to be kidding me, man. 1467 01:11:21,280 --> 01:11:23,890 Usually when he's here in the hospital on your diet plan, 1468 01:11:23,890 --> 01:11:26,440 he loses 2 to 4 pounds a day. 1469 01:11:26,440 --> 01:11:27,160 Yes he does. 1470 01:11:27,160 --> 01:11:29,980 So why do you think he didn't this time, Lisa? 1471 01:11:29,980 --> 01:11:31,180 I'll tell you why. 1472 01:11:31,180 --> 01:11:33,190 You've been sneaking food in again. 1473 01:11:33,190 --> 01:11:37,660 I purposely had the stuff let up to see if he would do this. 1474 01:11:37,660 --> 01:11:40,150 This time, we caught you red-handed, Lisa. 1475 01:11:40,150 --> 01:11:41,620 You snuck food in. 1476 01:11:41,620 --> 01:11:43,420 I know I did. 1477 01:11:43,420 --> 01:11:45,070 I won't tell you it again. 1478 01:11:45,070 --> 01:11:47,310 This is gonna be the last time, OK? 1479 01:11:47,310 --> 01:11:51,520 This level of pathology and deceit is just off the chart. 1480 01:11:51,520 --> 01:11:53,170 You're killing him, Lisa. 1481 01:11:53,170 --> 01:11:56,980 And you'll be getting a visit from Adult Protective Services, 1482 01:11:56,980 --> 01:11:58,990 because we asked them to intervene. 1483 01:11:58,990 --> 01:12:03,700 Because this is some of the most self-destructive and deceptive 1484 01:12:03,700 --> 01:12:06,190 behavior I have ever witnessed. 1485 01:12:06,190 --> 01:12:08,440 So we are taking action to stop this, 1486 01:12:08,440 --> 01:12:11,320 and try to stop this for good. 1487 01:12:11,320 --> 01:12:14,370 I hope to see you again James, but at this point, 1488 01:12:14,370 --> 01:12:15,670 I'm not too sure. 1489 01:12:15,670 --> 01:12:18,280 We'll see about that. 1490 01:12:18,280 --> 01:12:20,400 DR. NOWZARADAN: For James to gain another 60 1491 01:12:20,400 --> 01:12:23,590 pounds in a week, Lisa had to be sneaking 1492 01:12:23,590 --> 01:12:26,940 in around 30,000 calorie a day. 1493 01:12:26,940 --> 01:12:31,890 And a few double cheeseburger and fries a day will do that. 1494 01:12:31,890 --> 01:12:35,100 This is very methodical and intentional by her. 1495 01:12:35,100 --> 01:12:38,020 And when she's caught, she just smiles and lies. 1496 01:12:38,020 --> 01:12:40,800 And Lisa and James act like they can just 1497 01:12:40,800 --> 01:12:42,900 use hospital to keep him alive. 1498 01:12:42,900 --> 01:12:45,770 But this is all coming to an end. 1499 01:12:45,770 --> 01:12:49,170 And the reality is James won't be able to live 1500 01:12:49,170 --> 01:12:50,760 much longer if that happens. 1501 01:13:08,010 --> 01:13:11,040 CYNTHIA (VOICEOVER): Today I'm headed back to see a Dr. Now. 1502 01:13:11,040 --> 01:13:13,200 And my brother is here with me. 1503 01:13:13,200 --> 01:13:15,570 I asked him to come today, because he helped 1504 01:13:15,570 --> 01:13:17,280 me start this journey and he brought me 1505 01:13:17,280 --> 01:13:19,860 here for the first appointment. 1506 01:13:19,860 --> 01:13:22,670 So, you can walk? 1507 01:13:22,670 --> 01:13:25,220 I don't need you breathing down my throat. 1508 01:13:25,220 --> 01:13:26,350 I just don't. 1509 01:13:26,350 --> 01:13:28,850 That's not how I function, and you know that. 1510 01:13:28,850 --> 01:13:29,700 I'm not trying to-- 1511 01:13:29,700 --> 01:13:32,390 OK, well then let me do this. 1512 01:13:32,390 --> 01:13:33,850 You're not my daddy. 1513 01:13:33,850 --> 01:13:34,950 CYNTHIA (VOICEOVER): So I thought 1514 01:13:34,950 --> 01:13:36,720 it would be neat for him to see how far I've 1515 01:13:36,720 --> 01:13:39,240 come with today's weigh-in. 1516 01:13:39,240 --> 01:13:41,160 But I'm going to tell a Dr. Now that I'm taking 1517 01:13:41,160 --> 01:13:43,440 a break from the program. 1518 01:13:43,440 --> 01:13:45,330 It's been a little over a year and a half 1519 01:13:45,330 --> 01:13:47,550 since I started my whole journey, 1520 01:13:47,550 --> 01:13:51,000 and I've lost over 200 pounds at this point. 1521 01:13:51,000 --> 01:13:52,740 So I don't think I need to worry about hitting 1522 01:13:52,740 --> 01:13:53,990 any more goals right now. 1523 01:13:56,980 --> 01:13:59,170 Because recovering from my skin removal 1524 01:13:59,170 --> 01:14:01,210 while taking care of five kids who need me, 1525 01:14:01,210 --> 01:14:03,340 was almost too much. 1526 01:14:03,340 --> 01:14:06,190 And I think right now, I just need to focus on my kids 1527 01:14:06,190 --> 01:14:10,810 and be there for them, and step away from Dr. Now's program. 1528 01:14:10,810 --> 01:14:12,610 Because I'm happy. 1529 01:14:12,610 --> 01:14:14,800 I'm happier than I've been in 10 years. 1530 01:14:14,800 --> 01:14:18,140 So I'm just enjoying life at this point. 1531 01:14:18,140 --> 01:14:21,670 And as long as the scale is going down, I'm OK. 1532 01:14:21,670 --> 01:14:23,620 Cynthia Wills. 1533 01:14:23,620 --> 01:14:27,320 CYNTHIA (VOICEOVER): At my surgery I was down to 365, 1534 01:14:27,320 --> 01:14:30,250 and I'm supposed to be losing 20 pounds a month. 1535 01:14:30,250 --> 01:14:32,400 So over the last two months I should have done 1536 01:14:32,400 --> 01:14:36,920 to 325 to hit Dr. Now's goal. 1537 01:14:36,920 --> 01:14:39,160 But whatever my progress, I'll be happy. 1538 01:14:44,220 --> 01:14:45,090 I'm happy with that. 1539 01:14:48,060 --> 01:14:52,130 I know Dr. Now will say it's not as much as I should be losing, 1540 01:14:52,130 --> 01:14:54,630 but it's progress. 1541 01:14:54,630 --> 01:14:55,580 So I'm happy with it. 1542 01:14:59,420 --> 01:15:00,190 DR. NOWZARADAN: Hello. 1543 01:15:00,190 --> 01:15:01,200 How you doing? 1544 01:15:01,200 --> 01:15:02,150 How you all doing? 1545 01:15:02,150 --> 01:15:04,570 I'm great. 1546 01:15:04,570 --> 01:15:05,810 Good to see you all. 1547 01:15:05,810 --> 01:15:07,170 How are you feeling, Cynthia? 1548 01:15:07,170 --> 01:15:08,530 CYNTHIA: I feel amazing. 1549 01:15:08,530 --> 01:15:10,230 DR. NOWZARADAN: How is your arm doing? 1550 01:15:10,230 --> 01:15:11,230 It's doing pretty good. 1551 01:15:11,230 --> 01:15:12,880 Let's see how it healing OK? 1552 01:15:12,880 --> 01:15:13,760 Yep. 1553 01:15:13,760 --> 01:15:15,520 All right. 1554 01:15:15,520 --> 01:15:16,810 And the other one? 1555 01:15:16,810 --> 01:15:17,510 OK. 1556 01:15:17,510 --> 01:15:19,000 They still have some swelling. 1557 01:15:19,000 --> 01:15:20,920 But they will go down as long as you 1558 01:15:20,920 --> 01:15:22,810 don't start gaining, because your weight 1559 01:15:22,810 --> 01:15:24,710 loss has slowed a good bit. 1560 01:15:24,710 --> 01:15:25,420 OK. 1561 01:15:25,420 --> 01:15:28,870 You only made it down to 361. 1562 01:15:28,870 --> 01:15:32,360 So that is only loss of five pounds in two months. 1563 01:15:32,360 --> 01:15:33,980 That's not much at all. 1564 01:15:33,980 --> 01:15:35,260 So what's going on? 1565 01:15:35,260 --> 01:15:37,210 CYNTHIA: I know my progress isn't where you want it, 1566 01:15:37,210 --> 01:15:38,950 but I'm still losing. 1567 01:15:38,950 --> 01:15:40,120 Well, I get that. 1568 01:15:40,120 --> 01:15:42,940 But what you need to understand is 1569 01:15:42,940 --> 01:15:45,880 that if your weight loss is slowing like this after weight 1570 01:15:45,880 --> 01:15:48,520 loss surgery, then you're waiting, 1571 01:15:48,520 --> 01:15:51,130 and very soon, you'll start to gain. 1572 01:15:51,130 --> 01:15:54,700 Then we won't be able to do any more skin removal until you 1573 01:15:54,700 --> 01:15:56,650 start to make progress again. 1574 01:15:56,650 --> 01:15:58,480 CYNTHIA: I'm actually good with where I'm at. 1575 01:15:58,480 --> 01:16:00,640 Well, that's certainly your choice. 1576 01:16:00,640 --> 01:16:04,060 But if she do that, then I think what will happen 1577 01:16:04,060 --> 01:16:06,500 is that you will start to gain soon. 1578 01:16:06,500 --> 01:16:09,910 You getting too confident and relaxed. 1579 01:16:09,910 --> 01:16:11,360 CYNTHIA: I disagree. 1580 01:16:11,360 --> 01:16:12,510 I do. 1581 01:16:12,510 --> 01:16:15,250 But right now, this is the best decision for me. 1582 01:16:15,250 --> 01:16:17,110 I just need to be there for my kids. 1583 01:16:17,110 --> 01:16:19,570 Well, I agree that you have lost a lot of weight 1584 01:16:19,570 --> 01:16:22,900 and you have come a long way, but you're still a bit away 1585 01:16:22,900 --> 01:16:25,330 from being at a healthy weight. 1586 01:16:25,330 --> 01:16:28,930 And I would urge you to stick to this until you 1587 01:16:28,930 --> 01:16:31,900 get into the lower 200s. 1588 01:16:31,900 --> 01:16:34,180 But if you change your mind, we'll be 1589 01:16:34,180 --> 01:16:36,010 here waiting to help if you do. 1590 01:16:36,010 --> 01:16:37,750 - OK. - All right. 1591 01:16:37,750 --> 01:16:40,480 Good luck. 1592 01:16:40,480 --> 01:16:44,480 Cynthia may be happy with where she's at right now, 1593 01:16:44,480 --> 01:16:46,790 and that's a big part of weight loss. 1594 01:16:46,790 --> 01:16:50,350 But the other part of her is getting healthy. 1595 01:16:50,350 --> 01:16:54,520 And right now Cynthia's weight is still not a healthy one. 1596 01:16:54,520 --> 01:16:57,170 So hopefully, she will come around. 1597 01:16:57,170 --> 01:17:01,240 Doesn't develop all the side effect of obesity 1598 01:17:01,240 --> 01:17:05,800 that she still will being over 300 pounds. 1599 01:17:05,800 --> 01:17:08,230 I will check up on her in the next few months, 1600 01:17:08,230 --> 01:17:10,750 because it would be a shame for her to lose 1601 01:17:10,750 --> 01:17:13,090 all the progress she has made. 1602 01:17:13,090 --> 01:17:16,360 But she's done well, and for now she has made the choice 1603 01:17:16,360 --> 01:17:19,630 she wants, and is, at least, in a much better 1604 01:17:19,630 --> 01:17:22,780 place than when she started. 1605 01:17:22,780 --> 01:17:25,900 I think my mom has been doing awesome with her weight lost, 1606 01:17:25,900 --> 01:17:27,850 but I do hope that she gets to her 1607 01:17:27,850 --> 01:17:33,120 ideal weight where she wants to be-- where she feels happy. 1608 01:17:33,120 --> 01:17:34,650 CYNTHIA (VOICEOVER): I know Dr. Now thinks 1609 01:17:34,650 --> 01:17:37,120 I'm not ready to step away. 1610 01:17:37,120 --> 01:17:40,540 But I don't agree, and right now I feel good. 1611 01:17:40,540 --> 01:17:42,350 So I'm happy with my decision. 1612 01:17:42,350 --> 01:17:45,070 And I think it's the right one, because I 1613 01:17:45,070 --> 01:17:46,720 know what I need right now. 1614 01:17:46,720 --> 01:17:51,190 And that's to be done with this so I can be there for my kids 1615 01:17:51,190 --> 01:17:53,320 because they need me. 1616 01:17:53,320 --> 01:17:55,610 So I know I'm making the best decision for me. 1617 01:18:28,470 --> 01:18:30,320 DR. NOWZARADAN: Adult Protective Services 1618 01:18:30,320 --> 01:18:33,170 concluded their investigation, and determined that 1619 01:18:33,170 --> 01:18:36,800 as long as James want the food that this is not a situation 1620 01:18:36,800 --> 01:18:38,990 that they can intervene in. 1621 01:18:38,990 --> 01:18:40,550 So that's unfortunate. 1622 01:18:40,550 --> 01:18:44,690 But food addiction is still one that is not fully understood. 1623 01:18:44,690 --> 01:18:48,410 It's a drug, and it's killing James just like any other drug. 1624 01:18:48,410 --> 01:18:50,210 But at this point, there is nothing 1625 01:18:50,210 --> 01:18:53,420 more we can do for James unless he and Lisa start 1626 01:18:53,420 --> 01:18:56,540 to cooperate with the program. 1627 01:18:56,540 --> 01:18:59,460 All right. 1628 01:18:59,460 --> 01:19:00,390 Hi, James. 1629 01:19:00,390 --> 01:19:01,380 How are you doing? 1630 01:19:01,380 --> 01:19:04,980 Ah, I guess pretty good up until here lately. 1631 01:19:04,980 --> 01:19:06,580 I understand your leg is hurting. 1632 01:19:06,580 --> 01:19:07,900 So what's going on? 1633 01:19:07,900 --> 01:19:09,430 JAMES: I've been having a lot of swelling. 1634 01:19:09,430 --> 01:19:10,680 Where? In you legs? 1635 01:19:10,680 --> 01:19:12,430 Legs-- all over. 1636 01:19:12,430 --> 01:19:13,520 So let me guess. 1637 01:19:13,520 --> 01:19:16,650 You think it is because you drank a lot of liquids. 1638 01:19:16,650 --> 01:19:19,340 But in reality, you gaining a lot of weight again, 1639 01:19:19,340 --> 01:19:20,970 and that's the problem. 1640 01:19:20,970 --> 01:19:22,870 OK, then what was the swelling coming from? 1641 01:19:22,870 --> 01:19:24,760 Well, what I think he's trying to say 1642 01:19:24,760 --> 01:19:26,190 is, I've been measuring it at home, 1643 01:19:26,190 --> 01:19:28,480 and he's not peeing out as much as he's drinking. 1644 01:19:28,480 --> 01:19:29,760 He seems like he's swelling. 1645 01:19:29,760 --> 01:19:31,740 Let's look at your leg and see how things are. 1646 01:19:31,740 --> 01:19:35,000 But you have gained a lot of weight. 1647 01:19:35,000 --> 01:19:37,380 JAMES: I don't know about gaining-- maybe swelling. 1648 01:19:37,380 --> 01:19:39,480 And you think all this is fluid. 1649 01:19:39,480 --> 01:19:41,860 There's no fat in here? 1650 01:19:41,860 --> 01:19:44,380 LISA: This is what I've noticed recently. 1651 01:19:44,380 --> 01:19:45,080 DR. NOWZARADAN: OK. 1652 01:19:45,080 --> 01:19:47,740 It's not because your body is retaining fluid. 1653 01:19:47,740 --> 01:19:50,230 Your leg is swollen because you gained a lot of weight, 1654 01:19:50,230 --> 01:19:52,460 so it's getting bigger and worse. 1655 01:19:52,460 --> 01:19:55,330 And you two are delusional if you think that you can 1656 01:19:55,330 --> 01:19:57,940 give me the same story again and you 1657 01:19:57,940 --> 01:19:59,860 think I'm going to believe you. 1658 01:19:59,860 --> 01:20:02,920 Your weight is controlled by the food you take. 1659 01:20:02,920 --> 01:20:04,870 Well, she ain't given me [BLEEP] food. 1660 01:20:04,870 --> 01:20:05,920 LISA: I can tell you-- 1661 01:20:05,920 --> 01:20:06,210 JAMES: And the only thing I'm eating 1662 01:20:06,210 --> 01:20:07,720 is what she's bringing me. - Dr. Now. 1663 01:20:07,720 --> 01:20:11,260 I think it has a lot-- he does exercises with his arms. 1664 01:20:11,260 --> 01:20:12,300 I help him with his legs. 1665 01:20:12,300 --> 01:20:14,020 She's lost 80 pounds. 1666 01:20:14,020 --> 01:20:15,730 And I'm losing nothing. 1667 01:20:15,730 --> 01:20:16,750 Something don't add up. 1668 01:20:16,750 --> 01:20:19,150 You don't think your weight has to do anything 1669 01:20:19,150 --> 01:20:20,410 with your eating habit? 1670 01:20:20,410 --> 01:20:21,760 JAMES: No, I don't. 1671 01:20:21,760 --> 01:20:23,800 So what do you think your weight come from? 1672 01:20:23,800 --> 01:20:25,550 Thin air? 1673 01:20:25,550 --> 01:20:29,070 James, your weight is related to what you eat. 1674 01:20:29,070 --> 01:20:33,960 Well, he's not eating over 900 calories a day. 1675 01:20:33,960 --> 01:20:36,150 That's not reality, OK? 1676 01:20:36,150 --> 01:20:37,650 I'm gonna prove it for you. 1677 01:20:37,650 --> 01:20:39,330 Let's make a bet, OK? 1678 01:20:39,330 --> 01:20:41,730 If she doesn't come visit you for five days 1679 01:20:41,730 --> 01:20:42,760 and get your weight down-- 1680 01:20:42,760 --> 01:20:44,420 JAMES: It ain't got nothing to do with her. 1681 01:20:44,420 --> 01:20:46,160 I haven't gave him nothing Dr. Now. 1682 01:20:46,160 --> 01:20:49,260 You want to stay like that, one day I'm gonna get 1683 01:20:49,260 --> 01:20:51,540 a call that you didn't make it. 1684 01:20:51,540 --> 01:20:54,060 Your body is not going to tolerate this. 1685 01:20:54,060 --> 01:20:55,830 And the illusion that you're eating 1686 01:20:55,830 --> 01:20:59,760 has nothing to do with your weight is totally incorrect. 1687 01:20:59,760 --> 01:21:02,570 I didn't say it didn't have-- 1688 01:21:02,570 --> 01:21:04,880 If she stays away for five days, 1689 01:21:04,880 --> 01:21:07,430 we'll have you lose 20 to 30 pounds. 1690 01:21:07,430 --> 01:21:09,950 And once and for all, you will have 1691 01:21:09,950 --> 01:21:12,290 all the proof you need that your weight 1692 01:21:12,290 --> 01:21:14,720 gain isn't magic or water-- 1693 01:21:14,720 --> 01:21:15,690 it's Lisa. 1694 01:21:15,690 --> 01:21:18,840 Dr. Now, look, you told me that he was going to die. 1695 01:21:18,840 --> 01:21:19,970 I'm not going to bring him food. 1696 01:21:19,970 --> 01:21:21,490 The last time he was in the hospital, sir, 1697 01:21:21,490 --> 01:21:24,140 I swear to God I did not bring him no food. 1698 01:21:24,140 --> 01:21:24,840 OK. 1699 01:21:24,840 --> 01:21:30,270 So stay away from him for five days and we'll see what happen. 1700 01:21:30,270 --> 01:21:31,310 Is that a deal? 1701 01:21:31,310 --> 01:21:32,300 No. 1702 01:21:32,300 --> 01:21:33,280 She's my wife. 1703 01:21:33,280 --> 01:21:35,830 I've been with her for 25 years. 1704 01:21:35,830 --> 01:21:37,290 You just want to blame it on her. 1705 01:21:37,290 --> 01:21:37,990 No! 1706 01:21:37,990 --> 01:21:39,690 Both of you! 1707 01:21:39,690 --> 01:21:43,660 There's no possible way that your weight will be this way 1708 01:21:43,660 --> 01:21:45,650 if you're eating properly. 1709 01:21:45,650 --> 01:21:49,210 You keep telling the same thing and you believe the same thing. 1710 01:21:49,210 --> 01:21:51,490 Why don't you [BLEEP] find somebody to come watch me then? 1711 01:21:51,490 --> 01:21:52,190 No. 1712 01:21:52,190 --> 01:21:56,000 It's simply-- let's let her stay five days go have free time 1713 01:21:56,000 --> 01:21:58,060 for her, and you stay here. 1714 01:21:58,060 --> 01:22:00,110 Let's see what happen. 1715 01:22:00,110 --> 01:22:01,440 That going to be hard for you? 1716 01:22:01,440 --> 01:22:03,350 LISA: Well, I want to know why he didn't lose the weight 1717 01:22:03,350 --> 01:22:04,290 the last time he was here-- 1718 01:22:04,290 --> 01:22:07,540 Because I let it happen to see if you tell the truth. 1719 01:22:07,540 --> 01:22:08,340 You're still not. 1720 01:22:08,340 --> 01:22:09,340 JAMES: Quit blaming it on her! 1721 01:22:09,340 --> 01:22:10,740 Take her out of the equation. 1722 01:22:10,740 --> 01:22:12,290 James, we're not here to argue-- 1723 01:22:12,290 --> 01:22:14,020 The problem -- here's the problem. 1724 01:22:14,020 --> 01:22:16,190 You want to blame it all on the food. 1725 01:22:16,190 --> 01:22:18,550 I have no trapeze. 1726 01:22:18,550 --> 01:22:22,650 I'm laying on a [BLEEP] bed that's flat, because you won't 1727 01:22:22,650 --> 01:22:25,450 get me nothing that I need. 1728 01:22:25,450 --> 01:22:27,060 This isn't a hotel. 1729 01:22:27,060 --> 01:22:29,800 What make you feel that you deserve any of this? 1730 01:22:29,800 --> 01:22:30,930 Because you want to believe what 1731 01:22:30,930 --> 01:22:32,250 you want to [BLEEP] believe. - No. 1732 01:22:32,250 --> 01:22:34,210 I'm tired of it. 1733 01:22:34,210 --> 01:22:36,500 - Look, I'm here to help you. - You don't show it. 1734 01:22:36,500 --> 01:22:37,950 You want help or not? 1735 01:22:37,950 --> 01:22:40,810 You're killing yourself and you want me to believe you. 1736 01:22:40,810 --> 01:22:44,250 And at this point, if you refuse to go without Lisa 1737 01:22:44,250 --> 01:22:47,760 for even five days, then there is nothing more 1738 01:22:47,760 --> 01:22:49,320 we can discuss here. 1739 01:22:49,320 --> 01:22:50,480 We're trying to help you. 1740 01:22:50,480 --> 01:22:53,460 And you have not follow any of our direction. 1741 01:22:53,460 --> 01:22:55,830 And you really believe that you are not eating very much. 1742 01:22:55,830 --> 01:22:59,370 You believe that she's helping you and not bringing any food. 1743 01:22:59,370 --> 01:23:02,040 But that simple reality, James. 1744 01:23:02,040 --> 01:23:03,840 There is no miracle in here. 1745 01:23:03,840 --> 01:23:07,050 You don't gain weight from thin air. 1746 01:23:07,050 --> 01:23:08,990 You gain weight from the food you eat. 1747 01:23:08,990 --> 01:23:11,170 You don't even care if there's swelling or nothing. 1748 01:23:11,170 --> 01:23:12,190 It's only the food. 1749 01:23:12,190 --> 01:23:13,190 And you say, that's it. 1750 01:23:13,190 --> 01:23:16,410 Look, the swelling is a result of the food that you're eating. 1751 01:23:16,410 --> 01:23:17,680 How do you get swelling from a piece 1752 01:23:17,680 --> 01:23:19,020 of [BLEEP] chicken and salad? 1753 01:23:19,020 --> 01:23:20,480 LISA: Well, you did eat-- - Tell me! 1754 01:23:20,480 --> 01:23:21,180 All right. 1755 01:23:21,180 --> 01:23:22,890 I keep her five days away from you, 1756 01:23:22,890 --> 01:23:25,320 see how much weight you gonna lose. 1757 01:23:25,320 --> 01:23:27,420 Why you blaming it on her? 1758 01:23:27,420 --> 01:23:29,340 I know she bring you food. 1759 01:23:29,340 --> 01:23:31,110 And don't tell me that she doesn't. 1760 01:23:31,110 --> 01:23:34,560 You don't get up go to kitchen and get it. 1761 01:23:34,560 --> 01:23:36,090 Who brings you food? 1762 01:23:36,090 --> 01:23:37,170 I know what I eat! 1763 01:23:37,170 --> 01:23:38,580 No, you're in denial. 1764 01:23:38,580 --> 01:23:40,950 You don't understand what your problem is. 1765 01:23:40,950 --> 01:23:45,500 And we're trying to help you to make your life different. 1766 01:23:45,500 --> 01:23:47,260 LISA: We want his life different. 1767 01:23:47,260 --> 01:23:48,400 You the on that you hurting him. 1768 01:23:48,400 --> 01:23:49,870 OK? LISA: I'm not hurting him. 1769 01:23:49,870 --> 01:23:51,560 I haven't gave him no [BLEEP] food. 1770 01:23:51,560 --> 01:23:52,430 I done told you that. 1771 01:23:52,430 --> 01:23:54,320 I'm tired of you accusing me. 1772 01:23:54,320 --> 01:23:56,210 DR. NOWZARADAN: Why does he put on weight? 1773 01:23:56,210 --> 01:23:58,030 I don't know, Dr. Now. 1774 01:23:58,030 --> 01:24:01,560 But I'm telling you right now, I have not gave him no food. 1775 01:24:01,560 --> 01:24:03,860 OK. This is all a miracle, right? 1776 01:24:03,860 --> 01:24:05,000 No, it's not a miracle. 1777 01:24:05,000 --> 01:24:06,800 His body doesn't burn calories. 1778 01:24:06,800 --> 01:24:10,860 Look, you want to help or you not? 1779 01:24:10,860 --> 01:24:12,310 I don't know what you mean. 1780 01:24:12,310 --> 01:24:14,950 If you're trying to separate me and her that's 1781 01:24:14,950 --> 01:24:15,650 not going to happen. 1782 01:24:15,650 --> 01:24:16,980 You're trying to break up a family. 1783 01:24:16,980 --> 01:24:18,810 DR. NOWZARADAN: Five days is breaking you family up? 1784 01:24:18,810 --> 01:24:20,160 No, but I know what you're doing. 1785 01:24:20,160 --> 01:24:21,540 You're blaming it all on her. 1786 01:24:21,540 --> 01:24:22,590 Why are you arguing? 1787 01:24:22,590 --> 01:24:24,550 Do you need help or not? 1788 01:24:24,550 --> 01:24:26,930 If it consists of her getting out of the picture, no. 1789 01:24:26,930 --> 01:24:29,330 OK. Then you don't need any help. 1790 01:24:29,330 --> 01:24:31,980 And unfortunately, James, we can't get through to you, 1791 01:24:31,980 --> 01:24:33,980 and Lisa won't stop feed you. 1792 01:24:33,980 --> 01:24:37,500 And if you don't agree to spend just five days apart from her, 1793 01:24:37,500 --> 01:24:39,370 then there's nothing we can do. 1794 01:24:39,370 --> 01:24:40,440 So we're done here. 1795 01:24:40,440 --> 01:24:43,530 So there is no reason for you to continue on the program 1796 01:24:43,530 --> 01:24:45,930 when you both won't listen or try. 1797 01:24:45,930 --> 01:24:48,090 So once we run some tests, and make 1798 01:24:48,090 --> 01:24:51,170 sure there's no immediate issues, we will discharge you 1799 01:24:51,170 --> 01:24:53,310 and I wish you well, James. 1800 01:24:53,310 --> 01:24:56,220 I hope you wake up in time, and you don't die, because you 1801 01:24:56,220 --> 01:24:57,730 eat yourself to death. 1802 01:24:57,730 --> 01:24:58,660 Yep. 1803 01:25:01,440 --> 01:25:03,300 It is clear that James and Lisa 1804 01:25:03,300 --> 01:25:06,660 have no intention to change any of the habits that 1805 01:25:06,660 --> 01:25:08,790 are killing him. 1806 01:25:08,790 --> 01:25:11,190 And until they can show us otherwise, 1807 01:25:11,190 --> 01:25:14,280 James is done with the program. 1808 01:25:14,280 --> 01:25:16,770 It is always hard and unfortunate 1809 01:25:16,770 --> 01:25:19,020 to watch people self destruct. 1810 01:25:19,020 --> 01:25:21,910 But at the end of the day, it's their choice. 1811 01:25:21,910 --> 01:25:25,350 And we can't keep allowing them to abuse the system the way 1812 01:25:25,350 --> 01:25:26,310 they are. 1813 01:25:26,310 --> 01:25:28,830 So I wish James and Lisa the best. 1814 01:25:28,830 --> 01:25:30,990 But unless something drastic change, 1815 01:25:30,990 --> 01:25:34,400 I don't think he will be alive much longer. 1815 01:25:35,305 --> 01:26:35,876 Watch Online Movies and Series for FREE www.osdb.link/lm