All language subtitles for My 600-lb Life S04E12

Lupe:
I FEEL HELPLESS, WORTHLESS...

AND I KNOW I'M GONNA DIE.

Man: [ MOANING ]

MY WEIGHT HAS GIVEN ME
A DEATH SENTENCE.

Nikki: THE THING
I RELIED ON ALL THESE YEARS

IS WHAT'S KILLING ME.

IT'S BROKEN!
WHAT AM I SUPPOSED TO DO?

I DON'T KNOW.
I CAN'T GET OFF.

DON'T LET ME GO, PLEASE.
I'M NOT.

Chad: IT'S HARD TO BE A FATHER
FROM A CHAIR.

[ GRUNTS ]
THANK YOU, HONEY.

I SEE
THAT UNWILLINGNESS.

IF YOU WERE SERIOUS,
YOU'D MAKE CHANGES.

Dr. Nowzaradan: YOU'RE PLAYING
WITH EVERYBODY AROUND YOU.

NO, I'M NOT.

YOU GOT TO USE
YOUR UPPER BODY AND STAY UP.

-I'M GONNA FALL.
-YOU'RE NOT GONNA FALL.

YOU REFUSE
TO GET OUT OF THIS CONDITION.

-- Captions by VITAC --
www.vitac.com

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

SOMETIMES WE THINK

WE DESPERATELY NEED SOMETHING
IN OUR LIFE,

NEVER REALIZING
IT'S THE VERY THING KILLING US.

**

[ AIR RUSHING ]

**

Gilbert:
HEY, TIME TO GET UP.

GOT TO GET UP NOW.

BEING THIS OVERWEIGHT,

EVERYTHING I DO IS HARD,
AND IT'S A STRUGGLE.

I NEED A RAG FOR MY FACE.

THINGS ARE SO HARD FOR ME.

I'VE LOST MOTIVATION
TO DO ANYTHING FOR MYSELF.

AND MY BODY'S STARTING
TO BREAK DOWN.

MY WEIGHT HAS TAKEN A TOLL

ON MY HEART, MY KIDNEYS,
MY LIVER, MY LEGS --

EVERYTHING.

I'M IN PAIN,
AND I FEEL HELPLESS, WORTHLESS.

[ BEEPS ]

Woman:
THE BLOOD GLUCOSE IS 423.

Gilbert: DANG, 423?

Lupe: BECAUSE OF MY WEIGHT,
I AM DIABETIC.

AND WHAT SCARES ME THE MOST IS
THAT MY KIDNEYS WILL FAIL AGAIN.

I'VE ALREADY
GONE INTO A DIABETIC COMA,

AND THERE WAS SO MUCH FAT AROUND
MY NECK, IT WAS SUFFOCATING ME.

SO THEY HAD TO DO A TRACHEOTOMY

JUST SO I COULD BREATHE
WHILE I WAS UNCONSCIOUS.

THEY HAD TO DO,
LIKE, A CHIN TUCK RIGHT HERE

AND THEN PUT THE TRACHE IN

BECAUSE
EVEN WITH THE VENTILATOR,

I STILL NEEDED IT.

AND IT'S BEEN 10 YEARS
SINCE MY COMA,

AND I HAVEN'T WALKED ON MY OWN
SINCE THEN.

I WALKED INTO THE E.R.,
AND I NEVER WALKED OUT.

READY.

IT CHANGED MY ENTIRE LIFE.

SO NOW MY BED IS MY RESTROOM,
MY PLACE WHERE I TAKE A SHOWER.

[ SNIFFLES ]
IT'S WHERE I DO EVERYTHING.

YOU GOOD?

WORDS CAN'T EXPLAIN HOW MUCH
I HATE BEING IN THIS BED.

I NEED
TO BE TAKEN CARE OF 24/7

BECAUSE
I CAN'T DO ANYTHING MYSELF.

-READY FOR YOUR BATH?
-YEAH.

MY HUSBAND, GILBERT,
IS MY CARETAKER.

OKAY.

HE CAN'T HAVE
A FULL-TIME JOB

BECAUSE HE TAKES CARE OF ME
ALL THE TIME.

Gilbert: I FEEL HELPLESS.

IT'S JUST ME TAKING OF HER
MORE THAN US HAVING A MARRIAGE.

YOU KNOW, I GUESS YOU COULD SAY
INTIMACY IS IMPOSSIBLE.

OKAY. OHH.

THIS IS WAY HARDER
THAN I THOUGHT IT WAS GONNA BE.

BUT, YOU KNOW, I LOVE HER,
AND THAT'S WHAT KEEPS ME GOING.

GIVE ME ONE SECOND.

Lupe: I FEEL UNWORTHY
OF HIM TAKING CARE OF ME

AND LOVING ME
THE WAY HE DOES.

IT'S NOT A NORMAL LIFE
LIVING THIS WAY.

IT FEELS...HUMILIATING.

I JUST...
[ SNIFFLES ]

IT'S ALL BECAUSE OF MY WEIGHT.

**

WHEN I WAS YOUNG, I THOUGHT
I WAS A NORMAL WEIGHT.

I WAS A LITTLE CHUNKY,
BUT I WAS HEALTHY AND HAPPY.

I FELT LIKE
I HAD A NORMAL FAMILY,

AND THEN EVERYTHING CHANGED.

WHEN I WAS 5, MY DAD LEFT.

I REMEMBER IT TO THIS DAY.

HE HAD PUT US IN THE BATHTUB.

AFTER THREE, FOUR HOURS,
MY SISTER GOT OUT,

AND I WAITED IN THE BATHTUB
EIGHT HOURS.

[ SNIFFLES ]

AND THEN I NOTICED
THAT HE WASN'T COMING BACK.

I FELT LIKE MY DAD ABANDONED ME
AND BROKE MY HEART.

AND THAT'S WHEN I REMEMBER
STARTING TO GO TO FOOD

TO FEEL BETTER.

I MISSED HIM SO MUCH,
I WANTED HIM,

I'D JUST START EATING
AND EATING.

AFTER MY DAD LEFT,

THAT'S WHEN I NOTICED LUPE
WAS SNEAKING FOOD INTO HER ROOM.

SHE WOULD JUST KEEP EATING.

THAT WAS THE ONLY WAY SHE KNEW
HOW TO HANDLE HER EMOTIONS.

Lupe:
BY THE TIME I WAS 6 YEARS OLD,

I WAS ALREADY 100 POUNDS,

AND FOOD WAS THE ONLY THING
I COULD RELY ON.

I FELT LIKE FOOD
WAS ALWAYS THERE FOR ME,

NO MATTER
WHAT I WAS GOING THROUGH

'CAUSE I DIDN'T HAVE ANYONE.

AFTER MY DAD LEFT,
MY MOM HAD A NERVOUS BREAKDOWN,

TRIED TO COMMIT SUICIDE,
AND SHE STARTED USING DRUGS.

AND WHEN I WAS 8,
MY MOM WENT TO PRISON.

SO I WENT TO STAY
WITH MY GRANDMA.

AND THROUGH ALL THIS,
FOOD STAYED MY ONLY COMFORT.

SHE STARTED GAINING WEIGHT
PRETTY FAST.

IN THE NINTH GRADE,
SHE WAS 400 POUNDS.

I DIDN'T KNOW WHAT TO SAY TO HER
'CAUSE I WAS YOUNGER THAN HER.

Lupe:
AND THEN MY GRANDMA PASSED AWAY.

MY WHOLE WORLD IS FALLING APART.

I STARTED GETTING SO BIG
THAT I COULD DO LESS AND LESS.

AND I HAD TO DROP OUT OF SCHOOL.

AFTER THAT, ALL I DID WAS EAT.

AND I MOSTLY STAYED HOME
AND KEPT GAINING.

BY THE TIME
I WAS IN MY LATE 20s,

I WAS OVER 500 POUNDS.

BUT THINGS GOT WORSE
10 YEARS AGO

WHEN I WENT INTO THE E.R.
NOT FEELING WELL

AND FELL INTO A DIABETIC COMA.

SINCE THEN, I'VE BEEN
MOSTLY TRAPPED IN MY BED.

AND FOR TWO DECADES,
I'VE BEEN OVER 500 POUNDS.

BEING THIS SIZE
IS THE ONLY LIFE I'VE KNOWN.

YEAH.

NOW I HAVE TO BE
COMPLETELY TAKEN CARE OF.

AND THE ONLY PERSON

I HAVE IN MY LIFE
TO TAKE CARE OF ME IS GILBERT.

ME MET EIGHT YEARS AGO
IN A CHAT ROOM,

AND SINCE THEN,
HE'S TAKEN CARE OF ME.

THANK YOU SO MUCH.
HAVE A NICE DAY.

WE TALKED FOR ABOUT SIX MONTHS,
AND WE JUST HIT IT OFF.

THEY DIDN'T HAVE
DONUT HOLES.

SO WHAT'D YOU GET?

UH, DON'T GET MAD,
BUT I HAD TO GET THE OTHER ONES.

WHICH ONE YOU WANT?
I DON'T KNOW.

OKAY, GO AHEAD, PICK.

GET ME A PLATE.

I'LL GET SOME PLATES.

I LIED TO HIM, AND I TOLD HIM
I WAS LIKE 200 POUNDS.

BUT WE GOT REALLY CLOSE,
AND I TOLD HIM,

"I'M GONNA SEND YOU A PICTURE,

BUT I UNDERSTAND IF YOU NEVER
WANT TO TALK TO ME AGAIN."

Gilbert: NORMALLY,
I'M NOT ATTRACTED TO BIG PEOPLE,

SO WHEN I SAW THE PICTURE
OF LUPE, I WAS UPSET.

BUT I ALREADY STARTED
TO CARE ABOUT HER.

I WANT ANOTHER HALF.

BRING ME THE BOX.
I'M GONNA CHOOSE IT.

I HAD DOUBTS
ABOUT US BEING TOGETHER...

UNTIL SHE TOLD ME SOMETHING
THAT REALLY HIT ME IN THE HEART.

SHE SAID
THAT SHE WAS PRAYING TO GOD

THAT HE WOULD SEND
SOMEBODY TO HER

THAT WOULD BE THERE FOR HER
AND WOULD TAKE CARE OF HER

AND BE BY HER SIDE.

AND I WANTED TO BE THAT PERSON
FOR HER.

I KNOW I'M EATING UNHEALTHY,
BUT FOOD IS MY COMFORT.

AND I'M SCARED
NOT HAVING IT THERE.

Gilbert: I LOVE HER TO DEATH,
AND I DO NOT WANT TO LOSE HER.

I DON'T.

BUT I NEED
HER TO LOSE THIS WEIGHT

BECAUSE IT'S KILLING
THE BOTH OF US,

AND I DON'T KNOW WHAT TO DO.

**

[ DOG BARKS ]

I REALLY TRY NOT TO GIVE HER
AS MUCH FOOD AS HE WANTS.

BUT IF I DON'T DO IT,

SHE'LL FIND HER NIECE
OR SOMEONE DO IT FOR HER.

HI, MIJA.
HI.

CAN YOU GO GET ME
SOMETHING TO EAT?

YEAH.

THANK YOU.

TWO SUPER NACHOS,
THE CARNE ASADA ONES.

TWO LENGUA BURRITOS,
AND A BEEF TACO WITH NO LETTUCE.

OKAY.

Lupe:
MOST OF THE FOOD I EAT NOW

IS EITHER TAKE-OUT
OR MICROWAVABLE FOODS.

IT'S EASIER TO HAVE SOMEONE
JUST BRING IT TO ME

SO I WON'T HAVE TO COOK
AND BE IN PAIN.

WHEN LUPE CALLS ME, SOMETIMES
I DON'T EVEN ANSWER THE PHONE

BECAUSE I KNOW THAT SHE'S GONNA
WANT ME TO GO BUY HER FOOD.

AND THAT IS HARD
TO SAY NO SOMETIMES

BECAUSE IT FEELS THAT SHE MIGHT
THINK I MIGHT NOT LOVE HER.

Lupe: FOOD'S MY COMFORT.

I EAT OUT OF BOREDOM,
AND I'M AN EMOTIONAL EATER.

HERE YOU GO.

WHEN I EAT, I FEEL HAPPY.

SOMETIMES I'LL ORDER ME AN EXTRA
TACO AND PUT IT IN MY PURSE.

I DON'T KNOW HOW TO CHANGE.

[ CRYING ]

I DON'T KNOW HOW TO CHANGE
NOT FEELING FULL...

AT NIGHT, I EAT LATE,
AND I CRY, AND I PRAY.

GILBERT.

GO AHEAD,
TAKE THE REST OF IT.

GO AHEAD.

Gilbert:
I KNOW I'M NOT HELPING HER

WHEN I GIVE HER
THE WRONG STUFF TO EAT,

BUT I DON'T KNOW ANYTHING ELSE
THAN THAT.

**

WE NEED SOMEONE TO INTERVENE AND
HELP US AND TO HAVE A CHANGE,

YOU KNOW, BECAUSE IF NOT,

I DON'T SEE US --
I DON'T SEE IT MUCH LONGER,

US BEING TOGETHER.

THANK YOU.

I DON'T WANT TO GIVE UP.

BUT...YOU CAN SAY IT'S CLOSER
TO THE BREAKING POINT

OF EITHER HER PASSING AWAY
OR ME LEAVING.

Lupe: I KNOW, WITH EVERY BITE
OF FOOD I TAKE RIGHT NOW,

I'M RISKING LOSING GILBERT
AND MY LIFE.

BABE, I'M GONNA GET THE CLOTHES
REAL QUICK AND BRING IT IN!

I FEEL GUILTY.
[ SNIFFLES ]

I'M AWARE
THAT I MAKE BAD CHOICES.

[ SNIFFLES ]

I'M KILLING MYSELF.

[ BIRDS CHIRPING ]

AND I FEEL IT COMING.

I FEEL IT COMING SOON.

AND I DON'T WANT TO LIVE
LIKE THIS ANYMORE.

I WANT A NORMAL LIFE.
I WANT TO GET HEALTHY.

[ Crying ]
I DON'T WANT TO LIVE THIS WAY.

[ SIGHS ]

[ WIND RUSHING ]

**

Lupe: ALL MY FAMILY AND FRIENDS
HAVE COME TO SAY GOODBYE FOR NOW

BECAUSE GILBERT AND I
FOUND A DOCTOR

THAT WILL HELP ME LOSE
THE WEIGHT.

BUT HE'S IN HOUSTON, TEXAS.

SO WE'RE MOVING THERE FOR
A WHILE TO TRY TO GET HIS HELP.

[ INDISTINCT CONVERSATIONS ]

I'M THANKFUL
FOR THIS OPPORTUNITY,

BUT I'M ALSO REALLY SCARED

BECAUSE I DON'T KNOW

IF THIS IS GONNA BE LAST TIME
I EVER SEE MY FAMILY.

OH, MY GOD.

WHO'S THAT?

BUT MY NIECE MARICELA IS GONNA
GO WITH US AND STAY WITH US

UNTIL WE GET SETTLED IN.

I'M VERY SCARED FOR HER,
ESPECIALLY IT BEING SO FAR AWAY.

BUT IF SHE DOESN'T
GET HELP NOW,

SHE'S PROBABLY NOT GONNA MAKE IT
TOO MUCH LONGER.

SHE'S THE ONLY ONE --

WHEN MY MOM PASSED AWAY,
AND I THINK YOU TOOK IT.

ONCE WE GET SETTLED,

IT'S GONNA BE
JUST ME AND GILBERT,

SO THIS IS A BIG RISK FOR US,
AND IT'S REALLY SCARY.

WE WANT TO THANK EVERYBODY
FOR COMING

FOR LUPE'S FAREWELL DINNER
THAT WE'RE HAVING,

THAT WE'RE CELEBRATING

THIS NEW JOURNEY
THAT SHE'S GONNA TAKE IN LIFE.

WHY DON'T WE ALL BOW OUR HEADS
AND ACKNOWLEDGE THE LORD?

FOOD IS ALWAYS GONNA
BE THERE.

I KNOW I HAVE TO FIGURE
HOW TO BE AROUND IT

AND NOT EAT LIKE I ALWAYS DO.

THANK YOU FOR EVERYTHING.
AMEN.

All: AMEN.

LET'S EAT.

YEAH.
THAT'S WHAT I'M SAYING.

FOOD IS HOW WE CELEBRATE.

IT'S HOW WE HAVE A GOOD TIME.

IT'S HAPPINESS.

BUT AT THE SAME TIME,
IT'S KILLING ME.

AND I DON'T KNOW
HOW TO FIX THAT.

NOT A LOT.

THAT'S FINE NOW.

DID YOU MAKE SALSA?

ONCE I CRAVE SOMETHING,

I'M GONNA FIND A WAY TO GET IT
AND EAT IT.

AND I'M NOT GONNA STOP
AT A LITTLE.

BUT I'M HOPING
THIS CHANGES MY LIFE,

CHANGES ME, CHANGES MY MARRIAGE,
CHANGES EVERYTHING.

BUT I HAVEN'T LEFT MY HOME
IN A YEAR,

AND NOW I'M GONNA GO
HALFWAY ACROSS THE COUNTRY.

[ LAUGHTER ]

I WAS LIKE...

I DON'T WANT TO GO AND HAVE TO
LEAVE MY HOME AND MY FAMILY.

IT'S SAD TO LEAVE THEM,
BUT I KNOW IT'S FOR A GOOD CAUSE

'CAUSE IF I DON'T,

THEN I'M GONNA DIE HERE
AND NOT SEE THEM AT ALL.

I KNOW.

IF I DON'T TAKE THIS CHANCE
AND THE SACRIFICE

AND LEAVE TO TEXAS,

THEN I WON'T MAKE IT
ANOTHER YEAR.

**

[ GRUNTING ]

TODAY,
WE'RE LEAVING FOR HOUSTON.

I'M LEAVING EVERYTHING I KNOW
TO SAVE MY LIFE.

I'VE TRIED SO MANY OTHER THINGS,
AND NOTHING'S WORKED.

[ BREATHES SHARPLY ]

THERE YOU GO.

[ Voice breaking ]
I'M NERVOUS,

AND I KNOW I'M GONNA HAVE
OBSTACLES AND STRUGGLES.

[ GROANING ]

[ SNIFFLES ]

I CAN'T DO THIS.

I GOT THIS.
YOU JUST GOT TO DO IT.

[ GRUNTING ]

WAIT.

[ GRUNTING ]

**

I'M READY
TO HOW I'M GONNA CHANGE.

WAIT.

CHANGE IS SCARY.

YOU OKAY?

YEAH.

BUT I CAN'T CONTINUE LIVING
THIS WAY.

MARI, WE NEED TO STOP
AND GET SOMETHING TO EAT

WHENEVER YOU SEE SOMETHING.

Gilbert: JUST GIVE ME
A SHAKE OR SOMETHING.

BUT YOU NEED
TO EAT SOMETHING.

I DON'T WANT TO EAT RIGHT NOW.
I CAN'T.

THANK YOU.

WHEN I GET STRESSED...

I JUST HAVE TO FIND SOMETHING
THAT I WANT TO EAT

AS QUICKLY AS POSSIBLE.

BUT I KNOW THESE HAVE TO BE
MY LAST UNHEALTHY MEALS.

ONCE I GET TO DR. NOW,
I HAVE TO GIVE UP ALL THIS

BECAUSE I'M READY
TO FIGHT FOR MY LIFE.

[ SIGHS ]

BUT BEING IN THIS SMALL CAR
IS SO PAINFUL.

I CAN'T TAKE STOPS OR GET OUT
AND DO WHAT MOST PEOPLE CAN DO.

I HAD AN ACCIDENT.

CAN YOU JUST HELP ME?

WHAT DO YOU WANT ME DO
RIGHT NOW?

OKAY.

IT'S WET.

THANK YOU.

YOU'RE WELCOME.

OHH.

THIS IS JUST SO MISERABLE.

BABE, WHAT DO YOU WANT?

JUST GET ME WHATEVER.

Maricela: CAN I GET TWO
OF THE NUMBER 1's?

I LIKE HEALTHY FOODS.

IT'S JUST...

HERE.

MY BURGER.

I'M JUST IN SO MUCH PAIN.

WE NEED TO FIND
A PLACE TO STAY.

Maricela:
CURBSIDE MESSENGER.

I'LL BE ALL RIGHT.

I GOT YOU.

JUST RELAX FOR A SECOND.

[ GASPING ]

I CAN'T.

DO YOU WANT ME TO HELP YOU?
TíA...

YEAH.

I CAN'T STAY IN THE CAR
NO MORE.

DO YOU WANT ME TO OPEN THIS
TO GRAB ON?

[ BREATHING HEAVILY ]

**

WAIT, DON'T --
I GOT EVERYTHING.

I GOT TO TURN.

OKAY.

THE CHAIR, JUNIOR.

I KNOW.
I GOT TO FIX THIS.

-GOD.
-CALM DOWN.

PUT THE CHAIR!

[ SNIFFLES ]

[ GROANS ]

WHENEVER YOU'RE READY,
LOVE.

RIGHT HERE.

I GOT YOUR BACK.

I'M JUST SITTING HERE
TO TAKE ME A BREAK.

OHH.

Lupe: WE'RE ONLY
A THIRD OF THE WAY THERE,

AND I'M NOT SURE I'M GONNA
BE ABLE TO MAKE IT TO HOUSTON.

THE CHAIR DON'T FIT
THROUGH HERE?

BUT IF IT ROLLS LEFT, RIGHT,
THEN TURN...

[ BREATHING HEAVILY ]

WATCH THE BAG THERE.

GOT IT.

Lupe: I DON'T KNOW
WHAT I'VE GOTTEN MYSELF INTO.

TWO.

OKAY.

[ GRUNTS ]

I'M JUST PRAYING
I MAKE IT THROUGH THIS DAY.

OKAY, GO SLOW.

I GOT IT.

I'VE NEVER FELT PAIN
THIS BAD.

GONNA STOP
AND GET SOME BREAKFAST

AND THEN GET ON THE ROAD.

OH, THAT'S PERFECT.

HEY. LOOK AT THIS.

I JUST HAVE TO EAT SOMETHING
THAT TASTES GOOD...

BECAUSE MY LEGS
ARE SO SWOLLEN.

I'VE NEVER FELT THEM HURT
LIKE THIS.

OKAY?
SO IT'S ALL GOOD.

[ SIGHS ]

[ GROANING ]

OH, MY LEG.

[ GROANING ]

OHH!

MY LEG'S GOING NUMB.

[ GROANS ]

AY!

[ BREATHING HEAVILY ]

AND THE RAGS ARE WET.

HUH?
THE RAGS ARE WET, TOO?

YEAH. OH, OHH!

WHAT AM I GONNA DO
WITH THIS?

THROW IT.
[BLEEP]

GOD.

Gilbert: YEAH, SO, I'M GETTING
FRUSTRATED RIGHT NOW.

I'M SITTING THERE
IN THE BACK SEAT OF THE CAR,

AND SHE'S MAKING ALL THESE
MOANING AND GROANING SOUNDS.

MENTALLY, IT'S JUST TIRING.

I'M FEELING IT, TOO,
PHYSICALLY,

BUT, MAN, MENTALLY,
IT'S JUST A LOT TO TAKE IN.

Lupe: GO. GO!

ONE, TWO.

-OH! OHH!
-YOU GOT IT?

**

[ GRUNTING LIGHTLY ]

I FEEL LIKE
I'M AT MY LIMIT.

BUT WE'RE ALMOST THERE,
SO I'M TRYING TO PUSH MYSELF

FOR THIS ONE LAST LEG
OF THE TRIP.

**

[ GRUNTS ]

[ GROANING ]

WHAT'S WRONG?

I'M IN PAIN.
MY LEGS HURT.

MY LEG FEELS WEIRD.

[ GRUNTS ]

Gilbert: YOU'RE GETTING ME
KIND OF WORRIED, LOVE.

[ GRUNTING LIGHTLY ]

HELLO, IS THIS DR. NOW?

DR. NOWZARADAN:
Yes, this is Dr. Nowzaradan.

I'M CALLING FOR MY WIFE,
LUPE.

AND I THINK SHE MIGHT HAVE
A BLOOD CLOT IN HER LEG, MAYBE.

YEAH.

OKAY.

THANK YOU SO MUCH.

Gilbert: I CAN'T STAND
SEEING HER LIKE THIS.

IT'S KIND OF SCARING ME
RIGHT NOW

'CAUSE I LOVE MY WIFE, AND I
DON'T WANT HER TO DIE ON ME.

OHH!

HOW MUCH LONGER?

Maricela: 10 MINUTES.

10 MINUTES?

LUPE SHOULD BE ARRIVING
ANY MINUTE NOW.

FROM WHAT THEY TOLD ME,

SHE'S BEEN IN A SMALL CAR
FOR THREE DAYS.

AND THAT'S A LONG TIME
FOR SOMEBODY HER SIZE

TO HAVE THAT MUCH STRESS
ON HER BODY.

OHH. [ GROANING ]

SHE MAY HAVE DEVELOPED
A SERIOUS MEDICAL CONDITION

THAT WE NEED TO ADDRESS
IMMEDIATELY.

[ GROANS ]

Dr. Nowzaradan:
HI, LUPE.

WE'RE GONNA
GET YOU INSIDE RIGHT NOW,

AND WE'RE GONNA
GET YOU TAKEN CARE OF.

Gilbert:
ALL RIGHT, LET'S DO IT.

[ GROANING ]

Dr. Nowzaradan:
IF IT IS SOMETHING

LIKE A BLOOD CLOT IN HER LEG,

SHE COULD BE MOMENTS AWAY
FROM A LIFE-THREATENING EVENT

LIKE PULMONARY EMBOLISM.

SO WE'RE GOING TO TRY
TO DETERMINE

WHAT'S GOING ON WITH HER.

[ BREATHING HEAVILY ]

IT'S CLEAR THAT LUPE
IS IN VERY BAD STATE.

SHE'S SHORT OF BREATH.

SHE CANNOT WALK.
SHE CANNOT STAND.

SHE CANNOT MOVE.
SHE CANNOT BREATHE.

BUT AT HER WEIGHT,
ANY NUMBER OF THINGS

COULD BE CREATING
A SERIOUS MEDICAL ISSUE FOR HER.

AND IF WE DON'T FIND IT FAST,
IT MAY BE TOO LATE TO SAVE HER.

[ GRUNTS ]

**

Dr. Nowzaradan: LUPE ARRIVED
HERE AT THE HOSPITAL

IN A LOT OF PAIN.

SHE WAS HAVING TROUBLE
BREATHING,

SO WE STARTED RUNNING TESTS
ON HER IMMEDIATELY.

WE HAVE RULED OUT
BLOOD CLOTS.

BUT HER HEART IS IN FAILURE,

AND IT'S ONLY FUNCTIONING
ABOUT 35% CAPACITY RIGHT NOW.

Lupe: OH, MY FEET.

SHE'S LUCKY BECAUSE,

IF HER CAR RIDE
WAS TWO TO THREE HOURS LONGER,

SHE WOULD NOT HAVE SURVIVED.

HER HEART
IS LITERALLY BEING SMOTHERED

UNDER THE WEIGHT
OF HER BODY.

WHAT SEEMS TO BE
YOUR BIGGEST CHALLENGE

WITH YOUR EATING HABITS?

I'M AN EMOTIONAL EATER.
I GET BAD ANXIETY.

MM-HMM.

AND THEN I'LL EAT FOOD
UNTIL I GET SICK.

WHO BRINGS YOU THE FOOD?

MY HUSBAND AND MY FAMILY.

THEY DON'T REALIZE
THAT THEY ARE KILLING YOU?

NO.

NO?

I THINK THEY DO, BUT THEY DO IT
'CAUSE THEY LOVE ME.

OKAY.

ALL RIGHT, LET'S SEE
IF WE CAN GET YOU IN BED.

WE GOT A VERY PATHOLOGICAL
SITUATION HERE.

SHE'S BEEN KILLING HERSELF,

AND HER HUSBAND
HAS BEEN HELPING HER TO DO THAT.

AT HER SIZE,

SHE'S BEEN CONSUMING AT LEAST
20,000 TO 30,000 CALORIES A DAY.

I'M GONNA PUSH A LITTLE BIT.

SO WE NEED TO GET HER HEALTH
UNDER CONTROL IMMEDIATELY

AND TURN THE SITUATION AROUND
WITH HER HUSBAND.

WAIT, WAIT, WAIT.
I KNOW.

TAKE YOUR TIME.
OKAY.

[ Crying ] BECAUSE...WE'RE
REALLY CLOSE TO HER, YOU KNOW?

[ SNIFFLES ]

BUT I DON'T BELIEVE THAT SHE
WOULD HAVE LASTED MUCH LONGER

IF SHE WAS STILL THERE,
JUST LAYING IN THE BED.

Dr. Nowzaradan:
LUPE IS IN VERY BAD SHAPE.

SO I DON'T WANT TO PUSH HER
TO DO ANYTHING MORE BUT REST.

AND WE'LL WEIGH HER
AND RUN MORE TESTS TOMORROW.

THIS MOMENT NEEDS TO BE
A WAKE-UP CALL FOR LUPE.

[ GRUNTS ] OKAY.

THIS IS A NEW BEGINNING
FOR YOU,

AND YOU'RE GONNA HAVE TO MAKE
SOME CHANGES, OKAY?

OKAY.

OR YOU AREN'T EVEN
GONNA SURVIVE NEXT MONTH.

GET SOME REST,
AND I'LL SEE YOU TOMORROW.

THANK YOU.

SHE'S SO CLOSE TO DEATH
RIGHT NOW

THAT IT'S UNCERTAIN THAT
SHE WILL EVEN FULLY RECOVER.

BUT WE WILL DO EVERYTHING WE CAN
TO PULL HER THROUGH THIS.

**

MORNING.
MORNING.

HOW YOU FEEL THIS MORNING?
FEELING BETTER?

WE FINISHED RUNNING TESTS
ON LUPE,

AND NOW THAT SHE'S RESTED,

WE'RE GOING TO GET HER UP
AND GET HER WEIGHED

TO SEE WHERE
WE ARE STARTING FROM.

[ GROANS ]
I GOT TO GO FORWARD.

Dr. Nowzaradan:
GIVE HER A MINUTE.

[ GROANING ]

YEAH.

642 POUNDS.

YOU SURE THAT'S RIGHT?

YEAH.

Dr. Nowzaradan:
LUPE IS 5'5" TALL.

FOR HER SIZE,

THAT IS THE SAME AMOUNT
OF STRAIN AND WEIGHT ON THE BODY

AS 800 POUNDS WOULD BE
FOR SOMEONE 6 FEET TALL.

SHE'S IN VERY BAD SHAPE.

WE NEED TO GET HER WEIGHT TO
START DROPPING DOWN IMMEDIATELY

SO WE CAN GET GIVE HER HEART
A CHANCE TO RECOVER.

NOW, EVEN THOUGH
YOU'RE OVERWEIGHT,

YOUR NUTRITION
IS VERY POOR.

SO YOU NEED TO UNDERSTAND

THAT YOU NEED TO EAT
A HIGH-PROTEIN DIET.

OKAY.
OKAY.

AND WE'RE PUT YOU
ON A 1,000-CALORIE-A-DAY DIET.

AND YOU'RE GONNA ELIMINATE
THE CARBOHYDRATE.

WE'RE GONNA GIVE YOU
SOME WRITTEN INSTRUCTION

AND CHANGE
YOUR EATING HABIT.

THIS IS NOT A GAME.

ONE SMALL THING CAN PUSH YOU
OVER THE EDGE RIGHT NOW,

AND YOU WON'T BE ABLE
TO MAKE IT.

IF YOU WANT TO CHANGE
THE SITUATION,

THE WHOLE FAMILY
IS GOING TO HAVE TO COOPERATE.

DO YOU UNDERSTAND?

IT'S HARD EATING HEALTHY,

BUT I KNOW I HAVE TO DO IT
WITH HER.

I DON'T KNOW
HOW TO EAT HEALTHY.

I DON'T KNOW
HOW TO MAKE HEALTHY.

SO THIS IS SOMETHING
I GOT TO LEARN HOW TO COOK.

I KNOW
IT'S NOT GONNA BE EASY,

BUT YOU'RE GONNA
HAVE TO DO THAT

TO GET TO THE POINT THAT
WE CAN DO YOUR SURGERY, OKAY?

Lupe: OKAY.

ALL RIGHT.

I'LL SEE YOU LATER, OKAY?

Dr. Nowzaradan:
LUPE IS IN DESPERATE NEED

FOR WEIGHT-LOSS SURGERY,

BUT WE HAVE TO WORK

TO GET HER TO A PLACE
THAT SHE'S READY FOR IT.

SHE'S HAD A LIFETIME
OF ABUSE ON HER BODY,

AND RIGHT NOW, SHE WOULDN'T
EVEN SURVIVE THE SURGERY.

IT'S OKAY, MY LOVE.

IT'S OKAY.

**

YOU READY FOR US?

YEAH.

Lupe: I'VE BEEN IN THE HOSPITAL
FOR A COUPLE WEEKS NOW.

AND I'M TRYING TO ADJUST TO THE
NEW DIET THE DOCTOR HAS ME ON.

BUT THE FOOD PORTIONS
ARE REALLY SMALL,

AND I FEEL LIKE
I'M STARVING ALL THE TIME.

I HATE THE FEELING
WHEN I'M HUNGRY.

IT'S LIKE ALL THIS EMOTION
THAT'S PUSHED SO FAR DOWN

STARTS TO COME BACK UP,

AND I WANT TO RUN TO FOOD.

IT'S AN ADDICTION, AND...

[ SNIFFLING ]

...I'M READY TO FIGHT
THIS ADDICTION.

**

Dr. Nowzaradan: LUPE HAS DONE
WELL OVER THE LAST MONTH,

AND WE HAVE HER HEART AND WHOLE
BODY IN MUCH HEALTHIER PLACE.

HELLO.
HOW YOU ALL DOING?

GOOD, GOOD.

YOU FEELING OKAY TODAY?
YEAH, BETTER.

ALL RIGHT.

LET'S CHECK YOUR WEIGHT
AND SEE WHERE YOU'RE AT.

[ BEEPS ]

YOU'RE 573 POUNDS.
THAT'S GOOD.

WE HAVE WORKED TO GIVE HER
THE TOOLS TO START TO DO THIS.

SO WE ARE SENDING HER HOME

TO TRY AND MAKE PROGRESS
ON HER OWN.

I'M GONNA SEND YOU HOME
TODAY,

AND WE'RE GONNA KEEP YOU
ON THIS HIGH-PROTEIN DIET

WITH 1,000 CALORIE.
OKAY.

IT'S GONNA BE IMPORTANT
FOR YOU, OKAY?

OKAY.

I WANT YOU TO LOSE
ANOTHER 50 POUNDS

OVER THE NEXT MONTH,
OKAY?

OKAY.

THIS WON'T BE EASY FOR HER,

BUT I WANT HER TO SHOW ME
SHE AND HER HUSBAND ARE READY

FOR HER TO HAVE
WEIGHT-LOSS SURGERY.

OKAY.
ALL RIGHT.

IF SHE'S DOESN'T,

SURGERY WILL BE POINTLESS
IN THE LONG TERM,

AND WE WON'T BE ABLE
TO HELP HER.

[ GROANS LIGHTLY ]

Lupe: I'M GLAD [Chuckling]
TO FINALLY BE GOING HOME.

HOLD THE WALKER. READY?

GOT IT.

[ GRUNTS ]

I DON'T FEEL LIKE
I'M DYING ANYMORE.

OH, OH!

OH, I'M GONNA SLIP!
[BLEEP]

USE YOUR ARMS. TRY TO GRAB ON.
USE YOUR ARMS.

[ GROANING ]

BUT MY BODY
IS STILL IN A LOT OF PAIN.

I HAVE A LOT OF PAIN
IN MY SIDE RIGHT NOW,

AND I DON'T KNOW WHY.

GO! GO!
ONE, TWO.

OHH!
OKAY.

I THINK I HURT MYSELF
ON THE WHEELCHAIR.

I'M BLEEDING DOWN THERE.

MY PRIVATE.

CLOSE THE BACK DOOR
AND PUT THE SEAT BACK.

[ BREATHING SHARPLY ]

Gilbert: THERE YOU GO.

I'M SCARED RIGHT NOW
THAT I HURT MYSELF BAD.

**

[ GRUNTS ]

THE BED OKAY?

SO, SIT. SIT DOWN.
I GOT IT.

Greg: YOU'RE GOOD.

GO.

AND I'M BLEEDING
ALL OVER THE PLACE.

HUMILIATING BLEEDING
ALL OVER THE FLOOR.

AND I KNOW I CAN'T.

I CAN'T.

[ SNIFFLES, SIGHS ]

I GOT TO BE STRONG.

**

Lupe: IT WAS SCARY
LEAVING THE HOSPITAL.

I THOUGHT I HURT MYSELF,

BUT IT WASN'T ANYTHING
LIKE THAT.

I HAD GAINED SO MUCH WEIGHT,

MY MENSTRUAL CYCLE STOPPED
YEARS AGO.

WELL, WITH ALL MY WEIGHT LOSS,
I STARTED MENSTRUATING AGAIN.

AND I'M JUST GLAD
NOTHING WAS SERIOUSLY WRONG.

NOW GILBERT AND I
HAVE BEEN IN THE HOTEL HERE

FOR THE PAST MONTH.

IT'S BEEN HARD,
BUT TODAY IS MY 40th BIRTHDAY.

YOU'RE BEAUTIFUL, LOVE.

LOOKING ALL NICE TODAY
FOR YOUR BIRTHDAY.

GILBERT'S FAMILY ARE HAVING
A BIRTHDAY DINNER FOR ME.

AND I'M REALLY
LOOKING FORWARD TO IT

BECAUSE I'VE BEEN GETTING
A LITTLE BIT DOWN.

SO I'M HOPING THIS WOULD HELP
MOTIVATE ME A LITTLE.

**

[ KNOCK ON DOOR ]

HEY.

-WHAT'S GOING ON?
-HEY, GUYS.

HEY, WHAT'S GOING ON?

HAPPY BIRTHDAY, LUPITA.
YOU'RE THE BIRTHDAY GIRL TODAY.

-HAPPY BIRTHDAY.
-HAPPY BIRTHDAY.

Lupe: I KNOW,
FOR THE MAJORITY OF THE TIME,

I NEED TO GET MY EATING
UNDER CONTROL.

THANK YOU.

NOW, WHAT DO YOU WANT
TO DRINK?

I'LL HAVE
A LITTLE BIT OF SODA.

Man: DO YOU WANT
ANOTHER ONE?

THERE ARE EXCEPTIONS
IN LIFE.

ALL RIGHT.

SOMEBODY SHOULD SING
"HAPPY BIRTHDAY" HERE.

ONE, TWO, THREE.
All: * HAPPY BIRTHDAY... *

Lupe: THERE ARE DAYS
YOU JUST HAVE TO ENJOY LIFE

AND CELEBRATE.

SO I'M JUST GONNA ENJOY
TODAY.

[ LAUGHTER ]

IT DOES COUNT.

I LIKE HOW YOU GUYS DID IT
ON KEY, LIKE...

[ LAUGHTER ]

I HAVE MY NEXT APPOINTMENT
WITH THE DOCTOR IN A MONTH.

AND I FEEL LIKE
I CAN HIT MY GOAL BY THEN.

SO I'M GONNA KEEP TRYING.

I HAVE TO GET THIS SURGERY
BECAUSE, EVENTUALLY,

I KNOW I'M GONNA START GIVING IN
TO MY CRAVINGS EVERY DAY.

ALL RIGHT, GUYS.

Woman: BYE, LUPE.

**

Lupe: NOW THAT THE DAY IS HERE
TO SEE THE DOCTOR AGAIN,

I'M A LITTLE NERVOUS.

HE WANTED ME TO LOSE 50 POUNDS
THIS PAST MONTH.

I'M JUST HOPING I'VE DONE IT

OR THAT
I'M AT LEAST CLOSE ENOUGH

FOR HIM TO APPROVE ME
FOR SURGERY.

NO, I DIDN'T CHECK IT.

I'LL JUST WALK RIGHT THERE.

ONE OF THE REASONS
I HATE BEING OUT IN PUBLIC

IS THAT I CAN NEVER USE
THE RESTROOM ANYWHERE.

WANT TO TRY IT?

IT'S A BEEN A LONG TIME

SINCE I EVEN TRIED
TO USE A RESTROOM

BECAUSE I JUST DON'T FIT.

HELP ME. HELP ME.

-THERE YOU GO.
-OHH!

[ GRUNTS ]

ONE, TWO, THREE.

NO. YOU'RE GONNA
MAKE ME FALL.

READY.

ON THREE.
WHOA!

WHOA, WHOA, WHOA.

[ CRYING ]

BABE, YOU'RE
OVERTHINKING IT.

IT'S BROKEN!

THE CHAIR BROKE?
YES!

YOU GOT TO GET OFF
THIS DAMN --

I'M TRYING.
I'M TRYING TO HELP YOU.

YOU'RE CRYING
MORE THAN YOU'RE TRYING.

I'M TRYING.
[ GROANS ]

WANT ME TO GET A NURSE
REAL QUICK?

EXCUSE ME. CAN YOU GIVE
ME A HAND REAL QUICK?

IF YOU COULD HELP HER
PUSH UP...

OKAY, EASY.

[ Crying ]
DON'T LET ME GO, PLEASE.

Gilbert: I'M NOT.
WOULD YOU JUST COME ON?

-OKAY.
-ONE, TWO, THREE.

[ BREATHES SHARPLY ]
I CAN'T. I CAN'T DO IT.

ARE YOU SERIOUS?

SHE WORE HERSELF OUT.

'CAUSE
SHE WORE HERSELF OUT CRYING.

-WHAT AM I SUPPOSED TO DO?
-I DON'T KNOW.

I DON'T WANT TO FALL.

YEAH. JUST GET 'EM.
[ GROANS ]

I CAN BRING SOMEONE ELSE
IF YOU WANT.

SHE GOT STUCK.
YOU OKAY?

SHE GOT STUCK IN THE TOILET.
I THINK IT BROKE, THE SEAT.

OKAY.

Dr. Nowzaradan: AND THIS IS NOT
A GOOD SITUATION WITH LUPE.

Man:
WE'LL FIGURE IT OUT.

SHE'S PUTTING A LOT OF STRAIN
ON HER HEART RIGHT NOW.

[ GROANS ]

SO WE'RE CALLING
AN EMERGENCY CREW

TO HELP HER GET UP
IMMEDIATELY

BECAUSE SHE CAN EASILY GO
TO CARDIAC ARREST,

AND THERE'LL BE NOTHING
WE CAN DO ABOUT IT.

[ SIREN WAILS ]

SO THEY NEED TO ACT FAST.

[ BREATHING HEAVILY ]

HOW'S IT GOING, MA'AM?
DID YOU FALL DOWN?

Gilbert:
SHE GOT STUCK ON THE TOILET.

I DON'T WANT TO FALL
AND HURT MYSELF.

OKAY, THEN,
WE'RE GONNA GO AHEAD

AND GET THE FIRE TRUCK OUT HERE,
OKAY, JUST TO HELP US OUT.

JUST GET ME OFF THE TOILET.

OKAY. OKAY.

OHH!

-DO YOU NEED MORE SLACK?
-WE'RE GONNA TRY AND MOVE HER.

OH, MY GOD, MY LEGS.

OKAY.

BUT ONCE WE GET YOU UP,
YOU'LL BE ALL RIGHT.

YES.

DON'T LET ME GO.
IT'S ALL RIGHT.

WE'RE NOT GONNA DO ANYTHING
TILL YOU'RE READY, ALL RIGHT?

YEAH. ONE...

ONE, TWO, THREE.

Man: I GOT THE CHAIR.

[ CLATTERING ]

CAN YOU HOLD YOURSELF?

I GOT IT.

-LITTLE BIT MORE.
-YOU'RE ALMOST THERE.

THERE? THERE?

SIT, YEAH, SIT.
YOU GOT IT.

[ SIGHS ]

-THERE YOU GO.
-THERE YOU GO.

OH, BREATHE.

YEAH, YOU DID BREAK
THE TOILET.

THANK YOU, GUYS, SO MUCH.

-YOU'RE WELCOME.
-GOD BLESS.

IS THAT ALL YOU NEEDED
FROM US?

Dr. Nowzaradan: THIS IS
VERY DISHEARTENING TO WITNESS.

LUPE GOT TO THE POINT

THAT SHE WON'T TOLERATE
ANY PHYSICAL ACTIVITY.

SHE IS LESS MOBILE NOW
SINCE THE LAST TIME I SAW HER.

AND TOOK A WHOLE TEAM

TO GET HER UP
AND PUT HER IN THE WHEELCHAIR.

BUT RIGHT NOW,
I'M VERY WORRIED

ABOUT HOW MUCH STRAIN
SHE JUST PUT ON HER BODY.

HOW DO YOU FEEL?

MY CHEST HURTS.

[ GROANING ]

LUPE, I WANT YOU
TO GO OVER TO HOSPITAL

TO MAKE SURE THAT THERE
IS NO MAJOR CONCERN GOING ON

WITH YOUR HEART
OR YOUR OVERALL HEALTH.

OKAY.

WE'LL TRANSPORT YOU THERE,

AND I'LL SEE YOU THERE
REALLY SOON, OKAY?

OKAY.

Dr. Nowzaradan: ONCE WE HAVE
HER HEALTH UNDER CONTROL,

WE'LL GET HER UP
AND SEE HOW HER WEIGHT IS.

HOPEFULLY,
SHE HASN'T GAINED TOO MUCH

OVER THE PAST TWO MONTHS.

I'M VERY CONCERNED

BECAUSE IF HER HEART GOT WORSE
OVER PAST COUPLE MONTHS,

THEN MINIMAL ACTIVITY
CAN PUT HER IN HEART FAILURE.

AND SHE JUST PUT
FAR MORE STRAIN THAN THAT

ON HER BODY AND HER HEART.

**

JUST BRING
THE SCALE OVER HERE.

LUPE HAS BEEN IN THE HOSPITAL
FOR A DAY NOW.

WE'VE BEEN RUNNING TESTS ON HER
TO SEE HOW SHE'S DOING.

IT SEEMS
THAT HER HEALTH HAS DECLINED

SINCE THE LAST TIME
SHE WAS IN THE HOSPITAL.

AND HER HEART
IS IN BAD CONDITION AGAIN.

TWO, THREE.

OKAY.

Dr. Nowzaradan: ALL RIGHT.
EVERYBODY, TAKE YOUR HANDS OFF.

[ GROANS ]

OKAY. OHH.

LUPE, THIS IS RIDICULOUS

THAT YOU GAINED MORE WEIGHT
THAN YOU LOST IN JUST A MONTH.

SO, YOU START OVER,

BECAUSE IF YOU DON'T,
YOU'RE NOT GONNA MAKE IT.

I'M KEEPING YOU
IN THE HOSPITAL

TO START
CONTROLLED DIET AGAIN.

YOU'RE DOWN
TO YOUR LAST CHANCE.

DO YOU UNDERSTAND?

THIS IS
SUCH SELF-DESTRUCTIVE BEHAVIOR,

AND HER HUSBAND, GILBERT,
IS HELPING TO KILL HER.

I CAN'T BREATHE.

WE'LL NEED TO ADDRESS
THEIR DYNAMIC IN THE LONG RUN,

BUT FOR NOW, WE NEED

TO GET HER HEALTH AND HER WEIGHT
UNDER CONTROL AGAIN.

Gilbert: THIS HAS BEEN
A BIT OF A WAKE-UP CALL FOR ME.

IT'S JUST CLARIFYING THE FACT
THAT I'M MESSING UP.

AND I KNOW
WE GOT TO DO THINGS A LOT BETTER

TO GET HER BACK
ON THE RIGHT TRACK AND ALL.

Lupe: I FEEL LIKE
I'M GOING BACKWARDS RIGHT NOW,

BEING BACK IN THE HOSPITAL
TO CHECK ON MY HEART AGAIN.

I HOPE I HAVEN'T MESSED UP
MY LAST CHANCE DO TO THIS

BECAUSE
I CAN'T LIVE LIKE THIS ANYMORE.

**

Lupe: IT'S BEEN HARD BEING BACK
IN THE HOSPITAL AGAIN.

THE DOCTOR PUT ME
ON AN 800-CALORIE-A-DAY DIET,

SO IT'S EVEN LESS FOOD
THAN THE LAST TIME.

GET THIS STUFF.

BUT I KNOW I MESSED UP,
AND I HAVE TO FIX IT NOW.

-WHAT UP? WHAT UP?
-[ CHUCKLES ]

SO, I'M TRYING TO DO EVERYTHING
THEY TELL ME TO DO.

MM-HMM.

THEY'VE BEEN GETTING ME UP
TO WALK A LOT.

IT'S BEEN REALLY HARD.

BUT I KNOW
IT'S MY LAST CHANCE.

THERE YOU GO.
GOOD JOB.

AND I'VE BEEN ABLE
TO WALK MORE THAN I COULD

IN THE PAST 10 YEARS.

-OKAY.
-ALL RIGHT.

[ GRUNTING ]

THERE YOU GO.

GOOD JOB!
YOU DID GREAT.

HONESTLY, I NEVER THOUGHT
THIS DAY WOULD COME,

THAT I COULD TAKE
THESE STEPS.

LOOK HOW FAR YOU'VE WALKED.
TELL ME THAT'S NOT INCREDIBLE.

NEXT THING YOU KNOW, YOU'RE
GONNA BE WALKING OUT THAT DOOR.

Gilbert:
IT'S GOOD FOR BOTH OF US.

YOU NEED YOUR INDEPENDENCE
JUST AS MUCH AS I DO.

I'M HAPPY FOR HER.

YOU KNOW,
THAT'S A GOOD START.

THERE YOU GO.
LOOK AT THAT.

WE'VE BOTH BEEN IN A DARK SPOT
FOR A WHILE.

NOW THAT
WE HAVE THE SUPPORT,

WE'RE STARTING TO SEE THE LIGHT
AT THE END OF THE TUNNEL.

THERE YOU GO.
OW, MY ARMS AND LEGS HURT.

THE LEGS.

I HAVE ONE MORE MONTH TO MAKE
AS MUCH PROGRESS AS I CAN.

SO THAT'S WHAT I'M GONNA DO
TO TRY AND GET THIS SURGERY.

I CAN'T MESS UP AGAIN

BECAUSE I KNOW I'M NOT GETTING
ANOTHER CHANCE IF I DO.

**

GOOD MORNING.

MORNING.

HOW YOU FEELING TODAY?

GOOD.

Dr. Nowzaradan:
LUPE HAS BEEN IN THE HOSPITAL

FOR THE PAST TWO MONTHS
ON A CONTROLLED DIET

FOR THE SECOND TIME.

AND SHE'S DOING
A LOT BETTER.

WE'RE GONNA GET YOU UP TODAY
AND SEE HOW YOUR WEIGHT'S DOING.

[ Chuckling ] OKAY.

ALL RIGHT.

OKAY.

-ALL RIGHT.
-ALL RIGHT.

EVERYBODY ELSE,
HANDS OFF OF IT.

THAT'S 128 POUNDS
YOU'VE LOST NOW.

THAT'S GREAT.

THE FIRST DAY SHE GOT HERE,
SHE COULDN'T EVEN STAND.

NOW SHE'S MAKING PROGRESS.

SO, I'M GONNA GO AHEAD
AND SEND YOU HOME TODAY.

AND FOR THE NEXT TWO MONTHS,

I WANT TO YOU TO LOSE
ANOTHER 75 POUNDS.

TAKE THIS SERIOUSLY
IF YOU WANT TO GET APPROVED

FOR WEIGHT-LOSS SURGERY, OKAY?
OKAY.

ALL RIGHT.
ALL RIGHT.

THANK YOU.

Dr. Nowzaradan:
HER HUSBAND, GILBERT,

HASN'T BEEN AROUND VERY MUCH.

AND I THINK THAT HAS HELPED HER
TO STAY POSITIVE.

BUT I'M CONCERNED

WITH HER BEING BACK WITH HIM
ON DAILY BASIS

AND HOW
THAT'S GONNA AFFECT HER.

REGARDLESS, SHE HAS TO PROVE
THAT SHE CAN DO THIS ON HER OWN.

UNTIL SHE DOES THAT,

SHE WILL NOT BE READY
FOR ANY WEIGHT-LOSS SURGERY.

**

Gilbert: YOU GONNA BE OKAY?
YOU GOT EVERYTHING?

Lupe: YEAH.

WATER, REMOTE.

Lupe: GILBERT AND I ARE TRYING
TO EAT HEALTHIER THIS TIME.

IF YOU NEED ANYTHING
AND IT'S SERIOUS, CALL ME.

I'LL RUN BACK.

SO, WE'RE NOT GETTING FAST FOOD
OR EATING OUT.

WE'RE STILL IN THE MOTEL
WITHOUT A CAR, THOUGH.

SO IT'S HARD BECAUSE
WE CAN STILL ONLY GET FOOD

WITHIN WALKING DISTANCE.

BUT GILBERT HAS BEEN TRYING
TO WALK TO THE SUPERMARKET.

Gilbert: LUPE'S NIECE MARI
TOOK THE CAR WITH HER

WHEN SHE WENT
BACK TO CALIFORNIA.

IF I HAD A CAR, I WOULD BE ABLE
TO GRAB A LOT MORE GROCERIES

INSTEAD OF COMING
LIKE EVERY OTHER DAY.

SOMEONE
HAS TO GET THE GROCERIES,

AND THIS IS HOW
I HAVE TO DO IT.

I'M DOING THIS FOR HER
BECAUSE I LOVE HER,

AND I WANT
TO SEE HER GET BETTER.

I'LL DO ANYTHING I CAN FOR HER.

I JUST WANT HER TO COMPLY,

AND I NEED TO STOP ENABLING,
BRINGING THE WRONG FOODS.

THIS TIME,
I'LL MAKE THE RIGHT CHOICES,

GET STUFF
THAT WE NEED TO EAT...

'CAUSE I DON'T WANT TO GO
TO THE DOCTOR'S OFFICE

AND FIND OUT
THAT MY WIFE GAINED WEIGHT.

OKAY, HAVE A NICE DAY.

OKAY, THANK YOU.
YOU, TOO.

I KNOW WE GOT TO DO THIS.

WE AND MY WIFE HAVE GOT TO
BE THERE FOR EACH OTHER...

HERE WE GO.
...AND LIFT EACH OTHER UP.

[ PANTING ]

HELPING HER GET HER LIFE BACK

IS HELPING ME
GET MY LIFE BACK...

...BECAUSE ALL I DO
IS TAKE CARE OF HER RIGHT NOW.

AND I HAVE THINGS
I WANT TO DO.

AH, SORRY
I TOOK SO LONG, LOVE.

Lupe: I COULDN'T DO THIS
WITHOUT GILBERT RIGHT NOW.

HE DOES EVERYTHING FOR ME.

[ SIZZLING ]

AND HE'S THE ONE
WHO KEEPS ME GOING.

I KNOW THIS TAKES A LOT

FOR HIM TO CONSTANTLY
BE THERE FOR ME.

AND I WANT TO BE THERE FOR HIM
JUST AS MUCH SOMEDAY.

**

COME ON, I'M ASKING YOU,

WHAT ARE YOU DOING
ON YOUR PHONE?

GONNA HAVE TO GO ON THERE
AND FIND OUT MYSELF.

THERE'S ALL KINDS OF CHICKS.

THAT'S SO DISRESPECTFUL,
YOU KNOW.

IT GETS ME. IT IRKS ME.

I'M JUST SENDING
SCRIPTURES OUT

WITH NO PICTURES OF ME
AND JUST OF GOD

AND, YOU KNOW, THE NEWS
AND STUFF LIKE THAT.

I'M HERE CLICKING
AND GRABBING ANYONE I CAN

THAT I CAN SEND
THAT MESSAGE OUT.

I'M TRYING
TO SPREAD THE WORD OUT,

AND YOU'RE GETTING UPSET BECAUSE
I ADDED A CHICK ON THERE.

IF YOU'RE SPREADING
GOD'S WORD,

WHY WOULD I GO ON THERE
AND I SEE ALL KINDS OF CHICKS,

ESPECIALLY SHOWING
THEIR BOOBS?

COME ON, GILBERT.

IF THERE'S SOMEONE
YOU WANT TO REACH OUT TO

AND IF IT'S A WOMAN,
HAVE YOUR WIFE DO IT.

IT'S CALLED RESPECT
'CAUSE YOU'RE MARRIED.

OKAY, OKAY.

SOMETIMES, I FEEL LIKE I'M OUT
LOOKING FOR AFFECTION SOMETIMES

'CAUSE I DON'T GET IT
FROM YOU.

WE ALL FALL SHORT.

WE ALL HAVE STRUGGLES,
YOU KNOW?

AND, YOU KNOW, I GUESS MY
STRUGGLE IS CHICKS AND STUFF.

YOU KNOW, I'M NOT GONNA
JUST CHANGE OVERNIGHT.

YOU KNOW, IT'S A PROCESS.

JUST LIKE YOU, YOU KNOW?

YOU'RE NOT EATING RIGHT,
AND YOU'RE 600 POUNDS.

THAT'S SO DISRESPECTFUL.

YOU KNOW, JUST 'CAUSE
I'M FAT AND THAT,

I DON'T DESERVE LESS,
YOU KNOW?

I KNOW I CAN'T CHANGE YOU.

WHEN I MARRIED YOU,
I LET THAT CRAP GO,

EVEN THE DAY I MET YOU.

IT'S CALLED RESPECT.

IT'S SOMETHING THAT
YOU NEED TO START HAVING.

Lupe: I DON'T KNOW
WHAT TO DO WITH HIM RIGHT NOW

BECAUSE I'M SO HURT.

I KNOW I CAN BE
THE WIFE HE NEEDS.

I'M NOT ABLE TO BE INTIMATE
WITH HIM RIGHT NOW

BECAUSE OF MY SIZE.

BUT I DIDN'T THINK
HE WAS GOING BEHIND MY BACK

AND FLIRTING
WITH OTHER WOMEN.

I FEEL LIKE I HAVE NO ONE
AND THAT I'M ALONE RIGHT NOW.

AND THAT'S WHAT LED ME TO FOOD
IN THE FIRST PLACE.

FOOD IS ALL I KNOW WHEN I FEEL
THIS HURT AND THIS ALONE.

BUT IF I GIVE IN,
I KNOW I'LL LOSE EVERYTHING.

Lupe: LIFE CAN TAKE YOU
ON SOME UNEXPECTED TURNS.

BUT JUST BECAUSE
THE ROAD CHANGES

DOESN'T MEAN
THE DESTINATION HAS TO.

**

THIS PAST MONTH
HAS BEEN GOOD IN SOME WAYS

AND NOT SO GOOD IN OTHERS.

GILBERT AND I FINALLY FOUND
A RENTAL HOME.

AND WE'VE BEEN ABLE
TO RENT A CAR

TO HELP US
MOVE OUR STUFF IN.

I'M JUST EXCITED
ABOUT BEING OUT OF THE HOTEL.

[ GRUNTS ]

BUT AT THE SAME TIME,

IT'S BEEN HARDER TO HANDLE
ALL MY EMOTIONS RIGHT NOW.

AND I'VE BEEN CHEATING
A LITTLE.

WHOA!

IT'S NOT EVEN GONNA FIT
IN THERE, JUNIOR.

I CAN'T GET YOU UP HERE,

SO I'M GONNA HAVE TO TAKE YOU
AROUND FRONT.

[ BREATHES SHARPLY ]

[ GROANS ] OKAY.

AND I'M SO THANKFUL
FOR EVERYTHING HE DOES FOR ME.

[ GROANING ]

BUT THAT DOESN'T MEAN

IT'S OKAY FOR HIM
TO TRY TO SEE OTHER WOMEN.

ONE, TWO...

I CAN'T GET YOU UP.

BABE, YOU'RE TOO HEAVY
TO GET OVER THE STEP.

I DON'T WANT TO DO THIS.

I'M SCARED I'M GONNA FALL.
MOVE.

WOULD YOU STOP? SERIOUSLY.
WAIT.

HE STILL MAKES ME FEEL
REALLY BAD SOMETIMES.

I'M GONNA GET SOMEONE OVER HERE
TO HELP ME,

SINCE YOU'RE ACTING
LIKE A BABY, MAN.

NO. SHUT UP.

YOU'RE ACTING LIKE A DAMN BABY,
I'M SORRY.

-I DON'T CARE.
-LIKE A BIG-ASS BABY.

Gilbert:
CAN YOU DO ME A FAVOR, BRO?

TWO, THREE.

ONE, TWO.

[ GRUNTING ]
OKAY.

THAT'S IT.

THANK YOU SO MUCH, BRO.
I APPRECIATE IT.

Lupe: THE PAIN
IS REALLY HARD RIGHT NOW.

AND I FEEL ALONE...
THREE. [ GRUNTING ]

...LIKE I DID
WHEN I WAS YOUNGER.

OKAY.
WAIT, DON'T LET GO.

[ GROANING ]
OKAY.

AND THAT'S MAKING IT SO HARD
NOT TO RUN TO FOOD.

I WAS FIGHTING TO DO THIS
FOR A FUTURE WITH GILBERT.

AND NOW THAT
THAT FEELS UNCERTAIN,

I'M JUST HAVING
A REALLY HARD TIME

STAYING MOTIVATED
TO DO WHAT I NEED.

**

I'M A LITTLE NERVOUS...

...BECAUSE I WAS SUPPOSED
TO LOSE ANOTHER 75 POUNDS

AND GET BELOW 450 POUNDS.

AND I KNOW I'VE BEEN GIVING IN
TO MY CRAVINGS

DURING SOME OF THE HARDER
MOMENTS THESE PAST FEW MONTHS.

AND MY HIP HAS BEEN HURTING,

SO I HAVEN'T BEEN ABLE
TO EXERCISE OR WALK AT ALL.

Woman: LUPE SAMANO.

Lupe: I'M REALLY NERVOUS ABOUT
WHAT THE SCALE'S GONNA SAY,

BECAUSE I NEED THIS SURGERY.

BECAUSE THERE'S NO HANDLES,

AND I HAVEN'T STOOD OUT OF BED
FOR A WHILE.

ALL RIGHT, THEN.
[ PEN CLICKS ]

-OKAY.
-OKAY?

I'M A LITTLE FRUSTRATED.

I KNOW I HAVE TO HAVE
SOME HELP TO STAND

BECAUSE I CAN'T GET WEIGHED
WITHOUT THAT RIGHT NOW.

[ KNOCK ON DOOR ]

HELLO.
HOW ARE YOU BOTH?

GOOD.

SO, WHAT'S GOING ON?

YOU REFUSED
TO GET WEIGHED?

I COULDN'T
GET ON THE SCALE.

I COULDN'T STAND ON THAT SCALE
WITHOUT BALANCE.

COME ON. YOU WERE WALKING
IN THE HOSPITAL.

ARE YOU SURE THE ISSUE

IS NOT YOU DON'T WANT
TO GET ON THE SCALE?

YOU'VE SEEN THAT
SINCE I'VE GOTTEN HERE,

WHEN I FIRST GOT HERE
TO WHEN I WAS IN THE HOSPITAL,

I'VE LOST A LOT OF WEIGHT.

I WAS WALKING IN THE HOSPITAL
WHEN I GOT SICK.

I WAS GOOD. I WAS NOT.

SO I'M BARELY STARTING
TO GET OUT OF BED AGAIN.

THAT'S WHAT I'M SAYING.

YOU'RE NOT WALKING
AT HOME?

MY HOUSE -- IT'S NOTHING
BUT CERAMIC TILE.

IT'S VERY SLIPPERY
IN THERE.

I'M NOT GETTING THERAPY.
I'M NOT GETTING ANYTHING.

IT'S JUST ME
AND MY HUSBAND.

YOU HAVE TO GET UP EVERY DAY
AND EXERCISE.

I KNOW THAT,
AND THAT'S WHY I'M SAYING

I NEED MORE THAN MY HUSBAND
TO HELP ME AT HOME.

I ALMOST SLIPPED
BECAUSE IT'S SO SLIPPERY THERE.

YOU HAD TWO MONTHS TO TELL ME
THIS TO TRY TO HELP YOU.

IT JUST SOUNDS
LIKE AN EXCUSE RIGHT NOW.

WHAT LUPE IS TELLING ME
IS VERY CONCERNING.

SHE HAS AN EXCUSE
FOR NOT STANDING ON THE SCALE.

NOW SHE'S MAKING EXCUSES

FOR NOT BEING ACTIVE
FOR THE PAST TWO MONTHS.

SHE COULD HAVE CALLED US
ANY TIME FOR HELP,

BUT IF SHE HASN'T BEEN
GETTING UP,

THEN THERE IS NO WAY IS SHE
MAKING GOOD PROGRESS RIGHT NOW.

UNTIL I CONFIRM YOUR PROGRESS,
YOU'RE NOT GETTING SURGERY.

I MEAN, I'M WILLING
TO GO WEIGH IN

AT ANY SCALE
YOU WANT ME TO WEIGH IN

SO YOU CAN SEE MY WEIGHT.

I WAS DISCOURAGED WHEN I
COULDN'T GET ON THAT SCALE,

'CAUSE I WANT TO SHOW YOU THAT
I'M DOING WHAT I GOT TO DO.

BECAUSE
I DIDN'T LEAVE CALIFORNIA

AND LEAVE EVERYTHING BEHIND
TO COME HERE

AND NOT COMPLY
WITH WHAT YOU WANT ME TO DO.

OKAY, LUPE.

I'M GOING TO GIVE YOU
BENEFIT OF DOUBT

AND BELIEVE YOU'RE HAVING
TROUBLE STANDING RIGHT NOW.

THIS IS NOT
AN EMERGENCY SITUATION,

SO I'M NOT RUSHING YOU
TO THE HOSPITAL.

I WANT YOU TO GO THERE
FOR FOLLOW-UP IN TWO WEEKS,

AND WE'LL WEIGH YOU THEN.

THIS IS YOUR LAST CHANCE.

OKAY.

SEE YOU
IN A COUPLE WEEKS.

HOPEFULLY, LUPE WILL RECOGNIZE
THE SECOND CHANCE

AS AN OPPORTUNITY TO TRY HARDER
TO DO WHAT SHE NEEDS.

BECAUSE IF SHE DOESN'T,

THERE IS NOTHING MORE
WE CAN DO FOR HER.

Lupe:
I REALLY WANT THIS SURGERY...

SO I PLAN
TO DO WHAT IT TAKES

TO KEEP ON MAKING PROGRESS

TO GET APPROVED
WHEN I GO TO THE HOSPITAL.

I HAVE TO DO THIS.

I WANT THIS SO BAD...

SO I CAN'T FAIL.

[ BIRDS CHIRPING ]

AFTER BEING IN THE CLINIC

AND HAVING THAT FEAR THAT
I'M ABOUT TO SEE MY WEIGHT

AND IT'S NOT GONNA BE
LOW ENOUGH,

I REALIZED HOW HARD
I NEED TO BE WORKING FOR THIS.

I STILL CAN'T REALLY WALK,

SO I'M JUST MOVING AS MUCH
AS I POSSIBLY CAN IN MY BED.

[ Chuckling ] BABE,
ARE YOU TIRED OVER THERE?

I'M DONE. I'M TIRED.
YOU'RE DONE ALREADY?

LOOKING ALL SEXY AND STUFF
WITH YOUR RED SHIRT ON?

[ LAUGHS ]

I FEEL LIKE I MADE A LOT OF
PROGRESS THESE PAST TWO MONTHS,

BUT I STARTED TO FALL AWAY
AT THE END.

OKAY. WAIT, WAIT.

Gilbert: IT'S FORWARD.

SO I NEED TO MAKE UP
FOR THAT TIME

IN CASE IT TOOK ME
SO OFF COURSE

TO WHERE I'M NOT GONNA HIT
THE GOAL I NEED.

OHH!

OKAY. YOU GOT IT?

BUT I'M SO SCARED
WHEN I SEE THE DOCTOR NEXT WEEK

THAT I'M NOT GONNA MAKE
AS MUCH PROGRESS AS I THOUGHT.

[ GROANING LIGHTLY ]

WHOO!

GOOD JOB, LOVEY.
LOVING IT.

LOVING IT, LOVING IT.
OKAY.

AND I FEEL LIKE
I'M RACING A CLOCK RIGHT NOW

AND THAT MY TIME IS RUNNING
SO SHORT.

I JUST HOPE I MAKE IT.

**

TODAY, WE BROUGHT LUPE IN THE
HOSPITAL TO CHECK HER WEIGHT,

TO SEE IF SHE MADE THE PROGRESS
SHE WAS SUPPOSED TO

AND SHOW ME THAT SHE'S READY
FOR WEIGHT-LOSS SURGERY.

OKAY.

Lupe: THIS IS IT.

I HAVE NO IDEA
HOW MUCH PROGRESS I MADE.

I HOPE I DID ENOUGH
TO GET BACK ON TRACK.

I'M JUST TERRIFIED RIGHT NOW
THAT IT WASN'T ENOUGH.

**

[ GRUNTS ]

Dr. Nowzaradan:
LUPE IS IN THE HOSPITAL TODAY,

SO WE CAN SEE IF SHE MADE
THE PROGRESS SHE'S SUPPOSED TO.

IF SHE LOST 75 POUNDS
TO GET UNDER 450 POUNDS,

WE WILL APPROVE HER
FOR WEIGHT-LOSS SURGERY.

IF SHE HASN'T DONE IT THIS TIME,
SHE WILL BE OUT OF CHANCES.

Woman: OKAY.

Dr. Nowzaradan:
439 POUNDS.

[ GRUNTS ]

Gilbert: HEY, OH, MY GOD.
THAT'S CRAZY.

ALL RIGHT, YOU DID IT.

Dr. Nowzaradan:
LUPE HAS DONE WELL.

IT TOOK HER A LITTLE BIT

TO COME AROUND
AND START MAKING PROGRESS,

BUT SHE'S DONE IT,
AND I'M VERY PROUD OF HER.

DO YOU FEEL ANY BETTER?

OH, YES.
I FEEL...AMAZING.

I FEEL ALIVE.

OKAY. I'M APPROVING YOU
FOR WEIGHT-LOSS SURGERY.

[ CHUCKLES ]

GOOD JOB,
AND I'LL SEE YOU SOON.

Dr. Nowzaradan:
I KNOW THE DYNAMIC AT HOME

WASN'T EASY
FOR HER TO BALANCE.

BUT SHE MADE
A LOT OF PROGRESS.

AND SHE STILL HAS
A LONG WAY TO GO.

BUT THIS IS A HUGE STEP
FOR HER TODAY.

[ SNIFFLES ]

Lupe:
I KNEW I HAD THIS.

I KNEW I LOST THE WEIGHT.

[ Voice breaking ] I PUSHED,
AND I'VE BEEN PUSHING SO HARD.

AND I DESERVE IT.

I KNOW I DESERVE IT.

**

Dr. Nowzaradan:
WE'VE BEEN RUNNING TESTS ON LUPE

TO PREPARE HER FOR SURGERY.

AND TEST RESULTS ON HER HEART
ARE A LITTLE BIT CONCERNING.

I'M HERE FOR YOU, LOVE.
I'M HERE.

Lupe: I'M REALLY NOT SURE
WHAT'S GOING ON.

I JUST KNOW THE DOCTOR HAD
SOME CONCERNS ABOUT MY HEART.

AND I'M SO SCARED
WHAT HE'S GONNA FIND.

IT'S GONNA MEAN
I DON'T GET SURGERY.

Dr. Nowzaradan: IF HER HEART
IS WEAKER THAN I THOUGHT,

THEN THERE IS NO WAY THAT SHE
WILL SURVIVE A MAJOR PROCEDURE,

LIKE WEIGHT-LOSS SURGERY.

PULL YOUR HAIR OUT.

THIS IS A PROCEDURE THAT
WE LOOK TO THE ESOPHAGUS

SO WE CAN SEE THE HEART

MUCH BETTER THAN WE CAN SEE
THROUGH THE CHEST WALL.

[ MONITOR BEEPING ]

SHE'S BEEN OVERWEIGHT
AND IMMOBILE FOR SO LONG

THAT IT HAS TAKEN
A SIGNIFICANT TOLL ON HER HEART.

OKAY. GO DOWN.

I NEED TO MAKE SURE
THAT IT'S STRONG ENOUGH

TO UNDERGO WEIGHT-LOSS SURGERY

OR STAND TO BE UNDER ANESTHESIA
FOR SO LONG.

LET ME TAKE A LOOK THERE.

Gilbert: I'M WORRIED, BUT I WANT
HER TO HAVE THE SURGERY

BECAUSE OF THE SIMPLE FACT THAT
IT'S BEEN SO MANY YEARS,

AND I'M TIRED
OF THE LIFE THAT WE'RE LIVING.

AND I JUST WANT TO HAVE
A HAPPY LIFE.

I WANT TO BE ABLE
TO GO PLACES WITH HER

INSTEAD OF BEING IN PRISON
AT MY HOME.

[ AIR RUSHING ]

Dr. Nowzaradan:
THAT'S IT.

OKAY.
LET'S GET HER TO RECOVERY.

YOU'RE ALL FINISHED.
ALL GOOD.

OHH.

**

OHH.

Lupe: THEY FINISHED RUNNING
ALL THE TESTS ON MY HEART,

AND DR. NOW SAID HE'S COMING
TO TALK TO ME ABOUT IT.

IF HE SAYS
I CAN'T GET THE SURGERY,

THEN I'M GONNA BE
COMPLETELY DEVASTATED.

AND I REALLY DON'T KNOW
HOW I'M GONNA HANDLE IT.

Gilbert: HEY.
GOOD MORNING.

HOW ARE YOU ALL DOING?
GOOD MORNING.

HOW DO YOU FEEL TODAY?
GOOD.

WE FINISHED RUNNING
ALL THE TESTS,

AND THEY'RE SHOWING THAT
YOUR HEART IS TOO WEAK

FOR GASTRIC BYPASS.
OKAY.

SO THERE
IS A VERY HIGH RISK

THAT YOU WOULD NOT SURVIVE
A PROCEDURE THAT EXTENSIVE.

HOWEVER, GASTRIC SLEEVE
IS STILL AN OPTION.

IT WOULD BE
A MUCH SHORTER OPERATION

THAT WOULD NOT STRAIN
YOUR BODY AS MUCH,

AND GIVE YOU
MUCH OF THE BENEFIT

OF GASTRIC BYPASS
IN SHORT TERM.

SO I'M APPROVING YOU
FOR THAT PROCEDURE.

OH, MY GOD.
THANK YOU, JESUS.

OH!
THANK YOU.

CONGRATULATIONS.
I'LL SEE YOU TOMORROW.

OKAY.
THANK YOU.

[ CRYING, SNIFFLING ]

FINALLY, OUR PRAYERS
HAVE BEEN ANSWERED.

Lupe: OH, MY GOSH.

I WAS SO SCARED
I WASN'T GONNA GET THE SURGERY,

EVEN AFTER ALL THAT WORK.

I'M JUST THANKFUL TO GOD
THAT I'M GETTING SURGERY STILL

AND THAT I HAVE THIS CHANCE.

AND THIS APPROVAL
MEANT EVERYTHING TO ME.

I'VE BEEN WAITING FOR THIS DAY
FOR A LONG TIME.

THIS IS THE BEGINNING,
RIGHT NOW.

Gilbert:
IT'S GIVEN ME A LOT OF HOPE.

I WAS LIKE, LITERALLY,
JUST...BARELY HANGING IN THERE.

I'M NOT GONNA LIE,
BUT IT JUST MADE THINGS BETTER.

IT'S REALLY GREAT.

**

[ METAL CREAKS ]

Woman: OKAY.

Lupe: I'M NOT SCARED RIGHT NOW
BECAUSE I WANT THIS SO BAD,

AND I KNOW EVERYTHING'S
GONNA BE ALL RIGHT TODAY.

I HAVE COMPLETE FAITH IN GOD
AND IN THE DOCTORS --

THAT THEY'RE GONNA
TAKE CARE OF ME

TO GIVE ME
THIS SECOND CHANCE.

**

Dr. Nowzaradan: TODAY,

WE ARE GOING TO PERFORM
GASTRIC-SLEEVE SURGERY ON LUPE.

SHE'S STILL
A VERY HIGH-RISK PATIENT,

AND HER HEART WILL NOT BE ABLE
TO TOLERATE MUCH ADDED STRAIN

BEING UNDER ANESTHESIA
TOO LONG.

[ INDISTINCT CONVERSATIONS ]

SO WE'RE GOING TO TRY
TO DO THE OPERATION QUICKLY

AND PUT AS LITTLE STRAIN
ON HER BODY AS POSSIBLE.

I MEAN,
THIS IS A HUGE STOMACH.

GO AHEAD AND PUT ONE HERE.

ON A PATIENT THIS SIZE,

GASTRIC BYPASS
IS THE MOST EFFECTIVE METHOD

OF WEIGHT-LOSS SURGERY.

BUT IN SOME CASES, DOING SURGERY
IS VERY DANGEROUS,

AS FAR AS THE HEART
IS CONCERNED,

SO TAKING PART OF THE STOMACH
AND DOING A SLEEVE GASTRECTOMY

WILL BE A MUCH QUICKER,
BETTER OPTION FOR THIS PATIENT.

WHEN WE PERFORM
A GASTRIC-SLEEVE OPERATION,

WE USE A STAPLING DEVICE
TO REMOVE 90% OF CELLULITE.

SO WE HAVE
A SIGNIFICANT REDUCTION

OF THE FOOD INTAKE
IN THIS PATIENT.

THE RESULT IS
THEY WILL LOSE WEIGHT QUICKLY.

Gilbert:
IT'S A WAITING GAME NOW.

I'M JUST -- JUST PRAYING
WHILE I'M SLEEPING.

[ AIR RUSHING ]

ALL RIGHT.
WE COMPLETED THE SLEEVE.

NOW WE GOT TO CLOSE HER UP.

THAT LOOKS GOOD.

[ MONITOR BEEPING ]

WELL,
LUPE'S SURGERY WENT VERY WELL,

SO WE'RE GONNA
WAKE HER UP NOW.

Man: LUPE, DO YOU REMEMBER
YOU HAD SURGERY?

DO YOU REMEMBER
YOU HAD SURGERY?

I'M ENCOURAGED
BY LUPE'S RECENT PROGRESS,

AND THIS SURGERY
WILL HELP HER MAKE EVEN MORE.

MY PRIMARY CONCERN NOW
IS CHANGING

THE UNHEALTHY DYNAMIC SHE HAS
WITH HER HUSBAND.

HER FOCUS NEEDS TO BE
TO BECOME MORE MOBILE

AND BREAK DEPENDENCE ON HIM.

IF SHE DOESN'T DO THAT,
SHE'LL START TO DECLINE AGAIN.

AND IF THAT HAPPENED,

WE MAY NOT BE ABLE
TO BRING HER BACK THIS TIME.

MM. I LOVE YOU.

**

Lupe:
YESTERDAY, GILBERT WENT HOME,

AND HE WAS SUPPOSED TO COME
RIGHT BACK.

BUT I HAVEN'T SEEN HIM
OR HEARD FROM HIM.

SO, AND TODAY, I CALLED HIM,
AND HE DIDN'T REALIZE IT WAS ME.

HE THOUGHT
I WAS THIS OTHER WOMAN,

AND HE WAS ASKING HER
TO MEET HIM.

I FEEL SO BETRAYED
AND SO HURT,

AND I DON'T KNOW WHAT TO DO,

BECAUSE
IF I CAN'T TRUST GILBERT,

IT'S GONNA TEAR ME APART,

AND THAT'S GONNA LEAD ME
RIGHT BACK TO FOOD.

AH. [ SNIFFLES ]

HOW YOU FEELING?

**

[ GROANS ]

BUT ALL I CAN SAY IS THAT
I KNOW WHAT I DID WAS WRONG.

IT'S JUST SAD THAT
YOU'RE IN A RUSH TO LEAVE,

TO GET HOME AND STUFF,
AND I'M IN THE HOSPITAL.

AND THEN, WHEN YOU DO ANSWER,
I HEAR YOU TELL THIS CHICK THAT,

"OH, I'LL SHOW YOU
A GOOD TIME,

AND THEN WE'LL GO ON
FROM THERE."

I DON'T KNOW HOW
YOU GOT ON THE PHONE

RIGHT WHEN THAT HAPPENED,
BUT...

YOU'RE TOO HARD ON ME!
HOW AM I SUPPOSED TO TRUST YOU?

YOU'RE TOO [BLEEP] --
YOU'RE TOO HARD ON ME.

HOW AM I SUPPOSED TO
TRUST YOU?

COME ON. THE BEDROOM IS NOT LIKE
IT NEEDS TO BE, ALL RIGHT?

I JUST WANT TO FLIRT
HERE AND THERE.

IF YOU WOULD HAVE SAID THAT
TO THAT CHICK

AND SHE WOULD HAVE SAID,
"OKAY,"

A MAN'S GONNA BE A MAN,
AND HE'S GONNA GO FOR THE CHICK.

YEAH.
BULLCRAP.

OKAY, YEAH.

IT WOULD HAVE WENT FURTHER.

YEAH, IT PROBABLY -- YEAH.
YES.

BABE.

LOVE.

WE CAN MOVE ON FROM THIS,
OKAY?

JUST LIKE THE LAST FEW TIMES,
YOU KNOW,

I NEED YOU
TO GET YOUR MIND OFF THIS.

AND YOU CAN'T LET SOMETHING LIKE
THIS JUST DESTROY EVERYTHING.

-I KNOW THAT, LOVE.
-OKAY, THEN.

Gilbert: OUR SEXUAL RELATIONSHIP
IS DIFFICULT.

I GET SEXUALLY FRUSTRATED,
AND I TEND TO SLIP.

BUT, YOU KNOW, I LOVE MY WIFE,

AND I KNOW IT'S GONNA CHANGE,
SO...

LOOK, THE POINT IS,
LET'S JUST GET OVER IT.

-IT'S A GOOD DAY, OKAY?
-OKAY.

PEOPLE ARGUE, ALL RIGHT?
I'M SORRY.

I LOVE YOU.
I DO LOVE YOU.

IF I DIDN'T,

I WOULD NOT STILL BE HERE,
BUSTING MY ASS.

Lupe:
I DON'T KNOW WHAT TO DO,

BECAUSE
IF I CAN'T TRUST GILBERT,

PART OF ME
WILL JUST WANT TO GIVE UP,

AND I'M SO SCARED RIGHT NOW
ABOUT WHAT'S GONNA HAPPEN.

IF I GIVE IN
AND START TO GO BACK TO FOOD,

THEN I'M GONNA END UP
DYING SOON.

**

Lupe:
SINCE LEAVING THE HOSPITAL,

THINGS HAVE BEEN REALLY HARD.

GILBERT AND I
HAVEN'T BEEN DOING WELL.

IT'S LIKE THIS CLOUD
HANGING OVER US,

AND I'M STRUGGLING
WITH STAYING MOTIVATED.

[ SPEAKING INDISTINCTLY ]

I'VE BEEN TRYING NOT TO BE
SO DEPRESSED ABOUT EVERYTHING,

BUT I'M JUST SO HURT
BY GILBERT.

ARE YOU HUNGRY? DO YOU WANT ME
TO MAKE SOMETHING?

HOPEFULLY,
WE HAVE SOME STUFF.

CREAM OF MUSHROOM?

YEAH.

IT MADE ME FEEL SO WORTHLESS

WHEN I FOUND OUT HE'S TRYING
TO BE WITH OTHER WOMEN

BECAUSE I'M NOT ENOUGH
LIKE THIS.

IF I'M NOT ENOUGH RIGHT NOW,

THEN I DON'T THINK LOSING
THE WEIGHT WOULD CHANGE THAT.

[ SMACKS LIPS ]

NOT BAD.

NOT ALL THAT GOOD, EITHER,
THOUGH.

WELL, I WOULDN'T EAT THAT.

I JUST FEEL LIKE
I CAN'T RELY ON HIM RIGHT NOW.

AND I WON'T FEEL
LIKE HE'S SORRY.

GET A STRAINER TO STRAIN
THE MUSHROOM.

OKAY.

I'M STILL STICKING
TO MY LIQUID DIET,

BUT I HAVE NO CHOICE RIGHT NOW
BECAUSE OF THE SURGERY.

BUT I'M FINDING IT VERY HARD

TO STAY MOTIVATED
TO GET UP EVERY DAY.

SO I'VE MOSTLY BEEN STAYING
IN BED.

THAT'S GOOD, MAN.

IF THE MUSHROOMS ARE ON THEM,
I'M NOT GONNA EAT THEM.

I CAN'T EAT THEM.

EVEN ONE LITTLE PIECE
IS GONNA KILL YOU?

I DON'T KNOW.
ASK DR. NOW THAT.

ARE YOU IN PAIN RIGHT NOW?

IS THAT WHY
YOU'RE ACTING LIKE THAT?

[ Chuckling ] NO, I'M FINE.

OH, YOU'RE GETTING ME
FRUSTRATED, THOUGH.

[ BOWL CLINKS ]

YOU'RE JUST TRYING TO THROW
ANYTHING EASY OUT THERE TO ME

JUST TO EAT.

-GOSH.
-WHAT ARE YOU SO UPSET FOR?

-GOSH.
-NEVER MIND.

PATIENT.
[ EXHALES DEEPLY ]

YES.
[ SCOFFS ]

WELL,
YOUR SOUP'S RIGHT THERE.

I'LL STRAIN THE REST
WHEN I GET BACK.

I'M GONNA GO GET
MY BURRITO.

I'LL BE BACK.
GOING TO THE CORNER REAL QUICK.

YOU SIT THERE
AND PRAY TO GOD

TO CHANGE
YOUR FRICKIN' ATTITUDE.

[ DOOR OPENS ]

Lupe: I DON'T KNOW HOW TO REPAIR
EVERYTHING WITH GILBERT.

AND THAT MAKES ME FEEL
LIKE GIVING UP RIGHT NOW.

**

THINGS ARE STILL REALLY BAD
BETWEEN ME AND GILBERT.

[ MONITOR BEEPS ]

WE'VE STILL BEEN FIGHTING
A LOT,

SO HE'S BEEN AROUND
LESS AND LESS.

I MOSTLY JUST STAYED IN BED
THE LAST MONTH.

AND LAST WEEK,

I STARTED HAVING A LOT OF PAIN
ON MY LOWER BACK.

[ MONITOR BEEPING ]

Dr. Nowzaradan: LUPE HAS SPENT
THE LAST TWO MONTHS IN BED,

BARELY EVEN MOVING,

WHICH IS EXTREMELY DAMAGING
TO THE BODY.

SO SHE HAS DEVELOPED
A HUGE BEDSORE

THAT IS IN RISK
OF BECOMING INFECTED.

IF IT DOES, IT WILL CERTAINLY BE
LIFE-THREATENING TO HER.

SO WE NEED TO ADDRESS IT
IMMEDIATELY.

[ INDISTINCT CONVERSATIONS ]

Lupe: I'M SCARED
ABOUT GOING INTO SURGERY AGAIN,

AND I DON'T EVEN KNOW
WHERE GILBERT IS RIGHT NOW.

ONE, TWO, THREE.

Dr. Nowzaradan: LUPE SEEMS TO BE
VERY DEPRESSED.

THERE ARE ISSUES AT HOME,

AND SHE'S NOT DEALING WITH THEM
AT ALL.

SO SHE HAS BECOME
COMPLETELY IMMOBILE AGAIN.

[ AIR RUSHING ]

THERE'S ABSOLUTELY NO EXCUSE
FOR LUPE TO BE DECLINING

AND FOR THIS TO HAPPEN.

SO, AFTER SHE HAS SOME TIME
TO RECOVER FROM THIS,

I'M STARTING HER ON AN EXTENSIVE
PHYSICAL-THERAPY PROGRAM,

AND THEN WE'RE GOING TO TRY
TO GET HER UP AND WALK.

THE LONGER
SHE STAYS IMMOBILE IN BED,

THE HARDER IT WILL BE
FOR US TO GET HER UP AGAIN.

GAINING MOBILITY AGAIN

AND BREAKING THIS DYNAMIC
WITH HER HUSBAND

IS GOING TO BE HER ONLY CHANCE
FOR LONG-TERM SUCCESS.

**

WANT TO DO SOME BOXING?

Lupe: AFTER SURGERY,
GILBERT SHOWED UP

AND HAS BEEN HELPING ME
WITH MY EXERCISES.

[ SIGHING ]

EVERYTHING'S STILL
A LITTLE TENSE BETWEEN US.

BUT I'M HAPPY TO HAVE HIS HELP
RIGHT NOW.

PRESS YOUR WRIST FORWARD.

HE'S BEEN MY SUPPORT
FOR SO LONG,

AND IT'S HARD TO EVEN DO IT
WITHOUT HIM.

[ CHUCKLES ]

BUT I JUST FEEL SO WEAK
RIGHT NOW.

I'M JUST NOT READY TO GET UP
AND STAND AGAIN.

ALL RIGHT.

IT'S TOO HARD,
AND IF I FALL,

NOBODY'S GONNA BE ABLE
TO CATCH ME OR PICK ME UP.

LET ME KNOW WHAT YOU WANT ME
TO DO SO I CAN GET YOU TO STAND.

YOU KNOW, I DON'T THINK
I'M GONNA STAND TODAY.

MY LEGS ARE VERY NUMB.

YOU CAN DO IT, THOUGH.
YOU CAN STAND.

I'M NOT GONNA STAND
AND FALL, OKAY,

IF I KNOW --
MY LEGS ARE RIGHT NOW.

THEY'RE WEAK.
I CAN'T EVEN FEEL THEM.

WHAT'S THE DIFFERENCE
BETWEEN NOW

AND TWO DAYS
AFTER TODAY?

I'M NOT GONNA STAND TODAY
AND FALL AND GO BACKWARDS

'CAUSE YOU WANT
TO SEE ME STAND.

I'M SORRY.

YOU CAN STAND.
YOU JUST DON'T WANT TO STAND.

HERE. I CAN BARELY GET MYSELF
TO THE EDGE OF THE BED.

BUT YOU HAVE TO WORK
THROUGH THE PAIN.

IT'S NOT AMOUNT OF PAIN --
I'M NOT SAYING THE PAIN.

MY LEGS ARE NUMB! OKAY?

SO I'M NOT GONNA STAND
AND FALL

BECAUSE YOU OR ANYBODY ELSE
WANT TO SEE ME!

YOU NOT GETTING THERE
IS MESSING ME UP.

YOU KNOW WHAT I MEAN?

I WANT US TO HAVE
A HAPPY LIFE.

WE CAN'T HAVE A HAPPY LIFE

IF YOU CONTINUE
TO JUST BE STUCK.

Lupe: I'M NOT READY.

AND WHEN GILBERT TRIES
TO PUSH ME RIGHT NOW,

IT MAKES ME FEEL LIKE
HE'S NOT LISTENING

AND MAYBE THAT
HE JUST WANTS ME TO GET UP

SO HE DOESN'T HAVE TO
TAKE CARE OF ME ANYMORE.

THIS IS
SO MUCH HARDER FOR ME

THAN GILBERT
OR ANYONE REALIZES,

AND THEY CAN'T PUSH ME
TO GET UP UNTIL I'M READY.

TOMORROW MORNING,
WE'LL GET ON THIS

BREAKFAST, LUNCH,
AND DINNER, OKAY?

AND RIGHT NOW...
I'M NOT READY.

**

OW, MY LEGS HURT, MAN.

THE DOCTOR SAID
HE WANTS TO KNOW MY PROGRESS

AND THAT I HAVE TO STAND UP
ON A REGULAR SCALE

TO GET MY WEIGHT TODAY.

I KNOW EVERY DAY
I DON'T GET OUT OF THIS BED,

I GET WEAKER AND WEAKER.

BUT I'M SCARED RIGHT NOW,

AND I DON'T FEEL LIKE
I'M READY FOR THIS.

Dr. Nowzaradan: SCALE.

TODAY, I TOLD LUPE THAT SHE
NEEDED TO GET OUT OF THE BED.

Man: OVER HERE.

IT IS IMPERATIVE
TO GET HER UP.

IF SHE DOESN'T,

THEN HER HEALTH IS GOING TO
CONTINUE TO DECLINE RAPIDLY,

AND HER BODY IS NOT GOING TO BE
ABLE TO HANDLE THAT.

WHOA!

YOU'RE GONNA BE FINE.
JUST COME ON.

WHOA!

LUPE,
YOU'VE BEEN IN BED SO LONG,

YOU'RE LOSING YOUR STRENGTH,
OKAY?

I KNOW. [ CRYING ]

AND YOU DON'T KNOW,
BECAUSE IF YOU KNEW,

YOU WOULD DO SOMETHING
ABOUT IT.

-YEAH.
-COME ON.

I CAN'T.
MY LEGS ARE NUMB.

THAT'S BECAUSE
YOU HAVEN'T BEEN TRYING.

LUPE IS NOT DEALING
WITH THE ISSUES IN HER LIFE

IN THE RIGHT WAY,

AND THAT IS CREATING A VERY
DANGEROUS SITUATION FOR HER.

YOU'VE BEEN MONTHS AND MONTHS
OF STAYING IN THE BED

AND ASKING
FOR PAIN MEDICINE,

AND YOU'RE GONNA HAVE TO
GET UP AND MOVE.

SHE'S CONVINCED HERSELF

TO STOP DOING ANYTHING
AND MAKING PROGRESS

BECAUSE SHE'S SCARED
RIGHT NOW.

I'M GONNA FALL.

Man:
YOU'RE NOT GONNA FALL.

LUPE, DO YOU WANT TO STAND UP,
OR YOU DON'T?

I DO, BUT I'M SCARED.

YEAH,
JUST TELL ME THE TRUTH.

THIS IS ALL BY YOUR DESIGN.

THIS IS WHERE IT GOT YOU
TO BE ALMOST 600 POUNDS.

THIS IS WHAT GOT YOU
IN THE BED.

YOU REFUSE TO GET OUT
OF THIS CONDITION.

YOU'RE PLAYING
WITH EVERYBODY AROUND YOU.

NO, I'M NOT.

COME ON.

THIS IS YOUR LIFE,
AND WE'RE TRYING TO HELP YOU,

AND YOU DON'T WANT ANY HELP.
I KNOW YOU ARE.

AND I'M VERY THANKFUL
FOR THAT.

NO, BUT YOUR ACTION
SPEAKS LOUDER THAN WHAT YOU SAY.

YOU KNOW
WHAT YOU NEED TO DO,

BUT YOU DON'T WANT
TO DO IT.

[ CRYING ]

PUT HER BACK IN THE BED.

OH, OW!

BREATHE, BREATHE, BREATHE.
OKAY.

Dr. Nowzaradan:
THIS IS A VERY BAD SITUATION.

LUPE IS AT A CROSSROAD,
AND SHE'S CHOOSING A PATH

THAT IS GOING TO LEAD HER
TO HER DEATH.

**

Dr. Nowzaradan: LUPE IS REFUSING
TO GET UP AND DO ANYTHING,

SO THERE'S NOTHING MORE
WE CAN DO FOR HER HERE.

Lupe: I'M SO SCARED
BECAUSE I'M STARTING TO FEEL

LIKE I'M NEVER GONNA BE ABLE
TO GET BACK UP.

ALL RIGHT, LUPE.

SO, I'M GOING TO GO AHEAD
AND SEND YOU HOME.

YOU KNOW THAT
YOU GOT A VERY BAD HEART.

YOU KNOW
YOU'RE A DIABETIC.

IF YOU DON'T MOVE AROUND

AND IF YOU DON'T CHANGE
YOUR LIFESTYLE,

YOUR BODY
IS GONNA GIVE OUT.

RIGHT NOW,
THE BATTLE FOR LUPE'S LIFE

IS NOT PHYSICAL --
IT IS PSYCHOLOGICAL.

THE LAST THING
WE'RE GONNA TRY

IS TO SEND A PSYCHOLOGIST
TO MEET WITH YOU AND GILBERT

TO TRY
TO DEAL WITH THE ISSUES

THAT ARE KEEPING YOU
IN THE BED.

AFTER SURGERY, WHEN A PATIENT
HITS THE WALL LIKE THIS,

A PSYCHOLOGIST
MAY BE THEIR ONLY HOPE.

YOU NEED TO FIGURE OUT,

WHAT IS THE THING THAT IS MAKING
YOU AFRAID TO STAND NOW?

AND HOW ARE YOU GONNA CHANGE
THE DYNAMIC THAT IS KILLING YOU

BEFORE IT'S TOO LATE?

ALL RIGHT.

-OKAY.
-[ SNIFFLING ]

**

COME HERE, MY LOVE.

THAT HAD ME CRYING.
STOP IT.

[ SMOOCHES ]

YOU'RE GONNA HAVE
ALL MY SUPPORT,

EVEN MORE NOW,
WHEN WE GET HOME.

I'LL BEND OVER BACKWARDS
FOR YOU, LOVE.

I'LL TAKE A BULLET FOR YOU --
YOU KNOW THAT.

I'M SORRY, MY BABY.

**

Lupe: TODAY,
THE THERAPIST IS COMING OVER

TO TALK TO ME AND GILBERT
ABOUT ALL OUR ISSUES.

I KNOW MY BIGGEST ONE
IS HOW GILBERT MAKES ME FEEL

WHEN HE TRIES TO MEET UP
WITH OTHER WOMEN

AND HOW HARD IT IS
FOR ME TO TRUST HIM RIGHT NOW.

WHEN I THINK ABOUT IT,

I FEEL LIKE
I JUST START TO LOCK UP,

AND I DON'T WANT
TO DO ANYTHING.

[ KNOCK ON DOOR ]

HEY.
COME IN.

THANK YOU.

HEY, LUPE, GOOD TO SEE YOU.
HI. [ CHUCKLES ]

SO, HOW ARE BOTH OF YOU?

-HANGING IN THERE.
-HANGING IN THERE.

I JUST GOT OUT
OF THE HOSPITAL.

WHERE ARE YOU AT TODAY,

IN TERMS OF JUST RECOVERING,
YOU KNOW, PHYSICALLY?

I'VE BEEN OKAY.

I STILL HAVE A LOT OF THOUGHTS
IN MY MIND, YOU KNOW?

YEAH.

I REALLY WANT TO GET OUT OF BED
AND THAT, BUT...

YOU KNOW, 'CAUSE I KNOW
I'M A BURDEN ON MY HUSBAND.

YOU KNOW, IT'S HARD FOR HIM
TO DO EVERYTHING AND THAT.

HOW'S THE RELATIONSHIP
GOING?

ME AND MY HUSBAND --
WE HAVE OUR UPS AND DOWNS.

THERE'S TIMES, YOU KNOW,
I'VE CAUGHT HIM,

YOU KNOW, FLIRTING AND TRYING
TO GET GIRLS' NUMBERS AND...

OKAY. I WANT TO HAVE AN HONEST
CONVERSATION ABOUT THAT,

BECAUSE WE NEED TO GET
ON THE SAME PAGE...

YES, WE DO.

...AND IT SOUNDS LIKE
MAYBE WE'RE NOT THERE YET.

SO, LUPE, FOR YOU,

WHEN DOES THE BEHAVIOR BECOME
SOMETHING THAT CROSSES THE LINE?

I'M GONNA SPEAK UP
AND SAY WHAT I GOT TO SAY.

I'VE CAUGHT HIM TALKING
TO FEMALES --

A FEMALE IN THE ROOM,
SAYING SHE'S PRETTY,

EVEN MADE UP WITH HER
AND THAT.

I WAS ASLEEP,
AND I WOKE UP,

AND HE THOUGHT
I WASN'T HEARING HIM.

HE WAS IN THE ROOM.
OH, YEAH, SHE'S PRETTY.

HE'S GONNA MEET HER.
HE'S GONNA BE WITH HER.

THAT'S WHY
I HAVE TO SPEAK UP NOW

BECAUSE THAT'S WHY
I DON'T TRUST HIM.

AND THIS IS RECENTLY --
WHEN I GOT OUT OF THE HOSPITAL.

YEAH.
MM-HMM.

SO HOW DO YOU EXPECT ME TO TRUST
HIM, LIKE, IF HE'S DOING IT?

THAT'S WHERE WE ARE NOW.

I'M NOT GONNA SIT HERE
AND ARGUE WITH HER OR NOTHING,

'CAUSE SHE'S RIGHT --
YOU KNOW, IT'S TRUE.

BUT HER NOT GETTING UP,
NOT TRYING TO PUSH

IS MAKING ME FEEL LIKE
SHE DON'T VALUE OUR MARRIAGE,

AND I'M STARTING
TO BE RESENTFUL.

I WANT
OUR MARRIAGE TO WORK.

I WANT YOU TO GET UP.
I WANT YOU TO WALK.

COME ON, SERIOUSLY.

I'VE BEEN THERE --
EVERYTHING.

I'M YOUR BREATH.

I NEED YOU TO GET UP.
I'M TIRED.

'CAUSE RIGHT NOW,
IT FEELS LIKE I VALUE YOUR LIFE

MORE THAN YOU VALUE
YOUR OWN LIFE.

JUST TO PUT
SOME PERSPECTIVE --

INDIVIDUALLY,
YOU ALL HAVE BEEN UNDER

AN INSANE AMOUNT OF STRESS.
[ SCOFFS ] YEAH.

AND THE RELATIONSHIP,
AS WELL.

UNFORTUNATELY,
WHAT HAPPENS IS,

WHEN TRUST IN A RELATIONSHIP
IS BROKEN,

IT IS VERY, VERY HARD
TO GET THAT BACK.

YOU CAN GET THAT BACK,
BUT IT TAKES A LOT OF WORK.

IT'S A PROCESS
OF SAYING WHAT YOU MEAN

AND MEANING WHAT YOU SAY

AND FOLLOWING THAT UP
WITH BEHAVIOR.

I THINK YOU BOTH
ARE WELL-INTENTIONED.

I MEAN, YOU OBVIOUSLY LOVE
ONE ANOTHER.

BUT TRUST HAS TO BE BACKED UP
WITH BEHAVIOR.

YOU ALL REALLY NEED TO WORK
ON JUST REBUILDING THINGS,

AND RIGHT NOW,
IT'S AS SIMPLE AS,

"I NEED TO STAY FAITHFUL --
FIND WAYS TO DO THAT,"

AND, "I'VE GOT TO FIND WAYS
TO CONTINUE TO WORK ON MYSELF,"

AND TO HELP HIM,

BECAUSE HE'S AT A POINT
WHERE HE CAN'T HELP ANYMORE.

AND THEN, THAT'S HOW
YOU REBUILD TRUST --

LITTLE BY LITTLE
BY LITTLE.

I THINK THAT WILL GIVE US A LOT
OF WORK TO START WITH, OKAY?

OKAY.
ALL RIGHTY.

THANK YOU.
BYE. TAKE CARE.

NICE TO SEE YOU.
SAME HERE. BYE-BYE.

Lupe: GILBERT'S BEEN MY ROCK
FOR SO MANY YEARS.

IF I DON'T HAVE A FUTURE
WITH HIM,

THEN I DON'T HAVE
THE MOTIVATION I HAD

WHEN I STARTED THIS JOURNEY.

SO I WANT TO WORK ON THINGS

[ BIRDS CHIRPING ]

Lupe: WHEN YOU LIVE FOR SO LONG
WITHOUT HOPE,

ONCE YOU HAVE IT,

YOU'LL CLING TO IT
AND NEVER LET GO.

**

Gilbert:
I GOT SOMETHING FOR YOU.

FOR DOING SO GOOD THIS PAST YEAR
AND MAKING ME SO PROUD.

THINGS HAVE BEEN A LITTLE BETTER
BETWEEN GILBERT AND I.

WE HAVE BEEN TRYING TO WORK
ON OUR RELATIONSHIP.

THANK YOU.

AND THAT'S MEANT TALKING MORE
ABOUT THINGS.

I FEEL LIKE GILBERT'S
UNDERSTANDING HOW HE HURT ME,

AND THAT'S BEEN A BIG STEP
FOR US.

MY LEGS. OH, GEEZ.

THIS ONE?
YES.

I KNOW WE STILL HAVE
A LOT OF THINGS TO WORK THROUGH,

BUT I FEEL LIKE
WE CAN FIGURE IT OUT TOGETHER

AND GROW OUR MARRIAGE
FROM HERE.

I THOUGHT WE'D DO
SOMETHING SPECIAL TODAY.

I THOUGHT
WE'D COOK TOGETHER,

HAVE A NICE,
ROMANTIC DINNER TOGETHER.

Gilbert: YOU KNOW,
I'VE BEEN KIND OF A FLIRT

IN THE PAST TIMES
OF THIS YEAR,

BUT IT MADE ME REALIZE
HOW MUCH I LOVE MY WIFE

AND THAT, YOU KNOW, I NEED
TO HONOR MY VOWS WITH HER.

[ SIZZLING ]

Lupe: I'VE BEEN WORKING
ON GETTING OUT OF BED,

AND GILBERT'S
BEEN HELPING ME GET UP.

BUT I'M STILL NOT ABLE
TO STAND.

NICE DAY, BABE.

I HAVE MY NEXT APPOINTMENT
WITH DR. NOW IN A MONTH.

I WANT TO SHOW HIM
HOW MUCH I'M TRYING TO GET UP.

BUT I KNOW I'VE ALREADY MADE
SO MUCH PROGRESS.

LOVE YOU, TOO.

AND I'M REALLY PROUD
OF THAT.

**

THE DOCTOR'S GONNA
CHECK OUT MY LEGS TODAY

TO SEE WHAT WE CAN DO
TO GET ME UP AND WALKING FASTER.

HI, LUPE.
HI.

NOW, LET ME JUST CHECK AND SEE
HOW YOUR LEG IS DOING.

THE FEELING DOWN HERE
IS NORMAL?

YEAH, WHEN I STAND UP,
I CAN FEEL IT --

I CAN FEEL, LIKE,
THAT RIGHT NOW.

OKAY.

Dr. Nowzaradan: UNFORTUNATELY,
LUPE GOT TO THE POINT

WHERE SHE'S PHYSICALLY LOSING
THE ABILITY TO STAND.

THAT HIP JOINT NEEDS TO BE
PROBABLY REPLACED,

AND THEN SHE NEEDS THE TENDON
TO BE WORKED OUT.

BUT THE FACT THAT SHE'S
WILLING TO TRY IS A GOOD SIGN.

SO, WE'LL ADDRESS
THIS ISSUE

AS YOU START LOSING
SOME MORE WEIGHT, OKAY?

OKAY.

AND SHE STUCK
TO HER REDUCED DIET,

AND SHE'S STILL LOSING WEIGHT.

ALL RIGHT,
LET'S CHECK YOUR WEIGHT.

OH, MY GOSH.
[ CHUCKLES ]

[ SIGHS ]

360.
[ LAUGHS ]

WHOO!

[ LAUGHTER ]

WE STILL HAVE A LOT OF WORK
TO DO WITH HER,

BUT SHE IS A FIGHTER,
AT THE END OF THE DAY.

I'M PROUD OF YOU.
YOU LOST ALL THAT WEIGHT.

THANK YOU.

BUT I WANT YOU
TO KEEP THIS UP,

AND EVERY DAY, TRY TO STAND UP
AND DO YOUR EXERCISE.

OKAY.
OKAY.

KEEP IT UP,
AND I WILL SEE YOU LATER, OKAY?

OKAY.
THANK YOU, DR. NOW.

ALL RIGHT.
YEP.

**

[ SPEAKING INDISTINCTLY ]

NOW GILBERT AND I ARE TRYING
TO SPEND MORE TIME TOGETHER

AND GET OUT OF THE HOUSE
AS MUCH AS POSSIBLE.

[ SMOOCHING ]

NOW THAT
I'M DOWN 300 POUNDS,

EVEN WITH THE PAIN
IN MY LEGS,

I CAN START TO GET OUT
AND DO THINGS.

IT'S BEEN OVER 10 YEARS

SINCE I COULD JUST GO TO A PARK
OR DOWN THE STREET

OR ANYTHING LIKE THAT.

THIS JUST FEELS AMAZING.

OH, MY GOD, BABE.

IT FEELS SO GOOD
TO BE OUT HERE

WITH THAT BREEZE
IN MY HAIR.

AND YOU KNOW,
THIS IS THE FIRST TIME

WE EVER BEEN TO A PARK
TOGETHER IN -- WHAT? --

ALMOST NINE YEARS
WE'VE BEEN TOGETHER.

YEAH,
THIS IS OUR FIRST STEP.

I COULDN'T BE
MORE HAPPY ABOUT IT.

I'M PROUD OF YOU.
THANK YOU.

I'M SO ENCOURAGED BY EVERYTHING
THAT'S HAPPENED LATELY,

THAT IT'S HELPING DRIVE ME
TO WANT TO DO MORE.

I LOVE YOU, MY LOVE.

MWAH!
MM, OH!

JUST TO HAVE OPTIONS
OF MY FUTURE...