Original subtitles

Ow.

I've never been to jail but I feel like that's what I'm in.

And it's horrible.

Not for one minute I thought my life would end up like this.

Ow, my legs.

I'm so far gone.

I absolutely need help or I am going to die.

I can't do this.

[SOBBING]

I feel like I've let my kids down.

Instead of me taking care of them,

they've been taking care of me.

It's you.

You are the one killing you.

JAMES (VOICEOVER): My chest is killing me.

I feel like my time has ran out.

When just being alive becomes the greatest burden

in your life, then it is time to look

for anything that can save you.

The second I open my eyes, I'm just in so much pain.

But I'm still just grateful to be alive.

And I tell the lord, thank you, lord, for another day.

Because I don't know how many I have left.

But even though I still open my eyes each day,

I'm not living life because I'm just

trapped in this bed all day.

I can't even get up anymore.

And it scares me.

Because I want to get up.

I want to get up so bad.

But I can't because my body is literally falling

apart now because I'm so big.

And it feels like my legs are just starting to rot.

But I've been bed bound close to three years now.

I've never been to jail, but I feel like that's what I'm in.

And it's horrible.

And I'm at a point where I don't even know

if I'll be able to walk again.

Lisa.

LISA: Huh?

Did you call me?

Yeah.

I need to--

I went to the bathroom.

I need to be cleaned up.

OK.

All right.

Give me a minute.

I'll going to get Bayley to help me, OK?

JAMES (VOICEOVER): I just can't do anything myself anymore.

So I've got to depend completely on my girlfriend

Lisa or my daughter Bailey to help me out.

LISA: You got gloves, Bayley?

BAYLEY: Mm-hm.

LISA: All right.

Lift with your legs, honey.

BAYLEY: Go slow, mom.

James cannot take care of himself at all.

He cannot bathe himself.

He cannot use the restroom.

He has to wear a catheter.

And it breaks my heart to say that James is trapped in a bed

and can't do the things that he loves to do.

JAMES: Don't let me down hard.

LISA: I'm not.

I've got you.

You comfy?

JAMES: Yeah.

So Lisa is my full time caretaker now.

And she has to do everything for me,

except for some jobs that are just too

much for her like bathing me.

So there are a couple of my friends that come to help.

What's up, old man?

JAMES (VOICEOVER): But I feel like I'm a burden because they

all have to cater to me.

And it shouldn't be like that.

Go.

JAMES (VOICEOVER): But I have no choice

because I have to stay clean or things

would get much worse for me.

Ow.

Easy, Lisa.

I'm sorry.

JAMES (VOICEOVER): Because I have cellulitis

draining out of both legs so bad that I

have fluid coming out all over.

You're hurting my leg.

Ow.

Ow, my leg.

- I got it. - Let go.

You've got fingernails in my leg.

Sorry

Mom was trying to let you down easy.

JAMES (VOICEOVER): So all I can do

is lash out, even though everyone

is just trying to help me.

And I know my family doesn't want to have to deal with this.

There you go.

I can tell that it bothers Bayley a lot

by the way she looks at me.

My mom pulled me out of school because I

have to help with my dad.

I don't feel like I should have to be a caretaker to my dad

because a father is supposed to protect

and take care of his daughter.

But it's my dad and I'm not going

to let him just lay there.

I can't breathe good. Ow.

I'm sorry.

JAMES: [BLEEP] - Sorry.

Tried to get it in there.

JAMES (VOICEOVER): It's very humiliating,

having my own child have to do this.

LISA: It's bleeding.

JAMES (VOICEOVER): But she does it cause she loves me.

And I know that.

There you go.

BAYLEY (VOICEOVER): My dad's gotten worse.

And I'm worried.

He's close to losing it all.

He basically already has.

Me and Bayley's going to go to the grocery store.

Love you.

Love you too.

BAYLEY (VOICEOVER): And I don't have

no idea how to help my dad.

JAMES (VOICEOVER): I've let my body get to this point.

And not for one minute did I thought my life

would end up like this.

Early on in my childhood, I have a lot of good memories of me

and my older brother having fun.

And I was maybe a little chubby.

But I really didn't struggle with my weight.

Things were pretty good.

But my dad took me and my brother

because my mother drank a lot.

So my dad's the one that raised us.

And I only saw my mom three times during my childhood.

And she was drunk every time.

So my dad took care of us.

And things were good until he met my step mom Lolita

and got remarried.

DON: James was a good boy, a good child.

But raising James and his brother

was real difficult because, you know,

you can't hardly be a mother and a father both, you know.

It was rough.

JAMES (VOICEOVER): She had four kids of her own already.

So all of the sudden we were a family eight.

But my dad didn't make enough to provide for a family that big.

And we went from having what we needed to being really poor.

And I never know if we was going to have enough to eat.

So I just started to eat as much as I could

when I got the chance.

And I remember the joy and safety there was in food.

So I started gaining some.

And I was around 250 when I started high school.

But things got really bad when I was 15.

I was able to reconnect with my real mom.

And we finally started to have a relationship.

And I felt like something that had been missing from my life

wasn't missing as much anymore.

But in a matter of just a few months

my mom died of liver cancer because she drank so much.

I was devastated because I missed the chance

to reconnect with my mom.

And at the same time as we was burying my mother,

we get a phone call that our family home had burned down.

And I lost just about everything I had in a single day.

I just couldn't handle all that.

You know, I was just so depressed, tore up

that, you know, I couldn't even go to school.

Seemed like all I wanted to do was eat.

And food was what had made me safe for all

these years growing up.

So that's what I turned to.

And by the time I was 18, I was just about 400 pounds.

But even though I was still gaining a lot,

things got a little better when I was 20

because that's when I met Lisa.

She lived just two houses down from mine.

And she was married with four kids,

but her husband was very abusive.

And we started to get closer and we had an affair.

LISA: What started it we were setting on his porch,

I was crying, and he reached over and kissed me on the cheek

and told me everything was going to be all right.

And so I knew at that time that he head a big heart

and he was a good listener.

JAMES (VOICEOVER): We eventually fell in love with each other.

My weight was never a factor.

She loved me for who I was.

And we'd go do things all the time.

LISA: When me and James first started dating,

he was still active, rode four wheelers,

took the kids riding to the lake area, went fishing a lot.

You know, he was a very active person.

JAMES (VOICEOVER): Over time as we continued seeing each other,

Lisa got pregnant with Austin.

And then she got pregnant with Bayley.

But I wasn't raising either of them

because Lisa was still married to her husband at the time.

But I tried to stay in my kids' lives,

even though they didn't know I was their father.

And all this time, I was still steadily putting on weight.

And I hit 540 right around when I turned 30.

But Lisa finally separated from her husband when I was 32.

And we were able to be together then.

And I could finally be a father to Austin and Bayley.

But even though that was a happy time for me,

I didn't stop with how much I was eating.

So I was still getting bigger.

DON: I think James's weight come on in five or six years ago.

And I tried to mention it to James

a few times about his weight.

That don't always seem to not do no good, you know?

But it got out of hand.

JAMES (VOICEOVER): So I was still getting bigger.

But things got worse when I was 42 because I fell.

And I was so big the fire department

had to come and get me up.

It was one of the lowest moments in my life.

And I hurt my ankle really bad and had

to stay in a bed and rest.

But I'm not even sure if it ever healed

because that's the last time I put weight on it.

And that's when I became bed bound.

And now I'm not sure how big I am.

All I know is I'm stuck in this bed every day.

- Hey, James. - Hey, daddy.

We're back.

JAMES (VOICEOVER): And I just feel

like I'm this burden on my family, that's waiting to die.

Because I won't stop eating.

LISA: I worry about James because every year it

seems like he gains 20 or 30 more pounds.

It's breaking my heart.

And I can't--

I can't really take it much longer.

But he's bedridden, so I'm an enabler.

I bought this food and I carry the food to him.

But I don't know how to stop.

I got your cookies.

You want one? Hold you over?

Yes.

LISA: And if I take him something

healthy then we argue, because that's his comfort zone.

JAMES (VOICEOVER): I know my family is really worried

but how much I eat.

But when I'm hungry, I just don't care.

I better get what I want or I'm really

going to be upset, especially in the morning at breakfast.

Once I'm up and the day is started, all I'm waiting on

is sausage, eggs, and biscuits all covered in gravy.

After he gets his eggs and his sausage on there,

I put the biscuits and gravy in a bowl.

Because he's not going to have room.

BAYLEY: How many, mom?

Probably about four.

I've got you six eggs and about five or six pieces a sausage.

Is that OK?

JAMES: Yeah.

Mom, he really doesn't need that much, seriously.

That's what it takes to make him full.

BAYLEY: Can I give these to him?

LISA: Yeah.

He can get started.

BAYLEY (VOICEOVER): I always feel guilty because we

just keep giving food to him.

That looks good, baby.

BAYLEY (VOICEOVER): When I tell him he doesn't need it,

he'll get mad and he'll yell.

It makes me angry and sad at the same time.

I'm so frustrated.

JAMES: Put that gravy on my plate with a new biscuit.

LISA: One, for now?

No, two.

I want gravy all over the top.

It's almost all of it anyway.

There you go.

JAMES (VOICEOVER): To get to taste

something you're craving in the morning

is one of the best things ever.

Here.

It's hot.

Thank you, baby.

When I take that first bite, it's heaven.

I just love it.

Good breakfast.

Don't worried about daddy eating so much.

JAMES (VOICEOVER): I can never get full.

And as soon as I'm done, all I can think about

is when I'm going to be able to eat again.

If I have my way each day, my day would begin with food

and just end with food.

LISA: Hey, all right. Bye.

I love you.

JAMES: I love you, too.

LISA: By the time I get done taking care of James

during the day, I'm very tired and I'm hurting all over.

So it's just a lot easier to get fast food.

Also, that's what he usually wants.

VOICE OVER SPEAKER: Hi.

May I take your order?

I want to get the half pound combo.

And can you make that large?

And then a couple double cheeseburgers.

James has gotten really hard to get along with.

So anything that I can do to make him happy, I do.

When I bring fast food home, I know that I'm giving James

something that he doesn't need.

James, I'm back.

But I know that if I don't bring him what he wants,

we're going to get into an argument.

It's a big burger.

There you go.

Will you take the paper off?

Oh, yeah.

Sorry.

Here you go.

I don't mind giving care to James.

But it's hard on me.

It's breaking me down, mentally and physically.

And I don't know how much longer I can do it.

But I feel like if I don't get James help soon that he might

not make it through this year.

Can I have my other burger?

Yes.

LISA (VOICEOVER): And if I lost my best friend,

the man that I love, I think that I would

be lost the rest of my life.

JAMES (VOICEOVER): Food is what I live for.

And it makes me feel guilty.

Because I know it frustrates Lisa

when she has to keep feeding me and doing

everything else for me.

But it still doesn't stop me from eating.

LISA: You done?

Yeah.

At this point, it's so important now for me

to change my life because I know if I don't that I

won't be around much longer.

Me dying in this bed one night, it's not an if.

It's a when.

And that has me so scared right now.

Good night.

Good night.

I desperately want to change that.

But I don't know how.

Are you nervous?

Yep.

Lisa and I have reached out to Dr. Nowzaradan in Houston

to try and get help.

But there's no way for me to travel to him,

so he set up a video conference call with a meeting.

Weight loss surgery is probably my best and only chance

I'm going to have to survive.

And so I'm really hoping this goes well.

Hello.

DR. NOWZARADAN (ON SPEAKER): James.

I'm Dr. Nowzaradan.

How're you doing?

I guess I'm doing the best I can

for what the situation is, doctor.

DR. NOWZARADAN (ON SPEAKER): So how

is your general health doing?

Well, I've been having a lot of pain in my lower back.

And I have some severe cellulitis drainage.

I mean, my legs are draining pretty bad.

DR. NOWZARADAN (ON SPEAKER): When

was the last time you saw a doctor

and checked in with things?

JAMES: It's been almost a year.

I know I've gained some weight.

DR. NOWZARADAN (ON SPEAKER): So what do

you think your weight is now?

I want to guess around 750.

DR. NOWZARADAN (ON SPEAKER): OK.

So have you been able to get out of the bed.

No.

I ain't been out of bed in over two years.

So if you're bed bound, then who is your enabler?

JAMES: Lisa, my girlfriend.

DR. NOWZARADAN (ON SPEAKER): So you're

the one that brings him food.

What's going on with his eating habit?

I guess I've brought him too much food.

I mean, his appetite was just out the roof, I believe.

You know, I think he was eating out of boredom.

I don't know.

But he would eat several times a day

and he would over eat every time.

DR. NOWZARADAN (ON SPEAKER): Lisa, be bedridden

and super obese is very dangerous.

So I want you to stop enabling him.

Do you understand me?

Yes, sir.

DR. NOWZARADAN (ON SPEAKER): In your current situation, James,

it is just a matter of time before one

simple thing pushes your body over the limit, then you die.

So you need to act on this immediately.

And the only chance you've got is with our surgery,

with regard you need to come to Texas.

OK? - OK.

DR. NOWZARADAN (ON SPEAKER): You do look

to be well over 600 pounds.

And you probably are over 700.

And that's got to be a major issue in transport.

So what option we got for you to bring you down to Texas?

Really, the only option I have is riding in the van.

That wouldn't be a good idea, James.

OK.

DR. NOWZARADAN (ON SPEAKER): All right, James.

Here is your homework in the meantime.

Now I'm going to email you a diet

and I want to start you on 1,200 calorie a day.

That's in three meals, 400 calories each.

And no snacking between the meals.

And I want you to start to exercise

your upper body every day.

OK.

DR. NOWZARADAN (ON SPEAKER): So when you get down here I want

you to be under 600 pounds.

If you are, I'll approve you for surgery

if there are no other medical issues we need to resolve.

OK.

Thank you, doctor.

All right.

You're welcome.

I'll talk to you later.

LISA: OK.

Bye bye, sir.

You have a good night.

Well, what do you think?

I'm excited.

I am too.

I'm just nervous because it's still hills to climb.

LISA: I know.

I don't know how I'm going to get him to Texas.

But this is James's last chance.

If this doctor doesn't help him, I don't think

that he'll be around very long.

So I'm just scared.

JAMES (VOICEOVER): I'm glad that the doctor wants to help me.

But at the same time, I don't know how

I'm going to do any of this.

I know I need his help so I have to try.

It's been a couple weeks since I talked to Dr. Now

about coming to Houston.

And we've been fighting our insurance company

but they just keep giving us the run around.

They said they need a letter from my doctor about the need

for the transport.

So Dr Now wrote them saying it was a matter of life and death.

And they still denied it.

LISA: I'm going to get Bayley and we're going to get started

on that fund raising page.

Holler at me if you need anything, OK?

All right.

So me and Lisa decided to do an online campaign

to try and raise the money.

Because we don't know what else to do.

LISA: We're going to set up a donation

page so that we can get an ambulance

to transport him to Texas.

OK, our goal would be $10,000.

How about in case you have any extra medical bills,

we'll just set it at $15,000.

It's not like you're going to get that much anyway.

That's what I was thinking, too.

OK.

James's medical transport and funding.

It is difficult always to ask for money

but I know in James's situation, we need it.

So you just have to do what you got to do.

And I'm hoping and praying that we're

going to have a good response from the community

since he's lived here all his life.

We know it's short notice but we're

trying to get to Texas ASAP.

Asking for money is hard to do.

We are so thankful for anything you can do.

And James will be, too.

Sounds good to me.

I don't feel like I can stay here much longer.

I have to get to Texas.

Things are going to get worse if I don't.

OK. Save it.

JAMES (VOICEOVER): I would just drive it,

but the doctor thinks it's just too much of a risk at my size.

And now you've got to share it.

I just hope people help us out.

Because I know I'm running out of time.

TV REPORTER: As he watches the world from his window--

I look outside, you know, dreaming

that I want to go out there.

It don't happen.

TV REPORTER: James King's mind is somewhere else.

I see myself back on my feet, driving, being normal.

There's days that I cry.

And I just would like to throw in the towel.

TV REPORTER: His girlfriend Lisa Raiser and her daughter

are the ones caring for him most.

LISA (VOICEOVER): I've got to see him get on his feet.

Otherwise he's going to die.

TV REPORTER: Trying to keep him on track,

taking care of his daily needs, doing exercises daily,

and keeping him on a diet.

Some hope has come now that an out-of-state doctor

has offered to help.

But there's still a lot of details to be worked out.

So for now, he watches, dreaming.

LISA: Hey, baby, I got you a steak that's got a lot of fat

on it.

You said it makes it taste better.

JAMES (VOICEOVER): It's been about a month

since we started our online campaign.

And we've only been able to raise a little over $300.

That's nowhere near what I need.

So I'm really depressed right now.

And I don't know what to do except eat.

Because what's the point of being on any diet

if I can't get help?

LISA: The plate's a little full.

So I hope you can eat it.

I might have to get you something to hold it up with.

JAMES (VOICEOVER): Wev tried everything.

Dr. Nowzaradan has tried everything,

including fighting and arguing with the insurance company.

Is it good?

Mm-hm.

JAMES (VOICEOVER): So I'm out of options.

And the only thing that's got to make the days enjoyable

is to keep eating what I want and as much as I want.

Because there's no point in trying to stop right now.

Would you like some more?

Yeah.

Sometimes it feels like my dad cares more about the food

than it does his own family.

And the path that my dad is on right now

is headed towards death.

There's no where else it could be headed towards.

Don't eat too much and get sick.

JAMES (VOICEOVER): I've been handed a death sentence.

So I can't see any other way than to just

give up and accept my fate.

And nothing is going to change that right now.

LISA: You done?

I'm done.

So I'll just eat.

How's that look?

Bayley, is breakfast ready?

JAMES (VOICEOVER): I've been pretty depressed that I haven't

been able to raise any of the funds we needed to get

a transport to go to Dr. Now.

And it's been pretty discouraging to know I

have no other option right now.

But my dad is coming over to try and cheer me up.

Hey, son.

Hey, dad.

How you feeling?

Pretty good.

You're doing all right?

Yeah.

JAMES (VOICEOVER): My dad is worried to death.

When he comes over at times, he just

gets so stressed out looking at me and checking on me.

Back's still hurting?

Not too bad.

It's mainly my legs today.

DON: Mainly your legs?

Every day, I worry about James.

I worry about him being in that bed.

And I'm afraid James is getting worse every day.

How's this leg look? Man, it looks--

It's worse than the other one.

DON: It is.

And I feel like I'm helpless and I can't help James more.

JAMES: It hurts.

I know it hurts.

I don't know what I could do.

It's just awful.

JAMES: I miss that farming, riding the tractors and stuff.

I miss you coming down there and helping me.

Did you all get anything done with tractors or anything?

DON: I couldn't even get the trailer hooked onto the truck.

I want to get better so I can help you.

DON: I'd give anything if I could get James some help,

get him back walking, and bring him back to me.

Lisa.

I don't know if he got too hot, nerves,

or something ain't right.

When I'm stuck in his bed and something happens to my dad,

it makes me very mad that I can't get up.

I want to be there for him.

I don't know.

It just felt like somebody's turned my--

like my head was just going around and, you know.

EMT: You feel OK?

I feel nauseous when I stand up.

JAMES (VOICEOVER): My dad is my rock.

If I was to lose my dad, it would destroy me.

This is my worst nightmare come true.

My father needs me, and all I could do was sit there.

They're taking dad to the hospital.

I don't know.

They don't know yet.

He already hung up.

I know my dad.

He wouldn't have went if didn't think

something was wrong, because he's stubborn and I know him.

That's why we've got to get you out of this bed.

My chest is hurting.

LISA: You're shaking.

JAMES: That's why I hate not being able to get

out of the damn bed.

Seeing him get sick makes me want to get out of this bed

and get this weight off.

I want to be there for him like he has been for me.

Last night was really scary for me, because it turned

out my dad had a small stroke.

He's doing better now.

But it shook me big time.

I was too big to even help my dad.

So I decided no matter what it takes,

I have to get to Houston.

But the only option I really have is to go in our van.

So Lisa and me called the fire department

to see if it'd be possible to get them to move me out there.

They said they would stop by right now

to determine what was needed.

Come in.

Come in.

How's it going, Mr. King?

All right.

DOUG COOPER: How are you feeling?

JAMES: I'm making it.

I'm ready to start walking again.

The doctor told us that we needed to get him to Texas

so that he can help him out.

We talked it over and the only way we can get him there

is in the back of my van.

In my opinion, for his medical welfare,

we'd definitely prefer him go with a medical team.

LISA: Since we don't have funds for that, we have no choice.

We're just going to try to put him in the van.

I know it's not going to be healthy

and it's going to be very dangerous.

But we're just worried about how we're

going to get him out the door and be

able to get him in the van.

CHRIS PEELER: When's the last time you walked?

JAMES: Too long.

CHRIS PEELER: Have you stood?

CHRIS PEELER: That's definitely going

to make a challenge getting him out the door and down the ramp

and-- DOUG COOPER: And into the van.

CHRIS PEELER: But as far as lifting him,

it's going to be a challenge to get that many guys in this room

and outside to get him down there.

We can take a look at the van, do some measurements.

LISA: OK.

CHRIS PEELER: Looking at almost 5 feet.

More than I thought.

CHRIS PEELER: How wide is that door?

So you'll definitely have to go on your side.

And you're talking six to eight guys.

That's a narrow space to get you through initially

with six to eight guys.

Would you all mind measuring the van

and seeing if it will work for us?

DOUG COOPER: Sure. We can check the van out.

4 foot 2 1/2.

See his legs were almost 5 feet or right at 5 feet wide.

I don't believe he's going to fit in this, not comfortably.

So you don't think I should take the van and put him in it?

I wouldn't recommend it.

I'm really stressed out now that I know that the van's not

going to work.

So I've got to think of a different plan

to get James to Texas.

Got some bad news, brother.

What's that?

The back of the van was a little over 4 feet.

And you're talking riding 12 to 13

hours in the back of that van.

I'd be hurting.

LISA: Both of them recommended that I

don't take you down in the van.

I don't think it's safe for you or your girlfriend

to ride in that van for that long.

Try to have to figure out something.

I'm just need to get down there.

CHRIS PEELER: I wish I had better news for you, brother.

Appreciate you all coming out, though.

No problem. No problem.

We'll be in contact.

Just give us a call if you need something.

All right.

Good luck to you. - All righty.

Thanks. - Thank you all.

You all have a good day.

JAMES (VOICEOVER): I'm so frustrated and discouraged

right now.

It just feels like every time I try to get up,

I get knocked right back down again.

LISA: I don't know what my next step will be.

If I can't get James to Texas, I don't think

that he has very long to live.

JAMES (VOICEOVER): When my dad told me he refinanced his home,

I was speechless.

He has always been there for me, even when

I can't give that back to him.

So everyone is coming over to help

us pack tonight because my medical transport is

coming in the morning.

I am nervous.

But I'm excited at the same time.

Because this is a big change in my life.

The only thing I worry about is being closed up because, you

know, anxiety builds up.

But you've got two choices--

get to Texas and hopefully you get help or lay here and die.

Come in.

Hey, son.

Hey.

How you doing?

I'm just ready to get started.

DON: How far is it there?

It's, I think, 13 or 14 hours.

You get down there, get to do what the doctor says, be OK.

Can't wait to get up and walk, be able to get on my feet.

I'm going to come back walking.

That's the spirit.

That's the spirit I want to hear.

So is everybody pretty clear on what we're doing

and what needs to be done?

Yep.

JAMES (VOICEOVER): I know it's going to be

rough getting out of the house.

That long drive, I'm going to have a lot

of pain in my legs and stuff.

But the reason I'm moving to Houston

is to try and get my life back on track

and get the surgery I need, and pray that everything's

going to be all right.

And if something prevents me from being able to do this,

then I'll have hit rock bottom.

Because that would mean that I'm beyond all hope.

All right.

Love you, James.

Love you, too.

JAMES (VOICEOVER): My family got everything we're

taking packed up last night.

And now the fire department is going

to get me into the ambulance and take me to Houston.

All right, buddy, hey.

Just let us do all the work.

But it's going to be a little rough here for a little bit.

We'll be as easy as we can but we're

going to get out of this place.

Yeah? CHRIS PEELER: Sound good?

Yeah.

JAMES (VOICEOVER): It's so painful

to move even just a little.

So doing something like this is going to hurt a lot.

But the hardest part of moving is my legs because I

can't close them at all.

So my biggest fear is getting through the door

to get outside.

And I just hope I can do this and make

it all the way to Houston.

EMT: Grab his hand and try to roll yourself

on your side that way as far as you can

so I can get this under you to make

it easier to slide you over.

CHRIS PEELER: All right, buddy.

They're pushing down on my legs too much.

EMT: All right, not so much pressure on the legs.

Use the sheets.

CHRIS PEELER: Pull on me all you need to.

I'm not going anywhere.

EMT: All right.

Coming back.

Now we need to roll him this way.

Let's see if you all can pull the pink slip

under him a little further.

Let's go one more this way.

That's good.

All right.

On the count of three.

Everybody ready?

BAYLEY: The last time they took him in the ambulance

and got him out the door, they scratched his leg.

And I don't even think it's healed up yet.

So one of my biggest worries was getting him out of the house

and not hurting him.

1, 2, 3.

CHRIS PEELER: I don't think he moved.

EMT: He's on on this side.

OK.

Whoa, whoa, whoa, whoa.

JAMES: My legs is hurting a little bit.

CHRIS PEELER: Yeah.

We've got them squeezed together.

And we'll probably cinch your legs some

more to get you out the door.

All right?

So when we get this tight, we're going to go.

EMT: Going to need you to suck in, hold your breath

while we go through this door.

CHRIS PEELER: All right, James, keep

your elbows in as best you can.

Watch my legs please.

We've got your legs.

There you go.

Keep your hands inside.

Keep your hands on your chest, buddy.

Hug yourself, man.

Oh, my legs.

We've got you, brother.

We got you.

We're almost there.

Ow.

Ow.

My legs is stuck.

Ow.

You're outside of this door.

You're good.

You're good.

CHRIS PEELER: I told you we were going to be rough on you.

1, 2, 3.

Keep going.

- We made it, man. - We're here.

You're in. - Oh, my legs.

Let her come in there.

LISA: Hey.

It's going to be all.

Right?

Yeah.

LISA (VOICEOVER): I'm looking at James in the ambulance today.

And he looks very scared.

He's in pain.

But I just want to push forward and get his life back together.

I'll be behind you.

JAMES: All right.

LISA: OK, baby.

We're here, finally. I'm excited.

But I'm so nervous.

I know James has been in pain the whole trip.

He's been in the ambulance for about 16 hours.

Oh. Oh, man.

That is so rough.

We are fixing to be at the hospital.

Oh, thank god.

LISA: It's been a long ride up here, hadn't it, baby?

BAYLEY: Yeah.

LISA: I know he's getting ready to go to through some more

pain, you know, getting lifted.

This is making me a nervous wreck, Bayley.

EMT: We're going to squeeze your legs together a little bit, all

right, to get you out of here.

OK?

Oh, don't let my leg drop.

EMT: I'm trying not to, James.

JAMES: Oh, don't let my legs go. Ow.

EMT: We'll have the straps on them.

No. No.

Pick them up. Ow.

Ow.

Oh, man, I'm hurting so bad.

EMT: OK, sir, we're coming out.

They can't let my legs go.

Tell them. Tell them.

LISA: Don't let his-- they got you, baby.

Baby, they got you.

JAMES: Oh.

Oh, my legs. Oh.

EMT: Keep your hands in, James.

JAMES: Don't drop me.

Don't drop me.

Don't drop me. BAYLEY: Hey.

It's OK.

It's OK.

I'm falling off the stretcher.

BAYLEY: No, you're not.

It's OK.

I'm falling off.

EMT: You're not falling off, buddy.

You're not falling off. - Yes, I am,

BAYLEY: It's OK.

JAMES: Oh, my legs.

EMT: Put it against the wall as close as you can.

Just put it right here.

So sort of tilt that side up.

[INTERPOSING VOICES]

Hello.

How're you all doing?

James, I'm Dr. Nowzaradan.

I want you to calm down right now because we

are taking care of you.

OK?

And how are you doing?

Terrible pain.

I can't hardly move I'm hurting so bad.

JAMES: Oh. EMT: Relax, relax, relax.

JAMES: Oh.

EMT: On three.

1, 2, 3.

LISA: Don't let his leg fall.

James, how do you feel now?

Oh, hurting.

OK.

Let me take a look at you.

Now that James has finally arrived in Houston,

we can do a full examination on him and see how he's doing.

But just looking at him, you can tell that he's

in a pretty bad state.

His cellulitis is out of control.

And he doesn't look to have lost any weight

in the past four months.

So how is your eating habit coming since I

talked to him last time?

Much better.

James need to take responsibility

for his behavior.

DR. NOWZARADAN: All right.

We'll get you situated.

We're going to get some blood tests on you.

OK? All right.

But majority of this all falls on his girlfriend

who has been enabling him.

Let me explain the situation to you.

James is not going to survive much longer

and since I've been working with you two, he's not lost any way

and he's worse off now.

We're going to just have to stick to the plan of making

the change and going to the-- - There's no we.

It's you. There's no we.

It's you.

You are bringing the food.

You're helping him to kill him.

So why are you doing that?

LISA: Because if I don't bring it to him,

I will pay hell all the rest of the day.

How the hell he's going to raise the hell in the bed?

If we don't give him what he wants--

He can scream all he wants to.

Don't tell me that.

You are the one that got him in his bed

and you're the one making his life miserable right now.

I've been trying to get him out that bed--

No, you are not.

If you did then last time I talked to you,

you would change his diet.

He doesn't look like he lost any weight?

Is this the life style of a human being?

This is a miserable lifestyle.

And you got him into this shape.

And you blaming everybody and him.

I'm not blaming everybody.

I'm not blaming him. - Look.

If you all don't change the diet right now,

he's going to go back to Kentucky.

I'm not going to take care of him.

I have brought him in the food.

But I didn't get him in that shape.

You got him in this shape.

He broke his ankle, and got in the bed.

And the bed broke, and so the fluid

started retaining in the legs.

Look.

You're feeding him, got him to this point.

LISA: I'm feeding him like he wants

me to but I'm not doing it purposely because I love him.

All right.

Let's talk to him.

James?

If they don't bring you food, what are you going to do them?

Scream?

Yell?

Usually argue with her.

That's all?

Well, I get mad.

What did you come to Houston for?

We don't have a miracle for you?

I talk to you.

I talk to her.

And what I see here, this is not a weight loss.

I just talked to you for the first time, I think,

what, four months ago?

Four months is enough to lose 100 pounds,

to get under 600 pounds.

Really?

Yes.

You know, there's not much we can do for you,

no medically no surgically.

You need to change.

And she need to stop bringing you food.

I have to eat something.

No, you don't have to eat something.

You eaten 800 pounds of food in you.

I don't see that he has made any changes in his weight

and there is no ending to the situation

unless we make the changes on people

around him that bring him food.

But I don't know how we're going to do that.

This is a very difficult situation here With the two

key people unwilling to change.

But we need to make sure James is not having any complications

from the travel.

And with his size, there is no testing

we can do to determine that.

So we admitted James to the hospital

to make sure he's OK and stable before we send him out.

But James is very lucky to be alive right now.

He has a chance for help.

And instead of trying, they all continue doing what

they have been doing for years.

1, 2, 3, let's go.

DR. NOWZARADAN: This is unacceptable.

735 pounds.

And hopefully James is not at the point

of no return with his body.

JAMES (VOICEOVER): Coming to Houston

has been one of the hardest things I have ever done.

But I'm just glad to be down here

and have the trip behind me.

And now I'm just waiting for the doctor.

And I'm really nervous.

Because I'm so scared that he's going to come in and say,

there's nothing he can do for me.

Hi, James.

Hey.

How are you feeling this morning?

I feel like I've been beat with a hammer.

OK.

Some good news and some bad news.

Everything is stable, but your body is barely functioning.

If you continue with this path that you're doing right now,

I don't think you're going to live more than a month or two.

So I need you and your family to understand

how serious this situation is.

Everything about how you're taking your food has to change.

And it has to change now.

I'm ready.

You didn't do well with a 1,200 calorie a day diet.

So I'm going to start you on an 800 calorie a day diet

immediately so you can start to get used to it.

There'll be no sugary food, no pizza, no bread, no potatoes,

stick with a high protein diet.

And I want you to lose 135 pounds to get under 600 pounds.

And we'll help you to get started.

So we're going to keep you here for a month.

Sounds good.

If you stick with the diet, you should

easily be able to lose that.

OK?

It was a pretty big risk for James to come down to Houston.

To transport could have easily turned tragic even

with medical personnel with him.

And if James and his family don't start to understand

how dangerous his situation is, then he's

not going to survive for long.

He's 735 pounds.

He's 550 pounds overweight.

Take this seriously, James.

Thank you, Doc.

We will do everything that you say.

All right.

I'll see you all later.

LISA: Thank you.

JAMES (VOICEOVER): Hearing the doctor tell me

all the things that are wrong with me and how close to death

I am is scary.

But at least there's still hope.

So I'm going to work hard as I can

and try to turn my life around.

Today I'm finally getting out of hospital and I'm so excited.

I've been here on a controlled diet for a month now.

And I'm ready to be out and be with my family again.

I've lost around 50 pounds already.

So all I had it to do over the next two

months is lose the last 85 pounds to get under 600.

Ow, that's too much.

EMT: Now we're here.

Ow.

Ow, my foot.

I can tuck them in.

EMT: When we got through the door at the apartment,

we're going to have to shove everything in

to get it in the door. OK?

I know. I know.

Lisa found an apartment about a week after we got to Houston.

And she's moved all our stuff in.

And I'm excited to see it.

But I'm also really nervous about being moved again.

It's just always so painful.

I'm all right, baby.

I just want to get to the apartment

and get into a normal bed.

You OK?

JAMES: I'm all right.

EMT: How you doing, James?

Oh, rough.

Is this it?

Are we here?

Ow. EMT: Wait, wait, wait.

Ow.

Something just--

Now, it just touched you.

It just touched you.

You've got about this much.

You're going to have to let some stuff touch.

Put your arm up here, OK?

Put your arm up there. - Watch my feet.

Watch my feet. Watch my feet.

EMT: He's got your foot.

Ow.

EMT: Let go. Don't grab.

It's cutting my side, man.

You've got to let go or you're going to have stay right here.

JAMES: Ow.

I can't get in.

EMT: Don't worry about it. We're getting there.

Roll. OK.

Come on. Come up.

Come up.

Put your hand up.

1, 2, 3.

JAMES: Ow.

Ow. Ow.

Ow.

EMT: 1, 2, 3.

They scared me because I thought

they was going to literally tear the skin off my sides.

And it end up did tearing my sides.

It was rough.

Thanks, guys.

Yeah, thank you.

EMT: Have a good one, all right, man?

JAMES (VOICEOVER): I'm really happy to be here

and have all that over with.

And now I just want to focus on my weight loss.

This has been so hard but I'm determined to do this.

I have to succeed.

Because if I don't, I'm losing my last chance to get

help from the only place I can.

I've been working hard over the last couple of weeks.

It's been a bit of an adjustment dropping to the diet

the doctor wants me on.

That one's good.

I just need to get this one over here

because it's got some drainage.

JAMES (VOICEOVER): But we've done this as a family.

And I feel really good about that.

Bayley? - What?

Bring daddy his weights.

I'm going to work out a little bit.

The doctor now wants me lose 85 pounds in two months.

So I've worked really hard to exercise like he wanted me to.

And the more I do it, the easier it becomes.

Only try to go up.

My dad's very big right now, but he's working

out more now that we're here.

And I know my dad can accomplish the goals he's set.

JAMES (VOICEOVER): And I'm exercising

my legs the best I can.

Oh, my legs are so sore.

Keep going.

JAMES (VOICEOVER): I stay motivated by thinking

about the future, thinking about doing

things with Bayley and Lisa.

The main thing is I want to walk.

LISA: You ready to eat?

JAMES: Yeah, when you are.

Changing my diet has been the bigger struggle, though.

I feel like I'm hardly eating.

And some of the food doesn't taste that great.

But I'm sticking to it no matter what.

Because I know I'm on borrowed time right now.

What'd the doctor called the other type

of foods we were eating?

- Toxic. - Toxic.

JAMES (VOICEOVER): I'm literally in a race with my body.

And it could give out at any moment.

And I have to get better before that happens.

I'm so scared right now.

My chest is killing me.

And I feel like this is it.

I've only cheated a couple of times.

So I don't know what the problem is.

I thought I was doing better.

I just really hope that I'm not out of time.

I was so scared that my time had ran out.

James had congestive heart failure,

which was fluid around his lungs and heart.

She's just taking out the stitches right now.

So they had to put a central line in his artery,

in his throat, to get the meds to him fast.

Take a deep breath.

No.

LISA: It's out.

It wasn't that bad, was it?

Am I going to bleed out?

He is feeling much better now and he's ready to go home.

JAMES (VOICEOVER): I'm just so thankful to be OK.

Because I know this may be my last chance.

I have to get my act together now.

I can't afford to wait any longer.

It's been almost two months since Dr. Now

told me to lose 85 pounds on my own.

And I've been working really hard to do that.

But ever since I've had my heart failure,

all that stress and stuff has been making it hard

for me to resist my cravings.

The biggest setback has been losing the use of our car.

Lisa was driving down the freeway.

and a tire started to come off.

And we can't afford to pay for a cab.

So we had to order out a lot right now.

LISA: While I was out there getting the drinks,

the security man told me that they've ticketed my car

and they're going to tow it.

I can't pay for no impound fees.

LISA: I know.

And I told them it'd be a couple weeks

before we could get it fixed.

You hungry?

Yeah, I'm starving.

My head's hurting.

What do you think you want?

I have some fish.

I don't want that [BLEEP].

I'm tired of the same stuff.

Since I don't have a way to get anything,

I don't know what we can order that's going to be healthy.

You don't want fish or shrimp?

No.

I don't want that.

Order me Chinese.

Egg rolls and fried rice.

I don't know about the rice though.

That's what I want though.

But rice is on that paper that we're not supposed to have.

It's fried.

It's still rice.

And frying it's worse.

Well, that's what I want.

I'm tired of fish and chicken, Lisa.

I'm sick of it.

I'll get my phone and see if we can get it delivered.

With all the stress, we've ordered out a few times.

How long you going to be?

My head is pounding.

I'm going to get it right now.

It'll only take me a minute to walk up there and walk back.

JAMES (VOICEOVER): I'm supposed to go

see the doctor for my follow up appointment tomorrow.

But I think I've got too much going on right now to do that.

Food.

Got it.

Well at least maybe that'll take care of your headache.

You going to give me one little [INAUDIBLE]..

I gave you two.

This stuff is good.

Man, I've got to save room for my dessert.

It's good for a change.

I just hope this doesn't set you back.

I don't think it'll set me back

because I'm just going to have to exercise more, double up.

Cool.

Do you want some dessert?

Yeah.

I hope this don't spoil you.

I can't let it.

I know.

Because then I will mess up what I've done.

Mm.

Can you not eat it?

Are you kidding?

Life is meant to be enjoyed.

So I just have to find a balance between the things I enjoy

and what I need to do.

I just have to stay on top of it all

and make sure I don't overdo it one way or the other.

I know I'm making good progress.

So surgery's the next step.

And I'm hoping I get approved the next time I see the doctor

and he sees how far I've come.

It's been a hard month.

I haven't made it back to the doctor

yet because we've had so much to deal with as a family.

But I'm excited to show him my progress

and get approved for weight loss surgery.

Hey, baby.

Are you ready for bed?

Yeah, I'm getting tired.

I washed your legs earlier.

You think I need to wash them again?

You need to check this one.

But I just can't commit to something like surgery

until Lisa figures out her car and we

pay all the bills we have.

So surgery is the last thing we all

need to deal with right now.

LISA: Let me rinse them off real quick, OK?

James has been really stressed lately.

And he's not been sticking to the diet as much.

And I've been doing pretty good up until about a month

ago and emotionally I'm just going downhill.

Physically and mentally, I am worn out.

Even though I feel like I'm at my breaking point,

I can't give up on him.

I have to keep going.

I have to.

I feel trapped because I can't leave

and sometimes I don't want to stay.

That should feel better.

Sometimes I feel like as soon as he starts

to walk that I'll be gone.

I'm fixing to go to bed.

You're not going to sleep in here?

What if I have to go to the bathroom?

You won't wake up.

You won't be able to hear me.

I'll hear you.

You know I've been having a lot of trouble

breathing and stuff at night.

My anxiety's been up.

OK.

I'll just make a pallet in here and sleep in here.

Why am I wasting my life to help somebody

that doesn't appreciate me?

You sure you don't need anything else?

No.

I'm fine.

All right.

I can't take it.

I can't.

I don't know what to do because I am stuck.

DR. NOWZARADAN: Today I'm going to visit James.

He's been here for four months now.

I gave him a challenge to get under 600 pounds in two months,

but he has not been back to see me since then.

So I guess he's not doing too well.

He has already suffered from heart failure

since he's been here.

And he won't survive another episode like that.

So I'm going to find out what's going on with him.

Hey.

- Hi, Lisa. - Hi.

How are you doing?

I'm doing OK.

How're you doing, James?

Hello, doctor.

I'm making it.

All right.

How are we doing with your diet and activity and exercise?

Diet's going good.

Exercise is going great.

So do you feel like you've lost any weight?

Yeah, I feel like I've--

I feel loose, you know, a lot looser.

It doesn't look like you have lost much weight.

Well, I didn't think you can tell by looking, you said.

DR. NOWZARADAN: Well, I can tell.

For being here for a couple months,

you should have a noticeable change in your body.

Well I'm on a new mattress too and it's making

my back stick out farther too.

If you followed the 800 calorie a day diet,

you would have easily lost the weight you should have

and more.

So on a typical day, tell me what he's eating.

LISA: For breakfast, two eggs.

And then he's been having like two pieces of turkey bacon

or turkey sausage.

He hasn't been having lunch.

He's been eating supper.

And it will be like four ounces of meat.

And he does have a salad.

If he eat that, he should have shown on his body

and lost a lot of weight.

But he doesn't look like he's lost much.

I know. I understand that.

But I count the calories.

And I look at the packages.

I mean, he's had steak.

But he usually don't eat over four or five ounces.

DR. NOWZARADAN: There is no way that James is eating

only 800 calories a day because he looks bigger

now than the day I met him.

And if he followed the diet, he would lose at least 300 pounds.

James has a delusional view of things.

But you can't lie your way out of a heart attack.

I don't know what we're doing wrong.

He's getting some extra calories somewhere.

And we need to figure that out.

I don't know.

I ain't eating that many calories.

I know.

DR. NOWZARADAN: All right.

Let's cut to the chase.

I'm putting you back in the hospital immediately.

And if you actually think he lost weight, we can see there.

OK.

We'll see you in the hospital.

OK?

LISA: Thank you, Dr Now.

DR. NOWZARADAN: This is a very unfortunate situation.

And if the heart failure was not enough to wake him up,

I'm not sure what will.

But I'll try to see what we can do.

JAMES (VOICEOVER): I don't think the doctor is being fair.

And I don't know why he thinks I look bigger.

But he's wrong because I feel better

and I know I'm smaller than when I started doing this.

So hopefully when I get into the hospital and get my weight,

I can prove it to him there.

Now is really not the best time for me to leave my family.

But I'll go if the doctor wants to check my weight.

So that I can show him I am doing this.

EMT: You can use this right here to help.

Oh, I've been missing this.

We've got to get a weight on you.

382.6 kilograms, 840 pounds.

Oh, my gosh.

No way this is possible.

Something is wrong.

She's not reading it right or something.

Are you sure that's accurate?

Yeah.

From the bed scale.

I can't believe I've gained that much weight.

I'm going to have to tell Lisa that, you know,

I've gained weight.

And I don't think she's going to like that.

Sorry.

I got lost getting here.

How did it go?

They weighed me when I got here.

Have you lost more?

No.

You haven't?

You haven't lost no more weight?

I've gained.

You've gained weight?

A bunch.

You're kidding me.

They said I weigh 840 pounds now.

No it's not.

That's what it's saying.

Are you sure that they didn't say 740?

No.

I'm positive.

Very discouraging, I know that.

I know.

I know the doctor ain't going to be happy.

I know that. - No.

He's not going to be happy.

And he's especially not going to be happy with me

because I'm the one that brings you the food.

JAMES (VOICEOVER): I'm real nervous about Dr. Now

knowing what I weigh because he's probably

going to be very upset.

So I really don't know what to expect from him really.

I just hope he has a lot of patience with me.

And gives me another chance.

We'll figure it out.

Somehow.

JAMES (VOICEOVER): I've never been this big before.

And I'm scared right now about what's going to happen.

Dr. Now is coming by here soon to see me.

And I'm not sure how he's going to react when he

finds that I'm 840 pounds now.

And I'm scared he's going to say he's done with me.

I still can't believe that's accurate.

I think the scale has to be wrong or something.

I've been working at this for like seven months.

Time to get your lecture.

Get ready to buckle down.

OK.

Well, we cheated because we had the van messed up.

I already know that.

I ain't worried about that.

I just don't know how much my nerves can take.

LISA: When James told me that he weighed 840 pounds,

it devastated me.

I felt like we're failing this whole trip.

Hello.

Hello.

How're you all doing?

Doing OK.

All right, James.

You're 844 pounds.

So we are both finally on the same page.

You're not sticking to the diet.

We have slipped a few times.

I had car trouble.

We didn't have a way to get food so we had to order food in.

Doesn't matter what you say.

OK?

The scale is going to tell me what I need to know.

And what you're telling me it is not

the reality about his eating habits

because that doesn't make any sense.

Things are so bad.

They're really-- if you continue like that,

I don't think you're going to live til the end of year.

You know, that I'm just now getting the resources

that I've been needing.

We're talking about your food.

We're not talking about anything else.

All of it--

I've needed all of it though, to start with.

I haven't had home health. I've had nothing.

Are you telling me not to start?

What does that have to do with your eating habits?

You should have lost right now--

I asked for a nutritionist when I first got here, too.

And I didn't get it.

James, this is ridiculous.

What nutrition do you need except the instruction

that I gave you that works for everybody else

can follow them except you.

I had to retrain my body from eating cheeseburgers.

You gained 100 pounds and you're

saying it's not your fault, that you

needed to retrain your body.

Seriously?

You're eating yourself to death and you

don't want to quit that.

And that's your responsibility.

Nobody else's in here.

You got yourself in this bed.

Now you're overeating and she's bringing it to you.

And then you come in here, oh, we have been following,

maybe we slipped a couple times.

Yeah.

You really think you can lie your way out of this?

You can't gain over 100 pounds by cheating just a little.

You've been eating almost 10,000 calories a day.

That's almost 13 times of what you should be eating in a day.

I mean this is just mind boggling.

Why won't you stop overfeeding him.

I don't know what the issue is.

I know, like I said, that he has cheated some.

But I will not bring him nothing else.

The some is not. It's not some.

It's every day and every hour and every meal.

Is not some.

What do you expect us to do for you?

Tell me. - I don't know.

What do you do with your life?

You want to stay in your bed until you die?

No. I want to get out of it.

How?

JAMES: Lose weight. - How?

Eat right.

So why haven't you done it up to this point?

I don't know.

You may as well go back home.

Because there's nothing we can do for him.

Please don't give up on us.

I won't bring him another thing.

I promise you that.

If you just won't give up on James.

You're one of the best doctors in this world.

We cannot lose you.

OK.

While you're here, we're going to keep you on 800

calories a day control diet.

After that what happens will be up to you.

No outside food for him, OK?

OK.

OK.

Nothing so far has worked with James.

And I'm not sure how I'm going to get through to him

at this point.

But if I send him home right now,

I'm concerned that he's not going to be

able to survive much longer.

So I'm going to keep him here in the hospital

so we can get everything back under control.

And it's going to take a while to do that.

And after that, if the fails again,

then there is nothing more we can do for him.

I know you're upset.

I don't want to talk about it right now.

OK.

JAMES: Look at them forearms.

Boy, they are getting solid as a rock.

I've been in the hospital a while now.

It hasn't been easy but Dr. Now's finally

letting me go home today.

And I'm really looking forward to getting out of here.

Hello, Dr. Now.

Hello, doctor.

James, how are you?

Feeling a little bit better.

So we're ready to send you home.

And the past year I've been working with you

and her to lose some weight.

And your weight has gone up to 844.

I know.

DR. NOWZARADAN: We had you here in the hospital for a month.

And at that time we have you down to 786.

So hopefully you see the difference

between what you were doing and how you should be doing it.

But we still haven't resolved the issue for almost a year.

You gain weight every time you're on your own.

And neither of you have taken the responsibility for that.

So you need to lose 100 pounds over the next two months

on your own.

All right.

Here's what I need you to understand.

If you don't, we are finished.

This is your last chance, OK?

I know.

You can do this, James.

All right. Good luck.

I'll see you soon.

Thank you, doctor.

You're welcome.

We've been able to get James help to the point

that he's not in imminent danger being on his own.

So now what happens is up to James.

We always have hope for every patient.

But he either chooses to do this or he chooses to die.

JAMES (VOICEOVER): I'm so scared right now,

because I know if I haven't lost the weight I need,

that I'm going to lose the chance to get Dr. Now's help.

[KNOCK AT DOOR] LISA: Come in.

Hi, James.

How are you doing?

Pretty good, doc.

Feeling OK?

Yeah, just a little sore from the ride.

OK.

You left here 786 a couple months ago.

And I'm wanting you to lose 100 pounds

to get it under 686 pounds.

Let's see what your weight is at.

So you are at 788.

This is mind boggling.

You're still not losing weight and you're gaining again.

I understand he had some ups and downs,

but he's been really trying now doctor.

I don't know what else we can do for you.

I think the best thing for you is to go back to Kentucky.

He is trying now.

And I swear to you doctor, he has not cheated at all.

He's going to lose this weight.

I don't want to hear any more excuses.

I'm done.

If you want to be considered at all ever again,

when you show up you need to be under 600 pounds.

OK.

Thank you, doctor.

DR. NOWZARADAN: OK.

Good bye.

James has had every chance and opportunity

to lose the weight he needs to.

And he has not wanted even to try.

Until he stops with the excuses and lies,

no other stage of the program will happen.

Therapy won't and he wouldn't survive

an emergency weight loss surgery like sleeve gastrectomy.

So there is absolutely nothing I can do to help him.

But hopefully, he'll work to get under 600 pounds.

If he does, I'll continue him on this program.

But until then, James is done.

I knew if I said anything, I was going to disrespect the man

and lose it.

So I just kept my mouth shut.

I just know I'm going to hit the 600 mark.

I know that.

BAYLEY: Dr. Now told my dad that if he doesn't change

his eating habits then he's going to be

dead by the end of this year.

And that makes me mad at my dad because he didn't take

it serious when he first got here, like I've

been trying to get to.

He didn't give us an appointment to come back.

That's what scares me.

When I get down to 600 pounds, come back and see him,

is basically what I got out of it.

Yeah, once he loses the weight he's supposed to then

he needs to come back and see him.

He mentioned going back to Kentucky three times.

I'm not going back to Kentucky.

I know.

I'm just saying, that's what he said.

I'm tired.

It would be a lot easier just to walk away.

But then I remember that James is a human being too.

And he deserves to have somebody help him get back on his feet.

And there's nobody else except for me.

And so I have to make sure that he gets back on its feet.

I thought you was honestly going to tell me that you're

ready to go back to Kentucky.

And it scared me.

All he did was fire my ass up even more.

I'm going to add exercises to what I'm doing already.

That's one thing I'm going to do.

You want to do some weights now?

Not right this minute.

I don't feel like it.

I'm not going back to Paducah now

because I am determined to prove that I'm

going to lose the weight.

That's why I'm not going back right now.

And that's what I'm going to do.

Maybe he can still give me physical therapy or something,

so I can try and prove to him I understand

and I'm going to do it now.

No matter what it takes, I'll figure this out.

We contacted Dr. Nowzaradan's office

and asked him if I could keep the physical therapy that I had

in the hospital so I could keep working

with him to try and get active.

He said that it was OK.

And today, I told them I wanted to try and sit up.

- Hey, Rudy - Hi, Lisa.

How are you? - Good.

How are you doing? - Good.

Good to see you again.

Hey, Rudy.

How are you doing?

Good.

Are you glad you're home?

Yeah, I'm glad.

Today we're going to get you to sit up.

Oh, my foot.

I'm twisted.

Go slow.

Go slow.

Go slow.

Pull on me.

You're doing good.

I can't get a grip.

There you go.

Push.

James, if I can clear this leg, we're good, OK?

Come on.

All right.

Grab my other arm.

You're sitting up.

Squeeze my hand.

Breathe.

Take a deep breath.

You're sitting up.

You've got it, man.

JAMES (VOICEOVER): It's been three years since I've

been able to do that.

You're doing it.

JAMES (VOICEOVER): And it feels really good.

Let me see how much I can hold myself.

I hear Dr. Nowzaradan now.

And I'm not taking any of this for granted.

I'm going to rise to the challenge.

and get under 600 pounds so I can go back to him

with my head held high and get that weight loss surgery.

LISA: James, look at me and say hi to your dad.

Hi, dad.

I love you.

I know it's going to be hard, but mark my words, this time

next year I'm going to be walking

around and half of my weight.

So I'm going to do this no matter what it takes.