All language subtitles for My 600-lb Life S07E13

Kelly: EVERY DAY IS A BAD DAY.

AND EVERY STEP IS TORTURE.

♪♪

Woman: HE CAN'T STOP.
HE DOESN'T KNOW HOW.

Woman #2:
IT'S TERRIFYING TO THINK

THAT AT ANY MOMENT
YOUR HEART COULD EXPLODE.

♪♪

♪♪

Woman #3: I DON'T WANT TO DIE.

I HAVEN'T EVEN
GOTTEN TO LIVE YET.

♪♪

WHY ARE YOU
JUMPING ON MY CASE?

YOU'RE OVEREATING, AND YOU'RE
ACTING LIKE IT IS OUR FAULT.

I KNOW THAT I'M DYING.

I KNOW THAT
I'M NOT GONNA MAKE IT.

♪♪

SO, YOU NEED TO DECIDE IF YOU
WANT TO LIVE OR DIE RIGHT NOW.

YOU'RE NOT GONNA BE ALIVE MUCH
LONGER IF YOU KEEP DOING THIS.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

♪♪

♪♪

[ EXHALES SHARPLY ]

Kelly:
SOMETIMES I DREAD WAKING UP...

'CAUSE MY LIFE IS A NIGHTMARE.

AND I FEEL TRAPPED IN THIS BODY.

AND EVERY DAY IS PAINFUL.

EVERY DAY IS A BAD DAY.

AND WALKING IS
EXTREMELY DIFFICULT.

EVERY STEP IS TORTURE.

I CAN ONLY STAND IT
THREE TO FIVE MINUTES

BECAUSE, LIKE,
YOU FEEL THE WEIGHT.

AND MY BACK FEELS LIKE
SOMEBODY'S STABBING IT.

THERE'S ALSO, LIKE,
A SHARP PAIN IN MY ANKLE.

IT'S JUST TOO MUCH WEIGHT ON IT.

I WISH I HAD A DIFFERENT BODY,

JUST ANYTHING TO
TAKE THE PAIN AWAY...

BECAUSE I'M TIRED OF
LIVING LIKE THIS.

IT'S HARD HAVING TO DO
EVERYTHING

AND HAVING TO DO EVERYTHING
BY MYSELF.

BUT AT THIS SIZE, I STRUGGLE TO
TAKE CARE OF MYSELF.

I LIVE BY MYSELF,

AND MY DAD IS THE ONLY PERSON
THAT WILL COME CHECK ON ME.

WELL, I SHOWER
AND I CLEAN MYSELF,

BUT I HAVE A PROBLEM WITH

GETTING EVERY PART
OF MY BODY CLEAN.

USUALLY BEFORE
I GET IN THE SHOWER,

I'LL SIT ON THE TOILET
AND I'LL BATHE THE TOP OF ME

OR MY LEGS OR SOMETHING.

SO, THAT WAY, IT'S LESS FOR ME
TO DO WHILE I'M STANDING THERE.

WHEN I GET IN THE SHOWER,

I PRETTY MUCH RINSE OFF
THE TOP OF ME

AND THEN I DO THE BOTTOM OF ME

AND I TRY TO GET IN AND OUT
AS PRETTY FAST AS I CAN...

BECAUSE I CAN'T STAND THAT LONG.

AND I HAVE ANXIETY,

SO IT'S VERY HARD TO
ACTUALLY GET IN THE SHOWER

BECAUSE I JUST ALWAYS THINK,
LIKE,

"I'M GONNA FALL,
AND THIS IS GONNA BE IT."

OH.

NOBODY'S HERE,
SO I'M GONNA FALL,

AND I'LL BE JUST
LEFT LAYING THERE DYING

BECAUSE NOBODY'S HERE.

WHO'S GONNA KNOW I SLIPPED?

WHO'S GONNA HELP ME?

I'M TRYING REALLY HARD
NOT TO END UP IN,

LIKE, SOME ASSISTED LIVING
OR NURSING HOME,

BUT IT SEEMS LIKE THAT IS
GETTING TO BE CLOSER TO REALITY.

EVERYTHING IS HARD TO DO.

PEOPLE DON'T UNDERSTAND THAT.

THE PAIN GETS WORSE EVERY DAY.

JUST SEEMS LIKE IT'S JUST --
IT'S NOT GOING AWAY.

IT'S JUST INCREASING.

SO, AFTER I GET OUT THE SHOWER,
I'M TIRED.

SOMETIMES I WANT TO GO BACK
TO BED AND NOT GET DRESSED.

BUT I TELL MYSELF AT THAT
MOMENT, "I HAVE TO DO THIS."

I JUST FEEL LIKE
I CAN'T GIVE UP.

I HATE MY BODY THAT I HAVE TO
LIVE IN EVERY DAY.

MY WEIGHT HAS GOTTEN
IN THE WAY OF MY DREAMS

BECAUSE I CAN'T STOP EATING.

IT'S LIKE THE THING
THAT'S CAUSING YOU

TO NOT FULFILL YOUR DREAMS

IS THE SAME THING YOU USE
TO HELP FIX YOUR PROBLEMS.

I'M JUST HUNGRY ALL THE TIME.

LIKE, IT JUST FEELS LIKE
IT'S A PART OF ME.

IT'S ALWAYS THERE.

SO, EVEN THOUGH
JUST BECAUSE OF MY SIZE,

IT'S GETTING HARDER AND HARDER

TO STILL TRY TO LEAVE
TO GET FAST FOOD.

BUT MY MOBILITY IS CHANGING
FOR THE WORSE

BECAUSE I CAN DO
LESS AND LESS STUFF.

AND IT'S JUST DIFFICULT

BECAUSE I LIVE ON
THE FIRST FLOOR IN A BASEMENT

THAT HAS TWO SETS OF STAIRS

THAT ARE BECOMING IMPOSSIBLE
FOR ME TO GET UP AND DOWN.

[ GRUNTING ]

USUALLY I HAVE TO TALK MYSELF
INTO WALKING UP THE STAIRS.

[ GRUNTS ]

I CAN KIND OF LIKE LEAN AND
KIND OF CRAWL UP THEM SOMETIMES.

BUT IT'S VERY SCARY WHEN YOU
CAN'T GET YOUR NEXT BREATH.

♪♪

[ BREATHING HEAVILY ]

♪♪

[ GRUNTS ]

♪♪

[ KEYS JANGLING ]

[ BREATHING HEAVILY ]

[ IGNITION DINGING ]

Fred: Yeah?

HEY. IT'S KELLY.

THE CAR WON'T START.

OKAY.
You know?

ALL RIGHT. BYE.

[ LINE DISCONNECTS,
CELLPHONE DINGS ]

I WALKED UP THE STAIRS.

I WALKED DOWN THE STAIRS.

I STRUGGLED.

AND NOW THE CAR'S NOT WORKING.

I'M NOT UPSET
THAT THE CAR WON'T START.

I'M JUST UPSET
THAT I CAN'T GET FOOD.

WHEN I HAVEN'T EATEN A LOT,
I GET STRESSED OUT, ANXIOUS

'CAUSE I CAN'T SEEM TO CONTROL
MY FOOD ADDICTION.

I JUST NEED TO EAT SOMETHING,
TRY TO CALM ME DOWN.

I FEEL HELPLESS
WHEN THAT HAPPENS,

AND I DIDN'T THINK MY LIFE
COULD END UP LIKE THIS.

I'VE STRUGGLED WITH MY WEIGHT
AS LONG AS I CAN REMEMBER.

WHEN I GREW UP, I WAS RAISED BY
MY GRANDPARENTS IN NEW JERSEY.

MY MOM -- SHE TRAVELED,
AND SHE WASN'T REALLY AROUND.

AND MY DAD, YOU KNOW,
HAD ANOTHER FAMILY.

I WOULD SAY I HAD A GREAT
CHILDHOOD AT THAT POINT.

BUT WHEN I WAS 5, MY GRANDFATHER
DIED IN FRONT OF ME.

HE HAD A HEART ATTACK.

SO, WHEN MY GRANDFATHER DIED,

EVERYTHING JUST STARTED
GOING WRONG.

MY GRANDMOTHER MOVED INTO
A SENIOR-CITIZENS BUILDING

WHERE YOU COULDN'T HAVE A KID
LIVING WITH YOU,

SO I SAW HER LESS AND LESS,
AND I FELT ABANDONED.

AND MY ONLY OPTION WAS TO GO
BACK AND LIVE WITH MY MOTHER.

TO BE RAISED BY MY MOTHER --
IT WAS STRANGE.

I WAS MAD AT HER

BECAUSE I THOUGHT SHE SEPARATED
ME FROM WHO I WANTED TO BE WITH.

MY DAD PAID CHILD SUPPORT
WEEKLY.

HE WOULD COME
BRINGING THE CHILD SUPPORT.

BUT ME AND MY DAD DIDN'T REALLY
HAVE A RELATIONSHIP.

AND LIVING AT HOME WITH MY MOM,

IT WAS LONELY BECAUSE
SHE WAS VERY DEPRESSED.

AND MY MOM DID NOT LIKE COOKING,

SO WE WOULD END UP
EATING FAST FOOD,

LIKE CHICKEN AND BURGER PLACES
AND PIZZA.

FOOD WAS, LIKE,
THE THING TO GO TO.

I LOVED IT.

AND THAT WAS THE ONLY THING
THAT ME AND MY MOM DID TOGETHER.

AND SO I TURNED TO FOOD
TO MAKE ME FEEL BETTER.

IT BECAME, LIKE, EVERYTHING.

[ BREATHING HEAVILY ]

BUT WHEN I WAS ABOUT 7,
THINGS GOT WORSE.

WHEN I WAS 7, I WAS ABUSED
BY AN OLDER NEIGHBORHOOD MAN.

HE JUST WOULD ASK ME TO DO
THINGS FOR HIM, LIKE, YOU KNOW,

GO TO THE STORE OR GIVE HIM HUGS
AND STUFF LIKE THAT.

AND I DIDN'T THINK
ANYTHING WAS WRONG WITH IT,

UNTIL ONE DAY HE STARTED
PUTTING HIS HANDS ON ME

AND JUST PHYSICAL TOUCHING,

PUTTING HIS HANDS ON MY AREAS

AND TO JUST EVENTUALLY
JUST BEING HELD DOWN AND --

AND BEING RAPED.

I WAS 9 WHEN I WAS FORCED
TO HAVE SEX WITH HIM.

AND IT WENT ON
FOR ABOUT TWO YEARS,

AND IT JUST -- IT GOT WORSE.

THIS MAN WOULD THREATEN ME.

WELL, HE SAID HE WOULD KILL
MY MOM AND MY GRANDMOTHER.

I WAS FEELING SCARED, TRAPPED...

DURING THAT TIMEFRAME.

I JUST WANTED TO ESCAPE,
AND FOOD WAS MY ONLY COMFORT.

[ GRUNTS ]

I GAINED 100 POUNDS, LIKE,
IN THE NEXT COUPLE OF YEARS.

BY THE TIME I WAS 12,
I WEIGHED 200 POUNDS.

BUT WHEN MY GRANDMOTHER DIED,

I JUST DECIDED TO TELL MY MOTHER
EVERYTHING THAT HAPPENED TO ME.

AND SHE TOLD ME, LIKE,
"JUST FORGET ABOUT IT."

I WANTED MY MOM'S REACTION
TO BE LIKE

SHE WAS GONNA
DO SOMETHING ABOUT IT.

AND SHE DID NOTHING.

I DIDN'T REALLY HAVE ANYBODY.

SO I FELT ABANDONED AGAIN
AND LONELY,

AND, YOU KNOW, FOOD HELPS.

IT HELPED DEAL
WITH THE SITUATION.

SO, AFTER THAT,
I WANTED TO GET AWAY FROM HIM,

BUT I COULDN'T BECAUSE
HE LIVED IN MY NEIGHBORHOOD.

SO, I ACTUALLY WANTED HIM DEAD.

AND I THOUGHT ABOUT IT
EVERY TIME I HEARD HIS VOICE.

I JUST WOULD PRAY, AND, UM, I
WOULD PRAY TO GOD FOR HIM TO GO.

EVENTUALLY, ONE DAY
WE WAS AT THE BUS STOP

AND HE DROVE PAST
AND HE SMILED AT ME LIKE --

AND I JUST, LIKE, REMEMBER JUST,
LIKE, LOOKING UP.

AND THE BUS JUST HIT HIS CAR.

I FELT HAPPY AT THAT MOMENT.

BUT THEN I WAS SCARED.

I FELT LIKE THAT MEANT
I WAS GOING TO HELL,

THAT I JUST
TOOK SOMEBODY'S LIFE.

SO MY EATING HABITS GOT WORSE,
AND I STARTED STEALING.

I STOLE FOOD BECAUSE I LITERALLY
COULD NOT STOP EATING.

SO, IN 10th GRADE,
I HIT 300 POUNDS.

AND I KEPT EATING AND TRYING TO
USE FOOD AS A COPING MECHANISM.

SO, IN 12th GRADE,
I WAS ALMOST 400 POUNDS.

Fred: WHEN KELLY WAS YOUNG,

I REALLY DON'T KNOW
WHAT BROUGHT THE WEIGHT ON.

I DON'T KNOW.

BUT I WOULD TRY TO MAKE HER
EAT RIGHT WHEN SHE WAS WITH ME.

WHEN SHE WENT HOME
BACK WITH HER MOM,

I DON'T KNOW WHAT SHE'D EAT
WHEN SHE'D GO BACK HOME.

Kelly:
SO, ALL THROUGH HIGH SCHOOL,

I GOT BIGGER AND BIGGER.

AND WHEN I GRADUATED
HIGH SCHOOL,

I WAS GETTING READY
TO GO TO COLLEGE,

AND I JUST ASSUMED THAT COLLEGE
WOULD CHANGE EVERYTHING.

TWO MONTHS LATER,
I FOUND OUT I WAS PREGNANT.

AND THEN I DROPPED OUT.

YEAH, THE BABY'S FATHER
GOT, LIKE, ABUSIVE.

I WAS PREGNANT
AND HE KNEW I WAS PREGNANT

AND HE HIT ME ANYWAY,
SO I COULDN'T STAY WITH THAT.

IT WAS OVER.

BUT I WAS READY
TO HAVE THIS BABY ON MY OWN

BECAUSE I THOUGHT THIS BABY
WAS GOING TO BRING ME

EVERYTHING I MISSED OUT ON.

I FELT LIKE I WAS GONNA FINALLY
GET UNCONDITIONAL LOVE.

BUT I WAS SEVEN MONTHS PREGNANT
WHEN THE DOCTORS TOLD ME THAT,

UH, I HAD A FETAL DEMISE.

I LOST THE BABY WHEN I WAS 19.

AND WHAT I DID TO COPE
WAS EATING FOOD.

SO, I HIT 500 POUNDS
AFTER LOSING THE BABY.

I DIDN'T CARE ABOUT MY WEIGHT.

I JUST ATE.

THE NEXT FEW YEARS, LIKE, EVERY
MEDICAL PROBLEM I COULD THINK OF

JUST STARTED JUST KICKING IN.

THE LYMPHEDEMA CAME UP.

AND AFTER THAT, I TOOK THE
OPPORTUNITY TO GO ON DISABILITY.

BUT THEN MY FATHER'S
ADOPTED DAUGHTER, JASMINE,

CONVINCED ME TO GO STAY
WITH MY DAD FOR A WHILE.

SO I MOVED TO NORTH CAROLINA.

I MOVED OUT HERE THINKING
I WAS GONNA GET A CHANGE,

AND THAT WASN'T THE CASE.

I THOUGHT THAT IT WOULD BE
PERFECT IF I MOVED DOWN HERE.

I ENDED UP HAVING TO MOVE
TO MY OWN APARTMENT.

SINCE THEN,
MY LIFE HAS BEEN UNBEARABLE.

AND IT JUST SEEMS LIKE
IT'S GETTING WORSE,

ESPECIALLY WITH
MY WEIGHT PROBLEM.

THERE WAS THIS ONE DAY
I ACTUALLY WAS HOME

AND I WAS REALLY
STRUGGLING TO BREATHE

AND I HAD TO GO TO
THE EMERGENCY ROOM.

AND I JUST LITERALLY THOUGHT

THAT THEY WERE GONNA TELL ME
IT WAS OVER.

I WAS -- I WAS SCARED.

I JUST REMEMBER I KEPT THINKING,
LIKE, "I'M GONNA DIE BY MYSELF."

I WAS ABLE TO SURVIVE.

I LEARNED THAT I HAVE
A REALLY BAD HEART.

AND AS I GET OLDER
AND GAIN MORE WEIGHT,

IT'S GETTING HARDER AND HARDER
TO DO ANYTHING TO FIX IT.

SO, MY MOM DIED WHEN I WAS 35,

AND WHEN I WENT TO THE FUNERAL,

IT WAS THE LAST TIME
I WENT ANYWHERE.

I FEEL LIKE
I'M STUCK IN THIS HOUSE

AND I'M WAITING TO DIE

AND I FEEL LIKE I HAVEN'T LIVED
IN YEARS.

I FEEL TRAPPED.

I WANT TO LIVE.

I WANT TO GRADUATE FROM COLLEGE.

BUT I DON'T THINK IT'S GONNA BE
MUCH LONGER I CAN DO THIS

UNTIL MY HEART
PROBABLY WILL FAIL.

I SPEND MOST OF MY TIME
IN THE BEDROOM.

IT'S VERY LONELY.

MY DAD WILL COME OVER AND
BRING ME MY MAIL ONCE A MONTH.

WE LIVE IN THE SAME TOWN,

PROBABLY LIKE FIVE MINUTES
AWAY FROM EACH OTHER.

AND HE'LL TAKE OUT THE TRASH,

OR HE'LL DO SOMETHING
AROUND THE HOUSE.

♪♪

KELLY!

Kelly: YEAH?HOW YOU DOING, HON?

I'M IN THE BEDROOM.

HOW YOU FEELING?

I'M ALL RIGHT.

OKAY.
HERE'S YOUR PIZZA HERE.

THANK YOU.
I GOT IT.

OKAY. I'M GONNA GET THE GARBAGE
AND TRASH OUT FOR YOU.

ALL RIGHT.
OKAY.

ME AND MY DAD'S RELATIONSHIP IS
NOT WHERE I WOULD LIKE IT TO BE.

BUT I KIND OF THINK
THAT'S CHANGING

BECAUSE HE SAID HE WOULD
COME WITH ME TO TEXAS...

TO SEE IF I CAN GET HELP FROM A
DOCTOR WHO HELPS PEOPLE MY SIZE.

Fred: KELLY SHOULD NOT BE
LIVING LIKE THIS.

I WANT TO GET HER ALL THE HELP
SHE CAN GET.

NOW, THAT'S MY DAUGHTER.
I LOVE HER.

I WANT HER TO FEEL BETTER.

I WOULD BE HAPPY
IF SHE'D LOSE THE WEIGHT,

AND I'D SEE HER MORE HAPPY.

OKAY, KELLY.
I'M GONNA GET READY TO GO THEN.

ALL RIGHT. THANKS.

OKAY, THEN.

LET ME KNOW
WHAT'S GOING ON THERE.

ALL RIGHT.
BYE-BYE, HONEY.

BYE.
TAKE CARE NOW.

Kelly: A PART OF ME
WANTS TO GIVE UP.

SOME DAYS IT JUST FEELS LIKE,

UM, IT WOULD JUST BE EASIER
IF I WASN'T HERE.

[ SNIFFLES ]

PEOPLE COULD JUST MOVE ON,

AND, UH, THAT WOULD PROBABLY BE
THE BEST THING.

BUT AT THE SAME TIME,

I AM SCARED
ABOUT MY HEART FAILING

'CAUSE I DON'T WANT TO DIE.

AND I NEED HELP.

I HAVE TO LOSE THIS WEIGHT.

I HOPE THAT ALL THE PAIN I WENT
THROUGH WASN'T FOR NOTHING

AND THAT [SNIFFLES] SOMEBODY
THINKS I'M WORTH HELPING.

IF I DON'T LOSE THE WEIGHT,

I DON'T SEE MYSELF LIVING
ANY LONGER.

IT FEELS LIKE
IT'S MY LAST CHANCE.

♪♪

♪♪

Kelly: TODAY I'M FLYING TO
HOUSTON, TEXAS, TO SEE DR. NOW.

AND I REACHED OUT
TO MY FRIEND LEE ANN,

AND SHE IS GOING WITH ME
ON THE TRIP.

♪♪

I'M JUST HAPPY LEE ANN'S GONNA
COME DOWN HERE

AND TAKE OFF FROM WORK TO DO
THIS BECAUSE SHE CARES ABOUT ME.

KELLY DECIDING TO SEE DR. NOW
IS A VERY BIG STEP,

AND I'M VERY PROUD OF HER.

Kelly:
I HAVE ANXIETY ABOUT THIS TRIP,

BUT I MUST GO

BECAUSE I NEED WEIGHT-LOSS
SURGERY TO SAVE MY LIFE.

I'M EXCITED BUT SCARED
TO SEE DR. NOW

BECAUSE THIS IS THE OPPORTUNITY
OF A LIFETIME TO GET HIS HELP.

I WOULD BE CRUSHED
AND DEVASTATED

IF HE SAID HE CAN'T HELP ME,
SO THAT MAKES ME NERVOUS.

[ BREATHING HEAVILY ]

BUT IF I DON'T DO THIS,
I'M GONNA DIE.

[ GROANS ]

[ BREATHING HEAVILY ]

♪♪

♪♪

[ GROANS ]

WANT ME TO
PICK UP LEG UP?

YEAH. COME ON.

[ GRUNTING,
BREATHING HEAVILY ]

♪♪

I GOT IT.

WHOA.

I GOT YOU.

♪♪

♪♪

I'M FEELING VERY ANXIOUS
RIGHT NOW.

I'M NERVOUS ABOUT
THE WHOLE ENTIRE TRIP.

AIRPORTS ARE HUGE
AND I KNOW I CAN'T WALK THAT FAR

AND AT ANY POINT THAT
I PROBABLY HAVE TO WALK

IT'S PROBABLY GOING TO
BE DIFFICULT.

AND MY LEGS ARE ALREADY HURTING,

AND WE AIN'T EVEN
BEEN ON THE PLANE YET.

LIKE, MY LEG IS TIGHT.

MY FOOT HURT.

I'M UNCOMFORTABLE,

AND IT'S JUST BASICALLY
THE BEGINNING OF OUR TRIP.

BUT I KEEP TRYING
TO TELL MYSELF,

"AT THE END OF THE DAY,
THIS IS BEST THING FOR YOU,

AND THIS WILL CHANGE YOUR LIFE."

SO, I'M FOCUSING ON
THE END RESULT

AND NOT EVERYTHING
THAT GETS ME TO THAT.

Man: GOOD?

♪♪

[ GRUNTS ]

WATCH OUT.

IT'S TAKING A LOT OUT OF ME
JUST TO GET OUT OF THE VAN.

I'M IN SO MUCH PAIN RIGHT NOW.

AND KEEP THINKING POSITIVE.

I'M, LIKE, THE TYPE OF PERSON,

LIKE, IF YOU SPEAK IT INTO
EXISTENCE, THEN IT HAPPENS.

SO I'M GONNA GET ON THE PLANE.

I'M TELLING MYSELF,
"I'VE GOT TO GET ON THE PLANE.

I'VE GOT TO GET DOWN THERE
TO SEE DR. NOW,

AND, LIKE,
THIS IS GOING TO HAPPEN."

GET THE RIGHT ONE.

OHH.

THAT'S BETTER.

NOW THAT I'M HERE,

I'M JUST FEELING
REALLY OVERWHELMED,

AND THIS IS REALLY EMBARRASSING

BECAUSE I'M IN TWO WHEELCHAIRS.

MY LEGS WOULDN'T FIT ON
THE ONE WHEELCHAIR I WAS ON.

♪♪

SO, I FEEL LIKE
EVERYBODY'S STARING AT ME,

BUT I'M JUST REALLY IN PAIN.

GETTING OUT OF THE VAN,
MY FOOT WAS LITERALLY STUCK,

SO THAT'S HURTING THE MOST

AND FEELS LIKE
IT'S ABOUT TO BREAK.

SO, I JUST WANT TO
GET ON THE PLANE,

AND I JUST HOPE THAT I CAN FIT
IN THE SEATS.

♪♪

♪♪

I'M GLAD I FIT.

I'M JUST READY TO GET THERE.

♪♪

♪♪

Pilot:
ON BEHALF OF THIS FLIGHT CREW,

I'D LIKE TO BE THE FIRST
TO WELCOME YOU TO HOUSTON.

Kelly:
I FINALLY MADE IT TO HOUSTON.

THE FLIGHT WAS HORRIBLE.

I GOT NAUSEOUS,
AND I WAS ALSO IN PAIN.

MY LEG AND MY FOOT WAS HURTING.

[ GROANS ]

Man:
YOU HAVE A BLESSED DAY.

I AM GLAD TO BE HERE,

AND I AM PROUD THAT
I HAVE MADE IT THIS FAR.

BUT I WILL BE BETTER ONCE
I'M ABLE TO GET SOME REST.

AND SO I JUST WANT TO
GO TO A HOTEL...

SO THAT WE CAN BE
AT THE END OF THIS JOURNEY.

I'M GONNA BE EXCITED
TO EAT SOMETHING,

BUT I'M DEFINITELY NERVOUS
ABOUT THE CAR SITUATION.

ALTHOUGH THEY SAY THEY HAVE
DISABILITY SERVICES,

I JUST HOPE IT'S NOT
SOMETHING I CAN'T FIT IN.

AT THIS POINT, I FEEL LIKE
I'M ABOUT TO PASS OUT.

I'M TIRED, AND I JUST WANT
TO ORDER FOOD AND EAT.

AS LONG AS I SATISFY THE NEED,

IT DOESN'T REALLY MATTER
WHAT IT IS,

AND JUST START A DIET TOMORROW.

HOLD ON ONE SECOND.

[ GRUNTING ]

Lee Ann: EXCUSE ME.
WHAT ARE YOU DOING?

YOU AIN'T HELP NOBODY
WITH NO BAGS.

GET OUT OF HERE.
STOP SPECTATING.

GO ON ABOUT YOUR BUSINESS.

THANK YOU.

THANK YOU SO MUCH,
GUYS.

I DIDN'T THINK I WAS GONNA MAKE
IT AT SOME POINTS IN THIS DAY.

I'M NOT IN SHAPE
TO DO ALL OF THIS.

IT'S JUST, LIKE,
A LOT ON MY BODY,

AND I WAS NOT MENTALLY PREPARED
TO DO ALL OF THIS TODAY.

[ CAR DOOR CLOSES ]

Lee Ann: I'M VERY PROUD OF KELLY
FOR GETTING THIS FAR

AND MAKING THE DECISION TO
MOVE FORWARD WITH THIS TRIP.

THIS IS A VERY BIG STEP
FOR KELLY

BECAUSE IT'S GOING TO
CHANGE HER LIFE.

[ KELLY BREATHING HEAVILY ]

♪♪

Kelly: I WASN'T REALLY, TRULY
EXPECTING ALL OF THAT.

♪♪

I JUST HOPE THAT ALL OF THIS
WAS WORTH IT.

♪♪

[ BREATHING HEAVILY ]

TODAY I AM GOING TO SEE DR. NOW
FOR MY FIRST APPOINTMENT.

I AM SCARED 'CAUSE I HAVE
NO IDEA WHAT'S GONNA HAPPEN.

BIGGEST THING IS
HOW MUCH WALKING,

STANDING UP WILL I HAVE TO DO?

YOU GOOD?

YEAH.

I THOUGHT THAT IT WOULD FEEL
BETTER AFTER GETTING SOME REST,

BUT JUST DON'T KNOW
HOW MUCH MORE I HAVE.

YOU KNOW, I'M TRYING TO
FIGHT FOR THIS,

BUT IT'S JUST --
MY BODY'S HURTING.

♪♪

[ GRUNTING ]

I AM NERVOUS ABOUT
STEPPING ON THE SCALE

BECAUSE I DON'T KNOW
HOW MUCH I WEIGH.

THE LAST TIME I WEIGHED,
I WAS 658.

WHAT I WANT TO HEAR
FROM DR. NOW TODAY

IS THAT I CAN BE
A PART OF HIS PROGRAM

AND THAT HE WILL HELP ME
LOSE THIS WEIGHT.

KELLY MASON?

I JUST REALLY NEED HIM TO
TAKE ME ON AS A PATIENT

'CAUSE I FEEL LIKE MY LIFE IS
RIDING ON THIS APPOINTMENT.

♪♪

♪♪

I KNEW I WAS UP, GAINING WEIGHT,
BUT THAT OBVIOUSLY SCARES ME.

AND IF DR. NOW DOESN'T ALLOW ME
TO BE A PATIENT OF HIS,

I DON'T KNOW WHAT I WILL DO.

[ DOOR OPENS ]

HELLO.
HOW YOU ALL DOING?

I'M GOOD.

I'M DR. NOWZARADAN.

NICE TO MEET YOU.

AND YOU ARE?KELLY.

KELLY. AND YOU?

LEE ANN.

AND YOU ARE HER...

BEST FRIEND,
LIKE A SISTER.

BEST FRIEND.
ALL RIGHT. GREAT.

HOW WAS YOUR TRIP
DOWN TO HOUSTON?

VERY, VERY PAINFUL.

I DIDN'T THINK IT WAS GOING TO
BE THAT PAINFUL.

BUT, LIKE,
MY KNEE WAS HURTING.

MY LEG HURT.

DID YOU DRIVE OR --

WE FLEW DOWN,
BUT I DIDN'T REALIZE THAT,

LIKE, THE EXPERIENCE
THROUGH THE AIRPORT

WAS GOING TO BE, LIKE,
HARD ON MY KNEES

BECAUSE THERE WAS JUST
NOT ENOUGH SPACE

FOR, LIKE,
MY LEGS ON THE PLANE.

AND SO
IT WAS JUST LIKE --

EVERYTHING
IS JUST IN PAIN.

WELL, ANY AMOUNT OF ACTIVITY
LIKE THAT

IS BOUND TO TAKE A TOLL ON YOU
WHEN YOU'RE UP TO 726 POUNDS

AND YOU HAVE A BMI
OF 117.

THAT'S ALMOST
BREAKING THE RECORD

FOR THE HIGHEST
I HAVE SEEN YET.

SO I CAN TELL YOU
RIGHT NOW

THAT YOU'RE LIKELY ALREADY
IN VERY CRITICAL CONDITION

WITH ALL THAT STRAIN
ON YOUR BODY.

AND THAT'S A SITUATION THAT WE
HAVE TO TURN AROUND IMMEDIATELY.

OKAY.

I CAN SEE
FROM YOUR CHART

YOU HAVE DEVELOPED A NUMBER
OF SERIOUS ISSUES ALREADY.

YEAH. I HAVE.

AND THE LIST GOES ON.

AND IT ALSO SAYS YOU WERE
IN THE HOSPITAL RECENTLY.

YES.

SO,
WHAT HAPPENED THEN?

I HAD
CONGESTIVE HEART FAILURE.

MM-HMM.

SO I WAS HAVING REALLY BAD
SHORT OF BREATH AND SWELLING.

SO, THAT
CONGESTIVE HEART FAILURE

IS A VERY DANGEROUS
SITUATION,

AND YOU HAVE TO START
TO LOSE WEIGHT IMMEDIATELY

BECAUSE EVERY DAY IS
A ROLLING OF THE DICE FOR YOU

AS TO WHETHER YOU WILL SURVIVE
RIGHT NOW.

YEAH.

SO, IN LIGHT OF
YOUR SITUATION,

YOUR OPTION WILL BE THAT,
NUMBER ONE,

YOU MOVE DOWN TO HOUSTON SO
WE CAN GET YOU IN BETTER SHAPE.

NUMBER TWO IS CHANGING
YOUR EATING HABIT.

YOU THINK
YOU CAN DO THAT?

I DO THINK I CAN DO THAT.GREAT.

BUT I WANT TO CHECK EVERYTHING
WITH YOU RIGHT NOW,

SO AFTER WE'RE DONE HERE,
I WANT YOU TO GO TO THE HOSPITAL

SO WE CAN DO THAT.

AND WE'RE GONNA GIVE YOU
SOME READING MATERIAL

ABOUT HOW YOU'RE GONNA
CHANGE YOUR EATING HABIT.

IT WILL BREAK DOWN
A 1,200-CALORIE-A-DAY DIET

THAT IS HIGH-PROTEIN.UH-HUH.

YOU'RE GONNA EAT
ONLY THREE TIMES A DAY,

AROUND 400 CALORIE
EACH MEAL...

UH-HUH.

...AND NO SNACKING
BETWEEN MEALS,

AND YOU'RE GONNA
ONLY EAT VEGETABLE

AND YOU'RE GONNA EAT
ONLY PROTEIN,

WHICH IS MEAT
AND MEAT PRODUCT.

UH-HUH.

THERE WILL NO CARB ON YOUR DIET,
OKAY?

OKAY.AND IF YOU DO THAT,

I GUARANTEE YOU
IN LESS THAN A MONTH,

YOU'RE GONNA BE
UNDER 600.

OKAY?
REALLY?

YES.
WOW.

100 POUNDS
IN A MONTH.

THAT'S WHAT I WANT YOU
TO STRIVE TO LOSE,

BUT I'M NOT GONNA
GIVE YOU A GO-AHEAD

TO GET APPROVED
FOR WEIGHT-LOSS SURGERY

BECAUSE WE HAVE TO
GET YOU TO A POINT

THAT YOU'RE GONNA BE ABLE TO
SURVIVE THE OPERATION FIRST.

BUT WE'LL RUN TESTS ON YOU
AS YOU LOSE WEIGHT,

AND AS SOON AS
YOUR BODY CAN HANDLE IT,

WE'LL DO
WEIGHT-LOSS SURGERY.

SO IT'S VERY IMPORTANT YOU START
LOSING AS MUCH AS YOU CAN NOW

AND GET TO THAT POINT
AS SOON AS POSSIBLE.

UH-HUH.BUT THIS WON'T BE EASY

BECAUSE THIS IS GONNA BE
A DRASTIC CHANGE

IN YOUR EATING HABIT

AND DRASTIC CHANGING
IN YOUR ACTIVITY, AS WELL.

WE'RE GONNA START
MOVING YOU AROUND EVERY DAY,

DOING ONE HOUR OF EXERCISE
IN THE MORNING,

ONE HOUR OF EXERCISE
IN THE AFTERNOON.

SO, YOU'RE ABLE TO WALK,
RIGHT?

YEAH.
NOT FAR, THOUGH.

NOT FAR.
NOT FAR.

SO, YOU GET UP AND WALK
AND YOU COME BACK AND REST,

CATCHING YOUR BREATH, AND THEN
YOU GET UP AND WALK AGAIN.

AND YOU DO THAT
ABOUT 20 TIMES A DAY.

OKAY.

ALL RIGHT, KELLY, I'M GONNA
SEND YOU TO THE HOSPITAL NOW

SO WE CAN RUN SOME TESTS
AND SEE HOW YOUR CONDITION IS,

TO MAKE SURE
YOU DON'T HAVE ANY

IMMEDIATE
LIFE-THREATENING ISSUES.

BUT IF WE FIND
SOMETHING CONCERNING,

I WILL ADMIT YOU SO WE CAN
ADDRESS WHAT WE NEED.

OKAY.

ALL RIGHT,
I'LL SEE YOU OVER THERE.

THANKS, DR. NOW.
BYE.

BYE.

Dr. Nowzaradan: I'M VERY
CONCERNED ABOUT KELLY RIGHT NOW

BECAUSE IN HER CURRENT CONDITION

THERE IS NO WAY SHE'S GONNA BE
ABLE TO SURVIVE MUCH LONGER.

SO, THE PRIORITY RIGHT NOW
IS TO GET HER TO THE HOSPITAL

TO RUN THE TESTS WE NEED
TO MAKE SURE

THERE'S NOTHING IMMEDIATE
THAT IS LIFE-THREATENING TO HER.

Kelly:
THAT WAS VERY SCARY FOR ME,

AND I AM SO FULL OF DREAD
RIGHT NOW

BECAUSE I'M NOT
A CANDIDATE FOR SURGERY

BECAUSE I WOULD BE HIGH-RISK.

BUT IF I FOLLOW
WHAT HE'S SAYING,

THEN I WILL BE A CANDIDATE.

YOU ALL RIGHT?

JUST SHORT OF BREATH.

HI, KELLY.
HOW DO YOU FEEL?

I'M SHORT OF BREATH.

I WAS AFRAID THAT THE TRIP
YOU TOOK DOWN TO HOUSTON

MAY BE A LITTLE BIT
TOO MUCH FOR YOU.

OH.LET'S SEE WHAT'S GOING ON.

[ BREATHING DEEPLY ]

WELL, YOU'RE WHEEZING
PRETTY MUCH,

AND YOUR HEART IS RACING,

SO WE NEED TO GET YOU ADMITTED
TO THE HOSPITAL, OKAY?

OKAY.AND I'LL GET YOU A WALKER,

AND THAT WILL
HELP ALLEVIATE

SOME OF THE STRAIN IN WALKING
RIGHT NOW.

ALL RIGHT.
[ SIGHS ]

Dr. Nowzaradan:
AT THIS POINT, I'M CONCERNED

KELLY IS STARTING TO
PUSH HER BODY TOO FAR

WITH ALL THE STRAIN
FROM TRAVELING.

SO WE NEED TO GET HER TO
THE HOSPITAL AS SOON AS POSSIBLE

AND ADMIT HER TO MAKE SURE
SHE FULLY RECOVERS

BEFORE SHE TRAVELS BACK.

AND IN THE MEANTIME,

WE CAN START HER ON
A CONTROLLED DIET AND P.T.

LET'S SEE IF WE CAN GET YOU
TO A CAR

AND THEN WE CAN GET YOU TO
THE HOSPITAL, OKAY?

OKAY.

ALL RIGHT.
[ GRUNTING ]

I'M JUST OVERWHELMED,
BUT I FEEL LIKE DR. NOW CARES.

AND I'M GONNA
FOLLOW HIS PLAN.

I'M GOING TO EAT HEALTHIER,
AND I'M GOING TO EXERCISE.

IT'S A ONCE-IN-A-LIFETIME CHANCE
TO GET MY LIFE BACK,

AND I CAN'T GO BACK TO DOING

SOMETHING HARMFUL
TO MYSELF AGAIN.

BUT THIS APPOINTMENT
TOOK A LOT OUT OF ME,

SO MY LEG IS KILLING ME RIGHT
NOW AND I JUST WANT TO REST.

[ GRUNTING, BREATHING HEAVILY ]

♪♪

UH-HUH.

♪♪

I NEED HELP PULLING MY LEG --
CAN YOU PUSH MY LEG UP?

PUSH YOUR LEG UP?YEAH.

WHERE DO YOU WANT ME?
RIGHT HERE?

YES, SIR.

[ GRUNTING ]

HUH?

GO AHEAD.
YOU'RE IN ALREADY.

I CAN'T BECAUSE --YOU HAVE TO PUSH --

HERE, GRAB YOURSELF
FROM THAT ONE SEAT.

I CAN'T.
IT'S -- I CAN'T.

DO YOU HAVE ANY OTHER DOOR
TO THE SIDE?

YEAH,
IT'S THE SAME THING.

CAN YOU OPEN IT?
LET'S SEE IF WE CAN HELP HER.

OKAY.

[ GRUNTS ]

[ CAR DOOR OPENS ]

KELLY,
YOU FEELING OKAY?

I'M TIRED, AND I CAN'T
PULL MYSELF IN HERE.

JUST TAKE IT EASY.
TAKE YOUR BREATH.

LET'S SEE IF WE CAN GET YOU
TO PULL -- OKAY.

[ GRUNTS ]
YEAH, I JUST -- I -- [ SIGHS ]

COME ON.

YOU CAN DO IT.

I NEED HELP FROM
THE BACK MAYBE, TOO.

I DON'T KNOW.

I'LL HOLD HER UP,
AND IF YOU CAN HOLD HER LEG UP,

I'LL PULL HER IN.

ALL RIGHT, YOU READY?

YEAH.
PULL.

PULL.
[ GRUNTS ]

COME ON. COME ON.

COME ON.

I'M ON THE FLOOR.

[ BREATHING HEAVILY ]

ALL RIGHT, KELLY,
I KNOW YOU'RE TIRED,

BUT YOU CAN'T LET YOURSELF
GET STUCK IN BETWEEN THE SEATS.

YOU'RE DROPPING
BETWEEN TWO OF THEM.

Dr. Nowzaradan:
KELLY HAS PROBABLY EXPERIENCED

A MUCH HIGHER LEVEL OF ACTIVITY
TODAY THAN SHE'S USED TO.

AND I KNOW SHE HAS TO BE TIRED
AND HURTING AT THIS POINT,

SO SHE DOESN'T WANT TO TRY LIKE
SHE NEEDS TO GET UP IN THE SEAT.

BUT IF SHE ENDS UP IN THE FLOOR,
WEDGED BETWEEN THE SEATS,

THE STRAIN OF THAT WILL LIKELY

CAUSE HER TO GO INTO
CARDIAC ARREST VERY QUICKLY,

AND WE MAY NOT BE ABLE TO
GET HELP TO HER IN TIME.

CAN YOU CALL
THE FIRE DEPARTMENT?

Kelly:
MY KNEE IS HURTING.

YOU OKAY?

NO.

JUST HOLD ON.
JUST BREATHE, OKAY?

OKAY.
JUST -- JUST TAKE IT EASY.

WE GOT SOME HELP COMING,
OKAY?

CAN YOU PUSH YOURSELF
BACKWARDS?

-NO. OW! OW!
-HOLD ON.

-OW!
-STOP. STOP.

Dr. Nowzaradan: OKAY.
JUST TAKE IT EASY.

IT'S ALL RIGHT.

[ CRYING ]

STOP. STOP.HELP IS COMING IN, OKAY?

JUST RELAX.
TAKE A DEEP BREATH

AND BREATHE NORMALLY,
OKAY?

[ GROANING, CRYING ]

HEY, THERE'S A POLICE OFFICER
DRIVING OVER THERE.

WAVE HIM OVER.

I'M RIGHT HERE.
THEY'RE ABOUT TO GET YOU UP.

IT HURTS REALLY BAD.

Dr. Nowzaradan: WE NEED SOME
MANPOWER HELP.

Officer:
YOU NEED SOME MANPOWER HELP?

YEAH.
SHE'S STUCK IN THE --

OKAY. GOT HER HEAD
DOWN IN THE --

YEAH,
THEY'VE GOT HER HEAD DOWN.

YEAH. SHE'S COLLAPSING,
SO...

OKAY.
WELL, HANG ON A SECOND.

YEAH.
WE NEED SOME HELP.

270.

Kelly: AHH! AAH!Lee Ann: LISTEN. CALM DOWN.

Dr. Nowzaradan:
JUST TAKE IT EASY.

I'M GONNA GET HELP,
OKAY?

I CAN'T BREATHE.

[ WHIMPERING ]

OHH, MY LEG.

Kelly: OW! OW!
OW! AHH!

[ GROANING ]

Dr. Nowzaradan:
AFTER HER APPOINTMENT,

KELLY WAS GETTING IN THE VAN,

BUT SHE STRUGGLED
TO GET IN HER SEAT.

AND SHE'S DOWN,
STUCK ON THE FLOOR

AND UNABLE TO GET UP NOW
WITH THE POSITION SHE'S IN.

AND MY CONCERN IS THAT
THE STRAIN OF THAT

WILL LEAD TO HER SUFFERING
CARDIAC ARREST HERE SOON

IF WE DON'T GET HER UP.

[ KELLY CRYING ]

Dr. Nowzaradan: ALL RIGHT,
JUST TAKE A DEEP BREATH

AND BREATHE NORMALLY,
OKAY?

HELP IS COMING IN,
OKAY?

I KNOW. I KNOW.

IT'S GONNA BE VERY DIFFICULT
TO FIGURE OUT

HOW WE LIFT 700 POUNDS,

ESPECIALLY WHEN SHE'S WEDGED
IN BETWEEN THE SEATS,

PREVENTING ANYONE FROM
BEING ABLE TO REACH HER.

SO RIGHT NOW THE ONLY OPTION
WE CAN EVEN TRY

WILL BE TO GET A SHEET
OR A TARP UNDER HER

TO TRY AND PULL HER OUT.

BUT WE HAVE TO GET HER UP SOON

BEFORE HER BODY STARTS TO REACH
A BREAKING POINT.

WHERE THE PART IS STUCK MOSTLY?
YOUR RIGHT KNEE?

Kelly: MY RIGHT KNEE
AND MY RIGHT FOOT IS STUCK.

OKAY. RIGHT KNEE AND THE FOOT
IS STUCK.

OKAY. LET ME GO SEE OVER THERE
WHAT'S GOING ON WITH THAT.

[ GROANING ]

KELLY, IF I LIFT YOUR LEFT LEG,
ARE YOU GONNA BE OKAY?

YEAH.

OKAY, SO,
WE'LL LIFT THE LEFT LEG.

[ BREATHING HEAVILY ]

Lee Ann:
THEY'RE RIGHT HERE.

HER RIGHT KNEE IS STUCK
OVER HERE.

CAN YOU BRING A COUPLE OF
FLAT SHEET,

LIKE WE HAVE...

[ GROANING ]

RELAX.

KELLY, I NEED YOU TO STAY CALM,
OKAY?

[ GROANING ]

IF YOU PANIC, IT'S ONLY GONNA
MAKE THE SITUATION WORSE

IF YOU START
TO HYPERVENTILATE.

THAT FOOT IS STUCK OVER THERE.
BE CAREFUL.

OKAY, THAT'S GREAT.
SHE'S ALMOST THERE.

SHE'S OKAY.

OKAY, READY?
LIFT IT UP.

WATCH HER FOOT.

[ GROANS ]

Dr. Nowzaradan: ALL RIGHT,
SHE'S UP. THAT'S GREAT.

WE'RE GONNA SEND HER
TO ST. JOSEPH HOSPITAL

TO ADMIT HER.

-GET YOUR BREATH.
-YOU FEELING OKAY NOW?

[ BREATHING HEAVILY ]

ALL RIGHT, YOU WANT TO GET
YOUR FEET BACK IN FRONT?

KELLY,
YOU DOING OKAY?

WE'LL GET YOU
TO THE HOSPITAL,

AND I'LL MEET YOU OVER THERE,
OKAY?

WE'RE GONNA
TAKE CARE OF YOU.

WE'RE GONNA HAVE ENOUGH HELP
TO GET YOU OUT OF HERE, OKAY?

OKAY.

ALL RIGHT.

ALL RIGHT.

[ CAR DOOR CLOSES ]

Dr. Nowzaradan: THANKFULLY,
WE WERE ABLE TO GET KELLY

UP OFF THE FLOOR BEFORE
HER SITUATION GOT ANY WORSE.

BUT THAT WAS A VERY CLOSE CALL,

AND KELLY MAY NOT BE
OUT OF THE WOODS YET...

BECAUSE SHE MAY STILL BE FACING
CARDIAC ARREST SOON

AS A RESULT OF ALL THE STRAIN

THAT SHE JUST PUT ON
HER WHOLE SYSTEM.

SO WE NEED TO GET HER ADMITTED
TO THE HOSPITAL IMMEDIATELY.

BUT I'M CONCERNED ABOUT

GETTING HER OUT OF THE VAN
WHEN WE GET THERE.

IT'S OBVIOUSLY EXTREMELY HARD
TO LIFT SOMEONE

WHO'S OVER 700 POUNDS.

SO IF KELLY REFUSES TO TRY

AND USE HER LEGS
AND STAND AGAIN,

THEN THERE IS A GOOD CHANCE

SHE CAN END UP ON THE FLOOR
AGAIN OR THE GROUND.

AND IF THAT HAPPENS,
THERE'S LITTLE CHANCE

SHE WILL SURVIVE THE STRAIN
OF ALL THAT A SECOND TIME.

Kelly: I'M IN PAIN.

I JUST LITERALLY THOUGHT
I WAS PROBABLY DYING

BECAUSE I COULDN'T BREATHE.

♪♪

Dr. Nowzaradan:
I INTENDED THE EMTs

TO TRANSPORT HER
IN THE AMBULANCE,

ESPECIALLY SINCE THEY WERE HERE.

BUT UNFORTUNATELY, THEY ARE
STILL UNWILLING TO TRANSPORT HER

SINCE SHE'S OVER 700 POUNDS

AND SAYING THEY'RE NOT PREPARED
FOR A PATIENT THAT SIZE.

SO I NEED TO MAKE SURE
A TEAM IS READY AT THE HOSPITAL

TO TRY TO HELP GET HER ON A BED
AND INSIDE

WITH AS LITTLE STRAIN
AS POSSIBLE ON HER.

BUT AS MUCH AS
SHE DOESN'T WANT TO,

SHE'S GONNA HAVE TO GIVE
SOME EFFORT AND USE HER LEGS

BECAUSE SHE HAS TO MAKE IT OUT
OF THE VAN ENOUGH

FOR US TO BE ABLE TO REACH HER
AND LIFT ALL HER WEIGHT

TO HELP MOVE HER TO MAKE SURE
SHE DOESN'T END UP FALLING AGAIN

BECAUSE, IF SHE DOES, THERE WILL
BE NO WAY TO SAFELY GET HER UP

AND SHE WON'T SURVIVE IT.

♪♪

SO,
LET'S HELP HER TO STAND UP.

WE GOT SOME SHEET
OVER THERE.

PUT IT UNDER HER LEG
SO WE CAN HELP HER LEG.

ALL RIGHT, SO, LET'S PUT THIS
LEG ON THE FLOOR.

OW.
[ WHIMPERING ]

BRING THE BED CLOSER.

GO AHEAD.
CLOSER, CLOSER.

[ GROANS ]

LOCK IT.

HERE.

[ BREATHING HEAVILY ]

I KNOW YOU'RE TIRED,
KELLY,

BUT YOU'RE GONNA HAVE TO
PUSH YOURSELF A LITTLE FOR US

BECAUSE IT'S GONNA BE
FAR WORSE ON YOUR BODY

IF YOU END UP
ON THE GROUND.

WE WON'T BE ABLE TO LIFT YOU UP
IF THAT HAPPENS,

SO YOU HAVE TO DO THIS.

[ SCREAMS ]

WHAT -- WHAT --
WHAT --

MY FOOT!
PULL -- PULL -- PULL ME.

PULL ME. PULL ME.
PULL ME. PULL ME.

HERE WE GO.
YOU'RE DOING GOOD. PULL.

[ WHIMPERING ]

Dr. Nowzaradan:
OKAY, WE GOT HER.

THE SIDES ROLL UP.

-HUH?
-WATCH THE ARM.

WATCH THE ARM.
-THAT ARM.

OKAY. THANK YOU.

OKAY, GREAT.

LET'S GET HER INSIDE.

♪♪

Dr. Nowzaradan:
KELLY'S WEIGHT IS SO HIGH,

IT'S ALMOST IMPOSSIBLE
TO LIFT HER.

BUT NOW THAT WE HAVE BEEN ABLE
TO GET HER INSIDE

AND ON A BED WITH THE HOVERMATT,

WE'LL BE ABLE TO MOVE HER AROUND
LIKE WE NEED

AND WE CAN START
RUNNING TESTS ON HER

TO MAKE SURE WE IDENTIFY
AND ADDRESS

ANY LIFE-THREATENING ISSUES

SHE MAY BE EXPERIENCING
RIGHT NOW.

KELLY, YOU DOING OKAY?

WE'RE IN THE HOSPITAL,

AND WE'RE GONNA
TAKE CARE OF YOU, OKAY?

Woman: WAIT TILL SHE
FEELS LIKE SHE CAN...

Dr. Nowzaradan: HOPEFULLY WE
WILL BE ABLE PREVENT

HER BODY FROM
HITTING ITS LIMIT TODAY.

IF NOT, HER HEALTH
COULD START TO DECLINE RAPIDLY

HERE VERY SOON.

AND WE NEED TO MOVE AS FAST
AS POSSIBLE TO DO EVERYTHING

WE CAN TO PREVENT THAT,
BUT SHE'S LIKELY GOING TO NEED

TO BE HERE FOR A WHILE,
BECAUSE HER BODY HAS BEEN

IN SEVERELY BAD SHAPE
FOR A LONG TIME NOW,

AND THAT'S NOT GONNA BE EASY
TO FIX AND BRING HER BACK FROM.

BUT HOPEFULLY
IT'S NOT TOO LATE FOR HER

AND WE'LL BE ABLE TO DO THAT.

♪♪

WE'VE HAD KELLY IN THE HOSPITAL
FOR THE PAST WEEK,

AND WE FINISHED
RUNNING OUR TESTS ON HER,

AND I'M EVEN MORE CONCERNED NOW
THAT I ORIGINALLY WAS FOR HER,

BECAUSE HER RESULTS SHOW
SHE'S CURRENTLY EXPERIENCING

HEART FAILURE, AND THAT'S BEEN
GOING ON FOR A WHILE NOW.

THE HEART WASN'T DESIGNED
TO BE ABLE TO SUSTAIN A PERSON

THE SIZE THAT KELLY IS,
SO WHEN A PATIENT GETS OVER

400, 500, 600 POUNDS,
THEIR HEART STARTS TO STRUGGLE

TO PUMP BLOOD TO
EVERY PART OF THE BODY,

SO IT'S NOT A SURPRISE THAT
SHE'S STRUGGLING WITH THAT.

THE CONCERN IS WITH HOW LONG
SHE'S BEEN IN THIS STATE,

HER HEART IS VERY WEAK
TO THE POINT WHERE

EVERY HEARTBEAT SHE HAS RIGHT
NOW IS PRACTICALLY A MIRACLE.

SO WE HAVE TO ALLEVIATE AS MUCH
STRAIN AS WE CAN OFF HER HEART

BY GETTING HER WEIGHT DOWN
AS QUICKLY AS POSSIBLE

AND UPPING HER AEROBIC ACTIVITY
TO TRY AND STRENGTHEN HER HEART.

AND IT'S ALSO GONNA BE
VERY IMPORTANT THAT

SHE START WORKING WITH
A CARDIOLOGIST TO SEE WHAT ELSE

CAN BE DONE
TO IMPROVE HER CONDITION.

HI, KELLY.

HEY. HOW ARE YOU?

HOW ARE YOU
FEELING TODAY?

A LOT BETTER.
GREAT.

WELL, WE'VE FINISHED
RUNNING ALL OUR TESTS,

AND OUR BIGGEST CONCERN
IS YOUR HEART RIGHT NOW.

SO WE'RE GONNA KEEP YOU
HERE ON THE CONTROLLED DIET

YOU'VE BEEN ON,
BECAUSE IT'S VERY IMPORTANT

WE GET YOUR WEIGHT DOWN
SIGNIFICANTLY RIGHT NOW,

AND WE CAN ALSO START
YOU DOING PSYCHICAL THERAPY

EVERY DAY TO
GET YOUR STAMINA UP.

OKAY.
BUT ONCE WE GET

YOUR WEIGHT IN THE 500s
AND CARDIOLOGIST SAYS

YOU'RE READY,
WE'RE GONNA TRANSFER YOU TO

A P.T. FACILITY THAT
WILL HELP TO GET

YOUR STAMINA UP
EVEN MORE...

UH-HUH....BECAUSE YOUR HEART

IS VERY WEAK RIGHT NOW,
AND WE HAVE TO

ADDRESS THAT IMMEDIATELY...

OKAY....BECAUSE IF WE DON'T

DO IT NOW, YOU'RE NOT
GONNA SURVIVE MUCH LONGER.

AND WHAT WE NEED TO DO
IS TO REDUCE THE STRAIN

ON YOUR HEART RIGHT NOW,

WHICH IS THE MOST
IMPORTANT THING.

UH-HUH.

ALL RIGHT, KELLY.
I'LL SEE YOU TOMORROW.

ALL RIGHT.
SEE YOU TOMORROW.

ALL RIGHT. IF YOU NEED
ANYTHING, LET ME KNOW.

OKAY.

HOPEFULLY THE COMBINATION
OF LOSING THAT AMOUNT OF WEIGHT

AND CERTAINLY HER HEART
WILL BE ENOUGH TO PREVENT

KELLY'S HEART
FROM GIVING OUT SOON.

BUT IT MAY HAVE TAKEN
ON TOO MUCH DAMAGE

OVER TOO LONG A TIME TO BE ABLE
TO GET HER FULLY RECOVER.

SO HER HEART GIVING OUT
MAY BE IMMINENT AT THIS POINT,

BUT WE'LL DO EVERYTHING WE CAN

TO GIVE HER
THE BEST CHANCE POSSIBLE.

WE JUST HAVE TO DO IT FAST,

BECAUSE KELLY'S TIME
COULD BE UP ANY DAY NOW.

♪♪

♪♪

♪♪

YEAH.

[ EXHALES SHARPLY ]

♪♪

[ GRUNTS ]

-NO.
-OKAY.

♪♪

Kelly: I'VE BEEN IN
A HOSPITAL FOR ABOUT A MONTH,

AND IT'S BEEN A LITTLE ROUGH.

I'VE BEEN WALKING ONCE A DAY
WITH PHYSICAL THERAPY,

AND I HATE IT.

I'M JUST GONNA
PUT THIS ON,

KIND OF COVER THE BACK SIDE
A LITTLE BIT.

OKAY?

DR. NOW SAID THAT HE WANTED ME
TO WORK ON MY MOBILITY

AND TO GET STRONGER,

BUT I'M NOT SO WILLING
TO DO THINGS NOWADAYS.

I PROBABLY CAN WALK FOR MAYBE,
LIKE, TWO TO THREE MINUTES

BEFORE MY LOWER BACK STARTS
HURTING BECAUSE OF THE WEIGHT,

AND I HAVE TO STOP
OR LEAN ON SOMETHING.

WE HAD KELLY IN THE HOSPITAL
FOR ALMOST A MONTH NOW,

AND IN THAT TIME, WE'VE BEEN
ABLE TO GET HER WEIGHT DOWN

A GREAT DEAL.

WE'VE ALSO BEEN WORKING
TO HELP HER IMPROVE HER STAMINA

BY GETTING HER UP
TO WALK EVERY DAY,

BUT SHE'S NOT BEEN
TOO HARPY ABOUT THAT

OR DOING ANY OF HER
BED EXERCISES EITHER.

BUT DESPITE THAT, WE MANAGED TO
GET HER UP TO DO WHAT SHE NEEDS.

BUT AT THIS POINT,
WE NEED MORE FOCUS ON HER P.T.,

SO WE NEED TO TRANSFER HER
TO A REHAB FACILITY

THAT CAN HELP HER DO THAT.

BUT IT STILL A QUESTION
OF HOW FAR WE'RE GONNA BE ABLE

TO GET HER HEART TO RECOVER
AND WHETHER IT IS EVEN POSSIBLE

TO TURN HER SITUATION AROUND
ENOUGH TO AVOID HER HEART

FROM GIVING OUT
IN THE NEAR FUTURE.

HI, KELLY.

Kelly: HEY.

HOW YOU DOING TODAY?

I'M OKAY.

ALL RIGHT, SO WHAT
I'D LIKE TO DO --

GET YOU TO GO TO
A FACILITY THAT WILL HELP YOU

INCREASE YOUR PHYSICAL
ACTIVITY EVEN MORE

AND HELP YOU STRENGTHEN
YOUR HEART LIKE YOU NEED.

OKAY, SO HOW LONG DO YOU
THINK I'LL BE IN REHAB?

DO YOU KNOW?THAT'S ALL UP TO YOU.

IT DEPENDS ON
HOW HARD YOU WORK

AND IMPROVE TO WHERE WE FEEL
IT'S SAFE TO SEND YOU HOME.

OKAY.
SO WE'LL GET THEM TO

TRANSPORT OVER TO
TAKE YOU TO REHAB NOW.

BUT SO FAR, I'M PLEASED
WITH YOUR PROGRESS,

SO KEEP WORKING ON IT,
AND LET'S SEE WHAT

YOUR WEIGHT IS,
AND THEN WE'LL GET YOU

TRANSFERRED TO REHAB,
OKAY?

OKAY.
ALL RIGHT.

♪ DA, DA-DA, DA ♪

WILL I LOSE WEIGHT?
WILL I NOT LOSE WEIGHT?

UH-OH.

DO OR DIE.

♪♪

WOW.
YOU'RE DOWN TO 604.

YAY.

THAT'S GREAT.

IN A COUPLE DAYS,
YOU'RE GONNA BE UNDER 600.

I KNOW, RIGHT?

SO YOU LOST 122 POUNDS
SO FAR IN ALMOST A MONTH,

SO YOU'RE DOING GOOD.

BUT YOUR GOAL FOR THE NEXT MONTH
IS TO LOSE 50 POUNDS.

AND IF YOU DO THAT
AND WORK HARD WITH P.T.

TO GET YOUR STAMINA UP,

THEN IT WILL BE SAFE
TO SEND YOU HOME.

ALL RIGHTY.

YOU HAVE A PLACE
TO STAY IN HOUSTON, RIGHT?

YES, I HAVE A COUSIN
AND HIS FAMILY THAT ARE HERE,

AND HE'S THERE.

THAT'S GOOD.

SO YOU HAVE SOME
SUPPORT SYSTEM IN HOUSTON?

YES.THAT'S GONNA BE GREAT.

YEAH.

ALL RIGHT,
I'LL SEE YOU LATER.

ALL RIGHT.

KELLY HAS DONE WELL SO FAR,
AND I'M PROUD OF HER PROGRESS,

BUT SHE JUST HAS
A LONG WAY TO GO.

SO SHE NEEDS TO CONTINUE
TO FOCUS ON MAKING

AS MUCH PROGRESS AS POSSIBLE
AS FAST AS POSSIBLE IF SHE WANTS

ANY CHANCE TO SURVIVE.

AT SOME POINT, WE MAY CONSIDER
PUTTING A PACEMAKER

AND DEFIBRILLATOR ON HER,
BUT WE HAVE TO GET HER WEIGHT

DOWN SIGNIFICANTLY BEFORE WE CAN
PERFORM AN OPERATION

SAFELY ON HER,
BECAUSE THE CONDITION HER BODY

AND HEART IS IN,
SHE WOULDN'T SURVIVE.

Kelly: GOING TO A REHABILITATION
CENTER WHERE I'VE NEVER BEEN --

IT'S A LITTLE SCARY.

AND DR. NOW WANTS
TO MAKE SURE I WORK OUT.

THAT'S SCARY, TOO.

BUT, LIKE, IN THE END,
I'LL PUSH THROUGH.

SO I HAVE TO STAY FOCUSED,

AND ALL I CAN DO IS KEEP
THINKING ABOUT THE END RESULTS.

AND AT THE END OF THIS,
I JUST WANT MY LIFE BACK.

♪♪

LIFE AT THIS PLACE IS STRESSFUL
BECAUSE THE FOOD IS NASTY.

AND THEN IT'S LIKE --
I'LL ORDER OUT,

BECAUSE IT'S LIKE
I NEED TO EAT SOMETHING.

SO I'M NOT BEEN LOSING WEIGHT,
AND I AM WORRIED ABOUT

WHAT DR. NOW WILL SAY,
BUT I'M TRYING.

♪♪

[ KNOCK ON DOOR ]

COME IN.

HEY. HOW ARE YOU?

I'M DOING WELL.
YOURSELF?

THANK YOU.

Dr. Nowzaradan: KELLY HAS BEEN
IN A REHAB FACILITY FOR

A COUPLE OF WEEKS NOW.

THE REHAB FACILITY IS
ONLY PROVIDING HER WITH

1,200 CALORIE A DAY ACCORDING TO
HER HIGH-PROTEIN, LOW-CARB DIET.

BUT THEY HAVE TO GET CONSENT
FROM THE PATIENT BEFORE THEY CAN

RESTRICT THEIR DIET AND PREVENT
THEM FROM GETTING OUTSIDE FOOD,

AND KELLY SO FAR
HAS REFUSED TO AGREE TO THAT.

AND AT THIS POINT,
SHE'S LIKELY GAINING AGAIN,

AND THAT'S SOMETHING
WE CAN'T AFFORD TO LET HAPPEN.

♪♪

[ KNOCK ON DOOR ]

Kelly: HEY, DR. NOW.

HEY, KELLY.
HELLO.

HOW YOU DOING TODAY?

I'M OKAY.

SO GIVE ME AN UPDATE
ON YOUR ACTIVITY

AND YOUR EATING HABIT.

ARE YOU MAKING THE PROGRESS
YOU NEED WITH BOTH OF THOSE?

THE ACTIVITY, YES.

EATING HABIT, NO.

WHAT DO YOU MEAN
"EATING HABIT, NO"?

WHAT DOES THAT MEAN?

I DON'T LIKE THE FOOD HERE,
SO BEEN ORDERING OUT FOOD.

ALL RIGHT, WE'LL LET'S
SORT IT OUT

SO WE GET SOME
IDEA ABOUT IT.

FIRST OF ALL, YOU NEED
TO DECIDE IF YOU WANT TO LIVE

OR DIE RIGHT NOW,
BECAUSE AT THIS POINT,

YOU'RE NOT GONNA BE ALIVE MUCH
LONGER IF YOU KEEP DOING THIS.

SINCE YOU'VE BEEN
IN THIS FACILITY,

YOU SHOULD HAVE AT LEAST
LOST 25 POUNDS BY NOW,

BUT I BET YOU YOU ALREADY
STARTED GAINING AGAIN.

YOU CAME HERE TO CHANGE
YOUR LIFE, RIGHT?

I AGREE. I JUST --
I WANT TO DO THE RIGHT THING

OR WHATEVER, AND I ASKED
THE NUTRITION --

I TELL HER WHAT I WANT,
AND WHAT I WOULD LIKE TO EAT

OR WHATEVER, AND THEN
I GET THE SAME THING

THAT I DON'T WANT,
AND THIS FEELS LIKE --

I JUST FEEL LIKE I'M JUST
BEING SET UP FOR FAILURE.

THIS IS JUST
MORE EXCUSES.

TWO WEEKS AGO,
YOU WERE DOWN TO 604,

SO TODAY YOU SHOULD BE
DOWN TO AT LEAST 579.

LET'S SEE WHAT YOUR
WEIGHT IS NOW, OKAY?

♪♪

♪♪

YOU'RE OKAY.

♪♪

YOU'RE AT 636.4,
SO INSTEAD OF

LOSING 25 POUNDS
YOU GAINED 32.

AND THEY'RE TELLING ME THAT
YOU'RE OVEREATING

EVERY DAY WHEN YOU'VE
BEEN IN HERE.

AND AT THIS POINT,
YOU'RE AT THE CROSSROADS.

YOU NEED
TO MAKE A DECISION.

ARE YOU GONNA CHANGE YOUR LIFE,
OR ARE YOU GONNA GIVE INTO

TEMPTATION, EVEN IF IT
COSTS YOU YOUR LIFE?

BUT YOU'RE THE ONE THAT --
YOU HAVE TO MAKE THAT DECISION.

♪♪

Kelly: OKAY.

OKAY.

♪♪

[ EXHALES SHARPLY ]

♪♪

ALL RIGHT, KELLY, SO DO YOU
THINK YOU CAN AGREE

TO START DOING
WHAT YOU NEED?

IF YOU DON'T THINK
YOU CAN MAKE THESE CHOICES

ON YOUR OWN RIGHT NOW,
DO YOU THINK YOU CAN AGREE

TO GIVE CONSENT TO THE FACILITY
TO CONTROL YOUR DIET?

BECAUSE YOU'RE
RUNNING OUT OF TIME.

I AGREE.

FOR NOW THAT WILL WORK,
BUT YOU'RE THE ONE

THAT HAS TO PUT THE EFFORT
AND DO THE HARD WORK

IF YOU WANT TO HAVE A CHANCE
OF SURVIVING FOR THE LONG RUN.

BUT WE'LL GET A NUMBER
OF THINGS SET UP FOR YOU --

GET DOCTORS IN
TO COME AND SEE YOU,

THERAPISTS
TO COME AND SEE YOU.

OKAY?

♪♪

BUT YOU TELL ME
WHAT'S GONNA WORK FOR YOU,

AND WE'RE GONNA GIVE YOU
ALL THE TOOLS THAT WE HAVE

TO GET YOU
ON THE RIGHT PATH.

BECAUSE WE'RE HERE TO GIVE YOU
ALL THE HELP THAT YOU NEED,

BUT YOU HAVE TO DO
YOUR PART FOR THIS TO WORK.

ALL RIGHT, KELLY.

START WORKING HARD.

AND DON'T GIVE UP,
AND I'LL SEE YOU SOON.

OKAY.
OKAY?

ALL RIGHT.

ALL RIGHT,
I'LL SEE YOU LATER.

ALL RIGHT.

♪♪

Dr. Nowzaradan: IF KELLY
CONTINUES TO CHOOSE

NOT TO COOPERATE WITH US, THEN
IT'S GOING TO COST HER HER LIFE.

BUT HOPEFULLY SHE'S
GOING TO START

TO TAKE THIS SERIOUSLY NOW.

BUT IF NOT, WE'LL DO EVERYTHING
WE CAN IN THE HOPE

THAT SHE WAKES UP,
AND THAT'S WHAT SHE NEEDS

BEFORE IT'S TOO LATE.

♪♪

♪♪

WE'RE GONNA DO
2 SETS OF 20.

Kelly: I'VE BEEN IN REHAB
FOR A LITTLE OVER A MONTH,

AND I'M FEELING A LOT BETTER.

I FEEL STRONGER.

[ VELCRO TEARS ]

♪♪

ALL RIGHT.

COME RIGHT HERE
TO THE BAR...

OKAY.

...WHEN YOU'RE READY.

DR. NOW TOLD ME THAT
I NEEDED TO CHANGE SOMETHING,

'CAUSE I WAS, LIKE,
REALLY WEAK.

NICE AND TALL.

SO, THAT GAVE ME
SOME CONCERN.

IT WAS SCARY THAT
MY HEALTH GOT THAT BAD.

WORK ON GETTING THOSE
KNEES AS HIGH AS YOU CAN.

STAND NICE AND TALL.

DR. NOW SAID THAT
HE WANTED ME TO WORK ON

PHYSICAL THERAPY
AS WELL AS DIET.

THE TRIP DOWN HERE ACTUALLY
DID TAKE A LOT OUT OF ME.

I WAS VERY TRIED, WEAK,
BUT I HAVE FAITH.

DR. NOW THINKS HOPEFULLY IT'S
A NEW BEGINNING AND A NEW LIFE.

♪♪

GOOD JOB.

PROUD OF YOU.

♪♪

I SIGNED UP
TO CHANGE MY LIFE,

AND THAT'S MY
AWESOME AND COOL.

♪♪

♪♪

Dr. Nowzaradan: WE HAVE HAD
KELLY IN REHAB

FOR AROUND TWO MONTHS NOW.

WE HAVE BEEN ABLE TO GET HER
WEIGHT DOWN, WHICH IS GOOD,

AND SHE'S ALSO BEEN WORKING HARD
WITH PHYSICAL THERAPY

TO GET STAMINA UP
AND STRENGTHEN HER HEART,

SO I'M PROUD OF HER
AND THE PROGRESS SHE'S MAKING,

SO I THINK SHE'S READY NOW
TO GO HOME AND CONTINUE

WORKING ON MAKING PROGRESS
ON HER OWN TO SHOW US

SHE'S MOTIVATED TO DO THIS
ON HER OWN LIKE SHE NEEDS.

♪♪

HI, KELLY.
HEY.

SO, ARE YOU READY
TO GO HOME TODAY?

YES.
ALL RIGHT.

WELL, YOU EARNED IT, SO WE'LL
GET YOU GOING HERE SOON.

AND YOU'RE GONNA
STAY WITH YOUR COUSIN?

YES.
OKAY.

AND YOU'RE GONNA
STICK YOUR DIET

AND MAKE SURE YOU STAY ACTIVE
AND EXERCISE EVERY DAY?

YES.
OKAY, GREAT.

BUT YOU'RE STILL
IN HEART FAILURE,

EVEN WITH ALL YOUR PROGRESS,
SO IF YOU START TO

GO BACK TO YOUR OLD HABITS,

YOU'RE GOING TO BE
RISKING YOUR LIFE.

DO YOU UNDERSTAND?
MM-HMM.

OKAY. GOOD.

SO, IN ONE MONTH, I WANT
YOU TO COME TO CLINIC,

AND I WANT YOU TO HAVE LOST
ANOTHER 40 POUNDS BY THEN.

YOU SHOULD HAVE
NO PROBLEM DOING THAT.

THEN WE'LL DO WEIGHT-LOSS
SURGERY ON YOU.

OKAY?

BUT IF YOU DON'T,
THEN WE'RE NOT,

AND WE MAY HAVE TO
ADMIT YOU BACK TO THE HOSPITAL

AND PUT YOU BACK
ON A CONTROLLED DIET AGAIN

TO PREVENT YOU FROM DYING.

BUT WE WON'T BE ABLE
TO JUST KEEP YOU

IN THE HOSPITAL FOREVER,
SO WHAT ULTIMATELY HAPPENS

IS UP TO YOU,
SO TAKE THIS VERY SERIOUSLY.

ALL RIGHT.

LET'S GET YOU TO THE SCALE
AND SEE HOW THINGS LOOK.

THEN WE'LL GET YOU ON HOME.

♪♪

[ GRUNTS ]

♪♪

THAT'S ZERO.

♪♪

♪♪

538 POUNDS.

SO YOU LOST 98 POUNDS
OVER THE LAST 6 WEEKS.

THAT'S GOOD.

[ BREATHING HEAVILY ]

♪♪

[ DOOR CLOSES ]

ALL RIGHT, KELLY,
I'M PROUD OF YOU.

KEEP UP THE HARD WORK,
AND LET'S SEE HOW WE DO

IN ONE MONTH, AND BE SURE
TO HIT YOUR GOAL BY THEN.

AND STICK WITH IT, OKAY?

OKAY. THANK YOU.

ALL RIGHT.

♪♪

Dr. Nowzaradan: I'M HOPEFUL THAT
KELLY WILL CONTINUE TO WORK HARD

AND DO WHAT SHE NEEDS
TO STAY ON TRACK.

OVER THE LAST MONTH-AND-A-HALF,

SHE'S SHOWN US SHE CAN BE
MOTIVATED IF SHE WANTS.

SHE JUST NEEDS TO KEEP THAT
MOTIVATION GOING ON HER OWN

AND RESIST THE TEMPTATIONS TO
FALL BACK INTO OLD HABITS,

BECAUSE IF SHE DOES,
THEN IT'S GONNA BE

A VERY BAD SITUATION FOR HER,
BECAUSE OUR ONLY OPTION WILL BE

TO PUT HER BACK IN A CONTROLLED
ENVIRONMENT TO SAVE HER LIFE.

BUT THE SOLUTION CAN'T BE
TO KEEP HER

IN THE HOSPITAL FOREVER,
SO AT SOME POINT,

WE'LL BE JUST DELAYING
THE INEVITABLE UNTIL SHE DECIDES

TO DO THIS ON HER OWN.

BUT HOPEFULLY SHE DOES
WHAT SHE NEEDS NOW

AND HITS HER GOAL
AT THE END OF THIS MONTH.

♪♪

Kelly: I HAVE FAMILY
IN KATY, TEXAS --

A COUSIN NAMED GARY.

HE'S HELPED ME OUT WITH
A LOT OF THINGS,

AND HE HAS OFFERED TO
OPEN HIS HOUSE UP TO ME.

[ KNOCK ON DOOR ]

COME IN.

-HEY.
-HEY.

ALL RIGHT.
YOU ALL READY?

YEP.

SOON AS I GET THE CHAIR
OUT OF THAT DOOR.

OKAY.
[ SIGHS ]

♪♪

GARY LIVES WITH
A DAUGHTER AND HIS WIFE,

AND I AM LOOKING FORWARD
TO MOVING IN WITH THEM.

I LOVE GARY, AND I'M THANKFUL
THAT HE'S WILLING TO HELP ME

DURING THIS JOURNEY IN MY LIFE.

IT FEELS GREAT TO KNOW THAT
I HAVE FAMILY THAT

I CAN STAY WITH...

AND NOT BEING BY MYSELF.

GARY'S FAMILY CAN BE SUPPORTIVE
DURING A WEIGHT-LOSS JOURNEY.

[ BREATHES HEAVILY ]

-CAN YOU GET DOWN?
-YEAH.

I WILL NEED THAT EXTRA HELP,
BECAUSE LOSING THIS WEIGHT

IS A MATTER OF
LIFE AND DEATH FOR ME.

I'M NOT SO MUCH
WORRIED ABOUT THE DIET

AS I AM WORRIED ABOUT
WANTING TO GET UP AND MOVE.

MY HEART PROBLEMS DO SCARE ME.

-WOW. NICE.
-ALL RIGHT.

[ LAUGHS ]
THANK YOU.

REALLY NICE.

ALL RIGHT.

SO, I'LL SHOW YOU
YOUR BEDROOM.

WE'LL KIND OF MAKE IT
MORE COZY-IER.

OH, NICE.
I LIKE IT.

NOW I FEEL LIKE I HAVE
THE OPPORTUNITY OF MY LIFE,

AND I'M GONNA
TAKE ADVANTAGE OF IT.

♪♪

Kelly: I'VE BEEN AT MY COUSIN
GARY'S FOR ABOUT A MONTH,

AND GARY IS BRINGING ME
TO DR. NOW'S OFFICE TODAY.

I'VE BEEN WORKING HARD
AND STICKING TO THE DIET.

I DON'T KNOW WHAT
THE SCALE'S GONNA SAY,

SO I'M ACTUALLY, LIKE,
WALKING IN VERY BLINDLY.

KELLY.

Kelly: I DON'T KNOW IF I HIT
DR. NOW'S 40-POUND GOAL,

BUT I HOPE I DID.

TODAY I SHOULD BE UNDER 500.

[ CHUCKLES ]

♪♪

♪♪

EVEN THOUGH THAT'S NOT
MY TARGET WEIGHT,

I FEEL GOOD ABOUT IT.

I KNOW THERE'S THINGS THAT
I PROBABLY COULD HAVE DONE.

ONCE I GOT OUT OF THE HOSPITAL
AND WAS FEELING BETTER,

I COULD HAVE EXERCISED,
BUT I CHOSE NOT TO.

SO I HAVE NO IDEA WHAT DR. NOW
IS GOING TO SAY TODAY.

BUT I AM FEELING HAPPY.

I'VE LOST 33 POUNDS.

Dr. Nowzaradan: HELLO.

HI.HOW ARE YOU ALL DOING?

GOOD.

I'M DR. NOWZARADAN.
I DON'T THINK I'VE MET YOU.

NO. I'M GARY --
GARY MASON.

GOOD TO MEET YOU.
ALL RIGHT.

SHE'D TALK ABOUT YOU A LOT,
SO IT'S GOOD TO MEET YOU.

HOW ARE WE DOING?GOOD, GOOD.

GREAT.

SO, KELLY, LET'S DISCUSS
WHERE YOU'RE AT TODAY.

IT LOOKS LIKE YOU MADE SOME
PROGRESS OVER THE LAST ONE,

BUT NOT AS MUCH
AS YOU SHOULD HAVE.

YOU ONLY LOST 33 POUNDS,
SO YOU'RE STILL IN THE 500s.

BUT YOU ARE
MAKING SOME PROGRESS,

SO I'M HAPPY ABOUT THAT.

AND IT SHOWS THAT
YOU'RE MAKING HEALTHY CHOICES.

YES -- THE ONLY FOOD
I HAD OUT WAS WHEN I WAS IN

THE HOSPITAL,
SO THAT WAS IT.

THAT'S GREAT.

WELL, I'M PROUD OF YOU,
BECAUSE OVERALL YOU LOST

MORE THAN 200 POUNDS
SO FAR.

AND WITH YOUR RECENT PROGRESS
YOU MADE ON YOUR OWN,

IT SHOWS ME YOU'RE TRYING
AND THE WILLINGNESS TO WORK HARD

IS THERE NOW.

SO WE'RE GONNA APPROVE
YOU FOR WEIGHT-LOSS SURGERY,

PENDING YOUR TEST RESULTS
SHOWING US THAT

YOUR HEART IS HEALTHY
ENOUGH FOR YOU TO

SURVIVE AN OPERATION.

SO WHAT I'M GONNA DO IS
ADMIT YOU TO REHAB AGAIN

TO HELP YOU LOSE WEIGHT
FASTER SINCE YOU ARE ON

A TICKING CLOCK,
AND WE'LL CHECK YOUR HEART

EVERY FEW DAYS AND DO CARDIAC
WORK UP AS YOU LOSE MORE,

AND THE SECOND THE TEST
SHOW YOUR RISK FACTOR

ARE ACCEPTABLE,
THEN WE'LL MOVE AHEAD

AND DO WEIGHT-LOSS
SURGERY ON YOU.

DOES THAT WORK?

OKAY.

OKAY, THEN I'LL GO AHEAD
AND ADMIT YOU TODAY

SO WE CAN START
DOING THAT IMMEDIATELY.

KEEP WORKING HARD,
AND WE'LL BE ABLE

TO DO SURGERY
ON YOU VERY SOON.

BUT YOU'RE
DOING PRETTY GOOD.

YEAH.

ALL RIGHT.
DO YOU THINK SO, TOO?

Gary: DOING BETTER.

DOING BETTER?YEAH, SHE'S DOING BETTER.

ALL RIGHT.

I'LL SEE YOU AT REHAB.

SO WE'RE GONNA GET YOU
IN BETTER SHAPE, OKAY?

OKAY.

ALL RIGHT,
SO I'M GLAD THIS VISIT

IS MUCH MORE PLEASANT
THAN THE LAST ONE YOU HAD HERE.

[ LAUGHING ]

WELL, IT WASN'T THE VISIT.
IT WAS THE OUTSIDE PART.

[ LAUGHS ]

WELL --

IT WAS -- LEAVING
THE FACILITY WAS THE ISSUE.

IT WAS A STRUGGLE,
BUT YOU'RE --

BUT I GOT TO MEET
HOUSTON'S BRAVEST.

IS IT "BRAVEST"?

BRAVEST -- HOUSTON'S BRAVEST --
NICE FIREFIGHTERS.

ALL RIGHT, IF YOU NEED
ANYTHING GIVE ME A CALL,

AND I'LL SEE YOU SOON.

AND NICE TO MEET YOU.

YOU TOO.ALL RIGHT, SEE YOU ALL LATER.

♪♪

Dr. Nowzaradan: EVEN THOUGH
SHE DIDN'T HIT HER GOAL,

I'M HAPPY TO SEE THAT KELLY
STILL MADE SOME DECENT PROGRESS

THIS PAST MONTH.

MY BIG CONCERN WAS THAT
SHE WOULD GO HOME

AND FALL BACK INTO OLD HABITS
AND START TO GAIN AGAIN

WHEN SHE DIDN'T HAVE ANY TIME
TO WASTE LOSING MORE WEIGHT.

SO I THINK SHE'S DONE WELL
ENOUGH TO SHOW ME SHE'S TRYING

AND READY TO TAKE THE NEXT
BIG STEP OF GETTING

WEIGHT-LOSS SURGERY,
WHICH WILL BE AN IMPORTANT TOOL

FOR HER TO BE ABLE
TO LOSE WEIGHT

AND KEEP IT OFF
FOR THE LONG TERM.

BUT WE WON'T BE ABLE TO DO THAT
UNTIL WE GET KELLY'S HEART

TO A HEALTHY ENOUGH PLACE
WHERE HOPEFULLY BY PUTTING HER

BACK ON A CONTROLLED DIET.

AND BY INCREASING HER LEVEL
OF PHYSICAL THERAPY, TOO,

WE'LL BE ABLE TO GET HER
TO THAT POINT SOON.

BECAUSE UNTIL WE GET HER TO
A MUCH BETTER PLACE PHYSICALLY,

SHE'S STILL ON A TICKING CLOCK,
AND AT THE RISK OF

RUNNING OUT OF TIME
AT ANY MOMENT UNTIL THEN.

Kelly: THE DOCTOR SAID
I WAS APPROVED FOR SURGERY.

SO I'M, LIKE, HAVING
AN OUT-OF-BODY EXPERIENCE,

KIND OF LIKE,
"IS THIS REALLY HAPPENING?

IT'S REALLY HAPPENING."

OH, SNAP, I MIGHT BE
REALLY GETTING MY LIFE BACK!

I MEAN, OF COURSE I NEED STILL
NEED TO INCREASE MY ACTIVITY,

I STILL NEED TO FOLLOW HIS PLAN,
BECAUSE AT THE END OF THIS,

I JUST WANT MY LIFE BACK.

♪♪

[ TRAIN HORN BLARES ]

♪♪

♪♪

♪♪

Kelly: TODAY I'M GETTING
GASTRIC SLEEVE SURGERY.

I'M FEELING
VERY NERVOUS AND SCARED.

MY COUSIN GARY CAN'T BE HERE
TODAY, BECAUSE HE'S ON

A BUSINESS TRIP,
BUT MY UNCLE AND GARY'S DAUGHTER

ARE ON THEIR WAY.

[ DOOR OPENS ]

HEY!

HOW ARE YOU?

FINE, AND YOU?

YOU HAIR,
IT LOOKS SO PRETTY.

AWW, THANK YOU.

EVERYTHING WILL BE OKAY.

MM!

EVERYTHING WILL BE OKAY.ALL RIGHT.

OKAY.

[ LAUGHS ] BEHAVE.

BYE.

LOVE YOU, GUYS.

OKAY, MISS MASON.

I REALLY NEED THIS SURGERY
TO MOVE FORWARD IN MY LIFE,

BUT I'M REALLY NERVOUS.

I'M JUST WORRIED ABOUT GOING
TO SLEEP AND NOT WAKING UP.

I DON'T WANT TO DIE.

I'M RISKING EVERYTHING FOR
THE CHANCE TO HAVE A FUTURE,

SO I HOPE I'M DOING
THE RIGHT THING.

Dr. Nowzaradan: TODAY
WE'RE ATTEMPTING TO PERFORM

A GASTRIC SLEEVE ON KELLY.

WE HAVE HAD HER IN THE REHAB
FACILITY FOR THE PAST MONTH,

WORKING TO GET HER HEART
TO A HEALTHY ENOUGH PLACE

FOR HER TO BE ABLE
TO TOLERATE SURGERY

AND SURVIVE UNDERGOING
AN OPERATION.

ALL RIGHT,
TURN THE ROOM LIGHT OFF.

WE HAVE HER WEIGHT DOWN TO 453,
AND WITH OVER 270 POUNDS

OFF OF HER BODY NOW
FROM HER HIGHEST WEIGHT,

WE'VE BEEN ABLE TO REDUCE
THE STRAIN ON HER BODY AND HEART

ENOUGH TO MOVE AHEAD
WITH THIS OPERATION TODAY.

BUT THIS SURGERY IS STILL
EXTREMELY HIGH-RISK,

BECAUSE KELLY'S HEART
HAS SUSTAINED A LOT OF DAMAGE

FROM HER WEIGHT FOR SUCH
A LONG PERIOD OF TIME

THAT IT MAY NEVER FULLY RECOVER,
EVEN THOUGH WE HAVE BEEN ABLE

TO GET HER TO A MUCH BETTER
PLACE PHYSICALLY.

[ MONITOR BEEPS ]

SO SHE STILL HAS A LONG WAY
TO GO TO GET HER HEART

TO WHERE IT NEEDS LONG TERM,
AND THE ONLY WAY SHE HAS

A CHANCE TO DO THAT IS
TO CONTINUE LOSING

THE REST OF THE WEIGHT
SHE NEEDS.

AND THIS SURGERY WILL GO A LONG
WAY IN HELPING HER DO THAT,

BECAUSE WHAT THIS OPERATION DOES
IS REDUCE THE STOMACH BY 90%,

LEAVING A SMALL,
NARROW TUBE THAT LOOKS SIMILAR

TO A SLEEVE SO A THE PATIENT'S
FOOD INTAKE IS PHYSICALLY

LIMITED FROM OVEREATING
AND THE PATIENT IS LESS HUNGRY.

SO THIS OPERATION WILL GIVE THEM

AN OPPORTUNITY TO
LOSE EVEN MORE WEIGHT.

Bernard: KELLY'S HAVING
WEIGHT-LOSS SURGERY.

I'M REALLY NERVOUS
BECAUSE I DON'T KNOW HOW

IT'S GONNA COME OUT.

Dr. Nowzaradan:
OKAY, I HAVE THE STOMACH.

ALL RIGHT, LOOKS GOOD.

ALL RIGHT, ROOM LIGHT ON.

ALL RIGHT, WE'RE DONE.

KELLY'S SURGERY WENT VERY WELL.

WE COMPLETED THE GASTRIC SLEEVE
AND REMOVED ABOUT 90%

OF HER STOMACH,
SO THIS WILL GREATLY REDUCE

HER ABILITY TO OVEREAT.

SO WE'LL GET HER TO RECOVERY
NOW SO SHE CAN REST.

IF THERE ARE ANY
COMPLICATIONS WITH SURGERY,

THEY HAPPEN IN THE FIRST
72 HOURS AFTER THE OPERATION,

AND WITH HER HEART,
WE WANT TO MAKE SURE WE ADDRESS

ANYTHING THAT GOES ON
WITH HER IMMEDIATELY,

SO WE'RE GONNA KEEP A CLOSE EYE
ON HER DURING THAT TIME,

AND THEN AFTER A WEEK OR SO,
I'M GONNA SEND HER BACK TO REHAB

AND CONTINUE WITH HER PHYSICAL
THERAPY AND GET HER STAMINA

BACK UP, BECAUSE IT'S
VERY IMPORTANT TO MAKE SURE

KELLY DOESN'T USE THIS
RECOVERY TIME AS AN EXCUSE

TO STOP GETTING UP
AND EXERCISING LIKE SHE NEEDS.

SO WE WILL SEND HER HOME
IN A FEW WEEKS, BUT UNTIL THEN,

KELLY WILL NEED TO STAY
ON A LIQUID DIET,

AND SHE SHOULD BE ABLE
TO LOSE 30 TO 40 POUNDS

HER FIRST MONTH AND AT LEAST
20 POUNDS EACH MONTH AFTER THAT.

BUT FOR NOW, WE NEED TO
FOCUS ON HER RECOVERY

AND MAKING SURE SHE DOES
WHAT SHE NEEDS

TO KEEP HER HEART STRONG.

♪♪

[ EXHALES SHARPLY ]

Kelly: IT'S BEEN
A MONTH SINCE SURGERY,

AND I'VE BEEN IN A REHAB
SINCE I WAS DISCHARGED

FROM THE HOSPITAL.

SINCE SURGERY,
MY BODY HAS BEEN IMPROVING.

HELLO.

HERE'S YOUR LUNCH,
DARLING.

OH, THANK YOU.

THANK YOU.
ENJOY.

THANKS.ALL RIGHT.

RIGHT NOW I'M THE FULL
LIQUID STAGE OF THE DIET,

SO IT'S LIKE SOUPS
AND RUNNY EGGS, ICE POPS.

SOME DAYS ARE EASIER
THAN OTHERS.

MY BIGGEST CONCERN RIGHT NOW IS
I'VE BEEN READY TO GO HOME,

BUT MY COUSIN GARY JUST
BASICALLY KICKED ME OUT.

HE TOLD ME, LIKE,
"WE DEFINITELY LOVE YOU,"

BUT I COULDN'T STAY
WITH THEM ANYMORE.

I FEEL LIKE THIS IS ME
BEING ABANDONED AGAIN.

NOW I HAVE TO FIGURE OUT
A PLACE TO LIVE,

BECAUSE I CAN'T STAY
AT REHAB MUCH LONGER.

IF NOT, UNFORTUNATELY, I'LL HAVE
TO GO BACK TO GREENSBORO.

[ SIGHS ]
I DON'T KNOW WHAT ELSE TO DO.

BUT I WOULD DEFINITELY
LIKE TO STAY.

I KIND OF JUST FELT LIKE TEXAS
MIGHT BE A NEW LIFE FOR ME.

BUT RIGHT NOW
IT JUST FEELS LIKE I'M STUCK,

AND THAT IT'S GONNA BE
FINAL ONE DAY.

♪♪

♪♪

Kelly: MY SURGERY WAS ALMOST
TWO MONTHS AGO,

AND I'M IN REHAB JUST
CHILLING ON THIS DIET.

I'VE BEEN READY TO GO HOME,
BUT I HAVE NO WHERE TO GO.

DR. NOW SAID I WASN'T READY TO
LEAVE, BUT I DO HAVE GOOD NEWS.

MY COUSIN GARY JUST CALLED ME,

AND HE SAID IT'S OKAY
TO COME BACK.

HE CHANGED HIS MIND AND SAW --
I'M FEELING HAPPY,

BECAUSE I'M GETTING
DISCHARGED TODAY.

Dr. Nowzaradan: IT'S BEEN
A COUPLE MONTHS SINCE WE DID

KELLY'S WEIGHT-LOSS SURGERY,
AND WE KEPT HER HERE IN REHAB

DURING THAT TIME,
BECAUSE SHE SAID HER COUSIN

WASN'T LETTING HER
MOVE BACK WITH HIM,

SO SHE'S HAD NO PLACE TO GO.

BUT FORTUNATELY, SHE SAYS
HE'S HAD A CHANGE OF HEART NOW,

AND THAT SHE CAN GO
BACK TO STAY WITH HIM.

HI, KELLY.

HEY.

HOW ARE YOU TODAY?

I'M OKAY.

ALL RIGHT, SO I THINK
YOU'RE READY TO GO HOME.

OKAY.THE BIGGEST CHALLENGE

IS GONNA BE WHEN
YOU GO HOME

YOUR DIET IS DIFFERENT
THAN OTHER PEOPLE.

BUT YOUR STOMACH WON'T
BE ABLE TO HOLD MUCH NOW,

'CAUSE YOUR STOMACH
IS RIGHT NOW SO SMALL.

UH-HUH.YOUR STOMACH IS LIKE

THE SHAPE OF A BANANA...OKAY.

...AND THAT'S GONNA
BE SMALL CAPACITY.

SO STICK WITH YOUR OWN
DIET AND DON'T WORRY ABOUT

WHAT OTHER PEOPLE
ARE EATING.

NOPE, I'M NOT
WORRIED ABOUT THEM.

ALL RIGHT.THEY'RE SKINNY ALREADY.

ALL RIGHT.
YOU SHOULD BE ABLE TO LOSE

100 POUNDS
IN THREE MONTHS.

OKAY. I'M GONNA
HOLD YOU TO THAT.

SO --I'M GONNA FOLLOW THIS

COMPLETELY -- EXACTLY
THE WAY YOU SAID.

YOU'RE GONNA BE --

AND I'M GONNA MAKE SU--
I'M GONNA HOLD YOU TO IT.

YOU CAN DO THAT.

BUT REMEMBER, THIS IS
ALL STILL UP TO YOU.

SO STICK TO THE DIET, BECAUSE
YOU'RE STILL IN HEART FAILURE.

OKAY.

AND WE DON'T KNOW
AT WHAT POINT THAT WILL CHANGE

BECAUSE OF ALL
THE DAMAGE YOUR HEART HAS.

BUT YOUR ONLY CHANCE
FOR ANY MORE IMPROVEMENT

IS TO CONTINUE LOSING
AND DOING YOUR EXERCISES.

DO YOU UNDERSTAND THAT?

OKAY. GOT YOU.
OKAY.

IF YOU START GAINING AGAIN,
WE HAVE TO PUT YOU BACK

IN THE HOSPITAL
TO SAVE YOUR LIFE,

AND I DON'T THINK
YOU WANT THAT.

YEAH.

GREAT.
IF YOU STAY ON TRACK,

IN SIX MONTHS, WE'RE GONNA
TAKE SOME SKIN OFF YOU.

WITH ALL THE WEIGHT YOU LOST,
YOU ALREADY HAVE AROUND

20 TO 30 POUNDS OF EXTRA SKIN
STARTING TO HANG

ON YOUR STOMACH,
AND HAVING THAT REMOVED

WILL BE
A BIG HELP FOR YOU.

OKAY.

BUT THAT'S DOWN THE ROAD,
ONLY IF YOU STAY ON TRACK.

OKAY, LET'S BRING THE SCALE
AND SEE HOW MUCH YOU LOST.

OKAY.
ALL RIGHT?

ALL RIGHT.

♪♪

[ EXHALES SHARPLY ]

♪♪

♪♪

OKAY, YOU'RE AT 401.

THAT'S FANTASTIC --
TWO POUNDS FROM 300.

SO YOU EFFECTIVELY LOST
OVER 320 POUNDS AT THIS POINT.

GREAT.THAT'S GOOD PROGRESS FOR YOU.

YAY.

ALL RIGHT, KELLY,
I'M PROUD OF YOUR PROGRESS.

OKAY?

ALL RIGHT, CAN YOU
TELL THAT YOU'RE ABLE

TO WALK
AND HOW BETTER IT IS?

YES AND NO.

WELL, IF YOU START WORKING
AND DOING MORE EXERCISE,

YOU'RE GONNA GET
BETTER STAMINA.

ALL RIGHT.

IT'S BECAUSE I HAVE
TO THINK WHEN I WALK NOW.

I GUESS
I'M TRYING TO WADDLE.

WELL, THAT'S BECAUSE WHEN
YOU WERE, LIKE, 700 POUNDS,

YOU COULDN'T MOVE,
SO YOU HAVE TO

SWING YOUR BODY
TO TAKE THE STEP.

YEAH, SO NOW IT'S LIKE --

NOW YOU HAVE TO --

SO NOW I HAVE TO REMEMBER,
LIKE, TO LIFT MY KNEES

AND SO I HAVE TO
THINK ABOUT IT.

THINK ABOUT WALKING --

I HAVE TO
THINK ABOUT IT.

YOU GOT TO LEARN TO WALK
WITH YOUR NEW TWO FEET.

YEAH, IT'S LIKE --
IT'S LIKE RE-TRAINING A BABY,

LIKE TRAINING
A BABY AGAIN. [ LAUGHS ]

YEAH.

YEAH, SO --

WELL, I'M SURE YOU'RE GONNA
LEARN THAT REAL QUICK.

YEAH. OKAY.

ALL RIGHT, KELLY,
YOU TAKE CARE.

ALL RIGHT. YOU TOO.

♪♪

[ DOOR CLOSES ]

Dr. Nowzaradan:
I'M REALLY PROUD OF KELLY.

SHE'S BEEN STAYING DETERMINED

AND DOING WHAT SHE NEEDS
AND HAS COME A LONG WAY SO FAR.

BUT SHE HAS TO MAKE SURE
SHE STAYS ON TRACK STILL

AND DOESN'T GET TOO COMFORTABLE
AND ALLOW HER PROGRESS

TO SLOW DOWN, BECAUSE SHE CAN'T
AFFORD TO LOSE ANY TIME --

GETTING MORE STRAIN OFF
OF HER BODY AND HEART

BUT LOSING MORE WEIGHT
AND IMPROVING HER STAMINA.

Kelly: IT FEELS LIKE
THE FIRST DAY OF, LIKE,

A NEW LIFE, ACTUALLY,
AND I'M EXCITED.

MY PLAN IS TO, YOU KNOW,
STICK TO THE DIET,

DO PHYSICAL THERAPY,
OCCUPATIONAL THERAPY,

TO WALK IN THE NEIGHBORHOOD,

DO WHAT DR. NOW
EXPECTS ME TO DO.

WITH MY HEART NOT FUNCTIONING
THE WAY IT'S SUPPOSED TO,

THIS BREATH COULD BE
MY LAST BREATH.

BUT I DON'T WANT TO DIE.

♪♪

♪♪

THE LAST MONTH HAS BEEN GREAT.

IT'S NICE WITHOUT
BEING IN THE HOSPITAL.

I'M FOLLOWING THE DIET,

AND I'VE BEEN KEEPING UP
WITH MY PHYSICAL THERAPY.

MY MOBILITY IS INCREASING.

I FEEL LIKE I CAN
DO MORE THINGS --

KIND OF WORKING ON MY STAMINA.

I'M LESS OUT OF BREATH.

I DON'T WANT TO FALL BACK
TO FOOD, BECAUSE I ACTUALLY,

HONESTLY, WANT TO LOSE
THE WEIGHT AND KEEP IT OFF.

MY NEXT DOCTOR'S APPOINTMENT
IS IN A WEEK AND A HALF.

I'M EXCITED TO SEE HOW FAR
MY WEIGHT LOSS HAS GOTTEN.

I SIGNED UP TO CHANGE MY LIFE,

AND FOR THE FIRST TIME,
I SEE A FUTURE.

WOMAN:
Hello. Admissions.

HI, I WAS CALLING
TO FIND OUT INFORMATION

ABOUT SUMMER CLASSES.

I HAVE TWO CLASSES THAT
I NEED TO TAKE IN ORDER TO GET

MY DEGREE A COLLEGE
IN NORTH CAROLINA,

AND I PLAN ON GRADUATING
FROM THAT COLLEGE.

Your credits transferred,
and all you have to do

is sign up,
pay the tuition,

and then come out
to the classes.

OKAY, NO PROBLEM.

THANK YOU SO MUCH.

Okay. No problem.
Have a nice day.

BYE. YOU TOO.

NOW THAT I'M LOSING MORE WEIGHT,
IT'S LIKE A NEW WORLD --

'CAUSE I WANT TO LIVE.

♪♪

♪♪

♪♪

Dr. Nowzaradan: SO, THERE WAS
NO TRAUMA OR INJURY?

IT LOOKED LIKE IT WAS
A CARDIAC ARREST?

MAN:
That's what it seems.

WELL, KELLY WAS BATTLING
WITH HER HEART CONDITION

FOR A LONG TIME.

WHAT TIME DID IT HAPPEN?

At the time, nobody was there,
so we don't know exactly

what the time of death was,
but it seems like it was

of natural cause
of her heart condition.

I JUST RECEIVED A CALL
FROM THE MEDICAL EXAMINER

TO INFORM ME THAT
LATE LAST NIGHT,

IT APPEARS KELLY'S HEART
GAVE OUT.

OKAY, THANK YOU.

CONSIDERING THE CONDITION
THAT KELLY'S HEART HAS BEEN IN,

THIS NEWS IS NOT
COMPLETELY UNEXPECTED.

I WAS STILL VERY HOPEFUL
THAT WE WOULD BE ABLE

TO GET HER OUT OF
A STATE OF HEART FAILURE,

SO I'M VERY SADDENED
TO HEAR THIS NEWS.

AT KELLY'S LAST APPOINTMENT
WITH ME A FEW WEEKS AGO,

HER WEIGHT LOSS WAS ON TRACK,
SO THIS IS NOT A RESULT

OF HER STARTING TO
GO BACK TO HER OLD HABITS.

SHE WAS WORKING HARD
AND DOING WHAT SHE NEEDED.

BUT DESPITE THAT,
THE DAMAGE TO HER HEART

UP TO THIS POINT
WAS JUST TOO SEVERE.

HELLO.

YEAH, THIS IS DR. NOWZARADAN.

WHEN A PATIENT IS OVER
600 OR 700 POUNDS LIKE KELLY WAS

AT HER HIGHEST, IT TAKES A TOLL
ON THE WHOLE BODY

AND CERTAINLY SHORTEN
THEIR LIFE-SPAN.

BUT AS DOCTORS, WHEN WE HAVE
A PATIENT LIKE KELLY,

WE WANT TO TRY AND DO EVERYTHING
WE CAN TO HELP GIVE THEM

A NORMAL LIFE BACK BY UNDOING

THE DAMAGE FROM YEARS
OF UNHEALTHY CHOICES.

SOMETIMES IN THE END
THE DAMAGE WAS JUST TOO GREAT,

AND WHAT WE DO ONLY ENDS UP
HAVING A MINIMAL EFFECT.

BUT THAT DOESN'T MAKE OUTCOMES
LIKE THIS ANY EASIER TO ACCEPT,

ESPECIALLY WHEN KELLY
WAS WORKING SO HARD

AND MAKING SUCH GOOD PROGRESS.

I WANT TO TELL YOU
THAT KELLY TRIED VERY HARD

AND FOUGHT ALL THE WAY
TO THE END.

I'M VERY SORRY FOR YOUR LOSS,

AND CONDOLENCE
TO EVERYBODY IN THE FAMILY.

YOU KNOW, IF YOU NEED ANYTHING,
GIVE US A CALL.

BYE.

KELLY NEVER GAVE UP.

SHE WAS FIGHTING FOR HER LIFE,
AND I'M PROUD OF HER FOR THAT.

AND I THINK THE FIGHT SHE MADE
FOR HER LIFE IS AN INSPIRATION,

BECAUSE EVEN WHEN
THE OUTCOME LOOKED BLEAK

OR EVEN HOPELESS AT TIMES,

YOUR LIFE IS ALWAYS WORTH
TRYING YOUR HARDEST TO SAVE.

AND AS DOCTORS, WE WILL NEVER
STOP DOING EVERYTHING

IN OUR POWER
TO GIVE ALL PATIENTS

THE GREATEST CHANCE TO DO THAT.

AND WE'LL NEVER GIVE UP
THE HOPE THAT,

NO MATTER THE ODDS,
THEY CAN DO IT IF THEY TRY.

BUT THAT DOESN'T MAKE IT HURT

ANY LESS WHEN
THEY DON'T MAKE IT.

♪♪