All language subtitles for My 600-lb Life S11E02

I am tired.

We in Houston.

My whole body hurtin'.
[grunts]

I'm tired of being fat.

[solemn music playing]

[woman crying]
Somewhere in me is this
little glimmer of hope.

I just wanna be
a normal person.

[sighs wearily]

[breathing heavily]

You can't do it,
and then I just... Man!

[woman 2] If I don't
make a change now,

I am scared
it's gonna be too late.

[woman moaning in pain] No...
It hurts!

[woman 3] I refuse
to stop fighting.

I have to do this
for my children.

[shouts in pain]

In lying so much to yourself,
you believed the lie.

In lying so much to yourself,
you believed the lie.

You're not going to make it.

That's basically
all you have to say.

[solemn music playing]

[grunting]

[Latonya speaking]

-[woman speaks indistinctly]
-Yes, ma'am.

[grunts]

[Latonya] The life that
I'm living right now,

is uncomfortable.

[straining]

[sighs wearily] Oh, wow!

I barely can get out the bed
because of my weight.

And the lymphedema
that grow from my legs,

they hurts... night and day,

like, the pain, is unbearable.

It's a fatty tissue that
makes your legs swell.

Being in this body,
being uncomfortable 24/7,

it's a different
kind of experience.

it's a different
kind of experience.

You know, I feel scared,
because my mobile state

is not getting any better.

And I know that
things are getting harder

and worser for me.

Like, I still can walk.

But, just not so far.

I promised myself that
I wouldn't be in a wheelchair.

-But I can't even stand up
in the shower.
- [water splashing]

I have to sit
on the side of the tub.

It hurts.

[straining]

[sighs wearily] Ooh!

-[thumps]
-[straining]

[Latonya speaking]

[sighs] Oh!

[grunts]

Okay.

[Latonya speaking]

[high-pitched squeaking]

[Latonya speaking]

[Latonya speaking]

I live with my fiance.

He wakes up before me, so...

My caretaker usually take care
of my shower, washing my back,

or, you know, getting areas
that I can't reach.

[Latonya speaking]

[straining]

[Virgie speaking]

[Virgie speaking]

[Latonya straining]

[straining] Okay.

To take a shower,
takes so much energy.

[straining] Oh, God.

Once I'm done, I'm tired.

And, you know I'm hungry,
I'm thinking about food.

[Latonya speaking]

[Virgie] Oh, okay.

I spend five hours
with Latonya a day.

When I started working
with Latonya,

she was more independent.

But, right now, with
the amount of weight on her,

Latonya rely on me a lot
to make meals,

because she tires easy.

And that her legs are hurtin'
and they are swollen.

So, she gets in the bed

and I make her
something to eat

and I make her
something to eat

and I take it back to the bed.

Oh, but this is
all somethin' fairly new.

She wasn't really
doin' that before.

[groaning] Okay.

[straining] One, two,
three, four...

five, six.

[sighing]

[grunts]

Can I get
some lotion on my feet.

The cocoa butter lotion?

Mmm-mmm! This.

I barely can even,
like, you know,

take care of my fiance
as a woman,

because of me
being overweight,

and I don't wanna be...
unfair to him.

and I don't wanna be...
unfair to him.

He's completely devoted
to me because

I helped him
get out of prison.

But still, I don't
want him to feel like

he have to take care of me,
you know.

Anything she asks me to do,
I help her with it.

[Daune speaking]

-Yeah, I'm good.
-[Daune] All right.

-[Latonya] Thank you, babe.
Love you.
-Love you, too.

-[Latonya] Thank you, babe.
Love you.
-Love you, too.

[Latonya] Food is like
my best friend.

Thank you.

Can I have some juice, Ms. V?

When I eat,
it take the stress away.

This is what I do
to help me cope with things.

-I need a roller cart.
-[Latonya] Right.

[Virgie] We gonna
have to get one.

[Latonya] I know that the food
is unhealthy

and is not good for me,

and is not good for me,

but with the habit
that I had so long,

it's hard to change it.

So, I'm disappointed
in myself,

for letting myself
get to this place.

But, you know,
you can't change the past.

[melancholy music playing]

You know the situation
with me as a child.

I have three siblings,

my sister, my older brother,
I have a deceased brother,

I was the baby.

And, up until
the time that I was 12,

And, up until
the time that I was 12,

everything was
really peaceful.

My dad was always there,
he was the provider,

to bring in the finances,
with my mom.

And, during my early
elementary school years,

And, during my early
elementary school years,

I was always a little chubby.

Food was just something we did

as a family
and as a community,

and I loved eating
for that reason.

Because food
always meant love.

But then when I was 12,
everything changed,

because that's when
my mom died very suddenly.

My mother had asthma real bad,

so, one night,
she was having an attack.

So, my older brother, Terry,
took Mom to the hospital,

So, my older brother, Terry,
took Mom to the hospital,

and before she left, she said,

"If I don't make it back
tell everybody I love 'em."

But, you know,
I'm not thinking

that it's a possibility that
my mom not gonna come back.

So, when we
got to the hospital,

when we went in the room,
me and my sister,

they let us go in and I was
tryin' to wake my mom up,

but she wouldn't wake up.

[Latonya speaking emotionally]

[voice breaking]
So, I just...

When my mom passed away

I started to turn food
into a comfort.

I started to turn food
into a comfort.

Food took
my painful thoughts away,

and it made me happy
for that moment.

When my mom passed away,

my father moved away
three months later,

with a lady that
I didn't get along with.

I moved in
with my older sister,

which is my only sister.

I stayed with her
for a few years.

She always was
a good little girl.

Once my mom passed,
she had to come live with me.

And I guess I think she felt
like she was kinda alone.

And I guess I think she felt
like she was kinda alone.

But, she had
my kids to play with,

but it's just not like
having your mother.

[Latonya] When I turned 15,
I got my own place.

And, I was only able
to do that because

my dad came through
and signed for the lease

in his own name.

And I just been
on my own ever since.

So, my daddy being
the type of man that he is,

financial-wise,
he did what he could,

but, as a child...

[voice breaking]

So, then I lived
on my own for a while,

and during that time
I gained a lot of weight.

By the time I was 15,
I was up to 200.

And by the time I was 17,
I was up to 300 lbs,

'cause I really had no one
taking care of me,

and I could do
whatever I wanted.

It was the food
that made me feel better.

I was gonna
drop out of school.

I was gonna
drop out of school.

But my godmother
got a hold of me,

and made me finish.

Latonya gone
through a depression.

She started eating more
and staying to herself a lot.

And that bothered me.

I can't really explain it
but she changed a lot.

As I got grown, I just
got comfortable with life,

and, you know,
I just gained a lot of weight

over the years, you know.

[Valerie] I saw her
and I told Latonya,

[Valerie] I saw her
and I told Latonya,

I said, "You gonna have to
get control of your weight."

She felt like
she had control of it.

'Cause she said
she was walkin',

she was in the gym exercisin'.

But at some point, I guess,
she stopped dietin',

and kept eatin'.

[Latonya] Like five years ago,
I fell and broke my knee,

so, I went to the hospital

and that's when I got
the motorized wheelchair.

And once I sat down
on one of those,

it's like I never
got back up again,

it's like I never
got back up again,

and my health
has gone down ever since.

[hopeful music playing]

Praise God,
that during the lockdown,

I was able
to find a ray of light.

'Cause it was during that time

when my fiance
got in touch with me.

I was incarcerated and I ran
into one of her cousins.

So, he was like,
I got a cousin for you.

He showed me pictures of her
so I was like, "Yeah!"

I know she a good person.

She teach me some things,
you know what I'm sayin'?

I knew that
he loved me just the way I am.

I just can't
thank God enough, you know.

How God work things out.

But now, I need to be able
to live long enough

for us to grow old together.

A few years back,
I went to see Dr. Now,

but I don't think he ever
took me really seriously.

Because I decided
that I wasn't ready yet.

I couldn't commit
to doin' a program.

But now I'm thinking
that I need to go back

and see him again.

-[Virgie] You done?
-Yes, ma'am.

-[Latonya] Thank you.
-Oh, my Lord,
you did real good.

And, can I get a wet towel,
wash my hands.

Yes, ma'am.

Tonya?

Tonya?

Tonya.

-Yeah.
-Time to get up.
Time to get up.

[Latonya] I don't know
what time it is.

Let's go to the grocery store.

-[Daune speaking]
-[cell phone ringing]

[softly] Ready when you ready.

Adrian got the keys.
He waiting for you outside.

Okay, I'm coming.

[Daune] Let's go.

I go grocery shopping
maybe once a month,

because it's hard for me
to get back and forth

to the grocery store.

to the grocery store.

[sighs wearily]

-You good?
-Yeah.

Would you
tell Adrian I'm coming?

Please.

And you guys can go on

and get the boards
and stuff ready,

so I can be already ready.

All right. All right, baby.

-[Latonya] Thanks babe.
-[kisses]

Thank you.

Um, my nephew Adrian,
maybe, like,
three times a week.

you know, ask Daune,
he help me run my errands

and do things for me,
you know.

and do things for me,
you know.

-Oh, my God!
It's cold out here.
-[Daune] I told you it's cold.

It's freezing.
I'm sorry, guys.

-[Daune] Told you it was cold.
-[Latonya] I am so sorry.

-I'm sorry.
-Told you it was cold.

[Latonya speaking]

[speaking indistinctly]

[groans] Oh!

[grunts]

I climbed in my van.

That take a lot of energy,
so before I can
start the van and drive,

I have to take a breath,
because

I have to take a breath,
because

It done took so much energy
to do all that movin'.

[speaking indistinctly]

[Latonya speaking]

[Daune speaking]

[groaning and straining]

[Latonya speaking]

I take my chair,
because when I ride
the store wheelchairs

I'm uncomfortable.

When I'm in my wheelchair,
I'm comfortable.

And I don't get really tired
when I go grocery shoppin'

because I'm doin'
somethin' that I like.

[grunts]

Once I get inside, I'll be
in the store for hours,

because I don't know
the next time when I'mma go.

Everybody got a hobby,
and food is my hobby.

Oh, y'all get some doughnuts?

The glazed doughnuts?

Get the strawberry ones too.
Them different.

I eat about
six times per day.

Daune, the chips
are over here.

[speaking indistinctly]

I need some meat.

Eggs, bacon.

Turkey bacon with some juice.

Pork, beef, chicken.

Tilapia fish and a salad
or something like that.

Jambalaya rice,
macaroni and cheese.

I love chips, I like candy.

I love chips, I like candy.

Cake, you know,
cookies, you know,

sweet stuff like that.
I love cereal.

Some days I don't even
eat regular food.

I just eat snacks all day.

Thank you for your time.
You too. Be blessed.

Thank you. Goodbye.

Food is my comfort zone,

and I'm just
tryin' to get out,

get in the car.

So I can eat chips,
something like that.

[straining] One, two...

[grunting]

-Oh, my God.
-[car door closes]

Ooh! Don't drop that,
it's hot.

Yeah! Ouch!

I'll call you
when it's ready, babe.

I'll call you
when it's ready, babe.

Okay.

It's so hard to stop
because the food,

it just feels so good,
you know.

It takes the pain away.

It's been my friend
for a long time.

Oh, yeah!

I'm ready to go to Houston,
and meet Dr. Now.

Like my mama used to say,
"If you gonna worry,
don't pray.

If you gonna pray,
don't worry."

For all the people
who was praying for me,

I thank 'em.
You know what I'm sayin'?

I thank 'em.
You know what I'm sayin'?

Now, it's my turn,
to pay her back, you know.

That's why I'm here.
I'mma stay with her forever.

She gonna do it this time.

All the way.
She gonna go all the way.

Lose this weight,
'cause she got me with her.

[Latonya] The outcome
of what I'm eating...

My fear is that
if I don't lose weight

that I won't be
around a lot longer.

I wanna change that.

I wanna save my life,

because I don't wanna
be this person anymore.

I don't wanna be in this body.

My body feel like
it's my prison.

I'm ready to get out of it.

We come here. We gonna live,
and we gonna die.

And I'm not ready
to let go yet.

[guitar music playing]

[Latonya]
Got my tights in here,
gotta get my boots.

-Got to go see Dr. Now
with my boots.
-[Virgie] Yeah.

[Latonya] And I'm just...
I'm excited though.

I'm kinda nervous.

[Virgie speaking]

[Latonya] Today,
I'm going to Houston,
to see Dr. Now.

-Do I--
-You... You can hang that
in the back of the van.

[Latonya] The trip should be
about four-and-a-half hours.

Okay, guys, if y'all can,

just please put that
in the van for me.

That's a very long time
for me to be in the car,

but I should be able
to handle it in one shot.

I plan to drive.

[sighs wearily]

Ooh, it's cold.

No, stick it in, please.

[breathing heavily]

Thank you.

Okay.

[straining] One, two...

-Three.
-[seat squeaking]

[grunts]

[grunts]

[Latonya] Okay, thank you.

Bye. [chuckles softly]

-Okay.
-[Virgie] Drive safe.

-Love you.
-[Virgie] Love you, honey.

-Gotta go. Okay.
-[doors closing]

Y'all ready to roll?
Deuces! Let's roll.

[Latonya] All right, Houston.
Here we come.

Honey, are we there yet?

Honey, are we there yet?

-[Daune] What? Oh.
-[Latonya] Are we there yet?

[Latonya speaking]

Yup.

-I just... my...
-You alright?

And then I'm driving
with my trip toe.

With my toe
'cause I'm too far back.

I'm too short.

[Daune] Uh, we're in Bethesda.

Babe, get my cake out the bag.

Open it for me.

It's my last week, so...

I gotta get it in before I go
to Houston to see the Dr. Now.

Thank you.

This is wear and tear
on the body.

Now, I'm just ready
to get out of this car.

I don't wanna talk to
nobody rest of the night,

I don't want nobody calling
my phone, leave me alone

-till tomorrow.
-[Daune] It'll pay off
in a year, baby.

-till tomorrow.
-[Daune] It'll pay off
in a year, baby.

[Latonya] No, I'm really
trying to make
a change. I'm trying.

-You gotta do it then.
-Shut up, don't tell me what
the [bleep] I gotta do.

Yeah, you got it.

I ain't gotta do [bleep]
except stay
black, fat and die.

You ain't gonna stay fat,
so, I don't know
about the rest of that.

We need you to be here
for a long time.

Okay?

[Latonya] It may seem that
I come out mean, crazy,

it's just a lot of emotions

that I'm dealing with
at this moment.

that I'm dealing with
at this moment.

So, when you're in pain,

you sad because--
because you feel that way.

So sometimes you do
be angry with
people around you.

It's not intentional,
but it just happen like that.

I am ready to lay down!

I'm tired, I'm aggravated,
and I'm pissed off.

Thank God I'm finally here.

All right, shorty.

All right, shorty.

I've been in the car
for four hours straight.

We haven't stopped at all.

Living with pain like this
is no way to live.

Hey.

All right.

[groaning]

[groaning]

I've got your chair.

[Duane] Here you go.

You got it?

[groaning]

[indistinct conversation]

[solemn instrumental
music playing]

[Duane] Here you go.

[Latonya] Ah, awesome.

This gonna be
my side over here.

This gonna be
my side over here.

[sighs in relief]

Oh Lord, that ride was four
hours and I am beat.

I'm ready to lay down.

My whole body hurting.

Nobody be not missing me
tomorrow. Period.

I don't want to be bothered.

At all.

Can you please...

turn the lights off,
so I can lay down?

-'Cause I'm tired. Yeah.
-[man] All right. Well...

-'Cause I'm tired. Yeah.
-[man] All right. Well...

-All right. I love you too.
Hm [kisses].
-I love you.

[Latonya] I'll see you
in the morning.

[captivating instrumental
music playing]

[Latonya] I am
feeling anxious,

I just--I don't know
what he's gonna tell me.

-[beeping]
-I'm just excited and I'm just
ready to get it over with

and get it started.

Right now the hardest part
is just starting.

But you know you have to
start from somewhere, so...

[Latonya] Oh my God,
y'all we here!

[Latonya] Oh my God,
y'all we here!

Let's start this now.

[Duane] The whole thing.

[Latonya sighs]

[indistinct conversation]

[Latonya] I don't know
if Dr. Now
is gonna remember me.

But if he does,

I'm worried that he's not
going to take me seriously.

[keys jingling]

[cell phone ringing]

[enchanting instrumental
music playing]

[door closes]

But I know my life
depends on losing weight.

But I know my life
depends on losing weight.

But I'm ready to do
whatever it takes this time.

To make sure that
that happens.

So I just hope I get
another chance from him.

I cannot screw this up again.

It's either do this right this
time or die.

[introspective instrumental
music playing]

I'm here at Dr. Now's clinic
to get my weight checked.

And it's been a long time
since I've been here.

-Latonya?
-[Latonya] So I'm really
worried about

how much weight I did gain.

Good luck.

-Yes. I think so.
-In here. [chuckles politely]

-Excuse me.
-Mmm-hmm.

-Excuse me.
-Mmm-hmm.

Ah...

[Daune] Do you know what one?

I think this is the one.

-Ok.
-[clanging] How gone...

-This is good.
-I know.

You gotta get on it.

I know.

It's gonna be hard for me.

You ready to step on?

-Not really.
-[nurse] Let me know.

-Not really.
-[nurse] Let me know.

Dang, everybody right here.

This is a difficult moment
for me.

Take the sweater off.
Need no extra pounds.

Okay.

-Get all this...
-[creaking]

Oh, my God.

I'm scared.

[winces]

[winces]

[panting]

[Daune] Just stay right
there...

[Latonya] I'm hurting!

[groans]

[panting]

[nurse] All right your
weight is 632.

[grunts]

[Latonya] I'm not
too happy with that.

But it could've been worse.

Daune, can you get
the jacket for me?

-[nurse] Okay, we're going
to go to room five.
-Okay.

[bleep]

-[Daune] Oof.
-[Latonya] I know you tired.

-[Daune] Oof.
-[Latonya] I know you tired.

-Oh no.
-You tired.

Please. I'm not...

...tired.

I know.

I'm tired too.

I'm ready to
get this over with.

I'm tired of being fat.

Hm.

[doorknob rattling]

-Hello, how y'all doing?
-Hello. Hi. Dr Now,
how're you doing?

-[door closes]
-Good. So...

[Dr. Now] Latonya?
Good to see you again.

-Yes, sir.
-So, you brought someone new

-Yes, sir.
-So, you brought someone new

with you this time.

And who is this
young man with you?

This is my fiance, Daune.

All right, nice
to meet you, Daune.

[Dr. Now] Well,
Latonya, it says

here in the chart, that you
came in five years ago,

when you were 482 pounds,
and now you're 631 pounds.

How long you've been in this
motorized wheelchair?

-[Latonya] About five years.
-Okay [sighs]

[Dr. Now] So, things
have gotten worse
for you.

So, now how motivated

So, now how motivated

you are to change
your eating habit?

How motivated are you
to change your life?

And how motivated you are
to give up this
motorized wheelchair?

[Latonya] I'm very motivated.

-[Dr. Now] What're you
willing to do?
-I--

I'm willing to make a change.

That's why I came here.

Well, you came here before.
And you were given a chance
to make those changes.

And in the past five years,
you haven't
made those changes.

What is different today?
Tell me.

Because I finally have
a great support system,

Because I finally have
a great support system,

with my family,
like I never just...

really just reached out
to my family and...

I always tried
to do it on my own.

And I recently just

reached out to them and
told them to support me.

They really came through.
And then meeting him,
coming into my life,

has been a change because

I know that he love me,
love me, like...

I don't have to question it.

So, I just look forward to
losing this weight because

So, I just look forward to
losing this weight because

I wanna get married,
I wanna have
my own child, like,

and start my own family
and be normal.

All right. So, you know
what normal weight
for you should be?

What I--What is it?
With my height?

-What is it?
-160-170.

Now, can you close your eyes
and imagine you as 170 pounds?

-[Daune] Be about my size.
-Yeah.

[Dr. Now] And you know
you have BMI of over 100?

And normal BMI is 18 to 25.

And that's very high BMI,
and as young as you are...

And that's very high BMI,
and as young as you are...

your body has been
able to handle that.

But that's going
to change here soon.

And if you keep gaining
like you have,
all that weight

is gonna put a lot of strain
on your system

and you're not gonna
live that long.

-Yes.
-Okay, so, it's going
to be a challenge,

for you to get
your weight down,

but you don't have
any more time to waste,
Latonya.

So the changes have
to start now.

And after the diet,

the most important thing
is you get out
of that wheelchair.

People that are
in motorized wheelchairs,
they have a real tendency

People that are
in motorized wheelchairs,
they have a real tendency

-to do everything
in a wheelchair, so...
-Hm.

...you need to
get out of that chair.

So we'll set you up
some physical therapy
to help you do that.

-Okay.
-So, tell me, what is your
eating habit look like?

When you usually wake up
and when do you
usually start eating?

[inhales] Um, I like wake up
at like 10.30, um...

I'mma eat breakfast
at like 12:00.

What do you usually eat?

-Bacon, eggs, um, grits.
-Are you hungry
in the morning?

-Bacon, eggs, um, grits.
-Are you hungry
in the morning?

Mmm-mmm. No, sir.

But if you're not hungry,
you don't have to eat.

But the doctor tell me that
if I don't eat then that
my metabolism

is--is high or low or
something, I don't know...

Okay, let me
tell you one thing.

Everybody gonna confuse you.

But you should never get
confused about
the one thing. Eat less.

-Yes.
-Okay, there no
confusion with that.

Okay, now, if--if you really
put the math together,

you have eaten
the food that belong

you have eaten
the food that belong

-for next four years
ahead of time.
-[Latonya] Mmm-hmm.

So, don't feel like
you have to eat.

-Okay? So, if
you're 600 pounds...
-[chuckles] I got you.

...you can easily lose

I don't know,
60-70 pounds a month.

-Yeah?
-Yeah.

So, how much weight do you
think I would have to lose

before you approve me
for surgery?

Well, I'm going to give you
a month.

And I want you to
lose at least 40 to 50 pounds
in one month.

So, if you
stick to the diet I gave you,

that shouldn't be
a problem for you.

-You think you can do
that? All right. Great.
-I can do it.

-You think you can do
that? All right. Great.
-I can do it.

-Thank you.
-This is gonna be hard.

But nobody said
it's gonna be easy.

You have to be determined,
and you have
to be motivated.

We gonna give
you an instruction

but it's all going to be up
to you to follow those.

I gave you that before but
then you never came back.

-So hopefully this time
it's different. Okay?
-Yes, sir.

So, I'm going to
bring you some stuff,
and then go over it,

and then we're gonna see
how you're doing in four weeks

and whether you lost
40 pounds or not. Okay?

and whether you lost
40 pounds or not. Okay?

And if you do that, then we're
going to work with you.

-Awesome. Awesome, thank you.
-[Dr. Now] Okay. Okay?

-[exhales] All right,
gonna be back.
-I've been telling you, man...

[softly] I'm tired.

You acting like I eat a lot.

Don't matter, you might think
I'm not eating a lot,

Don't matter, you might think
I'm not eating a lot,

you might eat breakfast...

-You think you ain't
be eating a lot.
-Can we just...

-do it
and not talk about it...
-[Daune] You gonna do it.

-Okay. But I can't, I can't.
-[Daune] You talk about it,
still do it.

Not right now.
I just can't...

I don't have the energy,
I'm burnt out.

I don't have the energy,
I'm burnt out.

-Man, I'm burnt out too.
-About weight loss,

-I--I know we can do...
-I'm just saying that
if it's that bad

-then it's good... I did.
-It's not a bad thing.
I heard that, but...

-It's like, you are here,
my family right here
-[Daune] Yeah, right.

everybody just... [growling]

It's our support.

Hopefully, Latonya is serious
about getting healthy,

and finally ready to make
the changes she needs.

The last time
she came to see me,
after I gave her the diet

The last time
she came to see me,
after I gave her the diet

and exercise that she needed,
to start working on,

she didn't come back.

So, in seeing
that she didn't want

to do what it took
to improve her situation.

She seem to have good
support from her fiance,
Daune.

So this is all gonna come
down to whether or not

Latonya is willing to work
to get healthy.

All right.

-So this is what you
need to read.
-Okay.

So let me go over that
with you.

So let me go over that
with you.

So you understand the diet
and exercise you need
to be doing, okay?

-Yes, sir.
-So what it say in here?

-I really don't eat
very much.
-Great, now,

-that's your answer?
-Are you teasing me?

-That's-- No, is what--
That's exactly...
-Yeah.

-...what everybody thinks.
-Yeah.

Latonya, it seems,
is defensive
about her eating habits.

And doesn't realize
how much she actually
is eating at one time.

But she primarily blames
emotional issues as the reason

why she didn't do what she
needed the first time.

why she didn't do what she
needed the first time.

But claimed that she worked
through those issues
with her family,

so they're not holding her
back any longer.

So, we'll see if that's
the case and she's willing
to put in the hard work

to make the progress she
needs.

And the next thing
I want you to do is,

I want you
to follow this book,

and this chapter of exercises.

Oh, wow,
you got your own book.

-Okay?
-What is this?

-Okay?
-What is this?

These are exercises and
three, four, five, six pages.

So you need to do those,

and we're going to get
physical therapy

to help you get walking again.

-[Latonya] Okay.
-[Dr. Now] So, good luck,

try to get your weight down,

and lose at least 40 pounds
this next month.

-Do your exercises, and get
up out of that chair, okay?
-Yes, sir.

-Do you have any--any--
uh, questions?
-I got you.

[Latonya] No, sir.

All right, I'll see you
in a month.

All right, I'll see you
in a month.

-Thank you.
-[Dr. Now] And if
you have

any need for anything,
you may call.

-Okay.
-Nice to see you.

[Daune] No worries.

-[Latonya] Bye, bye.
-[Dr. Now] Bye.

[Latonya] You ready?

It's time to go. Let's go,
please, let's go.

-Let's go.
-Ok...

Watch your feet, baby.
I almost took your my leg off!

[Latonya] I am ready
to do this.

And I'm not gonna
mess it up this time.

In life, you don't get too
many second chances.

In life, you don't get too
many second chances.

And this one here,
is a big one for me.

So, I know better than
to take it for granted.

Ooh. [yelps]

All righty.

Adrian, you ready?

Let's go baby.
Grab that purse
that book, and let's go.

-This is how I'm
gonna make right with myself.
-All right...

-For all the wrong
I've done to my body.
-Okay...

[door opens]

Open the door...

[sighs]

[melancholy music playing]

Latonya? You ready
to get dressed, hon?

I am. [groans]

[Latonya] Seeing Dr Now,
it really kind of just...

helped me understand that if
you wanna live,

then you have to make
some changes.

And so, he wanted
me to lose

40 pounds...

And I think I may have lost
a few pounds.

But, I'm just happy because

lately, Dr Now is sending me
to a physical trainer

to help me do the exercises.

And you all gonna work out?

Ooh, I hope she don't have me
doing that too hard
because I'm hurting.

What--Where my purse at?
I need to take my medicine.

[knocking at door]

[Latonya] Come on in, Jameka.

[door opens]

[door opens]

-Hey, beautiful.
-Hey, you.

-Hey, sexy.
-[Latonya] How are you?

-Ooh baby, if I get as fine
as you, ooh baby! Lord!
-[playfully] Stop.

How you feeling?

-[sighs] I'm exhausted,
but I'm good.
-Yeah.

My legs look an apple.

-[Jameka] Okay. [chuckles]
-But baby, I'm--I'm okay.

[Jameka] I am proud of Latonya
and how far she's come.

'Cause at first, she was lazy.

Exhale one...good,

two, good, three...

[Jameka] But Tonya's habits
have gotten better,
believe it or not. She...

[Jameka] But Tonya's habits
have gotten better,
believe it or not. She...

is watching what she's eating
but my concern is

the physical, she's not really
exercising like she need to.

Nine...

I don't think Latonya works
out when I'm not here.

And I can tell because,

I'm pushing her
to exhaustion,

but the pain in her leg,
she shouldn't be having that.

Three...

But hopefully with the work
that we do,

and she'll continue to do it,
and get a whole lot better.

Five, six...

Seven...

Eight, nine, ten.

I quit now. I'm tired.

-[Jameka chuckles]
-The workout,
this is my first time

I've been doing it in bed.

'Cause I'd usually be in
my chair, but by me
being in pain today,

-And the band, so...
-[Jameka] The band...

-I'll be ready next time.
Thank you!
-All right. See you later.

See you later, give me a hug.

It's good. I feel it up here.
It's kinda...

And got my legs,
the blood circulating
a little bit.

It was awesome.

It was awesome.

After I worked out like that,

I worked up a real good
hunger.

So when I'm done,
I'm waiting for
something good to eat.

That's fish, right?

-Yeah.
-[plate clattering]

I hope this ain't tilapia
fish, like...

-Obviously...
-No, I don't ever
cook tilapia.

I cooked that for you, but...

I don't think fried food

is a good option for ya.

I won't eat a whole lot,
just a taste, you know?

[Virgie] For lunch,
today, we had

[Virgie] For lunch,
today, we had

some fish and some
French fries.

It wasn't too healthy today.

But, you know, she really
is trying really hard.

Tonya cheats on her diet,

but not as much
as she used to.

I see her sometimes,

I try not to look at her, I--

I act like I didn't see her.
[laughing]

You know you can't be
restrict on a diet
all the time.

Sometime, you need
a little something more.
For a taste.

Sometime, you need
a little something more.
For a taste.

[Latonya] I am worried about
going back to Dr. Now.

Because I'm afraid of
what he gonna say.

I'm praying that I've lost
some weigh.

Basically, it's been hard,
but I know that

my life depends on it.

I'm just
trying to keep it together.

Good night. [groans]

[sighs]

[anticipatory music playing]

[Latonya]
I'm back, I'm tired.

[Latonya]
I'm back, I'm tired.

Just to tell you
the truth, like...

If it wasn't for you,
I really don't even think
I'd be fighting this hard.

'Cause, last night,
in bed I was hurting.

I was like, "I don't even
care if I get up
in the morning."

keys [jingling]

Nah, we can take
the towel out.

Yes, sir.

[Latonya] Me and Duane
are back in Houston
to see Dr. Now.

[Latonya] Me and Duane
are back in Houston
to see Dr. Now.

It took twice as long for us
to drive this time because,

I had to keep getting out
because my legs were
in a lot of pain.

So, it's just taking
a toll on me.

I just hope I made
the progress I need
with my weight loss.

[Latonya] You got it?

[Daune speaking]

[Latonya] Thank you.

[exhales]

[Daune speaking]

[Latonya] No, I'm not nervous.
Mmm-hmm.

It is what it's gonna be.

[nurse] Latonya?

[Daune whispers]
You want the purse?

[whispers] Don't want
my purse, it's all right.

[whispers] Don't want
my purse, it's all right.

-Hello.
-Hello, how are you?

[Latonya] I'm fine,
how are you?

You won't nudge.

Excuse my chair.

[softly grunts]

A month ago,
my weight was 631.

And Dr. Now gave me a go
of losing 40 pounds
by today.

So my hope is that
I'm at least down
to 551 today.

Okay.

[Daune speaking]

[Latonya speaking]

[groans]

[Latonya] You got it?

[Daune] Yeah,
hold on a little.

[nurse] 636.

[Latonya groans]

[nurse] Okay.

We're going to room five.

-[Latonya] Okay.
-[nurse] Okay?

[Latonya] Are you ready?

[speaking indistinctly]

Oh, Lord.

Dr. Now finna really be ir--

-And so what?
-Irritated.

Oh, Lord, I ain't ready
to face him right now.

I don't see
how that weight's possible.

I don't see
how that weight's possible.

'Cause I know I done
a lot to lose weight.

[speaking indistinctly]

[knock on door]

[Latonya] Come in.

Hello, how y'all doing?

-[Daune] Hello.
-Hello Dr. Now.

Good.

Well, how was your trip
down here?

[sighs] Tiring.

It took me longer this time.
Eight hours.

But,
I'm kind of scared that...

But,
I'm kind of scared that...

the pain that I'm feeling,

it may be a blood clot
or something 'cause...

like, it's-- it's--
It's a different type of pain.

-And--
-[Dr. Now speaking]

[Latonya] Right here.

In my leg.
And it's really, really like--

-[Dr. Now] In your leg?
-[Latonya] Yes.

And I have never
been this big.

-[Dr. Now chuckles]
-[Latonya] It get big,
Dr. Now, but like...

[Dr. Now]
All right. All right.

Let's figure out
what's going on with you.

So, tell me
why you gained weight.

So, tell me
why you gained weight.

I gained, well, four pounds

because, basically I'm just...

I gotta try harder.

This is something new for me.

I been eating unhealthy
for so long

and like,
now trying to change it,

it's kind of-- it's a lot.

But I know it's worth it.
[voice breaking]

[Dr. Now] Okay.

So what are you trying
to tell me?

You came here last time,

we gave you
exercises to follow
with physical therapy

we gave you
exercises to follow
with physical therapy

to help you
start getting out
of your chair.

And you didn't do that.

And you were supposed to lose
40 pounds over the last month.

But instead you gained weight.

And instead of
waking up to things,

you're deflecting
the situation
by saying you're having pain.

Well, you should have pain
because you are 636 pounds.

Instead of being 170 pounds.

And you sit
in this motorized wheelchair.

You don't want to
give that up?

You don't want to
give up your eating habit?

You don't want to
give up your eating habit?

Come on,
you were supposed to
lose weight,

you were supposed to
change everything,

you were supposed to
call up if you
had any questions,

but you didn't
follow the diet.

You keep eating too much

and you won't admit it.

It's been five years
since you tried to get help,

and you're worse off
more than ever now.

Because you're lying so much
to yourself,

you believe that you lie.

You keep repeating
the same lie
doesn't come true.

She expects to continue eating
what she does,

She expects to continue eating
what she does,

and I make her to lose weight.

But that's not gonna happen.

So-- I--

This is a situation
that, uh...

it's all up to her
to wanted to make the changes.

You think I want to come here,

drive out here a long time,

come here
to just get chewed out?

I could have stayed at home
for that.

I-- We're not chewing you out.

-We're giving you reality.
-[Latonya laughs]

-We're telling you--
-[Latonya] Yeah, that--
that is--

that is reality.

I mean, you said...
Just to say...

I mean, you said...
Just to say...

"You know your fat ass
need to lose weight.

You in a wheelchair.

You 37 years old,

and if you keep going
the way you're going,

you're not going to make it."

That's basically
all you had to say.

And you know,
I understand it.

I'm not-- I'm not mad
about what you saying,

because it's--
it's right. it's true.

You know, the only thing
that I need someone
to understand is,

it's not as easy
as people think it is.

So it's not going to
happen overnight.

So it's not going to
happen overnight.

I'm not a robot.

Well, uh,
you're convincing yourself
that it's gonna take time. No.

The decision
to make to change your life
is gonna take one decision.

One minute.
To change your life.

But you convinced yourself
that it's not going
to be easy.

Two, four weeks, six weeks,
six months, a year to change.

You don't want me telling you
what you're gonna do?

You're gonna do the same thing
and then come back
making excuses.

-[Latonya] No, sir.
-And you're gonna say
they're water weight.

It was--
I'm constipated.

I didn't go to bathroom
for three days.

Or the floor was crooked.

And-- any of those excuses
that you believe in yourself,

and you keep repeating them.

So the only option
we have left is to
send you to psychotherapy

and see if it can
convince you
to see the reality

before it's too late.

So I'm gonna set that up
for you to go to.

And I'm going to give you
two months to lose 60 pounds.

That is less weight
each month, an easier goal.

That is less weight
each month, an easier goal.

If you do that,
then we can work with you.

If not,
then I don't know
what else we can do for you.

All right, so you--
we'll check your legs out,

and make sure
there are no issues.

-Then you can get going.
-[Latonya] Thank you.

[door closes]

He gonna tell you
the same thing I be saying.

Same, exactly thing
that I be saying.

Same thing.

[Dr. Now] I was hoping
after five years,

Latonya had finally woken up
and was ready to do
what she needed.

But she doesn't want
to give up her food
and her wheelchair.

So we'll see if psychotherapy
is able to wake her up.

If Latonya doesn't turn
her situation around soon.

it is just a matter of time
before things get
even worse for her.

And she'll end up
in a situation
that she may not survive.

[Latonya] I thought I done
better and made the progress.

So I'm upset with myself
that I didn't.

And I know how important it is
to do this.

[Latonya grunts]

If I choose life,
then there's only
one path to take.

So that's what I'm gonna do
because I have no choice.

[engine starts]

[instrumental music playing]

-[Latonya] Try, baby.
-[Daune] You don't know.

-[Latonya shouts]
-[Daune] There you go.

[Latonya chuckles]

[Latonya] Today I'm headed
to this therapist
Dr. Now wants me to meet.

I'm not sure
if this is gonna help
at all.

But I think Dr. Now
just want me
jumping through hoops.

So I'll do it
if it satisfies Dr. Now.

So I'll do it
if it satisfies Dr. Now.

-[Daune] Come on.
-[Latonya grunts]

[Latonya breathing heavily]

[Daune] There you go.

[Latonya] Oh.

[Daune] That's good exercise.

[Latonya laughs]

That was good,
you need to do that
more often.

Latonya?

I'm Dr. Paradise. You ready?

[Latonya] Yeah.

[groans] Pull me up, baby.

Okay.

Okay.

Okay, go.
Walk, walk, walk.

You got-- there's a couch
right there.

-Just a couple more steps.
-[Latonya wheezing] All right.

I got-- I got it. Go.

-Go. [laughs]
-[Daune] Come on.

-[Latonya laughs] Go!
-[Paradise] Almost there.

[Latonya chuckles]

Oh! Let me go, let me go,
let me go.

-Oh!
-[Daune] Yeah?

[Latonya clears throat]
Perfect.

Good.

Thank you for your help.

-[Latonya] Thank you, babe.
-[Daune] Don't worry.

[chuckles] Thank you.

-[Paradise] Thank you.
-[Daune] All right.

-[Latonya clears throat]
-[door closes]

That your boyfriend?

That your boyfriend?

-My fiance.
-Your fiance?
What's his name?

-Daune.
-I'm glad Daune was here.

I am too!
[laughs]

-Kind of a trip up the stairs?
-Yeah.

-I'm proud of you.
-Thank you.

That's terrific,
I'm really glad you--
you made it to the office.

And-- and why don't you start
by telling me a little bit
about yourself?

Um...

Let me see,
where do I start from?

The obesity began, um,

when I was 12 years old.

I lost my mom, um,
at the age of 12.

I lost my mom, um,
at the age of 12.

-Um, so I stayed with my--
-What did--

How did your mom pass?

She had a heart attack.

Okay.

[inhales] After my mom died,
I went with my sister,

because my dad moved in
with a woman.

The woman
that he moved in with?

Her and my mom
was friends.

-Like--
-Okay, so you disapproved.

Yeah, I did.

Were you--
were you mad at your dad?

Yeah, I was mad.

I'm never gonna forget it
but I forgave him for it.

But, I still have...

But, I still have...

that little girl
that's still deep down
in there that's...

still angry.

Yeah. And w--
what's her question?

Her question is,

why was it so easy

to walk away?

Like, what did I do?

I was only a child.

Yeah.

It seems like
maybe there's still
something with your dad

that you're working out.

I want you
to journal a little bit
about your feelings.

Get them straight
in your own head

Get them straight
in your own head

and then share it
with somebody.

Yeah, exactly.

Journaling your feelings
can be empowering

and lead you away from
negative coping strategies
like over-eating.

Yeah.

It's so good to talk to you.

-You too.
-I-- I'm really glad
you made it in.

I'm feeling positive
about your future.

-Likewise, thank you.
-Okay.

I'll walk you out, okay?

Awesome.

-You need Daune?
-Daune.

-[Paradise] Daune,
are you out here, man?
-[Daune] Yeah.

[Paradise] Thank you
for being patient.
Come on in.

[Paradise] Thank you
for being patient.
Come on in.

[Latonya exhales]

-[Latonya] You ready?
-[Daune] Mmm.

[Latonya] It's gonna be hard.
You gonna have to use
both hands.

[Latonya laughs]

Oh!

Ow!

Okay, help me up.

[Paradise] I think Latonya
is a smiling depressive

in that she puts on
a good face for the world.

I don't think
she's allowed herself

to really go to the dark stuff
in her own past

for the fear that
she'll let somebody down or,

for the fear that
she'll let somebody down or,

or maybe that
there's nobody there
to help her with it.

-And she really needs
to face herself.
-[Latonya groans]

[Latonya breathing heavily]

[Latonya] I don't know
about that.

[indistinct conversation]

But I think that might've
been a big waste
of time and energy.

[instrumental music playing]

[Latonya] I been back
from Houston
a little over a week.

And I think I been doing good
cutting back
on my food intake

And I think I been doing good
cutting back
on my food intake

and doing my exercises.

It's been hard,
but I know I'm doing good
because of how hard it's been.

If it wasn't hard,
then I'd know if I was
doing something wrong.

Today I'm gonna try to do
what Dr. Paradise asked me
to do for homework,

and I'm gonna do
some journaling.

I think I'm gonna practice
expressing my feelings,
like he wants me to.

Well, good morning, beautiful.

-Well, good morning.
-How you doing?

-I'm good, how you doing?
-I'm just...

trying to move forward and...

After having to meet
with Dr. Paradise, like...

he gave me some homework
to, kinda,
write down things

that I'm going through
and stuff like that.

that I'm going through
and stuff like that.

-Mmm-hmm.
-But, um...

I was angry
for so long, like...

-A girl,
her first love is her father.
-Mmm-hmm.

-So--
-It's true.

When her father don't show her
the love and affection
that she need,

-she search for it
other places.
-That's true.

-Mmm-hmm.
-And food became
my comfort zone, so.

You wake up
and these are
the results, like.

It's gonna be a challenge,
it's not gonna be easy.

-But you can do it.
-I know it's gonna be
worth it!

-Yeah, that's right.
-[Latonya laughs]

-But you can do it.
-Yeah.

-But you can do it.
-Yeah.

-Give me love, give me love.
-[caretaker chuckles]

-'Cause I know you got to go.
-Aww.

-[Virgie] You can do it,
you can do it.
-Thank you.

[Virgie] All right-y,
see you later.

Bye.

I still got to do better
for Dr. Now.

And I only have
a couple months
to prove to him

that I deserve surgery
when I go back to see him.

This time,
I intend to do a lot better.

I can't lose this chance.

I can't lose this chance.

There's too many people
counting on me.

My arms are short.
[bleep]

[softly]
One, two, three, four,

10, 11, 12, 13, 14, 15, 16...

I might not
always believe in myself,

but I do believe
I can do this.

And I know it's now or never.

Oh, I feel it.

[soft music playing]

My whole body hurts.
I drove almost six hours.

Driving them hours
and I'm still driving.

-Are you sure we should be--
-All the way here,
I hope he'll be there.

-[Latonya groans]
-Mmm-hmm.

Long as you
can see somebody.

[Dr. Now] Daune called
about an hour ago

to tell me that Latonya
has bad leg pain again.

Last time she came down,
she complained about that.

And we checked her out
and nothing severe
was wrong with her.

This time she says
the pain is even worse,

to the point that she thinks
she might pass out.

So I told her
to come to the hospital
so we check her out.

[Latonya] Hello,
how you doing?

-I--
-I'm tired, I'm hurting.

-Come in.
-I'm telling you.

Okay, come on.

[Dr. Now] As far
as I can tell, that she's
having a lot of pain

and shortness of breath

and that she thinks that--
that her legs are hurting
because lymphedema is swollen.

But looking at her
just from the past,

we cannot tell if there's
anything seriously wrong
with her.

So we're gonna bring her
in the hospital
and see what's going on.

[Latonya groans]

-I can do it.
-[nurse 2] Okay.

-I can do it.
-[nurse 2] Okay.

[Latonya exhales]

-[Latonya] What I did.
-[nurse 2] Huh?

Having a witness
ain't helping.

[groaning]

[exhales]

You're not having
chest pain or anything, huh?

-[exhales]
-Shortness of breath?

Sure then, okay.

We'll go get the monitor
and get some bloodwork done

and we're gonna see
what's going on
with you, okay?

Okay.

I don't doubt she has some
swelling and discomfort
in her legs and feet.

But that is because
she is probably
over 600 pounds.

And that is taking a toll
on her body.

[Latonya] You see my legs?

They hurt.

My ankles are red and pink,

purple.

[Dr. Now] The lymphedema
masses, uh,

they're pretty much
the same, no?

[Latonya] Mmm.
It's a little worser now.

[Dr. Now] I think the issue
with her leg pain is

more about deflecting again
from the fact

she hasn't made
the progress she needs.

And she knows that.

And so she's using
other issues to try to
distract from that again.

To try to avoid
facing the situation.

To try to avoid
facing the situation.

But with the state
of her body,

and the strain
she still has on it,

there could be
other issues we need
to address first.

So we ran some tests
and checked her out

to see what state
her body is in.

And we will also
get her weight

and see if she has made
any progress over
the last few months.

[Latonya clears throat]

-[Dr. Now] I just think
your wife should diet.
-[Daune] Mmm. She starving.

[Daune] She be starving.
She be doing it. But...

[Dr. Now] But not
as much, huh?

-But she can't keep up
with it, huh?
-Mmm.

[Dr. Now] We have run
a number of tests on Latonya,

and we're still in the process
of doing that.

But so far, there is nothing
concerning her legs.

She doesn't have a blood clot.

She said
that was her main concern,

but she doesn't have
any issues like that.

but she doesn't have
any issues like that.

I am concerned
about her heart.

Some of the tests are
a little concerning

and I want to address that.

Some of the tests show that

her heart may be struggling
a great deal right now.

[Latonya] Still in pain.

I'm aggravated, I'm hurtin',

and I can't breathe in here.

[Dr. Now] We got her weight
and she's up to 642.

So she has not made
any progress

and continued
gaining a little.

So I'm concerned
about the strain
she has on her body

So I'm concerned
about the strain
she has on her body

and how close she may be
to it giving out.

So I'm gonna keep her here
for a little bit

and finish running
some more tests on her heart.

[Latonya] I lost seven pounds
when I was in hospital.

Yeah, but it might be that.

-It might be that, you know?
-[Latonya] Can we just--

[Latonya] What about
if we just--

-[Daune] hospital goosebumps.
-[Dr. Now] See that thing?

Mmm-hmm.

And you see the last one?

Yeah?

And this is five years.

And this is five years.

But everything looks like
it's doing good.

But I'm gonna keep you
in hospital
for a couple of weeks

because your heart
may be struggling

a little more than
I'm comfortable with
to send you home.

So I'm gonna run
some more tests on you.

And I'm gonna get
the cardiologist
to come and look at you

-and see what your
heart is doing.
-Mmm.

-And see what we can do
with you, okay?
-Okay.

I think most of your problem
is your weight, okay?

So the most important thing
for you here is to,

So the most important thing
for you here is to,

you need to lose
some weight, okay?

I'm trying.

You keep saying you're trying

but you're running
out of time.

-Okay?
-Yes, sir.

You don't seem to
fully get that.

If you keep
all this weight on you
for much longer,

you know, your body
will not tolerate that
for too long.

Your body
is going to give out.

So you have to start
losing weight now

before that happens
and it's too late for you.

Why you just gonna keep me
in the hospital?

For like, two weeks
to just--

For like, two weeks
to just--

get the weight down
so I can--

Look, if--
that's not how it works.

I told you,
you have to do the hard work.

Then if we do that
then you go home,
you gain all the weight back.

First, we need to make sure
you're gonna survive
the operation.

If here's no way
to put you to sleep,
you won't survive.

And we can't breathe for you
because you know,

we have to push
the air in there,

and your chest is so heavy...

the lung won't tolerate
the pressure.

Yeah.

Yeah.

[Dr. Now] So you're gonna have
to get to a much better place
with your health

before you're ready for that.

And to do that

you're gonna have to lose
a lot of weight.

Okay.

If we do all that for you,

because you won't do it
for yourself,

then surgery won't help you.

That's where you come in.

You're the man with the plan.

Well, we got a plan,

but you have to
comply with the plan.

I know.

And that's what you need

to work on harder.

to work on harder.

I'm a move in
the house with you,

so your chef can cook for me.

[Dr. Now] I am my own chef,

you have to be own chef.

So you're gonna have to
do your best.

Well, I have been
trying for a long time.

It's been five years,

it's been a long time.

-[Dr. Now] Yeah, but...
-It's time now.

but it is all up to you.

You're gonna have to make
those changes.

I'm working on it.

All right. We'll get some more
tests done to you,

so then start your own
controlled diet,

so then start your own
controlled diet,

then after you'll start
to get some weight loss,

before you go home, okay?

Okay.

[Dr. Now] I was hoping,

starting psychotherapy
was gonna help start

to wake Latonya up,

but that didn't happen.

She didn't make any progress
with her weight,

or with her physical therapy,

to get of her chair.

Ow.

So right now,

we will try
to get her weight down some,

to help prevent
a serious situation with her,

to where her body gives out,

and she has
a medical emergency

and she has
a medical emergency

that she won't survive.

But after that,

it's all gonna be
up to her again.

My hope is that,

if we help
give her some momentum,

going in
the right direction,

that may help her
to adjust
doing what she needs.

But if not,
then we are getting close

to being out of options
with Latonya.

[Dr. Now] We have had Latonya
here in the hospital

for the last couple of weeks.

She came to the hospital

because she was having
problems with her heart.

While she was here,
we have had her
on a controlled diet

to get her weight down.

But she hasn't been
too co-operative.

Most days, she tells PTE
she's too tired,

or her body hurts too much

to get out of the bed.

to get out of the bed.

So she tries
to avoid that.

And we have had a dietitian
work with her,

to understand proper diet,

but she argued with them,

and disagreed with
the food selection here

at the hospital.

So it hasn't been easy
with her.

[Dr. Now] But we have
been able to get her
to loose 48 pounds

in just two weeks,

so her weight is down
from 642 to 594.

So with that
on top of some medication,

we were able to get her heart

out of the critical place
it was when she arrived.

out of the critical place
it was when she arrived.

But her whole body
is still very close to
a breaking point,

and if she doesn't continue

to loose a lot more weight,

then her situation
can get critical again
very fast.

[knock on door]

[Latonya] Come in.

Hey, Latonya.

Hey, Dr. Now,
how are you doing?

How you doing today?

[Latonya] I'm okay.

All right, um,

did the physical therapy
come work with you?

Yes, sir.

The dietitian come
talk to you?

Yes, sir.

Yes, sir.

[Latonya] Can you talk to her
about the food

that they've been sending
in here?

Well, I don't know why
you don't like the food

that everybody else eats
in the world.

Show me
what they brought you?

This... I didn't touch it.

-Ow.
-[Dr. Now] Well, that's good.

-Good lunch.
-I don't eat that.

I don't eat beans,

and I don't even know
what that is?

And this look like dog food.

[Dr. Now] You don't like meat?

I don't eat stuff like this.

-That's good nutrition,
they're good protein, right?
-Like bean--

I don't eat beans at all.

I don't eat beans at all.

But how about the meat?

I don't eat that kind of meat.

I haven't really ate anything
since I've been here.

You're not gonna
fade away.

You're gonna be fine.

I still have to eat something.

No.

You have eaten the food
that belonged to
the next four years,

ahead of time.

So, if you don't eat,
you're gonna be all right.

At your weight,

the body's got the reserve

that you don't eat anything
for a week or two,

there's not anything
gonna happen.

But, like, in a hospital,

But, like, in a hospital,

when taking medication,

and having to take
different medicines,

you have to have food
in your system

to take the medicine,
not to be nauseated.

But the dog food that
they give me here is not--

I don't eat stuff like that.

And that's not dog food,
that's very good food.

Well, I don't-- Well...

-let me rephrase that.
-[Dr. Now] What? You gotta...

you gotta learn to eat
the high protein diet.

And it is tasty,
and it's high-protein.

I've been in this
very uncomfortable bed,

I've been in this
very uncomfortable bed,

it's been cold
in this hospital.

I did not come this far
for just...

You're not in a hotel.

-You're in the hospital.
-[Latonya] I know that.

-I know that.
-Okay. You got 400 pounds of

-extra food stored
in your body.
-Mmm-hmm.

And you need to pay that back.

Okay?

Now the echocardiograms show

all the four chambers
of the heart are distended

and over-strained, okay?

and over-strained, okay?

Your heart
is over-strained
because of your weight,

and your lung capacity
is restricted because
of your weight.

-Hmm.
-So,

this is the time
for you to learn

what healthy eating habits
should be.

You can go back to, uh...

what you like to eat,

and what you consider to be
healthy food.

-Yes sir.
-We got your heart
out of a critical place

over the past couple of weeks,

but if you don't keep
losing weight,

your heart is gonna get to
a critical place
very quickly again.

your heart is gonna get to
a critical place
very quickly again.

So, change and learn
what to do at home.

-Yeah.
-Because...

there's something wrong
with your eating habit

that you're not
losing weight.

You agree with that?

-Yes.
-Yes, sir.

So it's the time to learn
what healthy eating habits
should be.

-Okay?
-Yes, sir.

So, you can easily loose
60 pounds

in two and a half months.

Okay?

So no excuses,
because you're running
out of time.

So no excuses,
because you're running
out of time.

-Okay.
-Okay?

So we will
discharge you here soon,

to get you going home, okay?

-Okay.
-All right.

[Latonya] Thank you.

[Dr. Now] All right.
I'll see you later.

[Latonya] Okay.
Bye-bye.

Hopefully, the momentum
we have given Latonya,

and the tools
we have provided her
in the last couple of weeks,

will be enough

to finally get her going
in the right direction.

But she doesn't have
a lot of time,

if she keeps pushing her body
like this.

if she keeps pushing her body
like this.

She either loses weight
and it keep it off,

to alleviate this strain
she's putting on her body,

or her situation
is gonna get critical again,

and something is gonna happen
where she doesn't make it.

So, she's gonna have to start
taking this seriously,

or this not gonna
turn out well for Latonya.

Go, go, go.

Girl you look too cute.

[Latonya] The changes
that I've made so far

since I've been back...

I don't do delivery anymore
to fast-food.

You know, I don't really do
snacks anymore.

It's a sacrifice,
but it's worth it,

you know what I'm saying?

You'll get your chips...

so I could finish
my exercise, here.

so I could finish
my exercise, here.

-Mine.
-Okay.

[Latonya] I keep
my god-daughter
through the week sometimes.

Her mom works.

She just lifts my spirits,

she keeps me going, so...

I really have to
fight to stay around for her.

One, two, three...

[Latonya] She depends on me.

ten, 11, 12, 13,

14-- come back.

Tryna exercise
with my god-baby is...
Oh, my God.

Tryna exercise
with my god-baby is...
Oh, my God.

It's kind of...
it's kind of funny...

'cause she's make me laugh,

and as I'm counting,
she tries to count as well.

She's only one.

16, 17, 18,

19, 20... ooh!

So, like,
I basically just do
a little warming up,

or whatever, you know,

try to take a few steps
and walking.

Just doing different things
that I used to...
couldn't do.

you know, so, now,
I'm tryna...

just move around more.

just move around more.

[wheels squeaking]

Move.

All right, Tonya.
All right.

[girl] Hello!

-[girl] This is her chair.
-Move, honey. Move, move.

Oh, wonderful.

Oh, wonderful.

I work out, you know,
through the day,

from the morning
to evening, you know,

but it was kinda warm outside,

so I'll probably just
continue tomorrow,

you know, with the workout,

um, I'mma get me a walk in,

you know, I just try to do
a little different
movement around.

-You did good, you did good.
-I couldn't,

-I was nervous.
-That's all right.

-One step at a time, baby.
-And I...

I hold my breath...

when I walk some--
when I'm moving,
I'm not breathing.

But we know we need to count,
one, two, three...

But we know we need to count,
one, two, three...

I was counting for you,

but you didn't hear me.

-[Virgie] You did good
-It wasn't--

It wasn't enough,
but it's gonna get better.

-[Virgie] Yeah.
-It's gonna get better.

I got to go
out of here and get ready
to start cooking,

-'cause he'll be
home in a while.
-Okay, then.

Well, you save me some
for tomorrow.

I sure will, honeybuns.

Come on, go.

Come on, go.
[mimicking car horn honking]

You better move.

You better move,
you better move.

You better move.

After I did the workout,

I kinda feel relaxed,

and you know, it was relaxing.

It's always exciting
to know that

your doing something healthy,
you know...

for new results.

Um, it was okay.

Honey, I'm home.

Hey, boo. How you doing?

-[Daune] Tired, man.
I'm hungry, man.
-How...

How was your day?

It was all right,
but I'm hungry now,
I'm hungry.

What you cook?

I just made something healthy
for me and for you.

I just made something healthy
for me and for you.

-I need the stove.
-Give me a kiss.

My fiance, Daune,

who has just
come at home, so...

I was trying to get him...

accommodated with
cooking for him,

and making sure that
he was comfortable,
you know.

Okay, what you did today?

I walked.

[Daune] How many steps
you took?

Oh, like, four. [laughs]

That's it?

-That's good.
That's a start.
-Yeah, I was scared,

then you weren't here with me.

-So I feel like--
-What you scared of?

You keep saying
you're scared.

You keep saying
you're scared.

'Cause I feel like I'mma fall.

[Daune] That's cause
you ain't been on your feet
like that in a while.

It's like something
you gotta get used to
all over again.

Yeah.

[Daune] It's simple, man.

I told you over
and over again,

that's... that will
make me mad.

It's easy to lose
that weight.

That's easy for you to say.

That's your thing.

That's easy for you to say.

You know
this is life-threatening.

You gon' play with your life?

I've just been caught up
in everybody else's life,

and not concentrating on me.

Stop talking about people,

Stop talking about people,

people, people, people.

It ain't about people,
it's about you, man.

It ain't even about me
right now.

Now you know this,

this... this is something
you know already.

Yeah. I'm done
talking about it, though.

I know that
losing weight...

would change my life forever.

Would you just
put that in the microwave?

I'll put this up later.

But yeah, I'm finna...

call it a night.

I'm gonna do
what he tells me to do.

[soft music playing]

[Latonya] Well, we made it.

[Latonya] I'm excited
about today.

[Latonya] I'm excited
about today.

And hopefully I'mma
get to move ahead

with my weight loss
surgery soon...

because I know
Dr. Now's gonna give me
the green light for that

when he sees how I've done
this time.

[breathing heavily]

[exhales]

I know you hot. I'm sorry.

Latonya.

[Latonya] Hey, Ms. Rose.

[nurse] Hello, how are you?

-[Latonya] I'm okay,
how are you doing?
-[nurse] Good.

-[nurse] Okay.
-[Daune] How you doing?

[Latonya] When I left
the hospital,
I was in 594,

and Dr. Now wanted me
to loose 60 pounds by today.

And I know I made progress
towards it,

And I know I made progress
towards it,

so I'm excited to see
how much.

[nurse] Okay.

We're ready.

[breathing heavily]

-We're going to room five.
-[Latonya] Okay.

[Latonya] That just doesn't
make any sense.

That can't be right.

The scale
just can't be showing
my weight right.

And now this is gonna be
a big mess,

because Dr. Now
is not gonna like it.

And I just
can't take him
chewing me out again.

[exhales forcefully]

[exhales]

Patience.

[knock on door]

-[Dr. Now] Hello.
-[Latonya] Hi.

How are y'all doing?

[Latonya] All right,
you know.

All right.
Well, Latonya,

how is everything
going with you?

Pretty bad.

Pretty bad.

Well, I know.
We got you in the hospital
to loose some weight,

and you go home
and start gaining again.

So what's with that?

I... I don't--
I'm not gonna say that...

I think that...

it may be the lymphedema,
I don't know now.

But I really have, like,

cut down on the sweetening...
the drinks,

like, a lot of stuff
that I used to do,

I've cut down on it,

but, like, with the exercise
and that stuff,

but, like, with the exercise
and that stuff,

I haven't been able to do
none of that
from the pain and stuff.

It's not lymphedema,

it is your eating habit

and you have not
been able to change that,

and you're expecting something
magical to change that,

that's not gonna happen.

I'm not expecting magic,

'cause if I was
expecting magic,

I wouldn't be here with you.

-Right?
-[Dr. Now] No, no, no...

Look, you can tell yourself,

you're not looking
for a magic solution,

you're not looking
for a magic solution,

but you keep saying that
you're gonna do something,

but you never do it.

Can we agree

that your weight has to do
with what you eat?

-Yeah.
-[Dr. Now] Okay.

And if you eat less,
you're gonna lose weight.

Okay?

And if you don't understand
any part of the diets,

you should understand
to eat less.

That is an issue that

we go over and over with you,

and in time we come back,
we gain a few pounds.

So this is not working,

So this is not working,

and I don't know
what else to do

to get through to you
at this point,

because some
element of control
has to come from you.

So far,
that has hasn't happened,

and we cannot get you
to take that step.

So, when
are you gonna do that?

Now.

So what is different this time
from the last time
you told me, "Now?"

From the time
before you told me
you can change,

from the time
before you told me
you can change.

Just coming here
and looking at the scale,

Just coming here
and looking at the scale,

and just seeing that
in reality, like,

you got one foot in the grave
and one foot out.

Like, this is the deadline,
this is it.

Repeatedly, we have been
with you,

explaining the diet,
what to eat,
what not to eat,

how many times to eat,
how many calories,

but you don't do
any of it.

You don't follow
any of the direction
I gave you.

So, at this point,

there is nothing more
I can do for you.

And I'm not gonna
set up another
appointment for you.

And I'm not gonna
set up another
appointment for you.

If you want to wake up
and change your eating habit,

and lose at least 60 pounds
to show me that,

then let me know.

And we'll set
an appointment
to get your weight checked

in Shreveport, to see.

Because there is no point
in you coming down
here anymore,

and going through the motions,

when it is clear
that you're not gonna
change at all.

But unless
that happens,
then we are done.

-Okay?
-Okay.

Have a nice trip back home.

[Latonya] Okay.
Thank you.

-I feel like a boomerang.
-Who?

I can just keep
going in circles,

I've been here before.

[Dr. Now] At this point,

there is nothing more
we can do for Latonya.

It's been going on
over six years,

since she first came to me
for help.

And aside from
a short period of time

we put her on
a controlled diet
in the hospital,

she hasn't lost any weight.

And over
the last eight months,

we have given her

we have given her

every tool and opportunity
we can,

and nothing we have done

has made any difference
with her.

We provided her
with a diet

and exercises to follow,

with a physical therapist
to get her
out of her chair.

And a dietitian
and psychotherapist

to also help her.

And none of it
has been enough

to get her to start
doing what she needs.

So unless she decides
to take this seriously,

and lose at least 60 pounds,

then we are done with her.

Hopefully,
she wakes up
before it's too late.

Hopefully,
she wakes up
before it's too late.

It was kinda what I expected,

because I've gained weight.

I didn't expect him
to go light on me,

because, you know,
I am guilty...

you know,

for the weight gain.

Depression, stress, finances,

you know,
just going through a lot.

But there's no excuse of me

not doing
what I need to do
to lose the weight.

I'm frustrated,
because I am trying.

I'm frustrated,
because I am trying.

I need my situation
to get easier,

but it only ever gets harder.

This is just
one more time

that I gotta figure out
on my own,
like I always do.

Well, that's what
I'm gonna do.