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These are the user uploaded subtitles that are being translated: 1 00:00:04,100 --> 00:00:05,200 [Patrick Macon] I have to get 2 00:00:05,266 --> 00:00:07,467 help with pretty much everything now, 3 00:00:07,467 --> 00:00:09,967 and it shouldn't be that way. 4 00:00:16,600 --> 00:00:17,467 [woman 1] Somewhere in me 5 00:00:17,500 --> 00:00:19,300 is this little glimmer of hope. 6 00:00:20,100 --> 00:00:22,567 I just wanna be a normal person. 7 00:00:22,567 --> 00:00:25,900 [panting] 8 00:00:33,767 --> 00:00:36,667 [man] You can't do it, and then I just get mad. 9 00:00:36,667 --> 00:00:39,800 [woman 2] If I don't make a change now, I'm scared it's gonna be too late. 10 00:00:43,967 --> 00:00:47,266 [groaning in pain] It hurts! 11 00:00:47,266 --> 00:00:50,100 [woman 3] I refuse to stop fighting. 12 00:00:50,166 --> 00:00:52,100 I have to do this for my children. 13 00:00:52,100 --> 00:00:53,266 [groans] 14 00:00:57,400 --> 00:01:00,000 Is it our fault that we're not doing anything for you? 15 00:01:00,000 --> 00:01:00,200 Is it our fault that we're not doing anything for you? 16 00:01:00,266 --> 00:01:03,166 -No, I didn't say it's your-- -Well, what's your problem then? 17 00:01:03,166 --> 00:01:05,166 -You're overeating. -Okay. 18 00:01:35,900 --> 00:01:36,767 [bed creaks] 19 00:01:41,567 --> 00:01:43,667 [grunts softly] 20 00:01:51,367 --> 00:01:52,567 [Amanda] Did you sleep good? 21 00:01:58,567 --> 00:02:00,000 [Patrick] When I wake up and see daylight, 22 00:02:00,000 --> 00:02:00,367 [Patrick] When I wake up and see daylight, 23 00:02:00,367 --> 00:02:02,166 I'm surprised to still be alive. 24 00:02:04,800 --> 00:02:06,567 Because my weight is killing me. 25 00:02:09,367 --> 00:02:11,667 When I first wake up, I pretty much dread it 26 00:02:11,667 --> 00:02:12,767 every day. 27 00:02:13,767 --> 00:02:16,166 I dread the first time I get up out of the bed, 28 00:02:16,166 --> 00:02:17,767 putting my weight on my legs. 29 00:02:19,367 --> 00:02:20,400 I'm in pain. 30 00:02:21,266 --> 00:02:22,867 My back hurts, 31 00:02:22,867 --> 00:02:26,266 and walking just a few steps makes me get out of breath. 32 00:02:28,567 --> 00:02:30,000 My body has given up on me and I hate it. 33 00:02:30,000 --> 00:02:30,700 My body has given up on me and I hate it. 34 00:02:33,567 --> 00:02:35,900 If I move too fast, I might fall 35 00:02:35,967 --> 00:02:37,066 and hurt myself. 36 00:02:37,967 --> 00:02:40,100 So it's all slow movements. 37 00:02:45,967 --> 00:02:48,567 I have to get help with pretty much everything now. 38 00:02:49,600 --> 00:02:52,767 I mean, just five or 10 years ago, 39 00:02:52,767 --> 00:02:55,066 I wasn't this big then. 40 00:02:55,066 --> 00:02:57,567 It was much easier to shower. 41 00:02:57,567 --> 00:02:59,967 I didn't need nobody to help me. 42 00:03:00,667 --> 00:03:02,166 I could do it myself. 43 00:03:02,166 --> 00:03:03,867 [shower running] 44 00:03:05,500 --> 00:03:07,000 [Patrick] I still try and do the things 45 00:03:07,000 --> 00:03:08,867 that I can do by myself. 46 00:03:20,000 --> 00:03:21,500 Now I'm so big, 47 00:03:21,567 --> 00:03:25,367 my wife, Amanda, she has to 48 00:03:25,367 --> 00:03:28,300 help me do lots that she shouldn't have to help me do. 49 00:03:29,700 --> 00:03:30,000 And it shouldn't be that way. 50 00:03:30,000 --> 00:03:31,066 And it shouldn't be that way. 51 00:03:33,500 --> 00:03:35,667 Hey, babe, could you come help me? 52 00:03:37,667 --> 00:03:39,467 [Amanda] It'll be 20 years we've been married. 53 00:03:40,000 --> 00:03:41,000 Recently, 54 00:03:41,066 --> 00:03:43,500 his health has decreased. 55 00:03:43,567 --> 00:03:47,667 His legs and feet, they're hurting him really, really bad. 56 00:03:48,800 --> 00:03:51,000 So, I try to help him 57 00:03:51,066 --> 00:03:52,900 get up in the morning and 58 00:03:52,967 --> 00:03:55,767 do whatever needs to be done really fast 59 00:03:55,767 --> 00:03:57,767 so he can get breakfast, 60 00:03:57,767 --> 00:04:00,000 and hopefully, he'll feel better, 'cause eating 61 00:04:00,000 --> 00:04:01,900 and hopefully, he'll feel better, 'cause eating 62 00:04:02,467 --> 00:04:04,200 is a relief for him. 63 00:04:04,867 --> 00:04:05,767 [Patrick speaking] 64 00:04:07,266 --> 00:04:08,567 [Amanda speaking] 65 00:04:11,600 --> 00:04:14,166 [Patrick] It's embarrassing that it's come to this point. 66 00:04:14,166 --> 00:04:16,066 It makes me feel bad for her. 67 00:04:16,066 --> 00:04:19,467 But I have no choice, because if I don't shower at least once a day, 68 00:04:19,467 --> 00:04:22,700 I get rashes between my creases and folds. 69 00:04:24,166 --> 00:04:26,667 [breathing heavily] 70 00:04:36,500 --> 00:04:39,400 Getting dressed is the most difficult part of my day. 71 00:04:39,467 --> 00:04:41,767 So Amanda has to do it all for me. 72 00:04:41,767 --> 00:04:43,867 She's got to put my socks on, 73 00:04:43,867 --> 00:04:46,166 she has to help me put my shorts on, 74 00:04:46,166 --> 00:04:47,967 which is just humiliating. 75 00:04:49,600 --> 00:04:50,600 [Patrick speaking] 76 00:04:52,700 --> 00:04:54,867 By the time I'm showered and dressed, 77 00:04:54,867 --> 00:04:56,867 all I can think of is my first meal. 78 00:05:02,400 --> 00:05:04,266 -I'm going upstairs. -[Patrick] All right. 79 00:05:04,266 --> 00:05:05,800 If you need me, yell for me. 80 00:05:05,800 --> 00:05:07,467 [Patrick] Are you gonna fix me something to eat while you're up there? 81 00:05:07,467 --> 00:05:08,767 [Amanda] Yes, I am. 82 00:05:08,767 --> 00:05:10,300 -Thank you. -[Amanda] You're welcome. 83 00:05:16,000 --> 00:05:17,000 [exhales deeply] 84 00:05:17,600 --> 00:05:18,667 [groans] 85 00:05:21,367 --> 00:05:22,800 [smacking lips] 86 00:05:24,000 --> 00:05:25,567 [security system beeping] 87 00:05:25,567 --> 00:05:27,100 [automated voice] Front door. 88 00:05:29,767 --> 00:05:30,000 Hey, Dad. 89 00:05:30,000 --> 00:05:30,900 Hey, Dad. 90 00:05:30,967 --> 00:05:33,166 -[Patrick] Hey, babe. [grunts] -I'm home. 91 00:05:33,166 --> 00:05:34,400 [Patrick] All right, what you 'bout to do? 92 00:05:34,467 --> 00:05:36,166 I'm about to go help Amanda in the kitchen. 93 00:05:36,166 --> 00:05:37,667 -[Patrick] All right. -[both] I love you. 94 00:05:42,467 --> 00:05:44,667 -[Haley] Hey, Amanda. -[Amanda] Hey, Bug. What are you doing? 95 00:05:44,667 --> 00:05:47,200 [Haley] Nothing. Do you need help in the kitchen? 96 00:05:47,266 --> 00:05:50,066 You could actually get the sausage out, if you would like. 97 00:05:50,066 --> 00:05:51,233 Where is it? 98 00:05:51,266 --> 00:05:54,166 [Amanda] It is in the oven and here is the pot holders. 99 00:05:56,867 --> 00:05:58,266 [Patrick] I live with my wife 100 00:05:58,266 --> 00:06:00,000 and my 16-year old daughter, Haley. 101 00:06:00,000 --> 00:06:00,600 and my 16-year old daughter, Haley. 102 00:06:00,667 --> 00:06:02,967 Me and her mother have joint custody of her, 103 00:06:02,967 --> 00:06:05,967 so she's with us half the time. 104 00:06:05,967 --> 00:06:08,800 But on the days that she does stay with her mom, 105 00:06:08,867 --> 00:06:11,300 she'll still come back and forth throughout the day and see me, 106 00:06:11,367 --> 00:06:13,100 knowin' that I needed some help. 107 00:06:14,066 --> 00:06:15,166 [Patrick] Looks good. 108 00:06:15,166 --> 00:06:16,400 You need anything else? 109 00:06:16,400 --> 00:06:18,000 -[Patrick] No, this should be good. -[Haley] I'm good. 110 00:06:18,066 --> 00:06:20,700 -[Amanda] Okay. -[Haley] If he does need the help, 111 00:06:20,767 --> 00:06:23,000 I'm usually eight minutes down the street. 112 00:06:23,066 --> 00:06:24,467 I can come stop by and... 113 00:06:25,567 --> 00:06:26,700 say, "Hey," or 114 00:06:26,767 --> 00:06:28,700 be like, "Hey, I'm here," you know? 115 00:06:29,567 --> 00:06:30,000 I don't like being away from my dad 116 00:06:30,000 --> 00:06:31,166 I don't like being away from my dad 117 00:06:31,166 --> 00:06:33,567 so I always come around a lot. 118 00:06:38,700 --> 00:06:41,000 [Patrick] I have addiction to food, 119 00:06:41,066 --> 00:06:44,700 because nothing makes me feel as good as I do when I have food in my mouth. 120 00:06:50,300 --> 00:06:54,266 In our family, obesity has really been an issue with all of us. 121 00:06:54,266 --> 00:06:57,467 I was the second-youngest of four brothers and two sisters, 122 00:06:57,467 --> 00:06:59,500 and they were all overweight. 123 00:07:01,467 --> 00:07:04,767 Everyone, my mom, my cousins, my aunts, and uncles. 124 00:07:05,900 --> 00:07:09,000 My dad had gastric bypass surgery to try to lose weight, 125 00:07:09,066 --> 00:07:10,700 and it didn't work. 126 00:07:10,767 --> 00:07:13,066 He got sick and they had to wind up reversing it. 127 00:07:14,300 --> 00:07:16,200 Then, around the time I was eight, 128 00:07:16,266 --> 00:07:19,066 my dad had a series of heart attacks. 129 00:07:19,066 --> 00:07:22,867 So he retired early and our family moved to Marion County, Georgia. 130 00:07:24,867 --> 00:07:28,767 My dad's health declined and he wasn't able to do so much. 131 00:07:28,767 --> 00:07:30,000 And that caused problems in his marriage. 132 00:07:30,000 --> 00:07:31,567 And that caused problems in his marriage. 133 00:07:31,567 --> 00:07:34,667 Because even though he and my mom were happy, 134 00:07:34,667 --> 00:07:37,967 she wound up going off with another man closer to her own age. 135 00:07:41,100 --> 00:07:43,066 So that's when my dad decided he wanted to move 136 00:07:43,066 --> 00:07:45,900 even further out into the country to this little ranch, 137 00:07:45,967 --> 00:07:47,667 miles from anywhere, 138 00:07:47,667 --> 00:07:51,266 and I made up my mind to go with him. 139 00:07:51,266 --> 00:07:55,400 Those days, living with him on the ranch were some of the happiest times of my life. 140 00:07:57,000 --> 00:08:00,000 Goin' fishin', goin' to play with horses, goin' ridin' a four-wheeler. 141 00:08:00,000 --> 00:08:00,667 Goin' fishin', goin' to play with horses, goin' ridin' a four-wheeler. 142 00:08:02,767 --> 00:08:05,467 This is the time I first remember gaining weight. 143 00:08:08,000 --> 00:08:11,300 The day dad died, it felt like the whole world crumbled. 144 00:08:11,367 --> 00:08:13,867 And it left a big hole in my heart. 145 00:08:13,867 --> 00:08:17,000 A hole that I've spent the rest of my life tryin' to fill with food. 146 00:08:21,166 --> 00:08:22,967 After my dad passed away, 147 00:08:22,967 --> 00:08:24,367 I came back to live with my mom. 148 00:08:25,567 --> 00:08:27,367 We never talked about him dyin'. 149 00:08:29,066 --> 00:08:30,000 My mom's way of showing her sympathy to me was just like my dad's. 150 00:08:30,000 --> 00:08:32,567 My mom's way of showing her sympathy to me was just like my dad's. 151 00:08:33,600 --> 00:08:36,166 She'd give me anything I wanted to eat. 152 00:08:36,166 --> 00:08:39,667 I mean, all I had to do was pretty much 153 00:08:39,667 --> 00:08:41,900 ask two or three times and she would, 154 00:08:41,967 --> 00:08:43,533 you know, she would do it. 155 00:08:45,367 --> 00:08:48,767 So food became my way of comfortin' myself when I missed him, 156 00:08:48,767 --> 00:08:51,500 because food was my way of keeping the connection 157 00:08:51,567 --> 00:08:53,166 I had with my dad alive. 158 00:08:55,667 --> 00:08:57,900 There literally wasn't nothing during that time 159 00:08:57,967 --> 00:08:59,667 I really found that just 160 00:08:59,667 --> 00:09:00,000 made me super happy. I was just... 161 00:09:00,000 --> 00:09:01,867 made me super happy. I was just... 162 00:09:02,867 --> 00:09:04,600 I was livin' to eat. 163 00:09:04,600 --> 00:09:07,467 I never excelled real big in school because I wasn't real interested in it. 164 00:09:08,767 --> 00:09:11,166 I went to work when I was pretty young, 165 00:09:11,166 --> 00:09:13,367 but I couldn't hold a job very long. 166 00:09:13,367 --> 00:09:16,700 My early 20s, I hadn't really dated much. 167 00:09:16,767 --> 00:09:18,300 I was feelin' lonely. 168 00:09:18,367 --> 00:09:20,166 I went online, lookin' for love, 169 00:09:20,166 --> 00:09:22,100 and I was lucky enough to find Amanda. 170 00:09:23,567 --> 00:09:25,900 You know, we've been truckin' along ever since. 171 00:09:27,467 --> 00:09:30,000 I did screw up along the way. 172 00:09:30,000 --> 00:09:30,567 I did screw up along the way. 173 00:09:30,567 --> 00:09:32,300 I'm not gonna say that I screwed up, 174 00:09:32,367 --> 00:09:34,166 because of my daughter came out of it. 175 00:09:34,166 --> 00:09:35,700 And, 176 00:09:35,767 --> 00:09:38,467 I mean, I wouldn't change that for anything in the world. 177 00:09:39,767 --> 00:09:42,767 I did screw up with her momma that night. 178 00:09:42,767 --> 00:09:45,767 But me and my wife worked things out. 179 00:09:45,767 --> 00:09:49,066 My wife is a good woman. I'm... I'm thankful to have her. 180 00:09:49,066 --> 00:09:50,867 I'm done, babe. That was good. 181 00:09:54,367 --> 00:09:55,166 [Patrick] Yeah. 182 00:09:57,467 --> 00:09:58,400 [Amanda speaking] 183 00:09:59,367 --> 00:10:00,000 Think I probably will. 184 00:10:00,000 --> 00:10:00,467 Think I probably will. 185 00:10:01,266 --> 00:10:02,567 In my 20s, 186 00:10:02,567 --> 00:10:06,500 I was workin' some. I worked some at an electric company. 187 00:10:06,567 --> 00:10:09,800 I mean, I was 300, 400 pounds, out digging ditches. 188 00:10:09,867 --> 00:10:12,100 And I just kinda floated around with the jobs 189 00:10:12,100 --> 00:10:14,166 'cause I didn't really care about none of 'em, 190 00:10:14,166 --> 00:10:16,367 and I decided I wanna be a repo man. 191 00:10:18,166 --> 00:10:23,000 And once I finally got the opportunity to do that, I mean, that was... 192 00:10:23,000 --> 00:10:27,467 my thing there, you know, I pretty much excelled at that. 193 00:10:27,467 --> 00:10:30,000 There was a period of time from pretty much the time I met my wife till 194 00:10:30,000 --> 00:10:33,166 There was a period of time from pretty much the time I met my wife till 195 00:10:33,166 --> 00:10:35,166 my daughter was born 196 00:10:35,166 --> 00:10:37,266 that I pretty much stayed the same weight. 197 00:10:37,266 --> 00:10:40,266 But I was probably around 450 when my daughter came along, 198 00:10:40,867 --> 00:10:42,300 and then, 199 00:10:42,367 --> 00:10:44,400 I did gradually start getting bigger, 200 00:10:44,467 --> 00:10:47,000 had to move up in pant sizes 201 00:10:47,000 --> 00:10:49,867 till I finally couldn't work anymore because I was too big 202 00:10:49,867 --> 00:10:53,367 to perform the job that I was hired to do. 203 00:10:53,367 --> 00:10:54,900 But after I went on disability, 204 00:10:54,967 --> 00:10:57,567 things between me and Amanda kinda shifted 205 00:10:57,567 --> 00:11:00,000 from being romantic to her being more of a caretaker. 206 00:11:00,000 --> 00:11:00,767 from being romantic to her being more of a caretaker. 207 00:11:00,767 --> 00:11:03,000 Our intimacy got lost. 208 00:11:03,000 --> 00:11:05,567 When you get this big, uh, I mean, 209 00:11:05,567 --> 00:11:07,767 unless it hangs down till your knees, I mean, 210 00:11:07,767 --> 00:11:10,600 once you get this big... [chuckles] ...I mean, you just got a problem. 211 00:11:10,667 --> 00:11:13,600 [laughing] I mean, that's just all there is to it. 212 00:11:14,800 --> 00:11:16,300 [Amanda] Do you need or want anything else? 213 00:11:16,367 --> 00:11:18,767 [Patrick] No, I'm good. Thank you. 214 00:11:18,767 --> 00:11:22,100 [Amanda] Last year and a half has been a struggle for him 215 00:11:22,166 --> 00:11:24,000 since his mother has passed away. 216 00:11:25,266 --> 00:11:27,100 He had a hernia and 217 00:11:27,166 --> 00:11:29,000 he had to have an emergency surgery. 218 00:11:31,367 --> 00:11:32,800 And it's just 219 00:11:32,867 --> 00:11:35,100 been a battle since then. 220 00:11:36,400 --> 00:11:38,066 [Patrick] My body was... It was 221 00:11:38,066 --> 00:11:39,166 slowly but surely... 222 00:11:40,400 --> 00:11:43,767 just slowin' me down to where I'm at now. 223 00:11:43,767 --> 00:11:45,600 I think he has the mindset 224 00:11:45,667 --> 00:11:49,700 of now that he really wants to change not only for himself 225 00:11:49,767 --> 00:11:53,600 but for me and for the whole family, 226 00:11:53,667 --> 00:11:55,567 because the whole family would 227 00:11:55,567 --> 00:11:59,100 love to go do things that we've always talked about doing. 228 00:11:59,166 --> 00:12:00,000 So I think that's the big reason that, 229 00:12:00,000 --> 00:12:02,166 So I think that's the big reason that, 230 00:12:02,166 --> 00:12:05,867 you know, his mindset is, "I want to do this." 231 00:12:12,467 --> 00:12:14,500 I have to change the way I live. 232 00:12:14,567 --> 00:12:18,166 I have to make a life change. I have to get my weight under control. 233 00:12:18,166 --> 00:12:20,667 So I can spend more time with my wife and my daughter. 234 00:12:27,000 --> 00:12:28,867 Do you want these or are they no good? 235 00:12:28,867 --> 00:12:30,000 [Amanda] Uh, they should still be good. 236 00:12:30,000 --> 00:12:30,567 [Amanda] Uh, they should still be good. 237 00:12:32,200 --> 00:12:35,867 Just, like, we wanna go visit places and 238 00:12:35,867 --> 00:12:39,367 we want to be able to do things just like any other 239 00:12:39,367 --> 00:12:40,800 dad and daughter would be able to. 240 00:12:42,367 --> 00:12:44,200 [grunting] 241 00:12:44,266 --> 00:12:49,700 His legs and his feet, just, they hurt, they ache. 242 00:12:49,767 --> 00:12:54,066 His breathing, I've noticed he's been having trouble with that. 243 00:12:54,066 --> 00:12:56,867 He wants to be able to 244 00:12:56,867 --> 00:12:59,000 do more things with Haley, 245 00:12:59,000 --> 00:13:00,000 and be able to have a normal life. 246 00:13:00,000 --> 00:13:02,600 and be able to have a normal life. 247 00:13:02,667 --> 00:13:04,767 But his body is tired. 248 00:13:05,700 --> 00:13:08,667 And it's just getting worse. 249 00:13:08,667 --> 00:13:10,133 [Patrick grunts] 250 00:13:10,166 --> 00:13:13,500 -Corn dogs and Tater Tots good for you? -[Patrick] Sounds good to me. 251 00:13:13,567 --> 00:13:15,400 You wanna cook the corn dogs in the oven? 252 00:13:15,467 --> 00:13:16,667 [Amanda] Yes, sir. 253 00:13:18,567 --> 00:13:20,200 [exhales deeply] 254 00:13:27,000 --> 00:13:28,400 [Patrick] They're looking good, babe. 255 00:13:41,166 --> 00:13:42,500 I'm unhappy being this big. 256 00:13:43,800 --> 00:13:47,100 If I don't lose weight, I feel like in a year or two years, 257 00:13:47,100 --> 00:13:49,066 I'll wind up... It'll wind up killing me. 258 00:13:52,400 --> 00:13:54,166 [grunts] Looks good, babe. 259 00:13:55,767 --> 00:13:56,767 [Amanda] Enjoy. 260 00:13:57,667 --> 00:13:59,567 -Oh, I am. -[Amanda chuckles softly] 261 00:14:04,567 --> 00:14:06,467 I got a lot of goals. I wanna 262 00:14:06,467 --> 00:14:09,800 get my daughter through school and grown and 263 00:14:09,867 --> 00:14:13,567 make it to where she don't have to depend on no one to 264 00:14:14,200 --> 00:14:15,200 support her. 265 00:14:15,967 --> 00:14:17,166 She could do it herself. 266 00:14:17,166 --> 00:14:19,667 I'm getting full, baby. It was good. 267 00:14:19,667 --> 00:14:21,166 Think I'm gonna... 268 00:14:22,367 --> 00:14:25,767 finish of this last corn dog and after that, I think I'm going to bed. 269 00:14:25,767 --> 00:14:27,467 My legs are hurtin', my feet are hurtin'. 270 00:14:28,166 --> 00:14:30,000 I'm glad you liked it. 271 00:14:30,000 --> 00:14:30,400 I'm glad you liked it. 272 00:14:30,467 --> 00:14:32,367 [Patrick] I can't go on like this anymore. 273 00:14:33,300 --> 00:14:34,567 I need to change. 274 00:14:54,800 --> 00:14:55,967 Are you nervous? 275 00:14:55,967 --> 00:14:57,800 I am a very nervous. 276 00:14:57,867 --> 00:14:59,166 It'll be all right. 277 00:14:59,166 --> 00:15:00,667 Won't it, Hay-bug? 278 00:15:00,667 --> 00:15:02,100 [Haley] Everything will be fine. 279 00:15:02,667 --> 00:15:03,667 Promise it will. 280 00:15:03,667 --> 00:15:05,867 That's got everything packed up. 281 00:15:13,800 --> 00:15:16,300 I'm hittin' the road, headed to Texas to go see 282 00:15:16,367 --> 00:15:18,467 the doctor about getting weight-loss surgery. 283 00:15:18,467 --> 00:15:20,567 I've never driven this far. Period. 284 00:15:20,567 --> 00:15:22,166 Got 'em. 285 00:15:22,166 --> 00:15:23,600 [Patrick] Know it's gonna be a long trip. 286 00:15:23,667 --> 00:15:25,000 I'mma be hurtin'. 287 00:15:25,066 --> 00:15:27,266 That's Amanda, man. You stay inside. 288 00:15:27,266 --> 00:15:29,467 [Patrick] It's gonna be my legs, from ridin'. 289 00:15:29,467 --> 00:15:31,900 I'm just gonna be uncomfortable once that happens, 290 00:15:31,967 --> 00:15:35,367 until I stop somewhere and get... Be able to get out of the truck and lay down. 291 00:15:42,266 --> 00:15:42,590 I'm nervous, I'm worried. 292 00:15:42,590 --> 00:15:45,500 I'm nervous, I'm worried. 293 00:15:45,567 --> 00:15:47,400 Don't know what's gonna happen, I mean, 294 00:15:47,467 --> 00:15:49,767 I'm goin' to see a doctor I've never seen, goin' to Texas, 295 00:15:49,767 --> 00:15:51,467 I ain't never been to Texas. 296 00:15:51,467 --> 00:15:53,600 It's a long way away. 297 00:15:53,667 --> 00:15:56,367 My daughter is here. A long way away from her. 298 00:15:56,367 --> 00:15:57,867 Just haven't ever been that far away. 299 00:16:00,767 --> 00:16:02,266 [engine starts] 300 00:16:04,000 --> 00:16:05,367 Do you have everything, Dad? 301 00:16:06,567 --> 00:16:07,600 [Patrick] It's looking like it. 302 00:16:08,967 --> 00:16:10,367 I'll see you when we get back. 303 00:16:10,367 --> 00:16:11,400 [Haley] All right. 304 00:16:11,467 --> 00:16:12,590 -[Patrick] You good? -[Haley] Yeah. 305 00:16:12,590 --> 00:16:12,867 -[Patrick] You good? -[Haley] Yeah. 306 00:16:12,867 --> 00:16:14,367 [Patrick] Don't get upset. 307 00:16:14,367 --> 00:16:15,400 I'll be back in a few days. 308 00:16:16,367 --> 00:16:17,367 [Haley sniffles] 309 00:16:17,367 --> 00:16:18,400 [Patrick] Okay? 310 00:16:19,367 --> 00:16:20,700 -[Haley] I love you. -[Patrick] I love you too. 311 00:16:21,767 --> 00:16:22,567 [grunts] 312 00:16:33,266 --> 00:16:34,500 Oh. 313 00:16:37,867 --> 00:16:39,200 Oh! 314 00:16:39,266 --> 00:16:40,667 [Amanda] I love you, Hay-bug. 315 00:16:40,667 --> 00:16:41,567 [Haley] I love you too. 316 00:16:41,567 --> 00:16:42,590 -Be careful. -[Patrick] Yeah. 317 00:16:42,590 --> 00:16:43,266 -Be careful. -[Patrick] Yeah. 318 00:16:48,200 --> 00:16:49,767 -Love you. -[Haley] Love you. 319 00:17:09,500 --> 00:17:11,767 Babe, it's been a while since we've been on a road trip. 320 00:17:14,567 --> 00:17:17,100 I'm nervous about the doctor and going all the way to Texas. 321 00:17:17,100 --> 00:17:18,567 I ain't never drove this far. 322 00:17:18,567 --> 00:17:20,100 [Amanda] How long is the drive? 323 00:17:21,166 --> 00:17:22,800 [Patrick] Eleven hours. 324 00:17:22,867 --> 00:17:25,066 Now that's with zero stops. 325 00:17:25,066 --> 00:17:28,367 We're definitely gonna wind up having to stop so I can lay down and... 326 00:17:30,000 --> 00:17:31,900 get my legs to stop hurtin'. 327 00:17:31,967 --> 00:17:34,266 We're definitely not gonna make it there in one trip. 328 00:17:34,266 --> 00:17:35,567 Oh, Lord. 329 00:17:37,100 --> 00:17:38,600 Definitely gonna be a long ride. 330 00:17:42,767 --> 00:17:45,600 'Cause I'm just tired of being fat. 331 00:17:45,667 --> 00:17:50,300 [Amanda] Do you have anything in mind about what you want for dinner tonight? 332 00:17:50,367 --> 00:17:52,567 [Patrick] Some kind of drive-through. [laughs] 333 00:17:56,867 --> 00:18:00,400 [gps] In 500 feet, turn left onto Wind River Road north. 334 00:18:02,500 --> 00:18:03,867 [woman on speaker] Thank you. Come on up. 335 00:18:05,467 --> 00:18:06,567 [Patrick] Uh... 336 00:18:07,467 --> 00:18:08,667 You ready? 337 00:18:08,667 --> 00:18:10,066 [woman on speaker] Yes. 338 00:18:10,066 --> 00:18:12,500 [Patrick] I want a, uh, number nine. 339 00:18:13,500 --> 00:18:15,467 I want it large-sized. 340 00:18:15,467 --> 00:18:18,467 Then I want another number nine. 341 00:18:18,467 --> 00:18:20,200 No pickles. 342 00:18:20,266 --> 00:18:24,266 I want it large-sized with a sweet tea. 343 00:18:24,266 --> 00:18:26,567 Regular side of red beans and rice. 344 00:18:28,367 --> 00:18:31,166 A regular side of macaroni and cheese. 345 00:18:31,166 --> 00:18:32,767 Just a order of popcorn shrimp. 346 00:18:32,767 --> 00:18:35,000 And a extra chicken sandwich with no pickles. 347 00:18:35,000 --> 00:18:36,200 [woman on speaker] Will that be all for you? 348 00:18:36,266 --> 00:18:37,800 [Patrick] Yes, ma'am. 349 00:18:37,867 --> 00:18:39,367 [woman on speaker] All right. Stop in the lane. 350 00:18:47,567 --> 00:18:49,567 $97.11. 351 00:19:03,700 --> 00:19:05,367 You ready for your food? 352 00:19:05,767 --> 00:19:06,667 Yep! 353 00:19:10,400 --> 00:19:12,300 [Amanda] There's your popcorn shrimp. 354 00:19:15,100 --> 00:19:16,367 And then... 355 00:19:17,600 --> 00:19:19,667 here's your sandwiches. 356 00:19:27,367 --> 00:19:30,767 [Patrick] Um, my legs are hurtin'. My feet are hurtin'. 357 00:19:30,767 --> 00:19:34,100 I'm definitely gonna have a hard time stayin' awake after I eat this, huh? 358 00:19:39,066 --> 00:19:42,000 [Patrick] As long as I can eat, I can keep the pain at a minimum. 359 00:19:42,066 --> 00:19:42,590 Beans and rice is pretty good too. 360 00:19:42,590 --> 00:19:43,600 Beans and rice is pretty good too. 361 00:19:46,800 --> 00:19:48,767 They'd make it better if I had a biscuit to go with it. 362 00:19:49,266 --> 00:19:50,834 [Amanda chuckles] 363 00:19:53,300 --> 00:19:57,000 [Patrick] The doctor, he's gonna want me to eat better, so... 364 00:19:57,066 --> 00:20:01,400 made sure I got me a good, greasy fried chicken sandwich, and, 365 00:20:01,467 --> 00:20:03,367 yeah, kind of like the last hoorah. 366 00:20:05,467 --> 00:20:06,567 I'm getting full. 367 00:20:31,600 --> 00:20:32,900 [Amanda] All right. 368 00:20:56,367 --> 00:20:58,000 [Patrick] We made it to Block C. 369 00:21:00,266 --> 00:21:01,600 [grunts] 370 00:21:04,266 --> 00:21:07,166 I'm tired, worn out. 371 00:21:09,500 --> 00:21:10,800 My legs are hurtin'. 372 00:21:12,000 --> 00:21:12,590 My feet are hurtin'. 373 00:21:12,590 --> 00:21:12,967 My feet are hurtin'. 374 00:21:14,967 --> 00:21:16,700 Gotta try to lay down, get some rest. 375 00:21:20,367 --> 00:21:21,867 [groans] 376 00:22:12,767 --> 00:22:14,000 Oh, [bleep]. 377 00:22:14,066 --> 00:22:15,734 It's at the end of the hallway. 378 00:22:24,367 --> 00:22:27,867 Just everything to do with traveling is making my mind kind of exhausted. 379 00:22:32,266 --> 00:22:34,166 Get to see the doctor tomorrow. 380 00:22:34,166 --> 00:22:36,166 I'm interested to see what he's go to say, 381 00:22:36,166 --> 00:22:39,400 and see if he can help me get the weight off of me. 382 00:22:40,867 --> 00:22:42,590 [Amanda] Finally. Thank God. 383 00:22:42,590 --> 00:22:42,767 [Amanda] Finally. Thank God. 384 00:22:45,600 --> 00:22:46,567 [Patrick exhales deeply] 385 00:22:49,867 --> 00:22:51,867 The bed's fat-people-approved. 386 00:22:52,767 --> 00:22:54,567 -[Amanda] Is it? -[Patrick] Cover. 387 00:22:55,266 --> 00:22:56,867 [Amanda] I got 'em. 388 00:22:56,867 --> 00:22:59,100 I don't want none of that now, I'm kinda 389 00:22:59,567 --> 00:23:00,967 warm. [sighs] 390 00:23:00,967 --> 00:23:02,100 [Amanda] Okay. 391 00:23:19,667 --> 00:23:22,100 Well, babe, we're finally here. 392 00:23:29,500 --> 00:23:32,967 We finally made it to Houston. Tired, nervous, happy. 393 00:23:32,967 --> 00:23:34,100 And scared. 394 00:23:34,166 --> 00:23:36,266 I'm kinda scared to see the scale myself. 395 00:23:37,767 --> 00:23:39,767 [Amanda] Are you ready? 396 00:23:39,767 --> 00:23:41,000 [Patrick] Ready as I'm gonna be. 397 00:24:19,467 --> 00:24:20,467 Are you okay? 398 00:24:21,367 --> 00:24:22,867 My nerves are... [sighs] 399 00:24:24,800 --> 00:24:27,667 And me going on this diet, it's probably gonna affect you too. 400 00:24:27,667 --> 00:24:29,000 You gonna do it with me? 401 00:24:29,000 --> 00:24:31,166 Yes, of course, I am. 402 00:24:31,166 --> 00:24:33,367 It's gonna be hard. It's gonna take a lot of work. 403 00:24:33,367 --> 00:24:34,367 [groans] 404 00:24:34,367 --> 00:24:36,700 It is, but we can do it. 405 00:24:38,567 --> 00:24:39,867 Patrick! 406 00:24:49,467 --> 00:24:52,100 [Patrick] I haven't weighed myself in a few years. 407 00:24:52,166 --> 00:24:54,166 But I think I'm over 600 pounds. 408 00:24:56,266 --> 00:25:01,266 And I just hope that I'm not closer to 700 than I am 600. 409 00:25:01,266 --> 00:25:02,900 Okay, you can go ahead and step on the scale. 410 00:25:19,567 --> 00:25:22,700 [Patrick] I'm at Dr. Now's clinic in Houston to get my weight checked, 411 00:25:22,767 --> 00:25:25,200 and to meet with Dr. Now for the first time 412 00:25:25,266 --> 00:25:26,934 to get his help losing weight. 413 00:25:26,934 --> 00:25:30,767 I think I'm over 600 pounds, but I haven't weighed myself in a few years. 414 00:25:32,800 --> 00:25:34,500 [nurse] Okay, your weight is 657. 415 00:25:42,166 --> 00:25:42,886 Okay. We're going to room five. 416 00:25:42,886 --> 00:25:43,767 Okay. We're going to room five. 417 00:25:46,567 --> 00:25:48,767 [Patrick] That's a little bit of a shock, to be honest with you. 418 00:25:49,667 --> 00:25:51,467 That's higher than I was expecting. 419 00:26:07,767 --> 00:26:08,667 [exhales deeply] 420 00:26:08,667 --> 00:26:09,800 [knocking on door] 421 00:26:12,066 --> 00:26:12,886 Hello, how are y'all doing? 422 00:26:12,886 --> 00:26:13,166 Hello, how are y'all doing? 423 00:26:13,166 --> 00:26:14,667 We're doing fine, how about you? 424 00:26:14,667 --> 00:26:16,266 I'm good. 425 00:26:16,266 --> 00:26:18,200 So, you must be Patrick. 426 00:26:18,266 --> 00:26:20,266 -Yes, sir. -Well, good to meet you. 427 00:26:20,266 --> 00:26:22,367 And who did you bring with you today? 428 00:26:22,367 --> 00:26:23,967 My wife, Amanda. 429 00:26:23,967 --> 00:26:25,467 Nice to meet you, guys. 430 00:26:25,467 --> 00:26:26,567 Nice to meet you. 431 00:26:26,567 --> 00:26:28,266 All right. So, where are you coming from? 432 00:26:28,767 --> 00:26:29,767 Columbus, Georgia. 433 00:26:29,767 --> 00:26:33,166 Okay. what brought you down to Houston? 434 00:26:33,166 --> 00:26:34,567 Trying to get help with my weight. 435 00:26:34,567 --> 00:26:38,400 -All right, then, you are 657? -Yes, sir. 436 00:26:38,467 --> 00:26:41,066 All right, so how long you been at this weight? 437 00:26:42,767 --> 00:26:42,886 Well, for a long time, I've been big all my life. 438 00:26:42,886 --> 00:26:45,467 Well, for a long time, I've been big all my life. 439 00:26:45,467 --> 00:26:47,100 I've never been this big though. 440 00:26:47,166 --> 00:26:50,900 Well, your weight is definitely taking a toll on your body. 441 00:26:50,967 --> 00:26:54,100 According to your chart, you have multiple 442 00:26:54,100 --> 00:26:56,767 medical issues I see, like diabetes. 443 00:26:56,767 --> 00:26:59,600 -Yes. -And sleep apnea? 444 00:26:59,667 --> 00:27:02,600 -Yes. -So your body is clearly heading 445 00:27:02,667 --> 00:27:05,667 to a breaking point soon. Now, how is your mobility? 446 00:27:06,367 --> 00:27:07,667 I can get around. 447 00:27:07,667 --> 00:27:09,266 I... I can move around. 448 00:27:09,266 --> 00:27:10,567 So, what do you do all day? 449 00:27:11,967 --> 00:27:12,886 Right now? Sit on my ass. 450 00:27:12,886 --> 00:27:14,166 Right now? Sit on my ass. 451 00:27:14,166 --> 00:27:17,000 You need to make sure you keep your stamina up. 452 00:27:17,066 --> 00:27:19,300 Because with how your body's doing, 453 00:27:19,367 --> 00:27:21,266 if you lose your mobility, 454 00:27:21,266 --> 00:27:23,567 then that is likely gonna be it for you. 455 00:27:23,567 --> 00:27:28,467 But if you lose some weight, that'll help stop your health from getting worse. 456 00:27:28,467 --> 00:27:31,400 So why do you think you're overweight like this? 457 00:27:31,467 --> 00:27:33,266 [sighs] Overeatin'. 458 00:27:33,266 --> 00:27:35,867 I... I eat too much. 459 00:27:35,867 --> 00:27:39,400 You eat too much in one sitting? Or you eat too much all day? 460 00:27:39,467 --> 00:27:41,467 I probably snack all day, 461 00:27:41,467 --> 00:27:42,886 but it's usually one big meal a day, 462 00:27:42,886 --> 00:27:44,166 but it's usually one big meal a day, 463 00:27:44,166 --> 00:27:46,200 and then just snacking throughout the day. 464 00:27:47,266 --> 00:27:48,467 So what do you snack on? 465 00:27:50,100 --> 00:27:51,367 Candy. 466 00:27:52,266 --> 00:27:54,066 Whatever's there. Chips. 467 00:27:54,066 --> 00:27:56,700 -You're diabetic and you eat candy? -Yes. 468 00:27:56,767 --> 00:27:59,000 Did anybody tell you not to? 469 00:27:59,266 --> 00:28:00,667 Yes. 470 00:28:00,667 --> 00:28:02,467 I know I shouldn't do that. 471 00:28:02,467 --> 00:28:06,066 You're 42 and you've been diabetic for five, six years, 472 00:28:06,066 --> 00:28:09,800 and you're eating candy. You remind me of the guy that came in and said, 473 00:28:09,867 --> 00:28:12,886 "My head hurt when I hit it with baseball bat." 474 00:28:12,886 --> 00:28:13,000 "My head hurt when I hit it with baseball bat." 475 00:28:13,000 --> 00:28:15,567 -[laughs] -And I said, "Wouldn't it be easier to stop that 476 00:28:15,567 --> 00:28:17,367 than asking medicine for it?" 477 00:28:17,367 --> 00:28:20,000 [laughs] Yeah. 478 00:28:20,000 --> 00:28:22,166 Yeah, you're probably right, it'd be kinda like 479 00:28:22,166 --> 00:28:23,567 shoving a rocket up my [bleep]. 480 00:28:23,600 --> 00:28:26,000 Doesn't mean I can... I know I can go to the moon if I do that. 481 00:28:26,066 --> 00:28:27,367 But we know it's not gonna happen. 482 00:28:27,367 --> 00:28:31,667 Okay, well, my analogy fits your situation better, I think. 483 00:28:31,667 --> 00:28:35,667 Because the issue is, you have known what you're doing to yourself. 484 00:28:35,667 --> 00:28:38,400 So you understand that you're gonna have to change your eating habits. 485 00:28:38,467 --> 00:28:41,000 -Are you willing to do that? -Yes. 486 00:28:41,066 --> 00:28:42,886 Okay. Amanda, should I believe him? 487 00:28:42,886 --> 00:28:44,066 Okay. Amanda, should I believe him? 488 00:28:44,066 --> 00:28:47,100 -Yes. -If you show me how to do it, and it'll get done. 489 00:28:47,100 --> 00:28:48,200 -[Dr. Nowzaradan] All right. -Yes. 490 00:28:48,266 --> 00:28:50,567 Amanda, do you work, or you stay home with him? 491 00:28:51,100 --> 00:28:52,100 I stay at home. 492 00:28:52,100 --> 00:28:53,400 [Dr. Nowzaradan] You stay at home. 493 00:28:53,467 --> 00:28:56,467 So, you said chips and candy. Who buys those? 494 00:28:59,867 --> 00:29:04,166 Okay, so the family enables you and gets you what you want. 495 00:29:04,166 --> 00:29:06,200 And you just sit around eating. 496 00:29:06,266 --> 00:29:10,100 And you say you don't know what to do to get better and lose weight? 497 00:29:10,100 --> 00:29:11,900 -Is that about right? -[Patrick] Yes, sir. 498 00:29:11,967 --> 00:29:12,886 Have you heard the expression, "Eat less and do more exercise"? 499 00:29:12,886 --> 00:29:15,900 Have you heard the expression, "Eat less and do more exercise"? 500 00:29:15,967 --> 00:29:17,767 -[laughs] -Like, you didn't know that? 501 00:29:18,667 --> 00:29:21,266 Uh, I know it. 502 00:29:21,266 --> 00:29:24,700 It's just more of I have to get up off my butt and do it. 503 00:29:24,767 --> 00:29:28,266 Well, yeah, like, this is not your first rodeo here. 504 00:29:28,266 --> 00:29:32,467 You knew all these things and you haven't done much to change it. 505 00:29:32,467 --> 00:29:36,767 So, I don't know if what we're going to tell you is gonna make any difference. 506 00:29:36,767 --> 00:29:39,867 Well, because I need, I need help. I can't get it 507 00:29:39,867 --> 00:29:42,467 all off by myself. I need... [sighs] 508 00:29:42,467 --> 00:29:42,886 Well, you're gonna have to be motivated to stick with a healthy eating habit, 509 00:29:42,886 --> 00:29:47,100 Well, you're gonna have to be motivated to stick with a healthy eating habit, 510 00:29:47,100 --> 00:29:49,567 and get yourself in better shape, 511 00:29:49,567 --> 00:29:52,767 because I guarantee you, you're not gonna live too long like this. Okay? 512 00:29:52,767 --> 00:29:54,166 Yes sir. 513 00:29:54,166 --> 00:29:57,266 Anything happen to you, even if you fall and twist your ankle, 514 00:29:57,266 --> 00:29:58,767 then you can't get up and walk, 515 00:29:58,767 --> 00:30:00,767 then you're gonna get bed-ridden 516 00:30:00,767 --> 00:30:04,066 and you're not gonna be able to pull through out of that, okay? 517 00:30:04,066 --> 00:30:05,600 I'm gonna give you the road map. 518 00:30:05,667 --> 00:30:09,467 But if you don't follow it, there's not much we can do for you, okay? 519 00:30:09,467 --> 00:30:12,886 -[Patrick] Yes sir. -All right. So, I'm gonna give you some instruction, 520 00:30:12,886 --> 00:30:13,200 -[Patrick] Yes sir. -All right. So, I'm gonna give you some instruction, 521 00:30:13,266 --> 00:30:15,000 what to eat, what not to eat. 522 00:30:15,000 --> 00:30:17,567 Then gonna give you some instruction about exercise. 523 00:30:17,567 --> 00:30:20,667 So, if you do those, and change your eating habit, 524 00:30:20,667 --> 00:30:23,967 you should be able to lose 60 to 70 pound in one month. 525 00:30:24,600 --> 00:30:26,033 Okay? 526 00:30:26,033 --> 00:30:29,567 The goal I'm going to give you to prove to me that you're serious 527 00:30:29,567 --> 00:30:31,900 is to lose 100 pounds in two months. 528 00:30:31,967 --> 00:30:35,967 This can be a very easy thing to do if you follow the diet. 529 00:30:35,967 --> 00:30:38,967 -Yes sir. -All right, Patrick, let me bring some stuff for you, 530 00:30:38,967 --> 00:30:41,567 -and then we go over it, okay? -Yes, sir. 531 00:30:41,567 --> 00:30:42,886 -All right. I'll be back. -[Patrick] Yes, sir. 532 00:30:42,886 --> 00:30:44,266 -All right. I'll be back. -[Patrick] Yes, sir. 533 00:30:50,567 --> 00:30:54,400 I just got to get that information from him and just do it. 534 00:30:55,700 --> 00:30:57,667 You can do it. I know you can. 535 00:30:59,000 --> 00:31:01,967 I have a lot of concerns about Patrick right now, 536 00:31:01,967 --> 00:31:04,200 particularly his medical history. 537 00:31:04,266 --> 00:31:07,800 With all the issues he has developed as the result of his weight, 538 00:31:07,867 --> 00:31:12,467 it is clear his size has already taken a big toll on his body, 539 00:31:12,467 --> 00:31:12,886 and as long as he continues to make excuses 540 00:31:12,886 --> 00:31:15,867 and as long as he continues to make excuses 541 00:31:15,867 --> 00:31:18,166 and claim he doesn't know what to do, 542 00:31:18,166 --> 00:31:20,000 that it's only gonna get worse. 543 00:31:20,066 --> 00:31:23,767 So if he wants to prevent his body giving up soon, 544 00:31:23,767 --> 00:31:28,700 then it's important he works to turn things around with his health immediately. 545 00:31:28,767 --> 00:31:32,667 And he's gonna need a lot of family support to do that. 546 00:31:39,100 --> 00:31:42,886 Okay, Patrick, uh, this is a quick reference 547 00:31:42,886 --> 00:31:43,166 Okay, Patrick, uh, this is a quick reference 548 00:31:43,166 --> 00:31:45,867 to what you need to read every night 549 00:31:45,867 --> 00:31:48,367 so you can understand what the issues are. 550 00:31:49,367 --> 00:31:52,066 How Patrick controls his family 551 00:31:52,066 --> 00:31:57,200 is probably by getting unpleasant if they don't bring him the food he wants. 552 00:31:57,266 --> 00:32:01,667 So they enable him to avoid any sort of confrontation with him. 553 00:32:01,667 --> 00:32:05,467 So he and his whole family has a lot of work to do 554 00:32:05,467 --> 00:32:07,166 to turn his situation around. 555 00:32:07,166 --> 00:32:09,000 If they don't, then Patrick 556 00:32:09,066 --> 00:32:12,200 is gonna continue doing what he's been doing, 557 00:32:12,266 --> 00:32:12,886 and getting bigger. 558 00:32:12,886 --> 00:32:13,567 and getting bigger. 559 00:32:13,567 --> 00:32:16,066 And if he does that, in his current state, 560 00:32:16,066 --> 00:32:20,166 it's not likely that it's gonna take long for his weight to kill him. 561 00:32:20,166 --> 00:32:22,900 So the time to change is now. 562 00:32:22,967 --> 00:32:25,367 I'm gonna give you a copy of my book. 563 00:32:25,367 --> 00:32:28,066 And I put a bookmark. 564 00:32:28,066 --> 00:32:31,467 -And this chapter of exercise. -Mmm-hmm. 565 00:32:31,467 --> 00:32:34,900 You start doing these exercises one hour in the morning, 566 00:32:35,767 --> 00:32:37,567 and one hour in the afternoon. 567 00:32:37,567 --> 00:32:39,367 Then several page. 568 00:32:39,367 --> 00:32:41,367 Do all of these exercises. 569 00:32:41,367 --> 00:32:42,886 So this will give you a total understanding 570 00:32:42,886 --> 00:32:45,000 So this will give you a total understanding 571 00:32:45,066 --> 00:32:47,200 what the problem is, what the solutions are. 572 00:32:47,266 --> 00:32:48,500 Any questions? 573 00:32:48,567 --> 00:32:50,567 -No, sir. -All right. 574 00:32:51,300 --> 00:32:52,767 So, if you lose the weight, 575 00:32:52,767 --> 00:32:54,600 and hit the goals I'm giving you, 576 00:32:54,667 --> 00:32:56,667 we will consider weight-loss surgery for you. 577 00:32:56,667 --> 00:32:59,367 And if not, then we won't be able to help you. 578 00:33:00,200 --> 00:33:01,300 -Yes, sir. -Okay? 579 00:33:01,600 --> 00:33:03,200 Okay. 580 00:33:03,200 --> 00:33:06,800 All right, if you need anything, if you have any questions, give me a call. 581 00:33:06,867 --> 00:33:09,100 -Yes, sir. -And then we go from there. 582 00:33:09,166 --> 00:33:10,467 Yes, sir, thank you. 583 00:33:10,467 --> 00:33:12,886 -All right, I'll see y'all later. -Yes, sir, thank you. 584 00:33:12,886 --> 00:33:12,967 -All right, I'll see y'all later. -Yes, sir, thank you. 585 00:33:20,166 --> 00:33:21,000 Oh! 586 00:33:22,500 --> 00:33:24,767 My visit with Dr. Now is... 587 00:33:24,767 --> 00:33:29,600 It's not easy to just stop eatin'. 588 00:33:30,367 --> 00:33:31,867 I guess what I call normal 589 00:33:31,867 --> 00:33:36,667 and just go to eating 400 calories a day, and then 590 00:33:36,667 --> 00:33:39,800 I have family functions coming up, and they're gonna be wanting me, 591 00:33:39,867 --> 00:33:41,500 that's what we always do, go to eat. 592 00:33:41,567 --> 00:33:42,886 Have a lot of birthdays that'll be coming up, you know. 593 00:33:42,886 --> 00:33:45,100 Have a lot of birthdays that'll be coming up, you know. 594 00:33:45,166 --> 00:33:49,367 Birthday cake, sure that don't fall under 400 calories three times a day. 595 00:33:50,166 --> 00:33:51,800 I don't know. I'm gonna try. 596 00:33:51,867 --> 00:33:53,467 I don't even have a clue what to eat. 597 00:33:53,467 --> 00:33:57,100 I guess I could buy a bag of salad, have a couple leaves of it... 598 00:33:57,100 --> 00:33:59,567 [chuckles] ...three times a day, I mean, I don't know. 599 00:33:59,567 --> 00:34:02,500 I'm hoping the information he gave me has got some more about what, 600 00:34:02,567 --> 00:34:05,200 you know, I can eat to get in that range. 601 00:34:10,867 --> 00:34:12,886 It's gonna be a challenge, but I'm ready to change. 602 00:34:12,886 --> 00:34:14,100 It's gonna be a challenge, but I'm ready to change. 603 00:34:16,100 --> 00:34:17,200 [engine starts] 604 00:34:38,867 --> 00:34:41,500 Are you wanting some turkey bacon too, Daisy Mae? 605 00:34:42,000 --> 00:34:43,500 Hmm? 606 00:34:43,567 --> 00:34:45,400 [Patrick] Why didn't you fix you anything? 607 00:34:45,467 --> 00:34:47,166 I'm just not hungry this morning. 608 00:34:55,967 --> 00:34:58,567 -I'm going for a walk later, you want to come with me? -[Amanda] Yeah. 609 00:34:58,567 --> 00:35:01,066 That sounds like a good idea to me. 610 00:35:01,066 --> 00:35:04,166 [Patrick] It's been kind of a strange time since I saw Dr. Now. 611 00:35:05,867 --> 00:35:10,066 I got his book and started trying to do his diet and all. 612 00:35:10,066 --> 00:35:13,700 I stayed steady on it for about a month after I left Dr. Now's. 613 00:35:13,767 --> 00:35:16,667 And then, chaos kind of started. 614 00:35:16,667 --> 00:35:18,800 -Are you good? -[Patrick] Yep. 615 00:35:18,867 --> 00:35:22,867 -[Amanda] All right. -I'm gonna go through my exercises in my chair. 616 00:35:22,867 --> 00:35:24,645 I have been looking at selling my house for a while. 617 00:35:24,645 --> 00:35:26,567 I have been looking at selling my house for a while. 618 00:35:26,567 --> 00:35:28,867 And the market's kinda good right now. 619 00:35:29,367 --> 00:35:31,000 The house sold. 620 00:35:31,000 --> 00:35:33,367 We packed up all of the dishes. The dishes were gone. 621 00:35:33,367 --> 00:35:36,967 And it started getting harder to do the diet. 622 00:35:39,166 --> 00:35:40,700 [groans softly] 623 00:35:48,800 --> 00:35:52,066 I fell off the exercises with all the stuff that was going on. 624 00:35:52,066 --> 00:35:54,645 Still gotta get Dr. Now's book back out from unpacking. 625 00:35:54,645 --> 00:35:55,667 Still gotta get Dr. Now's book back out from unpacking. 626 00:35:55,667 --> 00:35:58,900 So I can get back on all of the exercises that are in the book. 627 00:35:58,967 --> 00:36:02,567 I remember some of them. I've been doing those. 628 00:36:02,567 --> 00:36:05,100 Uh, most of the exercises I've been doing lately 629 00:36:05,100 --> 00:36:07,800 is just with the moving and the unpacking, 630 00:36:07,867 --> 00:36:11,667 and the... I mean, I've been pretty much going every day. 631 00:36:13,000 --> 00:36:16,567 [Amanda] You're doing your exercises a lot better. 632 00:36:16,567 --> 00:36:18,567 You've been very active. 633 00:36:19,100 --> 00:36:19,900 Very. 634 00:36:20,367 --> 00:36:21,767 The moving and... 635 00:36:22,667 --> 00:36:24,645 I'm sore. 636 00:36:24,645 --> 00:36:25,100 I'm sore. 637 00:36:25,100 --> 00:36:26,967 [Amanda] You want to get ready and go for a walk? 638 00:36:26,967 --> 00:36:27,800 [Patrick] Sure. 639 00:36:28,667 --> 00:36:30,967 [Amanda] Sounds good to me. 640 00:36:30,967 --> 00:36:35,667 [Patrick] I feel much better with my body now, since I went to see Dr. Now. 641 00:36:38,300 --> 00:36:40,400 Mobility has got a lot better. 642 00:36:40,467 --> 00:36:42,000 I'm moving around a lot better. 643 00:36:42,900 --> 00:36:44,700 Go for a walk. 644 00:36:44,767 --> 00:36:46,667 [Patrick] I mean, my legs and my knees still hurt, 645 00:36:46,667 --> 00:36:49,266 but I'm not getting out of breath like I was. 646 00:36:49,266 --> 00:36:52,300 It gives me an incentive to keep going. 647 00:36:52,367 --> 00:36:54,066 And I have something to prove 648 00:36:54,066 --> 00:36:54,645 and it's to prove that I can do this. 649 00:36:54,645 --> 00:36:56,100 and it's to prove that I can do this. 650 00:36:57,066 --> 00:36:59,266 -Thank you, baby. -[Amanda] You're welcome. 651 00:36:59,266 --> 00:37:00,667 -You good? -[Patrick] Yeah. 652 00:37:00,667 --> 00:37:03,266 [Amanda] You're ready for walks with us, Daisy? Come here. 653 00:37:04,700 --> 00:37:07,000 [Patrick] I'm going for walks, and that's something new. 654 00:37:07,000 --> 00:37:09,066 So, you know, we're off to a good start. 655 00:37:13,800 --> 00:37:15,133 No. 656 00:37:16,567 --> 00:37:20,367 -[Amanda] You're doing it. I'm proud of you. -[Patrick] Yeah. 657 00:37:30,100 --> 00:37:33,200 [gps] In another mile, your destination will be on your right. 658 00:37:34,700 --> 00:37:38,867 [Patrick] Well, we made it back to Houston for my follow-up with Dr. Now. 659 00:37:38,867 --> 00:37:41,300 There was a slight delay because of the move. 660 00:37:41,367 --> 00:37:44,467 So I called Dr. Now's office to ask for an extra month. 661 00:37:46,900 --> 00:37:49,400 Dr. Now gave me the extra month, 662 00:37:49,467 --> 00:37:51,567 but he fined me an extra 30 pounds 663 00:37:51,567 --> 00:37:54,100 as a kind of a penalty for taking too long. 664 00:37:54,166 --> 00:37:54,645 So, instead of 100 pounds in two months, 665 00:37:54,645 --> 00:37:56,767 So, instead of 100 pounds in two months, 666 00:37:56,767 --> 00:37:59,700 it became 130 pounds in three months. 667 00:37:59,767 --> 00:38:02,100 And that just seemed kind of impossible. 668 00:38:02,100 --> 00:38:04,700 But I worked hard to lose as much weight as I could. 669 00:38:04,767 --> 00:38:06,667 And I think I did pretty good. 670 00:38:06,667 --> 00:38:09,567 I'm just nervous that if it's gonna be as much as it should be. 671 00:38:19,567 --> 00:38:21,567 Patrick. 672 00:38:21,567 --> 00:38:24,645 [Patrick] At my last appointment, I weighed 657 pounds. 673 00:38:24,645 --> 00:38:25,066 [Patrick] At my last appointment, I weighed 657 pounds. 674 00:38:26,567 --> 00:38:31,000 And Dr. Now told me to lose 130 pounds in three months. 675 00:38:35,400 --> 00:38:39,967 We're gonna weigh you. Just let me zero this out and then I'll let you know. 676 00:38:39,967 --> 00:38:42,066 Okay, step up on the scale. 677 00:38:42,066 --> 00:38:44,467 [Patrick] So, that will put me at 527. 678 00:39:00,467 --> 00:39:02,100 -Go into room five now. -[Patrick] Okay. 679 00:39:04,000 --> 00:39:05,667 I feel like that should be a victory for me 680 00:39:05,667 --> 00:39:07,467 because I lost a lot of weight. 681 00:39:07,467 --> 00:39:10,000 And so, part of me feels good about that, 682 00:39:10,066 --> 00:39:12,100 but since it's not to the goal, 683 00:39:12,166 --> 00:39:15,767 I don't think Dr. Now is going to say I can move ahead with anything. 684 00:39:15,767 --> 00:39:20,800 So, that's just discouraging, considering how hard I worked. 685 00:39:20,867 --> 00:39:24,266 So, I'm not really feeling like this is much of a victory when it should be. 686 00:39:33,467 --> 00:39:35,600 You should be proud of yourself. 687 00:39:36,800 --> 00:39:39,300 That's major. That's nothing little. 688 00:39:39,367 --> 00:39:40,567 [knocks on door] 689 00:39:44,066 --> 00:39:45,667 Hello, how are y'all doing? 690 00:39:45,667 --> 00:39:47,867 -I'm fine, how about you? -[Dr. Nowzaradan] I'm good. 691 00:39:48,367 --> 00:39:49,400 All right, Patrick. 692 00:39:52,967 --> 00:39:54,645 But you're still far from the goal I gave you. 693 00:39:54,645 --> 00:39:55,266 But you're still far from the goal I gave you. 694 00:39:55,266 --> 00:39:57,900 And on top of that, it's been three months, 695 00:39:57,967 --> 00:40:02,166 so you have been losing 13 to 14 pounds a month, which is not a lot. 696 00:40:02,166 --> 00:40:04,300 -Right. -And this is something that 697 00:40:04,367 --> 00:40:07,800 you can lose in one month, not in three months. 698 00:40:07,867 --> 00:40:11,000 Really, you should have lost 140 pounds at that time, 699 00:40:11,066 --> 00:40:14,166 but even with the goal of losing 130 pounds, 700 00:40:14,166 --> 00:40:16,467 you are 90 pounds away from that. 701 00:40:16,467 --> 00:40:19,266 So, you're still not doing the diet like you should. 702 00:40:19,266 --> 00:40:22,667 -You know what the normal weight for your height is? -No. 703 00:40:24,200 --> 00:40:24,645 190 to 200. 704 00:40:24,645 --> 00:40:26,567 190 to 200. 705 00:40:27,800 --> 00:40:29,066 Oh. 706 00:40:29,867 --> 00:40:34,266 That means that you got 400 pounds of extra weight to lose. 707 00:40:34,266 --> 00:40:36,500 That means I got two extra people with me. 708 00:40:36,567 --> 00:40:39,667 But in the way that you're living with your weight, right now, 709 00:40:39,667 --> 00:40:42,767 you're rolling the dice that any day something happens 710 00:40:42,767 --> 00:40:44,500 that will be too much for your body. 711 00:40:44,567 --> 00:40:47,767 It will be the final straw and then, next thing you know, 712 00:40:47,767 --> 00:40:48,900 you won't pull through. 713 00:40:48,967 --> 00:40:51,667 And this is a situation that you have to realize 714 00:40:51,667 --> 00:40:54,645 that this is a very dangerous way to being 600 pounds 715 00:40:54,645 --> 00:40:55,266 that this is a very dangerous way to being 600 pounds 716 00:40:55,266 --> 00:40:56,767 and carrying that weight, 717 00:40:56,767 --> 00:41:00,300 and effective data in your cardiorespiratory system is just significant. 718 00:41:00,367 --> 00:41:04,667 And if you twist your ankle and fall and break it, that will be it for you, 719 00:41:04,667 --> 00:41:07,266 because you end up in a bed that you won't get out of. 720 00:41:07,266 --> 00:41:09,867 So, what are you gonna do to prevent that? 721 00:41:09,867 --> 00:41:13,767 I'm gonna keep... I'm gonna stay on diet and eat like I'm supposed to. 722 00:41:14,600 --> 00:41:16,667 I mean, I'm gonna lose more weight. 723 00:41:16,667 --> 00:41:18,567 And then I'll... When you are... 724 00:41:18,567 --> 00:41:21,066 Tell me when you want me back and how much weight you want me to lose, 725 00:41:21,066 --> 00:41:22,700 and I'll be back and I'll... 726 00:41:22,767 --> 00:41:24,645 Well, you know, it should be very easy for you to lose 50 pounds in one month. 727 00:41:24,645 --> 00:41:27,667 Well, you know, it should be very easy for you to lose 50 pounds in one month. 728 00:41:27,667 --> 00:41:29,033 -Yes, sir. -[Dr. Nowzaradan] Okay? 729 00:41:29,033 --> 00:41:32,066 So, I'm gonna give you another two months to lose 100 pounds. 730 00:41:32,066 --> 00:41:34,367 -Do you think you can do that? -Yes, sir. 731 00:41:34,367 --> 00:41:37,300 Okay, all right, Patrick, I'm glad to see you again 732 00:41:37,367 --> 00:41:39,800 -after you've reached your follow-up appointment. -Yes, sir. 733 00:41:39,867 --> 00:41:43,767 -I thought you would never come back. -[all laughing] 734 00:41:43,767 --> 00:41:47,767 So, I'm glad you've made it back so let's work harder 735 00:41:47,767 --> 00:41:50,200 to make better progress and lose 100 pounds 736 00:41:50,266 --> 00:41:52,266 over the next two months this time. 737 00:41:52,266 --> 00:41:54,645 -This time, you're gonna show up, right? -Yes. 738 00:41:54,645 --> 00:41:54,767 -This time, you're gonna show up, right? -Yes. 739 00:41:55,266 --> 00:41:56,333 [laughing] 740 00:41:56,367 --> 00:41:58,700 All right, before you go, I want to run some tests 741 00:41:58,767 --> 00:42:00,467 to make sure you're doing okay. 742 00:42:00,467 --> 00:42:04,767 So, we'll get some lab work on you, do some tests, and see how things are, 743 00:42:04,767 --> 00:42:08,166 and if there is anything we need to address, we will, 744 00:42:08,166 --> 00:42:09,800 -okay? -Okay. 745 00:42:09,867 --> 00:42:12,100 All right. Well, nice to see you again. 746 00:42:12,166 --> 00:42:14,800 -Nice to see you too. -And we'll see y'all later. 747 00:42:14,867 --> 00:42:16,266 -Yes, sir. -Bye. 748 00:42:22,000 --> 00:42:24,645 I been thinking about it, eggs are 160 calories apiece. 749 00:42:24,645 --> 00:42:26,000 I been thinking about it, eggs are 160 calories apiece. 750 00:42:27,166 --> 00:42:29,600 But it's still too much, so you've gotta cut back more. 751 00:42:30,300 --> 00:42:31,800 I know. 752 00:42:31,867 --> 00:42:37,367 I'm obviously disappointed to see such little progress with Patrick. 753 00:42:37,367 --> 00:42:40,367 I'm glad that he at least started to lose some weight. 754 00:42:40,367 --> 00:42:43,667 But losing around 13 to 14 pounds a month 755 00:42:43,667 --> 00:42:48,667 is not nearly fast enough to reduce the strain on his body, how he needs. 756 00:42:48,667 --> 00:42:51,100 He needs to start doing a lot better right now. 757 00:42:51,166 --> 00:42:53,266 Not only to move ahead with the program, 758 00:42:53,266 --> 00:42:54,645 but to avoid getting his body to a breaking point soon. 759 00:42:54,645 --> 00:42:56,800 but to avoid getting his body to a breaking point soon. 760 00:42:56,867 --> 00:42:59,967 So hopefully, he's taking this seriously enough to do that, 761 00:42:59,967 --> 00:43:03,500 because he doesn't have a lot of time to keep making excuses 762 00:43:03,567 --> 00:43:08,367 and blaming other things instead of taking responsibility like he needs. 763 00:43:10,767 --> 00:43:13,166 [Patrick] It didn't go as bad as I thought it would be because 764 00:43:13,166 --> 00:43:15,200 they didn't give me as hard time as I thought, 765 00:43:15,266 --> 00:43:19,200 because I did lose some weight, just not as much as he wanted me to. 766 00:43:21,700 --> 00:43:24,645 But now, I'm determined as ever and I'm gonna keep at it and do better. 767 00:43:24,645 --> 00:43:25,667 But now, I'm determined as ever and I'm gonna keep at it and do better. 768 00:43:26,800 --> 00:43:28,867 I'm gonna do it, there's no doubt in my mind. 769 00:43:28,867 --> 00:43:32,066 I have too many people that I want to be around for longer 770 00:43:32,066 --> 00:43:35,367 and gonna do stuff with that I'm not gonna let down. 771 00:43:58,100 --> 00:44:00,567 [Patrick] Are y'all ready to go camping? 772 00:44:00,567 --> 00:44:02,667 We ain't been in quite a while. 773 00:44:02,667 --> 00:44:05,300 [Amanda] I'm excited. This is gonna be nice. 774 00:44:11,100 --> 00:44:12,494 [Patrick] Since my appointment with Dr. Now, 775 00:44:12,494 --> 00:44:12,867 [Patrick] Since my appointment with Dr. Now, 776 00:44:12,867 --> 00:44:15,367 the progress has been going pretty good. 777 00:44:15,367 --> 00:44:19,700 I've been dieting, exercising, and getting more active. 778 00:44:19,767 --> 00:44:21,500 I feel like I've lost enough weight. 779 00:44:21,567 --> 00:44:23,200 I can take them camping now. 780 00:44:23,266 --> 00:44:26,100 It's been a really long time since we went and done it, 781 00:44:26,166 --> 00:44:30,000 so it will be something fun for us all to go out and do. 782 00:44:30,066 --> 00:44:33,967 -[Amanda] Right here a good spot for the tent? -[Patrick] Looks good to me. 783 00:44:33,967 --> 00:44:35,667 Camping makes me happy, 784 00:44:35,667 --> 00:44:40,500 because Patrick is getting to where he can 785 00:44:40,567 --> 00:44:42,494 and wants to do the things that he likes to do, again. 786 00:44:42,494 --> 00:44:44,266 and wants to do the things that he likes to do, again. 787 00:44:44,266 --> 00:44:49,400 And he's trying to spend time with Haley and myself. 788 00:44:49,467 --> 00:44:52,200 And I'm just looking forward to it. 789 00:44:52,266 --> 00:44:53,567 It's a good surprise. 790 00:44:53,567 --> 00:44:56,900 -Y'all wanna go for a walk? -Yeah, that's fine. 791 00:44:56,967 --> 00:44:59,800 -[Amanda] Mmm-hmm. -[Patrick] Well, let's do it then. 792 00:45:05,100 --> 00:45:05,900 Oh. 793 00:45:10,467 --> 00:45:12,494 [Patrick breathing heavily] 794 00:45:12,494 --> 00:45:13,100 [Patrick breathing heavily] 795 00:45:26,967 --> 00:45:32,000 [coughing] 796 00:45:39,166 --> 00:45:41,100 It's the congestion, man. 797 00:45:42,367 --> 00:45:42,494 It's kicking my ass. 798 00:45:42,494 --> 00:45:44,500 It's kicking my ass. 799 00:45:44,567 --> 00:45:46,200 [breathing heavily] 800 00:46:10,700 --> 00:46:12,166 [Amanda] Maybe we shouldn't stay the night. 801 00:46:12,166 --> 00:46:12,494 Maybe we should just pack up and go home. 802 00:46:12,494 --> 00:46:14,467 Maybe we should just pack up and go home. 803 00:46:14,467 --> 00:46:17,000 We tried. Next time. 804 00:46:18,600 --> 00:46:20,667 Maybe we'll do better next time. 805 00:46:20,667 --> 00:46:22,300 I think it's a good idea. 806 00:46:23,667 --> 00:46:25,367 -All right. -[Amanda] All right. 807 00:46:27,867 --> 00:46:29,567 You wanna help me pack up, Hay-bug? 808 00:46:29,567 --> 00:46:32,066 -[Haley] Yeah, I'm gonna help you pack up. -[Amanda] Okay. 809 00:46:33,800 --> 00:46:35,000 -Come on. -Let's get you a drink. 810 00:46:37,000 --> 00:46:40,166 -[Haley] Can you fold your chair up? -[Patrick] Yeah. 811 00:46:42,066 --> 00:46:42,494 Try to get the chair. 812 00:46:42,494 --> 00:46:43,567 Try to get the chair. 813 00:46:44,967 --> 00:46:48,266 [Patrick] I was feeling good. I wanted to come camping today. 814 00:46:48,266 --> 00:46:51,166 I've just kind of overdone it. I'm not ready for it yet. 815 00:46:51,166 --> 00:46:54,300 So, we're gonna get back home and eat, 816 00:46:54,367 --> 00:46:58,767 and maybe in a month or so, I'll try it again, once I've lost more weight, 817 00:46:58,767 --> 00:47:00,600 and we'll come back and try it again. 818 00:47:09,867 --> 00:47:12,494 Going to see Dr. Now for the next appointment 819 00:47:12,494 --> 00:47:13,000 Going to see Dr. Now for the next appointment 820 00:47:13,066 --> 00:47:13,967 to see where my weight's at. 821 00:47:14,867 --> 00:47:16,667 I don't know, I've been sick. 822 00:47:16,667 --> 00:47:19,367 I know I haven't done that great on my diet. 823 00:47:19,367 --> 00:47:21,867 I've tried, but I could have done better. 824 00:47:39,500 --> 00:47:42,494 Here we are, back in Houston for my next follow-up with Dr. Now. 825 00:47:42,494 --> 00:47:43,467 Here we are, back in Houston for my next follow-up with Dr. Now. 826 00:47:43,467 --> 00:47:46,700 And we're gonna see how much weight I've lost. 827 00:47:46,767 --> 00:47:50,066 I'm a little worried because I got sick after camping, 828 00:47:50,066 --> 00:47:52,367 and I've been sick, pretty much, the whole month. 829 00:47:54,467 --> 00:47:56,467 So all I could do was rest in bed, 830 00:47:56,467 --> 00:48:00,100 and I couldn't really focus on what I needed to do for the program. 831 00:48:00,166 --> 00:48:01,700 So, I made a little bit of progress, 832 00:48:01,767 --> 00:48:03,467 but I don't know if it's gonna be enough. 833 00:48:06,900 --> 00:48:07,767 Patrick. 834 00:48:17,100 --> 00:48:18,166 [Patrick] Hi, how are you? 835 00:48:20,767 --> 00:48:24,066 At my last appointment, I was down to 616, 836 00:48:24,066 --> 00:48:28,266 and Dr. Now told me to lose another 100 pounds over the last two months. 837 00:48:29,900 --> 00:48:31,467 Step up on the scale. 838 00:48:32,767 --> 00:48:35,967 [Patrick] So, that would put me at 516. 839 00:48:48,867 --> 00:48:50,300 Hm, that's not good. 840 00:48:51,400 --> 00:48:52,600 [sighs] 841 00:48:55,867 --> 00:48:58,266 -We're going to be going to room five. -All right. 842 00:49:00,166 --> 00:49:02,767 Good Lord, that's not okay. 843 00:49:02,767 --> 00:49:04,800 What the heck happened with that? 844 00:49:07,066 --> 00:49:10,300 There's only one way this is gonna go with Dr. Now at this point. 845 00:49:12,567 --> 00:49:14,900 And it's not the way you daydream about. 846 00:49:19,166 --> 00:49:20,300 [knock on door] 847 00:49:24,266 --> 00:49:26,467 -Hello, how are y'all doing? -[Patrick] Fine. You? 848 00:49:26,467 --> 00:49:27,767 [Dr. Nowzaradan] I'm good. Thank you. 849 00:49:27,767 --> 00:49:30,367 All right. Good to see you all again. 850 00:49:30,367 --> 00:49:32,100 How was your trip down here? 851 00:49:32,800 --> 00:49:34,000 It was all right. 852 00:49:34,066 --> 00:49:36,100 Long drive, but it was good. 853 00:49:36,166 --> 00:49:38,166 And how many hours did you have to drive? 854 00:49:38,767 --> 00:49:40,200 Hmm, about 11. 855 00:49:40,266 --> 00:49:42,066 One day or two days or what? 856 00:49:42,066 --> 00:49:42,494 No, we just drive straight here. 857 00:49:42,494 --> 00:49:43,767 No, we just drive straight here. 858 00:49:43,767 --> 00:49:46,867 Well, all that travel puts a lot of strain on your body 859 00:49:46,867 --> 00:49:48,767 with your weight and your condition. 860 00:49:48,767 --> 00:49:51,000 So, I don't think you should make that trip again, 861 00:49:51,000 --> 00:49:54,500 because there is no point if you're not making the changes you need. 862 00:49:54,567 --> 00:49:58,600 Especially at this time, it looked like you almost gained 30 pounds. 863 00:49:58,667 --> 00:50:02,600 -So, what happened? -I've been sick. I had, like, the flu. 864 00:50:02,667 --> 00:50:06,166 -But that's really no excuse. -Some people have flu, they'll lose a lot of weight. 865 00:50:06,166 --> 00:50:09,600 -And they don't gain weight. -No, not me. [chuckles] 866 00:50:09,667 --> 00:50:12,367 Well, make a better story. 867 00:50:12,367 --> 00:50:12,494 Now, I don't really have any excuses, I mean, I wasn't eating right. 868 00:50:12,494 --> 00:50:17,100 Now, I don't really have any excuses, I mean, I wasn't eating right. 869 00:50:17,166 --> 00:50:19,000 So what is your objective coming here, 870 00:50:19,000 --> 00:50:21,967 if you just plan to keep doing whatever you want, 871 00:50:21,967 --> 00:50:24,000 and making excuses and telling me 872 00:50:24,000 --> 00:50:26,767 you didn't follow the diet and you were sick, and... 873 00:50:26,767 --> 00:50:28,200 -Nah. -Why come in 874 00:50:28,266 --> 00:50:30,100 all the way to tell me that? 875 00:50:31,166 --> 00:50:33,200 I don't know. 876 00:50:33,266 --> 00:50:36,000 So what is your objective here? What do you expect 877 00:50:36,000 --> 00:50:37,700 that we can do for you? 878 00:50:37,700 --> 00:50:40,467 There's nothing about my weight that you can do for me. I mean, I need to show that 879 00:50:40,467 --> 00:50:42,494 I can lose the weight. And I can lose the weight. 880 00:50:42,494 --> 00:50:42,567 I can lose the weight. And I can lose the weight. 881 00:50:43,700 --> 00:50:45,567 I just have to get off my own butt and do it. 882 00:50:45,567 --> 00:50:47,467 If you are coming here, 883 00:50:47,467 --> 00:50:51,500 and you, clearly, you're not taking this seriously and think this is a joke. 884 00:50:51,567 --> 00:50:53,500 But there is no magic to save you. 885 00:50:53,567 --> 00:50:58,266 It's not gonna be me that saves you. It's not gonna be your wife or your daughter. 886 00:50:58,266 --> 00:50:59,767 Our magic is you. 887 00:50:59,767 --> 00:51:01,967 And follow the instructions that we gave you. 888 00:51:02,600 --> 00:51:03,700 You don't wanna 889 00:51:03,700 --> 00:51:06,867 follow those and you want me to make you lose weight. 890 00:51:06,867 --> 00:51:09,867 I'mma go do the diet like I'm supposed to and eat like I'm supposed to. 891 00:51:09,867 --> 00:51:11,567 But you didn't do anything about it the last 892 00:51:11,567 --> 00:51:12,494 -six months. -Okay. 893 00:51:12,494 --> 00:51:12,767 -six months. -Okay. 894 00:51:12,767 --> 00:51:15,000 I'm tired of... I'm tired of doing... Whatever. 895 00:51:15,066 --> 00:51:19,400 You keep showing me that you're not serious about saving your life, Patrick. 896 00:51:19,467 --> 00:51:22,767 In six months, you should've been able to lose a whole lot more. 897 00:51:22,767 --> 00:51:24,567 And you got a lot of health issues. 898 00:51:24,567 --> 00:51:26,066 When you do check your heart, make sure 899 00:51:26,066 --> 00:51:27,967 that you have an angio 900 00:51:27,967 --> 00:51:31,066 and see what's going on, because your body is close to giving up. 901 00:51:31,066 --> 00:51:34,567 And this is all a result of overeating and not losing weight. 902 00:51:34,567 --> 00:51:35,667 Do you understand that? 903 00:51:35,667 --> 00:51:36,567 [Patrick] Yes, sir. 904 00:51:36,567 --> 00:51:38,000 How much you can do before you get 905 00:51:38,066 --> 00:51:39,567 that chest pain? 906 00:51:42,166 --> 00:51:42,494 It don't always just come up when I'm doing something. It may come up 907 00:51:42,494 --> 00:51:47,166 It don't always just come up when I'm doing something. It may come up 908 00:51:48,300 --> 00:51:49,667 just out of the blue. 909 00:51:50,600 --> 00:51:52,300 So how often you get that? 910 00:51:52,867 --> 00:51:53,967 Every day. 911 00:51:53,967 --> 00:51:54,867 Every day? 912 00:51:54,867 --> 00:51:56,300 Mostly in the afternoon? 913 00:51:58,000 --> 00:52:01,100 All right, let me get an EKG, see what's going on with your heart. 914 00:52:01,100 --> 00:52:02,166 All right. 915 00:52:02,166 --> 00:52:03,867 All right, Patrick. At this point, 916 00:52:03,867 --> 00:52:05,500 you need to figure out your life, 917 00:52:05,500 --> 00:52:08,467 and you're gonna have to figure out what you're gonna do from this point on. 918 00:52:08,467 --> 00:52:09,834 But in the meantime, 919 00:52:09,834 --> 00:52:12,494 I don't have an answer for you. You have to figure that out. 920 00:52:12,494 --> 00:52:12,567 I don't have an answer for you. You have to figure that out. 921 00:52:12,567 --> 00:52:15,467 So we'll get the updated bloodwork on you and see how 922 00:52:15,467 --> 00:52:17,500 -badly-- -You don't need to do all that, you have 923 00:52:17,567 --> 00:52:18,967 no answers for it. 924 00:52:18,967 --> 00:52:19,967 Answer for what? 925 00:52:19,967 --> 00:52:22,467 You said you have no answers for it. 926 00:52:22,467 --> 00:52:23,467 Well... 927 00:52:23,467 --> 00:52:24,767 [Patrick chuckles] 928 00:52:24,767 --> 00:52:26,000 -Well, what? -We have 929 00:52:26,066 --> 00:52:28,066 answers for you, but you're not following those. 930 00:52:29,066 --> 00:52:30,600 And now, you will come in defensive, 931 00:52:30,667 --> 00:52:34,166 and that is our fault that we're not doing anything for you? 932 00:52:34,166 --> 00:52:35,667 No, I didn't say that. 933 00:52:35,667 --> 00:52:37,166 What's your problem then? 934 00:52:37,166 --> 00:52:39,667 We're giving you the instructions and you're blaming 935 00:52:39,667 --> 00:52:41,900 us that we're not doing anything for you. 936 00:52:41,967 --> 00:52:42,494 I'm not blamin' for ya. I never said you weren't doing anything. 937 00:52:42,494 --> 00:52:44,567 I'm not blamin' for ya. I never said you weren't doing anything. 938 00:52:44,567 --> 00:52:46,667 So, well, you have diabetes because 939 00:52:46,667 --> 00:52:48,066 you're overeating. 940 00:52:48,066 --> 00:52:51,066 What problem with that you didn't understand 941 00:52:51,066 --> 00:52:52,667 the past six months you've been here? 942 00:52:54,100 --> 00:52:55,266 Okay. 943 00:52:55,266 --> 00:52:58,166 And so when I say we needed some lab work for you-- 944 00:52:58,166 --> 00:52:59,433 I'll give you lab work. 945 00:52:59,467 --> 00:53:02,900 I'll give you lab work. I'm just tired of listening to it. 946 00:53:02,967 --> 00:53:04,700 Do whatever you need to do to help. 947 00:53:06,266 --> 00:53:07,967 Well, Patrick. 948 00:53:07,967 --> 00:53:12,200 You gotta get your life in order, you gotta get your attitude in the right place. 949 00:53:12,266 --> 00:53:12,494 You gotta make decisions 950 00:53:12,494 --> 00:53:13,867 You gotta make decisions 951 00:53:13,867 --> 00:53:16,066 in your life, what to do, what not to do. 952 00:53:16,066 --> 00:53:17,533 That's true. 953 00:53:17,533 --> 00:53:19,867 And those things are something that you're gonna have to figure out. 954 00:53:19,867 --> 00:53:20,767 Right? 955 00:53:21,767 --> 00:53:23,367 -That's right. -[Dr. Nowzaradan] Okay. 956 00:53:23,367 --> 00:53:27,467 So we're gonna find a local clinic for you to go to in two months 957 00:53:27,467 --> 00:53:30,467 to see if you're actually losing weight. 958 00:53:30,467 --> 00:53:35,100 I'm gonna give you an easier goal to only lose 80 pounds in two months. 959 00:53:35,100 --> 00:53:37,767 And see if that will help your weight. Okay? 960 00:53:38,400 --> 00:53:40,166 [Patrick] All right. 961 00:53:40,166 --> 00:53:42,467 [Dr. Nowzaradan] All right. Any other questions? 962 00:53:42,467 --> 00:53:42,494 [Patrick] No. 963 00:53:42,494 --> 00:53:43,300 [Patrick] No. 964 00:53:46,500 --> 00:53:47,367 [Dr. Nowzaradan] All right. 965 00:53:51,400 --> 00:53:52,800 [Patrick exhales deeply] 966 00:53:56,900 --> 00:53:59,667 [sniffles and sighs] 967 00:53:59,667 --> 00:54:02,800 Anyway, I'll be back and see you after your EKG, okay? 968 00:54:02,867 --> 00:54:04,467 -[Patrick] All right. -All right. 969 00:54:10,800 --> 00:54:12,494 -[Patrick sighs] -[door closes] 970 00:54:12,494 --> 00:54:12,767 -[Patrick sighs] -[door closes] 971 00:54:14,467 --> 00:54:15,667 [Patrick sniffles] 972 00:54:16,800 --> 00:54:20,266 [Amanda] We're gonna get you back on track. 973 00:54:20,266 --> 00:54:23,000 Not with him. I won't be back here. 974 00:54:23,000 --> 00:54:26,100 -Yes, you will. -No, I won't. 975 00:54:26,166 --> 00:54:32,200 He just wants what's best for you and you to get back on track 976 00:54:32,266 --> 00:54:34,767 and do what needs to be done. 977 00:54:35,800 --> 00:54:38,066 This is [bleep]. [sniffles] 978 00:54:38,066 --> 00:54:39,100 He gives you a [bleep] book 979 00:54:39,100 --> 00:54:40,767 and a piece of paper. That's it. 980 00:54:41,700 --> 00:54:42,494 Doctor Now's appointment didn't go very good. 981 00:54:42,494 --> 00:54:43,800 Doctor Now's appointment didn't go very good. 982 00:54:45,166 --> 00:54:47,467 He wasn't happy because I gained some weight. 983 00:54:47,467 --> 00:54:51,200 I'm gonna go back home and hit the diet hard 984 00:54:51,266 --> 00:54:53,467 and come back, and hopefully... 985 00:54:54,767 --> 00:54:56,367 have lost some weight this time. 986 00:54:58,200 --> 00:54:59,667 It is unfortunate 987 00:54:59,667 --> 00:55:02,667 that Patrick has continued his pattern of making excuses, 988 00:55:02,667 --> 00:55:04,867 instead of taking responsibility. 989 00:55:04,867 --> 00:55:10,100 And in the condition he's in, there is no point in him continuing to come down here 990 00:55:10,166 --> 00:55:12,494 and put all that strain on his body travelling, if this is all he's gonna do. 991 00:55:12,494 --> 00:55:14,667 and put all that strain on his body travelling, if this is all he's gonna do. 992 00:55:14,667 --> 00:55:16,767 So we'll set up a local clinic 993 00:55:16,767 --> 00:55:18,867 to check his progress in a couple months. 994 00:55:18,867 --> 00:55:20,700 But if he hasn't started to show me 995 00:55:20,767 --> 00:55:24,166 he's going to get serious and do what he needs by then, 996 00:55:24,166 --> 00:55:27,500 then we won't be continuing with Patrick because it will 997 00:55:27,567 --> 00:55:29,767 be clear he doesn't intend to change. 998 00:55:30,367 --> 00:55:31,200 [Patrick] Whoa. 999 00:55:45,700 --> 00:55:48,166 [Patrick] Kinda nervous about this. 1000 00:55:48,166 --> 00:55:50,800 [Amanda] You don't have any reason to be nervous. You're gonna do good. 1001 00:55:56,166 --> 00:55:58,800 [Patrick] This month, I decided to join a gym. 1002 00:55:58,867 --> 00:56:02,000 So that I can get a trainer and push myself even harder. 1003 00:56:02,000 --> 00:56:05,165 It's a little scary and intimidating to go out and do something like this 1004 00:56:05,165 --> 00:56:06,000 It's a little scary and intimidating to go out and do something like this 1005 00:56:06,000 --> 00:56:07,867 when you've been trapped at home on the couch 1006 00:56:07,867 --> 00:56:10,667 for years. So I'm fighting through that. 1007 00:56:10,667 --> 00:56:14,066 And I'm happy that Amanda will come with me for moral support. 1008 00:56:22,867 --> 00:56:24,100 [woman] Hey, guys! Hi. 1009 00:56:24,166 --> 00:56:25,467 I'm Victoria. What's your name? 1010 00:56:25,467 --> 00:56:27,166 -I'm Patrick. -Patrick, it's nice to meet you. 1011 00:56:27,166 --> 00:56:30,000 So this is our other trainer, Matt. So he's gonna be working with us today. 1012 00:56:30,066 --> 00:56:32,367 -How you doing? Coach Matt. -[Victoria] Ready for our workout today? 1013 00:56:32,367 --> 00:56:33,467 I guess. 1014 00:56:33,467 --> 00:56:34,667 -Follow me. -All right. 1015 00:56:35,800 --> 00:56:37,200 All right, 1016 00:56:37,200 --> 00:56:39,600 so the first movement is gonna be that sled push right there. 1017 00:56:39,667 --> 00:56:41,467 I'm not looking for speed right here. I'm just looking 1018 00:56:41,467 --> 00:56:43,867 for you to push it, kinda head down, 1019 00:56:43,867 --> 00:56:46,367 and then, again, the other way back. 1020 00:56:49,700 --> 00:56:52,000 All right, yep. Start pushing. There you go. 1021 00:56:53,166 --> 00:56:54,567 [Matt] There you go. Good. 1022 00:56:54,567 --> 00:56:57,667 [Victoria] Very good. All the way down to Matt. Now we're gonna 1023 00:56:57,667 --> 00:56:59,767 lean backwards and come back. 1024 00:56:59,767 --> 00:57:02,867 Baby steps. Baby steps. Very good. We're gonna go 1025 00:57:02,867 --> 00:57:05,165 back over by the straps. How're you feeling so far? 1026 00:57:05,165 --> 00:57:05,367 back over by the straps. How're you feeling so far? 1027 00:57:05,367 --> 00:57:06,867 -All right. -[Victoria] All right? 1028 00:57:07,667 --> 00:57:09,967 I'm just breathin' heavy. 1029 00:57:09,967 --> 00:57:12,867 That's okay. You should see our workouts. You'd breathe heavy too. 1030 00:57:12,867 --> 00:57:15,400 It's a significant emotional event over there sometimes. 1031 00:57:15,467 --> 00:57:17,600 [both laugh] 1032 00:57:19,900 --> 00:57:21,567 It's okay. 1033 00:57:21,567 --> 00:57:23,367 -You're doing good though. -Yeah. 1034 00:57:23,367 --> 00:57:25,400 [Matt] Hold the handles however you feel for the squats. 1035 00:57:26,467 --> 00:57:28,000 This thing ain't gonna pull over, right? 1036 00:57:28,066 --> 00:57:29,500 Nope. It's good. It's anchored to the floor. 1037 00:57:29,567 --> 00:57:32,867 We're gonna lean, okay? Just back a little bit. 1038 00:57:32,867 --> 00:57:34,967 Not a whole lot of it. Just a little bit. 1039 00:57:34,967 --> 00:57:35,165 Okay? See, we're having fun. That's the whole point of this, right? 1040 00:57:35,165 --> 00:57:37,667 Okay? See, we're having fun. That's the whole point of this, right? 1041 00:57:39,667 --> 00:57:40,867 It looked like Patrick 1042 00:57:40,867 --> 00:57:42,667 was having fun at the gym. If you're not having fun, 1043 00:57:42,667 --> 00:57:44,233 or at least, you know, laughing 1044 00:57:44,266 --> 00:57:47,266 and enjoying yourself during a session, you're not with the right trainer. 1045 00:57:47,266 --> 00:57:51,166 I'm absolutely very proud of Patrick and the fact that he took that first initial step 1046 00:57:51,166 --> 00:57:53,266 to kind of set that foundation for himself. 1047 00:57:53,266 --> 00:57:54,867 New things are really intimidating. 1048 00:57:54,867 --> 00:57:57,567 And like I said, it adds and amplifies the anxiety, 1049 00:57:57,567 --> 00:57:58,900 so the fact that he took that step 1050 00:57:58,967 --> 00:58:00,900 to be like, "You know what? I wanna be healthier," 1051 00:58:00,967 --> 00:58:02,300 is something to be really proud of. 1052 00:58:02,367 --> 00:58:03,800 Yeah, you're gonna be sore tomorrow. 1053 00:58:03,867 --> 00:58:05,100 -I imagine. -Probably the next day. 1054 00:58:05,100 --> 00:58:05,165 [all laugh] 1055 00:58:05,165 --> 00:58:06,433 [all laugh] 1056 00:58:06,433 --> 00:58:09,300 That's all right. That just means the muscles are growing. 1057 00:58:09,367 --> 00:58:10,567 [Patrick] The workout was good. 1058 00:58:10,567 --> 00:58:13,500 I enjoyed it. I was real nervous when we first came in, 1059 00:58:13,567 --> 00:58:17,100 but the instructors I had, they made it enjoyable. 1060 00:58:17,100 --> 00:58:18,400 All right, we'll see y'all again. 1061 00:58:18,467 --> 00:58:19,767 [Amanda] Thank you, see you again. 1062 00:58:19,767 --> 00:58:21,667 [Victoria] Now we will see you again, though. 1063 00:58:24,367 --> 00:58:27,800 [Patrick breathing heavily] 1064 00:58:31,667 --> 00:58:34,100 Yeah, that workout did get my legs. 1065 00:58:34,100 --> 00:58:35,165 [panting] 1066 00:58:35,165 --> 00:58:36,400 [panting] 1067 00:58:49,400 --> 00:58:52,700 [Patrick] We're headed to the local clinic Dr. Now set up for me to go check 1068 00:58:52,767 --> 00:58:54,100 my weight and see where I'm at. 1069 00:58:55,900 --> 00:58:57,767 I know I've worked to do better the last 1070 00:58:57,767 --> 00:59:02,166 two months. And I'm really hoping how I've applied myself pays off today. 1071 00:59:06,266 --> 00:59:07,166 [Amanda] Thank you, 1072 00:59:07,166 --> 00:59:08,166 [nurse] Hey, how are ya? 1073 00:59:08,166 --> 00:59:09,600 -[Amanda] Good. How are you? -[nurse] Good. 1074 00:59:13,266 --> 00:59:16,266 Okay, go ahead and step up on the scale. 1075 00:59:16,266 --> 00:59:19,867 [Patrick] At my last appointment, I was at 642. And Dr. Now 1076 00:59:19,867 --> 00:59:22,066 told me that I need to lose at least 80 pounds 1077 00:59:22,066 --> 00:59:24,567 over the last two months. So if I made it 1078 00:59:24,567 --> 00:59:26,867 to that, I'll be at 562 today. 1079 00:59:37,000 --> 00:59:38,567 -[Patrick] Doing good. -[Amanda] Yeah. 1080 00:59:38,567 --> 00:59:39,400 [nurse chuckles] 1081 00:59:41,367 --> 00:59:42,467 [Patrick] Yay! 1082 00:59:42,467 --> 00:59:43,367 Okay, Patrick. We're gonna 1083 00:59:43,367 --> 00:59:44,800 get right into this room right here. 1084 00:59:44,867 --> 00:59:46,600 Yes, ma'am. 1085 00:59:48,967 --> 00:59:51,767 [Patrick] That's a lot of progress. But I'm not sure if it's gonna be enough 1086 00:59:51,767 --> 00:59:53,200 for Dr. Now. 1087 00:59:56,266 --> 00:59:59,867 [cell phone ringing] 1088 01:00:01,200 --> 01:00:02,133 Hello. 1089 01:00:02,967 --> 01:00:04,867 -Hi, how are you? - I'm doing okay. 1090 01:00:04,867 --> 01:00:05,165 So how was your appointment today? 1091 01:00:05,165 --> 01:00:06,567 So how was your appointment today? 1092 01:00:06,567 --> 01:00:09,367 I was 591 today when I weighed in. 1093 01:00:09,367 --> 01:00:12,000 [Dr. Now] All right, so you lost 51 pounds. 1094 01:00:12,066 --> 01:00:13,467 [Patrick] Yes, sir. 1095 01:00:13,467 --> 01:00:16,000 So I know I didn't do as good as you wanted me to do, but I am, 1096 01:00:16,000 --> 01:00:18,667 I mean, I am trying at losing weight. 1097 01:00:18,667 --> 01:00:21,100 [Dr. Nowzaradan] Well, you're right. You haven't lost the amount 1098 01:00:21,100 --> 01:00:22,834 of weight that you should have, 1099 01:00:22,834 --> 01:00:25,867 but at least you're showing me you're willing to try and take this seriously. 1100 01:00:25,867 --> 01:00:28,066 So, Patrick, at this point, 1101 01:00:28,066 --> 01:00:30,266 I'm gonna approve you for weight-loss surgery. 1102 01:00:31,266 --> 01:00:33,000 Okay, well, that's great. 1103 01:00:33,000 --> 01:00:35,165 [Dr. Nowzaradan] But there are two things you need to do first. Firstly, 1104 01:00:35,165 --> 01:00:36,266 [Dr. Nowzaradan] But there are two things you need to do first. Firstly, 1105 01:00:36,266 --> 01:00:38,667 you need to move back to Houston. 1106 01:00:38,667 --> 01:00:42,100 Then second, I want you to lose 30 pounds while you're still at home 1107 01:00:42,100 --> 01:00:44,467 from the last goal I gave you, okay? 1108 01:00:44,900 --> 01:00:46,467 Yes, sir. 1109 01:00:46,500 --> 01:00:51,400 All right. So let's start working harder on your eating habit, 1110 01:00:51,467 --> 01:00:54,100 and let me know when you can get down to Houston. 1111 01:00:54,767 --> 01:00:56,367 All right, I will do that. 1112 01:00:56,367 --> 01:00:57,867 [Dr. Nowzaradan] It doesn't mean that you can 1113 01:00:57,867 --> 01:01:01,000 take that as a victory lap and start eating, okay? 1114 01:01:01,000 --> 01:01:02,266 - [chuckles] -So let's 1115 01:01:03,100 --> 01:01:04,333 work harder 1116 01:01:04,333 --> 01:01:05,165 and stay on track so we can move ahead with you, okay? 1117 01:01:05,165 --> 01:01:08,200 and stay on track so we can move ahead with you, okay? 1118 01:01:08,266 --> 01:01:10,066 [Patrick] All right, thank you. 1119 01:01:10,066 --> 01:01:11,000 All right, Patrick, 1120 01:01:11,000 --> 01:01:12,900 let me know if you need anything. 1121 01:01:12,967 --> 01:01:14,367 Yes, sir. Thank you. 1122 01:01:15,467 --> 01:01:17,700 - All right. Bye now. -Bye. 1123 01:01:17,767 --> 01:01:19,266 -Mmm-hmm. -Take care. 1124 01:01:19,266 --> 01:01:20,567 You, too. 1125 01:01:21,467 --> 01:01:22,967 That wasn't as bad as you thought it was 1126 01:01:22,967 --> 01:01:24,400 -gonna be, was it? -No, 1127 01:01:24,467 --> 01:01:25,400 not at all. 1128 01:01:26,667 --> 01:01:29,266 -Are you excited about it all? -Yeah, 1129 01:01:29,266 --> 01:01:31,400 I can get the surgery and lose a whole lotta weight. 1130 01:01:33,266 --> 01:01:34,867 [nurse] Okay, we're all ready to walk you out. 1131 01:01:39,567 --> 01:01:41,667 [Patrick] I'm very excited to be approved. 1132 01:01:41,667 --> 01:01:44,500 I didn't think the call was gonna go as well as it did. 1133 01:01:44,567 --> 01:01:46,066 So I'm feeling really good. 1134 01:01:49,000 --> 01:01:51,166 -[nurse] All right. -[Patrick] Y'all have a good day. 1135 01:01:51,166 --> 01:01:54,567 But it's gonna take a lot for me and Amanda to move to Houston. 1136 01:01:54,567 --> 01:01:56,567 So we have to start working on that. 1137 01:01:56,567 --> 01:02:00,667 But that's why we got a place with a short-term lease. To prepare for this. 1138 01:02:00,667 --> 01:02:03,667 So we'll figure out what we need to make this happen. 1139 01:02:03,667 --> 01:02:05,165 Because I've worked really hard to achieve this and get here today. 1140 01:02:05,165 --> 01:02:07,567 Because I've worked really hard to achieve this and get here today. 1141 01:02:07,567 --> 01:02:09,066 So whatever it takes to keep going 1142 01:02:09,066 --> 01:02:11,767 and make it happen, I'm gonna do it. 1143 01:02:31,567 --> 01:02:33,000 [Haley] Here, Dad. 1144 01:02:33,000 --> 01:02:34,634 [Patrick] You want this to go? 1145 01:02:34,634 --> 01:02:36,967 [Haley] Yeah, I want you to take that to Texas, 'cause I want it when I come. 1146 01:02:36,967 --> 01:02:38,800 [Patrick] Okay. Well, help me fold it up. 1147 01:02:41,066 --> 01:02:43,100 Just, you got kind of a mess here, kid. 1148 01:02:45,300 --> 01:02:46,667 I don't have a mess. 1149 01:02:47,467 --> 01:02:49,600 Well, where's the damn corners? 1150 01:02:49,667 --> 01:02:50,361 [Haley laughs] 1151 01:02:50,361 --> 01:02:51,066 [Haley laughs] 1152 01:02:51,066 --> 01:02:52,200 [Amanda] It is a mess. 1153 01:02:57,000 --> 01:02:58,967 [Patrick] Well, I got my surgery approval. 1154 01:02:58,967 --> 01:03:01,266 And that means we're moving to Houston. 1155 01:03:01,266 --> 01:03:03,667 We found a place and we're leaving tomorrow. 1156 01:03:04,900 --> 01:03:06,166 [Amanda] I'm gonna get the fans. 1157 01:03:09,867 --> 01:03:11,266 [Patrick] The hardest, though, is leaving 1158 01:03:11,266 --> 01:03:12,200 my daughter. 1159 01:03:12,266 --> 01:03:14,000 I'm not gonna see her for a bit. 1160 01:03:15,200 --> 01:03:17,100 So she's gonna spend some time with us today. 1161 01:03:26,400 --> 01:03:28,667 I'm a little excited, a little nervous. 1162 01:03:29,567 --> 01:03:31,667 A lot scared. 1163 01:03:31,667 --> 01:03:35,100 Excited about him getting the help that he needs. 1164 01:03:36,066 --> 01:03:37,900 Worried about... 1165 01:03:40,667 --> 01:03:43,500 leaving home. 1166 01:03:43,567 --> 01:03:45,700 [voice breaks] For one, for leaving Haley. 1167 01:03:51,100 --> 01:03:53,367 And number two... 1168 01:03:55,967 --> 01:03:59,467 bad thoughts about what could happen during the surgery. 1169 01:04:01,567 --> 01:04:07,100 And I've been trying to keep it together. But the closer it gets, the harder it's getting. 1170 01:04:08,166 --> 01:04:10,467 I'm just trying to stay positive. 1171 01:04:13,266 --> 01:04:15,467 [Patrick] Well, there're some dark clouds out here. 1172 01:04:17,100 --> 01:04:18,100 [Amanda] Yeah. 1173 01:04:24,767 --> 01:04:26,200 [Patrick clears throat] 1174 01:04:28,266 --> 01:04:29,900 So you gon' be all right when I'm gone? 1175 01:04:29,967 --> 01:04:31,667 -Yeah? -You sure? 1176 01:04:31,667 --> 01:04:32,600 Mmm-hmm. 1177 01:04:34,166 --> 01:04:35,300 All right. 1178 01:04:35,367 --> 01:04:37,000 All right. I love you. 1179 01:04:37,066 --> 01:04:38,467 I love you too, baby. 1180 01:04:39,467 --> 01:04:40,667 I'll see you out there, okay? 1181 01:04:43,166 --> 01:04:44,367 All right. 1182 01:04:44,367 --> 01:04:46,266 -Bye. I love you. -I love you too. Please be careful 1183 01:04:46,266 --> 01:04:47,400 going to your mama's. 1184 01:04:47,467 --> 01:04:48,300 I will. 1185 01:04:54,667 --> 01:04:56,767 [engine starts] 1186 01:04:56,767 --> 01:04:58,266 -I love you. -[Patrick] I love you, too. 1187 01:05:22,100 --> 01:05:26,500 Yeah, this is gonna be a pain in my [bleep] right here. 1188 01:05:33,600 --> 01:05:35,700 Well, we finally made it to Houston. 1189 01:05:37,367 --> 01:05:38,867 The drive wasn't too bad. 1190 01:05:38,867 --> 01:05:40,600 No major mishaps. 1191 01:05:42,100 --> 01:05:46,100 Now we're gonna see this place we rented and see what it's like in person. 1192 01:05:48,500 --> 01:05:50,361 Never really know what a place can be like until you step into it. 1193 01:05:50,361 --> 01:05:51,166 Never really know what a place can be like until you step into it. 1194 01:05:52,667 --> 01:05:54,367 We figured we'd get a place that was furnished 1195 01:05:54,367 --> 01:05:56,867 so we didn't have to do all that. 1196 01:05:56,867 --> 01:05:59,867 And since it's just temporary, hopefully, it's suitable. 1197 01:05:59,867 --> 01:06:00,934 [grunts] 1198 01:06:14,200 --> 01:06:16,400 Well, bud, this is where we're gonna be staying. 1199 01:06:16,467 --> 01:06:17,767 Let me try out the couch. 1200 01:06:23,100 --> 01:06:24,367 [grunts] 1201 01:06:25,100 --> 01:06:26,800 Well, it slides. 1202 01:06:26,867 --> 01:06:28,867 Yeah, this place isn't so bad. I could see us living 1203 01:06:28,867 --> 01:06:30,400 here for a little while. 1204 01:06:30,467 --> 01:06:33,600 I don't know how long it's gonna be in the end. 1205 01:06:33,667 --> 01:06:36,600 I guess it depends on how well I do with my weight loss. 1206 01:06:36,667 --> 01:06:38,867 And how quick I can get the weight off. 1207 01:06:38,867 --> 01:06:41,266 And whether or not I'm gonna need skin surgery and all that. 1208 01:06:43,266 --> 01:06:45,967 Sit here, cool off for a minute. 1209 01:06:45,967 --> 01:06:50,361 Then we need to get all the stuff out of that U-Haul, because we gotta dump it off 1210 01:06:50,361 --> 01:06:50,867 Then we need to get all the stuff out of that U-Haul, because we gotta dump it off 1211 01:06:50,867 --> 01:06:54,667 and then we gotta get ready to go to Dr. Now's tomorrow. 1212 01:06:56,800 --> 01:06:58,800 It feels good to be here. 1213 01:06:58,867 --> 01:07:02,100 And as long as I'm with Amanda, I can be happy anywhere. 1214 01:07:02,100 --> 01:07:05,100 [Amanda] Well, babe. Are you ready to start unloading? 1215 01:07:05,166 --> 01:07:07,567 Sounds good to me. It ain't gonna unload itself. 1216 01:07:07,567 --> 01:07:09,667 [Amanda] Unfortunately not. 1217 01:07:09,667 --> 01:07:11,166 [chuckles] 1218 01:07:11,166 --> 01:07:14,600 Yeah, let's do it. Give me a hand up, please. 1219 01:07:14,667 --> 01:07:18,100 Let's go. [grunts and exhales in a whistle] 1220 01:07:19,767 --> 01:07:20,361 Let's do it. 1221 01:07:20,361 --> 01:07:21,166 Let's do it. 1222 01:07:23,467 --> 01:07:25,300 Tomorrow, I'm gonna see Dr. Now, 1223 01:07:25,367 --> 01:07:28,166 and hopefully, he'll tell me I'm ready for surgery. 1224 01:07:28,166 --> 01:07:30,700 Because I know, personally, I'm more than ready. 1225 01:07:31,567 --> 01:07:32,467 Just get right inside the door 1226 01:07:32,467 --> 01:07:33,667 and I'll start handing you stuff. 1227 01:07:39,467 --> 01:07:40,333 Move. 1228 01:07:52,200 --> 01:07:54,867 Right now, we're going to see Dr. Now 1229 01:07:54,867 --> 01:07:57,200 for the first time since I've moved to Texas. 1230 01:07:57,266 --> 01:07:59,166 I hope it goes good, but... 1231 01:08:00,667 --> 01:08:02,700 I don't ever know when you go see Dr. Now. 1232 01:08:02,767 --> 01:08:04,600 I mean, I haven't weighed myself 1233 01:08:04,667 --> 01:08:08,667 since the last time with Dr. Now, so I have no idea what my weight is. 1234 01:08:09,667 --> 01:08:11,567 [Amanda] I swear, I feel like I'm gonna be sick. 1235 01:08:11,567 --> 01:08:12,867 [Patrick] Why you feel like you're gonna be sick? 1236 01:08:12,867 --> 01:08:14,667 [Amanda] My nerves. 1237 01:08:14,667 --> 01:08:16,567 [Patrick] Yeah, my nerves are kind of worked up, too. 1238 01:08:18,166 --> 01:08:20,361 And I feel a little more nervous than usual, 1239 01:08:20,361 --> 01:08:20,800 And I feel a little more nervous than usual, 1240 01:08:20,867 --> 01:08:23,867 because keeping my surgery depends on my weight today. 1241 01:08:23,867 --> 01:08:26,367 I've been working hard, but I know the move down here, 1242 01:08:26,367 --> 01:08:29,367 I was maybe more distracted than I liked. 1243 01:08:29,367 --> 01:08:32,166 I didn't go to the gym, like I was supposed to. 1244 01:08:32,166 --> 01:08:35,567 And there were times when we couldn't really cook or do the food right. 1245 01:08:35,567 --> 01:08:37,767 So we might have chosen some quick options. 1246 01:08:40,967 --> 01:08:41,767 [groans] 1247 01:08:51,266 --> 01:08:54,700 [breathing heavily] 1248 01:09:01,266 --> 01:09:02,100 [Amanda] Thank you, babe. 1249 01:09:06,700 --> 01:09:07,767 Patrick. 1250 01:09:09,467 --> 01:09:11,400 -[Patrick] How are you? -Oh, I'm fine, thank you. 1251 01:09:11,767 --> 01:09:12,900 Hi. 1252 01:09:14,567 --> 01:09:16,667 [Patrick] I'm just worried about how much I lost. 1253 01:09:16,667 --> 01:09:19,100 If I didn't hit that 30-pound goal by today 1254 01:09:19,100 --> 01:09:20,361 and I lose my surgery, 1255 01:09:20,361 --> 01:09:20,767 and I lose my surgery, 1256 01:09:20,767 --> 01:09:23,367 then the whole reason that we went through all this 1257 01:09:23,367 --> 01:09:25,767 and moved here could go out the window. 1258 01:09:25,767 --> 01:09:27,467 And I can't have that happen. 1259 01:09:46,867 --> 01:09:49,166 [Patrick] I'm at Dr. Now's to find out my weight. 1260 01:09:49,166 --> 01:09:51,300 I'm really hoping I made it to my goal. 1261 01:09:51,367 --> 01:09:56,100 I was at 591 two months ago, and Dr. Now wanted me to lose 30 pounds by today. 1262 01:09:56,166 --> 01:09:59,567 So, I need to be under 561 pounds right now. 1263 01:10:13,166 --> 01:10:16,700 It's not the goal Dr. Now wanted, but I didn't gain. 1264 01:10:16,767 --> 01:10:18,367 That should really count for something, 1265 01:10:18,367 --> 01:10:21,100 because I maintained my progress. 1266 01:10:21,166 --> 01:10:23,667 But I'm not sure what Dr. Now is gonna say. 1267 01:10:27,467 --> 01:10:28,266 [exhales] 1268 01:10:31,767 --> 01:10:32,567 [grunts] 1269 01:10:33,600 --> 01:10:34,467 [sighs] 1270 01:10:36,266 --> 01:10:37,100 [knock on door] 1271 01:10:39,767 --> 01:10:42,100 -Hello. -[Patrick] Hi, how are you? 1272 01:10:42,100 --> 01:10:43,900 I'm doing okay, how are y'all doing? 1273 01:10:43,967 --> 01:10:44,767 Doin' all right. 1274 01:10:46,166 --> 01:10:48,567 So, Patrick, y'all moved here. 1275 01:10:48,567 --> 01:10:50,767 [Patrick] Yes. Just got in yesterday, and... 1276 01:10:52,300 --> 01:10:54,467 here for my follow-up after that. 1277 01:10:54,467 --> 01:10:57,867 So, you haven't lost much weight. What's going on with that? 1278 01:10:57,867 --> 01:10:59,667 I've been trying. It's just... 1279 01:10:59,667 --> 01:11:02,467 It's just easier said than done. I mean, I've been trying. 1280 01:11:02,467 --> 01:11:03,767 Well, if you eat what you're eating, 1281 01:11:03,767 --> 01:11:05,266 you're gonna be the same weight. 1282 01:11:05,266 --> 01:11:07,798 Uh, so what's the point of coming to Houston 1283 01:11:07,798 --> 01:11:07,867 Uh, so what's the point of coming to Houston 1284 01:11:07,867 --> 01:11:10,667 if you're not doing what you need and losing more weight? 1285 01:11:11,467 --> 01:11:14,066 -[sighs] I don't know. -Uh, so 1286 01:11:14,066 --> 01:11:17,100 what is your objective in moving to Houston? 1287 01:11:17,100 --> 01:11:19,667 Get weight-loss surgery, lose weight. 1288 01:11:19,667 --> 01:11:22,266 That's my... That's my objective. To lose weight. 1289 01:11:22,266 --> 01:11:24,767 But we haven't lost anything in the past two months, 1290 01:11:24,767 --> 01:11:26,667 so what are you gonna do different now? 1291 01:11:26,667 --> 01:11:27,800 [Patrick] But I haven't gained any either. 1292 01:11:27,867 --> 01:11:29,767 I haven't gained any more weight. 1293 01:11:29,767 --> 01:11:32,400 So, you want to take victory lap with that? 1294 01:11:32,467 --> 01:11:36,266 That's a victory lap for me, I'm not back up to 672, yeah, kind of. 1295 01:11:36,266 --> 01:11:37,798 Well, you know, that kind of line of thinking, it make me wonder that-- 1296 01:11:37,798 --> 01:11:40,467 Well, you know, that kind of line of thinking, it make me wonder that-- 1297 01:11:40,467 --> 01:11:42,166 No, I'm not making excuses. 1298 01:11:42,166 --> 01:11:43,767 Just let me finish what I'm saying. 1299 01:11:43,767 --> 01:11:44,867 -[Patrick] Yes. -Okay. 1300 01:11:44,867 --> 01:11:47,100 That line of thinking make me wonder that 1301 01:11:47,166 --> 01:11:49,367 you're not gonna benefit from weight-loss surgery, 1302 01:11:49,367 --> 01:11:53,600 because you're not really thinking clear in this situation. 1303 01:11:53,667 --> 01:11:56,900 You got to change your behavior and line of thinking. 1304 01:11:56,967 --> 01:12:01,900 And that is, if I don't lose that weight, I'm gonna shorten my life. 1305 01:12:01,967 --> 01:12:03,600 -Yeah. -That is your life. 1306 01:12:03,667 --> 01:12:07,266 And we're trying to save it for you, and you keep making excuses, 1307 01:12:07,266 --> 01:12:07,798 "Oh, whoopee-doo, I didn't gain any weight." [chuckles] 1308 01:12:07,798 --> 01:12:10,667 "Oh, whoopee-doo, I didn't gain any weight." [chuckles] 1309 01:12:10,667 --> 01:12:13,967 Come on, you know, you're killing yourself with the food. So, 1310 01:12:13,967 --> 01:12:18,500 I wanna hear what you're gonna commit yourself to. 1311 01:12:18,567 --> 01:12:21,467 What are you willing to do to make the changes? 1312 01:12:21,467 --> 01:12:23,100 I'm willing to do whatever it takes. 1313 01:12:23,100 --> 01:12:25,400 -I mean-- -Well, you keep saying that. 1314 01:12:25,467 --> 01:12:27,166 -But that is just-- -No, I've made a big... 1315 01:12:27,166 --> 01:12:31,000 I've made a big commitment coming here. I've left my daughter behind. 1316 01:12:31,066 --> 01:12:33,266 Um, I've left my home behind. 1317 01:12:33,266 --> 01:12:37,500 I mean, I've made a huge commitment 1318 01:12:37,567 --> 01:12:37,798 coming here, I mean, a huge commitment. 1319 01:12:37,798 --> 01:12:40,467 coming here, I mean, a huge commitment. 1320 01:12:40,467 --> 01:12:43,100 Yeah, you've made a huge commitment to change, 1321 01:12:43,100 --> 01:12:44,900 -to come to Houston. -To change, to come here. 1322 01:12:44,967 --> 01:12:46,667 Okay, so, uh, 1323 01:12:46,667 --> 01:12:50,400 and what that translate on doing your eating habit. 1324 01:12:50,467 --> 01:12:53,367 So tell me what exactly you gotta change with your eating habit. 1325 01:12:53,867 --> 01:12:55,667 So I really know. 1326 01:12:56,767 --> 01:12:59,000 The only thing I know to change 1327 01:12:59,000 --> 01:13:00,800 is to eat less than what I'm eating. 1328 01:13:00,867 --> 01:13:02,767 That's the only thing I know to change. 1329 01:13:02,767 --> 01:13:05,100 Okay, what you're doing right now is not working, 1330 01:13:05,100 --> 01:13:06,867 -so don't-- -Right. I got to eat less, 1331 01:13:06,867 --> 01:13:07,798 that's the only thing I know to do, is eat less than what I do. 1332 01:13:07,798 --> 01:13:09,166 that's the only thing I know to do, is eat less than what I do. 1333 01:13:09,166 --> 01:13:11,667 Okay, so how many times are you eating now? 1334 01:13:11,667 --> 01:13:14,867 I usually eat twice a day. I usually eat breakfast and dinner, that's it. 1335 01:13:14,867 --> 01:13:16,767 -And I-- -Any snack in between? 1336 01:13:17,400 --> 01:13:18,266 No. 1337 01:13:19,266 --> 01:13:20,500 All right. 1338 01:13:20,567 --> 01:13:23,200 So, here's what I'm willing to do at this point. 1339 01:13:23,266 --> 01:13:26,567 I will schedule your weight-loss surgery for a month from now. 1340 01:13:26,567 --> 01:13:29,266 And if you lose 30 pounds in one month, 1341 01:13:29,266 --> 01:13:31,767 then I'll move ahead and do your operation. 1342 01:13:31,767 --> 01:13:34,266 But if you're not able to lose that 30 pounds, 1343 01:13:34,266 --> 01:13:35,800 then I don't think weight-loss surgery 1344 01:13:35,867 --> 01:13:37,600 -is gonna help you. -[Patrick] Okay. 1345 01:13:37,667 --> 01:13:37,798 [Dr. Nowzaradan] So I'm gonna cancel your surgery and tell you to go home, 1346 01:13:37,798 --> 01:13:40,567 [Dr. Nowzaradan] So I'm gonna cancel your surgery and tell you to go home, 1347 01:13:40,567 --> 01:13:42,767 if you show up and haven't made that progress. 1348 01:13:42,767 --> 01:13:43,800 -Okay? -Mmm-hmm. 1349 01:13:43,867 --> 01:13:45,100 [Dr. Nowzaradan] You think you can do that? 1350 01:13:45,100 --> 01:13:46,000 Yes. 1351 01:13:46,000 --> 01:13:47,900 All right. Back on your diet. 1352 01:13:47,967 --> 01:13:49,800 Back on your daily exercise. 1353 01:13:50,266 --> 01:13:51,867 -Okay. -Okay. 1354 01:13:51,867 --> 01:13:53,667 Any questions? 1355 01:13:53,667 --> 01:13:55,900 -No, I'm good. -[Dr. Nowzaradan] Okay. 1356 01:14:00,867 --> 01:14:02,767 [door closes] 1357 01:14:02,767 --> 01:14:07,066 I'm hoping Patrick's lack of progress this time isn't a bad sign 1358 01:14:07,066 --> 01:14:07,798 of the direction he's heading. 1359 01:14:07,798 --> 01:14:08,767 of the direction he's heading. 1360 01:14:08,767 --> 01:14:12,000 But he is in an important crossroad right now, 1361 01:14:12,000 --> 01:14:14,467 because if he doesn't get back on the right end 1362 01:14:14,467 --> 01:14:18,600 and lose 30 pounds he needs to show me he's gonna stick with this, 1363 01:14:18,667 --> 01:14:21,567 then I'm not gonna move ahead with his weight-loss surgery. 1364 01:14:21,567 --> 01:14:24,266 So, he either does what he needs now, 1365 01:14:24,266 --> 01:14:26,967 or that's likely gonna be it for him. 1366 01:14:26,967 --> 01:14:28,867 The ball is in his court, 1367 01:14:28,867 --> 01:14:31,367 and where we go from here is up to him. 1368 01:14:36,500 --> 01:14:37,798 [Patrick] The goal that Dr. Now gave me is doable. 1369 01:14:37,798 --> 01:14:39,000 [Patrick] The goal that Dr. Now gave me is doable. 1370 01:14:39,066 --> 01:14:42,467 I just have to set my mind to it and work hard. 1371 01:14:42,467 --> 01:14:44,266 If I don't do it, then it's on me. 1372 01:15:02,300 --> 01:15:04,300 [Patrick] We're going to St. Joseph. 1373 01:15:04,367 --> 01:15:07,166 I'm definitely nervous, scared. 1374 01:15:07,166 --> 01:15:07,798 I'm about to find out... 1375 01:15:07,798 --> 01:15:08,100 I'm about to find out... 1376 01:15:09,166 --> 01:15:11,500 do I get my surgery this morning? 1377 01:15:23,667 --> 01:15:25,667 I'm super nervous about my weigh-in. 1378 01:15:26,467 --> 01:15:27,300 I think I did it. 1379 01:15:27,867 --> 01:15:29,967 I think I lost the 30. 1380 01:15:29,967 --> 01:15:32,700 I know I've put my all into making that progress. 1381 01:15:32,767 --> 01:15:35,066 But so much is dependent on this 1382 01:15:35,066 --> 01:15:37,798 that I'm just extremely tense about what the scale is going to say 1383 01:15:37,798 --> 01:15:38,867 that I'm just extremely tense about what the scale is going to say 1384 01:15:38,867 --> 01:15:41,100 and what's going to happen. 1385 01:15:41,100 --> 01:15:45,100 I need this surgery, and I can't have done all this and come all this way 1386 01:15:45,100 --> 01:15:46,667 to lose the surgery now. 1387 01:15:57,166 --> 01:15:58,000 [knock on door] 1388 01:16:00,967 --> 01:16:02,266 Hello, how are y'all doing? 1389 01:16:02,867 --> 01:16:03,867 [Patrick] All right. 1390 01:16:03,900 --> 01:16:06,567 -[Dr. Nowzaradan] Hi, Patrick. -[Patrick] Hi. 1391 01:16:06,567 --> 01:16:07,798 [Dr. Nowzaradan] How you doing? How you feel this morning? 1392 01:16:07,798 --> 01:16:08,400 [Dr. Nowzaradan] How you doing? How you feel this morning? 1393 01:16:09,700 --> 01:16:10,567 [Patrick] Scared. 1394 01:16:11,300 --> 01:16:12,266 [Dr. Nowzaradan] Well... 1395 01:16:13,266 --> 01:16:15,166 we're gonna go ahead and check your weight, 1396 01:16:15,166 --> 01:16:17,467 and make sure you lost that 30 pounds. 1397 01:16:17,467 --> 01:16:21,066 If you did, then we go ahead and do your surgery, okay? 1398 01:16:21,066 --> 01:16:22,700 -Okay. -[Dr. Nowzaradan] All right. 1399 01:16:22,767 --> 01:16:26,967 Let me get you here onto the scale and see what's going on with that, okay? 1400 01:16:26,967 --> 01:16:28,266 -Okay. -All right. 1401 01:16:39,100 --> 01:16:40,667 All right, let me turn it on. 1402 01:16:47,066 --> 01:16:50,166 [Patrick] I'm straight up terrified to see the results right now. 1403 01:16:50,166 --> 01:16:52,867 It feels like my whole life is depending on this. 1404 01:17:12,867 --> 01:17:17,567 [Dr. Nowzaradan speaking] 1405 01:17:24,600 --> 01:17:28,000 563. So, you lost 27 pounds, huh? 1406 01:17:29,967 --> 01:17:32,166 All right, close enough. 1407 01:17:32,166 --> 01:17:32,951 All right. We go ahead and do your surgery, okay? 1408 01:17:32,951 --> 01:17:34,767 All right. We go ahead and do your surgery, okay? 1409 01:17:34,767 --> 01:17:35,867 [Patrick] Okay. 1410 01:17:35,867 --> 01:17:38,467 All right, let's get you back in the room. 1411 01:17:38,467 --> 01:17:42,000 I'm happy to see Patrick took things seriously 1412 01:17:42,000 --> 01:17:44,266 this past month to do what he needs. 1413 01:17:44,266 --> 01:17:45,767 So, with all his fat loss, 1414 01:17:45,767 --> 01:17:48,300 he's ready to move ahead with surgery today. 1415 01:17:50,667 --> 01:17:52,867 The surgery itself will take about an hour. 1416 01:17:54,000 --> 01:17:55,367 -All right. -All right. 1417 01:17:56,066 --> 01:17:57,400 [Patrick] This is huge. 1418 01:17:57,467 --> 01:18:00,066 I really felt like I could have gone either way. 1419 01:18:00,066 --> 01:18:01,767 And the fact that it went the right way 1420 01:18:01,767 --> 01:18:02,951 is just making me feel really blessed right now. 1421 01:18:02,951 --> 01:18:04,767 is just making me feel really blessed right now. 1422 01:18:04,767 --> 01:18:07,266 This is a big turning point in my life. 1423 01:18:07,266 --> 01:18:09,000 And I'm gonna use this opportunity 1424 01:18:09,066 --> 01:18:12,300 to do better and make a better life for my family. 1425 01:18:12,367 --> 01:18:15,000 And it's a chance to undo what I've done wrong, 1426 01:18:15,000 --> 01:18:18,166 and to get myself back on a path I can be proud of. 1427 01:18:18,166 --> 01:18:19,567 And I can't wait for that. 1428 01:18:22,767 --> 01:18:24,767 We'll take care of you, okay? 1429 01:18:31,734 --> 01:18:32,951 [Dr. Nowzaradan] We're gonna attempt to perform 1430 01:18:32,951 --> 01:18:33,266 [Dr. Nowzaradan] We're gonna attempt to perform 1431 01:18:33,266 --> 01:18:35,800 a gastric sleeve on Patrick today. 1432 01:18:35,867 --> 01:18:38,300 But we're gonna face a lot of obstacles, 1433 01:18:38,367 --> 01:18:39,567 because of his size, 1434 01:18:39,567 --> 01:18:42,467 and the fact that he had a previous hernia surgery. 1435 01:18:43,667 --> 01:18:44,567 [Amanda] I love you. 1436 01:18:44,600 --> 01:18:45,900 [Haley] I'll see you on the other side. 1437 01:18:47,000 --> 01:18:48,500 -[Patrick chuckles] -I love you. 1438 01:18:49,266 --> 01:18:50,667 I love y'all. See ya. 1439 01:18:51,600 --> 01:18:52,667 They're gonna make it fast. 1440 01:18:52,667 --> 01:18:53,867 We did test on him 1441 01:18:53,867 --> 01:18:56,767 and determined that his operation was possible. 1442 01:18:56,767 --> 01:19:00,100 But he may have some scar tissue around his abdomen 1443 01:19:00,100 --> 01:19:02,867 on top of the mesh which was put around his stomach 1444 01:19:02,867 --> 01:19:02,951 when he had hernia surgery. 1445 01:19:02,951 --> 01:19:04,867 when he had hernia surgery. 1446 01:19:04,867 --> 01:19:06,734 So we have a lot to work around, 1447 01:19:06,734 --> 01:19:10,200 and this will be a little bit more complicated than usual. 1448 01:19:10,266 --> 01:19:12,367 [Dr. Nowzaradan speaking] 1449 01:19:12,367 --> 01:19:15,166 But if we are able to complete this operation, 1450 01:19:15,166 --> 01:19:17,400 it will be an important tool for Patrick 1451 01:19:17,467 --> 01:19:19,266 to help him make more progress. 1452 01:19:20,266 --> 01:19:22,166 All right, let's bring the robot. 1453 01:19:23,000 --> 01:19:25,100 Because what this surgery does 1454 01:19:25,100 --> 01:19:27,266 will reduce the size of the stomach, 1455 01:19:27,266 --> 01:19:31,734 and Patrick will be able to control his eating habit much better. 1456 01:19:31,734 --> 01:19:32,951 So, this is gonna be an important step for Patrick, 1457 01:19:32,951 --> 01:19:34,667 So, this is gonna be an important step for Patrick, 1458 01:19:34,734 --> 01:19:37,567 if we are able to complete this operation today. 1459 01:19:59,100 --> 01:20:00,467 [man] You got a gap for me? 1460 01:20:06,567 --> 01:20:09,500 Patrick's in surgery. I am... 1461 01:20:12,200 --> 01:20:15,100 very worried and scared and nervous. 1462 01:20:15,667 --> 01:20:17,266 Every minute of waiting... 1463 01:20:18,767 --> 01:20:22,300 seems more like a hundred hours. [chuckles softly] 1464 01:20:22,367 --> 01:20:25,767 It seems more, way more than an hour. 1465 01:20:26,500 --> 01:20:28,166 I'm just ready to see him... 1466 01:20:29,567 --> 01:20:32,100 for myself, and see that he's okay for myself. 1467 01:20:35,266 --> 01:20:36,166 [Dr. Nowzaradan] All right. 1468 01:20:36,166 --> 01:20:37,767 We can remove the stomach. 1469 01:20:41,667 --> 01:20:44,100 Keep pulling, keep pulling, keep pulling. 1470 01:20:48,900 --> 01:20:50,200 There. 1471 01:20:50,266 --> 01:20:52,000 Put that on the table over there. 1472 01:20:55,967 --> 01:20:57,967 Okay, we can suture him up. 1473 01:21:03,266 --> 01:21:06,400 Patrick's surgery was complicated, but went very well. 1474 01:21:06,467 --> 01:21:09,166 We faced some issue with the scar tissue 1475 01:21:09,166 --> 01:21:12,100 from his previous hernia surgery and mesh. 1476 01:21:12,166 --> 01:21:14,467 But we were able to work around them, 1477 01:21:14,467 --> 01:21:17,900 and safely complete gastric sleeve operation today. 1478 01:21:17,967 --> 01:21:20,066 So this is gonna be a big help for him. 1479 01:21:20,066 --> 01:21:23,467 But for the next month, he's gonna have to stay on liquid diet, 1480 01:21:23,467 --> 01:21:26,800 and at that time, he should lose another 35 pounds. 1481 01:21:26,867 --> 01:21:31,467 And after that, Patrick should lose 20 to 25 pounds each month, 1482 01:21:31,467 --> 01:21:32,951 until he gets close to his target weight. 1483 01:21:32,951 --> 01:21:35,000 until he gets close to his target weight. 1484 01:21:35,000 --> 01:21:39,667 It took him a little longer, but he's down around 100 pounds, 1485 01:21:39,734 --> 01:21:42,500 and he's heading in the right direction. 1486 01:21:42,567 --> 01:21:44,667 So I'm confident we're gonna be able 1487 01:21:44,667 --> 01:21:48,000 to get him where he needs and down to his target. 1488 01:21:48,000 --> 01:21:51,600 It may be just a bit of a struggle to help him do that, 1489 01:21:51,667 --> 01:21:53,200 but we will see. 1490 01:22:15,300 --> 01:22:17,667 [Patrick] Today, we're going fishing, because it was always 1491 01:22:17,667 --> 01:22:20,367 one of me and Amanda's favorite things to do together. 1492 01:22:20,367 --> 01:22:24,000 But we haven't done it in forever, since I got too huge to do anything. 1493 01:22:26,867 --> 01:22:28,867 So, it feels really good to be getting back 1494 01:22:28,867 --> 01:22:31,066 to the basics of what we love to do together. 1495 01:22:37,000 --> 01:22:38,567 It's been a month since my surgery 1496 01:22:38,567 --> 01:22:41,867 and Dr. Now's happy that I'm staying on track. 1497 01:22:41,867 --> 01:22:45,667 I went back on solid foods and he wants me to lose 20 pounds this month, 1498 01:22:45,734 --> 01:22:47,467 so I'm staying focused on that. 1499 01:22:48,667 --> 01:22:50,734 Well, we're adding on the memories, fishing in Texas. 1500 01:22:51,900 --> 01:22:53,767 Yeah, we definitely are. 1501 01:22:53,767 --> 01:22:55,734 [Patrick speaking] 1502 01:22:57,367 --> 01:22:59,567 -[Amanda] She'd enjoy it. -[Patrick] Yeah. 1503 01:23:04,467 --> 01:23:08,000 We're at a lake in Texas. Me and Patrick came fishing. 1504 01:23:08,066 --> 01:23:11,200 He's doing really well. I'm very proud of him. 1505 01:23:11,266 --> 01:23:13,967 He's definitely looking forward to getting out more, 1506 01:23:13,967 --> 01:23:15,700 creating new memories. 1507 01:23:19,367 --> 01:23:22,967 Trying to get out and enjoy ourselves a little bit, since I'm losing more weight. 1508 01:23:22,967 --> 01:23:24,667 Just trying to get out and do more things. 1509 01:23:24,734 --> 01:23:27,467 Fishing's just the beginning. There's a lot more stuff I wanna do. 1510 01:23:33,000 --> 01:23:34,100 As I'm getting in better shape, 1511 01:23:34,166 --> 01:23:35,867 we definitely gotta try saltwater too. 1512 01:23:37,867 --> 01:23:39,100 Since I'm getting in better health, 1513 01:23:39,100 --> 01:23:40,667 we gotta try and do whatever we can. 1514 01:23:41,166 --> 01:23:42,166 [Amanda] Yes. 1515 01:23:54,300 --> 01:23:56,767 It'd be way worse if there wasn't a breeze. 1516 01:23:56,767 --> 01:23:58,467 [Patrick] Yeah. [chuckles and pants] 1517 01:23:58,467 --> 01:24:00,367 [Amanda] You're doing good, babe. I'm proud of you. 1518 01:24:02,467 --> 01:24:02,951 [Patrick] A year ago, 1519 01:24:02,951 --> 01:24:03,934 [Patrick] A year ago, 1520 01:24:03,934 --> 01:24:06,467 going on a hike like this would have been a distant dream. 1521 01:24:06,467 --> 01:24:08,400 And the fact that I'm able to do it today 1522 01:24:08,467 --> 01:24:10,000 is like an incredible privilege. 1523 01:24:11,734 --> 01:24:13,567 And now that I'm healing up, 1524 01:24:13,567 --> 01:24:16,166 I'm hoping to see my daughter sometime soon. 1525 01:24:17,300 --> 01:24:19,800 I miss her a lot, and I wanna redo the camping trip, 1526 01:24:19,867 --> 01:24:21,767 so that we can do it right this time. 1527 01:24:24,767 --> 01:24:26,367 [Amanda] I'm very proud of him. 1528 01:24:26,367 --> 01:24:29,400 He's come a long ways, he's lost a lot of weight. 1529 01:24:29,467 --> 01:24:32,951 He's gonna be able to spend more time with his family, 1530 01:24:32,951 --> 01:24:33,166 He's gonna be able to spend more time with his family, 1531 01:24:33,166 --> 01:24:34,367 me and Haley. 1532 01:24:34,367 --> 01:24:37,400 So we can continue this journey together. 1533 01:24:44,166 --> 01:24:47,867 [Patrick] With these new doors opening for me, everything feels brand-new. 1534 01:24:47,867 --> 01:24:49,467 And that's an incredible feeling. 1535 01:24:53,600 --> 01:24:56,367 Everything won't feel new forever. 1536 01:24:56,367 --> 01:24:58,367 But I'm gonna hold on to how it feels right now. 1537 01:25:00,400 --> 01:25:02,567 So, what are you thinking about Houston 1538 01:25:03,100 --> 01:25:05,066 since we moved here? 1539 01:25:05,066 --> 01:25:06,300 I mean, I'm sure it's not all bad. 1540 01:25:06,367 --> 01:25:08,066 There are some nice people here. 1541 01:25:08,066 --> 01:25:11,567 This is actually the cleanest, quietest place we've been since we've been here. 1542 01:25:12,500 --> 01:25:14,967 Well, I've enjoyed today. It's been nice. 1543 01:25:17,100 --> 01:25:18,166 It has. 1544 01:25:19,467 --> 01:25:22,667 And I'm never going back to the way I was, 1545 01:25:22,667 --> 01:25:24,600 'cause this is too good to let go of. 131800

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