All language subtitles for My 600-lb Life S13E05

The biggest obstacle
I have with moving around
is my stomach.

It's gotten
freakishly bad now.

I just need just
a little glimmer of hope.

I just want to be
a normal person.

You can do it,
and then I just get mad.

If I don't
make a change now

I'm scared it's gonna be
too late.

No! It hurts!

I refuse to stop fighting.

I have to do this
for my children.

Do you want to change
your life,

or you want to kill yourself
with the food?

Yes, I wanna change my life.

You know, gaining 17 pound
is not that easy.

I feel like the life
that I am living right now
is a nightmare,

and it's because how bad
my body has gotten.

My stomach, it's gotten
freakishly bad now.

I'm stuck behind this.

Feels uncomfortable
because it hangs all the way
to the ground.

It just feels like pulling.

It shouldn't be like that.

It has all those sores
right there too.

I live by myself but on
my grandparents' property

in the cabin that they own.

This cabin, it's been
very hard to take a shower in.

This sticks out so far,

like, sometimes I have to keep
the doors open.

So it's hard to move around
in the shower.

But have to, like,
manage it on my own.

And 'cause my grandparents
are in their house
all the way down there,

they can't hear me,
so I just really scrub myself.

I was really excited
when she was talking about
moving up here,

but did not realize
how bad her health was

and how hard it was gonna be
for her to get around.

For the most part,
she's just not able

to participate in those things
that we enjoy.

I'm glad
that my grandparents
are nearby.

But feel bad that I have to
bother my grandparents
by living in their cabin.

After I'm cleaned and dressed,

that's usually when
my Aunt Teresa comes
to check on me

-Hey, Jacky.
-Hey. Hello.

She lives a couple of miles
from me.

My Aunt Teresa, she is like
a second mother to me.

Um, she always wanted a girl,

and she has three boys.

How did you sleep last night?

-Um, it was better.
-Good.

She does everything
she can for me.

She helps me around here.

Me and my aunt have
a really good relationship.

And besides my grandparents,

she's, like, the only person
that I see regularly.

All right, Jacky.

I think that's everything.

It brings a sense of comfort
whenever I'm eating.

I love the taste of the food.

Oh, this looks so delicious.

It does. Smells so good.

There's so many flavors.

And it... it makes me
feel happier.

I've been this way
my whole life.

Growing up,
there was no reason to think
I was not going to be happy.

We were always
a close-knit family,

so everybody would go
to my aunt's house.

And to this day,
the taste and smell
of certain foods,

I don't know,
it just makes you feel whole.

But my mom was an alcoholic.

It would alter her
because she would get
more aggressive.

She would always come at me
with, like, the belt.

I remember, like I would
to have to walk home
from school

'cause she would forget
that I was there.

But I would come home
from school,

and she would be passed out
in the chair.

Then my father had
a really big anger problem.

He would get mad to the point
where he was punching holes
in the wall.

And he was always yelling
at my mom.

And he was always upset
that she was drinking.

At school, I was always taller
than my teachers,

so I always stuck out
like a saw thumb.

And pretty much
right from the first day,
people made jokes about me.

I just wanted to have
the same life
as everybody else.

But at eight years old
I was already 130 pounds.

And I had a hard time
making friends

because my weight
was getting worse.

I didn't know how to stop
myself from eating.

So I just kept to myself
all the time

because food made me happier
than people could.

And by the time
I was in high school,

I was at 565 pounds.

I didn't really find a place
to fit in in the high school,
so...

...I would avoid eating
at lunch.

I would just wait
until I got home,

and then eat bigger portions,
I guess.

It just got worse and worse.

Then when I was 16,
I went to sleep,

and when I woke up
my mom had passed.

She looked like
she was sleeping,
but she was cold to the touch,

and she was
already blue and...

I remember my dad
screaming on the phone

that he needed an ambulance.

And that was the only time
he asked for a hug from me.

It's really hard being 16
and losing your mom.

Literally going to sleep
and waking up
and she's gone.

Even with how much
I was eating to cope,

and even though I couldn't
really stand being on campus,

somehow I was able
to graduate.

I didn't wanna go to college
because I was over 600 pounds,

and I was worried about
college campuses
not being accommodating

about stuff like that.

Getting a job at my size
is hard.

But I eventually was accepted
and got hired
at a grocery supercenter.

And then I realized, like,
that was really hard
being always on my feet.

And then little kids
looking at you, like,
they would point and laugh.

I realized that was too much,
it was too much stress.

Eventually, I got hired on
for doing customer service,

basically where I had to sit
all day.

It was around that time
when I got way up
into the 600s.

It was not long after that,

until my dad
stopped taking care
of himself.

One day I came home,
opened the door,

and saw him
on the ground, dead.

And that's when I felt
the most alone I ever had.

Just me, myself,
knowing that everything
that I've known is gone.

I couldn't take care
of the house.

That's when I talked
to my Aunt Teresa

and talked to my grandpa,

and they helped move me
into this cabin here.

I think I'm getting full.
You wanna take this?

Yeah, we'll take it.

-Thank you.
-Mmm-hmm.

Jacky, I got your truck
all cleaned out

-so we can go
to the grocery store.
-Oh, okay, good.

So now you wanna get
some shoes and stuff on,

-and get ready to go?
-Yeah.

Get all the lights
and stuff turned off,
or whatever,

-and I'll meet you
outside, okay?
-Sounds good.

With this weight,
if I go anywhere,

I have to use,
like, baby powder

to be able to get my feet
in and out of these shoes.

I wish I could go out
and go to a park or something
on my own.

But I don't feel safe driving

because the stomach
hangs so far,

and it's hard to press
on the gas pedals.

I worry about what
could go wrong
when I'm out in public.

If I get out of breath
will I fall?

It's just a lot on my mind
going places right now.

I feel judged
by the outside world
all the time.

Okay, here we go.

In the grocery store
I get anxious

because I feel like
I get stared at.

Will I get mocked
and laughed it

like I'm some sort of freak?

I mean, I know
that I am bigger,
but I'm still a person.

In those moments I feel like
I'm less than them.

Like, they make me feel
like I'm nobody, basically.

Yeah, yeah, a couple of those.

Do you wanna get some chili
to go with the hotdogs?

-One or two?
-Uh, two.

Whatever kind
you wanna eat.

I do feel that I'm
addicted to pastas,
Mexican food, tacos.

Okay.

Chocolate.

Vanilla. Butter pecan.

That's gonna be
$119.63, ma'am.

Okay.

Get something
that you can eat on right now
on your way home.

Okay, I need an order
of the three tacos
with a root beer.

-What size fries?
-Large fries, I guess.

With large fries.
I need a taco salad

with extra beef.

That's it.

-Thank you.

I do feel
that I'm addicted
to Mexican food.

Tacos bring back memories
of my dad, being together.

-All right.
Thank you.
-You're welcome.

It just brings back memories
of the family being together
as... as a whole.

Feet doing okay
after all that walking?

She has been in the hospital
at least twice I believe
with cellulitis

from the lymph leaking
out of her legs,

and then setting off
the infections.

And that's kinda scary.

If she doesn't lose weight
within the pretty near future,
I think,

she very likely
is going to wind up bed-bound.

-You done? Okay.
-Yes.

-Thank you.
-You're welcome.

Sometimes,
when I'm having a down day,

some of the thoughts
that I think are,

"What would I make
if I could have
anything I want?"

I love pasta. It brings me
a sense of comfort

and a sense of happiness
nobody else can.

With everything that has been
happening to me, like,

I know it's not an excuse.

But it did bring me down
to a low point in my life.

But I know that I have
to change for the better.

'Cause I'm at a point now,
every day, things are getting
a little bit harder.

My stomach is going
lower and lower.

And even though
I'm trying to push past that,

I can see with my own eyes,

I'm not that far away
from fully being shut in.

My weight has taken a toll
on my kidneys, my lungs,
and my feet,

everything.

I'm in severe pain.

And I don't wanna
live like this anymore.

Something has to change.

-Okay.
-You ready?

-I'm ready. Are you ready?
-Yeah.

Okay. Let's get your...
Let's get your bag
and we'll get it in the car.

Uh, it's on the chair
over there.

I decided that I need
to get help.

So today I'm driving
to Houston
to meet with Dr. Now,

a bariatric surgeon
who helps people my size.

It's going to be
about a five-hour drive,

and that's the longest
that I've been in the car
since I've been this big.

It's going to be
really painful I think.

Take your time, baby.

-You got it, baby?
-Yeah.

Okay.

-Baby,
you got enough room?
-Yeah.

Are you able
to get the seatbelt on?

Mmm-mmm,
it's not long enough.

-Sorry about that.
-That's okay.

I'm just trying to get you...
make you safe.

-You all right, Jacky?
Yeah, just rearranging.

How'd you sleep last night?

I mean, my back was hurting
for a little bit,

so I had to get up
and move around for that.

Once you get...
lose your weight
well, you'll...

-you'll feel better
about getting around...
-My stomach.

...and getting... getting out
and doing things like...

-like you used to do, Jacky.
-Yeah.

You told me one time
that you wanted to be
a veterinarian.

And I think you ought to try
to go to school for that

-after you start
losing some weight.
-Yeah.

-You... You can
become an Aggie.

I've been on the road
for a couple of hours,

and it's been
pretty uncomfortable

with the way that my stomach
is hanging.

There is a good taco place
up here,

so we're going
to make a pitstop
and get something to eat,

and hopefully it'll
make my discomfort
a little more bearable.

Can I get an order of the
burrito tacos, rice and beans?

And lemonade?

Okay.

It's too painful
and too humiliating
for me to go in.

Eating like this
is probably not something
Dr. Now would want me to do.

But it's gonna make me
feel better.

There you go.

Here's your drink.

Straw.

Oh, yeah.

I believe I can survive
these chicken wings.

Mmm, they smell good.

This is really good.

I don't think
this type of food will be
a part of my new diet.

So I'm glad to get it in
before I see Dr. Now.

Mmm.

I can't eat no more.

How's your tacos, Jacky?

They're good.

Are you ready
to get back on the road?

Yeah.

It looks so cool,
all the tall buildings.

Yeah.

I'm starting to get scared

of what will happen
if he turns me away.

Maybe I'm just too big
or too far gone.

Man, we did good,
didn't we?

-You got it, Jacky?
-Yeah.

I stayed back a little bit

so you could get out
a little easier.

Okay, you stand there
for a minute and get your...

Balance. Yeah.

Get your bearings.

-Yeah, got it.
-I'll never
forgive myself if you fall.

You better go around that way.

Come on.

Okay.

I'm worried to step
on the scale especially
in front of my grandfather.

It's embarrassing
and I feel like
I'm letting him down.

Jacky.

The last time
I was weighed,

I was in the hospital
for kidney stones.

I was right at 700
and I was trying
to eat less since then.

We're gonna weigh you, okay?

'Cause I hated
seeing that number.

So hopefully,
I'm a little lower than that.

Wow.

Last time
I was weighed
I was right at 700

and I was trying
eat less since then.

So hopefully
I'm a little lower than that.

Your weight is 709.

Wow.

I'm embarrassed
for my grandfather
to see me like this

because I feel like
a disgrace to the family.

But mostly I'm scared
because how high
my weight is.

Because if I'm too big
to get Dr. Now's help,
I'll be totally helpless.

Yes.

What do you expect, Jacky?

I'm just hoping
that Dr. Now can teach me
better ways.

Me too.

Hello, how you all doing?

-Good.
-How you doing?

All right.

You must be Jacky.
And this is your...

-Grandfather.
-Grandfather.

Well, good to meet you both.

So, Jacky, where
are you coming from?

Linden, Texas.

-And that is, uh...
-North east Texas.

-North east Texas.
-Yes.

All right, that's not
too far away.

So what brought you down here?

I'm just hoping to get help
to lose some weight.

-All right. So,
you are 710 pounds.
-Yes.

-And you're 27?
-Yes.

At what age did you starting
to struggle with your weight?

-At four years old,
I was over 100 pounds.
-All right.

Yes,
mainly in my stomach.

Uh, this part is just keep
going down and down.

So, this...

Um, I was still
in high school.

So probably like... 14.

I just got bigger and bigger.

Yeah, go ahead.

Sorry, I've been
using baby powder.

Well,
this is where your body
stored that extra fat.

...make it heavier
and then pull more down,

and then you're more swelling.

So the only way
to get rid of this
is to lose some weight.

-Okay.
-Okay.

All right.
You can get dressed.

So what have we done
to lose weight?

I've been going to a gym.

Um, but I stopped going 'cause
I fell and then I embarrassed
myself there.

Okay, when you're
700 pounds...

The only factor that affects
your weight loss
is your food.

-Okay.
-Okay.

Um, 24 hours... Um.
Probably like once or twice.

Do you snack in between?

Um, not really
'cause I'm working.
I do work from home.

From what you tell me
you should be 250 pounds,

-but you're not.
-I know.

That's what
I'm needing help with.

'Cause it's just been
on my body for so long.

It's not...
It's hard to come off.

Well.

In order for you
to lose weight,

you're gonna have
to cut the calories down...

...that why you 710 pounds.

So...

The diet will be
a 1,200 calorie a day diet,

high protein, low carb,

and if you follow that,

you should be able
to lose easily 100 pounds
in one month.

At your weight,
that's going to be
very easy to do.

But what I'm going
to give you is to lose
70 pounds in two months.

-Okay.
-So if you follow those,

you're going
to be able to do that.

-You think you can do that?
-I definitely can.

I have a great support system
with my grandparents
and my aunt.

Yes, I told her I didn't want
her dying before I did.

Because she's 26 years old

and she didn't need
to be this big, period.

So, you have no one
to blame except yourself.

-And I realize
that now.
-Okay. Good.

And, um...

And the only way you're going
to be able to do that

-by eating less calories
per day. Okay?
-Okay.

So I'm gonna bring
you some stuff
and we're gonna see

if you can make
some modification
on your eating habit,

and see what option
we got for you.

-Okay.
-All right. So I'm going
to bring you some stuff.

Okay.

Hopefully going over
the guide and explaining
that to Jacky

will help her start to focus
in changing her eating habit,

but we will see
if she starts to move
in the right direction.

All right.

I got some homework for you.

Okay.

It's very important that Jacky
start to lose as much weight
as quickly as possible.

At 700 pounds,
she's already pushing
the limit of her body.

And the only reason
she's still able to function
at that rate

is because she's still young,

and that factor is changing
every day.

This is the next item.

Okay.

Okay.

So I'm going to give
you this book.

Jacky is not far
from reaching 800,
900, 1,000 pounds,

and once she gets
to that point,
she'll be bedridden,

and she's not
going to make it.

All right.

I'll see you in two months.

But you should be able to lose
70 pounds easily.

-Okay.
-All right.

-If you need anything,
give me a call.
-Thank you.

You're welcome.

I'm glad to have
Dr. Now's guidance.

What he wants me
to do is a lot,
but I think I'm ready for it.

I know I have to change
and do what Dr. Now says

before it gets too late
for me.

So I'm going to do
everything I can
to turn my life around

starting now.

Thank you for calling
Active Environmental.

My name is Jacky
on a recorded line.
How can I help you today?

Right I'm still trying
to get used to living
by myself.

Being an adult,
I guess you would say.

Sure, we can definitely
schedule you for that.

It's been a few weeks
since I've seen Dr. Now
and started his program,

and it's been a bit
of an adjustment.

Thank you so much
for being a part of Active.
Have a great rest of your day.

The food that I've been eating
has been making me feel
a lot better.

Mostly for breakfast,
I've been having like a yogurt
or like a pudding,

then for lunch I've been
doing like a salad,

I've pre-made salads
for the whole week,

and then for dinner
I do like chicken,

so I've been feeling
a lot more energized.

I'm pretty busy
with work every day.

But now I have to take
breaks to get my exercise in.

To make sure I get enough
activity to fill up
the hour in the morning,

and an hour in the evening.

That's what Dr. Now
wants me to do.

Doing the exercises,

it's kinda hard to deal
with the stomach
hanging down so low,

but it's a work in progress.

I do feel like
I'm getting a little bit
stronger each time

and able to do it
without stopping.

My goal is to hit
the goal that he gave
to me as well,

and then my ultimate goal
is to get to 250 pounds.

Staying on track
and eating the right foods,

doing the exercises,
maybe even do more
as needed.

-Okay.
-Hey.

-How are you? I'm good.
-Good, how are you?

You ready for some lunch?

-Yeah, sounds good to me.
-I am hungry.

My aunt comes over,
she helps me clean.

Sometimes we cook
meals together.

Yep.

-Some salads.
-Yeah.

We all went over
Dr. Now's book together

because we're adapting
the meals to be more healthy.

-This cauliflower--
-You want this
cauliflower, Jacky?

Sure, you don't
like cauliflower?

-No, not fresh.
I like mine boiled.
-Oh.

-You can sure have
all that cauliflower.
-Mmm-hmm.

I stay away from everything
that the listed off
that Now gave me,

so anything that's on
that list or anything I think
should not be on that list,

I stay away from.

How you liking
that diet thing you're on?

I like it. I've been
meal prepping these salads
for lunch.

So whenever I'm at work,
I just take a salad out,

putting some dressing
on top of it
and just eat it for lunch.

-There you go.
-Trying to do better.

You sound like
you're doing pretty good.

You didn't put it on overnight

-so don't expect
it off overnight.
-Yeah.

Normally I set up
the premade stuff
on my weekends

and then eat them
throughout the week
for my lunches at work.

I normally get the premade
romaine lettuce.

Um, I get like mushrooms,
tomatoes, uh, carrots,

and then I just stick
them all together

into the little
Tupperware that I get.

-Good lunch.
-Yeah, that was good.

I enjoyed that.

-Wanna go for a walk?
-Yeah. Sounds good.

I'm also doing walks
with my aunt almost every day.

Having her and my grandfather
to support me has been good.

All right, girl.

Losing 70 pounds
in two months
seems like a lot.

But I'm giving it my all
to do because I want
the surgery.

I've already come this way,
so don't go back to where
I started from basically.

See? At least
it's nice and cool
out here today.

Yeah.

How far
have you walked up
this driveway before?

I normally walk
on the road.

Oh, well, let me know
where you get to a point

that you gotta
turn around 'cause we will.

Next few weeks
my goal is to be keep doing
what I'm doing,

keeping track
of the weight loss,

and just keep going
from there and hopefully
it keeps going down and down.

Gotta get on...

That's too soft right there.

Yeah, that sand
is hard to walk in sometimes.

So I'm going
to keep at it and do my best.

I hope it all ends up
whenever I see Dr. Now
in about six weeks or so,

and I really hope
it'll be enough by then.

-That's it?
-Yeah.

All right.

I do expect to stay
on his plan.

I've already this much so far
and I've come so far already,

so I don't want to give up
and I do want to see
what I can do and become.

Well, girl, you did it.

Yeah.

You made it.

Go.

I'm hoping to see
good results today.

I feel like I've lost
a fair amount.

I feel like my stomach area's,
like up here,

it feels like
it's getting better.

I'm back in Houston
with my Aunt Teresa,

and we're headed to Dr. Now
so I can get weighed,

and see if I made it
to my weight loss goal or not.

Losing 70 pounds
would be more than
I've ever lost before.

I'm definitely nervous
and I worked
really, really hard

to get to Dr. Now's goal.

But I'm scared to find out
how much I lost

because I don't want
to let everyone down.

Jacky Rodgers.

Please step on the scale.

I'm back at Dr. Now's
for my first follow up

to see if I lost
the 70 pounds that I needed
over the last two months

to get to the weight loss goal
that Dr. Now gave me.

If I did that I'll be down
to 640 today.

I really hope I did
because I worked
really hard to get there.

Your weight today
is 689.

Please follow me
to Room 5.

I'm a little upset
that I didn't lose more

because I thought I was
doing better than that.

So I'm not sure what happened.

It's concerning because
I don't want anyone

including Dr. Now
to be disappointed in me,

and I don't want them
to think I don't care
about this

because I do care,

and I just don't know why
my progress wasn't better

because I thought I made
all the changes
I was supposed to make.

-Hello. How are you all doing?
-Good, how are you?

I'm doing good.

All right, well, how was
your trip down here?

It was long.

-How long it take you
to get down here?
-About five hours.

That's not that far,
but at your size,

any extended trip
is uncomfortable.

Mmm.

Who's this with you this time?

This is my Aunt Teresa.
She's helping me a lot.

Meal prepping
and then exercising as well.

And she's helping me
clean up around the house

and then she drove
me here today.

Oh, you should be helping her.

I agree.

Not she helping you.

It's hard to do stuff
with this.

Well, you know, you should
have thought of that earlier
when this started coming on,

and that should have
alerted you that there is
something wrong,

that you should do
something about it.

Right?

Well, what's going on
with you and this is a really
slow start for you.

You need to pick up the pace
because you only lost
20 pounds in two months

which is nothing for someone
at your size.

Not in one month.

So that means you're still
overeating by a lot.

So what did you think
you changed about
your eating habits,

you tried to make
the progress?

We've been making progress
by sorting meats out
into the four ounces,

like the book says,
and we've been doing
salad preparations,

like putting a cup of salad
and then like
a third cup of kale.

Mmm.

Mmm-hmm.

-Yeah.
-Okay?

And so your perception
of eating less

and what the reality is
is way far apart.

To maintain your weight,
you're probably eating
6,000 or 7,000 calories a day.

So whatever you're eating,
you need to eat half of that.

You're not going to starve
because you have the food
that you have eaten

for the next five years
in your body stored
in the form of fat.

So don't worry
if you don't eat.

Just make sure you drink
plenty of liquid

and make sure you take
some multivitamin

-if you skip eating for a day.
-Okay.

So if you're heavier,
you can lose weight
much faster.

So, Jacky, cut back
on your eating

and work to lose at least
35 pounds a month,

-and that should be
very easy to do.
-Okay.

Mmm-hmm. I believe
that I can lose the goal
like you think.

Okay, that's good.

-Okay.
-Okay.

If you need anything,
give me a call.

And I'd rather see
how you're doing
in a couple months.

-Thank you.
-Mmm-hmm.

Jacky is clearly
still overeating.

Despite what she thinks
she's doing.

If she expects
to turn things around,

Jacky needs to lose
at least 35 pounds a month.

And at least show me
that she can take a small step

then we can help her along.

in the direction she needs.

But until then, all we can do
is give her some tools

and a roadmap,
and hope she chooses

to start on that
before it's too late.

I wish I had
better progress today.

I'm discouraged but I'm going
to try to do better next time.

I guess I'll just cut back
more like Dr. Now said,

and see if that's enough.

It's hot.

Because I really do want
to do better,

so I'm going to keep trying.

For the past month,
I've been focusing on

doing better with all aspects
of Dr. Now's program.

I decided that
I need to work out more.

So I'm adding
another break to my day

where I do
more of the exercises

in Dr. Now's book.

It seems like
the extra workout is helping,

because I was sore
the first week of doing that,

but now I feel less sore.

So that tells me that
I'm making progress

and that my body
is getting to a better place.

Dr. Now has been
wanting me to eat less

than what I was before,
so even cut more out.

I'm basically
not eating breakfast,

or maybe eating
a yogurt for breakfast

and doing the salads for lunch
when I'm working,

and then doing a meal
after I get out of work.

I still got a long way to go,

but it's better
than where I was,

'cause I was at 710.

So I'm slowly losing
the weight now.

-Hi.
-Hey.

-How are you?
-Good, how are y'all?

All good. What are you doing?
Have you had supper yet?

-Not yet.
-Okay.

You fixing to fix something?

Yeah, I took out
some pork chops earlier.

Okay, well,
I'll keep you company

while you do that.
Help you out.

The pork chops.

-There's garlic powder.
-Garlic powder? Okay.

What you gonna have
with your pork chops?

-Uh, some green beans.
-Green beans?

-Yeah.
-Okay. That sounds good.

How long
you gotta cook them things?

Shouldn't take
too long,

just a few minutes
on each side.

Should I put it
on medium?

Yes,
medium's always good.

You wanna play some cards,
or you gonna wanna eat first?

I guess I'll eat first
while it's hot.

I really want
to lose more this time

before I go back to Dr. Now
in a month,

because I want to get healthy.

I think they're done enough.

This looks a lot healthier
than what you were eating.

Looks really good.

My aunt
and my grandparents,

I really don't want
to let them down.

So I'm pushing myself,

and whenever I feel like
caving in,

I try to remember
it's not just for me,

it's for them too.

Right, we'll have a seat.

-Enjoy your meal.
-Yeah.

You need somebody
to chew something up,
I'm available.

Right.

How'd the green beans
turn out?

If we get enough time

we'll go over to that place
in Texarkana,

and you can eat
whatever kind of pork chops
you want, I guess.

-Okay.
-Then you'll go there.

They are so good.

I'll get the cards
before it gets too late.

I know you like
to go to sleep early.

Yeah.

You're okay, Peaches.

No, baby. It's okay.

It's okay, darling.

Uh, there's 10 face-down,

and then you get five
in the hand.

And I think I'm doing better.

I just hope when I go back
to my next appointment

that the scale is on my side
this time.

Jacky, we're almost here.

How you feeling
about this visit?

I'm feeling pretty good, um...

Just nervous about it.

I hope Dr. Now is happy with

the progress
that I've made so far,

and hopefully
everything is good.

Well, the day is here.
I'm headed back to Dr. Now

to see how much weight
I've lost.

Legs are stiff.

Mmm-hmm.

Thank you.

I'm nervous
because I think I did better,

but I don't know
how much better,

and I want it to be a lot.

And I'm scared of what happens
if it's not.

Jacky Rogers?

Hello.

Please step
on the scale.

Last time
I weighed 689,

and Dr. Now wanted me to lose
70 pounds in two months.

So if I did that,
I'd be down to 619 today.

Your weight today
is 669.

Hmm.

Thanks.

That's something,
but it's not enough.

I don't understand
why I didn't lose more.

So I cut my portions,
ate healthier,

did more exercises.

So how is that possible?

I'm disappointed in myself,

and I'm worried about what
Dr. Now is going to think.

Hello, how you all doing?

-Hello.
-Good, how are you?

I'm doing good, thank you.

All right, Jacky,
so we started with the 710.

-Now you're down to 669.
-Mmm-hmm.

So you lost about 40 pounds.

So you're consistent,
because you lost

pretty much the same
as last time.

But it's been four months,

and a weight loss of 40 pounds
in that period of time

is not
a significant weight loss.

So the changes you have made

-are good, but not enough.
-Okay.

What changes you have made
with your eating habit?

Uh, just lowering the portions

and the amount
that I'm eating.

Okay. Well, the reality is
that you're still overeating,

and nothing is really changed
from the last time

-with what you're doing
right now.
-Okay.

So you need
to keep working at it

and try harder.

Because we have given you
the help we can,

but the changes
are up to you, okay?

Okay.

And you're helping her, too?

I'm trying.

What does "try" mean?

I've been, uh, encouraging her

to eat her salads.
Uh, grilled chicken salads.

And she's been doing
pretty good with it.

I mean, she's mentioned
a couple times

about having
some mashed potatoes
or something like that.

And I told her, I said,
"No, that's not on the diet.

We can't do that."

But just keep pushing
is all I can do.

Well then,
she motivated herself,

or you have to motivate her?

She's getting there.
And she's lost more weight

than what I originally thought
that she would have done.

Because, you know,
until she's ready,

I knew she wouldn't do it.

And now I think she's ready,

and I think that's why
she's losing like she is.

Yeah, yeah.

Okay.

Because what
you're doing now,

it's not possible to lose
500 pounds like you need.

We got a long way to go.

So the faster we lose weight,

-the sooner we can get there.
-Okay.

But at least
you lost 40 pounds so far,

and that is something.

-Can you feel any difference?
-Definitely.

I feel this area
is a lot looser.

It hits my leg now.

But that's to be expected
with it getting looser.

Well, that's a good start,

but we still got
a long way to go.

So I'll give you
two more months

to accomplish the same goal.

I want you to lose
at least 70 pounds.

If you don't do that
this time,

we are getting closer to being
out of options with you.

But if you come back
with that progress,

then we'll see
what will be the potential

for your weight loss surgery,
okay?

Okay. Definitely going
to push myself harder.

Well, that'll be good.

But you said that last time.

So I hope this time
you mean it.

Okay.

So, I will see you
in two months.

-If you need anything,
give me a call.
-Okay.

-All right.
-All right.

Thank you very much.

-All right, well,
see you later.
-All right.

Unfortunately Jacky didn't
prove her progress
like she needed.

I'm glad she's at least losing
some weight consistently.

But 10 pounds a month will
take her almost four years

to lose what she needs.

So Jacky hasn't shown me
enough commitment

to change her life,

and convince me that

she's ready and willing

to work hard enough

to make weight loss surgery

a useful tool for her.

So she needs to work harder,

or it's gonna be clear soon
that there is

not much more we can do
to help her.

I'm not happy
with my results.

I feel like
I'm letting everyone down

and that is
a really bad feeling.

But I can't give up.

I have to figure out
how to do better,

however I can.

I'm so ready
to change my life.

No matter what it takes,

I'm going to figure it out
and do it.

When's the last time
you've been to the gym, Jacky?

The last time I went
to the gym was, I think,

a week or two ago that
Grandpa Willie came with me.

Okay.

But it's my dad's two-year
death anniversary recently.

Yeah, I realize that,
and that's really tough.

Lately I've been
having a tough time.

Last month was the anniversary
of my dad's death,

and that was hard for me.

Jacky, I just want you
to know that

I am here to support you,
and I'll be more than happy

to help you
with whatever you need.

Yeah. Thank you.

-You're welcome.
-I appreciate that.

So I gave in

and ate some stuff
I shouldn't have eaten,

because I was just sad

and didn't know
what else to do.

I know I messed up.

And I've been trying
to make up for it since then

by working out extra hard.

-You ready for this?
-Yeah.

Dr. Now doesn't think
that working out

is as much of a big deal
for losing weight,

because he says it's all about
the eating habit.

But that can't be true
for every person.

I got it.

So I got a trainer

and I started
going to the gym.

Hey! How are you?

-How you feeling?
-Feeling better.

-I'm glad to be here.
-Good, I'm glad.

Are you ready to work out
and pump some iron?

-Yeah.
-Yeah? That sounds good?

Okay, come on over here, then.

We're gonna warm up, okay?

Come on over.

Okay, you're gonna
stand there,

-facing towards me.
-Okay.

Yeah, and I'll be here.

We're just gonna do
some light arm warm-ups.

So we're just
gonna do circles.

You can go sit down
if you want.

All right, sounds good.

All right,
we're gonna do small circles.

And then
we're gonna do big circles.

We're gonna warm up
our shoulders

so that we don't
pull anything, right?

Okay, now we're gonna take
our arms and go straight up.

So these are shoulder presses.

Whoo-hoo!

That's good. Good job.
Come on over here.

All right, we're gonna move
over to the battle ropes.

-Do you know what those are?
-Yeah.

-You ever done
battle ropes before?
-Mmm-hmm.

Oh, they're murder.
But come on, let's do it.

We can do it together.

Okay. There you go.

Here.

Okay, bend down slightly.

You're gonna go
up and down. Right.

So you're gonna pretend
like you're throwing them,

slashing them to the ground.

Yeah. Get it.
Like you're really angry.

Like you're really mad.
Get it, girl.

Down, down.
Remember to breathe.

Exhale and inhale. Perfect.

All right.
I like that one, too. Okay.

-Are you okay with 10s?
-Yeah.

-All right,
we're gonna do bicep curls.
-Okay.

So, my plan is
to work out

every day over the next week,

so that when I go back
to get my weight checked,

I'll be down
to where I need to be

so Dr. Now can
move ahead with me

and I can get
weight loss surgery.

Good. We'll do
three more. Ready?

One, and down.

Two, and down.

Three. Hold it,
hold it tight right there.

Squeeze, squeeze, squeeze!

Count five seconds.
Don't let go.

One, two, three, four, five.

Good job.
How do your arms feel?

-I'm tired.
-Those are heavy.

Look at you! I love it.

All right, we are all done.

-I'm super-proud of you.
You did great today.
-Thank you.

-Good job.
-Thank you.

My foot's asleep.

I'm heading back
to see Dr. Now again

and I'm hoping for
good results.

I've been working out
every day for the last week,

and I can feel
how sore my body is.

So I know it is helping

make up for how I ate
over the last month.

I'm not sure it will be enough
to make my goal,

but I gave it my best shot,
so there is reason to hope.

Jacky?

The last time
I was here two months ago,

I weighed 669 pounds.

And the goal was the same,
to lose 70 pounds.

So if I did that I'd be
right at 600, or 599 pounds,

and I really hope
I made it there.

You can step on the scale
whenever you're ready.

Your weight today
is 686.

Okay.

Oh, well.

Please go to room five.

That's not good.

I don't know what happened.

I know I messed up
but I didn't think
it was that bad.

I don't understand.

This is not going to be good
with Dr. Now.

And I'm feeling really ashamed
right now.

-Hello.
-Hello, how you all doing?

-I'm good.
-Good, how are you?

-Good.
-Good.

Well, Jacky, what's going on
with you today?

Um, the scale was showing
that I gained weight

-instead of lost it.
-Yes, I can see that.

You gained 17 pounds. Why?

Uh, just with depression
going on,

and my dad's death date
just occurred,

so that was really stressful
to go through.

So, when you tell me that
you got depressed,

and you use that to justify

eating what you want
to feel better?

What is that? Why does that
make any sense?

No, but it was
just very stressful.

Just...

Do you want
to change your life

or do you want to
kill yourself with the food?

Yes, I wanna change my life.

So what is your objective
coming here

and telling me
you gained 17 pounds
because you were depressed?

I'm just trying
to get back on track

and get motivated again
to do what I got to do.

So, for all these months
that we have seen you,

you have done nothing
to change your life.

Why?

Adjusting, I guess.
I don't know.

I don't know
how to explain it.

Just eating wrong.

Eating wrong, what do
you mean? Explain that.

Not sticking to the diet.

Oh, that's very bad.
Just exactly tell me
what you eat

that's gonna make you
gain 17 pounds?

I am going
and getting burgers

and, um, stopping
at other restaurants.

Like, the salad that I had.

I make pre-made salads,
and I had that at home.

Well, you told me
you should have lost
30 pounds, but you haven't.

So what are you doing wrong
that you're not telling me?

I was just eating
the wrong things,

making the wrongs things
at home.

-Like what?
-Like pasta.

So now the salads
are turning to pasta.

I understand that,
but I don't eat constantly

like you're suggesting.
I don't do that.

I mean, I may eat bad,
but I don't eat, like...

You're just not telling me
the truth,

what you're eating.

You're just not coming forth
and telling me

exactly what happened
and what you did.

Yeah.

So what's going on?

You can tell me if she's not
telling me very much.

The only thing I can figure is

that when she goes to the gym,

I think she's stopping
on her way back home

and getting something to eat
on her way home.

I mean, and she's grown.

All's I can do
is stand behind her with...

hoping that she's doing,
making the right decisions.

You heard that, Jacky.

No one else can do that.

So at this point, we get you
to see some therapists

and see if you can make
any changes.

But I'm only giving you
one more chance.

If you don't lose your weight
by the next appointment,

then there is nothing more
we can do for you.

-Do you understand?
-I understand.

Okay, I'm gonna set up
the psychotherapy for you.

And we'll see you next month.

If you haven't lost that,
then I know that

there is nothing else
we can do for you.

If you need anything in
the meantime, give me a call.

-Okay.
-Okay?

Thank you.

At this point,
Jacky has no excuse

for all of her poor progress.

She had all the tools
to lose more

than the goal I gave her.

Maybe therapy,
or the fact that

this is her last chance,
will wake her up.

But if something

with little or no progress,

then we won't be continuing
with her.

Are you ready to get back
on the road?

I don't want to lose
my last chance,

so I have to figure this out.

And it's probably overdue
that I talk to a therapist.

So I'm gonna do it all.

I know Dr. Now
doesn't believe me,
but I'm going to do this.

And I'm going to succeed
because I know I have to.

Oh, he's got a driveway.

Mmm, we're here.

Okay.

I'll see you in a little bit.

Ow.

All right. Bye-bye.

Today,
I'm going to meet
with a therapist

that Dr. Now set me up with.

And I'm hoping he will
be able to help me
get in touch with myself

and see what
is holding me back.

Because I really want
to move forward.

And I'm getting to the point
where I'll try anything.

-Hello.
-Hi, Jacky.

-I'm Dr. Paradise, come on in.
-Nice to meet you.

Have a seat
right over there.

-Hi.
-Welcome.

-Thank you.
-I'm glad you're here.

-Nice to meet you.
-Nice to meet you too.
Good to see you.

Tell me a little bit
about yourself.
What was your childhood like?

Um, it was very
traumatic sometimes

'cause my dad,
he was a very... He was 6'8",
so he stood very tall,

-and then he got very angry.
-6'8" tall. Wow. Okay.

So that's where you got
your height from.

So you had a big, tall dad.

Did he have a temper?

He had really bad
anger issues.

-I remember CPS
being involved.
-Okay.

Um, he would throw things,
punch holes in the wall.

Um, sometimes he hit my mom.

What... What was you mom like
when you were little?

She did start drinking
and become alcoholic.

I remember coming home
from school

and just seeing her passed out

in the chair
in the living room.

This is...
This is in the middle
of the afternoon

she's passed out
from drinking.

And sometime she would forget
to come pick me up.

Boy, it sounds like
a rough childhood, Jacky.

But I'm... I'm guessing
we're just scratching
the surface.

Yeah. Both my parents
passed away and I wasn't
able to take care of them.

Oh... Oh, goodness.
How... How old were you
when they passed away?

I was 16 when my mom
passed away.

-And then I was 25
when my dad passed away.
-Okay. Wow.

So take me up to...
Your mom died
when you were how old?

-Sixteen.
-Sixteen.

How did she pass?

She was having back pain
really bad,

and so she went to the doctor,

they gave her
some pain patches.

Well, they said it was
probably like a brain aneurysm

from the pain patch.

Okay. Did you see her...
her body?

-Mmm.
That's a big deal too.

And then I found my dad
on the floor
whenever I came home.

-So I found his body.
When he passed away.

How did your dad die?

We think it was due
to his pacemaker.

But again, you...
you found the body.

Um, I'm so sorry
that that happened to you.

Jacky, you've had
so much exposure to death.

I still don't know what to do.
I don't know how
to move forward.

I... I feel lost.

Okay.

I see, you know,
the emotion's there

but you're... I...
Are you protecting me
from the emotion,

or are you protecting you
from the emotion?

I don't wanna cry.

You don't wanna cry?

Just,
I feel embarrassed.

Okay.
I don't think you should be
embarrassed at all.

I... Jacky, I would be
worried about you

if you weren't crying
right now.

This is a sad, sad story.

Um, did...
Did you cry at the time?

No, you didn't let
yourself cry.

Mmm-mmm.

This... This is a normal
reaction to that kind
of story.

I'm... I'm gonna get you
some tissues.

Jacky, it's... It's meaningful
that you don't wanna cry.

I... I feel like
you're holding in...

...way too much stuff.

Mmm, yeah.

And it sounds like
you haven't had an outlet

to let it out.

Mmm-mmm.
I just don't wanna be
a bother to anybody.

You said, "be a bother."

Do you think this is a bother?

I don't know how to deal
with my own stuff,

so I don't wanna put it
on somebody else.

You know, I...
I feel like that...
that's one of the main lessons

-you learned as a kid
was to not be a bother.

Your whole life,
you've tried to not
inconvenience other people.

How... How do you feel
right now?

It feels good
to get it off my chest.

Yeah, I want you
to remember that.

It's cathartic that those
tears are there for a reason.

Do you ever...
Do you ever write about
any of this stuff?

I tried to, and then I...
I felt like somebody's
gonna read it

and just get upset about it.

-So I... I don't.
-Uh, that's interesting.

So the... So the fear
that somebody might find it

is keeping you
from getting this out.

That's gonna be one of my,
um, assignments for you

-is to... to create
some kind of journal...
-Okay.

...and get that stuff
off your chest.

And I think
it's gonna feel like
draining a wound or something.

I hope so 'cause I've
wanted to live a happy life.

I wanna become a veterinarian
and help people with dogs
and animals.

Sure,
of course you wanna
be a helper.

Jacky, I... I wanna thank you

because I don't think
you intended to give me
as much as you gave.

Mmm-mmm.

Uh, if you continue
to be vulnerable like that,

there's good things
ahead for you.

The... The healing
comes from the vulnerability,

so get it out.

Yeah.

-Jacky, take care.
It was great to meet you.
-Yeah, thank you.

Okay, bye-bye.
-Bye.

So I like Dr. Paradise.

So much of what he said
makes sense.

And I really feel like
he understood me.

I know in my heart
that he's right.

And I have to let
some of this stuff out.

Here we go.

So I'm going to give it a try
and just go for it

because I know
how important it is.

And I already know
how it's going to feel better

if I can bring myself
to do that.

I know I'm facing
my last chance with Dr. Now,
and that scares me.

But I also have hope
because my session
with Dr. Paradise

was really positive.

And I feel like he pointed me
in the right direction.

So I went ahead
and got myself a journal
to write in.

And I'm going
to give it a try.

I tried stuff like this
in the past,

and I've never gotten
very far with it.

But I'm hopeful
that it makes a difference.

-Hello.
-Hey.

-How are you?
-Good. How are you?

I'm good.

Are you working
on your assignment?

Yeah, I just started.

I brought you a bag
of pictures.

We've got all kinds
of pictures.

Yeah, I wish they could see me
on my weight-loss journey,

and how proud I am of myself,
and actually have
confidence now.

Right, exactly.

Dr. Paradise
helped me realize
it wasn't my fault,

they were going through
their own demons too.

-And...
-Right.

Well, maybe
that's something else

you should write down
in your journal,

that it's not your fault.

They were the adults
in that situation,

you were just the kid.

I really do think
that this assignment
will help Jacky.

You know,
Jacky had a lot of trauma
through her life.

Yep, I remember that,
screaming, hollering,
chucking things.

Surprised the cops
weren't called to the house
more often.

I'm just glad to see
that she's working on it now,

and she's doing
so much better.

She's come a long ways
from where she used to be.

And I'm super proud of her.

Yeah, I wish we got to spend
more time together

'cause I was only 16
whenever she died.

The homework that Dr. Paradise
has given me made me realize

that it's time for me
to move forward
and worry about myself now.

I'm really happy
that you're taking the steps

and that you're
moving forward,

-and learn from their
bad mistakes.
-Yeah.

I do plan
to continue journaling

through my
weight-loss journey,

and even after
the weight-loss journey.

And I feel like
it really helps me.

Well, girl, you know
if you ever need somebody
to talk to I'm here.

-Yeah.
-Yeah, let's put
those pictures back in here

so they don't get lost.

I know how badly
I need Dr. Now's help.

So I'm committing to the idea
that if I just follow
the instructions

then there
is a future for me...

All right,
we'll see you later.

-Thank you for coming.
-You're welcome.

-I love you.
-Love you too.

...that might just have
a little happiness in it.

Jacky.

I'm back at Dr. Now's,

and this
is the biggest moment yet

in my weight-loss journey.

'Cause if I didn't lose
70 pounds this time,

then that's it for me.

And if that's it for me,
then I don't know
what I'm going to do.

You can step on the scale
whenever you're ready.

I was 686
the last time.

So that means I have to be
616 pounds or lower today.

I think that's better
than what you'd done.

Yeah.

Okay.

Please go to room 5.

That's a lot better,
but that's not
the right amount.

I want to feel good about it
because that's the most
I've ever lost.

But I don't think that Dr. Now
is going to see it that way,

so I'm dreading what
he is going to say about it.

-Hello, how y'all doing?
-Good. How are you?

I'm good, thank you.

Okay, Jacky.

Well, that's true.

Who is this with you today?

-Sorry,
I didn't introduce you.
-Oh, so...

This is my grandmother.
-Yeah. Hi.

Well, good to meet you.

So, Jacky, you think
the therapy is helping you?

I think so.
I was able to speak with him
about a lot of things.

So, what is therapy
doing for you?

Um, it helped me get past
some of my childhood issues
that I had,

the trauma that I had
with my parents,

and bullying that I had.

Okay. So you need to make sure
you keep up with that.

Okay.

So with your current progress,

we're gonna approve you
for weight-loss surgery.

But I'm gonna schedule
your surgery
for two months from now,

-and I want you
to get under 600 pounds.
-Okay.

You think you can do that?

With the support that I have
I know I can do it.

Okay. How's this mass doing
in your... your abdomen?

It's a lot looser now.

It's swaying back and forth
whenever I walk.

But I'm able to walk faster.

Overall, how about
your mobility?

I've been walking
a lot faster.

-I'm able to do more laps
at the gym.
-All right.

Yes. Thank you
for all your support.

Well,
you're... You're welcome.

But don't get comfortable

because you still have
a long road ahead.

I'll see you in two months
for your surgery,

hopefully under 600.

-Yes.
-Okay.

If you need anything
you can give me a call.

Thank you.

Yes.

What a relief.

It feels like
I proved to everyone

that I can be a success.

And honestly, I never even
believed that before.

All right.

-I'm glad we finally
made it here.
-Me too.

-It's been
a long process.
-Me too.

It was as long process.

I'm feeling nervous,

but I know it's something
that'll help me
get to where I wanna be,

and being more independent
with myself.

You'll feel way better
when you get done.

-Hello.
-Hello.

This is a really big surgery,

so I am nervous
on that aspect.

But I'm more excited
about the future
than I am nervous right now.

I'm just ready to get back
on my feet again

so I can get back
out into the world
and start working

and do things
I haven't done before.

All right, girl.
See you later.

-Love you.
-Okay. Love you too.

This surgery means
that I get a second chance
at life.

And knowing that I know now,

and the positive state of mind
that I am,

I... I know that my life
will definitely change.

-Are you cold?
-Not right now.

Here, right.

Okay. Let's begin.

The light.

-Now go.
-Okay.

You can turn it on.

Because all this
operation does

will remove 80 to 85%
of Jacky's stomach.

Therefore, she'll be able
to eat much less
and control her eating habit.

Okay, let's transition
to robot.

All right.

So this is an important step
for her.

But Jacky is not only
still high-risk
because of her size,

but this large panniculus
is going to make
this operation

more difficult than usual.

Targeting complete.

Jacky being in surgery,

I'm very confident that this
is something good for her,

that it's going to, um,
help her out tremendously.

I know she's got good things
coming her way.

All right. Let's get this out.

Put that over there.

Nearly done.

And let's close her up.

And we are done.

Yeah, can see it as well.

This is Jacky's stomach.

A very big, long stomach
she had.

And send that to doc, yeah.

Ready? One, two.

Hi, Jacky.

Are you waking up?

-And later on,
we get you up walking.
-Okay.

And get you moving around.

But everything went very well.

-Thank you.
-All right.

All right,
I'll see you later.

It's been about a month
since my surgery,

and I'm doing really well
according to Dr. Now.

I'm even a little bit
ahead of the curve

for how much weight I've lost
last month.

And Dr. Now says that's good

because my surgery weight
was a little bit higher
than what he usually sees.

But I lost another 41 pounds
since my surgery.

And I'm really excited
about that.

Hello.

Hi, what time did Sharon say

she wanted to go
to that safari?

Uh, whenever
you get over here,
whenever you arrive.

All right.
Well, I will see you
in just a little bit.

All right.

-All right. Bye.
-Bye.

I didn't much care
for the liquid diet.

But it worked,
and now I'm back
on solid foods.

Can't really eat much anyway.

But it's great because I'm
more active than I used to be.

And I've been feeling
more social too.

And more eager
to get out there
and not just be by myself.

Yeah, I think today's
gonna be good.

The weather's nice.

I heard that place
was a really nice

little safari out there.

-Yeah.
-Never been, but,

-see when we get there.
-All right.

And I saw they have zebras.

I heard it was nice.

Today,
we're going on a safari
right here in Texas.

So I've been trying
to stay active with my family

and having new experiences
out in the world.

I've been wanting
to come to this safari
with my family,

and see the animals,

and just come
experience nature.

I never thought we'd be able
to do this again
together, Jacky.

Not since you were a little...
little-bitty girl
was the last time...

...we were out
looking at animals together.

There you go.

I am so thrilled that Jacky
is able to get out

and do things
that make her happy.

She's always loved animals.

And I knew that this
was something
that she would like.

If you're in the house
all the time,

you're missing out
on things like this.

Yeah,
I'm glad to be out
and feeding the animals.

Thank y'all for letting me
see that there's...

Oh, look at that,
the baby one.

...that there's a life outside
of being at home

and in the room all the time.

-Oh, you bet.
-Yeah.

I still have
a long way to go.

It's still tough being my size
especially with this
panniculus.

But now I can see a future
where I'm happy and healthy.

Look how pretty they are.

And that's just enough
for me to keep trying.

Look how pretty.

I think this weight loss
has just really improved
her whole quality of life.

And we're just glad to see her
going out in the public
doing things,

and hopefully gonna be
spending more time
with us as a family.

I thought that was
really nice.

It was.

-That's right.
-Enjoying your company.