Original subtitles

Previously on "1,000-lb sisters"...

I got cheese on my pants.

It's been four months since I had weight-loss surgery.

So far, I lost 124 pounds.

But with the pandemic, Tammy fell off the wagon.

Ahh!

Let's see what you've got going on.

596.6 pounds.

She had lost enough weight to get the surgery.

She has gained every pound back.

We're going back to Atlanta in a couple days,

so I wanted to go see how she's doing.

I think she wants the surgery.

I just don't think she's mentally ready for it yet.

Right.

Nuh-uh. I helped.

Okay.

And little bit's.

Okay.

We're leaving tomorrow to go see Dr. Procter in Atlanta,

and I know it's gonna be really stressful,

so we wanted to have some fun.

Hey, y'all, it's Amy. And Tammy.

Ugh.

Mm-nn.

Oh, my god, this is so good.

Oh, my gosh.

Oh, yeah.

This is like a dream come true.

Ohh.

You're eating too much.

You don't know what it's like to be pregnant.

No, but I know it feels like to be fat,

and you had your bypass.

You're gonna make yourself sick and throw up.

How many times have you said,

"oh, I'm gonna eat this because the baby wants it."

Or, "I can't do this because of the baby."

I'm worried about Tammy.

As soon as you can't walk,

that's gonna be the end of it, for you.

Yeah.

We're going to Atlanta today to see Dr. Procter,

and I'm kind of nervous,

because I got pregnant four months after surgery.

You got that? Yeah.

Okay.

I'm glad to help Tammy,

because I feel that Amy's got a full plate to deal with.

- Hey, you home? - Yeah.

You ready? Yeah.

Y'all need my muscles to help you?

I don't know. We might.

You ready to go? You look like it.

All g'd up.

Get up there! Oh! Up-a-girl!

No, little. No, little. Come on, lay down.

Come on, lay down with me.

Ahh!

Ahh!

Ahhh... Tammy?

Wahh! Ahh...

Oh, mother...

Oh, my god.

Ahhh.

It was funny.

Oh, my god, Tammy.

Tammy about dropped a bomb in here

and tried to kill everybody up in this today.

Ahh.

Here's a sign saying "southern belle farms."

Let's go and check that out and see what's going on there.

Sorry.

All right, tam.

Alright. There we go.

I don't...

So, we'll just do it backwards.

Okay, look.

How the hell am I supposed to get up this hill?

Okay.

I want Tammy to experience

everything that we experience as a family.

Now, get in there and lay down.

We shut the door. We're gonna roll you backwards.

Okay.

Hell, I think I feel sorry for her, actually.

You know, not being able to get up and walk on her feet.

Yeah, that would bother me, you know,

so I would say she's bothered, too.

That's the way to do it.

Aw, you're sniffing my hand! Aww.

Maaahhh.

Maaahh.

Maaaad.

I think that you're making excuses for yourself.

Lifestyle-wise, you probably didn't change much

when the pandemic came along.

I've given Tammy multiple chances,

but at this point, something has to change.

So we got 43 miles left.

My lower back, my hips, and my knees are really hurting.

It's like a sharp throb.

Oh,.

Tomorrow's a big day for us.

I'm nervous to see Dr. Procter,

because I got pregnant really quick after surgery,

and Tammy took a step back from her weight loss, too.

I'm gonna put your bag right here.

Will you just put it right there?

There you go. Thank you.

I'm gonna go get the rest of the luggage and move the van.

Okay.

Oh. It won't open.

Just don't hit me. Oh, lord Jesus. Mama.

Since Tammy can't move around a lot like us,

I'm afraid she won't play the game.

I don't want Tammy to be on the sideline.

I want her to be playing with us.

Oh! Good job, baby.

Oh, he got lucky.

Ooh!

Are you walking? Yeah.

Cool.

Get it, Tammy.

Tammy getting up and playing the game

like the rest of us is playing is amazing.

Shows that she does have some determination to do right,

so we just got to keep her motivated to do it all the time.

I want to try this one. Here we go. Grandma throw.

Hey!

But she got it! So keep doing it that way!

Hot dog! Yes!

Oh!

I'm knocking somebody else's off for them.

It's Tammy's turn.

My turn?

Y'all still suck, but good game.

Just remember that, cause that's the hardest part.

The more effort you put forth, the easier it'll be,

so you need to do it for yourself and nobody else.

Amy.

It's not that. You're taking what we're saying the wrong way.

I'm not attacking you, at all.

We're just telling you you need to get back on track.

Amy gets upset, because she feels like we're attacking her.

We're really not, we're just trying to get her

to open her eyes and see that

the things she's doing isn't the right choices,

and she could reverse the surgery.

If you continue on the track that you're on right now,

you're gonna be right back to 300-and-something pounds,

taking care of a child that you can't keep up with.

There was times that I couldn't get out and play

because I was too big to keep up.

Want to weigh in?

You're not losing weight nearly as fast

as I would anticipate your losing.

What's your secret?

Alright, we're here, y'all.

Let's go do this thing. Don't forget y'all's mask.

Oh. Oh.

Tammy, I'm getting the chair for you.

You guys here for your appointment today

with Dr. Procter? Yes.

Tammy Slaton and Amy Halterman.

Okay.

Waiting on Dr. Procter,

and Tammy and Amy ain't saying a word,

and you can tell when they know they're going to get in trouble,

'cause both of them shut up and shut down.

Alright. Amy?

Hey, Amy, Michael, how are you?

We're good, how about you? Good to see you guys again.

I know that you two and I have both recently

had a test for coronavirus that was negative.

So I'm okay if you guys want to take off your mask.

We'll make sure we stay distanced, and so forth.

So I guess I'll start with some basics.

When I first met you, you weighed 406 pounds.

Yeah.

Let's see where we are with things.

Alright, 288 pounds.

A few months after your surgery you were 306,

so you've lost 18 pounds in the last few months.

You should have lost so much more weight than that by now.

What's your secret?

Mm-hmm.

Well, listen, I'll start off by saying congratulations.

I know that's something that you were both wanting.

Yeah.

But we had talked about, before your surgery,

waiting a couple of years, really.

I am disappointed that they weren't able

to wait the full two years before getting pregnant,

because even though Amy has lost a lot of weight,

she's still a very high-risk pregnancy at 288 pounds,

plus, this is going to put a huge damper

on her overall weight loss.

Many women have difficulty

getting pregnant before weight loss.

It's a reason why they seek to have weight-loss surgeries,

because of fertility issues,

and I warn everybody, as I did with you,

they become very fertile very quickly after surgery.

You don't have to lose all the weight for that to happen,

as you found out.

But what we generally don't see

is that weight loss pick up where you left off

after you have the baby.

There's a tendency to say, "hey, I'm pregnant,

and we can eat whatever we want to."

And for you, this is in the middle

of a big weight loss journey,

so tell me how you've been managing that.

You know what else besides sour gummies are you...

Fast food?

I know that you have these hormones

that are going crazy right now, and there's certain things

that you're craving and wanting to eat.

You're gonna have to stay away from those things.

The baby needs nutrition.

When I hear people say, "well, the baby really would like me

to go get some fast food."

Or "the baby would like me to have some pizza"...

That baby doesn't care.

That baby wants to have good-nutrient food

so it can grow up and be born a healthy baby.

For right now, we're gonna focus on you

eating the right things, so as your pregnancy progresses,

you can continue to lose some of that excess body mass.

Otherwise, my fear is, you are gonna sabotage

everything we've done so far.

Besides getting pregnant, she's not following her diet.

She's not doing anything that she needs to do

to be successful with this.

Even with this tiny stomach Amy has,

she absolutely has the capability of gaining back

all the weight she lost, and then some.

We want you to check in every month,

see where we are with your weight,

then after the baby comes,

we're gonna get right on top of things.

I'd like to see you end up around 150 pounds.

That's not anorexic skinny.

That's what you have to get out of your head.

You know, your height of 5'4,

200 pounds, you're still morbidly obese.

Oh.

You're still putting your life at risk at 200 pounds.

I know you and your sister have had a lot of fun on YouTube,

and part of what makes you guys funny

and part of your whole thing is sort of

a laughing about your ways and laughing these things off,

and it's good to have humor,

but it's not funny, at this point.

Let's see you get healthy.

Okay.

Now you've got a baby in there that's gonna need you,

that needs you to be around.

Alright, you guys have a safe travel back to Kentucky, okay?

Okay, bye. Bye, now.

Amy's got Michael for support, so I'm going to go

to the doctor's appointment with Tammy.

It's really important to get Tammy

back on track with her diet,

and if I can help with that, I will.

Hey, Tammy. How are you?

Good, how are you? Good.

Hi, how are you? Fine. How are you?

My name is Chris. I'm her older brother.

Dr. Procter, nice to meet you.

So I'm gonna go ahead and take my mask off.

Feel free to do the same thing.

So, talk to me a little bit about

the last several months since we met.

What's been going on with you?

So what kind of things are you eating now?

Whatever? Yeah. Pretty much.

Yeah.

Last time we met, Tammy was off of her weight goal.

She was not really doing the things that she needed to do.

I didn't approve her for surgery.

My hope was that she would take that back home with her,

use that as motivation to double down

and start doing those things that she needed to do.

Unfortunately, she's kind of gone the other way with it.

Be careful.

Alright, 595.

Tammy's gained nearly all the weight back

that she had gotten off,

so we are literally starting all over from scratch with her.

I'm more concerned about Tammy now than I was before,

because what this tells me is that she needs a lot more work.

She's got a lot further to go mentally

before she's able to physically prepare herself for surgery.

I think that to a degree here,

you're making excuses for yourself.

Lifestyle-wise, you probably didn't change much

when the pandemic came along, right?

Not leaving the house and so forth.

You're probably not doing anything different.

You know, I worry about you.

I've done the best that I can do.

I've given Tammy multiple chances,

but at this point, something has to change.

I would love to be able to take care of you and do your surgery,

but I think that we need to look at this

a little bit differently.

It's clear that I just can't keep her as a patient.

You know, I worry about you.

I've done the best that I can do.

I've given Tammy multiple chances,

but at this point, something has to change.

It's clear that I just can't keep her as a patient.

We need to look at this a little bit differently.

What are your feelings on restarting?

You're for it? Alright.

I think that then, if that's going to be the case,

I would love to be able to take care of you and do your surgery,

but I think that you're gonna be better served

if somebody who was lives closer to you is looking after you.

I think it would be in your best interest

if we referred you to one of my colleagues

who lives a little bit closer to you.

I think the accountability of having a surgeon nearby

whose office that you can go to weigh in more often

and stay on top of things

is going to be a whole lot better for you.

'Cause you're a very high-risk patient...

Sitting around and waiting to die

is not a good way to live.

We're not abandoning her.

We're always going to be here for her,

but she needs more consistent help closer to home.

I wish her all the best,

and I hope that she finds it within her

to do the things that she needs to do to eventually get surgery.

While you two are in Atlanta,

we're gonna have you and Amy see a bariatric psychologist,

so you can kind of understand again,

have a refresher on the things that you need to do.

I'm a little concerned about your whole approach

and relationship with food,

and we want to work through that now.

You're okay with that?

Yeah. Alright.

Well, listen, it was wonderful to see you.

Thank you for bringing her and coming in.

If you'll wait outside in the lobby,

I'd like to talk to everybody before you head out.

Okay. Alright.

Hey, guys.

Now we've got everybody gathered,

I want to talk to you all.

I'm worried about Tammy.

I'm afraid that the longer this goes,

your mobility is gonna go away.

As soon as you can't walk,

that's going to be the end of it for you, alright?

So I'm gonna refer her

to one of my bariatric surgery colleagues up in Kentucky,

so that she can be watched a little more closely.

I'm really worried about you, because your chances of

dying in the next five years are about 80 percent,

if nothing happens.

If you were to die in five years,

you'd miss my son's graduation.

Miss your baby ever getting into the first grade.

Alright. You guys stay safe.

Be careful driving back to Kentucky.

Take care.

Next time on "1,000-lb sisters"

My thoughts on therapy is,

I can tell my friends my feelings for free.

It's not going to hurt me a bit to start dieting, too,

but I'll push you harder than what Amy ever thought about it.

No more excuses, alright?

The diet has brought us together a little closer.

How much closer can we get?

You're right.

How you feeling?

In my mind, I'm thinking the worst.

I'm thinking I'm having a miscarriage.

No you're not on life support! What?