Original subtitles

Previously on "1000-lb sisters"...

We're going to Atlanta today

to see Dr. Procter, and...

What's your secret?

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.

I'm worried about Tammy.

Your chances of dying in the next five years

are about 80%, if nothing happens.

What's your feelings about the doctor's appointment, Tammy?

Come on, now. Stop it.

When you don't feel like doing something, you don't do it.

Just because she does it don't make it right.

We're going down here to have breakfast.

After going through what we went through

at doctor Procter's yesterday, with Tammy,

she was pretty depressed.

So, I figured I'd talk to her, and maybe just get her

in a better mood than what she was when she went to bed.

Are you good there? - Yeah.

I could push the table to you.

No. I'm good.

Breakfast is gonna be an egg-white omelette

and some yogurt.

Is this Greek yogurt, or regular yogurt?

Greek yogurt.

Here we go.

I know the temptations are gonna be there.

I'm excited to be on the journey with Tammy,

because it'll help motivate her,

and I believe it'll help me, too, just stay on board.

Hey, Youtubies.

It's Amy.

There was three beluga whales in that tank.

Tammy was the big white one.

Amy was the little gray one.

Today, me and Tammy are gonna go see a therapist

because Dr. Procter wants us to.

Honestly, I don't feel like I need therapy

because I've already had the surgery.

Hi.

- Hello. - Good to see you.

Nice to meet you.

Hello.

I work almost exclusively with bariatric patients,

and do pre-op evaluations, and a lot of post-op care, as well.

Today, I'm meeting with Amy and Tammy.

And Amy has already had her surgery,

and Tammy's in the process

of trying to get ready to have surgery.

And so, we wanted to talk about if surgery is going to, indeed,

be an option for Tammy in the future.

Everybody's had covid tests?

Everybody's good?

You guys okay if we take these off?

They smell. Please.

How are you feeling about being here?

Good?

Oh. So, "therapist" sounds like,

"we have to talk about feelings."

Not a comfortable topic, right?

We'll kind of go with... With what works for you, okay?

Where are things today?

Where are you in your lives?

I had gastric bypass.

Okay.

I lost 118 pounds.

And I found out I was pregnant, too.

Oh. Wow. Well, congratulations.

Oh, my gosh. Everything's going well.

Alright. Well, we'll come back to that in a second.

I need to ask you, Tammy,

how do you feel about your current circumstance?

It could be better.

It could be better?

So, you weren't able to have surgery?

What happened there?

I mean, life happened.

Life happened?

It does that.

Do you still want to have surgery,

or is that off the table for you?

Okay.

So, what kinds of stuff are you eating?

Ooh, look at that cheese. Oh, yeah.

I think Amy is overdoing it when she eats.

I'm giving her bad stuff that's killing her,

but yet, if I don't, she gets mad at me for it.

I'm trying to be nice.

Well, you're blaming everything on me.

Of course.

Let's talk about the ability to say "no."

We say "no" to kids to keep them safe.

"I want to stay up and watch a movie."

"No. It's bedtime. You've got school."

But we fail to say "no" to ourselves

because we want what we want wen we want it,

because that's what addicts do.

Do either of you consider yourself

to be an addict... A food addict?

- Yeah. - Yeah.

So, how are you gonna learn to say "no" to you?

Okay.

Are you willing, Amy,

to commit to not getting her unhealthy foods?

No.

What you're responsible for is what you do.

So, if you buy her that food,

that's the part you're responsible for.

Right. So, back to that "saying no."

Can you love her enough to say "no"?

Maybe. Maybe not.

Amy and Tammy have a very strong

interdependent relationship,

and it's very, very unhealthy for both of them.

The whole concept of saying "no,"

whether it's to themselves or to each other,

is pretty foreign,

and I think is something that's gonna be critical,

in terms of either of their success going forward.

So, when I look at you, Tammy, I'm thinking

there are some things you might be scared of.

Your sister's gonna have all this other stuff

going on in her life.

I'd be scared to death.

I've had a lot of other people tell me that they're scared

to have to take responsibility for their lives.

That's a very good question.

She's seen me, with her own frigging eyes,

walk without a Walker,

and she's making a big deal about it.

So, your baby would be fine.

It hurts your feelings when she says that?

She don't care.

Yeah, I do.

No, you don't.

I'm just worried that you might fall.

You're not stable enough.

Don't sit there, and make me out to be

the bad guy.

I'm not the bad guy.

I'm just trying to say...

Whatever.

I told her I didn't want to do this in the first place.

I know.

I had my surgery.

But did you just want the surgery,

or did you want a better life?

I have a better life. I got what I wanted.

I wanted a baby.

Do you want a better life for the baby,

in terms of how he learns to communicate,

how he learns to talk with people?

I don't want to be called a bad mom because I don't know...

Nobody's calling you a bad mom.

You're going to be a great mom.

I hear that. I see that.

I feel that.

I know.

I was taught the same thing,

and I wanted to be different.

But I couldn't just snap my fingers and know how to do it.

I went to individual therapy, group therapy, couple's therapy.

How do you learn how to be a good mom?

I guess watching "Brady bunch."

If we were sad, and we needed a hug growing up,

it was always, "toughen up."

I want me to be able to have my kids come to me,

be able to get all his emotions out.

What about you, Tammy?

What's something you're gonna do

for yourself going forward?

What do you plan to do for the rest of your life,

keep all this stuff in you?

Eat at it?

Who are you mad at?

Yes, you are.

You shut down for a reason.

Tammy, you've got to choose to take care of you.

Okay?

Because I see that you are more capable

than you're giving yourself credit for.

You know, it's about loving ourselves.

"Can I love myself enough to stop harming my body

with food?"

Tammy clearly shuts down.

And mostly because this is too much,

she fears she's not gonna be heard anyway, so why bother?

But it's a clear sign that she's communicating something

through that silence, like, "I need help.

I need somebody to teach me how to get this out of me."

You're welcome. Thank you both for...

You know, for listening.

I hope that some good came from today,

and that you'll listen to each other.

Based on what Tammy was willing to put in today,

and based on what she's saying about how she's eating,

absolutely she is not a good candidate

for bariatric surgery at this point in time.

In my mind, I'm thinking the worst,

I'm thinking I'm having a miscarriage.

Going home to Kentucky is like a whole different experience,

because we're all on edge.

We're all just tired.

We're all kind of perturbed

because of how our appointment went with Dr. Procter,

and then, me and Tammy's appointment with the therapist.

We just want to just go home.

Let's go.

We rolling?

Let's go.

We're looking at least eight hours driving time.

I'm glad that I'm able to help Tammy along the way,

with the diet...

Would you let me finish? Damn.

He's not my size,

but he is closer than what you were, a little bit.

Bitch.

Oh. Has she?

Doing this trip, I would say it has brought us together

a little closer.

Coming back from Atlanta,

I realized that I was on the wrong track for a long time.

So, today, we're gonna be making a healthy dinner,

just because we want to be healthier,

and I need more nutrition in my diet.

Yeah.

So, today, we're attempting to make... what was it?

Eggplant parmesan.

Yeah. Eggplant parmesan and sketti squash.

Spaghetti squash spaghetti.

Spaghetti squarsh spaghetti.

Still didn't say it right, but okay.

Yes.

Tammy's pretty knowledgeable when it comes to food

because she watches a lot of cooking shows.

That's the only thing she's knowledgeable in.

Bitch, what?

Mama!

Okay, girl.

My damn.

Give me that spray.

Alright, this is ready.

Yeah.

I hope Tammy is serious about changing.

Me and Tammy need to work on ourselves.

We need to work on our relationship with each other,

and our relationship with food.

I want my child to know what a healthy relationship is

between me and my sister,

and be a better role model for my child.

Trying is better than nothing.

I've still got to learn how to say "no" to you.

Doesn't matter. You're still gonna overeat.

Let me see it. Let me eat it.

Amy.

I kind of liked it.

Compliments to the chef.

I'm the chef.

Shoot.

I put the batter on it.

That does not make you a chef.

I hate you.

I seriously hate you.

Oh, my god.

I didn't know we would need some air freshener for outside.

It kind of tastes like Sauerkraut

with hamburger and sauce on it.

It ain't bad. I'm just saying.

The texture is kind of weird.

No, you're not on life support.

What?

Today, we have an appointment for an ultrasound,

and it's perfect timing, because I've been having a lot of pain,

a lot of cramping,

and I just want to make sure the baby's okay.

- Hi, there. - Hello. Amy.

How can I help you?

I'm here to see the doctor.

Have a seat.

I'll be with you in just a moment, okay?

Having these symptoms are really, really scary,

because I'm high-risk because I am overweight.

Plus, I just had gastric bypass.

So, all of that together really worries me.

Amy.

Come on back.

I'm five months pregnant, and with these cramps,

I'm really scared that I'll have pre-term labor.

We're just gonna have you sit right there on the table,

and she'll be right in with you, okay?

- Okay. Thank you. - You're welcome.

In my mind, I'm thinking the worst.

I'm thinking I'm having a miscarriage.

Something's going on.

- Hi, Amy. - Hello.

How are you today?

I'm having some, like cramping.

Okay. We're gonna take a look,

and make sure everything's looking okay today.

I'm Laura. I'm gonna do your ultrasound.

Alright. So, what I'm gonna do first is,

I'm gonna have you just lift your shirt up for me,

and then lower your pants down.

I'm gonna put something here

so I don't get any gel on you, okay?

So, have you been feeling okay during your pregnancy?

Really? Yeah.

I'm looking at the sonogram pictures like,

"is the baby okay? Is the baby alive?"

If something happens, I don't know what I would do.

Well, everything looks great.

It could definitely be that you're having Braxton Hicks.

And, you know, they will get stronger

as baby does continue to grow.

So, what is Braxton Hicks?

Uterine cramping.

Do you ever have cramping with your periods?

Yeah.

It's like that, except for a lot stronger.

Braxton Hicks do present, a lot of times,

in the second trimester.

And I think that's probably what she's feeling.

Amy is considered a high-risk pregnancy due to her weight.

If Amy would have lost more weight before she got pregnant,

it probably would have been a smoother pregnancy.

And I think that she could face challenges

as it's time to deliver.

Are you taking prenatal vitamins every day?

Yes, ma'am. Good.

Are you keeping on a healthy diet?

It is very important to maintain a healthy diet,

just because, a lot of times, with obesity,

a what runs hang-in-hand is high blood pressure.

And those are things that they will continue

to monitor throughout your pregnancy,

to make sure that those do stay stable.

You want to hear baby's heartbeat?

Yeah.

It's such a relief to hear that it's just Braxton Hicks.

And the baby's got a good heartbeat.

Everything's healthy with the baby.

No.

It's nice and insolated in there.

Just listen to your body.

Rest when you feel like you're not feeling well.

Sometimes, your body just needs that extra rest.

Okay. Thank you.

Alright. Do you want me to...

Yeah, you can pull this down,

put your feet up here.

Hello?

What is going on?

Amy's on the way to the hospital.

Alright.

- Alright. I love you. Bye. - Love you, too. Bye.

Amy went to the E.R. this morning.

I'm waiting to hear what happened,

why she went to the hospital,

if she's okay.

So, I'm kind of, like, freaking out,

just hoping everything's okay with her and the baby.

No. Not yet.

Is she admitted, or are they just monitoring her?

Alright.

You're not dying.

What the are you talking about?

Amy.

Amy, relax.

Relax.

The baby...

Is making you sick.

Amy.

Next time on "1000-lb sisters"...

I can only hope that nothing's wrong with the baby.

Tammy's hard to deal with when she gets upset.

So, if that doctor says the wrong thing,

and pisses her off, it's gonna be hell on wheels.

Kind of dreading it, 'cause I'm afraid the scale's

gonna be like, "you're fat."

Well, clearly.

I'm nervous because I've had some bad days

where I just eat whatever.

I didn't even think that was humanly possible.

But apparently, it is.