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Previously on 1000-lb Sisters...

After all this hard work, all the weight loss,

everything I've been through, all the trips to the ER...

...I made it, I can just breathe

knowing he's fine, he's here, he's safe.

He's perfect.

I'm so glad Tammy's home.

He should be waking up for a bottle soon.

- Uh-huh. - I think in probably an hour.

- But I'm gonna go take this food to Tammy. - All right.

- I will be right back. - Fine.

I've only seen Tammy through the window and over the phone.

But Tammy's looking really bad.

I mean, she's not doing good at all.

Yeah.

Tammy has a weigh-in coming up and I'm kinda scared

because Tammy did lose weight in the hospital,

but now she's home, and she can't move around as much.

So she has gained it all back, and some.

She's on oxygen 24/7.

She's pretty much housebound.

Next up is bed-bound.

She's going downhill real fast.

Knock, knock.

Hey.

It's been seven weeks since we've seen Dr. Smith.

We had to push back the appointment

three weeks because we got Covid.

Now, I did lose taste and smell and it sucked.

You could be eating a rib-eye and it tastes like cardboard.

But I was blessed that I didn't have

more complications than what most people my size do.

Yeah.

The main reason why I want to get the surgery

is because with all my health issues,

every one of them will improve

with me being a whole lot smaller.

And Tammy has to get this surgery.

Now that she's bound to the house on her oxygen,

once she gets bed-bound, it's...

You know, Dr. Procter said it was over.

Hey, guys. How are you guys doing?

We're doing all right. How're you?

I'm doing good.

What's been going on?

Got quarantined.

So that slowed me down a whole lot.

Okay, were you guys in the hospital?

I was.

How long were you in the hospital, Tammy?

Nearly two weeks.

I had pneumonia also.

That's why I'm on oxygen.

Okay.

Seeing Tammy requiring oxygen after Covid

is a little concerning.

We know she already has some pulmonary issues,

and someone of her weight is already at high-risk

of pulmonary issues leading up to surgery.

If she does lose the weight we've asked her to,

more than likely, she'll be able

to come off that oxygen even before surgery.

So, how was your food choices during that time

when you were pretty much laid up on the couch?

Well, I'm sure I made

a couple of bad decisions somewhere along the way.

Okay.

Not good, how come?

The last time I saw Chris and Tammy,

I gave them both a weight-loss goal

that I wanted them to reach before we meet today.

To me, this is a little bit of a test,

see, their commitment towards surgery.

Yeah.

Okay. Do you have a scale there with you?

Would you guys be able to weigh in for us today?

- Yeah. - Okay.

Let's go ahead and step on the scale and see where you are.

I'm upset about it because I know I could have done better.

Bottom line is, when I was quarantined,

I should have been cutting back

more on eating, and I wasn't.

Yes, sir.

Okay.

I think what I would like to see from you

is I'd like to see us get

the rest of that weight off.

That rest of that 15 pounds off.

You know, if we're down six pounds,

you've got nine pounds to go.

You're really close to getting that green light

to go into surgery.

Okay.

I mean, it's disappointing that I didn't go ahead

and lose the 15 pounds, but at least, you know,

it's a goal to go ahead and make.

Okay.

You know, graciously, Dr. Smith

gave me the same weight loss goal.

He could have told me to lose another 15 pounds,

but instead he told me just to finish out

the 15 pounds I gotta lose.

So basically, a pull down to about nine pounds.

I'm very determined to lose that

because I don't want to let him down.

But more importantly, I don't want to let myself down either.

Last time I saw Tammy,

she weighed in at 644 pounds.

I gave her a weight-loss goal of 25 pounds.

Do you think we need to sit down

and have a chat with Tammy?

I really don't want to call it an intervention.

I'd rather call it a wake-up call for her.

I'd rather you be pissed off at me

the rest of your life and lose this weight

than you die.

So last time I saw Tammy, she weighed in

at 644 pounds.

I gave her a weight-loss goal of 25 pounds.

It's ready.

That's like, "Come on, girl, are you even really trying?"

Because if you were, I could understand a pound or two.

Twenty pounds.

I'm like...

"Damn."

So pretty much, I've failed us,

as, you know, as a diet buddy.

All right.

So after you've made those bad choices, how do you feel?

Okay. That's honest.

Today I was finally able to get Tammy to admit to me

that she's not able to do what she needs to do,

and she's admitting that it's really hard to stop eating.

It's not just the issue of teaching Tammy what to eat

and what not to eat, but I think we're dealing

with a much bigger problem, such as a food addiction.

You could have blamed you couldn't get out of bed.

You could have blamed that you had Covid,

and you could have blamed that you were in the hospital

and you didn't. And believe it or not, that's a step forward

from where you've been in the past.

So you've just made progress

even though your weight went up.

Now, are we closer to surgery? No, we're not.

And I think you know that.

But are we closer to getting to the root of the problem,

so we can eventually get to surgery?

I think, in a small way, we are.

My job is to find a way

to motivate you to get you healthier.

Okay.

All right. So, Chris,

next time I'll see you will be in about three weeks.

And my hope is when I see you,

you'll have lost the rest of that 15 pounds,

and hopefully we can talk about some specifics of getting you to your surgery.

Tammy, I think our goal right now is, let's just work on getting back

to where you started when I met you.

So I'm going to set up a therapy session for you

to start working on getting those pounds off

to get back to where we started.

Yes, sir.

You guys take care and stay safe, okay?

Thank you.

With Tammy admitting that she has a food addiction,

and with the right help from a psychiatrist,

I believe Tammy will succeed a whole lot more

than she's succeeding right now.

But I hope she puts up enough effort

to do what it takes to make it happen.

It's a... It's a really... a serious do-or-die situation for her.

It is a temptation seeing, like,

you know, a snack cakes laying around, or something like that.

It's hard.

When Jerry's eating something I'm not supposed to,

I do find myself...

craving it.

I've finally tested for Covid three times

and it's all come back negative.

When Chris told me that Tammy gained more weight,

it was devastating.

Let's go see Aunt Tammy.

I hope meeting the baby will motivate Tammy.

I want her around to see him grow up.

See Aunt Tammy.

Jelly Bean!

It's kind of cool to see Tammy clicking with Gage so early.

I think Gage has a bond with her

because he heard her voice when he was in the womb.

So he's got that bond.

He knows who Aunt Tammy is.

You know, me and Gage drove here for you. I just hope

he gives you the motivation to lose the weight.

Jerry's back in town.

Having Jerry come to Kentucky means, like,

he's actually in it for me.

We shall see.

White...

I mean, I know you'd rather have pizza or something.

Oh, this nasty.

Your weight just went up instead of down.

I've been trying!

I know Jerry contributes to your diet.

You ready, Gage-a-rooney?

We're here, bubby.

Plus, there's something I need to talk to Michael about,

but I'm not sure how he's going to react.

Yeah.

Is he gonna get the wheelchair?

Babe, can you get the wheelchair, please?

I'm out of breath.

I can't go no further.

Yeah.

Yeah.

Yeah.

- Do the swinging and the... - Yeah, swings.

And slides.

Yeah.

Yeah.

Yeah.

Yeah.

You know, originally, we had plans of moving out,

but with Tammy being housebound, and can't do much...

She's on oxygen.

I feel like we need to stay for a little bit longer...

to help her out a little bit more.

Are you cool with that?

Yeah, but I don't feel safe

leaving Tammy by herself right now.

Me and Michael are going to hold off on moving,

but at the end of the day,

Gage comes before anybody in my life.

So something needs to change, because eventually,

when he gets moving, he'll need more space.

She'll just have to fend for herself honestly.

How bad does one person have to be

in order for it to be a wake-up call?

Yeah.

Before weight loss surgery,

I thought I would end up like Tammy, as obese as she is.

But now it's like I'm going to live.

I'm going to make it through.

But the more weight Tammy gains, the more her mobility

and her risk of dying goes up.

Come in!

What are you doing?

Feeding the baby, so he can take a poop.

Yes.

- Good. Yeah. - You wanna...

Oh, you know, I'm out of practice.

It warms my heart to see Chris holding my son,

'cause it's like I worked so hard to get my son,

and seeing everybody loving on him, it's just so special.

Well, you know, it's one of them situations that

you don't ever like to go to the doctor.

The doctor told me to lose 15 pounds.

The moment of truth is what we all want to know.

- Let's get on that scale and see what it shows. - All right.

379.5.

There you go.

- Great job, man. - That's what I'm talkin' about.

Nice job.

Finally, all the hard work that I put into this has paid off.

I mean, I knew you could do it.

I'm excited about it 'cause I know it's going to be a life-changing situation.

So I have to quit smoking cigarettes

in order for me to be approved with the surgery.

But I've been smoking off and on since I was, like, 13.

So it's going to be really hard to quit.

You know, the hardest part of right now is I got to worry

about when to tell Tammy at the right time.

I hope it don't upset her,

but I am going to go ahead and go through with it.

I agree with you.

I had to make that big decision, too.

I was scared to death when I told Tammy I was approved.

I'm really proud of Chris,

but this is just one more nail in her coffin.

It's like I had the surgery, now Chris is having the surgery.

We were supposed to do it with Tammy both times, me and Chris.

Well, you know, somebody once said,

"If you ain't part of the solution, you're the problem."

I don't care if Jerry comes around more

because at the end of the day, it makes Tammy happy.

But then he's also enabling her by bringing her sweets.

Well, to be perfectly honest, it's blunt honesty.

Cold, hard facts is that she don't have a good track record.

Mom took care of the burial plot.

You know, we've always prepared for the worst.

But I'm not really ready to accept that yet.

Tammy is pretty much on her last leg.

- You know... - It's just scary to think of it.

Yeah.

Tammy has not reached out to a psychiatrist,

and she's deteriorating physically,

quickly, the more weight she gains.

So I think, personally,

the only thing that's going to help Tammy

is put her in some kind of an assisted living facility

because therapy could be done at the facility.

Controlled meals at the facility.

Do you think we need to sit down and have a chat with Tammy?

It damn sure won't hurt. I think the easiest way to tell her

is we get as many people that can come over to come over,

and we have a healthy dinner.

I think Chris is right.

The only time Tammy can actually lose a lot of weight

is when she's in a home or in the hospital.

So it's like maybe that's the best place for her.

Drastic times calls for drastic measures sometimes,

and I think it's about that time.

Yeah.

I know you love him, fine, but Jerry cannot be your enabler.

He's not!

She's gained 100 pounds in the last few months.

And if I'm not bringing her the food

and Amy's not been bringing her food,

then Jerry's got to be bringing it to her

because the bitch ain't leaving the house.

Come on, Little.

- Hey. - Hey, bitch.

How are you doin'?

It's been a while since we all got together and had some food,

but really, it's a good excuse so we can talk to Tammy.

They look good.

Actually, they smell better than they look.

This dinner can go any which way direction.

'Cause it can be great

and we just move forward from this point,

or it could be a knock-down, drag-out argument

and we could get kicked the hell out of the house.

If she does, I'm taking the damn food with me.

Just to piss her off.

You know, everybody here is on a diet except Michael and my wife.

And I t ain't gonna hurt them to eat the same food we do.

So I just cooked one set of food.

That's fine.

- Who did? - Me.

Hey, that's what happens.

How does it taste?

It's good.

- You like it? - I love brussels sprouts.

I do, too.

I plan on telling Tammy that I got approved for surgery,

but I'm afraid, you know,

she could get depressed over the whole situation.

So I am worried about telling Tammy.

It's, you know, as we grow older,

we're not as healthy as we should be.

The big thing is, the other day, I went to Dr. Smith.

And...

I did go ahead and get approved for surgery.

And, you know, I mean, Tammy,

we started this journey to finish it together.

I got ahead of you a little bit,

but just because I got approved

doesn't mean I'm going to leave you behind

and not push you when you need to be pushed.

And to be perfectly honest,

I know Jerry helps around the house a lot...

but I also know he contributes...

to your diet being unhealthy.

I know there were some times that I brought food over

and we're like, "Hey, try this."

But I haven't done that in a really long time.

We've been doing this diet together for months...

and your weight just went up instead of down.

I've been trying!

You're right I'm not because I have a life of my own.

But I also know...

I'm not attacking him.

I know you love him,

fine, and I respect that.

But at the same token, he does not need to be your enabler.

He's not! That's what I'm trying to tell y'all.

The other day I come in here

and he cooked a meatloaf the size of this pan for you two.

Okay. It doesn't mean I ate it that day.

Tammy, you got a food addiction.

Don't sit there and play no games with me.

He cannot be your enabler.

What the are you talkin' about?

This conversation.

If this is why y'all are doing,

I'm leaving.

Then leave.

Y'all are yelling...

Ain't nobody yelling here,

but you're getting offensive.

Yeah, because y'all are blaming him!

I don't want to talk about it no more.

That's your answer to everything.

This was supposed to be fun.

Not this.

Every time we try to talk to you

about anything you don't like, you choose to shut down.

It's my way of not fighting.

Horse-. Ain't nobody here trying to fight.

We're trying to talk.

We care about you. We want you to be around.

We understand you got a food addiction, fine.

Take a run with the therapy

and go lose weight.

'Cause if you don't, you're going to be bedridden,

and then like Dr. Procter said,

"Once you're bed-ridden, it's game over."

We don't want to lose you.

It doesn't matter!

I'll come back and clean the mess up and I'll leave.

I'm not putting up with your ass today.

She's gained 100 pounds in the last few months.

And if I'm not bringing her the food

and Amy's not bringing her the food,

then Jerry has got to be bringing it to her

'cause the bitch ain't leaving the house!

He's got to start following the diet that she's on,

or she's gonna absolutely kill herself from eating.

You don't give a drug addict drugs,

so why would you give somebody with a food addiction food?

All right. Let's go get it done.

This meal wasn't brought here,

and we're not doing this today to fight with you, Tammy.

We do want you to understand that we love you,

even though you don't think we do.

It was not me here, and it was not discussed

to sit here and fight over Jerry.

Whether he's here or not, I don't really give a.

I'm more worried about your happiness and your health.

But if the therapy doesn't work...

the only alternative I see is a controlled environment.

But I'd rather you be pissed off with me

the rest of your life and lose this weight...

than you die.

So really, honestly, the ball is in your court...

and that's all I gots to say about the whole situation.

I will clean up the mess I made by cooking.

To be perfectly honest,

if Tammy don't take what we have to say to heart,

it's going to cost her her life.

Whether she takes it dead serious or not,

is the $5,400 question.

Tammy, I love you. If you need me, give me a holler.

We're gonna go. I gotta go by and see Mom.

Thank you for dinner.

You're welcome.

It was so yummy.

Okay.

Bye-bye.

Hey, guys, um...

Got on the internet and I started searching places.

I want to get healthy.

I'm tired... I'm tired of being like this.

I'm tired of always being stuck at home.

I want to get in the vehicle.

I want my life back.

I hate this. I'm not living.

I want this. I just need help.

Jerry and I...

...are kind of taking a break.

And I really don't wish to talk about it.

I mean...

There's nothing I could do about it,

there's no point in sitting here and dwelling on it.

I just want my life back.