Patients Who IGNORED Dr. Now's Advice | My 600lb Life (FULL EPISODES)

my life is unbearable because of my size everything about this life is hard to where I can't even function on my own like I need anymore I live with my husband my mother-in-law and my sister-in-law Shanda and three children who belong to Shanda and who we share the responsibilities of raising but every single one of them has to help take care of me in one way or another Ken I Dolphus is a 41 one-year-old from Texas who weighs 614 lbs at the beginning of her weight loss Journey Andrew's 15 and he is sure wonderous baby

boy but when it comes to my daily routine Andrew steps right into the man roll every step I make now is slow and deliberate I move at a pace that allows me to feel each footstep so I don't end up on the floor because for someone my size just getting up is dangerous her weight has kept her from living a normal life because she constantly needs someone to help her all day every step I make now is slow and deliberate I move at a pace that allows me to feel each footstep I take a chance

every time I take a step and once Alicia helps me get dressed all I want to do is relax and eat that's what my mission and focus goes to right at that moment when I can go out into the den and start my day was my first meal now hey can somebody give me something to eat please after powering through every morning the only thing K can look forward to is the food she's about to eat when I have what I like the pain of my body and all my sorrow are cast aside so I

constantly have a craving you know it's this drive in me that I can't control but I know it's taking over my life to the point of where I can barely get around even when I'm full I don't want to stop because I want that joy that food gives me from her very first meal of the day you can see that K has an extreme addiction to food looking back at the kindergarten graduation picture I was just this happy 5-year-old fat kid who liked food so I think I kind of connect food with happiness and um

with a way to show love throughout my childhood I was always the largest of my class I crossed over the 50 Mark by the time I was 10 but it still didn't click that it was a problem because everyone in my life tried to make me being the overweight kid okay nothing she eats is ever enough to keep her satisfied but K's unhealthy dependence on food goes all the way back to her childhood when it all started so I got bigger and by the time I was 14 I believe I was around 230 or 240

then so I was happy in high school I dated I went to prom so I didn't see a reason to change how I ate so I kept eating more and gaining weight and I graduated from high school at 17 I was well over 350 lbs the big problem with K is that no one stepped in to help her curb her addiction to food during her childhood and at this point she fears it might be too late for her I didn't buy groceries I ate out I was making my own money you just drive through so

my eating habits changed for the worst and it was at that time time my weight had gotten up to around 400 lb but I didn't feel bad because I could still move around pretty good I was still moving and working and you know walking around and not hurting just didn't really bother me so I kept on doing whatever I wanted with food and eating so I know my weight gain continued whatever happens food is the focal point of Ken's life now and she just can't imagine a life where she doesn't live to eat and then

around 20 me and Rodney started dating the start of Rodney and K was kind of mutual I had what you would consider a fly mouth and so did she it was like I said something Snappy and she came with a snap right back and we were both kind of intrigued cuz we couldn't get the one up on each other and our love has never faltered it's only gotten stronger but there were some struggles infertility can put a strain on the relationship I just always figured that once I found someone that I wanted to settle down

with I'd get pregnant we'd have kids we go on with life but I wasn't getting pregnant in fact her addiction even started affecting her love life let's get hands washed and get stuff ready so we can eat I'm ready to eat and that got worse when I was 35 because I lost my mom on top of all of this if your mother is living there's no way for me to explain it to you so when when I lost her it was the lowest point I'd been in my life so I just ate to try to

lose the pain and even today it still hurts and I'm not going to get over her death part of that I think is that I was never really able to mourn her couldn't go to her grave sight then and even to this day I haven't been I can't physically walk to my mama's grave but all of her troubles Fade Into the distance when Ken has a plate full of her favorite food in front of her and that's how she continu to deal with all her emotions I love these children and they love me back that

feels great and my weight should cause them some shame at times that they don't act like it but I know my weight's getting out of control and to a place where it is very dangerous for me this isn't the way life supposed to be that's not even an existence and there's almost no joy you can't be overweight and happy it's just not possible I refuse to believe that it's and while K has all the support she can ever want in the form of her family and loved ones she still hasn't been able to kick her

addiction to food you know if I keep going like this I'm not going to be around much longer so I know something has to change but when I even try to think about giving up food I don't see how you know even with what my weight's already taken from me I still can't get my eating under control like I should and that scares me so K wants to break out of this cycle and get better for her family and her husband who have showered her with so much love over the years Rodney and Shanda are

going to try to help me make this trip to Houston but I'm kind of anxious about traveling I don't really travel well so I'm not excited about the car ride it's like a 2 to 3our drive just to get there and then we're going to try to come back tonight too it's going to be painful okay as scary as this is I know it's important I do this and go to doctor now because once he sees me he'll help me so I'm excited about that it's the first month of K's weight loss journey and she's

getting ready to go to Houston to see doctor now in the hopes of getting weight loss [Music] surgery in the back of my mind there's always a worry that things could go wrong let St that's good just move my stool up and then open my it's making me more nervous about what could happen and the danger I'm facing getting out of my comfort zone like this so uh this is scary no and while the journey is not going to be all that easy K is determined to do this for her family so far I feel

like I'm holding up okay but we still have most the drive to do and I'm already getting stiff so I'm going to have to find a way to stop and stretch soon but I'm also just starving right now and I can't stop thinking about how difficult it is to lose weight we're getting close to Dr n's office it's been a long drive so you know I'm in pain but now that we're here I feel like I'm getting overwhelmed because I'm scared about the unknown and it's just making me feel like I'm going to panic the

closer we get a few minutes into the drive she seems to be doing okay but her body is slowly giving up on her and all the stress is leading can to panic I just want to get this over with and I'm really hoping this was all worth it I don't really want to do this I don't want to be out in public I don't want to be seen I don't want to get on a scale I don't want to know how much I weigh you know this whole process is something I'm not looking forward to

but I'm doing it cuz I know I have to have this help I've tried every other option so this is it this either works or my only other choice is to go back go back home and wait for the inevitable thankfully she gets to Houston a couple hours later but now it's time for her to face the music and see where her weight stands and I don't want Rodney to see it either because I never told him my current weight I don't want him to know it because seeing the number will make it real the

last time I weighed I was 613 and I'm so afraid that it's going to be a lot more than what it was I don't want Ronney to see it I really don't want to see it I guess that's some good news that I only gained a pound K finally steps on the scales to see how much she weighs and it's safe to say that the number she sees takes her by shock yes and did anybody in the family would tell you you're eating too much you don't eat that much or they tell me that yeah

no nobody tell you that no okay no one's going to step on my toes well the dynamic seems to be that you get everyone to enable you and you use them as a crunch and it sounds like that is affecting their health too so would you agree with that I could I'll use them as a crutch because I do prepare food for my family and I do prepare large quantities of food for my family but we could use we could choose better options I'm the one that um who controls it I guess okay so if

you agree with that why haven't you changed that before today and when Dr now starts talking to her you realize how deep-seated K's unhealthy relationship with food really is especially when her family is enabling her so it's very important you lose weight now you get that yes I do okay I'm going to give you some written instruction that will show you how high protein low carb 1200 calorie a day diet it is strict eating three time a day around 400 calorie per milal there'll be no carb on your diet no potato chips no snacking okay

and it's going to be what you need to do with that okay because it's going to be very important for you to make the changes at this point to try to save your life okay and this guide will help you do that but none of what we tell you will matter if you don't take responsibility for yourself yes sir so we can give you the road map how to make those changes but you're the one that you're going to have to do those hard work okay doctor now lets her know that she can't just get

the surgery and magically lose all her weight K needs to get serious about her weight loss if she wants to continue living at this point but the goal I'm giving you is to lose 75 lb in 2 months okay is that feasible to lose well if you are 100% with the program you're going to be able to lose 100 pound in one month okay yes sir but if you're not able to follow the program completely you're still going to be able to lose some weight maybe 60 to 80 lb that's still going to be acceptable

the doctor gives her a goal of losing 75 lbs in the next 2 months and can is not too excited about that my biggest concern with can right now is the dynamic she has with her household it sounds like she's the one in total control of all the food and what everyone eats and she not only uses that to justify eating what she wants but the whole family is probably used to doing that with her and dependent on her to justify their unhealthy choices as well so all that is not going to be easy to

change but doctor now knows that things are not going to be all that easy for K considering how she manipulates her entire family to give in to her demands since seeing Dr now I've been working extremely hard to do the things I need to get better and improved it's been hard though harder than I thought you know Dr n's exercise regiment for one didn't account for the amount of pain that I have with my legs and knees because of my weight I can't just get up and walk outside after getting back from Houston in the

second month of her weight loss Journey K seems to be working on the diet and exercise plan that the doctor gave her and there have been some improvements with what I can do I still have to use a walker but what this means is I can go places on my own now so I'm excited about that bit of Independence I'm going to have now and that's all due to me pushing myself to walk to the car and back every day for the past month so I'm proud of that achievement working on the diet's been a

little harder for me but whenever things get a little tough she starts making excuses for herself they shouldn't have to be subjected to my diet and what I have to do now because of what I've done but the struggle for me is when they bring it home and I'm with my little healthy meal of whatever and I can see and smell what they have I have a feeling that I'm going to complain about this entire meal until y'all are through with your bags of food it does become a struggle for me because of the Temptation

and it's hard for her to watch her family eat her favorite food while K has to stick to eating healthy I'm nervous because even though though I know I've worked hard I also know there are ways I probably could have tried harder so I'm just hoping that when I get on that scale that my weight loss is enough for dror now to show him my ambition and my commitment because I'm 100% committed to this and I worked my hardest over the last 2 months to make a lot of positive changes in my life and those

changes have resulted in progress that I'm very proud of in the third month K is headed back to Houston to check on the progress she has [Music] made 592 I'm disappointed in myself because I don't think I'm getting approved for anything today and I know Dr Now isn't going to be proud of that progress for me because I know I could have done better so I'm expecting him to be a little UPS ET and that's making me anxious because I really did want this and I did try extremely hard to succeed sadly K hasn't even

hit half of the target doctor now set for her and she knows that he is not going to be happy about it well in past two months you lost 22b so that means you didn't change much of your eating habits so why are you not finding a diet wow um I did I did make some changes I'm not sure that I was actually on your diet word for word when you're 600 lb if you follow a diet you can use 100 pound in mon okay if I put you in the hospital uh for one week

and put you on 1,00 calorie diet of course doctor now is extremely disappointed by K's lack of progress and he's not here to listen to any of her excuses if I could could lose weight on my own then I wouldn't need you I wouldn't be here asking for your help that's not the issue we have giving you help the issue is the choice you need to make to take responsibility for your situation I'm asking you to do the diet for 2 months to show me that and everybody can buckle down and follow the diet for

a few months and if you don't do that the reality is you don't want help what you want is somebody to do the work for you so if you expect us we magically make lose weight it's not going to happen he knows that K is in desperate need of a reality check right now and that's exactly what he gives her I want the hold on who who didn't what told you that it's not healthy to lose 100 a month at your weight is unhealthy to keep that much weight on you so don't give me attitude

okay we're here to help you out but you still have to put the effort in if you want to do this I know that you are and I need the help I need the help but the fact is that I came two months ago and in those two months I had to clean out my house of all the bad foods and I had to learn to cook low calorie meals I also had to find a way to fit in physical exercise exercises that I was not able to do because it hurt because my legs go

numb and I lose the feeling in my legs and my knees hurt they hurt because I was 600 lb they hurt because I have ruined them okay that's Mo for you please please wait please wait please wait when K starts going on an emotional monologue about how hard she has been trying to lose weight doctor now lets her know that he's not going to be affected by her performance so no 22 lb is not anywhere close to the 100 that you asked me for but it is not zero I in months in years I had

lost anything at all because I hadn't tried after I left here with the renewed spirit that I had a chance and my chance was if I tried to do what you and your program told me to do that there was a chance that I could have this life changing surgery this goes on for a while and doctor now seems completely baffled by all the stories K starts Conjuring up to make excuses for her lack of progress you going to stick with the strict 1,00 calorie diet oh well yes yes of course are you going to

read going to read the paper every day like it is the Bible I will read it every day and you need to increase your stamina and do exercise in the chair in the bed and do all those things that you have to do and be proactive if you want to have a surgery because you're going to have to get to the point that's going to going to be safe to put to sleep and do surgery right yes sir okay so I'm going to give you two months to try this again and lose 75b the doctor

gives her an ultimatum and lets her know that she needs to stick to the diet and continue to work on her exercises if she wants the surgery Rodney and me are back in Houston because Dr now wants me to start psycho therapy I don't doubt that doing some therapy will help me but I'm not really sure it will do much with my weight lost like Dr now thinks but we'll see I guess a few days after that K heads over to her first therapy appointment to get down to the cause of her emotional dependence on

food I am 41 I've been with my husband for 20 years we've been married for 14 congratulations we have no biological children but we have raised six kids and have no kidding no kidding and four grandkids six kids so how did how did you come by those those non-biological kids they are biologically his sister's kids okay so they're your nieces and nephews yes sir okay happy childhood wonderful childhood okay good relationship with your mom yes wonderful where where's your mom now um she passed away going on six years ago so tell me about that losing

her was extremely um hard and it's probably something that I just avoided having to mourn her death I just refused to do it so what do you think that impact of not mourning a mom's death what do you think that does to a person when they don't and while she's in complete denial about her situation the therapist sees right through K almost immediately and so I want to give you a real concrete piece of homework I want you to write a letter to your mom and explain how you got here I think the process of

doing that is going to help you be more of what she wanted for you you can do this I can't wait to hear what's in that letter I'm going to give it a couple of days okay I'm so glad you came I hope we talk again soon great thank you so much for your time I really appreciate it you're welcome no matter how much the doctor tries K refuses to open up I thought a lot about what Dr Paradise said about how difficult it is to lose weight when everyone else gets to eat and it

got me thinking for the first time about how making accommodations for other people might actually be hurting me and hindering my progress but I decided to take Dr paradise's words to heart so right now I'm getting them all together to talk about something with them first of I don't want y'all to think that I'm fussing because I'm not I'm very very grateful after going to the doctor the other day kind of a revelation an Awakening of sorts this whole diet plan thing is harder than I thought it was going to be after going home she

really sits with everything that the therapist told her I'll allow you to go out and do a lot of junk food fast food and stuff and bring it home and although I have another option just the fact that it's in the house makes it hard for me I know that my willpower or lack thereof is not your fault but I am saying that I need your help and I want to succeed and I can't do it without you so I need I need the help but even then she continues to hold her family responsible for

her lack of progress instead of her own behavior I never doubted my family's support and commitment to help me do this so it's hard for me to ask them to sacrifice more for me but I know this is going to help me a lot I've also decided to write a letter to my mom that Dr Paradise talked about I just hope it's not too overwhelming for me thankfully though her family is ready to support her through this tough Journey I'm writing the letter to my mom that Dr Paradise talked to me about to help me

with some closure of losing her and it's already got me really emotional good [Music] grief I was never able to get any closure from losing her because of my size I couldn't go to her burial and say goodbye and it's one one of my biggest regrets that I let my weight get so out of hand that I couldn't do that so I want to make that right while continuing with the Doctor's Diet plan K continues to work on the tasks that her Therapist assigned to her I know I still have a long ways to go

before I'm at a good place with my size and health but losing what I have and doing the exercises I've done to get my stamina up have at least gotten me to the point where I'm able to do something like this and I'm proud of myself for that you know I'm at least seeing positive changes in my life and that's something I feel like I can be happy about and that I see as an encouragement and something I feel would make my mom proud I wish she could see me now doing this and know I'm

getting my life and health right for her and in her honor I hope I have the emotional and physical strength to do this but I don't know where my limits are going to be and that leads to an overd emotional breakthrough for her I'm back in Houston with Rodney to see doctor now again and I'm nervous I really want to have a good result today and that I get approved for surgery I really want it and I know I worked harder this time around I've done better with the diet and I've applied myself more all

around so I'm praying it just pays off with a good number when I get on that scale and that this appointment goes a lot better than the last one in the fifth month of her journey K is back to see do now and check on the progress she has made and she's hopeful this time around that's like more than double what I lost last time so I think that's a move in a good direction and hopefully that's how Dr now sees it and that he sees that progress instead of being upset with me because I

don't think I can handle that again if he tells me this isn't a good thing sadly she still hasn't hit the exact goal that doctor now set for her but she's almost there so I assume that you have started working on some of the issues you need and you have made some modification you eating gab it right did I did so um what changes you have made that is working for you um not eating if I'm not hungry I don't eat and if I do feel hungry I make sure that I eat something that is

on the diet plan I'm proud of you for doing all that thank you but does the doctor feel the same way but you still a little over 25 lbs from the goal I give you so what I will do is just give you a goal for one more month okay okay okay and I want you to lose another 30 lbs in that time and if you do that then I will approve you for weight loss surgery sounds good that sounds great thank you I'm very happy to see that K has a more positive result this

time hopefully that's an indication that she's taking her situation more seriously and doing what she teage to be successful in the longterm now but before I'm confident she's ready for a step like weight L surgery I need to see a little bit more from her and it's obvious that doctor now is happy with how far K has come but he needs her to lose more weight before she can get approved for the surgery there's a much better outcome and Dr now and I were on the same page about how I did so I'm happy about

that I don't feel like I need to take more time to lose more weight but I'll show him what he wants to so he knows I'm ready to have the surgery the doctor sends her home after a couple of tests to ensure that K is a good candidate for weight loss surgery so we'll start with King your feet towards the side like this P up pushing down this month I decided I really want to put more focus on getting better stamina so I'm trying to take my exercising to the next level I've been doing water

aerobics in a pool a few days later K is still going strong and increasing her physical activity so I'm determined to do anything I have to do to lose the 30 lb goal and get approved for that at my next appointment in a month [Music] to because I'm on a mission to get my life back she's focused on doing everything she can to get that surgery and get her life back on track and I'm nervous because I don't understand why he's reached out like this pretty much right after my last appointment with him hey how

you doing K I'm okay okay well there are a couple things I want to talk to you about as you know we started some tests on you and we did a blood test on you and you know the thing that um is abnormal is said your white can is elevated which that mean that you may have some ongoing infection because I got your record uh from before you came to see me but all of a sudden she gets a call from Dr now and she's extremely nervous to hear what he has to say and I

also want you to go to a hematologist to make sure that there's no other issues contributing to that is of white C okay the other thing is that your record showed that you had some epis of f of um um rabid heartbeat and atrial fibrillation and that is something that we need to be concerned because with that issue you won't survive surgery and after all those tests the doctor has a few concerns about K's overall health it all depends on how much weight you lose but if you take too long you may not be able

to survive long enough to do that so keep taking your situation seriously to make sure that doesn't happen and then let me see how you do next one and um um make sure if you need anything at a metime give us a call okay just keep up with the diet and stay on track okay yes sir all right byebye bye-bye that seems like it was pretty much what I was scared of so I'm a little like Shell Shocked I guess but I don't think what he said has fully sunk in yet especially about how this

is going to affect my timeline for a weight loss surgery right now all that K needs to focus on is to make sure that her heart is functioning well and she continues to follow the diet I saw the doctor he wanted me to see about my blood work and I did have a urinary tract infection and some infection in my body from my cellulitis that needed to be treated so they started me on antibiotics for that and it's improved Dr now said it could have become a life-threatening thing for me so you know I realized

that if I hadn't started this journey when I did that I might not have even survive this year it's the 7eventh month and can has lost 98 pounds in total and she's continuing to work on her health and see all the doctors Dr now has asked her to and I'm also starting to see how I can do a lot more on my own and do things that I've wanted to be able to do and that makes me happy and I want to be able to do more and to keep getting better so that's what I

plan to do and I'm excited about that however despite all that work K is still not in the best shape to get the surgery she so badly wants but she's trying to keep her spirits up so how excited are you it's like the beginning I feel so good about it being the start of something great I feel like today is going to be the start of me doing better things Rodney has always been such a huge support to me and it would make me really happy to be able to start to be that for him

you know he's never made me feel like I'm failing or that I should have any guilt from not being able to do this with him but I know it's been a sacrifice for him that I never wanted him to have to make for me and I want to change that for him in month N9 K is slowly starting to gain her independence back and start living a normal life after years of being bedridden it's good to have you I know it's going to motivate me to push myself even harder because I want more I want

to do more and have more things in my life and be able to share that more with my family because I can be a part of things now that's what's making me the most excited so I'm going to keep moving forward and taking steps like this to keep pushing myself and I can't wait to see what next big step I can take here soon her relationship with her husband seems to be getting stronger as well for the first time in a very long while I get excited about the day and doing things at this point

in my journey I'm still not cleared for weight loss surgery because of my heart but I'm still progressing and seeing improvements in my health so I'm pressing forward to keep losing until I can get an operation safely so I'm not giving up and you know I'm still losing but my weight loss has slowed some and Dr now says that's to be expected at this point so he told me not to get too comfortable and he wants me to keep applying myself so that's what I'm trying to do in the 12th month K has managed to

lose 133 lb which is a major achievement for her I know I still have a lot of work to do to get to my goal so I'm working hard to keep heading in a positive direction you know I'm working on my diet and my exercises every day and I've been able to see a therapist locally so I can keep doing it consistently to work on healthier ways I can cope and life in dealing with issues that have been hard for me and that may have played some part in me finding comfort in food while she

has still been unable to get the weight loss surgery it doesn't matter to her all that much because she continues to work on her health first thing I think of when I wake up in the morning is that I feel blessed and shocked at the same time because it's almost unbelievable that I woke up the pain I feel when I wake up is all over and I feel sometimes I can't take or live this life one more minute to carry all this weight it's physically draining mentally emotionally taxing it's not a pain or life I

wish on anyone because I can't do anything I can't do anything for anyone especially myself so I am completely dependent my fiance Cather Robert bishel is a 41-year-old from New Jersey weighing 842 lb which makes him one of the heaviest people to have ever been featured on the show after I'm done getting him dressed and ready for the day mir's mom come in to figure out what he wants to eat you had asked me the other day to get good basa and you want pis if they have them yeah yeah okay okay anything else they

they're really good bread there tell your bread the bread please yeah how many Rob two loaves two loaves yeah it be fine no vegetables right no vegetables wrong no vegetables no green or red you know how I like it I know Robert is completely dependent on other people to get him through the day and that includes his daily meals damn the consequences that simple pleasure of eating something as bad as it was for me just made me happy Robert I'm home but then afterwards I would start to question myself why I had to eat that

much when I was a baby I was born with a club foot with almost permanent hearing loss my club foot eventually was corrected when I was 2 or 3 years old that I was able to walk normal again but it made me feel different and it made me feel like a little bit of an Outcast my food issue started very young because when I was 6 years old we moved down from North Jersey to South Jersey and my parents opened up a Fried Chicken store and being around all that available food was definitely something new

for me it's something I never experienced before in my life food gets Robert through everything in his life and at this point he has developed an emotional dependence on it but things got better for me one summer and 9 years old when I met a boy who happened to live two or three houses away and he started inviting me over his house for line and one day I was put in a very bad situation with him we were watching TV and his grandparents weren't home and he ended up forcing me into a sexually molesting situation

and after the molestation occurred the boy threatened me and basically said if I told anybody that he would kill me the next time he saw me so I was very scared for my life it's evident that Robert's rough childhood is what led to him finding solace in food and he hasn't been able to let go of his addiction even as an adult in January my senior year my father had a heart attack and he went to the hospital and had triple bypass I feeling like my father was going to die and I didn't know how

to deal with it I would eat being depressed and a lot of stuff just seemed like it was about to explode in my house like things were not good for my family and then finally my mother had enough she threw them out as I was getting older things got worse because when I was 19 I had got a phone call one day that my brother Chris had attack he was in the hospital Chris was 3 and a half years older than me we ran to the hospital we came in and the doctor pronounced he was

[Music] dead felt like my world crashed down just crashed right down but things weren't over just yet because Robert's life threw one curveball at him after the other I met Rob about 14 years ago Rob siiz didn't bother me um he was such a fun person to be around it never really occurred to me to worry about his size when Catherine I first started dating I was very mobile we were going out we were bowling going to the movies all stuff normal couples do but I was hiding how much I really ate in front of

Catherine our relationship has definitely changed because you know we went from having limited life to basically no life and I blame myself to an extent you know I should have tried harder and made him you know lose weight I was 36 went every 700 lb and the lifad diva got real bad under my leg Robert kept gaining weight but he didn't care because that was the only thing that ever made him feel better gra the fries Ball please thank [Music] you I hate that this is our life and that this is Rob's life could call

the wings love wings but nothing stops him from eating food is killing him and taking our future I know Rob wants to keep the promise he made to me to lose the weight but he's only gotten bigger and now he's to the point where I don't know if he can survive much longer I want to have a family with him but I've never seen him this bad I'll fo but this is just too good Robert is only happy when he sits down to eat and his family is growing more and more concerned about his health

now if I keep continuing to behave like this I won't be able to function much longer unless I make the changes my life's only had in one place I do feel close to death I feel like I'm knocking on heaven's door if I don't change his fiance Catherine is desperate for Robert to find help so they can start building their life together because for now everything is on pause because of Robert's weight today we are heading to Houston to meet Dr nard for the first time and hopefully to get help to save my life so

are you ready for this Robert are you confident that you could do this yeah I'm in again I'm confident to I think you can do it to be a whole new person I'm tired of my weight affecting every aspect of my life it's been hard on everyone not just myself it's been hard on my family it's been hard on my friends and it's been hard on Catherine but I do believe that this is my last and final chance in the first month of Robert's weight loss Journey he is heading over to Houston to meet Dr

now who has agreed to help him good good good good good good got it all right you in not yet all right I'm going to do a lot of hoping and praying that he'll come through it I'm turning him over to God and Doctrine is ardan and I'll pray for both of them but the journey is already proving to be a struggle and they aren't even on the road yet so it's an all or nothing deal for us if we're going to do this we have to move our whole life down there and that's so

scary because we're going to be completely on our own in Houston but thankfully our friends chip and Sandy are going to go with us to help us at least get down to Houston and settle us in because if I had to do this on my own I know I wouldn't make it Rob is having trouble because sitting like this is really uncomfortable for him and we haven't made it very far because we've had to stop constantly to eat because Robert isn't just going to Houston to visit him and his fiance are packing up their whole

lives and moving there since Robert can't keep making the long journey again and again we got to have you roll we have to have you roll jeez there we go I got it keep going there we go all right roll back for a minute okay and I'm going to have to find a bed for him soon because he's hurting too bad right now I'm coming around even now Catherine has to take constant breaks while driving because Robert needs to go to the bathroom and needs time to stretch his limbs that are pretty confined in the

car I called ahead and found a hotel that says they have a handicap room so we just need to get get there and I can try to get Rob out and into a bed all right this is the regular bed it's the very last room at the end of this hallway of course it is all right so I have the rooms I'll get your wheelchair first bring your Walker too yes yes please hurry I'm trying honey I can only go as fast as I can this hotel told me they had a handicap room and we

reserved it but now they only have a king bed so I don't know what we're going to do at his size it's just so hard to show up somewhere and hope everything can hold his weight or he can fit in places even finding a hotel room has been a struggle for Catherine because of Robert's weight and that only adds to their stress after the long journey that's Queen Cy Queen well then you sleep in it and I'll just sleep on the floor actually it's a full no that's not a full bed go move this table

I can't move it where am I supposed to move it just stay here I'll sleep on the floor no yes honey I'm too tired for you can sleep in bed with me no I can't cuz this is a double that's why isn't it honey we barely got into a queen together can I put you in the bed fine in to bed and that leads to a lot of arguments between the couple after getting some sleep we hit the road early but we're not moving any faster than we did yesterday because of the constant stops to

eat or take bathroom breaks so we're going to have to find another hotel tonight and I'm not looking forward to repeating all that again I just want to get this whole trip over with so I'm just going to try and get Rob in so we can rest and then get back on the road tomorrow and hopefully make it to Houston the next morning Robert and Catherine are on the road once again and with all this stress Robert has resorted to junk food to get him through the rest of the journey I'm hoping this is our

last day on the road because I really want to get to Houston today [Music] oh [Music] oh oh is that good this is not good the next morning they are ready to set out once again but it's evident that Robert is struggling I fell I'm sorry no no no no no yeah damn it did you get up without your Walker I did no I was up but I was trying to turn around in bed and sit cuz I was hanging off the bed my name is Katherine k a t h r y n my fiance

he's falling down and I can't get him up he's about 700 lb so I probably need two teams my fiance fell off the bed when he gets down he can't get back up we're actually transporting down to Houston to see a doctor to help him with the weight okay we need to get a lot of this stuff out of the room robt we're going to end up rolling you your right but don't do anything yet do anything yet as he attempts to get up on his own Robert experiences a horrible fall I didn't need this

to happen I didn't break anything but I'll definitely PID from that like I'm going to feel in a couple hours like the pain is going to be tremendous if I can't get the help I need I have nothing left it could have been a lot worse but Rob's already got his breakfast in the van it's a little cold but I mean this man loves cold fast food and whatnot anyway so he'll be okay but things happen an entire emergency team has to be called to take Robert to the car and he immediately turns to food

to tune the pain out hi doctor how you doing I'm doing what's going on now we're just on our way and just I'm just having a lot of pain um I actually fell and um I mean like nothing got hurt real bad but I'm all bruised up like going up my legs and my toes like there's definitely like bruis get swelling and it's just you know laying down the whole time it's it's just been a little rough obviously okay are you now I believe it's another hour and a half 2 hours to Little Rock okay

so what you takeing from pain for my worst pain I take deloted 8 Mig and because he's in so much pain he ends up calling doctor now to ask him what to do we're thankfully in Houston and almost to the hospital doctor now is going to meet us there and get Rob admitted and hopefully this will be the start of his new life Robert Pell is shown up here shortly his weight is unknown but he's been as heavy as 800 lb so I'm concerned how his body is holding up but he's already called asking for

pain in it so I'm hoping he doesn't have addiction to that as well as food to deal with but all he can do is push through the pain and get to the hospital as soon as possible so the doctor can see what's going on so what is with this doll medicine that you've been hooked on only for extreme pain of my leg mhm and I try to take it as least least as possible when I walk or when I do exercises that that really puts pressure on well I'm very concerned about all the pain medication

you own so I'm admitting you to the hospital to start you on a 1200 calorie a day diet but we also are going to cut you off from the painkillers okay because the rate and amount you're taking is going to kill you the first thing that Dr now is concerned about is Robert's heavy usage of pain medicine she's working hard for you she's working overtime for me this is the girl I have to marry I Can't Let Her Go She's My Everything Doctor Robert is in far worse shape than I've seen in a while so

we have a lot of work to do with him and very little time to do it his body is barely hanging on at this point but we'll do everything within our power to get him to a healthier place and try to save his life he also lets Robert know that if he doesn't take his health seriously at this point he is not going to have very long to live Robert has been in the hospital for a couple days now and we have run a number of tests on him and there are some concerning issues that

we are finding the biggest one being the amount of painkillers he had in his system it's the highest I have ever seen and that alone has deteriorated his body significantly on top of the amount of weight he has on him but I don't think he even realizes the amount of panul he's been taken in after a couple of days Robert is still in the hospital and doctor now has to perform an emergency procedure on him because of his painkiller usage Robert does some ulcers in his stomach the good news is it didn't look like any

holes had formed in the stomach lining but that issue can develop fast so we need to start treating him immediately for that so we'll start him with medication to address his stomach alers before they have a chance to get any worse that combined with the fact that that we are making him do a complete withdrawal from all the painkillers we'll hopefully get him back on the right track the medication has resulted in a few ulcers in his stomach and with Robert's weight and deteriorating Health the situation can turn dangerous soon Robert has been doing well

with the treatments we have been given him and he's staying on the diet but he still has a long way to go before he is out of the woods before we got down here I was a little nervous cuz you can put somebody in an institutionalized setting all you want but that doesn't mean that they're ready to deal with it he's been pretty calm and it's comforting because that means that to me he's finally ready to go and do what he has to do to get our life back in the second month of his journey

Robert is still at the hospital and seems to be doing pretty well under the doctor's supervision like my arms hurt me right now like I've never I mean it's been years since I've done any kind of pull like try to pull a pull up I'll get to call for a St BS even just do the exercise hurts well that doesn't surprise me it's stuff that you it's stuff that you haven't done you're using muscles you haven't had to use you I told you he he lowered my pain beds from what I was getting so that

I know yeah so I'm I'm I'm definitely hurting yeah that I know but Robert's unhealthy dependence on pain meds is clearly evident especially when he is performing his routine exercises I've been in the hospital for a while and I'm feeling better now um that of course I have it a long time the it's been adjustment it's very strict it's very regimented and that was a little slow goinging at first you know trying to get it adjusted to the portions and I'm getting there but it has been hard some days Robert has continued to make good

progress and with where he's at now it's time that he start doing more and getting up and out of bed it's the third month and Robert feels a lot better compared to how he first felt when he got here he's still sticking to the diet and following the doctor's orders no matter how hard things are let's see what the weight is at today it looks like you're down to 6:25 wow that's super we have you down over 200 lb since you got here so like we discussed today we will have a transport coming to take

you to the rehab facility okay to help get you up and walking more okay and if everything improve you get your stamina back we're going to go ahead and take one of these masses off doctor now is here to weigh him and Robert has lost a significant amount of weight but now it's time for him to work on his Mobility Robert is in better place but until he get much more active then his body will continue to deteriorate at a significant rate until it accelerate to the point that his body just gives out so this

would be a very significant month for Robert well Robert has been doing well he needs to get his body to move or else he will never be able to walk on his own ever again all right Mr how you doing all right so you know we're going for the long haul all right let's do it okay Physical Therapy has been going really good we started off a little slow at each time we go out now it's a little more hard in the fourth month Robert has lost 217 lbs and spent the last month in rehab

trying to build up his stamina I've been really impressed with how hard Rob is working when he first got here he could barely make it out of his room without needing to quit now he can make it down the hall and almost to the other side of the building all right that's it okay bring it up good thank you all right see you guys have a good weekend take care you too thank you all right take it easy his hard work continues to show and he visibly looks better than he was during the start of

his journey with his body being able to handle his weight now hey Albert hey Dr D how's everything coming along good I hear your physical therapy is going well and you've been doing a lot more I walked every day that's good yeah we started out maybe it was maybe 50 or 60 ft here and we've got to O over 200 that's excellent so you're doing great and you may be ready to have your Li M okay good that's great after Robert is done with his daily exercise doctor now comes in for a checkup Robert is

doing very well and he's improving daily he certainly is not ready for anything too invasive like weight loss surgery so is our only option for any procedure if he even is able to handle that I never actually thought it would ever happen for you no one ever wanted to help they just said mean things I can't believe somebody's actually doing this for you long coming 4 and a/ half years of everybody say no started to wonder if our if our future was ever going to actually happen and while Robert has made a significant amount of

progress his body is still not strong enough to endure surgery and he needs to get lymphadema removal before anything else is all for a good thing honey doesn't mean I don't worry about losing [Music] you it breaks my C CME CU I know she genuinely loves me I love you come back to you come back and I know she cares about me my biggest hopes is that this is the stepping stone onto getting married having a family this is this is the first step today a week later Robert is in the hospital getting getting prepped

for his lymphadema removal and he's nervous so if he does well with this one we can remove the other one in five or 6 weeks but this surgery can be very high risk and we have to be extremely careful with Robert because his body has been pushed to the limit for so long so this procedure needs to remain as simple as possible and we need to complete it as quickly and as safely as we can because he won't survive on anesthesia for too long the procedure is definitely risky because of how weak Robert's body has

gotten after everything it has gone through so his recovery will need to take a little time and after he gets past the first week then he will have to start pushing through any pain he has because we're not going to allow him to fall back into the habit of using pain medication like he was another point of concern is Robert's dependence on painkillers but doctor now hopes that he will be able to push through it hey Mr Bell how are you all right how you doing are you feeling pain or discomfort pain yeah and on

a scale of 1 to 10 what would you just like a 9 or eight a 9 or eight all right well let me get you taken care of okay okay thank you today's been the worst of the recovery so far um it wasn't that bad at first today the pain has really set in and it's really hard to move I'm really struggling today having a hard day I wouldn't tell you if it was bad if it wasn't like no I believe you if I saw anything of concern I will call doctor now but for now

let's just monitor it all right anything else I can do for you no I'm good all right I'll be back in I'll have 5:00 meds for you and turn him all right thank you he's been on pain meds for many many years so he's a little less susceptible to their effects and he's having a tough time with the pain but he's pushing through it a few days after his surgery Robert is recovering well but his addiction to pain medication is getting the best of him right now we had Robert on minimal painkillers and he wasn't

happy with the limits we put on him and once we started to take him completely off he got so upset that he tore his sutures open just so he could get them again but it is extremely important that he gets back to walking again because if he doesn't then his body will start to regress so we have dropped all the plans for followup surgery to remove his other lymma Mas in the fifth month Robert is still at the hospital and is struggling with his dependence on pain medication more than he ever has before so today

we're going to get you go down to the rehab and start working to get you walking again all right you ready for that yeah all right let's see where your weigh is at looks like you're down to 52 you're almost in the 400s again so you should feel a lot lighter to get up and move around without any more excuses about the pain all right can I get a last uh something for pain before we go Robert let me ask you a couple of questions how long you been on D AIT on and off for

a few years period okay you know that medicine is highly addictive and you know that everybody that has been on downloaded we have hard time to get him off you have to understand that this medication creates two problems one is a chemical dependency the other one is psychological dependency all of this is leading to a lot of arguments between him and Catherine but when it's time for him to head back to rehab he asks the doctor for painkillers and doctor now needs to give him a reality check Robert need to take his situation and choices

seriously right now because if he doesn't he's going to end up back in very dire place but if he won't do what he needs then it's only matter of time he starts to deteriorate and his body gives out and at that point he won't survive much longer no matter how much he argues with doctor now the doctor is not convinced Rob has been in the rehab facility for 2 months now and the way it's been going is not how I hoped at all after his surgery he was in a fairly good mood in the first

few days he was normal Rob and then it's like somebody flipped a switch and he has been a nasty person since then so it's been hard and he still feels like pain is keeping him from exercising like he needs so I'm starting to get really worried fast forward to the seventh month and it looks like Robert has stopped making any progress really clarify gee I don't know maybe the way you've been treating me maybe the way you've been you won't do anything you're nasty to everyone especially me no cuz you try to make me look

bad in front of people I don't try to make you look bad I'm just trying to get the facts right that you're not getting right do the leg exercises I brought your stupid exercise bar you haven't touched it once you know I love you yeah right if there's ever been a time I doubt you it's now come here no no come here no just go away from me no just come here please come here please come here please come here for a second no you've said your peace no no I didn't say my peace and

let me guess you don't think you've said anything wrong to me you haven't made a nasty jerk lately you're not a nasty jerk sometimes yeah sometimes not like you you're every day now no like somebody flipped a switch on you you are not Rob anymore the worst part is that things between him and Catherine are extremely tense we still having issues with Robert and I think the situation is that when he arrived he knew he would be put on a diet but he didn't expect to be taken off panul so it was a surprise to

him when we cut him off to save his life and at that point he knew having surgery was the only way he he'll be able to get them again so he became extremely motivated to make the progress he needed to qualify for that so the realization sunk in that as long as he is in this program he's done with the painkillers and he believes now he can't do it without them not to mention that Dr now has noticed Robert's lack of progress and the part that his painkiller addiction is playing in all of this so

we have transport coming by today to take you to a long-term care facility it is unfortunate that we have to send you there but you've been here too long and you aren't doing what you need and that has to change okay yeah not feeling great you know my uh skin underneath is hurting the sores and the and the rubbing in the skin and I'm sorry to hear some of those things but you still need to get up and walking and you don't seem to realize how dangerous this is getting if you continue to refuse to

do what you need your situation is going to start to get worse again rubber so your new facility is going to be your last chance if you don't start doing what you need there then there is really nothing more we can do to help okay before you come to here you walking pretty good distance right well only only when somebody follow me with a wheelchair somebody you were walking yes but I was never getting up freely on my own mhm it's not it this is more about leg problem not not me wanting to do this

problem just stop with excuses and get out of this bed that's when Dr now comes in to speak to Robert oneon-one and make him understand what his problem is right now you need to walk as much as you can as far as you can I will you've been in this bed for too long okay and things need to change and they need to change now or your situation will get to a place where we won't be able to help you and your body won't be able to go on okay all right I'll see yall later

doctor now lets him know that until he actually commits to working on himself there's no way he's qualifying for the weight loss surgery Rob seems to be getting worse and worse and his happiness has stalled it's like somebody pop the balloon from him and it's been getting hard for me not to break there's been a few times that I've actually considered going home because nothing is working on my end and now with him feeling the way he's feeling we don't have the capacity to be positive for both of us I'm having a hard enough time

with myself you ready okay let's do it it's all you you got it we're going to get in the hallway if you feel like your knee's going to buckle let me know and I'll pull the chair up okay all right I'm definitely doubting myself more I think because I'm still thinking about the road ahead and how long I have left and how many surgeries I have left and I think that's really starting to get to me too and that hurts me that I'm adding more stress on Catherine and I have fear that one day Catherine

just going to have enough and she's going to leave in the ninth month Robert is staying in a long-term care facility and has been struggling with his Mobility leading to Catherine helping him with his physical therapy back to the room stand up walk to your bed all right going to give me a sec I was really try to push the walk I know it's hard on Catherine she is playing the role of trying to keep me up too as well as herself I know it's tough on her and I'm not trying to do that purposely

to her my life you know not only revolves around her but my life is played with her his body has gotten extremely weak due to Robert's lack of exercise and things aren't looking great I woke up this morning the best way I could put it was I was disappointed that I woke up I really was hoping that it was just the most surreal nightmare it's not and I just can't believe that I've lost him last night I was getting ready to go and he says please don't leave me tonight I don't feel good I want

somebody here with me so we were sitting there and he was looking at me and he says I just want to let you know he says I don't think I'm going to make it through tonight and I said of course you're fine you're you'll be fine and he said well just in case he says just understand I love you and I always have and we told him I said I love you too and we uh laid down we went to bed right around 6:00 you know I hear him setting himself up I looked at him

I said what's the matter he say the pain and it's in my back and he started saying that he was he felt like he was having trouble breathing I was holding his hand I said it's all right just focus on me and no he just he kept trying to get a breath in and then and then his eyes just went black completely dilated out and he just began to fall back and I held on to him I said no please and I'm smacking his hand I said please no don't do this I said don't do

this I just I kept thinking to myself I said I'm not watching this I'm not I can't be watching this and he just that was it Robert continued to struggle to stay active and his body kept deteriorating until it finally gave up and he suffered a heart attack that took his life I really feel like I I'm just trying not to fall to pieces every time I think about him but I actually didn't lose it until I went to go put our wedding rings on because I figured well we're never going to get a chance

at Le let me do it now everything that we were planning is gone absolutely everything and I don't know how to process the fact that I lost my best friend and person I was supposed to spend the rest of my life with the entire experience of witnessing his heart attack was overwhelming for Catherine who was having a hard time dealing with the loss I'm so sorry oh sorry it's not your fault it's not your fault this it is I should have known I'm sorry M I didn't mean to hear your son you did the best

you could it was the best you could I should have come sooner no you were doing everything to help us a few days after his death Catherine and Robert's mother marleene head over to see doctor now I hope his story will come out and show everybody who he was and how hard he had tried yes and will be inspiration for other people nice to meet you thank you so much how me time you need anything okay thank you Dr desar I appreciate everything you did for us well you at least gave him hope again yeah

thank you so much thank you so much for everything you're welcome people can sit back and judge but to overcome the things Robert was trying to do isn't easy but we remember people for their fight not for their weaknesses doctor now helps the lady find the closure they need Rob's heart was so big that his body couldn't contain it I used to tell him that all the time I said the reason you're a big guy is because you have too much love for everybody it doesn't fit your [Music] heart you should be here we should

be getting married next year we should be having a family although I've only been here on this Earth for 33 years I can easily say that I've never met anyone like Rob he was exciting he was loving he was romantic and he was above all my best friend I can only say that this world didn't just lose a good man but it was robbed of a great man to see you all here many of you wearing Rob's favorite color orange it is warming my heart and I know if he were here to see you he'd

be so honored to call you all his family thank you so much for coming soon after that Katherine moves back to New Jersey and holds a life celebration for her late husband if I can go back in time I would change a lot of things my life was not supposed to go like this it makes me feel sad like I just let myself go I wake up in the morning with swelling because of the lymphadema that's in my leg when I first did up like whoosh My 600lb Life season 12 saw a lot of stubborn

angry patients who refused to listen to anyone or anything besides their Cravings however shakia Jackson from North Carolina took the Audience by surprise by being one of the youngest people to have ever been featured on the show but I'm scared that g fall I have to catch my breath but then I look forward to eating I can feel my mouth water for it it brings me happiness but her weight was only one of the problems shakia was dealing with since she had also developed asthma and lymphadema [Music] hello ni breakfast is done I see my

family did try to tell me cut down on food choose better healthy options but I don't choose those options because the role of food in my life is a top priority so it's safe to say that at 26 years old shak's life had ended before it had even started and she only had herself to blame my mom was a single mom and providing for us was a struggle so my brother sister and I learned to eat eat every meal like it was our last when they took me away from my mom I was in fosa

for 2 to 3 weeks until my dad took full custody this is pretty good I like the corn dogs the only thing shakia could find energy for was food and that was the only thing that kept her going scrambled eggs bacon sausage and toast for breakfast all right breakfast it doesn't have to be huge it just needs to be something that'll satisfy my urge right now I know I think about food more often than I should and I know I eat too much but I've always liked food and the way I eat today is still

a giant Improvement now compared to another season 12 patient 37-year-old Abby Ruiz who weighed 728 lbs I thought okay I'm I'm young and and my metabolism will kick in no I didn't it just stopped and and kept on gaining weight I was living the college life first time I had my own place and because I was completely alone I had no parenting no no nothing the apartment that I was living in I had a fried chicken chain right across the street and I wouldn't buy a combo I would buy the bucket I ballooned to 450

lb I came back to PTO Rico and I started working for the theater in in my home City I learned how to like ballet which I never thought I would be able to I wasn't focus on food I started losing a lot of weight plus my job dealing with so many equipment That's Heavy it was like a working out so it was it made me lose a lot of weight it looks like shakia was still doing a lot better when it came to her overall weight but at least Abby would try and lead a healthy

life eating the food fill the void is basically the only thing that I could really like turn to to help me because everybody else was just like oh nobody wants you go away and I'll be like okay yeah then I'll go make me a sandwich then I'll go eat ice cream then I'll go eat chips by the time I graduated high school I was close to 400 lb on the other hand shakia had completely given up on everything but her love for food I returned back home to live with my mom I end up getting

the job working at a call center they had Venom machines and drink machines so instead of breaking my lunch I will turn and eat the snacks out the vending machine you know and I think food was the thing for her just to suppress the emotions from it despite weighing less than Abby her weight and health had rendered her completely incapable of moving causing her to quit her job she went into what I call a deep depression I think that's when the lymphodema came too is just everything just trickled down as she was mobile before she

was able to function she had a job for 3 years she would go out everything that I can do K can do but she can't do it right now because of her leg and her obesity right now I started noticing Ka gaining a lot of weight and her leg was gaining weight with ka's body and it's no surprise that everyone around shakia feared that she wouldn't be able to live like this for too long food for me is a drug a drug A coping mechanism something like that when William wakes up in the morning he's

stressing about something and he's trying to use the food to make it go away oh my gosh right now William is so dishonest with himself about his eating habits so yes probably partly my fault because it was me giving him the food because I want to see joy in him but I I really feel that as a mother you do the best of what you think you have available shakya's situation is extremely similar to 34-year-old William from Round Rock who has also grown to be emotional Ally dependent on food when I'm eating my mom's cooking

even when I'm starting to feel full I just can't stop I've always had a big appetite I think it's because growing up every day revolved around Sports when William was a little boy his attention span was about 2 seconds so you always had to be on your toes he'd run into trees cuz he'd be so excited to play him with something that he wasn't paying attention where he was going Middle School was where the trouble started I don't know if you would call it gangs but it was people who had that Thug mentality I went

from being an athlete to this Moody kid with the wild temper and while his family realizes that he's heading down a destructive path they can't do anything just like shak's family my senior year my ACL healed but the depression never lifted I like the idea of being a positive influence on people somehow so after I graduated high school I ended up transferring over to job corpse and then while I was finishing my studies I noticed this fellow student who was overweight like me and we started talking and then it quickly developed into something where we

became very comfortable doing just about anything together this lifestyle has even gotten in the way of Williams love life Willie are you ready to go to the grocery store yeah I am what do you want what are you going to get uh I don't know probably some like chicken some definitely get some soda I think I'm out completely now okay my wife and I were together for 5 years and we no longer had those same feelings for each other like we loved each other but we weren't in love and I think we woke up one

day realizing that and so we separated thinking maybe separation will work on it and then I moved out of my hotel room and that's when the Depression started to creep up on me cuz even when it's agreeable I mean it's divorce it's rough it's tough it does take a toll mentally I turned back to junk food but he just doesn't care because all his happiness depends on food I'm on my way to go to the grocery store I'm kind of nervous I really hope my leg doesn't start um going bad on me meaning that it

start being painful and um hurt to walk or hard for me to um walk around so we going to get the potatoes right ni yeah the potatoes in the steak and similarly shakia is willing to go through her worst nightmare of being out in public just to grab her favorite snacks when I go grocery shopping we don't stay too long in the store my lymphodema won't allow me to walk for so long because it start to hurt okay what do you need first um the B of potatoes oh here's the meat right here yeah do

what kind of steak you want to use this kind yeah so you need two of those get four okay yeah as conscious as she is when she's out of the house and no matter how tired she gets nothing gets in the way of her love for food oh look [ __ ] they got our favorite cookies go grab some no I'm okay go grab some she I go grab some at some point I do feel I lost control and I need to do something about it it's like she has no control when she sees something

she's been craving still young you know have kids get married you know enjoying the things that everybody else get to do my fear is her dying if she doesn't lose the weight my grandmother our brother just the family we need her here reason why it's so hard to stop food is always there for me it makes me feel good in the inside just give the cheeseburgers oh where the workers at right there I just put it on the plate shakya is ready to throw her entire life away for food at this point and it's barely

even started sh is your leg okay mhm I've been using snacking to distract myself from the pain but the pain keeps growing y we're going to stop get something to eat yeah we go stop to get something to eat down even as she's headed to see doct now shakia relies on food to keep herself going through the long journey you got it this the one I need out cuz I know this Ground Hot dang it's hot as hell out here but no amount of food is Ever Enough for her okay can I just get the

cult Burger you want a cheeseburger or hamburger cheeseburger do you want fries with the yes please you have Ranch and honey mustard branch and honey mus yes okay I'm going to try to fill up on some of my favorite food before it's too late they messed it up there you go girl I didn't messed it up yeah she didn't have they home a honey much good the only time she's happy and relieved is when she gets to go to a fast food joint and Order herself a meal of her choice that's when all her troubles

seem to fade away right now I'm trying not to question coming on this road trip in the first place but sadly the happiness only lasts as long as the food does I just got to get my damn leg [Music] in I can't bend it any [Music] further okay I'm in okay now I just need to rest in the car and go and you um vehicle wise I think there's not going to be any issues that we got it figured out it's been running perfectly fine I don't have any concerns about making it there in time

or anything like that when you compare her to 43-year-old Delan who weighs 646 lb you realize that Del despite being in the same situation as shakia deals with her emotions in a much healthier way she's already doing it it won't make it to [Music] Houston just keep your blinkers on and keep going as much as you can hi good and you good kind of freaking out cuz this is driving is crazy so we were able to actually find a place to get the vehicle looked at um everything there they've got it attached to the computer

so yeah this exact fan was having this exact issue and we got that replaced and now we're back in the same boat despite her car breaking down while she was on her way to see doctor now Delana continued to push through without relying on food for Comfort I woke up feeling determined to make it to Houston but it's going to take a lot of snacks to get me there because this morning I just felt worse two days of being stuff into the back seat it's starting to add up and it's had a big toll on

my body food is the only thing that helps to make it bearable you want all the mayonnaise no just give me a few I'mma find me a like a way back home meanwhile shakia can't go a single hour without reaching for one of her unhealthy snacks my pain is at a 9 out of 10 I just need to make it a little bit longer all right sh so we're getting close to Houston I'm feeling nervous cuz tomorrow is the day that I meet him and um reality hits reality is setting in her dependence on food

is keeping her from living a normal life at this point do you think you got enough support system in your house that you can change your eating habit and start working out and getting yourself in better shape yes I have support everybody agreed to help me all right you going to have to make some changes you think you can do that yes I'm ready I'm ready to get out this body all right I'm doing whatever it takes for me to lose the weight and doctor now feels the same way you want to go for a

little walk for you lay down mhm it's been a few weeks since I've seen Dr now and I've been making all the changes and doing what he says for the workout it was hard at first especially how beat up my body was after the trip to Texas after her appointment with the doctor shakya really puts in the effort as hard as it is for her to move around and give up on the food that she loves Dr now says to do an hour in the morning and an hour at night at first that felt like

a lot but it's getting easier so I guess I must be making progress Dr now gave me a bunch of times to set up to talk to the a but I got busy and missed them all so I need to call and get new times I just been focused on getting things going for a while it looks like she really can turn her life around it's been eye opening trying to cut back my diet and eat right because of how much stuff I've been doing wrong before now like how I'm not even supposed to have

fruit juice this the Sal dressing I was talking about I found it's zero calories fat free zero that's honey mustard M what okay so this is only um 15 calories that is only 110 calories if you get five pieces but I didn't get five pieces so you got to cut that the only problem is that she's trying to do all of this without addressing the actual problem at hand her emotional dependence on food maybe you do you want me to get your weights ready for your workout yes sure I feel like I've been making a

lot of good progress for the last few months especially with my work goes I can live twice as many weeks as when I started and I'm getting excited for Dr now to meet me in person cuz he's going to be impressed with how strong I become so far I've mostly been focused on my upper body but at least she was doing better than Charles Bridgeman a 29-year-old from Everett Washington who weighs 677 lbs you were supposed to go to nearby Clinic we set up for you 3 months ago but you didn't and then I couldn't

get hold of you and haven't heard from you since then my vanand broke down and I ended up having to get rid of it so you didn't go and you didn't bother to even call honestly I was hoping to make a lot of progress and then call you cuz I didn't want you to think I was making excuses what changes you haveen made with your eating garage I I've substit substituted breakfast and lunches with my protein shakes after his first meeting with the doctor Charles went MIA and tried to put his own spin on the

diet plan can shake our empty calor unusable protain for your body and is not a part of your diet your diet consist of eating normal food in appropriate amount and making have to wait so it looked like those diet paper we gave you you didn't really read them carefully did you I guess not carefully enough but while Charles thought his approach was fine the doctor has a different opinion Charles you expect me to believe you're going to change all that I don't see that happening any res see so we don't know if that happened so

you're not going to do anything else I think the C is over I'm about to blow up of course things between him and doctor now soured pretty fast the is over I'm done just turn the cameras off please I don't need this I'm done this resulted in one of the worst arguments any patients has had with the doctor on the show I'm sh and thisan I haven't heard from you for a long time I'm calling again and if you get a chance give me a call and I'm checking on you see how you're doing but

chakia wasn't too far behind when it came to communication after her first meeting shakya completely ghosted Dr now for over 6 months with no updates at all well I was worried about you since I haven't heard from you for past 5 month uh I left several voice messages and you never called back so I didn't know what was going on with you unfortunately I was going to come see you but I end up getting sick I had came home from work and I um had cooked me some some dinner and then all of a sudden

I didn't feel good and when the doctor finally gets in touch with her she has made no progress how long you were sick for about a couple of months so that's why you couldn't call and let us know what was going on with you huh um I did notify like someone in the hospital to to try to reach out to you guys to let you know what was going on but um no I guess they didn't do what they were supposed to do so so what is your plan now you have to go back to

the hospital or hospice yes I'm still in hospital care but I don't like it here because I can't have visitors turns out that shakya's mom sent her to live in hospital care after a respiratory failure I'm glad you're doing better and you out of the hospital and at this time you need to stick with your healthy eating habit and try that and if you want to be in my program we're going to get you to go to a local clinic and get your weight check and see what kind of progress you're making okay uh if

you lost weight then I will discuss with you coming down here for weight loss surgery okay thanks doctor now however the doctor is concerned as to why she never told him about any of this I guess you can say things haven't been going all that well because my mom said she wasn't going to let me come back and live with her anymore can't handle taking care of me anymore and I get it but it's still upsetting it's the ninth month of shakya's weight loss journey and it's clear that she's struggling with a lot I still

want to use Dr Na's program and lose weight it would just be a little easier to stay on point once I have my own place I'm not quite sure I'm going to lose the weight without any support but I know I need to get to Houston it won't be easy but it'll be worth it despite the fact that she really wants to keep trying to lose weight and eating healthy the situation isn't making things all that easy for shakia I still have cravings of different things pizza bread things like that I think last week I

did have I didn't end up getting a pizza um but then I ate it over like two or two days and then I threw the rest of it away cuz I left it out um but it but before I would I would eat a whole large pizza at one time and this time I've kind of portioned it out a little bit better when you compare her journey to William you see a lot of similarities in the way both of them think what they are doing is enough but is that really the [Music] [Applause] [Music] case

what the heck that doesn't make sense I'm not sure how that happened it's almost like the scale is not working unless maybe it's a soda pop I've been drinking clearly not since just like shaia William also keeps putting on the pounds instead of losing them you tell people Li so people can get in off your case to protect your eating habit so they giv him every tool that he need to make the changes and he just doesn't want to so there is nothing we can do with that I was thinking that give you the same

lot go 70 in 2 months but you don't listen to anything we say and when the doctor confronts him he starts getting defensive right now I'm St in extended stay but I'm trying to get to Houston with doctor now to do the program I have lost some weight not that much but I try to get back on track with doctor now now shakya's story is more or less the same since she keeps deflecting the blame onto other people instead of her poor life choices I'm on a hospice now and I'm trying to um save up

the money to move to Houston so uh where are you staying um right now I'm staying at a extended stay hotel so moving to Houston is a premature right now it has been almost a year and we need to determine if you have made any progress or not so now that you're out of hospice we can goad and check your weight and see what kind of progress you have made okay can I get an appointment to come see you to show you my weight in a big gesture she tells the doctor that she's going to

move down to Houston to Kickstart her journey once again it's been a week since I talked to doctor now now and my appointment is set up for me to go to the local clinic today to get my weight check it's been a long few months since I last got weighed hasn't been easy to stay on track but I've been working hard cuz doctor now was in the back of my mind the whole time but I was in another hospital and stuff like that so if I just stick with the original gold then I need to

be down around 600 today all right we got it that just suck cuz I know I did better than that but the doctor doesn't want her to do that until she shows some commitment to the plan so you lost a total of 12 lb in a year in about a year that's a pound in month you lost you should have been losing a pound a day so that means that you missed a couple of meals in the past year not that you trying to make the changes you need I've been working hard to lose weight

but I Know I Can Do Better doctor now if you give me another chance now that I'm back on my own I can now lose the weight Shak it's been a year and you wasted a lot of that time despite only losing 12 lbs in all these months shakia still thinks the doctor is going to help her out and perform the surgery since my last weight check a month ago I've been working hard to improve my eating habit I want to lose more and I know I can do it so I've been more focused than

ever on doing the right thing and watching what I put in my body and I've been doing the exercises too I know I've been making progress um I'm still determined to move to Houston I'm going to make sure I get there however she needs to lose weight before any of that happens my last weigh in I was at 6:43 and Dr now told me I need to lose 50 lbs today so that'll mean I'll be at 593 today if I did what I was supposed to do and despite getting one chance after the other shakya

just doesn't hit her weight goal you lost 8 lbs instead of 50 and that's not a lot of progress that's as much as I lost in the past year that's an improvement something is always going to be improvement over nothing so that's not saying much the reality is that it's been over a year now and you only lost 20 lb so you haven't changed your diet much at all and as much as doctor now wants to help her he just can't she I don't give up on anyone people give up on themselves and we try

to help them to get back to where they need but we cannot make choices for them I'm not giving up on me I'm going to do this you say that but your action doesn't back that off what I will do is offer you therapy and if you want I will set that up and remotely and maybe working on thing with them over time will get you to a place where you need to make the changes you need but right now you're not not until shakya steps up and starts leading a healthier life no matter how

much she says she is it doesn't matter if she's not going to put action to It ultimately we can't make the choices she need for her and we can't keep going through the same motions forever so there is nothing more we can do for her at this point other than offer her some therapy she avoided that when I first set that up for her so I'm skeptical if she's going to actually follow through with it now after refusing to take therapy or working on her weight the doctor doesn't see the point in helping shakya anymore

while other patients in season 12 also faced challenges shak's story stands out because of her young age and the potential she has to lose all that weight to live a healthy life her failure to make meaningful changes despite numerous opportunities highlights her reluctance to address the root causes of her issues considering that she had every chance in the world to turn her life around and still chose not to shakas is definitely one of the worst patients of season 12 [Music]