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00:00:04,100 --> 00:00:05,200
[Patrick Macon] I have to get
2
00:00:05,266 --> 00:00:07,467
help with pretty much
everything now,
3
00:00:07,467 --> 00:00:09,967
and it shouldn't be that way.
4
00:00:16,600 --> 00:00:17,467
[woman 1] Somewhere in me
5
00:00:17,500 --> 00:00:19,300
is this little
glimmer of hope.
6
00:00:20,100 --> 00:00:22,567
I just wanna be
a normal person.
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[panting]
8
00:00:33,767 --> 00:00:36,667
[man] You can't do it,
and then I just get mad.
9
00:00:36,667 --> 00:00:39,800
[woman 2] If I don't make
a change now, I'm scared
it's gonna be too late.
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00:00:43,967 --> 00:00:47,266
[groaning in pain] It hurts!
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[woman 3] I refuse
to stop fighting.
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I have to do this
for my children.
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[groans]
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00:00:57,400 --> 00:01:00,000
Is it our fault that we're
not doing anything for you?
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Is it our fault that we're
not doing anything for you?
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00:01:00,266 --> 00:01:03,166
-No, I didn't say it's your--
-Well, what's your
problem then?
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-You're overeating.
-Okay.
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[bed creaks]
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[grunts softly]
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00:01:51,367 --> 00:01:52,567
[Amanda] Did you sleep good?
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[Patrick] When I wake up
and see daylight,
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[Patrick] When I wake up
and see daylight,
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I'm surprised
to still be alive.
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00:02:04,800 --> 00:02:06,567
Because my weight
is killing me.
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00:02:09,367 --> 00:02:11,667
When I first wake up,
I pretty much dread it
26
00:02:11,667 --> 00:02:12,767
every day.
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00:02:13,767 --> 00:02:16,166
I dread the first time
I get up out of the bed,
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putting my weight on my legs.
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I'm in pain.
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00:02:21,266 --> 00:02:22,867
My back hurts,
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00:02:22,867 --> 00:02:26,266
and walking just a few steps
makes me get out of breath.
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00:02:28,567 --> 00:02:30,000
My body has given up on me
and I hate it.
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00:02:30,000 --> 00:02:30,700
My body has given up on me
and I hate it.
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00:02:33,567 --> 00:02:35,900
If I move too fast,
I might fall
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00:02:35,967 --> 00:02:37,066
and hurt myself.
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00:02:37,967 --> 00:02:40,100
So it's all slow movements.
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00:02:45,967 --> 00:02:48,567
I have to get help with
pretty much everything now.
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00:02:49,600 --> 00:02:52,767
I mean, just five
or 10 years ago,
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00:02:52,767 --> 00:02:55,066
I wasn't this big then.
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It was much easier to shower.
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00:02:57,567 --> 00:02:59,967
I didn't need nobody
to help me.
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00:03:00,667 --> 00:03:02,166
I could do it myself.
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00:03:02,166 --> 00:03:03,867
[shower running]
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00:03:05,500 --> 00:03:07,000
[Patrick] I still try
and do the things
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00:03:07,000 --> 00:03:08,867
that I can do by myself.
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00:03:20,000 --> 00:03:21,500
Now I'm so big,
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00:03:21,567 --> 00:03:25,367
my wife, Amanda,
she has to
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00:03:25,367 --> 00:03:28,300
help me do lots
that she shouldn't
have to help me do.
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00:03:29,700 --> 00:03:30,000
And it shouldn't be that way.
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00:03:30,000 --> 00:03:31,066
And it shouldn't be that way.
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00:03:33,500 --> 00:03:35,667
Hey, babe,
could you come help me?
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00:03:37,667 --> 00:03:39,467
[Amanda] It'll be 20 years
we've been married.
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00:03:40,000 --> 00:03:41,000
Recently,
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00:03:41,066 --> 00:03:43,500
his health has decreased.
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00:03:43,567 --> 00:03:47,667
His legs and feet,
they're hurting him
really, really bad.
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So, I try to help him
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00:03:51,066 --> 00:03:52,900
get up in the morning and
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00:03:52,967 --> 00:03:55,767
do whatever needs to be done
really fast
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00:03:55,767 --> 00:03:57,767
so he can get breakfast,
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00:03:57,767 --> 00:04:00,000
and hopefully, he'll feel
better, 'cause eating
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00:04:00,000 --> 00:04:01,900
and hopefully, he'll feel
better, 'cause eating
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00:04:02,467 --> 00:04:04,200
is a relief for him.
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00:04:04,867 --> 00:04:05,767
[Patrick speaking]
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00:04:07,266 --> 00:04:08,567
[Amanda speaking]
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00:04:11,600 --> 00:04:14,166
[Patrick] It's embarrassing
that it's come to this point.
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00:04:14,166 --> 00:04:16,066
It makes me feel bad for her.
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00:04:16,066 --> 00:04:19,467
But I have no choice,
because if I don't shower
at least once a day,
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00:04:19,467 --> 00:04:22,700
I get rashes
between my creases and folds.
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00:04:24,166 --> 00:04:26,667
[breathing heavily]
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00:04:36,500 --> 00:04:39,400
Getting dressed is the most
difficult part of my day.
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00:04:39,467 --> 00:04:41,767
So Amanda has to
do it all for me.
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00:04:41,767 --> 00:04:43,867
She's got to put my socks on,
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00:04:43,867 --> 00:04:46,166
she has to help me
put my shorts on,
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00:04:46,166 --> 00:04:47,967
which is just humiliating.
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00:04:49,600 --> 00:04:50,600
[Patrick speaking]
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00:04:52,700 --> 00:04:54,867
By the time I'm showered
and dressed,
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00:04:54,867 --> 00:04:56,867
all I can think of
is my first meal.
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00:05:02,400 --> 00:05:04,266
-I'm going upstairs.
-[Patrick] All right.
79
00:05:04,266 --> 00:05:05,800
If you need me, yell for me.
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00:05:05,800 --> 00:05:07,467
[Patrick] Are you gonna fix me
something to eat while you're
up there?
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00:05:07,467 --> 00:05:08,767
[Amanda] Yes, I am.
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00:05:08,767 --> 00:05:10,300
-Thank you.
-[Amanda] You're welcome.
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00:05:16,000 --> 00:05:17,000
[exhales deeply]
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00:05:17,600 --> 00:05:18,667
[groans]
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00:05:21,367 --> 00:05:22,800
[smacking lips]
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00:05:24,000 --> 00:05:25,567
[security system beeping]
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00:05:25,567 --> 00:05:27,100
[automated voice] Front door.
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00:05:29,767 --> 00:05:30,000
Hey, Dad.
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00:05:30,000 --> 00:05:30,900
Hey, Dad.
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00:05:30,967 --> 00:05:33,166
-[Patrick] Hey, babe. [grunts]
-I'm home.
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00:05:33,166 --> 00:05:34,400
[Patrick] All right,
what you 'bout to do?
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00:05:34,467 --> 00:05:36,166
I'm about to go help Amanda
in the kitchen.
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00:05:36,166 --> 00:05:37,667
-[Patrick] All right.
-[both] I love you.
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00:05:42,467 --> 00:05:44,667
-[Haley] Hey, Amanda.
-[Amanda] Hey, Bug.
What are you doing?
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00:05:44,667 --> 00:05:47,200
[Haley] Nothing.
Do you need help
in the kitchen?
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00:05:47,266 --> 00:05:50,066
You could actually
get the sausage out,
if you would like.
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00:05:50,066 --> 00:05:51,233
Where is it?
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00:05:51,266 --> 00:05:54,166
[Amanda] It is in the oven
and here is the pot holders.
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00:05:56,867 --> 00:05:58,266
[Patrick] I live with my wife
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00:05:58,266 --> 00:06:00,000
and my 16-year old
daughter, Haley.
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00:06:00,000 --> 00:06:00,600
and my 16-year old
daughter, Haley.
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00:06:00,667 --> 00:06:02,967
Me and her mother
have joint custody of her,
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00:06:02,967 --> 00:06:05,967
so she's with us
half the time.
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00:06:05,967 --> 00:06:08,800
But on the days that
she does stay with her mom,
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00:06:08,867 --> 00:06:11,300
she'll still come
back and forth throughout
the day and see me,
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00:06:11,367 --> 00:06:13,100
knowin' that
I needed some help.
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00:06:14,066 --> 00:06:15,166
[Patrick] Looks good.
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00:06:15,166 --> 00:06:16,400
You need anything else?
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00:06:16,400 --> 00:06:18,000
-[Patrick] No,
this should be good.
-[Haley] I'm good.
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00:06:18,066 --> 00:06:20,700
-[Amanda] Okay.
-[Haley] If he does
need the help,
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00:06:20,767 --> 00:06:23,000
I'm usually eight minutes
down the street.
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00:06:23,066 --> 00:06:24,467
I can come stop by and...
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00:06:25,567 --> 00:06:26,700
say, "Hey," or
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00:06:26,767 --> 00:06:28,700
be like, "Hey, I'm here,"
you know?
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00:06:29,567 --> 00:06:30,000
I don't like being
away from my dad
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00:06:30,000 --> 00:06:31,166
I don't like being
away from my dad
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00:06:31,166 --> 00:06:33,567
so I always
come around a lot.
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00:06:38,700 --> 00:06:41,000
[Patrick] I have
addiction to food,
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00:06:41,066 --> 00:06:44,700
because nothing makes me feel
as good as I do when I have
food in my mouth.
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00:06:50,300 --> 00:06:54,266
In our family, obesity has
really been an issue
with all of us.
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00:06:54,266 --> 00:06:57,467
I was the second-youngest
of four brothers and
two sisters,
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00:06:57,467 --> 00:06:59,500
and they were all overweight.
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00:07:01,467 --> 00:07:04,767
Everyone, my mom, my cousins,
my aunts, and uncles.
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00:07:05,900 --> 00:07:09,000
My dad had gastric bypass
surgery to try to lose weight,
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00:07:09,066 --> 00:07:10,700
and it didn't work.
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00:07:10,767 --> 00:07:13,066
He got sick and they had to
wind up reversing it.
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00:07:14,300 --> 00:07:16,200
Then, around the time
I was eight,
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00:07:16,266 --> 00:07:19,066
my dad had a series
of heart attacks.
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00:07:19,066 --> 00:07:22,867
So he retired early
and our family moved
to Marion County, Georgia.
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00:07:24,867 --> 00:07:28,767
My dad's health declined
and he wasn't able to
do so much.
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00:07:28,767 --> 00:07:30,000
And that caused problems
in his marriage.
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00:07:30,000 --> 00:07:31,567
And that caused problems
in his marriage.
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00:07:31,567 --> 00:07:34,667
Because even though
he and my mom were happy,
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00:07:34,667 --> 00:07:37,967
she wound up going
off with another man
closer to her own age.
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00:07:41,100 --> 00:07:43,066
So that's when my dad decided
he wanted to move
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00:07:43,066 --> 00:07:45,900
even further out
into the country
to this little ranch,
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00:07:45,967 --> 00:07:47,667
miles from anywhere,
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00:07:47,667 --> 00:07:51,266
and I made up my mind
to go with him.
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00:07:51,266 --> 00:07:55,400
Those days, living with him
on the ranch were some of
the happiest times of my life.
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00:07:57,000 --> 00:08:00,000
Goin' fishin', goin' to play
with horses, goin' ridin'
a four-wheeler.
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00:08:00,000 --> 00:08:00,667
Goin' fishin', goin' to play
with horses, goin' ridin'
a four-wheeler.
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00:08:02,767 --> 00:08:05,467
This is the time I first
remember gaining weight.
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00:08:08,000 --> 00:08:11,300
The day dad died,
it felt like the whole
world crumbled.
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00:08:11,367 --> 00:08:13,867
And it left a big hole
in my heart.
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00:08:13,867 --> 00:08:17,000
A hole that I've spent
the rest of my life
tryin' to fill with food.
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00:08:21,166 --> 00:08:22,967
After my dad passed away,
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00:08:22,967 --> 00:08:24,367
I came back
to live with my mom.
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00:08:25,567 --> 00:08:27,367
We never talked
about him dyin'.
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00:08:29,066 --> 00:08:30,000
My mom's way of showing
her sympathy to me was
just like my dad's.
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00:08:30,000 --> 00:08:32,567
My mom's way of showing
her sympathy to me was
just like my dad's.
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00:08:33,600 --> 00:08:36,166
She'd give me anything
I wanted to eat.
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00:08:36,166 --> 00:08:39,667
I mean, all I had to do
was pretty much
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00:08:39,667 --> 00:08:41,900
ask two or three times
and she would,
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00:08:41,967 --> 00:08:43,533
you know, she would do it.
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00:08:45,367 --> 00:08:48,767
So food became my way
of comfortin' myself
when I missed him,
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00:08:48,767 --> 00:08:51,500
because food was my way of
keeping the connection
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00:08:51,567 --> 00:08:53,166
I had with my dad alive.
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00:08:55,667 --> 00:08:57,900
There literally wasn't nothing
during that time
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00:08:57,967 --> 00:08:59,667
I really found that just
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00:08:59,667 --> 00:09:00,000
made me super happy.
I was just...
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00:09:00,000 --> 00:09:01,867
made me super happy.
I was just...
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00:09:02,867 --> 00:09:04,600
I was livin' to eat.
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00:09:04,600 --> 00:09:07,467
I never excelled real big
in school because I wasn't
real interested in it.
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00:09:08,767 --> 00:09:11,166
I went to work
when I was pretty young,
165
00:09:11,166 --> 00:09:13,367
but I couldn't hold a job
very long.
166
00:09:13,367 --> 00:09:16,700
My early 20s,
I hadn't really dated much.
167
00:09:16,767 --> 00:09:18,300
I was feelin' lonely.
168
00:09:18,367 --> 00:09:20,166
I went online,
lookin' for love,
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00:09:20,166 --> 00:09:22,100
and I was lucky enough
to find Amanda.
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00:09:23,567 --> 00:09:25,900
You know, we've been
truckin' along ever since.
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00:09:27,467 --> 00:09:30,000
I did screw up
along the way.
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00:09:30,000 --> 00:09:30,567
I did screw up
along the way.
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00:09:30,567 --> 00:09:32,300
I'm not gonna say
that I screwed up,
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00:09:32,367 --> 00:09:34,166
because of my daughter
came out of it.
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00:09:34,166 --> 00:09:35,700
And,
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00:09:35,767 --> 00:09:38,467
I mean, I wouldn't change that
for anything in the world.
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00:09:39,767 --> 00:09:42,767
I did screw up
with her momma that night.
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00:09:42,767 --> 00:09:45,767
But me and my wife
worked things out.
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00:09:45,767 --> 00:09:49,066
My wife is a good woman.
I'm... I'm thankful
to have her.
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00:09:49,066 --> 00:09:50,867
I'm done, babe. That was good.
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00:09:54,367 --> 00:09:55,166
[Patrick] Yeah.
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00:09:57,467 --> 00:09:58,400
[Amanda speaking]
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00:09:59,367 --> 00:10:00,000
Think I probably will.
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00:10:00,000 --> 00:10:00,467
Think I probably will.
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00:10:01,266 --> 00:10:02,567
In my 20s,
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00:10:02,567 --> 00:10:06,500
I was workin' some.
I worked some at
an electric company.
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00:10:06,567 --> 00:10:09,800
I mean, I was 300, 400 pounds,
out digging ditches.
188
00:10:09,867 --> 00:10:12,100
And I just kinda floated
around with the jobs
189
00:10:12,100 --> 00:10:14,166
'cause I didn't really care
about none of 'em,
190
00:10:14,166 --> 00:10:16,367
and I decided I wanna
be a repo man.
191
00:10:18,166 --> 00:10:23,000
And once I finally got the
opportunity to do that,
I mean, that was...
192
00:10:23,000 --> 00:10:27,467
my thing there, you know,
I pretty much excelled
at that.
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00:10:27,467 --> 00:10:30,000
There was a period of
time from pretty much
the time I met my wife till
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00:10:30,000 --> 00:10:33,166
There was a period of
time from pretty much
the time I met my wife till
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00:10:33,166 --> 00:10:35,166
my daughter was born
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00:10:35,166 --> 00:10:37,266
that I pretty much stayed
the same weight.
197
00:10:37,266 --> 00:10:40,266
But I was probably around 450
when my daughter came along,
198
00:10:40,867 --> 00:10:42,300
and then,
199
00:10:42,367 --> 00:10:44,400
I did gradually start
getting bigger,
200
00:10:44,467 --> 00:10:47,000
had to move up
in pant sizes
201
00:10:47,000 --> 00:10:49,867
till I finally couldn't work
anymore because I was too big
202
00:10:49,867 --> 00:10:53,367
to perform the job
that I was hired to do.
203
00:10:53,367 --> 00:10:54,900
But after I
went on disability,
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00:10:54,967 --> 00:10:57,567
things between me and Amanda
kinda shifted
205
00:10:57,567 --> 00:11:00,000
from being romantic to her
being more of a caretaker.
206
00:11:00,000 --> 00:11:00,767
from being romantic to her
being more of a caretaker.
207
00:11:00,767 --> 00:11:03,000
Our intimacy got lost.
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00:11:03,000 --> 00:11:05,567
When you get this big,
uh, I mean,
209
00:11:05,567 --> 00:11:07,767
unless it hangs down
till your knees, I mean,
210
00:11:07,767 --> 00:11:10,600
once you get this big...
[chuckles] ...I mean,
you just got a problem.
211
00:11:10,667 --> 00:11:13,600
[laughing] I mean, that's just
all there is to it.
212
00:11:14,800 --> 00:11:16,300
[Amanda] Do you need
or want anything else?
213
00:11:16,367 --> 00:11:18,767
[Patrick] No, I'm good.
Thank you.
214
00:11:18,767 --> 00:11:22,100
[Amanda] Last year and a half
has been a struggle for him
215
00:11:22,166 --> 00:11:24,000
since his mother
has passed away.
216
00:11:25,266 --> 00:11:27,100
He had a hernia and
217
00:11:27,166 --> 00:11:29,000
he had to have an
emergency surgery.
218
00:11:31,367 --> 00:11:32,800
And it's just
219
00:11:32,867 --> 00:11:35,100
been a battle since then.
220
00:11:36,400 --> 00:11:38,066
[Patrick] My body was...
It was
221
00:11:38,066 --> 00:11:39,166
slowly but surely...
222
00:11:40,400 --> 00:11:43,767
just slowin' me down
to where I'm at now.
223
00:11:43,767 --> 00:11:45,600
I think he has
the mindset
224
00:11:45,667 --> 00:11:49,700
of now that he really wants
to change not only for himself
225
00:11:49,767 --> 00:11:53,600
but for me
and for the whole family,
226
00:11:53,667 --> 00:11:55,567
because the whole family would
227
00:11:55,567 --> 00:11:59,100
love to go do things that
we've always talked
about doing.
228
00:11:59,166 --> 00:12:00,000
So I think that's
the big reason that,
229
00:12:00,000 --> 00:12:02,166
So I think that's
the big reason that,
230
00:12:02,166 --> 00:12:05,867
you know, his mindset is,
"I want to do this."
231
00:12:12,467 --> 00:12:14,500
I have to change
the way I live.
232
00:12:14,567 --> 00:12:18,166
I have to make a life change.
I have to get my weight
under control.
233
00:12:18,166 --> 00:12:20,667
So I can spend more time
with my wife and my daughter.
234
00:12:27,000 --> 00:12:28,867
Do you want these
or are they no good?
235
00:12:28,867 --> 00:12:30,000
[Amanda] Uh, they should
still be good.
236
00:12:30,000 --> 00:12:30,567
[Amanda] Uh, they should
still be good.
237
00:12:32,200 --> 00:12:35,867
Just, like, we wanna
go visit places and
238
00:12:35,867 --> 00:12:39,367
we want to be able to do
things just like any other
239
00:12:39,367 --> 00:12:40,800
dad and daughter
would be able to.
240
00:12:42,367 --> 00:12:44,200
[grunting]
241
00:12:44,266 --> 00:12:49,700
His legs and his feet,
just, they hurt, they ache.
242
00:12:49,767 --> 00:12:54,066
His breathing, I've noticed
he's been having trouble
with that.
243
00:12:54,066 --> 00:12:56,867
He wants to be able to
244
00:12:56,867 --> 00:12:59,000
do more things with Haley,
245
00:12:59,000 --> 00:13:00,000
and be able
to have a normal life.
246
00:13:00,000 --> 00:13:02,600
and be able
to have a normal life.
247
00:13:02,667 --> 00:13:04,767
But his body is tired.
248
00:13:05,700 --> 00:13:08,667
And it's just getting worse.
249
00:13:08,667 --> 00:13:10,133
[Patrick grunts]
250
00:13:10,166 --> 00:13:13,500
-Corn dogs and
Tater Tots good for you?
-[Patrick] Sounds good to me.
251
00:13:13,567 --> 00:13:15,400
You wanna cook
the corn dogs in the oven?
252
00:13:15,467 --> 00:13:16,667
[Amanda] Yes, sir.
253
00:13:18,567 --> 00:13:20,200
[exhales deeply]
254
00:13:27,000 --> 00:13:28,400
[Patrick] They're
looking good, babe.
255
00:13:41,166 --> 00:13:42,500
I'm unhappy being this big.
256
00:13:43,800 --> 00:13:47,100
If I don't lose weight,
I feel like in a year
or two years,
257
00:13:47,100 --> 00:13:49,066
I'll wind up...
It'll wind up killing me.
258
00:13:52,400 --> 00:13:54,166
[grunts] Looks good, babe.
259
00:13:55,767 --> 00:13:56,767
[Amanda] Enjoy.
260
00:13:57,667 --> 00:13:59,567
-Oh, I am.
-[Amanda chuckles softly]
261
00:14:04,567 --> 00:14:06,467
I got a lot of goals.
I wanna
262
00:14:06,467 --> 00:14:09,800
get my daughter through
school and grown and
263
00:14:09,867 --> 00:14:13,567
make it to where she don't
have to depend on no one to
264
00:14:14,200 --> 00:14:15,200
support her.
265
00:14:15,967 --> 00:14:17,166
She could do it herself.
266
00:14:17,166 --> 00:14:19,667
I'm getting full, baby.
It was good.
267
00:14:19,667 --> 00:14:21,166
Think I'm gonna...
268
00:14:22,367 --> 00:14:25,767
finish of this last corn dog
and after that, I think
I'm going to bed.
269
00:14:25,767 --> 00:14:27,467
My legs are hurtin',
my feet are hurtin'.
270
00:14:28,166 --> 00:14:30,000
I'm glad you liked it.
271
00:14:30,000 --> 00:14:30,400
I'm glad you liked it.
272
00:14:30,467 --> 00:14:32,367
[Patrick] I can't go on
like this anymore.
273
00:14:33,300 --> 00:14:34,567
I need to change.
274
00:14:54,800 --> 00:14:55,967
Are you nervous?
275
00:14:55,967 --> 00:14:57,800
I am a very nervous.
276
00:14:57,867 --> 00:14:59,166
It'll be all right.
277
00:14:59,166 --> 00:15:00,667
Won't it, Hay-bug?
278
00:15:00,667 --> 00:15:02,100
[Haley] Everything
will be fine.
279
00:15:02,667 --> 00:15:03,667
Promise it will.
280
00:15:03,667 --> 00:15:05,867
That's got everything
packed up.
281
00:15:13,800 --> 00:15:16,300
I'm hittin' the road,
headed to Texas to go see
282
00:15:16,367 --> 00:15:18,467
the doctor about getting
weight-loss surgery.
283
00:15:18,467 --> 00:15:20,567
I've never driven this far.
Period.
284
00:15:20,567 --> 00:15:22,166
Got 'em.
285
00:15:22,166 --> 00:15:23,600
[Patrick] Know it's
gonna be a long trip.
286
00:15:23,667 --> 00:15:25,000
I'mma be hurtin'.
287
00:15:25,066 --> 00:15:27,266
That's Amanda, man.
You stay inside.
288
00:15:27,266 --> 00:15:29,467
[Patrick] It's gonna be
my legs, from ridin'.
289
00:15:29,467 --> 00:15:31,900
I'm just gonna be
uncomfortable once
that happens,
290
00:15:31,967 --> 00:15:35,367
until I stop somewhere
and get... Be able to get
out of the truck and lay down.
291
00:15:42,266 --> 00:15:42,590
I'm nervous, I'm worried.
292
00:15:42,590 --> 00:15:45,500
I'm nervous, I'm worried.
293
00:15:45,567 --> 00:15:47,400
Don't know what's gonna
happen, I mean,
294
00:15:47,467 --> 00:15:49,767
I'm goin' to see a doctor
I've never seen,
goin' to Texas,
295
00:15:49,767 --> 00:15:51,467
I ain't never been to Texas.
296
00:15:51,467 --> 00:15:53,600
It's a long way away.
297
00:15:53,667 --> 00:15:56,367
My daughter is here.
A long way away from her.
298
00:15:56,367 --> 00:15:57,867
Just haven't ever
been that far away.
299
00:16:00,767 --> 00:16:02,266
[engine starts]
300
00:16:04,000 --> 00:16:05,367
Do you have everything, Dad?
301
00:16:06,567 --> 00:16:07,600
[Patrick]
It's looking like it.
302
00:16:08,967 --> 00:16:10,367
I'll see you when we get back.
303
00:16:10,367 --> 00:16:11,400
[Haley] All right.
304
00:16:11,467 --> 00:16:12,590
-[Patrick] You good?
-[Haley] Yeah.
305
00:16:12,590 --> 00:16:12,867
-[Patrick] You good?
-[Haley] Yeah.
306
00:16:12,867 --> 00:16:14,367
[Patrick] Don't get upset.
307
00:16:14,367 --> 00:16:15,400
I'll be back in a few days.
308
00:16:16,367 --> 00:16:17,367
[Haley sniffles]
309
00:16:17,367 --> 00:16:18,400
[Patrick] Okay?
310
00:16:19,367 --> 00:16:20,700
-[Haley] I love you.
-[Patrick] I love you too.
311
00:16:21,767 --> 00:16:22,567
[grunts]
312
00:16:33,266 --> 00:16:34,500
Oh.
313
00:16:37,867 --> 00:16:39,200
Oh!
314
00:16:39,266 --> 00:16:40,667
[Amanda] I love you, Hay-bug.
315
00:16:40,667 --> 00:16:41,567
[Haley] I love you too.
316
00:16:41,567 --> 00:16:42,590
-Be careful.
-[Patrick] Yeah.
317
00:16:42,590 --> 00:16:43,266
-Be careful.
-[Patrick] Yeah.
318
00:16:48,200 --> 00:16:49,767
-Love you.
-[Haley] Love you.
319
00:17:09,500 --> 00:17:11,767
Babe, it's been a while
since we've been
on a road trip.
320
00:17:14,567 --> 00:17:17,100
I'm nervous about the doctor
and going all the way
to Texas.
321
00:17:17,100 --> 00:17:18,567
I ain't never drove this far.
322
00:17:18,567 --> 00:17:20,100
[Amanda] How long
is the drive?
323
00:17:21,166 --> 00:17:22,800
[Patrick] Eleven hours.
324
00:17:22,867 --> 00:17:25,066
Now that's with zero stops.
325
00:17:25,066 --> 00:17:28,367
We're definitely gonna
wind up having to stop
so I can lay down and...
326
00:17:30,000 --> 00:17:31,900
get my legs to stop hurtin'.
327
00:17:31,967 --> 00:17:34,266
We're definitely not gonna
make it there in one trip.
328
00:17:34,266 --> 00:17:35,567
Oh, Lord.
329
00:17:37,100 --> 00:17:38,600
Definitely gonna be
a long ride.
330
00:17:42,767 --> 00:17:45,600
'Cause I'm just tired
of being fat.
331
00:17:45,667 --> 00:17:50,300
[Amanda] Do you have anything
in mind about what you
want for dinner tonight?
332
00:17:50,367 --> 00:17:52,567
[Patrick] Some kind
of drive-through. [laughs]
333
00:17:56,867 --> 00:18:00,400
[gps] In 500 feet, turn left
onto Wind River Road north.
334
00:18:02,500 --> 00:18:03,867
[woman on speaker]
Thank you. Come on up.
335
00:18:05,467 --> 00:18:06,567
[Patrick] Uh...
336
00:18:07,467 --> 00:18:08,667
You ready?
337
00:18:08,667 --> 00:18:10,066
[woman on speaker] Yes.
338
00:18:10,066 --> 00:18:12,500
[Patrick] I want a, uh,
number nine.
339
00:18:13,500 --> 00:18:15,467
I want it large-sized.
340
00:18:15,467 --> 00:18:18,467
Then I want another
number nine.
341
00:18:18,467 --> 00:18:20,200
No pickles.
342
00:18:20,266 --> 00:18:24,266
I want it large-sized
with a sweet tea.
343
00:18:24,266 --> 00:18:26,567
Regular side of red beans
and rice.
344
00:18:28,367 --> 00:18:31,166
A regular side
of macaroni and cheese.
345
00:18:31,166 --> 00:18:32,767
Just a order of
popcorn shrimp.
346
00:18:32,767 --> 00:18:35,000
And a extra chicken sandwich
with no pickles.
347
00:18:35,000 --> 00:18:36,200
[woman on speaker] Will that
be all for you?
348
00:18:36,266 --> 00:18:37,800
[Patrick] Yes, ma'am.
349
00:18:37,867 --> 00:18:39,367
[woman on speaker]
All right. Stop in the lane.
350
00:18:47,567 --> 00:18:49,567
$97.11.
351
00:19:03,700 --> 00:19:05,367
You ready for your food?
352
00:19:05,767 --> 00:19:06,667
Yep!
353
00:19:10,400 --> 00:19:12,300
[Amanda] There's your
popcorn shrimp.
354
00:19:15,100 --> 00:19:16,367
And then...
355
00:19:17,600 --> 00:19:19,667
here's your sandwiches.
356
00:19:27,367 --> 00:19:30,767
[Patrick] Um,
my legs are hurtin'.
My feet are hurtin'.
357
00:19:30,767 --> 00:19:34,100
I'm definitely gonna have
a hard time stayin' awake
after I eat this, huh?
358
00:19:39,066 --> 00:19:42,000
[Patrick] As long as
I can eat, I can keep
the pain at a minimum.
359
00:19:42,066 --> 00:19:42,590
Beans and rice
is pretty good too.
360
00:19:42,590 --> 00:19:43,600
Beans and rice
is pretty good too.
361
00:19:46,800 --> 00:19:48,767
They'd make it better if I had
a biscuit to go with it.
362
00:19:49,266 --> 00:19:50,834
[Amanda chuckles]
363
00:19:53,300 --> 00:19:57,000
[Patrick] The doctor,
he's gonna want me
to eat better, so...
364
00:19:57,066 --> 00:20:01,400
made sure I got me a good,
greasy fried chicken
sandwich, and,
365
00:20:01,467 --> 00:20:03,367
yeah, kind of like
the last hoorah.
366
00:20:05,467 --> 00:20:06,567
I'm getting full.
367
00:20:31,600 --> 00:20:32,900
[Amanda] All right.
368
00:20:56,367 --> 00:20:58,000
[Patrick] We made
it to Block C.
369
00:21:00,266 --> 00:21:01,600
[grunts]
370
00:21:04,266 --> 00:21:07,166
I'm tired, worn out.
371
00:21:09,500 --> 00:21:10,800
My legs are hurtin'.
372
00:21:12,000 --> 00:21:12,590
My feet are hurtin'.
373
00:21:12,590 --> 00:21:12,967
My feet are hurtin'.
374
00:21:14,967 --> 00:21:16,700
Gotta try to lay down,
get some rest.
375
00:21:20,367 --> 00:21:21,867
[groans]
376
00:22:12,767 --> 00:22:14,000
Oh, [bleep].
377
00:22:14,066 --> 00:22:15,734
It's at the end
of the hallway.
378
00:22:24,367 --> 00:22:27,867
Just everything
to do with traveling is making
my mind kind of exhausted.
379
00:22:32,266 --> 00:22:34,166
Get to see
the doctor tomorrow.
380
00:22:34,166 --> 00:22:36,166
I'm interested to see
what he's go to say,
381
00:22:36,166 --> 00:22:39,400
and see if he can help me
get the weight off of me.
382
00:22:40,867 --> 00:22:42,590
[Amanda] Finally. Thank God.
383
00:22:42,590 --> 00:22:42,767
[Amanda] Finally. Thank God.
384
00:22:45,600 --> 00:22:46,567
[Patrick exhales deeply]
385
00:22:49,867 --> 00:22:51,867
The bed's
fat-people-approved.
386
00:22:52,767 --> 00:22:54,567
-[Amanda] Is it?
-[Patrick] Cover.
387
00:22:55,266 --> 00:22:56,867
[Amanda] I got 'em.
388
00:22:56,867 --> 00:22:59,100
I don't want none
of that now, I'm kinda
389
00:22:59,567 --> 00:23:00,967
warm. [sighs]
390
00:23:00,967 --> 00:23:02,100
[Amanda] Okay.
391
00:23:19,667 --> 00:23:22,100
Well, babe,
we're finally here.
392
00:23:29,500 --> 00:23:32,967
We finally
made it to Houston.
Tired, nervous, happy.
393
00:23:32,967 --> 00:23:34,100
And scared.
394
00:23:34,166 --> 00:23:36,266
I'm kinda scared to see
the scale myself.
395
00:23:37,767 --> 00:23:39,767
[Amanda] Are you ready?
396
00:23:39,767 --> 00:23:41,000
[Patrick] Ready
as I'm gonna be.
397
00:24:19,467 --> 00:24:20,467
Are you okay?
398
00:24:21,367 --> 00:24:22,867
My nerves are... [sighs]
399
00:24:24,800 --> 00:24:27,667
And me going on this diet,
it's probably gonna
affect you too.
400
00:24:27,667 --> 00:24:29,000
You gonna do it with me?
401
00:24:29,000 --> 00:24:31,166
Yes, of course, I am.
402
00:24:31,166 --> 00:24:33,367
It's gonna be hard.
It's gonna take a lot of work.
403
00:24:33,367 --> 00:24:34,367
[groans]
404
00:24:34,367 --> 00:24:36,700
It is, but we can do it.
405
00:24:38,567 --> 00:24:39,867
Patrick!
406
00:24:49,467 --> 00:24:52,100
[Patrick] I haven't weighed
myself in a few years.
407
00:24:52,166 --> 00:24:54,166
But I think I'm over
600 pounds.
408
00:24:56,266 --> 00:25:01,266
And I just hope that I'm not
closer to 700 than I am 600.
409
00:25:01,266 --> 00:25:02,900
Okay, you can go ahead
and step on the scale.
410
00:25:19,567 --> 00:25:22,700
[Patrick] I'm at Dr. Now's
clinic in Houston to get
my weight checked,
411
00:25:22,767 --> 00:25:25,200
and to meet with Dr. Now
for the first time
412
00:25:25,266 --> 00:25:26,934
to get his help losing weight.
413
00:25:26,934 --> 00:25:30,767
I think I'm over 600 pounds,
but I haven't weighed myself
in a few years.
414
00:25:32,800 --> 00:25:34,500
[nurse] Okay,
your weight is 657.
415
00:25:42,166 --> 00:25:42,886
Okay. We're going
to room five.
416
00:25:42,886 --> 00:25:43,767
Okay. We're going
to room five.
417
00:25:46,567 --> 00:25:48,767
[Patrick] That's a little bit
of a shock, to be honest
with you.
418
00:25:49,667 --> 00:25:51,467
That's higher than
I was expecting.
419
00:26:07,767 --> 00:26:08,667
[exhales deeply]
420
00:26:08,667 --> 00:26:09,800
[knocking on door]
421
00:26:12,066 --> 00:26:12,886
Hello, how are y'all doing?
422
00:26:12,886 --> 00:26:13,166
Hello, how are y'all doing?
423
00:26:13,166 --> 00:26:14,667
We're doing fine,
how about you?
424
00:26:14,667 --> 00:26:16,266
I'm good.
425
00:26:16,266 --> 00:26:18,200
So, you must be Patrick.
426
00:26:18,266 --> 00:26:20,266
-Yes, sir.
-Well, good to meet you.
427
00:26:20,266 --> 00:26:22,367
And who did you bring
with you today?
428
00:26:22,367 --> 00:26:23,967
My wife, Amanda.
429
00:26:23,967 --> 00:26:25,467
Nice to meet you, guys.
430
00:26:25,467 --> 00:26:26,567
Nice to meet you.
431
00:26:26,567 --> 00:26:28,266
All right. So, where
are you coming from?
432
00:26:28,767 --> 00:26:29,767
Columbus, Georgia.
433
00:26:29,767 --> 00:26:33,166
Okay. what brought you
down to Houston?
434
00:26:33,166 --> 00:26:34,567
Trying to get help
with my weight.
435
00:26:34,567 --> 00:26:38,400
-All right, then, you are 657?
-Yes, sir.
436
00:26:38,467 --> 00:26:41,066
All right, so how long
you been at this weight?
437
00:26:42,767 --> 00:26:42,886
Well, for a long time,
I've been big all my life.
438
00:26:42,886 --> 00:26:45,467
Well, for a long time,
I've been big all my life.
439
00:26:45,467 --> 00:26:47,100
I've never been
this big though.
440
00:26:47,166 --> 00:26:50,900
Well, your weight
is definitely taking
a toll on your body.
441
00:26:50,967 --> 00:26:54,100
According to your chart,
you have multiple
442
00:26:54,100 --> 00:26:56,767
medical issues I see,
like diabetes.
443
00:26:56,767 --> 00:26:59,600
-Yes.
-And sleep apnea?
444
00:26:59,667 --> 00:27:02,600
-Yes.
-So your body
is clearly heading
445
00:27:02,667 --> 00:27:05,667
to a breaking point soon.
Now, how is your mobility?
446
00:27:06,367 --> 00:27:07,667
I can get around.
447
00:27:07,667 --> 00:27:09,266
I... I can move around.
448
00:27:09,266 --> 00:27:10,567
So, what do you do all day?
449
00:27:11,967 --> 00:27:12,886
Right now? Sit on my ass.
450
00:27:12,886 --> 00:27:14,166
Right now? Sit on my ass.
451
00:27:14,166 --> 00:27:17,000
You need to make sure
you keep your stamina up.
452
00:27:17,066 --> 00:27:19,300
Because with how
your body's doing,
453
00:27:19,367 --> 00:27:21,266
if you lose your mobility,
454
00:27:21,266 --> 00:27:23,567
then that is likely gonna
be it for you.
455
00:27:23,567 --> 00:27:28,467
But if you lose some weight,
that'll help stop your health
from getting worse.
456
00:27:28,467 --> 00:27:31,400
So why do you think
you're overweight like this?
457
00:27:31,467 --> 00:27:33,266
[sighs] Overeatin'.
458
00:27:33,266 --> 00:27:35,867
I... I eat too much.
459
00:27:35,867 --> 00:27:39,400
You eat too much in one
sitting? Or you eat
too much all day?
460
00:27:39,467 --> 00:27:41,467
I probably snack all day,
461
00:27:41,467 --> 00:27:42,886
but it's usually one
big meal a day,
462
00:27:42,886 --> 00:27:44,166
but it's usually one
big meal a day,
463
00:27:44,166 --> 00:27:46,200
and then just snacking
throughout the day.
464
00:27:47,266 --> 00:27:48,467
So what do you snack on?
465
00:27:50,100 --> 00:27:51,367
Candy.
466
00:27:52,266 --> 00:27:54,066
Whatever's there. Chips.
467
00:27:54,066 --> 00:27:56,700
-You're diabetic
and you eat candy?
-Yes.
468
00:27:56,767 --> 00:27:59,000
Did anybody tell you not to?
469
00:27:59,266 --> 00:28:00,667
Yes.
470
00:28:00,667 --> 00:28:02,467
I know I shouldn't do that.
471
00:28:02,467 --> 00:28:06,066
You're 42 and you've been
diabetic for five, six years,
472
00:28:06,066 --> 00:28:09,800
and you're eating candy.
You remind me of the guy
that came in and said,
473
00:28:09,867 --> 00:28:12,886
"My head hurt when I hit it
with baseball bat."
474
00:28:12,886 --> 00:28:13,000
"My head hurt when I hit it
with baseball bat."
475
00:28:13,000 --> 00:28:15,567
-[laughs]
-And I said, "Wouldn't it
be easier to stop that
476
00:28:15,567 --> 00:28:17,367
than asking medicine for it?"
477
00:28:17,367 --> 00:28:20,000
[laughs] Yeah.
478
00:28:20,000 --> 00:28:22,166
Yeah, you're probably right,
it'd be kinda like
479
00:28:22,166 --> 00:28:23,567
shoving a rocket
up my [bleep].
480
00:28:23,600 --> 00:28:26,000
Doesn't mean I can...
I know I can go to the
moon if I do that.
481
00:28:26,066 --> 00:28:27,367
But we know
it's not gonna happen.
482
00:28:27,367 --> 00:28:31,667
Okay, well, my analogy
fits your situation
better, I think.
483
00:28:31,667 --> 00:28:35,667
Because the issue is,
you have known what
you're doing to yourself.
484
00:28:35,667 --> 00:28:38,400
So you understand that
you're gonna have to change
your eating habits.
485
00:28:38,467 --> 00:28:41,000
-Are you willing to do that?
-Yes.
486
00:28:41,066 --> 00:28:42,886
Okay. Amanda,
should I believe him?
487
00:28:42,886 --> 00:28:44,066
Okay. Amanda,
should I believe him?
488
00:28:44,066 --> 00:28:47,100
-Yes.
-If you show me how
to do it, and it'll get done.
489
00:28:47,100 --> 00:28:48,200
-[Dr. Nowzaradan] All right.
-Yes.
490
00:28:48,266 --> 00:28:50,567
Amanda, do you work,
or you stay home with him?
491
00:28:51,100 --> 00:28:52,100
I stay at home.
492
00:28:52,100 --> 00:28:53,400
[Dr. Nowzaradan]
You stay at home.
493
00:28:53,467 --> 00:28:56,467
So, you said chips and candy.
Who buys those?
494
00:28:59,867 --> 00:29:04,166
Okay, so the family
enables you and gets
you what you want.
495
00:29:04,166 --> 00:29:06,200
And you just
sit around eating.
496
00:29:06,266 --> 00:29:10,100
And you say you don't know
what to do to get better
and lose weight?
497
00:29:10,100 --> 00:29:11,900
-Is that about right?
-[Patrick] Yes, sir.
498
00:29:11,967 --> 00:29:12,886
Have you heard the expression,
"Eat less and do
more exercise"?
499
00:29:12,886 --> 00:29:15,900
Have you heard the expression,
"Eat less and do
more exercise"?
500
00:29:15,967 --> 00:29:17,767
-[laughs]
-Like, you didn't know that?
501
00:29:18,667 --> 00:29:21,266
Uh, I know it.
502
00:29:21,266 --> 00:29:24,700
It's just more
of I have to get
up off my butt and do it.
503
00:29:24,767 --> 00:29:28,266
Well, yeah, like, this is
not your first rodeo here.
504
00:29:28,266 --> 00:29:32,467
You knew all these things
and you haven't done
much to change it.
505
00:29:32,467 --> 00:29:36,767
So, I don't know if what we're
going to tell you is gonna
make any difference.
506
00:29:36,767 --> 00:29:39,867
Well, because I need,
I need help. I can't get it
507
00:29:39,867 --> 00:29:42,467
all off by myself.
I need... [sighs]
508
00:29:42,467 --> 00:29:42,886
Well, you're gonna have to
be motivated to stick with
a healthy eating habit,
509
00:29:42,886 --> 00:29:47,100
Well, you're gonna have to
be motivated to stick with
a healthy eating habit,
510
00:29:47,100 --> 00:29:49,567
and get yourself
in better shape,
511
00:29:49,567 --> 00:29:52,767
because I guarantee you,
you're not gonna live too
long like this. Okay?
512
00:29:52,767 --> 00:29:54,166
Yes sir.
513
00:29:54,166 --> 00:29:57,266
Anything happen to you,
even if you fall and twist
your ankle,
514
00:29:57,266 --> 00:29:58,767
then you can't get up
and walk,
515
00:29:58,767 --> 00:30:00,767
then you're gonna
get bed-ridden
516
00:30:00,767 --> 00:30:04,066
and you're not gonna be able
to pull through out
of that, okay?
517
00:30:04,066 --> 00:30:05,600
I'm gonna give you
the road map.
518
00:30:05,667 --> 00:30:09,467
But if you don't follow it,
there's not much we can
do for you, okay?
519
00:30:09,467 --> 00:30:12,886
-[Patrick] Yes sir.
-All right. So, I'm gonna
give you some instruction,
520
00:30:12,886 --> 00:30:13,200
-[Patrick] Yes sir.
-All right. So, I'm gonna
give you some instruction,
521
00:30:13,266 --> 00:30:15,000
what to eat,
what not to eat.
522
00:30:15,000 --> 00:30:17,567
Then gonna give you some
instruction about exercise.
523
00:30:17,567 --> 00:30:20,667
So, if you do those,
and change your eating habit,
524
00:30:20,667 --> 00:30:23,967
you should be able to lose
60 to 70 pound in one month.
525
00:30:24,600 --> 00:30:26,033
Okay?
526
00:30:26,033 --> 00:30:29,567
The goal I'm going to give you
to prove to me that
you're serious
527
00:30:29,567 --> 00:30:31,900
is to lose 100 pounds
in two months.
528
00:30:31,967 --> 00:30:35,967
This can be a very easy thing
to do if you follow the diet.
529
00:30:35,967 --> 00:30:38,967
-Yes sir.
-All right, Patrick, let
me bring some stuff for you,
530
00:30:38,967 --> 00:30:41,567
-and then we go over it, okay?
-Yes, sir.
531
00:30:41,567 --> 00:30:42,886
-All right. I'll be back.
-[Patrick] Yes, sir.
532
00:30:42,886 --> 00:30:44,266
-All right. I'll be back.
-[Patrick] Yes, sir.
533
00:30:50,567 --> 00:30:54,400
I just got to get that
information from him
and just do it.
534
00:30:55,700 --> 00:30:57,667
You can do it. I know you can.
535
00:30:59,000 --> 00:31:01,967
I have a lot of concerns
about Patrick right now,
536
00:31:01,967 --> 00:31:04,200
particularly his
medical history.
537
00:31:04,266 --> 00:31:07,800
With all the issues he has
developed as the result
of his weight,
538
00:31:07,867 --> 00:31:12,467
it is clear his size has
already taken a big
toll on his body,
539
00:31:12,467 --> 00:31:12,886
and as long as he continues
to make excuses
540
00:31:12,886 --> 00:31:15,867
and as long as he continues
to make excuses
541
00:31:15,867 --> 00:31:18,166
and claim he doesn't know
what to do,
542
00:31:18,166 --> 00:31:20,000
that it's only gonna
get worse.
543
00:31:20,066 --> 00:31:23,767
So if he wants to prevent
his body giving up soon,
544
00:31:23,767 --> 00:31:28,700
then it's important he works
to turn things around with
his health immediately.
545
00:31:28,767 --> 00:31:32,667
And he's gonna need
a lot of family support
to do that.
546
00:31:39,100 --> 00:31:42,886
Okay, Patrick, uh,
this is a quick reference
547
00:31:42,886 --> 00:31:43,166
Okay, Patrick, uh,
this is a quick reference
548
00:31:43,166 --> 00:31:45,867
to what you need to read
every night
549
00:31:45,867 --> 00:31:48,367
so you can understand
what the issues are.
550
00:31:49,367 --> 00:31:52,066
How Patrick
controls his family
551
00:31:52,066 --> 00:31:57,200
is probably by getting
unpleasant if they don't
bring him the food he wants.
552
00:31:57,266 --> 00:32:01,667
So they enable him to avoid
any sort of confrontation
with him.
553
00:32:01,667 --> 00:32:05,467
So he and his whole family
has a lot of work to do
554
00:32:05,467 --> 00:32:07,166
to turn his situation around.
555
00:32:07,166 --> 00:32:09,000
If they don't, then Patrick
556
00:32:09,066 --> 00:32:12,200
is gonna continue doing
what he's been doing,
557
00:32:12,266 --> 00:32:12,886
and getting bigger.
558
00:32:12,886 --> 00:32:13,567
and getting bigger.
559
00:32:13,567 --> 00:32:16,066
And if he does that,
in his current state,
560
00:32:16,066 --> 00:32:20,166
it's not likely
that it's gonna take long
for his weight to kill him.
561
00:32:20,166 --> 00:32:22,900
So the time to change is now.
562
00:32:22,967 --> 00:32:25,367
I'm gonna give you a copy
of my book.
563
00:32:25,367 --> 00:32:28,066
And I put a bookmark.
564
00:32:28,066 --> 00:32:31,467
-And this chapter of exercise.
-Mmm-hmm.
565
00:32:31,467 --> 00:32:34,900
You start doing
these exercises
one hour in the morning,
566
00:32:35,767 --> 00:32:37,567
and one hour in the afternoon.
567
00:32:37,567 --> 00:32:39,367
Then several page.
568
00:32:39,367 --> 00:32:41,367
Do all of these exercises.
569
00:32:41,367 --> 00:32:42,886
So this will give you
a total understanding
570
00:32:42,886 --> 00:32:45,000
So this will give you
a total understanding
571
00:32:45,066 --> 00:32:47,200
what the problem is,
what the solutions are.
572
00:32:47,266 --> 00:32:48,500
Any questions?
573
00:32:48,567 --> 00:32:50,567
-No, sir.
-All right.
574
00:32:51,300 --> 00:32:52,767
So, if you lose the weight,
575
00:32:52,767 --> 00:32:54,600
and hit the goals
I'm giving you,
576
00:32:54,667 --> 00:32:56,667
we will consider weight-loss
surgery for you.
577
00:32:56,667 --> 00:32:59,367
And if not, then we won't
be able to help you.
578
00:33:00,200 --> 00:33:01,300
-Yes, sir.
-Okay?
579
00:33:01,600 --> 00:33:03,200
Okay.
580
00:33:03,200 --> 00:33:06,800
All right, if you need
anything, if you have
any questions, give me a call.
581
00:33:06,867 --> 00:33:09,100
-Yes, sir.
-And then we go from there.
582
00:33:09,166 --> 00:33:10,467
Yes, sir, thank you.
583
00:33:10,467 --> 00:33:12,886
-All right,
I'll see y'all later.
-Yes, sir, thank you.
584
00:33:12,886 --> 00:33:12,967
-All right,
I'll see y'all later.
-Yes, sir, thank you.
585
00:33:20,166 --> 00:33:21,000
Oh!
586
00:33:22,500 --> 00:33:24,767
My visit with Dr. Now is...
587
00:33:24,767 --> 00:33:29,600
It's not easy to just
stop eatin'.
588
00:33:30,367 --> 00:33:31,867
I guess what I call normal
589
00:33:31,867 --> 00:33:36,667
and just go to eating
400 calories a day, and then
590
00:33:36,667 --> 00:33:39,800
I have family functions
coming up, and they're
gonna be wanting me,
591
00:33:39,867 --> 00:33:41,500
that's what we always do,
go to eat.
592
00:33:41,567 --> 00:33:42,886
Have a lot
of birthdays that'll
be coming up, you know.
593
00:33:42,886 --> 00:33:45,100
Have a lot
of birthdays that'll
be coming up, you know.
594
00:33:45,166 --> 00:33:49,367
Birthday cake, sure that
don't fall under 400 calories
three times a day.
595
00:33:50,166 --> 00:33:51,800
I don't know. I'm gonna try.
596
00:33:51,867 --> 00:33:53,467
I don't even
have a clue what to eat.
597
00:33:53,467 --> 00:33:57,100
I guess I could
buy a bag of salad,
have a couple leaves of it...
598
00:33:57,100 --> 00:33:59,567
[chuckles]
...three times a day,
I mean, I don't know.
599
00:33:59,567 --> 00:34:02,500
I'm hoping the information
he gave me has got some
more about what,
600
00:34:02,567 --> 00:34:05,200
you know, I can eat
to get in that range.
601
00:34:10,867 --> 00:34:12,886
It's gonna be a challenge,
but I'm ready to change.
602
00:34:12,886 --> 00:34:14,100
It's gonna be a challenge,
but I'm ready to change.
603
00:34:16,100 --> 00:34:17,200
[engine starts]
604
00:34:38,867 --> 00:34:41,500
Are you wanting some turkey
bacon too, Daisy Mae?
605
00:34:42,000 --> 00:34:43,500
Hmm?
606
00:34:43,567 --> 00:34:45,400
[Patrick] Why didn't you
fix you anything?
607
00:34:45,467 --> 00:34:47,166
I'm just not
hungry this morning.
608
00:34:55,967 --> 00:34:58,567
-I'm going for a walk later,
you want to come with me?
-[Amanda] Yeah.
609
00:34:58,567 --> 00:35:01,066
That sounds like
a good idea to me.
610
00:35:01,066 --> 00:35:04,166
[Patrick] It's been
kind of a strange time
since I saw Dr. Now.
611
00:35:05,867 --> 00:35:10,066
I got his book and started
trying to do his diet and all.
612
00:35:10,066 --> 00:35:13,700
I stayed steady on it
for about a month
after I left Dr. Now's.
613
00:35:13,767 --> 00:35:16,667
And then,
chaos kind of started.
614
00:35:16,667 --> 00:35:18,800
-Are you good?
-[Patrick] Yep.
615
00:35:18,867 --> 00:35:22,867
-[Amanda] All right.
-I'm gonna go through
my exercises in my chair.
616
00:35:22,867 --> 00:35:24,645
I have been
looking at selling
my house for a while.
617
00:35:24,645 --> 00:35:26,567
I have been
looking at selling
my house for a while.
618
00:35:26,567 --> 00:35:28,867
And the market's
kinda good right now.
619
00:35:29,367 --> 00:35:31,000
The house sold.
620
00:35:31,000 --> 00:35:33,367
We packed up
all of the dishes.
The dishes were gone.
621
00:35:33,367 --> 00:35:36,967
And it started getting
harder to do the diet.
622
00:35:39,166 --> 00:35:40,700
[groans softly]
623
00:35:48,800 --> 00:35:52,066
I fell off the exercises
with all the stuff that
was going on.
624
00:35:52,066 --> 00:35:54,645
Still gotta get Dr. Now's
book back out from unpacking.
625
00:35:54,645 --> 00:35:55,667
Still gotta get Dr. Now's
book back out from unpacking.
626
00:35:55,667 --> 00:35:58,900
So I can get back
on all of the exercises
that are in the book.
627
00:35:58,967 --> 00:36:02,567
I remember some of them.
I've been doing those.
628
00:36:02,567 --> 00:36:05,100
Uh, most of the exercises
I've been doing lately
629
00:36:05,100 --> 00:36:07,800
is just with the moving
and the unpacking,
630
00:36:07,867 --> 00:36:11,667
and the... I mean, I've been
pretty much going every day.
631
00:36:13,000 --> 00:36:16,567
[Amanda] You're doing
your exercises a lot better.
632
00:36:16,567 --> 00:36:18,567
You've been very active.
633
00:36:19,100 --> 00:36:19,900
Very.
634
00:36:20,367 --> 00:36:21,767
The moving and...
635
00:36:22,667 --> 00:36:24,645
I'm sore.
636
00:36:24,645 --> 00:36:25,100
I'm sore.
637
00:36:25,100 --> 00:36:26,967
[Amanda] You want to get ready
and go for a walk?
638
00:36:26,967 --> 00:36:27,800
[Patrick] Sure.
639
00:36:28,667 --> 00:36:30,967
[Amanda] Sounds good to me.
640
00:36:30,967 --> 00:36:35,667
[Patrick] I feel much
better with my body now,
since I went to see Dr. Now.
641
00:36:38,300 --> 00:36:40,400
Mobility has got a lot better.
642
00:36:40,467 --> 00:36:42,000
I'm moving around
a lot better.
643
00:36:42,900 --> 00:36:44,700
Go for a walk.
644
00:36:44,767 --> 00:36:46,667
[Patrick] I mean, my legs
and my knees still hurt,
645
00:36:46,667 --> 00:36:49,266
but I'm not getting
out of breath like I was.
646
00:36:49,266 --> 00:36:52,300
It gives me an incentive
to keep going.
647
00:36:52,367 --> 00:36:54,066
And I have something to prove
648
00:36:54,066 --> 00:36:54,645
and it's to prove
that I can do this.
649
00:36:54,645 --> 00:36:56,100
and it's to prove
that I can do this.
650
00:36:57,066 --> 00:36:59,266
-Thank you, baby.
-[Amanda] You're welcome.
651
00:36:59,266 --> 00:37:00,667
-You good?
-[Patrick] Yeah.
652
00:37:00,667 --> 00:37:03,266
[Amanda] You're ready
for walks with us, Daisy?
Come here.
653
00:37:04,700 --> 00:37:07,000
[Patrick] I'm going for walks,
and that's something new.
654
00:37:07,000 --> 00:37:09,066
So, you know,
we're off to a good start.
655
00:37:13,800 --> 00:37:15,133
No.
656
00:37:16,567 --> 00:37:20,367
-[Amanda] You're doing it.
I'm proud of you.
-[Patrick] Yeah.
657
00:37:30,100 --> 00:37:33,200
[gps] In another mile,
your destination will
be on your right.
658
00:37:34,700 --> 00:37:38,867
[Patrick] Well, we
made it back to Houston
for my follow-up with Dr. Now.
659
00:37:38,867 --> 00:37:41,300
There was a slight delay
because of the move.
660
00:37:41,367 --> 00:37:44,467
So I called Dr. Now's office
to ask for an extra month.
661
00:37:46,900 --> 00:37:49,400
Dr. Now gave me
the extra month,
662
00:37:49,467 --> 00:37:51,567
but he fined me
an extra 30 pounds
663
00:37:51,567 --> 00:37:54,100
as a kind of a penalty
for taking too long.
664
00:37:54,166 --> 00:37:54,645
So, instead of 100 pounds
in two months,
665
00:37:54,645 --> 00:37:56,767
So, instead of 100 pounds
in two months,
666
00:37:56,767 --> 00:37:59,700
it became 130 pounds
in three months.
667
00:37:59,767 --> 00:38:02,100
And that just seemed
kind of impossible.
668
00:38:02,100 --> 00:38:04,700
But I worked hard to lose
as much weight as I could.
669
00:38:04,767 --> 00:38:06,667
And I think I did pretty good.
670
00:38:06,667 --> 00:38:09,567
I'm just nervous
that if it's gonna be
as much as it should be.
671
00:38:19,567 --> 00:38:21,567
Patrick.
672
00:38:21,567 --> 00:38:24,645
[Patrick] At my
last appointment,
I weighed 657 pounds.
673
00:38:24,645 --> 00:38:25,066
[Patrick] At my
last appointment,
I weighed 657 pounds.
674
00:38:26,567 --> 00:38:31,000
And Dr. Now told me to lose
130 pounds in three months.
675
00:38:35,400 --> 00:38:39,967
We're gonna weigh you.
Just let me zero this out
and then I'll let you know.
676
00:38:39,967 --> 00:38:42,066
Okay, step up on the scale.
677
00:38:42,066 --> 00:38:44,467
[Patrick] So,
that will put me at 527.
678
00:39:00,467 --> 00:39:02,100
-Go into room five now.
-[Patrick] Okay.
679
00:39:04,000 --> 00:39:05,667
I feel like that
should be a victory for me
680
00:39:05,667 --> 00:39:07,467
because I lost
a lot of weight.
681
00:39:07,467 --> 00:39:10,000
And so, part of me
feels good about that,
682
00:39:10,066 --> 00:39:12,100
but since it's not
to the goal,
683
00:39:12,166 --> 00:39:15,767
I don't think Dr. Now
is going to say I can
move ahead with anything.
684
00:39:15,767 --> 00:39:20,800
So, that's just discouraging,
considering how hard I worked.
685
00:39:20,867 --> 00:39:24,266
So, I'm not really feeling
like this is much of a victory
when it should be.
686
00:39:33,467 --> 00:39:35,600
You should be
proud of yourself.
687
00:39:36,800 --> 00:39:39,300
That's major.
That's nothing little.
688
00:39:39,367 --> 00:39:40,567
[knocks on door]
689
00:39:44,066 --> 00:39:45,667
Hello, how are y'all doing?
690
00:39:45,667 --> 00:39:47,867
-I'm fine, how about you?
-[Dr. Nowzaradan] I'm good.
691
00:39:48,367 --> 00:39:49,400
All right, Patrick.
692
00:39:52,967 --> 00:39:54,645
But you're still far from
the goal I gave you.
693
00:39:54,645 --> 00:39:55,266
But you're still far from
the goal I gave you.
694
00:39:55,266 --> 00:39:57,900
And on top of that,
it's been three months,
695
00:39:57,967 --> 00:40:02,166
so you have been losing
13 to 14 pounds a month,
which is not a lot.
696
00:40:02,166 --> 00:40:04,300
-Right.
-And this is something that
697
00:40:04,367 --> 00:40:07,800
you can lose in one month,
not in three months.
698
00:40:07,867 --> 00:40:11,000
Really, you should have lost
140 pounds at that time,
699
00:40:11,066 --> 00:40:14,166
but even with
the goal of losing 130 pounds,
700
00:40:14,166 --> 00:40:16,467
you are 90 pounds
away from that.
701
00:40:16,467 --> 00:40:19,266
So, you're still not doing
the diet like you should.
702
00:40:19,266 --> 00:40:22,667
-You know what the normal
weight for your height is?
-No.
703
00:40:24,200 --> 00:40:24,645
190 to 200.
704
00:40:24,645 --> 00:40:26,567
190 to 200.
705
00:40:27,800 --> 00:40:29,066
Oh.
706
00:40:29,867 --> 00:40:34,266
That means that
you got 400 pounds
of extra weight to lose.
707
00:40:34,266 --> 00:40:36,500
That means I got
two extra people with me.
708
00:40:36,567 --> 00:40:39,667
But in the way that
you're living with
your weight, right now,
709
00:40:39,667 --> 00:40:42,767
you're rolling the dice that
any day something happens
710
00:40:42,767 --> 00:40:44,500
that will be too much
for your body.
711
00:40:44,567 --> 00:40:47,767
It will be the final straw
and then, next thing you know,
712
00:40:47,767 --> 00:40:48,900
you won't pull through.
713
00:40:48,967 --> 00:40:51,667
And this is a situation
that you have to realize
714
00:40:51,667 --> 00:40:54,645
that this is a very dangerous
way to being 600 pounds
715
00:40:54,645 --> 00:40:55,266
that this is a very dangerous
way to being 600 pounds
716
00:40:55,266 --> 00:40:56,767
and carrying that weight,
717
00:40:56,767 --> 00:41:00,300
and effective data in your
cardiorespiratory system
is just significant.
718
00:41:00,367 --> 00:41:04,667
And if you twist your ankle
and fall and break it,
that will be it for you,
719
00:41:04,667 --> 00:41:07,266
because you end up in a bed
that you won't get out of.
720
00:41:07,266 --> 00:41:09,867
So, what are you gonna do
to prevent that?
721
00:41:09,867 --> 00:41:13,767
I'm gonna keep...
I'm gonna stay on diet
and eat like I'm supposed to.
722
00:41:14,600 --> 00:41:16,667
I mean, I'm gonna
lose more weight.
723
00:41:16,667 --> 00:41:18,567
And then I'll...
When you are...
724
00:41:18,567 --> 00:41:21,066
Tell me when you want me back
and how much weight
you want me to lose,
725
00:41:21,066 --> 00:41:22,700
and I'll be back and I'll...
726
00:41:22,767 --> 00:41:24,645
Well, you know, it should be
very easy for you to lose
50 pounds in one month.
727
00:41:24,645 --> 00:41:27,667
Well, you know, it should be
very easy for you to lose
50 pounds in one month.
728
00:41:27,667 --> 00:41:29,033
-Yes, sir.
-[Dr. Nowzaradan] Okay?
729
00:41:29,033 --> 00:41:32,066
So, I'm gonna give you
another two months
to lose 100 pounds.
730
00:41:32,066 --> 00:41:34,367
-Do you think you can do that?
-Yes, sir.
731
00:41:34,367 --> 00:41:37,300
Okay, all right, Patrick,
I'm glad to see you again
732
00:41:37,367 --> 00:41:39,800
-after you've reached
your follow-up appointment.
-Yes, sir.
733
00:41:39,867 --> 00:41:43,767
-I thought you would
never come back.
-[all laughing]
734
00:41:43,767 --> 00:41:47,767
So, I'm glad you've made
it back so let's work harder
735
00:41:47,767 --> 00:41:50,200
to make better progress
and lose 100 pounds
736
00:41:50,266 --> 00:41:52,266
over the next
two months this time.
737
00:41:52,266 --> 00:41:54,645
-This time, you're gonna
show up, right?
-Yes.
738
00:41:54,645 --> 00:41:54,767
-This time, you're gonna
show up, right?
-Yes.
739
00:41:55,266 --> 00:41:56,333
[laughing]
740
00:41:56,367 --> 00:41:58,700
All right, before you go,
I want to run some tests
741
00:41:58,767 --> 00:42:00,467
to make sure
you're doing okay.
742
00:42:00,467 --> 00:42:04,767
So, we'll get some lab work
on you, do some tests,
and see how things are,
743
00:42:04,767 --> 00:42:08,166
and if there is anything
we need to address, we will,
744
00:42:08,166 --> 00:42:09,800
-okay?
-Okay.
745
00:42:09,867 --> 00:42:12,100
All right.
Well, nice to see you again.
746
00:42:12,166 --> 00:42:14,800
-Nice to see you too.
-And we'll see y'all later.
747
00:42:14,867 --> 00:42:16,266
-Yes, sir.
-Bye.
748
00:42:22,000 --> 00:42:24,645
I been thinking about it,
eggs are 160 calories apiece.
749
00:42:24,645 --> 00:42:26,000
I been thinking about it,
eggs are 160 calories apiece.
750
00:42:27,166 --> 00:42:29,600
But it's still too much,
so you've gotta cut back more.
751
00:42:30,300 --> 00:42:31,800
I know.
752
00:42:31,867 --> 00:42:37,367
I'm obviously disappointed
to see such little progress
with Patrick.
753
00:42:37,367 --> 00:42:40,367
I'm glad that he at least
started to lose some weight.
754
00:42:40,367 --> 00:42:43,667
But losing around
13 to 14 pounds a month
755
00:42:43,667 --> 00:42:48,667
is not nearly fast enough
to reduce the strain on
his body, how he needs.
756
00:42:48,667 --> 00:42:51,100
He needs to start doing
a lot better right now.
757
00:42:51,166 --> 00:42:53,266
Not only to move ahead
with the program,
758
00:42:53,266 --> 00:42:54,645
but to avoid getting his body
to a breaking point soon.
759
00:42:54,645 --> 00:42:56,800
but to avoid getting his body
to a breaking point soon.
760
00:42:56,867 --> 00:42:59,967
So hopefully,
he's taking this seriously
enough to do that,
761
00:42:59,967 --> 00:43:03,500
because he doesn't
have a lot of time
to keep making excuses
762
00:43:03,567 --> 00:43:08,367
and blaming other
things instead of taking
responsibility like he needs.
763
00:43:10,767 --> 00:43:13,166
[Patrick] It didn't go
as bad as I thought
it would be because
764
00:43:13,166 --> 00:43:15,200
they didn't give me
as hard time as I thought,
765
00:43:15,266 --> 00:43:19,200
because I did lose some
weight, just not as much
as he wanted me to.
766
00:43:21,700 --> 00:43:24,645
But now, I'm determined
as ever and I'm gonna
keep at it and do better.
767
00:43:24,645 --> 00:43:25,667
But now, I'm determined
as ever and I'm gonna
keep at it and do better.
768
00:43:26,800 --> 00:43:28,867
I'm gonna do it,
there's no doubt in my mind.
769
00:43:28,867 --> 00:43:32,066
I have too many people
that I want to be
around for longer
770
00:43:32,066 --> 00:43:35,367
and gonna do stuff with
that I'm not gonna let down.
771
00:43:58,100 --> 00:44:00,567
[Patrick] Are y'all
ready to go camping?
772
00:44:00,567 --> 00:44:02,667
We ain't been
in quite a while.
773
00:44:02,667 --> 00:44:05,300
[Amanda] I'm excited.
This is gonna be nice.
774
00:44:11,100 --> 00:44:12,494
[Patrick] Since
my appointment with Dr. Now,
775
00:44:12,494 --> 00:44:12,867
[Patrick] Since
my appointment with Dr. Now,
776
00:44:12,867 --> 00:44:15,367
the progress has been
going pretty good.
777
00:44:15,367 --> 00:44:19,700
I've been dieting, exercising,
and getting more active.
778
00:44:19,767 --> 00:44:21,500
I feel like I've lost
enough weight.
779
00:44:21,567 --> 00:44:23,200
I can take them camping now.
780
00:44:23,266 --> 00:44:26,100
It's been a really long time
since we went and done it,
781
00:44:26,166 --> 00:44:30,000
so it will be something fun
for us all to go out and do.
782
00:44:30,066 --> 00:44:33,967
-[Amanda] Right here
a good spot for the tent?
-[Patrick] Looks good to me.
783
00:44:33,967 --> 00:44:35,667
Camping makes me happy,
784
00:44:35,667 --> 00:44:40,500
because Patrick is
getting to where he can
785
00:44:40,567 --> 00:44:42,494
and wants to do the things
that he likes to do, again.
786
00:44:42,494 --> 00:44:44,266
and wants to do the things
that he likes to do, again.
787
00:44:44,266 --> 00:44:49,400
And he's trying to spend time
with Haley and myself.
788
00:44:49,467 --> 00:44:52,200
And I'm just
looking forward to it.
789
00:44:52,266 --> 00:44:53,567
It's a good surprise.
790
00:44:53,567 --> 00:44:56,900
-Y'all wanna go for a walk?
-Yeah, that's fine.
791
00:44:56,967 --> 00:44:59,800
-[Amanda] Mmm-hmm.
-[Patrick] Well,
let's do it then.
792
00:45:05,100 --> 00:45:05,900
Oh.
793
00:45:10,467 --> 00:45:12,494
[Patrick breathing heavily]
794
00:45:12,494 --> 00:45:13,100
[Patrick breathing heavily]
795
00:45:26,967 --> 00:45:32,000
[coughing]
796
00:45:39,166 --> 00:45:41,100
It's the congestion, man.
797
00:45:42,367 --> 00:45:42,494
It's kicking my ass.
798
00:45:42,494 --> 00:45:44,500
It's kicking my ass.
799
00:45:44,567 --> 00:45:46,200
[breathing heavily]
800
00:46:10,700 --> 00:46:12,166
[Amanda] Maybe
we shouldn't stay the night.
801
00:46:12,166 --> 00:46:12,494
Maybe we should
just pack up and go home.
802
00:46:12,494 --> 00:46:14,467
Maybe we should
just pack up and go home.
803
00:46:14,467 --> 00:46:17,000
We tried. Next time.
804
00:46:18,600 --> 00:46:20,667
Maybe we'll
do better next time.
805
00:46:20,667 --> 00:46:22,300
I think it's a good idea.
806
00:46:23,667 --> 00:46:25,367
-All right.
-[Amanda] All right.
807
00:46:27,867 --> 00:46:29,567
You wanna help me
pack up, Hay-bug?
808
00:46:29,567 --> 00:46:32,066
-[Haley] Yeah, I'm
gonna help you pack up.
-[Amanda] Okay.
809
00:46:33,800 --> 00:46:35,000
-Come on.
-Let's get you a drink.
810
00:46:37,000 --> 00:46:40,166
-[Haley] Can you fold
your chair up?
-[Patrick] Yeah.
811
00:46:42,066 --> 00:46:42,494
Try to get the chair.
812
00:46:42,494 --> 00:46:43,567
Try to get the chair.
813
00:46:44,967 --> 00:46:48,266
[Patrick] I was feeling good.
I wanted to come
camping today.
814
00:46:48,266 --> 00:46:51,166
I've just kind of overdone it.
I'm not ready for it yet.
815
00:46:51,166 --> 00:46:54,300
So, we're gonna
get back home and eat,
816
00:46:54,367 --> 00:46:58,767
and maybe in a month
or so, I'll try it again,
once I've lost more weight,
817
00:46:58,767 --> 00:47:00,600
and we'll come back
and try it again.
818
00:47:09,867 --> 00:47:12,494
Going to see Dr. Now
for the next appointment
819
00:47:12,494 --> 00:47:13,000
Going to see Dr. Now
for the next appointment
820
00:47:13,066 --> 00:47:13,967
to see where my weight's at.
821
00:47:14,867 --> 00:47:16,667
I don't know,
I've been sick.
822
00:47:16,667 --> 00:47:19,367
I know I haven't
done that great on my diet.
823
00:47:19,367 --> 00:47:21,867
I've tried,
but I could have done better.
824
00:47:39,500 --> 00:47:42,494
Here we are,
back in Houston for my
next follow-up with Dr. Now.
825
00:47:42,494 --> 00:47:43,467
Here we are,
back in Houston for my
next follow-up with Dr. Now.
826
00:47:43,467 --> 00:47:46,700
And we're gonna see
how much weight I've lost.
827
00:47:46,767 --> 00:47:50,066
I'm a little worried because
I got sick after camping,
828
00:47:50,066 --> 00:47:52,367
and I've been sick,
pretty much, the whole month.
829
00:47:54,467 --> 00:47:56,467
So all I could do
was rest in bed,
830
00:47:56,467 --> 00:48:00,100
and I couldn't really focus
on what I needed to do
for the program.
831
00:48:00,166 --> 00:48:01,700
So, I made
a little bit of progress,
832
00:48:01,767 --> 00:48:03,467
but I don't know
if it's gonna be enough.
833
00:48:06,900 --> 00:48:07,767
Patrick.
834
00:48:17,100 --> 00:48:18,166
[Patrick] Hi, how are you?
835
00:48:20,767 --> 00:48:24,066
At my last appointment,
I was down to 616,
836
00:48:24,066 --> 00:48:28,266
and Dr. Now told me
to lose another 100 pounds
over the last two months.
837
00:48:29,900 --> 00:48:31,467
Step up on the scale.
838
00:48:32,767 --> 00:48:35,967
[Patrick] So, that would
put me at 516.
839
00:48:48,867 --> 00:48:50,300
Hm, that's not good.
840
00:48:51,400 --> 00:48:52,600
[sighs]
841
00:48:55,867 --> 00:48:58,266
-We're going to be
going to room five.
-All right.
842
00:49:00,166 --> 00:49:02,767
Good Lord,
that's not okay.
843
00:49:02,767 --> 00:49:04,800
What the heck
happened with that?
844
00:49:07,066 --> 00:49:10,300
There's only one way
this is gonna go with
Dr. Now at this point.
845
00:49:12,567 --> 00:49:14,900
And it's not the way
you daydream about.
846
00:49:19,166 --> 00:49:20,300
[knock on door]
847
00:49:24,266 --> 00:49:26,467
-Hello, how are y'all doing?
-[Patrick] Fine. You?
848
00:49:26,467 --> 00:49:27,767
[Dr. Nowzaradan]
I'm good. Thank you.
849
00:49:27,767 --> 00:49:30,367
All right. Good to see
you all again.
850
00:49:30,367 --> 00:49:32,100
How was your trip down here?
851
00:49:32,800 --> 00:49:34,000
It was all right.
852
00:49:34,066 --> 00:49:36,100
Long drive, but it was good.
853
00:49:36,166 --> 00:49:38,166
And how many hours
did you have to drive?
854
00:49:38,767 --> 00:49:40,200
Hmm, about 11.
855
00:49:40,266 --> 00:49:42,066
One day or two days or what?
856
00:49:42,066 --> 00:49:42,494
No, we just
drive straight here.
857
00:49:42,494 --> 00:49:43,767
No, we just
drive straight here.
858
00:49:43,767 --> 00:49:46,867
Well, all that travel puts
a lot of strain on your body
859
00:49:46,867 --> 00:49:48,767
with your weight
and your condition.
860
00:49:48,767 --> 00:49:51,000
So, I don't think you should
make that trip again,
861
00:49:51,000 --> 00:49:54,500
because there is no point
if you're not making
the changes you need.
862
00:49:54,567 --> 00:49:58,600
Especially at this time,
it looked like you almost
gained 30 pounds.
863
00:49:58,667 --> 00:50:02,600
-So, what happened?
-I've been sick.
I had, like, the flu.
864
00:50:02,667 --> 00:50:06,166
-But that's really no excuse.
-Some people have flu,
they'll lose a lot of weight.
865
00:50:06,166 --> 00:50:09,600
-And they don't gain weight.
-No, not me. [chuckles]
866
00:50:09,667 --> 00:50:12,367
Well, make a better story.
867
00:50:12,367 --> 00:50:12,494
Now, I don't really have
any excuses, I mean,
I wasn't eating right.
868
00:50:12,494 --> 00:50:17,100
Now, I don't really have
any excuses, I mean,
I wasn't eating right.
869
00:50:17,166 --> 00:50:19,000
So what is your objective
coming here,
870
00:50:19,000 --> 00:50:21,967
if you just plan to keep
doing whatever you want,
871
00:50:21,967 --> 00:50:24,000
and making excuses
and telling me
872
00:50:24,000 --> 00:50:26,767
you didn't follow the diet
and you were sick, and...
873
00:50:26,767 --> 00:50:28,200
-Nah.
-Why come in
874
00:50:28,266 --> 00:50:30,100
all the way to tell me that?
875
00:50:31,166 --> 00:50:33,200
I don't know.
876
00:50:33,266 --> 00:50:36,000
So what is your objective
here? What do you expect
877
00:50:36,000 --> 00:50:37,700
that we can do for you?
878
00:50:37,700 --> 00:50:40,467
There's nothing about my
weight that you can do for me.
I mean, I need to show that
879
00:50:40,467 --> 00:50:42,494
I can lose the weight.
And I can lose the weight.
880
00:50:42,494 --> 00:50:42,567
I can lose the weight.
And I can lose the weight.
881
00:50:43,700 --> 00:50:45,567
I just have to get off
my own butt and do it.
882
00:50:45,567 --> 00:50:47,467
If you are coming here,
883
00:50:47,467 --> 00:50:51,500
and you, clearly, you're
not taking this seriously
and think this is a joke.
884
00:50:51,567 --> 00:50:53,500
But there is no magic
to save you.
885
00:50:53,567 --> 00:50:58,266
It's not gonna be me that
saves you. It's not gonna be
your wife or your daughter.
886
00:50:58,266 --> 00:50:59,767
Our magic is you.
887
00:50:59,767 --> 00:51:01,967
And follow the instructions
that we gave you.
888
00:51:02,600 --> 00:51:03,700
You don't wanna
889
00:51:03,700 --> 00:51:06,867
follow those and you want me
to make you lose weight.
890
00:51:06,867 --> 00:51:09,867
I'mma go do the diet like
I'm supposed to and eat
like I'm supposed to.
891
00:51:09,867 --> 00:51:11,567
But you didn't do anything
about it the last
892
00:51:11,567 --> 00:51:12,494
-six months.
-Okay.
893
00:51:12,494 --> 00:51:12,767
-six months.
-Okay.
894
00:51:12,767 --> 00:51:15,000
I'm tired of... I'm tired
of doing... Whatever.
895
00:51:15,066 --> 00:51:19,400
You keep showing me that
you're not serious about
saving your life, Patrick.
896
00:51:19,467 --> 00:51:22,767
In six months, you should've
been able to lose
a whole lot more.
897
00:51:22,767 --> 00:51:24,567
And you got a lot
of health issues.
898
00:51:24,567 --> 00:51:26,066
When you do check
your heart, make sure
899
00:51:26,066 --> 00:51:27,967
that you have an angio
900
00:51:27,967 --> 00:51:31,066
and see what's going on,
because your body
is close to giving up.
901
00:51:31,066 --> 00:51:34,567
And this is all a result
of overeating and not
losing weight.
902
00:51:34,567 --> 00:51:35,667
Do you understand that?
903
00:51:35,667 --> 00:51:36,567
[Patrick] Yes, sir.
904
00:51:36,567 --> 00:51:38,000
How much you can do
before you get
905
00:51:38,066 --> 00:51:39,567
that chest pain?
906
00:51:42,166 --> 00:51:42,494
It don't always just come up
when I'm doing something.
It may come up
907
00:51:42,494 --> 00:51:47,166
It don't always just come up
when I'm doing something.
It may come up
908
00:51:48,300 --> 00:51:49,667
just out of the blue.
909
00:51:50,600 --> 00:51:52,300
So how often you get that?
910
00:51:52,867 --> 00:51:53,967
Every day.
911
00:51:53,967 --> 00:51:54,867
Every day?
912
00:51:54,867 --> 00:51:56,300
Mostly in the afternoon?
913
00:51:58,000 --> 00:52:01,100
All right, let me get an EKG,
see what's going on
with your heart.
914
00:52:01,100 --> 00:52:02,166
All right.
915
00:52:02,166 --> 00:52:03,867
All right, Patrick.
At this point,
916
00:52:03,867 --> 00:52:05,500
you need to figure
out your life,
917
00:52:05,500 --> 00:52:08,467
and you're gonna have
to figure out what you're
gonna do from this point on.
918
00:52:08,467 --> 00:52:09,834
But in the meantime,
919
00:52:09,834 --> 00:52:12,494
I don't have an answer
for you. You have
to figure that out.
920
00:52:12,494 --> 00:52:12,567
I don't have an answer
for you. You have
to figure that out.
921
00:52:12,567 --> 00:52:15,467
So we'll get the updated
bloodwork on you
and see how
922
00:52:15,467 --> 00:52:17,500
-badly--
-You don't need to do
all that, you have
923
00:52:17,567 --> 00:52:18,967
no answers for it.
924
00:52:18,967 --> 00:52:19,967
Answer for what?
925
00:52:19,967 --> 00:52:22,467
You said you have
no answers for it.
926
00:52:22,467 --> 00:52:23,467
Well...
927
00:52:23,467 --> 00:52:24,767
[Patrick chuckles]
928
00:52:24,767 --> 00:52:26,000
-Well, what?
-We have
929
00:52:26,066 --> 00:52:28,066
answers for you, but you're
not following those.
930
00:52:29,066 --> 00:52:30,600
And now, you will
come in defensive,
931
00:52:30,667 --> 00:52:34,166
and that is our fault
that we're not doing
anything for you?
932
00:52:34,166 --> 00:52:35,667
No, I didn't say that.
933
00:52:35,667 --> 00:52:37,166
What's your problem then?
934
00:52:37,166 --> 00:52:39,667
We're giving you
the instructions
and you're blaming
935
00:52:39,667 --> 00:52:41,900
us that we're not doing
anything for you.
936
00:52:41,967 --> 00:52:42,494
I'm not blamin' for ya.
I never said you weren't
doing anything.
937
00:52:42,494 --> 00:52:44,567
I'm not blamin' for ya.
I never said you weren't
doing anything.
938
00:52:44,567 --> 00:52:46,667
So, well, you have
diabetes because
939
00:52:46,667 --> 00:52:48,066
you're overeating.
940
00:52:48,066 --> 00:52:51,066
What problem with that
you didn't understand
941
00:52:51,066 --> 00:52:52,667
the past six months
you've been here?
942
00:52:54,100 --> 00:52:55,266
Okay.
943
00:52:55,266 --> 00:52:58,166
And so when I say we needed
some lab work for you--
944
00:52:58,166 --> 00:52:59,433
I'll give you lab work.
945
00:52:59,467 --> 00:53:02,900
I'll give you lab work.
I'm just tired of
listening to it.
946
00:53:02,967 --> 00:53:04,700
Do whatever you need
to do to help.
947
00:53:06,266 --> 00:53:07,967
Well, Patrick.
948
00:53:07,967 --> 00:53:12,200
You gotta get your life in
order, you gotta get your
attitude in the right place.
949
00:53:12,266 --> 00:53:12,494
You gotta make decisions
950
00:53:12,494 --> 00:53:13,867
You gotta make decisions
951
00:53:13,867 --> 00:53:16,066
in your life, what to do,
what not to do.
952
00:53:16,066 --> 00:53:17,533
That's true.
953
00:53:17,533 --> 00:53:19,867
And those things are something
that you're gonna have
to figure out.
954
00:53:19,867 --> 00:53:20,767
Right?
955
00:53:21,767 --> 00:53:23,367
-That's right.
-[Dr. Nowzaradan] Okay.
956
00:53:23,367 --> 00:53:27,467
So we're gonna find a local
clinic for you to go to
in two months
957
00:53:27,467 --> 00:53:30,467
to see if you're actually
losing weight.
958
00:53:30,467 --> 00:53:35,100
I'm gonna give you an easier
goal to only lose 80 pounds
in two months.
959
00:53:35,100 --> 00:53:37,767
And see if that will
help your weight. Okay?
960
00:53:38,400 --> 00:53:40,166
[Patrick] All right.
961
00:53:40,166 --> 00:53:42,467
[Dr. Nowzaradan] All right.
Any other questions?
962
00:53:42,467 --> 00:53:42,494
[Patrick] No.
963
00:53:42,494 --> 00:53:43,300
[Patrick] No.
964
00:53:46,500 --> 00:53:47,367
[Dr. Nowzaradan] All right.
965
00:53:51,400 --> 00:53:52,800
[Patrick exhales deeply]
966
00:53:56,900 --> 00:53:59,667
[sniffles and sighs]
967
00:53:59,667 --> 00:54:02,800
Anyway, I'll be back and see
you after your EKG, okay?
968
00:54:02,867 --> 00:54:04,467
-[Patrick] All right.
-All right.
969
00:54:10,800 --> 00:54:12,494
-[Patrick sighs]
-[door closes]
970
00:54:12,494 --> 00:54:12,767
-[Patrick sighs]
-[door closes]
971
00:54:14,467 --> 00:54:15,667
[Patrick sniffles]
972
00:54:16,800 --> 00:54:20,266
[Amanda] We're gonna
get you back on track.
973
00:54:20,266 --> 00:54:23,000
Not with him.
I won't be back here.
974
00:54:23,000 --> 00:54:26,100
-Yes, you will.
-No, I won't.
975
00:54:26,166 --> 00:54:32,200
He just wants what's best
for you and you to
get back on track
976
00:54:32,266 --> 00:54:34,767
and do what needs to be done.
977
00:54:35,800 --> 00:54:38,066
This is [bleep]. [sniffles]
978
00:54:38,066 --> 00:54:39,100
He gives you a [bleep] book
979
00:54:39,100 --> 00:54:40,767
and a piece of paper.
That's it.
980
00:54:41,700 --> 00:54:42,494
Doctor Now's appointment
didn't go very good.
981
00:54:42,494 --> 00:54:43,800
Doctor Now's appointment
didn't go very good.
982
00:54:45,166 --> 00:54:47,467
He wasn't happy because
I gained some weight.
983
00:54:47,467 --> 00:54:51,200
I'm gonna go back home
and hit the diet hard
984
00:54:51,266 --> 00:54:53,467
and come back,
and hopefully...
985
00:54:54,767 --> 00:54:56,367
have lost some weight
this time.
986
00:54:58,200 --> 00:54:59,667
It is unfortunate
987
00:54:59,667 --> 00:55:02,667
that Patrick has continued his
pattern of making excuses,
988
00:55:02,667 --> 00:55:04,867
instead of taking
responsibility.
989
00:55:04,867 --> 00:55:10,100
And in the condition he's in,
there is no point in him
continuing to come down here
990
00:55:10,166 --> 00:55:12,494
and put all that strain on his
body travelling, if this is
all he's gonna do.
991
00:55:12,494 --> 00:55:14,667
and put all that strain on his
body travelling, if this is
all he's gonna do.
992
00:55:14,667 --> 00:55:16,767
So we'll set up a local clinic
993
00:55:16,767 --> 00:55:18,867
to check his progress
in a couple months.
994
00:55:18,867 --> 00:55:20,700
But if he hasn't started
to show me
995
00:55:20,767 --> 00:55:24,166
he's going to get serious and
do what he needs by then,
996
00:55:24,166 --> 00:55:27,500
then we won't be continuing
with Patrick because it will
997
00:55:27,567 --> 00:55:29,767
be clear he doesn't
intend to change.
998
00:55:30,367 --> 00:55:31,200
[Patrick] Whoa.
999
00:55:45,700 --> 00:55:48,166
[Patrick] Kinda nervous
about this.
1000
00:55:48,166 --> 00:55:50,800
[Amanda] You don't have
any reason to be nervous.
You're gonna do good.
1001
00:55:56,166 --> 00:55:58,800
[Patrick] This month,
I decided to join a gym.
1002
00:55:58,867 --> 00:56:02,000
So that I can get a trainer
and push myself even harder.
1003
00:56:02,000 --> 00:56:05,165
It's a little scary and
intimidating to go out
and do something like this
1004
00:56:05,165 --> 00:56:06,000
It's a little scary and
intimidating to go out
and do something like this
1005
00:56:06,000 --> 00:56:07,867
when you've been trapped
at home on the couch
1006
00:56:07,867 --> 00:56:10,667
for years.
So I'm fighting through that.
1007
00:56:10,667 --> 00:56:14,066
And I'm happy that Amanda
will come with me for
moral support.
1008
00:56:22,867 --> 00:56:24,100
[woman] Hey, guys! Hi.
1009
00:56:24,166 --> 00:56:25,467
I'm Victoria.
What's your name?
1010
00:56:25,467 --> 00:56:27,166
-I'm Patrick.
-Patrick, it's nice
to meet you.
1011
00:56:27,166 --> 00:56:30,000
So this is our other trainer,
Matt. So he's gonna be
working with us today.
1012
00:56:30,066 --> 00:56:32,367
-How you doing? Coach Matt.
-[Victoria] Ready for
our workout today?
1013
00:56:32,367 --> 00:56:33,467
I guess.
1014
00:56:33,467 --> 00:56:34,667
-Follow me.
-All right.
1015
00:56:35,800 --> 00:56:37,200
All right,
1016
00:56:37,200 --> 00:56:39,600
so the first movement
is gonna be that sled
push right there.
1017
00:56:39,667 --> 00:56:41,467
I'm not looking for speed
right here. I'm just looking
1018
00:56:41,467 --> 00:56:43,867
for you to push it,
kinda head down,
1019
00:56:43,867 --> 00:56:46,367
and then, again,
the other way back.
1020
00:56:49,700 --> 00:56:52,000
All right, yep. Start pushing.
There you go.
1021
00:56:53,166 --> 00:56:54,567
[Matt] There you go. Good.
1022
00:56:54,567 --> 00:56:57,667
[Victoria] Very good.
All the way down to Matt.
Now we're gonna
1023
00:56:57,667 --> 00:56:59,767
lean backwards and come back.
1024
00:56:59,767 --> 00:57:02,867
Baby steps. Baby steps.
Very good. We're gonna go
1025
00:57:02,867 --> 00:57:05,165
back over by the straps.
How're you feeling so far?
1026
00:57:05,165 --> 00:57:05,367
back over by the straps.
How're you feeling so far?
1027
00:57:05,367 --> 00:57:06,867
-All right.
-[Victoria] All right?
1028
00:57:07,667 --> 00:57:09,967
I'm just breathin' heavy.
1029
00:57:09,967 --> 00:57:12,867
That's okay. You should see
our workouts. You'd breathe
heavy too.
1030
00:57:12,867 --> 00:57:15,400
It's a significant emotional
event over there sometimes.
1031
00:57:15,467 --> 00:57:17,600
[both laugh]
1032
00:57:19,900 --> 00:57:21,567
It's okay.
1033
00:57:21,567 --> 00:57:23,367
-You're doing good though.
-Yeah.
1034
00:57:23,367 --> 00:57:25,400
[Matt] Hold the handles
however you feel
for the squats.
1035
00:57:26,467 --> 00:57:28,000
This thing ain't gonna
pull over, right?
1036
00:57:28,066 --> 00:57:29,500
Nope. It's good.
It's anchored to the floor.
1037
00:57:29,567 --> 00:57:32,867
We're gonna lean, okay?
Just back a little bit.
1038
00:57:32,867 --> 00:57:34,967
Not a whole lot of it.
Just a little bit.
1039
00:57:34,967 --> 00:57:35,165
Okay? See, we're having fun.
That's the whole point
of this, right?
1040
00:57:35,165 --> 00:57:37,667
Okay? See, we're having fun.
That's the whole point
of this, right?
1041
00:57:39,667 --> 00:57:40,867
It looked like Patrick
1042
00:57:40,867 --> 00:57:42,667
was having fun at the gym.
If you're not having fun,
1043
00:57:42,667 --> 00:57:44,233
or at least,
you know, laughing
1044
00:57:44,266 --> 00:57:47,266
and enjoying yourself during
a session, you're not with
the right trainer.
1045
00:57:47,266 --> 00:57:51,166
I'm absolutely very proud of
Patrick and the fact that he
took that first initial step
1046
00:57:51,166 --> 00:57:53,266
to kind of set that
foundation for himself.
1047
00:57:53,266 --> 00:57:54,867
New things are
really intimidating.
1048
00:57:54,867 --> 00:57:57,567
And like I said, it adds
and amplifies the anxiety,
1049
00:57:57,567 --> 00:57:58,900
so the fact that
he took that step
1050
00:57:58,967 --> 00:58:00,900
to be like, "You know what?
I wanna be healthier,"
1051
00:58:00,967 --> 00:58:02,300
is something to be
really proud of.
1052
00:58:02,367 --> 00:58:03,800
Yeah, you're gonna
be sore tomorrow.
1053
00:58:03,867 --> 00:58:05,100
-I imagine.
-Probably the next day.
1054
00:58:05,100 --> 00:58:05,165
[all laugh]
1055
00:58:05,165 --> 00:58:06,433
[all laugh]
1056
00:58:06,433 --> 00:58:09,300
That's all right. That just
means the muscles
are growing.
1057
00:58:09,367 --> 00:58:10,567
[Patrick] The workout
was good.
1058
00:58:10,567 --> 00:58:13,500
I enjoyed it. I was real
nervous when we
first came in,
1059
00:58:13,567 --> 00:58:17,100
but the instructors I had,
they made it enjoyable.
1060
00:58:17,100 --> 00:58:18,400
All right, we'll see
y'all again.
1061
00:58:18,467 --> 00:58:19,767
[Amanda] Thank you,
see you again.
1062
00:58:19,767 --> 00:58:21,667
[Victoria] Now we will
see you again, though.
1063
00:58:24,367 --> 00:58:27,800
[Patrick breathing heavily]
1064
00:58:31,667 --> 00:58:34,100
Yeah, that workout
did get my legs.
1065
00:58:34,100 --> 00:58:35,165
[panting]
1066
00:58:35,165 --> 00:58:36,400
[panting]
1067
00:58:49,400 --> 00:58:52,700
[Patrick] We're headed
to the local clinic Dr. Now
set up for me to go check
1068
00:58:52,767 --> 00:58:54,100
my weight and see
where I'm at.
1069
00:58:55,900 --> 00:58:57,767
I know I've worked to do
better the last
1070
00:58:57,767 --> 00:59:02,166
two months. And I'm really
hoping how I've applied
myself pays off today.
1071
00:59:06,266 --> 00:59:07,166
[Amanda] Thank you,
1072
00:59:07,166 --> 00:59:08,166
[nurse] Hey, how are ya?
1073
00:59:08,166 --> 00:59:09,600
-[Amanda] Good. How are you?
-[nurse] Good.
1074
00:59:13,266 --> 00:59:16,266
Okay, go ahead and step up
on the scale.
1075
00:59:16,266 --> 00:59:19,867
[Patrick] At my last
appointment, I was
at 642. And Dr. Now
1076
00:59:19,867 --> 00:59:22,066
told me that I need to lose
at least 80 pounds
1077
00:59:22,066 --> 00:59:24,567
over the last two months.
So if I made it
1078
00:59:24,567 --> 00:59:26,867
to that, I'll be at 562 today.
1079
00:59:37,000 --> 00:59:38,567
-[Patrick] Doing good.
-[Amanda] Yeah.
1080
00:59:38,567 --> 00:59:39,400
[nurse chuckles]
1081
00:59:41,367 --> 00:59:42,467
[Patrick] Yay!
1082
00:59:42,467 --> 00:59:43,367
Okay, Patrick.
We're gonna
1083
00:59:43,367 --> 00:59:44,800
get right into this room
right here.
1084
00:59:44,867 --> 00:59:46,600
Yes, ma'am.
1085
00:59:48,967 --> 00:59:51,767
[Patrick] That's a lot
of progress. But I'm not
sure if it's gonna be enough
1086
00:59:51,767 --> 00:59:53,200
for Dr. Now.
1087
00:59:56,266 --> 00:59:59,867
[cell phone ringing]
1088
01:00:01,200 --> 01:00:02,133
Hello.
1089
01:00:02,967 --> 01:00:04,867
-Hi, how are you?
- I'm doing okay.
1090
01:00:04,867 --> 01:00:05,165
So how was your
appointment today?
1091
01:00:05,165 --> 01:00:06,567
So how was your
appointment today?
1092
01:00:06,567 --> 01:00:09,367
I was 591 today
when I weighed in.
1093
01:00:09,367 --> 01:00:12,000
[Dr. Now] All right,
so you lost 51 pounds.
1094
01:00:12,066 --> 01:00:13,467
[Patrick] Yes, sir.
1095
01:00:13,467 --> 01:00:16,000
So I know I didn't do as good
as you wanted me to do,
but I am,
1096
01:00:16,000 --> 01:00:18,667
I mean, I am trying
at losing weight.
1097
01:00:18,667 --> 01:00:21,100
[Dr. Nowzaradan]
Well, you're right.
You haven't lost the amount
1098
01:00:21,100 --> 01:00:22,834
of weight that
you should have,
1099
01:00:22,834 --> 01:00:25,867
but at least you're showing
me you're willing to try
and take this seriously.
1100
01:00:25,867 --> 01:00:28,066
So, Patrick,
at this point,
1101
01:00:28,066 --> 01:00:30,266
I'm gonna approve you
for weight-loss surgery.
1102
01:00:31,266 --> 01:00:33,000
Okay, well, that's great.
1103
01:00:33,000 --> 01:00:35,165
[Dr. Nowzaradan] But there
are two things you need
to do first. Firstly,
1104
01:00:35,165 --> 01:00:36,266
[Dr. Nowzaradan] But there
are two things you need
to do first. Firstly,
1105
01:00:36,266 --> 01:00:38,667
you need to move back
to Houston.
1106
01:00:38,667 --> 01:00:42,100
Then second, I want you to
lose 30 pounds
while you're still at home
1107
01:00:42,100 --> 01:00:44,467
from the last goal
I gave you, okay?
1108
01:00:44,900 --> 01:00:46,467
Yes, sir.
1109
01:00:46,500 --> 01:00:51,400
All right. So let's start
working harder on
your eating habit,
1110
01:00:51,467 --> 01:00:54,100
and let me know when you
can get down to Houston.
1111
01:00:54,767 --> 01:00:56,367
All right, I will do that.
1112
01:00:56,367 --> 01:00:57,867
[Dr. Nowzaradan] It doesn't
mean that you can
1113
01:00:57,867 --> 01:01:01,000
take that as a victory lap
and start eating, okay?
1114
01:01:01,000 --> 01:01:02,266
- [chuckles]
-So let's
1115
01:01:03,100 --> 01:01:04,333
work harder
1116
01:01:04,333 --> 01:01:05,165
and stay on track so we can
move ahead with you, okay?
1117
01:01:05,165 --> 01:01:08,200
and stay on track so we can
move ahead with you, okay?
1118
01:01:08,266 --> 01:01:10,066
[Patrick] All right,
thank you.
1119
01:01:10,066 --> 01:01:11,000
All right, Patrick,
1120
01:01:11,000 --> 01:01:12,900
let me know if you
need anything.
1121
01:01:12,967 --> 01:01:14,367
Yes, sir. Thank you.
1122
01:01:15,467 --> 01:01:17,700
- All right. Bye now.
-Bye.
1123
01:01:17,767 --> 01:01:19,266
-Mmm-hmm.
-Take care.
1124
01:01:19,266 --> 01:01:20,567
You, too.
1125
01:01:21,467 --> 01:01:22,967
That wasn't as bad
as you thought it was
1126
01:01:22,967 --> 01:01:24,400
-gonna be, was it?
-No,
1127
01:01:24,467 --> 01:01:25,400
not at all.
1128
01:01:26,667 --> 01:01:29,266
-Are you excited
about it all?
-Yeah,
1129
01:01:29,266 --> 01:01:31,400
I can get the surgery and lose
a whole lotta weight.
1130
01:01:33,266 --> 01:01:34,867
[nurse] Okay, we're all ready
to walk you out.
1131
01:01:39,567 --> 01:01:41,667
[Patrick] I'm very excited
to be approved.
1132
01:01:41,667 --> 01:01:44,500
I didn't think the call was
gonna go as well as it did.
1133
01:01:44,567 --> 01:01:46,066
So I'm feeling really good.
1134
01:01:49,000 --> 01:01:51,166
-[nurse] All right.
-[Patrick] Y'all have
a good day.
1135
01:01:51,166 --> 01:01:54,567
But it's gonna take a lot
for me and Amanda to
move to Houston.
1136
01:01:54,567 --> 01:01:56,567
So we have to start
working on that.
1137
01:01:56,567 --> 01:02:00,667
But that's why we got a place
with a short-term lease.
To prepare for this.
1138
01:02:00,667 --> 01:02:03,667
So we'll figure out what we
need to make this happen.
1139
01:02:03,667 --> 01:02:05,165
Because I've worked
really hard to achieve this
and get here today.
1140
01:02:05,165 --> 01:02:07,567
Because I've worked
really hard to achieve this
and get here today.
1141
01:02:07,567 --> 01:02:09,066
So whatever it takes
to keep going
1142
01:02:09,066 --> 01:02:11,767
and make it happen,
I'm gonna do it.
1143
01:02:31,567 --> 01:02:33,000
[Haley] Here, Dad.
1144
01:02:33,000 --> 01:02:34,634
[Patrick] You want this to go?
1145
01:02:34,634 --> 01:02:36,967
[Haley] Yeah, I want you to
take that to Texas, 'cause
I want it when I come.
1146
01:02:36,967 --> 01:02:38,800
[Patrick] Okay. Well,
help me fold it up.
1147
01:02:41,066 --> 01:02:43,100
Just, you got kind
of a mess here, kid.
1148
01:02:45,300 --> 01:02:46,667
I don't have a mess.
1149
01:02:47,467 --> 01:02:49,600
Well, where's the
damn corners?
1150
01:02:49,667 --> 01:02:50,361
[Haley laughs]
1151
01:02:50,361 --> 01:02:51,066
[Haley laughs]
1152
01:02:51,066 --> 01:02:52,200
[Amanda] It is a mess.
1153
01:02:57,000 --> 01:02:58,967
[Patrick] Well, I got
my surgery approval.
1154
01:02:58,967 --> 01:03:01,266
And that means
we're moving to Houston.
1155
01:03:01,266 --> 01:03:03,667
We found a place and we're
leaving tomorrow.
1156
01:03:04,900 --> 01:03:06,166
[Amanda] I'm gonna
get the fans.
1157
01:03:09,867 --> 01:03:11,266
[Patrick] The hardest,
though, is leaving
1158
01:03:11,266 --> 01:03:12,200
my daughter.
1159
01:03:12,266 --> 01:03:14,000
I'm not gonna see
her for a bit.
1160
01:03:15,200 --> 01:03:17,100
So she's gonna spend some
time with us today.
1161
01:03:26,400 --> 01:03:28,667
I'm a little excited,
a little nervous.
1162
01:03:29,567 --> 01:03:31,667
A lot scared.
1163
01:03:31,667 --> 01:03:35,100
Excited about him getting
the help that he needs.
1164
01:03:36,066 --> 01:03:37,900
Worried about...
1165
01:03:40,667 --> 01:03:43,500
leaving home.
1166
01:03:43,567 --> 01:03:45,700
[voice breaks] For one,
for leaving Haley.
1167
01:03:51,100 --> 01:03:53,367
And number two...
1168
01:03:55,967 --> 01:03:59,467
bad thoughts about what could
happen during the surgery.
1169
01:04:01,567 --> 01:04:07,100
And I've been trying to keep
it together. But the closer it
gets, the harder it's getting.
1170
01:04:08,166 --> 01:04:10,467
I'm just trying
to stay positive.
1171
01:04:13,266 --> 01:04:15,467
[Patrick] Well, there're
some dark clouds out here.
1172
01:04:17,100 --> 01:04:18,100
[Amanda] Yeah.
1173
01:04:24,767 --> 01:04:26,200
[Patrick clears throat]
1174
01:04:28,266 --> 01:04:29,900
So you gon' be all right
when I'm gone?
1175
01:04:29,967 --> 01:04:31,667
-Yeah?
-You sure?
1176
01:04:31,667 --> 01:04:32,600
Mmm-hmm.
1177
01:04:34,166 --> 01:04:35,300
All right.
1178
01:04:35,367 --> 01:04:37,000
All right. I love you.
1179
01:04:37,066 --> 01:04:38,467
I love you too, baby.
1180
01:04:39,467 --> 01:04:40,667
I'll see you out there, okay?
1181
01:04:43,166 --> 01:04:44,367
All right.
1182
01:04:44,367 --> 01:04:46,266
-Bye. I love you.
-I love you too.
Please be careful
1183
01:04:46,266 --> 01:04:47,400
going to your mama's.
1184
01:04:47,467 --> 01:04:48,300
I will.
1185
01:04:54,667 --> 01:04:56,767
[engine starts]
1186
01:04:56,767 --> 01:04:58,266
-I love you.
-[Patrick] I love you, too.
1187
01:05:22,100 --> 01:05:26,500
Yeah, this is gonna be a pain
in my [bleep] right here.
1188
01:05:33,600 --> 01:05:35,700
Well, we finally made
it to Houston.
1189
01:05:37,367 --> 01:05:38,867
The drive wasn't too bad.
1190
01:05:38,867 --> 01:05:40,600
No major mishaps.
1191
01:05:42,100 --> 01:05:46,100
Now we're gonna see this place
we rented and see what
it's like in person.
1192
01:05:48,500 --> 01:05:50,361
Never really know what a place
can be like until you
step into it.
1193
01:05:50,361 --> 01:05:51,166
Never really know what a place
can be like until you
step into it.
1194
01:05:52,667 --> 01:05:54,367
We figured we'd get a place
that was furnished
1195
01:05:54,367 --> 01:05:56,867
so we didn't have
to do all that.
1196
01:05:56,867 --> 01:05:59,867
And since it's just temporary,
hopefully, it's suitable.
1197
01:05:59,867 --> 01:06:00,934
[grunts]
1198
01:06:14,200 --> 01:06:16,400
Well, bud, this is where
we're gonna be staying.
1199
01:06:16,467 --> 01:06:17,767
Let me try out the couch.
1200
01:06:23,100 --> 01:06:24,367
[grunts]
1201
01:06:25,100 --> 01:06:26,800
Well, it slides.
1202
01:06:26,867 --> 01:06:28,867
Yeah, this place isn't so bad.
I could see us living
1203
01:06:28,867 --> 01:06:30,400
here for a little while.
1204
01:06:30,467 --> 01:06:33,600
I don't know how long
it's gonna be in the end.
1205
01:06:33,667 --> 01:06:36,600
I guess it depends on how well
I do with my weight loss.
1206
01:06:36,667 --> 01:06:38,867
And how quick I can get
the weight off.
1207
01:06:38,867 --> 01:06:41,266
And whether or not I'm gonna
need skin surgery
and all that.
1208
01:06:43,266 --> 01:06:45,967
Sit here,
cool off for a minute.
1209
01:06:45,967 --> 01:06:50,361
Then we need to get all
the stuff out of that U-Haul,
because we gotta dump it off
1210
01:06:50,361 --> 01:06:50,867
Then we need to get all
the stuff out of that U-Haul,
because we gotta dump it off
1211
01:06:50,867 --> 01:06:54,667
and then we gotta get ready
to go to Dr. Now's tomorrow.
1212
01:06:56,800 --> 01:06:58,800
It feels good to be here.
1213
01:06:58,867 --> 01:07:02,100
And as long
as I'm with Amanda,
I can be happy anywhere.
1214
01:07:02,100 --> 01:07:05,100
[Amanda] Well, babe. Are you
ready to start unloading?
1215
01:07:05,166 --> 01:07:07,567
Sounds good to me.
It ain't gonna unload itself.
1216
01:07:07,567 --> 01:07:09,667
[Amanda] Unfortunately not.
1217
01:07:09,667 --> 01:07:11,166
[chuckles]
1218
01:07:11,166 --> 01:07:14,600
Yeah, let's do it.
Give me a hand up, please.
1219
01:07:14,667 --> 01:07:18,100
Let's go. [grunts and
exhales in a whistle]
1220
01:07:19,767 --> 01:07:20,361
Let's do it.
1221
01:07:20,361 --> 01:07:21,166
Let's do it.
1222
01:07:23,467 --> 01:07:25,300
Tomorrow, I'm gonna
see Dr. Now,
1223
01:07:25,367 --> 01:07:28,166
and hopefully, he'll tell me
I'm ready for surgery.
1224
01:07:28,166 --> 01:07:30,700
Because I know, personally,
I'm more than ready.
1225
01:07:31,567 --> 01:07:32,467
Just get right
inside the door
1226
01:07:32,467 --> 01:07:33,667
and I'll start
handing you stuff.
1227
01:07:39,467 --> 01:07:40,333
Move.
1228
01:07:52,200 --> 01:07:54,867
Right now, we're going
to see Dr. Now
1229
01:07:54,867 --> 01:07:57,200
for the first time
since I've moved to Texas.
1230
01:07:57,266 --> 01:07:59,166
I hope it goes good, but...
1231
01:08:00,667 --> 01:08:02,700
I don't ever know
when you go see Dr. Now.
1232
01:08:02,767 --> 01:08:04,600
I mean, I haven't
weighed myself
1233
01:08:04,667 --> 01:08:08,667
since the last time
with Dr. Now, so I have
no idea what my weight is.
1234
01:08:09,667 --> 01:08:11,567
[Amanda] I swear, I feel
like I'm gonna be sick.
1235
01:08:11,567 --> 01:08:12,867
[Patrick] Why you feel like
you're gonna be sick?
1236
01:08:12,867 --> 01:08:14,667
[Amanda] My nerves.
1237
01:08:14,667 --> 01:08:16,567
[Patrick] Yeah, my nerves
are kind of worked up, too.
1238
01:08:18,166 --> 01:08:20,361
And I feel a little more
nervous than usual,
1239
01:08:20,361 --> 01:08:20,800
And I feel a little more
nervous than usual,
1240
01:08:20,867 --> 01:08:23,867
because keeping my surgery
depends on my weight today.
1241
01:08:23,867 --> 01:08:26,367
I've been working hard,
but I know the move down here,
1242
01:08:26,367 --> 01:08:29,367
I was maybe more distracted
than I liked.
1243
01:08:29,367 --> 01:08:32,166
I didn't go to the gym,
like I was supposed to.
1244
01:08:32,166 --> 01:08:35,567
And there were times
when we couldn't really cook
or do the food right.
1245
01:08:35,567 --> 01:08:37,767
So we might have chosen
some quick options.
1246
01:08:40,967 --> 01:08:41,767
[groans]
1247
01:08:51,266 --> 01:08:54,700
[breathing heavily]
1248
01:09:01,266 --> 01:09:02,100
[Amanda] Thank you, babe.
1249
01:09:06,700 --> 01:09:07,767
Patrick.
1250
01:09:09,467 --> 01:09:11,400
-[Patrick] How are you?
-Oh, I'm fine, thank you.
1251
01:09:11,767 --> 01:09:12,900
Hi.
1252
01:09:14,567 --> 01:09:16,667
[Patrick] I'm just worried
about how much I lost.
1253
01:09:16,667 --> 01:09:19,100
If I didn't hit that
30-pound goal by today
1254
01:09:19,100 --> 01:09:20,361
and I lose my surgery,
1255
01:09:20,361 --> 01:09:20,767
and I lose my surgery,
1256
01:09:20,767 --> 01:09:23,367
then the whole reason
that we went through all this
1257
01:09:23,367 --> 01:09:25,767
and moved here
could go out the window.
1258
01:09:25,767 --> 01:09:27,467
And I can't have that happen.
1259
01:09:46,867 --> 01:09:49,166
[Patrick] I'm at Dr. Now's
to find out my weight.
1260
01:09:49,166 --> 01:09:51,300
I'm really hoping
I made it to my goal.
1261
01:09:51,367 --> 01:09:56,100
I was at 591 two months ago,
and Dr. Now wanted me to
lose 30 pounds by today.
1262
01:09:56,166 --> 01:09:59,567
So, I need to be under
561 pounds right now.
1263
01:10:13,166 --> 01:10:16,700
It's not the goal
Dr. Now wanted,
but I didn't gain.
1264
01:10:16,767 --> 01:10:18,367
That should really
count for something,
1265
01:10:18,367 --> 01:10:21,100
because I maintained
my progress.
1266
01:10:21,166 --> 01:10:23,667
But I'm not sure
what Dr. Now is gonna say.
1267
01:10:27,467 --> 01:10:28,266
[exhales]
1268
01:10:31,767 --> 01:10:32,567
[grunts]
1269
01:10:33,600 --> 01:10:34,467
[sighs]
1270
01:10:36,266 --> 01:10:37,100
[knock on door]
1271
01:10:39,767 --> 01:10:42,100
-Hello.
-[Patrick] Hi, how are you?
1272
01:10:42,100 --> 01:10:43,900
I'm doing okay,
how are y'all doing?
1273
01:10:43,967 --> 01:10:44,767
Doin' all right.
1274
01:10:46,166 --> 01:10:48,567
So, Patrick, y'all moved here.
1275
01:10:48,567 --> 01:10:50,767
[Patrick] Yes. Just got in
yesterday, and...
1276
01:10:52,300 --> 01:10:54,467
here for my follow-up
after that.
1277
01:10:54,467 --> 01:10:57,867
So, you haven't
lost much weight.
What's going on with that?
1278
01:10:57,867 --> 01:10:59,667
I've been trying. It's just...
1279
01:10:59,667 --> 01:11:02,467
It's just easier
said than done. I mean,
I've been trying.
1280
01:11:02,467 --> 01:11:03,767
Well, if you eat
what you're eating,
1281
01:11:03,767 --> 01:11:05,266
you're gonna be
the same weight.
1282
01:11:05,266 --> 01:11:07,798
Uh, so what's the point
of coming to Houston
1283
01:11:07,798 --> 01:11:07,867
Uh, so what's the point
of coming to Houston
1284
01:11:07,867 --> 01:11:10,667
if you're not
doing what you need
and losing more weight?
1285
01:11:11,467 --> 01:11:14,066
-[sighs] I don't know.
-Uh, so
1286
01:11:14,066 --> 01:11:17,100
what is your objective
in moving to Houston?
1287
01:11:17,100 --> 01:11:19,667
Get weight-loss surgery,
lose weight.
1288
01:11:19,667 --> 01:11:22,266
That's my...
That's my objective.
To lose weight.
1289
01:11:22,266 --> 01:11:24,767
But we haven't lost anything
in the past two months,
1290
01:11:24,767 --> 01:11:26,667
so what are you gonna
do different now?
1291
01:11:26,667 --> 01:11:27,800
[Patrick] But I haven't
gained any either.
1292
01:11:27,867 --> 01:11:29,767
I haven't gained
any more weight.
1293
01:11:29,767 --> 01:11:32,400
So, you want to take
victory lap with that?
1294
01:11:32,467 --> 01:11:36,266
That's a victory lap for me,
I'm not back up to 672,
yeah, kind of.
1295
01:11:36,266 --> 01:11:37,798
Well, you know,
that kind of line of thinking,
it make me wonder that--
1296
01:11:37,798 --> 01:11:40,467
Well, you know,
that kind of line of thinking,
it make me wonder that--
1297
01:11:40,467 --> 01:11:42,166
No, I'm not making excuses.
1298
01:11:42,166 --> 01:11:43,767
Just let me finish
what I'm saying.
1299
01:11:43,767 --> 01:11:44,867
-[Patrick] Yes.
-Okay.
1300
01:11:44,867 --> 01:11:47,100
That line of thinking
make me wonder that
1301
01:11:47,166 --> 01:11:49,367
you're not gonna benefit
from weight-loss surgery,
1302
01:11:49,367 --> 01:11:53,600
because you're not
really thinking clear
in this situation.
1303
01:11:53,667 --> 01:11:56,900
You got to
change your behavior
and line of thinking.
1304
01:11:56,967 --> 01:12:01,900
And that is,
if I don't lose that weight,
I'm gonna shorten my life.
1305
01:12:01,967 --> 01:12:03,600
-Yeah.
-That is your life.
1306
01:12:03,667 --> 01:12:07,266
And we're trying
to save it for you,
and you keep making excuses,
1307
01:12:07,266 --> 01:12:07,798
"Oh, whoopee-doo,
I didn't gain any weight."
[chuckles]
1308
01:12:07,798 --> 01:12:10,667
"Oh, whoopee-doo,
I didn't gain any weight."
[chuckles]
1309
01:12:10,667 --> 01:12:13,967
Come on, you know,
you're killing yourself
with the food. So,
1310
01:12:13,967 --> 01:12:18,500
I wanna hear
what you're gonna
commit yourself to.
1311
01:12:18,567 --> 01:12:21,467
What are you willing to do
to make the changes?
1312
01:12:21,467 --> 01:12:23,100
I'm willing to do
whatever it takes.
1313
01:12:23,100 --> 01:12:25,400
-I mean--
-Well, you keep saying that.
1314
01:12:25,467 --> 01:12:27,166
-But that is just--
-No, I've made a big...
1315
01:12:27,166 --> 01:12:31,000
I've made a big
commitment coming here.
I've left my daughter behind.
1316
01:12:31,066 --> 01:12:33,266
Um, I've left my home behind.
1317
01:12:33,266 --> 01:12:37,500
I mean, I've made
a huge commitment
1318
01:12:37,567 --> 01:12:37,798
coming here, I mean,
a huge commitment.
1319
01:12:37,798 --> 01:12:40,467
coming here, I mean,
a huge commitment.
1320
01:12:40,467 --> 01:12:43,100
Yeah, you've made
a huge commitment
to change,
1321
01:12:43,100 --> 01:12:44,900
-to come to Houston.
-To change, to come here.
1322
01:12:44,967 --> 01:12:46,667
Okay, so, uh,
1323
01:12:46,667 --> 01:12:50,400
and what that translate
on doing your eating habit.
1324
01:12:50,467 --> 01:12:53,367
So tell me what exactly
you gotta change with
your eating habit.
1325
01:12:53,867 --> 01:12:55,667
So I really know.
1326
01:12:56,767 --> 01:12:59,000
The only thing
I know to change
1327
01:12:59,000 --> 01:13:00,800
is to eat less
than what I'm eating.
1328
01:13:00,867 --> 01:13:02,767
That's the only thing
I know to change.
1329
01:13:02,767 --> 01:13:05,100
Okay, what you're doing
right now is not working,
1330
01:13:05,100 --> 01:13:06,867
-so don't--
-Right. I got to eat less,
1331
01:13:06,867 --> 01:13:07,798
that's the only
thing I know to do,
is eat less than what I do.
1332
01:13:07,798 --> 01:13:09,166
that's the only
thing I know to do,
is eat less than what I do.
1333
01:13:09,166 --> 01:13:11,667
Okay, so how many times
are you eating now?
1334
01:13:11,667 --> 01:13:14,867
I usually eat twice a day.
I usually eat breakfast
and dinner, that's it.
1335
01:13:14,867 --> 01:13:16,767
-And I--
-Any snack in between?
1336
01:13:17,400 --> 01:13:18,266
No.
1337
01:13:19,266 --> 01:13:20,500
All right.
1338
01:13:20,567 --> 01:13:23,200
So, here's what I'm willing
to do at this point.
1339
01:13:23,266 --> 01:13:26,567
I will schedule
your weight-loss surgery
for a month from now.
1340
01:13:26,567 --> 01:13:29,266
And if you lose
30 pounds in one month,
1341
01:13:29,266 --> 01:13:31,767
then I'll move ahead
and do your operation.
1342
01:13:31,767 --> 01:13:34,266
But if you're not able
to lose that 30 pounds,
1343
01:13:34,266 --> 01:13:35,800
then I don't think
weight-loss surgery
1344
01:13:35,867 --> 01:13:37,600
-is gonna help you.
-[Patrick] Okay.
1345
01:13:37,667 --> 01:13:37,798
[Dr. Nowzaradan] So I'm
gonna cancel your surgery
and tell you to go home,
1346
01:13:37,798 --> 01:13:40,567
[Dr. Nowzaradan] So I'm
gonna cancel your surgery
and tell you to go home,
1347
01:13:40,567 --> 01:13:42,767
if you show up and haven't
made that progress.
1348
01:13:42,767 --> 01:13:43,800
-Okay?
-Mmm-hmm.
1349
01:13:43,867 --> 01:13:45,100
[Dr. Nowzaradan] You think
you can do that?
1350
01:13:45,100 --> 01:13:46,000
Yes.
1351
01:13:46,000 --> 01:13:47,900
All right. Back on your diet.
1352
01:13:47,967 --> 01:13:49,800
Back on your daily exercise.
1353
01:13:50,266 --> 01:13:51,867
-Okay.
-Okay.
1354
01:13:51,867 --> 01:13:53,667
Any questions?
1355
01:13:53,667 --> 01:13:55,900
-No, I'm good.
-[Dr. Nowzaradan] Okay.
1356
01:14:00,867 --> 01:14:02,767
[door closes]
1357
01:14:02,767 --> 01:14:07,066
I'm hoping Patrick's lack
of progress this time
isn't a bad sign
1358
01:14:07,066 --> 01:14:07,798
of the direction he's heading.
1359
01:14:07,798 --> 01:14:08,767
of the direction he's heading.
1360
01:14:08,767 --> 01:14:12,000
But he is in an important
crossroad right now,
1361
01:14:12,000 --> 01:14:14,467
because if he doesn't get
back on the right end
1362
01:14:14,467 --> 01:14:18,600
and lose 30 pounds he needs
to show me he's gonna
stick with this,
1363
01:14:18,667 --> 01:14:21,567
then I'm not gonna
move ahead with his
weight-loss surgery.
1364
01:14:21,567 --> 01:14:24,266
So, he either does
what he needs now,
1365
01:14:24,266 --> 01:14:26,967
or that's likely
gonna be it for him.
1366
01:14:26,967 --> 01:14:28,867
The ball is in his court,
1367
01:14:28,867 --> 01:14:31,367
and where we go from here
is up to him.
1368
01:14:36,500 --> 01:14:37,798
[Patrick] The goal
that Dr. Now gave me
is doable.
1369
01:14:37,798 --> 01:14:39,000
[Patrick] The goal
that Dr. Now gave me
is doable.
1370
01:14:39,066 --> 01:14:42,467
I just have to
set my mind to it
and work hard.
1371
01:14:42,467 --> 01:14:44,266
If I don't do it,
then it's on me.
1372
01:15:02,300 --> 01:15:04,300
[Patrick] We're going
to St. Joseph.
1373
01:15:04,367 --> 01:15:07,166
I'm definitely
nervous, scared.
1374
01:15:07,166 --> 01:15:07,798
I'm about to find out...
1375
01:15:07,798 --> 01:15:08,100
I'm about to find out...
1376
01:15:09,166 --> 01:15:11,500
do I get my surgery
this morning?
1377
01:15:23,667 --> 01:15:25,667
I'm super nervous
about my weigh-in.
1378
01:15:26,467 --> 01:15:27,300
I think I did it.
1379
01:15:27,867 --> 01:15:29,967
I think I lost the 30.
1380
01:15:29,967 --> 01:15:32,700
I know I've put my all
into making that progress.
1381
01:15:32,767 --> 01:15:35,066
But so much is
dependent on this
1382
01:15:35,066 --> 01:15:37,798
that I'm just extremely tense
about what the scale
is going to say
1383
01:15:37,798 --> 01:15:38,867
that I'm just extremely tense
about what the scale
is going to say
1384
01:15:38,867 --> 01:15:41,100
and what's going to happen.
1385
01:15:41,100 --> 01:15:45,100
I need this surgery,
and I can't have done all this
and come all this way
1386
01:15:45,100 --> 01:15:46,667
to lose the surgery now.
1387
01:15:57,166 --> 01:15:58,000
[knock on door]
1388
01:16:00,967 --> 01:16:02,266
Hello, how are y'all doing?
1389
01:16:02,867 --> 01:16:03,867
[Patrick] All right.
1390
01:16:03,900 --> 01:16:06,567
-[Dr. Nowzaradan] Hi, Patrick.
-[Patrick] Hi.
1391
01:16:06,567 --> 01:16:07,798
[Dr. Nowzaradan]
How you doing?
How you feel this morning?
1392
01:16:07,798 --> 01:16:08,400
[Dr. Nowzaradan]
How you doing?
How you feel this morning?
1393
01:16:09,700 --> 01:16:10,567
[Patrick] Scared.
1394
01:16:11,300 --> 01:16:12,266
[Dr. Nowzaradan] Well...
1395
01:16:13,266 --> 01:16:15,166
we're gonna go ahead
and check your weight,
1396
01:16:15,166 --> 01:16:17,467
and make sure
you lost that 30 pounds.
1397
01:16:17,467 --> 01:16:21,066
If you did, then we go ahead
and do your surgery, okay?
1398
01:16:21,066 --> 01:16:22,700
-Okay.
-[Dr. Nowzaradan] All right.
1399
01:16:22,767 --> 01:16:26,967
Let me get you here onto
the scale and see what's
going on with that, okay?
1400
01:16:26,967 --> 01:16:28,266
-Okay.
-All right.
1401
01:16:39,100 --> 01:16:40,667
All right, let me turn it on.
1402
01:16:47,066 --> 01:16:50,166
[Patrick] I'm straight up
terrified to see the results
right now.
1403
01:16:50,166 --> 01:16:52,867
It feels like my whole life
is depending on this.
1404
01:17:12,867 --> 01:17:17,567
[Dr. Nowzaradan speaking]
1405
01:17:24,600 --> 01:17:28,000
563. So, you lost
27 pounds, huh?
1406
01:17:29,967 --> 01:17:32,166
All right, close enough.
1407
01:17:32,166 --> 01:17:32,951
All right. We go ahead
and do your surgery, okay?
1408
01:17:32,951 --> 01:17:34,767
All right. We go ahead
and do your surgery, okay?
1409
01:17:34,767 --> 01:17:35,867
[Patrick] Okay.
1410
01:17:35,867 --> 01:17:38,467
All right, let's get you
back in the room.
1411
01:17:38,467 --> 01:17:42,000
I'm happy to see Patrick
took things seriously
1412
01:17:42,000 --> 01:17:44,266
this past month
to do what he needs.
1413
01:17:44,266 --> 01:17:45,767
So, with all his fat loss,
1414
01:17:45,767 --> 01:17:48,300
he's ready to move ahead
with surgery today.
1415
01:17:50,667 --> 01:17:52,867
The surgery itself
will take about an hour.
1416
01:17:54,000 --> 01:17:55,367
-All right.
-All right.
1417
01:17:56,066 --> 01:17:57,400
[Patrick] This is huge.
1418
01:17:57,467 --> 01:18:00,066
I really felt like
I could have gone either way.
1419
01:18:00,066 --> 01:18:01,767
And the fact that
it went the right way
1420
01:18:01,767 --> 01:18:02,951
is just making me feel
really blessed right now.
1421
01:18:02,951 --> 01:18:04,767
is just making me feel
really blessed right now.
1422
01:18:04,767 --> 01:18:07,266
This is a big turning point
in my life.
1423
01:18:07,266 --> 01:18:09,000
And I'm gonna
use this opportunity
1424
01:18:09,066 --> 01:18:12,300
to do better
and make a better life
for my family.
1425
01:18:12,367 --> 01:18:15,000
And it's a chance to undo
what I've done wrong,
1426
01:18:15,000 --> 01:18:18,166
and to get myself back
on a path I can be proud of.
1427
01:18:18,166 --> 01:18:19,567
And I can't wait for that.
1428
01:18:22,767 --> 01:18:24,767
We'll take care of you, okay?
1429
01:18:31,734 --> 01:18:32,951
[Dr. Nowzaradan] We're gonna
attempt to perform
1430
01:18:32,951 --> 01:18:33,266
[Dr. Nowzaradan] We're gonna
attempt to perform
1431
01:18:33,266 --> 01:18:35,800
a gastric sleeve
on Patrick today.
1432
01:18:35,867 --> 01:18:38,300
But we're gonna face
a lot of obstacles,
1433
01:18:38,367 --> 01:18:39,567
because of his size,
1434
01:18:39,567 --> 01:18:42,467
and the fact that he had
a previous hernia surgery.
1435
01:18:43,667 --> 01:18:44,567
[Amanda] I love you.
1436
01:18:44,600 --> 01:18:45,900
[Haley] I'll see you
on the other side.
1437
01:18:47,000 --> 01:18:48,500
-[Patrick chuckles]
-I love you.
1438
01:18:49,266 --> 01:18:50,667
I love y'all. See ya.
1439
01:18:51,600 --> 01:18:52,667
They're gonna make it fast.
1440
01:18:52,667 --> 01:18:53,867
We did test on him
1441
01:18:53,867 --> 01:18:56,767
and determined that
his operation was possible.
1442
01:18:56,767 --> 01:19:00,100
But he may have
some scar tissue
around his abdomen
1443
01:19:00,100 --> 01:19:02,867
on top of the mesh
which was put around
his stomach
1444
01:19:02,867 --> 01:19:02,951
when he had hernia surgery.
1445
01:19:02,951 --> 01:19:04,867
when he had hernia surgery.
1446
01:19:04,867 --> 01:19:06,734
So we have a lot
to work around,
1447
01:19:06,734 --> 01:19:10,200
and this will be a little bit
more complicated than usual.
1448
01:19:10,266 --> 01:19:12,367
[Dr. Nowzaradan speaking]
1449
01:19:12,367 --> 01:19:15,166
But if we are able
to complete this operation,
1450
01:19:15,166 --> 01:19:17,400
it will be an important
tool for Patrick
1451
01:19:17,467 --> 01:19:19,266
to help him make
more progress.
1452
01:19:20,266 --> 01:19:22,166
All right,
let's bring the robot.
1453
01:19:23,000 --> 01:19:25,100
Because what this surgery does
1454
01:19:25,100 --> 01:19:27,266
will reduce the size
of the stomach,
1455
01:19:27,266 --> 01:19:31,734
and Patrick will be able
to control his eating habit
much better.
1456
01:19:31,734 --> 01:19:32,951
So, this is gonna be
an important step for Patrick,
1457
01:19:32,951 --> 01:19:34,667
So, this is gonna be
an important step for Patrick,
1458
01:19:34,734 --> 01:19:37,567
if we are able to complete
this operation today.
1459
01:19:59,100 --> 01:20:00,467
[man] You got a gap for me?
1460
01:20:06,567 --> 01:20:09,500
Patrick's in surgery. I am...
1461
01:20:12,200 --> 01:20:15,100
very worried and scared
and nervous.
1462
01:20:15,667 --> 01:20:17,266
Every minute of waiting...
1463
01:20:18,767 --> 01:20:22,300
seems more like
a hundred hours.
[chuckles softly]
1464
01:20:22,367 --> 01:20:25,767
It seems more,
way more than an hour.
1465
01:20:26,500 --> 01:20:28,166
I'm just ready to see him...
1466
01:20:29,567 --> 01:20:32,100
for myself, and see that
he's okay for myself.
1467
01:20:35,266 --> 01:20:36,166
[Dr. Nowzaradan] All right.
1468
01:20:36,166 --> 01:20:37,767
We can remove the stomach.
1469
01:20:41,667 --> 01:20:44,100
Keep pulling, keep pulling,
keep pulling.
1470
01:20:48,900 --> 01:20:50,200
There.
1471
01:20:50,266 --> 01:20:52,000
Put that on the table
over there.
1472
01:20:55,967 --> 01:20:57,967
Okay, we can suture him up.
1473
01:21:03,266 --> 01:21:06,400
Patrick's surgery
was complicated,
but went very well.
1474
01:21:06,467 --> 01:21:09,166
We faced some issue
with the scar tissue
1475
01:21:09,166 --> 01:21:12,100
from his previous
hernia surgery and mesh.
1476
01:21:12,166 --> 01:21:14,467
But we were able
to work around them,
1477
01:21:14,467 --> 01:21:17,900
and safely complete
gastric sleeve
operation today.
1478
01:21:17,967 --> 01:21:20,066
So this is gonna be
a big help for him.
1479
01:21:20,066 --> 01:21:23,467
But for the next month,
he's gonna have to
stay on liquid diet,
1480
01:21:23,467 --> 01:21:26,800
and at that time,
he should lose
another 35 pounds.
1481
01:21:26,867 --> 01:21:31,467
And after that, Patrick should
lose 20 to 25 pounds
each month,
1482
01:21:31,467 --> 01:21:32,951
until he gets close
to his target weight.
1483
01:21:32,951 --> 01:21:35,000
until he gets close
to his target weight.
1484
01:21:35,000 --> 01:21:39,667
It took him a little longer,
but he's down
around 100 pounds,
1485
01:21:39,734 --> 01:21:42,500
and he's heading
in the right direction.
1486
01:21:42,567 --> 01:21:44,667
So I'm confident
we're gonna be able
1487
01:21:44,667 --> 01:21:48,000
to get him where he needs
and down to his target.
1488
01:21:48,000 --> 01:21:51,600
It may be
just a bit of a struggle
to help him do that,
1489
01:21:51,667 --> 01:21:53,200
but we will see.
1490
01:22:15,300 --> 01:22:17,667
[Patrick] Today,
we're going fishing,
because it was always
1491
01:22:17,667 --> 01:22:20,367
one of me and Amanda's
favorite things
to do together.
1492
01:22:20,367 --> 01:22:24,000
But we haven't done it
in forever, since I got
too huge to do anything.
1493
01:22:26,867 --> 01:22:28,867
So, it feels really good
to be getting back
1494
01:22:28,867 --> 01:22:31,066
to the basics of what we love
to do together.
1495
01:22:37,000 --> 01:22:38,567
It's been a month
since my surgery
1496
01:22:38,567 --> 01:22:41,867
and Dr. Now's happy
that I'm staying on track.
1497
01:22:41,867 --> 01:22:45,667
I went back on solid foods
and he wants me to lose
20 pounds this month,
1498
01:22:45,734 --> 01:22:47,467
so I'm staying
focused on that.
1499
01:22:48,667 --> 01:22:50,734
Well, we're adding
on the memories,
fishing in Texas.
1500
01:22:51,900 --> 01:22:53,767
Yeah, we definitely are.
1501
01:22:53,767 --> 01:22:55,734
[Patrick speaking]
1502
01:22:57,367 --> 01:22:59,567
-[Amanda] She'd enjoy it.
-[Patrick] Yeah.
1503
01:23:04,467 --> 01:23:08,000
We're at a lake in Texas.
Me and Patrick came fishing.
1504
01:23:08,066 --> 01:23:11,200
He's doing really well.
I'm very proud of him.
1505
01:23:11,266 --> 01:23:13,967
He's definitely
looking forward
to getting out more,
1506
01:23:13,967 --> 01:23:15,700
creating new memories.
1507
01:23:19,367 --> 01:23:22,967
Trying to get out and
enjoy ourselves a little bit,
since I'm losing more weight.
1508
01:23:22,967 --> 01:23:24,667
Just trying to get out
and do more things.
1509
01:23:24,734 --> 01:23:27,467
Fishing's just the beginning.
There's a lot more stuff
I wanna do.
1510
01:23:33,000 --> 01:23:34,100
As I'm getting
in better shape,
1511
01:23:34,166 --> 01:23:35,867
we definitely gotta
try saltwater too.
1512
01:23:37,867 --> 01:23:39,100
Since I'm getting
in better health,
1513
01:23:39,100 --> 01:23:40,667
we gotta try and do
whatever we can.
1514
01:23:41,166 --> 01:23:42,166
[Amanda] Yes.
1515
01:23:54,300 --> 01:23:56,767
It'd be way worse
if there wasn't a breeze.
1516
01:23:56,767 --> 01:23:58,467
[Patrick] Yeah.
[chuckles and pants]
1517
01:23:58,467 --> 01:24:00,367
[Amanda] You're doing good,
babe. I'm proud of you.
1518
01:24:02,467 --> 01:24:02,951
[Patrick] A year ago,
1519
01:24:02,951 --> 01:24:03,934
[Patrick] A year ago,
1520
01:24:03,934 --> 01:24:06,467
going on a hike like this
would have been
a distant dream.
1521
01:24:06,467 --> 01:24:08,400
And the fact that
I'm able to do it today
1522
01:24:08,467 --> 01:24:10,000
is like
an incredible privilege.
1523
01:24:11,734 --> 01:24:13,567
And now that I'm healing up,
1524
01:24:13,567 --> 01:24:16,166
I'm hoping to see my daughter
sometime soon.
1525
01:24:17,300 --> 01:24:19,800
I miss her a lot, and I wanna
redo the camping trip,
1526
01:24:19,867 --> 01:24:21,767
so that we can
do it right this time.
1527
01:24:24,767 --> 01:24:26,367
[Amanda] I'm very
proud of him.
1528
01:24:26,367 --> 01:24:29,400
He's come a long ways,
he's lost a lot of weight.
1529
01:24:29,467 --> 01:24:32,951
He's gonna be able
to spend more time
with his family,
1530
01:24:32,951 --> 01:24:33,166
He's gonna be able
to spend more time
with his family,
1531
01:24:33,166 --> 01:24:34,367
me and Haley.
1532
01:24:34,367 --> 01:24:37,400
So we can continue
this journey together.
1533
01:24:44,166 --> 01:24:47,867
[Patrick] With these
new doors opening for me,
everything feels brand-new.
1534
01:24:47,867 --> 01:24:49,467
And that's
an incredible feeling.
1535
01:24:53,600 --> 01:24:56,367
Everything won't
feel new forever.
1536
01:24:56,367 --> 01:24:58,367
But I'm gonna hold on
to how it feels right now.
1537
01:25:00,400 --> 01:25:02,567
So, what are you thinking
about Houston
1538
01:25:03,100 --> 01:25:05,066
since we moved here?
1539
01:25:05,066 --> 01:25:06,300
I mean, I'm sure
it's not all bad.
1540
01:25:06,367 --> 01:25:08,066
There are some
nice people here.
1541
01:25:08,066 --> 01:25:11,567
This is actually the cleanest,
quietest place we've been
since we've been here.
1542
01:25:12,500 --> 01:25:14,967
Well, I've enjoyed today.
It's been nice.
1543
01:25:17,100 --> 01:25:18,166
It has.
1544
01:25:19,467 --> 01:25:22,667
And I'm never going back
to the way I was,
1545
01:25:22,667 --> 01:25:24,600
'cause this is too good
to let go of.