1 00:00:01,200 --> 00:00:02,900 Ready or not, here we come, London. 2 00:00:02,900 --> 00:00:05,433 [Chris] Previously on 1000-lb Sisters... 3 00:00:06,400 --> 00:00:07,900 [Tammy] Hey, how are you? 4 00:00:08,967 --> 00:00:09,934 Ooh. 5 00:00:09,934 --> 00:00:11,867 [Amy] Hey, can I take a picture with y'all? 6 00:00:11,867 --> 00:00:13,266 [Tammy] Amy, [bleep]. 7 00:00:13,266 --> 00:00:14,133 [Amanda] She's loud. 8 00:00:14,133 --> 00:00:16,166 Bitch, we are in a foreign country. 9 00:00:16,166 --> 00:00:17,467 Get your act right out your pocket 10 00:00:17,467 --> 00:00:19,400 and hold on tight to that mother[bleep]. 11 00:00:25,266 --> 00:00:26,600 Shut the hell up. 12 00:00:26,600 --> 00:00:28,900 Our people was on the Mayflower? 13 00:00:32,367 --> 00:00:34,867 -Dun dun dun. -[Amy snorts] 14 00:00:34,867 --> 00:00:36,734 [Chris] Two more, girl. We got this. 15 00:00:40,567 --> 00:00:41,867 [Tammy grunts] 16 00:00:41,867 --> 00:00:43,934 [Amy speaking] 17 00:00:52,900 --> 00:00:54,200 [Amanda] Amy, stop. 18 00:00:54,200 --> 00:00:55,900 -I ain't even done nothing and y'all are getting... -Okay. Stop. 19 00:00:55,900 --> 00:00:57,166 [Amy] ...on to me for bull[bleep]. 20 00:00:57,166 --> 00:00:58,400 [Misty] Amy... 21 00:01:06,367 --> 00:01:08,300 -[Chris] Amy. -[Amy] I'm done. 22 00:01:08,300 --> 00:01:10,233 I mean it this time. I'm done. 23 00:01:25,200 --> 00:01:26,500 [Chris speaking] 24 00:01:28,667 --> 00:01:31,233 [Amy speaking] 25 00:01:36,166 --> 00:01:38,266 I got told multiple times to shut up, 26 00:01:38,266 --> 00:01:42,400 and that last time was my [bleep] breaking point. 27 00:01:43,100 --> 00:01:45,800 There's only so much one person can take. 28 00:01:46,467 --> 00:01:47,300 [sniffles] 29 00:01:51,400 --> 00:01:53,533 [Chris] Because you're overreacting. 30 00:01:55,467 --> 00:01:56,867 [Chris] You're yelling at me right now. 31 00:01:56,867 --> 00:01:58,300 [Amy speaking] 32 00:01:58,600 --> 00:02:00,266 [Amanda] Is that Amy? 33 00:02:06,000 --> 00:02:08,233 -She's outside, though. -[Brittany] I can hear her outside, yeah. 34 00:02:08,667 --> 00:02:10,467 [Amy speaking] 35 00:02:10,467 --> 00:02:12,000 -[Chris] No. -[Amy speaking] 36 00:02:12,000 --> 00:02:13,133 [Chris] Come on. 37 00:02:14,100 --> 00:02:15,600 You're going the wrong way. 38 00:02:17,000 --> 00:02:18,667 We came to The Mayflower 39 00:02:18,667 --> 00:02:22,166 just because our nine times great-grandfather 40 00:02:22,166 --> 00:02:23,567 drank here. 41 00:02:23,567 --> 00:02:26,967 And it should be a big moment for the whole family. 42 00:02:26,967 --> 00:02:30,367 But I feel Amy's being kind of a little bit childish. 43 00:02:30,367 --> 00:02:32,000 Like a spoiled brat. 44 00:02:33,567 --> 00:02:36,500 You went off the handle in there in front of everybody. 45 00:02:37,367 --> 00:02:38,834 And we're better than this. 46 00:02:40,367 --> 00:02:42,000 [Amy speaking] 47 00:02:42,000 --> 00:02:44,200 [Chris] All I see you doing is showing your butt, girl. 48 00:02:45,967 --> 00:02:48,166 [waiter speaking] 49 00:02:48,166 --> 00:02:49,867 It's okay, honey. It happens all the time. 50 00:02:49,867 --> 00:02:52,000 You're okay. You're doing a great job. 51 00:03:00,800 --> 00:03:03,600 Poor guy. Damn Americans are crazy. 52 00:03:03,600 --> 00:03:05,100 [laughs] 53 00:03:07,266 --> 00:03:09,800 [Misty speaking] 54 00:03:10,166 --> 00:03:11,800 [Tammy speaking] 55 00:03:14,400 --> 00:03:16,567 Some of them don't. Caspe... Are they the dark ones? 56 00:03:16,567 --> 00:03:17,467 -Mm-hmm. -[Tammy] Yeah. 57 00:03:17,467 --> 00:03:19,000 [Birttany] Those are Kalamata. 58 00:03:19,000 --> 00:03:20,767 This one has a pit. 59 00:03:20,767 --> 00:03:21,834 Hey, bubbe. 60 00:03:22,367 --> 00:03:23,233 You want an olive? 61 00:03:23,233 --> 00:03:24,567 -[Tammy chuckles] -[Misty] They taste 62 00:03:24,567 --> 00:03:27,767 totally different than the ones that Grandma used to buy. 63 00:03:27,767 --> 00:03:31,100 At this point, we're gonna pretend like this [bleep] didn't even happen. 64 00:03:31,100 --> 00:03:33,367 So we gonna talk about whatever we gotta talk about 65 00:03:33,367 --> 00:03:35,100 to get past this little blow-up. 66 00:03:35,567 --> 00:03:37,100 [Misty] I hate olives. 67 00:03:37,100 --> 00:03:40,100 But I'll talk about olives all goddamn day if Amy... 68 00:03:45,367 --> 00:03:47,266 Okay, guys. Your food is ready. 69 00:03:47,266 --> 00:03:49,600 That's the fish and chips. 70 00:03:50,200 --> 00:03:52,467 -[Tammy] Thank you. -Fish and chips. 71 00:03:52,467 --> 00:03:53,800 -[Amanda] Fine. Thank you. -You're welcome. 72 00:03:54,900 --> 00:03:56,367 Enjoy. See you in a bit. 73 00:03:56,367 --> 00:03:57,800 -[Misty] Thank you very much. -[waiter] You're welcome. 74 00:04:01,800 --> 00:04:03,867 [Chris] The fish is wonderful. 75 00:04:03,867 --> 00:04:05,634 -Yeah, it is good. -The fish is wonderful. 76 00:04:11,467 --> 00:04:13,033 [laughs] 77 00:04:13,367 --> 00:04:15,166 [Brittany chuckles] 78 00:04:15,166 --> 00:04:18,400 [Chris] After Amy eats, she cheers up significantly. 79 00:04:24,667 --> 00:04:26,533 [laughs] 80 00:04:30,166 --> 00:04:32,100 [Brittany speaking] 81 00:04:34,166 --> 00:04:35,900 [Chris laughs] 82 00:04:39,467 --> 00:04:41,367 And you're supposed to be the nice one out of all of us. 83 00:04:41,367 --> 00:04:43,200 -[Chris] She is. -[Brittany] Eh. 84 00:04:45,200 --> 00:04:48,700 [Amy speaking] 85 00:04:56,767 --> 00:04:59,700 But it's our last day here in London. And... 86 00:05:06,166 --> 00:05:08,367 [Tammy speaking] 87 00:05:08,367 --> 00:05:10,033 -[Brittany laughs] -Well, this is better than the dick. 88 00:05:10,567 --> 00:05:11,700 And I'm saying that. 89 00:05:11,700 --> 00:05:13,300 [Tammy and Brittany chuckle] 90 00:05:22,867 --> 00:05:24,133 [Amy] Come on, y'all. 91 00:05:24,767 --> 00:05:25,700 Let's go. 92 00:05:25,700 --> 00:05:28,500 After we got done eating at The Mayflower, 93 00:05:28,500 --> 00:05:31,667 we walk up the little cobblestone street 94 00:05:31,667 --> 00:05:35,433 to this little garden that's overlooking... 95 00:05:41,166 --> 00:05:43,867 Overlooking the river that runs through the middle of England. 96 00:05:43,867 --> 00:05:46,000 How about that? [laughs] 97 00:05:46,467 --> 00:05:48,967 [Misty speaking] 98 00:05:48,967 --> 00:05:50,500 [Chris] You go ahead, girl. 99 00:05:53,500 --> 00:05:55,667 And my question of the day is, they got catfish here? 100 00:05:55,667 --> 00:05:57,700 'Cause that look like good catfishing water to me. 101 00:05:57,700 --> 00:05:59,900 [Misty laughs] 102 00:06:00,667 --> 00:06:03,166 As this vacation comes to a close, 103 00:06:03,166 --> 00:06:06,333 I'm just ready to go home. I want my boys so bad. 104 00:06:06,767 --> 00:06:08,200 I love London. 105 00:06:09,667 --> 00:06:11,800 But I want my boys. 106 00:06:13,166 --> 00:06:15,166 [Chris] It's just been a great trip. 107 00:06:15,166 --> 00:06:16,233 -[Misty] Yeah, it has. -[Chris] I mean, 108 00:06:16,233 --> 00:06:18,967 I know we don't get along every second of the day. 109 00:06:18,967 --> 00:06:21,467 But the bottom line is, is we're a family. 110 00:06:21,467 --> 00:06:22,934 And we're a family strong. 111 00:06:24,100 --> 00:06:27,033 Now we know a little more about ourselves. 112 00:06:27,767 --> 00:06:28,767 [Misty] Where we came from. 113 00:06:30,100 --> 00:06:32,066 I think that we should start being courageous, 114 00:06:32,066 --> 00:06:34,667 just like our ancestors, and just living life... 115 00:06:34,667 --> 00:06:36,700 -[Chris] To the full. -...to the best of our ability. 116 00:06:36,700 --> 00:06:38,400 Now that I've got my life back, 117 00:06:38,400 --> 00:06:41,000 I mean, that's what I'm trying to do. 118 00:06:41,000 --> 00:06:43,266 [Amanda] You just wait until the skin is removed 119 00:06:43,266 --> 00:06:44,700 and you're healed, 120 00:06:44,700 --> 00:06:46,500 because life is gonna change again. 121 00:06:47,166 --> 00:06:48,834 Tammy and Chris, for each of you. 122 00:06:49,667 --> 00:06:50,967 [Chris] Back in Kentucky, 123 00:06:50,967 --> 00:06:53,800 my surgery is literally right around the corner. 124 00:06:54,667 --> 00:06:57,266 Amanda is the only one in the family 125 00:06:57,266 --> 00:06:59,634 that's had skin removal surgery... 126 00:07:06,800 --> 00:07:08,333 Am I worried about it? 127 00:07:10,667 --> 00:07:12,300 My recovery time could be 128 00:07:12,300 --> 00:07:16,867 10 to 16 weeks, according if I have bad healing. 129 00:07:16,867 --> 00:07:19,700 It's gonna be the worst thing you've ever been through physically. 130 00:07:19,700 --> 00:07:21,233 Tammy, including you. Like, you've been 131 00:07:21,233 --> 00:07:23,600 -near death several times. -[Misty] Yeah. 'Cause you're gonna have more of it 132 00:07:23,600 --> 00:07:25,200 -than the rest of them. -[Amanda] But just be ready. 133 00:07:25,900 --> 00:07:28,100 After my last appointment, 134 00:07:28,100 --> 00:07:30,200 Dr. Turner referred me 135 00:07:30,200 --> 00:07:32,567 to a specialist in Pittsburgh 136 00:07:32,567 --> 00:07:35,567 because he has a bigger team 137 00:07:35,567 --> 00:07:37,066 and a bigger hospital, 138 00:07:37,066 --> 00:07:40,433 and he takes on more complicated surgeries. 139 00:07:52,066 --> 00:07:54,367 Tammy, I just want to say I'm proud of you. 140 00:07:54,367 --> 00:07:57,066 You have really done excellent 141 00:07:57,066 --> 00:07:58,300 this time we've been here, 142 00:07:58,300 --> 00:07:59,266 with the stairs, 143 00:07:59,266 --> 00:08:01,667 climbing in and out of the bus, the walking. 144 00:08:01,667 --> 00:08:04,400 -The steps we just did. -You have improved so much 145 00:08:04,400 --> 00:08:06,700 that it's just mind-boggling. 146 00:08:06,700 --> 00:08:08,166 [Amanda] Normally you just give up. 147 00:08:08,166 --> 00:08:09,600 "I can't do this." 148 00:08:09,600 --> 00:08:11,166 But this time you didn't, and you pushed through, 149 00:08:11,166 --> 00:08:12,800 and I'm proud of you for sticking with it. 150 00:08:14,867 --> 00:08:17,500 I can't even put into words how proud I am of you. 151 00:08:19,066 --> 00:08:21,266 And even though me and you get into it, 152 00:08:21,266 --> 00:08:22,433 I love you very much. 153 00:08:23,967 --> 00:08:25,500 And I will give my life for you. 154 00:08:28,367 --> 00:08:30,800 I think this honestly brought us closer together. 155 00:08:31,200 --> 00:08:32,600 Absolutely. Me too. 156 00:08:34,100 --> 00:08:36,400 Tammy and I are actually getting along. 157 00:08:36,400 --> 00:08:39,567 I have no explanation as to what's going on. 158 00:08:39,567 --> 00:08:42,567 There was no big ta-da moment. 159 00:08:42,567 --> 00:08:45,000 You know, there was no angels singing. 160 00:08:45,000 --> 00:08:46,500 It's just happening. 161 00:08:46,500 --> 00:08:48,266 And I'm just letting it, and she is too. 162 00:08:48,266 --> 00:08:49,834 And I'm grateful for that. 163 00:08:51,367 --> 00:08:53,467 [Chris] You know, other than a few little hiccups, 164 00:08:53,467 --> 00:08:54,700 it's been a great week, 165 00:08:54,700 --> 00:08:56,700 doing what we do best, 166 00:08:56,700 --> 00:08:58,567 acting fools. 167 00:08:58,567 --> 00:09:01,000 [Amanda] Some of us are not acting, and that's okay. 168 00:09:01,367 --> 00:09:03,166 [laughs] 169 00:09:03,166 --> 00:09:05,967 This vacation has done as good as it could possibly do, 170 00:09:05,967 --> 00:09:08,567 bringing us back together as a family. 171 00:09:08,567 --> 00:09:10,166 Now, with that being said, 172 00:09:10,166 --> 00:09:12,500 I really just hope when everybody gets home, 173 00:09:12,500 --> 00:09:15,667 the peace that we've kept in England 174 00:09:15,667 --> 00:09:19,567 continues to ride the wave. 175 00:09:19,567 --> 00:09:22,900 We all got some pretty big things coming up here real soon. 176 00:09:22,900 --> 00:09:25,367 And we need to support each other 177 00:09:25,367 --> 00:09:27,000 more than ever. 178 00:09:27,000 --> 00:09:29,333 -[Misty] Here we go. -[Amanda] Perfect. 179 00:09:32,667 --> 00:09:33,767 Yes! 180 00:09:33,767 --> 00:09:35,100 [Amy] Today, me, Tammy, Chris, 181 00:09:35,100 --> 00:09:37,800 and Brittany are gonna take a self-defense class. 182 00:09:37,800 --> 00:09:41,000 If you were going to hit a part of the body, what would you hit? 183 00:09:42,767 --> 00:09:46,166 [all laughing] 184 00:09:46,166 --> 00:09:48,000 -Today's the day, huh? -[Chris] Yes, sir. 185 00:09:48,000 --> 00:09:50,600 -Been a long time coming. -A long time coming. 186 00:09:50,600 --> 00:09:52,467 [Amanda] With a surgery like this, 187 00:09:52,467 --> 00:09:54,467 there's a possibility of blood supply not being 188 00:09:54,467 --> 00:09:56,200 sent to the right areas. 189 00:10:00,000 --> 00:10:01,900 What's taking this so damn long? 190 00:10:11,600 --> 00:10:13,100 [Amy] Gagey, Gagey. 191 00:10:13,100 --> 00:10:14,734 You gonna be mommy's big boy helper? 192 00:10:20,000 --> 00:10:21,000 [babbles] 193 00:10:25,200 --> 00:10:26,900 I mean, I got to see the sights. 194 00:10:26,900 --> 00:10:28,200 I got to see the sounds. 195 00:10:33,567 --> 00:10:35,100 Yay. 196 00:10:36,200 --> 00:10:37,700 Yay. 197 00:10:39,100 --> 00:10:40,934 Not my wall. On the paper. 198 00:10:44,066 --> 00:10:45,467 It's all washable. 199 00:10:45,467 --> 00:10:47,967 If they get it on the wall, they get it on the wall. 200 00:10:47,967 --> 00:10:49,266 But at the end of the day, they are 201 00:10:49,266 --> 00:10:51,367 making their kind of art. 202 00:10:51,367 --> 00:10:53,433 They are being creative their way. 203 00:10:53,900 --> 00:10:56,033 Get it on the wall. Good job. 204 00:10:58,367 --> 00:11:00,166 And he would make a thousand bucks. 205 00:11:00,166 --> 00:11:01,300 Or, well... 206 00:11:03,567 --> 00:11:05,166 [chuckles] 207 00:11:05,166 --> 00:11:07,233 -[Gage exclaims] -[Amy] Are you done, darling? 208 00:11:08,800 --> 00:11:10,500 -Are you done? -[Gage babbles] 209 00:11:10,867 --> 00:11:12,000 [Amy] Silly. 210 00:11:16,166 --> 00:11:17,967 But when we were in London, 211 00:11:17,967 --> 00:11:19,500 I was out of control. 212 00:11:19,967 --> 00:11:21,800 So, it's time for me 213 00:11:21,800 --> 00:11:23,567 to learn how to communicate 214 00:11:23,567 --> 00:11:25,734 and not walk away. Or blow up. 215 00:11:27,166 --> 00:11:29,000 I just want to be a better mom, 216 00:11:29,000 --> 00:11:30,867 better friend, better sister. 217 00:11:30,867 --> 00:11:32,133 A better everything. 218 00:11:35,567 --> 00:11:37,200 Be careful. 219 00:11:49,266 --> 00:11:51,900 [Chris] Y'all ready to get in there and learn how to kick some butt? 220 00:11:52,500 --> 00:11:54,567 You're gonna need it. 221 00:11:54,567 --> 00:11:57,266 [Amy] So today, me, Tammy, Chris, and Brittany are gonna take 222 00:11:57,266 --> 00:11:58,834 a self-defense class. 223 00:12:07,500 --> 00:12:09,634 The last time I broke a board is when I fell through the floor. 224 00:12:11,000 --> 00:12:13,567 [laughs] 225 00:12:13,567 --> 00:12:16,200 And it was at the yellow house, so come on. 226 00:12:16,200 --> 00:12:18,600 That's why I said I'll be nice. 227 00:12:19,266 --> 00:12:20,867 [Chris] Since we got back from London, 228 00:12:20,867 --> 00:12:22,567 I've been busting my ass 229 00:12:22,567 --> 00:12:24,000 quite literally. 230 00:12:24,000 --> 00:12:25,500 [laughs] 231 00:12:30,066 --> 00:12:32,367 All the painting's pretty well done in the yellow house. 232 00:12:32,367 --> 00:12:34,767 And the only thing left to really do is clean. 233 00:12:34,767 --> 00:12:37,500 And then she'll be ready to move in. 234 00:12:38,700 --> 00:12:40,367 [Tammy] I am 235 00:12:40,367 --> 00:12:42,200 so freaking excited 236 00:12:42,200 --> 00:12:45,500 to move into a house by myself. 237 00:12:46,500 --> 00:12:48,900 But Chris has always been... 238 00:12:57,567 --> 00:12:58,900 I don't really know 239 00:12:58,900 --> 00:13:00,900 what I need to 240 00:13:01,467 --> 00:13:03,233 defend myself from... 241 00:13:05,700 --> 00:13:07,300 [laughs] 242 00:13:11,467 --> 00:13:13,200 But I'm just gonna go with it. 243 00:13:13,200 --> 00:13:14,867 Okay, guys, let's go ahead and line up, please. 244 00:13:14,867 --> 00:13:16,600 [woman] Yes, sir! 245 00:13:16,600 --> 00:13:19,567 [Robert] What do you think is the most sensitive part of the body? 246 00:13:19,567 --> 00:13:20,900 If you were gonna defend yourself 247 00:13:20,900 --> 00:13:23,967 and hit a part of the body, what would you hit? 248 00:13:23,967 --> 00:13:25,333 There's no wrong answer. 249 00:13:27,300 --> 00:13:29,400 -[Robert] Crotch? -[all laughing] 250 00:13:30,667 --> 00:13:32,367 Kick him in the nuts. [laughs] 251 00:13:32,367 --> 00:13:34,300 And run! [laughs] 252 00:13:38,000 --> 00:13:40,433 [Tammy laughs] 253 00:13:41,500 --> 00:13:42,767 [Robert] The eyes. 254 00:13:42,767 --> 00:13:45,100 The eyes have so many nerve endings. 255 00:13:45,100 --> 00:13:46,800 But also, believe it or not, you can 256 00:13:46,800 --> 00:13:48,367 actually rupture the eardrums. 257 00:13:48,367 --> 00:13:51,900 So we're gonna go to what we call BOB. 258 00:13:51,900 --> 00:13:54,133 And those are the body opponent bags. 259 00:13:54,800 --> 00:13:57,300 Lord only knows how this is gonna go. 260 00:13:57,300 --> 00:14:00,600 Because Brittany is a very timid person. 261 00:14:01,500 --> 00:14:03,734 Tammy's kind of like a T.rex. 262 00:14:06,700 --> 00:14:08,533 And Amy... 263 00:14:09,867 --> 00:14:11,900 And you can't fight if you can't see. 264 00:14:11,900 --> 00:14:14,400 [laughs] 265 00:14:15,800 --> 00:14:17,867 [Robert] All right, on my count. Ready? 266 00:14:17,867 --> 00:14:19,200 You just kind of step forward 267 00:14:19,200 --> 00:14:20,667 and you're gonna clap the ears. 268 00:14:20,667 --> 00:14:21,734 [grunts] 269 00:14:23,867 --> 00:14:25,667 Nice. Good job. 270 00:14:25,667 --> 00:14:28,166 All right. Excellent. All right, next two. 271 00:14:28,166 --> 00:14:29,934 -[Amy speaking] -[Tammy] All right. 272 00:14:32,500 --> 00:14:33,767 -[Amy] Oh. -[Tammy speaking] 273 00:14:33,767 --> 00:14:34,800 [Amy] Excuse me. 274 00:14:35,500 --> 00:14:37,500 [Robert] Here we go. [grunts] 275 00:14:38,367 --> 00:14:40,233 [Amy and Tammy laugh] 276 00:14:41,367 --> 00:14:42,266 [Robert] All right. 277 00:14:42,266 --> 00:14:43,467 Ready? 278 00:14:43,467 --> 00:14:44,500 -[grunts] -[Tammy grunts] 279 00:14:44,500 --> 00:14:46,533 -[laughs] -[Amy laughs] I can't stop laughing. 280 00:14:48,467 --> 00:14:51,300 Learning the moves were just weird and awkward in getting the hang of it. 281 00:14:51,300 --> 00:14:52,600 [Tammy grunts] 282 00:14:54,567 --> 00:14:55,700 Facts. 283 00:14:57,767 --> 00:14:58,800 -[grunts] -[man] There you go. 284 00:14:58,800 --> 00:15:00,100 There you go. Good. 285 00:15:00,100 --> 00:15:02,200 Right there. Did you see that? 286 00:15:02,600 --> 00:15:03,767 Yeah. 287 00:15:03,767 --> 00:15:05,400 Yeah, yeah, yeah, yeah! [chuckles] 288 00:15:05,400 --> 00:15:07,400 -[Tammy] Yeah! -[Robert] All right. 289 00:15:09,066 --> 00:15:10,133 Nice! 290 00:15:10,767 --> 00:15:13,066 Good job. Good job. 291 00:15:13,066 --> 00:15:14,433 -[Tammy grunts] -Yes! 292 00:15:16,266 --> 00:15:17,433 Yes! 293 00:15:17,900 --> 00:15:19,133 Good job. 294 00:15:26,867 --> 00:15:28,500 [laughs] 295 00:15:32,066 --> 00:15:33,100 All right. 296 00:15:34,567 --> 00:15:36,400 -Would you? -I would too. 297 00:15:40,467 --> 00:15:42,000 [Tammy] I think it's great that Amy's 298 00:15:42,000 --> 00:15:44,767 found the healthy outlet. 299 00:15:44,767 --> 00:15:48,600 Maybe she'll continue going to the self-defense class... 300 00:15:53,467 --> 00:15:55,000 Or we just... 301 00:16:10,467 --> 00:16:12,500 [Chris] You ready to get your [bleep] up and go? 302 00:16:12,800 --> 00:16:14,000 [Tammy] Yeah. 303 00:16:14,500 --> 00:16:16,667 [Chris] After about six months, 304 00:16:16,667 --> 00:16:19,166 the yellow house is finally finished. 305 00:16:19,166 --> 00:16:22,100 And we're able to move Tammy in today. 306 00:16:22,500 --> 00:16:23,567 I'm relieved 307 00:16:23,567 --> 00:16:26,066 because my skin removal surgery 308 00:16:26,066 --> 00:16:27,700 is scheduled in a few days. 309 00:16:28,000 --> 00:16:30,100 And I ain't gonna lie, 310 00:16:30,100 --> 00:16:32,000 I'm really excited. 311 00:16:32,000 --> 00:16:34,634 I finally get to have the house to myself. 312 00:16:35,166 --> 00:16:37,033 Where am I going? 313 00:16:37,767 --> 00:16:40,100 Well, with me and my wife anyway. 314 00:16:40,100 --> 00:16:41,500 [chuckles] 315 00:16:46,467 --> 00:16:47,500 [Tammy speaking] 316 00:16:48,100 --> 00:16:49,000 [Brittany] Wow. 317 00:16:50,900 --> 00:16:53,166 At least the carpet and the lawnmower's 318 00:16:53,166 --> 00:16:55,700 -not in here anymore. -Yeah, you ain't got no rug no more. 319 00:16:55,700 --> 00:16:57,300 [Tammy speaking] 320 00:16:57,300 --> 00:16:59,233 -[Brittany chuckles] -[Tammy] I'm excited. 321 00:16:59,800 --> 00:17:01,600 It's a very big upgrade. 322 00:17:05,266 --> 00:17:06,600 It's awesome. 323 00:17:08,066 --> 00:17:10,700 Now, we still got some cleaning to do in here, but, 324 00:17:10,700 --> 00:17:14,133 you know, it's able to be lived in and enjoyed. 325 00:17:14,767 --> 00:17:16,867 [Tammy speaking] 326 00:17:16,867 --> 00:17:18,800 I could see me living here for a while. 327 00:17:19,767 --> 00:17:20,867 [Chris] Well, Tammy, 328 00:17:20,867 --> 00:17:22,400 it ain't Buckingham Palace, 329 00:17:22,400 --> 00:17:24,900 but you can be the queen of this castle. 330 00:17:24,900 --> 00:17:26,300 [Tammy] In the last few months, 331 00:17:26,300 --> 00:17:28,300 me and Chris never really fought. 332 00:17:28,300 --> 00:17:30,300 Did we get on each other's nerves? 333 00:17:30,967 --> 00:17:32,367 Probably. [chuckles] 334 00:17:32,367 --> 00:17:35,100 So, I am ready to 335 00:17:35,100 --> 00:17:36,700 have my own space 336 00:17:36,700 --> 00:17:39,800 and my own independence back. 337 00:18:01,700 --> 00:18:04,100 Well, as long as they treat you fine, 338 00:18:04,100 --> 00:18:05,934 that's all that matters to me. 339 00:18:07,000 --> 00:18:09,266 [Tammy] Lately, I've been feeling like 340 00:18:09,266 --> 00:18:11,500 it's time for me to start 341 00:18:12,000 --> 00:18:13,333 moving on, 342 00:18:13,800 --> 00:18:14,834 and... 343 00:18:27,867 --> 00:18:31,667 It just doesn't feel right. 344 00:18:31,667 --> 00:18:34,900 I don't even have those feelings for a guy anymore... 345 00:18:39,867 --> 00:18:41,867 [Chris] How do you feel about taking this long trip 346 00:18:41,867 --> 00:18:43,500 to see Dr. Rubin? 347 00:18:44,467 --> 00:18:46,000 [Tammy] It sounds promising. 348 00:18:55,867 --> 00:18:56,834 In a couple of days, 349 00:18:56,834 --> 00:19:00,266 I'm gonna go see Dr. Rubin in Pittsburgh. 350 00:19:00,266 --> 00:19:03,033 See if he will take me on as a patient. 351 00:19:03,700 --> 00:19:05,367 [Chris] You know, Dr. Turner said 352 00:19:05,367 --> 00:19:07,200 when he put you to sleep for the surgery, 353 00:19:07,200 --> 00:19:08,867 he didn't want to keep nobody under 354 00:19:08,867 --> 00:19:10,467 more than eight hours. 355 00:19:10,467 --> 00:19:13,200 And for you to have done what you need done, 356 00:19:13,200 --> 00:19:17,367 it would take him 12 to 15 hours by himself. 357 00:19:17,367 --> 00:19:20,700 And I'm sure Dr. Rubin's got a team to take care of you. 358 00:19:21,700 --> 00:19:25,100 When I was bigger, seeing a new doctor was terrifying. 359 00:19:25,100 --> 00:19:28,667 I hated it. I still don't care for it. 360 00:19:28,667 --> 00:19:31,400 I mean, the first thing that always comes out of their mouth is, 361 00:19:31,400 --> 00:19:32,867 "You need to lose weight." 362 00:19:32,867 --> 00:19:34,033 Well, clearly. 363 00:19:35,500 --> 00:19:36,533 So... 364 00:19:39,266 --> 00:19:42,800 before having surgery. But... 365 00:19:56,000 --> 00:19:57,667 [Amy] Are y'all ready? 366 00:19:57,667 --> 00:20:00,867 I've decided to create an online dating profile. 367 00:20:00,867 --> 00:20:03,300 So, today I'm doing a sexy photo shoot. 368 00:20:03,667 --> 00:20:05,800 [Greg] Well, yee-haw! 369 00:20:05,800 --> 00:20:06,967 Look at you, girl! 370 00:20:06,967 --> 00:20:10,133 I'm looking for a family man, a businessman, whatever... 371 00:20:11,266 --> 00:20:13,433 [laughs] 372 00:20:16,500 --> 00:20:17,266 [Amy speaking] 373 00:20:17,266 --> 00:20:19,066 [woman] No, it's gonna be fine. 374 00:20:19,066 --> 00:20:22,700 We always do the most clothed down to the least. 375 00:20:22,700 --> 00:20:25,266 [Amy] Today I'm doing something that I've always wanted to do, 376 00:20:25,266 --> 00:20:27,100 but I was too chicken [bleep] to do it. 377 00:20:27,100 --> 00:20:28,500 Are y'all ready? 378 00:20:28,500 --> 00:20:30,100 [woman] Yes, ma'am. 379 00:20:30,100 --> 00:20:32,500 [Greg] What? Look at you, girl! 380 00:20:50,700 --> 00:20:51,867 I'm ready to get out there. 381 00:20:51,867 --> 00:20:53,567 I'm ready to open my heart again. 382 00:20:53,567 --> 00:20:55,100 I'm ready to find love. 383 00:21:00,100 --> 00:21:02,600 [woman] No, we can't see no nipple. We'll let you know. 384 00:21:02,600 --> 00:21:04,300 -And you're on cooter duty. -I got you. 385 00:21:04,300 --> 00:21:05,166 Cooter duty. 386 00:21:05,166 --> 00:21:06,834 -[Amy laughs] Cooter duty. -Oh, my God. 387 00:21:11,467 --> 00:21:13,367 [Greg] Now, here's what we gotta do. 388 00:21:13,367 --> 00:21:16,133 You gotta hang on while I photograph that fat ass. 389 00:21:17,200 --> 00:21:18,567 Poke your ass way up in the air. Go. 390 00:21:18,567 --> 00:21:20,867 Girl, you got it. Got it. Hold it. Three, two, got it. 391 00:21:20,867 --> 00:21:22,200 -Good deal. -[woman laughs] 392 00:21:22,200 --> 00:21:23,500 [Greg] There, we did it. 393 00:21:24,166 --> 00:21:25,934 [Amy speaking] 394 00:21:37,700 --> 00:21:40,767 [Greg] Yee-haw! Look at you, girl! 395 00:21:40,767 --> 00:21:42,667 [Amy] Self-defense class has got me ready 396 00:21:42,667 --> 00:21:44,567 to take on multiple dates. 397 00:21:44,567 --> 00:21:46,700 And if they come at me in the wrong way, 398 00:21:46,700 --> 00:21:48,400 I know how to defend myself. 399 00:21:51,100 --> 00:21:53,767 Now, we're gonna help in editing just a little. 400 00:21:53,767 --> 00:21:56,500 Okay, don't move, 'cause what I'm doing is cheating. 401 00:21:57,400 --> 00:21:58,500 Don't move. 402 00:21:59,266 --> 00:22:00,600 Put that arm back down. 403 00:22:01,266 --> 00:22:03,100 Look at there. Okay. All right. 404 00:22:03,100 --> 00:22:06,000 Looks amazing, girl. You do. You look wonderful. 405 00:22:06,467 --> 00:22:08,800 [Amy speaking] 406 00:22:11,567 --> 00:22:14,100 A family man, a businessman, whatever... 407 00:22:15,567 --> 00:22:17,100 But not no [bleep] boy man. 408 00:22:17,400 --> 00:22:19,200 [laughs] 409 00:22:19,800 --> 00:22:21,066 [Greg] There you go. 410 00:22:21,066 --> 00:22:22,600 That's what I'm talking about. 411 00:22:22,600 --> 00:22:24,500 -Say yes. -[Amy whispers] Yes. 412 00:22:27,800 --> 00:22:30,200 [Amy] It just feels good to get out of my element. 413 00:22:30,200 --> 00:22:32,400 [Greg] Awesome. That is beautiful. 414 00:22:36,367 --> 00:22:39,433 Some of these pictures are just for me. Or... 415 00:22:44,066 --> 00:22:46,700 [Greg] Look at the confidence beaming out of you there. 416 00:22:46,700 --> 00:22:49,367 [Amy speaking] 417 00:22:49,367 --> 00:22:53,000 Well, you know, it's kind of the idea. 418 00:22:53,867 --> 00:22:55,066 [Amy speaking] 419 00:23:01,100 --> 00:23:03,367 [Greg] There's just something about you and that fat ass. 420 00:23:03,367 --> 00:23:05,000 [laughs] 421 00:23:12,600 --> 00:23:15,367 Brittany, what do you need to take with us for snacks? 422 00:23:15,367 --> 00:23:17,467 [Brittany] Whatever snacks you want. 423 00:23:17,467 --> 00:23:18,533 Well, I'd say the whole house, 424 00:23:18,533 --> 00:23:20,400 'cause I don't know what I want until I get there. 425 00:23:20,867 --> 00:23:23,000 Tomorrow is the big day. 426 00:23:23,000 --> 00:23:25,634 I'm finally getting my skin removal surgery. 427 00:23:27,500 --> 00:23:29,266 Before we leave on our road trip, 428 00:23:29,266 --> 00:23:31,100 Misty, Tammy, and Amy 429 00:23:31,100 --> 00:23:33,266 are coming over to send me off. 430 00:23:33,266 --> 00:23:35,367 I'm so excited, but yet I'm still 431 00:23:35,367 --> 00:23:37,967 kind of leery of the whole surgery process. 432 00:23:37,967 --> 00:23:40,600 And I'm really not looking forward 433 00:23:41,066 --> 00:23:42,900 to the pain afterwards. 434 00:23:43,667 --> 00:23:45,100 [Amy] I got a question. 435 00:23:45,100 --> 00:23:47,000 How nervous are you? 436 00:23:47,000 --> 00:23:49,266 -I probably won't sleep much. -[Amy] Yeah. 437 00:23:49,266 --> 00:23:51,400 You know, the doctor said it would be... 438 00:23:53,200 --> 00:23:54,433 -[Misty speaking] -And then Amanda... 439 00:23:55,500 --> 00:23:57,500 And Amanda said it was worse 440 00:23:57,500 --> 00:23:59,100 than anything she ever dealt with. 441 00:23:59,100 --> 00:24:00,367 [Misty] Mm-hmm. 442 00:24:01,700 --> 00:24:04,133 [Tammy] I am very proud of Chris, and... 443 00:24:12,266 --> 00:24:14,400 Hell, you got, what, 444 00:24:14,867 --> 00:24:16,767 a child right here 445 00:24:16,767 --> 00:24:18,567 on your lap 24-7 because of 446 00:24:18,567 --> 00:24:20,500 all the excess skin. 447 00:24:33,600 --> 00:24:36,400 [laughs] 448 00:24:43,367 --> 00:24:45,066 Amanda's coming up from Florida 449 00:24:45,066 --> 00:24:47,800 to be at the hospital the day I have surgery. 450 00:24:47,800 --> 00:24:51,100 Somebody to keep me company in the waiting room. 451 00:24:51,100 --> 00:24:53,767 Well, I'm gonna go to Pittsburgh 452 00:24:53,767 --> 00:24:56,266 with Tam and Ames so I can, you know, 453 00:24:56,266 --> 00:24:58,767 keep them out of trouble, all that good stuff. 454 00:24:58,767 --> 00:25:01,233 And who's gonna keep you out of trouble? 455 00:25:03,467 --> 00:25:05,000 [all laughing] 456 00:25:06,467 --> 00:25:08,567 [Tammy] While Chris is in surgery, 457 00:25:08,567 --> 00:25:10,767 Amy, Misty, and myself are fixing 458 00:25:10,767 --> 00:25:12,100 to go to Pittsburgh 459 00:25:12,100 --> 00:25:15,200 to talk about my skin removal. 460 00:25:26,000 --> 00:25:28,634 [Amy laughs] 461 00:25:32,567 --> 00:25:33,900 All right, be safe. 462 00:25:33,900 --> 00:25:36,400 -[Misty] Love you. -Bye, love you. 463 00:25:36,400 --> 00:25:38,500 [Chris] It's about a four-hour ride, 464 00:25:38,500 --> 00:25:41,000 and hopefully a decent night's sleep. 465 00:25:41,000 --> 00:25:42,767 And then we'll be at the hospital 466 00:25:42,767 --> 00:25:45,767 bright and early just to get my surgery started. 467 00:25:45,767 --> 00:25:48,800 Getting skin removal surgery is life-changing, 468 00:25:48,800 --> 00:25:51,000 but there's always a possibility 469 00:25:51,000 --> 00:25:52,533 that something goes haywire. 470 00:25:53,467 --> 00:25:55,867 So it's the what-ifs that's in life 471 00:25:55,867 --> 00:25:57,500 that's always 472 00:25:57,500 --> 00:25:59,200 the hardest to deal with. 473 00:26:12,567 --> 00:26:14,367 [Chris] You got everything pretty well packed? 474 00:26:14,367 --> 00:26:16,567 Yeah, I'm just putting my fan in here. 475 00:26:16,567 --> 00:26:20,066 You know, I can't go anywhere without it. 476 00:26:20,066 --> 00:26:21,867 [Chris] It's been a long time coming, 477 00:26:21,867 --> 00:26:24,433 but I'm finally getting skin removal surgery. 478 00:26:25,200 --> 00:26:27,100 I'm really excited for you. 479 00:26:27,100 --> 00:26:29,567 -Appreciate it. -I know you worked hard for it. 480 00:26:29,567 --> 00:26:32,000 [Chris] Yeah, it's bittersweet. 481 00:26:32,000 --> 00:26:34,233 It feels like I'm at the end of a marathon... 482 00:26:35,266 --> 00:26:36,700 and I finally made it. 483 00:26:42,867 --> 00:26:44,467 At my heaviest point, 484 00:26:44,467 --> 00:26:46,900 I was 520 pounds. 485 00:26:50,667 --> 00:26:53,200 I'm gonna be somewhere around 250. 486 00:26:53,200 --> 00:26:54,967 That's what I'm talking about, baby. 487 00:26:54,967 --> 00:26:56,000 That's game over. 488 00:26:58,567 --> 00:27:00,066 Hey. 489 00:27:00,066 --> 00:27:02,000 You don't fillet a squirrel, you skin them. 490 00:27:02,767 --> 00:27:03,600 [Brittany] Well... 491 00:27:05,667 --> 00:27:07,500 -No, not really. -[Brittany chuckles] 492 00:27:09,100 --> 00:27:10,400 [knocking at door] 493 00:27:11,900 --> 00:27:13,066 Well, good morning. 494 00:27:13,066 --> 00:27:13,967 [Chris] Good morning, doctor. 495 00:27:13,967 --> 00:27:15,667 -Today's the day, huh? -[Chris] Yes, sir. 496 00:27:15,667 --> 00:27:17,767 -Been a long time coming. -A long time coming. 497 00:27:17,767 --> 00:27:20,066 Well, the last thing I kind of got to do, 498 00:27:20,066 --> 00:27:21,667 I think everybody's ready for you, you know, 499 00:27:21,667 --> 00:27:24,500 kind of the anesthesia team and the surgical team. 500 00:27:24,500 --> 00:27:27,000 And I just have to do some markings on you. 501 00:27:27,000 --> 00:27:28,567 -[Chris] Okay. -And, uh, 502 00:27:28,567 --> 00:27:29,667 basically kind of 503 00:27:29,667 --> 00:27:31,600 gonna get you ready and get you back. 504 00:27:31,600 --> 00:27:33,867 Today, Chris is going to receive what's called 505 00:27:33,867 --> 00:27:36,867 a fleur-de-lis abdominoplasty. 506 00:27:36,867 --> 00:27:40,567 It's done to not only remove skin in a horizontal manner, 507 00:27:40,567 --> 00:27:42,600 but it's done in a vertical manner 508 00:27:42,600 --> 00:27:46,000 to remove horizontal skin excess as well. 509 00:27:46,000 --> 00:27:47,867 Chris is a good candidate for this surgery 510 00:27:47,867 --> 00:27:50,367 because the majority of his skin excess 511 00:27:50,367 --> 00:27:52,634 on his torso is in the front. 512 00:27:54,300 --> 00:27:55,500 [Brittany] Hi. 513 00:27:55,500 --> 00:27:56,967 -[Brad] Hi. -[Chris] Hey, buddy. 514 00:27:56,967 --> 00:27:58,066 [Brittany] Hi. 515 00:27:58,066 --> 00:27:59,767 [Amanda] Listen, 516 00:27:59,767 --> 00:28:02,100 this one over here, they've been biting the bullet 517 00:28:02,100 --> 00:28:04,333 -to get in here and see you. -[man] Yeah. 518 00:28:05,367 --> 00:28:07,367 What are you doing, baby? 519 00:28:07,367 --> 00:28:09,166 Some of the most important people 520 00:28:09,166 --> 00:28:11,266 in my life are here today supporting me. 521 00:28:11,266 --> 00:28:14,567 My son, my soon-to-be daughter-in-law, 522 00:28:14,567 --> 00:28:16,867 and two of my wonderful grandbabies, 523 00:28:16,867 --> 00:28:19,667 and my mean-ass sister, Amanda. 524 00:28:19,667 --> 00:28:21,266 [Brittany chuckles] 525 00:28:21,266 --> 00:28:22,767 [Chris] It means a whole lot that 526 00:28:22,767 --> 00:28:24,600 she's taken the time 527 00:28:25,066 --> 00:28:25,867 and effort 528 00:28:25,867 --> 00:28:28,834 to drive 12 hours for my surgery. 529 00:28:29,467 --> 00:28:31,000 [Brittany] It means she loves you. 530 00:28:31,800 --> 00:28:32,867 [Chris chuckles] 531 00:28:32,867 --> 00:28:34,734 In-between bossing me around. 532 00:28:36,467 --> 00:28:37,567 -[Amanda] So it's... -Yeah. 533 00:28:37,567 --> 00:28:39,266 ...gonna take, what, four to six hours 534 00:28:39,266 --> 00:28:41,100 -for surgery? -Uh, probably closer to three or four. 535 00:28:41,100 --> 00:28:44,100 -[Amanda] Three or four? Oh, that's great. Great. -A little less. Okay. 536 00:28:44,100 --> 00:28:46,300 All right, partner. We'll get you back here in just a minute, okay? 537 00:28:46,300 --> 00:28:47,767 -All right. -We'll take good care of you. 538 00:28:47,767 --> 00:28:49,867 -Nice to meet everyone. -[Amanda] All right. Thank you so much, Dr. Turner. 539 00:28:49,867 --> 00:28:51,467 We'll come talk to you right after we're done, okay? 540 00:28:51,467 --> 00:28:53,900 -[Amanda] All right. We'll be anxiously waiting. -[Brad] All right. 541 00:28:57,266 --> 00:29:00,700 He's put the work in, and he's earned the prize. 542 00:29:00,700 --> 00:29:02,300 But with a surgery like this, 543 00:29:02,300 --> 00:29:05,266 there's a possibility of blood supply not being sent 544 00:29:05,266 --> 00:29:07,500 to the right areas. If you lose blood supply, 545 00:29:07,500 --> 00:29:09,166 the skin dies. 546 00:29:09,166 --> 00:29:11,467 The risk of going under anesthesia alone is great. 547 00:29:11,467 --> 00:29:12,600 Chris has lung problems. 548 00:29:12,600 --> 00:29:14,700 He has some medical history there that 549 00:29:14,700 --> 00:29:16,100 kind of works against him. 550 00:29:16,100 --> 00:29:18,433 I'm just really, really worried for him. 551 00:29:32,200 --> 00:29:33,533 [tense music playing] 552 00:29:38,567 --> 00:29:40,800 So you want to divide and conquer, 553 00:29:40,800 --> 00:29:42,000 and, um, 554 00:29:42,300 --> 00:29:43,133 I'll grab her bag, 555 00:29:43,133 --> 00:29:45,600 -and you can help her get in? -Yeah. 556 00:29:45,600 --> 00:29:47,100 Today we're getting on a flight 557 00:29:47,100 --> 00:29:48,300 to Pittsburgh... 558 00:29:49,667 --> 00:29:50,700 Yeah. 559 00:29:50,700 --> 00:29:52,533 Is there a Pittsburgh, Ohio? 560 00:29:53,000 --> 00:29:53,900 [bleep], I don't know. 561 00:29:53,900 --> 00:29:55,367 We're going to Pittsburgh, Pennsylvania. 562 00:29:55,367 --> 00:29:56,700 We're going to Pennsylvania. 563 00:29:57,367 --> 00:29:59,333 [Amy speaking off-screen] 564 00:30:01,100 --> 00:30:02,233 Yeah. 565 00:30:04,667 --> 00:30:06,000 [Misty sighs] 566 00:30:06,266 --> 00:30:07,800 [knocking at door] 567 00:30:09,900 --> 00:30:11,233 [Misty] You ready, chick? 568 00:30:13,000 --> 00:30:14,667 [Tammy] Yeah. 569 00:30:14,667 --> 00:30:15,600 [Misty] You got everything you need? 570 00:30:15,600 --> 00:30:17,500 ID, meds, all that good stuff? 571 00:30:17,500 --> 00:30:18,867 -Yeah. -[Amy speaking] 572 00:30:18,867 --> 00:30:20,467 Passport? 573 00:30:20,467 --> 00:30:22,033 [Misty] Yeah, most current ID. 574 00:30:34,567 --> 00:30:36,900 Nervous as [bleep] and I'm ready to go. 575 00:30:40,000 --> 00:30:41,233 [Tammy speaking off-screen] 576 00:30:42,200 --> 00:30:43,734 I'm nervous enough. 577 00:30:59,867 --> 00:31:01,000 [Tammy speaking] 578 00:31:03,600 --> 00:31:04,700 [Tammy] I'm nervous enough. 579 00:31:04,700 --> 00:31:06,266 That's all you need to know. 580 00:31:06,266 --> 00:31:07,533 Let's go. 581 00:31:29,066 --> 00:31:30,100 [Brittany] Chris has been in surgery 582 00:31:30,100 --> 00:31:32,767 for about three hours now. 583 00:31:32,767 --> 00:31:35,266 Having my grandkids here has really helped 584 00:31:35,266 --> 00:31:36,166 calm my nerves, 585 00:31:36,166 --> 00:31:37,467 keep my mind off of things. 586 00:31:37,467 --> 00:31:39,200 But... 587 00:31:39,200 --> 00:31:41,500 I'm ready for it to be over with, and... 588 00:31:42,100 --> 00:31:43,433 I'm ready to see him again. 589 00:31:53,000 --> 00:31:54,300 [Amanda] My nerves are shot. 590 00:31:54,900 --> 00:31:56,767 What's taking them so damn long? 591 00:31:56,767 --> 00:31:57,533 Now I'm starting to get anxious. 592 00:31:57,533 --> 00:31:59,634 He needs to come on, Dr. Turner. 593 00:32:00,900 --> 00:32:02,634 Brittany is 594 00:32:03,166 --> 00:32:04,400 beside herself. 595 00:32:04,867 --> 00:32:05,934 Dr. Turner said 596 00:32:05,934 --> 00:32:07,700 this surgery should only take three to four hours, 597 00:32:08,266 --> 00:32:10,200 but it's been almost five now. 598 00:32:12,667 --> 00:32:14,200 [tense music playing] 599 00:32:21,467 --> 00:32:23,467 [door opens] 600 00:32:23,467 --> 00:32:25,166 Okay, Brittany, you ready to come on back? 601 00:32:25,166 --> 00:32:26,500 He's all done. 602 00:32:28,967 --> 00:32:30,266 [Amanda speaking] 603 00:32:34,166 --> 00:32:36,100 [nurse] He's asking for a cheeseburger already. 604 00:32:36,100 --> 00:32:38,767 -[chuckles] -[Brittany] He said he was going to. 605 00:32:38,767 --> 00:32:40,033 [Dr. Turner] You remember this girl? 606 00:32:41,867 --> 00:32:43,033 [Brittany] How you doing? 607 00:32:45,000 --> 00:32:46,767 Tired. 608 00:32:46,767 --> 00:32:49,600 We'll get you up to your room pretty soon, okay? 609 00:32:49,600 --> 00:32:51,667 Everything went wonderfully for Chris today. 610 00:32:51,667 --> 00:32:52,900 We took our time, 611 00:32:52,900 --> 00:32:53,767 did the procedure 612 00:32:53,767 --> 00:32:55,900 exactly how it's designed to be done, 613 00:32:55,900 --> 00:32:57,567 and he did very well. 614 00:32:57,567 --> 00:32:59,100 You did great, partner. 615 00:32:59,100 --> 00:33:00,467 Get some rest tonight, okay? 616 00:33:00,467 --> 00:33:02,200 And let me know if you need anything, okay? 617 00:33:02,200 --> 00:33:03,567 Okay. 618 00:33:03,567 --> 00:33:05,333 [upbeat music playing] 619 00:33:09,066 --> 00:33:11,166 All right, well, mother just called. 620 00:33:11,166 --> 00:33:13,600 We did give her an update, but he's doing great. 621 00:33:13,900 --> 00:33:15,000 [Amy] Okay. 622 00:33:15,567 --> 00:33:17,166 You update the kiddos back home 623 00:33:17,166 --> 00:33:18,066 and everybody back home, 624 00:33:18,066 --> 00:33:20,166 -and we'll go from there. -[Amy] Yeah. 625 00:33:20,166 --> 00:33:22,266 All right. Well, I love you, you guys. Be careful. 626 00:33:22,266 --> 00:33:23,033 [Amy] All right. Love you, too. 627 00:33:23,033 --> 00:33:24,533 -All right. Bye-bye. -[Amy] Bye. 628 00:33:25,166 --> 00:33:27,000 Thank God, my brother's safe. 629 00:33:27,000 --> 00:33:28,433 I can breathe now. 630 00:33:29,300 --> 00:33:30,667 Y'all need to quit having surgeries. 631 00:33:30,667 --> 00:33:32,400 My nerves can't handle this! 632 00:33:34,667 --> 00:33:36,867 One of the reasons that you're here is 633 00:33:36,867 --> 00:33:40,700 because we handle more complex cases. 634 00:33:40,700 --> 00:33:41,767 [Tammy] There's one thing 635 00:33:41,767 --> 00:33:45,500 I haven't told my doctors about. 636 00:33:57,567 --> 00:33:59,300 [Dr. Turner] Good morning. 637 00:33:59,300 --> 00:34:01,100 -[Chris] Good morning. -[Dr. Turner] Doing well? 638 00:34:01,100 --> 00:34:02,600 He's been running up and down the halls. 639 00:34:02,600 --> 00:34:04,467 [Dr. Turner] Running up and down the halls, I heard that. 640 00:34:04,467 --> 00:34:06,900 Not nowhere near as fast as I'm used to. 641 00:34:07,900 --> 00:34:11,100 [Chris speaking] 642 00:34:11,467 --> 00:34:12,233 But really, 643 00:34:12,233 --> 00:34:14,400 with this drastic of a surgery, 644 00:34:15,066 --> 00:34:17,533 you're going to be slow moving. 645 00:34:18,567 --> 00:34:19,634 [coughs] 646 00:34:20,667 --> 00:34:23,433 That hurts, by the way, quite a bit. 647 00:34:24,567 --> 00:34:26,367 Have you seen the picture yet? 648 00:34:26,367 --> 00:34:29,000 No, I really-- I mean, I felt the picture. 649 00:34:29,000 --> 00:34:30,800 -You felt it? All right. -But I don't know 650 00:34:30,800 --> 00:34:33,867 too much about what was taken off or anything. 651 00:34:33,867 --> 00:34:36,000 [Dr. Turner] Let me let you take a look at that. 652 00:34:37,400 --> 00:34:38,500 [Chris] Big belly roll. 653 00:34:38,500 --> 00:34:41,000 [Dr. Turner] So that almost covered the whole table. 654 00:34:41,867 --> 00:34:43,667 [Chris] Dr. Turner shows me a picture 655 00:34:43,667 --> 00:34:45,567 of all the skin he removed. 656 00:34:45,567 --> 00:34:47,767 And when it's laid there flat out in the picture, 657 00:34:47,767 --> 00:34:49,300 you're sitting there thinking... 658 00:34:51,600 --> 00:34:54,066 I estimate it was four plus feet of skin 659 00:34:54,066 --> 00:34:55,200 that we had to stitch up. 660 00:34:55,200 --> 00:34:56,467 So that's why I took a little time 661 00:34:56,467 --> 00:34:58,233 to get all that stitched up. 662 00:34:59,166 --> 00:35:01,600 So is he still going to have a belly button? 663 00:35:01,600 --> 00:35:03,200 [Dr. Turner] Yes. You know, for now, 664 00:35:03,200 --> 00:35:04,500 if everything heals well, 665 00:35:04,500 --> 00:35:06,767 his belly button should effectively look normal 666 00:35:06,767 --> 00:35:09,767 or maybe even better than the one you had before. 667 00:35:09,767 --> 00:35:10,967 [Chris speaking] 668 00:35:10,967 --> 00:35:13,567 Yeah. Now you've got a nice little cute one. 669 00:35:13,567 --> 00:35:14,867 [Brittany chuckles softly] 670 00:35:14,867 --> 00:35:16,567 [Dr. Turner] I'm sure that was a top priority. 671 00:35:16,567 --> 00:35:19,400 -No. No. -[Dr. Turner and Brittany laughing] 672 00:35:19,400 --> 00:35:21,066 [Chris] This is the best journey 673 00:35:21,066 --> 00:35:24,266 that I've ever decided to take and stick with. 674 00:35:24,266 --> 00:35:28,300 Everything that I've done has finally paid off. 675 00:35:28,867 --> 00:35:29,800 But really, 676 00:35:29,800 --> 00:35:32,066 to be able to keep up with the grandkids, 677 00:35:32,066 --> 00:35:34,567 and keep up with my wife, 678 00:35:34,567 --> 00:35:38,900 and to be able to make your life better 679 00:35:38,900 --> 00:35:41,734 and extend your life by 15 to 20 years. 680 00:35:42,667 --> 00:35:45,400 You know, that's just icing on the cake. 681 00:35:51,767 --> 00:35:53,734 [Brittany] Off we go. 682 00:35:54,100 --> 00:35:56,333 [phone ringing] 683 00:35:57,567 --> 00:35:58,467 [Tammy] Hello. 684 00:35:58,467 --> 00:35:59,734 What are you doing? 685 00:36:00,567 --> 00:36:02,634 [Tammy speaking] 686 00:36:04,100 --> 00:36:05,600 Well, they let me out. 687 00:36:06,667 --> 00:36:07,634 [Tammy] Well, that's good. 688 00:36:07,634 --> 00:36:09,467 [Brittany] Did they get the picture I sent? 689 00:36:09,467 --> 00:36:11,700 -Did y'all get the picture Brittany sent? -[Tammy] Yeah. 690 00:36:12,166 --> 00:36:13,166 [Tammy speaking] 691 00:36:13,166 --> 00:36:14,300 [laughing] 692 00:36:14,300 --> 00:36:17,000 [Amy speaking off-screen] 693 00:36:20,300 --> 00:36:21,634 The fanny pack. 694 00:36:21,967 --> 00:36:23,500 The fanny packs... 695 00:36:31,767 --> 00:36:33,567 [Brittany groans softly] Oh. 696 00:36:33,567 --> 00:36:36,233 [bleep], that hurts. 697 00:36:47,800 --> 00:36:49,500 [Amanda] Tammy, I'm sending you 698 00:36:49,500 --> 00:36:51,400 good thoughts on this, okay? 699 00:36:51,400 --> 00:36:53,300 [Tammy] Today, we are here in Pittsburgh 700 00:36:53,300 --> 00:36:54,467 to see Dr. Rubin 701 00:36:54,467 --> 00:36:56,400 to see if I'm qualified 702 00:36:56,400 --> 00:36:58,433 to get my skin removal or not. 703 00:36:59,567 --> 00:37:01,133 Here, ladies. 704 00:37:02,367 --> 00:37:03,200 [Tammy] I'm nervous as [bleep]. 705 00:37:03,200 --> 00:37:05,300 I'm not ready to do this, but... 706 00:37:12,800 --> 00:37:15,667 [nurse] Hi, Tammy. This is Dr. Rubin. 707 00:37:15,667 --> 00:37:18,500 [Dr. Rubin] Hi, Tammy. It's so nice to see you. 708 00:37:18,500 --> 00:37:20,100 Welcome to Pittsburgh. 709 00:37:20,100 --> 00:37:21,567 This is Dr. Frederick. 710 00:37:21,567 --> 00:37:22,800 [Tammy] Nice to meet you. 711 00:37:23,567 --> 00:37:25,000 Dr. Turner said 712 00:37:25,000 --> 00:37:27,867 that Dr. Rubin has a bigger team 713 00:37:27,867 --> 00:37:29,600 and a bigger hospital. 714 00:37:31,767 --> 00:37:33,867 He wasn't joking. [chuckles] 715 00:37:33,867 --> 00:37:34,634 Dr. Joe DeRenzo, 716 00:37:34,634 --> 00:37:36,600 I'm the chief of anesthesiology. 717 00:37:37,100 --> 00:37:38,767 My name is Dr. Stephen Esper. 718 00:37:38,767 --> 00:37:40,367 I'm the cardiac anesthesiologist 719 00:37:40,367 --> 00:37:41,500 here at UPMC. 720 00:37:41,500 --> 00:37:42,867 I'm Ashley Donatucci. 721 00:37:42,867 --> 00:37:44,634 I'm a senior physician assistant. 722 00:37:45,100 --> 00:37:46,934 [Tammy speaking] 723 00:37:52,367 --> 00:37:54,066 Good God, how many people are going to fit 724 00:37:54,066 --> 00:37:55,900 in this goddarn room? 725 00:38:04,667 --> 00:38:06,300 Apparently 20. 726 00:38:06,900 --> 00:38:08,066 [chuckles] 727 00:38:08,066 --> 00:38:10,200 So let's spend a few minutes talking 728 00:38:10,200 --> 00:38:13,166 about your priorities and your goals. 729 00:38:13,166 --> 00:38:16,300 I just want to see if... 730 00:38:16,300 --> 00:38:19,000 what you thought about, maybe, do the arms and legs... 731 00:38:21,567 --> 00:38:23,967 the stomach and face right now. 732 00:38:23,967 --> 00:38:25,900 We shouldn't do everything at once. 733 00:38:25,900 --> 00:38:27,400 It's a great stress on the body. 734 00:38:27,800 --> 00:38:29,600 We will break things up 735 00:38:29,600 --> 00:38:31,700 into different surgical procedures. 736 00:38:42,800 --> 00:38:44,133 [chuckles] 737 00:38:48,867 --> 00:38:51,166 Face and stomach, those are the bigger things. Okay? 738 00:38:51,166 --> 00:38:52,333 And to understand-- 739 00:38:54,900 --> 00:38:57,000 [Dr. Rubin] Absolutely. 740 00:38:57,000 --> 00:38:59,700 [Tammy] It's hard to walk because of the skin. 741 00:39:02,367 --> 00:39:03,567 My belly go this way, 742 00:39:03,567 --> 00:39:05,400 and I'm going that way, and just... 743 00:39:05,500 --> 00:39:06,500 [chuckles] 744 00:39:08,467 --> 00:39:10,000 [Dr. Rubin] Tammy, what we're going to do now 745 00:39:10,000 --> 00:39:11,867 is we're all going to step out, 746 00:39:11,867 --> 00:39:14,800 give you a chance to change into an exam robe, 747 00:39:14,800 --> 00:39:17,166 and then we're going to do a physical exam. 748 00:39:17,166 --> 00:39:18,467 Okay. 749 00:39:18,467 --> 00:39:20,800 We'll let you have some privacy. 750 00:39:29,967 --> 00:39:32,867 [Dr. Rubin] Okay. Tammy, let me have you stand up. 751 00:39:32,867 --> 00:39:35,166 We're going to look at your back, okay? 752 00:39:35,166 --> 00:39:36,767 [Dr. Frederick] You are a tiny person 753 00:39:36,767 --> 00:39:38,500 -inside that body. -[Dr. Rubin] Yeah. 754 00:39:38,500 --> 00:39:40,300 Again, I think it's going to be really important 755 00:39:40,300 --> 00:39:42,500 -that we think about doing this in stages. -[Tammy] Mm-hmm. 756 00:39:42,500 --> 00:39:44,867 [Dr. Rubin] And I think that what I would say 757 00:39:44,867 --> 00:39:46,000 in the first stage is 758 00:39:46,000 --> 00:39:48,367 -that we take care of this apron, okay? -[Tammy] Mmm. 759 00:39:48,367 --> 00:39:50,767 -[Dr. Rubin] This is really bothersome to you, right? -[Tammy] Yes. 760 00:39:50,767 --> 00:39:52,200 [Dr. Rubin] You can go ahead and cover up. 761 00:39:52,200 --> 00:39:53,166 Cover up there. 762 00:39:54,667 --> 00:39:57,066 [Misty] I think Tammy is extremely nervous 763 00:39:57,066 --> 00:39:58,166 for this appointment, 764 00:39:58,166 --> 00:39:59,667 you know, 'cause she's already been turned down once 765 00:39:59,667 --> 00:40:01,200 by a skin removal doctor. 766 00:40:01,200 --> 00:40:02,867 It would be heartbreaking 767 00:40:02,867 --> 00:40:04,967 if, after coming all this way, 768 00:40:04,967 --> 00:40:06,533 he's like, "I can't do it for her". 769 00:40:07,066 --> 00:40:08,734 I would feel so bad for her. 770 00:40:10,367 --> 00:40:11,333 [Dr. Rubin] So... 771 00:40:11,333 --> 00:40:14,367 I think we can start planning for the surgery 772 00:40:14,367 --> 00:40:16,200 for the lower part of the belly 773 00:40:16,200 --> 00:40:17,700 and for the chin. 774 00:40:20,700 --> 00:40:22,700 -[Amy speaking] -[Dr. Frederick chuckles] 775 00:40:23,066 --> 00:40:25,033 [Amy speaking] 776 00:40:26,066 --> 00:40:27,700 [Tammy speaking] 777 00:40:44,467 --> 00:40:45,266 [Dr. Rubin] With that said, 778 00:40:45,266 --> 00:40:47,600 I had a chance to get some records 779 00:40:47,600 --> 00:40:49,066 from Dr. Smith 780 00:40:49,066 --> 00:40:51,767 and some key laboratory tests 781 00:40:51,767 --> 00:40:53,100 about your nutrition 782 00:40:53,100 --> 00:40:54,767 were pretty low in January 783 00:40:54,767 --> 00:40:57,266 and actually dropped lower in May. 784 00:40:57,266 --> 00:40:59,567 Uh, you need to get your protein up. 785 00:40:59,567 --> 00:41:03,767 It's so important in terms of wound healing. 786 00:41:03,767 --> 00:41:05,967 [Tammy] Lately, I've been having a really hard time 787 00:41:05,967 --> 00:41:07,567 getting my proteins in. 788 00:41:07,567 --> 00:41:10,467 I haven't been like, wanting my protein. 789 00:41:10,467 --> 00:41:11,567 I don't want the powder. 790 00:41:11,567 --> 00:41:12,767 I don't want the protein bars. 791 00:41:12,767 --> 00:41:14,400 I don't want none of the proteins, 792 00:41:14,400 --> 00:41:15,700 not even meat. 793 00:41:16,600 --> 00:41:19,166 The other really important thing is 794 00:41:19,166 --> 00:41:20,867 your medical history. 795 00:41:20,867 --> 00:41:22,600 How long did you have the tracheostomy for? 796 00:41:22,600 --> 00:41:24,266 Uh, 15 months? 797 00:41:24,266 --> 00:41:26,500 -[Misty] Something like that, yeah. -About 15 months. 798 00:41:26,500 --> 00:41:29,967 Any active problems with your kidneys, your heart? 799 00:41:29,967 --> 00:41:31,634 As far as I know, everything's good. 800 00:41:32,600 --> 00:41:34,133 How about your lungs? 801 00:41:35,467 --> 00:41:37,567 [tense music playing] 802 00:41:37,567 --> 00:41:39,467 [Tammy] So there's one thing 803 00:41:39,467 --> 00:41:43,233 I haven't told my doctors about. 804 00:41:49,600 --> 00:41:50,800 Um... 805 00:41:52,867 --> 00:41:54,133 [Tammy speaking] 806 00:41:54,867 --> 00:41:56,900 [melancholic music playing] 807 00:41:57,867 --> 00:41:59,667 -You vape? -[Tammy] Mm-hmm. 808 00:41:59,667 --> 00:42:01,900 Is that a daily thing for you? 809 00:42:02,266 --> 00:42:03,967 Yes. 810 00:42:03,967 --> 00:42:07,834 'Cause I mainly use it for, like, anxiety. 811 00:42:08,166 --> 00:42:09,600 It helps calm me down. 812 00:42:12,100 --> 00:42:16,266 Right now, I am vaping every day, 813 00:42:16,266 --> 00:42:18,166 several times a day. 814 00:42:18,166 --> 00:42:20,100 And even sometimes, 815 00:42:20,100 --> 00:42:21,367 I'll get up in the middle of the night 816 00:42:21,367 --> 00:42:22,400 and hit it-- 817 00:42:22,400 --> 00:42:23,700 and hit my vape a couple times, 818 00:42:23,700 --> 00:42:25,700 and I go back to sleep. 819 00:42:26,767 --> 00:42:29,367 [Dr. Rubin] If you're using nicotine products, 820 00:42:29,367 --> 00:42:32,100 your risk of wound-healing problems 821 00:42:32,100 --> 00:42:35,133 and wound infection is dramatically increased. 822 00:42:37,200 --> 00:42:38,500 I know it's going to be really hard 823 00:42:38,500 --> 00:42:39,667 for her to quit vaping 824 00:42:39,667 --> 00:42:41,667 because instead of turning one addiction, 825 00:42:41,667 --> 00:42:42,900 she went to another one. 826 00:42:42,900 --> 00:42:45,900 She went from food to vaping. 827 00:42:45,900 --> 00:42:47,767 I think it's her security blanket 828 00:42:47,767 --> 00:42:49,133 at this point. 829 00:42:50,100 --> 00:42:53,667 If we were to go and operate right now, 830 00:42:53,667 --> 00:42:56,867 your chances of having wound-healing problems 831 00:42:56,867 --> 00:42:58,900 are almost 100%. 832 00:42:59,266 --> 00:43:00,133 So number one, 833 00:43:00,133 --> 00:43:01,900 we've got to get you off the vapes. 834 00:43:02,467 --> 00:43:03,367 Completely. 835 00:43:03,367 --> 00:43:05,166 Number two, 836 00:43:05,166 --> 00:43:07,367 the nutrition is really important. 837 00:43:07,367 --> 00:43:08,700 We've got to get those numbers up. 838 00:43:08,700 --> 00:43:11,667 That's going to take about two months minimum. 839 00:43:11,667 --> 00:43:14,166 So we can't schedule the surgery now 840 00:43:14,166 --> 00:43:16,400 until we can get all these things worked out. 841 00:43:18,266 --> 00:43:19,634 [tense music playing] 842 00:43:23,000 --> 00:43:25,100 I don't want to talk about vaping. 843 00:43:49,100 --> 00:43:51,133 I don't give two [bleep] about it. 844 00:43:56,400 --> 00:43:57,567 [vape crackles]