Vianney and Allen have shown they influence
each other to make poor food choices. So if one of them starts to slip up, the
other will likely follow because of that negative influence. And I suspect that has happened because for
the past week Allen has not been coming up to visit Vianney much because he wants to avoid
me. The hardest thing for me is me and my wife. We can't be in the same bed because of how
big we both are now. I have a speech problem. It kept me from having a lot of friends, but
I've been the best thing that ever happened to me. And the biggest thing we bonded over
was food. Food is what keeps me and Alan going. For the last 6 or 7 years, all we've done is
stay home and eat. The thought of losing her breaks my heart. But I know if I don't change, I'm going to
die. Now my question is what? What are we going to have for dinner? I don't want to eat for, like, a week. You're lying. You know you're going to be
hungry in a minute. I'm almost bedridden, doctor. Now.
What about you, Alex? What is your eating habits like? Pizza and ice cream, stuff like that. So you both need to turn your situation
around. And if y'all want my help, you need to
consider coming to Houston for the long term because it's going to be very risky for both
of you to travel back and forth like that. Okay, Doctor, we want to take this risk. We're serious. Let's do it. Let's change our lives. Doctor, Now, set an appointment with us for
tomorrow. This is going to be our first appointment
with him in person. I'm excited and nervous about it at the same
time. I haven't seen that way in years, so I could
see a really big number. Wow. But I'm hoping being there does a lot
better than me. I see you have distended abdomen and some
lymphedema in your leg. Yes. And then I have, like a sore here, too. Somewhere around there. You have to get that fat off of it. Okay. You both should be able to easily lose
at least £50 over the next month. And when you come back, if you have done
that, then I'll refer you for weight loss surgery. Me and Alan have made a lot of big changes
and we're completely sticking to the diet. Sometimes when my cravings get really bad, I
give in a little. A lot of the nacho cheese, the steak. I like to have half a burrito. I just hope it doesn't mess my progress up
because I want us both to get approved for surgery at this next appointment. I didn't make it to my weight goal. If I lost the £50 I need, I'd be below 544
today. So over the last month you lost £68. So I'm proud of you. And since you did so well, I'm going to pray
you for weight loss surgery. Yeah, baby. Thank God. I want her to go for us. Well, that's good, because you lost less than
half of what we did, so I'm going to give you two months to lose at least £80. Okay. But we're going to schedule some tests
on you to make sure that there are no issues that prevent you from having the operation. Today, we are attempting to perform a
gastric sleeve of DNA. Our tests all look good. But even though DNA has lost over £120,
doing any surgery on a person this size is extremely high risk. I don't feel a pulse. I need to pump him chest CPR. Guys, go. I need an art blind stat. Epi going in. Chest compressions. All right, we're working
on a. Line over here. All right, get this out. You didn't get the operation because your
heart stopped for a few seconds. Okay. Operation. All right. Are you going to be okay? All right. Really has been really sad about not getting
the surgery. I'm even mad that doctor not brought me back
like he should just let me go. I'm just really struggling right now and I
don't know how to get past it. I miss my carbs. I know, baby. Penny is here in the hospital because we are
treating her for an infection with her cellulitis. She was scheduled for weight
loss surgery two months ago. As long as she lost £30 by then, and she
seemed like she was on track to do that, she lost about £20 over the following month, but
then she vanished. She didn't show up for her surgery and we
couldn't get hold of her for a couple of months until a week ago when she resurfaced
and came here to the hospital because her cellulitis infection has gotten so severe. The pain was too much for her to handle. She said that infection started a few months
ago and kept her from being active. So she fell off the wagon and gained over
£60. And now she's doing much better. She was 433 when she showed up a week ago. But her last week, she. Yesterday we had gotten her back down to 408
because we had her on a controlled diet while we treated her infection. So we have a much better place now. And what's going to be important now is that
she makes sure this doesn't happen again. Hi, Renee. How are you doing? Hi. All right. Let's take a look at your cellulite and see
how we're doing. This is getting better. And this area. The ulcer that you got in here is something
that we need to be very clean with it every day. Wash it with soap and water and cover
it with a clean gauze and antibiotic ointment to put over the skin because this skin is
cracking and that's where the infection comes in. But make sure you wash it every day,
okay? Because the poor hygiene accelerate this
infection. Okay. Okay. All right. So we're going to check your weight today. Okay. And get you going home. All right. Okay. Let me bring the scale and
I'm going to be right back. What's going to be important now is that she
gets back to doing what she needs because now we have with her until she gets down to 350
and maintains it for long enough to show me she's not going to let her emotions take
over. It's been two weeks since I got back from the
hospital and I've been trying to stay on track and do everything that I'm supposed to
do. I feel that I'm okay. Go wrong, baby. Still in my funk. I went back to therapy with
Lola again a couple of days ago, and Alan was supposed to go with me, but he didn't feel
like he was ready to do it. But I decided to go anyway so I can keep
making the progress that I need to make. So what the therapist told you. She wanted me to do, like a vision board and
envision what my life would be like in a year from now. Today I'm doing some of the
homework that Lola gave me to do at our last therapy session. I'm making a vision board
of my goals and the stuff that I want to accomplish. Next to you. So do you. Have you got any magazines? Awesome. Yeah, there's some magazines here. Partial board. Or something. The more time that I spend in therapy, the
more I realize that my mom really did a number on me. I've been working to get past
all that, and I think what Lola's been having me do has been working so far. So I want to give this vision board thing a
good try as well. I think I'm going to use some of the stuff
that I was like printing out. I'm going to hold online things that I
wanted to kind of do with you and stuff. What she's trying to do is to get me to look
towards my future and to have some goals that I want to hit so that I'll have something to
keep me motivated. But I have a big fear of failure, and that's
what cripples me the most. I feel like I'm going to fail this surgery
and I feel like, what's the point of even going through it if after the surgery I'm
going to not succeed with it? So I kind of feel like, why even get the
surgery? And now on top of that, I have a fear of
dying because of what happened the last time I had surgery. But my homework is trying to overcome the
feeling of having no purpose and to deal with the fear of failure. So vision Board is supposed to be good
because it's going to put my goals up where I can see them every day so I can stay focused
on them like I need. And hopefully that will help me not get down
on myself and get depressed. Since getting back from the hospital a couple
of weeks ago, I've been working out and eating a little bit more like after now
said. And I feel like I'm doing that because of my
extra skin getting all saggy and stuff. I want to get off of me with surgery. So I'm going to keep working to do that and
get the 320 where a doctor now says skin removal will be an option for me. I just can't overdo it and starve myself
again. To do that, I went back to making meals and
eating with at least one meal a day. But I feel like I overeat when I do that
with her. So I can't do more than one meal a day with
her. But I'm trying to do what I can to show her
that I'm supportive of her. But what she wants to do and what I need to
do. I had started to feel different lately, but
they told me that she felt like I wasn't there for her and it seemed like I was
ditching her. So I'm trying to show I'm here for her and I
want to do this together with her so we can get a better life together. I've been trying to stay as motivated as I
can, but it's been harder the past couple of weeks. I just feel like Allen isn't trying
to be my partner in doing this anymore, and that's hurtful and discouraging. I don't feel that he cares as much about my
progress as much as he does about his. And so I'm feeling alone, and that's making
me struggle a lot. I just don't understand why he's being like
this, because we set out to do this together, you know, In fact, I made the decision to do
this. Then he decided to do this with me. This past year has been hard with everything
been happening. About a month after I was supposed to get my
surgery. Everything got locked up because of the
virus. So when it. Started lasting a while, we decided to move
to Arkansas, where I got some of my family. So we've been here for a year. It was going to be a couple of months and it
got longer. And now we kind of live here. I got a job doing food deliveries and I'm
feeling good because I lost all the weight I need. All I have is the extra skin on me
now, and I'm getting used to that. So, babe, what are you thinking? Do you want to do today? When I. That membership you were talking
about getting. Well, to work out. What you do. At the gym. You want to go to the gym? I don't know about working out. Oh, we don't have to go today. It's been bad for Veneto. She's struggled a lot, and I think she's
gained some weight back. And that's a problem because we're not the
same no more. I want to get out and live my life,
especially now that we can go back out to places. But Vienna seems like she don't want
to do nothing. I don't even try no more to get her out the
house with me. I feel bad eating all this food. You only eat like one strip of bacon. I can't even get her to eat with me now
because she feels judged by me even though I don't judge her. So she eats alone unless I fill my plate all
the way up and make it look like I'm eating the same amount. But I just wait and sneak
it into the trash while I'm done because I can't eat that much. And that's so that she'll eat with me. Going for. Your. Must be nice to take two bites of food and be
full. It must be nice. Yeah, it's nice most of the time. I wish I could take two bites and get full. You will. Know. I got to get a hold of the doctor now
because I don't know what he wants to do. I got to say goodbye to these delicious
carbs. I hope. No carbs. Fine. Take this bread. I didn't want it anyway. Yes, I did want that bread. I want to be like you. Now your turn. Can step up on the scale. At my last weigh in. A year ago, I was under 400. So hopefully I'm not back up to 500 or
anything like that. That's a big jump. We're going to room five. At least I'm still not in the five hundreds,
but that's close. And Doctor now isn't going to think that's
good. So I'm scared how this is going to go. Hello. Hello. How are you all doing? Good, good, good. Well, nice to see you all again. Alan, I didn't recognize you with that
beard. What happened to that beard? Oh, no. I woke up, It was gone. So how is everything going with you? Good. Good. Okay, well, I know it's been a tough year, so
I'm glad to see you both back. And, Alan, you lost a lot of weight. You're down to 228 and you have lost £422. That's a very good weight loss. So how do you feel? I feel great after now. But you have a lot of extra skin, right? And maybe if you stand up. Can I take a look at it? See? Yeah. You need this £1. Yeah, that's a lot of extra skin. You got to hang around in both sides. You know, Alan didn't be a really big
improvement. If we get that extra skin off, So I'm going
to approve you for skin surgery. We're going to set it up when you're ready. Okay? Okay. That's going to improve your body contour
and your health and skin infection and all those things. So you have done great and we
can do your skin removal and get you to your target weight. If you can stay in Houston
for a few weeks to recover anything, you can do that. Yeah. All right, great. Let me know when you can
do that and we get you on the schedule for that. And then afterward, you'll be done. So you have come a long way, and I'm happy
to see that you have stuck with it over the past year. Just keep it up and we'll get you
taken care of. Thank you, Doctor. Now. Well. How are you getting along? Not good, Doctor. No. You didn't have the benefit of weight loss
surgery. And like Alan over the past years, or you
really gained some weight. But the good thing is you didn't gain all of
the weight back, So I'm happy about that. But still, gaining over £100 isn't good. So what's going on with you? A lot of depression and stuff. So. So a lot of the same as before. Yes. Okay. Well, are you ready to have a fresh
start to do this again and try to lose weight and finally get healthy? Yeah, I'm afraid I'm going to get back to
where I was and where I couldn't get out of bed and like, I need to do something. Okay, well, why don't we see if we can get
back on the track, starting with you going to therapy again? You still need to work on
that to try and find your motivation. So I'm going to set you up to start therapy
again. Okay? And I'm going to give you a month. And in a month I want you to lose £30. Okay? You think you can do that? I feel like I can't. I don't know. It's just like something tells
me, like you're not going to lose this weight. Like, I don't know. It's like I fight these negative thoughts
and voices. Like, just give up. You're not going to do this. You're almost 40. Everything is up to you. If you decide that you're going to change,
you can. Okay? If you decided that you're not going
to do it, then nobody can push you to do it. And at this point, you need to have a
positive attitude to be able to make the changes you need to have a better life. It is up to you to move toward the positive,
not Alan, but you need to support each other in that process. But from what I have seen, Alan has tried to
get upset of him for being a positive influence. You're pushing him away and
you're not bringing him in your life. So let's both work together. So Alan, communicate and give her
encouragement that she can do it so she doesn't go to eat in the closet and be
depressed. Okay. And you can do this. Okay. Okay. And Alan will do your skinny one
when you're ready. Okay. And let me know when you two are back
here in Houston and we go from there, okay? Okay. All right, all right. If you need anything, give me a call. Okay? Okay. Thank you. Thank you. Overall, I'm very happy to see that Allen has
lost the weight he needs and that he maintained his progress over the last year. He's not overeating and he's also not
pushing himself too hard. I think he's doing great. And once he has all his excess skin removed,
he will be at his target and done with the program. So I don't have any concerns about
him for the long term. But it seems he has struggled more than him
over the last year. I am happy that she didn't gain all her
weight back. That shows me some positive effort. But if she pushes her heart to the limit
again, she might not survive another emergency. So I'm very concerned about her
right now. And if she keeps alienating Allen, she can
end up self-destructing and losing everything important to her. I suppose that were better than I thought,
but it was still a hard appointment for me and I'm disappointed because I feel like a
failure at this point. But I hear what Dr. Now is saying and I'm going to try. I think this went good as can be expected. I'm not sure what I'm going to do. I hope she chooses the right path so we can
get to a better place together.
