03x06 - Man vs. Scale

[bunniefuu]

Previously on...


Yep.

Here's what I need from you.

I need you below 400.

I got four weeks to get
under 400 pounds

or I don't get approved
for surgery.

You hit that number
and we're good to go.

There's always that little
voice in the back of your head,

"Are you gonna make it?"

So what's going on
with you and Phillip?

You have such a bleep attitude

since you got with him.

I think the boyfriend's
a hindrance.

On the internet, I was reading that he
doesn't want her to get below 300 pounds...

Yes, you can.

bleep

What I want Tammy to do is just try
to walk 10 feet from where we was at.

Now, I cannot push you
in that wheelchair like that

and hurt myself,

because I know
that you can walk.

That's just bleep

When's your next appointment
with the doctor?

And Chris is gonna go with you
out there too?

Maybe it might be part of
my fault, and it probably is.

Are you still serious
about having the surgery?

Huh?

So, how's Tisa?

Good.

Okay.

Yes, took my pain pill.

- Hey.
- Hey, girl.

This is my mom.

-Hi.
-Your mom? Wow, hey! How are you doing?

Honey, I'm blessed.

This is the first time seeing
Tammy after that spat that we had.

I would like an apology
from Tammy

but I don't know
if that's gonna happen.

I used to be a nurse, I worked
in the pelvic room at Job Corps

and we had to
the test tubes and all,

see if they had gonorrhea
or something like that.

Oh, you got a tough job!

No, it wasn't bad until this girl
came in and had this funny smell,

and I turned around
and looked at the doctor

and he pulled a $20 bill
out of that girl.

Yeah!

Honey,
you don't think we didn't clean--

Girl, why'd she have
a $20 bill in her coochie for?

I didn't ask no questions.

I just got the heck
out of Dodge.

Darlene...

Have you ever...?

She never did tell me why
she had it in her coochie.

Tammy, she ain't right.

It's, like, one of the only
memories she tells.

How's it going with y'all?

What all happened
when y'all went swimming?

Well, hell...

I said, "Well, Tammy,
let's just walk

'cause I don't think I can
push you on the concrete."

And she said, "No, that ain't
gonna work. I'm just not gonna do it."

But she can walk!
I know damn well she can walk.

- Yeah.
- Walk good!

To push Tammy is just like you're
working two 12-hour shifts back-to-back.

You know, I want her to get to have
her surgery, like how she wants it,

but she's gonna have to give it,

to get it is not gonna be free.

And she can do it.

I know she can.

Well, I didn't know.

So for me to tell Tisa,

is a big step for me,

Like, I don't tell
people bleep.

I had no idea that you was
in any kind of pain.

I hide it.

I don't want people to know
how weak I am.

Well, I'm about to cry.

I'm sorry,
I should have told you.

- I'm sorry.
- I had no idea.

- I still love you.
- I still love you, too.

I do.

How am I supposed to know
if she's feeling bad?

She needed to tell me, you know,

'cause I'm thinking that
she just don't wanna do it.

And if you don't tell me,
I'm gonna keep pushing you

till you give me
a legitimate reason why.

But I don't want her
to use that as excuse

every time when
she ain't in pain

to tell me she is in pain.

That's the thing.

I told her, that right there ain't
gonna be her permanent spot

sitting in that damn
wheelchair right there.

Well, Ms. Darlene,
what do you think I can do

to try to get her more
motivated about that walking?

Just get off my back about it.

It's very important.

Let's go over here
and play with some bubbles.

I heard through the grapevine

that Tammy and Tisa got into it,

but I'm glad Tammy finally
apologized for being so rude to her

'cause I can't go back
to working with Tammy.

I need this time for my family.

Yeah!

You like the bubbles?

And I'm like, "That reminds
me so much of Tammy."

He eats more than I do.

And it's scary because I don't
want him to be 600 pounds.

My son means
the whole world to me,

so I want what's best for him.

I don't want him to struggle like
me and Tammy did with our weight.

I want him to be
a normal, healthy weight

so he ain't never gotta worry about the
bullies in school or anything like that.

You know, sometimes
when we go places, like,

to the park or something...

Yeah.

I've been working hard
to get this weight off.

Last time I weighed myself
a few months ago,

I was about 260.

My ultimate goal is 150.

But now it's hard
to lose weight.

There's so much excess skin,

and it does make it harder
for walking,

so my weight is plateauing.

- Yeah...
- You know, to me it's ugly, the way it looks, it's like...

Yeah.

It makes me feel unattractive.

I just don't feel sexy
with all this skin.

I mean, I felt more confident
when I was 400 pounds

I've actually been doing
research for a while now

and I found a place
in Evansville

that you know
could probably help me.

Well, first I wanna get this

and then this.

If I get all that trimmed up,

And then all this.

- Yeah.
- Because I ain't no grandma yet.

I don't think
we're gonna fit through there.

If you turn...

I'm sorry.

Ow! bleep

That bleep thing's prickly.

When you go in the door,
go to the left.

Do you wanna sit in your chair
or on the couch in there?

Okay.

I don't think Tammy thinks
this is gonna help her very much.

I think the only reason why
Tammy is going to see the therapist

is she has to do it
to be cleared for surgery.

She doesn't really wanna go.

Hi, Tammy.

Okay, where do you
wanna go with it?

Okay, you just walk out,
I got it.

Well, it's not locked.

Okay.

Tammy, can you close that door?

This wasn't bleep thought out.

Um...

I'm gonna have to close
the door, okay?

What I'm telling you is
I gotta catch my breath

before I can stand back up.

Today, me and Michael
are going to see

about getting
skin removal surgery.

As you can see, the volume
reduction gives a new jawline.

Let's find out what this
number is and then we'll talk.

If Dr. Smith turns me down
from having the surgery...

I'm gonna have
to close the door, okay?

It's complete bleep.

I'm ready to go home.

If you can just move this
over here just a little bit,

'cause she's not
gonna sit on there.

There we go, yeah. Perfect.

That way maybe
we can move her in.

So, our first time meeting is
typically what we call an intake session

and it's really more like a Q&A.

It's an opportunity for me
to just ask her some questions

and get to know her
a little bit,

and to understand the reason why
she struggles with food addiction.

I really want to connect,

I really want to establish
a rapport with her.

All right.
Good morning, Tammy.

Welcome, thank you
for showing up today.

Tell me what brings you
to therapy.

Okay. So when did it start?

Okay.

Do you tend to eat more,
like, maybe in the evenings?

Do you tend to eat more
when you're bored?

Okay, okay.

Tammy, how do you feel
when you eat?

You look like
you're scowling at me.

Like you don't want to be here.

How are you feeling
right now, Tammy?

I don't know what that means.

Okay, okay.

I do need you to kinda answer
some questions for me, all right?

Okay. I'm not saying
you haven't.

I'm just saying I need you to
be a little bit more cooperative

if that's possible, okay?

Well, a lot of times,

when I deal with individuals who
have some type of an addiction,

often it's because they're
struggling with something internally

and that's the best coping
that they can find at that time.

Maybe you've used food

to kinda cope with some stuff
that you're struggling with.

My first impression is that
Tammy is very reserved.

My goal for Tammy is
for her to accept,

validate, acknowledge her reasons
for eating more than what she should.

She knows the reasons,

but she's afraid to tell me.

She's afraid
to tell herself the reasons.

Tammy, in general,
how is your mood?

Okay. How about becoming
easily annoyed or irritable?

Why are you laughing.

Because it's true?

Okay. So, what are
some weaknesses?

Some things that you can
kinda work on?

Confidence. Do you struggle
a lot with that?

Yeah, okay.

Are you nervous that people
are gonna judge you and...

Okay. That's a great attitude,

but sometimes it's harder
to practice that, right?

Excellent, okay.

Yeah.

Okay, believing
in yourself, yeah.

That's really hard work,
isn't it? Yeah, okay.

What is your goal?

Okay. Is that something that
you think you could probably do it?

Or are you like, "Gosh, that's a huge
mountain, I'm not sure I could climb"?

You can do it? Okay.

I'm not hearing a lot
of confidence in that.

Tammy, what are your thoughts
about the session thus far?,

Okay. I don't know
what that means,

so you're gonna have to
verbalize it.

Okay. There's no thoughts about
the things that we talked about today?

Okay...

I never want to force
anyone into therapy.

What are your thoughts, Tammy,
about maybe coming back to see me?

- I guess.
- Okay, okay.

I'm not sensing a lot of motivation
or commitment on your part.

What are your thoughts
as you hear me say that?

'Cause, as I was listening
to you and kinda watching you,

I wasn't getting a lot
of information from you.

As our session progressed--

Exactly. And I was
just gonna say,

as our session progressed,
you did open up a little bit.

I think underneath
all of the stuff,

I think there's somebody
who's really hurt.

That's just my impression
right now.

So, can you talk to me a
little bit more about this food addiction?

Tammy shut down.

I think she has a lot of
things that she wants to say,

but she is finding it hard
to trust somebody to share

some of her deep secrets with.

Okay, yeah.

Are we walking every day?

- No.
- No.

Today is Chris and I's
follow-up appointment.

All the things we
asked you to do, you didn't do.

It kinda ticks me off.

So, today me and Michael are
going to a plastic surgeon's office

to see about getting
skin removal surgery.

It really affects my confidence

because my belly hangs over.

Hello!

You know what
a droopy dog is?

Yeah.

All right, guys. So, I'm
going to get you ready

for your chat with Doctor Zieg.

First of all,
you and I need to discover

exactly what changes
you're looking to do.

- All right. Well, we have a solution for that.
- And right here.

We're gonna do
a virtual image of your face,

- and I'm gonna show you the changes that we can make.
- Okay.

Go ahead and stand
in front of this machine.

Now scoot forward one inch.

No, an inch is, like, this
big, okay? So here we go.

And you can go and have a seat.

- So, here we go.
- Oh, my God. I'm ugly.

Let's start with the chin because
that's everybody's major concern.

- Mmm-hmm.
- We'll let Dr. Zieg make all the decisions,

but probably starting with just
some liposuction and skin tightening.

As you can see here, the volume
reduction gives a new jawline.

Yeah.

So we're gonna
soften this line here.

It's not gonna be completely gone
because that would be awkward

but it's gonna be
less noticeable. And then...

We have the magic.

Hello?

- I'm Paul Zieg.
- Nice to meet you. I'm Amy.

- Hi.
- Hey, I'm Michael.

Hi, Michael.

So, you had a gastric bypass a
couple of years ago, - 2019.

- And lost about 140 pounds?
- Yeah.

So, let me see your arm,
if I can.

Want you to, kind of,
make a muscle for me.

I'm going to say that's
probably about five pounds of fat.

- If you can lay back for me for a moment.
- Can I pull this down?

Yeah, you can.

- So do you get rashes in the summertime?
- Yeah.

- Right here?
- Especially now that I've lost all the weight.

- Yeah.
- It wasn't as bad as before.

That's a very common problem.

He examined every
part of me. My boobs, my necks,

So, what I find is that folks search
me out after they get to their goal.

It would probably
be best for us to focus on

waiting to see
how things go for you.

My suggestions for Amy is
continue on her weight loss journey.

Her body will
still have changes.

After she's done with that then we
can proceed with having the surgery.

I've been down this road with
folks, kind of, hitting a brick wall.

- And things just aren't...
- Yeah. It's kind of...

Budging anymore.

And they get kind of frustrated.

It's hard because,
after my weight loss surgery,

for the first year I dropped
weight like it was nothing.

But now it's, like,
hard to lose a pound.

While it's not an immediate
gratification to get what you want,

the results are nicer.

- It's not a sprint, it's a
marathon. - Oh.

My next steps are to, you
know, lose more weight because

My sister's got this
crazy-a*s idea

to go to the spa.

Oh, God.

I might have a problem.

She doesn't...

- There we go. Got it.
- Okay. I got it now.

That's definitely a small spot.

Hey, y'all. It's Amy.

Hey, it's Tammy.

And...

Me.

Putting up
with these two bleep.

In a couple of days, Chris
has his doctor's appointment

to see if he's gonna
get approved for surgery.

And if he gets approved he's
gonna get his surgery the next day.

Dude, he's got this,
so it's just nice to go out

and just let loose
for a little bit

We have a esthetician coming in,

and we're doing facials and

It is relaxing,
so I'm not going to sit there

and say that I didn't enjoy it.

I'm just saying I'm glad they're paying
for it because I'm not paying for it.

So, we are doing
a belly wax today?

- Yep.
- Okay.

I figured, you know, just want a
little strip because, God willing,

if I get my surgery
there is gonna be

four incisions
across my stomach.

So they've talked me into
getting that area waxed.

Oh, golly, that's gonna hurt like hell.

- All right, are you ready?
- Mmm-hmm.

All right.

One...

Two...

Three.

- Oh, that wasn't even that bad.
- That wasn't.

That wasn't as bad as I thought it was going to be.

No, it didn't really hurt as bad
as I expected it to, you know?

I don't know how women survive.

I don't know
what this is called, but hey.

I really want to
prove to Tammy that I'm here,

I'm showing her support,
we're working out together.

Ow.

Oh.

Oh, God.

Let's get on the scale.

I'm angry with the fact that she did
not do anything that I asked her to do.

I just really feel like
she's wasting her time.

I haven't been doing what
Doctor Smith's been asking me.

So now I'm trying to get this
weight loss taken care of because

Tammy has a doctor's
appointment with Doctor Smith coming up,

so I really want to prove
to Tammy that I'm here,

I'm showing her support.

I'm right here,
we're working out together.

But, in reality,

Like this.

Okay.

Ow.

Oh.

Oh, God.

It seems like Amy has forgotten
everything she learned from Fit 4 Mom.

Hey, I just realized
my massive...

- I missed it.
- bleep

Oh, my God.

He loves big women, but
she needs to lose this weight.

Just...

Tammy told me she broke
up with Phil and I'm like...

Now you need
to work on yourself.

Tammy don't need somebody
that wants her to be a glutton.

Now that your Doctor Smith
appointment is coming up

you got to show some real
progress, so we got to do this,

- like, every day.
- I know.

Even when I'm not around.

- So, you ready to do some squats?
- No. I can't do squats.

Tammy, let me get
the door real quick.

This is going to be
the moment of truth.

I'm going to Doctor Smith's
to do a final weigh-in.

The last few weeks I've
tried really hard to stay on track.

No starches at all.

Chicken stir-fry
and cauliflower rice.

- No, it's not.
- Yeah, it is.

- Is everybody ready to go?
- I think so.

- There's a whole lot of a*s in this van today.
- Yep.

We brought Misty along because

somebody has to push Tammy
if I get my surgery.

Brittany can't do it.

So, how does everybody feel
about this doctor's appointment?

Why?

Hopefully, God willing
and the creek don't rise,

So...

What happens if you don't
make weight when we get there?

I'll probably be more depressed
than anything. I don't know.

I was gonna say, it would k*ll
me working that hard to do it

and then not, you know...

- Not getting it?
- Yeah. That would really mess me up.

It's gonna suck.

I'm tired of being on a diet all the
time to work towards the surgery

that's, kind of, like
I'm never going to get.

- I'd probably bawl.
- I don't know,

If Doctor Smith turns me down
from having the surgery...

I don't know
what I'm going to do.

This is it.

If I'm under 400 pounds that means
tomorrow I'm getting my surgery.

I was going to get the door.

- Well, I didn't see that thing.
- Well...

Today is Chris and I's
one month follow-up appointment.

He's going to find out if he might
get approved for surgery and...

I'm worried about
my appointment too, because...

I know I haven't been doing
exactly everything

Doctor Smith
has wanted me to do.

- Hey, guys.
- Hey.

- How are we?
- I'm good.

Tammy, when I saw you last
time I gave you some goals.

How's that been going?

Not good? Why?

- You don't know?
- I really don't know.

So portion control's
gotten worse?

It's not improving. Okay.

I think some of the other
goals we had were steps,

and we were going to start at


How are we on that?

No?

Are we walking every day?

No. So we're not even doing
the 75 a day.

I'm angry with the fact that she did
not do anything that I asked her to do.

I just really feel like
she's wasting her time.

Let's get on the scale. Let's have
you weigh, and then let's talk, okay?



That's the first time that
I've seen you in follow-up

- that you didn't gain weight.
- Right.

And that is a positive, and
I'm not going to make light of it,

but it kind of ticks me off.

And you know why?

You told me all the
things we asked you to do,

you didn't do.

Can you imagine if you would actually
do these things that we're working with?

What I'm trying to get you
to understand is that

if you will do what I'm asking
you to do every single day,

you will see results.

The fact of the matter
is it works. It will work.

You know, the rumor is
Tammy's relationship is over.

So I don't know if she's been
eating her feelings.

Hell, I don't know what the hell's
going on, but it's frustrating as hell.

What are you thinking right now?

I want to see you back
in about a month, okay?

I'm going to give you
the same goal.

I'm not going to reduce it just
because you're not meeting it.

- Right.
- Tammy, I want to see a log when you come next time.

I want to see a piece of paper,

or something in your phone
that you can show me,

that you put a date
that you walked.

And if you didn't walk on a
date just write you didn't walk.

All right. So we'll see you in about a
month. I want to see 25 pounds gone.

I'll never quit on you, you don't
ever quit on me, and we'll get there.

But right now...

No offence, I think I want it
more than you do for you.

Prove me wrong, okay?
I want you to prove me wrong.

Chris?

- Okay?
- Mmm-hmm.

- Good luck.
- Appreciate it.

I've been trying to get
this surgery 11 years.

Been a lot of setbacks
for one reason or another.

This is it.

- Hey, guys.
- How's it going?

- Hello.
- How are ya?

Great.

So, I guess the final verdict is
we want to see what this number is,

- don't we?
- Yeah, I guess.

How has your
activity level been?

Okay. Good.

- You feel like you've done what you can do?
- Yeah.

Okay. Good deal. Well, let's
find out what this number is,

- and then we'll talk, okay?
- Yeah.

All right, hop up here for me.

I'm taking my shoes off.

Okay, take your
shoes off. We can do that.

Let's weigh you
how we have before.

Here we go.

This is it and I am stressing.

I have really buckled down
on what I've been eating, but...

- Come play with something you can play with.
- Ouch.

Oh, I knew you were
going to hit your head.

Next time
on 1000-lb Sisters.

- I can't believe how fast Gage is growing.
- I know.

We definitely need more space.

Look at that little house.

Our house is getting too small for
the three of us. We have to move.

-That's perfect. It's right next to the park.
-Yeah.

I'm nervous to tell Tammy
I'm moving out, but it's time.

My ex-boyfriend has been...

harassing me.

The situation with Phillip
got way out of hand.

I got the police involved,

and I never thought I'd be in
this kind of situation.

You know, my job is
to do what's best for you,

and sometimes that may be an
answer you don't want to hear.

I don't understand it.

I don't know how in the hell
this is possible.