[Music] after a really long drive from North Carolina I met Dr NS for my first appointment and I'm about to find out what I weigh close your eyes it's closed no it's not closing for real man nobody DW down I think I got to be down in my lower 500s but I might have gained some back so I'm expecting to be in the 500s your weight is [Music] 655 we'll be going to room [Music] five I don't know what to say to that that's a lot more than I thought it would be oh my gosh
no wonder I've been feeling as bad as I [Music] do I'm really scared what's going to happen and if Dr now's going to be able to help me hello how you all doing hello all right you must be Shaya yes well I'm pleased to meet you and who you have with you um this is my sister Shen and this is my my friend/ sister Dalal hi well good to meet you so how was your trip down here it was good all right let's see what's going on with you you're 655 lb and your BMI is
almost what is the highest weight you have been this is the highest weight so what do you think got you to this point um I became an emotional eater what do you mean you been an emotional eater I things happen so at what day did you noticed that you were overweight I really started noticing like my weight really picking up when I was like in college but it wasn't until recently it got worse to where and not able to do like the things I used to do so how was your activity I see you got
a lot of lymphodema on your left leg how is that affecting your activity I can walk but it's limited because it's in the way okay what can I do to help me with like the lyard demon like the blisters the only thing you can do right now is L some weight once that get big and they're going to shink okay if you lose weight then eventually we have to take it off but not when you're 600 lb so at this point you have to concentrate on eating healthy and get away from being unemotionally eat okay
every time you eat you feel better right yes but that only lasts a moment it is killing you so what is the tradeoff with that so you learn to deal with your emotions and once you do that you'll be in a better place and it will be easier to keep moving in the right direction we'll set up some remote therapy for you to help you with that okay so if we give you some Diet paper to still working you think you can follow that yes so who else is in house old with you it's my
sister my mom her my stepdad and my nephews any of them have a weight problem no only you yes do you think you got enough support system in your house that you can change your eating cabet and start working out and getting yourself in better shape yes I have support everybody great to help me all right you going to have to make some changes you think you can do that yes I'm ready I'm ready to get out of this body all right I'm doing whatever it takes for me to lose the weight do you have
a goalie in your life yes I have three goals set one is to go back to college and finish and graduate become a teacher the second one is to join a sorority and the third one is to take a cruise and go to the palus all right those are very good goals to motivate you so think about all that when you struggle because it's important to lose as much weight as soon as possible your BMI is extremely high to the point that your body can give out at any movement because of all the strain you
made is putting on it if you continue this pathway you're going to continue gaining and once you hit the 700 lb then it's going to be impossible for you to walk then going to be better than and you're not going to make it so you need to do this now before it's too late okay okay she supposed to live to be over 90 years old I want to live long like my great grandma she lived 102 years old that's great and that can be possible if you get healthy right now if not you're not going
to be able to live long because your VI probably has hel to survive it a BMI like that you're only 26 if you keep this up you may not make it to 30 and this point we give you the road map and start working on this okay so how much weight does she need to lose around 500 lb for her height but if you're talking about her first goal she need to lose 50 lb over the next 2 month to show me that she's serious if she want to have with surgery so we'll see if
we can give her some instruction okay if she followed that she can lose 40 to 50 50 lb each one okay okay and because right now when you 600 lb you have to eat 6,000 calories to maintain that weight M so shakaya I'm going to give you a 1200 calorie a Day Diet high protein low carb and some exercises that you can start on so you can lose 50 lbs over the next 2 months okay so you think you can do that yes I'm determined already already I'm already going in in this with open mind
so and an open heart so so let me go get some stuff for you okay okay I'll be back right you think you could do this K yeah I could do this you sure yeah okay I can't wait so far I'm not convinced that shakaya is ready to change like she says but it's clear she uses her past trauma and her emotions to justify her overeating and unless she gets past that J ification it is not likely much will change for her long [Music] term all right so we'll go over all this the front page
has information about obesity and then here's the Tre factor that control your weight we will set up therapy for her to help her to learn to cope with the trauma in healthier ways but the first step that she need to take is to lose 50b over the next 2 months that is a very easy goal I'm giving her to at least show me that she's willing to take responsibility and try to change things for herself these are the exercises you can do so you do 1 hour of exercise in the morning 1 hour in the
afternoon and I want you go ahead and uh start reading those and follow those okay okay shaka's BMI is very high and she need to change things now before things get much worse for her and her body gets to a Breaking Point and she doesn't make it with your height and your weight noral B is 18 to 25 so at this point everything going to be up to you to change your life and get away from that idea that every time you get upset or you feel emotional you have to eat we can't make you
lose weight but we can give you the road map of doing that but if you don't follow it then there's nothing we can do to help you and ultimately nothing is going to change for you okay you're going to have to take the first step and if you do that we can move ahead with you and consider you for weight loss surgery okay okay all right I want to see how you doing in two months if you lose 50 by then end the next step will be to to move to Houston if you want we
without surgery okay okay we'll set up therapy for you and send you detail for that if you have any issues you call me let me know have a good trip back home and start working hard from this point and remember everything is going to be up to you yes okay okay you going to help her too mhm well nice to have a supporting friend and family so I try to work hard and need anything than you m all right I hope to see you soon and 50 lb lighter okay okay yes all right we'll see
yall all right see you [Music] later at least now it feels like I'll be heading in the right direction and I feel like I could trust doctor now to lead me down a path to a better life so I can have some of the juam that I wanted okay I'm I live so long want the things that I can't have or do because of my weight I'm ready to do what it takes to finally change that and get the life that I wanted you in it's going to be tough but I'm going to do it
starting [Music] now my office finally was able to get hold of sh here and they said a tele medicine appointment for her to see how she's doing and find out what's going on with her hi sh have you been H I'm doing okay now well I was worried about you since I haven't heard from you for past 5 months and I left several voice messages and you never called back so I didn't know what was going on with you unfortunately I was going to come see you but I ended up getting sick I had came
home from work and I um had cooked me some some dinner and then all of a sudden I didn't feel good and I went to lay down and then they said that I didn't know wake up out of my sleep and next next time I woke up I was waking up off the ventilator what happened they said that I um had respiratory failure when I woke up off the ventilator I lost the ability I lost my ability to walk so um my mom was unable to take care of me so she send me to the
hospice so I'm glad you're doing better uh so I was worried that something like that can happen and uh where your body might got into the breaking point and I'm glad you find out that you're doing better how long you were sick for about a couple of months so that's why you couldn't call and let us know what was going on with you huh um I did notify like someone in the hospital to to try to reach out to you guys to let you know what was going on but um no I guess they did
and do what they were supposed to do so so what is your plan now you have to go back to the hospital or hospice yes I'm still in hospice care but I don't like it here because I can't have visitors so it's lonely I want to get out so at this point uh you going to go back home am I going to go back home M my mom kicked me out I don't have a place to go me and my friend was supposed to get an apartment together then I'm going to try to move to
Houston so I can keep doing your program okay you doing better with your eating habit now I don't know my current weight because they don't have a scale but I've been sticking to the diet and I know I lost a lot of weight so what are you going to do about your eating habit are they providing you some meals or you going to have to be doing that for yourself they usually bring me a meal I just try to eat protein and Shak are you getting in any exercise now yeah I um do the exercises
with the Walker that I can do um standing up so I move around all right uh well I'm glad you're doing better and you add have the h hospital and at this time you need to stick with your healthy eating habit and try that and if you want to be in my program we're going to get you to go to a local clinic and get your weight check and see what kind of progress you're making okay okay uh if you lost weight then I will discuss with you coming down here for weight loss surgery okay
thanks Dr now all right you take care okay okay you too all right bye now byebye I am very glad to finally hear from shakia and to find out she's doing okay but her situation in the hospital was an ideal for her but hopefully she'll be able to make some other arrangements soon and if she does that then we'll get her current weight and see where she's at hopefully she is truthful about how she's trying to eat healthy but I have some doubt because even if she was sick for a few months and respond to
my voice smell so I think she was trying to appoint me for good portion of time and usually when that the case it is because it hasn't been much of progress and on top of that I'm not sure she's being truthful about being in the hospital that amount of time she may have been at some point but she didn't look like she was in that call but hopefully we'll be able to get update on her way soon [Music] I guess you can say things haven't been going all that well because my mom said she wasn't
going to let me come back and live with her anymore can't have no taking care of me anymore and I get it but it's still upsetting and at first I wasn't sure what I was going to do but it looks like me and my friends going to get a place together but I'm not sure how I'm going to cover my portion of the rent but my plan is to get a job at a call center then move to Houston as soon as I can so it's just going to be a temporary situation for me with
me not having a proper place to stay it's been pretty difficult for me to stay on my diet with doctor now it's been really hard to do the exercise like you once for
