1
00:00:02,867 --> 00:00:06,300
[Abi] I've been lying
in this bed immobile
for seven years.
2
00:00:06,300 --> 00:00:09,834
The only thing that motivates
me to keep trying is Brenda.
3
00:00:16,667 --> 00:00:20,000
[woman] Somewhere
in me is this little
glimmer of hope.
4
00:00:20,000 --> 00:00:22,634
I just want to be
a normal person.
5
00:00:25,066 --> 00:00:26,066
[breathing heavily]
6
00:00:33,367 --> 00:00:36,767
[man] You can't do it,
and I just get mad.
7
00:00:36,767 --> 00:00:40,166
[woman] If I'm not gonna
make change now, I'm scared
it's gonna be too late.
8
00:00:44,000 --> 00:00:47,467
[grunts] It hurts!
9
00:00:47,467 --> 00:00:52,066
[woman] I refuse
to stop fighting. I have
to do this for my children.
10
00:00:52,467 --> 00:00:53,567
Oh.
11
00:00:57,400 --> 00:00:59,500
-[Dr. Now] Hi, Abi.
-[Abi] Hey, doctor.
12
00:00:59,500 --> 00:01:01,500
-[Abi] Finally good
to meet you.
-How are you?
13
00:01:01,500 --> 00:01:04,533
-[man 1] One, two, three.
-[Abi screaming]
14
00:01:46,767 --> 00:01:47,934
[Brenda] You okay?
15
00:01:48,867 --> 00:01:49,967
Tired.
16
00:01:50,300 --> 00:01:51,467
Tired?
17
00:01:51,467 --> 00:01:54,100
-Here're your pills.
-[Abi] Thank you.
18
00:01:54,100 --> 00:01:57,000
-Can you bring me
some water?
-Yeah.
19
00:01:57,000 --> 00:02:00,967
[Abi] I've been lying
in this bed immobile
for seven years.
20
00:02:04,667 --> 00:02:07,266
My hips and my back
are in agony,
21
00:02:07,266 --> 00:02:11,567
just from me staying
in the same position
all the time.
22
00:02:11,567 --> 00:02:16,200
The only thing that motivates
me to keep trying
is my beautiful wife Brenda.
23
00:02:16,200 --> 00:02:17,634
It's time for your bath, Abi.
24
00:02:19,166 --> 00:02:20,834
[Brenda] Got everything ready
for you.
25
00:02:22,400 --> 00:02:26,433
[Abi] She's my inspiration.
My light at the end
of this tunnel.
26
00:02:29,300 --> 00:02:33,166
When I wake up,
the first thing
I have to do is bathe.
27
00:02:33,166 --> 00:02:37,700
It's extremely painful.
It's the worst part of my day.
28
00:02:37,700 --> 00:02:41,133
Is it ok if I do your feet,
while you wash your head
and face.
29
00:02:43,000 --> 00:02:43,900
-Yeah?
-Yeah.
30
00:02:43,900 --> 00:02:46,300
[Abi] And it's difficult,
because this bed
31
00:02:46,300 --> 00:02:47,467
is too small for me
32
00:02:47,467 --> 00:02:49,867
and Brenda has to bring over
a bucket bath.
33
00:02:49,867 --> 00:02:53,367
In a bigger bed,
I would have more space
34
00:02:53,367 --> 00:02:56,367
to be able to maneuver
and flip side-to-side better,
35
00:03:15,500 --> 00:03:18,934
[Abi] In 2014, I was
in a car accident.
36
00:03:19,266 --> 00:03:20,567
I lost
37
00:03:20,567 --> 00:03:23,233
feeling from my chest down.
38
00:03:24,066 --> 00:03:25,467
And now
39
00:03:25,467 --> 00:03:29,567
because I've been bedridden
for seven years,
40
00:03:29,567 --> 00:03:32,500
I've developed bedsores
and lymphedema.
41
00:03:32,500 --> 00:03:36,900
So every morning, Brenda has
to thoroughly clean them
and disinfect them.
42
00:03:36,900 --> 00:03:38,266
-[Abi] You got it.
-[Brenda] Should be good,
yeah.
43
00:03:42,500 --> 00:03:46,500
[Abi] But in my head, I try
to maintain happiness.
44
00:03:46,500 --> 00:03:50,533
Just to try
and move through it
and not dwell on it.
45
00:03:56,300 --> 00:03:58,900
[Brenda] Scrambled eggs,
bacon,
46
00:03:58,900 --> 00:04:01,233
sausage and toast
for breakfast.
47
00:04:01,600 --> 00:04:02,634
All right.
48
00:04:03,700 --> 00:04:05,934
-Your breakfast.
-Yeah.
49
00:04:07,867 --> 00:04:09,233
And coffee.
50
00:04:10,066 --> 00:04:12,066
-Thank you, baby.
-You're welcome.
51
00:04:19,400 --> 00:04:22,400
I know, I think
about food more often
than I should.
52
00:04:22,400 --> 00:04:24,133
And I know, I eat too much.
53
00:04:24,600 --> 00:04:25,700
Is it good?
54
00:04:25,700 --> 00:04:27,000
Yes.
55
00:04:27,000 --> 00:04:29,266
[Abi] But, I have always
liked food.
56
00:04:29,266 --> 00:04:32,600
And the way I eat today
is still a giant improvement,
57
00:04:32,600 --> 00:04:34,934
on how I ate when I was a kid.
58
00:04:37,467 --> 00:04:41,066
My sisters and I were born
and raised in Puerto Rico.
59
00:04:41,066 --> 00:04:43,567
We were a close knit
Christian family.
60
00:04:43,567 --> 00:04:46,100
And on Sundays we would go
to church together.
61
00:04:46,100 --> 00:04:48,967
And Caribbean comfort food
was part of everything.
62
00:04:55,000 --> 00:04:57,300
It wasn't a good diet
63
00:04:57,300 --> 00:05:00,533
for a little kid to be,
but I love it.
64
00:05:06,700 --> 00:05:09,300
Back then, I was playing
a lot of basketball.
65
00:05:09,300 --> 00:05:12,300
So whatever I eat
late at night would burn off
66
00:05:12,300 --> 00:05:16,333
until I was 14. That's when
I started having
a growth spurt.
67
00:05:17,066 --> 00:05:19,300
I grew to 6'4.
68
00:05:19,300 --> 00:05:22,033
That's when I started gaining
more weight.
69
00:05:25,867 --> 00:05:27,567
I started liking more music,
70
00:05:27,567 --> 00:05:31,066
so my physical activity
was playing the drums.
71
00:05:32,000 --> 00:05:33,967
And, you know,
I started getting bigger.
72
00:05:35,800 --> 00:05:37,967
It's crunchy,
that's how I want.
73
00:05:38,767 --> 00:05:41,300
-Crunchy bacon?
-Yeah.
74
00:05:41,300 --> 00:05:45,867
I thought, okay, I'm young
and my metabolism
will kick in.
75
00:05:45,867 --> 00:05:50,033
No, it didn't. It stopped
and kept on gaining weight.
76
00:05:51,300 --> 00:05:53,700
[Abi] When I graduated
from high school,
77
00:05:53,700 --> 00:05:57,867
I went to a school in Florida,
to become a sound engineer.
78
00:05:57,867 --> 00:06:00,433
And going there
was life-changing.
79
00:06:08,767 --> 00:06:11,166
First time I had my own place
and...
80
00:06:11,166 --> 00:06:15,233
Because I was completely alone
I had no parenting
no nothing.
81
00:06:16,467 --> 00:06:18,467
The apartment that
I was living in,
82
00:06:18,467 --> 00:06:21,100
had a fried chicken chain,
right across the street.
83
00:06:21,100 --> 00:06:23,867
And I wouldn't buy a combo,
I would buy the bucket.
84
00:06:23,867 --> 00:06:28,400
I ballooned to 450 pounds
and my weight just piled up.
85
00:06:28,400 --> 00:06:32,900
But I thought, "It's okay.
I'm still young,
I can lose weight later."
86
00:06:32,900 --> 00:06:34,667
I graduated with honors,
87
00:06:34,667 --> 00:06:37,567
which was one
of the proudest moments
of my life.
88
00:06:37,567 --> 00:06:39,734
I came back to Puerto Rico
89
00:06:40,700 --> 00:06:45,200
and I started working
for the theater
in my home city.
90
00:06:45,200 --> 00:06:50,166
Which I was the most proud of,
because I'm actually working
for my city.
91
00:06:51,567 --> 00:06:54,367
I learnt how to like ballet,
92
00:06:54,367 --> 00:06:57,367
which I never thought
I would be able to.
93
00:06:57,900 --> 00:06:59,867
I wasn't focused on food.
94
00:06:59,867 --> 00:07:01,567
I started losing
a lot of weight,
95
00:07:01,567 --> 00:07:05,667
plus my job dealing
with so many
96
00:07:05,667 --> 00:07:08,767
equipment that is heavy,
it was like a working out,
97
00:07:08,767 --> 00:07:11,634
so it made me lose
a lot of weight.
98
00:07:13,100 --> 00:07:15,767
So, I lost a 100 pounds.
99
00:07:15,767 --> 00:07:20,467
I was 20-years-old
when I started,
actually in the dating scene.
100
00:07:20,467 --> 00:07:25,266
One of coworkers, he told me
about a new dating app
for larger people.
101
00:07:25,266 --> 00:07:28,800
And I saw Brenda's face
and I was, like, she's cute.
102
00:07:28,800 --> 00:07:31,800
And I just decided
to send her a message.
103
00:07:31,800 --> 00:07:35,767
She wrote back and we started
a relationship over the phone.
104
00:07:35,767 --> 00:07:38,066
And then went out
on our first date.
105
00:07:38,667 --> 00:07:40,367
We went to the movies
106
00:07:40,367 --> 00:07:42,066
with my nieces and nephews
107
00:07:42,066 --> 00:07:45,367
and they were like...
And being kids.
108
00:07:45,367 --> 00:07:48,367
And I'm, like, "Oh, my God,
I'm so ashamed,"
then she's, like,
109
00:07:48,367 --> 00:07:50,967
"Don't worry, I love this."
110
00:07:50,967 --> 00:07:53,967
And she took control
of the whole situation
and she had them
111
00:07:54,500 --> 00:07:56,400
eating off her head.
112
00:07:56,400 --> 00:07:59,934
-Were the sausages good?
-Yeah, everything
was great, baby.
113
00:08:01,867 --> 00:08:04,266
So I bought her
the engagement ring
114
00:08:04,266 --> 00:08:06,667
then the day before
her birthday,
115
00:08:06,667 --> 00:08:10,166
I was on my way
to Brenda's house
to propose to her
116
00:08:10,166 --> 00:08:12,900
and a lady didn't stop
at a stop sign
117
00:08:12,900 --> 00:08:15,433
and I didn't see her before
it was too late.
118
00:08:15,967 --> 00:08:17,567
When her car hit me,
119
00:08:17,567 --> 00:08:19,400
I didn't have
any broken bones,
120
00:08:19,400 --> 00:08:23,233
but my neck got whiplash
and it came out of place.
121
00:08:26,567 --> 00:08:30,567
Since, because of the accident
I can't feel my legs.
122
00:08:30,567 --> 00:08:32,867
They took me to an MRI machine
123
00:08:32,867 --> 00:08:35,200
and got the X-ray imaging
that was needed
124
00:08:35,200 --> 00:08:37,567
to find out what was going on.
125
00:08:37,567 --> 00:08:39,734
I had a problem
with three discs.
126
00:08:40,467 --> 00:08:43,166
They were damaging
the spinal cord.
127
00:08:43,166 --> 00:08:46,233
So immediately they took me
to emergency surgery.
128
00:08:47,400 --> 00:08:51,700
Honestly, it felt like
he was the ICU for years.
129
00:08:51,700 --> 00:08:56,634
[Brenda] He was basically
quadriplegic, he needed help
for everything at that point.
130
00:08:57,900 --> 00:09:02,367
And once they saw
that he was able
to move his arms again
131
00:09:02,367 --> 00:09:06,667
that when, you know,
he was able to come home
with a hospital bed.
132
00:09:06,667 --> 00:09:10,033
Because the doctor told us
that he might not
133
00:09:10,567 --> 00:09:12,367
be able to ever walk again.
134
00:09:12,367 --> 00:09:15,767
It really depended
on his nerves and
135
00:09:15,767 --> 00:09:18,266
seeing what they were able
to do.
136
00:09:18,266 --> 00:09:20,667
Go up the stairs. Stairs.
137
00:09:21,467 --> 00:09:22,834
Good boy.
138
00:09:22,834 --> 00:09:26,600
[Abi] After many months,
my spinal cord lost
all its swollenness
139
00:09:26,600 --> 00:09:29,600
and I stared being able
to move my legs.
140
00:09:29,600 --> 00:09:32,967
I remember, the first day
he moved his leg,
141
00:09:32,967 --> 00:09:34,266
I was crying.
142
00:09:34,266 --> 00:09:37,667
And we took a video of it
and we sent it
to all the family.
143
00:09:37,667 --> 00:09:40,166
But that was enough
for me to know
144
00:09:40,166 --> 00:09:43,100
that he will get through this.
145
00:09:43,100 --> 00:09:46,767
[Abi] I was finally allowed
to move back home
with my parents.
146
00:09:46,767 --> 00:09:48,467
[Brenda] As soon as
Abi got back,
147
00:09:48,467 --> 00:09:52,166
I would basically stay
at his house
148
00:09:52,166 --> 00:09:55,500
days at a time,
because I liked to be
149
00:09:55,500 --> 00:09:58,033
the one that cleans him up.
150
00:09:58,567 --> 00:10:00,333
Basically takes care of him.
151
00:10:02,300 --> 00:10:04,100
I couldn't bend a knee
152
00:10:04,100 --> 00:10:06,100
but I had her right next to me
and I
153
00:10:06,100 --> 00:10:08,100
got the ring and I told her,
154
00:10:08,100 --> 00:10:09,667
"I love you with all my heart
155
00:10:09,667 --> 00:10:13,133
and you're the one.
I'm not looking
for anything else."
156
00:10:14,767 --> 00:10:18,300
[Brenda] I didn't fall in love
with the body. I fell in love
with his soul.
157
00:10:18,300 --> 00:10:21,700
So I just wanted him
to do better for himself.
158
00:10:21,700 --> 00:10:24,433
'Cause I knew I was always
gonna be there for him.
159
00:10:27,166 --> 00:10:30,100
[Abi] My dad
was a huge influence on me.
160
00:10:30,100 --> 00:10:34,000
Um, he was so happy for me
getting married.
161
00:10:34,000 --> 00:10:37,100
It did affect me a lot
when once
162
00:10:37,100 --> 00:10:39,166
we lost him and I feel like,
163
00:10:40,800 --> 00:10:44,166
I didn't really get
to say good-bye
the correct way.
164
00:10:45,000 --> 00:10:47,200
But knowing
what was coming ahead
165
00:10:47,200 --> 00:10:50,100
it was blessing
when my dad went
when he did.
166
00:10:50,100 --> 00:10:52,500
Because a year later,
we had Hurricane Maria
167
00:10:52,500 --> 00:10:57,100
And if he was still alive,
that hurricane would have
killed him for sure.
168
00:10:57,100 --> 00:11:01,800
Hurricane Maria,
struck Puerto Rico
in September of 2017.
169
00:11:01,800 --> 00:11:04,266
It was a huge
category 5 hurricane
170
00:11:04,266 --> 00:11:06,533
which affected
the whole island.
171
00:11:07,400 --> 00:11:09,500
We had no running water.
172
00:11:09,500 --> 00:11:13,734
And we were
without electricity
at least in our case
173
00:11:14,100 --> 00:11:15,667
for 56 days.
174
00:11:15,667 --> 00:11:19,233
After the hurricane,
because it took
all the trees away,
175
00:11:19,967 --> 00:11:22,867
it was mostly 90 degrees.
176
00:11:22,867 --> 00:11:26,467
So I was basically cooking
in my bed everyday.
177
00:11:26,467 --> 00:11:30,367
Because I had a friend
that saw the condition
that I was in,
178
00:11:30,367 --> 00:11:32,634
she's is, like, you need
to get out of Puerto Rico.
179
00:11:32,967 --> 00:11:34,767
She did a post
180
00:11:34,767 --> 00:11:38,700
which was shared by a lot
of people in Puerto Rico
181
00:11:38,700 --> 00:11:40,667
and we got
182
00:11:40,667 --> 00:11:43,667
referred to a foundation,
183
00:11:43,667 --> 00:11:47,266
which was helping
a lot of people
after the hurricane.
184
00:11:47,266 --> 00:11:50,066
They took me out
of Puerto Rico
and brought me here.
185
00:11:52,166 --> 00:11:56,367
And then I moved to
where my sister
was living in Austin.
186
00:11:56,367 --> 00:11:58,367
[Brenda] All right,
I'm gonna go
to the grocery store.
187
00:11:58,367 --> 00:11:59,367
I'll call you
when I get there.
188
00:11:59,367 --> 00:12:00,800
All right. I'll give you
a list.
189
00:12:00,800 --> 00:12:01,800
You just let me, yeah.
190
00:12:01,800 --> 00:12:03,500
All right take care
of the boys.
191
00:12:03,500 --> 00:12:07,867
[Abi] Brenda found a job,
working for
a auto refinancing company.
192
00:12:07,867 --> 00:12:10,900
And then another job came up
in customer service,
193
00:12:10,900 --> 00:12:14,300
working with customers looking
to refinance their vehicles.
194
00:12:14,300 --> 00:12:17,266
Yes, you received
the prequalification letter.
195
00:12:17,266 --> 00:12:19,600
They had a vocational
rehab program
196
00:12:19,600 --> 00:12:22,667
and my case worker got me
a desk and a headset,
197
00:12:22,667 --> 00:12:24,400
so that I could work
from my bed.
198
00:12:24,400 --> 00:12:25,900
I'm sending them an email,
199
00:12:25,900 --> 00:12:29,166
so that they could call
you back as soon as they can,
okay.
200
00:12:29,166 --> 00:12:30,967
Thank you for calling.
Have a nice day.
201
00:12:34,266 --> 00:12:35,734
-[woman] Hello.
-[Brenda] Hello.
202
00:12:38,800 --> 00:12:40,767
-[cellphone rings]
-Hey baby.
203
00:12:40,767 --> 00:12:43,367
Hey, I am at
the grocery store.
204
00:12:43,367 --> 00:12:45,266
You need bread?
205
00:12:45,266 --> 00:12:48,433
Bread and tortillas.
I don't know if they are
in the same area.
206
00:12:48,800 --> 00:12:51,000
Yeah, they are. Yes.
207
00:12:51,000 --> 00:12:53,667
[Abi] The plan for me
this year is
to lose enough weight
208
00:12:53,667 --> 00:12:55,567
so I could get
another surgery.
209
00:12:55,567 --> 00:12:58,900
Because just being in this bed
24/7 for so long,
210
00:12:58,900 --> 00:13:03,634
my muscles have atrophied
in my legs, because I'm not
using them.
211
00:13:04,000 --> 00:13:05,700
And that caused
212
00:13:05,700 --> 00:13:07,867
what we call drop feet.
213
00:13:07,867 --> 00:13:09,667
So once they correct that,
214
00:13:09,667 --> 00:13:12,166
I should be able
to start rehab
215
00:13:12,166 --> 00:13:14,166
and get my feet back
where it should be,
216
00:13:14,166 --> 00:13:15,767
to start walking again.
217
00:13:15,767 --> 00:13:17,266
But in order to get there,
218
00:13:17,266 --> 00:13:19,367
I know I need to start making
better choices,
219
00:13:19,367 --> 00:13:21,367
instead that
what I'm doing right now.
220
00:13:21,367 --> 00:13:25,667
My meals surround themselves
with beans
221
00:13:25,667 --> 00:13:28,100
just bread and carbs
222
00:13:28,100 --> 00:13:32,767
and all these things
that fill you up
223
00:13:33,400 --> 00:13:35,367
but are the not best choice.
224
00:13:36,200 --> 00:13:38,000
Oh, there's cookies over here.
225
00:13:38,000 --> 00:13:38,834
Cookies?
226
00:13:40,367 --> 00:13:42,066
Yeah, you want
chewy kind chocolate chip.
227
00:13:42,867 --> 00:13:43,867
Yes.
228
00:13:43,867 --> 00:13:46,667
Okay. Sandwich cookies too,
right?
229
00:13:46,667 --> 00:13:48,567
Do they have
the macadamia ones?
230
00:13:48,567 --> 00:13:50,867
Yeah. Yeah, they do.
231
00:13:50,867 --> 00:13:52,367
[Abi] The main thing
that stops me
232
00:13:52,367 --> 00:13:54,467
from not making
the good choices
233
00:13:54,467 --> 00:13:56,634
is that it tends
to be more expensive.
234
00:13:59,200 --> 00:14:01,233
-Receipt.
-Thank you.
235
00:14:05,000 --> 00:14:09,567
The time to prepare meals
is just not there.
236
00:14:09,567 --> 00:14:14,166
Somedays we're just either
dead tired from working,
237
00:14:14,166 --> 00:14:15,033
or just
238
00:14:15,033 --> 00:14:18,367
tired from the day
that we've been through.
239
00:14:18,367 --> 00:14:20,667
So it's convenient
240
00:14:20,667 --> 00:14:24,333
for us to take the bad choices
241
00:14:24,900 --> 00:14:26,667
instead of just going
242
00:14:26,667 --> 00:14:28,467
for the correct choices.
243
00:14:28,467 --> 00:14:29,934
[dogs barking]
244
00:14:34,000 --> 00:14:36,767
[Brenda] Think it's around
lunchtime, do you want
something to eat?
245
00:14:36,767 --> 00:14:39,000
Sure. Um...
246
00:14:39,000 --> 00:14:40,700
We got chips, right?
247
00:14:40,700 --> 00:14:41,967
-Yeah we got chips.
-I guess,
248
00:14:41,967 --> 00:14:44,367
-sandwich and chips.
-Okay.
249
00:14:44,367 --> 00:14:47,767
[Abi] Since I first arrived
in Austin after the hurricane
250
00:14:47,767 --> 00:14:50,767
I went to the Capitol building
once
251
00:14:50,767 --> 00:14:54,934
Saw it. Ah this is great.
Never been outside again.
252
00:14:56,967 --> 00:14:59,467
All I see is the wall in front
of me.
253
00:14:59,467 --> 00:15:01,667
The walls right beside me.
254
00:15:01,667 --> 00:15:03,100
[speaking foreign language]
255
00:15:03,100 --> 00:15:05,967
[Abi] And my wife that comes
in and out.
256
00:15:05,967 --> 00:15:08,634
My only look
of the outside world is
257
00:15:09,266 --> 00:15:12,467
TV or the phone.
258
00:15:12,467 --> 00:15:15,166
But I try not to dwell on it.
259
00:15:15,767 --> 00:15:18,300
Because if I do,
I won't be able
260
00:15:18,300 --> 00:15:21,600
go day-by-day just thinking
about it every day.
261
00:15:21,600 --> 00:15:24,934
And the way I just try to keep
that off my mind is with food.
262
00:15:26,266 --> 00:15:29,166
Lunch time is the part
of the day I enjoy the most,
263
00:15:29,166 --> 00:15:31,467
because Brenda comes home
from work
264
00:15:31,467 --> 00:15:33,467
and we get to eat together.
265
00:15:33,467 --> 00:15:35,567
And play video games together.
266
00:15:35,567 --> 00:15:36,967
And that helps me to relax.
267
00:15:38,367 --> 00:15:40,567
After she goes back
to her job,
268
00:15:40,567 --> 00:15:42,333
I do my work here in bed.
269
00:15:46,000 --> 00:15:48,000
-Wanna go for pee pee.
-[knock on door]
270
00:15:48,000 --> 00:15:49,100
[dogs barking]
271
00:15:49,100 --> 00:15:50,667
-[Abi] Enter.
-[Brenda] Come in.
272
00:15:52,367 --> 00:15:54,300
-Hey pa.
-Hi.
273
00:15:54,300 --> 00:15:55,567
Hey, baby.
274
00:15:56,166 --> 00:15:57,066
We ready?
275
00:15:57,567 --> 00:15:58,567
[speaking Spanish]
276
00:15:59,867 --> 00:16:02,367
[Abi] The only time I see
my sister Miriam now
277
00:16:02,367 --> 00:16:04,667
is during her visits
to help Brenda
278
00:16:04,667 --> 00:16:07,700
take care of
the largest back sores
on my back.
279
00:16:07,700 --> 00:16:10,166
She only sees me
when I'm at my worst.
280
00:16:11,367 --> 00:16:14,367
And even if I drink
281
00:16:14,367 --> 00:16:17,800
the medication that they gave
me for pain
282
00:16:17,800 --> 00:16:20,600
my back is hurting,
my hips are hurting
283
00:16:20,600 --> 00:16:22,500
because I don't have
that much movement,
284
00:16:22,500 --> 00:16:25,266
so it's just extremely
painful.
285
00:16:25,266 --> 00:16:27,533
It's the worst part of my day.
286
00:16:28,066 --> 00:16:30,667
When I have to take a bath
287
00:16:30,667 --> 00:16:33,500
and it's just painful not just
on me
288
00:16:33,500 --> 00:16:35,867
it's painful on my family
who help me.
289
00:16:35,867 --> 00:16:38,166
I'm screaming bloody murderer
290
00:16:38,166 --> 00:16:40,867
and they have to deal with it.
291
00:16:40,867 --> 00:16:45,266
They are helping me out,
but it's just so painful.
292
00:16:45,266 --> 00:16:47,166
It hurts us all.
293
00:16:47,166 --> 00:16:48,567
[speaking foreign language]
294
00:16:48,567 --> 00:16:51,333
[Abi screaming]
295
00:16:52,000 --> 00:16:53,667
And I try to live my life
296
00:16:53,667 --> 00:16:55,300
not trying to complain.
297
00:16:55,300 --> 00:16:56,967
Just trying to live
through it.
298
00:16:57,367 --> 00:17:00,133
But it's super hard.
299
00:17:01,567 --> 00:17:03,000
[in Spanish]
300
00:17:03,000 --> 00:17:04,467
[Abi screaming]
301
00:17:04,467 --> 00:17:06,166
[Abi] Mother [bleep]
302
00:17:06,166 --> 00:17:08,800
[Abi] Brenda has been
by my side
for nearly 10 years.
303
00:17:08,800 --> 00:17:10,867
I don't want to take it
for granted.
304
00:17:10,867 --> 00:17:14,000
Thinking that she would stay
with me forever.
If I don't lose the weight.
305
00:17:14,000 --> 00:17:16,667
I want to have
a normal relationship
with my wife.
306
00:17:16,667 --> 00:17:19,600
[Abi] Oh, my God!
307
00:17:19,600 --> 00:17:22,100
[Abi] But every time I try
to change my eating habits
308
00:17:22,100 --> 00:17:23,266
it's been so hard.
309
00:17:23,266 --> 00:17:25,066
[screaming]
310
00:17:26,500 --> 00:17:29,934
[Abi] But I hate living
like this. And I can't
go on much longer.
311
00:17:47,467 --> 00:17:49,066
[Abi] I reached out
to his office.
312
00:17:49,066 --> 00:17:50,500
I told them I'm bedridden
313
00:17:50,500 --> 00:17:52,400
and I need to find a way
to get help.
314
00:17:52,400 --> 00:17:54,667
So they set up a call
to talk to him.
315
00:17:54,667 --> 00:17:57,300
I'm really hoping Dr. Now
can figure out a way.
316
00:17:57,300 --> 00:17:58,867
Because no one else
would help me.
317
00:18:00,166 --> 00:18:02,066
-[Brenda] Hey, baby.
-Hey.
318
00:18:05,667 --> 00:18:06,667
Are you nervous?
319
00:18:07,600 --> 00:18:09,166
-I am.
-Yeah.
320
00:18:10,467 --> 00:18:12,133
It's okay to be nervous.
321
00:18:13,000 --> 00:18:14,266
It's fine, I guess.
322
00:18:15,367 --> 00:18:16,867
Gonna get a...
323
00:18:16,867 --> 00:18:17,767
[Brenda] A whoppin'.
324
00:18:17,767 --> 00:18:19,433
You feel like, yeah...
325
00:18:22,467 --> 00:18:24,133
No, you'll be fine.
326
00:18:25,066 --> 00:18:26,033
Fine.
327
00:18:29,400 --> 00:18:31,533
-Need any help?
-[Abi] Pretty small.
328
00:18:32,400 --> 00:18:33,266
All right.
329
00:18:33,266 --> 00:18:35,567
-All right, thank you.
-Good luck.
330
00:18:41,400 --> 00:18:43,367
[line ringing]
331
00:18:48,166 --> 00:18:50,100
[Dr. Now] Hello. Hey Abi.
332
00:18:50,100 --> 00:18:52,133
[Abi] Hey Dr. Now.
How you doing?
333
00:18:53,066 --> 00:18:54,967
I'm doing ok. How about you?
334
00:18:54,967 --> 00:18:57,166
I've been better,
but I'm good.
335
00:18:57,867 --> 00:18:59,500
You're in the bed.
336
00:18:59,500 --> 00:19:00,967
Not walking, right?
337
00:19:00,967 --> 00:19:02,467
[Abi] Yes. I'm...
338
00:19:02,467 --> 00:19:05,166
I was walking, I was working,
I was doing everything
339
00:19:05,166 --> 00:19:08,000
and I had a car accident.
340
00:19:08,000 --> 00:19:09,133
[Abi] That's when I...
341
00:19:09,500 --> 00:19:11,700
I went paraplegic.
342
00:19:11,700 --> 00:19:12,967
Um...
343
00:19:12,967 --> 00:19:16,166
I lost the feeling
from my chest down.
344
00:19:17,166 --> 00:19:19,066
And I had to had
345
00:19:19,066 --> 00:19:20,567
two surgeries
346
00:19:20,567 --> 00:19:23,634
in my neck one through here
and one through the back
347
00:19:24,200 --> 00:19:27,500
to get, to try and fix that.
348
00:19:27,500 --> 00:19:31,467
And it got fixed
to a certain point.
349
00:19:31,467 --> 00:19:32,700
But...
350
00:19:32,700 --> 00:19:36,166
Since, I've been in the bed
so long,
351
00:19:36,166 --> 00:19:39,100
I've lost the strength
in my legs.
352
00:19:39,100 --> 00:19:42,600
Well, do you have a sensation
in your feet?
353
00:19:42,600 --> 00:19:45,400
I do, I do have a sensation
on my feet,
354
00:19:45,400 --> 00:19:48,166
but, since I've been so long
in the bed
355
00:19:48,166 --> 00:19:51,967
instead of having my feet
normal like up,
356
00:19:52,667 --> 00:19:56,166
they have both drop foot
357
00:19:56,166 --> 00:19:58,567
so they are like
in ballerina stance.
358
00:19:59,700 --> 00:20:03,100
So that's why I can't put
my feet
359
00:20:03,100 --> 00:20:05,767
on the ground to try
and stand up,
360
00:20:05,767 --> 00:20:07,700
because if I would,
I would
361
00:20:07,700 --> 00:20:09,667
rupture my Achilles tendon.
362
00:20:09,667 --> 00:20:11,000
[Dr. Now] Well, you know,
363
00:20:11,000 --> 00:20:15,333
you may have to have operation
to lengthen
your Achilles tendon.
364
00:20:15,867 --> 00:20:17,166
Um, but,
365
00:20:17,166 --> 00:20:21,467
what is going on that you
have not been able to
lose weight?
366
00:20:22,367 --> 00:20:25,100
Well, since I've been
in the bed,
367
00:20:25,100 --> 00:20:28,900
I, I don't do that
I don't do that much
physically.
368
00:20:28,900 --> 00:20:31,367
Your physical activity
is good for your stamina
369
00:20:31,367 --> 00:20:34,266
but it's not a major factor
for your weight loss.
370
00:20:34,266 --> 00:20:37,367
[Dr. Now] Your weight loss
has to do
with your eating habit.
371
00:20:37,367 --> 00:20:39,166
You're eating
372
00:20:39,166 --> 00:20:43,367
way over what your requirement
is for the calorie.
373
00:20:43,367 --> 00:20:46,867
So you're gonna have to change
your eating habit to the point
374
00:20:46,867 --> 00:20:50,100
that you're gonna have
a reasonable weight loss
375
00:20:50,100 --> 00:20:52,266
and get your feet back
on the ground.
376
00:20:52,266 --> 00:20:54,266
So, who's bringing you
the food?
377
00:20:54,667 --> 00:20:55,967
My wife, normally.
378
00:20:56,867 --> 00:20:59,367
Okay. Is she bringing you
what you're asking for
379
00:20:59,367 --> 00:21:01,500
or is she bringing you food
380
00:21:01,500 --> 00:21:04,166
what she thinks is
what you should eat?
381
00:21:05,200 --> 00:21:07,500
Basically what I'm asking for.
382
00:21:07,500 --> 00:21:09,867
I know I'm overeating
completely.
383
00:21:09,867 --> 00:21:13,200
Is your family gonna cooperate
with that to give you
less food?
384
00:21:13,200 --> 00:21:14,734
Yes. Yeah.
385
00:21:14,734 --> 00:21:19,166
And when was the last time
you actually physically went
to the doctor's office?
386
00:21:19,166 --> 00:21:22,467
I would say, physically I went
387
00:21:22,900 --> 00:21:24,166
three years ago.
388
00:21:24,967 --> 00:21:27,066
Can you bend your knee at all.
389
00:21:28,467 --> 00:21:30,266
I can bend it, but not
390
00:21:30,266 --> 00:21:32,166
me actually bending it
391
00:21:32,166 --> 00:21:34,066
it's just somebody
has to push it.
392
00:21:34,066 --> 00:21:36,066
Can you move
your toes?
393
00:21:36,567 --> 00:21:38,567
No.
394
00:21:38,567 --> 00:21:42,467
So, we got a lot of issues
that we need to address
with you.
395
00:21:42,467 --> 00:21:45,100
Uh, the longer
you are in the bed,
396
00:21:45,100 --> 00:21:47,367
the longer
you are inactive,
397
00:21:47,367 --> 00:21:51,467
the likelihood
you're gonna be able
to walk or move
398
00:21:51,467 --> 00:21:54,667
-is gonna get
less and less.
-Yeah.
399
00:21:54,667 --> 00:21:58,066
Do you have
any physical therapy
or anybody working with you?
400
00:21:58,066 --> 00:22:00,900
No, not physical therapy.
No.
401
00:22:00,900 --> 00:22:02,400
I've been
to the hospital.
402
00:22:02,400 --> 00:22:05,066
They know that I need
physical therapy.
403
00:22:05,066 --> 00:22:08,734
But having
a physical therapist
come here,
404
00:22:09,800 --> 00:22:11,967
we haven't
gotten that yet.
405
00:22:11,967 --> 00:22:16,667
-So, you're in
a bad place right now.
-Yeah.
406
00:22:16,667 --> 00:22:21,100
So, I'm gonna see
if we can get some
physical therapist
407
00:22:21,100 --> 00:22:22,000
to come in.
408
00:22:22,000 --> 00:22:23,867
And see if they can
work with you
409
00:22:23,867 --> 00:22:26,767
to help you to get
some strength in your leg,
410
00:22:26,767 --> 00:22:29,000
and work with
that foot drop, okay?
411
00:22:29,000 --> 00:22:30,567
Okay.
412
00:22:30,567 --> 00:22:34,400
I do feel like
physical therapy would
help me out a lot
413
00:22:34,400 --> 00:22:36,300
to me eventually
get to walking.
414
00:22:36,300 --> 00:22:38,367
So that's...
415
00:22:38,367 --> 00:22:41,967
Yeah, I, I really would love
to go to physical therapy.
416
00:22:41,967 --> 00:22:44,367
We'll see
what we can do for you, okay?
417
00:22:56,266 --> 00:22:59,500
So, um,
what I'm gonna do is,
418
00:22:59,500 --> 00:23:02,667
I'm gonna go ahead
and send you some instruction
419
00:23:02,667 --> 00:23:04,867
that I want you
to read every day.
420
00:23:04,867 --> 00:23:09,500
And see if we can get you
to start to lose some weight,
okay?
421
00:23:09,500 --> 00:23:11,066
Okay. All right.
422
00:23:11,066 --> 00:23:12,667
-All right.
-Thank you, sir.
423
00:23:12,667 --> 00:23:16,400
All right, Abi.
Nice to meet you.
424
00:23:16,400 --> 00:23:19,600
-Yeah. You, too.
-And if you need anything,
give me a call.
425
00:23:19,600 --> 00:23:21,867
Okay, all right.
Thank you.
426
00:23:21,867 --> 00:23:24,266
-All right. Bye now.
-All right. Bye.
427
00:23:28,967 --> 00:23:32,800
Thank goodness I'm getting
a little help and guidance
from Dr. Now.
428
00:23:32,800 --> 00:23:36,100
And I'm really excited
about doing physical therapy.
429
00:23:36,100 --> 00:23:40,300
I just really
want out of this bed,
and to have my life back.
430
00:23:40,300 --> 00:23:43,266
So I'm ready to do
whatever it takes
to make that happen.
431
00:23:52,667 --> 00:23:54,000
Brenda.
432
00:23:54,000 --> 00:23:56,166
[Brenda]
The coffee's already made.
433
00:23:56,166 --> 00:23:59,033
'Cause, you know, I wake up,
and we already have coffee.
434
00:24:01,100 --> 00:24:04,700
[Abi] Ever since
I spoke with Dr. Now,
I've been doing the diet.
435
00:24:04,700 --> 00:24:07,667
It's been a tough adjustment,
but I'm getting used to it.
436
00:24:07,667 --> 00:24:09,767
I've also
been doing physical therapy
437
00:24:09,767 --> 00:24:12,367
a few times a week
for the past month.
438
00:24:12,367 --> 00:24:14,000
It's been hard
because of the pain.
439
00:24:14,000 --> 00:24:16,600
-You're ready for Jason.
-All right.
440
00:24:16,600 --> 00:24:18,767
-Thank you.
-You're welcome.
441
00:24:20,000 --> 00:24:22,200
-If you need anything else,
let me know, okay?
-All right.
442
00:24:22,200 --> 00:24:24,000
And I told Jason,
the PT guy,
443
00:24:24,000 --> 00:24:25,800
that I have
to stop sometimes
444
00:24:25,800 --> 00:24:29,667
when the pain
gets too much for me
to be able to move a lot.
445
00:24:29,667 --> 00:24:32,367
What do you think
you guys are gonna
work on today?
446
00:24:32,367 --> 00:24:36,734
We're working on, on trying
to get my legs moving
as best as I can.
447
00:24:38,266 --> 00:24:40,667
-[knocking on door]
-Come in.
448
00:24:42,300 --> 00:24:43,367
Hey.
449
00:24:43,367 --> 00:24:44,667
-Hey, Abi.
-[Abi] Hey, man,
how are you doing?
450
00:24:44,667 --> 00:24:46,166
Good.
How's it going?
451
00:24:46,166 --> 00:24:47,634
Anything
out of the ordinary?
452
00:24:48,600 --> 00:24:51,000
-Same stuff?
-No. I'm...
453
00:24:51,000 --> 00:24:54,266
I'm good.
I guess my knee hurts
a little bit.
454
00:24:54,266 --> 00:24:56,166
-Okay.
-But I'm...
455
00:24:56,166 --> 00:24:57,166
-I'm okay.
-[Jason] Okay.
456
00:24:57,166 --> 00:24:59,967
-I'm fine.
-Right on. Okay. Good.
457
00:24:59,967 --> 00:25:01,900
-Try to move
as much as you can.
-[Abi] Mmm-hmm.
458
00:25:01,900 --> 00:25:03,266
[Jason] Okay.
Bring this knee up.
459
00:25:03,266 --> 00:25:04,433
All right.
Bring it up again.
460
00:25:05,066 --> 00:25:06,867
Hold. Hold for me.
461
00:25:06,867 --> 00:25:08,667
Come down slow and easy.
462
00:25:08,667 --> 00:25:09,667
[exhaling deeply]
463
00:25:09,667 --> 00:25:11,266
Slide, yeah, a little bit.
464
00:25:15,100 --> 00:25:16,166
Ready?
465
00:25:16,166 --> 00:25:18,033
We're gonna
straighten that knee.
466
00:25:19,367 --> 00:25:20,266
And then, push down on me,
467
00:25:20,266 --> 00:25:21,467
like you're pushing
on the gas.
468
00:25:22,166 --> 00:25:23,734
All right, big man.
469
00:25:25,000 --> 00:25:26,500
All right.
470
00:25:26,500 --> 00:25:28,667
-[Abi breathes deeply]
-Push on me.
471
00:25:28,667 --> 00:25:30,467
Push, push,
push, push, push.
472
00:25:30,467 --> 00:25:31,467
Yeah. Work with me.
473
00:25:31,467 --> 00:25:33,433
-[grunts]
-[Jason] Yeah.
Now, you come back down.
474
00:25:34,066 --> 00:25:35,367
Good, man.
475
00:25:35,367 --> 00:25:38,400
[Abi] I'm hoping
that the more I do it,
the less it will hurt,
476
00:25:38,400 --> 00:25:40,667
because I want
to get out of this bed.
477
00:25:40,667 --> 00:25:42,266
But I feel like
I'm making some progress
478
00:25:42,266 --> 00:25:44,433
with my legs
a little bit, at least.
479
00:25:46,166 --> 00:25:49,100
One of the big challenges
is going to be the range
of motion
480
00:25:49,100 --> 00:25:50,767
that is in his ankles.
481
00:25:50,767 --> 00:25:53,166
Uh, that is going to take
a significant amount of work
482
00:25:53,166 --> 00:25:57,000
for him to be able to have
a unsupported supported
seated position,
483
00:25:57,000 --> 00:25:58,567
and eventually
be able to stand up.
484
00:25:58,567 --> 00:25:59,967
It should
feel like work.
485
00:25:59,967 --> 00:26:01,600
-It does.
-Mean you're doing it right.
Good. Yeah.
486
00:26:01,600 --> 00:26:03,367
That means
you're doing it right.
Let it go.
487
00:26:03,367 --> 00:26:06,166
Let's go. Strong.
Come on, buddy.
488
00:26:06,166 --> 00:26:09,367
I know
the doctor was concerned
to be able to waive off
489
00:26:09,367 --> 00:26:11,867
the possibility
of the blood clots.
490
00:26:11,867 --> 00:26:13,667
He wants him to have
that much more mobility.
491
00:26:13,667 --> 00:26:16,000
That's definitely something
that needs to be addressed.
492
00:26:16,000 --> 00:26:17,967
All right.
Increase your pace
just a touch.
493
00:26:19,600 --> 00:26:21,567
There you go, bud. Good.
494
00:26:21,567 --> 00:26:23,233
Keep your breath moving.
Don't hold your breath.
495
00:26:24,567 --> 00:26:27,400
Good. Keep going.
Let's go ten more seconds.
496
00:26:27,400 --> 00:26:29,367
[Abi] Jason is giving me
a great workout.
497
00:26:29,367 --> 00:26:31,367
He got me the spark
to pull up,
498
00:26:31,367 --> 00:26:34,300
and he has me doing
all sorts of exercises
499
00:26:34,300 --> 00:26:37,166
to get my heart rate up
and to build up my stamina.
500
00:26:37,166 --> 00:26:39,166
And that all
is going great.
501
00:26:40,767 --> 00:26:41,900
-All right, man.
-[Jason] Good.
502
00:26:41,900 --> 00:26:43,200
-Keep working hard, okay?
-Thank you.
503
00:26:43,200 --> 00:26:44,333
[Jason] All right.
You got it.
504
00:26:46,900 --> 00:26:48,066
I'll talk
to y'all later.
505
00:26:48,500 --> 00:26:50,066
[Abi] Got it.
506
00:26:54,266 --> 00:26:56,467
Well, that was
a pretty good workout today.
507
00:26:56,467 --> 00:26:59,266
Overall, I feel like
I'm making good progress.
508
00:26:59,266 --> 00:27:02,066
And I think Dr. Now
will be happy with it.
509
00:27:02,066 --> 00:27:04,266
It's hard,
and I do have my limits.
510
00:27:04,266 --> 00:27:07,066
And I hope
Dr. Now sees the effort
that I'm putting in.
511
00:27:07,066 --> 00:27:09,233
And I hope
he counts that for something.
512
00:27:11,967 --> 00:27:14,066
[Brenda] You let me know
if you need anything,
all right?
513
00:27:14,767 --> 00:27:16,233
All right.
514
00:27:29,066 --> 00:27:31,767
Today,
I'm going to see Abi,
515
00:27:31,767 --> 00:27:34,367
then see what's
going on with him.
516
00:27:34,367 --> 00:27:38,100
I had a virtual call with him
a couple of months ago,
517
00:27:38,100 --> 00:27:39,834
and gave him the diet.
518
00:27:46,166 --> 00:27:47,867
To see how much progress
519
00:27:47,867 --> 00:27:49,767
he could make
with his weight loss
520
00:27:49,767 --> 00:27:52,000
and improving his mobility.
521
00:27:52,000 --> 00:27:53,767
And now,
after two months,
522
00:27:53,767 --> 00:27:56,567
we will see how far
he has come with that.
523
00:27:56,567 --> 00:27:57,867
If he worked hard,
524
00:27:57,867 --> 00:27:59,967
we should have
some hopeful situation
525
00:27:59,967 --> 00:28:04,467
with him being able to walk
and change his life.
526
00:28:04,467 --> 00:28:07,600
I'm having physical therapy
come join me.
527
00:28:07,600 --> 00:28:11,367
And I'm gonna
assess his situation
with physical therapy,
528
00:28:11,367 --> 00:28:14,467
and see what option
we got for Abi.
529
00:28:14,467 --> 00:28:16,667
Hopefully we will see
some level
530
00:28:16,667 --> 00:28:19,934
of positive improvement
with him today.
531
00:28:35,500 --> 00:28:36,700
-Hi.
-[Dr. Now] Hello.
532
00:28:36,700 --> 00:28:37,767
-How are you?
-Come on in.
533
00:28:37,767 --> 00:28:39,100
Good. How are you?
534
00:28:39,100 --> 00:28:40,266
Hi, Abi.
535
00:28:40,266 --> 00:28:41,300
Hey, Doctor.
536
00:28:41,300 --> 00:28:43,300
-How are you?
-Finally good
to meet you in person.
537
00:28:43,300 --> 00:28:44,767
[Dr. Now] All right.
You're doing okay?
538
00:28:44,767 --> 00:28:46,967
[Abi] Um, I'm doing
much better now.
539
00:28:46,967 --> 00:28:49,100
I think
I'm doing pretty good.
540
00:28:49,100 --> 00:28:50,333
Um...
541
00:28:50,900 --> 00:28:53,900
I'm already tired
of salads.
542
00:28:53,900 --> 00:28:58,000
But I'm, I'm looking
with my wife to see
if we can,
543
00:28:58,000 --> 00:29:01,467
um, find something else
that, that we could eat
that's--
544
00:29:01,467 --> 00:29:02,867
[Dr. Now]
So, what are you eating
every day?
545
00:29:02,867 --> 00:29:04,166
A lot of salads.
546
00:29:04,166 --> 00:29:07,567
Um, I'll eat for lunch
and not dinner, but...
547
00:29:07,567 --> 00:29:10,000
Okay.
So, what are you drinking?
548
00:29:10,000 --> 00:29:12,467
-Water mostly. Here.
-[Dr. Now] Okay.
549
00:29:12,467 --> 00:29:14,166
[Brenda] He likes
to drink water a lot.
550
00:29:14,166 --> 00:29:16,600
[Dr. Now]
All right. So, no sugar
and no juice, huh?
551
00:29:16,600 --> 00:29:18,367
-No.
-[Abi] No.
552
00:29:18,367 --> 00:29:21,100
All right. How are we doing
with your exercises
553
00:29:21,100 --> 00:29:22,300
and physical therapy?
554
00:29:22,300 --> 00:29:24,000
I've been doing
my exercises.
555
00:29:24,000 --> 00:29:26,467
This is why
I have this here.
556
00:29:26,467 --> 00:29:28,667
And this too, to--
557
00:29:28,667 --> 00:29:30,667
-Breathing exercises?
-Breathing exercises,
558
00:29:30,667 --> 00:29:33,166
but it helps,
like, the core.
559
00:29:33,166 --> 00:29:36,266
-[Dr. Now] Mmm-hmm.
-That's what, uh, physical
therapist told me,
560
00:29:36,266 --> 00:29:41,367
so I've been doing those
since he got me those things.
561
00:29:41,367 --> 00:29:43,500
So I've been doing
those exercises.
562
00:29:43,500 --> 00:29:46,066
All right.
Uh, let me check
a couple of things
563
00:29:46,066 --> 00:29:47,133
and see how things are.
564
00:29:53,000 --> 00:29:54,266
Take a deep breath.
565
00:29:54,266 --> 00:29:56,367
[Abi breathes deeply]
566
00:29:56,367 --> 00:29:57,934
Take another one.
567
00:29:59,567 --> 00:30:00,967
[breathes deeply]
568
00:30:04,000 --> 00:30:05,367
All right.
569
00:30:05,367 --> 00:30:06,800
Do you have
any stomach pain
570
00:30:06,800 --> 00:30:08,367
-or anything right there?
-No.
571
00:30:08,367 --> 00:30:09,567
-No.
-Okay.
572
00:30:09,567 --> 00:30:11,800
[Dr. Now]
And do you have a feeling
down here when I touch?
573
00:30:11,800 --> 00:30:12,900
Yes.
574
00:30:12,900 --> 00:30:14,266
You feel the...
575
00:30:14,266 --> 00:30:17,166
-Feeling okay with that?
-Yeah.
576
00:30:17,166 --> 00:30:18,967
You have a lot of swelling
in your feet.
577
00:30:18,967 --> 00:30:22,867
You have the foot drop
on your feet, too.
578
00:30:22,867 --> 00:30:24,533
[Abi] Yeah. Both.
579
00:30:25,867 --> 00:30:28,166
So I'll talk to, uh,
physical therapist,
580
00:30:28,166 --> 00:30:32,634
see if they can make
some splint for your feet.
581
00:30:33,500 --> 00:30:34,467
Can you move your hip?
582
00:30:34,467 --> 00:30:36,533
[Abi] A little.
A little bit.
583
00:30:37,500 --> 00:30:39,867
-Like this.
-Okay.
584
00:30:39,867 --> 00:30:41,533
Uh, the other hip, too?
585
00:30:41,800 --> 00:30:43,166
For this one...
586
00:30:43,166 --> 00:30:45,600
This one
is a little bit harder,
587
00:30:45,600 --> 00:30:48,767
'cause this one
hurts a little bit more
in the hip.
588
00:30:48,767 --> 00:30:50,867
Where do you have
the pain?
589
00:30:50,867 --> 00:30:52,433
Like, in the joint itself.
590
00:30:53,066 --> 00:30:55,266
-In, in the hip joint?
-Yeah.
591
00:30:55,266 --> 00:31:00,333
So those, uh, knees,
can you straighten them out?
592
00:31:02,567 --> 00:31:04,900
I used to be able to.
593
00:31:04,900 --> 00:31:07,367
I just lost
a lot of strength in them
594
00:31:07,367 --> 00:31:10,600
because I haven't done
exercises with them.
595
00:31:10,600 --> 00:31:13,000
-Mmm-hmm.
-So I lost strength in them.
596
00:31:13,000 --> 00:31:16,934
That's why I really do need
the physical therapy
597
00:31:17,400 --> 00:31:19,367
to get the strength back.
598
00:31:19,367 --> 00:31:22,667
So, what you need,
uh, to do is, uh,
599
00:31:22,667 --> 00:31:27,467
you got all day
to do your exercise
on your leg.
600
00:31:27,467 --> 00:31:30,667
Movement of the hip
is gonna be very important.
601
00:31:30,667 --> 00:31:34,066
And let me see
how much you can do
with this hip.
602
00:31:34,066 --> 00:31:35,133
Okay.
603
00:31:35,667 --> 00:31:37,066
Move this slightly.
604
00:31:37,467 --> 00:31:39,066
[Abi grunting]
605
00:31:39,266 --> 00:31:41,000
Okay.
606
00:31:41,000 --> 00:31:46,667
And here you got
a bunch of, uh, skin issues
607
00:31:46,667 --> 00:31:50,400
that has been
chronically infected.
608
00:31:50,400 --> 00:31:54,266
-So, this oozes
all the time?
-Yeah.
609
00:31:54,266 --> 00:31:57,467
[Dr. Now]
You need to get all this
infection under control,
610
00:31:57,467 --> 00:32:00,800
'cause, you know,
that is gonna be
a problem, okay?
611
00:32:00,800 --> 00:32:01,934
[knocking on door]
612
00:32:02,767 --> 00:32:04,166
[Brenda] Come in.
613
00:32:04,166 --> 00:32:05,567
-Careful.
-Hi, Jason.
614
00:32:05,567 --> 00:32:07,266
-Hey, Abi. Hey, Doctor.
-Hey, man.
615
00:32:07,667 --> 00:32:08,800
[Brenda] Hi.
616
00:32:08,800 --> 00:32:09,667
You doing all right?
617
00:32:09,667 --> 00:32:11,200
-Yeah.
-Hey, man.
How you doing?
618
00:32:11,200 --> 00:32:12,333
How you doing, buddy?
619
00:32:13,367 --> 00:32:15,266
-Abi.
-[Abi] Good to see you.
620
00:32:15,266 --> 00:32:18,433
We need to work
on getting to move the hips.
621
00:32:19,000 --> 00:32:22,066
And his joint
are freezing.
622
00:32:22,066 --> 00:32:24,800
And he has
a significant foot drop.
623
00:32:24,800 --> 00:32:29,166
If we get, uh,
some right-angle splint
made for him,
624
00:32:29,166 --> 00:32:31,367
uh, to push him up
a little bit.
625
00:32:31,367 --> 00:32:34,767
-[Jason] And get 'em neutral.
-Uh, see if we can work
on those issues.
626
00:32:34,767 --> 00:32:38,467
So we got a lot of,
um, territory to cover,
627
00:32:38,467 --> 00:32:41,100
but, uh, you know,
you have to be
628
00:32:41,100 --> 00:32:43,467
the driving force
in all that.
629
00:32:43,467 --> 00:32:45,667
-And do your own part.
-Okay.
630
00:32:45,667 --> 00:32:48,867
Because, you know,
we can give you the road map,
631
00:32:48,867 --> 00:32:50,367
but if you don't do
the hard work,
632
00:32:50,367 --> 00:32:51,900
you're not gonna
benefit from that.
633
00:32:51,900 --> 00:32:53,467
-[Abi] Yeah.
-Gotta work hard at it.
634
00:32:53,467 --> 00:32:55,100
-I know you can.
-[Abi] Yeah.
635
00:32:55,100 --> 00:32:57,500
Milestone will be for him
636
00:32:57,500 --> 00:32:59,667
to get to the point
that he can put, at least,
637
00:32:59,667 --> 00:33:01,900
his feet on the ground
and stand up.
638
00:33:01,900 --> 00:33:03,800
Get you sitting
at the edge of the bed here
639
00:33:03,800 --> 00:33:05,367
within the next
30 days maybe.
640
00:33:05,367 --> 00:33:08,400
-Being able to have
that kind of trunk support.
-[Abi] Sure.
641
00:33:08,400 --> 00:33:10,600
[Jason] There's a possibility
you'll be able to get out
of this bed.
642
00:33:10,600 --> 00:33:11,767
Yeah.
643
00:33:11,767 --> 00:33:15,266
It's gonna be
very difficult for you
to stand up and walk.
644
00:33:15,266 --> 00:33:17,266
-Yeah.
-So we need to cut back
645
00:33:17,266 --> 00:33:19,200
on whatever
we give him now.
646
00:33:19,200 --> 00:33:23,100
So make sure
whatever he eat
is protein, no carb.
647
00:33:23,100 --> 00:33:24,367
-Okay?
-[Brenda] Okay.
648
00:33:24,367 --> 00:33:27,066
[Dr. Now]
All right. And let's see
if we can make some progress.
649
00:33:27,066 --> 00:33:29,500
So, at this point,
everything is up to you.
650
00:33:29,500 --> 00:33:33,100
You have to work hard
on your physical therapy
as well.
651
00:33:33,100 --> 00:33:35,166
-Yeah.
-[Dr. Now] Okay?
652
00:33:35,166 --> 00:33:37,800
This is
a very difficult situation
that we have.
653
00:33:37,800 --> 00:33:40,567
His condition
is much worse
than I thought.
654
00:33:40,567 --> 00:33:42,567
Abi has lost
a lot of muscles.
655
00:33:42,567 --> 00:33:45,000
He didn't have any reflexes
on his joint.
656
00:33:45,000 --> 00:33:47,600
So, he has
frozen joint in the hip,
657
00:33:47,600 --> 00:33:51,200
and both knee
and both feet are dropped.
658
00:33:51,200 --> 00:33:53,500
His hygiene
is very poor.
659
00:33:53,500 --> 00:33:56,266
You can tell
with the smell in the house.
660
00:33:56,266 --> 00:34:01,100
All those bacteria growing
in the side of his thigh
and hip area
661
00:34:01,100 --> 00:34:03,266
indicate that
he probably has
662
00:34:03,266 --> 00:34:05,266
serious skin issues
in his back.
663
00:34:05,266 --> 00:34:07,800
Starting point will be
to lose some weight
664
00:34:07,800 --> 00:34:09,266
and increase his mobility.
665
00:34:09,266 --> 00:34:11,667
So, we gotta
work with him.
666
00:34:11,667 --> 00:34:13,100
And I'm gonna
be optimistic,
667
00:34:13,100 --> 00:34:15,266
and see what kind of progress
he's gonna make.
668
00:34:15,266 --> 00:34:18,333
But at this point,
this is gonna be
a very difficult situation.
669
00:34:18,967 --> 00:34:20,266
All right.
670
00:34:20,266 --> 00:34:23,867
Appreciate your help,
and see if you can speed up
the work on him,
671
00:34:23,867 --> 00:34:25,767
and tighten up
a little bit more
672
00:34:25,767 --> 00:34:28,000
-physical therapy for him.
-[Jason] Okay.
673
00:34:28,000 --> 00:34:28,900
-All right?
-All right.
674
00:34:28,900 --> 00:34:30,000
-Thank you.
-See you soon, buddy.
675
00:34:30,000 --> 00:34:31,166
-Thank you.
-All right?
Thanks for having me.
676
00:34:31,166 --> 00:34:33,367
Thank you for coming
all the way here.
677
00:34:33,367 --> 00:34:36,166
Well, now I've got some idea
of what's going on,
678
00:34:36,166 --> 00:34:39,000
and what we need to do
to get you out
of this situation.
679
00:34:39,000 --> 00:34:40,100
-All right.
-[Dr. Now] Okay?
680
00:34:40,100 --> 00:34:41,500
Yeah. Thank you.
681
00:34:41,500 --> 00:34:43,166
All right.
Well, see you all later.
682
00:34:43,166 --> 00:34:44,667
-[Abi] All right.
Thank you, Doctor.
-If y'all need anything,
683
00:34:44,667 --> 00:34:45,767
give us a call.
684
00:34:45,767 --> 00:34:46,767
-All right.
-[Brenda] All right.
685
00:34:46,767 --> 00:34:47,867
All right.
686
00:34:48,467 --> 00:34:49,734
All right.
687
00:34:51,200 --> 00:34:53,300
-Bye, Abi.
-Bye, Jason.
688
00:34:53,300 --> 00:34:54,367
Bye, Abi.
689
00:34:54,367 --> 00:34:55,900
-Bye.
-[Brenda] Bye.
690
00:34:55,900 --> 00:34:57,834
-Thank you, Dr. Now.
-[Dr. Now]
You're welcome.
691
00:35:00,367 --> 00:35:03,600
[Abi] I'm really thankful
that Dr. Now came to see me
in person,
692
00:35:03,600 --> 00:35:05,967
and for all the help
that he's given me.
693
00:35:05,967 --> 00:35:08,767
I wish I had made
more progress for today.
694
00:35:08,767 --> 00:35:11,533
But I feel like
I finally have a chance
to change things.
695
00:35:25,900 --> 00:35:27,166
[Brenda] I think
that we should start
696
00:35:27,166 --> 00:35:29,667
with those stretches
that he showed me.
697
00:35:29,667 --> 00:35:33,266
So, he wants us to do
the hands out like this.
698
00:35:34,767 --> 00:35:36,667
So, wrist up and down.
699
00:35:38,166 --> 00:35:39,634
[speaking spanish]
700
00:35:42,300 --> 00:35:44,533
13, 14.
701
00:35:45,300 --> 00:35:46,867
15.
702
00:35:46,867 --> 00:35:48,266
Okay.
703
00:35:48,266 --> 00:35:49,800
The next one.
704
00:35:49,800 --> 00:35:50,934
Can't do anymore.
705
00:35:52,467 --> 00:35:53,467
Five.
706
00:35:53,467 --> 00:35:54,667
[Abi] I was
doing really well
707
00:35:54,667 --> 00:35:57,767
for a few weeks
after Dr. Now came to see me.
708
00:35:57,767 --> 00:35:59,700
[Brenda]
Ten. You did it.
709
00:35:59,700 --> 00:36:01,000
[Abi] All right.
710
00:36:01,000 --> 00:36:02,533
Love you, baby.
711
00:36:03,400 --> 00:36:06,500
[Abi] But I pushed myself
a little bit too hard,
and I hurt my knee.
712
00:36:06,500 --> 00:36:09,100
Yeah, okay,
I'm gonna make the salad.
713
00:36:09,100 --> 00:36:11,100
[Abi] But I think
I'll be back at it soon.
714
00:36:11,100 --> 00:36:13,634
I just need to rest
for, like, another week,
I guess.
715
00:36:16,800 --> 00:36:19,467
Man, this little kit
brings everything, huh?
716
00:36:19,467 --> 00:36:21,967
-[Abi] Mmm. Yeah.
-Yeah.
717
00:36:21,967 --> 00:36:24,533
It brings the croutons,
it brings, like...
718
00:36:25,467 --> 00:36:26,867
-Cheese, right?
-Yup.
719
00:36:26,867 --> 00:36:29,467
-It brings Parmesan cheese.
-Okay. Yeah, that's fine.
720
00:36:29,467 --> 00:36:33,967
-And then
the Caesar dressing.
-Okay. Looks fine.
721
00:36:33,967 --> 00:36:37,400
Do we have, like,
any extra chicken
to put on it?
722
00:36:37,400 --> 00:36:40,667
Yeah, I got
a rotisserie chicken
in there.
723
00:36:40,667 --> 00:36:44,166
[Abi] Oh, okay.
Can you put some,
some of it in there?
724
00:36:44,166 --> 00:36:45,367
Yeah.
725
00:36:45,367 --> 00:36:49,100
I was reading,
and it said that...
726
00:36:49,100 --> 00:36:52,867
-Mmm-hmm.
-...chicken would be good
to add to a salad
727
00:36:52,867 --> 00:36:55,333
-just because
it's a protein, so...
-Okay.
728
00:36:55,700 --> 00:36:57,800
That's why I asked.
729
00:36:57,800 --> 00:37:01,066
-Did you want
the skin, or no?
-Sure.
730
00:37:01,066 --> 00:37:04,700
I'm still doing
my upper body
exercises, though.
731
00:37:04,700 --> 00:37:08,433
I'm also still doing the diet
and eating right, too.
732
00:37:11,400 --> 00:37:13,867
So I must be
making progress.
733
00:37:13,867 --> 00:37:15,667
[Brenda]
Okay. You ready?
734
00:37:19,300 --> 00:37:22,233
-Your chicken Caesar salad.
-Okay.
735
00:37:24,467 --> 00:37:26,367
I cut back
on my portions.
736
00:37:26,367 --> 00:37:28,600
And I've been
feeling hungry a lot,
737
00:37:28,600 --> 00:37:30,734
so I must be doing
something right.
738
00:37:32,567 --> 00:37:34,233
Mmm-hmm.
739
00:37:35,066 --> 00:37:37,333
-[speaking spanish]
-Mmm-hmm. Mmm. It's good.
740
00:37:47,266 --> 00:37:49,767
All right.
So, your appointment
is soon.
741
00:37:50,166 --> 00:37:51,266
[Abi] Mmm-hmm.
742
00:37:51,266 --> 00:37:53,867
So, I'm gonna push this,
um, forward towards you.
743
00:37:53,867 --> 00:37:56,934
-[Abi] Yeah.
-So we can give you
the laptop to sign in.
744
00:37:57,667 --> 00:37:59,433
Okay.
745
00:38:00,266 --> 00:38:03,467
Here's your laptop.
746
00:38:03,467 --> 00:38:05,066
Give me your thermos.
747
00:38:05,066 --> 00:38:08,467
[Abi] I have
another follow-up call
with Dr. Now today.
748
00:38:08,467 --> 00:38:11,700
I've been making more progress
over the last two months.
749
00:38:11,700 --> 00:38:13,100
I worked harder this time,
750
00:38:13,100 --> 00:38:14,900
so I feel like
I did much better.
751
00:38:14,900 --> 00:38:17,500
So I hope Dr. Now
is happy with where I'm at,
752
00:38:17,500 --> 00:38:20,500
and that he has some specific
next steps for me
753
00:38:20,500 --> 00:38:23,133
that would help me
make more progress faster.
754
00:38:23,400 --> 00:38:25,333
[line ringing]
755
00:38:27,200 --> 00:38:29,000
-Hi, Abi.
-[Abi] Hey.
756
00:38:29,000 --> 00:38:30,266
How are you doing, Abi?
757
00:38:30,266 --> 00:38:31,667
I'm good.
758
00:38:31,667 --> 00:38:33,133
I'm good.
And yourself?
759
00:38:34,400 --> 00:38:37,266
I'm good. And so what's
going on with you,
760
00:38:37,266 --> 00:38:38,867
what kind of progress
are you making?
761
00:38:38,867 --> 00:38:41,533
Yeah, I'm just doing
my exercises every day.
762
00:38:42,000 --> 00:38:43,567
Um...
763
00:38:43,567 --> 00:38:45,567
Doing, doing the legs.
764
00:38:45,567 --> 00:38:48,367
I'm trying to push 'em in,
push 'em out.
765
00:38:48,367 --> 00:38:51,567
Try to, like, bend the knees
and push 'em out.
766
00:38:51,567 --> 00:38:54,900
It's been getting easier
because I lost weight.
767
00:38:54,900 --> 00:38:58,266
Well, are you able
to sit on the bed?
768
00:38:58,266 --> 00:39:00,300
I haven't tried that
'cause I don't...
769
00:39:00,300 --> 00:39:02,166
I don't trust this bed.
770
00:39:02,166 --> 00:39:03,700
What's wrong
with that bed?
771
00:39:03,700 --> 00:39:07,500
I don't trust
the, the side rails on it,
772
00:39:07,500 --> 00:39:11,367
'cause I would
have to pull on them
or just trust on them
773
00:39:11,367 --> 00:39:14,066
to be able to sit
on the side of the bed.
774
00:39:16,767 --> 00:39:19,367
The diet,
I've kept doing it.
775
00:39:19,367 --> 00:39:22,500
Um, I've been
going pretty strong.
776
00:39:22,500 --> 00:39:25,900
Um, we're both doing it,
me and my wife,
777
00:39:25,900 --> 00:39:27,767
so we've lost
a lot of weight.
778
00:39:27,767 --> 00:39:31,166
I don't know how much
I'm weighing right now
779
00:39:31,166 --> 00:39:34,367
'cause I would
have to go to a hospital
to weigh myself.
780
00:39:34,367 --> 00:39:37,800
But I've kept doing the diet
for every meal,
781
00:39:37,800 --> 00:39:41,266
and we're working on that.
782
00:39:45,800 --> 00:39:48,467
Breakfast,
I just do just eggs,
783
00:39:48,467 --> 00:39:52,767
no, no toast,
no anything like that.
784
00:39:52,767 --> 00:39:54,767
Lunch,
kind of the same thing.
785
00:39:54,767 --> 00:39:56,767
Um...
786
00:39:56,767 --> 00:39:59,367
And dinner is the,
like, strongest meal.
787
00:39:59,367 --> 00:40:01,367
But I'm still...
I'm...
788
00:40:01,367 --> 00:40:03,834
I'm doing much more salads
and all that
789
00:40:04,266 --> 00:40:06,166
to just, you know...
790
00:40:08,166 --> 00:40:09,233
work with it.
791
00:40:09,233 --> 00:40:11,500
So, for breakfast,
how many eggs
are you eating?
792
00:40:11,500 --> 00:40:12,467
[Abi] Three.
793
00:40:13,467 --> 00:40:14,500
Three?
794
00:40:14,500 --> 00:40:16,500
Maybe cut it back to two.
795
00:40:16,500 --> 00:40:19,066
And dinner,
a smaller portion.
796
00:40:20,867 --> 00:40:22,567
Okay.
797
00:40:22,567 --> 00:40:24,667
-Yeah.
-Also, in the meantime,
798
00:40:24,667 --> 00:40:28,367
you have to do your part,
uh, doing daily exercises.
799
00:40:28,367 --> 00:40:31,667
Cut back as much as you can
with your eating habit.
800
00:40:31,667 --> 00:40:34,166
-Mmm.
-If you're not hungry,
don't eat.
801
00:40:34,166 --> 00:40:37,967
And see if you can lose
more weight more rapidly.
802
00:40:39,367 --> 00:40:40,900
All right sir.
803
00:40:40,900 --> 00:40:44,000
All right.
I'm happy I managed
to see you again.
804
00:40:44,000 --> 00:40:46,467
And if you need anything,
give me a call.
805
00:40:46,467 --> 00:40:47,567
-All right.
-Yeah.
806
00:40:47,567 --> 00:40:49,166
And we'll see
what's going on,
807
00:40:49,166 --> 00:40:51,467
and see what we can
do for you, okay?
808
00:40:51,467 --> 00:40:54,367
All right.
All right, sir.
Thank you.
809
00:40:54,367 --> 00:40:56,266
-All right. Bye-bye.
-All right, bye.
810
00:41:01,700 --> 00:41:02,867
All right.
811
00:41:02,867 --> 00:41:04,533
How was it?
812
00:41:06,100 --> 00:41:10,367
He, he seems to see
that I have lost weight.
813
00:41:10,367 --> 00:41:14,000
-Mmm-hmm.
-Guess we can't, we don't know
how much it is.
814
00:41:14,000 --> 00:41:17,200
I'm positive and negative,
so it's, kind of, like, "Eh."
815
00:41:17,200 --> 00:41:19,400
-Yeah.
-I'm in the middle,
but it's...
816
00:41:19,400 --> 00:41:22,100
I just have to look at it
in a positive way.
817
00:41:22,100 --> 00:41:24,133
We just
have to get that done.
818
00:41:28,266 --> 00:41:30,867
I don't need a cheerleader.
I don't need that.
819
00:41:30,867 --> 00:41:32,867
I already have one there.
820
00:41:32,867 --> 00:41:35,667
But, um, I don't...
821
00:41:36,266 --> 00:41:39,834
I need structure
or a goal.
822
00:41:41,200 --> 00:41:44,767
I don't have a goal.
I just have tasks to do.
823
00:41:47,166 --> 00:41:48,967
[makes sound]
824
00:41:48,967 --> 00:41:54,567
[Abi] If you have a goal,
then you have a set place
that you want to get to.
825
00:41:54,567 --> 00:41:57,166
But when it's just...
826
00:41:57,166 --> 00:41:59,834
"Yeah, we'll see
how we're doing
for next time."
827
00:42:00,667 --> 00:42:01,767
That's not a goal.
828
00:42:01,767 --> 00:42:04,166
That's, uh...
It's probably nothing.
829
00:42:04,700 --> 00:42:07,333
So, I feel like I'm...
830
00:42:09,266 --> 00:42:14,634
doing the things and effort,
but I'm not getting anywhere,
831
00:42:15,667 --> 00:42:17,433
and that doesn't feel good.
832
00:42:35,367 --> 00:42:37,567
[Abi] Dr. Now
called me a few days ago,
833
00:42:37,567 --> 00:42:40,800
and told me
that he arranged for transport
to come get me.
834
00:42:40,800 --> 00:42:43,500
I guess
we're going to the hospital
to see Dr. Now,
835
00:42:43,500 --> 00:42:48,467
and have him, I guess,
do some different checks
836
00:42:48,467 --> 00:42:50,266
on my health,
837
00:42:50,266 --> 00:42:53,033
and to, at least,
get a goal going.
838
00:42:54,567 --> 00:42:56,600
[Brenda] Morning.
839
00:42:56,600 --> 00:42:59,100
-[Abi] Hey, good morning.
-Hey.
840
00:42:59,100 --> 00:43:01,100
I brought your toothbrush
and stuff.
841
00:43:01,100 --> 00:43:02,567
Thank you.
842
00:43:05,600 --> 00:43:07,667
You ready for today?
843
00:43:07,667 --> 00:43:10,634
I'm as ready
as I can be right now.
844
00:43:12,367 --> 00:43:13,767
With everything
that's going on,
845
00:43:13,767 --> 00:43:17,166
I've gotta keep in my head
that everything's
gonna be okay.
846
00:43:17,166 --> 00:43:18,166
[Brenda] Yeah.
847
00:43:18,166 --> 00:43:20,200
[Abi] But I'll be honest,
I'm nervous.
848
00:43:20,200 --> 00:43:22,200
because I don't know
what to expect
849
00:43:22,200 --> 00:43:25,867
or how long I'm gonna be
gone from my home
and away from Brenda
850
00:43:25,867 --> 00:43:28,467
because she can't go with me
because she has to work.
851
00:43:28,467 --> 00:43:32,100
And I'm also worried
what kind of toll this
is gonna be on my body.
852
00:43:32,100 --> 00:43:35,367
So this isn't gonna be easy
for me. So, I'm nervous.
853
00:43:35,367 --> 00:43:37,600
But I know this is
gonna be for the best,
854
00:43:37,600 --> 00:43:39,567
and that I need to do this.
855
00:43:39,567 --> 00:43:41,667
Th ambulance
should be on its way.
856
00:43:42,266 --> 00:43:43,834
Okay. All right.
857
00:43:44,967 --> 00:43:46,433
-You're done?
-I'm done, yeah.
858
00:43:48,066 --> 00:43:49,634
-Thank you.
-All right.
859
00:43:50,400 --> 00:43:51,367
Right there.
860
00:43:52,266 --> 00:43:54,033
[sighs]
861
00:44:02,767 --> 00:44:05,033
[machine beeping]
862
00:44:18,900 --> 00:44:21,166
[indistinct chatter]
863
00:44:23,100 --> 00:44:24,433
[dog barking]
864
00:44:24,900 --> 00:44:26,066
[Brenda] Stop.
865
00:44:28,400 --> 00:44:29,900
-Hi. Welcome
-[medic] Hi.
866
00:44:29,900 --> 00:44:31,000
-[Brenda] Come in.
-[medic] Is it okay...
867
00:44:31,000 --> 00:44:32,333
[Brenda] Oh,
they'll come back in.
868
00:44:33,900 --> 00:44:38,767
[Abi and medic
conversing indistinctly]
869
00:44:38,767 --> 00:44:41,300
See that foam underneath?
we've got that.
870
00:44:41,300 --> 00:44:43,467
It's underneath if we
need to pull it out.
871
00:44:43,467 --> 00:44:45,800
[indistinct conversation]
872
00:44:45,800 --> 00:44:47,767
[medic] All right,
slideboard coming in, guys.
873
00:44:47,767 --> 00:44:49,900
Watch yourself.
874
00:44:49,900 --> 00:44:53,100
[indistinct conversations]
875
00:44:53,100 --> 00:44:57,266
[medic] All right, reel up.
Ready? One, two, three!
876
00:44:57,266 --> 00:45:01,100
[Abi screams]
[bleep]
877
00:45:01,100 --> 00:45:02,400
[bleep]
878
00:45:02,400 --> 00:45:05,066
[medic] On the bed,
on the bed.
879
00:45:05,867 --> 00:45:07,000
[bleep]
880
00:45:07,000 --> 00:45:08,667
-[medic 1] All right,
keep pulling.
-[medic 2] Let's go.
881
00:45:08,667 --> 00:45:10,800
[medic 1] Keep pulling,
keep pulling, keep pulling.
882
00:45:10,800 --> 00:45:13,867
[overlapping chatter]
883
00:45:16,367 --> 00:45:19,166
[medic] Ready?
One, two, three!
884
00:45:20,166 --> 00:45:21,867
All right!
885
00:45:22,767 --> 00:45:24,567
That's it, Abi. That's it!
886
00:45:24,567 --> 00:45:26,066
[Abi groaning]
887
00:45:26,066 --> 00:45:28,166
[medic] That's it.
That's the worst of it, okay?
888
00:45:28,166 --> 00:45:29,567
[Abi] My left hip...
889
00:45:30,467 --> 00:45:32,233
-[medic] Your left hip?
-[Abi] Yeah.
890
00:45:32,867 --> 00:45:34,266
[medic 2] This go up
a little bit?
891
00:45:34,266 --> 00:45:36,333
-[medic 3] Here. Going up?
-[medic 2] Yup, going up
a little bit.
892
00:45:38,000 --> 00:45:38,934
All right.
893
00:45:41,900 --> 00:45:44,367
That's it. Awesome.
894
00:45:45,367 --> 00:45:48,667
Oh it's doing the opposite.
895
00:45:52,400 --> 00:45:55,266
[Brenda] The pain,
it was hard for me to see.
It's always hard
896
00:45:55,266 --> 00:45:57,367
'cause he cries a lot in pain
897
00:45:57,367 --> 00:46:01,100
and it makes me feel his pain.
So, it makes me tear up
898
00:46:01,100 --> 00:46:04,367
'cause I love him.
I don't wanna see him
go through pain.
899
00:46:04,367 --> 00:46:05,967
I'm happy
he's going through this
900
00:46:05,967 --> 00:46:08,333
and he's finally gonna get
the help he needs.
901
00:46:16,166 --> 00:46:17,834
Bye baby, I love you too.
902
00:46:18,567 --> 00:46:19,433
[speaking indistinctly]
903
00:46:19,433 --> 00:46:20,767
[Brenda] Yeah,
call me when you get there.
904
00:46:20,767 --> 00:46:22,734
-I love you.
-I love you too.
905
00:46:23,700 --> 00:46:24,634
[Brenda chuckles]
906
00:46:25,300 --> 00:46:27,533
[medic] Yup, you got it.
You're good.
907
00:46:43,867 --> 00:46:45,133
[Abi groans in pain]
908
00:46:46,166 --> 00:46:47,266
[medic] Don't worry.
909
00:46:49,367 --> 00:46:50,567
[bleep] my hips.
910
00:47:19,567 --> 00:47:22,266
[medic] Well, we're pulling in
literally right now.
Okay, sir?
911
00:47:22,800 --> 00:47:24,567
Once we get you up
912
00:47:24,567 --> 00:47:26,767
into the hospital,
it'll be nice and cool.
913
00:47:26,767 --> 00:47:29,000
And then from there,
we'll get you to your floor,
914
00:47:29,000 --> 00:47:31,634
and hopefully, they will
give you some more
pain meds, okay?
915
00:47:49,800 --> 00:47:51,834
[indistinct conversations]
916
00:48:07,567 --> 00:48:11,000
[Dr. Now] This trip
likely took a lot out of Abi.
917
00:48:11,000 --> 00:48:15,166
He's used to the comfort
of his bed, and not
having to move ever.
918
00:48:15,166 --> 00:48:17,567
So, this is a lot
of activity for him.
919
00:48:17,567 --> 00:48:21,300
So we will run
some tests on him
and get his current weight,
920
00:48:21,300 --> 00:48:23,467
and address
any issues we need.
921
00:48:23,467 --> 00:48:27,900
And then let him rest a little
before we start him working
with PT here.
922
00:48:27,900 --> 00:48:31,767
But we're gonna start
Abi on a controlled diet
immediately
923
00:48:31,767 --> 00:48:34,367
to try to get his weight down
as much as we can.
924
00:48:34,367 --> 00:48:38,567
And then once we do that,
we will bring in
some specialists
925
00:48:38,567 --> 00:48:42,700
and consider what options
we have for him
at that point.
926
00:48:42,700 --> 00:48:45,200
Being here is gonna
help to determine
927
00:48:45,200 --> 00:48:47,200
what level of his progress
is slow
928
00:48:47,200 --> 00:48:49,166
because of his lack of effort
929
00:48:49,166 --> 00:48:53,667
and to what degree he may need
some treatment to help him.
930
00:48:53,667 --> 00:48:55,200
-[medic 1] One person
count please.
-[medic 2] On the head.
931
00:48:55,200 --> 00:48:57,867
-[medic 2] You got...
-[medic 3] One, two, three!
932
00:48:57,867 --> 00:48:59,467
[Abi groaning in pain]
933
00:48:59,467 --> 00:49:01,166
Mother [bleep]
934
00:49:01,166 --> 00:49:03,500
[groaning] Could you lift
my back, please?
935
00:49:03,500 --> 00:49:06,266
[medic] Yes, we're gonna slide
you up, we're gonna slide you
up real quick, okay?
936
00:49:06,266 --> 00:49:08,033
[Abi groaning]
937
00:49:09,066 --> 00:49:11,667
[Dr. Now] He will
likely need some operations
938
00:49:11,667 --> 00:49:13,467
to be able to walk
normally again.
939
00:49:13,467 --> 00:49:16,600
It is likely he can start
to get up on his own.
940
00:49:16,600 --> 00:49:19,467
And at this time,
if he just apply himself
941
00:49:19,467 --> 00:49:21,900
to rehab his whole body
and lose some weight.
942
00:49:21,900 --> 00:49:24,300
So we're gonna help with that
as much as we can.
943
00:49:24,300 --> 00:49:27,367
But with all these issues,
it is very clear
944
00:49:27,367 --> 00:49:29,634
we have a lot of work
to do with Abi.
945
00:49:30,867 --> 00:49:31,900
[exhales heavily]
946
00:49:31,900 --> 00:49:33,600
[Dr. Now] So Abi,
how you feeling?
947
00:49:33,600 --> 00:49:34,734
It was rough trip?
948
00:49:35,667 --> 00:49:39,600
It was pretty good.
It's just at the end, like...
949
00:49:39,600 --> 00:49:42,266
It just got rougher
and really hard.
950
00:49:42,266 --> 00:49:43,200
Okay.
951
00:49:43,200 --> 00:49:45,166
Um, it was, it was...
952
00:49:45,166 --> 00:49:47,667
It was better than I was
thinking it was gonna be.
953
00:49:47,667 --> 00:49:48,900
Better than what
you were thinking, huh?
954
00:49:48,900 --> 00:49:50,700
Yeah, definitely.
955
00:49:50,700 --> 00:49:52,000
All right.
956
00:49:52,000 --> 00:49:55,300
But now we're in AC here,
so I'm happier with that.
957
00:49:55,300 --> 00:49:57,533
-Your leg doing okay?
-Yeah.
958
00:49:58,467 --> 00:50:00,233
You could check
whatever you need.
959
00:50:06,000 --> 00:50:07,333
Any pain in your stomach?
960
00:50:07,900 --> 00:50:09,867
-No, no.
-Hmm.
961
00:50:17,400 --> 00:50:18,967
How's your diet coming along?
962
00:50:19,667 --> 00:50:22,200
It's been...
I've been going at it.
963
00:50:22,200 --> 00:50:26,367
All right, um, we're gonna get
some tests done and see
what kind of
964
00:50:26,867 --> 00:50:28,233
shape you're in,
965
00:50:28,233 --> 00:50:31,900
and what we need to do
to get everything straightened
out for you, okay?
966
00:50:31,900 --> 00:50:33,867
So at this point, um,
967
00:50:33,867 --> 00:50:38,367
I think, um, we gotta do
something to improve
your condition.
968
00:50:38,367 --> 00:50:41,767
-We gotta make
some changes, okay?
-No problem.
969
00:50:51,100 --> 00:50:56,467
[Abi] Right now, we just...
we gotta get my blood drawn
and the test going.
970
00:50:56,467 --> 00:50:58,900
I'm hoping for
a good bill of health.
971
00:50:58,900 --> 00:51:04,200
I know that, not necessarily,
my body right now
is in a good state,
972
00:51:04,200 --> 00:51:08,634
just because of the sores
and... and all of those
other things that I have.
973
00:51:09,467 --> 00:51:11,100
But I feel good,
974
00:51:11,100 --> 00:51:13,867
you know, as good
as I can feel for...
975
00:51:13,867 --> 00:51:15,433
for being in a hospital.
976
00:51:38,266 --> 00:51:41,567
[Abi] Being here
at the hospital has been
an adjustment for me.
977
00:51:41,567 --> 00:51:43,400
It's been hard, to be honest.
978
00:51:43,400 --> 00:51:45,166
But I meant it
when I told the doctor
979
00:51:45,166 --> 00:51:47,066
I'm here to do
whatever I need,
980
00:51:47,066 --> 00:51:49,433
as long as I get help.
And I meant that.
981
00:51:50,166 --> 00:51:51,967
But it's still been hard
with the diet,
982
00:51:51,967 --> 00:51:54,100
and being away from Brenda.
983
00:51:54,100 --> 00:51:57,266
You know, I've never been away
from her like this.
984
00:51:57,266 --> 00:51:59,433
So I would say,
that's been the hardest part.
985
00:52:02,066 --> 00:52:06,100
We have had Abi
in the hospital
for almost a month now.
986
00:52:06,100 --> 00:52:08,467
When he first arrived,
we got his weight
987
00:52:08,467 --> 00:52:11,200
and he was 728 pounds.
988
00:52:11,200 --> 00:52:17,600
He is at 605 pounds,
so he lost 123 pounds
on a controlled diet.
989
00:52:17,600 --> 00:52:19,867
So that has been a big
improvement for him.
990
00:52:19,867 --> 00:52:22,300
But the diet has
been hard for him.
991
00:52:22,300 --> 00:52:26,266
He's been constantly
complaining that he doesn't
have enough to eat.
992
00:52:26,266 --> 00:52:29,200
Thankfully, his family
isn't in Houston.
993
00:52:29,200 --> 00:52:33,000
So he doesn't have anyone
to try and sneak in food.
994
00:52:33,000 --> 00:52:37,867
So we have been able
to keep control over his
eating habit for now.
995
00:52:37,867 --> 00:52:40,333
And so, the result
of that are good.
996
00:52:43,300 --> 00:52:44,800
-[male nurse] Hello.
-Hey.
997
00:52:44,800 --> 00:52:47,266
-[female nurse]
Hello, Mr. Abi.
-Hey, guys.
998
00:52:47,266 --> 00:52:50,100
-[female nurse] Hi,
how are you?
-I'm, I'm good.
999
00:52:50,100 --> 00:52:52,867
-[male nurse] We're gonna look
at your wound first...
-First?
1000
00:52:53,467 --> 00:52:54,867
-[male nurse] Yes.
-Okay.
1001
00:52:55,367 --> 00:52:57,200
[in Spanish]
1002
00:52:57,200 --> 00:53:00,133
[Abi groaning] [bleep]
1003
00:53:02,500 --> 00:53:03,834
[male nurse] You're good,
you're good.
1004
00:53:04,066 --> 00:53:05,433
[bleep]
1005
00:53:07,000 --> 00:53:09,266
[Dr. Now] He was septic
when he got here
1006
00:53:09,266 --> 00:53:13,667
because the blisters
on his side and his back
were infected,
1007
00:53:13,667 --> 00:53:16,500
mostly because he goes
to the bathroom in the bed
1008
00:53:16,500 --> 00:53:20,000
and sits in it because
it takes a whole group
of people
1009
00:53:20,000 --> 00:53:21,767
to move him and clean him.
1010
00:53:21,767 --> 00:53:24,667
And there was no way
his wife could handle that.
1011
00:53:24,667 --> 00:53:27,467
But we have been doing
that for him everyday.
1012
00:53:27,467 --> 00:53:31,166
So his overall condition
has improved too.
1013
00:53:31,166 --> 00:53:34,767
The biggest struggle we have
with him is his PT.
1014
00:53:34,767 --> 00:53:37,066
Can you lift
this leg straight up?
1015
00:53:37,567 --> 00:53:41,467
I'm getting dizzy, uh.
1016
00:53:41,467 --> 00:53:45,967
They push forward with him,
but there is only so much
that can be done.
1017
00:53:45,967 --> 00:53:51,000
He's mentioned he misses home
but we need to keep him here
for a bit longer
1018
00:53:51,000 --> 00:53:55,667
because if we send him home
now, he will just go back
to what he was doing,
1019
00:53:55,667 --> 00:53:59,000
and end up undoing all the
progress he has made here.
1020
00:53:59,000 --> 00:54:02,266
So we need a strategy
to help prevent that.
1021
00:54:02,266 --> 00:54:06,066
One option I'm considering
is doing weight loss surgery
on him
1022
00:54:06,066 --> 00:54:09,767
to try to give him
a fighting chance
if he goes home.
1023
00:54:09,767 --> 00:54:11,166
But we need to get
his weight down
1024
00:54:11,166 --> 00:54:13,867
and I need to see
more effort from him
1025
00:54:13,867 --> 00:54:15,834
before that is an option.
1026
00:54:30,166 --> 00:54:33,100
[Abi] The doctor has been
giving me homework to do
with the diet
1027
00:54:33,100 --> 00:54:35,066
and my understanding
on nutrition.
1028
00:54:35,867 --> 00:54:38,166
So I've been working on that.
1029
00:54:38,166 --> 00:54:41,066
It gives me something to do,
so I don't mind it.
1030
00:54:41,066 --> 00:54:43,200
But I'm hoping that
at some point soon,
1031
00:54:43,200 --> 00:54:46,467
Dr. Now is gonna take me
to the next level, you know.
1032
00:54:46,467 --> 00:54:49,166
And I need something more
to make this go faster.
1033
00:54:52,166 --> 00:54:53,867
We have made
more progress with Abi.
1034
00:54:53,867 --> 00:54:58,000
We had his weight down
almost 200 pounds
since he arrived.
1035
00:54:58,000 --> 00:55:00,767
So he lost another
80 pounds last month.
1036
00:55:00,767 --> 00:55:03,600
So I think with his
progress and effort
1037
00:55:03,600 --> 00:55:07,100
that the next step for him
is to do weight loss surgery.
1038
00:55:07,100 --> 00:55:11,467
Normally, we are prepared
to send him home first
to see how he does.
1039
00:55:11,467 --> 00:55:15,600
But in Abi's case,
I think the environment
he is in,
1040
00:55:15,600 --> 00:55:18,100
and the fact that he is
completely immobile
1041
00:55:18,100 --> 00:55:21,800
sets him up for failure.
So we need to give him
1042
00:55:21,800 --> 00:55:24,100
a tool that gives him
a fighting chance
1043
00:55:24,100 --> 00:55:26,200
to do this on his own.
1044
00:55:26,200 --> 00:55:27,567
[door knocks]
1045
00:55:29,266 --> 00:55:30,300
Hello, Abi.
1046
00:55:30,300 --> 00:55:32,166
Hey, Dr. Now.
1047
00:55:32,166 --> 00:55:34,834
-How you doing?
-I'm good. I'm...
1048
00:55:36,300 --> 00:55:38,667
So how is everything
coming along for you?
1049
00:55:39,100 --> 00:55:40,600
Everything's good.
1050
00:55:40,600 --> 00:55:44,000
Great. I hear
you're doing better
with your PT.
1051
00:55:44,000 --> 00:55:45,166
Yes, yes.
1052
00:55:45,166 --> 00:55:48,467
In your last session,
what were you able to do?
1053
00:55:48,467 --> 00:55:52,367
I was able to do
everything that they asked me
to do, um...
1054
00:55:52,367 --> 00:55:56,800
Well, you're still not
getting up, so we still
have a ways to go with that.
1055
00:55:56,800 --> 00:55:59,667
They're working
on these and you moving
your leg for me?
1056
00:55:59,667 --> 00:56:00,634
Yeah.
1057
00:56:02,300 --> 00:56:04,200
How much you can
straighten up your knee?
1058
00:56:04,200 --> 00:56:07,567
That's tough.
I'm straightening
in and out.
1059
00:56:07,567 --> 00:56:08,667
That's about it?
1060
00:56:09,867 --> 00:56:11,533
Okay, How about the other one?
1061
00:56:16,367 --> 00:56:17,834
I'll take this out.
1062
00:56:19,900 --> 00:56:21,567
Let's see,
this one moves still.
1063
00:56:21,767 --> 00:56:22,800
Okay.
1064
00:56:22,800 --> 00:56:25,000
So I'm getting strong
on both legs.
1065
00:56:25,000 --> 00:56:27,567
I've been doing
my exercises everyday
1066
00:56:27,567 --> 00:56:29,767
and trying to get
as strong as I can.
1067
00:56:29,767 --> 00:56:32,867
That's good because
we gotta get you
out of this bed.
1068
00:56:32,867 --> 00:56:35,266
Yeah, that would...
That would change my life.
1069
00:56:35,266 --> 00:56:37,967
A big part of that
is your weight loss,
1070
00:56:37,967 --> 00:56:39,867
which we have made
good progress with.
1071
00:56:39,867 --> 00:56:42,567
Let's check it and see
where you at today.
1072
00:56:46,367 --> 00:56:50,300
527, so you're down
201 pound exactly
1073
00:56:50,300 --> 00:56:52,467
since we brought you here.
1074
00:56:52,467 --> 00:56:55,567
I'm worried if we send you
home in the same environment
1075
00:56:55,567 --> 00:56:58,800
with you still in the bed,
that you could gain
your weight back
1076
00:56:58,800 --> 00:57:01,100
instead of continuing to lose.
1077
00:57:01,100 --> 00:57:02,767
But, with the
weight loss surgery,
1078
00:57:02,767 --> 00:57:05,400
you're gonna be able to have
better tool to do that.
1079
00:57:05,400 --> 00:57:07,900
So, are we... are we
looking into that or,
1080
00:57:07,900 --> 00:57:09,500
or is that a possibility--
1081
00:57:09,500 --> 00:57:11,400
Yes, with your
current progress,
1082
00:57:11,400 --> 00:57:13,266
that is the next step for you.
1083
00:57:13,266 --> 00:57:16,867
So, we're doing
endoscopy, look inside
your stomach next week.
1084
00:57:16,867 --> 00:57:17,867
Yeah.
1085
00:57:17,867 --> 00:57:21,266
And if everything's okay,
maybe in a week or two,
1086
00:57:21,266 --> 00:57:23,867
we can do the weight
loss surgery, okay?
1087
00:57:23,867 --> 00:57:25,967
That would be awesome.
That would be great.
1088
00:57:25,967 --> 00:57:27,767
So we will plan on that.
1089
00:57:27,767 --> 00:57:30,166
Keep working hard
and we will set that up.
1090
00:57:30,166 --> 00:57:31,166
Thank you, doctor.
1091
00:57:31,166 --> 00:57:32,266
All right, Abi.
1092
00:57:32,266 --> 00:57:34,667
We gotta do something
to get you
1093
00:57:34,667 --> 00:57:36,967
-out of this situation, okay?
-All right.
1094
00:57:36,967 --> 00:57:38,834
-All right,
I'll see you later.
-Thank you, bye.
1095
00:57:54,767 --> 00:57:56,033
[exhales heavily]
1096
00:58:02,800 --> 00:58:04,867
[Dr. Now] Hopefully,
everything is good
1097
00:58:04,867 --> 00:58:09,066
and we can
move ahead with Abi's
weight loss surgery soon.
1098
00:58:09,066 --> 00:58:11,600
Once we do that
and he recovers,
1099
00:58:11,600 --> 00:58:15,100
we will work more closely
with some specialists,
1100
00:58:15,100 --> 00:58:17,800
especially an
orthopedic surgeon,
1101
00:58:17,800 --> 00:58:22,000
to see if we can get
a game plan for what
it will take
1102
00:58:22,000 --> 00:58:23,834
to get him walking again.
1103
00:58:28,166 --> 00:58:29,133
Hey.
1104
00:58:29,500 --> 00:58:30,867
[Brenda] Hi, baby.
1105
00:58:30,867 --> 00:58:32,667
Hey, how you doing?
1106
00:58:32,667 --> 00:58:34,066
[Brenda] I'm good.
1107
00:58:34,066 --> 00:58:36,367
Dr. Now gave me great news.
1108
00:58:36,367 --> 00:58:38,567
We're planning
on doing the surgery.
1109
00:58:38,567 --> 00:58:40,400
-[Brenda] That's great news.
-Right?
1110
00:58:40,400 --> 00:58:42,767
-[Brenda] Are you excited?
-Yes.
1111
00:58:42,767 --> 00:58:46,367
[Brenda] Do they know,
like, when the surgery...
1112
00:58:46,367 --> 00:58:49,500
I don't, I don't have
a set date yet.
1113
00:58:49,500 --> 00:58:51,734
But at least
it's gonna be soon.
1114
00:58:52,800 --> 00:58:54,867
-[Brenda] That's awesome.
-Yeah.
1115
00:58:54,867 --> 00:58:58,000
[Brenda] Aw, that's so great,
baby, I'm so proud of you.
1116
00:58:58,000 --> 00:58:59,066
Yeah, yeah.
1117
00:58:59,066 --> 00:59:02,266
But I'll let you go,
I know you're working.
1118
00:59:02,266 --> 00:59:03,867
-[Brenda] Yeah.
-But I love you, Ma'am.
1119
00:59:03,867 --> 00:59:06,467
[Brenda] I love you too.
I'll call you when I get
out of work, okay?
1120
00:59:06,467 --> 00:59:07,767
[in Spanish] I love you.
1121
00:59:07,767 --> 00:59:09,533
[Brenda] Bye baby, I love you.
1122
00:59:13,500 --> 00:59:17,467
[Abi] When I heard
Dr. Now tell me I was
finally gonna get the surgery,
1123
00:59:17,467 --> 00:59:18,934
I couldn't believe it.
1124
00:59:21,367 --> 00:59:23,967
This is that big step
I've been praying for,
1125
00:59:23,967 --> 00:59:25,634
and working hard to get.
1126
00:59:27,700 --> 00:59:30,567
I feel really blessed
right now that I'm getting
this chance.
1127
00:59:31,600 --> 00:59:33,867
And I know
it's gonna change my life.
1128
00:59:34,467 --> 00:59:36,433
So I'm very happy right now.
1129
01:00:01,066 --> 01:00:01,967
Hey, Abi.
1130
01:00:03,467 --> 01:00:04,433
How you feel?
1131
01:00:09,166 --> 01:00:11,767
So, we're gonna do
your surgery today.
1132
01:00:11,767 --> 01:00:14,767
Everything will be better
after that
1133
01:00:14,767 --> 01:00:17,867
and hopefully, we're gonna
get you to the point
1134
01:00:17,867 --> 01:00:20,300
you get orthopedic surgery
and get you up
1135
01:00:20,300 --> 01:00:21,634
and change your life, huh?
1136
01:00:24,800 --> 01:00:27,367
All right, so we'll get
started in a few minutes.
1137
01:00:27,367 --> 01:00:29,433
And see where
the next step is.
1138
01:00:31,100 --> 01:00:32,867
All right, let me get started.
1139
01:00:34,967 --> 01:00:36,600
Okay.
1140
01:00:53,100 --> 01:00:57,100
[Abi] This is a great day
because I'm getting my
weight loss surgery today.
1141
01:00:57,100 --> 01:00:59,867
I've been hoping for this day
for a long time now,
1142
01:00:59,867 --> 01:01:01,800
and it's finally here.
1143
01:01:01,800 --> 01:01:05,100
The only thing is,
I wish that Brenda was here.
1144
01:01:05,100 --> 01:01:07,467
Being apart from her
for this long
1145
01:01:07,467 --> 01:01:10,667
has been one of the hardest
parts of this process.
1146
01:01:10,667 --> 01:01:14,767
So she and I were both hoping
that she could be here today.
1147
01:01:14,767 --> 01:01:17,000
But she couldn't
because of work.
1148
01:01:17,000 --> 01:01:20,166
But I know she's here,
supporting me in spirit.
1149
01:01:20,166 --> 01:01:21,433
So is my mom.
1150
01:01:21,433 --> 01:01:24,867
I called her
in Puerto Rico to tell her
I'm getting it today,
1151
01:01:24,867 --> 01:01:26,734
and she's also happy for me.
1152
01:01:27,700 --> 01:01:30,200
So I feel everyone's
support and love,
1153
01:01:30,200 --> 01:01:32,967
and I feel blessed that
I'm getting this opportunity.
1154
01:01:35,367 --> 01:01:39,100
[Dr. Now] Today,
we're gonna try to do
weight loss surgery on Abi.
1155
01:01:39,100 --> 01:01:40,867
All his tests look good.
1156
01:01:40,867 --> 01:01:43,867
And we have his
weight down a great deal.
1157
01:01:43,867 --> 01:01:46,800
So he's ready for his
sleeve gastrectomy.
1158
01:01:46,800 --> 01:01:49,166
The biggest obstacle
is gonna be
1159
01:01:49,166 --> 01:01:51,433
getting him on
the operating table.
1160
01:01:58,467 --> 01:01:59,600
[screams in pain]
1161
01:01:59,600 --> 01:02:02,100
[Dr. Now] And he has
a lot of frozen joint
1162
01:02:02,100 --> 01:02:05,467
and a difficulty
to move his extremities.
1163
01:02:05,467 --> 01:02:08,066
So that's gonna be
a very difficult situation
1164
01:02:08,066 --> 01:02:11,600
to move him to
operating table
and position him
1165
01:02:11,600 --> 01:02:14,367
to the way that's gonna fit
in the operating table
1166
01:02:14,367 --> 01:02:17,000
because his legs
are rotating upward
1167
01:02:17,000 --> 01:02:20,000
and that's gonna be
a challenging situation.
1168
01:02:20,000 --> 01:02:23,767
So this probably will be
one of the most
challenging patient
1169
01:02:23,767 --> 01:02:26,600
to position for any
weight loss surgery
1170
01:02:26,600 --> 01:02:28,000
but we're gonna give it a try.
1171
01:02:28,000 --> 01:02:29,367
[Dr. Now]
There, we're good.
1172
01:02:33,967 --> 01:02:38,767
But his size is not only
a challenge to get him
on the table,
1173
01:02:38,767 --> 01:02:41,600
but it also still
make him high-risk.
1174
01:02:41,600 --> 01:02:45,166
So that means, his body
is still under lot of strain.
1175
01:02:45,967 --> 01:02:48,133
[Dr. Now] Okay,
starting the first incision.
1176
01:02:51,000 --> 01:02:52,667
Get the light off of here.
1177
01:02:53,367 --> 01:02:54,934
Get this light off of here.
1178
01:02:58,800 --> 01:03:01,266
Go up. Hold it there.
1179
01:03:03,166 --> 01:03:04,600
Bring the robot.
1180
01:03:06,900 --> 01:03:12,166
So if there is any concern
the surgery is adding
to the strain
1181
01:03:12,166 --> 01:03:14,667
and pushing his body too hard,
1182
01:03:14,667 --> 01:03:16,900
we may have
to stop the surgery.
1183
01:03:16,900 --> 01:03:20,333
But obviously we hope
that won't be necessary.
1184
01:03:25,467 --> 01:03:28,634
All right, I'm gonna
transition to robot.
1185
01:03:36,100 --> 01:03:40,300
Because this operation is
an important step for Abi,
1186
01:03:40,300 --> 01:03:45,200
because it is an operation
that we're gonna take almost
about 80% of his stomach out,
1187
01:03:45,200 --> 01:03:49,400
and leave him with a small,
narrow 20% stomach volume
1188
01:03:49,400 --> 01:03:53,433
that is gonna help him
to eat less and be able
to lose more weight.
1189
01:03:56,967 --> 01:04:00,467
So this is gonna be
a very important deal for him
1190
01:04:00,467 --> 01:04:02,367
that is going
to help him a lot.
1191
01:04:02,367 --> 01:04:06,367
Without it, I don't think
he will be able
to stay on track
1192
01:04:06,367 --> 01:04:09,166
back into his old environment.
1193
01:04:09,166 --> 01:04:12,233
So, this should be
a big help for him.
1194
01:04:13,100 --> 01:04:14,734
[Dr. Now] All right,
undock the robot.
1195
01:04:30,800 --> 01:04:32,967
All right, we can remove
the stomach.
1196
01:04:41,500 --> 01:04:43,433
Keep pulling, keep pulling,
keep pulling.
1197
01:04:47,200 --> 01:04:49,734
He's got a very long stomach.
1198
01:04:51,867 --> 01:04:53,500
Okay.
1199
01:04:53,500 --> 01:04:55,567
Put that on the table
over there.
1200
01:04:55,567 --> 01:04:58,066
Just, um, need to close.
1201
01:05:04,000 --> 01:05:06,066
Okay, we can suture him up.
1202
01:05:08,100 --> 01:05:09,166
Room light on.
1203
01:05:10,467 --> 01:05:11,467
Yeah.
1204
01:05:16,567 --> 01:05:19,700
Good. Abi's surgery
went very well.
1205
01:05:19,700 --> 01:05:21,867
That was probably one
of the most
1206
01:05:21,867 --> 01:05:25,000
challenging weight loss
surgery that we have done
for a while,
1207
01:05:25,000 --> 01:05:30,200
with his condition because
of his functional paraplegia,
and lower extremities.
1208
01:05:30,200 --> 01:05:32,800
But after we got all
the challenges met,
1209
01:05:32,800 --> 01:05:34,400
his surgery went very well.
1210
01:05:34,400 --> 01:05:38,200
We were able to do
a sleeve gastrectomy
and complete the surgery.
1211
01:05:38,200 --> 01:05:42,100
But we're gonna keep him here,
in a controlled environment
1212
01:05:42,100 --> 01:05:45,000
for another while longer,
to see what potential
1213
01:05:45,000 --> 01:05:47,667
for orthopedic procedure,
to get him to the point
1214
01:05:47,667 --> 01:05:51,767
that he's gonna be able
to function normally.
1215
01:05:51,767 --> 01:05:55,900
And hopefully those orthopedic
procedures would do some
corrective changes
1216
01:05:55,900 --> 01:06:00,467
on his lower extremities,
change his life, and get him
out of that bed.
1217
01:06:11,166 --> 01:06:12,867
[Abi] Since my surgery,
I've been adjusting
1218
01:06:12,867 --> 01:06:15,433
to how it feels to get full
so quickly.
1219
01:06:17,700 --> 01:06:21,467
But it's crazy how a few
spoonfuls fill me up now.
1220
01:06:22,400 --> 01:06:24,667
And that's just whole
new feeling.
1221
01:06:27,600 --> 01:06:28,567
Come in.
1222
01:06:30,900 --> 01:06:32,066
-Hey.
-Hye, Abi.
1223
01:06:32,400 --> 01:06:33,567
[Abi] Hey, doctor.
1224
01:06:34,066 --> 01:06:35,066
How do you feel?
1225
01:06:36,000 --> 01:06:37,100
Doing good.
1226
01:06:37,100 --> 01:06:39,367
It's been about
a week and half
1227
01:06:39,367 --> 01:06:41,567
since Abi's weight loss
surgery,
1228
01:06:41,567 --> 01:06:43,367
he's recovering well.
1229
01:06:43,367 --> 01:06:47,000
I'm keeping him here
in the hospital
for a little bit longer
1230
01:06:47,000 --> 01:06:51,166
to make sure we have
a good game plan
before we send him home.
1231
01:06:51,166 --> 01:06:53,500
Well, let's see how
the, uh, stomach is doing,
1232
01:06:53,500 --> 01:06:55,467
and thing heal okay?
1233
01:06:57,567 --> 01:07:00,867
Okay, we can get rid
of all these bandages.
1234
01:07:00,867 --> 01:07:05,767
Also, with his hygiene
at home his suture
would likely get infected.
1235
01:07:05,767 --> 01:07:08,867
So, he needs to stay here,
for his whole recovery.
1236
01:07:08,867 --> 01:07:12,467
But with his weight down,
and gastrectomy surgery done,
1237
01:07:12,467 --> 01:07:17,100
our focus with him
is on the next big step
to get him out of the bed.
1238
01:07:17,100 --> 01:07:20,900
So I had an orthopedic
specialist examine him.
1239
01:07:20,900 --> 01:07:22,800
-This is Dr. Lin
-Hi, how are you?
How's it going?
1240
01:07:22,800 --> 01:07:24,066
-I'm good.
-Good.
1241
01:07:24,066 --> 01:07:26,767
They're going to attempt
an MRI,
1242
01:07:26,767 --> 01:07:32,800
but there is no way Abi's leg
can go in the machine
with how they're frozen.
1243
01:07:32,800 --> 01:07:34,867
So, can you show me
what you can do yourself?
1244
01:07:34,867 --> 01:07:37,400
-Like, can you move
your hip yourself at all?
-Sure, sure, sure, sure.
1245
01:07:37,400 --> 01:07:40,767
[Dr. Now] So they managed
to get some portable x-rays
done.
1246
01:07:40,767 --> 01:07:44,767
Those wouldn't have worked
if he still had all the weight
on him.
1247
01:07:44,767 --> 01:07:49,767
So now, we're able
to confirm that the bone
in his upper leg, femur,
1248
01:07:49,767 --> 01:07:52,367
has in fact infused
to his hip.
1249
01:07:52,367 --> 01:07:53,634
So, this one is...
1250
01:07:54,800 --> 01:07:56,200
That's not bad either, yeah.
1251
01:07:56,200 --> 01:07:58,667
-I can push it a little bit.
-[Dr. Lin] Yeah.
1252
01:07:58,667 --> 01:08:03,000
[Dr. Now] So essentially
his femur and his hip,
now are one bone,
1253
01:08:03,000 --> 01:08:06,100
that have to be
broken up surgically.
1254
01:08:06,100 --> 01:08:08,166
[Dr. Lin] Yeah, certainly
we need to build
your strength up.
1255
01:08:08,166 --> 01:08:10,567
I mean, I think some
of the surgery,
getting your weight down
1256
01:08:10,567 --> 01:08:11,667
will help with that.
1257
01:08:11,667 --> 01:08:13,166
-[Abi] Mmm-hmm.
-[Dr. Lin] You have a lot
of spasticity.
1258
01:08:13,166 --> 01:08:15,500
This is not unusual
for someone with your injury.
1259
01:08:15,500 --> 01:08:17,166
-[Abi] Mmm-hmm.
-Um, um, but at the same time,
1260
01:08:17,166 --> 01:08:19,300
it's good that your able
to, kind of, move
to some degree.
1261
01:08:19,300 --> 01:08:20,867
I mean, the fact that you're
able to straighten your knee
1262
01:08:20,867 --> 01:08:22,166
-is a big improvement.
-Yeah.
1263
01:08:22,166 --> 01:08:24,367
-So, I think let's see
how much weight you can lose.
-Yeah.
1264
01:08:24,367 --> 01:08:25,767
How much strength
you can gain back,
1265
01:08:25,767 --> 01:08:27,300
and then we'll see if you
hit a plateau.
1266
01:08:27,300 --> 01:08:29,000
If you do there are options
available,
1267
01:08:29,000 --> 01:08:30,900
but I think further down
the road, as you...
1268
01:08:30,900 --> 01:08:33,567
as you gain... gain
some of that function back.
1269
01:08:33,567 --> 01:08:35,667
You know, obesity, you know
affects your joints too.
1270
01:08:35,667 --> 01:08:36,967
It's not just
a mechanical thing,
1271
01:08:36,967 --> 01:08:38,467
it's a chemical thing too.
1272
01:08:38,467 --> 01:08:41,200
I mean, a lot of the fat
produces a lot of enzymes
that break down your body too.
1273
01:08:41,200 --> 01:08:43,900
So, that weight loss
in itself has a direct affect
1274
01:08:43,900 --> 01:08:46,000
-to making your joints healthy
as well.
-Yeah, I'm... I'm n my way
1275
01:08:46,000 --> 01:08:47,033
to being a model.
1276
01:08:47,033 --> 01:08:48,667
-There you go. Yeah,
there you go. [chuckles]
-So...
1277
01:08:48,667 --> 01:08:50,567
-[chuckles]
-[Dr. Lin] All right,
sounds good.
1278
01:08:50,567 --> 01:08:51,567
Well, good seeing you again.
1279
01:08:51,567 --> 01:08:53,367
And if the... you know, so,
well, you know, we...
1280
01:08:53,367 --> 01:08:55,367
Looking forward to seeing
how you're doing, so...
1281
01:08:55,367 --> 01:08:56,467
-All right.
-[Dr. Lin] Okay.
1282
01:08:56,467 --> 01:08:58,567
All right, Abi.
We'll see you later.
1283
01:08:58,567 --> 01:09:00,066
-[Abi] All right.
-Keep working hard...
1284
01:09:00,066 --> 01:09:02,100
-[Abi] All right,
-...and do your exercises,
okay?
1285
01:09:02,100 --> 01:09:03,867
-All right, all right,
doctors.
-[Dr. Now] All right.
1286
01:09:10,367 --> 01:09:11,767
Evy situation is a unique one,
1287
01:09:11,767 --> 01:09:15,300
and that his weight has, uh,
contributed to some degree
to his immobility.
1288
01:09:15,300 --> 01:09:17,967
But with how long he's been
bedridden without the use
of his lower body,
1289
01:09:17,967 --> 01:09:20,266
it's caused his joints
to become very stiff.
1290
01:09:20,266 --> 01:09:23,800
Uh, and essentially,
they almost act like
it's fused together.
1291
01:09:23,800 --> 01:09:27,166
So to correct the situation,
uh, it may require surgery
at some point
1292
01:09:27,166 --> 01:09:29,367
to regain mobility
in his joints.
1293
01:09:29,367 --> 01:09:32,800
And that's not gonna be
a quick or easy process
It's gonna take time.
1294
01:09:32,800 --> 01:09:34,600
He may have a very limited
range of motion
1295
01:09:34,600 --> 01:09:37,266
with his joints being stiff,
but with the motion
he does have,
1296
01:09:37,266 --> 01:09:38,767
he needs to move around
as much as possible
1297
01:09:38,767 --> 01:09:41,500
to regain as much strength
to his lower body as he can.
1298
01:09:41,500 --> 01:09:43,900
If he does that,
he may even be able to stand,
1299
01:09:43,900 --> 01:09:45,900
but he's gonna need operation
to walk.
1300
01:09:45,900 --> 01:09:47,867
So, long-term,
there's a good chance
we can get Abi
1301
01:09:47,867 --> 01:09:49,767
out of that bed,
and potentially walking again.
1302
01:09:49,767 --> 01:09:50,867
Whoa!
1303
01:09:53,300 --> 01:09:54,767
[whispers] So tired.
1304
01:10:04,467 --> 01:10:05,867
-Hey, everybody.
-[Rosa] Hey.
1305
01:10:05,867 --> 01:10:07,467
[all] Hello.
1306
01:10:07,467 --> 01:10:09,700
[Abi] Today, is a special day,
because my mom has come
1307
01:10:09,700 --> 01:10:12,800
all the way from Puerto Rico
to see me.
1308
01:10:12,800 --> 01:10:14,433
[Rosa speaking in Spanish]
1309
01:10:16,600 --> 01:10:18,367
[in Spanish]
1310
01:10:18,367 --> 01:10:20,266
[Rosa speaking]
1311
01:10:20,266 --> 01:10:21,367
[Abi speaking]
1312
01:10:21,367 --> 01:10:22,834
-[Abi chuckles]
-[Rosa speaking]
1313
01:10:24,300 --> 01:10:25,600
[Rosa speaking]
1314
01:10:25,600 --> 01:10:26,934
[Abi speaking]
1315
01:10:27,200 --> 01:10:28,333
[Rosa speaking]
1316
01:10:30,100 --> 01:10:31,233
[both chuckling]
1317
01:10:31,667 --> 01:10:32,734
[Rosa speaking]
1318
01:10:35,300 --> 01:10:36,734
[Miriam speaking]
1319
01:10:41,867 --> 01:10:43,700
[Abi in English] I haven't
seen my mom in a long time,
1320
01:10:43,700 --> 01:10:45,567
and it feels really good
to see her,
1321
01:10:45,567 --> 01:10:47,867
and to have her here with me.
1322
01:10:47,867 --> 01:10:51,667
There was a part of me
that didn't want her to see me
in this bed.
1323
01:10:51,667 --> 01:10:54,667
But now that she's here,
I'm happy to be together,
1324
01:10:54,667 --> 01:10:58,000
and hopefully she would see
how much progress I'm making,
1325
01:10:58,000 --> 01:11:00,133
and how I'm turning
my life around.
1326
01:11:01,367 --> 01:11:03,467
-Hello.
-[Abi] Hey, Dr. Now.
1327
01:11:03,467 --> 01:11:04,500
How y'all doing?
1328
01:11:04,500 --> 01:11:06,266
-Good, thank you.
-[Abi] Good, good.
1329
01:11:06,266 --> 01:11:08,166
All right, Abi.
You're doing all right?
1330
01:11:08,166 --> 01:11:10,767
-[Abi] Yep.
-I hear you got your family
here.
1331
01:11:10,767 --> 01:11:14,367
Yep. My mom, my sister,
my niece.
1332
01:11:14,367 --> 01:11:15,700
[Dr. Now] Well,
nice to meet you all.
1333
01:11:15,700 --> 01:11:20,567
My mom came from Puerto Rico,
my sister from Austin area.
1334
01:11:20,567 --> 01:11:23,567
[Dr. Now] Well, that's great.
So, you're doing okay?
1335
01:11:23,567 --> 01:11:26,767
-[Abi] Yes, I'm doing
much better now. Yeah.
-[Dr. Now] All right.
1336
01:11:26,767 --> 01:11:29,700
It has been few weeks
from Abi's weigh loss surgery,
1337
01:11:29,700 --> 01:11:32,467
and we have his weight down,
to 489.
1338
01:11:32,467 --> 01:11:34,500
So we helped him
to lose a great deal,
1339
01:11:34,500 --> 01:11:37,900
but after Dr. Lin,
the orthopedic surgeon,
saw him
1340
01:11:37,900 --> 01:11:41,367
he felt Abi's weight needs
to be around 350
1341
01:11:41,367 --> 01:11:44,367
to try to start to put weight
on his legs.
1342
01:11:44,367 --> 01:11:46,467
So, we will work towards that.
1343
01:11:46,467 --> 01:11:49,800
Well, you know that Abi's
got a long road ahead of him.
1344
01:11:49,800 --> 01:11:52,300
Once we get his weight down
a little more,
1345
01:11:52,300 --> 01:11:55,467
we need to see what we can do
with the rehab with his legs.
1346
01:11:55,467 --> 01:11:57,967
And hopefully, get him
to the point that he will be
1347
01:11:57,967 --> 01:12:00,100
ready to have some
orthopedic surgery
1348
01:12:00,100 --> 01:12:04,867
to improve his legs
and be able to walk
and get out of this bed.
1349
01:12:04,867 --> 01:12:08,700
And that is gonna be something
that he has to work hard at.
1350
01:12:08,700 --> 01:12:12,367
We're on that goal, I know
I'm... I'm getting stronger
in my legs.
1351
01:12:12,367 --> 01:12:16,066
Dr. Lin told me
that I'm getting stronger
in the legs.
1352
01:12:16,066 --> 01:12:20,667
That's why everyday
we're getting the...
the physical therapy.
1353
01:12:20,667 --> 01:12:22,667
I'm pushing them,
they're pushing me
1354
01:12:22,667 --> 01:12:26,500
to get that stronger.
I am getting stronger,
1355
01:12:26,500 --> 01:12:30,600
and that's my goal,
I... I wanna do everything
that I can.
1356
01:12:30,600 --> 01:12:33,700
That's great, and I'm glad
you decided you're gonna
follow that.
1357
01:12:33,700 --> 01:12:37,567
Uh, the big challenge will be
when you go home.
1358
01:12:37,567 --> 01:12:39,967
And that is when,
nobody is there,
1359
01:12:39,967 --> 01:12:42,066
-you have to do your own part.
-[Abi] I know.
1360
01:12:42,066 --> 01:12:45,667
-Right.
-And get your strength back
by working hard with PT.
1361
01:12:45,667 --> 01:12:47,500
-[Dr. Now] Okay?
-Right. Yeah.
1362
01:12:47,500 --> 01:12:49,367
All right, so Abi's
doing okay.
1363
01:12:49,367 --> 01:12:50,867
He's making progress.
1364
01:12:50,867 --> 01:12:55,100
So, we gonna keep working
with him and see if we can
get him to the next step.
1365
01:12:55,100 --> 01:12:56,800
-Okay?
-We're looking forward to it,
1366
01:12:56,800 --> 01:12:59,367
and even if it sounds
like a lot of challenges,
1367
01:12:59,367 --> 01:13:02,367
those are little goals
that help him stay focused
1368
01:13:02,367 --> 01:13:04,467
on something that he needs
to achieve.
1369
01:13:04,467 --> 01:13:06,166
Okay, that's super.
1370
01:13:06,166 --> 01:13:08,200
It's nice to have support
of family.
1371
01:13:08,200 --> 01:13:11,567
Yeah, that is... it is...
helps out a lot.
1372
01:13:11,567 --> 01:13:12,967
[Rosa speaking Spanish]
1373
01:13:12,967 --> 01:13:14,533
[in English] She was
to thank you.
1374
01:13:15,266 --> 01:13:16,567
[Dr. Now] Oh, you're welcome.
1375
01:13:16,567 --> 01:13:19,467
That's our job to make
his life change.
1376
01:13:19,467 --> 01:13:22,166
-Okay, we'll get him
to next level.
-[Abi] Yeah, okay.
1377
01:13:22,166 --> 01:13:25,700
So, it's a long road
but we keep working on it.
1378
01:13:25,700 --> 01:13:27,200
-Thank you, we appreciate it.
-[Abi] Thank you.
1379
01:13:27,200 --> 01:13:28,900
We do appreciate everything.
1380
01:13:28,900 --> 01:13:30,867
-[Miriam] Yes.
-[Dr. Now] Well, you welcome.
All right.
1381
01:13:30,867 --> 01:13:33,000
Uh, if y'all need anything
let me know.
1382
01:13:33,000 --> 01:13:34,867
-I'll see y'all later.
-[Abi] Thank you.
1383
01:13:44,367 --> 01:13:46,400
If Abi's moving his leg more,
1384
01:13:46,400 --> 01:13:49,100
and getting to a point where
he can stand,
1385
01:13:49,100 --> 01:13:51,000
and transfer to a wheel chair,
1386
01:13:51,000 --> 01:13:53,567
we will perform the orthopedic
procedure,
1387
01:13:53,567 --> 01:13:56,867
to hopefully unfuse his leg
in one operation.
1388
01:13:56,867 --> 01:13:59,066
It may take multiple
procedures,
1389
01:13:59,066 --> 01:14:01,767
but we're hoping
it can be done in one.
1390
01:14:01,767 --> 01:14:04,400
If the progress gets
to where he needs.
1391
01:14:04,400 --> 01:14:07,166
So, after Abi fully recovers
here,
1392
01:14:07,166 --> 01:14:10,500
within the next week
we will move him back
to solid food.
1393
01:14:10,500 --> 01:14:13,700
But it's gonna be
very important to keep
working hard
1394
01:14:13,700 --> 01:14:17,567
and losing weight. If he wants
to be able to ever walk again.
1395
01:14:17,900 --> 01:14:19,467
[Abi] Bye, guys.
1396
01:14:19,467 --> 01:14:21,533
-[in Spanish]
-[Abi chuckling]
1397
01:14:22,900 --> 01:14:24,634
-Bye.
-[Carolina] Bye.
1398
01:14:41,100 --> 01:14:43,367
-Hey, Abi.
-Hey, doctor.
1399
01:14:43,367 --> 01:14:45,166
All right, how are you today?
1400
01:14:46,467 --> 01:14:49,266
I'm waking up, but I'm okay.
1401
01:14:49,266 --> 01:14:53,467
Well, this is your time
to move on to the next step,
1402
01:14:53,467 --> 01:14:56,166
which is going to send
you home.
1403
01:14:56,166 --> 01:14:58,266
So, we're gonna
send you home today.
1404
01:14:58,266 --> 01:15:01,700
So have physical therapy
come visit you,
three times a week.
1405
01:15:01,700 --> 01:15:05,266
So, we'll make physical
therapy to work with you
and get your strength up.
1406
01:15:05,266 --> 01:15:07,166
So you need to keep up
with that.
1407
01:15:07,166 --> 01:15:10,266
And I'm gonna give you
a goal of losing 20 pound
a month.
1408
01:15:10,266 --> 01:15:14,300
And in three months
we're gonna bring you back
and check your weight.
1409
01:15:14,300 --> 01:15:18,166
And you should be able to lose
at least 60 pounds by then.
1410
01:15:18,166 --> 01:15:22,867
Okay, let's check your weight
and see where you're at today.
1411
01:15:22,867 --> 01:15:28,066
So you're weight today
is, uh, 477.
1412
01:15:28,066 --> 01:15:32,367
Uh, so, you've lost about
250 pounds from your
highest weight.
1413
01:15:32,367 --> 01:15:35,867
So that is good, but you
still got almost 130 pounds
1414
01:15:35,867 --> 01:15:39,000
to lose to get to your goal
of 350.
1415
01:15:39,000 --> 01:15:40,667
-Okay?
-Okay.
1416
01:15:40,667 --> 01:15:44,634
All right, now you show me
what you can do with your leg
and your progress there.
1417
01:15:45,467 --> 01:15:46,467
[grunting]
1418
01:15:47,667 --> 01:15:51,000
okay, some movement
in your knee.
1419
01:15:51,000 --> 01:15:53,066
All right, how much you can do
with your hip?
1420
01:15:55,000 --> 01:15:57,767
Try to straighten it
and lift it up and all that.
1421
01:15:57,767 --> 01:15:59,066
[exhales]
1422
01:15:59,066 --> 01:16:02,367
[Dr. Now] It's been about
a month and half since Abi's
surgery.
1423
01:16:02,367 --> 01:16:04,166
We have made some more
progress
1424
01:16:04,166 --> 01:16:07,567
to build up the strength
and stamina in his legs.
1425
01:16:07,567 --> 01:16:11,500
But Abi, he doesn't push
himself as much as he should
1426
01:16:11,500 --> 01:16:16,200
during PT, so his progress
isn't as fast as it could be.
1427
01:16:16,200 --> 01:16:19,567
All right, let's see how
you're doing the other leg.
1428
01:16:19,567 --> 01:16:24,567
At this point, we have had Abi
in a controlled environment
for three months.
1429
01:16:24,567 --> 01:16:28,567
And ultimately, he's not going
to be able to stay
1430
01:16:28,567 --> 01:16:31,266
in an environment
like this forever.
1431
01:16:31,266 --> 01:16:36,467
So it's important we see
if Abi is still willing to do
what he needs,
1432
01:16:36,467 --> 01:16:38,266
if he is on his own.
1433
01:16:38,266 --> 01:16:41,667
Yeah, so. These are exercises
that you do on your own,
1434
01:16:41,667 --> 01:16:44,767
but we'll have a PT
to come and help you
with that.
1435
01:16:44,767 --> 01:16:46,166
-Mmm-hmm. That's what I'm--
-Okay?
1436
01:16:46,166 --> 01:16:48,567
Yeah, that's what we're
trying to-- [grunts]
1437
01:16:48,567 --> 01:16:52,467
-Ow!
-So we'll get the PT to come
and work with you.
1438
01:16:52,467 --> 01:16:56,900
And, um, after three months,
uh, I would expect that
you will lose, uh,
1439
01:16:56,900 --> 01:16:58,200
at least 60 pounds.
1440
01:16:58,200 --> 01:17:01,667
-Mmm-hmm.
-And you have a some more
strength and mobility
1441
01:17:01,667 --> 01:17:03,700
in your hip and your leg.
1442
01:17:03,700 --> 01:17:07,800
So if you lose that 60 pounds,
then we'll see what option
we got for you
1443
01:17:07,800 --> 01:17:10,867
to consider orthopedic
procedures for you, okay?
1444
01:17:10,867 --> 01:17:14,000
But if you don't,
then this will be it.
1445
01:17:14,000 --> 01:17:15,367
All right, thank you doctor.
1446
01:17:15,367 --> 01:17:16,967
And if you need anything,
let me know.
1447
01:17:17,667 --> 01:17:19,467
-Perfect.
-All right, Abi.
1448
01:17:19,467 --> 01:17:21,266
-Have a great trip back home.
-Thank you, doctor.
1449
01:17:21,266 --> 01:17:22,166
Thank you so much.
1450
01:17:22,166 --> 01:17:23,567
-All right, you're welcome.
-Bye.
1451
01:17:23,567 --> 01:17:25,800
[Dr. Now] Abi has come
a long way so far.
1452
01:17:25,800 --> 01:17:28,000
But his still has
a ways to go.
1453
01:17:28,000 --> 01:17:30,667
This is a chance to show me
he's serious,
1454
01:17:30,667 --> 01:17:32,567
that he's gonna do what
he needs
1455
01:17:32,567 --> 01:17:34,867
outside a controlled
environment.
1456
01:17:34,867 --> 01:17:35,800
-[man 1] Ready?
-[woman 1] Ready?
1457
01:17:35,800 --> 01:17:37,367
[man 1] On head man's count.
1458
01:17:37,367 --> 01:17:39,367
[woman 1 and woman 2]
One, two, three.
1459
01:17:39,867 --> 01:17:42,166
[man 1 exclaims]
1460
01:17:42,166 --> 01:17:44,767
But if he doesn't,
and the progress is not there,
1461
01:17:44,767 --> 01:17:48,166
in a few months, then we are
just going to be wasting
1462
01:17:48,166 --> 01:17:50,600
a lot of important resources
on him,
1463
01:17:50,600 --> 01:17:53,300
especially, after all those
we have given him.
1464
01:17:53,300 --> 01:17:56,467
So it's gonna be important
for him to work hard,
1465
01:17:56,467 --> 01:17:58,166
and hit the goal I gave him.
1466
01:17:58,166 --> 01:18:00,367
If he doesn't that will be it.
1467
01:18:12,166 --> 01:18:14,533
[man 2] Let's try
and cover him. Cover him
right here, real quick.
1468
01:18:17,166 --> 01:18:18,867
Should be good.
1469
01:18:23,000 --> 01:18:26,867
[Abi] I know I still have
a lot of weight to lose before
I can get on my feet.
1470
01:18:26,867 --> 01:18:30,500
And sometimes I get
discouraged that I'm not
there yet.
1471
01:18:30,500 --> 01:18:32,867
Sometimes it feels
like I'll never make it,
1472
01:18:32,867 --> 01:18:35,567
but I know I gotta
keep fighting.
1473
01:18:35,567 --> 01:18:39,300
And when I need inspiration,
I think about my dad,
1474
01:18:39,300 --> 01:18:41,166
and I know he would
want me to.
1475
01:18:41,166 --> 01:18:43,867
And I think about Brenda,
and paying her back
1476
01:18:43,867 --> 01:18:45,767
for all that she's done
for me.
1477
01:18:45,767 --> 01:18:47,867
And I know I gotta keep at it.
1478
01:18:47,867 --> 01:18:51,133
I'm grateful for Dr. Now
and the help he's
given me too.
1479
01:18:51,767 --> 01:18:52,767
-Whoo!
-[man 2] All right.
1480
01:18:52,767 --> 01:18:54,166
[Abi] It just hurts a lot.
1481
01:18:54,166 --> 01:18:55,967
-No. [crying]
-[man 2] Do we wanna go
all the way?
1482
01:18:55,967 --> 01:18:57,867
I don't know. [crying]
1483
01:18:57,867 --> 01:18:59,000
[man 2] All right,
all the way.
1484
01:18:59,000 --> 01:19:01,000
[Abi] But I know I gotta
do it.
1485
01:19:01,000 --> 01:19:05,166
And the more weight I lose,
I know it will get easier.
1486
01:19:05,166 --> 01:19:08,767
So I'm gonna do whatever
I need to do to get out
of this bed.
1487
01:19:08,767 --> 01:19:10,266
[man 3] We got you, he's good.
1488
01:19:10,266 --> 01:19:11,266
[woman 3] He's all good.
1489
01:19:12,000 --> 01:19:12,800
[man 3] Yeah, he's on...
1490
01:19:12,800 --> 01:19:14,133
-[both] He's good.
-[man 2] All right.
1491
01:19:30,500 --> 01:19:32,767
We have Abi back
in the hospital.
1492
01:19:32,767 --> 01:19:35,667
It's been three months
since we sent him home
1493
01:19:35,667 --> 01:19:40,100
to see if he's gonna stick
to his exercises like
he needs.
1494
01:19:40,100 --> 01:19:42,967
The big question is,
if he's sticking to his diet,
1495
01:19:42,967 --> 01:19:44,867
and losing weight like
he needs.
1496
01:19:44,867 --> 01:19:49,333
But if not, the plan with him
is gonna drastically
change today.
1497
01:19:51,867 --> 01:19:54,900
-Hi, Abi.
-Hey, doctor. How are you
doing?
1498
01:19:54,900 --> 01:19:57,166
I'm doing okay.
How about yourself?
1499
01:19:57,166 --> 01:19:58,867
I'm good, good.
1500
01:19:58,867 --> 01:20:00,200
[Dr. Now] Well, good
to see you again.
1501
01:20:00,200 --> 01:20:04,767
How is your physical therapy,
and exercises and all that
been going?
1502
01:20:04,767 --> 01:20:07,867
It's... It's been going,
lot better, lot smoother.
1503
01:20:07,867 --> 01:20:10,100
Trying to keep my legs moving.
1504
01:20:10,100 --> 01:20:12,100
Great, and you're sticking
to your diet?
1505
01:20:12,100 --> 01:20:16,166
Yeah, it's... it's hard
but I'm... I'm trying
to keep there.
1506
01:20:16,166 --> 01:20:19,400
[Dr. Now] Great, so let's see
how your weight's doing, okay?
1507
01:20:19,400 --> 01:20:23,100
-All right.
-You were 477 when you left,
1508
01:20:23,100 --> 01:20:27,867
then you should be 60 pounds
down, so you should be 417.
1509
01:20:27,867 --> 01:20:33,166
All right, it looks like, uh,
you lost another 56 pounds.
1510
01:20:33,166 --> 01:20:35,667
Um, you still can pick up
the pace a little.
1511
01:20:35,667 --> 01:20:38,500
But you still moving
in the right direction
how you need.
1512
01:20:38,500 --> 01:20:42,767
So, I'm happy with that.
I'm proud of your progress,
keep it up.
1513
01:20:42,767 --> 01:20:47,266
Um, if you lose another
70 pounds, you'll be down
to 350.
1514
01:20:47,266 --> 01:20:49,467
We can do you orthopedic
procedure,
1515
01:20:49,467 --> 01:20:53,367
and hopefully with that
we're gonna be able
to get you up walking.
1516
01:20:53,367 --> 01:20:54,667
That would be awesome.
1517
01:20:54,667 --> 01:20:59,400
So, uh, and it's important
to keep your strength up
with your legs.
1518
01:20:59,400 --> 01:21:01,066
Get your feet back
on the ground,
1519
01:21:01,467 --> 01:21:03,500
and walking again.
1520
01:21:03,500 --> 01:21:04,900
That's what we want.
[chuckles]
1521
01:21:04,900 --> 01:21:06,800
So that would be almost
10 years
1522
01:21:06,800 --> 01:21:09,867
-since you last walked, huh?
-Yes, yes.
1523
01:21:09,867 --> 01:21:11,567
So it's gonna take
a lot of work,
1524
01:21:11,567 --> 01:21:16,200
and it's a long road,
but as long as you stick
with your diet and your PT,
1525
01:21:16,200 --> 01:21:17,300
we'll get you there.
1526
01:21:17,300 --> 01:21:19,800
-It'll get you there.
-All right, thank you,
thank you.
1527
01:21:19,800 --> 01:21:23,567
All right, so we're gonna do
some tests on you,
1528
01:21:23,567 --> 01:21:26,066
and we're gonna get the...
some lab work
1529
01:21:26,066 --> 01:21:28,166
and making sure
everything's okay.
1530
01:21:28,166 --> 01:21:30,567
And if you don't have
any new infection,
1531
01:21:30,567 --> 01:21:32,567
or issues we need to address,
1532
01:21:32,567 --> 01:21:35,467
and everything is okay,
we get you going home
tomorrow.
1533
01:21:35,467 --> 01:21:36,400
-Okay?
-Perfect.
1534
01:21:36,400 --> 01:21:38,266
-Perfect.
-So, keep up the good work,
1535
01:21:38,266 --> 01:21:41,367
and we'll get you up
walking pretty soon.
1536
01:21:41,367 --> 01:21:43,300
-All right, all right.
-All right, Abi.
1537
01:21:43,300 --> 01:21:44,967
-[Abi] All right.
-I'll be back and see you
later.
1538
01:21:44,967 --> 01:21:46,300
All right, thank you, doctor.
1539
01:21:46,300 --> 01:21:48,000
-All right, nice to see you
again.
-[Abi] All right.
1540
01:21:48,000 --> 01:21:49,667
All right, bye. Thank you.
1541
01:21:49,667 --> 01:21:51,266
[Dr. Now] Bye.
1542
01:21:51,266 --> 01:21:55,867
I am very happy to see
that the first time since
starting with him,
1543
01:21:55,867 --> 01:22:00,467
I am verifiable proof that Abi
is taking things seriously.
1544
01:22:00,467 --> 01:22:04,900
That is very encouraging
and I am proud of him
for coming this far.
1545
01:22:04,900 --> 01:22:10,400
He lost somewhere between
300 to 350 pounds
at the this point,
1546
01:22:10,400 --> 01:22:15,266
depending on how
his weight was, before coming
to the hospital.
1547
01:22:15,266 --> 01:22:16,300
It's getting there.
1548
01:22:16,300 --> 01:22:19,867
He's just at 200 pounds away
from his target weight.
1549
01:22:19,867 --> 01:22:23,266
But the focus is on
getting him to walk again.
1550
01:22:23,266 --> 01:22:29,000
So if he loses another
70 pounds, and gets his legs
to where they need to be,
1551
01:22:29,000 --> 01:22:32,000
then we'll be able to do
his orthopedic surgery,
1552
01:22:32,000 --> 01:22:34,367
and help him to get out
of that bed.
1553
01:22:51,200 --> 01:22:52,233
Hey.
1554
01:22:53,166 --> 01:22:54,533
Look who we found.
1555
01:22:59,300 --> 01:23:01,700
-Abi, hey.
-[Abi] Hey, man.
1556
01:23:01,700 --> 01:23:05,166
[Patrick] So, hoping
to get you moving again today.
1557
01:23:05,166 --> 01:23:07,166
Can you swing the leg
toward me?
1558
01:23:07,166 --> 01:23:08,433
Just kick it out this way.
1559
01:23:09,066 --> 01:23:11,467
Yeah, great, great.
1560
01:23:11,467 --> 01:23:15,200
[Abi] I've been working hard
and doing what I need
to get my weight down.
1561
01:23:15,200 --> 01:23:16,767
[Patrick] Can I help it
a little bit?
1562
01:23:16,767 --> 01:23:19,667
Too much, okay.
Now, stop right there,
take a deep breath.
1563
01:23:19,667 --> 01:23:23,066
[Abi] And I'm almost
in the 300s and that feels
really good.
1564
01:23:23,066 --> 01:23:25,500
And I know when
I finally stand up,
1565
01:23:25,500 --> 01:23:28,900
I'm gonna be amazed
at how light I feel.
1566
01:23:28,900 --> 01:23:30,867
-[groaning]
-[Patrick] Okay.
1567
01:23:30,867 --> 01:23:33,266
[Abi] So, I'm still focused
on getting to 350,
1568
01:23:33,266 --> 01:23:35,367
so I can get the surgery
I need to walk again.
1569
01:23:35,367 --> 01:23:37,467
[Patrick] Okay,
stop right there and relax.
1570
01:23:37,467 --> 01:23:39,367
[Abi] I feel like I'm getting
better and better.
1571
01:23:39,367 --> 01:23:41,500
[Patrick] Better than you
thought? [chuckles]
1572
01:23:41,500 --> 01:23:43,266
-Yeah.
-I went farther than I have.
1573
01:23:43,266 --> 01:23:45,100
-[Patrick] Yeah? Okay.
-Yeah.
1574
01:23:45,100 --> 01:23:47,100
Okay, kick it up towards me,
ready?
1575
01:23:47,100 --> 01:23:49,700
-[Abi grunting]
-Okay, set it down,
1576
01:23:49,700 --> 01:23:51,667
as we do the heels gonna come
off the bed.
1577
01:23:52,266 --> 01:23:53,567
Like let it out, let it out.
1578
01:23:53,567 --> 01:23:55,767
My leg is here too,
so it won't fall.
1579
01:23:55,767 --> 01:23:57,100
Now we have a whole foot
off the bed.
1580
01:23:57,100 --> 01:23:58,300
[Abi] Mmm-hmm.
1581
01:23:58,300 --> 01:24:01,166
The doctor says,
if I apply myself
1582
01:24:01,166 --> 01:24:03,266
I lose a little bit more
each month,
1583
01:24:03,266 --> 01:24:06,667
I could be ready
for my leg and hip surgery
in three months.
1584
01:24:06,667 --> 01:24:09,266
So that's my goal
and that's what I'm working
towards.
1585
01:24:09,266 --> 01:24:10,500
-[Abi shouts] Stop, stop,
stop.
-[Patrick] Okay.
1586
01:24:10,500 --> 01:24:12,166
[Abi] This is as far as
I'm getting.
1587
01:24:12,166 --> 01:24:14,100
[Patrick] Okay, take a deep
breath. We're gonna hang out
here,
1588
01:24:14,100 --> 01:24:15,667
because this is great
exercise.
1589
01:24:15,667 --> 01:24:17,233
You're using your core
to maintain.
1590
01:24:17,567 --> 01:24:18,734
Right?
1591
01:24:18,734 --> 01:24:22,100
It's not fully sitting up,
but it's... it's quarter,
half.
1592
01:24:22,100 --> 01:24:25,066
-Sideways.
-[Patrick] Right? [chuckles]
You're sideways sitting up.
1593
01:24:25,066 --> 01:24:26,166
-Yeah.
-[Patrick] Okay.
1594
01:24:26,166 --> 01:24:27,767
-Well, I'm gonna bring
this leg back up.
-[Abi] Ow, ow.
1595
01:24:27,767 --> 01:24:29,467
-Ow, ow, ow, ow [groaning]
-Okay.
1596
01:24:29,467 --> 01:24:32,033
-Let it fall.
-[Abi exhales]
1597
01:24:33,567 --> 01:24:34,634
[grunts]
1598
01:24:35,767 --> 01:24:37,567
Hey you got yourself
back in pretty good.
1599
01:24:37,567 --> 01:24:39,100
-[Brenda] Mmm-hmm.
-Right?
1600
01:24:39,100 --> 01:24:40,467
-Couldn't do that before.
[chuckles]
-[Brenda] You couldn't
1601
01:24:40,467 --> 01:24:41,767
-do that before?
-[Patrick] Couldn't do
that before?
1602
01:24:41,767 --> 01:24:43,934
-Amazing. Good work.
-[chuckling]
1603
01:24:44,800 --> 01:24:46,000
[sighs]
1604
01:24:46,000 --> 01:24:47,400
-[Patrick] Progress.
-I know.
1605
01:24:47,400 --> 01:24:49,000
-You know.
-[Abi] Eventually...
1606
01:24:49,000 --> 01:24:50,367
-[Patrick] Yes.
-...getting to the side
of the bed.
1607
01:24:50,367 --> 01:24:53,500
So today, 25, 30% of the way,
1608
01:24:53,500 --> 01:24:56,100
next week, 40% of the way,
1609
01:24:56,100 --> 01:24:58,600
-further, further, you know.
-Yeah.
1610
01:24:58,600 --> 01:25:00,100
[Patrick] It's a pleasure
working with ya.
1611
01:25:00,100 --> 01:25:01,567
-I wish you the best,
all right?
-[Abi] All right.
1612
01:25:01,567 --> 01:25:03,266
-[Brenda] Thank you.
-[Patrick] All right,
thanks guys.
1613
01:25:03,266 --> 01:25:04,767
-[Abi] Thanks, man.
-[Brenda] Thank you.
1614
01:25:07,266 --> 01:25:08,767
[Abi] It's been
a long journey,
1615
01:25:08,767 --> 01:25:11,767
but I'm closer to where
I wanna be than ever.
1616
01:25:11,767 --> 01:25:13,567
-[Brenda] Doing amazing
-[Abi] Yeah.
1617
01:25:13,567 --> 01:25:15,500
That was so much more than...
1618
01:25:15,500 --> 01:25:19,467
-I have seen you done
in years, and wow.
-[Abi] I've done. Right.
1619
01:25:19,467 --> 01:25:23,467
And I have hope now
that I'm gonna be able
to do it finally.
1620
01:25:23,467 --> 01:25:25,767
And I won't give up
until I do.