BRIANNE: At this point, food is the only reason I get up.
I know I have to do something drastic
or I won't be around much longer.
This isn't what Rick thought his life
would be when he married me.
My mom will be here any minute.
But the last time I saw her I was in the upper 400s,
so I'm nervous about how she's going
to react at how big I am now.
Brianne?
Mama!
All that weight is crushing your insides.
DR. NOW: Brianne, you're 30 years old and over 700 pounds.
Your only hope is to change now.
So if I accept you into my program,
you will need to move down to Houston.
Are you willing to do that?
100%.
DR. NOW: Good, because you're running out of time.
BRIANNE: Doc told me I had to lose 120 pounds in two months.
So that means I need to have made it down to 622 today.
Hi Brianne, how are you?
Hang on a second, I need to burp.
[WRETCHES]
DR. NOW: You should take her to the hospital.
After running some tests, we were
able to determine that Brianne currently is suffering
from some food poisoning.
What, did you eat anything--
Shrimp.
DR. NOW: Shrimp.
That will do it.
Today we're attempting to perform
a gastric sleeve on Brianne.
She did great, working hard and losing a lot of weight
in the past few months.
But eventually she will start to gain again,
even with the aid of weight loss surgery,
if she doesn't deal with her emotional issues that
have been driving her to eat.
All right, we're done.
So what was childhood like for you?
BRIANNE: I just felt like my dad called me fat names.
DR. MATTHEW PARADISE: Where was your mom
when this was happening?
BRIANNE: She'd be like, Brianne, you were wrong.
You should not be talking back, or--
Basically saying that she's choosing him over you.
I think learning to stick up for yourself a little
bit might be really helpful.
Talking to your mom is probably a big step.
BRIANNE: Growing up I just felt like dad didn't love me.
BRIDGET: I can see that.
BRIANNE: But I didn't understand why you didn't do something
to stop how he treated me.
BRIDGET: I don't know.
I don't-- I can't answer that.
This has been one of those [BLEEP] days.
I'm letting everybody down again.
I'm done.
BRIANNE: I was afraid this would happen.
Holy [BLEEP]!
DR. NOW: You lost almost 350 pounds at this point.
Here we go.
Once you pick out someone to help you with your recovery,
then we'll move ahead with your first excess skin removal
from around your stomach.
BRIANNE: Right now I'm not doing well.
A couple of days ago I started having
these really bad stomach pains.
Then I had some bleeding, and it got so bad that I
had to go to the hospital.
I was supposed to be having my skin removal surgery about now.
But that's changed, because after they ran some tests,
you'll never believe what Dr. Now told me.
He said I was pregnant, and that it's possible I
may have had a miscarriage.
Pregnant?
That was something I hadn't even considered as a possibility.
I know when I was back in Oregon, Rick
and me had some time together where we got
to be intimate with each other.
But I thought that being a mom was
just something that was impossible for me
because of my size.
So that news just brought a mixture
of overwhelming feelings to me.
Rick and I have been trying to get
pregnant since we were dating and it's been over 10 years
since then.
Right now I'm feeling pretty nervous,
because this is kind of something
that I've wanted for a very long time.
And if it's good news, then that just means my life
is going to change forever.
But I'm going to be devastated if I
lost my pregnancy like that.
And I haven't told Rick yet.
Only my mom and Dr. Now know at this point.
I told Dr. Now I just thought maybe I was having a really
bad period with the bleeding.
But he says that's what the blood could be,
because it's still normal to have it for how early on I am.
He said I was around only a month along in my pregnancy
when I went in.
And because it's so early, it's impossible to tell if I lost
the baby or not, and I have to wait a little while
longer before they do another test
to see if I'm still pregnant.
So I'm really hoping I can get that answer soon
because not knowing is awful.
[INAUDIBLE].
I'm sorry.
It's gonna be OK.
It'll be OK.
OK?
Brianne?
BRIANNE: My emotions are all over the place,
because I've been trying to process
the fact that I'm either pregnant or I lost the baby.
And all of this is making it hard to focus
on my weight loss journey.
I was at 358 the last time, but I'm not sure if I'm
on track with how much I lost.
I just know I've still been sticking with it as much as I
can, so I should be losing.
340.
BRIANNE: I'd prefer if I'd lost more,
but I'm just happy it's still progress.
But right now it's just not my complete focus.
Hello.
BRIANNE: Hello.
DR. NOW: How are y'all doing?
Hanging in there.
DR. NOW: Yeah, that's understandable.
How is our stomach pain doing now?
It's good.
It's gone.
DR. NOW: It's gone?
OK, all right, so what happened, you
had the pregnancy test that was positive
and you had the bleeding.
You may have lost the pregnancy but you
may not, because you can still be pregnant
and have a period, too, OK?
So in order to determine, we're going
to have to look at your level of the pregnancy test
for the next week or two, OK?
OK.
DR. NOW: Your HCG was very high, that's the hormone that
secretes from the placenta we're measuring,
and that was very high.
And so if you lost the pregnancy,
we'll see a significant dip down on that.
In about three or four weeks, then come to zero.
But if you're still pregnant, the level will go up, OK?
So we're gonna know that after we get the blood test
and report back.
So at this point, you could be either way, OK?
Uh-huh.
DR. NOW: Normally we could do ultrasound
to determine pregnancy, but at the size you are right now,
it's going to be very hard to do ultrasound.
Yeah.
DR. NOW: So, it will take us some time in your case,
and what that means is that you have to be careful,
and we obviously have to wait on any major surgery like skin
removal until we know for sure.
OK?
We'll figure that out.
But in the meantime, as hard as it is,
you can't neglect your health and let your weight loss slow.
In two months, you could have easily lost another 60 pounds.
So what happened?
I don't know.
DR. NOW: Are you still eating too much?
BRIANNE: I haven't eaten in the past couple of days.
DR. NOW: Well, I understand that,
but it's in the past two months I'm talking about.
So you certainly have to stay with pretty much
with the carrying of 100 calories a day
to continue to lose your weight.
And you're not doing that right now, OK?
OK.
DR. NOW: I know it's hard right now,
but you can't take your focus off of getting healthy.
And even if you turn out to be pregnant,
you still can lose weight.
Yeah.
DR. NOW: OK-- in your first few months.
So the plan will be that we're going to do tests every week
and see which way we're going.
If the tests are going up, then you have a pregnancy
that is progressing.
If it's going down, you probably had a miscarriage.
But if we determine you did, and you decided
you want to try again, too, remember
that if you lose more weight the potential for pregnancy
will be better.
BRIANNE: Uh-huh.
OK.
But I think you want to get pregnant, right?
I do, but I still want to keep going, you know?
I want to get my skin issues taken
care of, because it bothers me.
DR. NOW: Well, I understand that.
But whatever your situation is doesn't mean that you can't
continue to make progress.
And we'll figure out skin removal soon enough.
OK.
Well, you know, and the fact that you had the pregnancy,
that means that you have good potential
to get pregnant in future.
So this is something that you're going
to try to lose your weight and get your skin surgery done,
then you have the option of getting pregnant,
if that's what you want to do.
So, you know, those options are still there.
So right now don't do anything strenuous
that may provoke loss of pregnancy in case
you are pregnant.
But if it turns out you're pregnant,
that still will be possible to continue to lose weight.
Maybe by the time you finish your pregnancy,
you'll be under 300, and then after your pregnancy
you can have your skin surgery.
Uh-huh.
DR. NOW: We will know for sure what your situation is
in a month, and so we'll follow up in five to six weeks
to give you time to recover if you had a miscarriage.
And if you're not pregnant, then we'll see
what your progress is at then.
But if you get back to the diet, you
should be able to lose at least 30 pounds a month right now,
so you should be under 300 then.
OK?
OK.
BRIANNE: So stay healthy and lose weight,
that's going to be the goal, OK?
OK.
Thank you, Dr. Now.
DR. NOW: All right, see you soon.
Take care.
You, too.
DR. NOW: Overall, Brianne is doing good.
She should be making more progress,
but her weight loss is obviously getting to where enough strain
is off of her body so that it can start
to function normally again.
And that's what led to her unexpectedly getting pregnant,
because that previously wasn't a possibility for her.
So she's moving in the right direction.
She just needs to pick up the pace with her weight loss.
And the big question now is whether she's pregnant or not.
But once we fully determine that,
we can figure out the next step for her
as long as she stays on track.
BRIANNE: What Dr. Now said kind of made me feel a bit better.
I'm still looking forward to having skin surgeries,
and it's hard because something that I've
wanted for so long is, like, right in my hands
and could be slipping, and that's just hard.
But Dr. Now said that this does show that I can get pregnant.
That did make me feel good, because now I
can possibly start a family with Rick,
and that has always been a goal.
I just want to find out what's going on.