Dr Now ARGUES With Patient Who Is Abusing The System My 600 lb Life Where Are They Now YouTube

Biologists and Doctors
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1 Video View·Mar 30, 2026
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Margaret is 35 years old and is 750 pounds.
Her BMI is 129, which is one of the highest BMI I have ever seen.
Yesterday, Margaret showed up here at the hospital
because she and her mom were worried she was having a heart attack.
So we're going to run some tests on her
to make sure she doesn't have any life-threatening issues.
Who takes care of you at home?
My mom.
Why is she providing you too much food and keeping you at this weight?
Because it's easier not to fight me.
So how motivated are you to lose some weight?
I'm willing to do whatever I have to to have my surgery.
If you go home and you're not able to change your eating habits,
there's nothing we can do for you.
You think your mother is going to be on board with these changes?
Yes. She's on board.
Okay. Any questions?
Just please help me.
All right, I'll be by and see you later, okay?
I need his help because things are bad, and they're just getting worse.
I know I've let myself get to a breaking point,
so I have to change now because if I don't, it's going to be too late for me.
We have had Margaret in the hospital for about a month now.
We cleared her infection and got her weight down to 505.
What we're doing is making some progress,
but the problem is Margaret isn't making progress on her own.
She wasn't cooperating with her PT the first three weeks,
but we have got her at least occasionally doing some exercises,
but she mostly just throw fits and tantrums,
cries to manipulate for pain medicine,
sleeps all day and does nothing,
and wants her mom to come take care of her.
Things are still not looking very optimistic with her yet.
Hi, Margaret.
Hi.
How are you today?
Doing okay.
Are you awake?
Mm-hmm.
How come every time I come in, you sleep?
Yesterday I was just dealing with the new medicines and stuff.
All right.
So did therapy come in today?
Yes.
Did you work with them?
Yes.
Then what did they do for you?
We need to up the foot pill.
We need to up it because she said I'm swelling really bad down there.
Yeah, but that's not the question.
The question is what did therapy do for you?
We worked with the legs.
She made me work with the right leg.
What's wrong with your right leg?
It just doesn't work.
What do you mean it doesn't work?
It hurts to do anything with it.
So what's causing that?
When you left the hospital after you had weight loss surgery, you were walking.
And now you can, and you just stay in the bed.
Why are you going to that dark area that you want?
Why?
Is that what you want?
No.
Yes, it is.
Well, the problem is that you're just saying things for us, but you have intention opposite to what you're telling us.
All the things indicate that you don't want to get better.
You don't want to walk.
You don't want to lose any weight.
And you want to get pain medicine and all kinds of narcotics and stay in the bed.
So why are you doing all this?
What do you mean by that?
I'm not arguing.
Okay, it's not arguing.
Just answer the question.
I'm done talking.
You're what?
I'm done talking.
Well, you're not going to talk because you don't want to admit it.
Oh, it's so true.
Yes, it is.
Just answer the question and talk.
I have nothing to answer.
And don't lie about it.
I have nothing to answer.
Yeah, you have a lot to answer.
No, I don't.
Okay, we did the weight loss surgery on you, and you're responsible for your health.
Yep.
This is not in here to sit down and manipulate everything and get everything you want.
You're abusing the system, and this is not the way that you're going to scream and cry and get your way out of it.
That is not the solution for your problem right now.
So, are you going to change, or do you want to continue what you're doing right now?
Be honest about it.
Don't lie about it.
If you want to stay in bed and eat yourself to death and not walking and let everybody leave you alone and not do physical therapy, say so.
And don't lie about it.
You're good at manipulating things, but you're manipulating toward bad health, manipulating to killing yourself.
Look at me.
If you have no intention to change anything, let us know.
Look, I'm not dealing with this.
You're crying because you want to manipulate people.
Yeah, I'm able to system.
I did it.
I did it all.
You're not going to be able to manipulate your way around me.
I'm done.
I'm not dealing with this.
Margaret, you may be able to manipulate other people to get what you want, but you're not going to be able to manipulate me.
We did the surgery, and we told you to go home and keep working with PT and psychotherapy.
And then after a month, you stopped doing everything.
You didn't show up, and now you just stay in bed and not walk, and you haven't lost any weight.
Which part of that is not true?
Come get me now.
Yes.
I don't care.
I'm done.
Margaret, put her on the speaker.
Hello?
Yeah, put her on the speaker, and let me talk to her.
She's at a restaurant.
Hello?
Can you hear me?
Dr. Dell wants to talk to you.
Can you hear me?
Well, we're trying to help Margaret, and she's throwing a tantrum, and she's not answering any questions.
Margaret, you answer his questions.
Mama, I have...
No, you brought yourself there.
Now you get yourself out of there.
You are the one that done it.
Mama...
Now answer the questions and be done with it.
It's going to be mostly on her.
I told her she had to be up and standing and walking when she come home.
All right, Margaret.
So everything is up to you at this point, okay?
I love her, but she's got to get on with life.
That whole thing that I said from the very beginning, I did not want her to just exist.
I wanted her to learn to live.
Well, she needs to hear that, and she needs to understand.
You need to follow what we're telling you, follow what you're telling her,
because you want the best interest for her, and she needs to understand that.
But I did tell her that she had to be up and standing and walking,
because she's not just going to sit there and lay in that bed and waste away
So, Margaret, you're going to have to follow what we're telling you,
what your mom is telling you, because we have an interest in getting you well.
Do you think you can do that?
Margaret, I love you, but guess who put you there?
And I think he's the best option versus a mental hospital,
because a mental hospital cannot provide you with PT and medical treatment.
Margaret, you need to get away from this frame of mind.
We're not here telling you what to do because we want to torture you.
We're here to get you to change your life, okay?
But you're going to have to do hard work to get there.
You understand what we're saying, right?
You understand we're here to help you out,
and you need to quit manipulating people to get what you want,
which is to stay in bed and leave me alone.
And that's not going to be good for you.
We're going to push you to get through life change.
We're going to do everything we can to change your life,
and this is for your own good, okay?
So stay away from this frame of mind.
Nothing good is going to come out of that, okay?
Okay, so let's start fresh and change everything and get back on track
and do your own part, get your stamina back, get walking, and eat healthy.
You think you can do that?
Yeah.
All right, Margaret, do your exercise and work with the PT.
Okay.
You think you can make all those changes that we're talking about?
Yeah.
And stop throwing tantrums because we are here to help you out, okay?
Yeah.
And I want you to take some of the stress off of your mom
because you're causing a lot of stress because you're not making the progress
like she's expecting you, okay?
All right, Margaret, let's see if we can get you in better shape, okay?
Okay.
All right, I'll see you later.
