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I thought the place her and Caleb were in was a rehab facility specifically for bariatric patients though? Or am I totally wrong? I would think the type of rehab for a knee replacement would be a whole different type of place. A patient in for a knee replacement would have no reason to be restricted on food. Isn’t like... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
I really don’t understand either. You can get kicked out of a facility treating you for anorexia if you refuse or if you throw up after meals. I don’t get why they are allowed to order DoorDash and stuff all the time. | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
It's a patient's right to refuse doctor recommendations - even in specialty places. You CAN get booted from programs for not doing what's advised. I can say "you should drink thickened liquids because you aspirate with thin and these are the consequences of aspiration"(SLP here). But a patient can still drink their ... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
While all this is true I thought( I could be wrong just from a comment on 600lb life) that they can not refuse you any food from delivery/outside sources but they'll often ask for you to sign a waiver giving them the right to not allow it......just wondering why they aren't more strict about people signing the wavers i... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
These are not drug or alcohol rehabs
The places Tammy went to are nursing rehabilitation centers where people go after surgeries like I did when I had knee and brain surgery. It's called rehabilitation in the sense that they have physical therapy and occupational therapy that helps you work on your day to day enduran... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
They aren’t an eating disorder rehab that’s why. They really can’t interfere with the patient’s diets. They just offer what they have and they are equipped to handle the physical disabilities and needs of these bariatric patients not treat their underlying reason for being bariatric patients. If they did I bet most wo... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
They might be able to get people to sign it but there’s no way to enforce that legally. If the person wants food they are allowed to leave to get food, because again the function and practice of these assisted living facilities is much different than drug rehabilitation - a facility’s right to keep you confined without... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
The facility they were at has the equipment necessary for bariatric patients but they are not a special facility for the treatment of eating disorders. The equipment necessary for these patients is very specialized and expensive. and is not available everywhere. The facility has no legal means of restricting food. E... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
How would you recommend they be 'more strict' about signing waivers. Healthcare is a for profit business in this country. If insurance (or in this case Medicaid) is paying, the facility has their legal ass covered by a waiver, they are not going to refuse to fill the bed. The staff may try their very best to convinc... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
It's not the primary reason for them being there. If they were in an actual eating disorder unit or working with nutritionists/dietician/ etc it obviously wouldn't be allowed. Just like when I was in the psych ward for a manic phase. I was actively anorexic and wasn't eating but bc it wasn't the primary reason I was ... | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Tammy was at the long-term care center my daughter works at. She was there before the show started and before my daughter worked there. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Fellow SLP💕💕!!! I hardly ever “run into” any others on social media, I got so excited when I saw the words “thickened liquids”😂! | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Same, I think this question has probably been asked more than any other on the sub | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Especially people who are admittedly way behind on watching, it makes the most sense to search and check if it was already discussed during the time of the show’s airing.
(OP, not trying to make you feel bad, there’s just been a ton of posts about this exact question so it’s an accumulation, not just you) | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Fellow SLP who did time in SNF 😁 | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
I'm another one! So funny!! | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Oh my gosh, hi💖!! Two in one day, that’s crazy!! | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
That and Tammy's relationship with Caleb | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
One of us. One of us. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Pediatric SLP here! | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
It’s not a “rehab” for drugs. Basically a nursing home where they do physical therapy and try to get them stronger to go home. Some of them just happen to be obese. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
This has been discussed at length here, multiple times. It wasn't a bariatric facility. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
So is it all outside food that other people are bringing in? For people to stay that large they'd need food being brought to them around the clock. Tammy's husband was living there for years and gaining weight....it just baffled me. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Yes. They talk about ordering food, and Chris even brought that bbq.(he says how healthy it was, but the amount and the choices of sides say different). The staff can't stop them or even try. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
No, she didn’t make any improvements. She passed away a few years ago. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
We brought that up to the admin. They said if that’s something she wants they’re more than welcome to get it for her. So even though we stopped getting her the junk she wanted she still had access to it. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
I’m sorry to hear that. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Exactly. They show these types of facilities sometimes on My 600 Lb Life. The patient always relapses because they don't do restricted diets at them…also they're free to Doordash! | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Why isn't that considered self-harm? These people are clearly in the throes of addiction. Chris even said that he was doing it out of depression then DIED shortly after.
Edit: Tammy's husband not Chris. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
There's a whole sub for SLP's!!! I found it while looking for discourse on that insane Netflix-facilitated communication documentary. I was so proud of that sub for their well-reasoned discussion outing an OBVIOUS abuser. Great people all around. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Chris didn't die. Do you mean Tammy's husband? I agree with you that it should qualify as self-harm, but the reality is that food addiction is the hardest to break.
Because we need to eat to live. We're surrounded by food. I empathize with that because I have my own food issues. I was neglected and starved all throug... | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Unfortunately so. My mom was in one for 6 weeks and I can bring anything to her | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
What's SLP? TIA | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Speech-language pathologist! We often recommend alternate liquid consistencies for safety due to aspiration (liquids going into your lungs and bringing germs with them to give you pneumonia). | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Tammy talked about the other residents ordering outside food often | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Yes Caleb not Chris. My mistake.
It could easily go the other way though. There are plenty of people who diet to the point of ED and starvation. Sure they have to agree to be admitted into care, but even ordinary hospitals place feeding tubes when patients are severely underweight to the point of affecting their hear... | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
I agree completely. The show had episodes showing his snack stash. That shouldn't be allowed but they do allow it. It's sad really | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Most recent post I saw was 6 months ago ? Was there one more recent? | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
People have to sneak it into the hospital Dr. Now uses. I don’t know how he does it but one lady got pizza snuck into her hospital room & I’m pretty sure he booted her. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Dr. Now is no joke. On "600lb life where are they now", He actually called adult protective services on a man's wife for overfeeding him. The man was gaining TONS of weight despite being completely immobile in the hospital. Dr. Now took notes on all the nurse/orderly activity and concluded that his wife had been overfe... | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
100% but I bet he would have dropped them at least a couple of times. | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
I can’t believe it never dawned on me to search for that!! Thank you so much, this is so exciting🥹🥹💕 | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
Thank you | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
This has always confused me. I thought all the food they get are monitored. Portioned out too. I didn’t think they were allowed to bring in outside foods dither. I just assumed it would be same as drug rehab. | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
Yup. Their current doctor on the show is okay, but he's just another character in their circus. He's compassionate and always respects them, but Dr. Now would not have laughed off their craziness. He would have brought that entire family in for some SERIOUS tough love before agreeing to perform those surgeries. He woul... | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
At this point, those facilities almost seem predatory. So many of those residents were just stuck there. The Dr said that Caleb needed to be in there another year with consistent weight loss before he could go home without the ventilator. It proved impossible and he eventually died. The other residents looked to be in ... | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
Exactly this. I'm not arguing that it's a true ED clinic, It's just odd that a place that specialized in the care for people of that size wouldn't regulate their eating at all. What's the use of Bariatric rehab if the reasons they're there aren't being addressed? How is it rehabilitation if the residents can stall out... | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
How are the facilities predatory? There is no other place for these people to live. They are unable to live independently. Their families are unable or unwilling to care for them. Without residential medical care Tammy and Caleb would have died a long time ago. There is no legal way for the facilities to force them t... | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
I wouldn't expect them to flip the mattresses and pat down the visitors. It's not an addiction facility, but I'd at least expect the staff to actively keep residents from killing themselves with food. | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
But how are they being rehabilitated from obesity health issues if the patients are allowed to eat themselves to death? They can do all the OT in the world but nothing will change if the individual keeps gaining weight, further limiting their mobility. I use Caleb as an example because he needed to lose weight before b... | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
>assuming that they are not a risk to themselves or the public,
They ARE a risk to themselves though, AND others if they're bringing them food as well. These people are months away from dying due to morbid obesity. | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
That’s not the kind of risk that allows the government to take away your rights though, no matter how we may feel about it. The entire thing can be boiled down to what kind of activities are considered so dangerous to society that the government can reasonably restrict your constitutional (in the US where Tammy lives) ... | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
Well i just figured was defeating the purpose of being there…jma google cuz im curious how it works | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
I mean food addictions are addictions so if that's the clientele they cater to then yea it is an addiction facility and should act accordingly. | r/1000lbsisters | comment | r/1000lbsisters | 2024-10-07 |
Yes. Me too. I’m glad the subject has come up again. Maybe I’ll better understand | r/1000lbsisters | comment | r/1000lbsisters | 2024-11-07 |
It sorta defeats the purpose of them being there right? I would think the staff would intervene. Otherwise its just a place for them to “live” | r/1000lbsisters | comment | r/1000lbsisters | 2024-11-07 |
Exactly!! Especially when the clientele is heavily in the throes of their addiction. I really don't think Caleb was in a position to make reasonable decisions about his own health. | r/1000lbsisters | comment | r/1000lbsisters | 2024-11-07 |
Hi nurse who works with a rehab that has lots of bariatric patients.
Lots of these patients know how to manipulate staff. They’ll ask throughout the day for more puddings, ice creams.. we’re really not allowed to say “no”.. just like a drug rehab where they can sign themselves out.. these patients are freely allowed t... | r/1000lbsisters | comment | r/1000lbsisters | 2024-11-07 |
Right. At taxpayers expense. I was just released from 30 days of physical rehab and the food was awful! Maybe the families should check out the food before they send their relatives there. If the food is good the patient won’t lose any weight, so just keep looking. | r/1000lbsisters | comment | r/1000lbsisters | 2024-12-07 |
I almost went into bariactric care 10 years ago, the very one that Tammy was in. I still have the paperwork somewhere in here but because I could still walk and shower [need some help] and cook a meal, I was told waiting lists would be long. I didn't want a nursing home but a place to get things under control.
I got ... | r/1000lbsisters | comment | r/1000lbsisters | 2024-12-07 |
Never said I agreed. That's just how it works | r/1000lbsisters | comment | r/1000lbsisters | 2024-12-07 |
Food addictions are definitely the hardest ones. Like you don't need heroin or alcohol to live. You need food though. So yeah you have to face your addiction at every meal. I'm not surprised how hard it is to stop once you get to the point they have. | r/1000lbsisters | comment | r/1000lbsisters | 2024-14-07 |
Very true, It's why it's strange to me that the facilities allow for so much outside food. I get that they're not locked rehab-type centers, but as you said, if they have an entire ward of these patients they should act accordingly. Food addiction is hard, but in the case of Tammy, Amy etc, there's a HUGE trauma compon... | r/1000lbsisters | comment | r/1000lbsisters | 2024-15-07 |
Yep other addiction centers have a lot of therapy and help addicts work through what causes the addiction. I haven't seen a food addiction center in the US that has that. They just focus on losing weight. The ones in the UK focus on the whole picture and they are extremely successful but there's not enough to handle th... | r/1000lbsisters | comment | r/1000lbsisters | 2024-15-07 |
There was even an episode where Tammy refused to answer deeper questions from her therapist. She just sat there, arms folded like a child. I thought the surgery approval was contingent on making progress with therapy but i guess not. | r/1000lbsisters | comment | r/1000lbsisters | 2024-15-07 |
Yeah they really don't take that part seriously at all. Dr Now seems to though from what I've seen. The therapist won't clear them until they do it but a lot stop after the surgery and they frequently fail if they stop therapy. I've noticed the ones that continue the therapy after surgery seem to have better success ra... | r/1000lbsisters | comment | r/1000lbsisters | 2024-15-07 |
Dr. Now would not have tolerated the Slayton BS. Especially considering how many family members are involved. Even with Dr. Now, it's interesting how many people featured on 600lb life, get the procedure and eat through their surgeries. The ones that continue therapy definitely show more success. | r/1000lbsisters | comment | r/1000lbsisters | 2024-15-07 |
As an RN who did work in a facility with short term rehab and long term care, patients rights are sacrosanct. You can’t deny people food, unless a doctor orders it specifically. Even then, you can’t stop families bringing food, or now people ordering food. I agree it’s a contradiction to trying to help someone with sev... | r/1000lbsisters | comment | r/1000lbsisters | 2024-16-07 |
So, Tammy's husband is a really good example of the difference between a drug rehabilitation and a nursing home like Caleb was in. Caleb was on a ventilator, and being kicked out, he would have died at home. He needed nursing level care.
With drug rehabilitation, they can be more strict on rules, and kick people out i... | r/1000lbsisters | comment | r/1000lbsisters | 2024-16-07 |
I get it isn't a locked-down drug rehab-type facility. What I don't get, is how he was able to sit there and eat himself to death while under their care. They knew he'd die without trach care, but, they also knew he'd die eating like that.
Of course, I don't expect them to withhold hospital meals, but it doesn't seem ... | r/1000lbsisters | comment | r/1000lbsisters | 2024-16-07 |
What I mean is, in a drug rehabilitation facility the only way they enforce the rules is by kicking people out if they violate them. They have no drug and alcohol policies, but people still break them all the time, even in a "locked down" facility, and if they get caught they're out. For Caleb, there was no recourse, t... | r/1000lbsisters | comment | r/1000lbsisters | 2024-16-07 |
I see what you mean. Sounds like Caleb either didn't have a family to return to, or his family (like Tammy's) was unable to provide the level of home care he needed. So releasing him at all would have been a death sentence. That said, WHO THE HECK was bringing him all that food ?!!?! I definitely think there should be ... | r/1000lbsisters | comment | r/1000lbsisters | 2024-17-07 |
I'm watching the episode where Tammy finishes surgery and weeks later wants to come home from rehab but someone would need to do trach training. Anyways, I'm hysterical because the siblings were voicing their opinions and Amy must have wanted to feel powerful or included but when she started standing up and making her ... | r/1000lbsisters | post | r/1000lbsisters | 2024-08-07 |
I know this sounds harsh, but I don't think Amy can accept that she isn't as knowledgeable as she pretends to be. What's worse is that everyone else has to clean up her messes because she can't take no for an answer. | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
I agree with the family. This is a woman who almost died in the back of a van. I don't want to be the one to be the one discovering her body in the morning if she kicks the bucket in the middle of the night. That's actually happened to me. With Tammy's willfulness, and her demands, I would not have put up with her. | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
Amy uses the wrong words for half the English language no way in hell would she be able to do the trach care.
Also the family was completely correct in leaving her there until it came out. That was just Tammy being her self entitled self. I’m so glad she got a mental health grip now that’s she’s not miserable from be... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
Yuck, I’m not taking care of a hole in anyone’s neck. Especially when it’s self inflicted. Gtfo. Stay there forever haha | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
I agree. I just had to laugh because she looked like she thought she was doing something when she was just repeating the same stuff her siblings said in a slower sounding way 😩 | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
Doesn’t sound harsh sounds realistic 🤷🏼♀️ | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
I’m with everyone else on here (so far) the family was right. They had already all cared for Tammy at some point but having the trach is a whole other level.
Not to mention some of them don’t seem great with cleanliness (*cough *cough Amy) and not cleaning that or caring for it properly can be deadly.
And it’s just... | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
In all honesty it's not the fact that she repeats everything it's more of the fact that she acts like she is the smartest person in the room. Her response always gets me: I'm a grown woman who pays her "dam bills". | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
I’m a retired RN and still uncomfortable with trachs. I CAN but I don’t wanna lol | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
Amy is obviously developmentally delayed. | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
Most of them are. | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
They all seem to have some sort of mental disability. Or maybe just uneducated. | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
I agree… I was trying to be kind, but it’s obvious that this mental disability runs in the family. | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
I’m an RN and I don’t want to take care of trachs unless I absolutely have to so I don’t blame any of them 🤣🤣🤣 | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
She has always had a lot of expectation for her family to reorder their lives to suit hers. Don’t get me wrong, I love the new Tammy but her siblings have their own families and responsibilities and she never seemed to get that. Remember when she wanted amy to refill her meds whilst she filmed a video? | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
SLP here. ^^^this^^^ | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
Oh yeah! I cringe at some of what they say or do. Lack of education is also a big factor too. | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
💯 | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
Don’t blame you! It’s a lot of work. I don’t like anything medical - I can be a bit squeamish - so it’s just gross to me lol | r/1000lbsisters | comment | r/1000lbsisters | 2024-08-07 |
Inbreeding | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
My brother-in-law has a trach now (soon to come out), and I can say 100% for sure that his is so low-maintenance. He's capped and doesn't require any suctioning. For this family, I'd highly recommend that no one relies on anyone else for something that requires a lot of cleanliness and care, though. They'd mess up and ... | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
I fast forward right through Amy talking/whining/ crying during all of season 4 and 5. She isnt funny, is crass and rude, bitches constantly about her exhaustion ( wear your cpap dum bunny). I am just way over her. On the other hand I have watched Tammy become more calm and somewhat more generous. Never thought I would... | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Compare Amy's eyes to the Whittaker family's. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Thank you I thought it was super cringy too. It seemed to me she was like trying to copy Amanda’s little spiel lol | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Damn, you’re right. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
so you just skip over those seasons??? Jk 😂 but no seriously! I cannot stand her either. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
Thank you 😂 I think you’re the only one to understand. I agree with what everyone was replying with but I think it went over their heads lol. | r/1000lbsisters | comment | r/1000lbsisters | 2024-09-07 |
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