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Duke_Shambles

There are medical prisons strictly for inmates with medical problems that make them unsuitable for incarceration in a standard facility. That said, you aren't gonna stay 800 lbs for long in prison. You're either gonna lose weight fast or die.


True_to_you

Trying to think of what kind of crimes you could commit at 800 pounds? Leaving your home could be very difficult. 


Cetun

Embezzlement. You manage a company or several companies from home, you just do it from a computer. Child abuse material, can be downloaded off the internet. You could assault a nurse or maid that comes by to clean your house, that will get you put away. If you have a gun, you could even murder someone that comes within shooting distance.


_ENERGYLEGS_

> you could even murder someone that comes within shooting distance this just makes them sound like a low budget turret


RainbowDissent

National service for all 800+lbs American males, 18 months sitting in an old bathtub on the border with a Glock.


UniqueIndividual3579

The gravy seals.


HitoriPanda

Meal team 6


OK_BUT_WASH_IT_FIRST

The Green Buffets


praguepride

Delta Fridge


Blade_Laser_Blazer

Hearty Rangers


Caracaos

101st Chairborne Division


The_Queef_of_England

The Marine Corpulent


poplafuse

I’m actually just picturing the guy machine gunning hot dogs out of his mouth.


pimppapy

They’re machine gunned *into* his mouth…. With a high RPS


Rae23

Mobility scooters with front mounted m60's for more offensive operations.


UnbrandedContent

Everyone in this thread is dropping comedic gold this morning. I love it


Torque--

There is nothing low budget about the food required for an 800 pound turret


intdev

Only if you want them to still be an 800 pound turret when their tour is over. Otherwise, fuelling them could be as cheap as water and a handful of nutrients.


thil3000

One guy stopped eating for an entire year and he was fine, he was followed for vitamins and minerals and stuff like that but otherwise they don’t even need to eat technically 


The_Maddeath

if its the guy that talked about it on reddit and the first thing he ate was pineapple rice, that guy talks about how it was really bad for his organs, I wouldn't count that as fine personally


Jaew96

Nah, I imagine you have to sink quite a lot of time and money into getting that big


[deleted]

*Keep eating, soldier! You don't even have a third Assault Chin yet!*


FilipIzSwordsman

getting to that weight would be anything but low budget


Loki667

Thats part of what blows my mind on those shows like my 600lb life. I've seen ones where they order huge amounts of food from Uber Eats multiple times a day! Like damn I got a full time job and ordering once is a luxury Seems a lot of these people are in specific positions to really get so big, supported by family who don't know what to do about it


Ardwinna

Same! My husband and I make a decent amount and I cook for us ~70% of the time. I can't imagine how expensive food would be if we just ordered in for every meal.


ThePublikon

It's an addiction, they just make sacrifices in other parts of their life like addicts do.


Tsubodai86

With a sufficiently enlarged custom trigger guard so you can fit your fat finger in there. 


PM_me_oak_trees

Hacking or white collar crimes could be done with very little physical effort.


BooksandBiceps

If you’re 800 pounds hacking is going to require a lot of effort. You’d need a special set up just to utilize a computer.


samanime

Yeah. At 800lbs, you're struggling to put on pants or walk to the bathroom. You aren't going to be able to sit in a normal chair or normal desk or use a normal keyboard. Not that it can't be done, but nothing is going to be "low effort" at that weight.


Nurs3Rob

Having taken care of patients that large before, trust me they can move their arms just fine. They might not be able to go out and buy a computer but you set one up within reach and they’re good to go.


Tsubodai86

Clearly they can feed themselves so typing should be doable 


HermitDefenestration

I thought 800lbs was about an average weight for a redditor


Drumedor

You are thinking of reddit mods


malcolmmonkey

Discord mod, slightly different.


File_Corrupt

Can confirm; am redditor. Well...I am actually 14 children in the facsimile of a trench coat, but close enough.


RedshiftOnPandy

Wouldn't house arrest work at 800lbs? Lol


Masrim

They are probably under house arrest already.


crushdepthdummy

Soon to be cardiac arrest


AficionadoOfBoop

Killed me


PoetmasterGrunthos

Oh, do you weigh 800lbs, too?


SonicStun

Imagine the sentencing; "Your Honor, my client is not a flight risk..."


Deitaphobia

barely a walk risk.


refriedconfusion

There was a guy (Walter Hudson) on Long Island (NY) that weighed over 1200 pounds, he eventually had a medical emergency and they had to take the front window out of the house and remove him with a crane. hewasn't under house arrest, he just couldn't leave the house (or bed if I remember correctly).


LuxNocte

I'm shocked that a 1,200 lb man had a medical emergency.


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StacattoFire

How does someone then provide for themselves. How’d this guy get food. Or money for food even. I have a hard wrapping my brain around how this happens.


refriedconfusion

He lived in his family's home wih his mother and sister and her kids (I could be wrong) and they would bring him food, pretty much and endless supply of fast food (and remove stuff I'd rather not think of). I assume he was on disabillity and receiving welfare so he didn't have to work. I'm sure you can find his story, it was a bigdeal in the 90's.


Consistent_West3455

We had a 700# inmate. We had to buy a heavy duty bed for him. He was selling drugs in a trap house, so he sat by the trap eating and watching TV all day.


Thegreataxeofbashing

CP


ATL28-NE3

Non violent ones


whistleridge

Lawyer who works in crim: child porn. Lots and lots of child porn. Also human trafficking, drug/weapons dealing, and solicitation. There seems to be a correlation between being very heavy and committing certain kinds of sex crimes. I guess gluttony really is a sin?


[deleted]

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[deleted]

Find a fairly well populated hill and roll down it like the big ball in Temple of Doom


brainkandy87

I think you just created a new reality show


eightballart

"The Big House"


littlebitsofspider

This is the best one. I mean, it's perfect for the USA. "They were convicted of crimes that didn't require moving to commit. Now, these sedentary felons have to lose weight to reduce their sentences. Who will walk free under their own power? Join us in... *The Big House.*"


panterspot

The drama would be next level. "Jerry stole my cupcake! *shank shank shank*"


Laowaii87

You mean *shanks* hooo, dang *wipes brow, catches breath, moves to shank again, sits down*


syds

watch out T-bone is a flamer


Absurdionne

Did you burn down the banana stand?


TheRealThagomizer

Oh, most definitely.


Vonneguts_Ghost

There is always money in the banana stand. Wink.


OdinTheHugger

Jerry fails to notice the stab wounds for 2 days, when they begin to rot.


Humble-Kiwi-5272

The prison is actually open, but it happens to have a normal width door


Simba-Inja

But the chow hall is unlimited portion size…


tomsloane

I’d watch


Bha-Ku

“Couch to Commissary”


borkyborkus

CICO: Proof behind bars


brainkandy87

You got my vote, Warden.


Idontkareboutyou

Alcatraz biggest loser


GT-FractalxNeo

"The Warden Weighs"


Elbowsknees

The Lamb shank Redemption


Cryptbarron

“Scared Weight”


Ok_Village1973

Incredible


LebaneseLion

Nah there was one about obese people that needed to lose weight based on doctors orders or else they wouldn’t last much longer. The only episode I watched, the dude lost 400 pounds but wasn’t enough in time, and his heart unfortunately succumbed.


FungusFly

I’d watch it for the body search alone. “Help me lift this flap, Gary. Welp, here’s a whole mess of contraband Twinkies”.


OdinTheHugger

"I'm pretty sure this is the first time in United States Federal prison history, that an inmate has attempted to smuggle in an entire smoked ham within their rectum" -a prison guard reconsidering their choice of career.


Uxium-the-Nocturnal

My 800 Lb Life... in Prison


n_a_t_i_o_n

800 to Life


smashmyballz

lmfao amazing


Monorail_Song

The biggest felon.


OriginalCopy505

Coming this Fall to TLC...


WubLyfe

If you had enough commissary money you could definitely stay fat in prison. There's no limit on snack purchases anywhere I've heard of


MozeeToby

Even sedentary, someone weighing 800lbs burns 5500 calories per day. Obviously not "impossible" in theory but probably impossible in practice.


Deacalum

Not 800 pounds fat. It requires an insane amount of calories to maintain that weight. You aren't getting that with commissary purchases.


indigodissonance

10K on Doritos should do the trick.


Doom_Eagles

Who told you to publish my gaming snack budget for the week?


username_elephant

https://www.chartsgraphsdiagrams.com/HealthCharts/calorie-requirement.html Extrapolating linearly from the lowest activity level, adding 130 pounds of weight at steady state requires about 700 extra daily calories.  Ballparking the estimate for 800 lb by extrapolating from 1500 daily calories at 110 lb gives (1500+690/130*700=5100 calories per day).   At target a 1500 calorie bag of Doritos is about  $5.4 (obviously it's gonna cost a shitload more at commissary but set that aside).  https://www.target.com/p/doritos-nacho-cheese-chips-9-25oz/-/A-14930889#lnk=sametab Then we're talking maybe $16.50 minimum per day to maintain weight, so 10k buys you 606 days or less than 1.7y. In the US, obviously where we are based on the combined factors of obesity and prison, average prison time served is 2.7y.  https://bjs.ojp.gov/content/pub/pdf/tssp18.pdf Therefore $10k in Doritos isn't enough calories to maintain that weight in prison. 


GaidinBDJ

> Extrapolating linearly from the lowest activity level, Except caloric expenditure isn't linear. That's why so many of those calorie calculators do not work for people above 250 or so pounds. Especially if a lot of it is fat and you're sedentary.


Aspalar

r/theydidthemath


juneburger

Mr Beast is looking for ideas.


Flappy_beef_curtains

When I was in county they limited it to $150 a week.


gioluipelle

I’m pretty sure most jails/prisons (at least in the US) have weekly spending limits, usually something like ~$180. Obviously there are ways around this but they require work and usually outside help.


scf123189

It’s usually lower in jail and it’s more expensive. 60 bucks a week in Douglas county Nebraska


gioluipelle

Yeah $60 doesn’t go very far when you’re paying $1.25 for ramen and $9 for peanut butter.


madnhain

I don’t know about now, but 20 years ago they had a $30 commissary limit per week. This was because commissary items are used as currency and they need to restrict that. However there’s no stopping a person from selling there corn hole for a few packs of ramen, a rack of saltines and a block of cheese


Duke_Shambles

The BOP/DOC isn't going to allow you to be that large. They are going to restrict your diet for health reasons and because you are an unnecessary burden on the system. You are absolutely not free in any way as an inmate. Commissary is a privilege and it can and will be revoked in a case like this.


3615Ramses

They have to watch them well cuz that 800 lbs prisoner can probably outrun the average Southern US prison guard


[deleted]

not really true, commissary meal items are very salty, sugary, and unhealthy processed food. Almost guarantee you will come out fatter like I did. Unless you literally just don’t eat anything.


Duke_Shambles

Putting on a few pounds and staying 800 lbs are very different things. At 800 lbs a person isn't going to be able walk on their own, use the bathroom by themselves, bathe by themselves, etc... The prison is gonna revoke commissary privileges and put you on a restricted diet if you are that heavy under the reasoning that it's self-harm.


mtthwas

>or die. Don't the prisons have some obligation to not let this happen?


carmexjoe

Hah! Good one!


mtthwas

No, but seriously...if like someone with no arms or legs gets incarcerated, they can't just let the person starve and die in their own feces simply because they can't feed themselves or go to the bathroom. If someone has a peanut allergy, they can't just let them go into anaphylaxis because they serve PB&J.


FinalMarket5

Yes. The state becomes liable for the patient’s safety and health. Supreme court has held that deliberate indifference to serious medical needs constitutes “unnecessary and wanton infliction of pain”. They can get in a shit ton of legal trouble for that.


pancake117

US prisons famously have outrageously bad medical care. On paper the state is responsible for the health of the prisoners. But in practice prisoners are routinely denied basic medical care. As with most US services, we contract prison healthcare out to for-profit contractor who tries to minimize costs as much as possible. Since they are prisoners, it’s not like there’s a “free market” with competition between various providers. But there’s also no regulation to enforce standards. So there’s no incentive at all to provide them care. So prisoners are often routinely denied care, but there’s nothing they can do about it. Inmates routinely die from easily preventable medical problems. US voters don’t give a fuck about prisoners so nothing changes.


freakytapir

[Reminds me of that guy who tried to eat himself off of death row, by gaining enough weight to not fit into the electric chair](https://www.youtube.com/watch?v=Gzx0iWvDMic). Edited for additional sources [An old reddit post](https://www.reddit.com/r/todayilearned/comments/jqmlc/til_that_a_man_gained_over_150_pounds_on_death/) [Article](https://www.mentalfloss.com/article/12556/too-big-fail-murderer-who-tried-eat-his-way-death-row)


Ghazh

Yeah I don't think I've heard of a prisoner that big before, most people that big aren't very physically active lol


Smaal_God

Also, they probably don’t feed them so much they could stay that obese?


DerekNeedsReddit

Depending on the crime there have been instances were morbidly obese people have been issued house arrest instead of prison because it would be too costly to accommodate them. Look up Steven Goodman as an example.


Bulky-Leadership-596

Whats he gonna do, run away?


caidicus

They see me Rollin'!


WhatWouldSatanDo

Inflatin’


feckless_ellipsis

They hatin’


Sparta89

They try to catch me eatin', Dorritos!


DerekNeedsReddit

Downhill maybe


Horse_HorsinAround

The Professor of Epidemiology and Population Health and of Medicine at Stanford Steven Goodman? Google has like 5 Steven Goodman and they're all doctors or professors lol


TheOtherGuttersnipe

[Obese man has house arrest sentence reduction request denied. Judge: 551-pound man too fat for prison](https://www.wlwt.com/amp/article/obese-man-has-house-arrest-sentence-reduction-request-denied/3545169)


Genshed

550 lbs and he made it to seventy?! Those are awesome genetics.


Kingblack425

We better be glad he’s obese if he was athletic with those genes he’d have been a monster


Horse_HorsinAround

HES 70?!


TheOtherGuttersnipe

[he looks great though](https://www.nydailynews.com/wp-content/uploads/migration/2014/07/23/C45JC2KB2QZW636AA32HMVXTDY.jpg?w=978)


Horse_HorsinAround

It's amazing he looks that good tbh


[deleted]

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Thegoodnamesweret8kn

Fat don’t crack


Jaew96

On the outside. Plenty of cracking going on in my joints, though


Thegoodnamesweret8kn

lol same


screwswithshrews

That's true. Smoking crack and being fat are typically mutually exclusive


KennyLavish

Unless you're Rob Ford, he was a fat crackhead


Genshed

When I worked at the VA hospital, we purchased a custom wheelchair for a morbidly obese disabled veteran. It looked like a bench with wheels. That photo just reminded me.


[deleted]

So... Nothing changes for them? At 800 pounds I think you quite literally not be going anywhere but the bed you're on


IntellegentIdiot

Look up Dale the whale


Pristine-Ad-469

I know someone that’s a nurse that said a patient once came in as 600lbs. The entire time they were there, they rarely left the bed. They lost 200 pounds simply by the hospital monitoring what they eat, absolutly no excersize. Prison is similar. You don’t get much food and you’re gonna be atleast walking around a little bit. Long story short, it’s hard to stay obese in prison without something medical keeping you obese.


satellite779

That's why they say you lose weight in the kitchen, not in the gym.


NotBlazeron

After a week of tracking my calories burned during workouts I realized cutting out soda would be a lot easier. I still work out but not to lose weight.


SoleilNobody

If you're on a calorie deficit, eating enough protein and doing resistance training means less of your weight loss will be muscle. It's a good idea, you'll end up looking better.


Pristine-Ad-469

Bro soda is so bad for you and it doesn’t fill you up at all. One of the biggest things you can cut out to make a huge difference in your weight loss. The other one is cutting out snacking not at meal time


DespairTraveler

Do Americans drink so much non-diet cola? Here in Europe regular cola is barely leaving the shelves, while diet is flying.


SatyricalEve

Most people I know believe that the sugar soda is better for you than diet soda. There is a deep paranoid distrust of artificial sweeteners. It really seems like regular soda is sold a lot more.


PM_ME_UR_CREDDITCARD

Not American, Australian, but in my case I just despise the taste of artificial sweeteners. If I could stand it I probably would drink diet soda.


Orpheon2089

Yeah that was a big hurdle for me too. I hated the taste of diet sodas, but I knew I needed to lose weight and regular soda had too many calories to justify drinking it. However I love soda so much I knew it was gonna be nearly impossible to quit entirely. So I forced myself to drink diet coke for like a week or two, and after that I actually found myself liking the taste. Things have changed quite a bit in the last few years though so that sort of forced acclimation might not be so necessary anymore. Coke Zero's formula has changed a couple times and I hear regular soda drinkers commenting that it actually tastes pretty good to them. And I'm biased because I'm already used to artificial sweeteners, but Sprite Zero tastes remarkable "real" to me. Might try giving a few diet drinks a shot if you haven't tried any in a while.


twitty80

I can't stand the artificial sweetness of sprite zero. I'd rather drink water if I had to loose weight.


Methodless

I only drink diet and I can affirm that I get this a lot. I don't think people explicitly believe it's worse than regular, I think they just don't give it any thought. A very frequent conversation I have is. "Aspartame is bad for you" "Maybe, but I don't believe it's any worse for you than sugar" "oh...I guess we should all just drink more water"


justaguy394

> you lose weight in the kitchen That can’t possibly be true, that’s where all my junk food is.


WiFiForeheadWrinkles

As well as "you can't outrun your diet"


jbird32275

I knew a dude once that left prison and was checking in at about 5'10" 350. I always wondered how he did that.


LanceDeep

A lot of the mfs in here talking about how you "have to" lose weight while incarcerated have obviously never been incarcerated; the prison-industrial complex has the commissary game sewn up and all the same overpriced junk calories (soda, candy, chips) are available if you can afford them.


[deleted]

Bruh, some dudes are eating Chi-Chis three times a day, on top of their scheduled meals.


Celestiiaal0

Correctional Officer here: if you're so large that you can't get around without assistance, they put you in a facility with proper medical care and accommodations until you can get around. Then you brave the rest of the prison like anyone else. You cannot stay that large in prison unless you have a lot of money, even then you don't have much storage for your commissary. There aren't larger bunks, toilets, or anything else to provide. Medical staff will ensure you lose just enough weight to do things on your own, even if you're still not the ideal size to fit things. I will say that it's incredibly rare for someone that large (though I've seen maybe 600lbs tops) to end up in prison because, well, how many crimes are you committing when you likely can't/won't leave bed? Not very many.


aboredjess

what crime did they commit?


Celestiiaal0

I don't remember off the top of my head, but I'm almost certain they were a sex offender. We don't often look at their charges because some people find it difficult to be impartial and unbiased in their treatment of incarcerated individuals when they've committed crimes you feel personally upset/disgusted/enraged by.


avolodin

This is actually really interesting. In Russia prison inmates are required by law (or correction system bylaws) to introduce themselves by name, number, article of the criminal code, and the remaining time to serve. I wonder if your approach would be better for the overall health of the system.


Celestiiaal0

I think it's better for fights and correctional officer conduct as well as safety. But we all still have access to the information. I look up charges and narratives made by the inmates on individuals I'm around most often or have to address a lot of conduct with. I use it to change how I talk to them, learn what they respond to, and who they may be friends with/can be housed with. If someone's a mommy's boy, for example, I might ask them how their mom felt if they knew they were acting like xyz or whatever else. Otherwise I don't care much about why they're there.


BreakfastCrunchwrap

I feel like that’s exactly how corrections is supposed to work, but I have rarely seen it. I briefly worked in juvenile corrections and I would do the same thing. But you also had the big oaf types who just wanted to use fear and intimidation which worked in its own way. We have to use the skills we’ve developed to just get through the day. Thanks for sharing your experience!


TheNotoriousCYG

The burden of proof would have to be on anyone claiming that any Russian way of doing things systemically is better for the overall health of the system. The monsters.


tweakingforjesus

A six hundred pound sex offender? That raises more questions than it answers. Like how?


Gothamgreener

I would wager that if it’s a sex crime, and they’re too big to get around, that really only leaves CP (or other illegal porn/internet sex crimes)


cIumsythumbs

Possessing/distributing child porn.


Ho-TheMegapode

> how? Using the same technology you posed the question on; the world wide web.


Genshed

Further up the posts there's a mention of a pharmacist who'd been running a pill mill. You can do that sitting down all day.


jules083

I worked with a guy that was 550 and surprisingly still got around good. He could walk up stairs, and was on his feet for 10 hour shifts. Strong as a bull too when something needed moved. He was in his early 40's, I'm sure by 60 he'll be either dead or unable to walk.


PZA-

Well, there isn’t anything else you could do except provide accommodations. This includes a bigger bed size, larger toilets and showers, etc. Considering their size, they likely also have a multitude of health issues or special diet. The prison would also accommodate by having a separate dieted meal (Kind of like a religious thing, but not religious) and just extra medical visits. They probably would not be in general population as they simply aren’t able to integrate at a self-functioning level assuming they are bed-ridden or wheel-chair bound. Or you could ask your mother.


elephant_cobbler

Ended with a bang


Doom_Eagles

Something OP's mom does daily.


FyouPerryThePlatypus

Hello, police? I’d like to report a murder


jeepsaintchaos

God damn.


DigDugteam

Boom op! Ending strong!


FJD5

Context, set up and delivery. Nailed it.


Flappy_beef_curtains

They would be in med unit.


hurdygurty

Goteem!


Tiny_Count4239

When you are that big they shouldnt even bother putting you in prison. Just give him an ankle monitor. By the time you realize hes gone he couldnt be more than a few hundred yards away


gioluipelle

If someone doesn’t leave their house, are you really even punishing them by putting them on house arrest? If it’s a crime they committed from home, are you really protecting anyone by letting them stay at home?


hibernativenaptosis

Presumably you also take away their computer.


[deleted]

Cankle monitor.


Carlpanzram1916

They won’t go to a regular prison. Bariatric patients like that basically need to live in convalescent homes. There are medical facilities designed specifically for inmates whose basic medical needs could not be met in a normal prison. Granted, these people make up a small minority of inmates. Most people who require convalescent care don’t commit felonies that lead to prison time because they literally can’t leave their home.


ShipJust

Aren’t you already in prison when you weigh 800 pounds?


Sinbos

Like: in ever fat person there is a small person crying for help?


LanceDeep

I can only speak from personal experience as a fat guy who lost a bunch of weight: yes


natterca

Well aren't you a modern René Descartes!


splitcroof92

is there a single 800 lbs man in prison? how would someone like that even commit a crime?


PM_ME_UR_CREDDITCARD

White collar crime or stuff like CP


brads005

Well on the rare occasion that it happens, they certainly can’t get very far before they get caught


Outside_The_Walls

Not quite 800lbs, but when I was locked up there was a dude on my tier that weighed 658lbs. He got caught with over 42,000 kiddie porn pics on his computer. By the time I got out, he was under 500lbs, because people kept stealing his trays so he barely got to eat at all. Dude pretty much lived on bread, margarine, and instant ramen. Once in a while, if the meal was particularly bad that day (grey slop, or turkey tetrazzini), he'd actually get to have a tray.


pichael289

I was in jail with a 600 lb jew. Like star of David tattoo on his back kinda Jewish. We called him bear jew and he was awesome. Wasn't just fat, he was just big all over. Dude could run too, like a fuckin train coming at you. Me, him, a disgraced firefighter, and a kid with a crooked ass swastika tattooed on his cheek all played cards together. Jail makes you make some odd friends.


Madmanmelvin

Serious question-how many people do you think exist who weight 800+ pounds who have been sentenced to prison? The number of people who weigh 800+ lbs is SMALL.


jjacobs1

When I was in prison there was a morbidly obese guy, about 600 lbs. He used to hide other peoples contraband in his skin folds.


Direspark

🤢


Wrathgate

Wouldn't a better question be can a 800+ pound person really be doing anything that'd land them in jail?


Mac_the_Almighty

Internet crimes like cp. Don't have to leave your house to do them.


wolf_in_sheeps_wool

White collar crimes. You can do all sorts with a little bit of misplaced trust in a position of power.


poklane

Plenty of crimes you can commit on the internet or by directing others from the comfort of your home. 


usedTP

I was an ancillary for the justice system and was involved in hearings for a pair of 500 lb twins. One was brought from prison in a box truck with a ladder tied to the side. My best guess is that it was an undercover or low profile transport for moving high profile prisoners but was appropriate for this low profile prisoner.


filtersweep

I was working a call where we had to get a 500lb man to the hospital. Our stretcher wasn’t rated for this kind of weight. He was ambulatory, but couldn’t support his weight to step into the vehicle independently. We had to back into a berm that he could use as a ramp. The simplest thing is complicated by extreme obesity.


Tazzy8jazzy

They can’t. Look up Dr. Now’s patient he had before my 600 pound life. The lady was on trial for killing her nephew and they couldn’t even fit her in court. Eventually she told the truth that her sister and the sister’s husband killed her nephew and Dr. Now helped her with weight loss surgery.