Jonathan had his dream job, and he ate himself out of it. Once an EMT first responder, now he rarely leaves the room. His wife works full time to pay their bills, and Jonathan must break the cycle of eating if he wants to keep his wife and his life.  

Karen has gotten so out of control with her eating that she's developed a fear of leaving the house and interacting with the world at her size. She needs Dr. Now's help, but can Karen ever qualify for weight loss surgery if she won't leave the house?