Saving Pauline

Ruby, star of the Style Network show of the same name, says she knows what Pauline is going through because she was once 700 pounds and has lost 400. She joins Pauline onstage to offer words of encouragement.

“First of all, I’ve been listening to you all, and I want to tell you, you can do this,” she says to Pauline. She tells her that despite her fear of a serious diagnosis, she has to see a doctor about her weight. “That fear was the same as mine, but it saved my life. I was dying, and I didn’t even know it.”

Ruby says she struggled with her weight since she was 13, but after visiting her doctor, she was ready for a change.

Hear what Ruby thinks is the real reason Pauline won’t lose weight.


Ruby tells Pauline that if she wants to lose weight, she has to adapt a new mindset and be honest about her emotions. “You’re not feeding your stomach. You’re feeding [your mind ] — all this is mental. We’re feeding something else. Our emotions, our anxiety, our fear; whatever happened in childhood.”

[AD]“I’ve said many times that things often start for one reason, and continue for a completely different reason,” Dr. Phil adds. “You get to a point where you say, ‘What’s the use? I’m so far gone, I’m just going to do what I want to do.’”

Dr. Phil explains that there are four stages of readiness a person must accept before they make a major life change. “There is a point where you will say to yourself, ‘I am so sick to death of this that I will not accept it for another second, another minute, another hour of the day.' I want you get to that point," he tells Pauline.Dr. Theodore Khalili, founder and director of Khalili Center for Bariatric Care, shares insights on Pauline’s current health conditions.

“Is she at acute risk for something happening that could devastate her life? And is she too far gone, or can she come back from this?” Dr. Phil asks Dr. Khalili.

[AD]“Pauline, let me be perfectly blunt with you,” he says. “I think the risk of you dying from your obesity is extremely high. That’s the bad news. I think the good news is that there are a lot of resources out there that can help you lose the weight, and as you lose weight, what you’ll find is that you’ll reverse the chances of you developing all these diseases.”

He assures Pauline that she’ll become more active, sleep better and feel healthier after losing weight. He says if she remains the same size, the outcome will be dire. “I know at this weight, statistically your life span is going to be shortened by 10 to 15 years.”Dr. Phil asks Dr. Khalili to help create a comprehensive weight loss plan for Pauline. He also calls on Misti Gueron, registered dietician at the Khalili Center for Bariatric Care, to help Pauline throughout her weight loss journey.

“You said before that you didn’t have the willpower to do this,” Dr. Phil tells Pauline. “But the good news is, this isn’t about willpower.”

“Willpower is a myth … If you’re really going to get this under control, it’s going to be a lifestyle change.”


[AD]Dr. Phil also offers food delivery service Bistro MD to help design a healthy meal plan for Pauline and Dillon. “We’re going to bring you what you need to eat, and help you get where you need to go,” Dr. Phil tells her. “You say you need accountability. Well, you’re looking at it.”

Since Pauline says it’s her dream to one day ride a bike with her son, Dr. Phil reveals that The Hub is donating two Cannondale Adventure 3 Bicycles for her and Dillon. When she loses the weight, Cannondale Murry Washburn will also provide her with biking gear and equipment.

After hearing the offer, Pauline smiles. “Thank you,” she says tearfully.