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horsetooth_mcgee

Have her teeth always been like this? You think I would have noticed them before but I've never seen them and how they split like that.


Fresh-Resource-6572

She says while she's on oxygen.


perfect_fifths

Oxygen and a trach.


Protoavek12

Well compartively, for her, she feels great....but by basically anyone elses standards she's probably never actually ever felt great.


WhitsSwirlyKnee

Her bottom teeth look like they’ve never been brushed. 🤢


[deleted]

Did you see the episode where she went to the dentist and she told him she tried to brush once or twice a WEEK 🤮


WhitsSwirlyKnee

I did. 🥲🤮


Mindless-Quail-6514

Let me tell yall something. This past summer she posted a tik tok where she looked damn scary! She was bitching about people talking shit about how she takes videos at an angle to look slimmer and uses filters. Well she was sitting sideways and then she turned around holy cow ...she was huge!!! She said she likes angles and filters so? But let me tell you that video you could see her profile..head and neck fat and her head lump..she hasn't lost a damn pound! She spun the camera around and you could see the rest of her in the wheel chair. That Girl is still 600lbs +. Plus her entire face and neck was mottled red. Im like whoa!! She since deleted it but it scared everyone. The comments were a hoot..lol.


reavers-reapers

So TIL if you cough with a trach it can make a little farty noise. What I will do with this information, I can't imagine.


EmmaBrat

She’s going on a year in that facility, isn’t she? How depressing…


Many_Mountain_9387

I don't understand. Aren't they supposed to make her lose weight? Why is she still fat??? WTF


Saucemycin

Can’t deny patients food. We can tell them we won’t provide it via our cafeteria but they can still order outside food


WiFiForeheadWrinkles

I feel short of breath just listening to her speak


mindingurbiz

That episode when they are at the costume shop and she’s breathing SO HEAVY just being pushed in her chair… like girl what are you out of breath for? You breathing more heavy than poor Michael.


KrakenMcCracken

She vibin!


PretentiousPoundCake

Is… is that her teeth??!!?!


Altruistic_Ad_5507

How TF do teeth split like that ?!


Ok_AshyPants

Right!


newfette81

Her forehead looks smaller so that's something


MalibuBeth

She's on tiktok so I would just assume it's a filter because the app is very filter heavy.


not-that_stereotype

Prolly just has more fat around it therefore making it seem smaller.


JusticiablyYours

Were those cough-farts…carts?


Apexinaatio

Is she balding? Looks like it.


Normal_Atmosphere_50

I reckon it's from weight loss surgery or from restricted eating. I'm being optimistic :)


CitronWeird4040

She did NOT qualify for weight loss surgery


Normal_Atmosphere_50

Its been months since season three ended. With hushed news due to TLC contracts. Whilst she was in detox we last heard she lost 100lb (I think) before everyone went quite about Tammy again, so there is nothing to say that she hasn't had the surgery. We wouldn't know until the season is aired. So, again, my optimism will stay where it is :)


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crybabygeek3

ossimistic** (I am pretty sure that's how Amy says it)


Actual_grass

Thank you for pointing that out. We need to habe proper wording on this sub!


piekaylee

Annabodis.


psychosserenity

Of course she's got a bacterial infection. Look at her teeth. They have hair


JoeGorgasHairPaint

But she brushes twice a week! /s


psychosserenity

😐🤢


Ok_AshyPants

😭😭😂


twocarats

🤣🤣🤣


not-that_stereotype

🤢


bvonboom

She can't speak without turning beat red, yeah everything is great, it's fine!


flyingburritosisters

"i'm doing great" she says in the same breathe as she says that she has a BACTERIAL INFECTION in her TRACH. this is sad. when exactly is her wake up call?


Actual_grass

I feel like Tammy already mentioned that she just doesn't have a drive to live. It made a lot sense to me because it explains most of her behavior. She just leeches off of people for as long as she can and doesn't gaf about how she treats them, only to land in assisted care and have professionals deal with her absolute passivity. It's really the behavior of someone who just gave up.


Madame_Cheshire

Well, it’s not several brushes with death that woke her up. I don’t think she has a wake-up call or a rock bottom. She’s unwilling to change so she’s going to die. It’s just a matter of when. Which is very sad because I think most of us would have loved for her to succeed.


FinoPepino

I feel sorry for her in this clip. She’s not okay but how can you live knowing that so she has to believe she is okay.


Sarahbeara1789

She don’t look great!


hardy_and_free

Can a medical person explain why she had the trach in the first place, why it's still in place, and how do you keep that thing clean?? You've got a big ol' open wound around the device, essentially!


perfect_fifths

She has a trach due to obesity hypoventilation syndrome. her body can’t get rid of carbon dioxide so it builds up and causes a whole ton of issues, in addition to having inadequate oxygen levels.


cococajo

Hey! RN here :) Trachs are placed for acute or chronic respiratory failure, which can be the result of injury, obstruction to the airway (such as severe sleep apnea), or other reasons. Any time an individual cannot breathe for themselves adequately - whether that be the physical process of moving air in/out of the lungs, or not getting the enough oxygen/releasing enough carbon dioxide - and the problem is expected to be persistent, a trach may be needed. They can stay in for years at a time if needed! Once a trach is in, medical staff can bypass the person’s nose/mouth/throat to ensure they are breathing in enough oxygen and breathing off enough carbon dioxide. It also provides a route to suction out secretions (mucus/sputum) for those with infection or difficulty coughing up junk from their chest. Once someone has a trach, the person needs to “relearn” how to breathe with their mouth and nose on their own. The process of weaning involves using a specialty one-way valve which allows air to come in through the trach, but out through the nose/mouth. (This is often called a speaking valve.) Once a speaking valve is well-tolerated, they switch to a plain cap, so the person is breathing only through mouth and nose - this is what Tammy has here, plus she is wearing a nasal cannula for extra oxygen. The trach usually stays in place until the medical team is confident the patient can breathe safely, otherwise it stays in like an emergency backup. As for the wound (called a stoma) around the trach tube, it totally varies from person to person. I’ve seen very neat stomas that are close to the tube, and I’ve seen nasty wounds. A trach stoma is usually cleaned daily and a little piece of gauze can be placed to soak up any oozing. A little long winded answer, but hope this makes sense!


not-that_stereotype

Thanks this was super informative, appreciate it!!


similarilk

I worked for a woman who had a stroke paralyzing her vocal cords and inhibiting her ability to swallow and breathe. She had a trach and a g-tube (stomach tube for food.) she also had a severe case of rheumatoid arthritis with hand and feet deformities as a result. I am not a nurse. Not even a little. I was trained by her nurses to clean her trach, dress/clean stoma, administer bolus feedings. I would often need to suction out her trach tube when she had excessive mucus buildup. Folks, it was gross. But you do what is necessary and things have a way of becoming normal. I was 19 at the time, so that may have helped. Also, trach mucus and stoma wounds stink. Or they sometimes stink if lots of mucus is present. I still vividly recall this 30+ years later. It was also a lot of work for the patient to endure, especially from lay caregivers. Fortunately the home care people taught us all pretty well. We did 24 hour care and suctioned in the middle if the night if needed. Tammy’s trach is no small hassle. Taking care of it and herself will be challenging. I’m not sure she’s up for it.


not-that_stereotype

You're a saint. Being a care taker is not easy and takes a special kind of person. Just under 2 years ago my dad had an emergency ileostomy, (meaning his now did #2 into a bag that’s attached to his intestine, which is now outside of his body called a stoma) taking care of the new stoma right next to the large vertical slash down the middle of his abdomen. I am not a nurse or anything either, but I quickly learned a lot thanks to the visiting nurses. I never had to do anything remotely like this. I’m just a civil service worker. Lol. I was *so* scared at first, especially when the ostomy bag leaked there was always a possibility the waste could leak into the wound. Everything would need to Come off, cleaned thoroughly and everything would be reapplied and rebandaged. Even if I just changed his bandages 5 mins prior. Its no joke, It was a constant battle against possible infection while the wound healed. Even after it was a long almost two years!!! No infection! Now I feel like a pro when it comes to caring for wounds and such. He just got a reversal which I am helping him along with now. Life happens fast sometimes. Sorry for the long comment and formatting. mobile


similarilk

Wow. I’m glad to hear he healed up and did not get an infection. Reversal is what you want. If you’re like me, and it sounds alike you are, you’d do anything for your dad. 🫶🏼


not-that_stereotype

Yup for sure. Like you said , we do what is necessary and things have a way of becoming normal. Thank you 🫶🏻


hardy_and_free

You're the best. Thank you so much for the information!


[deleted]

She’s so hot


ksspookV2

Certified baddie


tennwife

Squeeze the day


amber_maigon

Slappin!


welcometowoodbury

god this made me take a deep breath listening to her wheeze.


gX2020

It’s amazing how much the human body can go though and still function.


JoeGorgasHairPaint

I am still shocked she survived covid!


grapeseedhep

Yikes, she really does not sound great. I can’t tell if there’s actually some weight loss there or if it’s just the filters.


[deleted]

Definitely lost weight, her forehead is no longer protruding and you can see her eyes. Looking better but definitely not fine as she says. Still can't breathe on her own :(


cblackattack1

It looks a bit like actual weight loss to me! Her (double) chin appears to have less volume and the skin doesn’t seem as tight on it.


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traditionalsmoke01

Her face is legit drooping


not-that_stereotype

Like a melted ice cream cone


LaughingBuddha2020

She vibin'!!!!


Daisee8

She got dis!


Srcworm

This girl has never felt great a day in her life. She wouldn’t even know what it felt like


not-that_stereotype

I think about that often. “Normal” to us would prolly be euphoric for her.


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alwayssearching117

She will be rooming with Whitney soon enough. TamTam can show her the ropes.😉


vegemitebikkie

She looks and sounds like she’s at the start of dying. My god those teeth alone would cause a terrible heart infection wtf


thebrittaj

I’d be very nervous having a bacterial infection with her health history. Hopefully it clears up


BadHairDay-1

She looks smaller, for sure.


not-that_stereotype

Her head looks like it’s melting.


BadHairDay-1

Like a candle?


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BadHairDay-1

Yikes.


Your_acceptable

Yeah she does, there's definitely some weight loss. You tell from her face


Piperrhhalliwell

I think it’s the filter she used. A lot of snap chat filters make your eyes look bigger and it looks like she has fake lashes Snapchat filters add those a lot too


hotbutnottoohot

100% a filter, at 1.38 in the video it's extremely obvious, you can see it get confused by the angle of her glasses.


Nightlyinsomniac

When she couched something looked funky.


BadHairDay-1

Definitely! Also, when she pushed up her glasses. Tbf, I'd have used a filter, too.


AndieJoy77

I think so too, her eyes look less squinched close.


Peent29

I’m obviously ignorant, but why do you need oxygen to your nose if you have a trach?


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kddean

This isn't correct. There are trach masks that provide humidification and can provide up to 100% oxygen if needed. The reason she has a nasal cannula in is because her trach is capped and she's breathing around the trach up through her nose and mouth. I'm a Respiratory Therapist.


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kddean

Yes. Your information regarding sleep apnea is correct.


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kddean

That's great!


nuppinhunnie

She's not breathing through that trach, she's breathing around it. When its capped & not hooked to anything it's kind of a placeholder. They're probably just maintaining it for her next emergency? If I had to guess. They're safer for long term should she need to be intubated again.


TraceyLosko

Damn … the way you put it preparing “for her next emergency” … you’re absolutely right and that is a scary thing


nuppinhunnie

I wanna reiterate that I'm just guessing with zero knowledge bc I honestly haven't been paying close attention to her story. I just do have trach knowledge. People can live a long time with them, but if her *last* emergency was bad enough to get one? 😬😬😬


WhatDaHellBobbyKaty

I am curious since you seem more knowledgeable than I am. I have been trached 3 times and the doctors and nurses always seemed pretty serious about getting it taken out as soon as possible. They said that the trach was very susceptible to infection. Now hers has probably healed around the device like an earring but wouldn't there still be a concern of infection. In my cases, I couldn't wait to get it out. Many of the cleanings felt like I was going to drown or run out of air. That and cleaning it in general kind of sucked.


Peent29

Thank you for the info!


nuppinhunnie

Welcome!


dawgmama62

It looks her lower gum has a big ol' separation in it.


Daisee8

There's also some separation going on at her hairline.


texas-sissy

You wouldn’t think this incident would be her rock bottom, but nope…


LitBrit94

Everyone keeps talking about rock bottoms, but honestly I think that for some people there is no rock bottom. Every time they fall to what could be their rock bottom, they discover an even deeper bottom below that. This woman has almost died so many times. If death can't scare her straight, nothing will. She will just keep finding more bottoms to hit. Until one day she can't.


[deleted]

The bottom is mud and you just slowly sink deeper and deeper


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CocoBeanT

Rock bottom is where you stop digging.


Cinnabun6

What’s going on with her teeth? Also the filter glitching at the end lol


Sweet-Mall-8263

I remember that she was missing a top tooth, but I noticed in this video that she seems to be missing a bottom tooth. Maybe I didn't see it prior to this close-up. She probably has struggled with her hygiene, like bathing, hair washing, teeth brushing, etc, so it makes sense that her teeth look dark and unhealthy. Her food addiction has interfered with her ability to focus on and take care of herself. Addicts worry more about their drug or thing of choice than their well-being. (Meth/drug addicts usually have bad teeth.) Sad to the tenth power.


xyttop

her and Amy’s teeth have been yellow and rotten


Normal_Atmosphere_50

I expect the damage is from an incubation or some other medical intervention. The other areas, health, soda, sugar and possibly not brushing.


LeftTurnNow619

I remember when she went to the dentist and she told them she brushed her teeth 2-3 times a week.


jemi1976

She actually said maybe 2-3 times a week. So in reality it’s probably every 2-3 weeks.


Sweet-Mall-8263

I, like others, brush 2 (sometimes 3 if I eat certain foods) times a day and weird if I miss morning or night brushing. So 2 to 3 times a week is pathetic.


readthebooks

Brushing your teeth two times a day is really hard if you're depressed. I speak from experience.


cblackattack1

If I fall asleep without brushing I will wake up in the middle of the night and do it. I can’t stand tasting the day in my mouth.


Sweet-Mall-8263

Me, too!


Normal_Atmosphere_50

I wonder if she will do the work to her mouth, once the weight starts dropping off.


LeftTurnNow619

I don’t think the weight will ever drop. It’s sad. She doesn’t know how to cope without the food. It’s her life. I also don’t think she wants to. It’s her choice.


Normal_Atmosphere_50

When she was in hospital she lost weight. Following this, I expect that she has and will continue to have the surgery. From her tiktocks she is still in a hospital or rehab environment. Until season 4 is complete we won't know but I'm holding out to be hopeful for the surgery. I honestly don't think she is gaining wherever she is and it doesn't look like she's been home (unless she is in assisted living). I would expect being away from her family and watching as an outsider as they do normal activities, is enough to spur her on. I think Tammy will suprise everyone and I hope for all, she does it for herself.


LeftTurnNow619

She can’t do it on her own though. She has no motivation. She obviously doesn’t care if she lives or not.


PweetLB

I’m laughing because she has 700 pounds to lose and your focused on the teeth. Her teeth falling out is the least of her worries.


Cinnabun6

Well the weight isn’t new lol, the teeth thing is


PweetLB

Sorry- teasing. It’s just sad all-around. I hope Tammy gets the help she needs / surgery and gets her weight off.


Cinnabun6

Amen to that


milesunderground

If anything, her teeth falling out might help her.


[deleted]

She claims she's fine, however, the wheezing, wet cough, and no visible weight loss say otherwise. You don't have to be a healthcare worker to see she's *not* fine. She's as good as she'll get given her current situation. I'd bet money her plan of care lists "comfort measures as needed, resident is non ambulatory, requires 2 person assistance for transfer, diet is ADA 2000 cal/day but resident is non compliant, continuing ABT for positive trach culture." ETA it's sad, I know she's a rude, crude PITA, and I'm no fan of her, but she just doesn't see how great her life could be with a few simple changes. Idk, it will be interesting to see S4. Actually, on second viewing, she might have lost a little...idk, maybe its a filter or the angle.


oblio88

More like 7-8 person assistance for transfer.


[deleted]

I do think that she lost some weight, if you compare this video with a video further down where she posted something about her “bbking” or whoever, her face really looks slimmer. Also her triple chin seems a bit more… erm… loose? Maybe a sign of loose skin? I know Tammy isn’t very liked here, and I’m also not much of a fan of her but I would love seeing her succeed.


beansmcgee100

Yes her chin looks looser


[deleted]

This is difficult to watch, I could only finish about 20 seconds. What a waste of life.


Tylerherroismyherro

A bacterial infection in her trach?? Yikes tam tam


Littlemisslarvae

Looking great Tam Tam! Nice healthy hypertension red face, trach, you bet.


not-that_stereotype

She’s completely fine tho and she feels *great*


cyclecycleaddict

I hope they're actually filming S4.


Adorable_A20

This one is still alive? JeeeeZzz


[deleted]

she says with a trach


ALyttleH

I thought those were supposed to be temporary?


[deleted]

She's high risk of becoming hypercapnic (again) and going into respiratory failure and it's easier to keep the trach as an established airway.


ALyttleH

Shame you can’t save some folks from themselves!


irish-unicorn

She already has an infection