Overview: (Original airdate: November 23, 2011) At nearly 700 pounds, the first thing people notice about Pauline, 48, is her size, which has earned her the Guinness World Record title of heaviest living woman. But Pauline is also a mother, daughter and friend with hopes and dreams of a better life for herself and her 18-year-old son and caregiver, Dillon. At her current size, Pauline's mobility is severely challenged. Just a few steps cause her pain, and she needs her son’s help to stand up, get dressed and even go to the bathroom. It took an ambulance, a second support vehicle and a five-man crew to help her make the 400-mile trip to the Dr. Phil studio. Pauline says that while it's a daunting task, she’s ready to start losing the weight. But what does Dr. Phil think? And what does Dillon have to say? How does his mother's disability impact his life? Is he following in her footsteps? Then, Pauline's ex-husband, Alex, says he loved Pauline despite her weight, but it wasn't enough to save their relationship. Where does he say it went wrong? Plus, Ruby, star of the Style Network show of the same name, knows what Pauline is going through because she was once 700 pounds and has lost 400. She offers her support and encouragement to Pauline. Is she ready to take back control of her life?