>> howard hubert is a board certified physician's assistant at bear county jail. >> sean phillips is one of my favorite cases to talk about. sean came through the door weighing 437 pound. i said do you went to get the diabetes and blood pressure under control? he said of course. i said here it the plan. i'm going to put you on an 1,800 calorie a day diabetic diet, taper your diabetes meds blood pressure meds. i said if you exercise a lot, we'll take the medications away >> he was consuming, 5,000, 6,000, 7,000 calories a day. here in the jail we can control diet a whole lot. >> i'm on diet tray. i don't get as much of a portion as everybody else does. they steam a lot of my stuff. sometimes they steam them to death. you get steamed vegetables and they come up looking like mush. but you know what it is food. >> how much weight have you lost? >> 175.