Yup, that will never happen. Big Al would DIE to spite the haydurs. I don't really care what exactly is wrong with Al, I do know it's something she finds embarrassing and it's something caused directly by her weight and she can't fit it neatly into her "big but hulthy" narrative. And if Thumby isn't helping her care for/treat it it's gonna get worse and worse and sepsis is a bitch...... The sooner you drop the big, but healthy bullshit and acknowledge what a complete fuck-up you've been, the longer you might live.
Like that would ever happen. Not. You just keep doing you, Hamber. You know what's best for you.
Have fun Al.