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Karen and Deon Derrico have a knack for conceiving multiples -- even quintuplets -- completely naturally. The stakes are running extra high, however, with their most-recent set of triplets, who seem to be ready for the world well before their due date.
Deon manages the household of 11 children while Karen goes on bed rest in the hospital. When an earthquake shakes up Las Vegas, however, the Derricos' plans to carry the triplets to 32 weeks goes completely awry.
The family experiences life after the birth of the latest set of multiples -- the triplets. While everyone is overjoyed when two babies finally make it home, Karen and Deon struggle to find courage as Awesome Dawsyn's heart surgery date approaches.
The holidays are here, and the family prays for a Christmas miracle -- that Awesome Dawsyn can finally leave the hospital and come home. When the Derricos' wish comes true, however, they face a challenge far greater than they're ready for.
Brittani has reached almost 600 pounds at just 32 years old. Though her husband loves large women, she lives in constant pain and hides her body from him for fear of rejection. In hopes of better health and a better marriage, she undergoes weight-loss surgery.
For James B, food means family. He grew up eating rich Haitian food and loves it with a passion. Now, James needs Dr. Now's help to diminish that love in order to survive, but a death in the family sends James retreating back to the comforts he knows.
It's a family affair when the Derricos make a pitch to the city council for approval to build their business. Karen and Deon plan a joint birthday bash. When Karen drops a bomb about their future in South Carolina, she and Deon find themselves at odds.
The Johnstons prepare for the arrival of Joose, a Finnish exchange student. While Liz, Anna and Jonah enjoy living on their own, the younger kids help Trent up his social media game for his new job.
The Johnstons introduce Joose to American traditions, including pumpkin carving at Halloween and a Friday night at the high school football game. Meanwhile, Alex is struggling in school.
As their trip comes to an end, the Derricos celebrate Halloween in South Carolina. Karen stresses about her upcoming sonogram. Deon and Karen must break the news to GG and the kids about a potential move.
The boys give Amy a hard time when Matt joins in on a farm scout with Chris and friends. It's the unveiling of the log cabin, and Matt invites the family to attend for campfire fun! Zach takes Jackson on his first farm camping trip.
The Johnstons prepare for the arrival of Joose, a Finnish exchange student. While Liz, Anna and Jonah enjoy living on their own, the younger kids help Trent up his social media game for his new job.
The Johnstons introduce Joose to American traditions, including pumpkin carving at Halloween and a Friday night at the high school football game. Meanwhile, Alex is struggling in school.
As their trip comes to an end, the Derricos celebrate Halloween in South Carolina. Karen stresses about her upcoming sonogram. Deon and Karen must break the news to GG and the kids about a potential move.
The boys give Amy a hard time when Matt joins in on a farm scout with Chris and friends. It's the unveiling of the log cabin, and Matt invites the family to attend for campfire fun! Zach takes Jackson on his first farm camping trip.
Thanksgiving is right around the corner, but celebrating is the last thing on the Busbys' minds. Tensions run high between Adam and Danielle as they continue the hunt for a new house, and the quints undergo their first school testing.
The Busbys move out of their mold-infested home, but transitioning isn't easy. The quints' nighttime antics escalate until Adam and Danielle split up their bedrooms for the first time. Meanwhile, Adam plans a surprise birthday party for Danielle.