Little people, big problems.

On last night’s episode of Little People, Big World, Matt Roloff met with his doctor after undergoing surgery on his neck — and learned that he faces the risk of possible paralysis if he keeps putting off surgeries.

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“Since my neck’s getting worse, I have an appointment with the doctor to get a second opinion,” he explained. “It’s causing me to slow down and have to cut my activities down a lot.”

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Unfortunately, the second opinion didn’t bring any happier news.

He continued, “Dr. Kent put it quite bluntly and reinforced what the other doctors have said, which is that if the spinal cord gets damaged or severed, it’s going to make some radical changes in my life in a hurry. This is serious business. I knew I was going to need surgery soon. Turns out, I can’t wait — it’s like walking around like a time bomb. I mean, even the slightest mistake can leave me paralyzed, so it’s pretty scary.”

Watch the emotional moment:

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