Nate and Oprah surprise Joan and Ken with a makeover.

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When we last saw Nate, he was giving a deserving couple the surprise of their lives. Joan and Ken thought they were here to ask Nate a decorating question about their unfinished basement—but in reality, the couple was chosen for Nate's latest decorating challenge. "You get to take Nate home!" Oprah said.

Joan was selected for the room redo after Oprah Show producers received a touching letter from her. In 2003, Joan was diagnosed with stage 4 breast cancer, which spread to her lymph nodes and back. "I just found out within the last month that my cancer has returned again for the fourth time," she says. In January 2008, Joan was sent to the emergency room with congestive heart failure and told by her cardiologist to stop working and to go home to be with her family. "Very scary for me because I loved my job," she says. "I loved the people I worked with. They were my friends. We were a family."

As all this went on, Joan says her husband and two sons, Andrew and Kenny, took over all the cooking, laundry and errands. In return, Joan wants to so something special for her guys. "I would love to give my husband the workroom he's always wanted and my boys a family room that they can share with their friends," she wrote.