A Million Little Pieces Part 1, Chapter 4 Summary

How It All Goes Down

  • James wakes up. He crawls into the bathroom and pukes. Then he takes a shower.
  • Afterward, the doctor brings him pills and clothes, which James makes use of. ("No, James, take the underwear out of your mouth and swallow the pills.")
  • James walks through the medical unit and meets Lilly again. They share abridged versions of their life stories; then a man named Roy comes to take James to the unit.
  • Roy tells James that socializing with the opposite sex is "against the Rules" (1.4.90).
  • After Roy fills James in on a few more rules, the two arrive at the unit, which is called Sawyer. (Other men's units are called Jack, Sayid, Hurley, and Charlie.)
  • James meets his roommates: Larry and Warren, who are playing cards and ignoring him.
  • James lies on the empty bed and sulks until a man named John comes in.
  • John Everett is a "sexual ninja" (1.4.141) from San Francisco who is addicted to rock cocaine and sodomy.
  • After making that pleasant acquaintance, James goes with John to the dining hall, where James gets food and goes to eat alone.
  • A man names Ken sits down with James. Ken is James's recovery counselor, and he gets a bit more background from James.
  • Of note is the fact that James skipped out on bail, and he'll have to deal with the charges while in rehab.
  • When Ken asks James if he's willing to do what it takes to get better, James say, "I don't know" (1.4.250). That's the ol' rehab spirit.
  • James later goes to get some more pills and then listens to a group lecture.
  • After dinner, he goes to sleep.