In other ways, he is absolutely typical of drug users who have hit bottom. McManus has AIDS, Hepatitis C and liver problems. “My doctors went three or four years with me not showing up,” he said in a recent interview in his apartment. “I had no relationship with her — except for her to put me in the hospital because I didn’t listen to what she had to say. I was still not addressing the fact that I was H.I.V.-positive. I was not taking my medicine and only going to the hospital when I had to be put in the hospital. I was still messing around with drugs.” McManus was hospitalized four times in the year before November, 2009. Then he got a visit from Reynaldo Rodriguez.
Rodriguez is a case manager for the San Francisco Department of Public Health. He had been working with McManus for a year and a half. Rodriguez had been trying to get McManus to take his medication and go to the doctor regularly. “I was like, ‘You’re not going to get any better if you don’t take your medicine,’” Rodriguez said. “He was like, ‘I don’t want to take my medicine.
I don’t want to go to the doctor. I don’t want to be sick.’” Rodriguez had been trying to get McManus to take his medication and go to the doctor regularly. “I was like, ‘You’re not going to get any better if you don’t take your medicine,’” Rodriguez said. “He was like, ‘I don’t want to take my medicine. I don’t want to go to the doctor
 Rodriguez is a case manager for the San Francisco Department of Public Health. He had been working with McManus for a year and a half. Rodriguez had been trying to get McManus to take his medication and go to the doctor regularly. “I was like, ‘You’re not going to get any better if you don’t take your medicine,’” Rodriguez said. “He was like, ‘I don’t want to take my medicine.
 I don’t want to go to the doctor. I don’t want to be sick.’” Rodriguez had been trying to get McManus to take his medication and go to the doctor regularly. “I was like, ‘You’re not going to get any better if you don’t take your medicine,’” Rodriguez said. “He was like, ‘I don’t want to take my medicine. I don’t want to go to the doctor