Allan Payan lifts a photograph from a shelf inside his singlewide trailer home. The smiling woman in the image has full cheeks and long, thick, brown hair. Caroll Payan, who sits across the couch from him, can't bear to look at the old photo of herself. She has dropped 20 pounds in the past six months, and it shows in her tall, wiry frame. Her green eyes now bulge under heavy lids on a gaunt face, and her scalp is visible beneath sparse, short hair. Tears fill her eyes as she watches her husband tuck the... More >>>