Dr. Spivak lets Max visit Freak. They talk before Freak gives Max an empty book and tells Max to write in it. Max refuses, but takes the book. Then Max is kicked out when Freak goes in a coughing fit.
Max sneaks out of the house for a quick visit to Freak. When he gets to the hospital and asks the nurses, they're crying and that's when Max figures out that Freak is dead. He's kicking and kicking and eventually Dr. Spivak says that Freak's heart got too big for his body.
Max stayed in the down under for days before he came out and Grim forced him to go to school. Max hates the pity and even snaps at Tony D. Eventually Max sees Loretta and realizes that he can't do nothing, so he decides to write Freak the Mighty.