Open Heart: A Patient's Story of Life-Saving Medicine and Life-Giving Friendship, by Jay Neugeboren, is an incredibly heartwarming tale by an author who is perhaps best known to the readers of this journal for his books Imagining Robert and Transforming Madness. Neugeboren focuses on three relationships in Open Heart: his heart, his friends, and his penis. The real value of the book is a description of the relationships between Neugeboren and four lifelong friends. The relationships get played out around Neugeboren's cardiac disease. The penile relationship, most of which relates to medical and physiological disorders of the organ, is one that is obviously important to Neugeboren and true to the chronology but was mostly a diversion for this reader.