海角大神

Tracy Kidder, a master of narrative nonfiction, is drawn to self-effacing, unsung heroes who work tirelessly to make the world a better place. Kidder delves deeply into his subjects, deftly weaving the fruits of his research into a strong narrative line that keeps readers turning pages. He doesn鈥檛 hide his admiration for his subjects.

Kidder鈥檚 latest book, 鈥淩ough Sleepers: Dr. Jim O鈥機onnell鈥檚 Urgent Mission to Bring Healing to Homeless People,鈥� highlights the inspiring work of a Harvard-educated doctor who has spent 40 years working to improve the lives of inhoused individuals by providing compassionate continuity of care. O'Connell is a founding physician of the Boston Health Care for the Homeless Program and an organizer of its street team, which offers outreach to the hundreds of homeless people who avoid the city鈥檚 shelters and live mainly outdoors 鈥� often called 鈥渞ough sleepers,鈥� a term borrowed from England.

Kidder鈥檚 first book, 鈥淭he Soul of a New Machine鈥� (1981), won both a Pulitzer Prize and National Book Award for its riveting account of the development of an early cutting-edge computer. In the decades since, Kidder has turned his pen into a powerful tool for good. He has written deeply humanitarian books about public schools (鈥淎mong Schoolchildren鈥�), nursing home residents (鈥淥ld Friends鈥�), a Burundi refugee鈥檚 extraordinary will to survive (鈥淪trength in What Remains鈥�), and Dr. Paul Farmer鈥檚 determined global public health crusade to eradicate preventable diseases (鈥淢ountains Beyond Mountains鈥�).聽聽

In writing about O鈥機onnell, Kidder centers his story on a man who has persevered despite the often intractable nature of homelessness. O鈥機onnell acknowledges that the work can feel impossible, but he refuses to be defeated. 鈥淲e just have to enjoy the good days and accept the bad days. It鈥檚 sort of the theme of our work. Sisyphus,鈥� Kidder quotes him as saying. 鈥淚f you don鈥檛 enjoy rolling the rock up the hill, this is not the job for you.鈥�

When O鈥機onnell was a neophyte, fresh out of a medical residency at Massachusetts General Hospital, nurses at the Pine Street Inn homeless shelter in Boston instructed him in the art of foot soaking as a way to bring relief to patients and earn their trust. They advised a patient, gentle approach, instructing the young doctor that rather than try to heal, he should 鈥渏ust give love.鈥� He took their lessons to heart.聽聽

Kidder, who first met O鈥機onnell in 2014, followed him with his notebook off and on for five years, including on his nightly rounds in the outreach van to alleys, underpasses, and Boston鈥檚 South Station. He comments: 鈥淛im was like a 1950s doctor making house calls, though the van rarely dispensed more than minor medicine.鈥� What it did dispense, besides compassion, was food, blankets, socks, underwear 鈥� and transportation to emergency rooms when required. Hypothermia in Boston鈥檚 harsh winters is a constant concern.

To go beneath the statistics and put a human face on homelessness, Kidder focuses on one of O鈥機onnell鈥檚 patients, Anthony Columbo, a large, affable man who grew up in Boston鈥檚 tough North End. Tony came under O鈥機onnell鈥檚 care after his release from prison in 2013, having served his full 18 year sentence for assault with attempt to commit rape.聽

Like so many rough sleepers, Tony 鈥渉ad suffered the physical and psychological effects of severe childhood trauma,鈥� including physical and sexual abuse. In prison, he became known as Big Tony, 鈥渁n informal counselor to young convicts, especially young Black men.鈥� Whether on the streets or in McInnis House, which offers respite care for homeless people, Tony became a sort of self-appointed social director and triage nurse, directing O鈥機onnell to residents in need of special help.聽

By following Tony鈥檚 story closely, Kidder captures 鈥渢he chaos of rough sleepers鈥� lives鈥� and the dismaying cycle of substance abuse and recidivism. As a Level 3 sex offender, Tony is ineligible for most housing or jobs, which means he is essentially condemned to homelessness. He is also required to register monthly with his local parole board 鈥� and faces re-incarceration when he fails to do so. 鈥淚n the circuit of Tony鈥檚 current life,鈥� Kidder writes, 鈥渢hings always fell apart, but between the breakdowns there were weeks-long periods of sanity and order, and moments of grace.鈥澛�

At fundraising events and lectures around the country, O鈥機onnell calls homelessness 鈥渁 prism held up to society鈥� that refracts the weaknesses in our health care, public health, housing, welfare, educational, legal, and corrections systems. Solving homelessness, he reminds his listeners, is much more complicated than just providing housing, which in turn is much more complicated than just providing medical care.聽

In chronicling such a challenging problem 鈥� and the stories of the tragically difficult and curtailed lives of Tony Columbo and other patients whom O鈥機onnell and his team have worked so hard to help 鈥� 鈥淩ough Sleepers鈥� is yet another enlightening reminder from Kidder that we should, and can, do better.聽

Heller McAlpin reviews books regularly for the Monitor, The Wall Street Journal, and NPR.