Story Structure — 4 Plot Phases
The Iron Lung Confinement
Mark O'Brien, a 38-year-old poet trapped in an iron lung, feels his mortality approaching. After a failed romantic proposal to his caretaker, he resolves to experience physical intimacy before death.
Key Events
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Iron Lung Confinement — Mark O'Brien lives as a 38-year-old poet confined to an iron lung due to polio complications. Characters: Mark
Location: Berkeley Apartment
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Failed Proposal to Amanda — Mark unsuccessfully proposes to his caretaker Amanda, realizing he needs a different path to intimacy. Characters: Mark, Amanda
Location: Caretaker's Home
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Priest Consultation — Mark seeks spiritual guidance from Father Brendan regarding his desire for physical intimacy. Characters: Mark, Father Brendan
Location: Church
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Hiring the Surrogate — Mark contacts professional sex surrogate Cheryl Cohen-Greene to arrange sessions before his death. Characters: Mark, Cheryl
Location: Cheryl's Office
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Establishing Boundaries — Cheryl sets a strict limit of six sessions, establishing clear professional parameters. Characters: Mark, Cheryl
Location: Therapy Room
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Caretaker's Unfulfilled Role — Amanda's dedicated medical care contrasts sharply with the emotional intimacy Mark seeks elsewhere. Characters: Amanda, Mark
Location: Home
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Spiritual Validation — The priest validates Mark's human desire for physical connection, providing crucial moral support. Characters: Father Brendan, Mark
Location: Church
Sessions and Surging Emotions
Mark hires professional sex surrogate Cheryl Cohen-Greene, establishing a strict six-session limit. As they begin, professional boundaries blur into genuine romantic feelings, prompting an early termination.
Key Events
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Establishing Boundaries — Cheryl sets a strict limit of six sessions, establishing clear professional parameters. Characters: Mark, Cheryl
Location: Therapy Room
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First Intimate Sessions — Mark and Cheryl begin their physical sessions, navigating initial awkwardness and clinical routines. Characters: Mark, Cheryl
Location: Therapy Room
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Romantic Realization — It becomes clear that both are developing genuine romantic feelings for each other. Characters: Mark, Cheryl
Location: Therapy Room
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The Mailed Poem — Cheryl discovers a love poem Mark mailed, revealing his deeper emotional investment beyond the sessions. Characters: Cheryl, Mark
Location: Cheryl's Home
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Mutual Satisfaction & Termination — They achieve mutually satisfying intimacy but decide to cut the sessions short to protect their feelings. Characters: Mark, Cheryl
Location: Therapy Room
The Power Outage Crisis
A sudden building power failure disables Mark's iron lung, forcing a frantic hospital rush. He survives the life-threatening emergency and forms a brief but meaningful connection with a fellow patient.
Key Events
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Mutual Satisfaction & Termination — They achieve mutually satisfying intimacy but decide to cut the sessions short to protect their feelings. Characters: Mark, Cheryl
Location: Therapy Room
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Power Outage Crisis — A building power failure disables the iron lung, forcing a frantic rush to the hospital. Characters: Mark
Location: Berkeley Building
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Hospital Survival — Mark survives the life-threatening emergency and begins his recovery process. Characters: Mark
Location: Hospital
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Meeting Susan Fernbach — During recovery, Mark forms a brief but meaningful connection with fellow patient Susan. Characters: Mark, Susan
Location: Hospital Room
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Time Jump to 1999 — The narrative cuts forward years, indicating the passage of time and Mark's eventual passing. Characters: Mark
Location: Unspecified
Eulogy and Eternal Connection
Years later, Mark's funeral gathers those he touched, including Cheryl and Susan. Through Father Brendan's homily and Susan's poem reading, the film reflects on love, loss, and the enduring impact of human connection.
Key Events
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Time Jump to 1999 — The narrative cuts forward years, indicating the passage of time and Mark's eventual passing. Characters: Mark
Location: Unspecified
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Funeral Preparation — Four women Mark knew gather for his memorial service, attended by Father Brendan. Characters: Father Brendan, Cheryl, Susan
Location: Church
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Father Brendan's Homily — Father Brendan delivers the funeral homily, reflecting on Mark's life and spiritual journey. Characters: Father Brendan, Mark
Location: Church
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Susan Reads the Poem — Susan publicly reads the poem Mark previously sent to Cheryl, honoring his voice. Characters: Susan, Mark
Location: Church
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Cheryl's Silent Mourning — Cheryl attends the funeral, silently reflecting on the profound impact of their shared sessions. Characters: Cheryl, Mark
Location: Church
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Legacy of Intimacy — The film concludes by emphasizing how Mark's quest for connection left a lasting emotional impact. Characters: Mark, Cheryl, Susan
Location: Church
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Iron Lung Symbolism — The iron lung stands as a metaphor for physical limitation versus emotional freedom. Characters: Mark
Location: Apartment
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Poem as Emotional Bridge — The recited poem connects past intimacy to present grief, symbolizing enduring love. Characters: Susan, Mark
Location: Church
Though a childhood bout with polio left him dependent on an iron lung, Mark O'Brien maintains a career as a journalist and poet. A writing assignment dealing with sex and the disabled piques Mark's curiosity, and he decides to investigate the possibility of experiencing sex himself. When his overtures toward a caregiver scare her away, he books an appointment with sex surrogate Cheryl Cohen-Greene to lose his virginity.