New York City's Greenwich Village and California, as Patchen struggled to make a living as a writer. Despite his constant struggle, his strong relationship with Miriam supported him and would continue to support him through the hardships that plagued him for most of his adult life. The couple moved to a cottage in Old Lyme, Connecticut, in 1947. In 1951, a few years after befriending the West Coast poet Kenneth Rexroth, the Patchens moved to the West Coast, living first in San Francisco and then moving to Palo Alto in 1957. Health problems In 1937, while trying to fix a friend's car, Patchen suffered a permanent spinal injury, which was to give him pain, to varying degrees, for the rest of his life and which required multiple surgical procedures. In a letter to a friend from 1960, Patchen explained, "In 1956 a spinal fusion [operation] (second of two operations) gave me relief and mobility (& for the first time I was able to go about giving readings, and so on." By this point, he and his wife had moved from San Francisco to Palo Alto to be closer to the Palo Alto Clinic, where both were receiving treatment. Then, in 1959, Patchen noted in the letter quoted above that another surgery at the Presbyterian Medical Center of San Francisco ended in disaster. He wrote, "During [a] surgical procedure for my throat, and while under complete anesthesia, I suffered another slipped disc." Though he was heavily sedated during the procedure, Patchen suspected that he had been dropped at some point during the procedure (though he couldn't prove it). Tragically, the mishap left him in considerably more pain and disabled for the rest of his life. In 1963, he sued his surgeon for medical malpractice and lost. Around this time, Jim Morrison paid for the publication of the Mt. Alverno Review, a poetry anthology edited by his friend, Michael C. Ford, to help Patchen with medical expenses. Politics Throughout his life Patchen was a fervent pacifist, as he made clear in much of his work. He was strongly opposed to the involvement of the United States in World War II. In his own words, "I speak for a generation born in one war and doomed to die in another." This controversial view, coupled with his physical immobilization, may have prevented wider recognition or success beyond what some consider a "cult" following. Final