Dr. Gochenour's self-imposed exile continues as ship doctor of the Coast and Geodetic survey of newly pacified American territory of the Philippine Islands. Three years of hard work, a ship mutiny, much ethnic research on some of the most remote islands in the world, culminate in great dissatifaction. His return to America in the midst of World War, the difficulties of establishing his new medical practice in the upper Shenandoah Valley, and the continuing morphine addiction of his first wife challenge him for another 8 years. Finally after her death, he remarries and starts a family. After much hard work in a dramatically changing rural Virginia, reconciliation with his father, Dr. Gochenour dies prematurely of pneumonia.