Island Practice: Cobblestone Rash, Underground Tom, and Other Adventures of a Nantucket Doctor Spiral-Bound | June 25, 2013

Pam Belluck

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A spirited true story of a colorful, contrarian doctor on Nantucket, a world-famous yet strikingly offbeat corner of America. Dr. Timothy Lepore often holds the life of the island in his hands.


With a Foreword by Nathaniel Philbrick, author of the bestseller In the Heart of the Sea

If you need an appendectomy, he can do it with a stone scalpel he carved himself. If you have a condition nobody can diagnose -- "creeping eruption" perhaps -- he can identify what it is, and treat it. A baby with toe-tourniquet syndrome, a human leg that's washed ashore, a horse with Lyme disease, a narcoleptic falling face-first in the street, a hermit living underground -- hardly anything is off-limits for Dr. Timothy J. Lepore.

This is the spirited, true story of a colorful, contrarian doctor on the world-famous island of Nantucket. Thirty miles out to sea, in a strikingly offbeat place known for wealthy summer people but also home to independent-minded, idiosyncratic year-rounders, Lepore holds the life of the island, often quite literally, in his hands. He's surgeon, medical examiner, football team doctor, tick expert, unofficial psychologist, accidental homicide detective, occasional veterinarian. When crisis strikes, he's deeply involved.

He's treated Jimmy Buffett, Chris Matthews, and various Kennedy relatives, but he makes house calls for anyone and lets people pay him nothing -- or anything: oatmeal raisin cookies, a weather-beaten .44 Magnum, a picture of a Nepalese shaman.

Lepore can be controversial and contradictory, espousing conservative views while performing abortions and giving patients marijuana cookies. He has unusual hobbies: he's a gun fanatic, roadkill collector, and concocter of pastimes like knitting dog-hair sweaters.

Ultimately, Island Practice is about a doctor utterly essential to a community at a time when medicine is increasingly money-driven and impersonal. Can he remain a maverick even as a healthcare chain subsumes his hospital? Every community has -- or, some would say, needs -- a Doctor Lepore, and his island's drive to retain individuality in a cookie-cutter world is echoed across the country.
Publisher: Hachette Book Group
Original Binding: Paperback
Pages: 304 pages
ISBN-10: 1610392450
Item Weight: 0.7 lbs
Dimensions: 5.5 x 1.21 x 8.3 inches
“A vibrant, throbbing, and sometimes painful book about life on an island and all the messiness that goes along with helping people through hard times if you're the local doctor. . . . Island Practice is chock full of colorful anecdotes of island life, humor, empathy, color ful and sometimes X-rated medical emergencies, and the mundane that make up the life of a country, or island, doctor.”—Nantucket Inquirer and Mirror

“Funny, startling, and sobering by turns.”—Columbus Dispatch

“This is a riveting portrait of a dynamic, headstrong physician. Medical nonfiction fans will find much to enjoy. Lepore may remind readers of Dr. Paul Farmer from Tracy Kidder's Mountains Beyond Mountains.”—Library Journal

“Thank goodness for writers like Pam Belluck who, in Island Practice, presents Dr. Tim Lepore, a cross between Marcus Welby and Hawkeye Pierce of M*A*S*H fame. . . . Island Practice is a work of evocative imagery and human description. It is readable, captivating, and almost cautionary in its description of what we have lost in today's world of medicine. Author Pam Belluck has integrated medical, personal, and family issues into a fascinating portrait of a remarkable man.”—New York Journal of Books

Pam Belluck has been a staff writer for the New York Times for more than fifteen years, during which she has written about everything from cattle rustling to embryo adoption, reported from places as diverse as Medellin, Colombia, and Seongham, South Korea. She served for more than a decade as national bureau chief, covering some of the biggest stories for the paper. She is currently a health and medical writer for the Times. She has won several awards, a Knight Fellowship, and a Fulbright Scholarship.