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Island Practice: Cobblestone Rash, Underground Tom, and Other Adventures of a Nantucket Doctor [Hardcover]

Pam Belluck
4.4 out of 5 stars  See all reviews (27 customer reviews)

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Book Description

June 5, 2012

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.


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Island Practice: Cobblestone Rash, Underground Tom, and Other Adventures of a Nantucket Doctor + God's Hotel: A Doctor, a Hospital, and a Pilgrimage to the Heart of Medicine
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Editorial Reviews

Review

from the Foreword by Nathaniel Philbrick, author of In the Heart of the Sea and The Last Stand
“Much in this book by Pam Belluck comes as a revelation. Some of it is fascinating; some of it is hilarious; and some of it is sad and very troubling. In Island Practice, Belluck has created a remarkable portrait of a physician and the island community to which he remains steadfastly devoted.”

Dava Sobel, author of Longitude and Galileo’s Daughter
“Pam Belluck has dissected the antics and heroism of a Nantucket doctor who doubles as the resident wizard. This physician not only makes house calls (even to tree-houses), but also invites patients to drop in at his house for treatment. If you suffer from Nantucket Fever—or any other ill while on that island—Dr. Tim Lepore is your man.”

Warren St. John, author of Rammer Jammer Yellow Hammer and Outcasts United
“Through the improbable story of an eccentric and intensely creative Nantucket doctor—the man has operated with flints!—Pam Belluck has crafted an elegant and wildly entertaining depiction of the struggle to maintain humanity and empathy in the face of health care’s ongoing industrialization. A natural storyteller with a reporter’s eye for detail and a stand-up comic’s dry wit, Belluck leaves the reader with an urge to feign illness just to have an excuse to visit her subject. A truly wonderful read.”

Elin Hilderbrand, author of Silver Girl and other novels
“If you want to understand the ‘real’ Nantucket, you must read Island Practice. Dr. Tim Lepore personifies the island’s fierce, quirky, and independent spirit. This is a book about an extraordinary man—a doctor, yes, but also a community hero. His story is as engrossing as the best fiction ... but it’s all true.”

Kirkus Reviews
“[an] absorbing debut…An intriguing biography of a unique—and on Nantucket, irreplaceable—doctor.”

Publishers Weekly
“Page-turning prose…. Inspiring and entertaining, Lepore's story and his beloved island come to life in Belluck's hands.”

Nantucket Inquirer and Mirror
“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, colorful and sometimes X-rated medical emer­gencies and the mundane that make up the life of a country, or is­land, doctor.”
 
David Goodman, Nantucket Inquirer and Mirror
"Island Practice’ is interesting, funny, even sad, and an extremely well-written book.”
 
PEOPLE Magazine
“A fun profile of Nantucket’s gun-toting, marijuana-prescribing, house-call-making local doc.”
 
Boston Globe
“Belluck’s prose is beautiful and lyrical…[T]he Lepore she gives us is a fascinating character.”
 
Huntington News
“If you were as entranced as I was with John Berendt's "Midnight in the Garden of Good and Evil" and Susan Orlean's "The Orchid Thief", you'll find similar pleasures in "Island Practice."

New York Journal of Books
“Outstanding imagery and character description. Readable, interesting, and almost cautionary in its description of what we have lost in today’s world of medicine….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.”

Chicago Tribune
“A careful, eminently readable character study of a fascinating, difficult man whose curiosity and compassion are far too rare in the practice of modern medicine.”

Commercial Dispatch 
“Funny, startling, and sobering by turns”

Library Journal
“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.”

Cape Ann Beacon
New York Times staff writer Belluck saw a story that begged to be told… readers who laugh out loud on a subway …. should be warned ahead of time that it’s hard to stop laughing.”

Columbus Dispatch
“Belluck has given an often funny, always thoughtful account of an American original and Funny, startling, and sobering by turns, Island Practice has a few things to say about the American health care system…”

About the Author

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.

Product Details

  • Hardcover: 288 pages
  • Publisher: PublicAffairs; 1 edition (June 5, 2012)
  • Language: English
  • ISBN-10: 1586487515
  • ISBN-13: 978-1586487515
  • Product Dimensions: 6.1 x 1.1 x 9.2 inches
  • Shipping Weight: 1.1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.4 out of 5 stars  See all reviews (27 customer reviews)
  • Amazon Best Sellers Rank: #371,445 in Books (See Top 100 in Books)

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Customer Reviews

Island Practice is the mesmerizing story of Dr. Tim Lepore, the only surgeon on Nantucket Island. Julie L Flygare  |  9 reviewers made a similar statement
Both entertaining and enlightening!! tink  |  5 reviewers made a similar statement
Most Helpful Customer Reviews
17 of 17 people found the following review helpful
Format:Hardcover|Amazon Verified Purchase
Island Practice is tale of quirkiness and peculiarities as well as nuanced reporting on moral and political issues like abortion, substance abuse, suicide and, especially, medical care as it has been practiced, but perhaps, may not be in the future. Belluck's description of the Nantucket's only surgeon's behavior gives insights about his pragmatic dealings with real people in tough situations as well a showing this unique doctor plying his trade while holding onto his values and persona. The lesson is that medicine is a micro and macro issue and where you sit defines what you see. Dr. Lepore and his special patients need a kind of care that is uniquely available because of his personality and the unusual characteristics of Nantucket. Anyone who is a patient wants a doctor to go above and beyond the crazy quilt of the insurance and hospital and malpractice "rules" to get us the care we need. Island Practice entertains with stories yet leaves you wondering how will that care be provided in the future, not just on Nantucket, but especially in an isolated situation. Loved all the characters - and they couldn't have been more unusual if this was a work of fiction - so kudos to Belluck for finding them, introducing us to them and getting them to share their unusual tales.
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9 of 9 people found the following review helpful
5.0 out of 5 stars Couldn't put it down June 2, 2012
Format:Hardcover
I couldn't put this book down. Granted, I'm a Nantucketer, so it was especially riveting to read about people I know or might know in the future, and to find out more about Dr. Lepore. But even with that added interest, this was a truly interesting and well written book. It never seemed to bog down in too much detail, or be too sketchy. It very accurately captures the atmosphere of Nantucket, positive and negative. I could see this book as the basis for a television series, a cross between House, Northern Exposure, and Doc Martin. We are a small community with plenty of characters, both beholding to and resenting the extremely wealthy who surround us. One thing I like about the book is that it focuses on the lives of the year-round, working class people rather than the rich people. Too often anything about Nantucket seems to think it disappears when the tourists aren't here, a perspective as immature as a child surprised to see a teacher at the grocery store. I especially liked the discussion about the hospital being bought by the mega-corporation... it's a crucial issue in a small town in a world that's getting smaller and more regulated all the time.
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5 of 5 people found the following review helpful
5.0 out of 5 stars A rollicking read June 19, 2012
Format:Hardcover
In the skilled hands of New York Times writer Pam Belluck, this tale of a quirky doctor and the unique island to which he ministers becomes a rollicking good read. Dr. Tim Lepore is a character right out of the Enlightenment with his insatiable curiousity and adventuresome willingness to experiment. But Belluck shows that he cares deeply for his patients and indeed for all the living creatures on Nantucket - ticks aside, that is. The book reveals a Nantucket that may surprise even frequent visitors. In Belluck's telling, the world of the island's permanent residents is more like "Northern Exposure" than Norman Rockwell. But "Island Practice" has a more serious message, too. The independent practitioners of the world are under threat from massive corporations and insurance companies. Yet without Dr. Lepore, Nantucketers would find huge gaps in their medical care. Congratulations to Belluck on bringing him and his world to a wider audience.
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Most Recent Customer Reviews
5.0 out of 5 stars What a treasure!
A patient of Dr. Lepore gave me a heads-up on this book. Entertaining and intriguing, Dr. Tim is always "in. Read more
Published 3 months ago by C. Austin
4.0 out of 5 stars Nantucket nightmares
"Island Practice: Cobblestone Rash, Underground Tom, and Other Adventures of a Nantucket Doctor" should be required reading for anyone considering relocation to an island. Read more
Published 3 months ago by Rae A. Francoeur
5.0 out of 5 stars Mesmerizing story of medical mysteries and quirky patients
Island Practice is the mesmerizing story of Dr. Tim Lepore, the only surgeon on Nantucket Island. Thirty miles off the coast of Massachusetts, Nantucket is best known for its... Read more
Published 4 months ago by Julie L Flygare
5.0 out of 5 stars An Apple a Day!
An awesome, fast paced accounting of the dedication required of an "island" doctor and his family. Never a dull moment. Read more
Published 4 months ago by K. L. Mcnulty
5.0 out of 5 stars Island Practice: Cobblestone Rash, Underground Tom, and Other...
The book is very interesting; I took a chance on an unknown author and am glad I did. It arrived in great condition.
Published 4 months ago by Barbara K. Warren
5.0 out of 5 stars Wonderful book
My in-laws live on Nantucket and this is their doctor! They really wanted to read the book but it was sold out on the island and had a long waiting list at the library. Read more
Published 5 months ago by Boo Atwood
2.0 out of 5 stars Not what I expected.
It was dark and the author seemed to dwell on unhappy and tragic incidents. I got the impression that the doctor was a complete idiot.
Published 5 months ago by Bob Yagnich
5.0 out of 5 stars Couldn't put it down
This book was so compelling I read it in one day on my vacation. I highly recommend it for anyone looking for an interesting medical-related story.
Published 5 months ago by Amy
3.0 out of 5 stars Local doc
Have been to Nantucket many times. Loved familiarity with the island. In the medical profession. Unsure how solo practitioner could work on island
Published 5 months ago by Kathleen A. Martin
4.0 out of 5 stars Made me want to meet the good doctor
This is an entertaining and very readable biography of an off-the-wall Nantucket country doctor who is fiercely and passionately devoted to his profession, but is also a real... Read more
Published 5 months ago by Alice Fielding
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