If you need an appendectomy, he can do it with an arrowhead. If you have a condition nobody can diagnose, he can identify and treat it. Hardly anything is off-limits for Dr. Timothy J. Lepore. Hes surgeon, medical examiner, sports doctor, unofficial psychologist, accidental homicide detective, and occasional veterinarian for Nantucket. He has treated various VIPs but makes house calls for anyone and lets people pay him nothingor anything, like oatmeal-raisin cookies or a weather-beaten .44 Magnum. Ultimately,Island Practiceis about a doctor essential to a community at a time when medicine is increasingly money-driven and impersonal.