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This podcast episode explores the story of Dr. Tim LePore, the only full-time doctor on the island of Nantucket. The episode highlights his unique character and the challenges he faces in an island community with different healthcare needs from the wealthy visitors. Dr. LePore's unorthodox methods and refusal to follow the rules make him a problematic figure from a corporate culture standpoint, but his exceptional talent and dedication to the island's residents make him irreplaceable. The episode delves into the dynamics between Dr. LePore and the hospital board, as well as his strained relationship with his son. It also introduces Lily Chen, an assessor brought in by the board to evaluate Dr. LePore's fitness to practice. Through comedic and heartfelt moments, the episode explores themes of community, dedication, and the unique challenges faced by a doctor in a small island setting.