Driving on the Rim

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MY NAME IS BERL PICKETT, Dr. Berl Pickett. But I sign checks and documents “I. B. Pickett,” and this requires some explanation. My very forceful mother, a patriot and evangelical Christian, named me after the author of “God Bless America”; so, I am Irving Berlin Pickett and well aware of the absurdity of my name. My father wanted Lefty Frizzell Pickett. That would have been worse. In any case, my very name illustrates the borrowed nature of my life, not easily denied. In fact, I’ve learned to enjoy my circumstances as I have moved among people trapped in their homes, jobs, and families — and their names! My esteemed colleague Alan Hirsch, mountaineer and cardiologist, calls me Irving, with a chuckle. When I first arrived at our clinic from the Indian Health Service, Dr. Hirsch told me that I couldn’t call myself a physician until I had delivered babies to ambivalent parents or taught the old to accept their grotesque new faces. I don’t know about that, but I do abide in the conviction that I’ve come a long way, and lately I’ve wondered how this all happened.

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