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The remarkable voyager of the dark picaresque is I. B. "Berl" Pickett, M.D., whose die was probably cast the moment his mother considered to name him after Irving Berlin. Other insults piled on apace thereafter: the spasms of Pentecostal Sunday worship; the interpersonal debilitation of pursuing his parents' itinerant rug-shampooing business; the erotic initiation as a result of his aunt. It's hard to assume what would have become of him acquired he not gone to medical school. But there should be signifying to existence beyond professional accreditation, and even though scantly outfitted, Berl Pickett has been over a mission to think it is, despite being priced with negligent homicide in the fatality of his past fan. Will he at last find his spiritual awakening?