During his years as a baggage-handler, Paige earned his now-famous nickname "Satchel." Most accounts of the "Satchel" nickname origin say Paige earned it because, often carrying many bags at once, his friends told him he looked like a "satchel tree."
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Paige himself stated that as a child, he used a pole-and-rope contraption to allow him to cart four bags at a time, in his "job" as a toting bags at a train station. Another kid had called him a "walking satchel tree".
Thus, his nickname was born.