The trials and tribulations of a Canadian business titan during a fascinating period in 19th-century Quebec.A Mind at Sea is an intimate window into a vanished time when Canada was among the world’s great maritime countries. Between 1856 and 1877, Henry Fry was the Lloyd’s agent for the St. Lawrence River, east of Montreal. The harbour coves below his home in Quebec were crammed with immense rafts of cut wood, the river’s shoreline sprawled with yards where giant square-ri...

General Practice is undergoing the most major series of changes since the introduction of the National Health Service in 1948. They concern both concepts of care and practical details of the way care is delivered. In spite of the hostility generated by the changes most of the broad general concepts have been accepted. The principle of patients having more choice is widely sup ported, the inclusion of preventive medicine and antici patory care in the responsibilities of practice has few opp...

This is the definitive history of the sport that has exhilarated and infatuated about 30 million Americans and Canadians over the course of the last fifty years. Consummate insider John Fry chronicles the rise of a ski culture and every aspect of the sport’s development, including the emergence of the mega-resort and advances in equipment, technique, instruction, and competition. The Story of Modern Skiing is laced with revelations from the author’s personal relationships with skiing great...

In the fall of 1913, Laura and Earle Smith, a young Iowa couple, made the gutsy—some might say foolhardy—decision to homestead in Wyoming. There, they built their first house, a claim shanty half dug out of the ground, hauled every drop of their water from a spring over a half-mile away, and fought off rattlesnakes and boredom on a daily basis.Soon, other families moved to nearby homesteads, and the Smiths built a house closer to those neighbors. The growing community built its fir...

In the sixth edition of this work John Fry has reverted to the format of the earlier editions published in 1965, 1970 and 1973 and has presented statistical data drawn widely from many sources. General practice in the United Kingdom and elsewhere throughout the world has undergone many changes in the past decade. This new edition brings the available statistical informa tion up to date and indicates the way ahead. General practice, the College and the National Health Service have been clos...

Medicine is news. There is constant public interest in health and disease; in medical miracles and in breakthroughs; in medical disasters, failures and malpraxis ; in deficiencies and defects ofhealth services; and in the rising costs ofhealth care. Medicine is 'big business'. Physicians co me out near the top money earners in most medical care systems. In the Uni ted Kingdom the National Health Service (NHS) now costs over [6000 million a year ($ ro 800 million), a free service that costs...

The quality of health care in the US depends on the patient's ability to pay and his or her insurance cover, at an annual cost of $3600 per head of population. In the UK, the quality of care costs less at an annual cost of $1000 per head of population, although care is sometimes delayed through a lack of resources. This book compares the two systems from the viewpoint of primary care, identifying some models of excellence from which both can benefit. It draws on the experience of the NHS r...

Administering the National Health Service (NHS) is asking to navigate without reliable and sufficient information. It is amazing how a national service costing more than £15,OOOM (1984) and employing more than 1 million has existed since 1948. It is likely that with better appropriate data there could be economies and great efficiency and effectiveness. Paradoxically there is much data on the NHS, published and unpublished, that has remained unexploited and unused. In this book we have tak...

The New Contract which came into force on April 1st 1990 includes proposals for the provision of minor surgery services by the General Practitioner. The aim of this book is to assist those doctors undertaking minor surgery in their Practices. It is intended to present a practical, clear and concise text. This is accompanied by easy to follow illustrations. The contents of the book are governed by two considerations. Firstly, it covers only those procedures which are safe for the patient. S...

One of the few real and lasting benefits of international medical meetings is the opportunity to meet, talk, gossip and get to know colleagues from other countries. So it was that we met, talked and planned at WONCA (World Organization of National Colleges and Academies and Academic Associa tions of General Practitioners/Family Physicians) meetings at Montreux and New Orleans. We realized that although we worked in different places and in different practices 'primary health care' was essen...

The Membership examination of the Royal College of General Practitioners has evolved and matured as a seal and a test on completion of vocational training. More than 1000 candidates are taking the examination each year and an increasing majority are trainees who have completed their three year training period. The whole concept and philosophy of the MRCGP has been questioned by critical cynics who refuse to accept general practice as a field of medical practice worthy of recognition as a s...