For 40 years, Dr. James Miles Langstaff (1825-89) practiced general medicine in Richmond Hill, Ontario, and kept meticulous records on every patient. Duffin's (history of medicine, Queen's U.) investigation of this average 19th-century doctor's reaction to the medical innovations (anesthesia, antisepsis, germ theory, and public health) that dramatically transformed his practice, also yields a detailed picture of sickness and injury, addiction and mental illness, birth and death in a small farming community. Paper edition (unseen), $17.95. Annotation copyright Book News, Inc. Portland, Or.