Since the publication of this book in 1990, Dr. Alsager graduated from the A.T. Still College of Osteopathic Medicine in Kirksville, MO and subsequently completed postgraduate training in rural medicine, internal medicine, ambulatory medical procedures including medical imaging, pain management (University of Washington, WA) and age management medicine. He has since authored numerous publications in peer reviewed medical journals and lectured to physician groups and osteopathic medical students throughout the US and Canada. Following 20 years in private medical practice (country-doc.com) in western Washington State, Dr. Alsager retired from private practice. Since 2012, he has been working to establish Canada’s first International College of Osteopathic Medicine. His goal is to focus on training osteopathic physicians for service in rural practice in Canada and other medically underserved parts of the world. Dr. Dale, as he is known to his many friends, colleagues and students of medicine, continues to hold out his time at the Gang Ranch, British Columbia as one of the most memorable and challenging jobs of his career. Dr. Dale admits he is still a “caribou cowboy at heart” and carries great admiration for the courage and endurance of western cattlemen including the Shuswap, Chilcotin, and other First Nations peoples in the region. “My most radical fantasy now is the establishment of a ‘Country Doctor Clinic’ at or in the vicinity of the Gang Ranch, British Columbia. Then, hopefully, my work on earth will be complete!”