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 Featured Title
Upstream Medicine
Doctors for a Healthy Society
Andrew Bresnahan   Mahli Brindamour   Christopher Charles   Ryan Meili  

$29.95 Paperback
Release Date: 4/1/2017
ISBN: 9781895830873    

256 Pages

Distributed for Purich


About the Book

Alleviating suffering and treating patients, whether in a physician’s office or an emergency room, can be a matter of prescribing medication or staunching a bleeding wound. But every clinical story has a social story, and patients who present with acute medical problems or a chronic disease often describe the everyday life conditions that made them sick in the first place. These stories are often about where they work, live, and play, and about their income, food security, and housing.

Doctors are now listening. More than this, they are working with their patients and communities to address the root causes of illness at their sources. Upstream Medicine features interviews by medical students and residents with leading Canadian physicians whose practices bring evidence-based, upstream ideas to life. Their personal stories and patient encounters illuminate the social determinants of health – the conditions that lead to good health and long lives or to more complex, painful, and expensive downstream medical problems later on. By transforming how we imagine the practice of medicine, this book will help us build a healthier society.

This book is from Purich Publishing, an imprint of UBC Press.

About the Author(s)

Andrew Bresnahan is an anthropologist and resident physician in the Northern Family Medicine Program based in Labrador, Canada.

Mahli Brindamour is a general pediatrician working in Saskatoon with a special interest in refugee health and Northern health.

Christopher Charles is a resident physician in anesthesiology in Toronto.

Ryan Meili is a family physician in inner-city Saskatoon, founder of Upstream, and author of A Healthy Society: How a Focus on Health Can Revive Canadian Democracy.

Table of Contents


"To think upstream, we must fold into our own lives as doctors a radical type of imagination. This starts by understanding the patient in front of us, then the economic, political, and social forces that impact their health and then dares to imagine and articulate future laws, systems, and ways of being that express our collective vision for health."
– Dr. Vincent Lam, from the Introduction

Sample Chapter

A sample chapter of this title is not available at this time. For further information, please email

Related Topics


Other Ways To Order

In Canada, order your copy of Upstream Medicine from UTP Distribution at:

UTP Distribution
5201 Dufferin Street
Toronto, Ontario
M3H 5T8

Phone orders: 1(800)565-9523 or (416)667-7791
Fax orders: 1(800)221-9985 or (416)667-7832

Ordering information for customers outside Canada

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