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Re: [PUP] Stabilization

PS
Peter Sheppard
Fri, Sep 10, 2010 5:43 AM

Talking about the gyro principle as an alternative, Alan Wagner how is your
water transfer system going?
Peter
-----Original Message-----
From: passagemaking-under-power-bounces@lists.samurai.com
[mailto:passagemaking-under-power-bounces@lists.samurai.com] On Behalf Of
passagemaking-under-power-request@lists.samurai.com
Sent: Friday, 10 September 2010 2:00 PM
To: passagemaking-under-power@lists.samurai.com
Subject: Passagemaking-Under-Power Digest, Vol 70, Issue 9

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Today's Topics:

  1. Passage making Challenges (Bob Austin)
  2. Passage Making Challenges (Rick MacClure)
  3. Re: MV Kekada (Georgs Kolesnikovs)
  4. The original "Passagemaker" is alive and well
    (Peter Quentrall-Thomas)
  5. Passage making Challenges (Don Richards)
  6. Re: Passage Making Challenges (ROBERT ZANUSSI)
  7. The original "Passagemaker" is alive and well (Alan)

Message: 1
Date: Wed, 8 Sep 2010 23:42:50 -0500
From: "Bob Austin" thataway4@cox.net
To: passagemaking-under-power@lists.samurai.com
Subject: [PUP] Passage making Challenges
Message-ID: EAE478FAB2E945BFBA27C013FC22DE43@bobPC
Content-Type: text/plain; charset="us-ascii"

Specifically medical issues:
Disclosure, I am a retired MD, Internist, Nephrologist, Athletic Medicine
physician.  I also spent about 10 years in my training working in some of the
busiest trauma emergency rooms in the United States.  I have put together
several hundred medical kits for long distance cruisers and ocean racers, and
have given advice via E-mail, WinLink, and Ham SSB/Marine SSB radio to many
mariners, missionaries etc through the last 50 years for specific medical
emergencies at sea.

I would not pretend to practice medicine on the internet--and those who are
not fully qualified should not either!  For example--Oxygen can be very
useful
in certain circumstances, but generally I would not put it aboard a passage
making small boat, unless there were specific medical conditions which might
call for it.  I would never put Nitrous Oxide aboard such a boat.

Some on this forum, and many on T & T list have heard my lectures on Medicine
at sea.  First I would recommend that EVERY crew member be currently
certified
in CPR, and have at least an advanced first aid certificate--better yet, EMT
training. Another good training course is through the Wilderness Medical
Society.  Although an automatic external defibrillator can be of use in very
specific situations--they are best placed in public places or with public
safety officers, where large numbers of people have access.  If there is a
history of cardiac disease, or risk factors, then aboard the boat might be a
suitable place--but again--then everyone aboard that boat needs to be
certified to use the AED. After defibrillation, there is the long term care
of
the heart attack victim. In most cities that would be in a cardiac intensive
care unit supervised by cardiologists.    Would I carry an AED?--yes, would I
carry oxygen?--yes, but I have cardiac disease, and carry these items in both
my boat and RV, because of that; however, crew mate and wife is an RN who has
been advanced life support trained and is very experienced in emergency care.

As for each crew member, I suggest that he or she have a comprehensive
physical exam before leaving on the voyage, and if indicated cardiac stress
tests, lab tests, and X rays. The skipper is responsible for the crew's well
being!  (For example one person I know of, took a diabetic as a crew member.
That person went into diabetic coma about 5 days out of Los Angeles and died
before Coast Guard assistance arrived)    Vaccinations need to be up to date,
and prophylactic medication be aboard for the areas you will be going into.
(For example Malaria in parts of the world--and there are resistant
varieties,
so the drugs need to be tailored.  I also suggest that the skipper establish
a
relationship with a physician who has the training to handle emergencies and
can be reached via satellite radio, E-mail or other communication, such as
SSB.  That same physician should put together the first aid kit.  Mention was
made of a problem with Narcotics.  I have personally sailed to over 50
countries--with narcotics aboard--in the ships medicine chest.  This is under
lock and key, with accounting by the master of the vessel.  This is allowed
under international law--and any ship making international voyages has the
right to carry full medications which may be necessary for the health and
welfare of the crew. (This is much different than illegal drugs!)  Be sure
and
carry a copy of the original prescription signed by the physician and
identified as for the ship's medicine chest. (see
http://www.fas.org/irp/doddir/milmed/ships.pdf  The ships medical chest and
first aid at sea) WHO publishes the "The International Medical Guide for
ships" (another must have)--which gives instructions for care and dispensing
of narcotics and controlled substances.  There are other primary medical and
first aid books which should be carried, including a PDR or other pill
identification and side effect book, a good first aid book and diagnostic
manual, such as the Merc Manual.  If the ship has adequate medication, and a
line of communication, 99% of emergencies which arise at sea will be
successfully handled.  There is less than 1% which will not be--and even with
a physician aboard--the patient might perish.  Also be aware of AMVER, where
a
ship can be diverted to render assistance in the case of emergency.

Not only are narcotics, but many sedatives, and some common medications are
controlled substances, and the same rules of lock and key, under the care of
the master/owner of the vessel, and accounting for their use and presence
must
be followed.  A ships medicine kit needs to be made up with the specific
knowledge of the crew members' medical needs, allergies and past history.

I also have been leery of "convoy or floatella" type of voyages, even though
I
organized several going down the Coast of Baja in the late 1960's.  The
problem is that boats travel at different speeds, and it is often hard for
them to stay together. I have also seen the floatella, abandon a vessel which
was in distress. You need to be totally independent, even with other vessels
near by.  Foul weather may keep that person with the skill set you might need
from reaching your boat.  Or the critical person, might himself be a victim
of an accident or medical problem.

It is late--and I'll comment on the psychology of crew tomorrow.

Bob Austin MD


Message: 2
Date: Thu, 09 Sep 2010 16:16:24 +1000
From: Rick MacClure r-mack@bigpond.com
To: passagemaking-under-power@lists.samurai.com
Subject: [PUP] Passage Making Challenges
Message-ID: C8AEB8D8.BA3%r-mack@bigpond.com
Content-Type: text/plain; charset="US-ASCII"

Don you said " I would not pretend to practice medicine on the internet--and
those who are not fully qualified should not either!  For example--Oxygen
can be very useful in certain circumstances, but generally I would not put
it aboard a passage making small boat, unless there were specific medical
conditions which might call for it".
I thank you for your knowledge in these matters, just to let you and
everyone else know, I was not "practicing medicine on the internet" when I
suggested Peter carry oxygen on his boat, the advice I gave was in a
personal email to a friend, and was in relation to using oxygen for
treatments related to scuba diving. Disclosure, I am a Commercial Dive
Supervisor and have over 35 years experience in this field. As I will be
travelling on this boat and will be diving from it, I as a diving
professional would like to have a supply of oxygen on board, if that's not
going to upset to many people.
Rick


Message: 3
Date: Thu, 9 Sep 2010 02:32:10 +0000
From: Georgs Kolesnikovs gxk@earthlink.net
To: passagemaking-under-power@lists.samurai.com
Subject: Re: [PUP] MV Kekada
Message-ID: EBC41943-E291-43D9-9443-4D8E068CCDA9@earthlink.net
Content-Type: text/plain; charset="us-ascii"

Thanks very much, Don, for directing us to your fascinating site.
You're in good hands with Bill and Stella at Seahorse Marine.

We look forward to learning more about how you're equipping Kekada as
the build continues toward launch next year. Once you're in the water
and cruising, I know many here will be curious how your choice of the
gyro for stabilization works out.

Thanks, again, for sharing your experiences.

--Georgs

http://www.kekada.com/OurBoats/mvKekada.htm

SH54#33 (under construction)


Message: 4
Date: Thu, 9 Sep 2010 06:50:10 -0700
From: "Peter Quentrall-Thomas" quentrall@gmail.com
To: passagemaking-under-power@lists.samurai.com
Cc: gxk@earthlink.net
Subject: [PUP] The original "Passagemaker" is alive and well
Message-ID: 026d01cb5025$fa452a80$eecf7f80$@com
Content-Type: text/plain; charset="us-ascii"

Just a quick note to let everyone know that the original, 30 ton, teak
hulled, motor yacht "Passagemaker" as designed and built by Robert Beebe in
1963 is alive and well and currently on a one year circumnavigation of the
Caribbean.

I had the good fortune to purchase her from Charlie Baker in 1998 and after
a year of hard work she is proving a very dependable live aboard.

Drop me an e-mail at quentrall@gmail.com if you would like more news of her
or if you can help me fill in some of her history such as voyages she made,
previous owners etc.

Have a great day............  Peter Quentrall-Thomas


Message: 5
Date: Thu, 9 Sep 2010 22:31:00 +0930
From: Don Richards don_richards@hotmail.com
To: passagemaking-under-power@lists.samurai.com
Subject: [PUP] Passage making Challenges
Message-ID: BAY156-w60E734B31D63457A268850E1730@phx.gbl
Content-Type: text/plain; charset="us-ascii"

Don you said " I would not ......

Rick, just to clarify, those comments were made by Bob Austin. People have
different opinions. I personally thought given your training your suggestion
was quite reasonable and it was clear that your comments were made in a
personal email to Peter.

Don


Message: 6
Date: Thu, 09 Sep 2010 08:07:38 -0600
From: ROBERT ZANUSSI rzanussi@shaw.ca
To: passagemaking-under-power@lists.samurai.com
Subject: Re: [PUP] Passage Making Challenges
Message-ID: d027c44166af6.4c8895ca@shaw.ca
Content-Type: text/plain; charset="us-ascii"

There is no hoodoo magic to delivering oxygen using a constant flow bottle in
conjunction with an oral/nasal mask. As an instructor in the advanced delivery
of O2 (and I probably am correct in saying Rick is also trained to teach this)
it is something that can be learned faster than CPR. Furthermore used in
conjunction with CPR might just save someone's life. Maybe not if you are in
the middle of the Atlantic but if you are close enough to land that a SAR
aircraft can reach your vessel it just might.

And administring O2 is not practicing medicine any more than using an AED is.

Rob Z

Don you said " I would not pretend to practice medicine on the
internet--and
those who are not fully qualified should not either!  For
example--Oxygen
can be very useful in certain circumstances, but generally I
would not put
it aboard a passage making small boat, unless there were
specific medical
conditions which might call for it".
I thank you for your knowledge in these matters, just to let you and
everyone else know, I was not "practicing medicine on the
internet" when I
suggested Peter carry oxygen on his boat, the advice I gave was
in a
personal email to a friend, and was in relation to using oxygen for
treatments related to scuba diving. Disclosure, I am a
Commercial Dive
Supervisor and have over 35 years experience in this field. As I
will be
travelling on this boat and will be diving from it, I as a diving
professional would like to have a supply of oxygen on board, if
that's not
going to upset to many people.
Rick


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To unsubscribe send email to
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Passagemaking Under Power and PUP are trademarks of Water World
Productions.

Rob

Hickory, dickory dock, three mice ran up a clock
The clock struck one.....
the other 2 escaped with minor injuries


Message: 7
Date: Thu, 09 Sep 2010 11:44:04 -0400
From: "Alan" wagner.florida@verizon.net
To: passagemaking-under-power@lists.samurai.com
Subject: [PUP] The original "Passagemaker" is alive and well
Message-ID: <01f101cb5035$d527df80$7f779e80$@florida@verizon.net>
Content-Type: text/plain; charset="us-ascii"

From: Peter Quentrall-Thomas [mailto:quentrall@gmail.com]
Sent: Thursday, September 09, 2010 9:50 AM
To: passagemaking-under-power@lists.samurai.com
Subject: The original "Passagemaker" is alive and well

Just a quick note to let everyone know that the original, 30 ton, teak
hulled, motor yacht "Passagemaker" as designed and built by Robert Beebe in
1963 is alive and well and currently on a one year circumnavigation of the
Caribbean.

I had the good fortune to purchase her from Charlie Baker in 1998 and after
a year of hard work she is proving a very dependable live aboard.

Drop me an e-mail at quentrall@gmail.com if you would like more news of her
or if you can help me fill in some of her history such as voyages she made,
previous owners etc.

Have a great day............  Peter Quentrall-Thomas



Passagemaking-Under-Power Mailing List

End of Passagemaking-Under-Power Digest, Vol 70, Issue 9


Talking about the gyro principle as an alternative, Alan Wagner how is your water transfer system going? Peter -----Original Message----- From: passagemaking-under-power-bounces@lists.samurai.com [mailto:passagemaking-under-power-bounces@lists.samurai.com] On Behalf Of passagemaking-under-power-request@lists.samurai.com Sent: Friday, 10 September 2010 2:00 PM To: passagemaking-under-power@lists.samurai.com Subject: Passagemaking-Under-Power Digest, Vol 70, Issue 9 Send Passagemaking-Under-Power mailing list submissions to passagemaking-under-power@lists.samurai.com To subscribe or unsubscribe via the World Wide Web, visit http://lists.samurai.com/mailman/listinfo/passagemaking-under-power or, via email, send a message with subject or body 'help' to passagemaking-under-power-request@lists.samurai.com You can reach the person managing the list at passagemaking-under-power-owner@lists.samurai.com When replying, please edit your Subject line so it is more specific than "Re: Contents of Passagemaking-Under-Power digest..." Today's Topics: 1. Passage making Challenges (Bob Austin) 2. Passage Making Challenges (Rick MacClure) 3. Re: MV Kekada (Georgs Kolesnikovs) 4. The original "Passagemaker" is alive and well (Peter Quentrall-Thomas) 5. Passage making Challenges (Don Richards) 6. Re: Passage Making Challenges (ROBERT ZANUSSI) 7. The original "Passagemaker" is alive and well (Alan) ---------------------------------------------------------------------- Message: 1 Date: Wed, 8 Sep 2010 23:42:50 -0500 From: "Bob Austin" <thataway4@cox.net> To: <passagemaking-under-power@lists.samurai.com> Subject: [PUP] Passage making Challenges Message-ID: <EAE478FAB2E945BFBA27C013FC22DE43@bobPC> Content-Type: text/plain; charset="us-ascii" Specifically medical issues: Disclosure, I am a retired MD, Internist, Nephrologist, Athletic Medicine physician. I also spent about 10 years in my training working in some of the busiest trauma emergency rooms in the United States. I have put together several hundred medical kits for long distance cruisers and ocean racers, and have given advice via E-mail, WinLink, and Ham SSB/Marine SSB radio to many mariners, missionaries etc through the last 50 years for specific medical emergencies at sea. I would not pretend to practice medicine on the internet--and those who are not fully qualified should not either! For example--Oxygen can be very useful in certain circumstances, but generally I would not put it aboard a passage making small boat, unless there were specific medical conditions which might call for it. I would never put Nitrous Oxide aboard such a boat. Some on this forum, and many on T & T list have heard my lectures on Medicine at sea. First I would recommend that EVERY crew member be currently certified in CPR, and have at least an advanced first aid certificate--better yet, EMT training. Another good training course is through the Wilderness Medical Society. Although an automatic external defibrillator can be of use in very specific situations--they are best placed in public places or with public safety officers, where large numbers of people have access. If there is a history of cardiac disease, or risk factors, then aboard the boat might be a suitable place--but again--then everyone aboard that boat needs to be certified to use the AED. After defibrillation, there is the long term care of the heart attack victim. In most cities that would be in a cardiac intensive care unit supervised by cardiologists. Would I carry an AED?--yes, would I carry oxygen?--yes, but I have cardiac disease, and carry these items in both my boat and RV, because of that; however, crew mate and wife is an RN who has been advanced life support trained and is very experienced in emergency care. As for each crew member, I suggest that he or she have a comprehensive physical exam before leaving on the voyage, and if indicated cardiac stress tests, lab tests, and X rays. The skipper is responsible for the crew's well being! (For example one person I know of, took a diabetic as a crew member. That person went into diabetic coma about 5 days out of Los Angeles and died before Coast Guard assistance arrived) Vaccinations need to be up to date, and prophylactic medication be aboard for the areas you will be going into. (For example Malaria in parts of the world--and there are resistant varieties, so the drugs need to be tailored. I also suggest that the skipper establish a relationship with a physician who has the training to handle emergencies and can be reached via satellite radio, E-mail or other communication, such as SSB. That same physician should put together the first aid kit. Mention was made of a problem with Narcotics. I have personally sailed to over 50 countries--with narcotics aboard--in the ships medicine chest. This is under lock and key, with accounting by the master of the vessel. This is allowed under international law--and any ship making international voyages has the right to carry full medications which may be necessary for the health and welfare of the crew. (This is much different than illegal drugs!) Be sure and carry a copy of the original prescription signed by the physician and identified as for the ship's medicine chest. (see http://www.fas.org/irp/doddir/milmed/ships.pdf The ships medical chest and first aid at sea) WHO publishes the "The International Medical Guide for ships" (another must have)--which gives instructions for care and dispensing of narcotics and controlled substances. There are other primary medical and first aid books which should be carried, including a PDR or other pill identification and side effect book, a good first aid book and diagnostic manual, such as the Merc Manual. If the ship has adequate medication, and a line of communication, 99% of emergencies which arise at sea will be successfully handled. There is less than 1% which will not be--and even with a physician aboard--the patient might perish. Also be aware of AMVER, where a ship can be diverted to render assistance in the case of emergency. Not only are narcotics, but many sedatives, and some common medications are controlled substances, and the same rules of lock and key, under the care of the master/owner of the vessel, and accounting for their use and presence must be followed. A ships medicine kit needs to be made up with the specific knowledge of the crew members' medical needs, allergies and past history. I also have been leery of "convoy or floatella" type of voyages, even though I organized several going down the Coast of Baja in the late 1960's. The problem is that boats travel at different speeds, and it is often hard for them to stay together. I have also seen the floatella, abandon a vessel which was in distress. You need to be totally independent, even with other vessels near by. Foul weather may keep that person with the skill set you might need from reaching your boat. Or the critical person, might himself be a victim of an accident or medical problem. It is late--and I'll comment on the psychology of crew tomorrow. Bob Austin MD ------------------------------ Message: 2 Date: Thu, 09 Sep 2010 16:16:24 +1000 From: Rick MacClure <r-mack@bigpond.com> To: <passagemaking-under-power@lists.samurai.com> Subject: [PUP] Passage Making Challenges Message-ID: <C8AEB8D8.BA3%r-mack@bigpond.com> Content-Type: text/plain; charset="US-ASCII" Don you said " I would not pretend to practice medicine on the internet--and those who are not fully qualified should not either! For example--Oxygen can be very useful in certain circumstances, but generally I would not put it aboard a passage making small boat, unless there were specific medical conditions which might call for it". I thank you for your knowledge in these matters, just to let you and everyone else know, I was not "practicing medicine on the internet" when I suggested Peter carry oxygen on his boat, the advice I gave was in a personal email to a friend, and was in relation to using oxygen for treatments related to scuba diving. Disclosure, I am a Commercial Dive Supervisor and have over 35 years experience in this field. As I will be travelling on this boat and will be diving from it, I as a diving professional would like to have a supply of oxygen on board, if that's not going to upset to many people. Rick ------------------------------ Message: 3 Date: Thu, 9 Sep 2010 02:32:10 +0000 From: Georgs Kolesnikovs <gxk@earthlink.net> To: passagemaking-under-power@lists.samurai.com Subject: Re: [PUP] MV Kekada Message-ID: <EBC41943-E291-43D9-9443-4D8E068CCDA9@earthlink.net> Content-Type: text/plain; charset="us-ascii" Thanks very much, Don, for directing us to your fascinating site. You're in good hands with Bill and Stella at Seahorse Marine. We look forward to learning more about how you're equipping Kekada as the build continues toward launch next year. Once you're in the water and cruising, I know many here will be curious how your choice of the gyro for stabilization works out. Thanks, again, for sharing your experiences. --Georgs http://www.kekada.com/OurBoats/mvKekada.htm > > > SH54#33 (under construction) ------------------------------ Message: 4 Date: Thu, 9 Sep 2010 06:50:10 -0700 From: "Peter Quentrall-Thomas" <quentrall@gmail.com> To: <passagemaking-under-power@lists.samurai.com> Cc: gxk@earthlink.net Subject: [PUP] The original "Passagemaker" is alive and well Message-ID: <026d01cb5025$fa452a80$eecf7f80$@com> Content-Type: text/plain; charset="us-ascii" Just a quick note to let everyone know that the original, 30 ton, teak hulled, motor yacht "Passagemaker" as designed and built by Robert Beebe in 1963 is alive and well and currently on a one year circumnavigation of the Caribbean. I had the good fortune to purchase her from Charlie Baker in 1998 and after a year of hard work she is proving a very dependable live aboard. Drop me an e-mail at quentrall@gmail.com if you would like more news of her or if you can help me fill in some of her history such as voyages she made, previous owners etc. Have a great day............ Peter Quentrall-Thomas ------------------------------ Message: 5 Date: Thu, 9 Sep 2010 22:31:00 +0930 From: Don Richards <don_richards@hotmail.com> To: <passagemaking-under-power@lists.samurai.com> Subject: [PUP] Passage making Challenges Message-ID: <BAY156-w60E734B31D63457A268850E1730@phx.gbl> Content-Type: text/plain; charset="us-ascii" >> Don you said " I would not ...... Rick, just to clarify, those comments were made by Bob Austin. People have different opinions. I personally thought given your training your suggestion was quite reasonable and it was clear that your comments were made in a personal email to Peter. Don ------------------------------ Message: 6 Date: Thu, 09 Sep 2010 08:07:38 -0600 From: ROBERT ZANUSSI <rzanussi@shaw.ca> To: passagemaking-under-power@lists.samurai.com Subject: Re: [PUP] Passage Making Challenges Message-ID: <d027c44166af6.4c8895ca@shaw.ca> Content-Type: text/plain; charset="us-ascii" There is no hoodoo magic to delivering oxygen using a constant flow bottle in conjunction with an oral/nasal mask. As an instructor in the advanced delivery of O2 (and I probably am correct in saying Rick is also trained to teach this) it is something that can be learned faster than CPR. Furthermore used in conjunction with CPR might just save someone's life. Maybe not if you are in the middle of the Atlantic but if you are close enough to land that a SAR aircraft can reach your vessel it just might. And administring O2 is not practicing medicine any more than using an AED is. Rob Z > Don you said " I would not pretend to practice medicine on the > internet--and > those who are not fully qualified should not either! For > example--Oxygen > can be very useful in certain circumstances, but generally I > would not put > it aboard a passage making small boat, unless there were > specific medical > conditions which might call for it". > I thank you for your knowledge in these matters, just to let you and > everyone else know, I was not "practicing medicine on the > internet" when I > suggested Peter carry oxygen on his boat, the advice I gave was > in a > personal email to a friend, and was in relation to using oxygen for > treatments related to scuba diving. Disclosure, I am a > Commercial Dive > Supervisor and have over 35 years experience in this field. As I > will be > travelling on this boat and will be diving from it, I as a diving > professional would like to have a supply of oxygen on board, if > that's not > going to upset to many people. > Rick > _______________________________________________ > http://lists.samurai.com/mailman/listinfo/passagemaking-under-power > > To unsubscribe send email to > passagemaking-under-power-request@lists.samurai.com with the word > UNSUBSCRIBE and nothing else in the subject or body of the message. > > Passagemaking Under Power and PUP are trademarks of Water World > Productions. > Rob Hickory, dickory dock, three mice ran up a clock The clock struck one..... the other 2 escaped with minor injuries ------------------------------ Message: 7 Date: Thu, 09 Sep 2010 11:44:04 -0400 From: "Alan" <wagner.florida@verizon.net> To: <passagemaking-under-power@lists.samurai.com> Subject: [PUP] The original "Passagemaker" is alive and well Message-ID: <01f101cb5035$d527df80$7f779e80$@florida@verizon.net> Content-Type: text/plain; charset="us-ascii" From: Peter Quentrall-Thomas [mailto:quentrall@gmail.com] Sent: Thursday, September 09, 2010 9:50 AM To: passagemaking-under-power@lists.samurai.com Subject: The original "Passagemaker" is alive and well Just a quick note to let everyone know that the original, 30 ton, teak hulled, motor yacht "Passagemaker" as designed and built by Robert Beebe in 1963 is alive and well and currently on a one year circumnavigation of the Caribbean. I had the good fortune to purchase her from Charlie Baker in 1998 and after a year of hard work she is proving a very dependable live aboard. Drop me an e-mail at quentrall@gmail.com if you would like more news of her or if you can help me fill in some of her history such as voyages she made, previous owners etc. Have a great day............ Peter Quentrall-Thomas ------------------------------ _______________________________________________ Passagemaking-Under-Power Mailing List End of Passagemaking-Under-Power Digest, Vol 70, Issue 9 ********************************************************