EXHIBIT 10.1

                        AMENDMENT TO CONSULTING AGREEMENT

     THIS AMENDMENT is made as of the 1st day of May, 1995 between NATIONAL
MEDICAL CARE, INC., a Delaware corporation with offices located at 1601 Trapelo
Road, Waltham, Massachusetts 02154 ("NMC"), VIRGINIA A. KAMSKY, with offices
located at 2 Park Avenue, Massapequa, New York 11030, and SOUTHEAST ASIA
MARKETS, INC., a New York corporation with offices located at 2 Park Avenue,
Massapequa, New York 11030 and Beijing, China.

     WHEREAS, NMC and Virginia A. Kamsky entered into a Consulting Agreement
dated as of December 1993 relating to certain consulting services to be provided
to NMC and its affiliates to assist NMC in establishing business relationships
in Southeast Asia (the "Agreement"); and

     WHEREAS, NMC and Virginia A. Kamsky are desirous that Southeast Asia
Markets, Inc. be substituted for Virginia A. Kamsky as a party to the Agreement
and that all references to the word "Consultant" in the Agreement shall be
Southeast Asia Markets, Inc.

     NOW THEREFORE, NMC, Virginia A. Kamsky, and Southeast Asia Markets, Inc.
hereby agree to amend the Agreement as follows:

     1.   Effective May 1, 1995, Southeast Asia Markets, Inc. shall be
substituted for Virginia A. Kamsky as a party to the Agreement and all
references in the Agreement to the "Consultant" shall mean Southeast Asia
Markets, Inc.

     2.   In providing services under the Agreement, Southeast Asia Markets,
Inc. will make available the services of Virginia A. Kamsky, as required to
carry out the services set forth in the Agreement.

     Except as amended hereby, the Agreement shall remain in full force and
     effect.

                                        NATIONAL MEDICAL CARE, INC.



                                        By:
                                           --------------------------------


                                        -----------------------------------
                                        Virginia A. Kamsky


                                        SOUTHEAST ASIA MARKETS, INC.



                                        By:
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