forward face newsletter 1995 spring vol 5 no 1

8/9/2019 Forward Face Newsletter 1995 Spring Vol 5 No 1

1/8

Spring 995 Volume 5• Issue Number

Who I m nd Who I m Becoming

By: JOHANNA WARD

A

Leforte 1 is a max

illary advancement

which corrected the

ahgnment of my upper jaw.

My upper jaw was de

pressed about twelve milli

meters and, as a result, I

had an underbite. This was

the part of my face which I

hated because, to me, it was

the ugly part. But as time

slipped away and the opera

tion approached I became

more

and

more scared.

t

was not simply pre-surgery

jitters; it was a powerful

and irrational fear

that ex-

tended into other

areas

of

my

life not related to the

op-

eration.

t had

only

been

less

than twenty-four hours

since I had undergone a

Leforte 1 with a bone graft

when I saw myself

in

the

mirror in the hospital bath

room. I did not recognize my

swollen face. The reflection

surprised me, despite the

fact

that

I knew I was going

to look strange. I was told

that

over the next twenty

four hours the

swelling

would get worse.

t

did. I

crept up my face

tojust

be

low my eyes. My entire face

turned a yellowish hue.

My

lower jaw on either side of

my chin lost its roundness

and took on an

angular

form. t

did not look like me.

My hip

hurt

from where

they took the bone. I drooled

uncontrollably. I could not

sleep comfortable. I could

not talk. I communicated

through

my

own version of

sign

language and

eye

movements, which I mostly

rolled when someone did not

understand that my tugging

on my blanket

meant

that

I

was cold and that I wanted

another one.

But this was all part of

the

deal. Two

operations

and some orthodontic work

and my facial abnormalities

which were the result of a

cleft lip and palate would be

gone. More important I

would be able to rejoice in

the knowledge that I had

done everything within my

power and within the

boundaries of medical sci

ence to correct what

was

wrong.

But

the promise of sur

gical correction was great

enough

to

help

me go

through with it and to be

excited about it.

The Fall after that op

eration, I returned to school

to start my junior year at

college. While I was pleased

with my appearance I could

not shake the fear

that

in

vaded my thoughts. In ad

dition, another vague ach

ing began to accompany my

anxiety.

Through some profes

sional guidance, I discov

ered that the ache was sad

ness, a profound sadness

and sense ofloss which re

sulted

from losing my

underbite. This experience

helped me to realize the de

gree to which my underbite

and my face significantly

contributed

to how I

thought about myself and

how

I perceived others felt

about me. I had become a

part of me, a part of who I

was. I discovered that the

strange

persistent fear

stemmed from not knowing

how to feel about myselfand

not being able to conceptu

alize how others felt about

me without my underbite.

As a result, I was afraid to

be around people because I

no longer knew how to in

teract with them.

So

I had

to

learn.

And I

am

still

learning. In a way, I have

slowly been reinventing my

self guided only be the fact

that I

am

acutely aware

that I

must do

it.

I believed, with all of

my

heart that

this process

would finally peel the label

of birth defect

that

I had

&lways put upon myself.

But I discovered that no sur

gery was going to remove

that

label. Since I had put

it on, I would have to

take

it off.

I once believed that sur

gery would fix it all. But

now I understand that for

me, no physical

change

could have occurred without

an emotional one. I was not

expecting this.

But

the emo

ut the

emotional

aspect

of my experi-

ence showed me how

much my birth defect

has

become a

part

of

me I came to under-

stand

that

my

face not

only

determined how

I thought

others per·

ceived me but also

how I

viewed

others

It has

contributed

to

how I see the

world

and what

I

think is

important

in

my

life

tional aspect of

my

experi

ence showed me how much

my birth defect has become

a part of me. I came to un

derstand

that

my face not

only determined how I

thought others perceived

me but also how I viewed

others.

t

has contributed to

how I see the world and

what

I think is important in

my life. Most of these con-

siderations

have tran

scended

the physical

changes of surgery.

For me it has never been

a question

of

Why me? Why

was I born this way? Why

did I have to have surgery?

Because ''it'' is me. is a pro

found

part

of who I am. I

once thought I could surgi

cally separate

my

cleft pal

ate

from me. But instead I

have opened myself up to

fully accept i t as a part of

who I am and who I am

be-

coming.


2/8

fForward Face

A

Newsletter For

Patients Families With

Craniofacial Disorders

Spring

1995

Vol. 5 Issue Number 1

Board

ofDirectors:

Betsy Old - President

Susan Friedman

Vice

President

Linda Bonventre .

Treasurer

Barbara

Robertson· Secretary

Patricia Chibbaro

RN MS

•

Administrative Coordinator

Trudy S. Attenberg

.

Editor

David Attenberg .

Assoc. Editor

Nancy Bartlett

Joseph Bonventre

Roxane DiVuolo

Elaine Gilbert

Barbara King

Steve King

Margy Maroutsis

Jodie Morrow

Advisory Board:

Betty Bednar

Diana Cassidy

Caren Crane

Hope Charkins Drazin M.S. W

David Drazin Ph.D.

Patricia Flanagan M.S.W

Lorraine Gibbons

Tony Gibbons

Jack Gross

Gisela Joseph

Joan Robertson

Caroline Rubino R.N.

Cathy Sharkey Sarubbi

Edith Schneider

Audrey Sosis

Tina Steinbeck

Robert Surles

Charles Thorne M.D.

Pam Tower

Carol Wolff

Page

2

ll of us at Forward

Face

wish our

children

and

families a very

happy and

healthy

1995. We

look

forward

to

continuing

our

partnership

in

offering our chil-

dren the most comprehensive support services possible.

We

are dedi-

cated

to

continuing our quest

to

helping each child attain a strong

sense

of

personal value

and self

worth.

Forward

Face Networking Services

Forward Face Networking Services are available

to

all

families

that

are interested in speaking with another person

who

has gone

through

similar

experiences and circumstances.

Those

interested

in becoming a networking parent are urged to call

Forward

Face

at

1-800-422-FACE or 212-684-5860.

Cleft Lip Palate-NY

Debbie Bottiglieri

(516) 689·9235

Edith

Schneider

(718) 837·7320

Veronica

OOOr

(914) 947-4008

NJ

Debbie

Smith

(908) 364-3384

CT

Cathy Joyce

(203) 325·9766

Moebius Syndrome-CA

Vicki McCarrell

(818) 908·9288

Craniofacial Synostosis

Y

Nancy Bartlett

(516) 795·2609

NJ

Pam

Tower

(908) 964·7726

Forward Face

is an organiza-

tion

for

patients

and families

with

craniofacial disorders. For

ward Face was formed in 1978

and

incorporated

in 1980 as a

non-profit

organization.

Forward Face

and

this

publication rely solely on the

generosity

of

others.

For More Information:

Further information about For

ward

Face and

its

support pro·

grams

can

be obtained by writ-

ing

to:

Forward Face Inc. • 317

East 34th

Street

• New York, NY

10016 or you

may

call 1-800-422

FACE or 212-684·5860.

CT

Trudy

Attenberg

(203) 374-8199

Craniofacial

Microsomia-VT

Mary Baldwin

(802) 482-3481

Hemifacial

Microsomia-NY

Linda/Joe Bonventre

(516) 798-2271

NJ

Barbara Robertson

(914) 245·6121

Treacher Collins

Jamie Anton

(814) 455-5857

Emily Lustine

(215) 487·2360

PA

Jamie

Anton

(814) 455·5857

Emily

Lustine

(215) 487·2360

The Forward Face Newsletter

is

published

by

Forward

Face,

Inc.

The subscription/member-

ship rate is $20.00 per year . Your

check should

be made

payable

to

Forward Face, Inc.

11111111

Letters To

The Editor:

We welcome and ecnourage

you to

submit

any

stories,

expe

riences, comments

or

sugges-

tions

that you might have.

En-

tries should include: your name,

address and phone

number.

Di-

Apert Syndrome-NY

Corey Torres

(718) 271·5499

Orbital

Hypertelorism-NY

Nancy Bartlett

(516) 795·2609

MI

Gloria Verdi

(313) 855·3474

Microtia Atresia-CT

Carol

&

Paul Wolff

(203) 322·6405

Liz

Keenan

(203) 521-5623

NJ

Betsy Old

(201) 761·5438

Hemangioma-CT

Pam

Wiker

(203) 972·3043

rect all written correspondence

to:

The Forward Face

Newslet

ter,

317

East 34th

Street,

New

York, NY 10016. You may also

submit correspondence by fax

212-684·5864.

The Forward Face

Newsletter

reserves

the right

to edit all

sub·

missions. Articles may be re -

printed with permission.

©

1994 FORWARD

FACE

Forward Face, Inc.

317 East 34th Street

New York, Y 10016


3/8

James Brown • The Hope

nd

Love Continues

By: LIZ BROWN, Belfast,

Ireland

were malformed and the nutrition.

set

off.

To say we were made

lower

half

of his face was James spent six weeks in welcome would be an under

the 16th

of

March 1992, after

a normal, healthy

pregnancy and a straightfor

ward labour and

delivery

lasting

just

five

and

a

half

hours

from

start to

finish,

our second son,

James

was

born. At first sight, looking

at

the top of his dark, curly

n

head he looked exactly like

his big brother, Robert. t

rapidly became clear though

from the expression on the

face of the obstetrician who

delivered him,

and

from

the

sudden

burst

of activity in

the

room that

something

was wrong.

Initially we were told he

had a cleft palate. Although

we

were

shocked

we had

heard

of

this

condition

and

knew i t could be

rapaired.

The

doctor

then said that

James was having breathing

difficulties and

that it

would

be

best

if

he was taken

to

I.C.U.

right

away. The nurse

brought him over wrapped

in his blue blanket for a hug

and a kiss and we then real

ized he had a lot more wrong

than just a cleft palate. His

colour was dusky,

his

ears

Page

3

small

and

sunken in. Deeply

shocked we kissed him and

he was whisked away.

We

felt as

if

our whole world had

turned upside down.

We

were fortunate

that

within an hour or two the

hospital had identified

James' condition - Treacher

Collins Syndrome.

For

those

of you not familiar with

T.C.S.

i t

is basically a mal

formation of the bones of the

face.

In

James' case this led

to malformed outer ears, a

very small lower jaw, miss

ing cheekbones and a cleft

palate.

Within

hours

of

his

birth James

had

to be

put

on

a ventilator to

assist

his

breathing and two days later

he

had

a tracheotomy. We

were

left in

no

doubt

that

this

was

not

a

matter

for

debate

but

an absolute es

sential. James' other prob

lem was, and is, feeding. He

never managed more

than

an ounce from a bottle

and

the

energy

he expended in

trying

to

suck

was a

sad

sight to see.

t

became clear

that he

would

have

to

be

fed

by

naso-gastric

tube

to en

sure he received adequate

the

Neo-natal

Unit at

Belfast City Hospital as we

learned to handle his tube

feeds and care for his trach

and

began to organize our

home to accommodate

the

medical

equipment which

is

an

essential part of

life for

James. During this time

James sawall the

top doc

tors

in

Northern Ireland in

the

fields of

Audiology,

KN.T., Plastic Surgery, etc.

His health was stable and

though we were

by

no means

sure

what

the

future held, at

the

age

of

six weeks and one

day,

James

came home His

brother

was just

over

two

years

old

himself

at

that

time

but

he accepted James

undoncitionally

and

loves

him dearly. If he has every

beenjealous of

the attention

his

brother

receives,

he

has

never

shown

it.

Although James

was

seen by the best doctors

in

Northern Ireland,

in

a coun

try with a population of only

11/2

million, conditions like

T.C.S. are not

seen

all

that

often

and

we

were desperate

to

ensure

that

everything

that needed to be done form

him

was being

done. We

were in the fortunate posi

tion of

having

connections

in

America

in

the form

of my

brother and his family, and

of course from the moment

they

heard

of

James' birth

and

his condition, they

worked hard on ourbehalf to

find

out

as much as

they

could about the syndrome

and

its

treatment.

Through

them

the

contact with

For

ward Face was established

and,

in July

1992, we re

ceived a

letter

from Betsy

Old offering us the opportu

nity

to bring James across

the Atlantic to N.Y.U. to be

assessed by Dr. McCarthy

and his team We

had

no

hesitation in accepting and,

in October 1992

after

many

letters and phone

calls

we

statement

During this visit

we also had the

chance

to

meet

two

other

families who

had children with

T.e.S.

This

was in-

valuable

to

us

- it

was

great

to meet

other

people

in

the

sameposition as our-

selves

and helped

l ss n our f lings of

isolation.

We attended the cranio

facial conference and James

was also seen by a Pediatri

cian and an

Audiologist. Dr.

McCarthy was generous

with his time and advice

and

we left

NYU.

feeling reas

sured

that

there was a lot

that could be done for him.

On our return home James'

method of feeding was

changed

to a

G-tube and,

thanks to Betsy's hand-made

headband, he was now wear

ing his hearing aid full time.

The importance of this was

stressed to us lould and clear

by

everyone

we

came into

contact

with

in New

York

One

of the things

Dr.

McCarthy mentioned during

ou r visit was

that

James was

a

potential candidate

for

"Mandibular

Bone

Expan

sion"

when he

was

around

two years old. This proce

dure

to

lengthen the

lower

jaw is usually used when the

child

has major

breathing/

feeding problems.

We

read

all

the

information which

was available about it, then

mentally filed it away for

future

reference.

At

that

time, although we were still

in contact with

Forward

Face, we

didn't

know

if

we

would

have

the opportunity

to go back to New York.

Continued on

next

page)


4/8

James

Brown

•

ontinued

s time went by we men

tioned

this

procedure to our

doctors here in Belfast. They

had heard of it and were very

interested

in

its

potential

but

told us

it had

never been

done in Northern Ireland.

James second birthday

came

and went and the trach

and the G-tube were still

in

place. Then I read

an

article

by Barb Schinderle telling

the story of

her daughter

Megan's successful bone ex

pansion. This really

got

us

thinking

again of the ben-

efits it could

have

for James.

We approached

our

doctors

here once again

and eventu-

ally found a surgeon willing

to do the operation, although

James

would be his first at-

tempt at

using

this proce

dure on the lower jaw. Al

though we were

apprehen-

sive, we felt this was James

best chance for progress. We

were in the process

of

setting

it all up when,

out

of the

blue, we had a letter from

Pat

Chibbaro saying

that

Dr.

McCarthy would be

happy

to

perform

the

bone

expansion

procedure and

that James

had

been accepted on

the

FACE LIFE program by

the

N.F.F.R. which would

help

with

our expenses. We

were

absolutely

amazed and of

course

delighted that

once

again our

American

friends

had come to the rescue Our

decision

was

easily

made.

We

knew that

Dr. McCarthy

had

performed

this

opera-

tion many times

and,

from

our first meeting with him

in 1992, we had a great deal

of respect for him and

trust

in him

and

his team. Pat can

testify to

the

series of excited

phone calls which took place

over the next few days.

Thanks to Pat s magnificent

organizational skills

at

the

Institute and the

support

of

them and application of

an

antibiotic cream to

prevent

infection.

We

stayed in

America for two weeks

after

the

surgery staying between

the Forward Face apartment

and

my

brother s home in

Philadelphia.

Then

on the

3rd of November, after a

fi-

nal check up, Dr. McCarthy

the N.F.F.R. it wasn t long . agreed we could fly home.

before our

plans

were in

place and, on

the

14th of

October, we arrived once

again in New York.

We

attended the Cranio

facial

Conference and

Dr.

McCarthy

assured us

it was

all systems

go

for the surgery

to proceed. So, on

Thursday

the

20th

of October, James

"pins" were put in place. The

operation ws straightforward

and the

next

day James was

able

to leave the hospital,

much to his reliefl During his

stay he scolded everyone who

came into contact with him

In

face, to

our

great

embar

rassment, his nickname "the

fighting Iri shman." After five

days Dr. McCarthy turned

the

pins for

the

first time to

start

moving the jaw

for

ward. James

naturally

pro

tested loudly Our daily rou

tine was then established

morning

and

evening

one

turn of the pins followed by

cleaning

of the

area around

Once home

James

was moni

tored on a weekly basis by a

local surgeon and he and Dr.

McCarthy kept in touch by

phone

to check on

his

progress. After five weeks of

turning and with a total of

approximately

27

mms.

achieved,

the turning

was

complete. The next

stage

was

to

let

the pins sit in place for

8 weeks to let the new bone

form

and

become solid in the

space created by

the

pins. As

I write, we

are preparing

for

a return to New York for re

moval

of

the

pins

by Dr.

McCarthy at the start ofFeb

ruary.

t has been a

challenging

few months for our family

but

James, as always, coped

magnificently. He

proudly

shows his "pins" and his

new

chin

to

anyone

who shows

any interest and indeed the

change to his chin

and

lower

jaw is quite substantial. We

are

delighted

with the result

and our

hope now is that

once James palate repair is

complete we will

start

to see

progress with his

feeding

and

that

eventually

his trach

and G-tube will no

longer

be

necessary. Those of

you

whose children has been in

this situation will appreciate

what a difference this would

make to all our lives.

The

support we

have

re

ceived from family and

friends has been of inesti-

mable value and can never

be repaid. Fortunately for us

this

support has extended

to

the U.S.A.

and

here we

learned the

importance of

networking and

communi

cating. We never cease to be

amazed how

much

people

are prepared to do for com

parative strangers. The sup

port we have received both

practical and emotional, has

been vitally

important

and,

far

from feeling like

strang-

ers, we now feel

part

ofa spe

cial team.

That

team

has

the

interests of many people

at

heart, and for that what can

we

say

but THANKS

Anyone who has

a

child with a birth de-

fect will

know

that

life can be tough

n

the

past

few

years we

have

learned a lot

about medical proce-

dures but more impor-

tantly

we

have

learned

the value of

friends

With the continuing support

of

Forward

Face

and the

N.F.F.R. we look forward to

a bright

and happy

future

for

our son.

JAMES

UPDATE

In

February

of

1995,

James

and

his mother

Liz

returned

t New

York.

Dr.

McCarthy

removed

the Bone

Expander

and

repaired J

ame s

cleftpal-

ate. When JamesandLiz

returned to Ireland a few

weeks later the trach was

removed. On March 17

James

celebrated his 3rd

birthday.

Page 4

(Continued from Page

3


5/8

Inner

Faces

-

A support group for young adults

Inner Faces is

proud

to

introduce a column featur-

ing questions and answers

which will now

appear in

each Forward Face newslet-

ter. Inner Faces

is

a support

group sponsored by

Forward

Face to serve teenagers and

young adults with craniofa-

cial disorders. The Inner

Faces

group is New

York

Citybased,

bu t

would like to

network with

teens and

young

adults

from all over.

An important activity

that

Inner Faces

has

created

is a forum for all group mem-

bers

to meet for a

Rap

&

Lunch." A

rap

session con-

sists ofall members meeting

at someone's house

to

openly

talk about issues over lunch.

Recently, we rapped

about

dating, which sparked many

different issues. At the end of

the rap session

the

question

printed below was passed out

to everybody. They

were

asked to

take

the question

home and answer

it

confiden-

tially. e will print

names

only

if

specified. Please sub-

mit your answers to:

Inner Faces Questions

&

Answers

do

Alyssa Morganlander

227 Columbus Drive

Jersey City,

NJ

07302 #103B

Inner

Faces looks forward

to

hearing

from you soon

Please keep

in

mind that we

only

have

enough space to

print

some of

the

responses.

Also, if you have

an

idea for

a question

or

just some

thoughts to share, please feel

free to do so by sending your

letters

to

the

above address.

QUESTION...

s a young adult I'm trying

to

put behind

all

the

insecu-

rities

that

past experiences

of looking

different have

brought me. The one area I

have

the hardest

problem

with

is

meeting guys/girls.

How do I get

past

my face

and feel comfortable enough

to

let

someone get to know

me?

ANSWER#

My

face has never been an

obstacle

when it

comes

to

forming

relationships. How-

ever, moving from personal

intimacy

to

physical

inti-

macy has always been

troublesome.

Somehow

I felt

that all that

was

visible

was

my

face

and that

I needed to

reject them before I

was

-

jected.

My

disability in its ob-

servable form may be facial

but inside are the real scars

and

fears. I work on myemo-

tional paralysis and

try

to

view myselfdifferently, but it

is

hard.

It is

the

hardest. type

of

risk

that

I face. Most ofall,

I need to stop seeing myself

as

I

imagine

others

do.

THAT is a no

win

situation.

NSWER 2

One

way

is to let them

have

the clinica l low down on

your

condition i.e. I was

born

with a congenital disease

that caused some facial dis-

figurement. This strips

away

any mystery and igno-

rance

that

often leads to a

question like were you in an

accident?

Then

I

would

try

Spring

Educational Meeting

to be

myself

and charm the

socks offa

memberof

the fair

sex. I think,

more

impor-

tantly, one

has

to be comfort-

able with his

her

own situ-

ation

before

allowing

some·

one inside.

This

is easy to say

and maybe

with

the support

offriends and family, (and

a

psychologist need be) it can

be done.

n

many ways

my

shyness and

appre-

hension

have built

up inside ofme

and

now

it

is this

great

wall to

climb

over. I

struggle

and seek

out insights from

people that I

trust.

I

need not to see

my

entire

body

as

dis-

abled.

I need not

single

myselfout as

incapable

of

giving

and sharing

in

a -

mantic way

On Sunday,April 2, Forward

Face

hosted its Educational

Meeting

featuring members

of the

team

at the

Insti

tute

of Reconstructive Plastic

Surgery. Stimulating and

very informative presenta

tions were made

by

Dr.

Jo-

Page 5

seph McCarthy on the

use

of

the Bone Expander

in

Cran

iofacial Reconstruction, Dr.

John Seibert

on Microvascu-

lar

Free Flap surgery,

Dr.

Barry

Grayson on Cleft Lip

and Palate repair, Dr. Paul

Hammerschlag

on Aural

Atresia repair and

Canalplasty, Dr. Lawrence

Brecht on

Ear

Prosthetics

and Ear

Reconstruction.

Elsa Reich, MS,

the

Genetic

Counselor

presented

excit-

ing

new

developments

in

ge-

netic

research in the

field

of

Craniofacial Conditions.

Families from

the

tristate

area benefited from

the doctors presentations

while their children enjoyed

the entertainment

provided

by

Part

Magic

with

Bob

and

Ferris.

Our

next

Educational

Meeting

will

be in the

fall of 1995.


6/8


7/8

The

Face

Facts

Video

Understanding Facial Disfigurement

Face Facts narrated by CliffRobertson, is the first

comprehensive set of video

tapes

focusing on facial

disfigurement. All

tapes have the same

23-minute

overview that features in-depth interviews with medi

cal professionals,

educators,

family

members,

and

patients.

o Cleft Lip

Palate

o Craniosynostosis

o Hemifacial Microsomia

o Treacher Collins Syndrome

o Orbital Hypertelorism

o Complete

Set

Total Enclosed

Name

Address

City

Daytime

Phone

-

-

-

-

-

-

-

State

Each tape is highlighted by a concise segment fo-

cusing on a particular disorder.

Face Facts

videos meet

the

concerns of a family facing one of these disorders.

Face Facts is appropriate for new parents, medical

professionals,

educators

and

community

organiza

tions.

Individual Video Price

Complete Set Price

Members 15.00

Members 60.00

Non-Members 20.00

Non-Members 80.00

Institutions

25.00 Institutions 100.00

To order your

ace acts

videos call: 1·8()()·422

FACE (212) 684·5860 or fill out

this

form and mail

it with

your

check or money order to:

Forward Face


New

York,

NY

10016

_

_

Zip _

_

The Bruce Morrow

Children

And Family Assistance

Fund

The Bruce Morrow Children and Family Assistance Fund (originally

named the

Forward

Face

Family

Assistance Fund was

established in

the

spring

of 1990 by the Forward

Face Board of

Directors. The goal ofthis

fund

is to offer financial support

to

families for

those

expenses which are

not

covered by medical

insurance. These

expenses include: lodging or housing,

food, transportation, medical

equipment

and other uncovered costs associ

ated

with

surgical intervention.

If you feel this

fund may

be helpful to you, or if you, a friend or family

member

would like to make a donation to this very worthwhile cause, please

contact: Nancy

Bartlett

(516) 795-2609 or

Pat

Chibbaro (212) 263-5205.

Donations

may e made

to:

The Bruce Morrow Children and Family Assistance Fund

Forward Face


New York NY 10016

Page

7


8/8

Becotne tnetnber ofForward Face

Your support will help

change

how a child sees the world

and how the world sees a

child

Name

_

Address _

City

State

Zip _

Daytime

Phone

_

o Enclosed is my subscription/membership dues to Forward Face one year $20.00)

o I would like to make an additional tax deductible

donation

of $ _

Please make checks payable to Forward Face, Inc.

end

To

Forward Face, Inc.

317 East 34th

Street

New York,

NY

10016

For

further

information on Forward Face

and

its support programs

please call: 1·212·684·5820

Forward Face

317

East 34th Street

New

York,

Y

10016

Mr. Neil 1 Gillespie

2400 20th Avenue

NW 5o.

Olympia, WA 98502

Page 8

forward face newsletter 1995 spring vol 5 no 1

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