Computer Training

Weekend fun

We've had a great first week with Sadie at home. We're impressed by how quickly she's learned some things. She's been almost a full two days without an accident, although Ryan is good to get home within 4 hours so she doesn't "explode." Because I've been up early for ENT, they usually get up too, but then enjoy another hour or two of rest in the morning.


Training is going well. She's walking on a leash, coming when called (when her puppy brain isn't tired), and even fetches a frisbee and ball occassionally. Our weekend adventures included visiting a friend of ours out of town where Sadie could socialize with their dogs and enjoy a walk in the woods.












Today, our friend Jeremy helped me watch Sadie at Ryan's bike race here in town. Sadie was very sweet and didn't embarrass us!

That's our update on our puppy who has the brain of a baby but the body of a toddler.

Sadie comes home & Our soon-to-be home in PGH

It's been an amazingly successful and full week. We were in Pittsburgh for five days. We stayed with neat folks, met some new friends, bought this neat little house (3 bedrooms, 1.5 baths in an up-and-coming eccentric city neighborhood), reconnected with Ryan's friend Peter from the cross-country bike tour (who actually lives two blocks from where we'll live), and I attended a general internal medicine conference that gave me an excitement for things ahead. We also enjoyed seeing my parents on the going and return trips as well. We'll move into our new house in PGH on May 28. We can't wait.

We also finally were able to adopt Sadie today. She's now 9 weeks old, which we feel is about 2 years old in people years. She whined a bit on the way home, but thankfully kept her doggie treats down.

After two quick accidents in the living room, she is now quite content in the kitchen. She's not a fan of the lease, but is doing ok with her collar. It's great to have her with us and this will be a great chance for Ryan's patience in all things to show through!

Sadie the Boxador: 2 months old

We visited Sadie today. Born on Feb 4, she and her 3 litter mates are now 8 weeks old. She's very well-socialized, playful but not an instigator. She came right up to us, asking for a tummy rub.
She'll be with her dad (Willie the Boxer) and her mom (Maggie the Lab) for another week.
We look forward to bringing her home with us next Sunday. Hopefully she won't get too carsick on the way home, but we'll be prepared...

We head to Pittsburgh on Monday, by way of Detroit, and hope to find a house to buy. I'll also be attending a General Internal Medicine conference that will help me learn more about the community-based health research happening in Pittsburgh and Ryan will be exploring his options within the art community. We're looking forward to meeting up with friends (new and old) and learning more about Pittsburgh.

Last day

It’s hard to fully express the depth and breadth of the experience we’ve had here in Jos with Faith Alive and NIFES. It has been wonderfully rich and enjoyable. We’ve learned of many effects of HIV/AIDS on this Nigerian community from the perspectives of patients, family, providers, and partnering organizations (PEPFAR, IHV, CRS, AIDSRelief, MCC, APIN/JUTH, Evangel Hosp, NIFES and others) committed to awareness, testing, treatment, and social rehabilitation here in Jos. The work is great. We’ve been privileged to serve alongside the staff of FA, and encouraged them in our “goodbye seminar” at Staff meeting on Wed to continue to work well, with good communication and teamwork. We feel our contributions have been good, small and simple ones – friendships, a logo, compassionate clinical care, an initial analysis of ART here, quality and respectful photos, videos, brochures, pamphlets and articles, joyful interactions and cross-cultural exchanges.

Faith Alive is in a time of great transition. Since Dec 2004, more than 1600 patients are receiving ARVs. Treatment of 2000 individuals is the expected sustainable goal for FA. Since Oct 2005, a large new hospital complex has been under construction. Commissioning will happen on the 23rd of June, and furnishing and effective usage will continue to be worked out for many months to come. It’s the next step in the vision for FA to be a place of excellent training of providers, including a medical library, conferences, and eventually a Christian medical school. On the 13th of April, 2006, the entire lab, medical records, and much of the clinic space, including the in-patient ward, were lost in an amazing fire. Things that were replaceable are slowly coming through God’s provision and the generosity of many, including the formation of the new Faith Alive Foundation (www.faithalive@faithalivenigeria.org), soon to be a 501c3 organization, and which Ryan has been asked to serve on its board in a communications capacity. The work at and through FA is great.

Thank you for following our trip with a desire to learn more about HIV/AIDS, Jos, Nigeria, and us as we’ve been here. We look forward to continuing to be involved with our many connections to Jos, especially through FA and NIFES. We’ll closely follow next year’s elections, pray for stability and peace, and look forward to returning to Nigeria next Nov and Dec.

Posted from Berlin at Annabel and Erik's place!

Working Hard to Wrap Up

The title summarizes what Ryan is doing. With the 10th Faith Alive anniversary coming on 23rd –24th June, he’s working hard to get all of the things he’s produced to the printer ASAP (not unlike his work at the NSC). I enjoyed going to Yankari National Park with Carmen earlier this week, though, the animals were mostly “inside,” as in not out at the river because it’s rainy season. Thursday I gave a lecture to med students at JUTH on “computer applications in medicine” for Dr. Chris, which largely emphasized what are still only potentials here. Next Wed will be our final day with FA and we’ll share at the staff meeting – Ryan’s putting together a simple slide show with some of the 300+ pics he’s taken and I’ll share highlights from the research analyses I’ve done. We hope to encourage the staff by reflecting back to them the unique and quality work they’re doing here. We’re extremely grateful for the chance we’ve had to learn so much here in Jos about HIV/AIDS, to work alongside wonderful people at both FA and NIFES, to complete projects (at least our parts) that we think are of reasonable quality and helpful to others, and to have had the times of rest we’ve had. Life has been a different and simpler pace here (especially for me), which has been enjoyable, though, we’re also looking forward to reconnecting with our community and work in Madison in July (after some time in Berlin and RI).

Wrandom Writings #4

Do your arms feel like they’re going to fall off from lugging that baby everywhere you go? Sure, we’ve all felt that way. Unfortunately, babies tend not to stay put very well when you carry them on your head (see previous Wrandom Writings), so another solution must be found. Perhaps one of those expensive baby backpacks you can get at REI? Who has that kind of money? No, all you need is an ordinary strip of stretchy fabric, and your baby carrying woes are over! At first, it might not seem that safe and secure, but with a little practice you’ll soon see that you can take a baby just about anywhere like this – to the store, to the hairdresser . . . even on a motorcycle. And let me tell you, the babies just love it, and they have greatly enhanced hamstring flexibility to boot. So don’t delay – get yourself a fabric wrapper, and bring new meaning to the very American phrase “Baby got back . . .”

NIFES (and other updates)

Over the past week and a half, we’ve finally had a chance to connect with staff and students of Nigerian International Fellowship of Evangelical Students (NIFES), a sister movement of college students to InterVarsity-USA. Last Sunday, we went to a Large Group meeting of Vet students. It was a lively fellowship of about 60 students where we could tell they enjoyed meeting together and sharing God’s work in their lives. We spent two days this past week at the headquarters here in Jos. We’ve been graciously welcomed in by folks who’ve also hosted Francis F, Ann C, Jeanette Y, and others from our Madison IV community. It’s like meeting up with extended family. Ryan led out of Ephesians at their chapel, and I shared from Daniel tonight at a meeting of NIFES alumni and supporters. Ryan has been working on promotional materials for their tri-annual missions conference in Nov 2007. We’ve been officially invited back, and are excited about the possibility of returning to Jos to serve again with Faith Alive and NIFES. I’ve met with their coordinator for HIV/AIDS awareness and share in his passion to bring correct and holistic information to college students and provide them with an opportunity to be tested. Less than 10% of Nigerian college students know their status, and many still have misinformation about HIV and STIs. I’ve dreamt of the possibility of a partnership between 2-3 US college students coming to volunteer in the area of HIV/AIDS awareness and testing among fellow Nigerian college students, and secondly, perhaps also raising funds to enable testing of all 6000 students from West Africa who will be at next Nov’s conference.
Regarding other things we’ve been up to, I’ve finished the first draft of “Expansion of HIV-1 Screening and Anti-Retroviral Treatment Programs in a Resource-Poor Setting: Results from a Faith-based Organization in Nigeria.” I look forward to Dr. Chris’ comments. Ryan is working steadily on the 2nd Edition of “Touching Lives,” a full-color 28-page magazine highlighting the 10th anniversary of the ministry of Faith Alive, as well as the video of personal stories of how people infected and affected by HIV.
And lest you think it’s been all work and no rest for us, we enjoyed a nice hike yesterday at the highest place in Jos, Shere Hills (including a little free climbing near the top,). It was great to be out of the city for a bit. We’ve also had delicious grilled Tilapia from a roadside stand, met with Carmen for lunch on Thursday, and haven’t yet tired of wonderfully ripe mangos on a near daily basis.

Wrandom Writings #3

I was once told that my head is 'not just a hat rack'. This is true. It is a convenient carrying place for all sorts of things besides hats. You can put ten pineapples up there. Or 20 gallons of gasoline. Heads are amazingly useful, and in America, underutilized, appendages. Why, in Madison, I hardly ever see people carrying cinder blocks on their heads. Why is that? Carrying things with your arms is such a waste of energy. I know I'll never make that mistake again. Next time you see me, I'll be kicking it with my computer bag on my head. After all, heads are for more than hats . . .

HIV awareness

One of the great strengths of FA is the collective life that is thriving within the Support Group. Coming out and sharing their testimonies is a challenging step to decreasing the stigma around HIV/AIDS. Members have committed to doing what they can to help others understand HIV and be tested to know their status. Their message and witness are clear: HIV is not a death sentence. The group regularly has opportunities to do HIV awareness. As an example, yesterday, the Support Group was invited to participate in a Special Lecture on AIDS/HIV and General Health sponsored by the Women's Wing of a local mosque in Jos. Members of the group, a mixed-group of Muslims and Christians, gave testimonies of living with HIV and led a discussion on methods of transmission and ways to prevent the spread of HIV. HIV was explained as a condition that must be taken seriously, and importantly, can be treated but not cured. An emphasis was placed on sexual education of youth, including HIV testing before marriage, and disclosure of status to spouses. They encouraged all present, especially the leaders, to be tested to know their status, and trained in HIV awareness so that they can counsel members of their community. One of FA's pastors emphasized that even if someone is HIV-positive, God will not desert them. The remark was made that it was amazing that Christians were welcomed into a mosque to share on this topic. Indeed, even as a Christian-based organization, the group seemed to be well-received and appreciated for its role in talking about HIV to reduce stigma and raise awareness of ways people can prevent and seek treated for HIV/AIDS.

HIV and Men

Sunday’s FA support group debate topic was “Why are men dying silently?” Easily ninety percent of support group attendees are female. Roughly 70% of voluntary counseling and HIV testing done at FA is requested by women. Many women find out they are positive after the death of their husbands from undiagnosed AIDS. Here in Jos, there is agreement that the HIV epidemic will not cease until effective ways of reaching and treating men are found. Reasons for the silence men keep are complex. We heard rumors of very rich men who pay to have doctors supply medications outside of hospitals so their status remains unknown; another accounted that her husband took pills for “typhoid” rather than disclose his status to her. The stigma felt by many HIV-positive people is tremendous. A man may even be stigmatized by his wife or close family.

Challenges were made for married women to invite their husbands to the support group. Discouraged women were challenged to never cease praying for their “drunkard, smoking, always going out” loved ones. Attendees were encouraged to speak with their pastors about how church families need to do more to support HIV-positive members. For my part, I was humbled to serve as the “doctor” on the panel as I was challenged to respond to, “what will our society be like if men continue dying in silence?” Beyond major expansion of ARV therapy, the ultimate health of the community depends on the living examples of HIV-affected people telling their stories in ways that others can hear and follow.

Wrandom Writings #2

So you've been saying to yourself, "Gee, I sure wish there were more goats around here!" Haven't we all thought that at some time? Well, Jos is where the goats are at. There are goats everywhere you look -- goats crossing the road, goats peering out of windows, goats jumping out of alleys. Where do they come from? Who do they belong to? And what are they doing over there . . . that's disgusting. Anyway, goats are clearly the most popular local source of red meat. They can eat anything, live anywhere, and they don't taste too bad after all. I'm surprised we don't see more of them in Madison. They are natural environmentalists, eating all the garbage they can find and converting it into natural fertilizer. So next time you feel a need for a companion, forget the Labrador -- get yourself a goat. I know where you can get one real cheap.

Halfway

We’ve had another very good week here in Jos, about halfway through our time here. Our experience here resembles an international-student internship of sorts as we learn and work in a different culture alongside other committed professionals. Altogether, we’re very grateful for this opportunity to live in Jos and serve at Faith Alive. We can see the benefit of our flexible help and specific skills, and thoroughly appreciate the generous hospitality of Dr. Chris and others in hosting us here.

Our work is progressing well. Ryan has a rough-cut of a “Voices” video composed of interviews he’s done with FA staff members discussing their personal experiences being diagnosed with HIV, the effect of their status on their lives and family, and the strong source of support that FA has been for them, and allowed them to be for others. Beyond statistics and public health goals, organizations, and outcomes, the most significant costs of this disease are on individuals and families.

Tomorrow, I’ll lead part of the weekly support group for HIV-infected persons. I will be facilitating a “debate,” which in my understanding is posing a question, like “Is it good or bad to tell your church/community about your HIV status?” and then members discuss aspects of the question back and forth. Although much of it is in Hausa (of which I’ve learned only a tiny amount), I trust that it will be helpful to those who come. For the next few weeks, Ryan will be involved each morning assisting in teaching the incoming Computer Skills class, which is part of FA’s Social Services arm that teaches skills like sewing and knitting to HIV+ people.

Thanks to everyone who has e-mailed or commented; it's nice to know you're out there!

Wrandom Writings (#1 in a series)

I'm sure you've asked yourself recently, "It's all well and good to cruise around Jos in the clinic vehicle like you do, Hillary and Ryan, but what of the rest of us? How are we to navigate the streets of Jos?" Well, friend, you are in luck. Jos has the most efficient public transportation system on the planet. It is remarkably simple, combining two elements Nigeria has in abundance: cheap Chinese motorbikes and people willing to risk their lives for less than a dollar a day. For 20 naira (about 7 cents) you can go anywhere in the city, and there are so many motorbikes that you will never have to wait more than 6.3 seconds to get a ride. Got two or three people? No problem. Need to carry a 19" television or a stack of 15 ft. steel rods with you? Think nothing of it! There really is only one downside to this remarkable system -- a statistically significant chance of becoming a permanent part of Nigeria's road system. Dr. Isichei notes that there is a ward in Jos's main hospital just for motorbike injuries, and they see about twenty each day. So when you come to Jos, bring your helmet and motorcycle chaps, and hit the road the Nigerian way (link for photo). . .

An update, finally.

1) Faith Alive Hospital – the ground floor is almost complete. The plan is to use five rooms on the first floor, hopefully by next week to see patients each day. It’s good to see progress happening toward the completion of the building, though many of us are anxious to see the building done soon.
2) Ryan – Slow but steady progress is happening with the three main projects I’m working on: the magazine, brochure and video. I’ve filmed and transcribed a couple more interviews with FA staff, and they have great things to say. I think these stories will help bring to light certain issues of living with HIV that most Americans (including me, before the last two weeks) have ever considered.
3) Hillary – This past week I started writing a scientific manuscript summarizing HIV screening, ARV treatment, and patient outcomes at FA for the first 12 months of the PEPFAR program. It’s great to be able to use my research training to help Dr. Chris share his work in this way, as well as to help manage his patients each evening in clinic.
4) Our living arrangements – we moved on Saturday into an apartment that Dr. Chris has arranged for volunteers to stay at. We share a 4-bedroom place with Biana Grogg, and have come to appreciate the few hours a day that the electricity comes on.

By way of comparison… (Written last Thurs, but the rains have knocked down the antennae used for transmitting, so it’s been hard to post, in the infrequent times we’ve had electricity.)
As Americans, we spend a lot of time reflecting on similarities and differences between what we know of Nigeria, with respect to the U.S. So, a few random musings…
1) Public health crises. In Nigeria, undernourishment, along with constant needs for the basic provisions of life, is very common. Lack of clean water and electricity, not to mention jobs and affordable education, leaves many in society without any margin or reserve, esp. when exploited by AIDS. In America, obesity is arguably our #1 public health concern, sometimes related to over-consumption of food (as well as material goods and workaholism).
2) A full and free health care clinic. Faith Alive Hospital aims to provide as much help as they can to those who need it most. Thus, patients receive care, medications, counseling, food, transport money, skills training, and even surgery or housing, if possible for FA assist in these ways. In America, we may feel the insurance we have is inadequate, or for 44 million who don’t have any, my naïve view is that the “health care system” lacks compassion and thus, hesitates to try to help. I think there are few places where the “least of these” are truly welcomed as brothers and offered compassionate assistance in a sustainable way.
3) Poverty. Most Nigerians believe America is purely a land flowing of milk and honey. We do have poverty in the U.S, though it is less common and less extreme than it is here in Nigeria. However, why do we so commonly assume it is the fault of those who are poor in the U.S.? In Nigeria, it is easy to see that poverty results from the lack of honest and just governmental provision.
Inspite of the fire and the rains, the incomplete hospital building and the daily challenges of life in Nigeria, patients continue to consistently seek and find care provided through the Christ-centered medical and social ministry of Faith Alive.

Family

Even more than what we personally see, our view of Jos is informed by the people we meet and interact with. We enjoy the opportunities we have to chat about how and why things are the way they seem to be here in Jos. Seeing Barb and Frank last Thursday night was a great treat, as we’ve shared many experiences together in Madison and now here in Nigeria as well. They’ve had an outstanding trip here all around and it was interesting to hear some of their experiences and insights. Tonight, we had the special treat of going out for Chinese food with the Isicheis, their good friend Fava, Sharon Hale, and Biana Grogg.

Marriage and family are very strong values in Nigerian culture. We were privileged to attend the wedding of one of the staff I’ve worked with at FA on Saturday. It was a Christian ceremony similar to ones we have in the U.S. except that it wasn’t in English, and was an hour and a half once it started (an hour later than stated). It was a joyful event to be part of. Family issues are complicated among people who are HIV-positive. I’ve recently been involved in the care of women who are now quite sick as a result of their pregnancy, despite extensive counseling by FA regarding the likelihood of highly complicated pregnancies. As more people do well on ARVs, marriage and family are complex emotional, cultural, medical and spiritual issues. While FA strives to support patients as well as possible, the effect of HIV on families is easily observable in the personal stories we hear of spouses and children who have died, and widows who raise their children amidst great challenges.

And so you know that Ryan’s here too, check out some pics – (L-R), a) Ryan, Hillary, Frank and Barb Esselink, b) Fidelis and Nanya’s wedding, c) a cool lizard with an orange head.

Rainy Season

Ready or not, the rains have arrived! The rainy season started Monday. We have daily afternoon rains for 1-3 hours, and occasional T-storms much like Midwest summer storms. It’s 20 degrees cooler (mid-70s) and no longer as dusty! Our week is going well. I’ve lead 3 of 4 discussion sections at JUTH for 5th year med students (after much review and it was a bit intimidating at first). It has been interesting interacting with them and comparing our respective training systems. At JUTH, I’ve also toured and learned of the work of APIN (AIDS Prevention in Nigeria), a collaborative research group between JUTH, Harvard, and the Gates Foundation. It’s great to interact with the researchers who are involved in studying prevention of HIV transmission, esp. from mother to child. Interestingly, Jos has the largest number of people treated with ARVs per capita in Africa (and the world), and I’m beginning to understand factors contributing to this. The work of HIV prevention, awareness, screening, treatment and adherence is tangibly great; over 60 groups are involved here in Jos alone.

We’re enjoying the pace of life here. Our mornings tend to be full with clinic, photography/filming/interviews, or set appointments, and our afternoons are flexible for working on our respective projects. We’ve had a chance to visit other friends/contacts here in Jos. It’s been great to see Barb and Frank, tour Evangel Hospital, and we look forward to joining them for dinner tomorrow at the Valkenaar’s (parents of one of my MD/PhD classmates). We continue to enjoy wonderful hospitality of our many hosts.

Ryan is capturing great film and print depictions of life here at FA and in Jos. We’re enjoying the friends we’re meeting and the people we get to interact with. For those interested in seeing our pictures, a link is proving easier to use. From L-R, a) Titi – a member of the FA support group, b) Musa – a wonderful, supportive member of the Isichei household and FA, c) Blessing and the daughter of one of her students at Blessing’s sewing shop, d) the adorable daughter of a student of the FA Sewing Shop.

Sunday - FA Support Group

Our first full week in Jos has been very good. It only took two days to move our rhythms 6 hours forward, and about five days to hear that my luggage is present and accounted for in Abuja! Dr. Chris will return with it on Wednesday, where he is picking up Biana Grogg, a Public Health nurse who will be volunteering for the next year. The weather has been in the high 80s each day, but with a pleasant (though, dusty) breeze. We hear that the rains are expected to start any day. I hope they hold off for 3-4 more days so that construction at the clinic site can progress far enough to enable patients to wait under a temporary structure. More importantly, we hope to move into the finished ground floor of the new hospital building soon. Floor tiles, painting, doors, and light fixtures are all being installed simultaneously (no small feat in Nigeria!) to complete work in two weeks or so.

Today, we enjoyed worshipping at United Baptist Church with Dr. Mercy (Isichei). The message, fellowship, and welcome we received were very good. It was interesting to see the similarities and differences in this service and Fountain of Life in Madison. We also attended the FA Support Group weekly meeting. This is a time devoted to praise and encouragement, fellowship and teaching – today a message from Pastor Bakut and teaching on adherence and HIV mechanisms (I think, since it was largely in Hausa, though, I understood “macrophages”) from Dr. Ben. Then, Ryan and I were welcomed as visitors, presented with gifts, and we presented a quilt that a partnering congregation in the U.S. made for the Support Group (follow link to see picture).

We’re looking forward to our next week, especially as we’re getting used to the daily pattern here. I’ll be leading 3 tutorial sections to medical students of Jos Univ. Teaching Hosp on Mon, Tues and Wed since Dr. Chris is away. I’m glad to help him out in this way. I hope Nigerian medical students are more willing to participate in discussion sections that my classmates and I sometimes were! Our home life with the Isichei’s is great. We enjoy their kids (Emmy, 4+, Prince, 3, and Joey, 5 months), who have lots of energy and love, as well as the others who live with them as part of their family and help keep things running very smoothly here.

Personal stories

Yesterday, I filmed some interviews with Faith Alive staff for the magazine/documentary project I’m working on. The first was with a man named Danny(see link); Danny, like many staff at FA, was first a patient. He came to be tested for HIV after his wife became sick and died – when he got his test back, it was positive. He lost his job when his employer found out, and he became suicidal. Thankfully, through the intervention and counseling of Dr. Isichei, he was able to overcome his depression and start on ARV drugs to maintain his health. He now works for FA in various capacities, and is forever grateful for the ministry of this clinic. He has direct insight into the stimga that HIV positive people face.

The second interview was with a Muslim woman. She also lost her spouse, as well as her youngest child, to AIDS. She came to FA hoping for someone to help, and she was surprised to not be turned away based on her religion.With her health stabilized by ARVs, she now teaches other patients knitting skills through the FA Training Center, as a way of supporting themselves during treatment.

These are just two of the many stories of how Faith Alive has helped people in tragic, desperate situations become hopeful and healthy again. It is an honor to work with such an organization. Thanks to all of you who have been following our experiences. -Ryan

Faith Alive Foundation Hospital

We’ve now participated in two days of clinic as usual at FA. Each day begins at 8:30 with a message of encouragement, praise and worship, prayer and announcements. Then, seven teams composed of a doctor, nurse, counselor, adherence specialist, and treatment support specialist begin seeing patients. The patients always see the same team, and thus have a high degree of continuity of care. Through PEPFAR (President’s Emergency Plan for AIDS relief) funding and individual sponsorship ($365/year provides anti-retroviral drugs from India for one patient), about 2000 people receive treatment and monitoring from FA. More than 5000 others are on the waiting list. At this point, a majority of patients are doing well on drugs; so well that many are able to participate in jobs at FA (all Adherence and Treatment Specialists are HIV positive), the Sunday Support Group (currently membership is 200-600 people), or learn trades through the FA Sewing, Computer, or Discipleship Schools. Almost without exception, each patient, whether Christian or Muslim, is grateful for the free care provided through FA, and praise God for the new life, hope and encouragement they receive.

The photo is of Blessing, standing in front of the FA Transition House. Up to three FA patients can stay here, just a block from the clinic, if they have been rejected by their families and have nowhere else to live. Blessing is a success story. She graduated from the FA Sewing School and now has a shop where she makes items for sale, and has seven students of her own. She is currently looking for a place to rent for herself and her two sons.

We have visited many areas of FA’s work, including clinic, home-based care to the family of a man who died yesterday, the pharmacy, and the skills schools. Ryan is capturing many different views of FA to use as he updates the FA brochure, designs a new website for them and creates a documentary based on interviews with patients and staff of FA for their upcoming 10th Anniversary Celebration on 23rd June 2006. I am enjoying joining the FA staff in their respective roles to more fully understand the good work that is done here through FA.