Habilitation of Congenital Craniofacial Disorder - http://www.nosue.

org/facematters-org/
A Photo Journal by Neil J. Gillespie, with documents, March 2015
In January 1994 Dr. Blakeley examined me in Florida while visiting his sister. In lieu of Florida
DVR, I moved from Florida to Oregon become a patient of Dr. Blakeley at OHSU in Portland.
Dinner at the Multnomah Athletic Club (MAC) in Portland, April 1994, after I arrived in Oregon
for treatment at Oregon Health Science University (OHSU) velopharyngeal incompetence (VPI).

Upper right: Dr. Robert W. Blakeley, Ph.D., Speech Pathologist. (1924-2010)

Upper left: Neil Gillespie (age 38 in 1994); Lower left: me again
Lower right: Dr. Ningyi Li, MD, DDS, a visiting scholar at OHSU.

Lower left: me and Dr. Robert W. Blakeley in 1994. Upper right: me and Dr. Ningyi Li.
Upper left: my speech bulb obturator. Lower right: Affiliated Hospital of Qingdao Medical
College, Qingdao University, 16 Jiangsu Road, Qingdao, Shandong, Peoples Republic China.

Upper left: Me and Dr. Li standing in front of Icarus Falling, a sculpture in the sports pub at
the Multnomah Athletic Club (MAC), Portland. Dinner, April 1994. http://www.themac.com/
Upper right: Me and Dr. Li on a day trip June 12, 1994 to Crater Lake National Park, Crater
Lake, Oregon. http://www.nps.gov/crla/index.htm While driving to Crater Lake, Dr. Li was
surprised to hear me ask about the upcoming transfer of sovereignty over Hong Kong to China
planned for July 1, 1997. This was public knowledge in the West, but still a state secret in China.
2

Dr. Ningyi Li, M.D., D.D.S., Professor and Chairman Department of Stomatology
(Oral and Maxillofacial Surgery), The Affiliated Hospital of Qingdao Medical College
Qingdao University, 16 Jiangsu Road
Qingdao, Shandong 266003, Peoples Republic of China (PRC)
http://www.omschina.org.cn/en/cjoms/members/2009/0707/3625.html
My correspondence on behalf of Dr. Li for a fellowship for Dr. Chen Tao is posted on Scribd.
http://www.scribd.com/doc/257684084/President-Gutmann-U-PENN-re-Fellowship
Dr. Li wrote me December 26, 2007, ...Now I am retired, but I still work in the same hospital. I
am still very busy. Next year maybe I can relax.... A postcard of Qingdao accompanied his note.

Left The Affiliated Hospital

of Qingdao Medical College
Qingdao University, 16 Jiangsu Road
Qingdao, Shandong 266003
Peoples Republic of China (PRC)
1995 Dr. Li invited me to study in China at the
Affiliated Hospital, Qingdao Medical College.
I regret not going, and disappointing Dr. Li.
Other factors intervened, not a lack of interest.
http://www.qingdaochinaguide.com/listings/medical-dental/medical-college-hospital.html
3

Upper left: Temple U. School of Dentistry when I was patient of the cleft palate clinic. (1970-1974).
Upper middle: My school ID 1972-73 age 16. The dental school was located in the old Packard
Building at Broad St. and Allegheny Ave., Philadelphia. http://dentistry.temple.edu/about/history
Upper right: Dental clinic circa 1950. The cleft palate clinic was smaller but about the same.
On clinic days I rode with my Dad to his job Bayuk Cigars, Inc. on West Allegheny Ave. where
he managed the computer department. Then I got a ride with the Bayuk courier to Broad St. and
Allegheny Ave. on his way to the cigar plant at Ninth and Columbia. After my clinic visit I took
public transportation home to Levittown: The Broad Street subway, to the Hunting Park bus, to
the Frankford Terminal at Bridge/Pratt, and the Route B bus to Langhorne, then a cab ride home.

Above: The orthodontic office of Dr. Rosario F. Mayro, DMD, DDS, in 1986 was located at
1830 Rittenhouse Square, Philadelphia, when I was a patient. Dr. Mayro was part of the medical
team of Dr. Joseph Kusiak, MD. The team initially included Dr. Harvey M. Rosen, MD, DMD
(craniofacial surgeon), Dr. Mark B. Snyder, DMD (periodontist), Dr. Dennis G. Sanfacon, DMD
(prothodontist) and Marilyn A. Cohen (speech pathologist). Separately I saw Dr. Wainright.
D. Ralph Millard, Jr., MD, FACS, Jackson Memorial Hospital, Miami. Cleft rhinoplasty with
submucous resection; pharyngeal flap. Dec-14-1990. Unfortunately the flap soon pulled loose.
To his credit, Dr. Millard warned pre-op the flap might fail. Sometimes even the best surgeon
cannot create normalcy from what is missing or deformed, a truth of craniofacial habilitation.
Dr. Mutas B. Habal, MD, FRCSC, FACS, and Jane Scheuerle, EdD, Tampa Bay Craniofacial
Center, evaluated me medically and vocationally (May 1993), with reports to Florida DVR.
Consultation June 1, 1993, Pamela Kynkor, MS, CCC, Speech-Language pathologist.
Consultation June 4, 1993, Noreen P. Frans, MS, CCC-A, (dispensing clinical audiologist),
Dr. Blakeley January 1994, examined me in Florida while visiting his sister, and I moved west.
Dr. Glen Turner, DMD, Maxillofacial Prosthodontist, University of Florida Craniofacial Center
Shands, 1996-1997, obturator maintenance (not provided). Dr. Bill Williams, Ph.D. Speechlanguage Pathologist, fluoroscopic assessment of VP speech function. November 25, 1996;
reviewed in 2006. U.F. 2006-2008 unable to make a replacement speech bulb obturator.
4

Education: My education was delayed in part over my insurance companys refusal to pay for
reconstructive surgery in 1974 while a patient of the cleft palate clinic at Temple Universitys
dental school. I was insured independent of my parents after age 18, but my insurance company
denied reconstructive surgery as a preexisting condition. Life moved on until July 22, 1985
when I met Dr. Kusiak and got back on track. Socioeconomic issues also delayed my education.

Upper left: Graduation, University of Pennsylvania, Wharton School, Sunday May 21, 1989.
Upper right: I am a graduate of the Wharton Evening School (WEv 88), with an Associate of
Business Administration (ABA) degree, earned while taking evening school classes, and
operating my car business during the day. Age 33. http://www.wharton.upenn.edu/
Lower right: Dec. 1995 I graduated from The Evergreen State College, Olympia, Washington,
with a Bachelor of Arts (BA) degree, with a concentration in the psychosocial aspects of
craniofacial disorders. Age 40. http://evergreen.edu/. My studies motivated my Mother to finish
her high school degree in 1995. Mom left school in 1946 at age 16 in Philadelphia and worked.
A persons ability to pay may directly affect the expeditious treatment of a craniofacial disorder.
Fortunately I was able to selffund craniofacial habilitation
during the 1980s thanks to selfemployment, my prosperous car
business in Langhorne, PA, and a
large New York City client base.
I started in 1980 on a rented lot, with an office trailer, and 8 used cars in stock. The business
gave me flexibility for doctor visits and surgery. My clientele included non-native English
speakers, a mitigating factor with my impaired speech. My employees included WW2 veterans,
whos maturity and experience helped me succeed as a 24 year-old entrepreneur. My Father was
title clerk for 3 years. I sold the property June 29, 1988 for $1.9M. (after the 1987 stock crash).
August 20, 1988 I sustained traumatic brain injury and disability during a robbery. Unfortunately
I was not properly diagnosed for many years. Now I volunteer at my Justice Network, nosue.org
5

OREGON
I-IEALTI-I SCIENCES UNIVERSIlY
CIIII..I) I)EVELOPMENT & REHAUIfJTA'Il0N CENTER
1'.0. Box 57/i~ Portland, Oregon 97207-0574

Services for G1., ildre1l u,itb Special J/eallb Needs

l}1lfl..ersity AjJUfated Plugrllll1

June I, 1994

To Whom It May Concern:

RE: Neil Gillespie

This 38 year old I1lan has a repaired unilateral cleft lip and palate. His primary surgery was

done in Pennsylvania and he had SOITIe secondary work including a pharyngeal flap for

speech, in Florida.

Since speech treatlnent for serious hypernasality has been unsuccessful up to this point, the

patient came to Ine for consultation about a speech plan.

Examination shows objectionable hypernasality with moderate nasal emission of air which

markedly weakens all 16 air pressure phonemes. Use of the fiber-optic nasendoscope on May

26th verified that the pharyngeal flap, done three years ago (for speech), has pulled loose.

The treatment plan is to utilize a telnporary speech prosthesis (for circa two years) to

markedly obturate all sounds froln entering the nasal cavity. After normal oral resonance is

obtained and Inaintained for about four to five ITIonths, an obturator reduction program would

begin whereby the throat and palate 111usculature would be "challenged" by slowly making the

obturator sl11aller, in stages. At the end of approximately two years, it is expected that oral

nasal resonance anti oral air pressure would be close to normal limits and that pharyngeal and

palate 111usculalurc \vould have inlproved considerably. This is expected to nlake the patient's

velopharyngeal systenl nluch Inore anlenabie to a surgical procedure to substitute for the

speech prosthesis \vithout c0l11promising the patient's nasal airway.

Respectfully sublnitted,

Robert W. Blakeley, Ph.D.

Professor of Speech Pathology,

Director, Craniofacial Disorders Progralll

blak/b:gille~pi.

AMERICAN ONCOLOGIC HOSPITAL

PROGRESS REPORT
Notll prairllss of caslI. complications. chanilll In dlaposls

condition on dlscharill. Instructions to patlllnt

415-13

Rev. ]-8]

CHART COpy

GILLESPIE, Neil

#74123

7/22/85

The patient is a 29 year old white male referred by Dr. Carver

who is status post left unilateral 'Class IV lip and palate repair
at approximately age two years old. He is unclear about the details
of the degree of his defects, the surgical procedures, who performed
this, or exactly where it was done. Apparently, after the initial
bout of surgeries to repair the lip and hard and soft palate, he had
no further surgical intervention. He had no ongoing follow-up for
this problem. At approximately age 13 to 14 years old, he underwent
orthodontic treatment at Temple University Hospital's Dental School
and this ultimately resulted in the placement of a retainer with a
prosthetic left lateral incisor. He has worn this since that time.
He notices drainage of food into the left nasal floor.
His left and
right nostrils are opened, although the left is somewhat stuffy and
occluded.
His main concerns upon presentation are related to the persistent
cleft in the left alveolus, the draining fistula, and the possibility
of foregoing the need fOD a prosthetic device.
In addition, however,
it is obvious on confronting the patient that he has a moderate amount
of nasal deformity, flattening of the left side in the premaxillary
region, and lip distortion, particularly at the vermilion.
In
addition, the patient has a significantly hypernasal speech pattern
with ~bvious velopharyngeal incompetence.
On physical examination beginning externally, the patient has
a slightly large nose with a small dorsal hump. The size of the nose
is slightly larger than proportional to his face, although not
exaggeratedly so. The right alar dome is full.
The left alar
cartilage is posteriorly and laterally displaced and somewhat
hypoplastic compared to the left side. The left alar base is
also laterally displaced. The nostril sill is flattened, and there
is an obvious fistula between the distal nasal floor and the oral
cavity. The left columella, likewise, is somewhat hypoplastic and
twisted. The upper lip scar is well healed and appears to be a
LeMesurier or
Tennison-Randall type repair. The upper lip tubercle
is preserved, but the vermilion border is somewhat irregular.
Length appears, however, to be satisfactory. There is a-lateral
orbicularis bulge of the left upper lip.
Internally, there is a wide
cleft of the left alveolar ridge at the level of the lateral incisor
with a fistula into the nasal floor. This runs posteriorly and nearly
to the end of the secondary palate. The soft palate has a linear scar.
it is very short, and there is lateral movement but no central movement
of note.
continued ...

GILLESPIE, Neil
Page Two .
7/22/85
My impression and recommendation to the patient generated
three specific areas of interest. One relates to the scar revision
of his upper nose and the relationships of his nasal tip, nose,
and secondary deformities in this area. The second area of interest
in importance is the alveolar cleft with the naso-oral fistula.
The third area is the palate with obvious velopharyngeal incompetence
and a foreshort and scarred palate.
My initial recommendations will be that the patient undergo
orthodontic evaluation.
I will arrange for him to see Dr. Rosario
Mayro for evaluation as well as x-rays to assess his occlusal
relationships.
It also should be noted that he, in general, had
a fairly satisfactory occlusal relationship.with some lateral collapse
and crossbite on the minor segment on the left and evaluate his
adequacy as a candidate for bone graftin~which I think he would
qualify. Subsequent to this, I will have him see Dr. Harvey Rosen
concerning the actual surgical procedure and also he will be seen by
Miss Marilyn Cohen, a speech pathologist with special interest in
patients having cleft lip and palate for an evaluation concerning
feasibility of posteropharyngeal flap in a patient of this age group.
Concerning the external revisions, this can be accomplished concerning
the upper lip, possibly at the same time as the fistula closure with
orlllcularis redirection, a revision of the nostril sill and the
lateral alar base, and also possibly tip rhinoplasty or this can
be accomplished at a later date with a formal rhinoplasty in concert
with other procedures.
In addition, the vermilion border should be
repaired.
This can be done by Z-plasty technique.
The patient, therefore, will be seen by the consultants and a
general plan with timing'for surgery, etc., will be made. We will
arrange to make these arrangements and follow-up with the patient.
No letter.

ep
s1ak, M.D.
econstructive Surgery
JK:bsm
T--8/1/85
D--7/23/85

li. 'Ralph Millard, Jr., M.D., F.A.C.S.

thony

Wolfe, M.D., F.A.C.S.

Walter R. Mullin, M.D., F.A.C.S.

December 3, 1990

Mr. Neil J. Gillespie

23 Sweetgum Road
Levittown, PA 19056
Dear Mr. Gillespie:
Arrangements have been made for your admission to Jackson Memorial Hospital,
East Tower, on Thursday, December 13th, 1990 between the hours of 12:00 and
2:00 p.m., for surgery the following day. Please be prepared to pay the
hospital a deposit of $4400 toward payment of your final bill. However, they
may accept insurance forms in lieu of payment. Please let us know at once if
you prefer to be admitted on the morning of surgery, as we would have to arrange
for your lab work to be done prior to the day of surgery.
Also, we've arranged for Dr. Millard and his Resident, Dr. LaTourette, to see
you in our office on Wednesday, December 12th at 10:00 a.m. for medical workup.
Please send us your insurance forms with "insured section" completed and signed.
This will help expedite the processing of your claim. Be sure to find out and
let us know if your insurance company requires pre certification for planned
surgery. Contact Marisol in our office as soon as possible regarding this
matter.
Kindly confirm these arrangements upon receipt of this letter. If we do not
hear from you by December 12th, we will assume that you are unable to go ahead
at this time and we will find it necessary to remove you from the schedule
until we hear from you again.
Enclosed is a list of special instructions which should help answer some of
your questions. If we can be of further assistance, please feel free to call
upon us.

~urs.
Chris Montoto
Secretary to Dr. Millard

D. Ralph Millard, Jr., M.D., F.A.C.S.

Anthony Wolfe, .M.D., F.A.C.S.

Walter R. Mullin, M.D., F.A.C.S.

'The Plastic Surgery Centre

Plutic and Re.:onsl:ruc:tivc Surgery Tel. (305) 325144.
1444 N.W. 14th Avenue

Miami. Florida 33125

December 6, 1990

Christy Barcelona
Pennsylvania Blue Shield
Pre-authorization Request
P. O. Box 890041
Camp ~ill, PA 1708900041

Re: Neil Gillespie

ID: D5ll5395
Group: 20l63C

TO WHO-I IT HAY CONCERi'J

The above natmed patient was seen in consultation by D. Ralph

Hillard, Jr., M.D. on May 26, 1989 at which time reconstructive.
surgery was scheduled.
The patient \Vas born with a tmilateral cleft of the lip and palate
including nasal distortion lvith difficulty breat~~g and nasal
escape, secondary to tIle cleft. TIle proposed surgical procedure
lvill be cleft rhinoplasty lvith submucous resection, possible pharyngeal
flap and cleft lip correction, procedure codes: 30520, 40720 and 42226.
Dr. Hillard's fee for these procedures lvill be approximately $3,900.00.
Dr. ~lillard feels very strongly that this surgery is functional i."1
nature.
We will greatly appreciate receiving pre-authorization for this surgical
procedure. We will also appreciate your expeditious attention to this
request as Hr. Gillespie's surgery is scheduled for Dece.'nber 14, 1990.

S)7Z:t:~r:L

Marisol Pardo,
Insurance Secretary

~1P/a

JUN 29 1993
MUTAZ B. HABAL., M.D., F.R.C.S.C., FAC.S.
PLASTIC AND RECONSTRUCTNE SURGERY
801 W. Dr. ".rtin L ICing, Jr. BIwI.

Tampa, FL 33603-3301

Telephone: 813/231HH09
FacsOnBe: 813/.238-1119

May 5, 1993

RE:

NEIL GILLESPIE

To Whom It May Concern:

Neil Gillespie is a pleasant 37 year old white male patient
seen 'today for the first time at the Tampa Bay Craniofacial
Center. He brings with him today an organized synopsis of the
multiple operative procedures that he has undergone, initially
in Philadelphia and the last in Miami.
The patient presents with velopharyngeal incompetency and is
leaking air both posteriorly and interiorly.
The palate is
short and does not appear to have much activity.
Prior to
preparing Mr. Gillespie for a surgical procedure, I would like
to do a complete visualization of his problem to see if the
pharyngeal flap needs to be removed and enough time allowed
for the tethered flap to adjust, or if a complete flap with
two small posts on each side is appropriate in order to allow
him to communicate and be understood despite his hypernasal
speech which at the present time cannot be comprehended.
These operative procedures will be discussed with the patient
following the visualization procedure which has been scheduled
at st. Joseph's Hospital on 6/1/93 and again in consultation
with Dr. Scheuerle. I will see him prior to the procedure on
5/26/93 at 1:45 p.m.
Should you have any questions, please do not hesitate 'to com
municate with us.
Sincerely,

/U V/ G.-i~- fr~{t:-L--l
Mutaz B. Habal, M.D.
(dictated but not read)

MBH/bbd/5-8

June 2, 1993
Robert E. Williams, Ed.D.
certified Rehabilitation Counselor
Department of Labor and Employment Security
Divisional of vocational Rehabilitation
11213 B North Nebraska Avenue
Tampa, Florida 33612

Department of Communication Sciences

and Disorders
College of Arts and Sciences
University of South Florida
4202 East Fowler Avenue, BEH 255
Tampa, Florida 33620-8100
(813) 974-2006
FAX (813) 974-2668

Re.: Neil J. Gillespie

Dear Dr.

Willia~s,

Thank you for your letter of inquiry concerning Mr.

Neil Gillespie's health and employment status and
potential. Each of your five questions concerning Mr.
Gillespie's diagnosis and treatment plan is listed and
addressed below.
1. What is Mr. Gillespie's disability (ies) and what
is the level of severity?
-.,.
Mr. Gillespie has sustained the surgical results
of mUltiple treatments for a congenital cleft lip and
palate. While he is facially intact, he retains several
incomplete elements of the sequelae of this congenital
dysmorphology.
Because of the oro-nasal fistula and
velar limits, Mr. Gillespie is utilizing extreme measures
to make his speech intelligible. He is applying undue
stress to the laryngeal and pharyngeal musculature a
control the normal air stream. Because of his extra
effort in striving to meet the demands of society, he is
at risk for damaging his larynx. Also, the unnatural
openings between the nose and mouth invite incidence of
infection and irritation to sensitive tissues that were
never meant to associate in this way.
Exchange of food
stuffs and secretions between the two cavities must be
stopped to promote complete healing and maximal function.
2. What is Mr. Gillespie's functional level? What
physical limitations (e.g., speaking, hearing,
communicating, etc.) are imposed by the disabilities?
Because of his present oro-facial-pharyngeal
status, Mr. Gillespie is not advised to use his full voice
in long-term verbalization. That is, prior to closure of
the fistulae, and correction of the palate, he would be
ill advised to lecture, or undertake pUblic speaking. He
can communicate intelligibly on a one-to-one basis and as
such he displays an astute mind with considerable
.~
experience with interpersonal communication. This level
of communication is possible due to Mr. Gillespie's
conscientious and accurate speech articulation. When he
attempts to use a stronger (louder) voice, the increased

'<\MPA

ST. PETERSBURG

SARASOTA

UNIVERSITY OF SOUTH FlORIOA IS

FORT MYERS

LAKELAND

m AFFIRMATIVE ACTION I EOUAL OPPORTUNITY INSTITUTION

air pressure increases the hypernasal resonance and

thereby decreases the effectiveness of his speech. He
looses intelligibility and fatigues rapidly.
Because I have no objective data on his hearing
status, I can only be suspicious that it is currently
within normal range, but also that he has sustained the
effects of early, untreated middle ear effusions that
usually result in conductive hearing loss during infancy.
effort was seen yesterday at the Tampa Bay Craniofacial
Center for assessment of the current status of his
congenital orofacial cleft condition.
Mr Gillespie is
experiencing severe speech expression problems due to
inadequate intra-oral and oronasal structures. Although
he has had several surgeries in an earnest attempt to
resolve this problem, none of the procedures have
completed the treatment he requires in order to produce
clear verbal communication ..
3. What is the probable future course of the
disability (ies)?
If untreated, Mr. Gillespie rjsks irritation and
abuse with abrasion to the laryngeal tfssues, continued
irritation to the upper airway and mutual irritation and
possible infection to the oral and nasal mucosa due to the
uncontrolled exchange of cavity contents during every day
living activities.
4. Are there any work environments that must be
avoided?
If untreated, Mr. Gillespie must work in settings
that provide minimal irritants to the nasal, oral and
pharyngeal mucosa. He must avoid excessive drying of
those tissues and the linings of the larynx. He must not
shout, use his speaking voice in excess, or be exposed to
excessive or continual loud noise because of both the
hearing factor and the need to override the noise with use
of a loud voice.
5. will treatment ease, alleviate, or remove the
disability (ies)? If so, what treatment is recommended?
Treatments are available to alleviate the current
problems and remaining dysmorphologies that underlie the
problems cited above. However, the exact mode of
treatment requires an objective examination of Mr.
Gillespie's intra-oral, oro-nasal, and oro-pharyngeal
structures.
The approach that has been suggested by the
Craniofacial Team at the Tampa Bay Craniofacial Center
includes the following steps.
A.
- out patient hospitalization for nasendoscopy to
determine the present cause of immobility in the soft
tissue of the soft palate and to visualize the extent of
the nasopharyngeal gap.
If the last surgical result has
modified over time, it mqy be desirable to surgically

modify the present condition by severing any tethering

tissue that is limiting palatal function. Prior or
sUbsequent to the hospital experience, a complete
aUdiological assessment would be helpful to rule out any
middle ear dysmorphologies connected with the congenital
problem.
.
B. - Clini9al observation indicates that following
this careful, objective examination, Mr. Gillespie will
need surgical correction of (a) the anterior oronasal
fistula; (b) bone graft to complete the maxillary alveolar
arch; and (c) 'secondary palatoplasty to form a pharyngeal
flap to reduce the hypernasality. [Please note that the
order in which these are listed assure that the separation
of cavities, the continuation of the airway and the
skeletal support of soft tissue modification will prevent
any' future deterioration of these same tissues.] ,. ".,'
, . c.' :.-Following surgeries to correct all the current
interfering dysmorphologies, Mr. Gillespie will need to
'.' have sixmontlls of speech therapy to 'assure' that he no
.'c longer over-activates his larynx and' learns to utilize
;. fully 'th.e're-confiqilred oral and oro";;pharyngeal
,,"
: structures.
' " ," '
. ,;':::;Due to his current physical disability Mr. Gillespie
is ':experiencing rejection in job applications . It is the
opinion of the Craniofacial Team that correction of the
'identified sequelae of the congenital dysmorphology, this
young may will be able to find employment in any current
or emerging job site that requires his type of skills. He
is competent in matters of business, and has a keen
interest in dealing with people~ He may seek employment
in human service areas, personnel management, or
counseling whether in business or in some specialized area.,
of human communication. As a student at the University of
South Florida and a promising contributor to our
community, this young man needs support to pursue
. appropriate treatment for the remaining dysmorphologies of
his mouth, throat and face.
'
.
Please let me know if I can be of further assistance
. to you in your efforts to provide the needed assistance to
Mr Gillespie.

fLe~:l~y~,~'t.G-<A.,c...'l/t.."',

~/i6

euerle,
CCC-SLP

Professor

co-Director, Tampa Bay Craniofacial Center

Craniofacial Center
Health Science Center

PO Box 100424
Gainesville, FL 32610-0424
Telephone: (352) 846-0801
Fax: (352) 846-1539
e-mail: Wiliiams@dentaLufLedu

Clinic Report: Videofluoroscopic assessment of the velopharyngeal port during

function for speech

Re:
Dental No.:
Medical No.:

Neil Gillespie
18-80-41
10-44-032

This forty year old white male was seen on November 25, 1996 for a videofluoroscopic
assessment of his velopharyngeal port during function for speech. Mr. Gillespie is currently
wearing a speech bulb obturator, and his speech resonance frequently alternates between
hyponasality and hypernasality. The purpose oftoday's filming was to determine the size,
configuration and placement of the bulb in the nasal pharynx to determine if alteration of
these factors can improve his overall resonance quality. The nasal pharyngeal structures
were coated with a thin barium sulfate solution to aid in defining soft tissue contrast.
Records were obtained in the lateral and frontal (A-P) planes with and without the speech
bulb obturator.
Detailed analysis of the film revealed the following conditions:
1. Without the obturator the soft palate is mobile, demonstrating a movement pattern
appropriate to the several speech samples Jared produced. Although there is good velar
mobility, contact with the posterior pharyngeal wall is not achieved. That is!, a consistent gap
of 10 - 12 mm exists between the elevated velum and the posterior pharyngeal wall during
speech.
2. The depth of the nasopharynx, as measured along the palatal plane from the posterior
nasal spine to the posterior pharyngeal wall is 25 mm. This compares to the norm of 24 mm
2 mm/SD revealing Mr. Gillespie's nasopharyngeal depth to be well within normal limits
for his age.
3. The configuration of the posterior pharyngeal wall is nearly vertical above and below the
palatal plane, a pattern well within normal limits.
4. An A-P view revealed symmetrical mesial movement of the lateral pharyngeal walls
approximately 25 - 50% of the distance from rest to midline.

Neil Gillespie
Fluoroscopic assessment of VP Function for Speech
November 25, 1996

In summary, Mr. Gillespie presents with a speech pattern characterized by near normal
resonance but which frequently alternates between hyponasality and hypernasality. He is
currently wearing a speech bulb obturator and today's assessment revealed placement and
configuration to be near optimal.' Without the obturator, Mr. Gillespie's speech is
significantly hypernasal and although the velum elevates appropriately there remains a
consistent gap of 10 - 12 mm during speech. In order to further define whether any
improvement can be made to the speech bulb obturator or if a secondary surgical technique
might be a viable consideration, a nasendoscopic assessment should be conducted.
If I can be of any further assistance in the interpretation of this film please call me at (352)

8:;~~

W. N. Williams, Ph.D.

Speech-language Pathologist

cc:

Mr. Neil Gillespie

1121 Beach Drive, N.E.

Apt. C-2

81. Petersburg, FL 33701-1434

Mr. Glenn Turner
P.O. Box 100435 JHMHC
Dr. Brent Seagle
P.O.Box 100286 JHMHC
Medical, Dental, Center Records

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200

TELEPHONE
FAX

(215)5454800
(215) 985-1161

December 13, 1991

To whom it may concern:

I have been requested to set forth a history of my relationship with Mr. Neil
Gillespie, which is as follows:
1)

I have known Neil since 1978 when I became his accountant.

Neil was an automobile sales person.

At that time,

2)

Several years after I began performing Neil's personal income tax work, he
began his own used automobile business which was incorporated under the
name of Kar Kingdom, Inc. The Company operated from a rental location for
approximately two years, at which time Neil purchased a car lot in
Langhorne, Pennsylvania to further the growth of the business. Under
Neil's,direction, Kar Kingdom, Inc. continued to grow from one year to the
next, realizing sales approaching $2,000,000 per year and employing
approximately seven individuals.

3)

Kar Kingdom, Inc. operated successfully through mid 1988, at which time the
lot was sold due to a down turn in the automobile business in Langhorne.

4)

During 1989 and 1990, Neil was instrumental in the formation of two
Companies, Automotive Specialists, Inc. and Global Business Services, Inc.
Neil lent his professional expertise to Automotive Specialists, Inc. while
he offered professional business consulting services through his Company,
Global Business Services, Inc.

5)

Neil maintained his personal residences in Philadelphia ~rom 1984 through

1989, most of this period residing at the John Wanamaker House.

6)

While Neil's business interests have suffered due to the ongoing current
recession, our office continues to consider Neil as a quality client and a
friend.

Page 2
Neil Gillespie
December 13, 1991

We would be happy to provide any other information required regarding Neil

Gillespie if requested.

Sincerely,

Terry D. Silver

TDS/kw/Gillespie

https://www.corporations.state.pa.us/corp/soskb/Corp.asp?496028

Corporations
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Business Entity Filing

History

Date: 10/7/2014 (Select the link above to view

the Business Entity's Filing
History)

Business Name History

Name

Name Type

KAR KINGDOM, INC.

Current Name

Business Corporation - Domestic - Information

Entity Number:

726273

Status:

Active

Entity Creation Date:

2/23/1981

Registered Office Address:

PO BOX 66, RTE. 213

LANGHORNE PA 19047-0
Bucks

Mailing Address:

No Address

Officers
Name:

NEIL J GILLESPIE

Title:

President

Address:

23 SWEETGUM RD
LEVITTOWN PA 19056-09

Copyright 2002 Pennsylvania Department of State. All Rights Reserved.

Privacy Policy | Security Policy

http://www.licensepa.state.pa.us/Details.aspx?agency_id=1&license_id=711752&

For questions about this website, please Click Here to send an E-Mail , or to contact your Board directly, Click Here.

Click the X at the upper right corner to close this window and return to the list of licensees.
Person Information

Name:

NEIL J GILLESPIE
Address Information

Address(city state zipcode):

LEVITTOWN PA 19053
License Information

Number:
Vehicle Salesperson Secondary Type:
MV038083L
Profession: Vehicle Board
Status:
Expired Date This Status: 4/18/2001
Issue Date: 10/10/1975
Expires:
5/31/1989 Last Renewed: 6/29/1987
Type:

Prerequisite Information

Licensee:

KAR KINGDOM INCORPORATED AUTO

SALES

Relationship:

Business
Relationship

Type:

Vehicle Dealer

Number:

VD011787A

Date of
Association:

Date of
Expiration:
Discipline Action History

No disciplinary actions were found for this license.

The Information above is considered primary source for verification of license credentials.

Status:

Inactive

6<:.-

eit Gillespie, resident of Kar Kingdom in Middletown Township, displays the London Roadster.

New roadster has '40s imag

10~\(
Uv

Middletown dealer offers spiffy sports car

By Dave Chandler
Courier Times Business Editor
. 'Kar Kingdom, a Middletown
'1lo.wnship business, has be
'come the exclusive area auto
mobile dealer for the London
Roadster, an American-made
convertible that looks like a
British sports car of the 1940s.
"A lot of new cars today all
look alike," said Neil J. Gilles
pie, president of Kar Kingdom,
which is located at Lincoln
Highway and Route 213.
"But no one is going to con
fuse this car," he continued.
"Il's an original."
The London Roadster is Kar
Kingdom's first line of new
cars, Gillespie said. Up until
now, the dealership only sold

used cars.
The top-of-the-Iine London
Roadster model sells for $16,
985, Gillespie explained. "It
really is a fun kind of car," he
said.
The car is manufactured by
London Motors Corp. of Dear
born, Mich.
"The company has been in
business for 19 years," Gilles
pie said. "Up until now, the
company sold directly to the
public through ads in the Wall
Street Journal and the New
York Times.
"But now, they decided to in
crease their market share by
establishing dealers."
Gillespie, a Levittown native
and a,graduate of Bishop Egan
High School. said he found out

about the London Roadster in

an advertisement in the Wall
Street J ouma!.
"I called about getting a
dealership," he said. "I flew
out to Detroit and Iit<ed it. It's
very similar to the early MGs
(a British sports car) ofthe late
1940s and early 1950s.
"It's a very high-quality car.
It's 78-percent hand made."
The London Roadster has a
l.8-liter, 4-cylinder engine. It
has rack and pinion steering,
disc brakes in the front and
drum brakes in the rear, an in
dependent four-wheel suspen
sion, and a non-rust, fiberglass
body on a steel frame.
A customer interested in
buying a London Roadster
must know how to drive a car

with manual transmission.

"It's modeled after the line
of real sports cars, and they
didn't come with an automatic
shift," Gillespie said.
Kar Kingdom was started in
1980, Gillespie said. Its office
building is located in the for
mer Edge Hill School building,
which was built in 1894 and used
as a school until the 1940s.
After that, the building was
used as residence up until the
time Kar Kingdom bought it.
In order to display the Lon
don Roadster, Gillespie built a
showroom adjoining Kar King
dom's office building. The deal
ership also recently built a ser
vice center to handle all of its
cars.

.~

,.'

EMERGENCY _.
DEPARTMENT'
, RECORD

HAHNEMANN
-, HOSPITAL
Philadelph;a
Pa.,19102

, UNIVERSITY

PATIENT STATED COMPLAINT

~-UJ-8~ -,

PTT
p.:

1.- .,.J
. - .....

:'

,.'

>~~, ,,~.;._-

-;.' ~y, ," ,

~'~--;:' ~
-'. c..e--..,

"'::: InIM

Na,

III

<:0;"-'

~.

4:

CL

~.

BLOOD GASES

CONSULTANT REO,
T;me'
AM
'Called
PM

CONSULTING W-SlGNATURE

SERVICE

TIME SEEN

AM

PH

PM
SIGNATURE-House Staff MD,

FINAL IMPRESSION

Hea.

URINE

to- ~~~~L~llL.::~L::~-ALj=-_~~----!!~~~~e~~~=----~~~~~~:---1

~ ~J..j;~~~~~~----l~'-/C:::::"'-_+-~4-r:::;::--~~=>f~=r;:.~:.r::::z2~~~-----I

S!--!-=~~~~~---U0!....-----+":"~1----

-L

o Betadine
o Scrubs

0 Crutches
0 Cane

CONDITION ON DISCHARGE
\

_.

-,

o Same,'.

..

RBClhpf

WII.Cl"Pt'

_ _~~~Q!:..I~~~~~~~~~-=_ _-1---+=a.et;;:;;ert.

-iL_EMJ-==-_ _~~~~~~_ _--r-_..}--r=::..:=.::...:.:..::.:r...:...:.~,

o SpIinlIColiar o ,Monitor
o Ace Applied D. Dressing ,
OSlin

-.

~Change (Explain):

KneeIIl1lTlOb;-T

. (....:

I'tECORD ROOM

Drug Screen
_.~-

:. ..".

EKG

/A

".::;;

. ::' .. ,

., ~""

"'~"r~":'\:'

~ vL~!

.. .

.J

EMERGENCY ROOM .,.6RSES RECORD

Zt' ~ II PSr~

:ATID

'. Hahnemann Medical College and Hospital

DATE:

I" TEMP

TIME

'71

Ir

....

PATIENT

NUM.".

. ~ROGRESS NOTES

BP

(2o/~

t4u!,:-

5"",-

fJ(5'1t..LA

~T'<ll,.j~ ...

PI

DOSE

ROUTE

((-""(.?r

.... A-\,JA-Y ~IJ.S ~'S\L'1

Av4 A - ( J1J1rl? Ct..- TO

MOl RN

tJaJJ %./1,
.

, ~ -......OUTPUT

.~U

PARENTERAL
TIME

AMOUNT

A1rfu.;r..~'PtOft~

IJt)n fA.( it fiU (N 0

INTAKE
SITE

.;.'

~H,A .e~;;4.:

PD

MEDICATIONS
MEDICAnONS

TJME.

I~ ~

PI .~IIJL
-\"l ~I 'fa)

CIt

FLUID

SITE

~-O
URINE

f-4..t
I

OTHER

--+----------------1---t----t-----------+----1f----:r_

CLOTHING TO

VALUABLES TO

DISCHARGE/
=",:

TRANSFER

FORM

OTHER

DENTURES

CONDITION

1196

EYEGLASSES.

t---------------------------------

SUMMARY
TIME

REV 03 - 82

EMERGENCY ROOM CONSULTATION AND CONTINUATION RECORD

HAHNEMANN UNIVERSITY HOSPITAL

DATE

~...!:9}{..2.-

NAME

~~--

G\

E. R. NUMBER

- ,"C.

4.s:t=e '

"La"'...."'NT

~.

,-.>--,

~----

'--
~.
i.

"'ORM 171107 (ft.V 1 - III

WHITE: Record Room

CANARY: R.f."..

PINK: E......-.cy Room

..

GrL~B(Jre

N~rl,

DIAGNOSTIC REQUEST AND REPORT

DEPARTMENT OF DIAGNOSTIC RADIOLOGY

HISTORY NO.
..

Hahnemann University Hospital

AGE
LMP

~D.O.B.

.,
;

.. :. ...

Rt. Lt:

___ .r..

. ';.~::::t

':_

X-RAYED HERE BEFORE?

o
o
o
o
o

NO ... 0 YES, DATE:

CT Brain Scan

DO Femur

o WALK

DO Knee

OWHEEL CHAI.R
o CARRIER

DO Tibia-Fibula

0 0 ~I~':~~ ~~e c
o 0 Thoracic Spine

o
o

o0
oo

ONode/~=

Lumbosac. Spine

CT Body Scan
UltrMound

o G.I.
Bifat.
o
o
o
0
---;:;:-;::;-f-------+-------+-------t---------f----------4
0 !0
o
oo
o
0
0
o
o
o
0
I
tj
o
0
o
o
0
O
o
~Facial
o0
o
I
0
~Mandible
o0
o
0
O
o
o
0
i
0
o
o
o
o
o
0
o
LaVSoft
o
o
o
o
o
0
o
o
o
o
D

Chest PA + Lat.

w/Air Contrast

Chest AP or PA

Rt.
Lt.

Chest Dccub.
Pon. Chest

Barium
Esoph/Swallow

DO Clavicle

DO Foot

Small Bowel

DO Shoulder

DO Heel
Toe

DO Humerus

!DOElbow

Gallbladder

Pelvis

DO Forearm

Skeletal Survey (CA)

Skull

Pulmon. Anario.

Orbits

Renal

DO Wrist

Myelogram

DO Hand

Sialogram

Chest romo.

Abdomen-KUB

TTube

Cholangiogram

AbdomenErect-Supine

I.V.P. w/Tomograms

Obstruction Series

Drip I.V.P. w/Tomograms DO Hip

Fistulogram

Cystogram

Anhrogra!'1

Uro/Strep Infu.

Shuntogram

Bone Age

Serial Film

Oint. Bil. Slent

Artario.
Venogram

Celiac or Mesentenc

Femoral Anerio.
(run off)

Bones

Transhepatic
Cholangiogram

rK

Cerebral Artario.

Paranasal Sinus

DO Ribs

Multiple

Unil.

D O Coccyx

Barium Enema
w/Flat Plate

Cardiac Series

Both DO Ankle

Rt. Lt.

Air Contrast Enema

O w/Flat Plate

o Chest Fluoro

o
o
o
o
o

Both t8Ccervical Spine

., 1----------4~;:--,__:_:,....,._--__+=------~

DR.

Venogram
Vascular
Gruntz,g

OT.M.Joint

Therapeutic
Intervention

Nasal Bones

Finger

ODSA

Tissue Neck

DO

PERTINENT HISTORY

~t
.~

PR?VISIONAL DIAGNOSIS

_
-~

~ENDING [10LA~b~

~~.

---

1 RES,:)ENT OR INTERN

DATE EXAM DESIRED

, ,

MD. I

RADIOLOGIS7'S REPORT

DATE~D~/,...
;(/Jc7V/ ~

GILLESPIE~ NEIL
825117

MULTIPLE STUDIES:

CERVICAL

SPINE:

e\/.1.0enCE:

:.- .1. '../

~~.:.,

, .;

~he

d:i. =; 1 DCa 'lion

::?;?\/E?::\

1.

c:erV1C21

or
nCJ

spir)e reveal

no

abnormal
prevertebral

bony i.!npi~gment l~pon th2

neural foramina.
FACIAL BONES:
Five views of the facial bones reveal
no evide~ce
of fracture
or ~islocation. No alr fluid levels are seen w1thln
the sinuses or air in the orbits.
t1ANDIBLE:

which reveal
TRANS:
BY:rb

FORM 333008 IRev 7/861

th,':~

n~

EVldence of

fracture.

rnandible

v'Jere

Bria~

cbtainf~,j

t-l.D.
Patricia Laffey, M.D.

8/22/88

PATIENTS CHART

~(

PATIENT NUMBER

EMERGENCY ROOM NURSES RECORD

Hahnemann Medical College and Hospital
JATE

TIME

TEMP

~ROGRESS NOTES

\J

BP

19~

I/!Jfm
b(~ 'Z5UO

11'

--

Ir

(2:,!~

~T'<LL'"

PI ~ I JJL

'-A-VJ h

MEDICATIONS

DOSE

ROUTE

INTAKE
SITE

MOl RN

CLOTHING TO

DISCHARGE/

e:
TRANSFER
SUMMARY
TIME

FORM

CONDITION

1196

REV

03 - 82

VALUABLES TO

...-

AMOUNT

EYEGLASSES
DENTURES

c-r--....OUTPUT

r---\. "

PARENTERAL
TIME

o
o

1'.P f::~ \ U1 Prf++v l\ 3

PrlU

OJsS
MEDICATIONS

TJME .

~(J ~Jl ~ +- (JaJ) %II,

~.... Po ~H A- .e~tJL. .

~1.lW

51'-r- tIIu~~

(J(!Yt..LA-

FLUID

SITE'

OTHER

.~-~

~'g
URINE

I
J

OTHER

o
EMERGENCY ROOM NURSES RECORD

NeiL

Hahnemann Medical College and Hospital

TEMP

TIME

DATE

~f1,1

PATIENT NUMBER

PROGRESS NOTES

WII.t

<.'NkA

{AJ

m-+-

/X- t'f9., $L~Pr'nN'./

II N -;:;T'(l.AJU'"Y JI\.. ~

VtA-

CILI

r\ L<vr

(0f\lD GNL pU(lPtJ_,

tJ l t. '+1""

QJls~

RVt<SWE'O ~Jllf1 ~

('~ . GA-1:r S'r-:J1"Y)-...( AI...l

O(l1

OT

rJJ

1..Fr

H.A.
I

1(A1U-ir,~~ (21-:.~ (~Jm 5CL~l'nV1 6"'l M61"tUA.J

~Th~/I..-

--C _

'--"

-"._"

--

TJME .

INTAKE

MEDICATIONS

MEDICA nONS

DOSE

ROUTE

MOl RN

SITE

CL.OTHING TO

VALUABLES TO

OUTPUT

PARENTERAL
TIME

AMOUNT

EYEGLASSES

FLUID

SITE

NEEDLE

.0 OTHER

DENTURES

DISCHARGE/
1::'"
TRANSFER
SUMMARY
TIME

FORM

CONDITION

1196

REV 03 - 82

-'I

6(u..-,~9\

BP

c 'l'5't.J-.\d

C;i)3S

PATIENT NAME

NURSES' SIGNATURE

URINE

OTHER

~~~-.. ~i. 'p~tiHi-"''''' ~ ~ : * 4 . "

...~ .~.:.~ai.4.;.a

; ...

7: ... 31

:-~ ~I;/AHN~~ANN aRG~Ncv.:DEPAR~MENr. Fall

6

''''';''NAME
.-,

'_

~~.

/Jed

'

e>

--

ou:'.::::n~ht ~:~.J24 ~.

': ..-. po';."

Yw

2. Apply ice ~gs to areas of swelling of the scalp for 15 minut.. ~very4 to
,6 hours ,dUring the first 24.tt()urs after injury.
~.t"
" ',:

,.3. Li9!lt diet for 24 hours after injury. '

.gt~.,~t.-':iA'

PINSTR\l.cil6@~~:

~."!t=t"':"5~'.~~

e.

--.:,::

"

~ -P~.' 1332;').. .0

ch;nq th. d;~~=::c:: :::;~tj;~~~;;d:"V

ccompanylng paUT. For vomiting. stop all foods anclliquids for several
hours. Later. try sipping clear liquids each hour. After f2110urs without
vomiti~g try a b.la.nd d.iet. For diar.rhea. drink plenty of etu,'liQuids. Eat '
. no SOh~ f~OdS, IMlally;:When dla~rhea decreas~s, uy-~~~~.~~~r. "',
Blear Liquids:' Jello. fr.llit IUI.ces (apple. cranberry, ~r.pe);:'broth/soda.
(seven-up. glnger-aleh Don t remain on a clear liquid dietfotmorethan
72 hours. Call your doctor if diarrhea persists more thtin:72hours.

4. Avoid strenuous physical exereisefor at least 24 hours after the injury.

Return to the Emergency Room immediately if:

Blend Diet~eggs. meat. fish. poultry. potato. rice.

, 1. The patient becomes confused. vomits. is unsteady or clumsy

p:You are unable to awaken the patient.

DATE

say'4fJfllft

n~i;S:~~;;81:;toast.
.. ---.:'" ~:~

~. ~

NOTE: AVOIO-milk and other dairy products. raw fi'uiIa end~.

nuts. chocolate, and fatty or fried foods until you a,. better;. ,~'"
' . ~">-""'i'w ... ;.-\';.,~
o JOINT SPRAINS. SEVERE BRUISES:"- :.~,;:r;.;:~:::,

'

'3. The patient has a'seizure or convulsion

~rse~~'~~~r f~

4., Headache gets worse.,

Pain is usually mild when the injury occurs. but

a
hours. Swelling also comes on gradually.
" ,", "o~',-;~;~; . " : - \ ' ;

5. The patient complains of double or blurred vision.

... ;;"

.';. -~. ",'

1. Rest is the most important treatment.

o.ur

2. Keep injured arm or leg eleval8d higher than Y,

'heart level to '
prevent swelling and reduce soreneb.,. : .. "': ,~~-' .

o WOUND CARE

3. Coid packsshouhl be appliedfor the first 24-48

1. Keep the wound and bandage dry and clean,

hour~. Use ato~el

between the ice bag and the skin to avoid frostbite.

2. Even with every precaution. any wound can become infected.

4. Warm
packs or soaks may be used after 48 hours,
,
'

3. Return to the Emergency Room at any time if:

6. po not stand on an injured foot or leg until you can do so~ithout pain;
then gradually return to normal activity.
,

a. wound becomes red. swollen or hot

b. wound breaks open. drains or has bad odor
c. sore glands or red streaks develop
d. pain worsens

e dressing becomes blood soaked

o NECK & BACK STRAIN

. 1. .Rest the injured area. avoiding anypainful m<Wemen~.. , ,;,~,

2. Apply heat at least 3 or 4 times a day.

4. Keep injured arm or leg elevated high,il',than your heart level to

Plevent swelling and reduce soreness. /
.

....

.,
;

'~--:~:::.:.;; '<c

~ .. '

.. ".

3. For neck strains. try sleeping with a low pillow or no pillow at all.

~
4. I~crease activities very gradually.
"',' i-;.To
~,----------~D""""O""T"'Hf~F""O-l-LO-W-IN-G-_O-N-L-Y-I-F-C-H-E-C-K-E-D-S-Y-r-H-E-O-O..;,C-T-O-R-------..;,,;;.--

C
.....

'0
0

the skin to avoid frostbite.

-0 Heat every
.beginning

hours for

minutes until

o Soak in warm water every

o May take aspirin or Tylenol 1 or 2 tablets every 4 hrs. as needed.

..

"C

ou

for

hours for

,
,

~,

month and again in 6 months to complete ybur immunization.

1:1 Do not drink any alcoholic beverages, drive a car, or operate any
dangerous machinery while taking the medication given or...-c:ribed for
you.

minutes

days.

OTHER INSTRUCTIONS

MEDICATIONS/PRESCRIPTIONS
Medication

~
Amount Order,c!

~~

Directions _

Dose

...

>II:

c(

c(--

--

....-

........

~~=

~~

"'::!"C~.,~

\~ ~.....,~

"~

_==~"":";=;:"':"_,,,..S~.~':;;;;:'''''''':::,:....:.,'~-,''="""::::.1+.'2"-( \..~'~ . :-SC"'''-'7

CD

0::

(J

gla"'s of fluid a day until

- 0 Make an appointment with a physician for~. tetanus toxoid booeter in 1

0::
W

o Drink

o Cold packs for first 24-48 hours. Use a towel between the ice bag and

~,<..,-.:-.:".,,-

~ ~~'-'-'- ~~"""''''~.

. . . .__.. . _ -..-....__.. . . .

__=_~~~~~

___=~"=~~~~~~""!!!!""!!~-

IFYOU HAVE ANY FURTHER PROBLEMS CALL YOUR DOCTOR OR CALL THE EMERGENCYROOM.
o Industrial Compensetion Clinic (Enter thru Bobst Entrance)
FOLLOW-UP CARE
o City Compensation Clinic 216 N. Broad St. 6th Fir. (; day)
o Oral Surgery Clinic 326 N. 16th St.
o Your appointment is on
at
_
o William Penn Bldg. 246 N. Broad St.
,0 Call for an appointment to be seen in
days.
o Feinstein Bldg. 216 N. Broad St.
o
Clinic 448_
o Your own doctor - - - - - - - - - - - - - - - - -
Interpretation of X-rays and tests is preliminary only.
o Other

.You will be contacted if there is any further abnormality

that needs medical attention.

I understand that I have had emergency treatment only

and that I must arrange for follow-up care as
indicated above.
I understand the instructions above.
01t..llt<f:
Q0
LlI-k.J.re.v. hC'
~-

DATE

'

40 0l an.

TIME

W1vsICIAN SIGNATURE

-~The patient may return to work or school.

~"i'he patient may not return to work or school
until
Restrictions:

.0. Signature:

----::;IH'S AUTHORIZATION MUST BE SIGNED BY THE PATIENT, OR BY AN AUTHORIZE&PERSQN,

__ .,': ,.....--'
- - - - , - - - - - - - .. --(ExceP1To~ecgenci8sr
---'--'--::.----'..:..:;.~~~iooEo. ........;;-.....
_I

-:-;Alrthorization for Eme!gencv Department Treatment

_~~-=:

".

.:.~-

__::-l! 1.<.=,
- .]q

.
.
'.
. ' .iI~Pfeseati~mYse4ft~~;agnosis.andtreatrneot.atltbe
Em,fgencv'l)epiirtinenfof Hahnemanfi1'vfelficilIC011ege-ailafiospitarTcOilserit:uislrChcare ;tnCfUarng -diig_--~::.---t--~

--- precedures. surgicid and medical treatment. and blood transfusions, .." physicians.and other health care pe~nne"
::;0 u maV in their professional jiJagemenDJinecemrv..:.--------.-,;-,,_.;'....----~:--'-,-:-::.,:;V.'"; -_....::-~f.'-~,-<~-:+-

.I
;

UD~~~. ~_I

If further treatment is required. or If c:DlIlPlications_arise or if hospitalization is necessary. IDIl.undersigned

0
stands t~ a personal phvslcian 15 !O De selected by or on behalf of the patient within 24 hours.
,l(1l2a3P
.
- -.. . - - - -- -- - ~ THE UNDERSIGNED HAS READ THE ABOVE AUTHORIZATION AND UNDERSTANDS THE SAME AND''-~ -,IA
'CERTIFIES THAT NO GUARANTEE OR ASSURANCEliAS BEEN MADE AS TO THE RESULTS THAT' ",', '."J."
I'vtAy BE OBTAINED.
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hospiUl administrator;

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I have" !leen inflStmed of -all risks involved ailcF;'~fe~se: itiif:hospital.

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V N' .1 V E R S I T A S

PENNSYLVANIENSIS

OMN I BVS HAS LITTERAS LECTVJtIS SAL'/TEM DICIT

,urn. academiis antiquus m.os sit scientiis litterisve
'. humanioribus excultos titulo ius-to condecorare
nos igitur auc-tpri-tate Curatorum nobis com.m.issa

NEIL JOSEPH GILLESPIE

ob studia a Professoribus approbata. ad gt'adum

ASSOCIATE IN BUSINESS ADMINISTRATION

admisimus eique omnia iura honores privilegia. ad hunc

gradum pertinentia. Ubenter con.cessimus

Cuius rei testimonio nOtnina nostta die mensis

Decembris XX\\\ Anno Salutis MCMLXXXVll\ et Vniversitatis

conditae CCXL1X PhUadelphiae subscnpsimus

HIe GRADVS CONLATVS EST CVM LAVDE

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Sigilli Custos

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DECANVS

THE EVERGREEN STATE COLLEGE

In recognition of completion

of the course of study approved by the faculty

)Veil joseph (jillespie

is awarded the degree

BACHELOR OF ARTS

with all its honors, privileges and obligations, Conferred at Olympia,

Washington, the Sixteenth day of December,

Nineteen hundred and Ninety-Five.

DEPARTMENT OF EDUCATION

A'U!i.~~
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aJtate of

1Jfloriba

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t!rlJis <!tertifies t!rlJat

PENELOPE M. GILLESPIE

lJauing satisfattorily tompleteb aU requirements of law anb stanbarbs

prestribeb by tlJe altate 1Soarb of butation, tlJereby bemonstrating
satisfattory euibente of ebutational tompetente, is lJereby awarbeb tlJis

HIGH SCHOOL DIPLOMA

is entitleb to all tlJe iti9lJts anb 'riuileges appertaining tl1ereto.

In witness whereof our names and the seal of the State Board

of Education, Tallahassee, Florida, are hereto affixed, this the

27TH DAY OF

JANUARY, 1995 NUMBER 636871