Why I do this …

It is all about the heart.

It is all about the heart.

Some people might wonder why I am so dedicated to the emotional issues surrounding the people in the international cleft and craniofacial community.

Well, the answer is pretty simple. It comes from an internal desire to raise awareness of facial differences and align myself with like-minded people and organizations.

I feel quite grateful and thankful many of you have discovered “CleftCast” and are listening to it.

Yet there is more on the way. More services and products to help you, my friends, tap into the emotional areas of your hearts and bodies in healthy ways.

Whether a child, adolescent, young adult or adult with a cleft and craniofacial anomaly, the coming days and weeks are going to give you more resources for your life.

Parents, you have not been forgotten in this area, either. You have a lot of stress and issues to deal with on your own.

I’d suggest to keep checking back here because more is on the way.

Podcasts, ebooks, downloadable PDFs, etc. These will help you in your own emotional journey.

Until then …

Every minute counts … and you are loved.


Attitudes: Gratitude, Grief and the Pain of Change


Oh Captain Jack, your wisdom leaves me reaching for more sometimes!

Well settle in, kids. We’re going to talk about attitudes for a few minutes. Now every individual that is dealing with a craniofacial anomaly, no matter what it is, has had the unfortunate trials and tribulations of reparative surgeries. Maybe three or four. Maybe 10 or 11. Maybe 19 or 20. How did you get through them all? Did you have supportive parents and friends? How about at school? Church? From your craniofacial team? Your plastic surgeon? Social worker? Counselor?

See, all of these individuals and environments may have played in a role in how we developed our attitudes toward life. Let’s be honest. Some of these places or people were helpful and supportive; others, not so much. The attitudes that they passed along to me and us weren’t always healthy. Again, though, what looks and feels like healthy for me might look different for someone else. That’s cool.

Yet our attitudes can provide signposts to how healthy I and we see ourselves as human beings.

Before I go any further, let me allow our good friend Mr. Doubt to say a word.

A-hem … “Joe, F you. You don’t know what I’ve been through with people staring at my face all my life. You don’t know what it feels like to have a hole in the roof of my mouth where mucus from my sinuses comes through all the time. You don’t know what it’s like to have my face worked on every year, or so it seems, since I was born. You don’t know all the negative language and what people say about how I look. You talk about attitudes. Well, I have some bad news for you dude. I got an attitude, and it’s mine and I’m not changing no matter what you write. So stick it up where the sun doesn’t shine, dude.”

Thanks Mr. Doubt. You’ve really helped out this blog post. (Hey, shhh … just between us, Mr. Doubt could use some love today. Show him some love, will you?)

If all of the above has run through your mind before, then you can rest in the comfort that you are not alone. So I’m going to address the topics of gratitude, grief and the pain of change, and how these play a role in our attitudes about ourselves.


“What do I have to be grateful about with this craniofacial stuff?” (Hey, Mr. Doubt, you had your time. Now go!) Actually, gratitude is a tough one because people are always telling you and I to have an attitude of gratitude about everything in life. Yes, even our cleft lips, cleft palates, Goldenhar Syndrome, Crouzon Syndrome, Treacher Collins Syndrome, Craniosynostosis, and many others.

That’s a pretty tall order. What about being grateful for, um, being alive? Having eyesight decent enough to read this? Grateful for what you and I do have in our lives, even if it is simply food to eat, clothes to wear and a roof over our heads? I mean, let’s break this down to just the basics of life. You and I have lived through some crazy shit. Can we agree on this? I believe so. Gratitude is an attitude, yes. It’s one born out of not wanting to feel downcast all the time. It calls our hearts to want a change. That change starts on the inside. Sorry, the parents-girlfriend-boyfriend-doctors-neighbors group can only go so far.

Gratitude is an attitude that can be cultivated over time. Some days are going to be rock-star days with gratitude flowing. Others, not so much. “Baby steps,” like Bill Murray said in “What About Bob?”


Yes, grief is a normal and natural attitude to have around craniofacial anomalies. Feeling sad and crying about the situation you and I find ourselves in each day, at times, is about all we can do. It does not matter what positive thinking, encouraging words, or even healthy hugs can provide. Nope. Grief overcomes us like a cloak of blackness that pins us down for the 1-2-3 count in the middle of the ring.

Sitting in grief for days, weeks, months and years is what I call a “soul sucker.” That stuff literally takes any initiative and energy toward a better way of life right out of my soul and probably yours, too. I’ve been there. Got the badge. Lord knows, it sucks. Figuratively and literally.

Can grief be transformed into something good? It can be a learning experience to ask questions about the grief. Talk to the grief. No, really. Ask the grief (not The Grinch!) about what’s going on. Why are you in me? What are you trying to say to me? What do you want me to learn from this grief? Answers will not come immediately … well, they may for some people and I don’t want to take out the miracle possibility. If we can transform our grief into an attitude of active movement toward achieving greater things in our lives, then it played a purpose. A deeper purpose than simply leaving us in a dark room in front of hours of meandering through the Internet for unhealthy stuff.

Some things to ponder about grief. I’m not a licensed counselor or social worker, OK. I just want to add this about grief before moving on to our final topic. If you really are stuck in grief and are alone with no one offering you help, then please reach out for help. People are not all strange, OK. There are those who do want to honestly help us heal and move forward with life. I encourage you lovingly and as a fellow journeyer along this craniofacial road to get the professional support you need today.

The Pain of Change

“I don’t want to change.” Yeah, and I have dirty underwear from two weeks ago. If I don’t change it, then how do I smell? Nevermind. 🙂

Hey, making any difference or change in life and doing so with intention is painful. Whether it is making a priority of going to the gym, hopping on a road cycle for 10 miles every day, sharing time with your wife/husband/boyfriend/girlfriend/partner, or just making plans to totally revamp your professional life … there is going to be a wee bit of pain involved because it’s changing what has been the natural rhythm of your personal life. The brain and body get into a groove of going one way, then something interrupts that path and our physical, natural response is to revolt. Don’t wave the white flag of surrender to sit where you are and stay put if that place is not working for you. Wave the white flag when you are ready to surrender one way of life for another one. That, friends, is the start of change … meaningful change that brings joy, happiness and warmth into a suffering heart.

The pain of change lies deep within, yet it can be leveraged into something so positive and good. The way that my face and your face looks may to those on the outside simply not let them see the inner beauty that truly lies within us all. Don’t fall into “the hypnosis of the culture,” quoting teacher and speaker Anthony Robbins here. You and I are better than this and deserve the best that life has to offer. Change is going to be painful. Staying in the same mindset, crappy attitudes and thoughts for year after year … it’s not what you and I are here to do, be and give. We all have powerful stories of strength. We all have powerful stories of truth … our truth that the world is waiting to hear. Turn the pain of change into an engine of goodness, grace and love for others in the world. Know that the change you are willing to make … even gradually … will leave an indelible mark on the path for children and young adults dealing with craniofacial anomalies for years to come.

Every minute counts … and you are loved.