Washington, DC – Dec. 1, 2009 - Senator Barbara Mikulski (D-MD), a senior member of the Health, Education, Labor and Pensions Committee, introduced the Women’s Health Amendment today, the goal of which is to improve the Senate’s Health Care Reform Bill by requiring health plans to cover women’s preventive care (e.g., cervical screenings, annual mammograms for women under 50 opting such screening, antepartum and postpartum depression, heart disease, diabetes).  Such screenings would cut treatment costs via early detection and prevention.   

Here are excerpts of the summary of the bill:  Basically, what the amendment does is “require all health plans to cover comprehensive women’s preventive care and screenings, and cover these recommended services at no cost to women.”  The bill points out the current dilemma–i.e., women are increasingly delaying or skipping preventive health care due to costs, putting themselves at risk if a serious health issue is not prevented or detected early on.  Additionally, women’s unique health needs throughout their lifespan must be taken into account in determining coverage of preventive services.   

I was in shock and completely confused upon hearing the news a few weeks ago regarding the recommentation for mammographies and cervical cancer screenings to be performed on women 50 years of age and older.  I thought to myself ”What is going on here?  There hasn’t been a sharp decline in the occurrence (or deaths due to) breast cancer recently, nor have there been any new scientific breakthroughs with respect to early detection.  Same thing applies to cervical cancer.  It appears that women have once again been relegated to second class citizen status.  How can these people turn a blind eye like that toward women’s health?  The health of all its citizens–women included– should be the priority of the government of this country.”    

Fact of the matter is, until there is a better means of preventing and detecting breast cancer (and earlier), women in their 40s–particularly those with family histories of breast cancer–must have access to early mammogram screening.   Seeing how this amendment would also include PPD screening makes me hope all the more for this amendment gets passed.

• Watch the video of Senator Mikulski’s presentation  
• Visit Perinatalpro.com for more information
• For more information on Senator Mikulski’s commitment to women’s health issues

Thank you, Senator Mikulski, for representing the interests of women by introducing the Women’s Health Amendment!

Please contact your representatives to show your support or write/call Senator Mikulski’s office.

I picked up Dogs and Dice last year at an exhibition held at Martin’s studio in St Leonards-on-Sea, and have found myself drawn to it again as I scan for new art to buy and hang on my walls.

It’s a fantastic book, containing illustrations commissioned by clients as well as work based around the unique filing system that Martin has adopted at his studio.

My favourite element is the uncoated, rough-board cover with one-colour print on it. I think this is because it juxtaposes with the colourful, sometimes flamboyant illustrations, but also sits nicely with their hand-made, tactile qualities. I’d like to incorporate something similar into a piece of work, as I love it when design is tactile and engages the reader at a higher level, rather than simply dumping information on them.

Apparently it was put up for multiple awards last year, so well done Martin!

The holiday season can be very difficult. Buying gifts, cooking and baking, cleaning, card sending, trying to find a darn parking spot at the mall while trying to sing jingle bells through a clenched jaw to keep yourself from exposing your agitation to your child, gathering with loved ones…or gathering with ones you’re supposed to pretend you love like ohhh say a certain mother in-law that constantly reminds you of how her children were perfect and never ever threw tantrums, and always ate their vegetables, and never hit anyone…whatever…it can all be extremely stressful, especially when you suffer from a mental illness. I know because I went through it and it sucked.

I had imagined our first holiday season together as a family would be joyous and all that other sappy “Hallmark” stuff but it wasn’t. It was painful. Happy was shoved down my throat on a daily basis and I couldn’t stand it because I wasn’t happy.  Everywhere I looked, happy commercials, happy store greeters, happy family, happy friends, happy door wreaths, happy plastic Santa’s that my neighbor adorns his front lawn with, happy, happy, happy. Through the entire holidays, I had exhausted myself pretending that I was happy because it was the right normal thing to do. After all, Christmas is supposed to be the most hap-hap-happiest season of all and heaven forbid that I felt and exuded nothing but pure joy.  

Torture.

Shortly into the season, PPD got the better of me and I shut down.  I skirted through the holidays on autopilot and I don’t remember a whole lot of it. What I do remember is not of what fond holiday memories are made of , but I survived.

This year, I am arming myself with resources and support so that I don’t fall into (or fall as deep into) the funk I experienced last year. While searching the web I came across The Mental Health Ministries . They have created a brochure called “Mental Illness: Coping with the Holidays.” It offers tips  for persons with a mental illness, their families and friends, and guidelines for faith communities during the holiday season. It is super helpful.

While I am much better now than I was last year at the same time, I still feel those painful memories lurking.  I’m trying really hard to not think about the panic attacks, the anger, the sadness, hopelessness, helplessness, the feelings of guilt for not being jolly,  those damn burnt cookies,  and not being able to find a friggen parking spot, but I know that if I need to cry about it, then it is ok. 

** Remember that you are not alone during this holiday season. If you feel like harming yourself or know of someone who may harm themself, please seek help immediately.  YOU ARE NOT ALONE

http://www.suicidepreventionlifeline.org/

I’ve been meaning to go and have a look at the Mind Into Matter exhibition at the De La Warr for a while now and finally managed to get down and have a look on Thursday.

The basic premise is that Alan Powers, the architectural historian has selected 8 buildings at 25 year intervals since the inception of RIBA in 1834, with the criteria being that they have an ‘intriguing story of patronage’.

The featured buildings are:

1. The Reform Club, Pall Mall, London,
2. The Oxford University of Natural History,
3. Clouds House, East Knoyle, Wiltshire,
4. St Mary, Wellingborough, Northamptonshire,
5. De La Warr Pavilion, Bexhill on Sea,
6. The Economist Plaza, St James’s Street, London,
7. Royal Mail Mechanised Letter Office, Hemel Hempstead,
8. The British Embassy, Warsaw,

Aside from my obvious interest in the De La Warr (being from Bexhill on Sea), what really caught my eye were the rough sketches for the British Embassy in Warsaw by Tony Fretton:

I find the creative process absolutely fascinating, so it’s great to see the humble beginnings of such an iconic building. I feel it adds a human touch and serves to reinforce the idea that anyone can accomplish anything. (A large, impressive building is one thing, seeing how it got there is another thing entirely).

So today I went down to investigate the brand new extension at Bexhill Museum, having been officially unveiled by local legend Eddie Izzard on Thursday (26 Nov). In Bexhill we take what we can get when it comes to this kind of thing, so I was pleasantly surprised to see how excellent the new section looks, to the point that I took some photos:

Very line-y.

Some interesting pieces inside including the original architects model of the De La Warr Pavillion, which was made available to public viewing in 1934. Included in the plans, Mendelsohn & Chermayeff propose a large circular swimming pool and other features which for financial and other reasons unfortunately never saw the light of day.

BSkyB has commissioned Telegenic to build its first outside broadcast truck specifically for stereoscopic 3D production.

Now that we are approaching Thanksgiving, I am more aware about the things for which I am thankful. 

1. I am thankful for my husband’s continuous support in my book and blogging efforts (both of us hope to see the fruits of my labor on the former transition into a finished piece real soon!).
2. I will be forever thankful for the miracle of our sweet little girl.
3. I am thankful for the inspiration that my fellow PPD bloggers Katherine Stone, Lauren Hale, and Amber Koter Puline provide daily.
4. I am thankful for my PPD experience (I kid you not), which has ignited a passion for advocacy and awareness.
5. Last but far from least, I am thankful for the continued good health of my family members.  In the past couple of years, I have come to realize more than ever how fragile life truly is and how health should NEVER be taken for granted.  

Have a Happy Thanksgiving!

Just a real quickie from me today to share the PPD video of fellow blogger over at Beyond Postpartum, Amber Koter Puline.  It’s a great video, so please be sure to check it out!   

For those who are currently struggling with PPD, a reminder to NEVER give up hope.  You will be well again.  And once you are, I hope you will join in awareness and advocacy efforts of other PPD survivors!    With education, there will be less ignorance.  With less ignorance, there will be less stigma.  We need more PPD videos like Amber’s, more PPD blogs, more media coverage on PPD (that’s accurate) in newspapers, magazines, and television.  But what you can do that doesn’t cost a whole lot of money or effort is to simply speak up about your PPD experience.  Fear not, you are far from alone in your experience!  Remember the statistics.  One out of eight new moms–that’s 15% of all new mothers out there–experience a postpartum mood disorder.

At a glance: BBCW review | News | Broadcast.

I’ve recently updated my CV and tweaked the layout slightly to make it more web-friendly.

Find it here: CV

I thought I’d kick things off on here with my new portfolio site, courtesy of the fantastic Cargo Collective. Find it at www.anothertompetty.com

Kristi Marshall is a Doctoral candidate at Trevecca Nazarene University in Nashville, TN, who is studying postpartum depression in new mothers. She is currently seeking 18-40 year old women who are within 1 year of giving birth to participate in a survey about postpartum depression, attachment style and mother-daughter relationships. You do not need to be diagnosed with postpartum depression in order to participate in the survey. Kristi hopes this research will contribute to the understanding and treatment of postpartum mood disorders.

I took the survey myself and it really only takes 10 minutes.  And you have a chance to win a Target gift card (excellent!) just for taking the survey.

If you have any questions before participating, please contact Kristi at kmarshallcounseling(@)gmail(dot)com.

https://www.surveymonkey.com/s.aspx?sm=Wmth99YRC75Nvpi0P5VBbA_3d_3d

It seems that SiS, are expanding their company buy buying the OB company O21. The article mentions that a rival OB company explains that SiS is expanding its capacity, from 2 HD vehicles to 7. A positive sign for the future, SiS expanding means that they’re a company who are doing well and are trying to increase the amount of contracts they win, therefore creating more jobs within the company.

SIS Live set to buy OB rival O21 | News | Broadcast.

Although Veteren’s Day was a week ago, I still think back on that day with emotion. Maybe it’s because I attended two school convocations. Maybe it’s because of the aged, shaking servicemen whose displays of reverence for the flag and ceremonies moved most of the people crowding the gyms to tears.

One of the speakers was E Carver McGriff, who served in the infantry in Normandy. He was captured, suffered severe wounds, survived an intese rescue operation, and received a Bronze Star medal and two Purple Hearts.

Another speaker was a young father who has served two tours of duty in Iraq and flies an Apache helicopter. The polished, uniformed soldier explained how twice he has departed for duty on his 8-year-old son’s birthday.

The next morning, I watched the moving story of  Billy Spencer, a marine who was killed in action while running to save the life of his commanding officer in 2006. Billy was awarded the Silver Star medal and the Purple Heart  for his valor. 

John 15:13 Greater love has no one than this, that he lay down his life for his friends.

People ask me all the time, “How did you know you had postpartum depression?” and “How will I know if it happens to me?”

These are difficult questions to answer because the experience is unique to the individual. For me, it was an overwhelming sense of hopelessness, excessive crying, insomnia and some intrusive thoughts. Others with the same diagnosis could have completely different sets of symptoms.

Which is why I love this post by Katherine Stone over at Postpartum Progress. She explains “in plain mama English” the many and varied symptoms of postpartum depression and anxiety. And she wraps up the post with critical links to support organizations and treatment programs.

My favorite line, to mothers who suspect they may have postpartum depression or anxiety: “…you are NOT alone and you are NOT a freak and you are NOT highly unusual.”

Amen.

¡Saludos, mi gente!  Supongo que me echaron de menos… (¡Ja!  ¡Las ganas de que así fuese!)

Han pasado muchas otras cosas desde la entrada anterior.  Que si el afán de borrar de un plumazo todas las salvaguardas ambientales existentes para dar paso a desarrollos que no son precisamente ejemplos de sostenibilidad (y vean el comentario a la entrada anterior para saber de qué se trata esta vez), que si los presuntos vínculos de algunos políticos con figuras presuntamente ligadas al trasiego de drogas, que si salieron unos niños y adolescentes de un residencial público de Ponce (sur de Puerto Rico) en un vídeo de YouTube escenificando la realidad de día en día en la batalla por los “puntos” de venta de drogas (con todo y sus consecuencias), que si el espíritu de Joseph McCarthy asomó su rostro para condenar el que el régimen venezolano trate de “financiar” la lucha por la independencia de Puerto Rico (y como siempre, “tirando la línea” pero escondiendo la mano… o la evidencia, si es que la misma existe), que si el alcalde de San Juan entorpeció una incursión policial en un cafetín rural porque dicha incursión fue encabezada por policías “corruptos” (por el mero hecho de haber sido escoltas de la ex-gobernadora Sila Calderón, del bando contrario) que querían “hacerle daño”…

Sin olvidar la crisis económica actual en el gobierno de Puerto Rico y cómo se está manejando la misma… bien o mal… o ni una cosa ni la otra, sino todo lo contrario…

Es más, creo que lo que me trae aquí hoy viene bastante a cuento de la situación económica actual, además de ser una de esas cosas livianas que les traigo de vez en cuando en este blog (como dice la línea bajo el título en el encabezado de la página) para que se me alegren la vida—especialmente ahora que las Navidades están a la vuelta de la esquina—y no les dé un infarto o algo así.  (Y gracias a Dios… o al Ser Supremo o Fuerza Suprema en la que cada quien crea… a mí no me ha sucedido nada de eso, pero me sigo cuidando, por si las moscas.)  Pero voy a dejar que sea la gente de Noticias Locas la que les explique de qué se trata esto:

Un sitio calcula cuánto dinero le cuesta a su empleador el tiempo que Ud. invierte en hacer caca.

Caca Laboral (Noticias Locas, 16 de noviembre de 2009)

¡EXACTAMENTE COMO LO ESTÁN LEYENDO!

Según el artículo en cuestión, se trata de un sitio web cuyo propósito es establecer cuánto le cuesta a las empresas el tiempo que sus empleados emplean… esteeeeee… en la ingente labor de eliminar los desechos corporales sólidos durante horas laborables (y no hace falta explicar lo que significan las últimas tres palabras).  El sitio web en cuestión cuenta con dos calculadoras: una para medir cuánto cuesta una… esteeeeeeeeee… una “sesión” en particular, y otra para cotizar estas… esteeeeeeeeee… estas “sesiones”, o sea, para calcular cuánto le cuestan las mismas a la empresa, en términos del sueldo del empleado.  Así, por ejemplo, un individuo que cobra US$10 la hora y hace lo que los estadounidenses llaman number two durante media hora cada día de su semana laboral (suponiendo que el individuo trabaja cinco días a la semana, a razón de ocho horas laborables por día), al cabo de un año le acaba costando a la empresa unos US$1300.

Cuando leí el artículo, una de las primeras cosas que me pregunté fue si los miembros del comité que redactó las recomendaciones que nos tienen en este momento donde estamos (el CAREF) tomó en consideración lo que le cuesta a una agencia de gobierno que sus empleados pasen un buen rato (digamos, su buena media hora) “en ésas” durante las siete y media u ocho horas de su trabajo.  Digo, hay que recordar que se está empleando un tiempo valioso para eso, un tiempo que bien se pudiera aprovechar para adelantar trabajos, o para emprender nuevas encomiendas, o simplemente para ser más productivos en nuestro lugar de trabajo.  Y si se toma en consideración el ejemplo en el párrafo anterior, aplicado a los aproximadamente 27000 despedidos del gobierno (incluidos los que se supone que se vayan en enero próximo, pero a los que el gobierno quiere sacar antes, a como dé lugar), estaríamos hablando de por lo menos US$35100000.  (Interesante, ¿no?)

Yo no sé cómo ustedes lo vean, pero creo que algo como esto debería abrir nuevas posibilidades para la solución de nuestra crisis económica y fiscal.  Y una de esas posibilidades es hacer este mismo ejercicio con los que dicen ser nuestros líderes en el poder ejecutivo y en la legislatura.  Es más, yo creo que se debe llevar a cabo un estudio en el que se determine cuánto le cuesta a esa sufrida entidad que conocemos como “el pueblo de Puerto Rico”—que en última instancia, es EL JEFE (así, en mayúsculas y con énfasis) de estos que se hacen llamar sus líderes—en tiempo y salarios (incluidos per diems y otras concesiones y privilegios) las veces que éstos hacen number two en horas laborables (por ejemplo, mientras la Cámara de Representantes o el Senado están en sesión) durante el año fiscal, y que esa cantidad de dinero se aplique contra el déficit presupuestario para salir de la crisis lo antes posible, y si acaso, atajar la posibilidad de que haya que despedir a los pobres empleados públicos, los que están—como siempre—en la rueda de abajo, los mismos que se creyeron el mito de la seguridad de empleo en el gobierno… ¡y miren ahora dónde están!

(Yo creo que esto podría complementar mi sugerencia del año pasado, de crear la nueva tradición de los caganers de Puerto Rico.  Digo, son más o menos dos variaciones sobre el mismo tema…    )

No sé si algún economista se anime a hacer un estudio así, pero para lo que en realidad sirven nuestros políticos (de los tres partidos, PNP, PPD y PIP… OK, añadamos los del PPR para completar la mezcla—¡todos son la misma cosa!), tal vez sea la mejor contribución que éstos puedan hacerle al pueblo que los puso (¿inocentemente?) donde están.

¡Y vamos a dejarlo ahí!  (Sí, porque escribir esta entrada me está dejando con ganas de… esteeeeeeeeee… de hacer mi aportación a la recuperación económica y fiscal de Puerto Rico.)  Cuídense mucho y pórtense bien.  Bye!

Yesterday, I was able to steal a few hours away from home to visit with a few of my “Mom” friends and we had lots of catching up to do. Our last get together was in August when we had celebrated a “Happy First Birthday Party” for all the babies on the same day (NOTE: If you have ever wondered what the definition of bravery was, picture this: Holding a party for 8 one year old~ish babies in a single room with their own mini smash cakes.) Surprisingly, we survived.

In the few hours we spent together yesterday, we bragged about our babies latest accomplishments, complained about our husbands, swapped night-time ritual tips, stain removing tips, how to get your stubborn toddler to eat vegetables tips, and laughed at each other’s accounts of what a bad day raising a toddler consisted of. Most of all, it was so refreshing to hear the other mom’s talk about the same frustrations of motherhood that we, with or without postpartum depression (PPD), sometimes unknowingly share.

 I met these wonderful women almost a year ago at our community’s Just For Moms and Babies Class. I was in my deepest throws of PPD and had been experiencing debilitating panic attacks that forced me to stay home. My OB had suggested urged ordered me to attend the classes in hopes of easing my fears of leaving home and to possibly help build a bigger support system. I loathed the idea.

 The first day I went, I was completely out of sorts. Scared shitless to be exact. “What will these mom’s think? Will I fit in? Are they going to make me talk about how horrible things are? Will they think I’m crazy? I hope they don’t think I’m crazy. I hope that the baby won’t cry. What if he crys and I can’t console him? They’ll think I’m a bad mom.” Ack, it was awful. I felt like a big old elephant in the room, even though none of the mom’s were aware that I had PPD.

The class was a blur and I vowed that I would never go again. I told my OB that it was torture sitting amongst happy moms and their happy babies and their happy little lives. He then said “If they are acting like having a newborn is easy breezy, then they are full of shit. Having a newborn is not easy regardless of having PPD or not. Give it time. The truth will come out. So you’re going to next week’s class right?” Reluctantly, I had agreed to go.

The second class we were asked what is the one thing that we never expected after delivery and that’s when the truth finally emerged. We hated breastfeeding, the cracked nipples, the never-ending period, the lacerations, the pain below, lack of sleep, the incessant crying, the poo-canos (poop that seeps out the sides of the diaper) in the middle of the night, too many visitors, fussiness…. and how raising a newborn was not as easy as it seemed. That class blew my mind and for once I didn’t feel so alone.

I continued to attend the classes and when they were finished in early December, we decided to continue getting together. These meetings were so valuable to me. So many times I had alienated myself as the mom with PPD but at these meetings, these women made me look far beyond that. They made me feel like I actually belonged to this motherhood gig, and aside from PPD, I was doing a very good job at it.

This group of amazing women will never fully understand the impact that they had on my survival and recovery process. I am so grateful that I met them and even more so, I am grateful for their continuing support and friendship.

If you have a newborn and have this wonderful resource in your community, I suggest urge order you to give it a try.  You will receive tons of helpful information regarding raising a newborn, taking care of yourself, and most of all you will build friendships with other amazing moms, just like yourself.

They say that the reason for nearly half of all the preterm births–which amounts to 10 million babies– that occur each year is unknown.   While thanks to the miracles of modern technology and medicine, many preterm babies are nursed to health, the rate of preterm births is increasing, and all too many that are nursed to health face lifelong challenges.  Per the Bloggers Unite site, the rate has increased 31% since 1981.  Per the March of Dimes website, one in eight babies born in the U.S. is premature (coincidentally, postpartum depression rate is one in eight new mothers), and  the rate of premature birth in America is higher than that of most other developed nations).   I wouldn’t be a bit surprised if there’s a correlation between the increase in preterm births and the increase in fertility issues (refer to past post on infertility and anxiety/depression).

Just as PPD is more common that you realize, depression during pregnancy—or antepartum (or antenatal) depression—is more common than you realize.  Again, due to the lack of public education about this kind of perinatal depression, many women do not seek treatment because they think that feeling tired, having trouble sleeping, and experiencing mood swings, irritability, anxiety and weepiness are normal pregnancy experiences.  The key indicators of PPD—namely, persistent and debilitating sadness and other symptoms that interfere with your ability to function for longer than two weeks—would also apply to antepartum depression and should prompt you to seek help immediately.  

In Perinatal Depression: Hiding in Plain Sight – The Canadian Journal of Psychiatry. August 2007; 52(8), page 483 by Shari I. Lusskin, MD, Tara M. Pundiak, MD, Sally M. Habib, MD:

• “[The] patient with antenatal depression often worsens postpartum in the setting of sleep deprivation and the stress of caring for the newborn.”  As I’d mentioned in my 11/9 post, since approximately 50% of women with antepartum depression will go on to develop PPD, you will need to decide—in consultation with your doctor—whether to take medication.  Whether to take antidepressant medication or undergo some form of alternative medicine (including therapy) while pregnant is a hard one to make and also depends on the severity of your depression–not to mention, taking into consideration the impact on the developing fetus.  Avoiding treatment altogether will only expose your developing baby to the effects of untreated depression and increase your risk for pregnancy complications and premature birth.  There is risk that untreated depression and anxiety during pregnancy can lead to poor nutrition from loss of appetite, self medication through substance abuse (drinking, smoking or drugs), and/or suicidal thoughts/behaviors.  Preterm births, low birth weight, smaller head circumference, developmental problems, and even infant deaths have been associated with anxiety and depression during pregnancy. 
• Signs of fetal distress (i.e., alterations in heart rate variability, fetal movement patterns, fetal sleep-wake cycles) have been detected in pregnant women during their 2^nd and 3^rd trimester obstetrical visits, and studies seem to indicate that 2^nd trimester anxiety may have a negative impact on fetal brain development.
• “The fetuses of highly anxious mothers who had also scored high on depression and anger measures also had growth delays, compared with the fetuses of mothers with less anxiety.  Findings at birth for the same cohort included lower dopamine and serotonin levels, lower vagal tone [which is linked with poor emotion regulation and vulnerability to stress in infancy and childhood].  At age 8 months, infants exposed to antenatal anxiety were found to be highly reactive, to have poorer interactions with their mothers, and to have poorer scores on Bayley Scales of Infant Development [which is a standard series of measurements used to assess motor, language, and cognitive development of infants and toddlers ages 0-3].  At age 24 months, they were also reported by their mothers to have more sleeping, activity, and feeding problems.”

As I mentioned in my November 9th post, 1 out of 10 women experience antepartum (antenatal, prenatal) depression (or depression during pregnancy), though unfortunately many cases go undiagnosed, and as mentioned over at Postpartum Progress, research has shown that preterm births are twice as likely to occur for women suffering from prenatal depression (or depression during pregnancy).  Given the correlation between antepartum depression and preterm births, there should be an increase in public awareness of antepartum depression and not just of postpartum depression, which you hear so much more about—relatively speaking—than depression during pregnancy.  The following are needed if we hope to reduce the number of preterm births due to antepartum depression:

• increase in public awareness and destigmatization associated with perinatal mood disorders, so women will recognize when there is a problem and seek treatment without hesitation
• increase in research for earlier detection of antepartum depression
• increase in research into safer/improved treatment options for antepartum depression. 
• increase in public awareness of the effects of stress (and provide the spectrum of the range of stressors) on pregnancy

For more information about antepartum depression, check out this March of Dimes page and the Beyond Postpartum blog.

For more information about efforts to promote awareness of premature births, visit the Bloggers Unite and March of Dimes websites.  Many bloggers share their stories on the Bloggers Unite site.  There’s also the touching story about Charlotte.

Luis Dávila Colón

El Puerto Rico Statehood Students Association te invita a participar de la presentación del nuevo libro “Estado Patria” del Licenciado Luis Dávila Colon.

La misma se estará llevando a cabo el viernes 20 de noviembre a las 7:00PM en la librería Borders de Plaza Las Américas.

Para más información favor de escribir a prssa@statehoodpr.org