Hello Delana: I'd like to introduce you to Lynda Hendricks, the liaison to our local No Va support group and MD's and APDA, who coreesponds through E mail with her daughter in Germany. I also believe we have several (7 or more) members on this listing in Italy (e.g., Genoa, etc.). Check with the administration of this Toronto group. If not, I would be glad to deliver your notes to Italy in person. Good luck. Michel