On weekends I am the conductor on a luxury train (Fri. and Sat evening. dinner and Sun. morning brunch) that takes passengers on a 31 mile trip through the Hood River Valley. Yesterday we had 125 guests for the brunch trip. There was a man of about 40, his wife and little girl about 11. This man had no lower face. His neck came up to just under his nose and he had a hole that looked like an anus where his mouth would be. He could talk to his wife in a kind of piping, grunting sound.
The waitress who served them also works for an oral surgeon during the week and she had seen the man before. Turns out he used chewing tobacco from his teens until he got jaw cancer. He had part of his jaw and a few teeth on one side that allowed him to chew food. I wish every kid who walks around with a tin of Copenhagen in his back pocket could set across the table from him while he poked his food through a hole in his face.