Notes: Norma Lopez is raising her 6 kids, 2 grandkids, and a nephew together in a part block, part tin house. Norma is a tortilla maker . All the kids who are old enough are in school and doing well except Yelsi. Yelsi, one of the twins is anemic. She has to go to the hospital in Managua for blood transfusions when her blood count is low. She has to take folic acid daily to help regulate her body. Yelsi is given trimetropin sulfate injections when she gets really bad. Yelsi no longer goes to school because her mother thinks it is too much pressure for her with her health problems. Their house is not fit for their size of family nor ambition. Family is adjusting as well as can be expected after the death of Guadaleupe Orlando.