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Guillermo Gaitan, the Guatemalan head of the heart project, reads out the names of those few children who will be operated on. A two-year-old girl pictured here was turned away because she had pneumonia.

Roosevelt Hospital is aging and ill-equiped for the sophisticated surgery. Andres Nevado, an anesthesiologist, works desperately to up the operating rooms even though cables are missing and monitors are not functioning properly.

Ruth Quejeba, who has a hole in her heart, and her motherstanding outside their two-room alley home on the ourskirts of Guatemala City. It's raining and Ruth lifts her face to catch the cool rain.

Victoria sleeps now between elaine and her grandfather Don who once declared, 'I'm not raising anybody's child.'

June, who is entered in a Native American Rehabilitation Program, works as a baby sitter at a health spa, sometimes with her daughter in tow. Still, Victoria returns to Don and Elaine's home for the night.

After a morning at work, and an afternoon chasing and caring for Victoria, Elaine is exhausted.

Each day, Elaine Sands works in a local Los Angeles school as a librarian to help raise Victoria. Her husband Don, a printer, is semi-retired.

June was eight-months pregnant and on drugs when she was arrested and jailed. Victoria was thus born drug free but she now is hyperactive, fast talking and anxious.

Noise, love and children fill the Sands' home every day. Besides Victoria there are their other daughters' children who visit frequently.

Elaine Sands, 62, is now responsible for the care of her granddaughter Victoria. She readies Victoria for school before going to her own job.