George Garcia, a 23-year-old construction worker, and his wife,
Anita, age 20, bring their 4-month-old daughter to the emergency
room of a small community hospital. They speak broken English. They
have another small child with them, as well as two older women.
They are very worried about the infant, who they say has been
unable to retain feedings of diluted cow's milk. Now, because of
poor sucking and increased sleeping, the infant has not had
anything by mouth for the...