Update on Sleepless nights. After the woman, Mariana, rejected our offer to drive her to Port au Prince, she came back to request help, after it was too late in the day to travel. At 4:00 the next morning the family found other transportation to a different hospital located in Mirebalais. This is a very good hospital, but did not have the specialist Mariana needed. Denise and Anita, an American friend and co-worker, had researched where Mariana would be able to get the care she needed. Mariana went to the hospital and died the following morning. We have seen the