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All of Jenyons's patients have private insurance, but the majority of her uptown patients and a third of those at her West 77th Street office have incomes low enough to qualify them for food subsidies through the federal Women, Infants, and Children (WIC) program—which is promoted above on a Spanish-language poster (above right).

The patients at Jenyons's uptown office (pictured above) are 95 percent Latina, while just under half of the patients at her other office are Latina. Although many are bilingual, Jenyons says most prefer to speak Spanish. "It's their native language."

Fast food is ubiquitous, even on the streets of Chinatown near Lee's office. It's not necessary to understand Cantonese to realize that Lee talks disparagingly about burgers and fries to her patients. "These are American-born kids," she says, acknowledging the difficulty of conveying the message. "I always talk about not eating so many McDonald's. I try to talk about fruits and vegetables and that this is high-fat."

Above: Making a circle with her fingers, Lee demonstrates the shape of a red blood cell as she discusses anemia with Jackie Lee and her daughters, Emily and Tiffany Yu.

Sussanna Valdovinog has come in with her partner for a six-month prenatal checkup. Top, Jenyons reviews Valdovinog's chart before starting the exam. Next, in the lower photo above, Jenyons measures her fundus and tells Valdovinog, "It's growing!"

Hearing the fetal heart is a moving experience for all mothers-to-be, according to Jenyons. "People love it. It makes the baby real. Especially the first time, some people cry. I'm an obstetrician," she adds, "and I cried the first time for each of my three kids." Here, using a Doppler ultrasound instrument, Jenyons records the brisk heartbeat of a healthy fetus—120 to 160 beats per minute.

Tiffany Yu braves an immunization (above) while her little sister rummages in her mother's purse. Sunday is Lee's busiest day. She offers Sunday hours because it's the only free day for many families in her practice. Her patients come from Brooklyn, Queens, New Jersey, and Connecticut—and sometimes even phone her for advice if a child falls ill while the family is vacationing back in China.

Lee greets baby Samantha, cradled in the arms of her father, Tak Wong (above). Samantha's big brother, Ryan, and the children's mother, Teresa Wong, look on.

Jenyons counsels expectant parents about what to anticipate in the months ahead and gives them some advice: sign up for childbirth classes and practice the breathing patterns than can help to reduce labor pain. And she tells the mother no more sleeping on her back—the uterus is getting big enough to block the blood flow.

Jenyons is interested in alternative or complementary approaches to gynecologic care and the management of menopause and has been a pioneer in allowing her patients to choose water births, in which the mother labors and gives birth in a water-filled tub.

Teresa Wong points out a discoloration in the white of three-year-old Ryan's eye (above left). "I have one, too," Lee tells her. "It's nothing to worry about." Later, Lee takes a look at a rash on three-year-old Jasmine Hui's arm while her mother, Sau Leung, holds baby Jenna (above right).

Lee explains that if a baby's parents are illegal immigrants, they sometimes will send the baby back to China to live with grandparents because they can't afford child care. "Illegal immigrants borrow thousands and thousands of dollars to pay their passage," Lee says. "They probably owe money to everyone in the village. It's nice that they have a U.S. citizen just born, but they have to work."

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