Ivy waits for her quarterly check-up at Boston Children's Hospital.
Disclosure of illness to friends is a troubling decision for HIV-infected youth; Ivy has told her closest school friends.
On school days, Tina comes into Ivy's room at 5:15am to give her the first pill of the day; one she must take 45 minutes before eating.
India dresses her doll while receiving an asthma treatment. She has many physical and mental challenges from her HIV infection.
The Smith family home is equipped with wheelchair lifts and stair climbers to help India get around.
Ivy talks with her social worker while a nurse practitioner examines India on the floor with momma Deborah looking on.
Keeping track of all the medications is a full-time job and paying for the meds would not be possible without government aid.
Ivy shoots some hoops outside her home in a working-class neighborhood of Medford, Mass.
After a long day with the kids, Deborah rests on the couch and Tina takes over upon returning home from work.
India watches TV on the couch.
Ivy and friends flirt by the poolside at Camp Miracles and Magic, a one-week summer camp for HIV-infected children.
Tina and Ivy visit with Tina's mother in her Cleveland, Ohio kitchen.
Ivy hangs with her closest friends whom she has known since she was adopted at age three.