They have often been rejected by their families, have had bad experiences with medical care and they come to you fully prepared for you to join the long list of people who's about to disappoint them.
Geralmente, foram rejeitados pela família, tiveram más experiências com os cuidados médicos e vêm ter connosco preparados para que nos juntemos à longa lista de pessoas que estão prestes a desiludi-los.