Introduction
Many immigrants have a lot of work experience in their home countries. Sometimes, it is not easy to have the same work in the United States. Sometimes, it is necessary to study more English to have the same job in the United States.

   My name is Marta.

   I was a nurse in El Salvador.

    I worked in a hospital.

    Now, I am a babysitter.

    Everyday, I take care of Elizabeth. She is three years old.

    This is Elizabeth, her sister Melissa, and her mother.

    Today Elizabeth's mother wrote me a note about Elizabeth.

    I didn't understand all of the words.

    Then, Elizabeth woke up. She wanted to eat.

    I cooked breakfast for her. She ate.

    She started to cry. The food made her sick.

    Her skin was red. Her eyes were swollen.

    I looked in the medicine cabinet but I can not read the medicine bottles.

    Then, Elizabeth's mother and Melissa came home.

    Elizabeth felt better.

    I know about medicine in El Salvador. I want to be a nurse in the United States.

    The first aid class will help me understand health and medicine in the United States.

Conclusion
Marta wants to be a nurse in the United States. She needs to read and write in English. She needs to know the medicines in the United States. She will study more English to understand medicine.