Mrs. Malone’s illness, like Jimmie’s short stature, points toward the family’s impoverishment and inability to access quality medical care. But what care they can’t get from outsiders they give to each other. The condition Deza describes, tic douloureux, is a neurological condition that causes excruciating, long-lasting pain episodes. As Deza turns to herself, her heightened self-esteem is on full display to humorous effect. Her description of her humility shows, in fact, a deep-seated (if innocent and child-like) vanity about her intelligence and academic capabilities. Importantly, however, she doesn’t just rely on her innate talents. She also works hard at what she does, including looking up an impressive-sounding word for “talkative”—verbose—in her thesaurus.