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NYT41 - (NYT41) VALHALLA, N.Y. -- Jan. 17, 2005 -- NY-SEPARATED-TWINS -- Arlene Aguirre, left, cleans her son Carl's feeding tube as Meredith Gosin, a social worker, holds his brother Clarence, at Blythedale Children's Hospital in Valhalla, Dec. 7, 2004. Aguirre, 32, is learning to grapple with the challenges many mothers of young twins face while at the same time helping her sons confront daunting medical issues that not many children must endure. (Yoni Brook/The New York Times)

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