Alfreda is a 49 year old woman who lives in Sacramento. She has faced multiple health issues and obstacles that have made her life a challenge but continues to meet her goals. She was diagnosed with kidney failure and as a result her right kidney was removed. The next year she had a kidney transplant but a few months later it was removed as her body rejected the kidney. She has dialysis at home every day when she arrives home from her work at Goodwill where she works three days a week. She struggles with high blood pressure and congestive heart failure which complicates her health issues. She has excellent attendance at her work and is even now requesting to increase the number of days she works.