Dr. Portillo, a Mexican physician, lives with her husband and son in a balcony-festooned six-bedroom house in a gated suburb. The adobe walls that enclose the garden, the coloured tiles embedded in the walls and the servants’ garden house are all typical of the home of a prosperous Mexican family. The multi-generational collection of relatives who occupy the spare bedrooms also reflect Mexican tradition. Dr. Portillo receives her patients in an office located in a tower in the northern Mexican city of Tijuana; since many of the patients are American, much of her working day takes place in English. When she goes home at night, she relaxes by speaking to her husband and son in Spanish. Her son, however, often responds in English because Dr. Portillo’s typical Mexican home is located in suburban California.