Gina Hanko, center, sits at the dining table eating pancakes for breakfast while her twin sister Sophia, left, has just finished a feeding of homemade formula given to her through a feeding tube held by her mother Toni, right. Sophia was born with cerebral palsy, a result of a shared umbilical cord, known as twin-to-twin transfusion syndrome. Her twin sister, Gina was not affected. Sophia is in constant need of assistance. Toni has assumed the primary caregiving responsibilities.