SPTLN (Health for all children) was started as Drs. Sean McKenna and Sid Dante began to realize on their medical brigade trips how many children with disabilities were falling through the cracks and were being left at home to die. They started to work with the small village of Chacraseca’s health post and FNEI to improve the quality of lives and quality of care these children received. We have now developed this vision into an organized program that serves over 140 medically complex patients and their families. Our goal is to help families navigate the Nicaraguan healthcare system. However, we also organize specialist trips to Nicaragua to provide very specific care to patients as well as bringing one patient named Luis Enrique to have a skull surgery that could not be performed in Nicaragua nor Central America. We organize physical therapy, provide transportation to appointments, identify necessary specialty care, and provide much needed medical equipment such as expensive formula and medications not available through public healthcare system, wheelchairs, potty chairs and foot braces to assist in walking. Our program has gained respect and trust within the Leon catchment area and we have continued to find more complicated patients whose quality of life can be considerably improved through this program.