Estrella uses the crowbar to smash the nurses desk
When Perfecto first arrives the first thing they wanted to do was tear down the decapitated barn. "After leaving, Estrella finds Perfecto, who asks for help tearing down the old barn"
The family takes Alejo to the hospital
On the way to take Alejo to the clinic but the car got stuck in the mud and were struggling to get it out "Later the family attempts to take Alejo to the clinic but the car becomes stuck in the mud," (130).
Estrella sees Perfecto cry
They arrive at the clinic and Estrella is threatening to hurt the nurses family if she doesn't give the money back."Energized she concludes that the nurse owed them as much as they owed her" (148). Eventually Estrella ended up getting her money back that she gave the nurse.
Estrella climbs on top of the barn
Alejo is not getting any better from when he got sprayed with pesticides and so they decided to take him to the hospital. "The nurse informs Estrella Alejo likely has dysentery and should be taken to a hospital in Corazon" (152). they later come to a decision to take him to the hospital and leave him there by himself.
Estrella was wondering where Perfecto went so she went looking for him and saw him at a distance crying. "Estrella wakes and opens a window, seeing Perfecto crying by the truck" (170). When she saw him crying she was wondering what was going on with him.
At the end of everything that's been going on Estrella decides to climb the barn and reflect on life. "When she climbs the barn roof, Estrella is compared to her mother's statue of Jesus" (176). Estrella is on top of everything and has the most faith in life and she is showing that by sitting on the top of the barn.