Kao Kalia Yang was born in a refugee camp in 1980 in Thailand, she moved with her family to the United States
On page 60 it states that they're living in the United States now but they were just refugees not citizens, so they still have to pass the citizenship test plus her grandma can't study and learn the language at her age
According to page 61 it says that Kao starts to feel bad she had an panic attack because she remember what would happen if they take the citizenship test and fail they will have to go back to where they came from a country that is in war
According to page 63 line 373 Kao told her parents "mom and dad help me I'm dying"
According to page 65 her grandma presented a silver bracelet of elephants
Kao wore the bracelet everyday and it make her feel better