This is the bilingual version of this book and is written in Spanish and English. The "Glossary," "Note to Educators and Parents," and "Index" are in both languages. The book is written in first person present tense, which draws children in as they follow the child through a health exam. The text is written in English with the Spanish translation below. The photos enhance the text and help the reader solve the math questions on the facing page. Some of the math concepts used are measuring height and counting. The math questions for problem solving range from very easy ones such as counting the people in the waiting room, to more difficult ones where the student has to use the information in the text and decide whether to add or subtract and then answer the question. For this reason this book may best be used in a small group or one-on-one sessions with a parent or teacher to help guide the child to figure out the answers. The parent, teacher, or child can find the answers at the end of the book. This is a great supplement to an ESL class, as well as for the elementary math curriculum. It shows children real life uses for mathematics. 2006, Weekly Reader Early Learning Library, Ages 4 to 8.