(photo by Linda Davidson/The Washington Post) Pam Cash, 52, catches a nap between two cleaning jobs with sons Rudy and Nelson at home in New Orleans, LA on August 15, 2010. Thoug very tired, things were worse five years ago after Hurricane Katrina when her adopted nephew Denzel needed heart surgery at the Superdome, she was dealing with Nelson, who has Downs Syndrome, and Rudy, who has severe ADHD.