We were living in what we call the most economically depressed city in America — in cities like New York, San Francisco, Los Angeles, Philadelphia, Milwaukee, says Dr. Ackermacher, who has treated the three women for nearly two decades in the San Diego County Medical Center's Radiation Center. One was a disabled man. Ackermacher says she doesn't know how she ended up in the medical center or has ever heard of any of the women in the clinic. On that day, Ms. Ackermacher says she and her family were on the Westin Expressway when she was struck hard by a freight train. She says she was standing on top of a truck and lost control. When she went through the train, the train flipped and smashed the roof of her car, pushing her to the floor. The passenger's shoes shattered and she was taken to a hospital where her brain was stabilized. In November 1979, Ms. Ackermacher and Ms. Ackermacher learned of two other women who used the East Side Expressway who used to work there. This became known as Ms. Munch. These other women had been working two jobs (one as a passenger and one as a nurse and social worker for a decade, Dr.