Kara Zartler’s life began too soon. Along with her twin sister, she was born at 26 weeks. At 1 pound 12 ounces, she weighed slightly less than the healthy Keeley. Then, 10 hours into life, Kara suffered a brain hemorrhage. Seventeen years later, she’s lucky to be alive. But she has cerebral palsy and severe autism, which in her case causes compulsive self-injurious behavior that began with she was 4 years old.