Izzy Giving Instructions to Grandpa

I'm posting this annotated photo on behalf of my dad (Isabel's grandpa). The background is that the docs were a bit concerned that she wasn't pooping as much as she should.



If you can't read the caption it says:
"ANOTHER STRONG-MINDED JAFFE-SANDOVAL WOMAN HITS THE GROUND RUNNING."

Grandpa: "Kootchy-coo."

Isabel Ana: "Kootchy your own coo, Gramps, I got a problem here. Get the car, drive to West Portal and bring me back some prunes...small prunes, baby prunes. They want me to poop, I'll give them some poop. Poop like you can't believe. I'd drive myself but my feet won't reach those pedal-thinggies."