"El jefe?" I ask the doctor. I've heard the term but have no idea what it means.

"Forgive me twice. El jefe means 'the boss or chief.' He takes care of his people and from what I've seen, you are now one of his people. Value his loyalty; he is a man with many faces." His hands move to my shoulder and he begins rotating the joint. Another slight wince escapes me.

"No change?"

"It only hurts when I move it or someone tries to twist it off," I reply ...