"Do you want to see a picture of the accident?" Tio (Uncle) asked in Spanish. I startled. In spite of how hard the chair I was sitting in was and the constant beeping of the monitors and ventilator, I had dozed off for a few seconds. It was now 2am and the fact that I had been awake for almost 24 hours was starting to catch up with me. Tio handed me his cell phone. Even in the darkness of the picture, I could see the carnage. A cow split in half on the dirt road with three mangled bodies laying in a semi-circle around it. Jose was driving his motorcycle, with his two friends on the back, too fast, much too fast in the middle of the night. The cow he slammed into on the road was torn in half by the impact and their bodies thrown onto the road. Jose and his friends were taken to a government run hospital in the city where the two friends were treated and released. Jose had a broken arm and shoulder, multiple broken ribs, a fractured skull, 5 jaw fractures, an