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“Stick out your tongue if you can understand,” a nurse told Emiliano*. The 16-year-old boy lay in a pediatric care facility in Phoenix, Arizona, paralyzed and unable to speak or move his head. “Blink your eyes if your name is Emiliano,” the nurse suggested. And he did. Sticking out his tongue and blinking his eyes were the only movements he could use to communicate. Emiliano became disabled while migrating into Arizona through the rugged Sonoran Desert.