Hector is able to communicate by ringing the bell, which is tied to his wheelchair. He visits Hector, now residing in the Casa Tranquila nursing home, and gives him the front desk call bell Lalo saved as a souvenir after they killed a hotelier and burned down the building. In 2004, Lalo Salamanca comes to Albuquerque to oversee the Salamanca drug interests. Hector is reliant on a wheelchair for the rest of his life.
Gus has the specialist discontinue treatment, effectively trapping Hector's sound mind in his unhealed body. Over the next few months, her therapy restores Hector's mental faculties, but he is unable to speak and is immobile except for his right index finger. Hector is comatose and Gus arranges for a specialist from Johns Hopkins to oversee his care. Hector has a stroke while meeting with Gus and Juan Bolsa, but Gus saves him with CPR. Nacho quickly becomes wary of the threats made against his father's store and life and attempts to induce a heart attack by switching out Hector's heart medication for lookalikes. Hector is later forced to find a new way to ship his product up north and determines that the upholstery store run by Nacho's father is the best option. Mike later learns it was Gus who tracked his location and warned him against killing Hector Gus intends to be the agent of Hector's demise, and believes the time is not yet right. While Hector and Leonel and Marco are preparing to kill the driver, Mike attempts to shoot Hector with a sniper rifle, but is stopped by someone unseen, who sets off his car horn and leaves a note warning him not to do it.
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Hector kills a witness who stopped to aid the driver, and Hector later has Leonel and Marco kill the driver and bury him in the desert. Despite complying with Hector's demands, Mike is not happy about Hector's threats to Kaylee's life and retaliates by attacking a truck transporting Hector's drug cash.
Hector makes repeated attempts to intimidate Mike into accepting, and Mike eventually accepts $50,000. After Mike Ehrmantraut and Nacho Varga arrange for Tuco's imprisonment by provoking him into attacking Mike over a staged vehicle accident, Hector offers Mike $5,000 to reduce Tuco's sentence by claiming the gun Tuco was carrying was Mike's. Hector returned to his role as the boss of the Salamanca family by 2002. Despite their mutual hatred, Hector and Gus are forced to cooperate since each is based in Albuquerque, though each frequently schemes to displace the other. Hector resents and degrades Gus, calling him "chicken man" and a "dirty South American". As a result, Gus developed a lifelong loathing of Hector. In 1989, Hector was responsible for the death of Max Arciniega, the associate of Gustavo Fring, whom Don Eladio ordered killed after he was insulted by Gus and Max's offer to produce meth for the cartel, which preferred to keep distributing cocaine.
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