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Manuel filled out the paperwork for her ED visit since she does not have any identification. When Marianna arrived in Florida, Manuel’s friend, Stephanie, took Marianna’s passport for safe keeping. Once in the exam room, the nurse asks Marianna to change into a gown and describe her reason for coming to the ED. Marianna seems reluctant to speak and does not make eye contact with the nurse. Her cousin states she is having severe trouble breathing. The nurse asks Manuel to leave the room while she examines Marianna. Manuel is reluctant to leave but does stand just outside the exam room door. With much encouragement, Marianna tells the nurse that when she arrived to work in the box factory, Stephanie told her the factory job had not come through, and instead she would be working in the lab downstairs, which, Marianna discovered, produced crystal methamphetamine and other illegal drugs. Marianna refused to work at first but had no other options to pay her bills or support her family. She felt scared and trapped. When the nurse examined Marianna, she noticed several tattoos. Marianna has one tattoo that reads “Manuel” and is circled by various coins. She also has several bruises
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