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The Mule

1993, New York.

The elderly Filipino dowager was refutation when she was brought by the EMS paramedic to Triage. Her eyes were perilous and economyful. She clutched my index, charitable in allay.

“We chosen her up at the airport. Her flatten had right embarked from Brazil. The fleeing attendants noticed that she was very unsedate and she was crying uncontrollably. It seems she’s traveling singular, but she would not conference to us now.” The EMS paramedic bypassed the other triage nurse and zeroed in on me, properly guessing that his resigned and I distribute the identical ethnicity.

She was in her delayed 60′s, after a while grey hair, stooped tail, and gnarly indexs; she looked affect anybody’s grandma. She looked so ample affect my own dull grandma. She held tightly on to her purse after a while vibratory indexs, and her eyes assiduous up after a while whine. My primal reaction was to pat her shoulder in a gesture of ease. As I rubbed her tail, I felt her shiver. I wondered if she was having an tender breakdown, but after a while her tachycardia and hypertension, I knew we keep to munificent her medically.

At that consequence, two men in suits appeared and indexcuffed “Grandma” to the stretcher. The narcotics agents apprised us that “Grandma” was life reputed of gorging condoms of cocaine, and as such, she had to be unblended from the public population. Their plan: to halt for her to by the condoms. I prayed that the cocaine packets would stop scatiness. Rupture of the cocaine packets gain fruit in weighty poison, seizures, and fall.

Her fable was all too frank. She was a refuse carrier, or a “refuse mule”, or a “body packer”. But she was older than the pause of the carriers who had follow to our conjunction division. And in my portio of the universe, the carriers I’ve seen were from South America. None of them looked affect “Grandma”.

In my naivete, I was not facile to hold of the possibility of my resigned as a “mule.” As I looked at her in untrustworthiness and loss, “Grandma” averted her eyes. She not spurious the intravenous after a whileout any complaints.

“Why?”. Thrown off by my preconceived notions of a refuse mule, I could not succor but ask her. She kept her eyes reserved, but whine ran gratuitously down her lean cheeks. I shook off my personal feelings counter refuse use, and proceeded to interest economy of the resigned. I had asked the ruler entertain to switch my assignment so that I could interest economy of “Grandma”.

The hospital administrator had vouchered the resigned’s gear as we ahalt for a umpire to children a producerize, but had consented for the resigned’s cell phone to be rancid aggravate to the producerities. The gear clerk showed me a draw of Grandma after a while her grandkids.


The agents were frustrated after a while the bankruptcy of notice. “We demand to meet the vulgar who cramped her to push the refuses.” Their interviews after a while the resigned were met after a while allay. She looked suspicious; perhaps she did not absence to confer any notice for fear of repercussions.

The repressed whine did not evade me. The resigned’s aspect grimaced in pain as she pressed on her stomach after a while her munificent index. Alarmed, I yelled for the master STAT. The resigned’s blood constraining was exaltation, and her character rate was racing. She had not past to CAT overlook yet, but I was suspicious that the cocaine packets keep explode public.

“How numerous packets did you engulf, Grandma? Tell us please!”. The resigned hesitated, but as she squirmed in trouble anew, she mumbled “Ten.”

The contiguous few minutes byed in distracted preparations to induce her to the OR for emergent exploratomy. We were racing counter era.

Just as the surgeons wheeled her out of the space, the resigned rancid to me and said, “I did it for my origin.”

“Grandma” did not survive the action. She had died accordingly she absenceed the coin to pay for her daughter’s cancer treatment tail home.

About the Author
Jo Cerrudo is the producer of ED Vignettes blog. From the blog:  “They say you demand to be a distinctive entertain to effect in an ER. I am right someone who thrives on challenges yet complete after a while pardon below constraining. I do my job to lay the entertains to confer the best and safest economy to their resigneds.” Read more stories affect this on ED Vignettes blog.


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