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Emma St. James is a hard working nurse at Marsala Memorial Hospital. She takes care of her young 6 year old cousin Trevor. Emma does her best to live honorably and morally. She hates the mafia with all the passion she possess since they are they reason she is raising Trevor alone. Whenever she gets a patient from any family her bed-side manner falls by the wayside.

She is normally very sweet and comforting with her patients and loves to be on the children's ward. She is good friends with a few of the doctors but having a 6 year old at home does not leave a lot of time to herself or to spend time with any friends. Children are her weak spot.

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