The family in this novel live in Sussex. Sussex is an area and cultural region within South East England which was historically a kingdom and later a county. It includes the ceremonial counties of East Sussex and West Sussex.
Noah dies of shaken baby syndrome. Shaken baby syndrome is a severe form of head injury caused by the baby's brain rebounding inside of the baby's skull when shaken. In this injury there is bruising of the brain, swelling, pressure, and bleeding.
Maddie experiences blackouts, caused by absence seizures. Absence seizures are seizures that generally last just a few seconds, and are characterized by a blank or “absent” stare. Absence seizures usually occur in children between ages 4 to 14, but it's possible to have an absence seizure at any age.
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