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In 1972, during the chaotic days of miners' strikes and the three-day week, Bridget 'Brix' Shipley moves to Plunge Hill to start her new job as a medical secretary at the local hospital. As she writes to Maurice, her younger brother, sick at home, it becomes clear that not all is well at Plunge Hill.

Organ donation is in its infancy and Daisy Howard, who is giving a kidney to her aunt, is in the hands of a pioneering surgeon. After the operation, Daisy is desperate to get back to her family, yet the days go by and she remains in the hospital; meanwhile, an old friend keeps visiting with news of home, and Daisy becomes increasingly uneasy.

Summer 1972. Jon's adult life is about to begin. While exploring his late-father's study, Jon comes across a strange unpublished novel his father left behind. Fiction and reality blend a little too closely, and when he discovers a hidden appendix he learns that his father's imagination was more terrifying and more powerful than he ever thought.