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Set in the mid-19th century, the story follows Malcolm, a boy with Tourette's Syndrome, as he navigates life after being returned to the London Foundling Hospital from a struggling Surrey farm. Blending Dickensian themes with contemporary relevance, the novel explores issues of identity, belonging, and the challenges faced by those with disabilities in a harsh society. Through Malcolm's journey, readers are invited to reflect on the enduring struggles of marginalized individuals.