The book raised a lot of new questions for me as well. I saw the statement in it several times that the boy was thought to have been sick for about a year before death. We know he was underweight and malnourished. But did they mean he was sick from neglect and not getting enough food or did they mean he was actually sick? There are a number of diseases which will cause malnutrition, even though the child may have been fed enough. Also the massive small bruising all over his body. A number of diseases cause easy bruising as well. Could this be a case of a child who had been chronically ill for a long time and maybe the caregiver, out of stress and frustration, lashed out and caused his death? This wouldn't excuse what the person did, but the amount of small bruises all over the child's body puzzled me. I could understand large bruises, especially about the head and upper body, if he were abused. But they go all the way down to his feet, many many small bruises. This made me wonder if he wasn't suffering from a disease, such as leukemia maybe, which made him bruise at the slightest touch. A disease like that also causes medical anorexia where the patient continues to lose weight even if provided with proper food. He had obviously received medical care in the past from someone. Did he maybe change families, change hands in his later days? Maybe he was diagnosed terminal by a doctor somewhere and sent home?