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I first learned about FOP, the disease at the heart of Elm and North, in this article. I have no personal relationship with FOP whatsoever. I simply believed it deserved a novel. Years passed before I started writing Elm and North, years again until I finished it. The book's cover avails itself of "The Crossing Guard," by Mel McCuddin. Many thanks to Mel and the painting's owners for their kind permissions.
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