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YAOrca Soundings series.
Mick worries about ex-girlfriend Jade's four-year-old brother, who suffers from migraines. As Gavin's migraines worsen and Jade grows overwhelmed, Mick winds up taking care of them both. Mick's narration alternates with Jade's diary entries; the two perspectives reveal Jade's machinations (and her skewed sense of reality). Good-guy Mick and control-freaky, attention-hungry Jade are fairly flat characters, but the final reveal is well supported.