Meadow, giving evidence for the prosecution, listed four indications of Patel's guilt. One was the injuries suffered by the third child to die. Patel's explanation was that the rib fractures had resulted from attempts at resuscitation. The second and third points were that the children had undergone several medical examinations, and all had been well until shortly before their deaths. The fourth point was that three consecutive children had died, and that, according to Meadow, "in general, sudden and unexpected death does not run in families."