The incident happened in London. The title is "The Silent Patient". Not "The English Patient". Quote a Greek myth, the patient reflects Greek goddess. Human's emotions and behaviors are complicated. There are anxious, jealous, conspiracy, pretend, betray, abuse, tell a lie, stalking,... Even the entry of the diary is doubtful. We can not read someone's inside. In the end, it's snow. Snowflakes are falling. The weather is an absolute fact. It's true.