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SINKING SPRING, Pa. (AP) — A Pennsylvania couple who were featured in news stories about their difficulties getting medication for their youngest daughter who had a heart transplant were found shot to death in their home along with their three children.

Prosecutor John Adams says an apparent “murder/suicide” note was found in the family’s Sinking Spring home Saturday. Police found a handgun near one of the adults. They didn’t say who they believe was the shooter.

Officials say the parents had had “domestic issues.” Police had gone to the home to check on the family after a call from a concerned relative.

The victims were identified as 40-year-old Mark Short Sr., 33-year-old Megan Short; 8-year-old Lianna, 5-year-old Mark Jr., and 2-year-old Willow.

Past news reports told of the family’s difficulties getting anti-rejection medication for Willow.

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Associated Press