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On his birthday, Thom Payne gets the gift of insignificance and also a new boss. He suspects his ED pills are interfering with his anti-depressants, leaving him with neither happiness nor... happiness. In a culture that reveres youth - a culture he helped create - Thom needs to figure out what his purpose is now that he's halfway to death and nobody cares what he thinks. Because in a world where any Kardashian is trending up, perhaps the wise among us would heartily embrace trending down.