On his birthday, Thom Payne gets the gift of insignificance, and also a new boss. He suspects that 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.