"...these results will determine the rest of your life, Alex. Focus. You can't just keep skipping out on school. Now don't give me that look. You know and I know that you cannot be ill for six months of the year and come back looking completely normal. GCSEs are important if you want to get a job: no employer will look at a results sheet with 'U's on it and say yes, and no university will think 'E's make for an acceptable candidate. Alex, are you listening to me? GCSEs are very important in determining your career path..."
'Careers,' thought Alex. 'Haven't I already had one of those?'
And then he stood up, and walked out of the office.