The Careful Ones — The Profile

New to The Careful Ones? Start from Chapter 1 · Story Index


Ada found the folder when she was twenty-three.

She was helping her mother move — Connor had died two years earlier, a stroke, quick and unfair, and Bridget had finally agreed to sell the house. Ada had come up from Bristol for the weekend with boxes and bin bags and the grim pragmatism of someone who had grieved already and wanted to be useful now.

The folder was in the study, in the bottom drawer of the filing cabinet, behind the mortgage papers and a bag of foreign coins that nobody would ever spend. Manila, unmarked, sealed with a rubber band that had gone brittle and broke when she touched it.

Inside: a single sheet. Printed, not handwritten. A table with six rows, each labelled with a letter. Columns for disease risk, carrier status, polygenic scores. Confidence intervals. Colour coding — red, amber, green.

She knew what it was immediately. Everyone her age knew. It was the kind of document that had been in the news for years, in the background of arguments she'd half-followed, in the premises of TV dramas she'd half-watched. She'd just never seen her own.

Row B was highlighted. A thin line of yellow marker, faded but visible. Someone had circled the cognitive range with a pencil: 115–131.

She sat on the floor of the study with the folder in her lap and felt nothing, and then felt everything, and then felt nothing again, which was the sequence, she'd later think, of encountering information that changes something you can't name.


She didn't confront her mother. That wasn't the word. She brought it downstairs and put it on the kitchen table, next to the tea, and said: "I found this."

Bridget looked at it. She didn't pick it up. She looked at it the way you look at something you'd forgotten you hadn't thrown away.

"Okay," Bridget said.

"I'm B."

"Yes."

"You highlighted me."

Bridget sat down. She wrapped her hands around her cup. She was fifty-seven and looked tired in the specific way that grief and house-moving produce together — not devastated, just worn to a thinner version of herself.

"Your father highlighted it. I would have circled it. He used the marker." She almost smiled. "He was always more decisive than me."

Ada looked at the sheet. The other rows. A through F, minus B. Five embryos that had been assessed, scored, and not chosen. She didn't know what the right feeling was. She'd read the opinion pieces — the ones that said profiled children should be angry, the ones that said they should be grateful, the ones that said the framing of anger-or-gratitude was itself the problem. She'd read them the way you read horoscopes: looking for recognition, finding approximation.

"What was D?" she asked.

"Why D?"

"It's got an amber flag. The others are mostly green."

Bridget looked at the sheet. "Cardiac variant. Low penetrance. And some mood markers."

"What kind of mood markers?"

"Anxiety. Depression risk. The things they flagged back then."

Ada thought about Uncle Patrick. She thought about the way he noticed things — the way he'd call her on her birthday and ask a question that was so precisely the right question that she'd wonder how he knew. The way he'd sit with her when she was sixteen and miserable about something she couldn't articulate, and not try to fix it, just sit with it, and the sitting was enough.

"Patrick has those markers," she said. Not a question.

"Patrick was never screened. But yes. Probably."

"And you screened them out of me."

Bridget didn't flinch. Ada wanted her to flinch. She wanted something to push against, and her mother's stillness was not giving her that.

"We chose the profile with the lowest risk. Yes."

"Risk of what? Of being like Patrick?"

"Risk of — Ada. You know what the science said at the time."

"I know what it says now."

The CADPS2 paper. The follow-ups. The longitudinal studies. Ada had read them. Not obsessively — she wasn't that person — but the way her generation read them, which was with the particular attention of people who might be in the dataset. The variant that had been amber was now, in revised frameworks, unlabelled. Not green. Not amber. Just present, with a complex of associations that resisted simple categorisation. Protective in some contexts. Costly in others. Human, in the way that most things about humans were human — mixed, contingent, irreducible to a colour code.

"I'm not angry," Ada said, and mostly meant it. "I just want to know what you were thinking."

"We were thinking about you."

"You were thinking about a spreadsheet."

"We were thinking about you through a spreadsheet. That's different."

Ada looked at the sheet. Row B. The yellow highlight. The pencilled circle. She thought about the precision of it — her parents at a table, probably this table, looking at these numbers, making this choice. She thought about what it meant to be chosen. Not born, not arrived, not happened — chosen. Selected from a set. Optimised.

She didn't feel optimised. She felt like a person who was sitting on the floor of her dead father's study holding a piece of paper that explained her and explained nothing.


She drove back to Bristol on the Sunday. The motorway was slow — roadworks near Swindon, the usual — and she sat in traffic and thought about Embryo D.

Not sentimentally. She wasn't mourning a sibling who never existed. She was thinking about the architecture of the decision. Six embryos. One highlighted. Five not. The choice presented as medical, experienced as medical, defended as medical — and underneath it, something else. Something that wasn't medical at all. A preference. A bet. A guess about what kind of person was worth making.

She thought about her own life. The things she was good at — she was good at things, she'd always been good at things, and the goodness had a quality to it that she'd never questioned until now. She was organised. She was clear-headed. She handled pressure well. Her therapist — she'd seen one briefly at university, a few sessions, nothing serious — had said she had good emotional regulation. She'd taken it as a compliment. Now she heard it differently.

Emotional regulation: elevated.

Was that her? Was that the profile? Was there a difference?

She thought about Patrick again. The anxiety he carried like weather — not always present, but always possible, shaping his attention, making him alert to things other people missed. She thought about his phone calls, the ones where he knew something was wrong before she'd said anything. She thought about his patience, which was not the absence of urgency but the management of it, learned through years of living with a nervous system that ran too hot.

She thought: that was screened out. Not from the population — the variant was still there, twelve percent, diminishing — but from her. From the person she could have been. There was a version of her that carried Patrick's weather, that had his alertness, his particular quality of attention, and that version had been Row D, amber-flagged, set aside.

She wasn't that person. She was Row B. Highlighted. Circled. Chosen.

The traffic cleared. She drove the rest of the way without the radio on, which she almost never did.


She called Patrick that evening.

"How was the move?" he asked.

"Fine. Weird. You know."

"Yeah."

She wanted to tell him. She held the wanting for a moment, turned it over. Patrick would understand. Patrick always understood. That was the point, and the problem, and the thing she couldn't say.

"Uncle Patrick."

"Yeah?"

"Nothing. Just — thank you. For always being there."

"That's my job." A pause. "Are you okay?"

She thought about the profile. About B and D and the amber flag and the colour-coded future her parents had navigated with a highlighter and good intentions. She thought about the question Finn's father had probably asked himself and Bridget had probably asked herself and Nadia had probably asked herself, somewhere — the question that hovered over all of it, unanswerable: did we get it right?

"I'm fine," she said.

"You sure?"

"Yeah. I'm fine."

She said it the way you say things when they're true and also not true, and Patrick, who knew that particular shape of not-true better than anyone, let it stand, because sometimes letting things stand is its own form of care.

After she hung up, she sat in her flat in Bristol and listened to the city. Traffic. A siren, distant. Someone's music through the wall, bass only, the melody inferred. She thought about the folder in the filing cabinet, and the rubber band that had gone brittle, and the yellow highlight, and the life she was living, which was good, which was hers, which was the result of a choice she hadn't made and couldn't unmake and didn't know how to feel about.

She felt about it anyway.

She felt about it the way you feel about weather — not as something you chose or something that was done to you, but as the condition you were in, the medium you moved through, the thing that shaped the day without explaining it.

Outside, it started to rain.


This is the final chapter of The Careful Ones. Thank you for reading.

Story Index · Start from Chapter 1

My debut collection Surfaced explores similar territory — seven stories about people living inside systems built to help them.