Dell: I swear to Christ, Ethel, I don't know how you and the others manage it. Ethel: We manage it because we have to. We wear our shame on the outside. There's no hiding it. It's just who we are. But you? You carry your shame on the inside. You keep it trapped in there. It eats away at you, feeding on you like a living thing 'til there's nothing left but the rot.