Part 2/11:

The scene begins with Dr. Murphy clearly questioning Quinn's understanding of their own gender, asking, "How do you know you're supposed to be a boy?" The patient asserts, "I am a boy biologically, that's it." Murphy, who struggles with social boundaries because of his autism, bluntly points out the biological fact — that the patient has testicles and XY chromosomes.

This directness causes discomfort among viewers, as the transgender character later confides that they like wearing dresses or purple and have been into mermaids since childhood. The scene culminates with the medical team's realization that Quinn actually has testicular cancer, which, as some interpret, may have been caused by cross-sex hormone treatment administered by his mother, a detail hinted at in related discussion.