So there I was last night with my head swimming in nausea after the MTX injection, unable to sleep, contemplating - I mean what else is there to do in situations like this? - and snippets from the day rushed past me: another earthquake shaking the ground beneath my child's feet, cat dragging a dry bit of fish (whoever gave her that!) through the house, a colleague telling me in tears that he left his wife, one of the car low beam headlamps went as I was driving home through the dark storm, someone knocked over the paraffin container in the laundry room, both too tired for a meaningful exchange over dinner and then the dishwasher started to leak soapy water from below and behind and all over the kitchen floor. 

And I thought to myself - just for a second, mind you - this is good, this is wonderful, what a life we have.
Oh, mustn't forget those menopausal hot flushes.