The quote reflects a deep sense of discontent and the feeling of being trapped by circumstances. The speaker suggests that a single moment—a reaction or an expression—has led to a lasting change in their life, one that they face with discomfort and an emotional burden. This imagery conveys the struggle of carrying a demeanor that doesn't align with one's true feelings.
In the context of Nick Hornby's "High Fidelity," this sentiment could illustrate the protagonist's challenges with relationships and identity. It emphasizes how seemingly small decisions or reactions can have significant and enduring impacts on one's life, influencing how they confront the world and their own inner turmoil.