In the book "Handle with Care" by Jodi Picoult, the narrator reflects on feelings of dissatisfaction and inner turmoil despite having a seemingly stable life. The character acknowledges that they are healthy and fortunate, not facing severe hardships like starvation or injury. However, this acknowledgment contrasts sharply with the overwhelming sense of emptiness they feel, which makes their circumstances appear inadequate.

This inner conflict leaves the narrator questioning their emotional state, as they grapple with feelings of unrest. They describe a sensation akin to swallowing something that festers inside, indicating a growing sense of despair and frustration. The metaphor of sand slipping through fingers illustrates how their contentment eludes them, suggesting a deep-seated need for fulfillment that remains unaddressed.