David Rakoff humorously compares the act of writing to a painful experience, likening it to pulling teeth. This metaphor illustrates the struggles and discomfort that often accompany the creative process. Writing, for many, can feel like a challenging endeavor fraught with obstacles and mental anguish.

Through this vivid imagery, Rakoff captures the frustration that comes with trying to express one’s thoughts and ideas. The exaggerated nature of the comparison, particularly the reference to pulling teeth from a sensitive area, emphasizes the intensity of this struggle, making it relatable to anyone who has faced difficulties in writing.