"There is very little that is accidental in my work. I believe in serendipity for developments of plot, but the actual writing is arrived at by very hard work. The joy of writing doesn't mean that you don't get the backaches and headaches and the days when it's not coming."

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Sometimes I think illness sits inside every woman, waiting for the right moment to bloom. I have known so many sick women all my life. Women with chronic pain, with ever-gestating diseases. Women with conditions. Men, sure, they have bone snaps, they have backaches, they have a surgery or two, yank out a tonsil, insert a shiny plastic hip. Women get consumed.

— Gillian Flynn