Both feet on the ground

Last night I was feeling all grown-up and sophisticated at a dinner sponsored by a pharmaceutical rep, enjoying my foie gras demi glazed sirloin looking at clinical studies and placebos vs. dosages, and I even knew which fork to use at the right time, but then I had to go to work and got patient spit and blood on me and was berated by a man with dried food on his face for 10 minutes and had to listen to all the gory details about a 300lb woman's rash, so it all balanced out.