Welcome to Keeler’s life. No, she does not fret, as she writes, about the “mouse living under [her] stove. I’m not worried. I’m not anxious. In fact, I don’t really care at all.” She is not who we consider to be the typical person with OCD. Keeler instead represents the underreported segment of people with the disease. She’s not the one obsessing about the little things. The title says it all: she hardly ever washes her hands. Such things are relatively trivial to her. It’s the big things that consume Keeler.