This card can be about delays, and also the need to let go of old stuff, to go with the flow and to be patient.
Sometimes we need to stop pushing and forcing and let matters take their own natural course.
There is an element of contemplation and maybe the solutions lie in thought and meditation, rather than in busy-ness.
Perhaps there is a need for a new perspective or to view something from the completely opposite direction. You certainly see the world very differently when you look at it upside- down.