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In this *vent session*, we open up about those tricky moments in medicine where doing the right thing doesn’t always feel like the popular thing. From navigating tricky topics with patients, to the challenges of giving honest feedback to staff, we dive into the disconnect between expectations and best practice. We reflect on how easily boundaries, professionalism, and good intentions can be misinterpreted as being “mean” — and ask the real question: are we crazy, or are we the a**hole?