Mistakes happen in medicine—even when intentions are good. Sanila is joined by fellow MS4, Abby Hamilton, and Dr. Julie Thomas, a practicing rheumatologist and ethics educator, to unpack what "first, do no harm" really means in real-world clinical care. They explore the emotional weight of medical mistakes, the fear and silence that often follow unintended harm, and how clinicians can move forward with accountability, humility, and compassion. The conversation reframes imperfection not as failure, but as an opportunity to repair trust, strengthen patient relationships, and grow into more thoughtful, ethical physicians.