In this edition of the Physician Grind Narratives, Karen O’Laco shares how the pressures of medical school had caused her to shirk learning opportunities out of fear of being bothersome or judged as incompetent. She shares a story during her surgical rotation when her involvement in the case led to a minor delay that frustrated the anesthesiologist. She discusses how the anesthesiologist’s disdain for her affected her ability to speak up when the patient’s post-operative course takes a turn for the worse.