You're in the server room when the alert fires: Renata, 52, an ICU nurse on your floor, accessed her own husband's electronic chart seventeen times in the past week. You pull the logs. She didn't just read his notes — she downloaded his oncologist's private annotations, including a staging update that hasn't been disclosed to the patient yet. Stage IV. Weeks, not months. Her husband, Tomás, is in Room 6 right now, believing he's responding to treatment. His oncologist is on vacation until Thursday. Hospital policy is clear: accessing a family member's chart is a terminable offense, and you're required to report it. But Renata is the best nurse on that floor, and if you report her today, she's gone — just as her husband is dying. Tomás still doesn't know. Your supervisor is calling you back in five minutes.