A patient at a Catholic hospital wants medical assistance in dying (MAiD). Fulfilling her end-of-life wish by facilitating her transfer to a hospital willing to provide MAiD seems like the right thing to do. But unforeseen challenges arise that force the ethicist to reckon with her dual leadership roles, the moral weight of her title, the psychological sequelae of bearing witness to suffering and death, and the moral distress that arises when law and ethics clash. Although the patient gets her wish, the case feels unfinished; the injustice that caused her unnecessary suffering remains a spiritual wound for her children. Through partnership with the patient’s family, the ethicist works with hospital leadership to devise a systemic remedy to mitigate the harms of forced transfers for similar patients in the future. By reckoning with the challenge of juggling multiple roles, and the impacts of workplace trauma exposure and moral injury, the ethicist creates resources and relationships to provide greater psychological safety and mutual support, ensuring the sustainability of her work in ethics consultation for years to come.