Cindy, looking hurt, reproached me quietly. “You shouldn’t say that so loud.” I was aghast. Back in the “respectable” family practice I ran for twenty years before coming to work in the Downtown Eastside, it would have been unthinkable for me to commit such a callous breach of confidentiality, to injure someone’s dignity so brazenly. I closed the door and offered my regrets. “I was loud,” I agreed. “Very stupid of me.” “Yes,