Physicians are being stressed by many factors in the workplace. Increasing numbers of patients, less money for support staff, disappearing availability of consultants, and expectations of mastery of an endless number of technical advances create additional tension for our emergency physicians. In addition to this, there are many aspects of life outside of the hospital including demands of child rearing, aging parents, and marital conflict that can create the perfect storm. Even the coping mechanisms of the most composed professionals can be insufficient. Some of these physicians turn to alcohol, as discussed previously, while others may begin to act out by arguing with colleagues or being curt with patients. Disruptive behavior can be subtle at first, such as failing to return phone calls or showing up late for meetings. Poor communication and workplace intimidation can jeopardize patient safety. This problem is becoming more common. The description of a disruptive doctor is any interaction by a physician that intimidates another individual so that patient safety and quality of care may be compromised.15 Like other issues of physician impairment it is important, though often difficult, to address it. Sometimes the solution is finding resources to lessen life's stresses, such as adequate childcare or marital counseling.