All of these punishments on earth are different from the eternal punishment. The eternal punishment is eliminated by repentance, but the earthly punishment remains intact. So the mother who does not bring up her son properly repents and her sins are forgiven, but her son remains as a bitterness of heart to her on earth. The student who does not study and fails can repent and the Lord will forgive him for his negligence, but this does not bring back a year of his life lost on earth in vain. The person for whom since causes disease can be forgiven his sin by repentance, but the disease remains with him as an earthly punishment as a natural result of sin.

—H.H. Pope Shenouda III, The Life of Repentance and Purity