I have been carrying this burden for weeks and I do not even know who to talk to. I work in a small private hospital where we are just a handful of staff. Recently, I discovered that my boss, who is also the owner of the hospital, has a serious alcohol problem. At first I thought it was just a casual lifestyle choice until it started affecting his work directly. There was a day an emergency case was brought in, a pregnant woman in distress. My boss staggered into the ward smelling strongly of alcohol. His hands were shaking and he kept giving confusing instructions. I quickly stepped in to stabilize the patient and luckily she survived. I told myself maybe it was a one time slip, but it has happened more than three times now. What makes it worse is that he trusts me a lot. He even jokes that he knows I can cover for him if anything goes wrong. I feel trapped between my conscience as a health worker and the fear of losing my job. If I expose him, the hospital might collapse and we the staff will be out on the street. If I keep covering, I am putting patients’ lives at risk and carrying a guilt that is becoming heavier every day. Some colleagues pretend not to notice, while others whisper behind his back. Nobody wants to be the one to confront him directly. I have been unable to sleep well because I keep imagining a situation where something goes wrong with a patient under his care and I have to live with the knowledge that I could have spoken up earlier. If you were in this situation, what would you do?