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Open mouth, insert foot.

Open mouth, insert beer!

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Open mouth, insert foot.

Open mouth, insert beer!

I don’t think this is really a big deal. You don’t have to ignore the fact that the patient has an addiction problem, and I’m sure he/she is well aware that “I need a drink” is just an expression people say when they’re stressed. It’s not like you actually drank in front of the patient or gave him/her alcohol. Don’t sweat it, OP!

Not a good idea, OP.