He finds himself caught in a 'double bind': By doing his job, he could end up hurting his family.
Can you help me? I seem to have gotten myself into a (bit of a) 'bind'.
It's a real 'bind' having to meet all these deadlines.
(..) - Yes, l did. - Good. That's good. Thank you. Listen to me Katharine. You've broken your ankle... and l'm going to have to try and bind it. l think you've also broken your wrist... and maybe some ribs, which is why it's hurting you to breathe. l'm going to have to walk to El Taj. (..)1996 The English Patient