Kind: captions Language: en I wondered if I might say or actually to Michael to follow up a little bit on what he had said earlier about his fear that we're gonna have words which is this I really want to thank Michael because I have not made this easy for him along the way I've been very sensitive to the idea that Nova wanted there to be a storyline and I very much didn't like the idea that my life was gonna get turned into one I didn't want to be playing some kind of part and I think Michaels actually been very sensitive to portraying us in a way that that is I can recognize myself I think he's done an excellent job and he's it had been a very hard project to bring together and I really have a lot of respect for what he's done so I wanted to for all the hassle I've given him and all the times I told him he couldn't film when I was with patients I wanted to thank him there's a question sorry there's a question back here hi I think this documentary or this series is is stunning for a very simple reason and that is that you know I'm an average person I you know I go to see my primary care physician and I have a few specialists and have a few degrees of my own and I think I've worked hard in my life and then I see this and I think to myself that the American public has absolutely no concept of what it takes to become a doctor and the interaction is diminished in some ways to the visit or the insurance payment or the premium and we really have to elevate the conversation I think in some level from the standpoint of respect to really make change in the system because you know we talk a lot about health care finance you know and all of that it's not it is about so much more than the numbers despite the fact that the numbers are an important part of the conversation and I think this you know just this glimpse that I have gotten from seeing this piece inspires me to understand that in a whole different way and so I you know applaud everybody whose effort went into this because you know I just never knew I was quite so clueless I don't think I'm right David you've got a question yeah I did you just triggered a thought which was been talking about what it takes to become a doctor I'm wondering for all of us given all you've been through what does it take for us to be good patients and to have relationships with you that make for good health here Jane's thoughts I think it's one thing that's changed a lot and the time that I've been a doctor is the web I really am glad that patients talk a lot to each other nowadays and if you've got something that you're seeking a doctor's help with it's much more possible at least it seems to me that it is I wasn't I was a lot younger back before the web but it seems to me that people are talking to each other and there's a lot of consumer education buying for other consumers and I think that's really helpful it keeps us getting asked very smart questions so question um so almost none of my patients have computers or the web and are legal immigrants or whatever so um I actually have not even thought of that but I for the for the group in the audience here I suggest reading a book by Jerome groopman called how doctors think and I read that book and I was like this is exactly it and I think he has really captured very very nicely that and I you know would put a challenge to people to kind of read that and get that same message in other digestible forms that people can have and really understanding that your doctor is a human and that you know where they're coming from like maybe they lost a patient with something cuz they under diagnosed so now they're like super hyper about getting all sorts of tests like you mean they may not you know and here's the psychiatrist next me but they may not have conscious feelings why they may make certain choices and that it's your sort of job as the patient just a really question and and really advocate for yourselves but I think reading that book is is really helpful have you guys yeah I think it's really quite enlightening so this question is mostly for J given the emphasis on on boundaries in psychiatry I'm wondering how often or if it comes up you know oh I've seen you over the last 20 years and patients wanting to talk about that or bringing things up not very often though it spikes so we'll see but it is true there's a there's a big issue about separating one's own personal life from the work one's doing in therapy which is the main part of what I do and most of my patients wouldn't otherwise know an awful lot of the stuff that appears in this most of the stuff that's here would otherwise not be available for people to know and from time to time that's come up and I it makes sense to sort of be frank about what's out there it's obviously public at this point but I'm I'm sort of surprised on both sides because sometimes sometimes when the show's been on recently a whole bunch of people will come up in the same week and say oh I recognize you and other times you know years will go by and no one's mentioned it so it it's both there and not there there's a question in the back two questions actually hi there I'm a medical student right now actually there's actually a whole table of us over here and a bunch of us are about to finish medical school and go off on to our internships and residences and we were just kind of wondering what advice you have for us as we're about to embark on this journey I assume you're talking to Jay and I might go and follow other Edisto so when I was a fourth-year medical student I took a trip with a neurology resident who I had met on my rotation we went to the Grand Canyon and Santa Fe and you know in the southwest and I remember she said to me at the time remember this moment and hold on to it and when the times are really dark just remember how beautiful it was here and so I would suggest in the next few months or if you've had something do something really wonderful and really imprinted on your mind and then you know and just hold on to that and every year on your vacations plan something really wonderful your best vacations of your entire life will be those you take during residency because it's just it's like you went from Hell to heaven and and and really let those imprint on you and then the other piece of advice is when you feel like you're really not like yourself don't worry when you get to the other side you will become yourself again you know and that's okay