Because of this and incidents such as setting up a giant model papier-mâché pair of legs in stirrups during an obstetric conference, he is expelled from the medical school, although he is later reinstated when it becomes apparent to the school that his unconventional methods often improve his patients' health. Adams encourages medical students to work closely with nurses, learn interviewing skills early, and argues that death should be treated with dignity and sometimes even humor. Patch begins a friendship with fellow student Carin Fisher and, during their third year as medical students develops his idea for a medical clinic built around his philosophy of treating patients using humor and compassion. With the help of Arthur Mendelson, a wealthy man who was a patient whom Patch met while in the mental hospital, he purchases 105 acres (42 hectares) in West Virginia to construct the future Gesundheit! Institute. Together with Carin, medical student Truman Schiff, and some old friends, he renovates an old cottage into a clinic. When they get the clinic running, they treat patients without medical insurance and perform comedy sketches for them. Patch's friendship with Carin soon turns into romance. When she tells him that she had been molested as a child, Patch comforts her and reassures her that she can overcome her pain by helping others. Encouraged, Carin wants to help a disturbed patient, Lawrence "Larry" Silver. However, Larry murders Carin, then commits suicide. It does not store any personal data.Patch is guilt-ridden by Carin's death and begins to question the goodness in humanity. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance".
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