Patch Adams is a 1998 American biographical comedy-drama film directed by Tom Shadyac and starring Robin Williams in the lead role, Monica Potter, Philip Seymour Hoffman, Bob Gunton, Daniel London, and Peter Coyote. Set in the late 1960s/early 1970s, it is loosely based on the life story of Dr. Hunter "Patch" Adams and the book Gesundheit: Good Health Is a Laughing Matter by Dr. Adams and Maureen Mylander. It received generally unfavorable reviews from critics, with criticism for the sentimentality and direction. Despite the terrible reviews, the film was a box office success grossing $202.3 million against a $50–90 million budget. Plot In 1969, Hunter "Patch" Adams, after developing suicidal thoughts, admits himself to a mental institution. Once there, he finds that using humor, rather than doctor-centered psychotherapy, better helps his fellow patients and provides him with a new purpose in life. Because of this, he wants to become a medical doctor, and swiftly leaves the facility. Two years later, he enrolls at the Medical College of Virginia (now known as VCU School of Medicine) as the oldest first-year student. He questions the school's soulless approach to medical care, particularly why students do not work with patients until their third year, as well as the methods of the school's Dean Walcott, who takes an instant disliking to Patch and believes that doctors must treat patients his way and not befriend them. 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 unorthodox methods often improve his patients' physical and mental 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 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