clinic running, they treat patients without medical insurance and perform comedy sketches for them. Patch's close friendship with Carin soon turns into romance. When Carin reveals to 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 with a shotgun, then immediately commits suicide. Patch, guilt-ridden by Carin's death, begins to question the goodness in humanity. Standing on a cliff, he contemplates suicide again and asks God for an explanation. He then sees a butterfly that reminds him that Carin had always wished she was a caterpillar that could turn into a butterfly and fly away. The butterfly lands on his medical bag and shirt before flying away. With his spirits revived, Patch decides to dedicate his work to her memory. Walcott eventually discovers that Patch has been illegally running a clinic and practicing medicine without a license and attempts to expel him again because of this, as well as complaints that he has made his patients uncomfortable (which is obviously not true). Desperate to prove Walcott wrong, Patch files a grievance with the state medical board on the advice of his former medical school roommate, conservative Mitch Roman. Patch succeeds in convincing the board that he must treat the spirit as well as the body. The board, although they still find some of his methods very unorthodox, allows him to graduate and he receives a standing ovation from the packed hearing room. At graduation, Patch receives his Doctor of Medicine and, bowing to the professors and audience, reveals himself to be naked underneath his cap and gown. Cast Production Development Paul Attanasio was brought in as a script doctor to work on the film prior to shooting. The film was shot in three locations: Treasure Island, California (near San Francisco), Asheville (North Carolina), and the University of North Carolina at Chapel Hill. A diner was temporarily placed in Point Richmond (a neighborhood in Richmond, California) and served as the University Diner. Several interior classroom scenes were filmed on the campus of UC Berkeley. The film has several major departures from Adams' real history. One is that the character of Carin is fictional but is analogous to a real-life friend of Adams (a man) who was murdered under similar circumstances. Another