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health support, as well. i wonder about that. at what point does the mental health of the doctor impact the ability to give care even seeing the president dab the eyes several times and this table we re having a hard time getting through it. seeing small children come in, some living, some gone, how do you keep going as a caregiver? it s very difficult. i m doing this 20 years and sort of seen a pattern. in the heat of the moment, you revert to your training. you know it s about resuscitation, triage, finding the right resources to save the lives of that save the life of that child. it is about supporting the family and getting the resources and being honest and tell them what s going on with their loved one but when that adrenaline rush goes away and done for the day and getting in the car to go home, you have that letdown and as i said it takes many, many months to years to heal from this. but i think we are doing a better job as hospital and hospital administrators to know