david goldstein: nobody can be the master of all those technologies. you can learn them, but you can't be the masters of them. at least get the patient the best care. so integrity is a really important issue, and the integrity of our payers-- of our insurance companies-- needs to be held up there. - you all right? - okay, fine. - see you later. - great. we have a trauma center here. the trauma surgeon, he will have a patient with a gunshot wound to the head and neck. he'll have a patient with a motor vehicle accident where they have abdominal, chest injuries, facial injuries, and he'll say, "i need the thoracic surgeon, i'll need the orthopedist, i need the otolaryngologist, i need the facial plastic surgeon." which is what i do, and i get called in. and i will coordinate with the other doctors. i said, "okay, who's going to the operating room first? can we do this at the same time? what can be staged, what needs to be done?" and it works as a team, and it can work extremely well. developing a productive relationship with your primary care physician is