Now, when I'm feeling like that, it's almost impossible for me to open up and share with you my real concerns about Toby's health, which means that's going to make your job much harder in being able to assess him and to come up with treatment options, which of course is going to impact on Toby and his long-term outcomes and well-being.
Y cuando me siento así, me es casi imposible abrirme y hablar de los problemas de salud de Toby. Eso significa que, como médico le será más difícil evaluarlo y pensar en el tratamiento adecuado. Y claro, a largo plazo, por supuesto, acaba por influir en el bienestar de Toby.