let Doctor = bookshelf.Model.extend({
  patients: function() {
    return this.belongsToMany(Patient).through(Appointment);
  }
});

let Appointment = bookshelf.Model.extend({
  patient: function() {
    return this.belongsTo(Patient);
  },
  doctor: function() {
    return this.belongsTo(Doctor);
  }
});

let Patient = bookshelf.Model.extend({
  doctors: function() {
    return this.belongsToMany(Doctor).through(Appointment);
  }
});