and burnout rates for caregivers can be very high as well so again when it comes to empathetically talking to patients some patients have to deal with their own sicknesses on their own really on their own and so how does the communication change if you're dealing one-to-one with that sort of patient compared to if you're dealing with somebody who has the luck of having a caregiving network around them but also empathetically knowing that they will have to take on the mantle of huge care and responsibility for that patient.

I think it goes back to what we said earlier with the adaptability with the person sitting in front of you.

Part of empathy and empathic communication skills training is looking at the context of the patient.

And it's part of history taking that is trained in medical schools, but how to use it is not always trained.

I mean, it's trained in terms of like, OK, they can't take this medication because they can't.

they wouldn't respond well but also more okay do they have anyone to remind them or is there someone that can help them get around the house these are more human factors that you're not always trained to integrate and so I think there are considerations and contacts that you may give to someone on their own that you wouldn't necessarily with someone with a very strong support network you'd still give them the option of course but I think the invisible burden of caregivers is something that definitely needs more attention.

There are some professionals that are very aware of this and there are support resources for caregivers in some countries, but not others.

How did you find that gap?