 Well, the main topics were that return to work in myeloma patients is even more complex than in other malignant diseases, I think. And this is because of the disease and treatment effects and also the prolonged treatments. And especially in physical demanding jobs that is often difficult to return to work. And also even traveling may be preventing patients to go to return to work. Because traveling may also be very burdensome physically and mentally. We also discussed that myeloma is still an incurable disease and also employers and occupational physicians and even hematologists are often not expecting myeloma patients to return to work. And that means that patients lack proper guidance to return to work and because they're not expected to return to work, where in fact they need specialized guidance to be able to return to work. So that makes it double difficult. An important factor in our discussion was also that returning to work is not only about financial stability or being able to provide an income, but being able to work is also a very important factor in quality of life. So that were, I think, the main topics. Well, it's not in general to say what rights they have because that's different in every country. But you can say that employees are somewhat protected by labor laws, whereas self-employed myeloma patients or temp workers, they are even lacking those who are losing income. So employees are somewhat protected, but groups as self-employed patients and temp workers are even more at risk. And also discuss the importance of work with your doctor and not only when there's a problem with work, but in general talk about your work and the importance of work in your life. And although it's not their field of expertise to guide you and to return to work, they do have referrals to social workers or other return to work specialists that they can refer you to. So they have their network of expertise, even if they're not expert themselves. So do talk with your physician or with nurses about problems or potential problems with work and do not wait until the problems occur. And make sure that doctors, nurses, your employer, your occupational physician are all on the same page regarding your wishes and your needs to return to work. Adapting work to your specific situation as myeloma patient, that is very problematic often. Since myeloma is a specific disease with specific physical problems and also treatment causes several side effects that will make return to work difficult. So it's not always possible for employers to provide alternative tasks. But employees may allow you to work from home if possible or allow you to work in flexible hours or let you take more breaks during your working day and especially that is important in physical demanding jobs and that are facilitating return to work or to reintegrate in a flexible manner. But also not being bound to standard reintegration schedules is important and also allowing patients to plan work and hospital visits in a flexible way is important but that requires hospital cooperation in facilitating treatment planning but also, for example, discussing the decimator zone schedule which is also interfering with your work often. So these are elements that will all help facilitate return to work but for some patients it will stay difficult. Depending on legislation per country for example in the Netherlands often there are good financial arrangements for myeloma patients also when they're not able to return to work at all or especially when they're not able to return to work at all there are good arrangements but that's not the case in any country and also in the Netherlands sometimes patients suffer considerable financial loss but not only that it's also that costs out of pocket costs or costs from treatments make that patients face extra expenditures for example only the hospital visits and the parking costs so it's not only loss of job or loss of income but also additional costs that they're facing and it's not always possible to minimize that but it's the same as I told earlier it's important to address it as early on as possible especially since the prolonged treatments patients are often too late with returning to work and employers are and colleagues are expecting you to not return so it's important to start early on with communicating with employers doctors and colleagues about your wishes regarding work and your expectations about returning to work well there's not just one solution to minimize financial loss but in general it's important to emphasize the important importance of your work with your employer and with your hematologist and so they can be aware for example to treat side effects that will hinder you returning to work but they can also refer you to as I said social workers and provide proper guidance and the earlier the problems are known the sooner things can be done which may prevent unsuited reintegration trajectories or even job loss and especially as I told in self-employed patients it's important that they seek expert guidance since there is no employer to help them and these patients are especially at risk to lose at financial risk and they tend to start working too soon and too much and this may cause stress and even burnout and in some countries there are rehabilitation programs especially for cancer patients and also this may be very good for myeloma patients to attempt these rehabilitation programs it's it's not just about fiscal rehabilitation but it's also finding the right balance in your life and well there are some indications that these programs are very suited also for myeloma patients in helping them to return to work as one patient in the workshop told as an advice to all patients be sure to have a plan B for yourself so try to return to work but be sure to have a plan B because he also said it's very important to deal with job loss he lost his job and but he ensured in every step of his myeloma way that there was always a plan B and that was a very important advice that I would like to pass on to all the patients that that are watching this video