The reflective article by Ravichandra Karkal in IJME effectively highlights the role of the doctor-patient relationship and impact of empathy in medical practice [1]. Indeed, this compelling case history highlights how connecting with patients on a personal level can significantly enhance therapeutic outcomes. However, current healthcare systems face significant challenges that limit the potential fostering of these therapeutic relationships. The pressure of time, reliance on technology, and systemic inefficiencies impede the capacity for personal interactions between patients and doctors. These limitations can greatly undermine the potential benefits of such a therapeutic relationship, crucial for effective treatment and patient satisfaction.