write read english able speak understand unable spanish languages ability speaking english non spanish patients participants caregiver assessments person emr spanish english speaks speaking reads consent able informed read french spanish speak english read able patients inability understand caregiver phase english read understand able speakers ability questions respond unable written speak read english able understand ability unable fluently patients inability language english read speak able primary understand unable proficient patient communicate english able read spanish sensations exablate ability staff inability speak english able understand comprehend ability patients unable informed consent fluent english spanish aim phase language speakers inclusion caregiver pcs