Bert,
Thank you for clarifying this issue--I realize when I describe these as new ways to communicate--lots of folks have been doing this for years. What I find fascinating are the "new ways to communicate/practice" that if incorporated appropriately is about the only way we may "get a raise" by becoming more efficient.
I just got an Ipod touch bought a 10 dollar I tune card and my wife downloaded an "album"--so that shows you my level of technological saviness.
However the patient portal that Updox offers is an extremely intriquing tool at my disposal that I never dreamed of doing 3 months ago. However I am educating my patients on the ground rules early on and anticipate the portal function to be equivalent to voice mail messaging (the messages copied and pasted to the permanent record sent to me by my nurse, and also patient education and results being sent to patient via the portal.The portal gives you a buffer and you can set the ground rules and the expanse of communiciation you desire with the patient. I've told my nurse anything received over 4 lines deserves an appointment. Still early on in the process but will keep you updated. jimmie