I am going to take flak about this. I never care about HIPAA. I care about patient compatibility. I don't think texting is HIPAA compliant. I got a patient down to the Mass Eye and Ear, which had an innominate artery compression of the trachea by 8 am the next morning from 6 pm the night before using only text due to the surgeon being in a meeting. HIPAA compliant, no? Great patient care? Yes.