Naeem -
Glad I'm not the only one out there. Hopefully they can fix the message refresh issue with the next version update.

I've also seen messages not deleted when the chart is pulled/message selected (I have mine set to call up the "Delete Message from Mailbox?") This behavior is reproducible and happens if I move the mouse after double-clicking the message. Wonder if anybody else has had this issue. You wind up with multiple messages/notes for an office visit that has already been completed and signed off.