Thanks Wendell. Tried that in the past. With over 25 messages a day, it is difficult. Also it creates duplicates again. For instance, if we (NP and I) talk and she deals with the issue and sends the message back to staff member B to respond, I still have no idea what has been done. Also, staff member A has no idea of what is happening when the patient calls again, because the message is in B's inbox.