I agree about the portals. MSKCC and my local hospital post the doctor's notes, x rays, labs as soon as finalized. Xray finalizes very quickly. The labs from my PCP, different patient portal, don't download well. I use Quest labs good patient portal, labs are turned around quickly, I can generate a PDF easily. I can also send to MSKCC uploading the tests done locally. Trying to keep all the doctors on the same page. Depending on someone else to transmit information can be iffy. On the organizational front, I have a friend who is a teacher and it is quite a challenging job, I had no idea. Hats off to you for your work as a teacher and for sharing your organizational expertise with the group.