Communication is a fundamental component of our relationship with our patients. When communications lag, patient care can also lag. Communication beyond practice walls has not kept up with advancements in modern communications. Currently, many feel that outreach communications cannot be used due to inadequate privacy and security (as per this report of a BC ER doc not notifying a patient of possible cancer for 11 months!). That argument no longer holds, as a fully modern, secure, and private messaging platform is available today, and it is time to embrace secure email as an integral part of clinical practice.