While I have enormous respect for Wendy/Dr. Swanson and all that she does to help patients whenever and however she can, I think too many mainstream patients are still uncomfortable with the privacy concerns presented by sharing their intimate health information on the Web such that they'd prefer their doctors to simply stick to practicing medicine and communicating with them in the more traditional methods. Personally, however, I conceptually agree with Wendy and think health care social media is, and will be, an integral part of the practice of medicine - especially for patients with chronic illnesses. But, at this particular point in time, I think it is more of a "bonus" or luxury to patients than it is a "need" or expectation. That said, this patient "expectation" of virtual service is changing FAST, however. More specifically, I have relationships with a few doctors considered amongst the leaders in their respective medical specialties by virtue of my 30+- years as a chronic patient with an incurable disease and they have no Web presence whatsoever and some of them even tell me it is the computer which complicates their practices as patients come to them after doing their own "Google diagnosing" which adds a great deal of emotional stress to the diagnostic and treatment processes. Accordingly, I understand why they don't make themselves even more accessible to patients via the various online platforms. But they are from an older generation and likely the last generation of healthcare professionals who don't integrate online services to their medical practices to meet what have become reasonable patient expectations in a technology-driven era of "patient-centric" healthcare practices.