he above on a popular ENT forum in Facebook. Reflexly, I replied asking for some more information about the case. And lo and behold, by the next day not only were there further clarifications about the patient including a voice sample, but also a plethora of advises, experiences, references to published literature on the post. In the ensuing few days, the participants in the group read regular clinical updates and expert opinion which was being posted and many actually participated in the "virtual management of the case" till the "virtual patient" had improved 3 weeks later