I cheat. I call and leave a message when they aren't open and her secreatary passes it on and my pdoc either emails me, calls me back or has her secretary call me. My pdoc says this is fine so it's what I almost always do. I can email my pdoc but if I need to be sure she reads it I still have to call and leave a message for it to be pointed out to her as something important b/c emails sometimes get lost in the shuffle with her.