Asynchronous communication results in a much higher quality of review of any medical situation. 1. It allows you to reflect on expert panel's views. It puts expert views in a context of relevant background information. Our report provides you with extensive internet links to relevant research and review articles. All this helps you to formulate better follow-up questions. 2. It allows us to run several iterations of communication with experts during your case review. We are able to study, clarify, and cross-examine multiple expert views before creating a comprehensive written report for you. 3. It allows world-leading experts to be very efficient in reviewing your situation. It makes their work more thorough and fast. 4. It simplifies the logistics of communication across different time zones and busy schedules of expert panel members. 5. It allows to work efficiently in several languages for both experts and patients. Excellent medical experts may not have a complete standard grammatic fluency in fast-spoken English, but they are perfectly fine in written communication. They publish hundreds of relevant research articles in English. Both experts and patients might have accents that they are not familiar with. This may prevent a clear understanding of fast-moving conversation on a highly technical topic. Live translation always takes away valuable time. Written communication in technical language between us and experts, and in plain English between us and clients resolves all such issues. Although our original reports for clients are written in English, we are able to provide a translation of the report into our client's native language.