It Is All Too Much: Juggling Life and Practice Picture: Dr. John on a Monday, a patient in front of him, and ringing phones and an overflowing inbox battling for his attitude. Staff are going mad trying to keep up with every change on the schedule. On top of it all is that ominous pile of insurance work. There must be some kind of conspiracy to think of cloning or, better yet, a couple of extra hands- the last thing you need is to consider any extra office space for them. Good news! Enter the unsung hero of today\'s healthcare practices: the Virtual Medical Assistants or VMAs.