# Create a Clinical Discussion Thread in an Existing Care Channel
## Step-by-Step
{% stepper %}
{% step %}
**From Patients tab, find and select the relevant patient.**
{% endstep %}
{% step %}
**In patient file, in desired care channel, click discussion thread addition icon.**
{% endstep %}
{% step %}
**At this stage, you can modify participating teams, but not individual participants.**
Click Modify.
{% endstep %}
{% step %}
**Select team to remove.**
{% hint style="info" %}
Here, the doctor team is grayed out because the message author is part of it and therefore cannot remove themselves as a participant.
{% endhint %}
{% hint style="warning" %}
It is important to understand that teams you remove from the discussion will not be notified but will still have access to the thread content in care channel.
{% endhint %}
{% endstep %}
{% step %}
**This is what your creation page will look like if you have modified participants.**
You can add message of your choice, a title, and content before sending by clicking arrow-shaped send button.
{% endstep %}
{% endstepper %}
---
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