>Hi Scott,
>
>> You will get the meesages to re-load
>
>Tools > Options > Environment > Documents > Auto-load changes, if saved

Ah ha! I had the "Detect when file is changed outside the environment" unchecked. If I remember correctly I had a previous performance issue when I turned this off. I think it also controls the refresh of the toolbox items or something to that nature. I will turn this back on and see if my issue is resolved.
Thanks Christof!
Tim