I have read a lot of messages in the past few days. Some are interesting/informative/touching and some are silly, immature, and remind me of someone who talks just to hear the sound of his own voice. One went way beyond what is acceptable, being totally offensive; I have complained and expect appropriate action. I call upon everyone participating in this forum to complain about such communications. I am not talking about the occasional rant--only the things which we know to be out of line. One thing I noticed was some very bad spelling (I'm not talking about typos--we all do those). It may seem like a small thing, but in other businesses if you want respect, you must have good verbal and written (grammar and spelling) skills; I include handwriting in this, as this has been (and remains) an issue with physicians, and unfortunately, with nurses, too. Bad grammar (written and spoken) and incorrect spelling point to lack of higher education or poor accomplishment. In the case of physicians, I have concluded it is lack of respect (passive/aggressive), laziness or arrogance.