The authors, both on the Duke University faculty, write that Word can be particularly problematic because the creation of long, complex documents puts unusual demands on the program. Sitken and Okazaki say they have developed techniques to avoid, minimize, or work around most of them. Aitken has been working in scientific and technical fields for his entire career and Okazaki is a pharmacologist. They can be reached at www.piedmontmedicalwriters.com.