Your statement regarding nurse from the Philippines pissssssssshed me. You don't have to generallize all nurses from that country. It is the same in your country that every professional have the spelling right or they speak correct english. Why? do you think all amercian speak right grammar and use correct tenses. How would you think these nurse who are working with you passed the required examination (Have you tried to looked at the two famous dictionaries Oxford and Webster try to see if they have same spelling in some words). Or you are just being sarcastic since you know that Nurses from the Philippines have more patience in care and performs well in the ward. Remember we are not here to compete with spelling and speaking we are here to work and earn same a you maybe.:angryfire