I am also currently working towards my MCSE and CCNA certification. (on hold for now)
I work for a Medical Transcription Company, MedQuist (largest in the country), formerly L&H Medical, formerly Rodeer Systems, Inc., formerly Trans Quick.
I am the technical support manager where I perform support functions for the PCs and our network. We have a multitude of NT servers and workstations, several Novell 4x servers and a one or two Novell 3x servers floating around out there. Soon to be switching to a full NT . (we all know what soon means......to be determined...)
UPDATE: We closed that office. I was promoted to the CIC manager and 3 months later aquired MT support as well. I now have 25 employees under me with two different support desk operations.