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I wish you can take screen shots of your game, then I would use it. They have the screen up while you are writing notes, the least they could do would be to save that screen shot with that note so I know what is going on.
"Can you draw two M&Ms fighting with katanas?" -Me http://img16.imageshack.us/img16/9606/mmfight.png -aDubiousNotion
I don't use them at all, but I have read somewhere on here that someone uses it to write down where they are at in a game and what the current objective is, so they can go off and play other games and come back to said game later without any fear of forgetting what was happening. Interesting idea, I thought.