Don't worry, the Windows Vista 'revolution' will fix all that! Ahha
Another way to trick people is using either Winzip or Winrar, you can rename a file to something like:
"MaliciousFile.doc .exe"
That way when you add it to the archieve it looks like:
MaliciousFile.doc ..
and using Reshack you can easily change the .exe icon to a .doc icon