I mean mentally listening ahead while still typing. Like mentally I am probably half a sentence ahead of my fingers. No way would I start and stop except when I haven't caught up to my brain yet! I have heard of some who mentally go letter for letter like t-h-e in their mind while typing. I type word by word in my mind like mentally saying "The patient comes in today complaing, etc." Instead of t-h-e p-a-t-i-e-n-t, etc. I think word for word is much faster. I can't see how someone could do letter by letter. Sorry if I am not explaining this good. But I let my mind get ahead of my fingers and I can't find the right medium for this dictating because they change entire sentences so it is like I am constantly fixing what she wants and it is so irritating! I call that doc with ADHD and scattered brained, LOL!