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I just got a 91% score on an otherwise perfect report (because it was a short one) for putting "tonsillectomy" instead of "a tonsillectomy." Some ask why we stay with these companies. My reason is that I can retire in less than a year and I don't feel like learning a new job so I can sort of laugh at the craziness. Still get frustrated though. Also Nuance is the only company I know of where you can work 20 hours a week and not in the middle of the night. There, I have said something positive about Nuance. Though really if you are a good company, do you want a bunch of people working for you for the least hours possible who just don't care, though I think we all care about putting out a correct report for the patient's sake. Some of the grammar corrections that are made by these foreign QCs are just laughable, and I am just sorry the changes are on a report with my name on it. Yes, before people get up in arms, ALL my grammar corrections are from foreign QCs. Sorry, that is just the way it is.