My wife actually is very anal about scanning -- sometimes she won't just put things in as a bulk scan even though I don't care. She just won't let it go -- she also has scanned in every EKG, PFT, x-ray report, consult report,path etc. I have received over the last year and a half since we went paperless. She feels like it should not be that big of a deal to have things scanned. Since we went paperless in 8/07 we have scanned everything in the office. As an idea of volume - my little office had something around 4,700 pt visits including office visits and well child exams in 2008.