Dear All:
Any suggestions for dealing with this problem. Almost every time I dictate "post-traumatic stress disorder" it gets misrecognized as "posterior medic stress disorder". I've corrected it about 50X and the recognition doesn't seem to get any better. Any suggestions to deal with this problem?
Thanks
Canadoc
Wow, sounds very stressful. Dragon dictate induced stress disorder.
Graham http://www.synapsedirect.com/ Synapse - the EMR for smart users
NaturallySpeaking is always going to have problems with certain words and phrases. Fortunately the developers anticipated this problem and designed several options in the Vocabulary Editor. If you're using KnowBrainer 2007 highlight post-traumatic stress disorder and say Add to Vocabulay. If you are not using KnowBrainer the following 6 manual steps will produce the same result:
1. Highlight post-traumatic stress disorder
2. Say copy that to copy “post-dramatic stress disorder” to the clipboard.
3. Say start Vocabulary Editor
4. Paste “post-dramatic stress disorder” into the Written Form
5. Press the {Enter} Key twice. The 1st time you press the {Enter} Key it will add your specialized phrase to your personal vocabulary. The 2nd time you strike the {Enter} Key it will close the Vocabulary Editor.
This is just one of the 11,000 commands in KnowBrainer J
In some circumstances you may find that adding a phrase to your vocabulary simply isn't enough. If you find yourself in this situation you take the additional step of adding “post-dramatic stress disorder” to the Written Form and add “posterior medic stress disorder” to the Written Form.
Additional responses to this question are available on the new KnowBrainer EMR Speech Recognition Forum
Lunis Orcutt - Developer of KnowBrainer & Host of the Http://www.KnowBrainer.com Speech Recognition Forum A Nuance Gold Certified Endorsed Dragon NaturallySpeaking Vendor ALWAYS Ask If Your Speech Recognition Vendor Is Nuance Certified
The suggestion provided above may well be satisfactory. Another method that we've used on occasion is as follows:As long as the mis-recognition is NOT a phrase that you are likely to say, train that phrase INTENTIONALLY misprounouncing it. Thus, for instance, you could train 'posterior medic stress disorder' as sounding like 'Blahahahahaha' Since you're not likely to ever say 'Blahahahahaha' and since 'post-traumatic stress disorder' does not sound like 'Blahahahahaha' you're not likely to have Dragon write out 'posterior medic stress disorder.'
Then, having taught Dragon how to "recognize" the phrase that you do not want to be written, then re-train the phrase that you are wishing it to say "post-traumatic stress disorder."
Hope this helps - and again - you may find that Lunis' method may work as well.
Yours,
Eric Fishman, MDPresident1450, Inc.http://www.1450.com
I tend to take a lateral approach to stubborn problems like this. At the point you're at, I usually give up on making DNS understand that phrase and come up with a workaround.
For example:
Go to the Menu Bar -> Words -> View/Edit.
Type "Written form" = "Post-traumatic Stress Disorder"
Type "Spoken form" = "P.T.S.D." and just train it to use the acronym instead of the full name.
I have resorted to this on a number of problematic phrases that I commonly use.
For instance, when I dictated "No known drug allergies" in the past, DNS would recognize it as "Known Drug Allergies" about 20% of the time.
So, I created a written form of "No known drug allergies." but gave it a spoken form "Ink-da", which is nonsense, and sounds like nothing else. (It is actually the phonetic pronunciation of NKDA). Now, I just say "Ink-Da" and the appropriate phrase pops up. Works like a charm, but I can understand if you want to learn how to bend DNS to your will, rather than work around it.
Brian Cotner, M.D. - Family Practitioner First Amazing Charts Users' Conference Branson, Missouri - June 20-22, 2008
>> train that phrase INTENTIONALLY misprounouncing it. <<
Dr. Fishman,
Well said and a good tip indeed! Interestingly, the same tip applies to hand writing on a TPC. Intentional mistakes make for future perfection.
Hmm. I like that analogy, I think I will pass that premise on to my parents, better yet my wife. ;-)
Seriously, good tip and it does apply to HW.
Chris Wilkerson, D.C. Carson Doctors Group TabletPCs in Medicine Editor-in-Chief www.MedicalTabletPC.com Home: www.Digital-Doc.com
I am still having a problem which I can't seem to solve despite all these tips and Chuck's excellent advice. My problem relates to capitalization of doctor's names.
If I say "Doctor May" or "Doctor Styles" (two local physicians), I consistently get "Dr. may" and "Dr. styles"
Dragon won't capitalize proper names which are also verbs and common nouns, even after the title "Dr."!
I am running DNS Medical 9.5.
Any ideas from these collected great minds?
NaturallySpeaking could really make use of some additional vocabulary rules. If you open the Vocabulary Editor by saying show Vocabulary Editor and scroll down to Dr., you will see a special Properties button. Unfortunately the property you need isn't there but it's close. If you change the properties from the default Has normal spacing and/or capitalization to Inserts spacing and capitalizes the following word, it would almost work. Unfortunately it would only work at the beginning of a document because the wordDr. Styles would be pressed up against the previous word as in our previous example which leads us to the following 2 workarounds:
11. Dictate doctor cap styles to produce Dr. Styles or…
22. Add Dr. Styles and Dr. May to the Vocabulary Editor as a phrase. This won't help with unique names but it'll make short work of your commonly used names. If you're using KnowBrainer 2007 you can do this in a single step by selecting Dr. Styles and saying Add to Vocabulary.
If you have additional speech recognition questions you might want to check out the world's most popular speech recognition forums at KnowBrainer Speech Recognition Forums.
Another option is to remove the phrase from the dictionary. This will only work with phrases you do not say at all or not very often. One of the physicians I worked with to get Dragon going dictated a medical word and kept getting "frog". We figured he rarely, if ever, dictate the word "frog" so we removed it. It worked so well that after that he removed a whole bunch of words he rarely used from the huge vocabulary that comes standard with Dragon. His accuracy went way up - he now dictates all his notes, forms, and letters with Dragon and also uses a digital machine for house calls. Last time I spoke to him his accuracy is better than 99%.
Thanks, Lunis! I have tried each of those suggestions, including the Vocabulary Editor one, without success. Thanks anyway! I may try the forum.
Not a bad thought. I could probably eliminate "styles" but not "may", obviously!
I often wish there were not so many proper names in the dictionary as that is where most of my problems come from. The word "cursor" comes out "Koester", for instance.