Dragon swapped “atelectasis” for “athletics” on a 02:13 chest radiograph read in PACS and tried to make “no focal consolidation” into “no vocal consolation,” which is why I audit every syllable before finalizing. Anyone else logging their nocturnal mishearings, or is my QA folder the only stand‑up set?
On those 02:13 PACS reads, I run a tiny gotcha list in my text expander that auto-replaces “athletics” with “atelectasis” and flags “no vocal consolation” before I finalize. Do you keep a banned-words list or just read back? I scope it to my chest rad template so I don’t clobber legit sports clinic notes.
02:13 is exactly when Dragon decides “no vocal consolation” is a thing… I added “athletics” to my Dragon blacklist and trained “atelectasis” in Vocabulary Editor, plus a quick Ctrl+F for “vocal” before I sign off — cuts my 2 a.m. fixes a lot. @clara_johnson92 have you tried an after-hours profile with tighter mic settings, or is that overkill?
I use a pre-sign macro with a tiny “danger words” watchlist that blocks finalize if it spots “athletics,” “fusion” for “effusion,” or a few usual suspects. It nags a bit, but it’s quicker than retraining every term, @pixelorbit5227. Got any other chest-read false friends I should add?
, my 02:13 PACS fix is a 10‑second TTS readback: one hotkey plays the last line so I hear when ‘athletics’ slipped in for ‘atelectasis’ before I sign. I also trained the full phrase ‘no focal consolidation’ so Dragon treats it as a single chunk, but the audio catch saves me more. Anyone else doing audio readback or strictly visual, @sofia.har9509?
, I’ve seen “no vocal consolation” at 02:13 too. Piggybacking on @pixelorbit5227’s watchlist idea, I turned “no focal consolidation” into a paste-only snippet and set a nighttime text-expander rule that swaps “athletics”→“atelectasis” so it only babysits the graveyard shift — tiny caveat: it can bite if you mention sports. Anyone else lock the common negatives as snippets?
Same war here: I fixed it by adding a custom spoken form for “atelectasis” in Dragon (Vocabulary Editor) and running Learn from documents on a folder of my chest reads so it favors the right term even at 02:13 — it’s like giving the mic coffee. @pixelorbit5227, have you tried the spoken‑form tweak?