Write On: Let Your Voice Do the Typing with Voice-to-Text Technology

Mike Knight avatar

by Mike Knight |

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Voice and speech recognition

“O-cree-VUS,” I said, clearly and naturally into the headset. I had recently purchased the device for use with the voice-to-text software I need to type (MS, right-hand weakness, loss of finger dexterity and motor skills).

“Okra bus” slowly appeared on my computer screen.

It was late March, and I was working on my first column for Multiple Sclerosis News Today. The Food and Drug Administration (FDA) had just approved Ocrevus (ocrelizumab) for use in the United States, making it the only drug to receive the agency’s blessing for treating primary progressive multiple sclerosis.

It was a big deal — so big that even my friends and family were aware of the announcement. Naturally, I wanted to write about it.

I tried again.

“Oh-CREV-us,” I repeated. Clearly, yet naturally. I use Dragon for Mac speech-recognition software to write \. “Clearly and naturally” is part of the software’s mantra.

“O Christmas.”

“Ohhhh-creeee-VUUUS,” I said.

Very. Clearly.

Very. Naturally.

“Okra vest.”

The weakness in my right foot that led to foot drop began in the early 2000s. The weakness in my right hand didn’t present itself until late 2015.

At first, I tried using Apple’s Scribe feature, largely because it was already installed on the Mac I had purchased that year, and also because Mac and Apple products are easy to use and intuitive … most of the time.

Scribe seemed clunky, and the lag time between saying a word and Microsoft Word recognizing it and “typing” it was significant. At one time, I had written 5,000-word feature stories, time-consuming projects that demanded long hours of composition, editing, typing, and writing.

I’ve written for so long that writing and typing and my fingers were woven together, a symbiotic relationship that I couldn’t fathom ending. Yet, it became clear that this was going to be a new hurdle (foolishly, one I hadn’t anticipated) and would require a different way of thinking about writing, of what I “do” in life, and in that way, of who I was versus who I am.

By spring of 2016, it was obvious that my typing days were coming to an end, and I began using Dragon for Mac. (Full transparency: The folks at Dragon provided a review copy for me to try for free.) But I didn’t want to read the instructions for using Dragon. And I didn’t want to practice. I just wanted it to work, and I just wanted to be the “me” I remembered.

As long as I was only writing short emails and could live with sketchy grammar, it was awesome. Drunk from my regained capacity, I began writing and sending emails to everyone for everything.

The sobering reality that came with writing anything of substance or craft — hands-free — was equally spectacular. Slowly, I came to understand that Dragon (and all such software and, frankly, all such assistance for better managing my MS and helping myself) was no better than the effort I put into making it work.

The people at Dragon asked if I’d write a review of the product, which you’ll find here. The short story is that Dragon is a dictation “robot.” It can format, and cut and paste, and carry out so many of the functions that we take for granted, or at least, once did. With time, commitment, and effort, Dragon learns users’ voices, and within reason, can get the job done even for longer, more complex composition. It even offers a “custom word bank” in which users may add frequently used words, like Ocrevus or ocrelizumab.

But I hadn’t made the effort.

“Oh-KRA-liz-ooh-MAB” I said, switching it up and hoping Dragon would finally recognize the word.

“Oak Grove Missoula lab.”

My deadline was looming and I could hear the clock ticking.

Clearly and naturally, I screamed “OCREVUS!” into the headset.

“Oh crap this.”

At that moment I realized how valuable the software was and is. No, it didn’t get the spelling correct, but it did help make that first column possible and it did help me hang on to something I still find very valuable.

And, in its own way, Dragon seemed to understand not just the word but also the context.

“Oh crap this indeed,” I thought, smiling.

And then Dragon and I finished my column.


Note: Multiple Sclerosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Multiple Sclerosis News Today, or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to multiple sclerosis.


Sephen avatar


Brilliant! I use Dragon too, and find the same issue with re-learning how to write. Like you, the connection between brain and fingers was seamless. Having to write slowly, and carefully, and aware of every word and punctuation mark was, and still is, a challenge. But we're learning how to get along, me and my Dragon. Brave new world!

Mike Knight avatar

Mike Knight


Kristin Hardy avatar

Kristin Hardy

My favorite Dragonism is the time it transcribed, "Have a nice vacation," as "Have a nice big Haitian." The single key thing to know about it is to set up a shortcut key for turning off and on the microphone, then turn it off anytime you're not dictating or any time you need to hop around the document or switch applications. Otherwise, it will very quickly become erratic and nonfunctional, as I know from bitter personal experience.

Mike Knight avatar

Mike Knight

Ha! I love it and love the idea of a "Dragonism" (or as Dragon just wrote, "Dragon is him"). You are correct Re: disabling the mic. I now make telephone calls via my headset, too and I can't tell you how many calls I've made/taken the contents of which ended up in other open files/documents. Maybe the way the software acts in general should be called "Dragonian"?

Meredith avatar


Mike knight. Can I adopt you? My big brother was a progressive in the seventies. He was funny, smart and brave and was in one of the earlier ms trials and died with two forms of lymphoma at 61. He did struggle with one of the earlier offerings of voice recognition.
Thanks for making me smile.

Mike Knight avatar

Mike Knight

Hi Meredith! Your note reminds me that while I continue to hate having MS I also continue to appreciate the incredible people I've met because of it (and wouldn't have otherwise). I can't imagine what your big brother's experience with MS, lymphoma OR voice recognition must have been like but he sounds like a really wonderful person. I'm glad the piece made you smile and brought us together!

Desi Mazdur avatar

Desi Mazdur

Good article on Dragon NaturallySpeaking. I had similar problems in using Dragon NaturallySpeaking when I started. It was kind of difficult to think and dictate at the same moment. But after a few months, I got used to it. And now several years later, it is difficult for me to make the connection between thinking and writing :-). Since Dragon was initially a steep learning curve, I put up free video tutorials on using Dragon NaturallySpeaking in a variety of situations including with Microsoft Excel and web browsing. The tutorials can be accessed through my website at www.disabledmessenger.site. But they are actually hosted on YouTube.

There are still some problems though which required a complex workaround. For example, using it with Facebook. Which I believe is actually a problem with Facebook and not Dragon NaturallySpeaking. But to do anything, there has to be a significant number of users complained to the bigger websites that are not compatible with Dragon NaturallySpeaking. Blog posts like yours help improve the awareness. I look forward to more posts on this topic :-)

Thank you

Mike Knight avatar

Mike Knight

Thank you, Desi, I appreciate it. I may do a larger "roundup" of things I've written about over the past year (I've been a columnist with MS News Today for just over a year now) and may include that in that article, too.

Like you, the more I use it the better, though I find it sort of clunky in the Mac environment with MS Word (I don't know this for a fact, but it feels like Dragon and MS Word are both memory hogs that slow things down, sometimes to a crawl).

It works better with Apple's Pages, but does some frustrating, weird things, too. I've had good success with Google docs, too, but I am not as comfortable using Google docs as I am Pages.

It's not a perfect solution, but certainly a workable one, and now I find myself writing or dictating even before I've launched the app:-).

Best of luck to you, and thanks so much for reading the piece!


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