Dictate the clinic letter into the patient record and the cystoscopy report as you come out of the procedure room. Dictadoc works on your computer, can write volumes and stone sizes in digits, and starts from a key without covering your images.
Clinic, cystoscopy lists and theatre share the week. Most of what comes out of them goes to a doctor who is waiting for a decision.
The clinic letter
Symptoms, digital rectal examination, PSA, imaging and the plan, for the GP. Follow-up of prostate cancer or recurrent stones means a letter at every visit, and a full clinic leaves a long list to dictate.
The flexible cystoscopy report
Flexible cystoscopy happens in the outpatient department and gets described straight after: urethra, prostate, bladder mucosa, any lesion and what happens next. A few lines, written while the next patient gets ready.
The operation note
TURBT, TURP, ureteroscopy, nephrectomy, prostatectomy. Endoscopic cases follow one another on a list, and each note records the side, the site, the size of any lesion and the catheter or stent left in place.
The discharge summary
Catheter and the date of the trial without catheter, a stent to remove, histology to follow up. It goes to the GP and to the district nurse who sees the patient at home.
Day to day
What slows your letters down
The letter copied into the record
Today
You dictate or type the letter in a word processor, then copy it into the patient record. The formatting gets lost on the way, and you still have to check that the whole text arrived in the right place.
With Dictadoc
Turn on text insertion in the settings. Click in the letter field of your patient record and dictate. When the take ends, the text arrives where the cursor is. For software that refuses pasting, choose typing, key by key. If Dictadoc cannot write the text, it holds on to it and lets you know.
Text typed into the field
Key-by-key typing
Volumes and sizes on every line
Today
A urology letter lists prostate volume, post-void residual, stone size and creatinine. Typed between patients, these values are where the typos land: an extra zero on a residual, a missing unit.
With Dictadoc
Turn on "Numbers, units and dosages". Dictate "one hundred and fifty millilitres" or "eight millimetres", and Dictadoc writes "150 mL" or "8 mm". A catheter size has no unit, so it stays in words. Dictadoc neither calculates nor checks anything, so you read each value yourself.
Numbers, units and dosages
Imaging and the record on one screen
Today
In clinic you talk through the CT urogram or the prostate MRI with the images and the record open side by side. Switching to another app to start dictating hides what you are describing, and afterwards the right window has to be found again.
With Dictadoc
Turn on a dictation key. Without leaving the images, you press once to record and again to send. On the first press a small floating panel appears above your windows, so you can pause or send with a click. It leaves the keyboard to your other apps: the MRI stays up and the cursor stays in the record.
Dictation key
Floating panel
Dictation example
A follow-up letter, dictated in clinic
Benign prostatic hyperplasia still causing symptoms despite an alpha blocker.
What you say
seen in clinic for follow-up of benign prostatic hyperplasia [full stop] he still has a poor stream despite tamsulosin [comma] with nocturia twice a night [full stop][new paragraph] on digital rectal examination [comma] the prostate feels smooth and benign [full stop] ultrasound estimates the prostate volume at seventy grams [comma] with a post-void residual of one hundred and fifty millilitres [full stop][new line] creatinine is ninety micromoles per litre [full stop][new paragraph] I have offered him holmium laser enucleation of the prostate [full stop] he would like time to think about it [comma] and we will see him again in three months [full stop]
What Dictadoc writes
Seen in clinic for follow-up of benign prostatic hyperplasia. He still has a poor stream despite tamsulosin, with nocturia twice a night.
On digital rectal examination, the prostate feels smooth and benign. Ultrasound estimates the prostate volume at 70 g, with a post-void residual of 150 mL.
Creatinine is 90 µmol/L.
I have offered him holmium laser enucleation of the prostate. He would like time to think about it, and we will see him again in three months.
The words in brackets are commands. Dictadoc replaces them with punctuation and line breaks.
With the "Numbers, units and dosages" setting turned on.
The settings list every command for your language.
Privacy
What you dictate stays on your computer
Transcribed on your computer
Your computer transcribes your voice itself. Nothing you dictate is sent over the internet.
Erased on quit, if you want
Choose to keep nothing, and reports and recordings are erased when you quit Dictadoc.
Encrypted on your disk
The reports you keep stay in an encrypted database whose key is held by your system keychain.
For a clinic or hospital
Dictadoc Server transcribes for every workstation in your organisation, on a server on your premises. Nothing leaves your network.
The transcription handles everyday medical language. A word the engine is unsure of is then compared with a general medical vocabulary, which was not built for urology.
Is the PSA written in digits?
No. Nanograms per millilitre are not among the units that "Numbers, units and dosages" converts, so the PSA stays in words. Grams, millilitres, millimetres, micromoles per litre and percentages do become digits. Check the PSA like every other value before the letter goes out.
Can I dictate during a flexible cystoscopy, with my hands busy?
Not during the procedure. Your voice alone never starts a recording: you press your dictation key or click the floating panel to begin, then do it again to send. Dictate the report straight after, once your gloves are off.
Does the letter reach the record with its paragraphs?
Yes, if the field accepts them. The text Dictadoc writes into your software is split into paragraphs as it is in the report, unless you would rather it arrived as one block. The breaks follow the words and commands you dictate, with no AI: say "new paragraph" before the plan to set it apart.
Can other consultants in my department use it?
A licence covers one computer, costs €19.99 a year and cannot be transferred, so every computer someone dictates on needs its own. When the whole department dictates, Dictadoc Server can also run everyone's transcription on one computer in the department.
Install the app on Mac or Windows, buy a licence, then enter the key you receive by email in Dictadoc. The licence year starts on the day you activate it.
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