I need to look into this for use at home maybe.
http://sourceforge.net/projects/voicecode/
in addition i need to start using softer touch keyboards to keep the strain down on my fingers. the constant vit-d is going a long way to giving me energy again but its not doing anything for the pain issues so i need to keep them in mind.
blah blah blah.
http://harmonia.cs.berkeley.edu/harmonia/index.html
http://stackoverflow.com/questions/1408874/speech-recognition-programming