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Front-end speech recognition is where the provider dictates into a speech-recognition engine, the recognized words are displayed as they are spoken, and the dictator is responsible for editing and signing off on the document.
Some deaf folks don't talk at all, some do....It's depending how they were raised... I sure can talk like a hearing person but some hearing people knew I am deaf cause of my voice which sounds like I have a cold or something....That's what I was told... But other than that, most of them were surprised that I am deaf even through I talk so well....