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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 people with hearing aids can speak well. That is because they can hear some speech sounds and practice speaking clearly. A hearing aid will make the sound of eeee when the ear mold doesn't fit in the ear tightly. If no one is wearing the hearing aid, but if it is still on, then it will eee too.