A natural mistake.

ISR: He has originally the natural tendency...
Dictated: He is originally from Nashville, Tennessee...

I used to have one of those tics...

ISR: "This is a 45-year-old woman with a history of baby monitor tic."

It was really something completely different. Cannot figure where ISR got this. But anyway.

Things doing it wrong, speech rec edition

"FINDINGS: Small PDA, status post coital collision."

Getting at a pituitary tumor via the scenic route

ISR: The patient is scheduled for a transanal craniotomy for tumor resection.

"Milk of magnesia, tumbling bleeders p.o. q.8 hours p.r.n. constipation."