Technology changes in the lab can be sparked by any number of catalysts. For instance, a PA hears from a friend about a new speech recognition system and brings it up to her manager and next thing you know VoiceOver is being installed. Other times, Pathologists are looking for ways to have more control over their reports as well as the ability to sign things out without waiting for transcription. Still other times, administration is looking for a way to save money, and they choose to bring in new technology to accomplish this goal. While we do pride ourselves on helping our customers to save money, that specific reason for bringing in the VoiceOver solution is what can lead to trouble.