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My little-piece-of-heaven ASR absolutely will not EVER transcribe "GERD." So far today, it has put "heard" and then "Hz" for hertz I am presuming. Sometimes it literally will leave a blank and just go to the next word, but not one time EVER has it put GERD. So even though I change it to GERD each and every time, it sure is having a hard time "learning" this after 5 years.