Accessible online at: http://BioMedNet.com/karger I first used a computer about 35 years ago. I forget the exact date but I do remember the problem we were trying to solve. It was to deconvolute a complex spectrogram from the analysis of a mixture of three compounds. Today this complex mathematical procedure requires only the push of a button. It is a ‘feature’ of many modern machines. However, in those distant days before digital watches the calculation was a major undertaking. The computer programme had to be written, punched onto paper tape and translated into machine code in the airconditioned room filled with large grey boxes of electronics and a control console that was the computer. The machine then output the machine code on another reel of paper tape. Next, the data was punched onto paper tape, translated and more paper tape generated. Finally the programme could be run, the data input and the result calculated. The technology has come a long way since then, a very long way. We now live in a world full of technology, surrounded by complex electronic machinery controlled by yet more technology. Even that machine-made-God so beloved by science fiction and comic book writers, the super-computer, has been around for a number of years although we have not yet arrived at the scenario of a supermachine that rules the world. Not yet – perhaps the Internet will evolve. Anyway, why this harping on about computers and the march of technology? Well, it is because I can remember point contact transistors, the first chips and hard-wired memory and how I watched in wonder as they evolved into the Pentium microprocessor and continue to evolve and I still have a sense of wonder. I also remember the frustration of typing when one was not a typist, the despair as fingers with a will of their own hit the wrong keys and the matchless prose was peppered with errors and had to be re-typed. To have access to, or better to own, a machine which allowed one to correct and to overtype and to re-correct text was magical. The word-processor is a wonderful invention, much, much more than just a clever typewriter. QWERTYUIOP was old when I was born, but I have welcomed the mouse and admired the touch screen, both partial substitutes for 10 fingers tapping out a pattern on a keyboard, or in my case 2 fingers stabbing at a field of keys. Technology marches on and it seems that finger stabbing days are coming to an end. When we want to communicate with people who are close by, we generally speak to them. However, this is a very complicated thing to do. The vocal system is so incredibly complex when compared to just 10 fingers picking out 26 letters and 10 numbers to form the same message. It never seemed possible that what has taken human beings more than 100,000 years to develop could be built as a machine over two or three decades. We have evolved a voice and language and now the computer can understand it. Engineers have been trying for a long time to develop a good voice recognition system. The first experiments and trials were many years ago when with perseverance and luck the computer would learn to recognise a spoken word. With considerable application a well-trained computer could probably recognise 100 words. Quite quickly it seems the technology has moved on and now anyone with a computer, albeit a modern computer but still just a PC, can have quite cheaply software which enables you to control the computer, hands free, just by speaking to it at normal conversational speed.