I have similar issues. I use a combination of kinesis advantage, penguin mouse, and dragonfly/DNS. Having a good microphone does make a difference, as does ret

I have similar issues. I use a combination of kinesis advantage, penguin mouse, and dragonfly/DNS. Having a good microphone does make a difference, as does retraining/tweaking command vocab. The biggest thing overall is the ergonomics of desk work - I take a break every 15 minutes (or try to) by setting timers.