# RadMyk Help

On-device medical dictation for radiologists. Speak, and your words appear at the cursor in any app. Your voice is processed locally and never leaves your machine. One-time payment, no subscription.

This document is the complete RadMyk help knowledge base, generated from the
website at https://radmyk.com/help. Newest source of truth. Each article below has a
title, the categories it belongs to, an answer-first summary, search keywords,
applicable platforms, and the full body. Contact: g3pd.rad@gmail.com.


========================================
## Set up RadMyk
Install it and get your first words on the screen.
========================================

### What RadMyk is, in one minute
URL: https://radmyk.com/help/what-is-radmyk/
Category: Set up RadMyk
Keywords: overview, what is radmyk, dictation, on-device, how it works
Summary: RadMyk turns your speech into text at the cursor, fully on your own computer. Speak, and your words appear in any app you can type into.

RadMyk is a dictation tool for radiologists. You speak, and your words appear
at the cursor in whatever app you are already using - your reporting field, a
report editor, email, anywhere you can type.

## The short version

- **It types where your cursor is.** There is no separate reporting platform to
  learn and nothing to migrate. If you can type into it, you can speak into it.
- **It runs on your computer.** Transcription happens on your own machine. Your
  voice and your words are not sent to a server.
- **It works offline.** Once it is set up, you do not need an internet
  connection to dictate.
- **You stay in control.** RadMyk produces text. You read it, edit it, and sign
  the report. It does not interpret images or make clinical decisions.

## What it is not

RadMyk is a documentation tool, not a clinical decision aid. It transcribes what
you say. It does not read scans, suggest findings, or make a diagnosis - the
radiologist is always responsible for reviewing and approving the report.

Looking for setup help? Start with **Install RadMyk** for your platform.

### Install RadMyk on macOS
URL: https://radmyk.com/help/install-macos/
Category: Set up RadMyk
Platforms: macOS
Keywords: install, macos, apple silicon, dmg, gatekeeper, right click open, accessibility, microphone, setup
Summary: Drag RadMyk to Applications, open it the first time with right-click, then grant Microphone and Accessibility. Here's each step and the snags people hit.

RadMyk runs on **Apple Silicon Macs (M1 or newer)**. Intel Macs are not
supported.

## Install it

1. Open the downloaded `.dmg` and drag **RadMyk** into your **Applications**
   folder. Move it out of the disk image - don't run it from the mounted `.dmg`
   (that causes the Accessibility problem below).
2. **First launch only:** right-click (or Control-click) RadMyk and choose
   **Open**, then **Open** again. macOS shows this prompt the first time because
   the app is new to your machine; after that it opens normally.
3. The setup window walks you through downloading the speech model and getting
   it ready. This is a one-time download; after it finishes, RadMyk works
   offline.

> If macOS still refuses to open it after the right-click step, it usually means
> the app is being blocked as "downloaded from the internet." Move it to
> Applications and try the right-click Open again, or email
> g3pd.rad@gmail.com and we'll send the exact terminal command to clear the flag.

## Grant two permissions

When setup finishes, macOS asks for:

1. **Microphone** - so RadMyk can hear you. Click **Allow**.
2. **Accessibility** - so RadMyk can place text at your cursor automatically.
   Without it, your dictation is still copied to the clipboard and you paste it
   yourself with Cmd+V.

If you miss the Accessibility prompt, RadMyk has a built-in helper that detects
it and walks you through turning it on. See
[Dictation lands in the clipboard instead of at my cursor](/help/fix-macos-accessibility/).

## Common first-run snags

- **"RadMyk can't be opened."** Use the right-click → Open step above instead of
  double-clicking.
- **Dictation copies to the clipboard but doesn't paste.** Accessibility isn't
  on yet, or you're running the app from the disk image. Move it to Applications
  and grant Accessibility.
- **Setup seems stuck.** You can click Continue to move on; the setup keeps
  working in the background and retries on its own.

### Install RadMyk on Windows
URL: https://radmyk.com/help/install-windows/
Category: Set up RadMyk
Platforms: Windows
Keywords: install, windows, setup, microphone, offline, installer
Summary: Run the installer, grant microphone access, and you're dictating. Everything is bundled, so the first run finishes in seconds with no extra downloads.

RadMyk runs on **Windows 10 or 11, 64-bit**. There are no prerequisites to
install first - everything RadMyk needs is bundled in the installer.

## Install it

1. Run the downloaded installer (`RadMyk-...exe`).
2. Because everything is bundled, the **first run finishes in seconds** - there
   is nothing extra to download.
3. RadMyk opens its guided welcome and you're ready to dictate.

## Grant microphone access

Windows asks for **microphone** permission so RadMyk can hear you. Click
**Allow**. If you miss it, go to **Settings → Privacy & security → Microphone**
and make sure RadMyk is turned on.

## Offline from the start

On Windows, RadMyk needs no internet to set up or to run. It works fully
offline, which makes it a fit for locked-down hospital machines.

If a dictation ever stops working, see
[RadMyk stopped transcribing](/help/fix-engine/).

### Your first dictation
URL: https://radmyk.com/help/first-launch/
Category: Set up RadMyk
Keywords: onboarding, welcome, first run, practice, shortcut, hotkey, getting started
Summary: After install, RadMyk runs a short guided welcome - accept the model terms, do a quick read-aloud practice, then press your shortcut and start dictating into any app.

The first time you open RadMyk, it runs a short guided welcome so your first
dictation just works.

## What the welcome covers

1. **Press the key to begin.** The welcome starts on a clean screen and asks you
   to press your dictation key to kick things off.
2. **How it works.** RadMyk shows your shortcut and the basic rhythm: press the
   shortcut, speak, then pause for about a second so RadMyk finalizes the phrase
   and places it at your cursor.
3. **Privacy.** A reminder that your audio stays on your machine, RadMyk works
   offline, and there's no account or tracking.
4. **Accept the model terms.** You accept the speech model's license once before
   you can dictate. You can re-read the terms any time from **Settings → About**.
5. **Read-aloud practice.** You read a short sample report out loud and watch the
   words appear as RadMyk hears you. This confirms your mic and the engine are
   working before you use it for real.

## Then you're live

After the practice, RadMyk hands off to the floating widget that sits on your
desktop. Put your cursor wherever you want text, press your shortcut, and speak.

- **Start/stop:** press your shortcut (or tap the widget).
- **Move it:** drag the widget anywhere; it re-anchors so its controls and
  transcript always open into view.

New to the voice commands? See
[Punctuation and voice commands](/help/voice-commands/).

========================================
## Settings, explained
What each setting does, in plain words, and when to change it.
========================================

### Dictation settings
URL: https://radmyk.com/help/settings-dictation/
Category: Settings, explained
Keywords: settings, pause, auto-paste, type with keystrokes, type while you speak, period, append space, clipboard
Summary: How RadMyk delivers your words - pause timing, auto-paste vs typing, the period and spacing toggles - and exactly when to change each one.

These settings control how your spoken words turn into text and land at your
cursor. Find them in **Settings → Dictation**.

## Pause before paste

How long you stay silent before RadMyk finalizes a phrase and delivers it.

- **Default:** moderate (about 1.2 seconds).
- **Make it longer** if you tend to pause mid-thought and RadMyk cuts you off.
- **Make it shorter** if you want text to appear faster between phrases.

## Auto-paste

- **On (default):** RadMyk places each finished phrase at your cursor
  automatically.
- **Off:** your words go to the clipboard only, and you paste them yourself with
  Cmd+V / Ctrl+V. Turn this off if you'd rather review before anything lands.

## Type with keystrokes

- **Off (default):** RadMyk pastes the text (fast).
- **On:** RadMyk types the text in as keystrokes instead, which **leaves your
  clipboard untouched**. Turn it on if you rely on your clipboard, or if a
  particular app doesn't accept a normal paste.

## Type while you speak

Requires **Type with keystrokes**. When on, RadMyk types settled words as you're
still talking, instead of waiting for the pause. It feels more live; some people
find it busier. Off by default.

## Add a period at the end of a sentence

- **On (default):** RadMyk adds a period after each finished phrase.
- **Off:** no automatic period. Turn it off if you dictate short fragments, or if
  you always say "period" yourself.

## Append a space after text

- **On (default):** a trailing space is added so your next phrase doesn't stick
  to the last one.
- **Off:** no trailing space - useful when you're dictating something that should
  butt right up against what follows.

See also: [How your text reaches the cursor](/help/how-text-lands/).

### Microphone and audio settings
URL: https://radmyk.com/help/settings-audio/
Category: Settings, explained
Keywords: microphone, mic, audio, mic test, levels, warm mic, headset, usb mic, device
Summary: Pick your mic, run the level test to land in the green zone, and use warm mic so your first word is captured instantly.

Find these in **Settings → Microphone**. A good mic and a sensible level make
the biggest difference to accuracy. A USB microphone or headset is recommended,
but any working mic will do.

## Microphone device

Choose which microphone RadMyk listens to. Defaults to your system mic. Pick a
headset or external USB mic if your built-in one is noisy or far away.

## Mic test

Click **Start test** and speak at a normal volume. You'll see a live meter:

- **Green (middle):** the level you want.
- **Red:** too loud - it can distort and hurt accuracy. Lower your voice, or
  reduce any mic boost/gain in your system sound settings.
- **Gray:** too quiet - move the mic closer, speak up, or raise the mic level in
  your system settings.

## Warm microphone

- **On (default):** RadMyk keeps the mic ready while the widget is showing, so
  your very first word is captured the instant you start.
- **Off:** the mic starts fresh each time, which adds a small delay but uses a
  little less battery.

If RadMyk says the microphone is unavailable, see
[The microphone isn't working](/help/fix-microphone/).

### Macros and templates
URL: https://radmyk.com/help/settings-macros-templates/
Category: Settings, explained
Keywords: macros, templates, shortcuts, phrases, normal, boilerplate, csv, export, import
Summary: Turn a short spoken trigger into a long phrase with macros, or drop in a whole report skeleton with templates. Add them by voice or typing, and export them to back up or share.

Macros and templates save you from re-dictating the things you say constantly.
Find them in **Settings**.

## Macros

A macro is a short spoken trigger that expands into longer text. For example,
saying your trigger for a normal chest could type out a full normal-lungs
sentence.

- Create one for each phrase you repeat all day.
- Add them by **voice** (tap the mic icon and dictate) or by **typing**.

## Templates

A template is a full report skeleton you can drop in and then dictate into - for
example, a standard structure for a common study type.

## Back up and share

Both macros and templates can be **exported and imported as CSV**, so you can
back them up or share a set with a colleague.

### RADS reporting mode
URL: https://radmyk.com/help/settings-rads/
Category: Settings, explained
Keywords: rads, bi-rads, pi-rads, li-rads, lung-rads, co-rads, ti-rads, reporting mode, score
Summary: Choose your report type and RadMyk writes the RADS score you dictate in that family's standard notation - BI-RADS, PI-RADS, LI-RADS, Lung-RADS, CO-RADS, or TI-RADS.

RADS reporting mode formats the assessment category **you dictate** using the
correct family's notation, so you don't have to spell it out each time.

## How it works

Pick your report type in **Settings**:

| Report type | RADS family |
| --- | --- |
| Breast | BI-RADS |
| Prostate | PI-RADS |
| Liver | LI-RADS |
| Lung | Lung-RADS |
| COVID / chest | CO-RADS |
| Thyroid | TI-RADS |

Once a type is selected, when you dictate a category, RadMyk writes it in that
family's standard form. You decide the score; RadMyk only handles the notation.

> RadMyk does not interpret images or assign a category for you. You dictate the
> assessment; this setting formats how it's written.

========================================
## Speaking & commands
Punctuation, voice commands, and how your words appear.
========================================

### Punctuation and voice commands
URL: https://radmyk.com/help/voice-commands/
Category: Speaking & commands
Keywords: commands, punctuation, period, comma, new line, new paragraph, caps, scratch that, delete last word, editing
Summary: Speak punctuation, line breaks, capitalization, and quick edits like "scratch that" - the full list of spoken commands RadMyk understands.

Say these out loud while you dictate and RadMyk inserts the right character,
layout, or edit.

## Punctuation

| Say | You get |
| --- | --- |
| period / full stop | . |
| comma | , |
| question mark | ? |
| exclamation mark / exclamation point | ! |
| colon | : |
| semicolon | ; |
| open paren / open parenthesis | ( |
| close paren / close parenthesis | ) |
| open quote | " |
| close quote / end quote / unquote | " |
| hyphen | - |
| slash / forward slash | / |
| dash | – |

## Layout

| Say | You get |
| --- | --- |
| new line / next line | move to the next line |
| new paragraph / next paragraph | a blank line, then a new paragraph |
| next point / next bullet / next item | a new bulleted line |

## Capitalization

Say **caps** (or cap / capital / capitalize) right before a word to capitalize
it. For example, "caps left" gives you "Left".

## Quick edits

| Say | What it does |
| --- | --- |
| scratch that | removes your last dictated phrase |
| delete last word | deletes the word just before the cursor |

The automatic period and spacing can be turned off if you'd rather control them
yourself - see [Dictation settings](/help/settings-dictation/).

### How your text reaches the cursor
URL: https://radmyk.com/help/how-text-lands/
Category: Speaking & commands
Keywords: pasted at cursor, typed at cursor, clipboard, keystrokes, cmd v, ctrl v, accessibility
Summary: RadMyk either pastes your words or types them in as keystrokes. Here's the difference, and what the little confirmation message is telling you.

After each phrase, RadMyk shows a short confirmation of how your words landed.
There are three:

## Pasted at cursor

The normal mode. RadMyk puts the text on the clipboard and presses Cmd+V /
Ctrl+V for you. Fast, and works in nearly every app.

## Typed at cursor

You turned on **Type with keystrokes**. RadMyk types the text in directly, one
character at a time, and **leaves your clipboard alone**. A little slower, but
handy when an app doesn't accept a normal paste, or when you don't want your
clipboard touched.

## Copied - press Cmd+V to paste

RadMyk couldn't place the text automatically, so it left it on your clipboard for
you to paste. This usually means one of:

- **Accessibility isn't granted** (macOS) - see
  [Dictation lands in the clipboard instead of at my cursor](/help/fix-macos-accessibility/).
- **The target app lost focus** while the phrase was finishing. Click back into
  your report field before you start dictating, and keep it focused.

You can switch between pasting and typing any time in
[Dictation settings](/help/settings-dictation/).

========================================
## Fix a problem
Quick fixes for the snags people hit most.
========================================

### Dictation lands in the clipboard instead of at my cursor
URL: https://radmyk.com/help/fix-macos-accessibility/
Category: Fix a problem
Platforms: macOS
Keywords: accessibility, clipboard, auto-paste not working, copied press cmd v, permission, reset and retry, applications folder
Summary: On macOS this almost always means RadMyk doesn't have Accessibility permission yet. Grant it - or use the built-in "reset and retry" - and auto-paste starts working.

**Symptom:** You have auto-paste on, but your words land in the clipboard and you
see "Copied - press Cmd+V to paste" instead of text at your cursor.

**Why:** On macOS, placing text at your cursor needs **Accessibility**
permission. Until it's granted, RadMyk safely falls back to the clipboard.

## Fix it

1. Open **Settings → About** in RadMyk and scroll to **Accessibility**.
2. Click **Open Settings**. macOS opens to **Privacy & Security → Accessibility**.
3. Turn **RadMyk** on.
4. Back in RadMyk you'll see a live "you're all set" the moment it's granted.

## If it's already on but still not working

Click **Reset and retry** in RadMyk's Accessibility helper. This clears a stale
permission that macOS sometimes holds onto (common right after an update or a
re-download) and re-checks.

## One more thing to check

If you're running RadMyk **from the disk image** instead of the Applications
folder, the permission won't stick. Move RadMyk into **Applications**, reopen it,
and grant Accessibility again.

Prefer not to grant it? You can keep using RadMyk in clipboard mode and paste
each phrase yourself, or switch on **Type with keystrokes** in
[Dictation settings](/help/settings-dictation/), which doesn't need
Accessibility.

### The microphone isn't working
URL: https://radmyk.com/help/fix-microphone/
Category: Fix a problem
Keywords: microphone, mic unavailable, not recording, permission, no sound, mic not detected, can't hear
Summary: If RadMyk can't hear you or says the mic is unavailable, check the permission, make sure no other app is using the mic, and confirm the right device is selected.

**Symptom:** You press your shortcut but nothing records, or RadMyk says the
microphone is unavailable.

## Work through these

1. **Permission.** Make sure RadMyk is allowed to use the mic:
   - **macOS:** System Settings → Privacy & Security → Microphone → RadMyk on.
   - **Windows:** Settings → Privacy & security → Microphone → RadMyk on.
   If you just granted it, restart RadMyk.
2. **Another app has the mic.** A browser call, a meeting app, or Voice Memos can
   hold the microphone. Close it and try again.
3. **Right device selected.** In **Settings → Microphone**, confirm the device
   you're actually speaking into is chosen - not a disconnected headset.
4. **Muted or unplugged.** Check your system volume controls and that any
   external mic is plugged in and not muted.
5. **Test it.** Use **Mic test** in Settings and speak. Aim for the green zone -
   see [Microphone and audio settings](/help/settings-audio/).

Still nothing after that? Email g3pd.rad@gmail.com with your platform and mic
model and we'll help.

### RadMyk is slow to start or stopped transcribing
URL: https://radmyk.com/help/fix-engine/
Category: Fix a problem
Keywords: warming up, slow first dictation, engine unavailable, stopped working, not transcribing, restart, re-run setup
Summary: A short delay on the first dictation is normal while the engine loads. If it stops mid-session, restart RadMyk, then your computer, then re-run setup.

## A pause on the first dictation is normal

The first time you dictate after opening RadMyk (or after a restart), there's a
short delay while the engine loads. After that it's instant.

To keep it instant, leave the RadMyk widget visible rather than hidden - that
keeps the engine warm. You can change this with **Warm microphone** in
[Microphone and audio settings](/help/settings-audio/).

## If it was working and then stopped

Work through these in order:

1. **Restart RadMyk.** Quit it fully and reopen.
2. **Restart your computer.** This clears most transient issues.
3. **Re-run setup.** Open **Settings → About** and choose **Re-run setup**, which
   re-checks and repairs the engine and model.

If it still won't transcribe after that, email g3pd.rad@gmail.com with your
platform and what you saw on screen, and we'll get you going.

========================================
## Trial & buying
Your free trial, trainee access, and activating RadMyk.
========================================

### Free trial and activating RadMyk
URL: https://radmyk.com/help/trial-and-activation/
Category: Trial & buying
Keywords: trial, 14 days, free, activate, activation code, license, trainee, expired, unlock
Summary: Everyone gets a 14-day free trial with no signup. When you have a code, enter it under Settings → About to activate. Trainees are covered for free.

## The free trial

- **14 days free** from your first launch, with **no account and no signup**.
- During the trial you have the full software - nothing is held back.
- Your trial works without any internet connection.

When the trial ends, dictation pauses and RadMyk asks you to activate.

## Activate RadMyk

1. Open **Settings → About** and find the **License** section.
2. Enter your code and apply it.
3. RadMyk unlocks right away.

Activation works **offline** - you don't need to be online for it to take
effect.

## Free for trainees

If you're a trainee or resident, you can use RadMyk free through your training.
Your department or program may already have access codes; check with them, or
email g3pd.rad@gmail.com.

## If a code doesn't work

Double-check it matches what you were sent. If it's still not accepted, email
g3pd.rad@gmail.com and we'll sort it out.

========================================
## Privacy & your data
What stays on your computer, and what never leaves it.
========================================

### Privacy and your data
URL: https://radmyk.com/help/privacy-and-data/
Category: Privacy & your data
Keywords: privacy, on-device, offline, phi, data, tracking, account, webhook, local
Summary: Your voice and your words stay on your machine. RadMyk works offline, needs no account, and never sends your dictation anywhere unless you set up a webhook yourself.

RadMyk is built so your dictation never has to leave your computer.

## What stays on your machine

- **Your audio.** Transcription happens locally. Your voice is not sent to a
  server.
- **Your words.** The text you dictate - including anything clinical - stays on
  your machine. It isn't uploaded, backed up, or synced anywhere by RadMyk.
- **Your settings, macros, and templates.** All stored locally.

## No account, no tracking

- RadMyk needs **no email, password, or account** to use.
- It doesn't track your keystrokes, your clipboard, or your reports.
- There's one **optional** setting, **Share usage statistics**, which sends only
  an anonymous install count and country - no personal data, no report content.
  It's off-limits to anything you dictate, and you can turn it off any time.

## Works offline

Once set up, RadMyk runs fully offline, which suits locked-down or air-gapped
hospital machines.

## The one exception: webhooks

If you (or your IT team) deliberately set up a **webhook** in Settings, RadMyk
will send transcription events to the address you specify. This is an advanced,
opt-in integration - you control whether it's on and where the data goes.
Without it, nothing leaves your machine.