(BASS, BERRY & SIMS PLC LETTERHEAD) April 24, 2006 Via Edgar - --------- Securities and Exchange Commission 100 F Street, N.E. Mail Stop 4561 Washington, DC 20549 Attn.: Michael McTiernan, Special Counsel Paul Fischer, Staff Attorney RE: SPHERIS INC. REGISTRATION STATEMENT ON FORM S-4 (No. 333-132641) Ladies & Gentlemen: On behalf of Spheris Inc. (the "Company"), we attach for filing Amendment No. 1 to the Company's Registration Statement on Form S-4, with exhibits, as well as the Company's responses to the comment letter received from the Staff on April 14, 2006. Please direct any questions that you may have regarding this filing to Leigh Walton of this firm at (615) 742-6201 or the undersigned at (615) 742-7705. Sincerely, /s/ Laura R. Brothers LAURA R. BROTHERS