EXHIBIT 23.1


            Consent of Independent Registered Public Accounting Firm

We consent to the reference to our firm under the caption "Experts" and to the
use of our report dated March 10, 2006, with respect to the consolidated
financial statements of Spheris Inc. included in Amendment No. 1 to the
Registration Statement (Form S-4 No. 333-132641) and related Prospectus of
Spheris Inc.


                                        /s/ Ernst & Young LLP


Nashville, TN
April 19, 2006