EXHIBIT 23.4


                        Consent of Independent Auditors

We consent to the reference to our firm under the caption "Experts" and to the
use of our report dated February 26, 2004, with respect to the financial
statements of HealthScribe, Inc. included in Amendment No. 2 to the
Registration Statement (Form S-4 No. 333-132641) and related Prospectus of
Spheris Inc.


                                        /s/ Ernst & Young LLP


McLean, VA
May 2, 2006