I hear ya on the wrist thing. My mouse hand is my right and I've broken that wrist on 2 separate occasions and it was never set either time. Thus, when I do a lot with it, it aches something fierce and I sometimes get so intent on what I'm doing, I put off putting on my brace/support.

Funny how we can get in that just one more sentence mind set and not take care, huh?

What dictation program do you use? I have a friend who's got some severe problems with her wrists due to injury and she bemoans being not able to type. I think she tried Dragonspeak but it had issues with her Australian accent (to hilarious effect for word choices, but not so good when you're trying to get a story out).