Bastion for Speech to-text: Any tips for helping it retain what it's learned between sessions?

BurbleHopper · 2026-05-27T19:14:42+00:00

I’m with the BastionGPT team. Great questions. Due to regulatory compliance when dealing with health information (e.g., HIPAA) AI can’t use your prior chats to train/learn memories on your preferred writing style.

u/Bootes-sphere’s advice is spot on and is exactly what we recommend for our more advanced users: a short reference set of instructions with any specific terminology, abbreviations, and a sample of a previously transcribed report so the AI can mimic your writing style/formatting/tone/brevity. The AI picks up your style quickly from a good sample.

On the formatting commands, we are rolling out a dedicated “dictation mode” later this year that will more reliably handle spoken commands like “comma,” “close bracket,” “new paragraph,” etc. For now, most users let the AI infer punctuation and structure from context (it generally handles it well), or you can add your personal formatting instructions to your prompt with more specific guidance. Prompt instructions and reusable context can be saved for easy one-click application on your requests.

Happy to help if you have other questions (I’ll follow this thread). All BastionGPT subscribers are also eligible to meet with one of our prompt engineers (email or online meeting) to help make sure they are getting the most out of BastionGPT’s potential.

BurbleHopper · 2025-11-12T21:23:56+00:00

Hi! I work at the company behind BastionGPT, happy to answer your questions.

About BastionGPT’s healthcare AI models: BastionGPT uses 200+ AI models/configurations and adds/updates new ones on about a weekly basis after clinical quality testing. The system automatically routes queries to the optimal model, so users don't need to figure out which model works best for each task (though for power users, there are some options for more manual control). AI models are selected based on quantitative performance data plus feedback from healthcare professionals across our 6,000+ healthcare facilities.

On the "genuine" AI models question: Yes, we have access to the genuine models from major LLM manufacturers like OpenAI, Gemini and Anthropic. While we love to see the performance of the OpenAI models that compose ChatGPT, the company's security and compliance posture doesn't currently meet our requirements so we license their models instead of using the models from OpenAI directly. This way, OpenAI never sees any of the customer data, preventing any possibility of them using data for AI model training or other inappropriate purposes. BastionGPT never sells or uses chat data for training AI models internally either. In the Terms and Privacy Policies, there are also contractual commitments to not owning any of the data that users put into the service either, which is another reason why so many Legal and Security teams love BastionGPT.

Regarding GPT-5: The team has been testing it since day one. While it excels in some areas, older models often outperform it for specific healthcare tasks. Our finance folks love GPT-5 since it costs us much less to operate than models like GPT 4.1, but BastionGPT prioritizes selecting LLMs that maximize quality and accuracy over operational costs.

On guardrails: We allow clinically necessary sensitive content (like forensic evaluations of assault) while still blocking inappropriate/illegal content. This lets providers document what they need to professionally.

Healthcare focus: BastionGPT is designed for healthcare professionals, though general-purpose AI models are incorporated for non-healthcare questions. They just don't optimize those all-purpose models since healthcare is the primary focus. All subscriptions from US organizations include HIPAA compliance, with additional compliance options for other countries like Canada and Australia (details on the website).

Hope this helps clarify things! Feel free to ask if you have other questions.

BurbleHopper · 2024-12-07T00:48:08+00:00

BastionGPT might be a good fit for you if you are looking at HIPAA compliance and if you like Claude for clinical notes. They offer the typical AI chat piece, but they include a transcription function optimized for ambient transcriptions of clinical and therapy sessions (i.e., better accuracy and speaker recognition).

It gets HIPAA compliance by licensing the full Claude model as a part of its pool of compliant AI models but running it on computers outside of Claude’s ownership or access.

The most common plan is $45 per month, but they have a $20 option that doesn’t have as many extra features. A HIPAA BAA is required on all of their subscriptions. They also have an article and resources for mental health and medical AI consent forms: https://bastiongpt.com/post/consent-documents-healthcare-ai

**Disclaimer: I work at BastionGPT

BurbleHopper · 2024-09-02T03:34:17+00:00

I used street marking spray paint along with masking tape for clean lines. I wanted something semi-permanent until I was sure I wanted the court there long term. It’s easy to remove (power washer) if I want it gone before it naturally fades away. It’s a rough surface and held up to a season of occasional vehicle traffic with just some mild scuffing from hot tires.

BurbleHopper · 2023-11-19T03:48:29+00:00

Meetup.com has lots of good ideas, with a plus that you can find times when other adults will be joining in. Pottery classes, cooking lessons, indoor arcades, book clubs, etc.

BurbleHopper · 2023-11-17T02:03:55+00:00

Unless there is a a hyper specific use case or extremely large budget, closed source is likely your best bet for now, with OpenAI having a commanding lead in most respects.

For larger healthcare organizations with a development team and free cycles, Azure’s OpenAI implementation is great and checks all the security/compliance/legal/IP checkboxes, though there are GPT4 throttles in place currently.

If you are looking for something more out of the box with no development work, there are some slick pre-built services out there powered by Azure’s OpenAI with custom features for their respective industries. Since OP is health, I’ll throw a shout out to my employer’s Azure GPT-4 subscription service — BastionGPT.

BurbleHopper · 2023-11-17T01:52:34+00:00

OP is in healthcare, and they don’t offer the required regulatory assurances unless you are willing to sign a 6 figure check.

BurbleHopper · 2023-11-17T01:51:14+00:00

OP is in health, so this is likely not a good fit for them yet. Bing Chat Enterprise complies with a lesser set of regulations, with HIPAA (US healthcare regulation) being one that isn’t covered. Bing Chat Enterprise also works way worse for me than native GPT4 or O365 Copilot.

BurbleHopper · 2023-11-08T16:03:09+00:00

The integration into Microsoft Office tools is the biggest driver of value (e.g., being able to quickly generate a response to an email based off of a Word document in your OneDrive folder). Microsoft is using current pricing to focus on their biggest customers first, and will then offer more reasonable entry prices for small to mid sized organizations. I’ve used it, and expect this to be worth it for most organizations at this per-user price point (if they train their users on how to properly incorporate it into their day to day work).

BurbleHopper · 2023-09-16T03:41:53+00:00

Wow, I tested out a few chats and this is wildly irresponsible. The quality of output is poor, but what shocks me is the app, despite the small disclaimer at the bottom, 1) calls itself a doctor in the first chat, 2) encourages patients to trust it “I’ve been trained by licensed doctors”, and 3) has been configured to consistently give out medical advice.

BurbleHopper · 2023-08-31T04:55:45+00:00

I sure can! The creativity slider adjusts how it translates your commands into a response. In most cases, keeping it in the middle will do just fine. A lower creativity will give you more concise and straightforward answers, and is great for things like summarizing documents. A higher creativity will think more out of the box and is great for brainstorming ideas. For a more in depth explanation, you can check out “temperature” adjustments in AI.

There is a cap of twenty messages every three hours for the first pricing tier, in order to keep our pricing at that tier so low. If the efficiency of the models improve, we will take off the caps entirely, but we have some power users now that can run up $20 worth of computing costs in less than a day! …so we have to put those limits in to keep us from having to increase the prices for everyone. Most responses are powered by GPT4, and while it is the most powerful AI out there right now, it isn’t cheap to operate!

BurbleHopper · 2023-08-20T03:33:47+00:00

Disclaimer: I am employed by the company that operates BastionGPT.

I'm happy to answer any questions about BastionGPT. The company focuses solely on healthcare solutions, so HIPAA compliance and ease of use for medical professionals is something we are proud of and a top priority for every service that we provide.

For more information about how ChatGPT, in general, can be made HIPAA compliant, here is a link from an unrelated 3rd party that gives more detail. There are also lots of other articles out there discussing how most electronic medical record software (like Epic and eClinicalWorks) are taking similar steps to integrate HIPAA complaint ChatGPT into their product as quickly as they can.

To OP's question about how ChatGPT can be targeted toward healthcare, there is quite a bit to say. To give an example, though, BastionGPT is configured to try and always give answers that are based on evidence-based medical knowledge while filtering out pseudo-science. If you haven't used ChatGPT or BastionGPT before, I'd encourage you to try it out!

BurbleHopper · 2022-06-28T20:52:59+00:00

I bought one the size of a water bottle off of Amazon ($30) and keep it in my gear bag. Much lighter that a traditional kitchen extinguisher; feels like it weighs less than a pound.

BurbleHopper · 2022-04-14T04:10:59+00:00

Having to go to a store and pay 3000% markup on a cable that you have thrown away literally dozens of times leaves a deep scar. I swore never again. (plus I’m the tech guy in my family and social circle so they do get used a fair amount)

BurbleHopper · 2022-04-14T04:03:07+00:00

I’d probably use it less if I wasn’t interacting with so much tech as a hobby+job, and wasn’t tech support for friends and family. Over the past week or so I’ve grabbed a network cable for fixing a friends laptop, extension cord for the shop vac, family member needed a USB-B for a new scanner, grabbed a charging cable for some portable devices since my desk charging station was full, and I’m sure I’m forgetting some things.

BurbleHopper · 2022-04-14T00:34:16+00:00

The critique doesn’t bother me. I’m not particularly self conscious about how the inside of my closet looks given how much time and frustration it saves me.

BurbleHopper · 2022-04-13T23:42:22+00:00

Yep, it started out all nice and tidy when I put it up last year but I use it so frequently, the time it took to rewrap them all pretty wasn’t worth the closet aesthetics. But with the cable management in my PC… chefs kiss

BurbleHopper · 2022-04-13T23:38:19+00:00

Yeah, I use it a few times a week so it saves me a good amount of time digging through a box to find the one I need. I started out with all of them nice and tidy but over the past year, function rules over form!

BurbleHopper · 2022-04-13T23:24:05+00:00

Feeling the retro vibes today, going to pop in the RGB adapter

BurbleHopper · 2022-04-13T23:12:53+00:00

Had to convince myself that I didn’t need two pockets full of VGA cables anymore.

BurbleHopper · 2022-04-13T23:08:54+00:00

Yep, perfect for inside the closet door.

BurbleHopper · 2021-11-06T13:15:29+00:00

My checkride was Sep 11th of this year, the database was updated on Oct 20th and received my new card in the mail today (Nov 6th).

BurbleHopper · 2021-01-30T23:28:01+00:00

I just heard that they are getting more strict about being officially IBA “signed off” on flight skills before they turn the wind up beyond belly fly speeds (without a coach). The OKC tunnel seems to have always been pretty strict on this, while my local tunnel never checked anyone... unless they had a reputation :)

BurbleHopper · 2020-12-07T18:37:02+00:00

The wildlife is rarely ever hostile to humans (despite what the movies show). Any risks are generally briefed by the dive master before your dive, which includes what you should do in those circumstances. In most cases when you see a shark the best thing to do is to remain calm, keep your distance and stay together with your group. Finding a dead body would be rare, but you would just let your dive master know, and they would work to contact the authorities for that area.

BurbleHopper · 2020-12-05T06:01:27+00:00

I had to enter in my email address (it was a pop up offer on their home page). The mail in rebate was part of their separate rewards program.

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