I got the update for Dragon Medical Practice (version 11) today. A definite noticeable improvement in speed and accuracy. This is not the first time I have been pleasantly surprised by Dragon updates actually being substantially better than the old versions. I guess that's why I was willing to fork out the dough.
How did you get an update? I've gone online looking to upgrade and keep getting shunted around to different voicemails or to online forms to put me in contact with EHR resellers.