Gonna throw this back in:
We use NComputing VERY thin devices (box about two decks of cards, ports for power, monitor, key board and mouse) which RDP a Win7 i7 "app-server", several sessions concurrently. Hot performance, minimal cost, (but no Dragon) (the cost for 4 exam rooms less than 1 higher end notebook). I want a particular program in each exam room? install on the app server and it is available to all (and since the i7 has 1 IP, I can run concurrent sessions of UpToDate.

Roger
(Nephrology)
Do the right thing. The rest doesn?t matter. Cold or warm. Tired or well-rested. Despised or honored. ? --Marcus Aurelius --