Thanks Tom
I probably did tell you that story about the FlexyMikes when I first saw them in action. I was really impressed, but at the time they weren't available for speech recognition.

You are right -- it is DNS "premium". I'm not really rubbed the wrong way by Nuance's pricing structure, though it does seem a little disproportionate. They used to have a "small office" medical version at lower cost (we don't have corporate money generating ability, so maybe there is a "fairness" issue).

In any event, it isn't so much I don't want to pay the price as I don't see any benefit at this time to using the medical edition at this time.

I'm interested in trying the KnowBrainer -- I admit I am not a very efficient dictator. My work flow doesn't really allow for dictating in the room with patients before they leave, and the minute I go out of the exam room door there is some distraction -- nursing home, drug refill, staff question -- so I have to dive into the next exam room and can't dictate the record between patients either, or I get trapped.


Tom Duncan
Family Practice
Astoria OR