There are two mistakes I see.
First, the purchase of SQL Server Enterprise was unnecessary. That's a near $20,000 purchase by itself. Assuming single provider practice, how you got the doctor to spring that kind of coin is beyond me. My clients would have skinned me alive.
Second, the H700 controller. That tells me you are running all this on a Dell R710. You are attempting to run modern software on 2008 model hardware. The H700 simple can't handle the throughput of those SSDs and is choking. You would be considerably better off to get a Dell R740 server with the H750 controller.
You sunk all your client's money into software when it should have been hardware.
JamesNT
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