Hi Brian:
The problem that I had was that Medical 8 was an upgrade itself, and unlike any other software company, it has to actually be installed, and there was a problem with installing multiple versions of DNS to finally get to DNS8 to install for the upgrade.
THAT's why I refuse to pay past the preferred- I got royally scr*wed. Their policy on activation sucks. Anyhow, the preferred really is more than enough for me... it learns well and fast. I just pass my training around to all of my computers.