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DMPE 2 (commonly referred to as Dragon Medical 12) Coming Soon


Although DMPE 2 (Dragon Medical 12) won?t be shipping to customers until around June 20, Nuance has officially announced the release of DMPE 2 which means that Nuance certified/licensed resellers (many who have already received pre-release copies of DMPE 2) are now permitted to discuss it publicly. While most of the technology in DMPE 2 was released in NaturallySpeaking 12/12.5 nine months ago, there are a few additional features. In short, DMPE 2 includes over 100 new features and enhancements, including: improved accuracy, Hotmail/Gmail support, IE9/10 support, improved Firefox & Chrome support, Android support, the ability to disable commands, significantly improved built-in tutorials, smart formatting, and improvements to the microphone Asleep state. You will also find remote dictation support for Windows 7/8 Ultimate Server and Windows Server 2008. In our opinion, the most significant improvement has got to be the increase in SPEED. The two issues our clients found most problematic with DMPE were speed (a slight overall lag in time before the spoken words appeared on the screen, making DMPE slower than Dragon Medical 10) and latency issues (unusually long delays before the spoken words appeared on the screen). DMPE 2 appears not only to be faster than DMPE, but even faster than Medical 10, with seemingly no latency. If you would like to see the rest of our 16 page DMPE 2 review click KnowBrainer DMPE 2 Review


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Thanks for keeping us updated, Tom. Speaking of updating, the DMPE2 upgrade from previous medical editions price is $499.99 (which is $100 off the regular upgrade price through June 30th). I'm still running v10, but will be moving on to DMPE2. Any specific hardware recommendations, other than "fastest possible"? Win7Pro/Ultimate vs Win8Pro? Still running XP, so will be ditching that and moving on very soon.
Don't forget to pre-order the upgrade before June 30.
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Thanks Tom. I feel a need for SPEED!


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Dave,

Although Dragon Medical 12/ Dragon Medical Practice 2 and below will run on Windows XP, we recommend Windows 7/8 64-bit and minimally8 Gb of RAM. We only recommend Intel-based i7 Ivy Bridge quad core processors and if this is a new computer, we recommend 16 Gb of RAM for upcoming technology. New computer RAM is relatively inexpensive. The actual speed of the processor is not important but the amount of L2 cache plays a significant role. For some detailed answers I would post that question on the KnowBrainer Speech Recognition Computer Issues / Recommendations sub forum. http://www.knowbrainer.com/forums/forum/categories.cfm?catid=7&entercat=y


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John,

It's well overdue. It's time for Dragon Medical users to finally take advantage of the version 12 speech engine.


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I am currently using Dragon Premium version 12.5. If I were to upgrade to the latest version of Dragon Medical would I be able to use my current user file or would I have to start from the beginning with training? Also, how does the accuracy of the voice recognition of Dragon Medical compare to the Premium 12.5?

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Ted,
Although there is no direct upgrade path you can save vocabulary changes, written and spoken form. You can also save any commands that you wrote but not your pronunciations. Premium 12 and Dragon Medical Practice edition 2 both use the Version 12 speech engine, so in that manner they are equal. Dragon Medical now has 90 highly specialized medical vocabularies to choose from and that is what gives it the definitive edge.


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What is the best vocabulary choice for an FP, as we deal with so many fields? I am not all that impressed with the choices on DNS Medical 11.


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DoctorMel,

When dictating personal emails, letters and other non medical tasks it's best to use the General English vocabulary. The best choice for an FP would be General Medical as it contains a mix of all vocabs. General Medical contains everything you'd need but if you come across a few terms that are missing you can always add them. The following is an updated outline of the vocabs in Dragon Medical Practice Edition 2.

? Allergy and Immunology
? Anesthesiology
Anesthesiology Subspecialties:
? Pain Medicine
? Cardiology
? Cardiovascular Disease
? Clinical Cardiac Electrophysiology
? Interventional Cardiology
? Colon and Rectal Surgery
? Dermatology
Dermatology Subspecialties:
? Dermatopathology
? Emergency Medicine
? ENT
ENT Subspecialties:
? Otolaryngology
? Family Medicine
? Internal Medicine
Internal Medicine Subspecialties:
? EEG
? EMG Examination
? Endocrinology, Diabetes,
and Metabolism
? Gastroenterology
? Geriatric Medicine
? Hematology
? Infectious Disease
? Medical Microbiology
? Medical Toxicology
? Nephrology
? Oncology
? Proctology
? Pulmonary Disease
? Rheumatology
? Neurology
Neurology Subspecialties:
? Neurodevelopmental Disabilities
? Neuromuscular Medicine
? Neuropathology
? Neurotology
? Neurosurgery
? Nuclear Medicine
? Obstetrics and Gynecology
Obstetrics and Gynecology
Subspecialties:
? Fetal Medicine
? Ophthalmology
? Orthopedic Surgery
Orthopedic Surgery
Subspecialties:
? Hand Surgery
? Pathology
? Pediatrics
Pediatrics Subspecialties:
? Developmental Behavioral
Pediatrics
? Pediatric Otolaryngology
? Pediatric Pathology
? Pediatric Pulmonology
? Pediatric Rheumatology
? Pediatric Transplant
Hepatology
? Physical Medicine and
Rehabilitation
? Plastic Surgery
? Psychiatry
Psychiatry Subspecialties:
? Addiction Psychiatry
? Radiation Therapy
? Radiology
Radiology Subspecialties:
? Diagnostic Radiology
? Vascular and Interventional
Radiology
? Surgery
Surgery Subspecialties:
? Bariatric Surgery
? Breast Surgery
? Cardiac Surgery
? Cardiothoracic Surgery
? Oral and Facial Surgery
? Thoracic Surgery
? Transplant Hepatology
? Urology
? Vascular Surgery


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A follow up to my previous question. Would I have to uninstall Dragon Premium 12 before installing Dragon Medical. Also, please compare the accuracy between the two products. Accuracy is the single most important feature for me.

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You would have to uninstall Premium 12.5 before installing Dragon Medical because DMPE 2 will recognize Premium 12.5 as being a newer version which means that you won?t be able to upgrade your user profile either. If you wish to upgrade your Premium 12.5 vocabulary, just click the DragonBar ?Vocabulary? menu followed by clicking ?Export custom word and phrase list?. If you have commands that you wish to import, NaturallySpeaking Premium has no way of exporting its commands but you can directly import the commands from within the DMPE 2 Command Browser. Our complementary KnowBrainer pictorial training/installation guide includes a step-by-step on that procedure.

Both Dragon Premium and DMPE 2 utilizes same speech engine but there?s far more to speech recognition than just a speech engine. Besides the obvious fact that DMPE 2 includes medical language models (vocabularies on steroids) it includes a number of other features that make it both more accurate and more importantly, more efficient. Dragon Medical allows you to dictate directly into most EMRs, includes the ability to create Advanced-Scripting, step-by-step and macro recorder commands, multiple vocabularies, network support, batch transcribing digital recordings, Deferred Correction along with other professional features. While dictation accuracy is an important factor, efficiency is even more important.


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I have DMPE 10.1 with 5 user license. I'm a little confused about how to upgrade. I saw on Amazon an upgrade option at http://www.amazon.com/DMPE-2-U-Medi...words=Dragon+Medical+Practice+Edition+2. This is from Nuance, but is it for one license or multiple? Thanks.

David Lee, MD
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It's the same upgrade everywhere. You can install on up 2 five computers, but only one voice model (user).

By the way it's cheaper on Tom Hamilton's website at $499 (http://www.knowbrainer.com/NewStore/pc/viewPrd.asp?idproduct=467&idcategory=)


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Thanks John. Should arrive today.

David Lee, MD
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Considering switch to AC in the cloud. Any issues/experience with using Dragon in that environment?
Thanks,
Dave
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Originally Posted by AmazingDave
Considering switch to AC in the cloud. Any issues/experience with using Dragon in that environment?
Thanks,
Dave
FP

Properly configured, it shouldn't be an issue. We have several clients who use Dragon on our managed environment with great satisfaction.

As always, the factors that impact dictation are Mic quality, local machine performance, and then your ISP upload speed and network congestion.

If you would like some help in testing your current setup/network, let me know.


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Thanks Indy, I will.
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To all the dragon users:
where physically in the office do you dictate? Patient's room, just outside patient's room? Closet?!!

My office is pretty noisy (Peds) and I wonder how ambient noise will affect accuracy.


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The microphone makes all the difference. I dictate at my desk with a 3-in-1 Tablemike at a distance of 12-18 inches, leaving both hands free to do other things.
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I have just started using a tablemike 9-in-1. It may be overkill, but the results are fantastic so far. I think that it is much better than the Sampson wireless and the Sennheiser microphones that I spent a lot of money on in the past. As noted above, this leaves your hands free to do other tasks and you do not have something hanging on your head all day. I think that it is worth the investment.


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Dr. Lee,

DMPE (1) uses the Ver. 11 NaturallySpeaking speech engine and DMPE 2 (the latest version) uses the Ver. 12 speech engine. Depending on which Ver. 10 application you are using, it was either called the Small Practice Edition or Medical 10. Are you certain that you have a Medical 10 5 user license? The reason why I am asking is because most end-users purchase a single user full box copy of Medical 10 which sold for about $1100 - $1500 (depending on if you purchased Small Practice or Medical 10). The 5 user edition probably cost something in the vicinity of about $7000. If you actually do have 5 users that need upgrading, as opposed to 1, I would recommend purchasing the DMPE 2 Upgrade at http://www.knowbrainer.com/NewStore/pc/viewPrd.asp?idproduct=467&idcategory=71 because it would be your least expensive option. This introductory pricing will remain in place through September. We are also including a complementary pictorial installation and training guide that will show you how to properly upgrade your previous user profile. Note that this version of DMPE 2 is licensed to the individual user but can be installed (activated) on up to 4 computers. Amazon resellers are not only not offering a better deal but they?re not including virtual onsite support, training or a step-by-step upgrade guide.


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Ryanjo,

While you are correct in that it?s the same upgrade everywhere, you can only install/activate DMPE 2 on up to 4 computers. Other versions of NaturallySpeaking can be activated on up to 5 computers.


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AmazingDave,

There shouldn't be any issues with running DMPE 2 with AC cloud if you can use Internet Explorer.


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I did purchase it from knowbrainer, and it worked like a charm. Upgrade was seamless (great instructions provided) and it's definitely speedier than the last version. This is my first morning of using it to dictate, but so far very happy. There was another program you could purchase with it also called knowbrainer. How does it work in conjunction with DMPE 2???

Dr. Lee
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Dr. Lee,

Thank you for your business and I?m pleased that your happy with the upgrade. KnowBrainer 2012 is a third-party add-on software for use with Dragon NaturallySpeaking and Dragon Medical. When used in conjunction with either, it adds about 11,000 other commands for you to use. You can also compile your own command scripts using verbal basic much the same as you can with any of the DNS Pro, Legal and Medical versions using advanced scripting. In your package you should have had a KB 2012 trial disc that will function for 30 days. If you would like to learn more about KB 2012 you?re welcome to post on the KnowBrainer Speech Recognition Forums http://www.knowbrainer.com/forums/forum/index.cfm and see what other users have to say.


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Originally Posted by TomHamilton
In our opinion, the most significant improvement has got to be the increase in SPEED. The two issues our clients found most problematic with DMPE were speed (a slight overall lag in time before the spoken words appeared on the screen, making DMPE slower than Dragon Medical 10) and latency issues (unusually long delays before the spoken words appeared on the screen). DMPE 2 appears not only to be faster than DMPE, but even faster than Medical 10, with seemingly no latency. If you would like to see the rest of our 16 page DMPE 2 review click KnowBrainer DMPE 2 Review


Tom,
I just upgraded 3 days ago from 11.5 to the DMPE2, and have only used for one day, but I am still getting the lag, and I think it is even longer than with 11.5. It is taking up to 10 seconds before any words show up when I first turn on the Dragon mike (power mic ll) and start speaking, and was wondering if there is an easy fix. My computer is 64 bit 12 ram and windows 7.


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Jimmie,

Don't know if this will resolve your issues, but we have significant success with running Dragon on solid state drives.

In one particular instance, the Physician has a 1.6G language file, and moving to a i7 (64bit) with a SSD using v11 yields nearly instantaneous dictation response.



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Indy,

I rebooted my computer and will try again today, but may need to consider this and as always your input is very much appreciated. My partner Mel is all SSD and I will check with him today to see if he is having any lag as he recently upgraded the dragon too.


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Does Knowbrainer work with dragon medical v11 and do you need to purchase KB medical or can you use the regular KB version. Also I downloaded the trial KB software today, but there is no manual with it. Where can you get the instructions on how to use it, since the user board is not very helpful?


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Tom and Indy,

I think the reboot for whatever reason has helped immensely with decreasing the lag.


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Jimmie

This sounds like a hardware or interference issue. I recommend rerunning the Audio Check for your Dictaphone PowerMic II and pressing the Play button in the last stage to listen for possible interference. If you don?t hear interference, you might consider creating a brand-new user profile to see if that makes a difference. Hopefully, you are not using an upgraded profile because combining older technology with newer technology typically creates a bloated and lethargic profile that can perform sluggishly. It is best to create a new user profile for each new version of Dragon Medical. You can always import your previous commands and vocabulary.

Your computer doesn?t sound like a problem but it might help to know if you?re using i3, i5 or i7. I recommend against i3s and dual core processors. Of course, sometimes the problem is just Windows so whenever things head South, the 1st thing to try is a reboot.


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Prsawh

KnowBrainer 2012 works with every version of NaturallySpeaking and Dragon Medical including DMPE (1) (Medical 11) and DMPE 2. The download should?ve included a PDF copy of our KnowBrainer Manual ~ http://www.knowbrainer.com/downloads/KnowBrainer_Manual.PDF which also includes some training for Dragon Medical. The previous hyperlink is a quick download.


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Indy

While our company endorses and recommends the use of solid-state hard drives for reliability reasons, the only perceivable advantage of an SSD is a quicker launch. Dragon Medical runs completely in RAM so shorter hard drive access times will not help. In other words it?s not the SSD that is giving you instantaneous dictation responses. It?s a combination of the right hardware, sufficient RAM, good sound system and of course, good dictation habits (the most important ingredient).


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Tom,

I may have jumped the gun a bit as the lag time is much less now since the reboot compared to the Dragon 11 lag time.

I am using the new user profile created as you suggested in the booklet you provided with the purchase of the Dragon 2 upgrade. This booklet was(is)quite helpful.

My beast is a Z400 Workstation Xeon QC W3520 2.66Ghz/8MB/4MB 1X500GB SATA/DVD SM DL/ GigNIC/W7P64 with 1TB WD Velociraptor SATA 6GB/s3.5" Internal Hard drive-64MB Cache

I also checked with my partner who uses SSD in his server, and very little lag time with his setup.


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I also have 24GB of RAM on my newest MTECH laptop and as mentioned above, the more RAM, the quicker the response. Having recently upgraded to DMPE2 as well, I have noted some lag but this occurs when Dragon is trying to process my speech if there are words it has not encountered before. Although it may take a little longer at times, the accuracy seems much improved from 11. I have had some template issues dictating a physical exam template into the physical exam section on AC, where the text of the template becomes highlighted in blue when I click the mouse on the field. This has been random, as this happens in some charts but not others. Once the unintended text becomes highlighted in blue, the only way out of it is to tab to different sections of the chart or hit alt+tab several times in a row. I posted this to the Knowbrainer forum last week but have not seen an answer for this yet.


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How do you setup to use DMPE 2 remotely on a server? And by server I mean 2008 or SBS2011 or even Windows 7.

How do you setup microphone input to go on the server and playback, if necessary, on the local machine. Are the detailed instructions provided anywhere?

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SanjeevP,

you don't set up DMPE 2 remotely on the server because it's not a server version of Dragon Medical which can only be purchased from Nuance.

What you do is install DMPE 2 locally on each workstation and then roam your user profile over the network. You'll find a step-by-step on roaming your user profile in our KnowBrainer Training Guide an our Quick Tips ~ http://www.knowbrainer.com/downloads/NatPro_Quick_Tips.pdf when you look up "Roaming"


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Dragon Medical Practice Edition 2 / Dragon Medical 12 Temporary Sale

Nuance just announced that full boxed copies DMPE 2 (Dragon Medical w/New Ver. 12 Speech Engine) ~ http://www.knowbrainer.com/NewStore/pc/viewPrd.asp?idproduct=466&idcategory=71 beginning now, will be reduced by $100. The new sales price is $1499.99 and is good through June 27. After June 27, DMPE 2 pricing will go back up to the usual $1599.99

DMPE 2 Upgrades~ http://www.knowbrainer.com/NewStore/pc/viewPrd.asp?idproduct=467&idcategory= will remain on sale at $499.99 ($100 off) through June 30. The new sales price is good through June 30. After June 30, DMPE 2 upgrade pricing will go back to the usual $599.99.



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Those dates were supposed to be September 27 and September 30 2013.


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