Home Forums Discussions General Discussion Voice recognition software - need your opinion please

I'm looking at getting voice recognition software but am wondering what works best with AC and if it needs to be the "medical" version. i.e. dragon speak medical vs. home ?? (for chiropractic practice)

Dragon is exceptionally good. It does require the medical edition so it is pricey. But the accuracy is almost scary.

Gene

Has to be the Medical version if you want to use it directly in an AC window.
However, you can use version 15 in a remote window (e.g. Dragon on laptop to AC on remote desktop) pretty effectively if you just want to try it out, or are cheap.
It is a little clunky that way, and you have to train some of the medical words, but it is exceptionally accurate -- especially with the newer laptop microphones.
I have always done it that way, and continue to do so because I do most of my dictation at home, and there is little advantage to me in buying the full Medical version.

Interestingly, you can use Dragon in any Chrome or IE window except this AC user board site.

AC also has special pricing for Dragon Medical. You can buy it from the client portal and get substantial discount compared to other retail sources.

My biggest reason for recommending Dragon Medical is that it is fully supported for remote dictation. It's the reverse of what Tom said above. Having Dragon installed on the main machine and you remote in with whatever device you have. That way you have a single profile across all devices and locations.

Another benefit is that the processing is done on the main machine allowing you to use many types of devices without needing the processing power locally.

anybody have a problem with speech delay in DNS past year or so? For example, the first word or two of a sentence isn't picked up. "patient denies chest pain, SOB" comes out as "chest pain,SOB" . Concerning because of context and accuracy. Even switched to a solid state drive hoping that would help. Any input appreciated. Bob

I had noticed this being a consistent problem a while back and decided to try medical dragon in the cloud, which is a bit more expensive but took care of the problem. I don't understand all of the specifics but my understanding is that the processing power is much more powerful in the cloud search engine, and may work better if the local machine has suboptimal processing power. I don't plan on leaving medical dragon in the cloud,has worked quite well for me.

What is the pricing like, Jim?

And on another note... what is the temperature like?

A balmy 44 degrees sunny clear skies, will be great for skiing this weekend.
123 dollars a month now, but it was I think, 88 dollars a month for the first year or so, I cannot remember the details but if you buy one year, two year or three years at a time the price varies.

On a side note recently got some AirPods for my I-phone, which have been fantastic to play with. I got a blue tooth connector for my computer and tried substituting my Power mic lll with the AirPods, but couldn't get to work. If I do I will give an update later.

do you need to buy special mics? how do you go room to room if you have multiple rooms and do this?

Yes special mics are a must, and I have the power mic ll at home for my laptop, and the power mic lll for my office desktop (draped over the edge of one of my computer screens to get the mic close to my mouth). I don't dictate in the exam rooms, but if I did I would have to dictate on my laptop or desktop in the room. Which I don't have, I use a chromebook which would does not work with the power mic 111.

That is why I was interested in trying to get the AirPods working, which would give me the ability to dictate in each room and at the desktop, handsfree. When my local IT guy has some time he is going to see if he can get the AirPods to work for me.

I wish we could get a demo of remote dictation -- Sandeep has a good point about central processing at the office server using the Medical version.

The way I do it is through Remote Desktop, and it seems like the voice file actually has to make a round trip before it is processed in my laptop at home or on the road. This leads to occasional problems, especially if it is a bad internet connection -- a common problem when travelling.

I do find that the microphone in my Lenovo X-1 Carbon is just about as good as any fancy mike I have tried (at least, if I use it in a quiet place -- I don't think it has much noise cancellation ability-- and it certainly is more convenient.

Tom,

One of the best purchases I have made in the past few years is a Verizon Mi-Fi device that allows up to 13 devices at one time and converts the 4g to wifi. Travelling out to Indiana from Montana and back in the RV last year made working quite easy especially the closer we got to Indiana, not too many places without 4G anymore. And the device is password protected, so an added layer of security.

And of course Medical Dragon in the cloud is centralized too, just done in the cloud instead of locally on the server.

Jimmie -- my rudimentary setup (Dragon 15 on the mobile laptop, connected to "server" machine at the office thru remote desktop to AC) works extremely well if I have WiFi with a solid 5mbs/sec down and 1 up. That can be with the local hotel wifi, a hot spot on my cell phone or the Sierra card in the laptop hooked to the cell phone tower. It can also be via wired internet -- there are still many places where ethernet connections are available, but no wifi

The key is a good WiFi connection -- and at least out here in the west, that is far from given. Vast stretches out here have no cell service at all, and even in the middle of Los Angeles there are times and places where wifi is subpar (<1Mbs down and <0.5MBs up). Hotel Wifi gets overwhelmed after about 6:30 am, probably with other guests streaming video.

The US has some ways to go before we can say we have adequate high speed internet.

Sandeep and Tom.

Please help me tune up remote dictation.

I have Dragon Medical installed on office server. I remote into my client desktops and dictation is clunky.

My work around is I have Dragon Medical also installed on the laptop I travel with. However this too has some limitations.

The recommended bandwidth for Dragon Medical is 1.3 megabits up. The central processing method is the same that AC uses. So if you don't have a good enough internet connection going to the cloud, you'll have the same issues. The worse the connection, the more compression has to take place. This will make lower quality mics stand out even more.

Now if you're having that issue in the office, there's likely a problem with your WiFi. In the office, you should have more than enough bandwidth to run Dragon Medical over RDP.

Sandeep -- I don't see any offer on AC client portal to purchase Medical Dragon.
Where is it hiding?

I agree with Sandeep. I don't have any problem connecting with AC remotely -- whether I type or dictate -- as long as I have about 1.5 Mb/s up. That is not always available in hotels or even on the cell phone network, depending on time of day.

The crispest and most accurate voice recognition experience is actually with Matrix -- an EMR program that our nursing home uses. It runs in the cloud. I'm not sure whether it uses its own voice recognition or my laptop Dragon, but it is amazingly fast and accurate -- better than dictating to AC, or so it seems.b

Login to the client portal and choose Buy Interfaces (up top) after you login.

Look under Third Party Products. Add Dragon to your cart and you should see the discount.

Thanks Sandeep. I found it.
Price seems reasonable -- if it works better than what I do now.
I'm pretty sure that it must be similar to what most of the big clinics in Portland are using -- and their notes all contain the disclaimer that they are using Dragon, and shouldn't be held responsible for transcription errors.
Many of those errors are ludicrous, some of them are dangerous -- and almost all of them are less accurate than what I get with my non-medical Dragon 15