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tceg Offline OP
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Use dragon at an additional site installed on the local computer, logging in elsewhere. Dragon works but doesn't work well as it doesn't capitalize, space, etc. Ideas?

Is this better with AC in the cloud?

Still haven't found a good way to use second site with AC without going to the cloud.

thx


Neil
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AC in the cloud is the same as installing dragon on the remote computer and capturing audio from the local computer. The problem with installing dragon on multiple computers is that your profiles don't transfer resulting in more errors during transcription. By using the method below (same as AC in the cloud), you have a single profile.

See more here:
https://www.nuance.com/products/hel...nSources/dictate_remote_desktop_conn.htm

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I use Dragon on my remote computer (a Lenovo laptop) and connect to the office with Remote Desktop.
I use the microphones built into the computer (X-1 Carbon). Works fine, since Dragon is on the remote and all the bells and whistles work. Doesn't work with a poor internet connection, though.


Tom Duncan
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I have a cheap version of Dragon (one that is not supposed to work in an EMR) installed on a home computer. If I log onto the office, I can dictate remotely into AC.
When I do so, I have some of the issues that Neil describes. It actually works quite well, but for example, capitalization of the first word dictated does not usually occur. (Though subsequent first words of sentences are capitalized). Annoying, but not a game changer. If there is a fix, I would love to hear it.

ryanjo, you have been touted this approach, for years, I believe... any thoughts?


Jon
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Originally Posted by tceg
Still haven't found a good way to use second site with AC without going to the cloud.

Remote Desktop Services.

You can research and DIY or PM Sandeep. I would recommend the latter.


Bert
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I've used Dragon non-medical for years--- currently V15 which is really superb.
I will work for EMR if you have the EMR in a remote window.
It won't work if you are connected directly to remote computer with VPN, and won't work in Updox or even this AC user forum.

Interestingly, it works fine for the EMR that our nursing home uses (it is Web based, called MatrixCare).

There are a few formatting problems which are pretty easy to work around, and you can't use the voice correction unless you use the dictation box and transfer to the AC in remote window. That works very well for long dictations, but is sort of a nuisance for short phrases.


Tom Duncan
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I use this work around as well. Better than spending $1600+ for the medical version. I also bought a medical vocabulary on ebay which helps as well, but I don't see it for sale now.

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I am using the new medical version DMPE 4.3, which is astoundingly accurate despite needing almost no training. I believe it uses the same "speech engine" as the non medical version 15 that Tom uses, so the only advantage of the ridiculously priced medical version is the medical dictionary.

I can report the same issues as everyone above in using Dragon to dictate to the cloud version of AC. No space after punctuation, spell checking, cut & paste, auto capitalization, etc. It will capitalize after "." is dictated, and will capitalize if you dictate "cap" before the word, however. Also, depending on the internet connection speed, it will mangle longer dictations if you speak rapidly. I have maxed out Spectrum Business upload speed at 25 mbps, which really helped, so I would encourage everyone using Dragon over the 'net to do likewise.

I have experimented with the dictation box and then transferring text, or dictating directly at a moderate pace, and have stuck with the latter (I don't think that fast anyway). For those of you who like the dictation box/transfer text method, there are settings that automatically open a transparent dictation box (without saying "open dictation box") when dictating into a Dragon-unfriendly program like cloud AC. By the way, I know a doc who uses Dragon Medical to dictate into Athena which is also cloud-based, and he has the same issues as we have with AC cloud.

I have thought of trying Dragon Anywhere, which is Nuance's consumer-grade product that uses a mobile phone for dictation. Reading about it however, I'm not sure how to transfer text into AC. Board member jimmie has posted about using Dragon Medical One cloud version -- but the $88-120/month price tag is more than I want to pay. I have also read some complaints about Dragon Medical One on one of the Speech Recognition forums.


John
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Agree with John.
Dragon is an excellent tool, but it isn't perfect, and we all find the workarounds that suit our own situations.

Over the years I have built my own medical dictionary, so I don't feel like spending $$ to get the medical edition -- and anyway, as I understand it, I can use v.15 on 3 devices (handy) while Dragon Medical is limited to one or two. Everything I read says they have the same accuracy.


Tom Duncan
Family Practice
Astoria OR

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