Reality Check 2 Posted July 21, 2021 Share Posted July 21, 2021 Nuance Dragon is phasing out DMNE and going to something call Dragon Medical One (DMO). I have tried it and it sucks. Gone are all years of DMNE learning my style, diction, etc. I am starting from scratch with DMO not even being able to spell my name unless I enter each name separately and say it/spell it. It can't spell COVID............... seriously, it can't. It requires each word to be typed in by hand to learn it. Gone are the days of reading medical jargon from textbooks in LEARN mode and having it figure stuff out. Gone are the days of teaching. I hate Dragon for the first time in 20 yrs. Is anyone using anything besides Dragon that has any worth? Looking for suggestions on worthwhile products. Back to typing and developing CTS......................... 1 Quote Link to comment Share on other sites More sharing options...
thinkertdm Posted July 21, 2021 Share Posted July 21, 2021 In illinois we had a dictation service, it was awesome. they also had dragon, but I loved the dictation service. In florida, we either use the dragon you mention, but any dragon..is..slow.. and not..as..fast...as me... so I just type everything. it sucks. as does the VA. I'm going to start sending emails to my chief for the OT. He won't approve it, but at least it will be on record. Quote Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted July 21, 2021 Administrator Share Posted July 21, 2021 I suspect the word has gotten out that the Dragon Medical has been a colossal waste of money with Dragon Naturally Speaking and Dragon Home and Office each being a great deal that would do almost everything medical very well. Both Mac and Windows have built-in speech recognition now, do they not? Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted July 21, 2021 Author Share Posted July 21, 2021 Our programs are shells - working thru our servers. So we can't use anything embedded in our laptops for a program like that. Or that is my limited sort of understanding of that tech. Nuance got bought by Microsoft - I am not sure that is good or bad. They took a perfectly good product - DMNE - Dragon Medical Network Edition and made it into a crappy DMO - Dragon Medical One citing that DMNE was a constant problem - Never anything I experienced in 20 yrs of using it. Nuance wants to make per user contract sales, not network contracts for endless users. End users need and deserve a quality product that saves them from typing all damn day. So, still need a product that works over MULTIPLE applications - EHR, Word, Office Products, etc. and can work with shell operations from servers hundreds of miles away. Thus far, no product actually exists................... Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 22, 2021 Moderator Share Posted July 22, 2021 I have always loved real dictation with transcriptionists and hated dragon. The dragon typos are awesome though. We have a list on the wall at work. My favorite: "Gargle antibiotics 3 times daily in your buttocks". This was actually given to a patient and discovered when they called back asking how to do that. It was supposed to read "antibiotics 3 times daily as directed. " 1 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 22, 2021 Moderator Share Posted July 22, 2021 1 hour ago, Reality Check 2 said: Thus far, no product actually exists................... yes it does. It's called a human transcriptionist. 1 Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted July 22, 2021 Author Share Posted July 22, 2021 I have actually contemplated a retirement gig doing transcription…. But no T1 internet exists in the area we want to live. My old Ortho transcriptionists were awesome. I could dictate a letter and just say into the device - if this sounds stupid, please edit…. They would. One Ortho took his pocket recorder home at lunch - it was turned on. It recorded his “Nooner” activity….. not even sure if it was his wife….. it was quite steamy. One surgeon had a habit of dictating on The Throne….. not cool, dude, just not cool. So, absent one moderately paid human transcriptionist - my options are dwindling….. 1 Quote Link to comment Share on other sites More sharing options...
Photograph51 Posted July 22, 2021 Share Posted July 22, 2021 I was reviewing hospital records for one of my patients. The transcription said that the patient had been using "hero wine." I see those transcription oddities a lot, even on common words. Quote Link to comment Share on other sites More sharing options...
HmTwoPA Posted July 22, 2021 Share Posted July 22, 2021 I used to use Dragon and thought it was pretty decent. At my current gig we use MModal Fluency direct and it is far superior. I rarely have issues with it. 1 Quote Link to comment Share on other sites More sharing options...
sas5814 Posted July 22, 2021 Share Posted July 22, 2021 I made the change too (since we work at the same place) and the new one is working pretty well for me. I don't make many corrections. That said I wish it worked outside of the EHR. Would be nice for dictating letters/emails etc Quote Link to comment Share on other sites More sharing options...
kettle Posted July 22, 2021 Share Posted July 22, 2021 3m M Modal Direct with Phillips microphone works pretty good. I used Dragan for nearly my entire clinical year in school and it is not nearly as good. I've seen several doctors legitimately throw the Dragan across the room or beat on a desk with it. M Modal you can also use through an app on your phone, slightly slower than the Phillips mic Quote Link to comment Share on other sites More sharing options...
amandareuille Posted June 12, 2023 Share Posted June 12, 2023 OP - how did you know DMNE was phasing out? We just received word that DMNE is discontinuing but that they were unaware of that until 12/2022, however you posted this in 2021... Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted June 13, 2023 Author Share Posted June 13, 2023 Microsoft bought Nuance Dragon and I guess the big govt contracts knew that DMNE was going away early. I have always been a test pilot for Dragon and got pulled in for the new version. My feedback was and still is - this sucks. I still have to teach it ONE.WORD.AT.A.TIME and it still screws up and even misspells MY NAME regularly. If I could buy the old version anywhere, I would. 1 Quote Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted June 13, 2023 Administrator Share Posted June 13, 2023 3 minutes ago, Reality Check 2 said: Microsoft bought Nuance Dragon and I guess the big govt contracts knew that DMNE was going away early. I have always been a test pilot for Dragon and got pulled in for the new version. My feedback was and still is - this sucks. I still have to teach it ONE.WORD.AT.A.TIME and it still screws up and even misspells MY NAME regularly. If I could buy the old version anywhere, I would. You used to be able to Drag-and-Drop an audio file onto the Dragon for Mac icon and get a transcript. Dragon has been being de-featured for years. I have to use it under Windows now. Why? They had a perfectly good Mac version. 1 Quote Link to comment Share on other sites More sharing options...
Moderator ventana Posted June 17, 2023 Moderator Share Posted June 17, 2023 On 6/13/2023 at 12:50 AM, rev ronin said: You used to be able to Drag-and-Drop an audio file onto the Dragon for Mac icon and get a transcript. Dragon has been being de-featured for years. I have to use it under Windows now. Why? They had a perfectly good Mac version. Big business trying to milk every last dollar out of product. 1 Quote Link to comment Share on other sites More sharing options...
Boatswain2PA Posted April 1 Share Posted April 1 I've never been able to use Dragon type programs for 3 reasons. 1. My voice must have some issue being recognized by ALL voice recognition programs. Tried Dragon for a few days....clearly wasn't gonna work out cause it just didn't get me. Fast forward to today when anytime you call a big company you have to go through their voice recog AI to get to right place....it never understands me. 2. I can type exceptionally fast, and typing/writing helps me formulate my ideas/ddx/MDM. I'm sure some people can do that with voice, but I have never developed that skill. 3. If it DID understand me, it would capture me repeatedly saying "I fu<%ing HATE Meditech", or "I fu<%ing HATE Cerner", or "I fu<%ing HATE E-Tsheets", or "I fu<%ing HATE CPSI" as I'm trying to pound out my orders, finding information, or capture my MDM....and one of those phrases would repeatedly find itself in the EMR. 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 2 Moderator Share Posted April 2 We are using an add on app called PowerMic mobile, which is a phone-based app specific to each user. It does what dragon is supposed to do. I actually really like it. You log into dragon then launch the app and talk into your phone and it shows up on your screen. Very few typos. 1 Quote Link to comment Share on other sites More sharing options...
SedRate Posted April 2 Share Posted April 2 11 hours ago, Boatswain2PA said: I can type exceptionally fast, and typing/writing helps me formulate my ideas/ddx/MDM. I'm sure some people can do that with voice, but I have never developed that skill. Same here. I routinely go back and forth to add in things I might've missed on the first pass. 5 hours ago, EMEDPA said: You log into dragon then launch the app and talk into your phone and it shows up on your screen. It's very handy indeed, when it works. Oftentimes, my connection isn't great so I'm having to reconnect multiple times or dictate again. And sometimes I just end up typing because of the frequent disconnections. Quote Link to comment Share on other sites More sharing options...
sas5814 Posted April 2 Share Posted April 2 I learned it transcribes cuss words pretty well.... 1 1 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 3 Moderator Share Posted April 3 16 hours ago, SedRate said: Same here. I routinely go back and forth to add in things I might've missed on the first pass. It's very handy indeed, when it works. Oftentimes, my connection isn't great so I'm having to reconnect multiple times or dictate again. And sometimes I just end up typing because of the frequent disconnections. I use a combination of macros, dictation, and typing when needed. I type with two fingers, maybe 20-30 words a min. Quote Link to comment Share on other sites More sharing options...
SedRate Posted April 3 Share Posted April 3 8 hours ago, EMEDPA said: I use a combination of macros, dictation, and typing when needed. I type with two fingers, maybe 20-30 words a min. Oh boy, that's pretty slow! Haha 1 Quote Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted April 6 Administrator Share Posted April 6 On 4/2/2024 at 6:37 AM, sas5814 said: I learned it transcribes cuss words pretty well.... I've had serious frustration getting Dragon Home to recognize genital words. Quote Link to comment Share on other sites More sharing options...
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