Fixing Dragon Medical One Slowness on Windows 10

Dragon Medical One and Microsoft .NET

In October of 2017, Microsoft® released a Windows 10 update (Fall Creators) that caused Dragon® Medical One to run slowly when turning on the mic or dictating.

Nuance® identified .NET Framework 4.7.1 as the culprit, and made some recommendations at that time, including:

  • Don’t install the Fall Creators update
  • Roll back .NET 4.7.1 (if you already installed it)
  • Disable all logging in Dragon Medical One

They even pushed out version 3.6.1 to click-once installations, which automatically disabled logging.

Now, there’s a new fix for this issue—and it comes back to the .NET framework. If you’re not in charge of installing Windows updates on your computer, you may want to enlist the aid of your IT department on this one.

Who Is Affected?

  • Any version of Dragon Medical One
  • Running on a Windows 10 computer
  • With .NET 4.7.1 installed (from the Fall Creators update)

How to Fix This Issue

There is a new .NET Framework (still version 4.7.1) that you can install through the Windows Update module.

Go to the Windows Start menu and click on “Settings.”

Windows Start menu - Settings

Choose “Update and Security.”


Windows Settings - Update and Security

Click the [Check for updates] button.

Check for Windows updates

Manual .NET Installation

If you’re a little more tech savvy, you can download and install the .NET update here.