A few weeks back one of our clients brought an issue to our attention where the dictation box would not capture all of the dictations since they updated to version 4.2. We were able to reproduce this issue and the workaround was to downgrade to 4.1.1.
For users that rely on the dictation box this had a huge impact on their productivity.
Fortunately Nuance has released a patch for version 4.2 that addresses this issue and can be downloaded here.
If you have any issues with this or anything else with Dragon Medical Practice Edition please contact us.