I use Dragon Dictate Medical to dictate my notes; however, lately I've been using Heidi more and more due to its speed and accuracy. One thing Dragon has that Heidi doesn't is voice activated Macros. I would if Heidi can understand certain programmable commands so that it can follow a sequence of Macros but even better than that would be if a command can be linked to a hotkey sequence. For example if I say 'Print this', this will trigger the hotkey sequence Ctrl + Alt + P. And since I have already programmed this hotkey sequence to follow a sequence of commands using Auto Hotkeys, this will make things a lot simpler.