Dictating plaintext and copy/pasting works for writing code, but navigating through VS menus and code files and e.g. running unit tests is still a nightmare. Maybe an accessible mouse would help.
It sounds niche, but Visual Studio is perhaps the most popular IDE, and Dragon is the only real option for voice access on PCs. Any programmer without use of her hands would need this. It suggests that none of the programmers on the Dragon team have really dogfooded their product, at least for accessibility.
What I find truly heinous though is the Chrome plugin. It has two stars and thousands of reviews, and either doesn't work at all or breaks minutes in. When it works it's great, but it almost never does.
Something like X-Keys L-Trac (Formerly CST2545-5w)
I've developed carpal tunnel, and to mitigate my problems I now use a mouse at work and trackball at home (strain different muscles). The clicking of the mouse bothered me for awhile, so for that I tried two mice. Right hand would control position and left hand would do the clicking. A foot pedal for the clicks would have been so much less awkward.
It seems very niche, which is why I'm not surprised not to see mention of it in the docs?
Why did you see it as particularly curious that VS and Dragon weren't setup for interoperability?