troubleshooting Question

2 Sites, 1 Database Server, site to site vpn = slow...branchcache or something else???

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kevhein asked on
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Scenario is for a dental office with 2 locations, less than 5 users.  Split schedule for entire staff during week, at office A mon,wed,thurs @ office B tues, fri, sat.  Database server running Practiceworks (office mgmt db server) on top of Pervasive SQL 10 at office A.  Sites connected via Cisco site to site VPN, tunnel speed tested at about 3 to 4 mbps.  Accessing files\shares is not a problem, problem is strictly with Practice Mgmt Software and Imaging software (gendex-vixwin application).  Very slow from office B.  Patient comes in, open up their Chart, it's very very slow.  To View, Save Xrays, make appointments, update patient info, etc.  

-Term services not an option, Imaging software and hardware will not work, confirmed with support.
-Adding local server to site b and replicating to site A nightly, much to0 expensive to get a 2nd license of Practiceworks and file sync not supported.
-Physical connection between locations (about 30 miles apart) much to expensive.
-WAN Acceleration, an option, a bit pricey but an option at the moment.
-Branchcache?  Server is running W2008r2 enterprise at site A and workstations are Win 7 at site B, so it can be installed\configured but would it help in this scenario with the Office Management and Imaging programs?
-Any other recommended solutions\options?  Any insight at all would be greatly appreciated, have been banging my head against a wall here for a few months now researching\testing solutions!!!

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