In the pre 0.2.8.4 installer it is also necessary to manually fix the Start menu link if you are on Windows which stores programs in a path containing spaces such as "C:\Program Files". Pause on the GNUmed entry and right-click on it, choose 'Properties', and insert two pairs of double quotation marks like in this example: "C:\Program Files\GNUmed-client\bin\gnumed.pyw" --conf-file="C:\Program Files\GNUmed-client\gnumed.conf"