I understand what you are feeling. You have been forced into making a change since the hospital outsourced your job. So now you are in a situation beyond your control. Working on-line is much different. You have to produce much more, and even get paid less at times. My first question is, how long has it been since you have gone home and are working for this company. It does take some time to get used to working basically "independently." Then, after you decide if you have given it enough time, I would say if you are still not happy to look into other options. I worked in a hospital setting for a long time, but it was my choice to leave and go to a big company on-line. It took me a year to get used to it. I really like the fact I work from home and really feel independent of it all. The thing I do not like is the pay. The fact you have to produce so much to make so little, but that is because of speech recog. Hope that helps. If more questions, I will be glad to try and anser.