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Must disagree...I also worked 3 jobs while kids little...

Posted By: no work in FL on 2009-06-07
In Reply to: Our priorities are different. - MTmom

but not for a better lifestyle, just to support our family in Hawaii as my husband was low-ranking enlisted military. Please let it go and get back to the original thread... overhiring and waiting for work in the queue and making no $$$ for a decent living.


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And I disagree with that. I've worked home and in-house,
Everyone is different and some people don't rely on jobs to provide social interaction. When it comes to my job, I prefer being at home working independently without a lot of interruptions and enjoy the freedom of working from home. If I were stuck in an office with rigid hours, then I'd be resentful. Personally, I loathe being stuck in an office full of catty backstabbers and love the solitude of home. When I want to socialize, I call one of my friends.

You also have to be able to let QA remarks roll off your back a little, but that only works if you don't have the threat of being docked or terminated as a result of those QA remarks. Find an MTSO that doesn't hold those things over your head (yes, they do exist).

I do think the key IS where you work, but not home versus office - it's finding a company that values MTs, not sees them as mere production machines. They are few and far between, but they're out there. I lived through my share of bad apples in this biz before finding the good ones, so I speak from experience.
I so totally disagree. I have worked with lots of men who are transcriptionists... They are awesome
x
Take it from someone who worked these jobs

The first time you get screamed at... you will want to be home.  People are picky, hard to please, and ignorant.  Makes you wonder where they were raised to think they could talk to people like dogs. 


I have had fingers pointed an inch from my face, I had people get in my face yelling at me (because they got bacon instead of sausage) and I had people throw french fries because they were "cold" when they just came out of the fryer.  I would not serve anything I would not eat.  Then you would have the typical people that come into a sit down place and want their food in 5 seconds and get up and leave right when their food comes out.  You would have the people who nothing was right... For ONE woman I went through 4 steaks (and 3 had to go in the garbage) because first the steak was not well done enough then it was too well done..and after all of those steaks complained so much about the 4th one that she got her whole meal free. 


 


Saddest story working in public was.... 


I had one woman come in from the bathroom and flip out on me for letting her kids eat off the salad bar because they didn't have the kind of money we charged for the salad bar or any of the food in the place.. so when her kids were in the middle of eating she made them all get up while still screaming at me...like I should have known.  Her husband got a 3.99 special and all waters and I gave the girls the salad bar for free (it was with an adult purchase for kids under 10)... Her husband didn't even make it long enough to get his food and the little girls couldnt even eat a full cup of soup. Not only that..her husband and her children were so humiliated that when I went in the back in tears and everyone in the place was silent and came back out they were gone went to the table and there was change on the table (basically what he had and could afford) and he cleaned up the mess and stacked all of the dishes.  I didn't expect anything or WANT anything.  I just felt so bad for those people that they had to be with such a nutcase. 


Stick with transcription.  Working in public will scar you.  It did to me to the point where I just don't even want to go out because people are just plain rude.


Both my kids (age 22 and 24) found jobs in their related field
to their bachelor's right out of college. Maybe you're living in the wrong part of the country. You have to go where the work is.
When DH unemploy I worked 2 FT jobs, about
x
I have often worked 2 jobs, at times 3 sm

Up until my present job I have never worked on a company computer, so that was not an issue.


Be prepared (as one divorced single mom to another) there is almost no such thing as "extras" when you are a single parent.  Dad's usually fight tooth and nail to keep the kids from getting enough child support.  If you live in a state that counts your income (some like California and Colorado do) then the more you work, the less child support you will receive.  Besides which, if he carries them on his insurance that will also diminish the amount of child support you receive.


I didn't get support after about the first 9 months I was divorced and that was 13 yrs ago now.  It was pure and utter hades financially.  I am only just now getting on my feet and the children have been grown and gone for nearly 4 yrs.  I worked 2 jobs most of last year to pay my income tax AND be able to afford to eat and have a place to live.  I am an employee now, have full benefits for the first time since I divorced and according to the IRS calculator, I have satisfied my tax debt for 2008 at this point, provided I don't make more than $40K this year.  Since I don't have to break my back for the kids, I will work and begin to start having a life outside of my job. 


Also, if you are an IC and your ex gets to put the kids' deductions on his income tax and you don't, you are going to really hurt at the end of the year, unless you are eligible for earned income credit.


I would seriously wait and discuss this with both your divorce attorney and your tax accountant.  I should have talked to my tax accountant when the kids starting leaving and I didn't.  I have finally paid off being totally screwed by my taxes.  Tread carefully and remember that the "extra" your kids really want is going to be time with you, away from your desk, doing things with them and helping them make this adjustment.


I have worked so many jobs, so many hours before
in my life it is time for me to slow down and enjoy life more. One thing about working as much as I did in the past, gosh that social security really increased to a wonderful draw now that it has started. I am not planning on leaving MTing but just don’t have to sweat those 2, 3 and 4 jobs at 1 time. I did it, figure others csn do the same. I was young, healthy and willing at that time, now not so much.
Me, too. I told my kids that since they're not in school and I'm working two jobs
just to try to keep the utilities on, they get to do chores. Don't even get me started on holiday stress. My extended family sent me gift cards, so I'm using those to buy for the kids. I even offered to pay them $5 an hour for cleaning so they'd have Christmas money. Instead, what are they doing? Watching TV in their pajamas still. That's OK. I'm about to go unplug all the electronics in the house and give them a big chore list with NO pay.
My kids were out of control before daycare, when they were home with me while I worked all day.
Are you against school too?  I guess you are going to homeschool...... 
I worked grave yard for years but then my jobs all
disappeared by midnight. This very large company said they needed help late and I always did my work, did all the preop hps, etc., but now I am lucky to get 5 jobs a night. This happened to several others that I know, too. It is simply that the off-shore do it cheaper. I did not get paid a differential, either. I just like that shift, but I also need work, so good bye big company
Do little kids like caramel? My big kids won't even eat it! We make the basic Baker's chocolat
s
I never said you shouldn't have kids! Feeling guilty? I asked WHY you had kids.
You clearly stated in your post that you ship the kids off to camp all day, and they're TIRED AT NIGHT!!  You know exactly what you said.  You said it as a PERK - AS IN GREAT! They're gone all day, it wears them out, and so I shovel dinner in their mouths and off to bed!  You can try to paint it any way you want, but YOU SAID IT.  Again, I only hope your kids never hear you speak that way or write that way. Shame on you.  Why have kids at all?  Just another parent who has them, gets rid of them for day AND night, BRAGS ABOUT IT, and then calls ME wicked!  Give me a break!  Camp is fine - its WHAT YOU SAID AND YOU KNOW IT.  Your own words showed your heart. Period.
supposed to be, after people lose their jobs, they are forced to take part-time, lower-paying jobs..
with little to no benefits. service jobs. where are you going to work in a few years, when Medical Transcription is replaced by technology? McDonald's, Walmart? you really going to like that?
Kids are demanding and so is MT work. My question is how CAN you do this with kids, rather than how
When you have two young kids, 11 months apart, (like I stated they are now 4 and 5) and have been doing this since they were born with no help from their father and no family around, YES, the kids get neglected. Part time might work but living on one salary, part time, is not an option. How can you possible tell me that anyone with two young kids can stay at home and work a full-time, 8-hour shift, and still give their kids the attention they NEED. I dont care how good you are at multitasking and how great your organizational skills are. It is a very difficult thing to do. And I am offended by your post making it sound as if it is easy to do.

I do agree that it can depend on how well your kids behave and how well they are able to play on their own. But my kids were not able to play well on their own. They needed constant attention.

So please take the time to realize that there are people out there in different situations than your own.

Reading our posts should help you to understand that everyone has a different situation. I believe everyone should have the right to shares their experiences as it might benefit the original poster in her questions and concerns.

I dont think anyone should be bashed for taking the time out to write about their experiences. I dont usually come on here to argue but you really ticked me off with your post. And try reading the post correctly. I said next time around I would have put them in day care. What I DID do with them was set them up to an activity like art or put on a movie for them. Geez.
Stayed "because of the kids?" I say "leave because of the kids"
You're in no position to buy right now. Keep saving, keep paying down your bills, and for heaven's sake get rid of that dead weight of a BF you're living with. You can do better.
So, should I return the $75 (x2 kids) in music cards I got the kids for x-mas...sm
My son has been telling me about free music sites and I was very leary.  How do they skirt the law Radguy?
I don't have kids, but my Mom was from the "old school," and still had everyone, kids inclu

call her by her first name.  The little neighbor girl next door from the time she could speak called her Aggie (my mom's first name), and they were great buddies until the day my mom pased away. 


I don't think there really is much in a name, but more in the respect you are given and the way you are treated.   Personally, I kind of cringe inside when someone calls me Ms. Anything or God forbid, "maam" (makes me feel like Methuselah!) ... I'm always just plain Merrie.  :-)


But, as someone pointed out, to each his own.  If you want to be addressed a certain way, you have that right, and people should respect that.  I'm glad you corrected the child ... hope it "sticks."    


Several jobs on Monster & CareerBuilder for inhouse office jobs down there through an
s
I did 3 jobs for a while about 3 years ago, you burn out quick, I was doing 3 MT jobs though...after
10 months I cut down to 2 as I don't like to have all my eggs in one basket.  But I am considering going down to 1 in September for my sanity, its a good steady job so financally it should not be an issue.  I have 2 right but have not worked the 1 in about 3 weeks due to some problems at their end, supposed to learn a VA account but not sure if I want to pursue it right now or not, they are waiting to hear from me at this point. I still have a lot going on with chemo, etc. so am mulling things over.  But if you have a full-time day job, then I would just go with 1 part-time MT job at night, unless 1 is during the week, and the other weekends only, then of course you will be working 7 days a week, very tiring I know.  I have been working 7 days a week for 3 years now but I do slack off now and then of course to recharge and get sleep etc. But burnout happens fast and I doubt you want to lose your day job so be careful. Good luck.
Please do not simply give up, kids or no kids!
Talk with a professional. This can be worked through if he really puts forth the effort and you participate. The right counseling can truly make your marriage even better than it was before, if BOTH parties are willing to be honest. Give it a try. Nothing to lose at this point and everything to gain!
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
Two jobs very common, 3 jobs not unheard of.
x
I got up early, worked during naps, and worked when DH got home.

You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.   


I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare.   I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church.   It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option.  The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ.  I finally took my DS out of the program because he stayed sick.  You were supposed to keep them off if they had green nasal discharge and I did, but no one else did.  Every time I got him well after 2 to 3 days back he would be sick again.  Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise. 


Yup! Not only short jobs, but also jobs from
extremely difficult dictators, bad sound files, jobs that need lots of ADT info added, and anything else that is not "easy" to do. I also questioned them about this and was told the same - they do not allow cherrypicking. Definitely not true!
I disagree
Edix/Spheris pays a bonus based on production and QA. The MQ office I worked for didn't give a rats bottom about QA, it was LINES LINES LINES and they paid production bonuses. My company expects the lines with NO bonus, NO shift differential, NO weekend differential, and NO OT. What you download you are expected to do, doesn't matter if it's 200 reports, you better have them done.
I have to disagree with you.
I think that people actually like it. That is the thing. I care a lot if the people are fat and ugly. It is such a weird concept to me. Being extremely thin and beautiful, I can't stand that. I mean, what is the harm in getting plastic surgery or gastric bypass? It will be a very hard thing for me to do.
I would have to disagree with you...
I have lived in California for most of my life and now for the last 6 years have lived in New England.  Yes, it's expensive but not  nearly as expensive as California, especially Southern California.  For instance, a small tract house with 1200 square feet and no yard whatsoever, lined up like sardines  in a can, will run you about 450,000.  We have a 4 bdrm 3ba, in ground pool,1.4 acres, 2,300 sq ft house worth 300,000.  The reason most of theNortheast is so expensive is the high tax burden, with the exception of New Hampshire,which has the lowest tax burden of all 50 states. One thing that is horribly expensive is college tuition, even community college is ridiculous compared to California.
I disagree with you. SM

As the other poster said -- if they're all that concerned, they need to (a) watch who they hire (b) provide the equipment.


No way on this earth I'd grant that kind of access to my computer. They'll have to find another way to calm their fears.


I disagree... (sm)
I believe Silent Type is a totally family based, oriented firm and found them most pleasant to work for before starting my own business.
I disagree
I have been an MT for a fair few years. One of the reasons I chose this career was because of the "bright" outlook. I believed that there really was a shortage of MTs in this country and jobs aplenty. Plenty of MTSOs are hiring, but trying to get my own account has been like pulling teeth. I have had to move out of my city, then out of my state, and now am calling surrounding states looking for work. I have excellent qualifications and reasonable rates, and I can tell you, nobody is interested.
I disagree (sm)

My husband loves it when I tell him I pretend that he's naked.


I mean, wow, lighten up.  I doubt ilovejackbauer is some kind of pedophile so I'm sure it was just a harmless suggestion. This world has gotten way too sensitive.


I have to disagree with
I worked set hours at home with an infant that I was nursing...yes I did! When he needed a change or to be nursed, I took the few minutes, changed him, latched him on, and continued working. It's hard, but not downright impossible. We are women, we can do anything we set our minds to. Good luck to the OP!!!
Disagree - that's all!
x
I have to disagree
My live-in BF's exwife used to do the online game instead and he hated it. No time with him or daughter. He is now pretty much doing the same thing to me with his model airplanes and helicopters. When he works on them and deals with them he does it and nothing else. He is very single minded. If not flying it is working on them, surfing the net for them, talking about them, etc. I have just about had it as well. He says that at least he does not go out to bars and drink. Well if you are not spending time with me and kids and not helping me do things around the house so that I am tired and stressed it is all the same to me. I have been there on both and just because they are not cheating, drinking, drugging, etc does not mean it is okay. If you need attention and help you need it no matter what their reasoning is or hobby is in this case. You have to balance your time. I say what if all I did was play my games or shop or go to the bookstore and had no time for anyone or house work. I have to balance it so that we all function relatively well. It should be equal play time for both of you and equal other stuff too.
I disagree
It involved her when her husband decided to share the info with her. AND they involved him when they brought him into their little THANG. Don't for a minute think it is innocent, or else she would have called his wife to ask where he was at. I think if the OPs husband doesn't set his friend straight about not wanting to be involved in this crap then he is not beyond suspicion. JMO.

And, do you want some unwritten code making a fool out of YOU if your man should decide to start doing the same and his friends (your friends also) know about it!?!?!?!?!?! Come on.

Sorry disagree
Your creditors have the RIGHT to not work with a credit counseling agency.  I tried this route also before Chapter 13 and several chose not to work with them.  Most of the major ones do but some do not.  This is a profitable business that is paying your bills for you working out a credit plan for you and if you miss ONE payment they have the right to drop you and many will.   They also monitor the usage or your credit card use, etc.   Again, there are always two sides to everything but some of my creditors did chose not to work with the agency.  I was told by one of the biggest Credit Counseling Agencies that though most "do work with them, some chose not to and they do not have to as you are the one that agreed to pay back the debt not the credit counseling agency."  But they do have to accept a Chapter 13 order.   So again, look at all the facts and make your choice.   The biggest agency I talked to was the higest for their fees and really did not save me much with my payment but the interest and late fees stopped.  Also if they negotiate a plan to reduce the balance due -- beware that if a credit card compay writes off any amount of the debt -- say that they will settle for 50% of the $10,000 that you owe, then they will issue you a 1099C - cancellation of debt - for the $5,000 that you are not paying and you will have to include that as income on your taxes for the year.  So there are several pitfalls with some of these agencies, just ask the right questions and do some research.  If it sounds too good to be true, it probably is.   Patti
I would have to disagree with you
I just took a job that offered me 7.5 cents per line to start. I just finished my online training for MT at the beginning of August. It can happen, although I applied to every company I could find. I did the legwork and now the offers are rolling in.
disagree
depends on the companies ethics, method of counting, etc. I can do mooocho lines on escription platform but suck on any other platform.
I disagree with others, I think 12 is low
Some MTs make that from a service so you can imagine what the service is charging and they are paying it. With picking up, delivering, printing? 12 cpl is selling yourself way short IMO. Not to mention bringing down the rates overall for others. I would not do it for less than 14 cpl. And if they won't pay that, work for a service that will pay you 10 or 11 cpl, without all the headaches.
I disagree with you
You are very opinionated.
I disagree. sm
I've been in both situations - one punitive, and one that rewards MTs extra efforts. Reward is far more motivating than punishment. Punitive management styles just make employees tense, demoralized, and even more apt to make further mistakes. If it goes on long enough, they become resentful and angry. Ultimately they leave. The way to keep good employees, and to turn marginal ones into better ones, is to reward them for a job well done.
I disagree

...if you Google "new hires" every instance that comes up seems to related to new employees. This was also heard spoken by the Human Resources department.


Diane


I would have to disagree.

an IC work a set schedule.  Unfortunately with this OP being an employee, she must adhere to the strict work schedule.  As an IC, you are not required to work set hours, and if you are being told to do that, then you are an employee and not an IC.  Someone on this particular board posted a link to a court action suit brought against a company classifying an employee as an IC, but was in the wrong because that is considered control due to the fact the work was required back in 24 hours.  Believe it or not, but I read it myself on this board. 


Think about it as a plumber.  When the IC plumber comes to your house, gives you an estimate, do you say to him, now I want this work completed at such and such a time (strict schedule)?  No, the plumber tells you I'll be there between the hours of 9 and 5, and the work can be completed in such and such amount of time given there is no unforeseen problems, etc.  


Now with MT, the usual TAT is 24 hours, but as an IC, you should be able to transcribe that work within that amount of time, but not work a set schedule even if that means typing for 15 minutes, take an hour break, and then type for 15 minutes.


I am soooooo glad the company I work (only one) as I have my own accounts, knows the true meaning of IC.  A lot of these MTSO's do not know the true meaning. 


Furthermore, the accounts I have on my own do not require 24-hour TAT, so that is also something an MTSO will play on when in all honesty they actually have 48 hours or even 72 hours to complete the work.  I'm there, I'm doing it, and I know it to be true!  My accounts are happy with 48 hour TAT.  I QA my own work, which is also another problem in this field.  If there were not so many chiefs making demands, I think the Indians could have more time to do their "hunting" for their bounty!      24-hour TAT should be for STAT requests only. 


I'd have to disagree.

I am my own team.  I am not part of anyone's team because if I was, then I'd get the benefits "the team" gets.  With that said, yes I will charge for faxing and taking the time to do things other than typing.  And, NO, in 10 years, the physicians I type for ask no questions as they charge fees for their different services as well, filling out workers' comp forms, etc. 


So I encourage transcriptionists to charge as such.  If you price your line rate high, they will outsource to a large company that they can pay less, so this may work for you, but not necessarily is the norm.  JMO.


I disagree.
For example, Medquist requires 150 lines per hour for full time with benefits, which is a 1200 line 8-hour day, and that includes ASR. There are high producers who are hitting those numbers, but they are the minority, especially now. Your numbers are great and certainly what I aim for, but may be daunting to someone just getting started if they think that is the norm.

I'm getting paid!
http://boostyourincometoday.blogspot.com/
I have to disagree with you a little on this one...sm
I don't think our profession was "dumbed-down" by people who can't (or won't) do ESLs. It has been dumbed down by the big companies who make the rules and know nothing about actual transcription.

If the companies would tell the clients they need to make their doctors dictate clearly, this would be a moot point. The companies need to come down on the clients and the clients need to come down on their doctors. Dictation not clearly dictated is 99.9% of the problem in any of the transcription I have seen or done in my 17+ years of doing this... both MT and QA.

If you can't understand the doctor due to a heavy accent, background noise, poor quality equipment, or whatever, you can't transcribe an accurate report.

I have seen a lot of changes in the technology of our profession over the years and by all rights we should be making tons more money because of the advances that have improved our production... but why is it our wages continue to go down?

Part of the problem is companies not paying higher line rates, cutting out headers, footers, cc's, etc., but I think the biggest problem of all is how sloppy dictation has been allowed to get by all the doctors, but mostly because of all of the ESL doctors we have these days. It used to be that you had one or two on a large account and now I can honestly say that I bet I transcribe probably 80-90% ESLs and many different nationalities.

Yes, we all need to learn how to do some ESLs, but for crying out loud, the companies need to make it a little easier for us to learn them! And just for good measure...since I'm blithering away for nothing anyway...(teehee)... why do WE have to learn them?... why don't they have to LEARN TO SPEAK ENGLISH?

Sorry if I offended anyone... I'm just tired of not hearing a clear-speaking doctor, whether it be a language barrier, a mushmouth, dictating in a busy hallway full of barking dogs, whatever... I'm just sick of it. It didn't used to be this way. Doctor's used to be polite when they dictated and it showed in their reports.
have to disagree again
I have no help from anyone.. There is no husband in my home to help with my children. I only have on in school, and then still have an 18 month old who is at home full time. I dont believe in allowing others to raise my children, when i am home and perfectly capable of caring for them. Some days, my youngest will sit on the floor by my desk and "work" with me, using an old keyboard i have.

Some days, my children are content to watch TV in the other room, some days they arent. It is a matter of what you as an individual are willing to do in order to make things work, that is all.
And I disagree with you

My two IM's prior to using my company, did use a call in system for several years but after coming to me he told me he would never go back as there was no comparison as to quality, TAT and their satisfaction,  I have talked to them several times about digital as I am set up to do digital and do it for overflow to an old MTs that I used to work for, but they prefer the tapes.  So be it.  If it makes them happy, that is fine for me.  They are stand alone doctors, and they do not like the large companies.   I know that they have been called, e-mailed, etc. but they chose to stay with me.  Like I said, I am not cocky, I appreciate and count my blessing but if they chose to stay with tapes that is fine.  They need the chart notes back on sticky paper anyway so I would continue to deliver and the office staff is overworked enough and would not put it onto them to print the notes.  I actually like getting out and delivering and talking to them.   My surgical oncologists do not even have a computer in the office to do the scheduling, they use an old fashion appointment book and write in their schedules.  And I have talked with them about digital but they like it.  Only have 5 more years before I retire so we will see what they do.   And my price is fair, they pay on time, never a bounced check so we go on as such. 


Sorry disagree

#1 - I have a back up computer,  transcriber, printer, you just plan for this.  You have to be ready for all and everything.   I have been down only one day for computer problems in the past 3 years and that was because one acount I send out via internet, Comcast was down for 12 hours.  But if I am, I make it up over the next few days, the work is still there to do.


#2 - When I am sick my accounts are very understanding and though it does not happen often it does but no problem.  Work is there the next day.  And they do not rush me to get it back.


#3 - My docs provide me with free care and samples of prescriptions.  Saves a lot on my high deductible.  Plus my insurance premiums are paid through my company. Deductible.    


#4 - I contrbute off the top to my retirement fund. 


#5 - I do depreciate my house as I know I will be in it for two years past retirement.


#6 - Holiday/vacation/sick -- I average those into my cpl and charge that. And I charge a reasonable rate to my clients.  They have all been with me for over 10 to 18 years.  Suppose they could leave suddenly but then your hospital based job could be gone in a flash also, that is life. 


#7 - Again I pay less than 10% to taxes and that is with 15% for social security.  And I make good money, I would LOOSE money to work inhouse in a hospital and I have figured it out when offered a job.  I would not have the lifestyle that I have now and I am single supporting myself with a house payment, etc. 


So to each their own, like I said.


You can disagree...but
you obviously did not read my post. The *first* thing I said was to get medical attention. Regardless of what you may think, I am very fond of depression myself. I was diagnosed with clinical depression (yes, the kind where you don't get out of bed) at 17 and have struggled with it since. I am 26. I have also been diagnosed with OCD. Trust me, I know depression. I have been off an on antidepressants since 17, at which time, they saved my life, literally.
There are other aspects to depression, though. If you are not willing to take the steps to get help and take control of your life...then it will contine to get worse.
The main point I wanted to address in my post was a person needs to take care of themselves...take care of the basics. That is a daily choice, although a very difficult one to achieve with depression, BUT not impossible.
My advice:
1. Get seen by a doctor.
2. Get a job.
3. Make the daily choices necessary get the first two things done.

Disagree, disagree, disagree
LIke I explain to my accounts which I have had for the past 20 years, I allot so much time per day for their account.  If they do not give me consistent tapes, then I cannot use that time and carry it over to the next day when they decide to double up on their tapes.  I am relying on that dictation for my pay.  Just like when a patient does not show up.  But again, my accounts were obtained and we went over everything and they are considered "daily accounts."   I have had a couple and when they drop down to nothing, I will inquire as I need to know if I need to search out another account to supplement my income.   I would just nicely ask when I could expect dictation as I need to make out my monthly schedule, etc.  Also if they are not going to use me on a daily basis then I need to reasses my TAT and my price.  But to me, you need to find out what is going on unless you are happy with it this way.  I do not like the unknown, and need to know what I will be receiving daily so I can plan out my schedule and time.  I do not think you were out of line and once I even asked if they wanted their letterhead and envelopes returned as it was apparent that they were using a different service as I had not received anything for a month.  So if it was up to me I would find out either through the doctor or through the manager.  Maybe someone in the office is sending it to someone else and the doctor thinks you are doing it and so that is why he looked at you funny.   Anyway the call is yours, but I would definitely want to know what was going on.   Let us know what you do and find out.