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It's pretty tough to meet a goal if you don't have one in the first place. Goals should be ones that you can attain, so it's perhaps not the best goal to say today you are going to do 5,000 lines. And if you happen to have that for a goal, I'd love to hear from you about how you do that! I had some days like that years ago when I was self-employed, but they were never 8-hour days. Once you determined your goal, track yourself throughout the day. Because medical transcription position are often home-based, it's easy to get sidetracked. Stopping to put in a load of laundry can often mean you don't manage to get back to the computer for a couple of hours and then your entire day is thrown off.
And thoughts of death and dying were entering my mind once again. I even started questioning my spiritual beliefs. Was there really an afterlife? Does life have any meaning at all? Perhaps living was only a waste of time, just one long distraction from reminding us of our mortality.
Prepare yourself to feel badly. Doctors enter medicine with the hope of making patients feel better. However, when delivering bad news, that's not what happens. No matter how people feel before I give them bad news, afterward they always feel worse. If I don't recognize this as normal, that working hard to make people feel good about bad news is not only counterproductive to the grieving process but potentially deleterious for our doctor-patient relationship, in the long run I'll add to my patients' pain rather than diminish it.
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