I have plenty with them. I work on a radiology acount though so it is not quite the same. I have a secondary acute care account, but never seem to get around to typing on it as I have so much to do on the radiology one. Most of the time the updates I get for the accounts I see fluctuate but mostly have work. I know each account is different. Etranplus has its bad points like any other company. I have certain things I do not like. I have also had way worse experiences. I have found it to be a good fit for me for 15 months now and finally got to do my first love of radiology. I wish you the best. If you need to get a secondary account and then you can decide to keep two or leave one or the other when things stabilize for you. Good luck!