SM, I know what you're talking about. I started out in a small hospital and did transcription through most of the 60's. I was basically self-taught, with a little help from the 12 on-staff physicians. Transcription was done on an IBM electric typewriter with Dictaphone dictabelt system. They finally converted to tape recorders and I loved it. I took words home every night and studied. Then, my husband got a different job and we moved to a small town that had an even smaller hospital, and they did not need a transcriptionist.
I would love to find a job doing transcription at home. My husband has COPD, and I really would love to be at home, although he is no trouble and does not require constant care. I am working as an administrative assistant to a hospital president at present, but I have always missed transcription due to the challenge and the opportunity to learn frequently learn something new term or procedure.