In a message dated 1/10/2006 12:07:21 A.M. Eastern Standard Time,  
[log in to unmask] writes:

What do you do when your client, who's been working so diligently to  
protect/build her milk supply while struggling with her infant's suck  problems, goes 
in for a well baby check and to ask for a ENT referral for  frenotomy and the 
Dr. tells her that "Nobody works this hard at  breastfeeding...why don't you 
just give up?">>
 
Couple of things to mull over:


Option 1: Knee -jerk: Tell your client "Nobody  works this hard at being a 
baby's doctor who is not  knowledgeable about and supportive of Bf, and may 
therefore be  clueless and unsupportive about other important baby issues, ...why 
don't you  just give up and find a decent doc?" 
 
Option 2: wait till you are calm and convey  the above opinion in a really 
professional and objective way,  ....and, so she gets a clear message that you 
do care and are there for her,  get eye level with mom, leaning in slightly 
with the whole body language thing  going on: "How did you feel about this 
advice?, ....yes, ((HUG if  appropriate)) what was your response to the doctor?, 
...were you satisfied  with the doctor's care?....what do think are some options 
for you are?,  .......blah blah blah, more professional and objective type 
chit chat that  leads her to asking you if she should find a new doctor, ..."ah, 
very good  idea, I 'm glad you thought of that, many new parents have found 
that to be a  good strategy for reaching their goals in the best interest of 
their baby",  .....then promptly give your client a list of Bf friendly and 
knowledgeable  pediatricians/HCPs, .....if she is stuck in an HMO type situation 
encourage  her to interview all the available HCPs for a baby doc that fit her  
needs.
 
Continue your kind and empathetic support that this  mother needs so much.




 
Debbie  Tobin
RN BSN IBCLC LCCE


www.BestBreastfeeding.info

Fairfax  County, Virginia suburbs outside the Washington DC beltway 

where today's weather felt like a typical winter day -  in Florida

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