I have the pleasure of being a colleague of Nikki's so I am absolutely
confident that no toes -- cultural, societal, age, sex, professional -- were
inadvertently stepped on during her visit with a family where the father
served as translator.  She is a model of warmth and encouragement in any
setting, and has a real way with words to help parents "see through the
baby's eyes."

Here is the piece that jumped out to this fellow lactaiton consultant in
private practice:  not accepting a full fee because the baby didn't latch
and BF after an exhausting consult.  We aren't paid for result...we are paid
for our expertise.  The dad in this scenario absolutely pegged it when he
said that Nikki was the "expert" (ref: paragraph above).  As LCs in PP we
can always reduce or waive our fee for various reasons (helping out an
unemployed or student mom, for example) but the fee should not be tied to
the result.

We all have consultations that haunt us, but I suspect the reason they haunt
us is that despite our dilgent, respectful, honorable and evidence-based
effortrs to assist a mother ... there is no guarantee of a magic wand to
"make it happen."


-- 
Liz Brooks JD IBCLC FILCA
Wyndmoor, PA, USA

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