Hi Kathleen, I, too, feel the conflict between meeting client's needs in a timely fashion and taking good care of my family. I have a 3 year old too, and no family support network so I really am in a bind. I also formed and coordinate a hospital based BF support group - this too takes alot of my time. It's so hard having to wear so many different hats and try to maintain an even keel to things. I am pregnant now and am starting to feel my body slow down - but my brain doesn't want to stop!! What I am doing now that seems to help is I schedule pump rentals/purchases ONLYduring the day (I have a home based pump depot like you and I am an at home mom). Pump rentals don't usually require the emotional energy and concentration of a BF consult, and most moms renting a pump don't mind my daughter coming in to demonstrate her proficiency at breastpump use!! Ha Ha I could not offer a mother my undivided attention for a problem solving BF consult alone without my husband here...SO....I usually schedule home visits or home office BF consults in the early evening when hubby can watch my daughter. Exceptions of course do happen, and if a mom really needs to see me, I offer her the opportunity for an office visit, but let her know that I will also have to be sensitive to my daughter's needs, etc. It's a struggle, Kathleen, I know. I'd like to open my own BF clinic someday...but another beautiful baby is on the way!! By the way, RE: Kathy Auerbach's message to get members addresses who are subscribed to LACTNET. I am Wendy L. Reddy, CBC, LC ([log in to unmask]) and I live in Niagara Falls, N.Y., USA. Private Practice BF Specialist/pump rental depot, sitting exam in 96.