In a message dated 2.6.03 7:35:48 PM, Nancy writes:
> I am not defending healthcare providers who do not keep current (but I
> do know surgeons who don't use the latest techniques and
> gastroenterologists who think breastfeeding is a "fad"), but we all
> can't keep up with everything. I don't read the articles about
> endocrine disease, or renal disease, or outpatient pediatrics. I even
> rely on my partners when it comes to the best ventilator or newest
> medications, as they rely on me for nutrition issues. We need to educate
> enough physicians to "plant" one (like the ones here on
> Lactnet) in each NICU and Pediatric, FP and Ob-Gyn practice round the
> world!
>
A dream come true!
However, so many physicians see themselves as *the holders of the keys* when
it comes to health care that there is little incentive for them to
change......perhaps what we should realistically strive for is a NNP
(neonatal nurse practitioner)/IBCLC in every NICU, a CNM/IBCLC in every OB
group, a RD/IBCLC ..........
Jennifer also writes;
>>Add to this a general
feeling of disdain for non-physician health care providers (nurses, physical
therapists, lactation consultants, dieticians, etc.) that many physicians
seem to feel and you have someone with a lot of power in the medical field
with very little knowledge, and often very little willingness to defer to
someone who does. I'm not sure where this disdain comes from<<<
beautifully and bravely said, Jennifer!
I think that it comes, at least partly, from *some* MDs height up on that
pedestal! To accept input from someone that they view as less educated
(ie. less intelligent!) is too much of a blow to their egos. Also, as an
RN/LC, I have found the business of interacting with MDs in such a way as to
stroke their egos in order accomplish what needs to be done to be an
*exhaustive process*, especially in the hospital setting and much more so
than when I was *just* an RN .
Nikki Lee wrote;
>>Go Barbara, go! And anybody else that has a chance to talk about the
cost savings of bf to a cash-poor community, city, state, or nation.
One might also mention that the CEOs of the HMOs and insurance companies
would probably rake in another million or so a year if babies were breastfeed
according to AAP policy, and the companies weren't paying out so much to take
care of diseases in mothers, babies and children.<<
Since the almighty dollar is the ultimate change agent, perhaps we *should*
redirect some of our efforts towards enlisting the support of the insurance
industry and leave it more to them to *enlighten* the MD community.
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts
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