As a non RN, private practice LC and LLLL I am confused and sad.  I am 
due to recertify in 2007 and my liability insurance expires in January 
so my decision making time frame is very short.  I have no idea what I 
will do.  I just spoke with a crying mother experiencing a breast 
infection, a husband out of town on business for the past two weeks, a 
baptism on Sunday and returning to work for the first time on Monday.  
It's my day off but I helped her.  She called at 7:30 am but I helped 
her.  This is what I do.  And I suppose in many cases I could continue 
to do most of the work I do now as an LLLL. 

However, my own personal ethics will not allow me to take money from 
clients if I cannot assist them as I currently do.  My own personal 
ethics will not allow me to not share every bit of information possible 
to help a mother that needs me.  My own personal ethics will also not 
allow me to put my family in the position of being sued and I wonder 
what kind of liability insurance will be available to me if I choose to 
drop my IBCLC status and work with some other name. 

So I am confused and sad.  I'm not perfect. I have moms that I have not 
been able to help as I wished.  I have moms that need more than I can 
give them and I refer them to others that can give them additional 
help.  I learn from this list every day.  I learn from mothers every 
day.   I barely make any money on my LC practice.  After I've paid for 
gas and supplies and CERPS and insurance and books and everything else 
-  there isn't much profit.  I guess I can increase my CERP expenses by 
20% if I do recertifiy . . . another expense to eat at any money I might 
make to compensate me for my time, energy and expertise.

I do not understand how it is ok to simply post this new SOP and the 
information about CERPs on a website.  What if I was an LC that didn't 
belong to this list or didn't visit the IBLCE site occasionally?  This 
entire thing has been handled poorly from the beginning.   Whatever 
happened to an organization being responsible enough to notify people 
about a change such as this - a huge change with major consequences and 
impact on the people the organization certifies?  When did it become ok 
to allow this to filter to people?  If there is a plan to provide this 
via mail when is that going to happen?  Already the CERP calculation has 
been changed for a month and I found out yesterday. As upset as I am 
about this whole issue, I am also shocked at the lack of professionalism 
of the IBLCE to share and disseminate information in a professional 
manner. 

There is so much here that upsets me that I cannot even put it into 
words.  I am grateful for all of you that can.  I write because there 
are many of us who read but don't post who are feeling the same things 
you are.  I will do what I can live with in the end.  At this point it 
looks like that may be closing up shop and moving on in my life.  And 
that's a shame because I live in a large metropolitan area (Milwaukee) 
with very few private practice LCs.  I have no idea how others here will 
deal with this issue but I know that for me, it's an issue that must be 
dealt with almost right away.  There may not be time for me to see how 
this plays out.  And that makes me confused and sad.

Mary Romskog IBCLC, RLC



             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET email list is powered by LISTSERV (R).
There is only one LISTSERV. To learn more, visit:
http://www.lsoft.com/LISTSERV-powered.html