About a week ago I posted for an LC who is not on line re:medication
suggestions and the LC.  She asked that I post this response to all of
you.

Many thanks to all who responded to my question about "prescribing"
medications when I talked to a mother about fluconazole.  I
appreciated all your responses and was glad to see that most of you
didn't think I did anything unusual.  On this end, nothing much has
happened.  I've seen the doctor in the hall a few times but we haven't
spoken.  I overheard my manager as she gave him a copy of the
information I had sent the patient (a LLLI information sheet on
thrush) and told him "of course she should have checked with you
first" (picture me gagging behind my office door).  I think the
matter has just been dropped by the manager even though nothing was
really reconciled during our discussion.  As I was trying to get
straight exactly *what* she thought I should do in similar situations
I was even told that I wouldn't be allowed to suggest that perhaps the
patient would like to get a second opinion!  Now, as Paula Conning
suggested, I feel that it is immoral to withhold information that is
likely to help someone.  I couldn't possibly work in a situation that
was that restrictive.  I'll do my best to work around this doc in the
future knowing how he is, but there's no way I could function the way
my manager seems to think is appropriate.  Hopefully, since
the lactation program generates more letters of praise from patients
than anything else, if I can be discreet, I'll stay out of trouble.
:-)    But isn't this all so very silly?  Thanks much, everyone!