-----Original Message-----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Date: 15 November, 1999 3:08 PM
Subject: LACTNET Digest - 14 Nov 1999 (#1999-214)
>There are 5 messages totalling 140 lines in this issue.
>
>Topics of the day:
>
> 1. Mastitis and International Pediatric Chat
> 2. clarification
> 3. diabetes / thrush
> 4. thrush
> 5. .insurance reimbursement
>
>Lactnet Archives are at:
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>To Manage your Subscription, ie go nomail, index, etc, go to:
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>Thanks- Kathleen Bruce, Kathleen Auerbach, Kathy Koch,
>Melissa Vickers, Karen Zeretzke, LACTNET Facilitators
>
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>----------------------------------------------------------------------
>
>Date: Sun, 14 Nov 1999 19:20:23 -0600
>From: Julius Edlavitch <[log in to unmask]>
>Subject: Mastitis and International Pediatric Chat
>
>********************************************************************
>Lactation Chat "Mastitis" will be discussed 11/15/99
>Lead by Kay Hoover MA Ed & Dr Jack Newman
>Starts Monday November 1st at 9 PM NY time
>They are planning a special event every Monday
>I will post them in these updates very soon
>http://www.pedschat.org
>*********************************************************************
>
>------------------------------
>
>Date: Sun, 14 Nov 1999 18:07:33 PST
>From: Denise Punger <[log in to unmask]>
>Subject: clarification
>
>Those notes I posted were from about 7 years ago.They were given in a
>lecture with med students and residents. Half was in caps because those
were
>the actual copies of handouts.I would never tell anybody anything from
those
>handouts now. However, in med school that is what we were actual taught and
>were suppose to manage infant nutrition according to those notes. Nothing
>about breastfeeding was taught. Someone did email me privately and tell me
>Medical College of Georgia was trying to become baby friendly.I posted
those
>notes in part because I suspect some residency programs are still teaching
a
>lot of infant nutrition like that. When I read the notes after 7 years I
>realized why it is so hard to change the way doctors think.They have had
>this type of information drilled into them for several years by attending
>physicians they respect. While, some physicians remain extremely
unrational,
>I think some physician attitudes about breastfeeding could be changed if
>redirected appropriately. The majority just don't even know where to start.
>I also posted them in part because of the discussion on lactnet teaching
>residents, I thought that some of you who have the opportunity to give a
>lecture to med students and residents might find it useful to see what has
>been taught. I suspect my educational experience at MCG at the time was
>similar to what was going on in other schools.
>Again, I would never tell anybody anything from those notes. I hope this
>clarifies. The only advice I would give is to breastfeed. If someone is
>having a problem with formula and they didn't want to breastfeed, I would
>have to refer them to a pediatrician because I would not have any idea how
>to manage the formula problems.
>
>Denise Punger MD FAAFP
>Florida
>
>
>http://doctor.medscape.com/denisepungermd
>
>
>______________________________________________________
>Get Your Private, Free Email at http://www.hotmail.com
>
>------------------------------
>
>Date: Sun, 14 Nov 1999 21:16:18 -0500
>From: Robert Cordes DO <[log in to unmask]>
>Subject: diabetes / thrush
>
>Kathy,
>You posted :
>
>"Hi. There is an association ...
>
>According to Ruth Lawrence's text, 1999, BF: A Guide for the Medical
>Profession, p. 610, "Invasive candidal infection occurs infrequently,
>usually when the individual has other illness, impaired resistance to
>infection (HIV, Diabetes mellitus, neutropenia; decreased cell-mediated
>immunity in premature infants), and disrupted normal mucosal and skin
>bariers and has received antiboitics or corticosteroids."
>
>I would agree with this except for the "rare" part.
>Kathleen"
>
>It is rare. Ruth's text says "invasive". Oral thursh isn't really invasive.
>If this baby was diabetic, type 1, thrush would be the least of it. He
would
>get very sick, very fast.
>Rob
>
>
>Rob Cordes, DO, FAAP, FACOP
>Wilkes Barre, PA
>mailto:[log in to unmask]
>
>------------------------------
>
>Date: Sun, 14 Nov 1999 22:02:31 -0500
>From: Kathleen Bruce <[log in to unmask]>
>Subject: thrush
>
>I neglected to mention that in my packet of thrush information that I lend
>to clients, I also have Kay Hoover's full color brochure on thrush/Candida.
>So incredibly useful and great.
>
>Kathleen
>
>Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
>Williston, Vermont
>mailto:[log in to unmask]
>LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
>
>------------------------------
>
>Date: Sun, 14 Nov 1999 23:25:24 EST
>From: [log in to unmask]
>Subject: .insurance reimbursement
>
>Hi everyone. The weather has been great for us here in the pacific
>northwest, a record on sat of 71!!! Anyway, I am asking for information
>regarding insurance reimbursement. Some of our insurance companies here
are
>telling us that lactation services are part of the global ob payment.? I
>work in an independent ob office. Is this happening everywhere or is there
>any recourse we have as LC's for payment? The billing person for our
office
>asked if there is a letter or something that could be sent to the insurance
>companies as in the past for other problems this has helped. The insurance
>then states that if we collected money from the patient we must refund it
as
>it is a covered benefit. Would it solved the problem if I contracted with
my
>physicians and required the patient to bill the insurance or just pay up
>front? Any information would be helpful, even if it is just a starting
place
>to call. You may e-mail me privately, we were just curious if this was
>happening all over with insurance reimbursement.
>
>Thanks
>
>Toni Myers RN IBCLC
>
>------------------------------
>
>End of LACTNET Digest - 14 Nov 1999 (#1999-214)Hi I just need to go nomail
for a while as life is rather busy at the present With Thanks
Sheryl hampson
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