In a message dated 11/16/0 9:20:50 AM, [log in to unmask] writes:

<<  So, the problem is when someone calls

for LLL, but has a problem that clearly needs to be seen by an IBCLC >>

My approach to this has always been, if the mother calls me as an LLLL, then
I see her as such, no matter how complex her problem. Becoming IBCLC was a
formality I chose b/c I worked in a hospital setting where how skilled you
were was far less important than your initials. So, b/c I did not take extra
courses, etc to become an IBCLC, I did not feel the need to charge for skills
I already had as a Leader. I do always tell the mother that I am also an
IBCLC, so she realizes that not all Leaders are trained to the degree that I
am. In the past couple of years, though, I see fewer and fewer mothers as a
Leader, as I have been on Reserve. Usually they are referrals through a
midwife or a friend.
Jennifer Tow, IBCLC, CT, USA

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