To Bernadette re: 7 day old baby with no BMs:

Once you get the situation straightened out with this baby, it would probably
be a good idea to get back with the ARNPs(Nurse Practioners) who thought this
was no big deal.  That's appalling.

Re: Barabara's comment on avoiding using the term "diagnosis"....I can
appreciate your concern for being misunderstood (or worse) by MDs, but
actually the term "diagnosis" is not exclusive to medicine.  For example, the
term is used in the nursing profession for identifying human response to a
condition or illness, not identifying the pathology itself (which is
medicine).  There are whole (huge) books entitled "Nursing Diagnosis".   This
is written into the definition of the practice of nursing in the Nurse
Practice Act of each state.  One of Webester's definitions of the word
"diagnosis" is "investigation or analysis of the cause or nature of a
condition,situation, or problem (<~engine trouble>)". This is certainly an
accurate description of what LCs do.  Your expertise is in knowing and
diagnosing the difference between normal and normal deviations of lactation
and abnnormal situations that need to be referred to and MD.  I am not an
IBCLC but I am a Nurse-Midwife and in that role make both nuring and medical
diagnoses.  I think shying away from  using the term  cuts short your very
specific area of health care expertise.
Priscilla Tait CNM