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Subject:
From:
"Jenny Thomas, MD, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 25 Nov 2006 14:25:40 -0500
Content-Type:
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I'm not quite sure this is fair.  If we apply this thinking in reverse, do I, as a 
doc, get to question your entire knowledge base if you say something that I 
think is contrary to what I know or is published?  

I understand that you think that infant feeding should be in the core of 
knowledge for docs, and I don't disagree (and residency programs are more 
and more incorporating breastfeeding education) but to make sweeping 
assumptions about a practitioners knowledge base because of what he/she 
knows or doesn't know about breastfeeding would discredit an awful lot of 
caring, giving, smart physicians.

Plus, our days aren't just about breastfeeding.  Just yesterday, I dealt with a 
teenager with suicidal ideation, parents with concerns about feeding, 
discipline, warts, kids with infections galore, people looking for sleep advice, 
driving safety info, ADHD meds, home violence resources.  I had follow up with 
a child with coarctation, saw a child with congenital nystagmus.  I ordered a 
few tests, scans, and interpreted a few more.  I talked about autism, 
developmental delay, resources for gifted children, the importance of reading 
to your children and tried to get help from a psychiatrist for a child with post-
traumatic stress symptoms from a car accident.  I saw 10 breastfeeding kids.  
I saw 25 who weren't breastfeeding.  

I was not very knowledgeable about breastfeeding until the IBCLC in my 
hospital brought to my attention some thing I could "improve on."  I was not a 
bad doc then, I just had some learning to do.  We all do.  If you are a position 
to improve a knowledge base, I would teach, not criticize.

Jenny Thomas
www.drjen4kids.com

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