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Subject:
From:
Marianne Vanderveen-Kolkena <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 5 Aug 2008 12:42:10 +0200
Content-Type:
text/plain
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text/plain (58 lines)
----- Original Message ----- 
From: "Jaye Simpson, IBCLC" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, August 05, 2008 7:06 AM
Subject: Re: [LACTNET] angled shields

**Hi Jaye,

Interesting issue, with the flanges. I'll see what I can do to get a hold of 
them.
Partly thanks to the discussion here, I decided to advise a mother to get 
bigger shields, as I noticed her nipples getting stuck in the tunnel. I 
think it is a good thing, carefully observing what happens when a mother is 
pumping and for us, too, it is a matter of learning to make a good 
assessment in this subarea of consulting. Thank you.
Something else, I have been thinking about several times before:
> (again stating that I sell them.so therefore have financial interest - 
> then
> again I also sell Medela stuff too.)

Personally, I have no problem whatsoever with people explaining why they 
think the product they use or advise, is a good product. I look at it the 
other way around: we wouldn't be using or advising it, if it weren't a good 
product, would we?! ;-) So you make a few bucks by selling the product... 
who cares? We all have to eat and at least try to compensate for the money 
invested in our training and our valuable books and other expenses. Isn't 
that (and the fact that professionality and skills and competencies deserve 
to be paid for...) why we charge a consultation fee? Shouldn't it be in the 
heart of how we practice, that we always keep the mother's interest in mind 
when selling her something? If people still have a Lactaset, I only sell 
them a membrane and maybe a tube, to get their old stuff attached to a 
Symphony, because for them, that is the cheapest solution. For me, it brings 
less, but I feel it is unethical to charge more than necessary. It will 
probably pay in the long run, because people will trust you, when you offer 
good stuff, not unnecessary items, for a fair price.
Bottom line: it should not be necessary to constantly reaffirm that we don't 
discuss certain items to promote them, but to spread knowledge about their 
usefulness *for mothers and babies*. Not exploiting moms to our own 
advantage should be our basic attitude. If not, we are acting against the 
Code of Ethics and that should really bother us, even if noone else knows 
about it...

Warmly,

Marianne Vanderveen, Netherlands (and eagerly awaiting the exam results... 
:o))

             ***********************************************

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