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Subject:
From:
"Melissa Vickers, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 30 Aug 1995 22:36:14 -0400
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Hi, all.

I went to a tea at our local hospital for 4 new doctors, 3 of whom are Family
Practice/OBs just out of residency, I think. Nice folks. I told them I was an
LC and was greeted pleasantly. (As background, this hospital has only
recently begun delivering babies again with the help of one other FP/OB who
has been here for a year. He has been supportive of my "propaganda" and his
wife bf their two kids.) Anyway, one of the three new ones today mentioned
that he wanted to have new moms seen in the hospital (yeah!) and I told him I
had done that before (in Atlanta, GA). He wants to figure out a good way to
get that done. I plan to go see him, probably early next week to talk about
what I do, and I am hoping to get into the possibility of seeing these moms.
We are not talking about a lot of babies--the other doctor has delivered
about 17 babies since January 1 of this year and told me he has about 30 more
due before the end of the year (and I assume this is for all 4 OBs, not just
him).

I assume that most likely, if anything comes of this, it will not be as a
hospital employee--or only as a prn one at best--with that few babies. (The
town only has about 5000 people in it.) I'm wondering how some of the rest of
you work within hospitals as a private practice LC? How are you paid? Do you
see every mom or just problem moms? (Moms with problems, that is.... :-) )
 How do you handle differences of opinion with hospital policy (this has
already been an ongoing topic here on Lactnet!)?

When I was in Atlanta, I worked with another LC who worked as an independent
contractor with a hospital there. We would be called in to see moms that the
nurses couldn't handle--and they were quite good. This hospital opted to
train its staff to help the normal course of bf and then only call in the LCs
for more difficult problems--a system I like. We would bill the patients
ourselves, but would chart them through the hospital record system.

I would appreciate hearing any comments or suggestions on ways to approach
this with this doctor who is eager to get something going. You can email me
privately if you prefer.

Thanks!

Melissa Vickers, IBCLC (who may actually get to be an LC here in the
"boonies" afterall!!)
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