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Subject:
From:
gonneke van veldhuizen <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 26 Jun 2008 00:23:53 -0700
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Dear friends,

This is an interesting theme (though I'm indeed not interested in USA reimbursement). 
When we started as LC's in The Netherlands we, too, of course, had to think about the title. We very fast decided to not copy ''consultant'', because in translation that would give a name that resembles that of a lady that does the make-up products home parties and such. In stead, we choose a name similar to the Dutch names for nurses and midwifes: ''lactatiekundige'' (LC) as in ''verpleegkundige'' (RN) and ''verloskundige'' (midwife) (a Dutch midwife is an independantly working HCP who does unsupervised physiologic births inclusing all prenatal and postnatal check-ups). The ''kundige'' stands for ''someone trained, examined and knowledgeable in his/her profession''.
Still, reimbursement is not 100% and only for those who have extended health insurance.

Warmly,

Gonneke, IBCLC, LLLL in sunny southern Netherlands

--- On Wed, 6/25/08, Jeanette Panchula <[log in to unmask]> wrote:
From: Jeanette Panchula <[log in to unmask]>
Subject: [LACTNET] What's in a name?
To: [log in to unmask]
Date: Wednesday, June 25, 2008, 4:31 PM

I had an interesting viewpoint given to me by a physician we were
approaching about getting IBCLCs reimbursed via health insurance (this is a
US issue, so those of you not of the US may find it boring)...

When we discussed reimbursement for "International Board Certified
Lactation
Consultants" he indicated hesitation - and after further discussion (open
ended questions...acceptance...etc...) we learned that the term
"consultant"
in HIS view refers to physicians he "consults with" who are
specialists in
their medical-related field - neurologists, radiologists, etc.  

He is more comfortable using the term "therapists" in regards to
specialists
who address issues such as speech therapy, Physical therapy or occupational
therapy.

I know that in the 80's when the discussion was what to call us - there was
a deliberate moving away from that term "therapy" and thus the choice
"consultant".  I am not asking for us to be re-named at this late
date -
however, we need to know what a barrier this CAN be for us - and work on
ways to address it rather than a "get over it" attitude which will
not win
us friends or influence!

Jeanette Panchula, BSW, RN, PHN, IBCLC
California, USA

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