Good morning all...

Gail says "It was remarked that change is especially hard for doctors.
That's because doctors don't like to be told what to do. [That is probably
a part of the
motivation for choosing a career that requires so much time, money and
effort to prepare for] The best way to effect change is let the answer
become apparent from the evidence you present. People put a lot more stake
in the information that they "own" by reasoning things out, than by
information that is just handed to them.
Gail S. Hertz, MD, IBCLC"

Gail, I don't think that any professional in general likes to be "told what
to do,". I don't know anyone who does.

It isn't the most pleasant way to acquire knowledge, as it can imply error
and stupidity, and judgement. However, I feel that there is an onus of
responsibility on the part of those managing care to keep current on
lactation science, much as one would with the science of diabetes, heart
disease, etc.  This responsibility is very often not taken seriously by
some physicians, I am sorry to say.  Again, personal experience and prior
suppositions replace science as the framework for practice in some cases.

The problem I have is walking on eggs around others who should be current
on information...making it seem like it is their idea, coddling and as my
14 year old would say, "kissing up."  I do not expect that treatment from
others, and I bristle at the suggestion to do it when in professional
discussions with colleagues.  It is a little bit like being the nurse in
charge of coffee, if you know what I mean.

Doesn't sit well with me. I fully realize that there are ways to
communicate in respectful and professional ways with fellow colleagues, but
I wonder why, in a sociological sense, the issues presented in the body  of
lactation science are often ignored by those who manage the complex
lactation problems. It is difficult to be the one to present information
over and over, in a respectful way, only to be ignored or brushed off as a
renegade.

It is time for those in charge to take it as seriously as they do cigarette
smoke risks, etc.  There really is no excuse.



Kathleen


Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
mailto:[log in to unmask]
http://homepages.together.net/~kbruce/kbblact.html
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