I would like to know what other PPLC's do about sending reports on follow up phone calls, or phone calls from clients. Do you only send reports to the HCP when you take on a client - or actually see them, or do you send one with every contact (direct visit and phone call, email) you have with her? Example: (conditions have been changed) A mom called 3 weeks ago and asked for initial consult for jaundice. I went to her home, did my initial history/physical exam and observed 2 feedings. We discussed possible low supply and worked on latch, and saw a obvious improvement in milk transfer. I sent a report to the baby's Pedi, and mom followed up with her Pedi as directed by his staff, and the jaundice was resolving. I did a follow up phone call a week later,and learned that the jaundice indeed had totally resolved. I did not send another report to the Pedi, as the condition had resolved, and only old information was reviewed. Fast forward to today. Mom calls me and states that she thought that after wearing an underwire bra mid-week, she had the beginning of mastitis. Mom spoke with her OB towards the end of the week, was going to be seen, but then the symptoms went away, and she canceled her appt. She was concerned about the reduction in her milk supply from the mastitis, and called me about the perceived low milk supply. During this 10 minute phone call, we reviewed the same things that we discussed about earlier with low supply, pumping, but also discussed the signs of mastitis and the importance of seeing an MD if they returned, as well as the importance of continuing bf during mastitis and other typical actions to take. We also discussed Reglan (which the MD had offered due to the decreased milk supply) at mom's request of info. Would you send a report to her OB on this phone call? I feel confident that this educated, second time bf mom will return to her OB for follow up care as needed, as well as for the reglan. Would you have answered her questions over the phone, or would you have told her to set up a follow up LC appointment? If you would have scheduled an appt, how would you say this? I know that I don't want to get into doing "phone consults" as they take time that is not billable, nor can you see the big picture, but sometimes they just need a little information. I don't want clients to think that I just want to come back for a follow up visit for the money, but on the other hand, since I can't perscribe antibiotics would it be better to give her information and tell her to contact her to her OB for an evaluation of the condition that she perceives is resolved? I would love to hear how others handle these types of situations. Thanks in advance, Brenda Dalton RNC IBCLC NW Louisiana USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html