----- Original Message ----- 
From: "Karen Gromada" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, December 13, 2007 1:14 AM
Subject: Re: [LACTNET] client with severe nipple pain


> Since you followed up after the visit, I'd think the ball is back in
> the mom's court -- she knows how to reach you for further follow-up.
> Not sure if any of this may help if/when she calls back or in the
> future...
> So something is still not
> quite right. What do you think could be behind the pain?"
>
> When a mom hasn't tried any strategy we discussed, I do two things.
> "Is there a part of one or more of the suggestions that you think
> may be workable for you?"

**(I snipped here and there...)
Thank you, Karen, for your suggestions. I just posted about the somewhat 
more negative side of the picture, so to speak, but I also love the side you 
are presenting.
Establishing trust between the mother and yourself is very important and I, 
too, like to get deeper into what moves women.
I really like how you described your way of friendly 'confronting' a mother 
with, what is called in active listening, the-question-behind-the-question. 
Your I-messages create an open atmosphere, in which you give an opening and, 
like you said, make clear that nothing human is strange to you. Thank you, 
for your description!

Warmly,

Marianne Vanderveen, Netherlands

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