Here in Ariz, we are not offering it to babies born at our hospital. We
carry it for those who are transfers-in from other hospitals and who
started on the product there. Our WIC does not carry it, but will provide
it with a doctor's Rx. Most of our moms are WIC or otherwise low-income
moms. The Sales Rep did try to say that the ordinary version was no longer
being made, and tried the remove/replace maneuver, but we challenged her
statement based on WIC's experience with the product.

We LCs came to our various Collaborative Practice and Process Improvement
meetings armed with documentation from the FDA, the USPTO (thanks Valerie),
and every other resource we could find. Then we were able to talk about
the, so far, unpublished reports from our own WIC of 'no more constipation'
and of outright diarrhea being reported by NABA. This time, the docs
listened to us, their own LCs, instead of the Sales Rep.

We have a birth rate around 500 per month.

Those HBLCs who are not on these kinds of committees in your hospitals,
should be. Stick your noses in and show up!

Phyllis

> Question to all working within hospitals with intensive care nurseries.
>  According to the Mead rep- my facility is currently only one of a couple
> of NICUS within the US that is not using Lipil in the NICU. Is this true?
>  This comment came about after I had met with our Neo staff and suggested
> waiting a year to see what some of the clinical outcomes were with this
> mass US "testing" of lipil. The MEad rep told me that shortly Mead will
> only offer DHA enhanced preterm formula . When I commented that I was
> concerned with this type of "forced marketing trial" the rep stated my
> facility was currently one of the only ones that had not gone on board
with
> using DHA/AA enhanced preterm formula.
>  Is this true? I just remain very concerned that of all the target market,
> our premies are the ones being so quickly forced into this testing period.
> Lisa JOnes


--- Phyllis Adamson, IBCLC
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