Kathleen,

I appreciate your comments about private practice.  A former LLL leader
myself, I find especially with phone help, that I fall into the trap of
giving free consults.  Sometimes I'm quick enough to think on my feet and
give my spiel about my fees for HV/phone consult but other times moms are so
frantic they've already spent more than five minutes spilling out their
problems and receiving my replies so to ask for reimbursement after the fact
seems inappropriate as moms should know upfront that there is a charge (this
applies to phone help without HV; if mom and baby warrent a HV that's
identified quickly and then I don't mind spending 15 min outlining immediate
interventions until HV possible).

You stated: "If someone needs to talk over a situation, and they do not want
a consult, and if it takes more than 5 minutes, they can call upon the
resources that are in place for phone help, or we can arrange a phone
consult."  When do you bring up phone consult fee?  In the beginning or after
5 min goes by?  And out of curiosity, generally what are moms' reactions?

Thank you.
Barbara Latterner, BSN, RN, IBCLC


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