This is in response to a post a few days ago about the baby with slow growth
and a relaxed pediatrician. Without getting into the issue of whether or not
this baby's weight was a concern, I'd like a suggest a way to communicate
with docs who may need some education on lactation issues. Consider sending a
consult note to the baby's doctor. These are usually routine from medical
specialists (and often "paraprofessionals" in practice) and are a great way
to update the primary care doc about what has gone on with the patient, as
well as to educate. I personally learn alot from referral letters, and you
can phrase things in such a way ("as you probably know,") that even a
defensive doc probably will be receptive. You could include an article if
applicable. I'd probably start with "Thanks for referring so and so for her
such and such..." --even if the doc didn't refer the patient, the seed will
be planted. At the end of the note I'd encourage them to call if you can help
further. Maybe you already do this, but I've never received a consult note
from a lactation consultant and it may be a great way to help us docs learn
the ropes!
Jennifer Cox, MD
(pediatrician, Salt Lake City)

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