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Subject:
From:
Lisa Marasco IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 15 Oct 2003 10:48:14 -0700
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Winnie,
I believe in pre-emptive strikes.

I don't remember what your practice setting is, but am aware that most
hospital based-LCs do not necessarily send MD reports. I like to send an
MD report that arrives before mother does. In that report I describe
what I see, especially the extended candida clues (mother's symptoms,
diaper rash, etc), and then add a short note of my experience in cases
with these symptoms. Finally, I share the protocol that is most often
effective, but always state in the care instructions that mother was to
discuss this all with her pediatrician.

What I've learned is that once my MDs make a decision, they are rarely
open to changing it. If, however, I am able to plant seeds first before
mom comes in, she is more likely to get my recommendations.

~Lisa Marasco

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