"Practicing Medicine" is defined differently state-by-state, and country by
country.  So, when we "recommend" something that is over-the-counter where
does that leave (leaf?  ha ha) us?  Well, this whole issue could be
diverted by phrasing recommendations such that we are "empowering" mothers
to make the decision themselves.  We provide information, and even
recommend, but they are the ones to make the final decision--hopefully an
informed one--as to whether to ingest something.  This whole issue changes
if we are talking about prescribed substances.  It is critical that we take
thorough histories, including any concurrently prescribed pharmaceuticals,
but remember that even specific foods can interfear with pharmaceuticals.
So, does that mean when we recommend that a mother eat enough vitamin C via
citrus fruits or calcium via dairy that we are practicing medicine?  I sure
hope not.
        I understand the concern about this, but I am also immensely
frustrated by it because we in the US are: so litigious, disempower women,
and don't give opportunities for true informed consent in so many other
areas of "medicine."  Anyone else feel the same way?
TIA
Chris

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   Chris Hafner-Eaton, PhD, MPH         email:   [log in to unmask]
   HSR & Educational Consultant         fax:   541 753 7340
  Health Improvement Research Services  voice:   541 753-7340