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Subject:
From:
Kermaline J Cotterman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 17 Feb 2000 02:13:07 EST
Content-Type:
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Kathleen,

AMEN to a great deal of the message from the longtime subscriber.

By now, I can recognize subjects and questions that I know are in the
archives. When someone new to the list re-asks, I am pulled in 3
directions

1) -to ignore the post,  as I feel sure someone will refer them to the
archives. It seems curt to me to refer a "rookie" without a hint of what
to look under, and I haven't tried it enough yet myself to give good
hints.

2) or sometimes, reply both to them and the list, hoping my need to try
to choose just the right (and usually, quite a few) words to articulate
my thoughts doesn't come off as "being a ham or a know-it-all", posting
too often, and in too much detail.

3) or to reply to them privately, (e.g.  a consultant to another
consultant) which I often do, again feeling safe that this person has
requested anybody's $.02, and they can use, compare or discard mine. I
have had the pleasure of expressing my insights while possibly helping
someone less experienced or more isolated geographically.

I tend to do this especially if I have a totally different approach which
I know differs from the general consensus to the same question posed in
the past. (I do beat what many consider to be dead horses, I fear.)

My own integrity will not allow me to just discard my past experiences
and intuitions willy-nilly because someone else disagrees, unless I am
convinced I have learned something better.
Just because something is not evidence-based YET doesn't mean it might
not someday be so.

Of course, it is important, to FIRST, DO NO HARM.  But there is much
still waiting for future research to sort the evidence. In the meantime,
I think clinical impressions both pro and con still have their place in
everyday practice.

Can we learn to disagree without being disagreeable? For the sake of
preserving the terrific networking potential of this  forum,  perhaps
'tis an art worth cultivating.

Jean
***************************************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA


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