Hi all-it is just wonderful getting all this mail, even if it DOES take an age to read it all. It's just like going to Medline and the ILCA conference every day (well, almost...!) To the meaty stuff: thanks Ellen for your input,esp. on reimbursement issues. Being a hospital LC, and now opening private practice, it's a BIG issue for me. Regarding using Lactation Services as a selling point for a hospital: In the past that was definitely a valid strength, but with managed care, may decrease in importance somewhat, as it is not the consumer who chooses the hospital for the delivery but payor, and it is $$$ that influences the choice. SOOO, we have to shift our focus and strategize on convincing the HMO, Insuror, etc. that our services, however we provide them, SAVE $$$ UP FRONT. Not always easy to do! I'm enjoying the discussion on Prozac, & colitis. May I suggest that we all tr y to quote pertinent articles when possible so that we can look up the sources we need? Feel like I've joined a lot of friends! Denise Mollenkopf, RNC, IBCLC - Florida