Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 40 dollars? for a home visit? if you spend 1.5 hours with the client and travel 30 min. each way, that's 16 dollars/hour! I think you're worth more than that! I charge 165 dollars per home visit. 125 if they come to me. that includes lots of travel time, follow up calls and comm. with drs. THINK ABOUT WHAT YOUR TIME IS WORTH! I would reduce my rate if someone was sending me tons of clients, but it would have to be significantly more than what i do now. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com See breastfeeding articles at www.fertilefoods.com--- Subject: What should I charge?To: Date: Saturday, October 24, 2009, 3:05 PM Would anyone care to share their fee schedule? I am not sure how much the hospital charges for consults here. Do most PPLC's aim to charge a similar rate? There aren't any in my area, and since I'm in a small city in the south, I'm guessing I'll need to charge less than most in the US. How do you find out what insurance will reimburse for and how much? Someone asked me the other day if they sent me many clients, would I do home visits for 40$. Wanting to do the profession justice, I said I'd try and find out what my rates should be and get back to them... Any feedback? Thanks so much! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com See breastfeeding articles at www.fertilefoods.com--- Subject: What should I charge?To: Date: Saturday, October 24, 2009, 3:05 PM Would anyone care to share their fee schedule? I am not sure how much the hospital charges for consults here. Do most PPLC's aim to charge a similar rate? There aren't any in my area, and since I'm in a small city in the south, I'm guessing I'll need to charge less than most in the US. How do you find out what insurance will reimburse for and how much? Someone asked me the other day if they sent me many clients, would I do home visits for 40$. Wanting to do the profession justice, I said I'd try and find out what my rates should be and get back to them... Any feedback? Thanks so much! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 i think geographic location has a LOT to do with it. our rates are similar to renee's and we are in a similarly sized city with similar economic stats. a small city in the south might need to be significantly less. and so is the cost of living... you can see our fees here; http://www.zenana-spa.com/services/wellness/beyondbirthconsultation.php lyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 Holly, How long does it take to do a home visit? Including driving time, I expect that it is going to be around 2 to 3 hours. Plus any charting/reports you have to do when you get home. Aren't you worth more than $13/hour? I would think so -- even in the south... Someone asked me the other day if they sent me many clients, would I do home visits for 40$. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 I agree with ,We are lactation consultants we can't see multiple moms at the same time like many other HCP (I am aware how ironic this sounds too). I remember one of the insurance companies offered me less then $20 for reimbursement and I got this image of putting 8-9 moms in a room and extending my tentacled arms to help them all in the same time to be able to make it worthwhile) You may like to start with a little lower than the norm around your idea, and when your name gets around you can increase it accordingly. Good luckAnn Faust, Columbia, MD (where everything is very expensive but BF BabyAndMeLC.com2009/10/24 Beebe  40 dollars? for a home visit? if you spend 1.5 hours with the client and travel 30 min. each way, that's 16 dollars/hour! I think you're worth more than that! I charge 165 dollars per home visit. 125 if they come to me. that includes lots of travel time, follow up calls and comm. with drs. THINK ABOUT WHAT YOUR TIME IS WORTH! I would reduce my rate if someone was sending me tons of clients, but it would have to be significantly more than what i do now.  Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com See breastfeeding articles at www.fertilefoods.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 I am thinking about this too. I live in a semi-rural area and am the only IBCLC for about 50 miles. However, I don't think families would be able to pay $70-$100/hr for LC services. I agree with that starting lower and then building up clientele might work the best. le Hathaway IBCLC, LLLL, WIC Cape Cod, Ma Re: What should I charge? Holly, How long does it take to do a home visit? Including driving time, I expect that it is going to be around 2 to 3 hours. Plus any charting/reports you have to do when you get home. Aren't you worth more than $13/hour? I would think so -- even in the south... In a message dated 10/24/2009 5:06:28 P.M. Central Daylight Time, hollymasoncharter (DOT) net writes: Someone asked me the other day if they sent me many clients, would I do home visits for 40$. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 I'm with . $40 per visit is ludicrous. How much would an LVN get for a home health visit in your area? I charge a flat fee of $95 whether the visit takes one hour or three, plus extra for mileage. Ends up anywhere from $95 to $125. Other LCs in my area charge more, but include a follow up visit in the fee. - in Texas Subject: Re: What should I charge?To: Date: Saturday, October 24, 2009, 6:31 PM 40 dollars? for a home visit? if you spend 1.5 hours with the client and travel 30 min. each way, that's 16 dollars/hour! I think you're worth more than that! I charge 165 dollars per home visit. 125 if they come to me. that includes lots of travel time, follow up calls and comm. with drs. THINK ABOUT WHAT YOUR TIME IS WORTH! I would reduce my rate if someone was sending me tons of clients, but it would have to be significantly more than what i do now. Beebe, M.Ed., IBCLC Lactation Consultant/Postpart um Doula www.second9months. com See breastfeeding articles at www.fertilefoods. com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 a has a good question. I think when you are looking at office visits you should see how much a typical well baby pediatric charge is. That's a good starting point, and will give you a sense of charges in your area. Remember that a well baby visit with a pediatrician will last -- maybe 10 minutes. However, I am NOT a physician, and I don't file insurance for my parents like the peds do, so I'm not going to charge proportionately more -- but I will charge more -- probably around 30%. That would be for an office visit which is generally 1.5 hours depending on how cooperative the baby is. I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. I don't do home visits any more because I simply don't have the time. But if I did, I would probably tack another $30 to $50 on my office charge because of the amount more time it takes, not to mention having to remember all that *stuff* you have to schlep with you. Even in the Chicagoland area you will find differences in charges, depending on where in Chicagoland you are. Someone on the North Shore for example, can charge a lot more than someone working on the south side, and I will charge less than someone who works in the Lincoln Park area, and certain less than someone working on the Gold Coast. If I filed insurance for my clients and waited to be paid by the insurance companies, I would charge more. I don't -- I will give them a superbill and they can bill their own insurance. Recently I've been getting notices from Blue Cross/Blue Shield that my services have been completely reimbursed. But that is new -- either my parents hadn't been sending my superbills in, or they hadn't been reimbursed in the past (quite possible -- I've been doing this for 25 years). I stopped renting pumps the end of 2007 when I discovered that I had *made* $9.00 TOTAL off the 8 or 9 pumps I had. I used to sell pillows, but don't any more. Need to sell the rest of the slings I have, but I might end up just giving them away as gifts. Most recently my son went to visit some people in Amman Jordan, and in the family with whom he was staying, the woman was pregnant, so I sent her a sling as a gift. I give 1 ounce syringes & 36" french feeding tubes away -- generally several sets if a mom is going to use that. I tend to give nipple shields away as well if we determine she needs to use one. And followup weight checks are free, though I liked Lyla's fee for that -- if over 20" a fee will apply. I tell them if they sit down to do more than dress & undress the baby for the weight check, I'll have to charge them.... I find that a lot of what I do and don't do sort of just *fits* my personality and what I feel comfortable with. Since I recently raised my prices just slightly, I feel much more comfortable with giving little items away. I don't carry much -- haven't used an SNS in I can't tell you how long, primarily because I like to use the syringe and feeding tube (never with the plunger, by the way). Don't know if this helps or not. What I find is, that it isn't terribly useful to know what charges in Seattle (?) and/or Lyla in Portland because I expect the cost of living out there is much greater than in the midwest, just as someone in NYC is going to charge more than someone in downtown Detroit!! That's why I like to get an idea of a well baby check up (without vaccinations) because I have some sort of frame of reference for health care charges in my area. Jan Barger, RN, MA, IBCLC, FILCALactation Education Consultantswww.lactationeducation.com How much do a HCP charge in your area? HHugs martina Re: What should I charge? Holly, How long does it take to do a home visit? Including driving time, I expect that it is going to be around 2 to 3 hours. Plus any charting/reports you have to do when you get home. Aren't you worth more than $13/hour? I would think so -- even in the south... In a message dated 10/24/2009 5:06:28 P.M. Central Daylight Time, hollymasoncharter (DOT) net writes: Someone asked me the other day if they sent me many clients, would I do home visits for 40$. __________ Informazioni da ESET NOD32 Antivirus, versione del database delle firme digitali 4541 (20091025) __________Il messaggio è stato controllato da ESET NOD32 Antivirus.www.nod32.it Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 As I come as many of you from LLL volounteering, it was a big challenge for myself to learn to ask for money. One thing i started to think was "how much charge a woman who cleans my home?" Of course we aren't cleaning women. I am not telling you that I despise (sorry, I found the word in the dictionary, hope it is the right one) cleaning women! I think that every work done with care and honesty is respectful. But I think that we have worked for many years so hard, and learned for hours and hours and passed an exam really not easy, so I think it is faire to ask something more than a cleaning woman I live in Italy and ask 70 € for the 1st visit (at least 1.5 hrs), € 60 for the 2nd or more. Tel. calls for follow up are intended included in the charge. For home visit I add 20 € or 20 €, depending from how much the mom is far from my home/job Hugs martina What should I charge?To: Date: Saturday, October 24, 2009, 3:05 PM Would anyone care to share their fee schedule? I am not sure how much the hospital charges for consults here. Do most PPLC's aim to charge a similar rate? There aren't any in my area, and since I'm in a small city in the south, I'm guessing I'll need to charge less than most in the US. How do you find out what insurance will reimburse for and how much? Someone asked me the other day if they sent me many clients, would I do home visits for 40$. Wanting to do the profession justice, I said I'd try and find out what my rates should be and get back to them... Any feedback? Thanks so much!__________ Informazioni da ESET NOD32 Antivirus, versione del database delle firme digitali 4539 (20091024) __________Il messaggio è stato controllato da ESET NOD32 Antivirus.www.nod32.it Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 How much do a HCP charge in your area? HHugs martina Re: What should I charge? Holly, How long does it take to do a home visit? Including driving time, I expect that it is going to be around 2 to 3 hours. Plus any charting/reports you have to do when you get home. Aren't you worth more than $13/hour? I would think so -- even in the south... In a message dated 10/24/2009 5:06:28 P.M. Central Daylight Time, hollymasoncharter (DOT) net writes: Someone asked me the other day if they sent me many clients, would I do home visits for 40$. __________ Informazioni da ESET NOD32 Antivirus, versione del database delle firme digitali 4541 (20091025) __________Il messaggio è stato controllato da ESET NOD32 Antivirus.www.nod32.it Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 good ideas Jan! especially the weight check thing. I don't charge for weight checks either, but i think i'll start making exceptions as they often turn into follow ups! undress, weight and dress...not sit down on my couch and nurse their baby and talk about everything in the world! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com See breastfeeding articles at www.fertilefoods.com--- Subject: Re: What should I charge?To: Date: Sunday, October 25, 2009, 1:12 PM a has a good question. I think when you are looking at office visits you should see how much a typical well baby pediatric charge is. That's a good starting point, and will give you a sense of charges in your area. Remember that a well baby visit with a pediatrician will last -- maybe 10 minutes. However, I am NOT a physician, and I don't file insurance for my parents like the peds do, so I'm not going to charge proportionately more -- but I will charge more -- probably around 30%. That would be for an office visit which is generally 1.5 hours depending on how cooperative the baby is. I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. I don't do home visits any more because I simply don't have the time. But if I did, I would probably tack another $30 to $50 on my office charge because of the amount more time it takes, not to mention having to remember all that *stuff* you have to schlep with you. Even in the Chicagoland area you will find differences in charges, depending on where in Chicagoland you are. Someone on the North Shore for example, can charge a lot more than someone working on the south side, and I will charge less than someone who works in the Lincoln Park area, and certain less than someone working on the Gold Coast. If I filed insurance for my clients and waited to be paid by the insurance companies, I would charge more. I don't -- I will give them a superbill and they can bill their own insurance. Recently I've been getting notices from Blue Cross/Blue Shield that my services have been completely reimbursed. But that is new -- either my parents hadn't been sending my superbills in, or they hadn't been reimbursed in the past (quite possible -- I've been doing this for 25 years). I stopped renting pumps the end of 2007 when I discovered that I had *made* $9.00 TOTAL off the 8 or 9 pumps I had. I used to sell pillows, but don't any more. Need to sell the rest of the slings I have, but I might end up just giving them away as gifts. Most recently my son went to visit some people in Amman Jordan, and in the family with whom he was staying, the woman was pregnant, so I sent her a sling as a gift. I give 1 ounce syringes & 36" french feeding tubes away -- generally several sets if a mom is going to use that. I tend to give nipple shields away as well if we determine she needs to use one. And followup weight checks are free, though I liked Lyla's fee for that -- if over 20" a fee will apply. I tell them if they sit down to do more than dress & undress the baby for the weight check, I'll have to charge them.... I find that a lot of what I do and don't do sort of just *fits* my personality and what I feel comfortable with. Since I recently raised my prices just slightly, I feel much more comfortable with giving little items away. I don't carry much -- haven't used an SNS in I can't tell you how long, primarily because I like to use the syringe and feeding tube (never with the plunger, by the way). Don't know if this helps or not. What I find is, that it isn't terribly useful to know what charges in Seattle (?) and/or Lyla in Portland because I expect the cost of living out there is much greater than in the midwest, just as someone in NYC is going to charge more than someone in downtown Detroit!! That's why I like to get an idea of a well baby check up (without vaccinations) because I have some sort of frame of reference for health care charges in my area. Jan Barger, RN, MA, IBCLC, FILCALactation Education Consultantswww.lactationeducat ion.com In a message dated 10/25/2009 2:50:31 P.M. Central Daylight Time, giadaeli@fastwebnet .it writes: How much do a HCP charge in your area? HHugs martina Re: What should I charge? Holly, How long does it take to do a home visit? Including driving time, I expect that it is going to be around 2 to 3 hours. Plus any charting/reports you have to do when you get home. Aren't you worth more than $13/hour? I would think so -- even in the south... In a message dated 10/24/2009 5:06:28 P.M. Central Daylight Time, hollymasoncharter (DOT) net writes: Someone asked me the other day if they sent me many clients, would I do home visits for 40$. __________ Informazioni da ESET NOD32 Antivirus, versione del database delle firme digitali 4541 (20091025) __________Il messaggio è stato controllato da ESET NOD32 Antivirus.www.nod32.it Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 I'd put something on the couch! LOL! Or move the scale to an area that is not convenient for extended chit chat.... I feel this way about phone counseling.....I think it's one of the hardest approaches I have worked with....I can ask the most specific, closed ended question like: What time was it when the baby last pooped? That answer should be a number...right???? OH no...you all know how it goes...I don't care how effective our interviewing/counseling skills may be....sleep deprived mothers who are experiencing complications feeding their baby do not make for brief phone triage! We discussed it as a group and concluded that as soon as it becomes evident that the client needs to come in we would verbalize that they either need to schedule an appointment or phone their infant's healthcare provider....they want us to resolve their problem over the phone.....that's not happening in our cases.... > > > > Subject: Re: What should I charge? > To: > Date: Sunday, October 25, 2009, 1:12 PM > > >  > > > > > a has a good question. I think when you are looking at office visits you should see how much a typical well baby pediatric charge is. That's a good starting point, and will give you a sense of charges in your area. Remember that a well baby visit with a pediatrician will last -- maybe 10 minutes. However, I am NOT a physician, and I don't file insurance for my parents like the peds do, so I'm not going to charge proportionately more -- but I will charge more -- probably around 30%. That would be for an office visit which is generally 1.5 hours depending on how cooperative the baby is. I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 yep! i often have to interrupt the long winded answer to "how many pees in the last 24 hours"! I'm MUCH less tolerant of people who want to keep me on the phone longer than 3-5 minutes. I usually just butt in and say. "would you like to make an appt?" Then they either say no and hang up or make an appt! We need to support each other in this. it's so difficult sometimes... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com See breastfeeding articles at www.fertilefoods.com--- Subject: Re: What should I charge?To: Date: Sunday, October 25, 2009, 4:00 PM I'd put something on the couch! LOL! Or move the scale to an area that is not convenient for extended chit chat....I feel this way about phone counseling.. ...I think it's one of the hardest approaches I have worked with....I can ask the most specific, closed ended question like: What time was it when the baby last pooped? That answer should be a number...right? ??? OH no...you all know how it goes...I don't care how effective our interviewing/ counseling skills may be....sleep deprived mothers who are experiencing complications feeding their baby do not make for brief phone triage!We discussed it as a group and concluded that as soon as it becomes evident that the client needs to come in we would verbalize that they either need to schedule an appointment or phone their infant's healthcare provider.... they want us to resolve their problem over the phone.....that' s not happening in our cases....> > > > Subject: Re: What should I charge?> To: @yahoogroup s.com> Date: Sunday, October 25, 2009, 1:12 PM> > > > > > > > a has a good question. I think when you are looking at office visits you should see how much a typical well baby pediatric charge is. That's a good starting point, and will give you a sense of charges in your area. Remember that a well baby visit with a pediatrician will last -- maybe 10 minutes. However, I am NOT a physician, and I don't file insurance for my parents like the peds do, so I'm not going to charge proportionately more -- but I will charge more -- probably around 30%. That would be for an office visit which is generally 1.5 hours depending on how cooperative the baby is. I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 Jan said: I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. Please, what does "YMMV" mean? Thanks. Dee Kassing Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 your mileage may vary Re: What should I charge? Jan said: I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. Please, what does "YMMV" mean? Thanks. Dee Kassing Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 Thanks! Subject: Re: What should I charge?To: Date: Sunday, October 25, 2009, 10:48 PM your mileage may vary Re: What should I charge? Jan said: I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. Please, what does "YMMV" mean? Thanks. Dee Kassing Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 Your Mileage May Vary.... Meaning, if it isn't clear, that just because that is the way I do it, doesn't mean that is the way you should do it as you may see things differently than I do. Jan Barger, RN, MA, IBCLC, FILCALactation Education Consultantswww.lactationeducation.com Jan said: I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. Please, what does "YMMV" mean? Thanks. Dee Kassing Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 I like to use the syringe and feeding tube (never with the plunger, by the way). What do you mean Jan? How do you do this without the plunger in place??? Thanks, Ann Ann Conlon-, IBCLCTriangle Lactation Consultants1875 Carrington Drive, Raleigh, NC 27615 www.trianglelactation.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 I use a one ounce (30 ml) syringe, take the plunger out, and have the mother hold the syringe upright or put a rubber-band around it with a safety pin and pin it to her blouse or someplace else where it can remain upright. Using it that way, the baby has to suckle to get any fluid out of it. I'm not pushing it in (neither are the parents). The only control you have over the flow is lifting the syringe higher or lower. You can use the same sort of thing if you put the business end of the tubing in a bottle or cup of fluid and the baby siphons it out as he suckles. I am hesitant to ever use a plunger -- even if you never plunge on it, it makes it MUCH more difficult for the baby to suck on it to pull the fluid out of it, and there is always the temptation to give just a little push -- and what if you push when baby is breathing? Jan Barger, RN, MA, IBCLC, FILCALactation Education Consultantswww.lactationeducation.com I like to use the syringe and feeding tube (never with the plunger, by the way). What do you mean Jan? How do you do this without the plunger in place??? Thanks, Ann Ann Conlon-, IBCLCTriangle Lactation Consultants1875 Carrington Drive, Raleigh, NC 27615 www.trianglelactation.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 Thanks for clarifying - I've learned something new today! Fay > > Your Mileage May Vary.... > > Meaning, if it isn't clear, that just because that is the way I do it, > doesn't mean that is the way you should do it as you may see things > differently than I do. > > > Jan Barger, RN, MA, IBCLC, FILCA > Lactation Education Consultants > _www.lactationeducation.com_ (http://www.lactationeducation.com/) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2009 Report Share Posted October 26, 2009 so essentially a "jack newman tube feeding device" - except with no lid? i like using a bottle WITH a nipple, i cut a slit in the nipple and thread the tube through that so the nipple slit holds it in place, and that way if it gets tipped, no liquid gold is lost... Re: Re: What should I charge? I use a one ounce (30 ml) syringe, take the plunger out, and have the mother hold the syringe upright or put a rubber-band around it with a safety pin and pin it to her blouse or someplace else where it can remain upright. Using it that way, the baby has to suckle to get any fluid out of it. I'm not pushing it in (neither are the parents). The only control you have over the flow is lifting the syringe higher or lower. You can use the same sort of thing if you put the business end of the tubing in a bottle or cup of fluid and the baby siphons it out as he suckles. I am hesitant to ever use a plunger -- even if you never plunge on it, it makes it MUCH more difficult for the baby to suck on it to pull the fluid out of it, and there is always the temptation to give just a little push -- and what if you push when baby is breathing? Jan Barger, RN, MA, IBCLC, FILCALactation Education Consultantswww.lactationeducation.com In a message dated 10/26/2009 8:42:09 A.M. Central Daylight Time, aconsmithaol writes: I like to use the syringe and feeding tube (never with the plunger, by the way). What do you mean Jan? How do you do this without the plunger in place??? Thanks, Ann Ann Conlon-, IBCLCTriangle Lactation Consultants1875 Carrington Drive, Raleigh, NC 27615 www.trianglelactation.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2009 Report Share Posted October 27, 2009 Thanks for clarifying, Jan! Dee Subject: Re: What should I charge?To: Date: Monday, October 26, 2009, 6:39 AM Your Mileage May Vary.... Meaning, if it isn't clear, that just because that is the way I do it, doesn't mean that is the way you should do it as you may see things differently than I do. Jan Barger, RN, MA, IBCLC, FILCALactation Education Consultantswww.lactationeducat ion.com In a message dated 10/25/2009 10:42:58 P.M. Central Daylight Time, deekassing@sbcgloba l.net writes: Jan said: I don't charge per hour or minute or portion thereof because I don't want to charge mom if we get to chatting or if baby doesn't hop to nursing immediately. YMMV. Please, what does "YMMV" mean? Thanks. Dee Kassing Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2009 Report Share Posted October 27, 2009 Jan wrote: I am hesitant to ever use a plunger -- even if you never plunge on it, it makes it MUCH more difficult for the baby to suck on it to pull the fluid out of it, and there is always the temptation to give just a little push -- and what if you push when baby is breathing? And I had a mother in my office who had been taught to do this at the hospital. She had been doing it a couple weeks before she saw me. Baby didn't know how to suck at all. Since mother was pushing the plunger down as she saw fit, baby got food when mother pushed, having nothing to do with the type of suck the baby might have been doing at that moment. Since every type of suck he did eventually got rewarded, because mother did not know what his tongue motion should feel like when correct, he had a very disorganized suck and could get nothing from the breast. Dee Kassing Quote Link to comment Share on other sites More sharing options...
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