Re: online lactation consult ???

[Guest guest]

I did. I can’t imagine not being there in person to help someone. If it’s set up using something like scype, the pic is not that great. How could you do test weights or check tongue tie? Then they would have to pay more for a in-person consultation.June From: [mailto: ] On Behalf Of Norma RitterSent: Wednesday, May 11, 2011 10:07 AMTo: ibclc-ppSubject: online lactation consult ??? Just wondering - did anyone else get the email below?Anyone know anything about this company?normaNorma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:http://tinyurl.com/BMCRonFB---------- Forwarded message ----------Date: Sat, Jun 11, 2011 at 4:59 AMSubject: online lactation consultTo: Norma Dear Norma,I work with a new start-up called vCita. I came across your listing on breastfeeding.com and your website, and I think you'd find our service interesting and relevant.The field of video online consultation is growing rapidly, and introduces a great opportunity for lactation consultants and parenting consultants. As you well know, newly moms often prefer the comfort of their own home – rather than going out with their newborn to seek professional assistance, and house visits can be costly. This is where vCita can help you build a new effective way to expand your business and reach potential clients, regardless of geographical boundaries. vCita enables potential clients schedule a video session with you directly from your website. You just add the vCita button to your website, and now moms who find you online can schedule a consultation, and meet you with a standard laptop – no special software is required. You may even set vCita to request a credit card to guarantee the meeting. It’s easy for your clients, and it’s a great way for you to create additional income. For a limited time, you can start using vCita at no cost at vCita.com. Feel free to call us at or set time to talk to us. Regards, BermanSr. Market Analystjonathan@...

[Guest guest]

I'm sorry I just see this going into

something like a headline " Moms seeking breastfeeding help over the

internet find their breastfeeding videos on pay per view websites " This

is NUTS!!!!!

I wonder what kind of release forms you

would need to protect yourself with this kind of business. Am I just old

fashioned in thinking there is nothing like a PERSONAL visit?

Lou Moramarco IBCLC

Birth,

Breastfeeding & Before

International

Board Certified Lactation Consultant

Bradley

Childbirth Educator

Certified

Birth Doula

(732)

239-7771 marylou22@...

www.lunadoula.com

Hidden

Booby Trap: Is Your Lactation “Specialist” an Imposter? http://www.bestforbabes.org/2010/03/hidden-booby-trap-is-your-lactation-specialist-an-imposter/

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From:

[mailto: ] On Behalf Of Norma Ritter

Sent: Wednesday, May 11, 2011

10:07 AM

To: ibclc-pp

Subject: online

lactation consult ???

Just wondering - did anyone else get the email below?

Anyone know anything about this company?

norma

Norma Ritter, IBCLC, RLC

Breastfeeding Matters in the Capital Region

www.NormaRitter.com

Join us on Facebook for the latest birthing and breastfeeding news and views:

http://tinyurl.com/BMCRonFB

---------- Forwarded

message ----------

Date: Sat, Jun 11, 2011 at 4:59 AM

Subject: online lactation consult

To: Norma

Dear Norma,

I work with a new

start-up called vCita.

I came across your listing on breastfeeding.com

and your website, and I think you'd find our service interesting and

relevant.

The field of video

online consultation is growing rapidly, and introduces a great

opportunity for lactation consultants and parenting consultants. As you well

know, newly moms often prefer the comfort of their own home – rather than going

out with their newborn to seek professional assistance, and house visits can be

costly.

This is where vCita can help you build a new effective way

to expand your business and reach potential clients, regardless of geographical

boundaries. vCita enables potential clients schedule a video session with you directly from

your website. You just add the vCita button to your website, and now moms who

find you online can schedule a

consultation, and meet you with a standard laptop – no special

software is required. You may even set vCita to request a credit card to

guarantee the meeting.

It’s easy for your clients, and it’s a great way for you to

create additional income.

For a limited time, you can start using vCita at no cost at vCita.com.

Feel free to call us at (425)

298-6802 or set time to

talk to us.

Regards,

Berman

Sr. Market Analyst

jonathan@...

[Guest guest]

I got it and deleted it...........

 

Just wondering - did anyone else get the email below?Anyone know anything about this company?normaNorma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.com

Join us on Facebook for the latest birthing and breastfeeding news and views:http://tinyurl.com/BMCRonFB

---------- Forwarded message ----------

Date: Sat, Jun 11, 2011 at 4:59 AMSubject: online lactation consultTo: Norma

Dear Norma,

I work with a new start-up called vCita. I came across your listing on breastfeeding.com and your website, and I think you'd find our service interesting and relevant.

The field of video online consultation is growing rapidly, and introduces a great opportunity for lactation consultants and parenting consultants. As you well know, newly moms often prefer the comfort of their own home – rather than going out with their newborn to seek professional assistance, and house visits can be costly.

 

This is where vCita can help you build a new effective way to expand your business and reach potential clients, regardless of geographical boundaries. vCita enables potential clients schedule a video session with you directly from your website. You just add the vCita button to your website, and now moms who find you online can schedule a consultation, and meet you with a standard laptop – no special software is required. You may even set vCita to request a credit card to guarantee the meeting.

 

It’s easy for your clients, and it’s a great way for you to create additional income.

 

For a limited time, you can start using vCita at no cost at vCita.com.

 

Feel free to call us at  or set time to talk to us.

 

 

Regards,

BermanSr. Market Analystjonathan@...

 

[Guest guest]

I also received it and I agree, if I were to try to help someone long distance,

why not just use skype? It seems a bit of a scam to me at the worst, and

unnecessary at the best.

Tatiana Indrisek, IBCLC

www.mamasmilkandmore.com

Loving Support for Pregnancy, Birth and Breastfeeding

[Guest guest]

I see this being offered more and more.  Several LC's in my area are doing something similar although not through this company specifically. I think they see it as a way to reach moms in more remote areas or ones that do not have transportation.  It's a way

to increase accessibility I suppose.  I also think there leaves a lot to be desired, thingsthat can only be done person to person.  You can't really feel that encouraging hand onyour shoulder and FEEL the love.  However I will say that for many many years LLL leaders did telephone helping without a home visit or visual to help.  I think the computer offers umpteen advantages over a phone call with no video.  I think the consults would work just fine for a mom that has basic bfing management issues and just needs to talk to someone. I would hope if it is detected that her needs are more involved a proper referral would occur. Or option for a face to face visit would be arranged. I don't think we can discount this mode of support altogether.

warmly,Ilene

 

I also received it and I agree, if I were to try to help someone long distance, why not just use skype? It seems a bit of a scam to me at the worst, and unnecessary at the best.

Tatiana Indrisek, IBCLC

www.mamasmilkandmore.com

Loving Support for Pregnancy, Birth and Breastfeeding

-- Ilene Fabisch, Brockton, MA " Each day is a blank canvas waiting for our unique brushstrokes to create a masterpiece. "

[Guest guest]

Did anyone notice all the grammatical errors in this ad? That always tweaks me.

Tow, IBCLC, France

>

>

> Dear Norma,

>

> I work with a new start-up called

> <http://www.vcita.com/?invite=EMAF92F04242793E90> vCita. I came across your

> listing on breastfeeding.com and your website, and I think you'd find our

> service interesting and relevant.

>

> The field of video online consultation is growing rapidly, and introduces a

> great opportunity for lactation consultants and parenting consultants. As

> you well know, newly moms often prefer the comfort of their own home -

> rather than going out with their newborn to seek professional assistance,

> and house visits can be costly.

>

>

>

> This is where vCita can help you build a new effective way to expand your

> business and reach potential clients, regardless of geographical boundaries.

> vCita enables potential clients schedule a video session with you directly

> from your website. You just add the vCita button to your website, and now

> moms who find you online can schedule a consultation, and meet you with a

> standard laptop - no special software is required. You may even set vCita to

> request a credit card to guarantee the meeting.

>

>

>

> It's easy for your clients, and it's a great way for you to create

> additional income.

>

>

>

> For a limited time, you can start using vCita at no cost at

> <http://www.vcita.com/?invite=EMAF92F04242793E90> vCita.com.

>

>

>

> Feel free to call us at (425) <tel:%28425%29%20298-6802> 298-6802 or

> <http://www.vcita.com/team> set time to talk to us.

>

>

>

>

>

> Regards,

>

> Berman

> Sr. Market Analyst

> jonathan@...

>

[Guest guest]

Yes, it's like a C- 4th grade paragraph. Aside from the ethical dilema of LC

over the computer, this " newly " company itself looks dodgy at best.

>

> Did anyone notice all the grammatical errors in this ad? That always tweaks

me.

> Tow, IBCLC, France

>

>

> >

> >

> > Dear Norma,

> >

> > I work with a new start-up called

> > <http://www.vcita.com/?invite=EMAF92F04242793E90> vCita. I came across your

> > listing on breastfeeding.com and your website, and I think you'd find our

> > service interesting and relevant.

> >

> > The field of video online consultation is growing rapidly, and introduces a

> > great opportunity for lactation consultants and parenting consultants. As

> > you well know, newly moms often prefer the comfort of their own home -

> > rather than going out with their newborn to seek professional assistance,

> > and house visits can be costly.

> >

> >

> >

> > This is where vCita can help you build a new effective way to expand your

> > business and reach potential clients, regardless of geographical boundaries.

> > vCita enables potential clients schedule a video session with you directly

> > from your website. You just add the vCita button to your website, and now

> > moms who find you online can schedule a consultation, and meet you with a

> > standard laptop - no special software is required. You may even set vCita to

> > request a credit card to guarantee the meeting.

> >

> >

> >

> > It's easy for your clients, and it's a great way for you to create

> > additional income.

> >

> >

> >

> > For a limited time, you can start using vCita at no cost at

> > <http://www.vcita.com/?invite=EMAF92F04242793E90> vCita.com.

> >

> >

> >

> > Feel free to call us at (425) <tel:%28425%29%20298-6802> 298-6802 or

> > <http://www.vcita.com/team> set time to talk to us.

> >

> >

> >

> >

> >

> > Regards,

> >

> > Berman

> > Sr. Market Analyst

> > jonathan@

> >

>

[Guest guest]

i agree. reads like spam Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- Subject:

Re: online lactation consult ???To: Date: Thursday, May 12, 2011, 10:08 AM

Yes, it's like a C- 4th grade paragraph. Aside from the ethical dilema of LC over the computer, this"newly" company itself looks dodgy at best.

>

> Did anyone notice all the grammatical errors in this ad? That always tweaks me.

> Tow, IBCLC, France

>

>

> >

> >

> > Dear Norma,

> >

> > I work with a new start-up called

> > <http://www.vcita.com/?invite=EMAF92F04242793E90> vCita. I came across your

> > listing on breastfeeding.com and your website, and I think you'd find our

> > service interesting and relevant.

> >

> > The field of video online consultation is growing rapidly, and introduces a

> > great opportunity for lactation consultants and parenting consultants. As

> > you well know, newly moms often prefer the comfort of their own home -

> > rather than going out with their newborn to seek professional assistance,

> > and house visits can be costly.

> >

> >

> >

> > This is where vCita can help you build a new effective way to expand your

> > business and reach potential clients, regardless of geographical boundaries.

> > vCita enables potential clients schedule a video session with you directly

> > from your website. You just add the vCita button to your website, and now

> > moms who find you online can schedule a consultation, and meet you with a

> > standard laptop - no special software is required. You may even set vCita to

> > request a credit card to guarantee the meeting.

> >

> >

> >

> > It's easy for your clients, and it's a great way for you to create

> > additional income.

> >

> >

> >

> > For a limited time, you can start using vCita at no cost at

> > <http://www.vcita.com/?invite=EMAF92F04242793E90> vCita.com.

> >

> >

> >

> > Feel free to call us at (425) <tel:%28425%29%20298-6802> 298-6802 or

> > <http://www.vcita.com/team> set time to talk to us.

> >

> >

> >

> >

> >

> > Regards,

> >

> > Berman

> > Sr. Market Analyst

> > jonathan@

> >

>

[Guest guest]

I really believe we have universal agreement that an in person consult is ideal

when feasible.

I think the question we must ask ourselves is when that in person consult is NOT

feasible for whatever reason, is an internet based consult preferred over phone

call OR nothing?

And I think my answer to that would be YES.

So...I guess in a way this is something I think I support in some circumstances.

H. Kinne BA IBCLC RLC ICCE CD(DONA)

www.CascadePerinatalServices.com

[Guest guest]

I have posted before that I have been doing consults at a distance for years. I

am very cautious about the situations I take on. Usually they are complex cases

where mom has already seen an IBCLC and has not solved her problems such as food

allergies, oversupply, undersupply, recurrent mastitis, etc. Unfortunately, in

too many of these cases, babies have had tongue-ties or other structural

problems that I detected form thousands of miles away that were not detected in

person. I have also worked with moms in countries where there have been no LC

available.

I have said this before, but just as we have a hierarchy for preferred foods for

the human infant, I have my own when it comes to BF support. I think an

excellent LC in person is always best. But an LC who is not very experienced or

competent may well be, a poorer choice, esp for complex problems than an

excellent LC at a distance.

Tow, IBCLC, France

>

> I really believe we have universal agreement that an in person consult is

ideal when feasible.

>

> I think the question we must ask ourselves is when that in person consult is

NOT feasible for whatever reason, is an internet based consult preferred over

phone call OR nothing?

>

> And I think my answer to that would be YES.

>

> So...I guess in a way this is something I think I support in some

circumstances.

>

> H. Kinne BA IBCLC RLC ICCE CD(DONA)

> www.CascadePerinatalServices.com

>

[Guest guest]

I totally agree jennifer. I have had the same experience. Shari

> I have posted before that I have been doing consults at a distance for years. I am very cautious about the situations I take on. Usually they are complex cases where mom has already seen an IBCLC and has not solved her problems such as food allergies, oversupply, undersupply, recurrent mastitis, etc. Unfortunately, in too many of these cases, babies have had tongue-ties or other structural problems that I detected form thousands of miles away that were not detected in person. I have also worked with moms in countries where there have been no LC available.

> > I have said this before, but just as we have a hierarchy for preferred foods for the human infant, I have my own when it comes to BF support. I think an excellent LC in person is always best. But an LC who is not very experienced or competent may well be, a poorer choice, esp for complex problems than an excellent LC at a distance.

> > Tow, IBCLC, France> > >>>> I really believe we have universal agreement that an in person consult is ideal when feasible.

>> >> I think the question we must ask ourselves is when that in person consult is NOT feasible for whatever reason, is an internet based consult preferred over phone call OR nothing?>> >> And I think my answer to that would be YES.

>> >> So...I guess in a way this is something I think I support in some circumstances.>> >> H. Kinne BA IBCLC RLC ICCE CD(DONA)>> www.CascadePerinatalServices.com

>>> >

[Guest guest]

I just took a 37 minute call as a LLL Leader this evening - painful latch.  I have to admit, I was wishing for a quick skype-sort of look just to target my feedback to Mom.  However I agree, it is no replacement for a face-to-face encounter and I referred her to LLL meetings for sure and an IBCLC if no improvement. 

EllenEllen Rubin, MA, IBCLC, LLLL -- While breastfeeding may not seem the right choice for every parent, it is the best choice for every baby.  ~Amy Spangler

Breastfeeding questions?  1 877 4 LA LECHE

[Guest guest]

She's right -- IBCLC is trademarked, but lactation consultant is not, and anyone can call themselves a lactation consultant which is sad.

Why would someone work for them? They get paid?

Sometimes people feel they can do more good working from inside a bad company than not....I'm not sure it's ethical, but there it is.

Jan

I asked why the web says consultants. She told me that they keep telling Similac about it and it never gets changed. She also said that Similac tells them that IBCLC is trademarked and lactation consultants is not so they use the phrase. What do you think about that! Why would an ethical person work for them?

[Guest guest]

How about this! If you google lactation consultants, the first hit is from similac. This brings you to a page where they say they have "lactation consultants" (plural), 24 hours a day you can call. If you call and or email a question, a CLC calls you back. When I tried this and spoke to the CLC, she said that Similac contracts with the company she works for, one of 35 or so of them. There is one (1) IBCLC who they refer to if its beyond their skill. They will not give you the name of the IBCLC. I asked why the web says consultants. She told me that they keep telling Similac about it and it never gets changed. She also said that Similac tells them that IBCLC is trademarked and lactation consultants is not so they use the phrase. What do you think about that! Why would an ethical person work for them?

To: From: ellenjrubin@...Date: Thu, 12 May 2011 20:10:28 -0400Subject: Re: online lactation consult ???

I just took a 37 minute call as a LLL Leader this evening - painful latch. I have to admit, I was wishing for a quick skype-sort of look just to target my feedback to Mom. However I agree, it is no replacement for a face-to-face encounter and I referred her to LLL meetings for sure and an IBCLC if no improvement.

Ellen

Ellen Rubin, MA, IBCLC, LLLL -- While breastfeeding may not seem the right choice for every parent, it is the best choice for every baby. ~Amy SpanglerBreastfeeding questions? 1 877 4 LA LECHE

[Guest guest]

I think all of us at one time or another (and even repeatedly, at least for me),

have to re-examine our self care and perhaps reset boundaries so we can persist

with our work, and have a balanced personal life.

Might you reconsider providing them with your e-mail and in place of it provide

a referral to LLL, and include Mom.com, and then indicate for circumstances

which require more complex support there are consultations available, list the

days of the week you prefer to be available, and place a fee range?

>

> Somewhat in line with this discussion, I'd appreciate some feedback on the

> following. I wear two hats, so to speak, a private practice LC and also LC

> at a birthing center. As the LC for the birthing center, I've been

> getting emails from birth center moms who have questions/concerns about

> breastfeeding and when these are lengthy and involved I feel I should be

charging

> for my time. I don't mind the quick question about engorgement, for example,

> but when moms have more complex issues or begin to email me daily several

> times I feel I could be charging, similar to a phone consult. The birth

> center does not reimburse me for even the lengthy follow up I do with moms

> I've seen at the center and I currently am being paid only by the visit since

> this can be covered by insurance. I discussed phone follow up with the

> center and the reimbursement rate is dismal so it seems that's not going to

> happen. One of the issues is that moms often come from quite a distance, an

> hour away or so, are newly PP, and unable to travel to the center right

> away (I've been told to just have moms come in for a consult). I feel this

is

> cold and unfeeling to expect this and so go ahead and help moms.

>

> I think this is becoming an issue for me because I'm forever on the phone

> when I'm home with follow-up, my pay is dismal for office visits and then on

> top of this I have moms emailing me. I prefer phone calls so there's more

> back and forth ability and somehow it's easier for me to charge for these

> if they are involved and I also find emails so impersonal. As a PP LC, I

> have less to no qualms about telling moms up front that I have a fee for

> phone consults. I wonder whether my resentment about the amount of unpaid

> work I do for the birth center with moms is making me crotchety and I

> certainly don't want to take this out on moms asking for help. Thoughts??

Thank

> you and feel free to email me privately to discuss this further; I'd

> appreciate it and promise I won't charge for the email (tic)...

>

> Barbara Latterner, BSN, RN, IBCLC

>

[Guest guest]

I don't think you would need a company like this to get you going; and like everyone else that I have read responses from I agree that face-to face consults would be so much better. However, I am the only LC in my county not affiliated with the hospital or public health and will even "see" any mom once they are discharged from the hospital. And as a consumer, I would have loved to Skype ac LC 8 years ago when I moved out here to the boonies and developed all sorts of bfg problems. Besides the "ease" of fitting it into moms life with a new baby, I think it will be an excellent way to reach MANY more mothers. Even moms "in your own backyard" may like to Skype first and talk about some easy stuff as a get to you first, and then feel a

lot more comfortable about hauling themselves and baby (and all the gear they carry around down here) to see in in person. I am not sure if it is due to my location to the Mexican border, but I am finding that a lot of people are not receptive to a home visit. Laurean, IBCLCsunny, really hot Southern Ca

[Guest guest]

Morning

Ladies,

It is

a damp day in PA, but the birds are singing.

Regarding

this thread about online lactation, I have 2 points:

Any can call themselves a lactation consultant.

This is why IBCLCs must be licensed in every state. A daunting task and it

won’t get done unless IBCLCs step up and do it. It is lots of work.

We have had numerous attempts in various states that have failed in the

past. But, this is a new day and we have the full backing of the Surgeon

General and other public health and health professional organizations. If

you aren’t already doing so, or it isn’t already being done…please

get involved in licensure efforts in your state. This is legislative work,

start with a visit to your senator or representative and getting a bill sponsor.

The process varies state to state, but the USLCA Licensure and Reimbursement

Committee will give you support and guidance. We have model language to

share and publicity materials that we have developed. Please contact me if

you are willing.

As for the unpaid work on email and phone calls,

if these moms need more than a brief call, then you should bring them back

to the office for another consult. It is not prudent professionally or

financially to spend a lot of time on phone calls with individuals who

have complex problems. It is too easy to miss things in the assessment on

mother’s report only. For example, I had a Mom in my office

yesterday with a 2 month old that was fussy at breast. On the phone it

sounded like a classic case of oversupply syndrome, but I brought her in

anyway. When she lowered her bra flap to nurse the entire tip of her

nipple and into the areola (a 1cm x 2 cm area on both sides – yikes!!!)

had been excoriated and was missing many layers of skin. She never thought

to report her pain as a breastfeeding problem. I felt sick to my

stomach for her. She said it had improved! On further

assessment, the baby’s suck was lousy too. So you get the idea. You can’t

hear that information. As a solution, you could increase your fees for the

birth center if they are not going to pay you separately for brief

follow up calls, or negotiate an hourly wage or per call fee from

them. Do you have a contract? Perhaps you will need to make those calls

from their office. I would be careful about managing care by email. Do you

encrypt your emails? I am not sure this is legitimate relative to HIPPA.

Does anyone know?? If there is identifiable personal health information

flying around “the cloud” that could go astray. Something like

how long can I store my expressed milk is different from real health

concerns of an individual.

If we

want to work in the health care system as health care professionals, we have to

practice like them. That means getting paid for our time to provide

professional assistance. It is hard for us because we care more about the

mother and baby, than the money- so we sacrifice. I hear your compassion. But

in the long run your patients and other health care professionals will respect

your work more when you are providing top notch care as a health care provider.

Most of the time, when you call your doctor, they require your to come in to

assess a problem because they need more than just hearing to provide an

accurate assessment. None of them could stay in practice if they didn’t

see patients in person because they don’t get paid for their phone time

either and they could be very liable if they didn’t note an important

symptom that could only be seen visually that the patient didn’t think

was significant. You get the idea. Thoughts anyone?

Judy

Judith

L. Gutowski, BA, IBCLC, RLC

135 McGrath Lane

P Box 1

Hannastown, PA 15635-0001

Cell

Phone

Fax

[Guest guest]

Maybe that should change?!?! Is it that Lactation

Consultant should be trademarked? What gives the right to use LC education and

passing boards right? What about RN or MD? Are they trademarked? I think it

is against the law to impersonate a doctor???!!! Or does this go back to the licensure

thing?

Lou Moramarco IBCLC

Birth,

Breastfeeding & Before

International

Board Certified Lactation Consultant

Bradley

Childbirth Educator

Certified

Birth Doula

(732)

239-7771 marylou22@...

www.lunadoula.com

Hidden

Booby Trap: Is Your Lactation “Specialist” an Imposter?

http://www.bestforbabes.org/2010/03/hidden-booby-trap-is-your-lactation-specialist-an-imposter/

Advisory Notice: Email is covered by the

Electronic Communications Privacy Act, Title 18, Sections 2510-2521 of the

United States Code and is legally privileged. Internet email is inherently

insecure. Message content may be subject to alteration, and email addresses may

incorrectly identify the sender. If you wish to confirm the content of this

message and/or the identity of the sender, please call me. This email

transmission, and any documents, files, or previous email messages attached to

it may be privileged and confidential, and are intended only for the use of the

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the health provider/work product privilege. It is intended only for the use of

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[Guest guest]

I believe it is, but I won't put my life on the line saying yes.

Jan

Perhaps we should all be calling ourselves "Registered Lactation Consultant" (like "REGISTERED Nurse") RLC instead of LC (like RN). That is a slogan that is trademarked I believe, right? All this takes time of course and is possibly pointless, as the public is not too concerned with the details of our titles -more that they can just get breastfeeding going again!But back to my question -is RLC trademarked in a way we could use it to differenciate ourselces?>> Maybe that should change?!?! Is it that Lactation Consultant should be> trademarked? What gives the right to use LC education and passing boards> right? What about RN or MD? Are they trademarked? I think it is against> the law to impersonate a doctor???!!! Or does this go back to the licensure> thing?> > > > Lou Moramarco IBCLC> > Birth, Breastfeeding & Before> > International Board Certified Lactation Consultant> > Bradley Childbirth Educator> > Certified Birth Doula> > marylou22@...> > www.lunadoula.com> > > Hidden Booby Trap: Is Your Lactation "Specialist" an Imposter?> http://www.bestforbabes.org/2010/03/hidden-booby-trap-is-your-lactation-spec> ialist-an-imposter/> > > Advisory Notice: Email is covered by the Electronic Communications Privacy> Act, Title 18, Sections 2510-2521 of the United States Code and is legally> privileged. Internet email is inherently insecure. Message content may be> subject to alteration, and email addresses may incorrectly identify the> sender. If you wish to confirm the content of this message and/or the> identity of the sender, please call me. This email transmission, and any> documents, files, or previous email messages attached to it may be> privileged and confidential, and are intended only for the use of the> recipient(s) named in the address field. The information contained in this> electronic message is information protected by health provider-client and or> the health provider/work product privilege. It is intended only for the use> of the individual named above and the privileges are not waived by virtue of> this having been sent by electronic mail. If the reader of this message is> not an intended recipient, or an employee or agent responsible for> delivering it to the intended recipient, you are hereby notified that any> dissemination, distribution, or copying of this message or its contents is> strictly prohibited. If you have received this message in error, please call> me or return email and delete it and any attachments from your computer.> This email does not create a health provider-client relationship. Thank you.>

[Guest guest]

I have an idea for IBCLE - we have a code of conduct right?

It should be entered into the code of conduct that if an IBCLC is going to

provide a Skype visit for a mother, she MUST first give names/contact numbers of

IBCLC's within say 40 miles of that mother, using the ILCA database.

Maybe the mom will choose to have the Skype consult anyway, but this is true

informed consent. I'm sure many of these moms hiring IBCLCs for skype consults

dont even know that there are local IBCLC's within driving distance.

Skype is great! -when needed. But I think as a business model for an IBCLC to

compete with in-person live IBCLC's who are willing to travel and would travel

if the mom only knew that they existed, it's totally unethical -and this should

be a rule (imo).

>

> I don't think you would need a company like this to get you going; and like

> everyone else that I have read responses from I agree that face-to face

consults

> would be so much better. However, I am the only LC in my county not

affiliated

> with the hospital or public health and will even " see " any mom once they are

> discharged from the hospital. And as a consumer, I would have loved to Skype

ac

> LC 8 years ago when I moved out here to the boonies and developed all sorts of

> bfg problems.

>

> Besides the " ease " of fitting it into moms life with a new baby, I think it

will

> be an excellent way to reach MANY more mothers. Even moms " in your own

> backyard " may like to Skype first and talk about some easy stuff as a get to

you

> first, and then feel a lot more comfortable about hauling themselves and baby

> (and all the gear they carry around down here) to see in in person.

>

> I am not sure if it is due to my location to the Mexican border, but I am

> finding that a lot of people are not receptive to a home visit.

>

> Laurean, IBCLC

> sunny, really hot Southern Ca

>

[Guest guest]

Perhaps we should all be calling ourselves " Registered Lactation Consultant "

(like " REGISTERED Nurse " ) RLC instead of LC (like RN). That is a slogan that is

trademarked I believe, right?

All this takes time of course and is possibly pointless, as the public is not

too concerned with the details of our titles -more that they can just get

breastfeeding going again!

But back to my question -is RLC trademarked in a way we could use it to

differenciate ourselces?

>

> Maybe that should change?!?! Is it that Lactation Consultant should be

> trademarked? What gives the right to use LC education and passing boards

> right? What about RN or MD? Are they trademarked? I think it is against

> the law to impersonate a doctor???!!! Or does this go back to the licensure

> thing?

>

>

>

> Lou Moramarco IBCLC

>

> Birth, Breastfeeding & Before

>

> International Board Certified Lactation Consultant

>

> Bradley Childbirth Educator

>

> Certified Birth Doula

>

> marylou22@...

>

> www.lunadoula.com

>

>

> Hidden Booby Trap: Is Your Lactation " Specialist " an Imposter?

> http://www.bestforbabes.org/2010/03/hidden-booby-trap-is-your-lactation-spec

> ialist-an-imposter/

>

>

> Advisory Notice: Email is covered by the Electronic Communications Privacy

> Act, Title 18, Sections 2510-2521 of the United States Code and is legally

> privileged. Internet email is inherently insecure. Message content may be

> subject to alteration, and email addresses may incorrectly identify the

> sender. If you wish to confirm the content of this message and/or the

> identity of the sender, please call me. This email transmission, and any

> documents, files, or previous email messages attached to it may be

> privileged and confidential, and are intended only for the use of the

> recipient(s) named in the address field. The information contained in this

> electronic message is information protected by health provider-client and or

> the health provider/work product privilege. It is intended only for the use

> of the individual named above and the privileges are not waived by virtue of

> this having been sent by electronic mail. If the reader of this message is

> not an intended recipient, or an employee or agent responsible for

> delivering it to the intended recipient, you are hereby notified that any

> dissemination, distribution, or copying of this message or its contents is

> strictly prohibited. If you have received this message in error, please call

> me or return email and delete it and any attachments from your computer.

> This email does not create a health provider-client relationship. Thank you.

>

[Guest guest]

I'm not sure requiring a referral is such a great idea, although I understand your point. The problem is, there may in fact be an IBCLC willing to see the mom in person, but...all LC's are not created equal. it gets tricky. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- On Sat,

5/14/11, wrote:Subject: Re: online lactation consult ???To: Date: Saturday, May 14, 2011, 3:47 PM

I have an idea for IBCLE - we have a code of conduct right?

It should be entered into the code of conduct that if an IBCLC is going to provide a Skype visit for a mother, she MUST first give names/contact numbers of IBCLC's within say 40 miles of that mother, using the ILCA database.

Maybe the mom will choose to have the Skype consult anyway, but this is true informed consent. I'm sure many of these moms hiring IBCLCs for skype consults dont even know that there are local IBCLC's within driving distance.

Skype is great! -when needed. But I think as a business model for an IBCLC to compete with in-person live IBCLC's who are willing to travel and would travel if the mom only knew that they existed, it's totally unethical -and this should be a rule (imo).

>

> I don't think you would need a company like this to get you going; and like

> everyone else that I have read responses from I agree that face-to face consults

> would be so much better. However, I am the only LC in my county not affiliated

> with the hospital or public health and will even "see" any mom once they are

> discharged from the hospital. And as a consumer, I would have loved to Skype ac

> LC 8 years ago when I moved out here to the boonies and developed all sorts of

> bfg problems.

>

> Besides the "ease" of fitting it into moms life with a new baby, I think it will

> be an excellent way to reach MANY more mothers. Even moms "in your own

> backyard" may like to Skype first and talk about some easy stuff as a get to you

> first, and then feel a lot more comfortable about hauling themselves and baby

> (and all the gear they carry around down here) to see in in person.

>

> I am not sure if it is due to my location to the Mexican border, but I am

> finding that a lot of people are not receptive to a home visit.

>

> Laurean, IBCLC

> sunny, really hot Southern Ca

>

[Guest guest]

I do not see that as informed consent--I see it as control. I cannot imagine any

mother is looking for someone on skype first and foremost.

I had two skype consults this week. One was referred by her OB with whom I

spoke. I gave the OB the name of the LC I refer to when I am away. This was a

mastitis issue and she wanted the mom to work with me bc I use holistic

interventions. It would be absurd to insist I had to give the names of other LCs

or be in violation of some rule!

The second was with a mom who had already seen three LCs in her area. One of

whom I happen to know is VERY god. But, her problems have not been resolved and

a friend of hers referred her to me for another opinion.

I am sorry, and this may not be a popular thing to say--but there are a lot of

ineffective LCs out there--I am NOT going to give out names of people I do not

know to any mother. If I know of no one in an area, I will refer her to the ILCA

list as a last resort, but will first ask for a recommendation on a list like

this one. If a mom wants to fly to France to see me, she can do that, but she

cannot skype with me? I had moms drive 2 hours from out of state to see me in CT

when I lived there. Should I have had to insist they see the LCs near them? Most

already had, BTW.

Also, I am not on the ILCA database. I am not a fan of ILCAs lack of support for

non-medical IBCLCs and their posh to license and for insurance

reimbursement--none of which I think reflects the real needs of mothers and

babies or our profession. My name would never be given to anyone?

Sorry, but I just do not see this as something to be afraid of. I think folks

calling themselves LCs who aren't, the issues I mentioned above, and the lack of

education for LCs beyond the basics are much more important issues.

Tow, IBCLC, France

> >

> > I don't think you would need a company like this to get you going; and like

> > everyone else that I have read responses from I agree that face-to face

consults

> > would be so much better. However, I am the only LC in my county not

affiliated

> > with the hospital or public health and will even " see " any mom once they are

> > discharged from the hospital. And as a consumer, I would have loved to

Skype ac

> > LC 8 years ago when I moved out here to the boonies and developed all sorts

of

> > bfg problems.

> >

> > Besides the " ease " of fitting it into moms life with a new baby, I think it

will

> > be an excellent way to reach MANY more mothers. Even moms " in your own

> > backyard " may like to Skype first and talk about some easy stuff as a get to

you

> > first, and then feel a lot more comfortable about hauling themselves and

baby

> > (and all the gear they carry around down here) to see in in person.

> >

> > I am not sure if it is due to my location to the Mexican border, but I am

> > finding that a lot of people are not receptive to a home visit.

> >

> > Laurean, IBCLC

> > sunny, really hot Southern Ca

> >

>

[Guest guest]

BTW--the LC is very good--not quite god!!

The second was with a mom who had already seen three LCs in her area. One of

whom I happen to know is VERY god. But, her problems have not been resolved and

a friend of hers referred her to me for another opinion.

>

>

> I do not see that as informed consent--I see it as control. I cannot imagine

any mother is looking for someone on skype first and foremost.

>

> I had two skype consults this week. One was referred by her OB with whom I

spoke. I gave the OB the name of the LC I refer to when I am away. This was a

mastitis issue and she wanted the mom to work with me bc I use holistic

interventions. It would be absurd to insist I had to give the names of other LCs

or be in violation of some rule!

>

> The second was with a mom who had already seen three LCs in her area. One of

whom I happen to know is VERY god. But, her problems have not been resolved and

a friend of hers referred her to me for another opinion.

>

> I am sorry, and this may not be a popular thing to say--but there are a lot of

ineffective LCs out there--I am NOT going to give out names of people I do not

know to any mother. If I know of no one in an area, I will refer her to the ILCA

list as a last resort, but will first ask for a recommendation on a list like

this one. If a mom wants to fly to France to see me, she can do that, but she

cannot skype with me? I had moms drive 2 hours from out of state to see me in CT

when I lived there. Should I have had to insist they see the LCs near them? Most

already had, BTW.

>

> Also, I am not on the ILCA database. I am not a fan of ILCAs lack of support

for non-medical IBCLCs and their posh to license and for insurance

reimbursement--none of which I think reflects the real needs of mothers and

babies or our profession. My name would never be given to anyone?

>

> Sorry, but I just do not see this as something to be afraid of. I think folks

calling themselves LCs who aren't, the issues I mentioned above, and the lack of

education for LCs beyond the basics are much more important issues.

>

> Tow, IBCLC, France

>

>

[Guest guest]

I think you make a very good point.

I always make a point of saying 'Board Certified Lactation Consultant' as

opposed to 'Lactation Consultant'.

Is RLC trademarked for those who pass the IBLCE exam?

Anyone?

> >

> > Maybe that should change?!?! Is it that Lactation Consultant should be

> > trademarked? What gives the right to use LC education and passing boards

> > right? What about RN or MD? Are they trademarked? I think it is against

> > the law to impersonate a doctor???!!! Or does this go back to the licensure

> > thing?

> >

> >

> >

> > Lou Moramarco IBCLC

> >

> > Birth, Breastfeeding & Before

> >

> > International Board Certified Lactation Consultant

> >

> > Bradley Childbirth Educator

> >

> > Certified Birth Doula

> >

> > marylou22@

> >

> > www.lunadoula.com

> >