Re: just need to scream for a second LOL

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While we are talking about valuable experiences, I was originally involved in getting my hours and “experiences” in 1998 when IBLCE was running a pilot project to find out about mentoring. I went through the Jan’s Clinical Intern book and did all the work. Let me tell you, that book is excellent. I became certified having seen more variety of cases than any other very experienced IBCLC. 3 cleft palate babies, 5 FTT, observe 3 C-secs, 3 regular births, 5 Down’s syndrome, reflux, etc. You name it, it is all there. And with fantastic thinking homework afterwards. I worked hard, but was trained very well. And of course since, in the 10 years I am certified, the crazy and weird cases only continued coming, and I was not afraid to deal with anything.I see you cannot compare that to someone getting hours all in one setting. And it becomes frustrating hearing advice of other IBCLC’s who give info never having really worked with a FTT baby or a baby over one week for that matter. Billowitz From: [mailto: ] On Behalf Of popikinsSent: Tuesday, August 16, 2011 6:19 AMTo: Subject: Re: just need to scream for a second LOL Have you had a chance to observe an experienced LC perform a full outpatient or private practice consult? From the history taking, to observing the teaching, and development of a plan of care, and the documentation.I think observing other private practice and outpatient consults was a really important component of my learning.>> Talking about newbies, I wonder if I am one. I have 8 years as a Mother/Baby and Nicu RN wear my speciality has always been breastfeeding I got my IBCLC in 2008 and currently have 2 part time hospital LC jobs, but the one is far away I would like to quit and start my own private practice. Also there isn't any other PPLC's in my community so I am excited to feel a need. I just wondering how do you know when you are experienced enough for PP work. I have been to some conferences, some on line education, and of course read books. I plan to continue to increasing my knowledge.>__________ Information from ESET NOD32 Antivirus, version of virus signature database 6380 (20110815) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com

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The more you know, the more questions you have…. From: [mailto: ] On Behalf Of BeebeSent: Tuesday, August 16, 2011 7:43 AMTo: Subject: Re: Re: just need to scream for a second LOL I've been doing this for 20 years and I still don't feel like I know it all. humbled every day with every client. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/ --- Subject: Re: Re: just need to scream for a second LOLTo: Date: Monday, August 15, 2011, 9:40 PM Hmmmm. Interesting question, Karman. How do you know when you're not a newbie anymore? Got me to thinking about it. I think I felt like I wasn't a newbie anymore when I rarely had to ask colleagues for ideas about various situations the mothers presented with. We all still come up against something we've never experienced before, every now and then. But when we usually feel confident we were helpful in solving the problem, then I think we aren't " newbies " anymore. Just my opinion. Dee Kassing Talking about newbies, I wonder if I am one. I have 8 years as a Mother/Baby and Nicu RN wear my speciality has always been breastfeeding I got my IBCLC in 2008 and currently have 2 part time hospital LC jobs, but the one is far away I would like to quit and start my own private practice. Also there isn't any other PPLC's in my community so I am excited to feel a need. I just wondering how do you know when you are experienced enough for PP work. I have been to some conferences, some on line education, and of course read books. I plan to continue to increasing my knowledge. __________ Information from ESET NOD32 Antivirus, version of virus signature database 6380 (20110815) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com

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OK my turn to scream! Got a phone call from a pedi office (yay!) to give advice to their office "lactation consultant" (er office nurse who went to a breastfeeding conference BOO!) She had a mom of a 1 week old come in to the office with chewed up nipples from the first latch. The hospital told her that her nipples were so bad that she should just pump and give formula for 2 days (Screaming). Mom went to OB for remedy for nipples and he told her to PUMP PUMP PUMP! SOOO she pumped for 2 HOURS AT A TIME! YIKES. She was so engorged and swollen that nothing would come out! She said she never want to breastfeed again (can you blame her?)Advice from office "lactation

consultant"1) apply heat to engorged breasts2) use a nipple shield for sore nipples3) baby cannot be tongue tied because she sticks her tongue out4) Don't worry, we will work on this better when the NEXT BABY COMES!Can you hear me screaming? I asked the office LC to have the mom call me or email me (HIPPA prevents me from calling her without her permission). I asked her, can't we preserve this breastfeeding couple? OK, so the baby was not referred to an IBCLC by the hospital. The pedi didn't refer her to an IBCLC because they have a "lactation consultant" in the

office. This mom is probably crying her eyes out right this minute...DAILY I am reading reading reading asking asking asking. I am so thankful for wonderful IBCLC resources that I rely on. I know you know who you are because your inbox is full of emails from me!!! Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/CradleholdBreastfeedingEducationandsupportProviding the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyHow Were YOU Supported to Breastfeed?http://www.usbreastfeeding.org/LegislationPolicy/ActionCampaigns/SupportStories/tabid/198/Default.aspxFrom: Dee Kassing To: Sent: Monday, August 15, 2011 8:26 PMSubject: RE: Re: just need to scream for a second LOL

Hi, .

Yes, I get those too. Here's what I have come up with for explaining to mothers why I'm not saying the same thing as those "newbies". (I don't call them that to the mother!)

"I have more than 30 years' experience working with mothers and babies. You just don't see everything in the first couple of years--you need time to get your experience. Also, there are many, many breastfeeding conferences now. None of us can afford to go to all of them. So since we are each attending different conferences, we each learn different "tidbits" of information. Sometimes you have to see 3 or 4 or 5 different IBCLCs before you find the one who has been to the right conference to learn the tidbit that *you* need to make things better."

So, this gives a polite "out" to the newbies, so I don't look like I'm just complaining about them when I tell a mother why she needed to find me!

Dee

Dee, sometimes the problem is with a new IBCLC or someone who has no clinical experience- I see a good number of new IBCLC’s who have never personally seen FTT, TT, or any of the other myriad of problems, because they racked up hours only in the first 48 hours of life. Then you can’t say you trump them! It is so frustrating!

Billowitz, IBCLC

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Very nice, Dee.CherylTo: Sent: Monday, August 15, 2011 8:26 PMSubject: RE: Re: just need to scream for a

second LOL

Hi, .

Yes, I get those too. Here's what I have come up with for explaining to mothers why I'm not saying the same thing as those "newbies". (I don't call them that to the mother!)

"I have more than 30 years' experience working with mothers and babies. You just don't see everything in the first couple of years--you need time to get your experience. Also, there are many, many breastfeeding conferences now. None of us can afford to go to all of them. So since we are each attending different conferences, we each learn different "tidbits" of information. Sometimes you have to see 3 or 4 or 5 different IBCLCs before you find the one who has been to the right conference to learn the tidbit that *you* need to make things better."

So, this gives a polite "out" to the newbies, so I don't look like I'm just complaining about them when I tell a mother why she needed to find me!

Dee

Dee, sometimes the problem is with a new IBCLC or someone who has no clinical experience- I see a good number of new IBCLC’s who have never personally seen FTT, TT, or any of the other myriad of problems, because they racked up hours only in the first 48 hours of life. Then you can’t say you trump them! It is so frustrating!

Billowitz, IBCLC