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I have a mom (complicated case) whom I have been spending a lot of time

corresponding with. I saw her initially and my fee was a stretch for her then.

I let her send me the fee after the fact which I have never done before. She

really has needed to see me again but their finances are so tight that she could

not afford my fee. I offered her a VERY reduced fee -- one that essentially

only covered my childcare expenses -- and she was not able to afford that right

now either. I have continued to answer her many questions via email while at

the same time setting boundaries with her about what I will and won't do without

an in person consult.

I have felt very conflicted about this mom. The business person in me says I've

already gone far above and beyond to provide her with support and care and that

it would be unwise to put myself in the hole by seeing her for no fee. The mom

and LLL leader in me says that I should just bite the bullet, pay for my own

childcare and go see her for free. The risk manager in me is not sure which

path to take.

What do the rest of you do when situations like this arise?

I do believe that all women,regardless of socioeconomic status, should have

access to quality lactation care. I'm just not sure how to apply that belief

here.

Carroll, MA, IBCLC

Lactation Solutions

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