Laurie writes:

"Could  you arrange to be given a few minutes on the agenda of the ENTs 
meeting (I'm  assuming they meet regularly). You can come prepared with some 
literature,  criteria that indicates clipping is needed, and of course your 
observations  that mothers and babies are not happy bottlefeeding in lieu of  
bf."
Laurie,
 
Nice idea for Dr. Martin. I would emphasize in whatever ways seems like it  
might be heard, that although getting their mother's milk in a bottle is 
good,  it is not the biological norm for babies, and there are many 
differences between  direct, normal breastfeeding and bottlefeeding of anything. 
Mothers and babies  miss out on a lot when they do not get to achieve the 
physiologic norm of  breastfeeding. This is something it is hard for many to 
understand, because  "baby is bottlefeeding fine." The advice to wait probably has 
to do with a baby  who goes on to have problems with eating solids, or 
pre-speech/speech, which are  considered critical. Breastfeeding is not 
critical. :(
 
Also, Dr. Martin, I don't know where you are, but if you ever want to see  
if our local ENT, Dr. Linda Dahl, would be open to teaching you frenotomies 
on  both anterior and posterior restrictions or whatever you are comfortable 
with,  hey you can stay with me and not have to pay for a hotel in NYC. I 
think this is  so important, that's why I am serious in offering the option. 
Email me privately  if you are interested. 
 
Peace,
Judy 

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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