After reading Linda Draper's post about her practice at an HMO where getting
a frenulum clipped is not a problem, I decided to put in my .02--perhaps it
will help for us to get a sense of perspective. How widespread is acceptance
of this?

I, too, work in a multi-specialty HMO where the ENT physicians and an oral
surgeon are willing to evaluate frenulums and clip as needed. The first time
one of my patients had it done (Friday evening on a long holiday weekend) I
described the procedure to a pediatrician--after seeing Chele Marmet's
presentation--and the physician took my word for it. Everything worked
smoothly (thanks to Chele for being such a good describer!) Thereafter I
used JHL (Journal of Human Lactation)--thanks to Kathy A. and all who
contributed. The specialists looked over the materials--briefly--and
accepted the premise that tongue-tie could cause problems with bf. I only
see 2 or 3 cases a year. Its not unusual for a napping baby to sleep through
the entire procedure. A drop of blood--maybe two. I see more upset (and
complications!) from ear piercing and innoculations--both of which are
common occurences in pediatrics offices.

What is the big deal for fellows like the one Jan Barger described? Any
psychiatrists on line that could offer insight?

Margery Wilson, IBCLC
Cambridge, Massachusetts