I hope it goes well Rachel.  In our small corner of England our 
breastfeeding action  group managed to persuade a small number of  doctors 
that TT was a problem.  I understand that at least one of these docs  had 
originally been dead against it, but was persuaded by the  evidence 
presented.    So it is possible.  We could do with more who  are trained to 
do it [a problem if  all who do it are on leave  at the same time] but it's 
a start.  The mother has to have been assessed by a competent breastfeeding 
specialist, and  she  or someone else  competent must be there after the 
snip to  help with   getting the baby  comfortably latched on.  There was a 
concern that   they would be overwhelmed by numbers, but in fact his hasn't 
proved to be a problem.  I understand   one of the  things used in the 
presentation was a picture of a severely damaged nipple - when a mother is 
talking about a sore nipple, it's not just a tiny 'ow', it's more like 
this -AARGH!
A speech and language  therapist was also involved, it was her who  spoke of 
Carmen Fernando's book,  as she knew of the problems down the line.
Helen LLL in England

 I've been asked by the head of peds to do a presentation in August to a
> meeting of the pediatricians and the ENT docs at my hospital on the 
> efficacy
> of clipping tongue tie, which is a recurrent theme when the 
> multi-resistant
> docs are on duty.  I think this is the kind of teaching aid I need, some 
> big
> elastics.  Imagine trying to knit, or play cards, with a couple of big
> rubber bands wound around your hands.  I'm going to have a variety of 
> these
> tricks incorporated into the talk and I will let you know how it goes.
>
> After a tongue tie is divided, especially if the baby is several weeks old
> before it is done, I find they want to feed but they tire, until that 
> muscle
> that has never been used in the intended way before gets used to working
> right.  They aren't like adults, in that they don't try to avoid 
> exercising,
> but they need understanding as they develop the stamina to get a full feed
> at the breast.
>
> Rachel Myr
> Kristiansand, Norway, where we seem to have skipped summer this year, 
> going
> for liquid sunshine instead.  I don't like a drought any more than the 
> next
> person but when the potato fields look like rice paddies it's gone too 
> far.

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