Lisa wrote re a case needing MD/LC for what she heard as being ductal = yeast. Coincidentally,I recently had a woman call with similar complaints,plus = the following: Woman had discontinued breastfeeding due to sore,cracked nipples = and inability to get babe onto inverted nipple.Mom claims both = are/were inverted. =20 Mom had been given shield when in hospital and told me how "those things = really screwed me up" Baby would only take left side WITH the shield,and took the right side = without it.Said she worked hard at d/c it completely,.but no avail.=20 Mom states she "had so much milk"... I was not contacted until one month AFTER mom had = weaned.....................I contacted Md office-how nice to reach these = moms early,before the problem magnified.///! And am sharing copy of JHL = with hospital and alternatives to shields in Human Lactation. Mom goes on to say that she had been using ACE bandages to = bind,following instructions given her by her OB HCP and low and = behold,Mastitis occurred one week after the weaning/binding occurred..... We talked about fibrocystic-Yes,she has it and had been catching up on = drinking caffeineted beverages,etc. And Ice,which had never been mentioned to her recollection.I mentioned = possibility of Yeast but she said babe has no s/s ....so will check on her in a week or she will call = sooner. Mom c/o deep,stinging pains not like her let-downs.I asked her if she's = pregnant...she said no,her period started last few days.....She noticed these pains around the time her Md RX birth = control pills,and after 2 days of increased breast pain,she stopped the pills..... So,it has been exactly 6 weeks since she stopped nursing and these pains = persist.Possibly laying off caffeine and ice will improve situation,but is it possible that there is candida due to = HX of nipple trauma and mastitis.I think so,but I haven't heard of this before.=20 Is there data re breast binding...I told the office nurse that this is = not routinely recommeded and is controversial but couldn't site a reference...I will check earlier digests--if anyone knows the = particular date thank you. Denise Ferrell,IBCLC New Palestine,IN