By winning a bet with my very famous and monumentally important pediatric 
surgery attending (that the OR would not be ready for us before 14:30 for our 
2 month old with pyloric stenosis) who is brilliant but a little conservative, I 
have finally put a chink in our antiquated post-pyloromyotomy feeding 
regimen.  It does still involved bottle-feeding (x5 in graduated amounts), but 
starts with full strength breastmilk!  This may not sound like a coup, but the 
prior regimen involves Pedialyte x 2, then 1/4 strength formula or breastmilk in 
graduated amounts for 4 feedings, then 1/2 strength, etc., and usually takes 
at least 24 hours before baby is breastfeeding again.  My regimen may get 
baby to breast in 12 hours assuming all feedings go well and involve breastmilk 
only.

He finds my interest in this a little weird but endearing, so I'm hoping to 
change our automated order set too.  Help me pray that this baby does not 
have a lot of postoperative swelling, because I really need this first time to go 
well!

Shannon Tierney McElearney, MD, MS
Resident, General Surgery
nursing mama to Jack (3 1/2) and future breast surgeon

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