With your permission, I would like to forward your email Karen Metzler, a
genetic counselor, whom I am partnering with on a tongue-tie education
project. She is in the midst of an intensive article review on tongue-ties.

Are you only interested in laser revisions? Locally, we are having great
success with tongue-ties of all types as well as lip ties with scissor
revision. I saw Catherine Watson Genna speak this past March at WALC in
Wisconsin and have clarified with her that both scissor and laser revisions
are quite effective even on posterior ties.

We have found that it is easier for those with Medical Assistance to get
treatment from a physician as dental treatment requires referrals,
pre-authorization and a couple of other steps.

Currently we have an MD and a Nurse Practitioner doing procedures. The cost
of a laser is prohibitive so I don't see them switching anytime in the near
future unless funding is found.

I am so excited at the progress we've made here in the last 6 months! A
mother just contacted me to tell me she is still bf at 6 months and she had
to see 5 physicians before she found one that recognized and revised her
baby's tongue-tie.

Dr. Evelyn Jain's DVD "Anterior and Posterior Tongue-Tie" is an excellent
training tool. Perhaps some of your physicians will be brave enough to take
the first snip! (I have no financial interest, just a satisfied customer.)

Feel free to stay in touch if I can be of assistance. This project is
taking over my life right now and I have to say it is so fulfilling!

Allison Laverty Montag BA RLC, IBCLC
Wisconsin, USA


<<<<<<I'm in need of help finding research supporting the benefit of using
laser reduction technique for posterior tongue tie/lip tie.  Also, who is
trained to perform this procedure that is recognized by major insurance
carriers.  The group of Pediatricians at the hospital where I am a IBCLC is
searching to find the best practice for dyads who are failing with BF due
to tongue tie issues.  I've sent patients to a pediatric dentist who has
helped many dyads "fix" their breastfeeding problem with laser technique of
tie release, but the pediatricians that I share patients with are leery due
to the fact that it is a dentist and not physician doing the procedure.
(See reference to L. Kotlow in NY kiddsteeth.com)

  I wish to 1) either help them to trust this procedure and professional
who is trained to do it by bringing supportive research articles to their
attention or, 2) find who within the medical profession is trained to
assess, diagnose and fix posterior tongue tie problems, so we can refer
patients in need of this help, to them.   Comment please

Judith W. Fayre, RN, IBCLC>>>>>>

-- 
"Our doubts are traitors and make us lose the good we often might win, by
fearing to attempt."
William Shakespeare
Measure for Measure

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