I appreciate Barbara's comments on this thread about oral digital exams.  I
agree that this is not something to be routinely done with every baby.

Even with my relatively limited  experience, if I can figure out what the
problem is and how to solve it without a digital exam, then I suppose it is
not necessary to do one.       I  can see how in a practice such as
Barbara's it is probably more often necessary than not.   I see more of a
mixed clientele, many relatively simple hospital routine induced/poor
management type problems, but occasionally there is  one where there is
obviously more going on then this, and it is for these cases that I feel the
need to acquire the skill of assessing oral anatomy, learning to recognize
normal and abnormal.   I think to say *never* about such an exam would mean
missing some problems.
But, how does someone like myself, with little experience doing oral digital
exams, learn the feel of a normal palate vs.. the abnormal?  By performing
an oral digital assessment on every, or most babies, in order to feel plenty
of normal palates?

Yael Wyshogrod IBCLC
Rechovot, Israel



Yael

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