Lucy, my email address is in the handouts. I would be happy to email you
privately in more detail about this. The reason you have no recollection
of our having said this this way is because we didn't. As Cathy said,
please go to the syllabus to review our very extensive materials.

To the rest of lactnets' readers, just to fill you in about the Appleton
conference earlier this month, together, Cathy and I gave 7 full
lectures, each of them 60 to 90 minutes long, on a variety of topics
covering a wide variety of circumstances; Alternative feeding devices
were NOT the main topic of ANY of these lectures but were mentioned
tangentially in several of them. All I said in Appelton was that I
believe, (NOT that it is the Truth, but simply that I believe), that
certain bottles, with certain specified nipples can be very useful
alternative feeding devices in certain circumstances. The details of
these specific instances were spelled out at the conference. One of the
most important messages of that conference was for people to think for
themselves, learn from their patients, and learn from the research, from
physiology, from their understandings of how babies and breasts and
mothers work, and from their own experiences. Who am I? Just another
person like you, trying to understand what I'm seeing, and how best to
help my patients. My thoughts and experiences with various feeding
methods, including bottles, should be taken at best as challenges, to
encourage people to think outside the box, but they certainly are not
intended as some new pronouncement from On High. No one should be making
judgements about what feeding devices to use that don't resonate with
their own experiences. I gave my own opinions, these were not based on
controlled double blinded studies of what was best, these were my
opinions and my statements of my own successes in my own particular
circumstances. Other people find cup feedings, finger feeding, etc to be
useful in different circumstances that most of my patients by and large
are not in, but we each must use our own intelligence and experience and
review of the larger literature and experience from others to inform
these decisions.How terrifying for me to find my own personal opinion,
challenging conventional wisdom and standard dogma, accepted and
translated as the New Dogma. NO. I am only Tina Smillie, and not the
Final Word on anything.
Tina Smillie, MD, IBCLC
(I am still on lactnet, but mostly "nomail"

>> Subject: WALC attendees please clarify!!!! Date: Thu, 18 Mar 2004
>> 18:25:47 -0600 From: Lucy <[log in to unmask]> Reply-To: Lactation
>> Information and Discussion <[log in to unmask]> To:
>> [log in to unmask]
>>
>> Hello, This is a plea to anyone who attended the recent WALC in
>> Appleton, WI. Can anyone verify or clarify this information that was
>> brought back to my unit from a fellow Lactation Educator? I was also
>> at this conference and don't have a recollection of this info. The
>> staff relates her new information is as follows: no more need to use
>> cup feedings, habermans, syringes...bottles with nipples
>> recommended??? Also pacifiers are fine?? Please respond asap. TIA
>
>> Lucy Brey, WI



Catherine Watson Genna, IBCLC wrote:

> Lucy,
> Dr. Tina Smillie and I were the speakers at the WALC conference a few
> weeks ago.  Tina is no longer on Lactnet, so I will reply on her
> behalf as well as mine.
>
> Neither of us said there was no need to ever use cup feeding, or that
> pacifiers were good as a routine measure.  Dr. Smillie talked about
> modified bottle feeding for use with ALREADY DISCHARGED infants who
> are unable to take the breast YET, while working toward latching.
>
> I talked about ways to assist an infant with sucking issues, and one
> of the exercises I showed uses a specific pacifier to play "tug of
> war" to assist a baby in increasing tongue grooving.  This DOES NOT
> mean that pacifiers should be used for every baby.  I gave a long
> disclaimer on that talk that it did not apply to every infant.  I was
> concerned about doing that advanced practice topic in an audience that
> contained non-IBCLCs, your colleague's interpretations of the
> information given make me feel that that concern was justified.
>
> There was plenty of information on fingerfeeding as well in several of
> my presentations.  Tina is not such a fan of fingerfeeding, but that's
> fine, we all have our favorite tools, and she does use it when she
> feels it is best for the individual baby.  We both talked about
> modified paced bottlefeeding as one of many ways to nourish a baby
> when alternate feeding is necessary.
>
> I talked about using Haberman feeders (and even showed a video of
> using one) during my presentation on Respiratory Malformations in BF
> Infants.  I also gave information about and video instruction on
> fingerfeeding with syringes and tubes and the Hazelbaker fingerfeeder.
>
> You should have miniatures of every powerpoint slide in your sylabus.
> Take a look and see if you come out with the same take as your colleague.
>

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