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Date: | Wed, 31 Aug 2005 17:58:00 EDT |
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Two different men whose friendship and insights I value.
Jay, you know I love you, and you very right about looking more at short term
gains than long term outcome. Long term outcome is harder to prove and much
more costly to do, but we must take a look at it. We do know that short term
protein deficit decreases intellectual function. We also know that too rapid
catch-up growth gives us short, fat, unhealthy children with high blood
pressure as adults. I am also constantly being harassed by insurance companies to
get babies out of the hospital sooner.
I also know that Rich Schanler values human milk - at this point mothers' own
milk. If further research shows the value of donor milk, he will value that
also. I am not defending his study, just explaining it. I will post my
letter to the editor of Pediatrics here when I have finished it. I am also
requesting other physicians knowledgeable about donor milk write letters as well. I
will be explaining the study in question (and its problems) to many different
audiences over the next few months as I lecture. I have also sent my comments
to all my partners (22 of them) and the California Perinatal Quality Care
Collaborative. I am doing every bit of "damage control" I can.
Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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