Thanks for the responses about business-building...
  Here's another question for you.  On Friday I went to a
ped's office to give an in-service for the nurses.  It is
one of only 2 offices in town that I can say is really
supportive of bfing.  Of course, they are not totally clued-
in about bfing, but at least they're trying.  Well, of
course there had to be a nurse there who had 15-year-old
information about breastfeeding..."don't you find that
mothers have a lot less trouble with soreness if they
prepare their nipples ahead of time?"  "I always tell them
to nurse every 3-4 hours for 15 minutes max per side,
because the baby gets most of the milk in the first 7
minutes."  I tried to respond by saying very diplomatically
that "research has found..."  I also cited some cases that
I've had where babies did not thrive when put on such a
schedule, etc., and really tried to emphasize the fact that
every baby is different.  I would really like to send them a
copy of something that validates the "crazy" advice I
offered.  Any suggestions?
  Here's an interesting twist to this...A few hours before I
went to their office, I got a call from one of their
patients who was having a lot of trouble nursing.  It
sounded like one of those "must see" situations, so I
suggested a consult.  The mom agreed, and I saw her this
afternoon.  After my in-service yesterday, one of the
nurses pulls out this moms chart and starts telling me how
stressed the mom is, and how she had called to get a Rx for
the baby because he is so fussy.
  Well, the result of my consult showed one very nipple
confused little guy...the result of the doc's advice to give
a couple of bottles because his bili was 17 on day 4.  Baby
has been screaming at the breast ever since.  Finally after
2-3 hours of screaming, he latches-on, then falls into a
deep sleep for 4-5 hours...result, he's only nursing 4-5
times in 24 hours.  But I've got to hand it to the little
fellow: he seems to be getting plenty of milk.  He had a
VERY wet diaper when mom got him up after 4 1/2 hours, then
he had 3 bm's while I was there.  It took us about an hour
to get him to latch-on, but we did it without screaming.  At
the first sign of anger, we would pick him up, calm him,
give him a little milk from the cup, then try again.  As
long as the mom hangs in there, AND follows my instructions,
I'm sure she'll be doing fine in a few days.  BUT, what
about the doc?  They know I had an appt with her today.  I
was thinking of calling to give a report to the nurse over
the phone, then mailing the MD report.  Would you do that,
or just mail the MD report?  I am so paranoid about doing
the right thing with this office.  It is one of my few
sources of referrals.
  I am eagerly looking forward to hearing everyone's 2 cents
on this one.  Thanks in advance!
                                        Debby