http://www.truthout.org/issues_06/092206HA.shtml
LACTNET automatic digest system <[log in to unmask]> wrote: There are 4 messages totalling 197 lines in this issue.
Topics of the day:
1. Finding a good ENT or the like in my area
2. What could this be? Catherine Genna?? (2)
3. SHOPPERS DRUG MART ACTION UPDATE
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Date: Thu, 21 Sep 2006 21:26:39 EDT
From: Ann Conlon-Smith
Subject: Finding a good ENT or the like in my area
Been sending moms to a certain local pediatrician who has done frenotomies
in past and claims to be able to do oral assessment and will see baby for a
single one time visit. However, repeatedly, he tells moms that "there is no
frenulum" whatever that means (I would prefer he say there is not a "tight"
frenulum) and then says, "Well, just keep on trying." Oh great. I have come to
think that the only tongue ties he treats are those very basic and very
obvious ones with heart shaped tongue. So today, this has happened once again
and I have decided that I will no longer encourage moms to see him. However,
I do not know how to find out who I should send them to. The local ENT is
not much better, since they have said, "Baby will outgrow it. You can just
bottle feed anyway." I could check with some others, but I am just not sure
where to start. Any ideas? Thanks, Ann
Ann Conlon-Smith, IBCLC
Triangle Lactation Consultants
919-845-8826
_www.trianglelactation.com_ (http://www.trianglelactation.com/)
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Date: Thu, 21 Sep 2006 21:36:58 EDT
From: Ann Conlon-Smith
Subject: What could this be? Catherine Genna??
Have permission to post -- baby is almost 3 weeks old and I saw him at 5
days when he was still having dark scanty stools and pees, looked jaundiced too.
Mother's nipples were quite sore and fairly flat, but not inverted. Baby
had a very shallow latch and bunched tongue. We managed to latch with a
nipple shield and used tube feed in that as well to get more milk into him. He
would slip down to tip of shield as he would at breast. Mother has begun
supplementing more and more with EBM, first with Soothie nipple and now switched to
Avent nipple cause she heard it was "just like the breast." No comment.
Anyway, I finally convinced them to see a local ped about the baby's tongue
which I believe may well be a posterior tongue tie and he said that there was
nothing wrong with the baby's frenulum and she should "just keep on trying."
She is very frustrated and says that now, he does not even open wide for
nipple shield and is pinching her when he does latch onto shield. She feels he is
getting even worse from all the bottles. She has managed to keep him
gaining weight. Doc did say that baby has "a funky suck and is not lifting the
end of his tongue. He is curling his tongue and rolling it so that the nipple
ends up in the side of his mouth." Oh my. The only thing I have left in my
back pocket is to suggest they go to the pediatric dysphasia clinic, but I am
out of ideas now. Do you all have any? Thanks, Ann
Ann Conlon-Smith, IBCLC
Triangle Lactation Consultants
919-845-8826
_www.trianglelactation.com_ (http://www.trianglelactation.com/)
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------------------------------
Date: Thu, 21 Sep 2006 18:49:07 -0700
From: Renee Hefti
Subject: SHOPPERS DRUG MART ACTION UPDATE
Greetings,
Late afternoon breaking news: Shoppers head office just called to say =
the formula display was being dismantled! Did you hear my YIPPEE?? I =
guess, when the media and some of you started phoning, Shoppers realized =
we don't just give up when someone asks us to go away.=20
Thanks to all of you have emailed me support today - great to hear from =
so many people, many that I had lost touch with.
I still don't know if the Shoppers in my community was the only one =
doing this promotion or if it is happening across Canada. Canadians =
please let me know.
I was thinking back to the last action I was involved with about 10 =
years ago. I had to fax individiual press releases and info to the =
support network. Prior to that, when I had no fax, I had to send them =
from the drug store (and pay for each one! ) (Am I dating myself?) =
This time I just had to type in an address and push a botton!.
Renee
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------------------------------
Date: Thu, 21 Sep 2006 22:55:43 -0400
From: "Catherine Watson Genna, IBCLC"
Subject: Re: What could this be? Catherine Genna??
Certainly sounds like he has a significantly tight posterior tongue tie.
The bunching, biting and inefficient feeding is typical.
Will mom fingerfeed? Sometimes fingerfeeding with a small, circular
massage on the tongue with the finger can help bring these little
tongues forward a bit more.
As for the ped, can you call him when you are sending a baby, and say "I
know this is not a typical tongue tie, but..." and explain your findings
and ask if he could try lifting the tongue to get a good look. You could
always send the mom to NY if she's desperate, or Dr. Coryllos (our
pediatric surgeon/IBCLC/wonderwoman) will walk any willing doc through
it on the telephone. Sometimes sending mom in armed with our AAP BF
section newsletter article will help her get these very restrictive but
harder to notice frenula treated.
You could start cultivating the youngest ENTs/oral surgeons/pediatric
surgeons in town. Sometimes calling around and asking if they treat
tongue ties is enough to open a dialogue. You can share the latest
research, there are more studies all the time.
Good luck, it is a frustrating situation when you see something others
do not.
Catherine Watson Genna, IBCLC NYC
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------------------------------
End of LACTNET Digest - 21 Sep 2006 (#2006-1066)
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