-----Original Message-----
From: LACTNET automatic digest system <[log in to unmask]>
To: [log in to unmask]
Sent: Sat, 20 Oct 2007 11:00 pm
Subject: LACTNET Digest - 20 Oct 2007 (#2007-956)
There are 4 messages totalling 185 lines in this issue.
Topics of the day:
1. clc and ibclc
2. exam results
3. MRSA
4. 2 Clients - need info
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Date: Sat, 20 Oct 2007 14:49:12 EDT
From: [log in to unmask]
Subject: Re: clc and ibclc
In a message dated 10/20/2007 2:45:17 P.M. Eastern Daylight Time,
[log in to unmask] writes:
now all three (LLLL, CLC and IBCLC, lol), I definitely think there is a
difference in level of knowledge!
As there is a difference in the 45 hour lactation course. Please look at
them all! Several are stepping stones to IBCLC. Compare courses.This is not the
only one!
Carole Peterson
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Date: Sat, 20 Oct 2007 15:53:34 -0500
From: Royce Anderson <[log in to unmask]>
Subject: exam results
CONGRATULATIONS! Everyone is to be commended for passing the test!!! I was
in a tizzy last year, but now am safe until 2016 and I am afraid that @ the
grand old age of 68 I may NOT re-sit the exam. We'll see. :-)
What you permit, you promote
Royce Anderson
RN, IBCLC, RLC, CD (DONA)
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Date: Sat, 20 Oct 2007 20:09:13 EDT
From: [log in to unmask]
Subject: MRSA
The drug of choice (oral) for MRSA is clindamycin, although there are some
MRSA that are resistant. Augmentin and diclox are not effective. Alternatives
are levofloxacin or (IV) vancomycin.
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist
Medical Director, Lactation Services
Sharp Mary Birch Hospital for Women
San Diego, CA USA
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Date: Sat, 20 Oct 2007 18:01:43 -0700
From: "Jaye Simpson, IBCLC" <[log in to unmask]>
Subject: 2 Clients - need info
Hi All,
Client #1: Has history of IBS, low thyroid (great endo who monitors and
adjusts meds regularly) and an autoimmune disorder that caused issue with
her platelets and had to have her spleen removed a few years ago. Milk
supply LOW - did a prolactin level test - came back 108 for day 8. Clearly
an issue. She took the test early am just after pumping (baby has issues
and is not yet breastfeeding). We are discussing Domperidone and herbs.
Question: Will domperidone cause an issue for a woman with above history?
How about herbs such as Fenugreek, Blessed Thistle, Nettles, Fennel and
Goat's Rue (Motherlove More Milk Special Blend).
Client #2: Breast cancer 2 yrs ago - right breast removed - radiation and
tomoxifan. ( months ago discovered she was pregnant - stopped Tomoxifan
immed. Issues now: Difficulty with latch on led to terribly damaged
nipples - went to pumping with Classic - no one checked sizing - flange too
small and caused regular pain with pumping. Mom got engorged on day 5/6 but
did best she could with pump. Milk supply is very poor - she is 3 weeks out
now. I believe that milk supply issue is most likely due to poor removal
due to baby and flange. We are looking at starting with More Milk Special
Blend and possibly domperidone to boost milk supply.
Question 1: Can radiation affect the healthy breast and lead to inability
to produce milk?
Question 2: Info in drug book mom owns (she is an RN) states that
Domperidone is not safe to use in women who have had breast cancer. Is this
accurate?
Thank you!
Please e-mail privately and to the list.
Jaye Simpson, IBCLC, CIIM
Breastfeeding Network
Sacramento, CA
www.breastfeedingnetwork.net
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End of LACTNET Digest - 20 Oct 2007 (#2007-956)
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