Hi Royce.  I had a similar situation with someone that I thought had stopped 
bf and then would call out of the blue.  What I asked her to do was to send 
me a 3 day diary of what the baby was eating, how often he was put to the 
breast, supplemented, how much she was pumping etc.  I had the feeling that 
she was not following my advice; that is that she was giving lots of 
formula, not pumping, etc and then would call upset.  I felt that if she did 
a 3 day diary, it would help me to see what was going on, help to clarify to 
her what was going on and prove to me that the commitment was still there 
(just for the fact that she would think it important enough to think about 
it and write it down for 3 days).  She never did the diary, called once 
more; I again told her I needed it in order to make any kind of educated 
guess as to what was going on.  Never got it.  Just thought this may be 
helpful to you if you find that it's difficult to help because you feel like 
you're missing so much of the picture.

Good luck!  Carolyn Schindewolf, BS, LCCE, IBCLC
----- Original Message ----- 
From: "Royce Anderson" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, January 04, 2008 10:44 PM
Subject: Mom with nipple/breast pain AGAIN


> Wise ones,
>
> I hope you can again offer help: remember a few weeks back when I had a
> client with "severe" nipple pain. She described it as being soooo painful
> that she had decreased nursing to one time/day. When I saw her the baby 
> went
> to breast right away and without complaint; mom sat there and visited with
> me throughout 20-30 min of nursing and NEVER complained about pain and 
> never
> had any outward signs of pain or discomfort.  Once she finished nursing 
> she
> began to c/o about "horribly severe" pain, again. Baby nursed eagerly and
> without problems and transferred a good amount of milk; particularly after
> being given formula every time he ate with the exception of one feed/day.
> No TT, absolutely NOTHING I could put my finger on.
>
> When I called mom to f/u she said "Oh, I'm so glad you called, you inspire
> me."  I tried to f/u later and she did NOT return my calls.  I posted to 
> LN
> and the consensus was that she wanted ME to give her permission to quit. 
> I
> called one final time and left the message that I assumed that she had met
> her goals and was happy with or without the BRF relationship.  I still did
> not hear from her.
>
> She has NOW called me twice today; she apologized for not returning my 
> calls
> but said that baby had been nursing without difficulty and everything was
> fine except now (today) she was having breast (not nipple) pain.  The 
> second
> time she called she said the pain was getting worse and now baby acts 
> hungry
> but once on the breast he sucks a couple of times and then pulls off. She
> denies antibiotics, denies bright pink nipples, red dots on baby's bottom 
> or
> white patches in his mouth.  This is the same mom that would NOT use APNO
> b/c she was afraid of the steroids...I had finally convinced her that it 
> was
> OK and NOT to wipe off nipples before nursing (assuming that it was a thin
> layer of ointment,) she was also NOT using "Soothies" b/c she thought they
> were one time only use b/c it said disposable!
>
> I was unable to see them today but have an appt for tomorrow afternoon; 
> help
> me please.
>
> Thanks,
>
> Royce
>
>
>
>
>
>
>
>
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