Yes, you read this right! ;o) It is something well known here.
Just for fun: in your sentence, substitute your Lansinoh for my soft curd 
chees compresses... What's the difference...?
I'm not fully sure... do you reject the cheese-option or does it fall under 
"in favour of whatever works, as long as a mother likes it"...?

Kindly,

Marianne Vanderveen, Netherlands

----- Original Message ----- 
From: "JOKR PANZER" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, February 08, 2008 3:18 PM
Subject: [LACTNET] soft curd cheese compresses


did I read this right?  Is it just me...?
 I want to cast my vote in favor of evidence based practice.  In fact, I 
believe its something we are committed to as IBCLCs.  Specifically, I'm in 
favor of whatever works, and opposed to what doesn't work, so there's a lot 
of room in there to tailor ideas to individual dyads and to use my 
intuition.  As for the Lansinoh, I acknowledge that there's no evidence, at 
least last time I checked, but that many mothers like it.  My sense is that 
it's harmless, and there is a great deal of evidence to support the placebo 
effect, or the Hawthorne effect (now that I as someone in authority have 
given you this token of my esteem, this gift of nipple cream, you will 
probably notice that you start to feel better....)
best
Kristen Panzer, MS IBCLC
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