You're right, Norma. As I tell the mothers while they are with me, I have 
checked the baby for torticollis (and more) during my observation.
Even if a mother and baby are referred to me for a specific challenge I take 
a fresh history, using a tried-and-proven checklist. Sometimes something 
will come up that wasn't obvious, but leads to furter investigation and 
better help for the mother. The condition the dyad was referred with may 
prove not to be the real issue. Some examples, of many:
- a mother referred to me for "no milk" and advice on relactation (but the 
baby's behaviour at breast was because of a forceful MER);
- a mother who had rceived telephone advice from several others that her 
baby had a suck problem and faulty latch as the baby girl was coming off 
after 5 minutes (but who had no problem, except that her baby was older and 
suddenly more efficient);
- a mother who believed she had thrush and had a lot of questions about that 
(but had a impetigo of the nipples as the toddler had impetigo, i.e. "school 
sores", and neded a script from her GP);
- mothers with supply issues who haven't eaten all day, and improve after we 
find ways to include food in their days, that suit them.
Yes, being holistic and taking a complete history are important.

Virginia
in Brisbane, Queensland, Australia

PS. We are starting to have a solar eclipse, 83%. Up north, they will have 
totally when the sun completely obscures the sun.

> Virgina wrote:
>>We all need to take a full history and keep other possibilities in mind. 
>>This is expecially so if repeated treatments have been tried and haven't 
>>worked.<
>
Norma Ritter wrote:
> YES!
> And also, please check both the baby's face and mouth for asymmetry,
> lip and tongue ties, at the minimum. A check list can be helpful.
> So many of my clients report that I was the first to even suggest that
> their babies' difficulties in nursing could be anything other than
> poor positioning. Which is not to say that positioning isn't
> important! Of course it is, but what looks like a great latch from the
> outside may not be. If the mother says it hurts, believe her!
>
> Just preaching to the choir here :)

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