Hi Lactnetters,

Once again I'd like to share the comment of a now-retired colleague on the
matter of infant physiological anomalies: "If you see one congenital
anomaly, look for three." The infant may be found to have only one, but my
friend's rule is a good one. For instance, it may help identify a syndrome
or sequence, so that appropriate referrals can happen, as some of us see
from time to time. Many of us have seen infants with significant
tongue-ties that are impacting on breastfeeding, but until Diane
Wiessinger's 1995 case report in JHL, we didn't know to look for very light
upper lips as well. In this spirit, I share my friend's words.

Because of pressure of various commitments, I'm going 'Lactnet nomail' for
a while. I shall be back! While nomail, I can be contacted privately.

It is good to see that the Lactnet culture of politeness and respect
continues, thanks to the efforts of the list mothers and participants.
There continues to be sharing of links to resources, sharing of clinical
experience, and shared problem-solving for unusual or difficult situations.

Virginia

Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA
Private Practice Lactation Consultant (Ipswich and Brisbane)
Historian of Medicine
email: [log in to unmask]
Website: www.virginiathorley.com

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