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Discussion writes:
> There are 18 messages totalling 428 lines in this issue.
>
> Topics in this special issue:
>
> 1. oops: Letter to the Editor
> 2. BF on Star Trek
> 3. mom in Switzerland
> 4. science in a can
> 5. Nursing strike quote needed
> 6. London article rebuttal
> 7. HMO humor
> 8. Menopause while breastfeeding (2)
> 9. Contrast Dye
> 10. Premature menopause
> 11. Copaxone
> 12. Annals of Improbable Results (AIR)
> 13. Copolymer-1
> 14. Nipples on males
> 15. public bf v. privacy areas
> 16. Support in Redding CA?
> 17. Male Nipples
>
>
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> ----------------------------------------------------------------------
>
> Date: Tue, 27 May 1997 13:24:19 -0400
> From: Margery Wilson <[log in to unmask]>
> Subject: oops: Letter to the Editor
>
> I just realized I sent the draft copy of my letter to Lactnet but the final
> version (whew) went to TIMES. Out of consideration for your "reading
> burden" I won't re-post. Believe me, the final version was more succinct.
> I wonder how many letters the Times has received about Dr. Stuttaford's
> column?
> Margery Wilson, IBCLC
>
> ------------------------------
>
> Date: Tue, 27 May 1997 13:40:43 -0400
> From: Judy Fram <[log in to unmask]>
> Subject: BF on Star Trek
>
> It is disturbing but obvious to me why Seska BF her son : she is dommineering
> and controlling in all her relationships, and of course by BFing the baby she
> can make him "overdependent" and show Chakotay (baby's unwitting dad - his
> genetic material was stolen to father this child...) how she can again FORCE
> men to be linked to her. "She is one of those sick women who needs to BF to
> control things." She may also have believed that it would make him strong and
> healthy but this is never mentioned. All the other women are too independent
> and self-assured to need this primitive behavior as part of their parenting
> repetoire. They have careers of importance and are interchangeable with their
> husbands as parents -true, but misguided egalitarianism. Sad, but true, this
> future is not much different than our present in terms of parenting
> wisdom...Judy Fram, Brooklyn, NY
>
> ------------------------------
>
> Date: Tue, 27 May 1997 13:42:48 -0400
> From: Margery Wilson <[log in to unmask]>
> Subject: Re: mom in Switzerland
>
> After reading K. Dettwyler's apt suggestions (for the mother to talk to the
> child about the three-day interruption to bf) I recalled a woman in my
> practice who had a similar situation. She applied bandaids to her breasts
> to help her toddler understand, and said it worked like magic. The toddler
> was quite sympathetic over the few days he could not nurse.
>
> Margery Wilson, IBCLC
>
> ------------------------------
>
> Date: Tue, 27 May 1997 13:46:06 -0400
> From: Judy Fram <[log in to unmask]>
> Subject: science in a can
>
> Such a juxtaposition -the "science in a can" reference ( thanks for the
> "toilet" tie-in, Margery) and the transplant/ mother's milk link. I notice no
> one is using that terrific "science in a can" stuff to help provide IgA and
> bolster the immune system of transplant recipients... Judy Fram, Brooklyn, NY
>
> ------------------------------
>
> Date: Tue, 27 May 1997 13:54:25 -0400
> From: Judy Fram <[log in to unmask]>
> Subject: Nursing strike quote needed
>
> Lactnetters:
> I am writing a small piece for a parenting magazine, on nursing strikes,
> and they would like me to include a quote from a pediatrician. If anyone
> feels motivated and willing to answer one or all of the following, I'd
> appreciate it:
> ( I did not make these questions up - the magazine did,)
> :what happens to the baby if a nursing strike is not handled properly?
> :what is it about teething discomfort, stuffy noses, or ear infections that
> trigger nursing strikes?
> :when are children no longer at risk for nursing strikes and/or why do they
> outgrow them?
> Feel free to "plug breastfeeding" as part of your answer. Thanks in advance.
> Judy Fram,( yes, Chris I'm at it again,) Brooklyn, NY [log in to unmask]
>
> ------------------------------
>
> Date: Tue, 27 May 1997 14:02:23 -0400
> From: Judy Fram <[log in to unmask]>
> Subject: London article rebuttal
>
> Go Laurie, I 'm glad you mentioned that ridiculous assertion that at age 3
> children should be independent. I know my children were not able to hold
> well-paying jobs and get decent apartments at that age, but I guess that's
> because they were overdependent on me...
> The more of us who write, the more different angles we can cover, and the
> more times they have to confront their own misinformation.. Judy Fram
> ,Brooklyn, NY
>
> ------------------------------
>
> Date: Tue, 27 May 1997 14:41:08 -0400
> From: "Lisa Marasco, IBCLC" <[log in to unmask]>
> Subject: HMO humor
>
> I'm sorry, I just couldn't help it. I've had my own personal runarounds
> with HMOs, and this was just too good....
>
> HMO Question And Answer Humor
>
> ___________________________________________________________
>
> Q. What does "HMO" really stand for?
> A. The popular idea that "HMO" stand for "horrible medical
> organization" is untrue. It is actually a corruption of the phrase
> "Hey, Moe!" often shouted out by patients at Dr. Moe Howard during his
> early research on pain. Dr. Howard was the first to discover that a
> patient could be made to forget about the pain in his foot if her were
> poked hard enough in the eyes. Modern health plans have discovered
> that voice mail, pre-certification, gatekeeper doctors and referral
> slips are equally effective.
> ________________________________________________________
>
> Q. Do all diagnostic procedures require pre-certification?
> A. No, only those you need.
> ________________________________________________________
>
> Q. I just joined a new HMO. How difficult will it be to choose the
> doctor I want?
> A. Just slightly more difficult that choosing your parents. The HMO
> will provide you with a book listing all the doctors that were
> participating in the plan at the time the information was gathered
> several years ago. Aside from those doctors who have died, retired or
> left the state, the listings should fall into one of two categories.
> Those doctors who are no longer accepting new patients and those who
> will see you but are no longer part of the plan. You should call you
> HMO voice mail for further instructions.
> _______________________________________________________
>
> Q. What are pre-existing conditions?
> A. This is a phrase used by the grammatically challenged when they
> want to talk about existing conditions. Unfortunately, we appear to be
> pre-stuck with it.
> ________________________________________________________
>
> Q. What happens if I want to try alternative forms of medicine?
> A. You will need to find alternative forms of payment.
> ______________________________________________________
>
> Q. My pharmacy plan covers only generic drugs, but I need the name
> brand. I tried the generic medication, but it gave me a stomachache.
> What should I do?
> A. Poke yourself in the eye.
> _____________________________________________________
>
> Q. What should I do if I get sick while traveling?
> A. Try sitting in a different part of the bus.
> _____________________________________________________
>
> Q. I think I need a specialist, but my gatekeeper doctor insists he
> can handle my problem. Can a GP really perform a heart transplant
> right in his office?
> A. Hard to say, but considering that all you're risking is the $10
> co-payment, there's no harm giving him a shot at it.
> _______________________________________________________
>
> Q. Will HMO health care be any different in the next century?
> A. No, but if you call right now, you might get an appointment by
> then.
> _______________________________________________________
>
> ------------------------------
>
> Date: Tue, 27 May 1997 14:45:23 -0400
> From: Denhez Louise <[log in to unmask]>
> Subject: Re: Menopause while breastfeeding
>
> On Tue, 27 May 1997, you wrote:
>
> > I'm working with a 39 year old mother with a 6 week old fully breastfed
> > baby.
> > She had one ovary with a tumor removed several years ago, then had her
> > second ovary removed during her fifth month of pregnancy, also with a
> > tumor.
> > ...
> > The reasons given for weaning are: 1. Estrogen may decrease her milk
> > supply
> > (so will weaning, says mom). 2. Baby is a boy and doctor does not give
> > OCPs
> > to mothers of boys. 3. Endocrinologist says she must wean.
> > ...
> > My question is: ... Is there any reason for her to have a hysterectomy
> > before she exhibits
> > difficulties with the endometrial lining? (That's another one of the
> > doctor's recommendations.)
>
> Of course, I am not an expert on surgical menopause, only a public health
> doctor... but I feel your client is right on the money:
> 1. Mom would have estrogen in her system, and replacement therapy (by
> opposition to birth control pills, much stronger) only replaces the estrogen
> that would be there is the ovary had not been removed.
> 2. Same: if boys would suffer from the estrogen in Mommy's milk ... we
> would not be here, would we ?
> 3. Upon the inspiration of dr Newman: ask his (endocrinologist)
> references... but I bet he cannot produce many !
> Finally, about the endometrial lining, hormone replacement therapy does
> include progesterone during the second half of the cycle, to "normalize"
> the endometrial lining, and eliminate the risk of
> endometrial cancer due to "unopposed" (i.e. by progesterone) estrogen
> replacement. Of course, if the nature of her tumors forbid adding
> progesterone to the treatment, your client would then have increased risk
> of endometrial cancer and should consider hysterectomy. However, if she
> could take progesterone, the issue is resolved.
>
> Hope it helped,
>
> Louise Denhez, M.D., M.P.H
> Chargee d'enseignement clinique
> Departement de medecine sociale et preventive
> Montreal, Quebec, Canada
>
> ------------------------------
>
> Date: Tue, 27 May 1997 15:17:57 -0500
> From: Jack Newman <[log in to unmask]>
> Subject: Contrast Dye
>
> Nonsense, the mother can breastfeed immediately after the CT scan. Even
> if the iodine (not radioactive) were harmful to the child, which it
> isn't, 90% of it would be out of the mother's system (and therefore her
> milk) within about 12 hours. We do CT scans in much younger babies.
> The amount in the milk is only a tiny percentage of the dose the mother
> gets.
>
> Secondly, the decision about not nursing is strictly up to the mother,
> not the people who are doing the test.
>
> Jack Newman, MD, FRCPC
>
> ------------------------------
>
> Date: Tue, 27 May 1997 15:24:10 -0500
> From: Jack Newman <[log in to unmask]>
> Subject: Premature menopause
>
> In the first place, is there any real reason that the mother must have
> hormone replacement now? Even if she nurses the baby two years, say,
> why can't the hormone replacement begin then?
>
> The story of estrogens for male babies is idiotic. But estrogens may
> considerably decrease the milk supply, so they should not be used.
>
> Why should she have a hysterectomy? I don't know the answer, but do all
> women who have menopause require a hysterectomy? Is there anyone out
> there who knows why premature, or surgical menopause requires a
> hysterectomy? Better be a good reason.
>
> Jack Newman, MD, FRCPC
>
> ------------------------------
>
> Date: Tue, 27 May 1997 15:27:20 -0500
> From: Jack Newman <[log in to unmask]>
> Subject: Copaxone
>
> If this stuff is given by injection, maybe it is not absorbed orally, in
> which case there is no concern about nursing while the mother is on it.
> Maybe it is a protein and will be destroyed in the baby's stomach.
>
> The mother's health is important, but breastfeeding is too.
> Breastfeeding may protect the child from developing multiple sclerosis
> later. Isn't that being taken into consideration? Maybe there is an
> answer here if we look.
>
> Jack Newman, MD, FRCPC (who has never heard of this drug)
>
> ------------------------------
>
> Date: Tue, 27 May 1997 15:29:52 -0400
> From: "Nice, Frank" <[log in to unmask]>
> Subject: Annals of Improbable Results (AIR)
>
> Yes, AIR is a spin-off of Journal of Irreproducible Results.
> I too would be interested to see just what this "article" on "bonding"
> looks like.
> A lot of times, the name of the author is significant. Does the author's
> name, Christina Linux, have any breastfeeding significance or
> tongue-in-cheek meaning that I am missing???
>
> ------------------------------
>
> Date: Tue, 27 May 1997 15:33:57 -0500
> From: Jack Newman <[log in to unmask]>
> Subject: Copolymer-1
>
> Given the information in Dr. Hale's post, I think there should be
> absolutely no concern about this. If the treating physician did not
> know this information, why is s/he using this drug. If he did, why did
> he imagine the mother needed to wean the baby for that reason?
>
> Jack Newman, MD, FRCPC
>
> ------------------------------
>
> Date: Tue, 27 May 1997 09:48:36 -0700
> From: Glenn Evans <[log in to unmask]>
> Subject: Re: Nipples on males
>
> Great, clear explanation, Kathy. Joanna doesn't say how old she is, but =
> I think this explanation can be simplified by her mom, if necessary, =
> without leaving anything out. =20
>
> I would add one thing more. Joanna -- breasts are not a sexual =
> organ/gland.
> They are a modified sweat gland. Not only do both men and women have =
> usually two, sometimes they might have extras. These are most often =
> found along the same line, top to bottom, as the "usual" pair, and are =
> sometimes found into the armpits. They are called supernumerary =
> nipples. In some moms who are breastfeeding, they may even initially =
> produce colostrum and milk. If they are not used to feed, the supply =
> cuts back in those nipples, while the main pair continues to provide =
> food for the baby.
>
> Sincerely, Chanita
>
> ------------------------------
>
> Date: Tue, 27 May 1997 10:09:00 -0700
> From: Glenn Evans <[log in to unmask]>
> Subject: public bf v. privacy areas
>
> My $.02 --
>
> While I agree that all moms should be able to feed openly, anywhere, I =
> also am aware that some moms don't want to, and having an available =
> "mothering area"
> might increase the breastfeeding when away from home. Too often I see =
> babies that I know are BF (because I know them), taking bottles when in =
> public because moms are too shy to even offer the breast discreetly, =
> i.e., under a blanket, or mom's blouse/shirt. =20
>
> Another lactnetter suggested the sign -- "While mothers may breastfeed =
> any- where in our facility, we have provided a private area nursing =
> area, for those who would prefer it, located..." I would make this the =
> area for a changing table as well, if possible. Notice -- I did not say =
> mothers and their infants -- this way, maybe some moms of older babies, =
> toddlers or nursing children might use it as well. Sometimes the way =
> out of the closet is not directly to the public, but first to others =
> sharing the same traits. . .
>
> Chanita, San Francisco
>
> And a further thought -- men's rooms also need changing tables. Too =
> often I have seen dads struggling to change diapers on babes-in-arms, =
> because the only set aside areas are in the women's restrooms.
>
> ------------------------------
>
> Date: Tue, 27 May 1997 13:41:41 -0600
> From: Bill & Linda Dunn <[log in to unmask]>
> Subject: Re: Support in Redding CA?
>
> Anyone out there from Shasta Lake or Redding CA? A mom needs support, due to
> deliver in
> about 3 weeks.
> Thanks
> "Those who were dancing were thought to be quite insane by those who could
> not hear the
> music"
>
> ------------------------------
>
> Date: Tue, 27 May 1997 16:24:12 -0400
> From: "Gloria Buoncristiano-Thai, LLL Leader" <[log in to unmask]>
> Subject: Male Nipples
>
> Hi Joanna,
>
> I recently read about a culture (sorry, don't remember who they are) where
> the father will put his nursing child to his breast until mother is
> available. Apparently, this soothes the child until mom is available.
>
> Aloha,
> Gloria Thai LLLLeader Hawai'i
>
> ------------------------------
>
> Date: Tue, 27 May 1997 15:46:31 -0500
> From: "Patricia Gima, IBCLC" <[log in to unmask]>
> Subject: Re: Menopause while breastfeeding
>
> >Mother is not satisfied with any of these weaning reasons. She would also
> >like to look into natural hormone replacement. Her biggest concern is
> >calcium loss. She is taking calcium supplements, eats a balanced diet, and
> >does not smoke or drink.
>
> There are several good books out now that point out that menopause doesn't
> mean the end of estrogen. There are steps that one can take to assure that
> her body provides estrogen for her. One book is Natural Woman, Natural
> Menopause, by Christine Conrad. Another is Women's Bodies, Women's Wisdom,
> by Christiane Northrop. Through these books she can connect with a
> practitioner who is knowledgable about the natural hormone replacements.
>
> And there are dietary sources of plant estrogens--the most readily available
> being soy products. Once again, the Asians show us that our inevitable
> physical failings aren't so inevitable. Tofu, soy milk, tempeh, and that
> yummy soy-based "ice cream" Tofutti all will supply phytoestrogens (plant
> estrogens) that will help maintain her body's needs for estrogen.
>
> You say that she is taking calcium. As I have mentioned before, she needs
> to be sure that she is taking a ca/mag combination in a 2/1 ratio. The
> calcium is best utilized in that combination. And it is best taken with an
> acidic juice.
>
> Patricia Gima, IBCLC
> Milwaukee
> mailto:[log in to unmask]
>
> ------------------------------
>
> End of LACTNET Digest - 27 May 1997 - Special issue
> ***************************************************
|
