<I want her MD to put her on disability for  "low milk syndrome."   Her
family practice MD  ( the one I work with)  is not  totally comfortable with
this.   I have yet to speak to the OB.>

My understanding is that if there's a diagnosis code for it, her doctor can
use it to put her on DBL. I'm sure there are others who know more about this
than I do. But looking at the "pink sheet" with the codes that I use for
insurance billing, there's "disorder of lactation - 676.9" or "suppressed
lactation - 676.5" or "relactation - no #) But what does the mother want?
And what are her risks r/t the financial need for her to work vs. the
possibility of being given the boot on some phony trumped-up claim by her
employer a little bit down the road?

<I would think it is impossible to relactate (in a public bathroom at that)
and work.>

It may be impossible for *this* particular mother, but I know that it's not
impossible in a generic sense. The lactation process and mothers and babies
are built of sturdier stuff than that! Just think of the times & places
throughout human history when mothers & babies have managed to continue to
BF! Not to dismiss *this* mother and her situation - believe me, I know how
hard it can be when it feels like the cards are stacked against you, when
you feel "forced" to go back to work too soon and the culture and even your
medical caregivers don't really support BFing. But sometimes we have to look
at the incredible strength and resilience of us human beans and the
processes that have brought us to survival on the planet! (So far,
anyway...although according to today's news about the "risks" of
co-sleeping, it's a miracle our forebears were not all smothered in infancy,
and if these modern parents don't immediately pop their babies into separate
little boxes, we'll become extinct any generation now!)

Cathy Bargar, RN IBCLC

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