>Is nipple bacterial infection common in the presence of on-going oral thrush
>in baby and      possibly nipple thrush in mom?  Is this a missing piece in
>some of our unresolving      nipple/breast yeast cases?

YES ,YES, yeast and bacteria are long time bzmbdys ! Although USUALLY yeast
follows bacteria in symptomology. Two thigs I learned as a fledgling LC one
while my husband rec'd his bone marrow traansplant for leukemia 5 years ago
is that YEAST and MOLDS ARE EVERY WHERE on our bodies and in contacta with
common everyday items foods and newsprint books walls door knobs, kids,etc.
etc. its usually only a problem for the immunocompromised ie. cancer
patients, NICU babes
BUT ANY ONE who is immuno-stressed (my word) ie new babies & moms who've
both just encounterd "life altering events such as birth"  and more
commonly in our local OB care have rec'd PROPHYLACTIC ANTIBIOTIC THERAPY
for a myriad of things (maybe 1 DOSE) and the mother is unaware she even
rec'd this dose. IT is VERY common for all moms with operative deliveries
do get 1 dose and asking the mother if she knew she denies it (7 out of 10
times) I just thought I was getting an IV. I find these moms who respond to
yeast and bacterial therapy also encountered some resolved level of nipple
trauma or break in the skin.

        At LLL physicians conference at Hilton Head in 1993 when we
discussed thrush, several astute practitioners said they almost always
treat thrush concurrently with antibiotics like Keflex and get better
results,but most had not used anything more than topical treatment for
thrush (only a few had used Diflucan). SPEAKING OF WHICH has any one seen
documentation re: use of Diflucan in postpartum moms of newborns and what
is the most common protocol that has worked with the least amount of side
effects....???????????  Why is it that some questions get answered rapid
fire and some questions never stimulate a response at all ??????  I'm still
in need of protocols related to Diflucan use and Reglan use even if NOT FDA
APPROVED it's being used somewhere with good results why do we keep so many
secrets ? is it the ever present lurking of the attorneys or fear of our
own shadows or do some things fare better hidden under that "BUSHEL"?

         One last question, Do my posts come up looking jumbled and spaced
out , due to the fact I use a Mac computer or do my posts look neat and
clean like I send them (anyone reading this ?) .....THANK YOU !!!!!!!!
sorry if I seem a bit testy, I have a headache due to being on this thing
till 0400 this am ! now I'm back again.......