Thanks for following up this case. I must admit to being so grateful that we have people like Jean on Lactnet. Their wisdom and experiences of the years is much appreciated.
Karleen Gribble
Australia
On 09/06/2013, at 8:59 AM, Nuala Murphy wrote:

> he only way she was getting that was to lean over a 
> bowl of warm water and put pressure on her breast with both hands and her milk 
> would spray and release into the water. Her nipple was swollen into the 30mm 
> shield. 36mm did not improve the situation. Her breast never felt emptied  and 
> was getting worse along with orange peel look to her skin on the lower outer 
> aspect of the breast. Mom was at the end of her rope.
> Jean Cotterman to the rescue. She gave me great advice which I gave to mom and 
> over night her breast showed improvement. Jean stated that the subareolar ducts 
> were compressed by crowding by "third space fluids"  that have been pushing 
> forward to neutralize the vacuum in the flange tunnel.
> If you want to read her response it was in May 26 digest. Some great information 
> for all of us.
> This mother followed Jeans instructions to do reverse pressure softening (RPS) 
> with the mother reclining at least 3/4 of the way down on her back with her 
> nipple above her heart level, so gravity would help. Mom repeated this several 
> times while pumping and her milk started to let down. Within 24 hours her supply 
> was back up to 80ml. Mom looked like a new person. I saw mom this week and she 
> is still doing great. Her breast has recovered and she is very grateful for the 
> advice.
> I have learned a lot from this experience and Jean's knowledge on this topic. I 
> plan on reading some of the books Jean recommended so I can be prepared when 
> this happens again because I am sur

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