This is not a flame, but I would say "back off a bit". You feel strongly
about certain things, but this does not mean your co-workers will feel
exactly the same nor practice exactly the same. It sounds as if you have
made many positive inroads in your bf program and in recognition of the
frenulum issue. Therefore, I would suggest just doing the assessment,
like the Hazelbaker assessment process, then discuss your findings with
the family and documenting and sending the report to the physician. You
might tell the family that you believe the tight frenulum is
contributing to the bf problems and that some practitioners like
pediatricians, dentists, ENTs believe in clipping and others don't. You
could provide them with citations from the literature if they want to
read and inform themselves more. They are then left to pursue this with
the docs.

Laurie Wheeler, RN, MN, IBCLC
Hospital LC
Violet Louisiana, USA
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