I see the current phrase "Bucket List" as based on the film, to be 
simply a rather urgent "Wish List."  Of course, it is quite 
colloquial and should be identified when first introduced to this 
multi cultural list.

I am really too busy to be reading/listening to all of this engaging 
information offered by Lactnet today.  But I encourage all of you to 
check these out. These two sources of information will likely impact 
your thinking and practice personally as well as professionally. They 
are worth your time.

Jennifer Tow's article on Dr Ioannidis and his "research on research" 
and scientific evidence is appropriately unsettling.  We all know 
that research on infant feeding has not positively impacted 
breastfeeding practices as it should have.  There is always some 
research disproving any benefit worth the "trouble and inconvenience" 
of breastfeeding. Most of us know that almost all medical research is 
funded by pharmaceutical companies and the outcomes of that research 
lead to more drug sales...with the exception of the Women's Health 
Initiative, which was funded by the makers of Primpro (hormone 
replacement).  The drug company set out to prove the myriad of 
benefits of their drug to women. Their mistake was to give the 
execution of the study to the NIH.  We are well aware of the outcome.

The other opportunity is to hear the interview of Dr Ioannidis on 
Canadian Radio that Beth McMillan told us about.  I am interested to 
see if these observations will make the U.S. media.

We do have to be careful with our professional organizations' 
guidelines of our basing our practice on "scientific principles, 
current research, and information."  Melissa Cole reminds us that we 
are to base our practice on the many forms of evidence, including 
experiential.

Some years ago I read of a study that a mother's inadequate caloric 
intake does not negatively impact her milk production. Even though 
the researcher was an honorable researcher in the field of 
breastfeeding,  I did not dismiss my own experiential evidence that 
my clients who dieted strictly and exercised vigorously in order to 
return to their "size 6" clothes or my clients who were too poor to 
get an adequate diet were, in fact, not able to produce enough milk 
for their infants.

And here on the "Bucket List" I see "Maternal nutrition and the role 
it plays on milk production."

And now back to my Life.

Pat Gima, LC retired











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