Client who is now snowed in saw a NP this a.m. for mastitis. NP did not 
comment on ferociously painful blister or cluster of blisters (red 
flag!) on nipple. I am limited to phone consult by snow and distance.

I am going to be conservative and assume herpes, as husband has current 
outbreak. My edition of Lawrence (5th ed, 1999) says milk is safe but to 
avoid contact w/nipple.

Is milk from either breast equally safe?

Is there any published, good, current research to give me a definite on 
whether she should pump and dump the affected breast?

Tell me anything you know *for certain* as dumping would change this 
baby to a combo ff/bf baby, which would impact his immunological 
response to this challenge.

He is four months old, otherwise normal, healthy.

Arly Helm, MS, IBCLC, snowy Sierra Nevadas

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