A case just came to mind when I read various digests today:
The contact was by telephone, a mom calling asking how to increase her milk
supply - baby was not gaining adequately.  Distance made it impossible to make a
visit (Washington DC to New Jersey).  The usual surgery, injury, etc. questions
were asked in relation to the breasts - with negative answers.  Luckily, an LLL
Leader was able to make a home visit.  She found mom had a large scar across her
chest and up into her armpit - emergency incision when she had suffered an
arrest after an auto accident.  There must have been inadequate healing of the
breast tissue and ductwork - mom could not supply enough milk for her baby and
needed a feeding tube system to supplement with ABM (the other stuff).

Jeanette (I can never think of all the questions I should have asked) Panchula