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kklkuuuuyuuuujujuujikjujjnjmkkl;lgv dkkkkkmkAt 02:11 PM 11/23/98 -0500,
Automatic digest processor wrote:
>Date:     Mon, 23 Nov 1998 14:11:50 -0500
>Reply-To: Lactation Information and Discussion <[log in to unmask]>
>Sender:   Lactation Information and Discussion <[log in to unmask]>
>From:     Automatic digest processor <[log in to unmask]>
>Subject:  LACTNET Digest - 23 Nov 1998 - Special issue
>To:       Recipients of LACTNET digests <[log in to unmask]>
>
>There are 11 messages totalling 452 lines in this issue.
>
>Topics in this special issue:
>
>  1. Mr. Rogers may be late
>  2. Interview questions for new LCs
>  3. allergic BF baby
>  4. anemia
>  5. How long is feeding (2)
>  6. Colloidal silver and chlorophyll
>  7. Low supply, 45 min feeds
>  8. LACTNET Digest - 23 Nov 1998 - Special issue
>  9. non-nutritive suck
> 10. archive instructions, please keep in you need them
>
>
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>
>For further help, write to Lactnet Listmoms at:
>Kathleen B. Bruce BSN, IBCLC [log in to unmask]
>Kathleen G. Auerbach Ph.D, IBCLC [log in to unmask]
>[log in to unmask]
>Date:    Mon, 23 Nov 1998 11:55:27 EST
>From:    "Barbara Hayes, RN, FACCE" <[log in to unmask]>
>Subject: Mr. Rogers may be late
>MIME-Version: 1.0
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>
>If you tuned into Mr Rogers today, Nov 23 and saw a segment on "Work" not
>"Food", take heart.  In New York, at least, the segment will be broadcast on
>Tuesday at 10:30 AM.  It's number 1524.
>Barbara Hayes
>Date:    Mon, 23 Nov 1998 11:52:17 -0500
>From:    Attie Sandink <[log in to unmask]>
>Subject: Interview questions for new LCs
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>I was wondering if anyone with lots of interviewing practice and skills has
>some standard questions to ask at an interview when hiring new LCs for
>clinic and inpatient job. Just because they have passed the exam doesn't
>tell me enough. Can you reply to my own email address. Other on the list
>may want to know as well but I don't always get to the whole list.
>
>Thanks
>Attie Sandink RN. IBCLC. Burlington, ON. Canada
>Date:    Mon, 23 Nov 1998 12:29:44 -0500
>From:    "Linda J. Smith" <[log in to unmask]>
>Subject: allergic BF baby
>MIME-Version: 1.0
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>
>Kim,
>
>This child would be in really bad shape if she/he weren't being BF.
>
>The mom's/baby's allergist is the best person to advise her on what foods
>would be the least likely to trigger a dangerous reaction in her baby.
>Probably low-protein foods, but with anaphylactic reactions on the table, I
>wouldn't play around with "suggestions."
>
>Is the "going out" the tempting thing for her, or eating something from the
>"no-no" list? If it's the "going out" part, that could be accomplished while
>she stays on the careful eating plan.
>
>If she wants to eat something dangerous for her baby, I'd strongly support
>her waiting until this child is much, much older and weaned. She may need
>support/encouragement for the idea that moms DO things for their babies.
>Part of that DOING may be a semi-permanent (or at least long term) change in
>eating habits, social life changes, and how her time is allocated. That's
>what mothering is all about. Children, even healthy ones without allergies,
>are not convenient. We don't have children to make our lives simpler.
>
>Life is a balance of what we "like" and what's good for us. I love peanuts,
>but strictly avoid them due to allergies. Nothing I eat, no matter how
>delicious, is worth an asthma attack or a 24-hour migraine. Even peanut oil
>triggers a reaction in me. I also have had to give up all mint, soy, red
>wine, legumes and severely limit chocolate and dairy. I gave up dairy
>products and caffeine for several years when my baby daughter reacted to
>them. Once I stopped resenting this "restriction," I realized that I felt
>better without these foods too. The diet changes necessary to keep my baby
>healthy and happy were much better for ME too.
>
>Linda J. Smith, BSE, FACCE, IBCLC
>Bright Future Lactation Resource Centre
>Dayton, OH USA
>http://www.bflrc.com
>Date:    Mon, 23 Nov 1998 12:39:17 -0500
>From:    Mari Douma <[log in to unmask]>
>Subject: anemia
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>I agree with Jack that this Hg level is not severe anemia. We occasionally
>see a lowish Hg in the office on our machine and then see normal ones with a
>CBC at the lab. Any machine/technique carries the risk of lab error.
>Certainly if there's is a real concern about anemia, further work-up might
>be helpful. For levels that are just lowish like this, I usually recommend
>OTC vits with iron (concentration is not too high) along with offering foods
>high in iron. Also, is the mother getting enough iron (I have to ask, is
>there really a worry about this-- maternal iron supplementation? I know most
>HCP around here tell a new mom to continue her PNV if she's breastfeeding).
>Since many toddlers can be notoriously picky eaters, I usually recommend
>less than 8 oz of juice/day if the child must have juice and less than
>16-20oz/d of cow's milk (a real cause of iron deficiency anemia). By
>limiting these not so nutritious foods, the hope is that the child will have
>more appetite for more nutritious foods (of which I certainly consider
>breastmilk to be).
>
>Best of luck,
>Mari Douma, DO
>Date:    Mon, 23 Nov 1998 11:32:02 -0600
>From:    "[log in to unmask]" <[log in to unmask]>
>Subject: How long is feeding
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>I worked with twins three years ago.  Mom learned how to get them to feed
>together and was most pleased.  Benjamin was finished with his feeding in
>about 20 minutes and popped off all satisfied.  Mom then took Daniel off
>too.  He didn't object much.  At the "weigh-in" at the docs Benjamin was
>gaining well but Daniel wasn't.
>
>Mom was surprised because both boys were having adequate wet diapers. She
>was switching breasts for them every 3 or 4 days.  I told her about the
>baby's being in charge of the fat flow and that Daniel needed longer to
>complete his feeding.
>
>She began to leave him on until he came off himself and his time was
>usually about 40 minutes, but sometimes up to 45. He began to gain well and
>everyone was happy.  Mom said that, when they grew up, Benjamin would go to
>the "drive-through" and Daniel would go to the gormet restaurant for a
>2-hour dinner.  The boys' personalities do fit with their feeding styles as
>infants.
>
>Patricia Gima, IBCLC
>Milwaukee, Wisconsin, Upper Midwest, USA
>mailto:[log in to unmask]
>Date:    Mon, 23 Nov 1998 12:36:24 EST
>From:    "Alison K. Hazelbaker, MA, IBCLC" <[log in to unmask]>
>Subject: Re: Colloidal silver and chlorophyll
>MIME-Version: 1.0
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>
>Both should be OK as long as the mom follows the package directions. The
>chlorophyll will bind to heavy metals and carry them out of the system. The
>chlorophyll is considered a food supplement.The colloidal silver is an
>antimicrobial and kills overgrowth of fungus in the gut as well as viruses
and
>bacteria. It works very well. If she has alot of heavy metal
contamination, it
>is probably better for her to take the chlorophyll than not. If she is
doing a
>general cleanse, like fresh lemon juice, she should be very careful because
>lemon juice (as little as the juice of one fresh lemon a day) is a powerful
>liver detoxifyer. That may dump too much into her system all at once and make
>available more toxins to the milk.
>
>Is she under the care of someone who knows alot about this and who is
>monitoring her levels of toxins? If she isn't, she may want to be. I would
>also suggest she take the colloidal silver for only a short period (one to
two
>weeks) unless she has been directed to do otherwise by her knowledgeable
>health provider. There was a concern about long-term use I heard about six
>months or so ago but I haven't heard more since and don't know what the final
>conclusion was. Colloidal silver can be given directly to children.I have
>given colloidal silver directly to my children (all ages) with only excellent
>results and I know of many babies who have been given it when they have
>problems with Candida. I have never heard of a negative consequence of this.
>
>Alison K. Hazelbaker, MA, IBCLC
>Date:    Mon, 23 Nov 1998 12:43:01 -0500
>From:    "Linda J. Smith" <[log in to unmask]>
>Subject: Low supply, 45 min feeds
>MIME-Version: 1.0
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>Content-Transfer-Encoding: 7bit
>
>Babies have lots of needs for breastfeeding, not just nutritional. Needs and
>wants are the same thing for the young baby, IMHO.
>
>But again I disagree - consistent 45-minute feeds are often an indicator of
>an underlying infant suck problem. Look carefully at the baby after you've
>corrected positioning and latch. Even Chloe Fisher says that
>positioning/latch only correct about 80-85% of the problems. That leaves
>15-20% of babies with a possible suck problem. Even if this is temporary, it
>needs to be considered and carefully evaluated.
>
>Linda J. Smith, BSE, FACCE, IBCLC
>Bright Future Lactation Resource Centre
>Dayton, OH USA
>http://www.bflrc.com
>Date:    Tue, 24 Nov 1998 12:25:08 -0600
>From:    Susan R Potts <[log in to unmask]>
>Subject: Re: LACTNET Digest - 23 Nov 1998 - Special issue
>MIME-Version: 1.0
>Content-Type: text/plain
>Content-Transfer-Encoding: 7bit
>
>Answer to Elishiva....
>    You may want to try pre and post feed weights to help determine
>baby's intake.  Also, how often is baby swallowing at the breast?  Can
>Mom hand express milk before or after feedings?  Is there milk on baby's
>lips or mouth after the feeding?  I think it's good for Mom to have a
>positive outlook and good for you to be careful not to unnecessarily
>upset the applecart by too many interventions too early, and also to keep
>a close eye on the situation.  Perhaps SNS may work well with this Mom if
>necessary as the days go on.
>     Warm regards to all.
>     Susan Potts St. Paul, MN
>
>
>On Mon, 23 Nov 1998 11:43:09 -0500 Automatic digest processor
><[log in to unmask]> writes:
>Date:    Mon, 23 Nov 1998 12:59:55 -0500
>From:    Joyce Blangiardo <[log in to unmask]>
>Subject: Re: How long is feeding
>MIME-Version: 1.0
>Content-Type: text/plain; charset="utf-7"
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>
>Pat wrote, speaking of twins' individual feeding styles:
>
>Mom said that, when they grew up, Benjamin would go to
>+AD4-the +ACI-drive-through+ACI- and Daniel would go to the gormet
restaurant for a
>+AD4-2-hour dinner.
>
>Your analogy is fabulous.... Can we infer that Daniel obviously likes to
>savor the flavor, delight in the atmosphere at the eatery, make food intake
>an experience not to be missed, while Benjamin is an on the go, take care of
>business, let's do it and get on to the next task kind of kid?  Taking it
>further, we can theorize that once he's a grown man, the women in Daniel's
>life will get to eat at 4 star restaurants over long romantic meals and
>sensuous delights, while Benjamin's women will have to be okay with fast
>food drive throughs or grabbing a quick bite and getting on to the next
>thing on the to do list?  Does my personal bias toward 4 star men show much?
>GRIN
>
>Putting smiles aside, with your permission, I'm going to borrow your analogy
>for use in my breastfeeding classes.  It helps so much to use examples like
>yours to help learners synthesize information and be able to apply it to
>their experiences with their baby's individual style.
>
>Happy to be married to a 4 star man, and to have kids who were both 4 star
>breastfeeders,
>Joyce Blangiardo RN, LCCE, FACCE, IBCLC
>Long Island, NY
>Date:    Mon, 23 Nov 1998 13:07:56 EST
>From:    "Alison K. Hazelbaker, MA, IBCLC" <[log in to unmask]>
>Subject: Re: non-nutritive suck
>MIME-Version: 1.0
>Content-Type: text/plain; charset=US-ASCII
>Content-Transfer-Encoding: 7bit
>
>MAgda: Unfortunately the term non-nutritive suck was coined on bottle fed
>babies to refer to the faster-paced sucking that is done on a pacifier. There
>is plently of research on that subject. Just use non-nutritive suck as the
>keyword in your lit search. You may find yourself disatisfied with the
>information because it truly does NOT APPLY to breastfed babies.
>
>IMHO we need to drop that terminology and use some other term like comfort
>sucking or call-up sucking to describe the two-sucks per second rate of
>sucking. We may even need to do research to determine if the two-sucks-per-
>second rate is even accurate for breastfed babies! This faster sucking is
>rendering food, albeit in small quantities. It probably is also doing other
>magnificant CNS things, as well.
>
>Some of the concepts presented in the non-nutritive suck studies may well
>apply, like better state control and faster growth, etc. but the terminology
>is really misleading as is the definition and some of the concepts, theories
>and treatments that have been developed for bottle fed babies as a result of
>the research. It really is time for us to do our own research and stop trying
>to borrow ill-fitting terms that may ultimately get us in trouble.
>
>Alison K. Hazelbaker, MA, IBCLC
>Date:    Mon, 23 Nov 1998 14:10:21 -0500
>From:    Kathleen Bruce <[log in to unmask]>
>Subject: archive instructions, please keep in you need them
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>I thought it might be a good time to run this note, since a lot of you might
>have need to use our vast archives files.  Please read and print out a hard
>copy, or save to your hard drive, for future use.
>
>This is the HOW TO of the LACTNET ARCHIVES SEARCH SYSTEM.  Because of the
>large amount of memory that LISTSERV uses when searching a very large set of
>archives, the archives of Lactnet are now in two files, Lactnet and
Lactnet95-96
>
>        LACTNET (has LACTNET postings for 1997 and 1998)
>        LACTNET95-96    (has LACTNET postings for 1995 and 1996)
>
>Therefore, as you search via e-mail, remember that you will have to do two
>searches if you want a complete search of all LACTNET notes, using either
>LACTNET95-96 or LACTNET as the listname.
>
>
>* SEARCHING BY WORD *
>
>Let's say you want postings about epilepsy or epileptics since Oct 1995.
>Just send an email message to [log in to unmask]  that says
>
>   SEARCH EPILEP in &LISTNAME
>   SEARCH EPILEP in LACTNET95-96
>
>LISTSERV will send you back a listing of all of the messages that have
>EPILEP anywhere in them, so this would match "epilepsy," "epileptic,"
>etc. -- just what you want.
>
>OK, now you want postings about epileptic mothers who are taking
>Tegretol (whose generic name is carbamazepine).  What you need is
>messages containing each of those words.  First, here's how ** NOT** to look:
>
>
>   SEARCH EPILEP IN LACTNET
>   SEARCH CARBAMAZEPINE IN LACTNET
>   SEARCH TEGRETOL IN LACTNET
>
> ... WRONG! That would make LISTSERV go through the database three times
>instead of one, and make YOU mentally combine its output.  Instead, tell
>LISTSERV what you really want, by using "AND" and "OR", like this:
>
>   SEARCH EPILEP AND (CARBAMAZEPINE OR TEGRETOL) IN LACTNET
>   SEARCH EPILEP AND (CARBAMAZEPINE OR TEGRETOL) IN LACTNET95-96
>
>Notice the parentheses -- this means "find postings that have epilepsy
>in them, and also have either carbamazepine or Tegretol."
>
>One more example: now you want postings about Prozac that do NOT mention
>depression (or DEPRESSed people).  Prozac's generic name is fluoxetine,
>so this would work for you:
>
>   SEARCH (PROZAC OR FLUOXETINE) AND NOT DEPRESS IN LACTNET
>   SEARCH (PROZAC OR FLUOXETINE) AND NOT DEPRESS IN LACTNET95-96
>.
>* SEARCHING BY AUTHOR *
>
>You can specify that you want to match certain bits of text in the
>author (sender) field.  Say you want every LACTNET post from Katherine
>Dettwyler  since Jan. 1 1997, her address being [log in to unmask] or
>other...  This search statement (to [log in to unmask]) would find
>them: (please note that sometimes, people's names are not in their e-mail
>address):
>
>   SEARCH * in LACTNET where sender contains Dettwyler
>   SEARCH * in LACTNET95-96 where sender contains Dettwyler
>
>(The * means "match anything here.")
>
>You can even say you want postings about cats that *aren't* from her:
>
>SEARCH CAT IN LACTNET WHERE SENDER DOES NOT CONTAIN DETTWYLER
>
>As you saw in the very first example, you can use SINCE to give a
>starting date for the search. When you search in the LACTNET files, you get
>anything that is posted since Jan. 1, 1997.  To get older posts relating to
>your search, remember to search in  the LACTNET95-96 files. You can also use
>UNTIL to give an ending date for it.  Here's an example:
>
>   SEARCH LIBRARY IN LACTNET SINCE Jan 1997 UNTIL Feb 1997
>
>This would cause LISTSERV to search the archives from Jan 1, 1997 through Feb
>28, 1997 -- it uses a "wide" definition of dates.
>
>You can specify dates many different ways.  Here are some useful ones:
>
>        Jan 1997     -- January 1997
>        Mar          -- the most recent March
>        1997         -- 1997 (of course)
>              TODAY        -- today
>        TODAY-1      -- yesterday
>              TODAY-7      -- last week
>              97/2/12      -- February 12, 1997
>
>Notice that a date like "2/12/97" will not be understood.  The reason is
>that Europeans have a different date format from Americans, and
>LISTSERV's philosophy is not to give either one preference.
>
>You could send this search in once a week to find news about rabbits:
>
>
>   SEARCH RABBIT OR HARE OR BUNNY IN LACTNET SINCE TODAY-7
>.
>* GENERAL HINTS *
>
>1. Coming up with a good search is as much an art as a science.  In
>general, if you don't find what you want, be LESS specific (use fewer
>words, and give less of them as shown above); if you get too much, be
>MORE specific.  Remember that people make spelling mistakes and may not
>use the same words you do.
>
>2.  Unless you must search the entire archives, use SINCE and UNTIL to
>limit your search.  It makes less work for both you and the computer.
>
>3.  For more information on searching, write to [log in to unmask]
 with
>the command
>                         INFO DATABASE
>or
>                        GET LACTNET WELCOME
>
>4.  When you use SEARCH, LISTSERV will send you back a "menu" of posts,
>each having a number.  You can then order the posts you want with the
>command
> GETPOST LACTNET  #### #### #### ####
>(where you use the numbers themselves, not "####").  Remember that each
>LISTSERV command sits on one line, so if you need more than one line
>you'll need to repeat the GETPOST command, i.e.
>
>   GETPOST 47 127 849 1552
>   GETPOST 3072 4411 8193
>
>5. Last but not least, the search function is also available on the WEB
>SITE  at the Lactnet archives url at
> http://library.ummed.edu/lsv/archives/lactnet.html
>The hints above still apply.
>
>Please NOTE: Searching LACTNET takes time, up to a minute or two, and
>you won't get immediate responses when using the Web page.  You should
>*wait* though, as reconnecting and trying it again causes it to be even
>slower (i.e. it will finish off the search for the session you
>disconnected from before it even starts on the next one you've
>reconnected for -- you will end up waiting LONGER).  Web searches run
>faster at night because the machine has a lower load then.  E-mail
>searches can be sent anytime; the machine will do them when it can.
>
>If you have questions, please let us know.
>
>Kathleen Bruce and Kathleen Auerbach, co owners, LACTNET list
>[log in to unmask] and/or [log in to unmask]
>
>Remember. All commands for search go to [log in to unmask], the
>*computer* address.
>
>
>
>Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
>Williston, Vermont,... pearly and cold late fall is here........
>mailto:[log in to unmask]
>Check these pages out...
>http://together.net/~kbruce/proj.html
>http://together.net/~kbruce/answers.htm
>LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
>