Kathy Koch writes about a mom with sores or cracks on outer side of
nipple.  Over the phone, mom has assured her that positioning is fine. I'd
have a million bucks by now by if I had a nickle for everyone who has
assured me over the phone that their positioning was fine.  Somebody who
knows how to assess latch-on needs to look at her.  This would take about 10
min to fix, and points out the limitations of phone consultation.  I have
done freq. phone consultations for 17 yrs, so I feel qualified to make that
remark.  I continue to be dismayed by how quickly people assume that some
exotic problem with the frenulum or suck must surely be the problem when
re-positioning solves the vast majority  of the problems I see involving
sore nipples.   Lactation Consultants exist because some problems need to be
SEEN.
Barbara Wilson-Clay, BSE, IBCLC
priv. pract. Austin, Tx