around here, there seems to be a uniform policy about hypoglycemia. its
diagnosed, prescribed and treated in the hospital, apparently the same way in
all of them. simple stuff! you do a heel stick on every baby you can get your
hands on, by making the screening criteria into a very large category (i.e.,
"every baby" works well, apparently). then you do a heel stick (hey, easy to
do, works every time).

 then you give a bottle of formula. everyone has formula. explaining to
parents anything about formula, bottles, etc., takes too much time. and,
after all, as i have been so relieved to have learned in journal club, each
hospital uses only the "correct" nipple, bottle and formula, as determined by
their neonatologists. everyone seems to be pretty polite about the perplexing
problem of the "correct" one of each of these being different at each
different hospital.

how can i do better than to quote kathy about this and myriad other mysteries.

<<   I don't make this stuff
 up folks, honest. >> k. dettwyler

its then quite a challenge to explain why the baby has allergies to dairy
(having been given dairy formula at the hospital) and various other problems
that have probably at least something to do with this practice. but how would
i know? i don't have a neonatologist to tell me the "correct" bottle, nipple
and formula.


 "it's a mystery."

carol brussel IBCLC, left to her own devices

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