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Subject:
From:
Barbara Wilson-Clay <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 13 Jan 2000 18:32:03 -0600
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Laurie Wheeler wants to know whether we have a picture of an infected
montgomery's gland in the Breastfeeding Atlas.  Yes, altho in truth I wish
we had a better one.  There is also some info in the text which describes
how to manage an infected one.  Basically, they can plug and get infected.
Because they have a pretty shallow, close to the surface type of structure,
topical antibiotics, maybe hot packs, gentle manipulation to drain them will
take care of the problem.  If they are just swollen but don't hurt, leave
them alone and see if they get better or worse. If they get worse, then
treat as above.

Laurie privately emailed me to ask me how Kay Hoover and I go about
approaching mothers to ask if we can photograph them.  There is more on this
in the book too, but briefly, it does take tact and sensitivity.  I see some
mothers who really strike me as too fragile to tolerate the intrusion.  I
never even ask them.  Others are more open or self-confidant, and are easily
approached on the grounds that other mothers who may have a similar problem
would profit from health care workers trained to recognize the condition.

 These are teaching pictures.  I have hundreds of slides that didn't go into
the book due to cost and space constraints, and I use them in lectures that
help train other LCs and health prof. in lactation management.  Kay makes
the same good use of her photos, as has Chele Marmet all these years.  Kathy
Auerbach's wonderful new book of photos also shows the work of lots of other
LCs who have gotten the courage to approach moms with the request to
photograph.  I wish I could get it together to do video photography.  Alison
Hazelbaker and Kittie Franz have used this media to such powerful effect as
a teaching tool.  I think one of the great things about being involved in an
evolving profession, is there is so much work to be done collecting
normative data.  If I can pick up a camera and start taking pictures (as
ignorant as I was about how to do it ) anyone can.

It helps if I explain that my lens is a macro:  it will only show a small,
non-identifiable area. Sometimes I show Kay's yeast sheets, or now I show
them the Atlas.  They can see for themselves how useful  the pictures are as
teaching tools.  If the mother seems at all hesitant, I back off
immediately.  My impression over the years is that these moms are so
generous.  They really sometimes feel good that their misfortune may help
someone else.

Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html

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