Elise writes:

<PS this business about how it doesn't make sense for a blister to form
right over a lot of the nipple, crossing several pores...an excellent
reminder that real life frequently contradicts theory. And that wherever
our "knowledge" (of what nipple skin is like, for example) does not match
our real-life observations (and who hasn't seen blisters right across the
nipple?), then "theory" is all we can lay claim to.>

Come to think of it, you're right! Despite nipple pore(s) inside it, I
have a close-up picture of a blister on the whole face of a nipple in a
mom pumping for a 32-week g.a. baby in NICU. She had not been told to
turn the vacuum down from maximum. I believe her skin/breast was s/w
waterlogged from 48 hours of IV to delay premature labor. 

Another thought crossed my mind about dislodging a bleb. Has anyone ever
tried using- say, a 10 or 20 cc. syringe in order to generate a strong
enough vacuum, to center the hollow tip of the syringe directly over the
bleb, hoping to attract the bleb out into the tiny space where the needle
ordinarily attaches? Would seem as good or better an idea than a
sterilized needle and squeezing. Considering my previous thoughts on
maximum vacuum, this appears to be one place where it might be valuable.

Jean
************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

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