Dear Dr. Leeper

I am curious if you are culturing the nipples and milk in women with breast 
pain.  I once had a mother who cultured out a staph resistant to most oral 
medications.  Her symptoms resolved within 48 hours once I gave an antibiotic 
(Septra) that the staph was sensitive to--she did not respond to keflex (to which 
the staph was resistant).  

Chris
>>When we first opened (FOUR YEARS ago as of Feb 1st!!)  I was prescribing a 
fair amount of diflucan...sometimes it helped, and sometimes it did not.  I 
have gradually learned to recognize that a lot of these women actually have 
vasospasm (visible or not) or neuralgia from chronic nipple damage...either 
from latch or the yeast, or usually some of both.  It is fascinating to me I 
hardly use diflucan any more...I wish we had some research on this.  There 
are a few women each year that I can't seem to help no matter what I try, so 
I will suggest acupuncture next time.  We are fortunate to have an MD in 
town who does some.


Christine Betzold NP IBCLC MSN

www.theBFclinic.com

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