Thanks for your input!
In a message dated 12.1.03 10:44:47 PM, Dr. Gail writes:

>> She is not transferring milk
at the breast and needs to be supplemented.<<

As I mentioned she was supplemented during the consult and continues to
be-she has been gaining 2.5oz/day over the last 5 days.
The baby was weighed naked.   The baby WAS desparate and it is clear the baby
was malnourished and dehydrated but my question is how dangerous was this
situation? If I'm being asked to override the pedi then I need some firmer
parameters   eg. is an alert, capable baby enough of a marker of clinical stability
or does   a degree of wt.loss (?) signal the need for a blood draw
regardless?? Any more ideas?
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts





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