That is the problem with everything. If you really need something done, not just what insurance will cover or someone is willing to accept for payment from the insurance company, you have to pay out of pocket. It is everywhere.
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Melissa Lactation
Sent: Monday, March 25, 2013 7:34 AM
Subject: Re: tongue release
I did find a local dentist who is happy to revise lips and tongues! He is expensive though, and this mother thought it was more prudent to go where insurance covers it. If you want a name of a dentist near columbia, sc let me know.
Thanks for all the help
Melissa
On Friday, March 22, 2013, Jennifer Tow, IBCLC wrote:
> The ENT probably cannot release the tie bc it is a posterior tie and
> he doesn't have the skill to revise it. There is never a reason to
> revise a tie, lingual or maxillary under anesthesia. I have given up
> on even trying to educate ENTs, bc this is what you usually hear from
> them. I just refer to dentists. I have had numerous clients in NC and
> SC in the past year with TTd babies--all have had to travel out of
> state to have revisions done properly and w/o inappropriate
> invasiveness. I currently am working with a mother in NC--she traveled
> to FL to have Dr Myers revise her baby with a laser.
>
>
> Jennifer Tow, IBCLC, USA & France
> Intuitive Parenting Network, LLC
>
>
>
> Date: Fri, 22 Mar 2013 07:50:03 -0400
> From: Melissa Lactation <[log in to unmask] <javascript:;>>
> Subject: tongue release
>
> PTP:
> I've been working with a mom for over a month now. First time mom
> with a drug free vaginal delivery. This was a planned homebirth wich
> transferred to the hospital Initially, the baby was 1ounce less than
> birthweight at 2 months old. Baby was sleeping 8-9hours at night and
> using a pacifier often. Mother's nipples were sore and already had
> one bought of mastitis symptoms. When I observed baby at the breast,
> there was a great deal of arching and not being able to make a seal,
> baby even struggled with a bottle. I showed the mother the short
> posterior frenulum and suggested many things (waking every 3 hours,
> pumping, no pacifier, STS, etc) including having the tongue clipped.
> Mother's chiropractor suggested that the tongue was fine, so declined
> to address this. Now, a month later, the baby is gaining well with
> both breast and bottle feeding. She still has sore nipples with some
> struggles of getting the baby latched. She decided to go to the ENT to
> have the tongue clipped. According to her, the doctor said that he
> could not get it 'to release'. He said it was too tight and offered
> to perform the procedures under general anesthesia. The baby also has a short labial frenulum and they were going to clip it also.
> Can someone explain to me why the ENT couldn't clip the tongue? Is it
> because the baby is older and more active? Do you have ANY
> suggestions for this mother? She is balking at the idea of general
> anesthesia (I probably would too). I have a local dentist who will do
> it by laser, but it is expensive. I am hesitant to send her there for
> concern that he wouldn't be able to perform the procedure also. Is it
> possible/probable that this mother can just continue to focus on
> latching and overcome thesee short frenulums? I have discerned that
> much of this dyad's problems is mother is not reading her babies cues
> and has been leaving the baby to work part time since very early on.
> I think that focusing on the latch and specifics of baby care has been
> difficult for her. She has already admitted to ingnoring his cues and
> letting him fuss in the crib because he was just being manipulative.
> She understands how that has led to many of these problems.
> This was my first official consult in private practice, I hope it gets
> a little bit easier from her.
> Gratefully,
> Frustated in SC
> Melissa Senf, RNC, IBCLC
>
>
>
>
>
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