In a message dated 7/21/2013 12:00:35 A.M. Eastern Daylight Time,  
[log in to unmask] writes:

Have you  checked for a tight "lip tie" often present with TTie and can 
cause just as  much problem with tension in the system I.e. neck upper shoulder 
~~~~~~

Hi  Lisa, and all,
 
Thanks, I neglected to mention that the upper labial frenulum was  released 
as well. We're very lucky to have someone local who is both comfortable  
with very posterior lingual ties and always checks on the upper labial as 
well.  As for the pump, every mom I see has a sheet with Jane Morton's link on 
it - you  are right about how helpful it is. It's part of every mom's  
education when  they need to express milk. ( And I was shooting off emails 
immediately when  that site was taken down for a bit as, uh "obscene"... ugh.) My  
concern is whether with all that has been done ( and hasn't led to much  
functional improvement  yet) whether this mom can expect a decrease in her  
milk supply even with all this work continuing if she uses the Q exclusively  
while traveling. One colleague with years of experience renting and selling  
pumps says she cannot agree that this is a "rental" quality pump. Being a 
safe  multi user pump ( closed system) means more than one mom could use it in 
a day,  but I can't find anything about actual frequency of use. Like three 
moms could  safely use it once a day each and that could meet a definition 
of "rental"  quality ( which is really not a standard well-defined right?). 
I want to know if  this pump can be used 8 times in 24 hours and drive a 
supply for a baby who  can't. I agree with you also that CST can take time. I 
always tell parents that  when things take time to develop in a particular 
way, they may take time to  unwind or shift towards more function. We might 
not actually want some things to  happen too quickly or dramatically, it might 
be painful or disruptive for a  system. Anyway, I am very hopeful that with 
 more sessions things will be  better. In an ironic twist the new CST is 
away for all of August, ugh. But  this family is doing what they can. I want 
to make sure that if there's  something I can help them with to take away 
some of the work and/or worry of  this situation, I'm doing it, hence the 
Hygiea research. Thanks for responding.  If anyone else has direct experience 
with this pump with their moms please let  me know.
 
Judy
 
 
Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
[log in to unmask]

 
tension.
 

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