Just as with anything else, it's about the individual practitioner.  
In my state (where Betsy lives), the pactitioners most intuitively  
and clinically correct in treating all breastfeeding difficulties are  
chiropractors who incorporate CST into their work. Most CST's in the  
area do not work extensively with babies, but I have met a couple who  
do and have observed least once a more aggressive approach than I am  
used to seeing with the chiropractors (although the baby was not  
upset and did fine, I would not refer there). OTOH, we also have a  
group of PTs here to whom I refer for specific situations and in  
working we me, they are much more knowledgeable about bf'ing than  
other PTs. They are not, however, traditional in their approach and  
the owner of the practice is the best medical intuitive I have ever  
met.e also conducts trainings all over the world, is an originator of  
Integrated Manual Therapy, is a PT professor and has been doing quite  
a few hospital grand-rounds lately.

It has been very beneficial to me and to my clients for me to know  
many of the manual therapists/bodyworkers in my state. Our local ILCA  
affiliate has also sponsored four workshops during the past several  
years for LCs, one given by a OT, another by a CST, another by the PT  
referenced above and another by a chiropractor. Ten years ago, I  
think I was one of two LCs in my state referring babies for  
structural problems--today in CT, fortunately for babies, it is  
common practice.


As to Betsy's post referencing the 3000--oh my!! I wonder how many of  
those LCs or LCs-to-be who are not frequent posters (not everyone is  
comfortable in a such a public forum--you did say 3000!!) and read  
Betsy's post would feel like posting now!

Betsy writes:

> I think if you totalled up the number of actual members who have  
> responde=
> d=20
> in writing to the list about the SOP issue, it would be a very  
> small=20
> number: much less even than 5%. As Jaye said, we are all entitled  
> to our=20=
>
> opinions but it is just that some opinions are valued more than  
> others=20=
>
> depending on what the poster is saying.
>
> Just the facts, ma'am.

Well, if you notice at any given time, most of the members do not  
post, but there is another way to look at your facts (as there always  
is)--of the frequent posters, the majority of us are furious with the  
draft SOP. Further, I am wondering--do you really believe that even  
if only a minority are significantly disturbed by this, that we are  
irrelevant? Because what you have said is that the majority opinion  
has more value than the minority opinion. Because once the idea that  
bfing had any value was a minority opinion.

Jennifer Tow, IBCLC, CT, USA

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