Is there anyone who is currently  "skimming" breastmilk for a baby with 
chylothorax?  I work in a Children's Hospital, and we frequently encounter this 
condition.  Over the years, I've been in touch with Trish (Bobby's story) and 
have put many hours into trying to come up with a protocol, but, ran into too 
many road blocks.  My engineering skills are nil, and the person in our lab tried 
to help me pick out a centrifuge, but, funding was a problem, what type of 
containers to use to pull off the fat - as well as what would the patient do 
when they are discharged.
One of our nutritionists feels skimmed breastmilk would be better for these 
patients than the Portagen we are now using.  She is willing to work with me - 
surely, there is someone else out there who is doing this!  At one time, I 
remember hearing that using a "gravy separater" would work.  Has anyone 
actually done this?
I would appreciate any input.
thanks,
Becky Lyons, LD, IBCLC
Children's Healthcare of Atlanta

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