We did get the baby to a doctor for a checkup, to rule out any other cause of the lethargy.  By then the baby was starting to come around, was more alert, pink, and complaining of hunger.  I don't think I have ever been so happy to hear my client's baby crying!  Mom did not want to go to the hospital (though I was ready to call 911 had baby not been able to take in supplements), so she went to a pediatric walk-in clinic.  Doctor said baby was fine (now) and our actions had been appropriate.  A weight check a few days later showed significant gain.  Still following this dyad as things are not all worked out yet, but at least I am not worried about her immediate health now!

Thanks,
Jennifer

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