Susan, I had one case in all my years - with a mom who was unable to release ANY milk - but from only one breast, so she breastfed on the other. We tried everything I knew to do - there were no visible signs of openings - and not a single drop out - when she was engorged, after the engorgement subsided, with hand expression, pump, nipple shield, OR baby. Surgery and a surgeon was not an option - my clients are mostly undocumented and very poor women. Jeanette Panchula, BSW, RN, PHN, IBCLC I have had to change my e-mail address. It is now: mailto:[log in to unmask] *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html