I'm working with a mom of twins in our NICU - she has never been able to express more than 5ml at a time, even when switching to the Symphony pump and providing larger flanges. She has never felt a large milk surge. She did receive radiation to her spine as an 8 year old for leukemia (which is now in remission). Could this radiation have effected her milk production, even though it was not directly on her chest? Thanks, Brenda Phipps, BS, IBCLC *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome