Actually, Pat, many of our peds are not only picking up on tt's before we even see the Mom in-hospital for the first time, we even have 1 local ped in a large practice who decided to learn how to clip his own patients' tt's! (And all this down yonder in the deep south:-) We also have a local ENT who is interested in learning how to clip posterior ties. Any suggestions to help him further his expertise? Holly McSpadden, IBCLC Sent from my Verizon Wireless BlackBerry *********************************************** 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