Hi Isabella "Seems as though we need to figure out a common sense way to distinguish between candida and bacterial infections" This is my dilemma exactly. There may very well be other issues in this particular case. I do believe that ductal thrush is over diagnosed. It is also *very* expensive to treat adequately. Jean Ridler RN RM IBCLC Cape Town [log in to unmask] *********************************************** 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