I agree with the previous posts --all of them are what I do and recommend. This is anecdotal, based on my experience, personal and with clients. I ask clients with "recurring" plugged ducts and blebs, "How tired are you?" Every single one says they are tired or exhausted. I don't know what role exhaustion might play with your client, but sleep is important. We know exhaustion suppresses the immune system. It also causes one to do things like not empty a breast, or work out a plug, or fall into a deep sleep compressing a breast underneath, because one is tired and isn't thinking clearly. Another idea is a soft and gentle brushing of the tip with a wash cloth after soaking. A baby exfoliates the nipple tip while nursing, but a pump doesn't do this. Lastly, is learning hand expression an option? *********************************************** 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