Dear all, Thought you might like to know how counseling a FTT long distance (a VERY long distance) went. Talked to mom again last night. The first day of FEED THE BABY (minimum 1 ounce every 2 hours), baby gained 3 ounces (98 grams). the second day, he gained 67 grams. Dad went to McAllen TX for business for one day. I gave him the name of an IBCLC there and the number of the pump company with "suggestions" to get at least a mini-electric and an SNS. Mom called me last night, said the mini-electric was SO comfortable; she was pumping between feeds to put in the SNS, and using some formula as well -- which she hated. Thanks for the crutch analogy from a while ago, friends -- I was able to use that -- (also a splint analogy as we had spent the evening in the ER -- Tim had fallen on his roller blades and did something nasty to his wrist, though it isn't quite broken. Ah, what a way to start spring break). Anyway, baby doing well using SNS, has gained another 2 ounces (total of 7 in 3 days). Told her she was to continue using it and pumping, and we'd regroup on Monday night when I get back in town. So, it looks like this long distance counseling is working. I DO NOT recommend it! I hardly even do phone consultations at all, let alone a FTT. But it was a bit far for a home visit.... More anon, Jan