In my first ten months of private practice I have only had one case but it was a winner! Parents age 20 and 21 were students from France (living with mother) .New mom spoke no english(dad was the translater). At day three baby had lost a pound and was down to 6# 8oz.. They saw the ped first who said relax and don't worry about it. Unfortunately, and maybe due to the language barrier he tried to reassure the mom but never did watch them BF. This mom was large breasted, firm with flat nipples. On day 4 after 2 (10ml each) bottles of sugar water and baby losing interest in BF they called me. Mom needed to pump since baby was at that point kind of weak. We finger fed with a starter SNS and baby was ravenous! Showed her how to use it at the breast too. This Mom needed alot of education on technique and feeding frequency and they were totally exhausted from no sleep after hearing the baby cry for 3 days! The parents followed my care plan to a T and when I followed up with a weight check in 3 days the baby had gained 6oz. I wish all cases resolved so quickly and successfully. While brick dust urine may be a normal occurence in newborns, you really need to look closely at how well the baby is feeding before you dismiss a parent's concern. IMHO. Robin B. Frees, BA, IBCLC in Malvern, PA