SET LACNET NOMAIL In message <[log in to unmask]> Lactation Information and Discussion writes: > There are 18 messages totalling 428 lines in this issue. > > Topics in this special issue: > > 1. oops: Letter to the Editor > 2. BF on Star Trek > 3. mom in Switzerland > 4. science in a can > 5. Nursing strike quote needed > 6. London article rebuttal > 7. HMO humor > 8. Menopause while breastfeeding (2) > 9. Contrast Dye > 10. Premature menopause > 11. Copaxone > 12. Annals of Improbable Results (AIR) > 13. Copolymer-1 > 14. Nipples on males > 15. public bf v. privacy areas > 16. Support in Redding CA? > 17. Male Nipples > > > To post a note to the 1200 subscribers of LACTNET, send your note to > [log in to unmask] > To change your subscription options as in those listed below, send computer > commands listed below, via e-mail to: > [log in to unmask] > Note that LISTSERV is a *computer program,* not a human, so don't add punctu- > ation or words like "please." Here are some commonly-used *commands*: > > > To leave LACTNET---- UNSUBSCRIBE LACTNET > To temporarily stop your subscription------ SET LACTNET NOMAIL > To restart mail after being nomail -------------- SET LACTNET MAIL > For Information on other commands------------ HELP > For Information on Search Functions------------- INFO > REFCARD > LACTNET WWW site: > http://www.telcomplus.com/~kga/lactation.html > LACTNET archives : http://library.ummed.edu/lsv/archives/lactnet.html > > ---------------------------------------------------------------------- > > Date: Tue, 27 May 1997 13:24:19 -0400 > From: Margery Wilson <[log in to unmask]> > Subject: oops: Letter to the Editor > > I just realized I sent the draft copy of my letter to Lactnet but the final > version (whew) went to TIMES. Out of consideration for your "reading > burden" I won't re-post. Believe me, the final version was more succinct. > I wonder how many letters the Times has received about Dr. Stuttaford's > column? > Margery Wilson, IBCLC > > ------------------------------ > > Date: Tue, 27 May 1997 13:40:43 -0400 > From: Judy Fram <[log in to unmask]> > Subject: BF on Star Trek > > It is disturbing but obvious to me why Seska BF her son : she is dommineering > and controlling in all her relationships, and of course by BFing the baby she > can make him "overdependent" and show Chakotay (baby's unwitting dad - his > genetic material was stolen to father this child...) how she can again FORCE > men to be linked to her. "She is one of those sick women who needs to BF to > control things." She may also have believed that it would make him strong and > healthy but this is never mentioned. All the other women are too independent > and self-assured to need this primitive behavior as part of their parenting > repetoire. They have careers of importance and are interchangeable with their > husbands as parents -true, but misguided egalitarianism. Sad, but true, this > future is not much different than our present in terms of parenting > wisdom...Judy Fram, Brooklyn, NY > > ------------------------------ > > Date: Tue, 27 May 1997 13:42:48 -0400 > From: Margery Wilson <[log in to unmask]> > Subject: Re: mom in Switzerland > > After reading K. Dettwyler's apt suggestions (for the mother to talk to the > child about the three-day interruption to bf) I recalled a woman in my > practice who had a similar situation. She applied bandaids to her breasts > to help her toddler understand, and said it worked like magic. The toddler > was quite sympathetic over the few days he could not nurse. > > Margery Wilson, IBCLC > > ------------------------------ > > Date: Tue, 27 May 1997 13:46:06 -0400 > From: Judy Fram <[log in to unmask]> > Subject: science in a can > > Such a juxtaposition -the "science in a can" reference ( thanks for the > "toilet" tie-in, Margery) and the transplant/ mother's milk link. I notice no > one is using that terrific "science in a can" stuff to help provide IgA and > bolster the immune system of transplant recipients... Judy Fram, Brooklyn, NY > > ------------------------------ > > Date: Tue, 27 May 1997 13:54:25 -0400 > From: Judy Fram <[log in to unmask]> > Subject: Nursing strike quote needed > > Lactnetters: > I am writing a small piece for a parenting magazine, on nursing strikes, > and they would like me to include a quote from a pediatrician. If anyone > feels motivated and willing to answer one or all of the following, I'd > appreciate it: > ( I did not make these questions up - the magazine did,) > :what happens to the baby if a nursing strike is not handled properly? > :what is it about teething discomfort, stuffy noses, or ear infections that > trigger nursing strikes? > :when are children no longer at risk for nursing strikes and/or why do they > outgrow them? > Feel free to "plug breastfeeding" as part of your answer. Thanks in advance. > Judy Fram,( yes, Chris I'm at it again,) Brooklyn, NY [log in to unmask] > > ------------------------------ > > Date: Tue, 27 May 1997 14:02:23 -0400 > From: Judy Fram <[log in to unmask]> > Subject: London article rebuttal > > Go Laurie, I 'm glad you mentioned that ridiculous assertion that at age 3 > children should be independent. I know my children were not able to hold > well-paying jobs and get decent apartments at that age, but I guess that's > because they were overdependent on me... > The more of us who write, the more different angles we can cover, and the > more times they have to confront their own misinformation.. Judy Fram > ,Brooklyn, NY > > ------------------------------ > > Date: Tue, 27 May 1997 14:41:08 -0400 > From: "Lisa Marasco, IBCLC" <[log in to unmask]> > Subject: HMO humor > > I'm sorry, I just couldn't help it. I've had my own personal runarounds > with HMOs, and this was just too good.... > > HMO Question And Answer Humor > > ___________________________________________________________ > > Q. What does "HMO" really stand for? > A. The popular idea that "HMO" stand for "horrible medical > organization" is untrue. It is actually a corruption of the phrase > "Hey, Moe!" often shouted out by patients at Dr. Moe Howard during his > early research on pain. Dr. Howard was the first to discover that a > patient could be made to forget about the pain in his foot if her were > poked hard enough in the eyes. Modern health plans have discovered > that voice mail, pre-certification, gatekeeper doctors and referral > slips are equally effective. > ________________________________________________________ > > Q. Do all diagnostic procedures require pre-certification? > A. No, only those you need. > ________________________________________________________ > > Q. I just joined a new HMO. How difficult will it be to choose the > doctor I want? > A. Just slightly more difficult that choosing your parents. The HMO > will provide you with a book listing all the doctors that were > participating in the plan at the time the information was gathered > several years ago. Aside from those doctors who have died, retired or > left the state, the listings should fall into one of two categories. > Those doctors who are no longer accepting new patients and those who > will see you but are no longer part of the plan. You should call you > HMO voice mail for further instructions. > _______________________________________________________ > > Q. What are pre-existing conditions? > A. This is a phrase used by the grammatically challenged when they > want to talk about existing conditions. Unfortunately, we appear to be > pre-stuck with it. > ________________________________________________________ > > Q. What happens if I want to try alternative forms of medicine? > A. You will need to find alternative forms of payment. > ______________________________________________________ > > Q. My pharmacy plan covers only generic drugs, but I need the name > brand. I tried the generic medication, but it gave me a stomachache. > What should I do? > A. Poke yourself in the eye. > _____________________________________________________ > > Q. What should I do if I get sick while traveling? > A. Try sitting in a different part of the bus. > _____________________________________________________ > > Q. I think I need a specialist, but my gatekeeper doctor insists he > can handle my problem. Can a GP really perform a heart transplant > right in his office? > A. Hard to say, but considering that all you're risking is the $10 > co-payment, there's no harm giving him a shot at it. > _______________________________________________________ > > Q. Will HMO health care be any different in the next century? > A. No, but if you call right now, you might get an appointment by > then. > _______________________________________________________ > > ------------------------------ > > Date: Tue, 27 May 1997 14:45:23 -0400 > From: Denhez Louise <[log in to unmask]> > Subject: Re: Menopause while breastfeeding > > On Tue, 27 May 1997, you wrote: > > > I'm working with a 39 year old mother with a 6 week old fully breastfed > > baby. > > She had one ovary with a tumor removed several years ago, then had her > > second ovary removed during her fifth month of pregnancy, also with a > > tumor. > > ... > > The reasons given for weaning are: 1. Estrogen may decrease her milk > > supply > > (so will weaning, says mom). 2. Baby is a boy and doctor does not give > > OCPs > > to mothers of boys. 3. Endocrinologist says she must wean. > > ... > > My question is: ... Is there any reason for her to have a hysterectomy > > before she exhibits > > difficulties with the endometrial lining? (That's another one of the > > doctor's recommendations.) > > Of course, I am not an expert on surgical menopause, only a public health > doctor... but I feel your client is right on the money: > 1. Mom would have estrogen in her system, and replacement therapy (by > opposition to birth control pills, much stronger) only replaces the estrogen > that would be there is the ovary had not been removed. > 2. Same: if boys would suffer from the estrogen in Mommy's milk ... we > would not be here, would we ? > 3. Upon the inspiration of dr Newman: ask his (endocrinologist) > references... but I bet he cannot produce many ! > Finally, about the endometrial lining, hormone replacement therapy does > include progesterone during the second half of the cycle, to "normalize" > the endometrial lining, and eliminate the risk of > endometrial cancer due to "unopposed" (i.e. by progesterone) estrogen > replacement. Of course, if the nature of her tumors forbid adding > progesterone to the treatment, your client would then have increased risk > of endometrial cancer and should consider hysterectomy. However, if she > could take progesterone, the issue is resolved. > > Hope it helped, > > Louise Denhez, M.D., M.P.H > Chargee d'enseignement clinique > Departement de medecine sociale et preventive > Montreal, Quebec, Canada > > ------------------------------ > > Date: Tue, 27 May 1997 15:17:57 -0500 > From: Jack Newman <[log in to unmask]> > Subject: Contrast Dye > > Nonsense, the mother can breastfeed immediately after the CT scan. Even > if the iodine (not radioactive) were harmful to the child, which it > isn't, 90% of it would be out of the mother's system (and therefore her > milk) within about 12 hours. We do CT scans in much younger babies. > The amount in the milk is only a tiny percentage of the dose the mother > gets. > > Secondly, the decision about not nursing is strictly up to the mother, > not the people who are doing the test. > > Jack Newman, MD, FRCPC > > ------------------------------ > > Date: Tue, 27 May 1997 15:24:10 -0500 > From: Jack Newman <[log in to unmask]> > Subject: Premature menopause > > In the first place, is there any real reason that the mother must have > hormone replacement now? Even if she nurses the baby two years, say, > why can't the hormone replacement begin then? > > The story of estrogens for male babies is idiotic. But estrogens may > considerably decrease the milk supply, so they should not be used. > > Why should she have a hysterectomy? I don't know the answer, but do all > women who have menopause require a hysterectomy? Is there anyone out > there who knows why premature, or surgical menopause requires a > hysterectomy? Better be a good reason. > > Jack Newman, MD, FRCPC > > ------------------------------ > > Date: Tue, 27 May 1997 15:27:20 -0500 > From: Jack Newman <[log in to unmask]> > Subject: Copaxone > > If this stuff is given by injection, maybe it is not absorbed orally, in > which case there is no concern about nursing while the mother is on it. > Maybe it is a protein and will be destroyed in the baby's stomach. > > The mother's health is important, but breastfeeding is too. > Breastfeeding may protect the child from developing multiple sclerosis > later. Isn't that being taken into consideration? Maybe there is an > answer here if we look. > > Jack Newman, MD, FRCPC (who has never heard of this drug) > > ------------------------------ > > Date: Tue, 27 May 1997 15:29:52 -0400 > From: "Nice, Frank" <[log in to unmask]> > Subject: Annals of Improbable Results (AIR) > > Yes, AIR is a spin-off of Journal of Irreproducible Results. > I too would be interested to see just what this "article" on "bonding" > looks like. > A lot of times, the name of the author is significant. Does the author's > name, Christina Linux, have any breastfeeding significance or > tongue-in-cheek meaning that I am missing??? > > ------------------------------ > > Date: Tue, 27 May 1997 15:33:57 -0500 > From: Jack Newman <[log in to unmask]> > Subject: Copolymer-1 > > Given the information in Dr. Hale's post, I think there should be > absolutely no concern about this. If the treating physician did not > know this information, why is s/he using this drug. If he did, why did > he imagine the mother needed to wean the baby for that reason? > > Jack Newman, MD, FRCPC > > ------------------------------ > > Date: Tue, 27 May 1997 09:48:36 -0700 > From: Glenn Evans <[log in to unmask]> > Subject: Re: Nipples on males > > Great, clear explanation, Kathy. Joanna doesn't say how old she is, but = > I think this explanation can be simplified by her mom, if necessary, = > without leaving anything out. =20 > > I would add one thing more. Joanna -- breasts are not a sexual = > organ/gland. > They are a modified sweat gland. Not only do both men and women have = > usually two, sometimes they might have extras. These are most often = > found along the same line, top to bottom, as the "usual" pair, and are = > sometimes found into the armpits. They are called supernumerary = > nipples. In some moms who are breastfeeding, they may even initially = > produce colostrum and milk. If they are not used to feed, the supply = > cuts back in those nipples, while the main pair continues to provide = > food for the baby. > > Sincerely, Chanita > > ------------------------------ > > Date: Tue, 27 May 1997 10:09:00 -0700 > From: Glenn Evans <[log in to unmask]> > Subject: public bf v. privacy areas > > My $.02 -- > > While I agree that all moms should be able to feed openly, anywhere, I = > also am aware that some moms don't want to, and having an available = > "mothering area" > might increase the breastfeeding when away from home. Too often I see = > babies that I know are BF (because I know them), taking bottles when in = > public because moms are too shy to even offer the breast discreetly, = > i.e., under a blanket, or mom's blouse/shirt. =20 > > Another lactnetter suggested the sign -- "While mothers may breastfeed = > any- where in our facility, we have provided a private area nursing = > area, for those who would prefer it, located..." I would make this the = > area for a changing table as well, if possible. Notice -- I did not say = > mothers and their infants -- this way, maybe some moms of older babies, = > toddlers or nursing children might use it as well. Sometimes the way = > out of the closet is not directly to the public, but first to others = > sharing the same traits. . . > > Chanita, San Francisco > > And a further thought -- men's rooms also need changing tables. Too = > often I have seen dads struggling to change diapers on babes-in-arms, = > because the only set aside areas are in the women's restrooms. > > ------------------------------ > > Date: Tue, 27 May 1997 13:41:41 -0600 > From: Bill & Linda Dunn <[log in to unmask]> > Subject: Re: Support in Redding CA? > > Anyone out there from Shasta Lake or Redding CA? A mom needs support, due to > deliver in > about 3 weeks. > Thanks > "Those who were dancing were thought to be quite insane by those who could > not hear the > music" > > ------------------------------ > > Date: Tue, 27 May 1997 16:24:12 -0400 > From: "Gloria Buoncristiano-Thai, LLL Leader" <[log in to unmask]> > Subject: Male Nipples > > Hi Joanna, > > I recently read about a culture (sorry, don't remember who they are) where > the father will put his nursing child to his breast until mother is > available. Apparently, this soothes the child until mom is available. > > Aloha, > Gloria Thai LLLLeader Hawai'i > > ------------------------------ > > Date: Tue, 27 May 1997 15:46:31 -0500 > From: "Patricia Gima, IBCLC" <[log in to unmask]> > Subject: Re: Menopause while breastfeeding > > >Mother is not satisfied with any of these weaning reasons. She would also > >like to look into natural hormone replacement. Her biggest concern is > >calcium loss. She is taking calcium supplements, eats a balanced diet, and > >does not smoke or drink. > > There are several good books out now that point out that menopause doesn't > mean the end of estrogen. There are steps that one can take to assure that > her body provides estrogen for her. One book is Natural Woman, Natural > Menopause, by Christine Conrad. Another is Women's Bodies, Women's Wisdom, > by Christiane Northrop. Through these books she can connect with a > practitioner who is knowledgable about the natural hormone replacements. > > And there are dietary sources of plant estrogens--the most readily available > being soy products. Once again, the Asians show us that our inevitable > physical failings aren't so inevitable. Tofu, soy milk, tempeh, and that > yummy soy-based "ice cream" Tofutti all will supply phytoestrogens (plant > estrogens) that will help maintain her body's needs for estrogen. > > You say that she is taking calcium. As I have mentioned before, she needs > to be sure that she is taking a ca/mag combination in a 2/1 ratio. The > calcium is best utilized in that combination. And it is best taken with an > acidic juice. > > Patricia Gima, IBCLC > Milwaukee > mailto:[log in to unmask] > > ------------------------------ > > End of LACTNET Digest - 27 May 1997 - Special issue > ***************************************************