Kathleen B, I recently worked with a couplet that even w/ the SNS baby was taking only 5, 10, 20cc, which was NOT enough. So My advice was to get calories in by bottle at that point, and I'm glad others agree with this. Keep supporting the milk supply and keep cuddling skin to skin of course and work on effectively bf when baby is out of the woods. As far as followup, I would suggest a return appt if it is more than just a few minutes to phone and check on them. Charge your regular fees for the appt. My pediatrician does similar to this. If the child is pretty sick and needs to be checked over again, return in 2 days or next day, whatever. If the child should be ok after the one visit, he tells me to call him the next day and let him know how we are doing. No charge for the phone call, but of course a charge for the office visit. Laurie Wheeler, RN, MN, IBCLC Louisiana Breastfeeding MediaWatch Campaign Violet Louisiana, USA mailto:[log in to unmask] ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com