Linda Shaw, MD said: "Gee, if I had a baby with a bili of 19 (338 in Canada, according to Dr. Newman) who was term and about 4 days old, I'd just make sure that mom's milk was in good supply, milk transfer was good, and that the baby didn't have another cause for jaundice (i.e., looked good & was vigorous on exam), I'd just follow the bili closely; if it went higher, I'd probably order some home phototherapy for a few days. This bili doesn't sound like it warrents this kind of extreme response. Sounds like the GP doesn't know much about bilirubin, babies, & breastfeeding & needs re-educated." Linda L. Shaw MD FAAP Altoona PA Linda, I agree and do the same. -Rob (pediatrician, Wilkes Barre PA)