Pamela, I always enjoy reading what you post to Lactnet, this last one especially. When my son was born 19 years ago, I had a postpartum infection with high fever, multiple antibiotics, etc. Not knowing anything about breastfeeding, I stopped nursing when directed to do so by the powers that be. I was given a bicycle horn pump with no instructions. While I was sitting in my bed, tearfully trying to figure it out, the cleaning lady came in and said, "Honey, that thing will kill you. Just use the hands that God gave you. They are much more gentle and do a better job of moving out that milk," I don't think she had ever heard of Chele Marmet, but her advice was right on! Mary Alice Tinari, MSN, IBCLC Huntingdon Valley, PA a suburb of Philadelphia, PA mailto:[log in to unmask]