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From: LACTNET automatic digest system <[log in to unmask]>
To: [log in to unmask]
Sent: Sun, December 19, 2010 12:21:40 PM
Subject: LACTNET Digest - 18 Dec 2010 to 19 Dec 2010 - Special issue 
(#2010-1012)

There are 7 messages totaling 352 lines in this issue.

Topics in this special issue:

  1. Any physicians in the UK...
  2. Update on my cancer dx weaning
  3. options for pathways non-RN ibclc
  4. Vit D levels
  5. update on cancer dx weaning
  6. Dental Caries/Elimination diet
  7. Milk Supply/expression/ Jean's RPS technique

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Date:    Sun, 19 Dec 2010 05:44:53 +0000
From:    Jody Lappin Molina <[log in to unmask]>
Subject: Re: Any physicians in the UK...

Thank you so much to all who have responded. I was able to get what I needed 
last night, and am already feeling better. 


So nice to be part of an international community!

Sincerely,

Jody Lappin MD
Mama of twin girls and now a boy too! Hooray!

Sent from my iPhone

On Dec 18, 2010, at 7:20 PM, "blucobalto" <[log in to unmask]> wrote:

> saline solution and a nasal corticoid could help you and you could avoid 
>antibiotics, which would be a good thing...
> nasal mometasone or fluticasone.
> and an antiinflammatory drug, like ibuprofene, or can't you take them for some 
>reason?
> i thing that nasal corticoisteroid are sold in pharmacies without need for a 
>prescription. antibiotics need prescription.
> mónica pina
> md, internist, lactation consultant, LLL leader 
> 
> --- In [log in to unmask], Jody Lappin Molina <jodylappinmd@...> wrote:
> >
> > I apologize for the mass email, but I have just arrived in London (very snowy 
>here) and I have developed a sinus infection and could really use a Z-pak 
>(azithromycin 500mg po qd on day 1, 250 mg po qd days 2-5). 
>
> > 
> > The hotel where I am staying charges 120 pounds for a doctor visit, which I 
>REALLY don't think I need. 
>
> > 
> > Is there anyone out there who can suggest a cheaper way to obtain this 
>antibiotic? I am absolutely miserable, but still need to take care of my family. 
>
> > 
> > Thank you in advance,
> > Jody
> > 
> > Jody Lappin MD
> > Gordon, Nussbaum & Lappin Pediatrics
> > 901 Montana Ave. Suite C
> > Santa Monica, CA 90403
> > 
> > Mama of twin girls and now a boy too! Hooray!
> > 
> > Sent from my iPhone
> > >
> >
> 
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------------------------------

Date:    Sun, 19 Dec 2010 07:23:55 -0500
From:    Rachel Myr <[log in to unmask]>
Subject: Re: Update on my cancer dx weaning

Thanks so much for updating us, Kim Ann!  I know I am not alone in my gratitude 
for your continued participation on LN.  In light of the recent discussion about 
the media attention to milk sharing your post was very apropos.  Your situation 
is not one that many of us are likely to run across in our practice, which is 
one reason why the listmothers welcome you to post to the list about it.  
Another reason is that you are a cherished part of this community and it is just 
GOOD to see you are keeping your feisty spirit through the rotten deal of your 
cancer.  

I'll be thinking of your words every time I work with a mother who weans for a 
reason not of her own choosing.  Thanks again for sharing this with us.
Rachel Myr
Kristiansand, Norway

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------------------------------

Date:    Sun, 19 Dec 2010 08:56:13 -0500
From:    Pat Young <[log in to unmask]>
Subject: Re: options for pathways non-RN ibclc

One pathway is through The Center for Breastfeeding. www.healthychildren.cc 
I think there may also be a similar offering in California.  Anyone aware? 
This is not a commercial and I have no financial interest :-)

I wrote Karyn -Grace privately and told her that NP is probably not a good 
idea.  I spent so much time taking care of sick kids and routine visits that 
I had to get BF help for moms with problems via LLL, WIC and private LCs.  I 
came to really understand where ped drs were coming from after I started 
work FT as a NP :-(  There just isn't enough time in the day to deal with 
complex BF situations.  I feel I do my bit by providing LLL #s, keeping 
formula hidden in the closet and cheering moms on, complementing them on the 
good job they are doing.
Pat in SNJ

----- Original Message ----- 
From: "laurie wheeler" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, December 18, 2010 10:51 PM
Subject: options for pathways non-RN ibclc


> Hi Karyn-Grace,
> When I was reading your post I was thinking OT, or public health. I am
> not sure what the newest requirements are for IBCLC so you will have
> to carefully see what fits that. I would not recommend NP program,
> becoz you said you really don't want to pursue RN, my understanding is
> NP is based on medical model, lots of pharmacology etc. If you want to
> practice that way, be able to prescribe for moms/babies, that might
> work. But if you want to do private practice, more wellness-oriented,
> then you just need the credentials that IBCLC requires, the physiology
> courses, etc. I would be very reluctant to go into debt becoz I would
> not predict you would have a large income in PP to repay that debt. So
> perhaps look into a nutrition, dietician, counseling, OT, COTA (in US
> we have certified OT asst, 18 mo program), public health if you can
> find these programs in a public university (much cheaper than private
> in US), or a community college (we have that here they offer assoc.
> degree as opposed to baccaulaureate.). And then there are some
> lactation degrees, not sure where they are offered.
> Laurie Wheeler RN MN IBCLC
> Mississippi USA
>
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> welcome 

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------------------------------

Date:    Sun, 19 Dec 2010 09:15:18 -0500
From:    Pat Young <[log in to unmask]>
Subject: Re: Vit D levels

Again, not a commercial :-)  But Dr Carol Wagner has a new book out called 
New Insights into Vitamin D During Pregnancy and Lactation. ( available from 
Hale Publishing.)  It is very well referenced and makes a very interesting 
read.  She says prior to 2004 "normal" of 25(OH)D was 15-80 ng/mL (37.5-200 
nmol/L.
Since then the lower level has been revised to 25 ng/mL (62.5 nmol/L)  She 
also says that they have not found toxicity in levels up to 100ng/mL.  Big 
discussion on whether or not you live in a sun-rich envirnoment or not too. 
(Winter in Norway-Not :-)

I had mine checked about a year and half ago after hearing Dr Wagner speak. 
Mine was 7 :-(  I took 50,000 units weekly for 8 weeks.  Have done this 
series 3 times in 1 1/2 years, plus 2000 units daily and I'm all the way up 
to 27. I don't get much sun :-(  I'm not sure if I could handle cod liver 
oil tho :-(

Vitamin D deficiency is also being connected to all sorts of other problems. 
It's the newest cure-all, but I do think we need to at least have normal 
levels and read research carefully.  Pat in SNJ (gray, cloudy and cold 
today) 

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------------------------------

Date:    Sun, 19 Dec 2010 11:34:06 -0600
From:    laurie wheeler <[log in to unmask]>
Subject: update on cancer dx weaning

Kim,
I understand and totally support you! Thank you for sharing your
story. It is very valuable and will help other moms.
Keep fighting and working toward your goals!
Laurie Wheeler

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------------------------------

Date:    Sun, 19 Dec 2010 11:06:27 -0700
From:    lisa mooney <[log in to unmask]>
Subject: Dental Caries/Elimination diet

Laura, Although I am biased because most of my Friends are Naturopath MD's or 
Oriental Medicine Doctor's, Bone and Teeth strength, from an Oriental or 
Holistic perspective generally has to do with depletion. The problem with 
Elimination diets is sometimes the patient's curtail their diet to such an 
extent they no longer eat a wide variety of foods and thus get less nutrients. 
Having said that, I just read an interseting article by Dr Klinghart, a well 
respected ND,  citing research out of Japan on Pregnant Mom's that took 
Chlorella growth factor during pregnancy and Lactation and they followed up the 
Children for 3 or 4 ? years, I have not had time to read the actual study yet, 
and the children had no Caries. Also while calcium is important, bone and teeth 
also need Magnesium , trace minerals and silica to be strong, most americans are 
deficient in all of these things, and Pregnancy and Nursing does drain the 
Mother if she is not adequatley replenishing  herself. People with highest 
calcium intake, the Swedish, have the highest Osteoporosis rates, and Japanese 
with the lowest Calcium intake, of course they do eat their greens though, and 
greens are high in Mag/Trace Minerals and Silica,  have the strongest bones, 
Lisa Mooney CNM MSN IBCLC                         

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Date:    Sun, 19 Dec 2010 11:21:37 -0700
From:    lisa mooney <[log in to unmask]>
Subject: Milk Supply/expression/ Jean's RPS technique

Jean, Thank You so much for all you do, I really believe your technique is 
worthwhile and I use it often now. I had been out of Lactation for the Past 8 
years, Midwifery school, than a Job in the OBGYN clinic at Kaiser, and this 
October took a job at a Large Military Hospital, Post Partum Lactation, and 
unfortunately, things have not changed. Still the same issues I was dealing with 
years ago,  mother infant separation, get them discharged within 24  hours, 
etc.  I am noticing the same variation in terms of ability of some Mother's to 
express colostrum and some no matter how much I try to help her Manually express 
not one drop comes out.  I had a patient the other day that on day 2 was able to 
obtain 1 ounce colostrum with the Harmony hand pump, after I showed her how to 
apply RPS,  and she was a C/section, although planned, so not as much IVFluid 
given as laboring then C/sec, and yet another patient the same week, on day 2 
with not one drop coming out,  via manual or electric expression, that patient 
was a longer labor, vag delivery.  The point I wanted to make is that I def. see 
in my  practice that most Women obtain more colostrum with massage/RPS and hand 
expression than a Mechanical pump. Sometimes I am reluctant to put the pump into 
the equation too soon, because they are seeing the drops with Manual expression, 
then I have them use the electric pump and nothing comes out, or 1 or 2 drops 
after 10 minutes of pumping, versus many drops flowing out with RPS ands manual 
expression, then they say to me, " I don't think I have enough", no matter that 
I tell them the pump is not the best reflection of what is in the Breast, I do 
not think they believe that.  Lisa Mooney CNM MSN IBCLC                         

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End of LACTNET Digest - 18 Dec 2010 to 19 Dec 2010 - Special issue (#2010-1012)
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