Hi all,

I always seem to have something weird going on in my office.

Case history

Infant born 15 months ago to a first time mom at age 48.

Planned c-section no problems with pregnancy or delivery.

Infant had difficulty with latch but mom worked through it.

Nursed exclusively for 6 months then added solids.  Still nursing at present

No delays is growth and has meet all his milestones



Sick last week with pneumonia and hospitalized for 3 days, IV antibiotics.

Now the weird.  His Alkaline phosphatase  went from 1500 to 1700 then on a
fasting test was 2300.             norm in our lab is 0-380 U/L

One ped is saying ? Rickets ( and looking at the bf as possible cause)

All other test are normal: Liver, blood count, calcium, Phosphorus

The toddler's doctor has called me asking question.  Anyone have any
thoughts on this situation please respond.



Thanks so much,

What would I do with out all of you!!!



Crystal Stearns RNC, MS, IBCLC

Mercy Memorial Health Center

Ardmore, OK 73401




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