I have truly enjoyed this discussion and all the different directions it has taken us!

When I arrived in Puerto Rico, it was hard to convince moms OR doctors that tongue tie could be a problem - doctors would quote "studies" to me.  At the time, we didn't have many of our own - but the tactic I took was to refer them to Dr. Brian Palmer's information ... and then explain that most of the studies they were showing me were written by ENGLISH speaking people - both physicians and speech therapists.  I explained that whether your tongue was tied or not, you could speak English rather correctly - but SPANISH requires a more free tongue.  

This worked very well - and eventually led to my having a great relationship with a nearby ENT.

Jeanette Panchula, BSW, RN, PHN, IBCLC
Vacaville, CA, USA

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