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Date: | Sat, 14 Jul 2012 23:53:56 -0400 |
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While I appreciate the feeling of either being famous or infamous. I will pause to note that for the most part my request for suggestions in this case where additional information was asked for I tried to answer either on the list or directly to the person requesting the information.
To respond directly to Susan, the baby is being supplemented and gaining 1-1.25 ounces a day through a combination of formula and breastmilk. I did a full assessment and had birth weight, discharge weight and 3 different weights and was and am confident about the health of the baby. Therefore, I did not feel it necessary to be that explicit as my question was directed to the issue of submucosal frenulum and whether there was anything else I might do as a lactation consultant to support breastfeeding. It is possible my question itself wasn't clear enough?
I too have seen many babies struggle because of atypical frenula and equally frustrated by parents who see a tree and forget the forest. Yes, paying out of pocket is expensive, but so is formula in the big picture.
Of all the responses, suggestions and inquiries I have received I am truly grateful and appreciative. I would caution though and maybe this is just my sensitivity that a tongue tie is a diagnosis. As a lactation consultant I can't do that. I can, I believe, identify a potential tongue tie and describe the frenulum and tongue movement. However, the diagnosis and revision have to be made by an ENT and while I try my best to encourage families to use doctors who are familiar with tongue and breastfeeding I can not tell them to.
Thank you again for my new...um notoriety, but at this time I must disengage from this conversation.
Lea Rivera Todaro
Brooklyn, NY
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