Our virtual appointments are actually through a HIPAA-secure telehealth
portal. She didn't have the baby during our initial visit, and just had a
visit with someone else from our team. I think at this point in-person is
going to be best! This is where virtual becomes a challenge...

On Thu, May 9, 2019 at 10:29 PM Sharon Knorr <
[log in to unmask]> wrote:

> Can you do a Skype or Facetime with visuals? Evaluating positioning/latch
> is one of the most difficult things to do by phone - a real test of
> counseling skills where the mother's ability to communicate well is mostly
> out of your control. It's all about you painting a picture and her painting
> one back.
>
> Sharon Knorr, BfUSA Breastfeeding Counselor
> Colorado, USA (yes, still snowing up here in the foothills...... but in the
> 70's/80's by next week!)
>
> On Wed, May 8, 2019 at 5:29 AM Theresa Moutafis <[log in to unmask]>
> wrote:
>
> > Fantastic advice, thanks everyone. Unfortunately a good latch assessment
> is
> > pretty difficult with virtual visits, so I’ll see if we can get her some
> > in-person help.
> >
> > On Wed, May 8, 2019 at 1:25 AM Elizabeth Saville <[log in to unmask]>
> > wrote:
> >
> > > I'm not yet an IBCLC, awaiting test results....
> > >
> > > When I experienced persistent thrush my pediatrician suggested a baking
> > > soda solution to use on myself and baby after having tried nystatin for
> > > baby and diflucan for me.  It worked for me.
> > >
> > > Mix one level teaspoon of baking soda into 8oz of tap water.  Store in
> a
> > > very clean jar that has a well fitting lid.  Make a new mixture every
> day
> > > in a clean container.
> > >
> > > MOM: after every feeding wipe each nipple and areola with a new cotton
> > > ball dipped into the baking soda solution.  Rinse the baking soda
> > solution
> > > with plain water just before the next feeding.
> > >
> > > INFANT: after every feeding dip a clean cotton swab into the baking
> soda
> > > solution, shaking off any extra.  Wipe the baby's mouth, cheeks, and
> > tongue
> > > with the wet swab.  Start with the back of the mouth and move towards
> the
> > > front.  Do not re-dip the used cotton swab into the solution.
> > >
> > > Continue for 5 days after the yeast overgrowth is gone.
> > >
> > > Best of luck to your client!!
> > >
> > > Liz Saville, BASc Nutrition, LEC
> > > La Verne, California
> > >
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-- 
Theresa M. Moutafis, MA, RD, LDN, CDE, IBCLC
Nutrition and Wellness Consultant
Lactation Consultant
(315) 730-1858
[log in to unmask]

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