Hi Loretta:
You're right that pictures are useful in clinical discussion (and I'm
sure these are alarming). It's not clear how many days this client has
been home, and that she was sent home because there had been a lot of
progress on her condition. Was she contacting you because she isn't
seeing improvement? If things are getting worse, one to two weeks might
be too long wait to followup with her doctor, and, even more important,
referrals to the right specialists in wound care/infectious disease, etc.
However, Lactnet isn't set up for sharing pictures, so we didn't see
what you sent. On the plus side, Lactnet's listserve format allows for
posts long enough to lay out a useful, well-reasoned discussion, and
creates a great, searchable archive that is decades deep. It's
unfortunate that it is now just a trickle of posts.
Good luck in your quest to make sure this mother gets the right care.
Margaret Wills, IBCLC, Maryland, USA
> ----------------------------------------------------------------------
>
> Date: Sun, 5 May 2024 13:42:49 -0400
> From: Loretta Haycook-Haught<[log in to unmask]>
> Subject: Breast abscess
>
> I am talking with a 2nd time, experienced breastfeeding mom. She has a 6
> week old baby, supposedly feeding well, but last week admitted to ER with
> mastitis. Hospitalized. Started on Vancomycin IV x 5 days. Aspirated
> via ultrasound x 2. Discharged day 5 on Cephalexin m. She is cleaning
> site daily. Return in 1-2 weeks to her Dr. She continues to breastfeed
> from this breast w/o difficulty. ( I have no idea how). She has sent me
> these pictures from today. I feel not enough is being done! The breast
> tissue looks necrotic. I would love a few better educated opinions please
> Loretta in Florida (IBCLC, RN)
>
>
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