In a message dated 95-10-21 09:14:36 EDT, you write:

>1. LC qualifications (how does IBLCE review?) and chicken pox
>
>----------------------------------------------------------------------
>
>Date:    Sat, 21 Oct 1995 00:09:22 -0400
>From:    "Jon Ahrendsen, MD" <[log in to unmask]>
>Subject: Re: breastfeeding or breast-feeding
>
>I vote for the term breastfeeding, it seems neater and more consise than the
>two word or hypenated version.  I have to related comments.  I gave a talk
on
>BF to a group of midwest FP's in Maui in January 94 and wanted to addd what
>Isalnd flavor to the talk that this midwest farm boy could. I called the
>State Libarary in Honolulu to find out how to say "Breast is Best" in
>Hawaiian.  From the tourist brochures I new the phrase, Maui No Ka Oi ( My
>spelling might be wrong) which means: Maui is the best.  The kind lady at
the
>library thought that WAIU would be the word that would fit the best as the
>Hawaiian dictionary listed WAIU as meaning both "breast" and "milk". I
>thought that that was interesting as before the white man came to HI there
>was no other milk used on the islands.
>I also love the German word for breastfeeding,"STILLEN" It seems to be so
>appropriate to the situation.
>
>Jon Ahrendsen, MD
>
>------------------------------
>
>Date:    Sat, 21 Oct 1995 00:28:30 -0400
>From:    Jennifer Coombs <[log in to unmask]>
>Subject: FLU SHOTS
>
>I just wanted to respond antidotally to Ruth Sweet's post about flu shots.
 I
>have just joined lactnet, so have missed the discussion on the shots
>(unfortutely).
>After encouraging patients to take the flu shot at the busy family practice
>office where I work, I decided to get mine.  I am nursing my 13 month old on
>the left side (he refused the right breast at 10 months)  (unilateral
>nursing... another story)  Anyway, I always call our pregnancy risk line
here
>in Salt Lake City before I take anything.  I have avoided even simple
>medications like antihistimines after being told there was a theroetical
risk
>of reducing my milk supply even after one dose!  Now I sit here with an
>aching left arm, a hot and aching left breast, and darned if I don't feel as
>if my milk supply has been severely reduced.  Anyway, moral of the story,
ANY
>medication can reduce your milk supply.  Flu shots can interfere with
nursing
>for a variety of simple reasons.
>     I also work at a family practice residency training site and have been
>appalled at the lack of training, poor advice given by our residents.  The
>bright side is one of our residents who is pregnant has gone to a LLL
meeting
>with me already!  There is really good and really bad advise out there.
> Hopefully mothers can hook up with qualified breastfeeding experts before
it
>is too late!  I have become the "go-to" person at my clinic simply because
>everyone saw me breastfeeding my infant on my lunch hour when I returned to
>work.  I had NO formal training as a physician assistant.  Hopefully I can
>start to change things.  For now, I need to get educated myself.
>
>Jennifer Myers Coombs, Physician Assistant
>
>------------------------------
>
>Date:    Fri, 20 Oct 1995 21:36:38 -0700
>From:    "C. Ione Sims" <[log in to unmask]>
>Subject: qualifications, systemic yeast
>
>Systemic yeast: Thanks to those who have had input. I will look at the
>book suggestion.  I have seen resistant cases of localized yeast and
>cases of yeast that appeared to be in mom's milk ducts.  One of my
>concerns is over people who seek systemic medications for their "systemic
>yeast" which makes me uneasy.
>
>Qualifications: I must agree with Kathleen A.'s and Anne Norton's
>comments regarding the qualifications issue.  One of my biggest
>frustrations is the frequent incorrect advice that women are given by
>well-meaning physicians and nurses. Despite the fact that I am an IBCLC,
>I find that many women listen to whatever their physician tells them
>right or not.  And the problem of getting different advice from anyone
>who walks in the room to care for a woman seems to be endless.
>
>  Expecting all HCP's who work in maternity to become IBCLC's
>sounds a bit extreme and not practical.  However, I believe that much
>more attention could be given to integrating practical and correct
>information into the various professions: nursing, medicine, midwifery,
>etc.  I believe that in doing so, it is important to address cultural
>attitudes and biases toward breastfeeding in a conscious manner such as
>the belief that "breastfeeding really isn't that important"; that "infant
>feeding is just a matter of personal choice", etc.  It is also
>desirable for health care practitioners to receive information about
>lactation consultants, what the LC's scope of practice is, how to work
>with LC's.
>
>When I went to nursing school, we were extremely fortunate in that
>the LC at University Hospital spoke to our class in our maternity
>rotation and making rounds with her once was part of our clinical
>requirement.  There was a senior practicum in the last year of my program
>where we could arrange to get more expertise in an area of our choice. I
Marian:

   my recommendation would be 4 cups of sage tea a day and cabbage leaves.
The leaves can be changes at wilting...this will also allow to be be up and
mobile...a difficulty when using ice packs.

   i have only read of carrot -grated- for sore/abrated nipples.


                                    patricia