Hi Kathleen,
Very, very interesting story!
Especially because last weekend we were in a workshop discussing too much
milk.
My colleague giving the presentation said that Peter Hartmann proved that
milk does not remain in the ducts and that the ducts have no storage
capacity.
Therefore, the story of milk fats sticking to the ducts thereby causing the
first milk to be more watery ought to be considered nonsense as well.
I felt uncomfortable, first because I thought I was stupid not knowing about
all that, later on because I realized that I don't believe it!
How can women possibly pull out strings of dried milk if milk cannot be
retained in the ducts for one reason or another?
Your story below goes to show that milk *does* remain in the ducts
sometimes, just like Liz' story did earlier this week.
Are both of you okay with me forwarding your posts to my Dutch lc colleague
list?
We will have an intervision day in March and I would really like to put this
topic on the agenda.
Apparently, there are two 'schools' with regard to milk in the ducts... I
wanna find out for sure which school I'm in/of! hahaha
Bye,
Marianne Vanderveen IBCLC, Netherlands
----- Original Message -----
From: "Kathleen Huggins" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, February 11, 2010 4:27 AM
Subject: [LACTNET] Scales and nipple blebs
(...)
> For many, many years, I have wanted to discuss my experiences with nipple
> blebs. I have literally seen hundreds of them over the past 30 years. I
> vividly remember the first mom who came to me. She was totally backed up
> with nearly a quarter of her breast very full. I pumped her. I heated her
> breast. We tried both nursing and hand expression. After nearly an hour,
> I called her OB in frustration! I was instructed by the mom's OB (over the
> phone) to take an insulin syringe and poke at the white bleb. I gently
> scraped it away and suddenly her milk squirted out several inches spraying
> me right in my face!
>
> So they continued to come, these blebs! Time after time, the moms had
> tried numerous things at home but many of them came in to the clinic. We
> instructed the mom in our presence to gently use the tiny needle on a TB
> or insulin syringe in good light moving the needle side ways from the
> outside of the bleb toward the middle. Usually, the mothers denied having
> any pain using this procedure although often they did bleed for a minute
> or two. It has always seemed to me that we were removing a top layer of
> skin allowing the milk to begin to flow. Yes, sometimes we would get a
> string of white material, sometimes a tiny grain, sometimes nothing but
> foremilk.
>
> Rarely we got no where despite removing the bleb.
>
> What I am writing now is a secret that I have kept for many years. When
> our efforts to unblock a bleb failed, we turned to our favorite surgeon,
> Dr. H. His office used to be close to the clinic and he often would come
> over while the mom was still in the clinic. And, this is what he
> did.......
>
> He took a tear duct probe, one that was several inches long. If you have
> never seen one, they are nearly as thin as a strand of hair. He
> introduced the probe into the duct and went up into the breast. Then he
> would feel a "POP". He would remove the probe and Voila!: MILK FLOW! He
> was always able to clear every single one. I asked him once if we could
> video tape one but he said no, unfortunately.
>
> So, my opinion is that a bleb occurs when there is a blockage anywhere in
> a duct, not just at the nipple. I think that when the duct is blocked,
> skin grows over it. These moms also have horrible shooting pain probably
> because milk cannot drain and the duct spasms.
>
> Have I freaked you out?
>
> Kathleen
> --
>
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