Susan,

* Have you checked to see if the frenulum is tight?  Can not lift baby's
tongue to see.
    Can you not lift baby's tongue because the frenulum is so tight?  If so
this could be the problem.  Will the tongue come out over the bottom gum or
lip?  Can the baby cup the tongue around a finger or the breast?  If you
trace the baby's bottom gum with your finger will the tip of the tongue
follow it?   If some or most of these things are difficult or impossible for
baby you may need to look seriously into tight frenulum.  Do you have any
doctors in your area who will clip a frenulum?  Are you familiar with any of
the articles written about tight frenulums?

* How much clicking is there when baby is on deeply?. About every 3 sucks,
then breaks suction.  This would happen if he frenulum is tight.  The
frenulum would act kind of like a tight rubber band that keeps snapping back t
o its original position.  Feeding would be difficult for baby.

* Can baby maintain a deep latch w/o breaking suction and clicking? Rarely

* What kind of palate does this baby have? Appears to be normal, what should
I be looking for?  Is there exessive height behind the alveolar ridge?
 Perhaps a bubble, a concavity kind of like a fingerprint in the palate.
 Either of these could be places a baby may push the nipple into rather than
drawing it back all the way to the s-spot (then juncture of the hard and soft
palate).

* What kind of MER? Is slow in coming and baby never gulps.  How is the milk
supply?  I'm afraid I can't find your original post.  This could be the end
result of reduced supply, the end rusult problems with palate or frenulum.

* Is mother having problems with plugged ducts or breast infections?  Early
on she had frequent plugged ducts, but after breastfeeding was established,
has only had one infection at 6 weeks after growth spurt.
Mom nurses baby almost constantly.

*  MD has also mentioned baby may have over or under bite.  Over or Under?
  An overbite would go along with a receeding chin, right?  If so then you
may need to use some alternative positions that will help to fill in the
chin.  A receeding chin often accompanies a prominant alveolar ridge.  Try
prone positions and see what happens.

Denise Parker