I'm happy to report back on this story.  I saw mom/dad/babe in my
hospital based clinic yesterday.  Got the babe on the breast after
calming overwrought youngun with feeding tube on finger.  Mom gently
switched to breast with feeding tube after first frantic time was over.
We gave the baby a quick bolus at latch on to calm then used variable
flow to reduce frustration as the feeding progressed.  I like the
ability  to squeeze a feeding tube device and easily clamp it so I can
increase/decreas the flow as needed.  She nursed well and refused all
attempts at second side, appearing totally satiated.  Has continued to
nurse well for last 24 hours.

Changes that helped were; using a "U" hold vs a "C" hold on the breast
(in football position this allows a more effective narrowing of the
breast, resulting in more areolar tissue in the mouth for the same
mouth gape).  Using a "nipple sandwich" to tilt the nipple to the roof
of the mouth as baby latched on.  Taping the feeding tube device along
the length of the tubing (down to the nipple base, long piece of paper
tape) so mom didn't have to fiddle with the tube while trying to latch
the baby.  It also helps to calm the baby with a quick bolus at latch
and to keep the flow fairly fast until she is more mellow.  She goes on
to finish the first side, long after the supplementor is dry and goes
to the second side without a supplementor.

The frenulum clipping site was indeed a .5 X.4 cm white oval.  The
edges were clean, no signs of inflamation so I don't think infection
was an issue.

This baby had been labeled inappropriately as an "Aggressive Non
Nurser" - (see LLL's Answer Book for description).  It really was no
such beast.  Aggressive non nursers have no known cause for their
refusal of the breast, refusal exists AT BIRTH and they resist all
efforts at human contact, plus are notoriously poor feeders including
other than breast feeding methods.  This baby had a tongue tie, some
bottle feeding, frenectomy, cup feeding, finger feeding and some
questionable suck training to contend with.  Taken all together or even
singlely there are a lot of reasons for breast refussal, confusion
and/or preference here....

Mom has a slightly low milk supply, maybe.  She will continue to pump
after nursing.  She needs a bit more than an ounce to

I'll be getting back to my sister LC with a polite reeducation if she
is open to it.

Carla (just north of Washington DC)