While I appreciate the feeling of either being famous or infamous.  I will pause to note that for the most part my request for suggestions in this case where additional information was asked for I tried to answer either on the list or directly to the person requesting the information.

To respond directly to Susan, the  baby is being supplemented and gaining 1-1.25 ounces a day through a combination of formula and breastmilk.  I did a full assessment and had birth weight, discharge weight and 3 different weights and was and am confident about the health of the baby.  Therefore, I did not feel it necessary to be that explicit as my question was directed to the issue of submucosal frenulum and whether there was anything else I might do as a lactation consultant to support breastfeeding.  It is possible my question itself wasn't clear enough?  

I too have seen many babies struggle because of atypical frenula and equally frustrated by parents who see a tree and forget the forest.  Yes, paying out of pocket is expensive, but so is formula in the big picture.  

Of all the responses, suggestions and inquiries I have received I am truly grateful and appreciative.  I would caution though and maybe this is just my sensitivity that a tongue tie is a diagnosis.  As a lactation consultant I can't do that.  I can, I believe, identify a potential tongue tie and describe the frenulum and tongue movement.  However, the diagnosis and revision have to be made by an ENT and while I try my best to encourage families to use doctors who are familiar with tongue and breastfeeding I can not tell them to.  

Thank you again for my new...um notoriety, but at this time I must disengage from this conversation.

Lea Rivera Todaro
Brooklyn, NY

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