Gee, if I had a baby with a bili of 19 (338 in Canada, according to Dr.
Newman) who was term and about 4 days old, I'd just make sure that mom's milk
was in good supply, milk transfer was good, and that the baby didn't have
another cause for jaundice (i.e., looked good & was vigorous on exam), I'd
just follow the bili closely; if it went higher, I'd probably order some home
phototherapy for a few days.  This bili doesn't sound like it warrents this
kind of extreme response.  Sounds like the GP doesn't know much about
bilirubin, babies, & breastfeeding & needs re-educated.
Linda L. Shaw MD FAAP
Altoona PA