Does anyone have any ideas for this nursing mother?  Please respond directly
to her as well as the list.  I will read the responses on Lactnet, no need
to respond to me as well.  Her email address is [log in to unmask]

Jack Newman, MD, FRCPC

"I've been breastfeeding now for almost eight months and plan to continue
indefinitely. However, I do have a problem that maybe - hopefully -  you can
help me with. As a result of poor latching and the yeast early on I
developed pretty bad abrasions - well they were more like gouges to be
honest - on both nipples. After eight agonizing weeks they finally began to
heal over. One healed fine but the other didn't. It left a "hole" at the
base of my mipple. It looks as though a push pin was stuck in it. The main
frustration is that whenever I have let down (which seems to be a lot as I
still nurse frequently during the day and even more at night) I have a
steady stream of milk flow through the hole. It soaks shirts, bed clothes,
my daughters clothes. It sprays in her face, on the floor... it drives me
crazy. I'm guessing I lose 6-8 ounces a day through it. My doctor (Dr. Jana
Wieder -says she knows you from residency days) figures it will heal when I
finish nursing but will probably re-open when I nurse another child. I'm
wondering if there is something I can do about it ie. laser surgery or
something like that. I can cope with it during the day but I find the night
sprays are really frustrating as I am constantly having to put down a new
pad. Nursing all night is hard enough wihtout that aggravation! Have you
ever heard of this? Any hope for me? I'd really appreciate your time with
this,"

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