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Subject:
From:
Shaland Verdi <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 2 Apr 2018 23:19:41 -0700
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Frank,

I couldn’t agree with you more. I would never condone a breastfeeding
mother taking these drugs, I hope that it did not come across that way.
There is information missing in the original post, and that is why I asked
if her baby would be with her during this time (I am hoping that the baby
will not be, as I mentioned it could be unsafe). Like you said, it is her
choice to expose herself to the potential consequences, and it is our job
to protect, promote and support breastfeeding. Having her express her milk
during this time (and discard it) will preserve her milk supply and allow
her to return back to her previous exclusive pumping routine, which is what
is best for the baby. I also asked how many days she planned on using the
drugs because that could affect her milk supply if she does not express her
milk frequently. I was hoping to shed light on the anecdotal reality on
this particular situation because I have experience with client base and
throughout growing up. We know that drugs can lead to poor decision making,
which will affect her milk supply. This is a tricky situation. There are
quite a few indigenous cultures that use psychedelics as medicine for
spiritual and mental health and certain religions are allowed to consume it
legally in the United States, and of course worldwide. I have no idea what
her background is, it wasn’t mentioned. That being said, painting a clear
picture for this young mother with anecdotal, and evidence-based
information will hopefully provide her with the tools that she needs to
make informed decisions for her and her baby.

I respect your opinion, Frank. I have seen many of your posts and you
provide really insightful information!  If Anne’s client was your client,
besides giving her Medications and Mother’s Milk and a pumping schedule to
save up expressed breastmilk for the baby, what else would you recommend? I
think your suggestions would be really valuable, especially because there
is a lack of statistical information.

I think that her client is pretty open minded to good suggestions and wants
to continue providing her baby breastmilk, responsibly and safely. I say
that because she is 23 years old and came to her lactation consultant to
openly discuss using medicinal/recreational drugs. I don't know of many
young mothers who would do that.

Kindly,

Shaland Verdi, IBCLC




On Mon, Apr 2, 2018 at 9:25 PM, Frank J. Nice <[log in to unmask]> wrote:

> "Medicinal" purposes: for whose benefit and for what benefit???
>
> OK; I can no longer hold it in.
>
> As a healthcare professional, I would not and could not ever condone a
> breastfeeding mother ever taking these recreational drugs.  If a mom wants
> to expose herself to the potential consequences of using them, that is her
> choice.  In this case, the breastfeeding child has no choice.
>
> Lysergic Acid Diethylamide (LSD): LSD is a hallucinogen manufactured from
> lysergic acid, which is found in ergot, a fungus that grows on rye and
> other grains. Health effects include rapid emotional swings; distortion of
> the ability to recognize reality, think rationally, or communicate with
> others; hypertension; increased heart rate; increased body temperature;
> dizziness; insomnia; loss of appetite; dry mouth; sweating; numbness;
> weakness; tremors; enlarged pupils; frightening flashbacks (sudden vivid
> memory); ongoing visual disturbances; disorganized thinking; paranoia; and
> mood swings. In combination with alcohol, there may be a decreased
> perception of the effects of alcohol. In combination with alcohol, there is
> an increased risk of coma.
>
> Psilocybin: Psilocybin is a hallucinogen from certain types of mushrooms
> from South America, Mexico, and the United States. Health side effects
> include hallucinations, altered perceptions of time,  inability to tell
> fantasy from reality, panic, muscle relaxation or weakness, movement
> problems, enlarged pupils, nausea, vomiting, drowsiness, risks of
> flashbacks, memory problems, and poisoning and death if poisonous mushrooms
> are accidentally used. Using alcohol also may decrease the perceived
> effects of the alcohol.
>
>
>
> Frank J. Nice, RPh, DPA, CPHP
>
>
>
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