Yanet olivares IBCLC
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Rosa Banchs, LLL

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On Nov 27, 2013, at 11:26 AM, Trisha Wierenga <[log in to unmask]> wrote:

> I have been contacted by a mother who recently moved to the Dominican Republic.  We have a prior relationship from when she still lived in my area.  I am not sure of the resources there... I am hoping to gain insight from any IBCLCs in that area!  Her mother was diagnosed with breast cancer three years ago, so this is concerning to her.  I have permission to post.
> 
> "When we first arrived, I was having the early symptoms of mastitis and luckily there was an OB doing medical missions with us at the time, and I was able to put on an antibiotic to clear that up.  At the same time, I felt a mass in my right breast right behind the nipple.  We thought it was a plugged duct, so with breastfeeding, I was also pumping that side to try to get it to release.  About a month ago I had an ultrasound done by an American general surgeon, because the mass is still there and has not gone down in size (about the size of a shooter marble).  From what he could see and feel it is symmetrical and mobile; however, he did not want to mess with it since I am breastfeeding, and said that it could cause bleeding.  I'm not having any problems with transferring milk, but my question is what would you recommend me doing?"
> 
> This is obviously out of our scope of practice, but hopefully, I can point her to an appropriate resource.  Does anyone know a breastfeeding-friendly specialist in the Dominican Republic?  Thank you in advance!
> 
> Trish Wierenga, BSN, RN, IBCLC
> 
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