did I read this right?  Is it just me...?  
 I want to cast my vote in favor of evidence based practice.  In fact, I believe its something we are committed to as IBCLCs.  Specifically, I'm in favor of whatever works, and opposed to what doesn't work, so there's a lot of room in there to tailor ideas to individual dyads and to use my intuition.  As for the Lansinoh, I acknowledge that there's no evidence, at least last time I checked, but that many mothers like it.  My sense is that it's harmless, and there is a great deal of evidence to support the placebo effect, or the Hawthorne effect (now that I as someone in authority have given you this token of my esteem, this gift of nipple cream, you will probably notice that you start to feel better....)
best
Kristen Panzer, MS IBCLC
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