And the ER did NOT check the bilirubin???
The only Pediatric ERs I know of are at MMC and PCH. Both would have
checked bilirubin.  
I suggest a telephone call by you to the pediatrician ASAP, followed by
your faxed report if not done already. Recommend to the Pedi that baby be
seen now, not next week.
And I strongly agree with CW-G's post.
Since they live 60 min away, call her today for status: poops & peeps since
the consult, sleep/wake behavior, how they are feeding baby, her pumping
technique and results, ability to pace babe with the bottle, etc. And urge
them to take babe to the Pedi.
Good luck and keep us posted.
Phyllis


Phyllis Adamson, IBCLC, RLC
Glendale, AZ
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