They are getting them from just about every single pharmacy in West Queens--chains, independents...everywhere.  I agree they are dangerous, which is why we immediately switch any and every mom who says that the pump she has looks like a bicycle horn to either an Ameda or Medela at no cost to the mom.  I have asked a few mom's how they clean it.  They say they use boiling water, add a small amount of dish soap and swoosh.    The problem is so pervasive that we have decided to go after educating the fathers--who are frequently the ones filling the prescription.  This is one of our goals for 2010 - eradicate the bulb pump from our community
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