Thanks for the responses about business-building... Here's another question for you. On Friday I went to a ped's office to give an in-service for the nurses. It is one of only 2 offices in town that I can say is really supportive of bfing. Of course, they are not totally clued- in about bfing, but at least they're trying. Well, of course there had to be a nurse there who had 15-year-old information about breastfeeding..."don't you find that mothers have a lot less trouble with soreness if they prepare their nipples ahead of time?" "I always tell them to nurse every 3-4 hours for 15 minutes max per side, because the baby gets most of the milk in the first 7 minutes." I tried to respond by saying very diplomatically that "research has found..." I also cited some cases that I've had where babies did not thrive when put on such a schedule, etc., and really tried to emphasize the fact that every baby is different. I would really like to send them a copy of something that validates the "crazy" advice I offered. Any suggestions? Here's an interesting twist to this...A few hours before I went to their office, I got a call from one of their patients who was having a lot of trouble nursing. It sounded like one of those "must see" situations, so I suggested a consult. The mom agreed, and I saw her this afternoon. After my in-service yesterday, one of the nurses pulls out this moms chart and starts telling me how stressed the mom is, and how she had called to get a Rx for the baby because he is so fussy. Well, the result of my consult showed one very nipple confused little guy...the result of the doc's advice to give a couple of bottles because his bili was 17 on day 4. Baby has been screaming at the breast ever since. Finally after 2-3 hours of screaming, he latches-on, then falls into a deep sleep for 4-5 hours...result, he's only nursing 4-5 times in 24 hours. But I've got to hand it to the little fellow: he seems to be getting plenty of milk. He had a VERY wet diaper when mom got him up after 4 1/2 hours, then he had 3 bm's while I was there. It took us about an hour to get him to latch-on, but we did it without screaming. At the first sign of anger, we would pick him up, calm him, give him a little milk from the cup, then try again. As long as the mom hangs in there, AND follows my instructions, I'm sure she'll be doing fine in a few days. BUT, what about the doc? They know I had an appt with her today. I was thinking of calling to give a report to the nurse over the phone, then mailing the MD report. Would you do that, or just mail the MD report? I am so paranoid about doing the right thing with this office. It is one of my few sources of referrals. I am eagerly looking forward to hearing everyone's 2 cents on this one. Thanks in advance! Debby