Jeff: I appologize that I do not remember all of the history BUT we have a hirschbrung's baby in chicago that is on mom's milk and banked milk to avoid the difficulties that occur with formula with this.. baby is doing so well they may be able to operate sooner than planned..... may be if mom understands the problems associated with alternative feeds in this situation she might reconsider...maybe given space andtime and not too much pressure... good luck,, Patricia