Thanks, Lisa, for the reply. Today I called her and she is no better,
even worse. The MD saw her yesterday and is treating with a cephalosporin
(I don't remember which). But today (24 hrs on abx) she still has 102 -
103 fever, and says breast is very painful, red, swollen, and she can
express no milk. Yesterday I gave her some advice including bedrest,
ibuprofen q4, frequent draining of breast.  She is calling back the dr.
asap. I have recommended r/o abscess. She is supposed to call me back. I
feel that if this was anywhere else on her body (e.g. her hand or foot)
she would be on IV meds at least.  To Maria, I did recommend massage and
use of warm water soaks in basin. I also thought of oversupply due to the
reaction of the baby pulling off screaming from the breast.  I think she
may have an abscess. Unfortunately, she finally gets my ph. no. at this
late stage of the game, when I'm sure I could have been more help if she
had reached me with the initial lumps at 3 wks p.p. ( 3 wks ago). She
also confesses (without my even asking) that she has been "doing too
much" running around, shopping, etc.

Laurie Wheeler, RN, MN, IBCLC
Louisiana Breastfeeding MediaWatch
Violet Louisiana USA

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