Mary Kay If it were my baby I would want it to get my milk, tylenol or not. And I have taken care of many + or - 500 gram babies in my day. However....this doc may be hard to convince becoz when you are dealing with VLBW babies like this, there is no way to know what this kid can metabolize i.e. liver and kidney function. This is a whole 'nother ball game. You are not dealing with a healthy term neonate; I know you know this but this doc may think you are equating the two groups. Doing the math is a good idea, the other choice would be to ask the neo what med if any would be acceptable for the mother to take (morphine, ibuprofen, extra strenght regular tylenol?) and see if she can get on it. Also can you show him the data on NEC and other sepsis in human milk vs artif. milk fed premies.? What about donor milk for now? Good luck fighting this battle. Laurie Wheeler, RN, MN, IBCLC Nicu nurse in a former life Violet Louisiana, s.e. USA ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html