Re: why so many docs don't get tongue tie

[Guest guest]

Dee, I had two clients this week whose babies were tongue tied.The first mother was told by her doctor that her baby was definitely not tongue tied, and if breastfeeding was painful she should just give him a bottle. What I observed was typical of a classic Type2 tongue tie.

The second mother had seen three IBCLCs in the hospital during her 4 day stay, all of whom, she said, told her that breastfeeding was supposed to hurt. I have never seen such macerated nipples in my life :(I have no idea how that poor mother managed to continue nursing for three weeks. She also saw 2 different doctors, both of whom were concerned about her baby's weight, but neither of whom even looked in her baby's mouth. What I observed was typical of a Typ4 posterior tongue tie.

I referred both of them to Dr Kotlow , and after he released their tongues, both babies were able to nurse more comfortably. The second mother needs to build up her milk production, which never really took off because inadequate stimulation, but she is dedicated to nursing her baby and I am sure she will be OK.

So, OK, I understand that it may take a while for tongue ties to be understood and treated appropriately as a  matter of course, but, how do you account for BREASTFEEDING not yet being routinely incorporated into medical practice?

How many years have human mothers been feeding their babies from their breasts? I think that we have now gone over that 17 year benchmark <G>Breastfeeding is not exactly a fad!warmly, norma, who continues to beat her head against the wall.

Norma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:

http://tinyurl.com/BMCRonFB

 

Hi, All.

    I've been telling mothers that we've only known about posterior tongue ties for about 5-7 years, and that in the medical field, that's just the blink of an eye.  Therefore, we shouldn't be surprised that so many pediatricians and ENTs just don't recognize or understand it yet.

   Well, here's a quote that says we'll have to wait for quite a while yet for enlightenment to be rather widespread:

    " The US Department of Health and Human Services reports that “once a new piece of scientific evidence emerges as a medical advance, it takes up to 17 years before doctors routinely incorporate that information into how they practice medicine” (Comparative Effectiveness Research: What It Means for You, Carolyn M. Clancy, M.D, April 7, 2009). "

     Just thought you might want to know why you'll be continuing to beat your head against the wall for quite a few years to come (not to mention having docs tell your clients that you are crazy, as has happened more than once for me!).

     Dee Kassing

[Guest guest]

I had one mom who I referred to cliff o'callahan. The pedi wanted her to go to

ENT first. He hold the mom that only ant tongue tie affects Breastfeeding and

he never heard of post tie tie. He said he would have to look it up on the

Internet but to stop feeding on demand and restrict the baby to every 4 hour

feedings. They are now going to Cliff...

Sent from my iPhone

[Guest guest]

 

I had one mom who I referred to cliff o'callahan. The pedi wanted her to go to ENT first. He hold the mom that only ant tongue tie affects Breastfeeding and he never heard of post tie tie. He said he would have to look it up on the Internet but to stop feeding on demand and restrict the baby to every 4 hour feedings. They are now going to Cliff...

Head->desk :(And when the baby starts to lose weight, we can bet he will then tell her that *Some mothers can't make enough milk!*GRRRRRRRRRRRRR!norma

 

Norma Ritter, IBCLC, RLC

Breastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:http://tinyurl.com/BMCRonFB

[Guest guest]

Oh boy don’t I know this one. 16.5 yrs ago I was

seen by 2 very good LC’s. They both missed my son’s

submucosal tongue tie – but discovered a bubble palate. We didn’t

know about those kinds of t-t’s back then. Nursing him was never

easy – while we got past the painful part (after 7 wks of healing my

severely damaged nipples and lots of suck training) he was NEVER able to just

latch on – I had to be VERY careful with that or it would hurt like

hell. He nursed for 3 yrs. I figured it out when he was 13 yrs old

that he had a submucosal by catching his tongue action out of the corner of my

eye while he was eating an ice cream cone…!

Now we know that if there is a bubble there is almost (if

not) always a tongue tie…and in practice I see this every time: Bubble

palate – tongue-tie; very high palate – tongue tie. We are

learning about the different shapes a tied tongue will form during different

mobility testing. BUT: Dr’s miss them, hosp LC’s here

miss them, ENT’s misdiagnose them. And dismissal of t-t happens all

the time here. Why? Because of lack of education and (even more

amazing where the LC’s are concerned which HAS to be lack of education

and/or lack of time) NO ONE puts their damn finger in the kids mouth to do a

sweep under the tongue NOR do they do ANY evaluation of ANY sort to check

lateralization, extension, etc – you know, tongue mobility and

function. They do a quick look and diagnose away. They just don’t

know what to look for or how to look – which, in my opinion, is a tragedy.

Then mom comes to me as a train wreck and I have to explain to her why she is a

mess and how to fix it. How many tongue ties have I found that others

blew off or said did not exist I cannot even begin to count. And every

mother I have worked with who was told ‘no t-t’ by someone else,

when I said, ‘oh yes there is, feel this, look at this, see that??’,

when they got it clipped (and often had body work follow-up as well as doing

tongue exercises), had beautiful resolution of their pain. Thankfully I also

have 2 fabulous Dentists who will clip everything from a basic t-t to a

hard-core type 4, submucosal. J

17 yrs to get into the mainstream, eh? That is

pathetic…just my opinion…

Warmly,

Jaye

Jaye Simpson, IBCLC, CIIM

Breastfeeding Network

Sacramento, CA

www.breastfeedingnetwork.net

[Guest guest]

My last client had the worst injured nipples(bleeding, scabs, infected after

only 2 days) I've ever seen and baby had a classic posterior tongue tie, latch

was fine except not fine because the tongue was just grinding the nipple due to

the frenulum. I referred her to her pediatrician for clipping and her Ped

referred her to a different lactation consultant, who didn't really address the

tongue tie as far as I know since now they are just " waiting until the baby's

mouth gets bigger " and feeding a bottle meanwhile while nipples heal.

I had a chance to talk to the Pediatrician face-to-face recently about what

happened and she said " we only clip tongue ties if they are interfering with

breastfeeding " . I tried to control myself from that point onwards. How can

scabbed, bleeding, infected nipples not be considered an interference?

Sometimes I get really frustrated about this. Sending handouts to them about ptt

hasn't really made a difference as I find they don't read them. I was thinking

recently about starting a CME course (offering credit hours) for the physicians,

since they have to have credit hours to re-license every year. maybe it could

speed up the learning curve.

Anyone else ever done that?

>

> >

> >

> > Hi, All.

> > I've been telling mothers that we've only known about posterior tongue

> > ties for about 5-7 years, and that in the medical field, that's just the

> > blink of an eye. Therefore, we shouldn't be surprised that so many

> > pediatricians and ENTs just don't recognize or understand it yet.

> > Well, here's a quote that says we'll have to wait for quite a while yet

> > for enlightenment to be rather widespread:

> > " The US Department of Health and Human Services reports that " once a

> > new piece of scientific evidence emerges as a medical advance, it takes up

> > to 17 years before doctors routinely incorporate that information into how

> > they practice medicine " (Comparative Effectiveness Research: What It Means

> > for You, Carolyn M. Clancy, M.D, April 7, 2009). "

> > Just thought you might want to know why you'll be continuing to beat

> > your head against the wall for quite a few years to come (not to mention

> > having docs tell your clients that you are crazy, as has happened more than

> > once for me!).

> > Dee Kassing

> >

> >

> >

>

[Guest guest]

would they even come? my experience with drs who disagree with my TT assessment is they think they know best. period. so far, it hasn't mattered what I've said. then there are the lovely peds who say, "well, if says it's a tongue tie, then it is!" aahhhh..... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook:

www.facebook.com/thesecond9months--- Subject: Re: why so many docs don't "get" tongue tieTo: Date: Thursday, April 21, 2011, 10:44 AM

My last client had the worst injured nipples(bleeding, scabs, infected after only 2 days) I've ever seen and baby had a classic posterior tongue tie, latch was fine except not fine because the tongue was just grinding the nipple due to the frenulum. I referred her to her pediatrician for clipping and her Ped referred her to a different lactation consultant, who didn't really address the tongue tie as far as I know since now they are just "waiting until the baby's mouth gets bigger" and feeding a bottle meanwhile while nipples heal.

I had a chance to talk to the Pediatrician face-to-face recently about what happened and she said "we only clip tongue ties if they are interfering with breastfeeding". I tried to control myself from that point onwards. How can scabbed, bleeding, infected nipples not be considered an interference?

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.

Anyone else ever done that?

>

> >

> >

> > Hi, All.

> > I've been telling mothers that we've only known about posterior tongue

> > ties for about 5-7 years, and that in the medical field, that's just the

> > blink of an eye. Therefore, we shouldn't be surprised that so many

> > pediatricians and ENTs just don't recognize or understand it yet.

> > Well, here's a quote that says we'll have to wait for quite a while yet

> > for enlightenment to be rather widespread:

> > "The US Department of Health and Human Services reports that "once a

> > new piece of scientific evidence emerges as a medical advance, it takes up

> > to 17 years before doctors routinely incorporate that information into how

> > they practice medicine" (Comparative Effectiveness Research: What It Means

> > for You, Carolyn M. Clancy, M.D, April 7, 2009). "

> > Just thought you might want to know why you'll be continuing to beat

> > your head against the wall for quite a few years to come (not to mention

> > having docs tell your clients that you are crazy, as has happened more than

> > once for me!).

> > Dee Kassing

> >

> >

> >

>

[Guest guest]

Funny you should mention that. I was so impressed by Dr. Cliff O'Callahan at the recent La League League conference that I forwarded the information from the conference website to the doctor in charge of pediatric grand rounds at my local hospital. I said, please educate your pediatricians about this. Nipple pain and low milk supply lead to early termination of breastfeeding. As pediatricians, you must endorse the AAP guidelines for exclusive breastfeeding for 6 months, etc. Please check under the tongue! He wrote back and said he would keep him in mind for the fall calendar. Not a yes but definitely not a NO!At my local hospital, anyone can attend pedi grand rounds. Did you know that? It is a great way to stay

informed on the latest research and meet other community pediatric team members. Lactation Consultants are an essential part of the pediatric team. We need to be more visible! Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyFrom:

To: Sent: Thursday, April 21, 2011 1:44 PMSubject: Re: Re: why so many docs don't "get" tongue tie

My last client had the worst injured nipples(bleeding, scabs, infected after only 2 days) I've ever seen and baby had a classic posterior tongue tie, latch was fine except not fine because the tongue was just grinding the nipple due to the frenulum. I referred her to her pediatrician for clipping and her Ped referred her to a different lactation consultant, who didn't really address the tongue tie as far as I know since now they are just "waiting until the baby's mouth gets bigger" and feeding a bottle meanwhile while nipples heal.

I had a chance to talk to the Pediatrician face-to-face recently about what happened and she said "we only clip tongue ties if they are interfering with breastfeeding". I tried to control myself from that point onwards. How can scabbed, bleeding, infected nipples not be considered an interference?

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.

Anyone else ever done that?

>

> >

> >

> > Hi, All.

> > I've been telling mothers that we've only known about posterior tongue

> > ties for about 5-7 years, and that in the medical field, that's just the

> > blink of an eye. Therefore, we shouldn't be surprised that so many

> > pediatricians and ENTs just don't recognize or understand it yet.

> > Well, here's a quote that says we'll have to wait for quite a while yet

> > for enlightenment to be rather widespread:

> > "The US Department of Health and Human Services reports that "once a

> > new piece of scientific evidence emerges as a medical advance, it takes up

> > to 17 years before doctors routinely incorporate that information into how

> > they practice medicine" (Comparative Effectiveness Research: What It Means

> > for You, Carolyn M. Clancy, M.D, April 7, 2009). "

> > Just thought you might want to know why you'll be continuing to beat

> > your head against the wall for quite a few years to come (not to mention

> > having docs tell your clients that you are crazy, as has happened more than

> > once for me!).

> > Dee Kassing

> >

> >

> >

>

[Guest guest]

Dana, what do you mean, "anybody can attend ped. grand rounds"? Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: Dana Schmidt

Subject: Re: Re: why so many docs don't "get" tongue tieTo: " " < >Date: Thursday, April 21, 2011, 11:19 AM

Funny you should mention that. I was so impressed by Dr. Cliff O'Callahan at the recent La League League conference that I forwarded the information from the conference website to the doctor in charge of pediatric grand rounds at my local hospital. I said, please educate your pediatricians about this. Nipple pain and low milk supply lead to early termination of breastfeeding. As pediatricians, you must endorse the AAP guidelines for exclusive breastfeeding for 6 months, etc. Please check under the tongue! He wrote back and said he would keep him in mind for the fall calendar. Not a yes but definitely not a NO!At my local hospital, anyone can attend pedi grand rounds. Did you know that? It is a great way to stay

informed on the latest research and meet other community pediatric team members. Lactation Consultants are an essential part of the pediatric team. We need to be more visible! Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyFrom:

To: Sent: Thursday, April 21, 2011 1:44 PMSubject: Re: Re: why so many docs don't "get" tongue tie

My last client had the worst injured nipples(bleeding, scabs, infected after only 2 days) I've ever seen and baby had a classic posterior tongue tie, latch was fine except not fine because the tongue was just grinding the nipple due to the frenulum. I referred her to her pediatrician for clipping and her Ped referred her to a different lactation consultant, who didn't really address the tongue tie as far as I know since now they are just "waiting until the baby's mouth gets bigger" and feeding a bottle meanwhile while nipples heal.

I had a chance to talk to the Pediatrician face-to-face recently about what happened and she said "we only clip tongue ties if they are interfering with breastfeeding". I tried to control myself from that point onwards. How can scabbed, bleeding, infected nipples not be considered an interference?

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.

Anyone else ever done that?

>

> >

> >

> > Hi, All.

> > I've been telling mothers that we've only known about posterior tongue

> > ties for about 5-7 years, and that in the medical field, that's just the

> > blink of an eye. Therefore, we shouldn't be surprised that so many

> > pediatricians and ENTs just don't recognize or understand it yet.

> > Well, here's a quote that says we'll have to wait for quite a while yet

> > for enlightenment to be rather widespread:

> > "The US Department of Health and Human Services reports that "once a

> > new piece of scientific evidence emerges as a medical advance, it takes up

> > to 17 years before doctors routinely incorporate that information into how

> > they practice medicine" (Comparative Effectiveness Research: What It Means

> > for You, Carolyn M. Clancy, M.D, April 7, 2009). "

> > Just thought you might want to know why you'll be continuing to beat

> > your head against the wall for quite a few years to come (not to mention

> > having docs tell your clients that you are crazy, as has happened more than

> > once for me!).

> > Dee Kassing

> >

> >

> >

>

[Guest guest]

I just called the hospital and asked if I can attend and they said anyone can. It is an informational session during lunch hour. There are lots of grand rounds that are open to the public. Some of them are very dry, but you can still attend. Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyTo: Sent: Thursday, April 21, 2011 2:38 PMSubject: Re: Re: why so many docs don't "get" tongue tie

Dana, what do you mean, "anybody can attend ped. grand rounds"? Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: Dana Schmidt

Subject: Re: Re: why so many docs don't "get" tongue tieTo: " " < >Date: Thursday, April 21, 2011, 11:19 AM

Funny you should mention that. I was so impressed by Dr. Cliff O'Callahan at the recent La League League conference that I forwarded the information from the conference website to the doctor in charge of pediatric grand rounds at my local hospital. I said, please educate your pediatricians about this. Nipple pain and low milk supply lead to early termination of breastfeeding. As pediatricians, you must endorse the AAP guidelines for exclusive breastfeeding for 6 months, etc. Please check under the tongue! He wrote back and said he would keep him in mind for the fall calendar. Not a yes but definitely not a NO!At my local hospital, anyone can attend pedi grand rounds. Did you know that? It is a

great way to stay

informed on the latest research and meet other community pediatric team members. Lactation Consultants are an essential part of the pediatric team. We need to be more visible! Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyFrom:

To: Sent: Thursday, April 21, 2011 1:44 PMSubject: Re: Re: why so many docs don't "get" tongue tie

My last client had the worst injured nipples(bleeding, scabs, infected after only 2 days) I've ever seen and baby had a classic posterior tongue tie, latch was fine except not fine because the tongue was just grinding the nipple due to the frenulum. I referred her to her pediatrician for clipping and her Ped referred her to a different lactation consultant, who didn't really address the tongue tie as far as I know since now they are just "waiting until the baby's mouth gets bigger" and feeding a bottle meanwhile while nipples heal.

I had a chance to talk to the Pediatrician face-to-face recently about what happened and she said "we only clip tongue ties if they are interfering with breastfeeding". I tried to control myself from that point onwards. How can scabbed, bleeding, infected nipples not be considered an interference?

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.

Anyone else ever done that?

>

> >

> >

> > Hi, All.

> > I've been telling mothers that we've only known about posterior tongue

> > ties for about 5-7 years, and that in the medical field, that's just the

> > blink of an eye. Therefore, we shouldn't be surprised that so many

> > pediatricians and ENTs just don't recognize or understand it yet.

> > Well, here's a quote that says we'll have to wait for quite a while yet

> > for enlightenment to be rather widespread:

> > "The US Department of Health and Human Services reports that "once a

> > new piece of scientific evidence emerges as a medical advance, it takes up

> > to 17 years before doctors routinely incorporate that information into how

> > they practice medicine" (Comparative Effectiveness Research: What It Means

> > for You, Carolyn M. Clancy, M.D, April 7, 2009). "

> > Just thought you might want to know why you'll be continuing to beat

> > your head against the wall for quite a few years to come (not to mention

> > having docs tell your clients that you are crazy, as has happened more than

> > once for me!).

> > Dee Kassing

> >

> >

> >

>

[Guest guest]

huh! amazing. I'll have to check it out! and what does grand round mean exactly? Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- Subject: Re: Re: why so many docs don't "get" tongue tieTo: " " < >Date: Thursday, April 21, 2011, 12:03 PM

I just called the hospital and asked if I can attend and they said anyone can. It is an informational session during lunch hour. There are lots of grand rounds that are open to the public. Some of them are very dry, but you can still attend. Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyTo: Sent: Thursday, April 21, 2011 2:38 PMSubject: Re: Re: why so many docs don't "get" tongue tie

Dana, what do you mean, "anybody can attend ped. grand rounds"? Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: Dana Schmidt

Subject: Re: Re: why so many docs don't "get" tongue tieTo: " " < >Date: Thursday, April 21, 2011, 11:19 AM

Funny you should mention that. I was so impressed by Dr. Cliff O'Callahan at the recent La League League conference that I forwarded the information from the conference website to the doctor in charge of pediatric grand rounds at my local hospital. I said, please educate your pediatricians about this. Nipple pain and low milk supply lead to early termination of breastfeeding. As pediatricians, you must endorse the AAP guidelines for exclusive breastfeeding for 6 months, etc. Please check under the tongue! He wrote back and said he would keep him in mind for the fall calendar. Not a yes but definitely not a NO!At my local hospital, anyone can attend pedi grand rounds. Did you know that? It is a

great way to stay

informed on the latest research and meet other community pediatric team members. Lactation Consultants are an essential part of the pediatric team. We need to be more visible! Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyFrom:

To: Sent: Thursday, April 21, 2011 1:44 PMSubject: Re: Re: why so many docs don't "get" tongue tie

My last client had the worst injured nipples(bleeding, scabs, infected after only 2 days) I've ever seen and baby had a classic posterior tongue tie, latch was fine except not fine because the tongue was just grinding the nipple due to the frenulum. I referred her to her pediatrician for clipping and her Ped referred her to a different lactation consultant, who didn't really address the tongue tie as far as I know since now they are just "waiting until the baby's mouth gets bigger" and feeding a bottle meanwhile while nipples heal.

I had a chance to talk to the Pediatrician face-to-face recently about what happened and she said "we only clip tongue ties if they are interfering with breastfeeding". I tried to control myself from that point onwards. How can scabbed, bleeding, infected nipples not be considered an interference?

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.

Anyone else ever done that?

>

> >

> >

> > Hi, All.

> > I've been telling mothers that we've only known about posterior tongue

> > ties for about 5-7 years, and that in the medical field, that's just the

> > blink of an eye. Therefore, we shouldn't be surprised that so many

> > pediatricians and ENTs just don't recognize or understand it yet.

> > Well, here's a quote that says we'll have to wait for quite a while yet

> > for enlightenment to be rather widespread:

> > "The US Department of Health and Human Services reports that "once a

> > new piece of scientific evidence emerges as a medical advance, it takes up

> > to 17 years before doctors routinely incorporate that information into how

> > they practice medicine" (Comparative Effectiveness Research: What It Means

> > for You, Carolyn M. Clancy, M.D, April 7, 2009). "

> > Just thought you might want to know why you'll be continuing to beat

> > your head against the wall for quite a few years to come (not to mention

> > having docs tell your clients that you are crazy, as has happened more than

> > once for me!).

> > Dee Kassing

> >

> >

> >

>

[Guest guest]

From my understanding, pediatric grand rounds are informational sessions to in hospital and community pediatricians, nurse practitioners, retired physicians, nurses and anyone who is involved in pediatric care. I think it is safe to say that we are and we should be considered an integral part of that community. Afterall, we don't just see breasts - we see babies! I've attached a link to a neighboring hospital to you, so you can see the interesting topics that are available. Usually they run on an academic calendar, so this may be over soon for this year. Danahttp://www.seattlechildrens.org/healthcare-professionals/education/grand-rounds/ Dana Schmidt, BS, RN, IBCLCCradlehold,

DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyTo: Sent: Thursday, April 21, 2011 3:04 PMSubject: Re: Re: why so many

docs don't "get" tongue tie

huh! amazing. I'll have to check it out! and what does grand round mean exactly? Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: Dana

Schmidt Subject: Re: Re: why so many docs don't "get" tongue tieTo: " " < >Date: Thursday, April 21, 2011, 12:03 PM

I just called the hospital and asked if I can attend and they said anyone can. It is an informational session during lunch hour. There are lots of grand rounds that are open to the public. Some of them are very dry, but you can still attend. Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of

intervention for the minimum amount of time for maximum benefit to mother and babyTo: Sent: Thursday, April 21, 2011 2:38 PMSubject: Re: Re: why so many docs don't "get" tongue tie

Dana, what do you mean, "anybody can attend ped. grand rounds"? Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: Dana Schmidt

Subject: Re: Re: why so many docs don't "get" tongue tieTo: " " < >Date: Thursday, April 21, 2011, 11:19 AM

Funny you should mention that. I was so impressed by Dr. Cliff O'Callahan at the recent La League League conference that I forwarded the information from the conference website to the doctor in charge of pediatric grand rounds at my local hospital. I said, please educate your pediatricians about this. Nipple pain and low milk supply lead to early termination of breastfeeding. As pediatricians, you must endorse the AAP guidelines for exclusive breastfeeding for 6 months, etc. Please check under the tongue! He wrote back and said he would keep him in mind for the fall calendar. Not a yes but definitely not a NO!At my local hospital, anyone can attend pedi grand rounds. Did you know that? It is a

great way to stay

informed on the latest research and meet other community pediatric team members. Lactation Consultants are an essential part of the pediatric team. We need to be more visible! Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradleholdhttp://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyFrom:

To: Sent: Thursday, April 21, 2011 1:44 PMSubject: Re: Re: why so many docs don't "get" tongue tie

My last client had the worst injured nipples(bleeding, scabs, infected after only 2 days) I've ever seen and baby had a classic posterior tongue tie, latch was fine except not fine because the tongue was just grinding the nipple due to the frenulum. I referred her to her pediatrician for clipping and her Ped referred her to a different lactation consultant, who didn't really address the tongue tie as far as I know since now they are just "waiting until the baby's mouth gets bigger" and feeding a bottle meanwhile while nipples heal.

I had a chance to talk to the Pediatrician face-to-face recently about what happened and she said "we only clip tongue ties if they are interfering with breastfeeding". I tried to control myself from that point onwards. How can scabbed, bleeding, infected nipples not be considered an interference?

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.

Anyone else ever done that?

>

> >

> >

> > Hi, All.

> > I've been telling mothers that we've only known about posterior tongue

> > ties for about 5-7 years, and that in the medical field, that's just the

> > blink of an eye. Therefore, we shouldn't be surprised that so many

> > pediatricians and ENTs just don't recognize or understand it yet.

> > Well, here's a quote that says we'll have to wait for quite a while yet

> > for enlightenment to be rather widespread:

> > "The US Department of Health and Human Services reports that "once a

> > new piece of scientific evidence emerges as a medical advance, it takes up

> > to 17 years before doctors routinely incorporate that information into how

> > they practice medicine" (Comparative Effectiveness Research: What It Means

> > for You, Carolyn M. Clancy, M.D, April 7, 2009). "

> > Just thought you might want to know why you'll be continuing to beat

> > your head against the wall for quite a few years to come (not to mention

> > having docs tell your clients that you are crazy, as has happened more than

> > once for me!).

> > Dee Kassing

> >

> >

> >

>

[Guest guest]

I presented at my local hospital a couple months ago.  If you go and meet some folks, you might ask if they have an open slot you could fill for them :)Lynn

Kirksville, MO

 

I just called the hospital and asked if I can attend and they said anyone can.  It is an informational session during lunch hour.  There are lots of grand rounds that are open to the public.  Some of them are very dry, but you can still attend.

 Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradlehold

http://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and baby

To: Sent: Thursday, April 21, 2011 2:38 PM

Subject: Re: Re: why so many docs don't " get " tongue tie

 

Dana, what do you mean, " anybody can attend ped. grand rounds " ? Beebe, M.Ed., IBCLC

Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines:  http://second9months.wordpress.com/

Facebook:  www.facebook.com/thesecond9months

From: Dana Schmidt

Subject: Re: Re: why so many docs don't " get " tongue tieTo: " " < >

Date: Thursday, April 21, 2011, 11:19 AM

 

Funny you should mention that.  I was so impressed by Dr. Cliff O'Callahan at the recent La League League conference that I forwarded the information from the conference website to the doctor in charge of pediatric grand rounds at my local hospital.  I said, please educate your pediatricians about this.  Nipple pain and low milk supply lead to early termination of breastfeeding.  As pediatricians, you must endorse the AAP guidelines for exclusive breastfeeding for 6 months, etc.  Please check under the tongue!  He wrote back and said he would keep him in mind for the fall calendar.  Not a yes but definitely not a NO!

At my local hospital, anyone can attend pedi grand rounds.  Did you know that?  It is a

great way to stay

informed on the latest research and meet other community pediatric team members.  Lactation Consultants are an essential part of the pediatric team.  We need to be more visible! Dana Schmidt, BS, RN, IBCLC

Cradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netwww.facebook.com/cradlehold

http://twitter.com/cradleholdwww.meetup.com/Wednesday-Afternoon-Weigh-Insskype: dana.schmidt8

Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyFrom:

To:

Sent: Thursday, April 21, 2011 1:44 PMSubject: Re: Re: why so many docs don't " get " tongue tie

 

My last client had the worst injured nipples(bleeding, scabs, infected after only 2 days) I've ever seen and baby had a classic posterior tongue tie, latch was fine except not fine because the tongue was just grinding the nipple due to the frenulum. I referred her to her pediatrician for clipping and her Ped referred her to a different lactation consultant, who didn't really address the tongue tie as far as I know since now they are just " waiting until the baby's mouth gets bigger " and feeding a bottle meanwhile while nipples heal.

I had a chance to talk to the Pediatrician face-to-face recently about what happened and she said " we only clip tongue ties if they are interfering with breastfeeding " . I tried to control myself from that point onwards. How can scabbed, bleeding, infected nipples not be considered an interference?

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.

Anyone else ever done that?

>

> >

> >

> > Hi, All.

> > I've been telling mothers that we've only known about posterior tongue

> > ties for about 5-7 years, and that in the medical field, that's just the

> > blink of an eye. Therefore, we shouldn't be surprised that so many

> > pediatricians and ENTs just don't recognize or understand it yet.

> > Well, here's a quote that says we'll have to wait for quite a while yet

> > for enlightenment to be rather widespread:

> > " The US Department of Health and Human Services reports that " once a

> > new piece of scientific evidence emerges as a medical advance, it takes up

> > to 17 years before doctors routinely incorporate that information into how

> > they practice medicine " (Comparative Effectiveness Research: What It Means

> > for You, Carolyn M. Clancy, M.D, April 7, 2009). "

> > Just thought you might want to know why you'll be continuing to beat

> > your head against the wall for quite a few years to come (not to mention

> > having docs tell your clients that you are crazy, as has happened more than

> > once for me!).

> > Dee Kassing

> >

> >

> >

>

[Guest guest]

How often these inservices are held is really varied. I would encourage people

to become familiar with their local area services, so you can identify

networking opportunities. The hospital I work in does not have a Pediatric

department per se, therefore we have no Pediatric Ground Rounds. These are far

more common in teaching hospitals, and hospitals affiliated with academic

institutions.

We do hold occasional OB rounds, but we do not have OB residents. A neighboring

breastfeeding coalition in my area has facilitated very successful and well

attended CME breastfeeding inservices in their local hospital. As we were

discussing their success the organizer was discussing having the Dr's all

available at the same time each morning. What she did not understand is her

hospital has a Pediatric residency program, the Pediatricians and their students

meet every morning as a matter of practice. This is convenient for organizing an

educational event.

My hospital is not a teaching hospital (although we do have RN's who do OB

clinical on our unit, we do not have a physician residency program) , she didn't

know that our OB's are not on the unit 100% of the time. They are in their

office until they are called. She had no idea! The Peds round on their admits,

and then return to their office. And they may round anywhere from 7am-11am or

later, they are not required to round at the same time.

I do attend the relevant OB grand rounds. Our maternal fetal medicine specialist

offered a really great inservice on flu and H1N1 this year. But they aren't

offered routinely for one discipline, they vary.

>

> From my understanding, pediatric grand rounds are informational sessions to in

hospital and community pediatricians, nurse practitioners, retired physicians,

nurses and anyone who is involved in pediatric care.  I think it is safe to say

that we are and we should be considered an integral part of that community. 

Afterall, we don't just see breasts - we see babies!  I've attached a link to a

neighboring hospital to you, so you can see the interesting topics that

are available.  Usually they run on an academic calendar, so this may be over

soon for this year.  Dana

>

>

http://www.seattlechildrens.org/healthcare-professionals/education/grand-rounds/

>

>  

>

> Dana Schmidt, BS, RN, IBCLC

> Cradlehold, Director

> Breastfeeding Education & Support

>

> www.cradlehold.net

> www.facebook.com/cradlehold

> http://twitter.com/cradlehold

> www.meetup.com/Wednesday-Afternoon-Weigh-Ins

> skype: dana.schmidt8

>

> Providing the minimum amount of intervention for the minimum amount of time

for maximum benefit to mother and baby

[Guest guest]

Norma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:

http://tinyurl.com/BMCRonFB

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.

Anyone else ever done that?One of the things that Dr Kotlow complains about is that no doctors ever come to his presentations on tongue tie, even though he sends personal invitations. The midwives, doulas, LLL Leaders and, of course the IBCLCs all come, but nary a doctor is to be seen

If they will not come to a presentation offered by another medic, I do not hold out much hope for them attending one by a *mere* IBCLC. norma

[Guest guest]

My neighboring breastfeeding coalition had a full house for their inservice on

tongue tie taught by Ann O'Hara, a MD who releases ties in Seattle.

I realize this isn't the case everywhere, but don't give up!

>

> > Sometimes I get really frustrated about this. Sending handouts to them

> > about ptt hasn't really made a difference as I find they don't read them. I

> > was thinking recently about starting a CME course (offering credit hours)

> > for the physicians, since they have to have credit hours to re-license every

> > year. maybe it could speed up the learning curve.

> > Anyone else ever done that?

> >

> One of the things that Dr Kotlow complains about is that no doctors ever

> come to his presentations on tongue tie, even though he sends personal

> invitations. The midwives, doulas, LLL Leaders and, of course the IBCLCs all

> come, but nary a doctor is to be seen

> If they will not come to a presentation offered by another medic, I do not

> hold out much hope for them attending one by a *mere* IBCLC.

>

> norma

>

[Guest guest]

but were there docs there? just curious! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: popikins

Subject: Re: why so many docs don't "get" tongue tieTo: Date: Thursday, April 21, 2011, 3:43 PM

My neighboring breastfeeding coalition had a full house for their inservice on tongue tie taught by Ann O'Hara, a MD who releases ties in Seattle.

I realize this isn't the case everywhere, but don't give up!

>

> > Sometimes I get really frustrated about this. Sending handouts to them

> > about ptt hasn't really made a difference as I find they don't read them. I

> > was thinking recently about starting a CME course (offering credit hours)

> > for the physicians, since they have to have credit hours to re-license every

> > year. maybe it could speed up the learning curve.

> > Anyone else ever done that?

> >

> One of the things that Dr Kotlow complains about is that no doctors ever

> come to his presentations on tongue tie, even though he sends personal

> invitations. The midwives, doulas, LLL Leaders and, of course the IBCLCs all

> come, but nary a doctor is to be seen

> If they will not come to a presentation offered by another medic, I do not

> hold out much hope for them attending one by a *mere* IBCLC.

>

> norma

>

[Guest guest]

here's a good one - our local hospital (notorious for long waits and unsatisfactory releases - sorry but true) went from saying they never heard of posterior tongue ties to telling moms that their baby had a posterior tie!! Dr. was supposed to ocme and do Grand Rounds and some workshops - he never got here due to a snowstorm but they must have been doing their homework in anticipation of his arrival because they went from not acknowledging to diagnosing!!

still hope he makes it sometime!

beth

Ottawa

Re: why so many docs don't "get" tongue tie

My neighboring breastfeeding coalition had a full house for their inservice on tongue tie taught by Ann O'Hara, a MD who releases ties in Seattle.I realize this isn't the case everywhere, but don't give up!> > > Sometimes I get really frustrated about this. Sending handouts to them> > about ptt hasn't really made a difference as I find they don't read them. I> > was thinking recently about starting a CME course (offering credit hours)> > for the physicians, since they have to have credit hours to re-license every> > year. maybe it could speed up the learning curve.> > Anyone else ever done that?> >> One of the things that Dr Kotlow complains about is that no doctors ever> come to his presentations on tongue tie, even though he sends personal> invitations. The midwives, doulas, LLL Leaders and, of course the IBCLCs all> come, but nary a doctor is to be seen > If they will not come to a presentation offered by another medic, I do not> hold out much hope for them attending one by a *mere* IBCLC.> > norma>

[Guest guest]

The whole event was directed to Dr.'s. That's who attended! They had a really

good turnout. They also offered CME's, and food.

>

> >

>

> > > Sometimes I get really frustrated about this. Sending handouts to them

>

> > > about ptt hasn't really made a difference as I find they don't read them.

I

>

> > > was thinking recently about starting a CME course (offering credit hours)

>

> > > for the physicians, since they have to have credit hours to re-license

every

>

> > > year. maybe it could speed up the learning curve.

>

> > > Anyone else ever done that?

>

> > >

>

> > One of the things that Dr Kotlow complains about is that no doctors ever

>

> > come to his presentations on tongue tie, even though he sends personal

>

> > invitations. The midwives, doulas, LLL Leaders and, of course the IBCLCs all

>

> > come, but nary a doctor is to be seen

>

> > If they will not come to a presentation offered by another medic, I do not

>

> > hold out much hope for them attending one by a *mere* IBCLC.

>

> >

>

> > norma

>

> >

>

[Guest guest]

yay! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- Subject: Re: why so many docs

don't "get" tongue tieTo: Date: Thursday, April 21, 2011, 3:58 PM

The whole event was directed to Dr.'s. That's who attended! They had a really good turnout. They also offered CME's, and food.

>

> >

>

> > > Sometimes I get really frustrated about this. Sending handouts to them

>

> > > about ptt hasn't really made a difference as I find they don't read them. I

>

> > > was thinking recently about starting a CME course (offering credit hours)

>

> > > for the physicians, since they have to have credit hours to re-license every

>

> > > year. maybe it could speed up the learning curve.

>

> > > Anyone else ever done that?

>

> > >

>

> > One of the things that Dr Kotlow complains about is that no doctors ever

>

> > come to his presentations on tongue tie, even though he sends personal

>

> > invitations. The midwives, doulas, LLL Leaders and, of course the IBCLCs all

>

> > come, but nary a doctor is to be seen

>

> > If they will not come to a presentation offered by another medic, I do not

>

> > hold out much hope for them attending one by a *mere* IBCLC.

>

> >

>

> > norma

>

> >

>

[Guest guest]

I wasn’t sure if I was going to chime in on this thread because between tongue tie and the food/colic/gut/reflux stuff…I am most usually appalled at the advice families get from their HCPs. I’d say that more than 60% of the babies I see have tongue/lip ties (probably closer to 70-80% these days) and most all of those have gone missed or dismissed. It is not just the “mainstream” providers that miss the TT either. Many of my clients are under the care of midwives, NDs, etc and they aren’t always on board with the TT issue either. On one hand I have the MDs telling the moms to just supp/bot feed and on the other hand I have the midwives telling mom just to cuddle in bed and drip milk into baby’s mouth and it will all be better. My husband jokes we should open a drive through “snip and clip” for all these poor TT babies. Luckily, I actually do have real resources and providers that are on board in my area for the little ones so no drive through needed LOL. But I am glad to have this group to commiserate with. Midline issues rule my world on most days and it is always nice to chat with others that care about them too! Cole

[Guest guest]

haha!! I see/hear the same thing. and sometimes I feel i'm making up the TT's cause I see them so often! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- Subject: Re: why so many docs don't "get" tongue tieTo: Date: Thursday, April 21, 2011, 4:46 PM

I wasn’t sure if I was going to chime in on this thread because between tongue tie and the food/colic/gut/reflux stuff…I am most usually appalled at the advice families get from their HCPs. I’d say that more than 60% of the babies I see have tongue/lip ties (probably closer to 70-80% these days) and most all of those have gone missed or dismissed. It is not just the “mainstream†providers that miss the TT either. Many of my clients are under the care of midwives, NDs, etc and they aren’t always on board with the TT issue either. On one hand I have the MDs telling the moms to just supp/bot feed and on the other hand I have the midwives telling mom just to cuddle in bed and drip milk into baby’s mouth and it will all be better. Cole

[Guest guest]

Hi Jaye!

We are in the same area and I am curious: please tell me who you get to clip

your t-t? I can get the peds to do the ant ones but none go near the post t-t so

your resources would be greatly appreciated in these parts!

Marie Farver

>

> Oh boy don't I know this one. 16.5 yrs ago I was seen by 2 very good LC's.

> They both missed my son's submucosal tongue tie - but discovered a bubble

> palate. We didn't know about those kinds of t-t's back then. Nursing him

> was never easy - while we got past the painful part (after 7 wks of healing

> my severely damaged nipples and lots of suck training) he was NEVER able to

> just latch on - I had to be VERY careful with that or it would hurt like

> hell. He nursed for 3 yrs. I figured it out when he was 13 yrs old that he

> had a submucosal by catching his tongue action out of the corner of my eye

> while he was eating an ice cream cone.!

>

>

>

> Now we know that if there is a bubble there is almost (if not) always a

> tongue tie.and in practice I see this every time: Bubble palate -

> tongue-tie; very high palate - tongue tie. We are learning about the

> different shapes a tied tongue will form during different mobility testing.

> BUT: Dr's miss them, hosp LC's here miss them, ENT's misdiagnose them. And

> dismissal of t-t happens all the time here. Why? Because of lack of

> education and (even more amazing where the LC's are concerned which HAS to

> be lack of education and/or lack of time) NO ONE puts their damn finger in

> the kids mouth to do a sweep under the tongue NOR do they do ANY evaluation

> of ANY sort to check lateralization, extension, etc - you know, tongue

> mobility and function. They do a quick look and diagnose away. They just

> don't know what to look for or how to look - which, in my opinion, is a

> tragedy. Then mom comes to me as a train wreck and I have to explain to her

> why she is a mess and how to fix it. How many tongue ties have I found that

> others blew off or said did not exist I cannot even begin to count. And

> every mother I have worked with who was told 'no t-t' by someone else, when

> I said, 'oh yes there is, feel this, look at this, see that??', when they

> got it clipped (and often had body work follow-up as well as doing tongue

> exercises), had beautiful resolution of their pain. Thankfully I also have

> 2 fabulous Dentists who will clip everything from a basic t-t to a hard-core

> type 4, submucosal. :-)

>

>

>

> 17 yrs to get into the mainstream, eh? That is pathetic.just my opinion.

>

>

>

> Warmly,

>

> Jaye

>

>

>

> Jaye Simpson, IBCLC, CIIM

>

> Breastfeeding Network

>

> Sacramento, CA

>

> www.breastfeedingnetwork.net

>

[Guest guest]

Don't think I'll be rushing to share that with anyone.

Jan

The Canadian Paediatric Society recently (January 2011) came out with a new position on ankyloglossia and frenotomy.

Sadly, I don’t think it will help advance the issue.

https://www.cps.ca/english/statements/CP/CP11-01.htm

I have been working for 5 years with the paediatricians at work to get them to admit that most infants with ankyloglossia benefit from releasing the tongue-tie when breastfeeding is not going well. I wonder if this will set us back. L

Ghislaine Reid, BA (Translation 1981), LLL (1990), IBCLC(2002)

Montreal, Quebec, Canada

De : [mailto: ] De la part de Norma RitterEnvoyé : 21 avril 2011 16:36À : Objet : Re: Re: why so many docs don't "get" tongue tie

Norma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:http://tinyurl.com/BMCRonFB

Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.Anyone else ever done that?

One of the things that Dr Kotlow complains about is that no doctors ever come to his presentations on tongue tie, even though he sends personal invitations. The midwives, doulas, LLL Leaders and, of course the IBCLCs all come, but nary a doctor is to be seen :(If they will not come to a presentation offered by another medic, I do not hold out much hope for them attending one by a *mere* IBCLC. norma

[Guest guest]

The Canadian Paediatric Society recently (January 2011) came out with a new position on ankyloglossia and frenotomy. Sadly, I don’t think it will help advance the issue.https://www.cps.ca/english/statements/CP/CP11-01.htm I have been working for 5 years with the paediatricians at work to get them to admit that most infants with ankyloglossia benefit from releasing the tongue-tie when breastfeeding is not going well.  I wonder if this will set us back.  L Ghislaine Reid, BA (Translation 1981), LLL (1990), IBCLC(2002)Montreal, Quebec, Canada De : [mailto: ] De la part de Norma RitterEnvoyé : 21 avril 2011 16:36À : Objet : Re: Re: why so many docs don't " get " tongue tie Norma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:http://tinyurl.com/BMCRonFBOn Thu, Apr 21, 2011 at 1:44 PM, wrote:Sometimes I get really frustrated about this. Sending handouts to them about ptt hasn't really made a difference as I find they don't read them. I was thinking recently about starting a CME course (offering credit hours) for the physicians, since they have to have credit hours to re-license every year. maybe it could speed up the learning curve.Anyone else ever done that?One of the things that Dr Kotlow complains about is that no doctors ever come to his presentations on tongue tie, even though he sends personal invitations. The midwives, doulas, LLL Leaders and, of course the IBCLCs all come, but nary a doctor is to be seen :(If they will not come to a presentation offered by another medic, I do not hold out much hope for them attending one by a *mere* IBCLC. norma

[Guest guest]

You have got to be kidding me.

And they cite several studies which do show improvement, and then say it can't be recommended?

Head - Desk.

Ugh.

Healy

Seattle, WA