Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 why don't you go to Dr. Kotlow's conference on the 19th and find out? That's exactly why I'm going. I want to see what he sees. Dana Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.nethttp://breastfeedinghomevisitservices.weebly.com/shop.htmlProviding the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyTo: LCinPP ; Sent: Monday, November 7, 2011 6:03 PMSubject: position to diagnose posterior tongue tie? Just got a call from a client I referred a client to Dr. Kotlow for laser revision of a PTT – she went! (after 2 ENTs had told her “some babies just aren’t meant to breastfeed…â€). She was so delighted with her experience. Dr. Kotlow told her he can ONLY diagnose a PTT by examining the baby in this position: with baby on the mother’s lap, with baby’s feet by mothers tummy, and Dr. Kotlow at the baby’s head (looking down at baby, with baby’s eyes closer to Dr. K’s tummy than baby’s mouth). You can see a picture at: http://www.kiddsteeth.com/nursingbookaugfc2011.pdf My question is - why is that position necessary to diagnose PTT? I have been assessing baby sitting up facing me or turned to the side. Please enlighten me, oh wise women. Thanks! Rosen, IBCLC in NJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 Oooh! A conference with Dr. Kotlow??? Can you share more information? That sounds fabulous! Tatiana Indrisek, IBCLCwww.mamasmilkandmore.comLoving Support for Pregnancy, Birth and Breastfeeding why don't you go to Dr. Kotlow's conference on the 19th and find out? That's exactly why I'm going. I want to see what he sees. Dana Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.nethttp://breastfeedinghomevisitservices.weebly.com/shop.htmlProviding the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and baby Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 sounds to me like he just has a better view in this position. i always have baby's head tipped back so his mouth will gape open easily... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comwww.facebook.com/thesecond9months.--- From: Rosen Subject: position to diagnose posterior tongue tie?To: LCinPP , Date: Monday, November 7, 2011, 3:03 PM Just got a call from a client I referred a client to Dr. Kotlow for laser revision of a PTT – she went! (after 2 ENTs had told her “some babies just aren’t meant to breastfeed…â€). She was so delighted with her experience. Dr. Kotlow told her he can ONLY diagnose a PTT by examining the baby in this position: with baby on the mother’s lap, with baby’s feet by mothers tummy, and Dr. Kotlow at the baby’s head (looking down at baby, with baby’s eyes closer to Dr. K’s tummy than baby’s mouth). You can see a picture at: http://www.kiddsteeth.com/nursingbookaugfc2011.pdf My question is - why is that position necessary to diagnose PTT? I have been assessing baby sitting up facing me or turned to the side. Please enlighten me, oh wise women. Thanks! Rosen, IBCLC in NJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.nethttp://breastfeedinghomevisitservices.weebly.com/shop.htmlProviding the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyTo: Sent: Monday, November 7, 2011 6:07 PMSubject: Re: position to diagnose posterior tongue tie? Oooh! A conference with Dr. Kotlow??? Can you share more information? That sounds fabulous! Tatiana Indrisek, IBCLCwww.mamasmilkandmore.comLoving Support for Pregnancy, Birth and Breastfeeding why don't you go to Dr. Kotlow's conference on the 19th and find out? That's exactly why I'm going. I want to see what he sees. Dana Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.nethttp://breastfeedinghomevisitservices.weebly.com/shop.htmlProviding the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and baby 1 of 1 File(s) Kotlow.ppt Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2011 Report Share Posted November 8, 2011 Thanks, Dana and . I’d love to see Dr. Kotlow speak. I know Albany’s not horribly far from me, but I wonder if he ever comes to the NYC area… From: [mailto: ] On Behalf Of Dana SchmidtSent: Monday, November 07, 2011 6:06 PMTo: Subject: Re: position to diagnose posterior tongue tie? why don't you go to Dr. Kotlow's conference on the 19th and find out? That's exactly why I'm going. I want to see what he sees. Dana Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.nethttp://breastfeedinghomevisitservices.weebly.com/shop.htmlProviding the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and baby To: LCinPP ; Sent: Monday, November 7, 2011 6:03 PMSubject: position to diagnose posterior tongue tie? Just got a call from a client I referred a client to Dr. Kotlow for laser revision of a PTT – she went! (after 2 ENTs had told her “some babies just aren’t meant to breastfeed…â€). She was so delighted with her experience. Dr. Kotlow told her he can ONLY diagnose a PTT by examining the baby in this position: with baby on the mother’s lap, with baby’s feet by mothers tummy, and Dr. Kotlow at the baby’s head (looking down at baby, with baby’s eyes closer to Dr. K’s tummy than baby’s mouth). You can see a picture at: http://www.kiddsteeth.com/nursingbookaugfc2011.pdf My question is - why is that position necessary to diagnose PTT? I have been assessing baby sitting up facing me or turned to the side. Please enlighten me, oh wise women. Thanks! Rosen, IBCLC in NJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2011 Report Share Posted November 8, 2011 I can usually find the ptt with my finger in doing a sweep under the tongue or see it when baby is crying, but I will say the position that Dr. Kotlow uses works really well to show the parents what you are feeling. It allows baby to gape wide and you can easily press on either side of the frenum to really make the frenum pop out so that the parents can see what you see and feel. With the submucousal ones, sometimes it really is the only way you can truly " see " the tie well. Deirdre Cannon, IBCLC For Babies' Sake www.forbabiessake.com Find us on Facebook! Quoting Rosen : > Just got a call from a client I referred a client to Dr. Kotlow for laser > revision of a PTT - she went! (after 2 ENTs had told her " some babies just > aren't meant to breastfeed. " ). She was so delighted with her experience. > > > > Dr. Kotlow told her he can ONLY diagnose a PTT by examining the baby in this > position: with baby on the mother's lap, with baby's feet by mothers tummy, > and Dr. Kotlow at the baby's head (looking down at baby, with baby's eyes > closer to Dr. K's tummy than baby's mouth). You can see a picture at: > http://www.kiddsteeth.com/nursingbookaugfc2011.pdf > > > > My question is - why is that position necessary to diagnose PTT? I have > been assessing baby sitting up facing me or turned to the side. Please > enlighten me, oh wise women. Thanks! > > > > Rosen, IBCLC in NJ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2011 Report Share Posted November 8, 2011 I've never looked at a baby's tongue from this angle (top of the head) , but I know this is how Dr. does the release. See his video on http://www.tonguetieclipit.com. I will start looking today. Anne Grider, IBCLC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2011 Report Share Posted November 8, 2011 Does Dr. Kotlow ever speak to seeing an increased incidence of tongue tie? Does anyone know if he has an opinion or theories on the matter? I'd be curious to know (since I'm in NY and he is on my resource list -- wonder what he's thinking). warmly,Deirdre I've never looked at a baby's tongue from this angle (top of the head) , but I know this is how Dr. does the release. See his video on http://www.tonguetieclipit.com. I will start looking today. Anne Grider, IBCLC -- Breastfeeding Arts Deirdre McLary, IBCLC, RLC, CD, LLLLBreastfeeding, Birth Education & Doula Care since 1997 www.breastfeedingarts.com Follow us on twitter: @BreastfeedingNYFriend us on Facebook: http://www.facebook.com/BreastfeedingArts1 Bloggin 'Bout Breastfeeding: http://breastfeedingarts.wordpress.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2011 Report Share Posted November 8, 2011 I believe that there is an increased AWARENESS of tongue tie.Mothers are becoming better educated about latch, and are more likely to find out why their baby has trouble latching and/or they are experiencing pain whilst nursing. TT is often the reason, and now they are more likely to persist in finding a solution, rather than wean to a bottle. Similarly, doctors and dentists are becoming better educated on this topic, although many as still insisting that there is no such thing or it doesn't matter. Baby steps.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 Does Dr. Kotlow ever speak to seeing an increased incidence of tongue tie? Does anyone know if he has an opinion or theories on the matter? I'd be curious to know (since I'm in NY and he is on my resource list -- wonder what he's thinking). warmly,Deirdre I've never looked at a baby's tongue from this angle (top of the head) , but I know this is how Dr. does the release. See his video on http://www.tonguetieclipit.com. I will start looking today. Anne Grider, IBCLC -- Breastfeeding Arts Deirdre McLary, IBCLC, RLC, CD, LLLLBreastfeeding, Birth Education & Doula Care since 1997 www.breastfeedingarts.com Follow us on twitter: @BreastfeedingNYFriend us on Facebook: http://www.facebook.com/BreastfeedingArts1 Bloggin 'Bout Breastfeeding: http://breastfeedingarts.wordpress.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2011 Report Share Posted November 9, 2011 I had the opportunity to ask him this question when he came to speak in Texas. He said that he thinks it is that we are more aware and getting better at diagnosing, not that there are more tongue ties now. Mellanie Sheppard, IBCLC, RLCwww.forbabiessake.comJoin us on FaceBook!Chapter Leader, Tarrant County Birth Networkwww.tcbirthnetwork.org Re: position to diagnose posterior tongue tie? Does Dr. Kotlow ever speak to seeing an increased incidence of tongue tie? Does anyone know if he has an opinion or theories on the matter? I'd be curious to know (since I'm in NY and he is on my resource list -- wonder what he's thinking). warmly, Deirdre Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2011 Report Share Posted November 9, 2011 I'm no scientist but it seems to me that if TT were this prevalent all along in human history, we'd have died out as a species. I know there was/is a huge gap in recognizing them due to babies going unobserved. I get that generations of families and physicians simply missed, ignored and/or dismissed them due to the predominant formula & bottle culture, but golly ... really? It has always been thus, just gone undetected? I can't imagine that something so critical to the survival of the species would evolve as flawed in so many human newborns. I'd love some anthropological insight into this. respectfully & unscientifically submitted,Deirdre I had the opportunity to ask him this question when he came to speak in Texas. He said that he thinks it is that we are more aware and getting better at diagnosing, not that there are more tongue ties now. Mellanie Sheppard, IBCLC, RLCwww.forbabiessake.com Join us on FaceBook!Chapter Leader, Tarrant County Birth Networkwww.tcbirthnetwork.org Re: position to diagnose posterior tongue tie? Does Dr. Kotlow ever speak to seeing an increased incidence of tongue tie? Does anyone know if he has an opinion or theories on the matter? I'd be curious to know (since I'm in NY and he is on my resource list -- wonder what he's thinking). warmly, Deirdre Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use .. -- Breastfeeding Arts Deirdre McLary, IBCLC, RLC, CD, LLLLBreastfeeding, Birth Education & Doula Care since 1997 www.breastfeedingarts.com Follow us on twitter: @BreastfeedingNYFriend us on Facebook: http://www.facebook.com/BreastfeedingArts1 Bloggin 'Bout Breastfeeding: http://breastfeedingarts.wordpress.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2011 Report Share Posted November 9, 2011 Don't forget that LCs are seeing babies with PROBLEMS, so it seems logical to me that in the population that seeks out breastfeeding help there would be a much higher percentage of TTed infants compared to the rate in the general population. I too don't have any science to back this up, though! LLLL IBCLC Los Angeles I'm no scientist but it seems to me that if TT were this prevalent all along in human history, we'd have died out as a species. I know there was/is a huge gap in recognizing them due to babies going unobserved. I get that generations of families and physicians simply missed, ignored and/or dismissed them due to the predominant formula & bottle culture, but golly ... really? It has always been thus, just gone undetected? I can't imagine that something so critical to the survival of the species would evolve as flawed in so many human newborns. I'd love some anthropological insight into this. respectfully & unscientifically submitted,Deirdre Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2011 Report Share Posted November 9, 2011 I have pondered this question too, particularly after a week when I feel like I've seen tongue ties galore. My personal (and completely unscientific) speculation is that the increased incidence may be nutritionally related. I agree with Norma that TT is more recognized but I think it might go beyond that too. When I think about the standard American diet, full of processed foods and refined sugars, American reliance on vitamins instead of real, whole foods for pregnancy, coupled with the fact that many women of childbearing age were not breastfed as babies and have bodies that were developed based on the substandard nutrition of formula, I just feel like there has to be a connection to how this next generation of babies are developing in utero. I'm not blaming mothers individually but more thinking about the cascade of unintended consequences that has happened as a result of the culturally " normal " American diet and lifestyle. Just my musings... Carroll > > Does Dr. Kotlow ever speak to seeing an increased incidence of tongue tie? Does anyone know if he has an opinion or theories on the matter? I'd be > curious to know (since I'm in NY and he is on my resource list -- wonder what he's thinking). warmly, > Deirdre > Quote Link to comment Share on other sites More sharing options...
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