This is the question I asked the two lactation consultants (NICU nurses and also LCs. How lucky am I? Very!) this morning as they stood there staring at my bared breasts consulting each other about the possibilities. What I thought was a pimple last weekend turned out to not be a pimple. I then thought it was a clogged milk duct and was concerned a bit since it wasn't going away and was turning red. (Red spots on the breast are a bad thing, mastitis kind of bad.) They questioned me daily as to whether I felt flu-like symptoms.
"No, I feel fine but it is still there!" I would answer them.
Last night I made Booby Soup. T thought I was out of my mind but the nurse backed me up on it. I filled a bowl with hot water, placed it on the counter and then leaned over it soaking the one breast until the water went cold. I then replaced the cold water with new hot water and repeated the process, all the while massaging and kneeding and hoping that little bugger would just pop loose, spurt out a torrent of milk and we would be done with it. No such luck.
Which leads us to this morning where I once again baffle the medical community. I called my OB/GYN right from the NICU. She was on the other line and would have to call me back. When she called back she ended up talking to one of the LCs which probably turned out to be best. Nothing like hearing someone else descibing your fucked up breasts from across a crowded room.
The result? Antibiotics 4 times per day for the next 10 days to treat what they believe is a staph infection. On top of this I shall resume treatment for yeast since I might actually have that back too. Oh Joy.
I microwave sterilize my pump parts right BEFORE each pumping session so they should be nice and clean each time. Can someone please tell me how I keep ending up with the sore boobies? This is getting really old, really fast.
Will it make me rethink pumping? Will I quit in the face of adversity, pain and the challenge of now lugging around creams and premoistened cloths with which to regularly treat my fucked up nips? HELL NO! I have not squeezed the hell out of these sore and achy milk taps for the last three months to give up now, right when Azure is learning to eat. Not in a million years! I have Endo! I am used to going about the day-to-day in pain. *sigh*
I just wish SOMETHING could be easy, normal, not a challenge.
Azure by the way is doing much better. We implemented the following changes.
Nasal Cannula on to provide oxygen and a little bit of pressure during nipple feedings. She will alternate nipple feeds with gavage (tube) feeds every other time. She will be held at an upright angle following feeds to help with the reflux. Her Prilosec dosage has been increased to cut down the acidity of the spit up so it will be less uncomfortable for her when she does spit up. Let's face it, she is a baby, she will spit up. She is getting glycerin suppositories every 12 hours to help get the poop out. These will also be carefully timed so that she is not pushing out a poop while trying to eat because pushing out one end while taking in the other is just counter productive. She seems much more relaxed, much better rested and SO much more comfortable now. It sucks that we have to make such a fuss to raise the red flags and get these changes implemented but if that is what we have to do then we will do it. She is better off for us making the fuss and the NICU staff all say she looks better now.