EP*[{Qx VEϳB "3TH&"a-ܗK.hjPaaabbbbԴR)^yyuPdE#3#AJ")*1:Gλܯ-n+,t˶_uPp>^]:dܲ}T Wucͺ*.\5; qT!~ĚEV?xU+Z}Љ_|r>;;;o_ }VmnQ|m>eSo8_.g;_0ջWXLVOԪs;<f~tO]|.^-;pXI):=W{}v_\6?֣e7yU_w/>;ʿ?+g\߾Vl-G|k}Ʀ疽W<{t8vk_)=?W,]v8oZuq޻Cs.wڠC=wW<Ӳ>詺Ͻ6d q_{wx𓧞m>l.IvaǜO]%CN]/ݜٴo/{\QV?Z3=i7} ŕ _3os_os_{CN6|vSgxߎh5&fZt/`N9\4yݕvS^kylnao~a!CQ  9t;?ʟ|W]`ʳVU:nK&]Fm"~|!cVi,qX7+ \P젼ejb溽y\vl.n{v[11x7dO[t~Io{ա/ oʁB0sN~a)q|$㸶R\9_YILI YնL IX_lZ‘ᰪӿ#k}E9Ϫ:m;J>J;qIE']}s#E~.4~Rt9'ΜA # fFZ.Ya3^Ls]HruOn?!x0ǏC8KAn\2-_; zacmFUѽ8I,l|706}uNJ^kQuQ{۸Ju(خ6qC]rssHV_0T!o>Fo02Y:a*?DT+nxΫU6䌻)8k愩haTmw'8|LY_&aj8ȳUq+L_Ϯrؘۛ&=6 S2}MYǠ]wc~/0e9=Z#:gφ1.VpQ#|1'cg*1Ca`igVNfvhnsʿuu VUvp_Uluu%z<]1d1~Ou ôL0 36Hk1d *xXwmyd]W_{dZ3{C_/|?vA']kܺQ繛A'o!mJ3_utǘ%(7 k}ED뫒6>4S>o?H>e]oZ=t1%.mݠu/:w\.Vهʍ#t8%'Qwa  T0Dqzcks!.E`2܃aIF`8lz^yQč!Eҗ޾J~q8d yroz!>1dꁭ!jB8d,i U\7!o,z3Q: 'Ys H50jT&$L*8~}6KC7+[+; a!wCcpGI>ΒOΡÈ?n^Io6~S+{@Uv=XG=Q3m; }My?G>M,k4U`|Y+iJTwSUN59:5H%7N'=]02J6594{+?'+6Iz3EDӂl0Nf+=YsF_RVHo<&c ~98޸K8LɐJA~9?cy"ohڞ"Ϩ'c8NOH&8F{2P@1cNO*zx$=oO1GOꜤ'SVǏ?Q[gft0C1c}5y콓1FZ?q)qb$blWZ{U4vy!~8|sK_ڑdCgD X^I}xiQt68qbZ Z_G^xOgTwiz |'F?xor|:( JplA\fVLV[Bϑ3'|FV'  z!3+i]vp#g.[`dƙLyxl\Ғq0kpihSw gz];|4ϭvDbpKկOl{>u~69zhq~ ErI6yYfebV3X8E;=>Gq |ddn#2Ct͖!??8-jpn{et>pQ2i \hJy}ywLspnO9qpawØڜ0qQH>Fo02ه`t0O&ߜ0Gi4_'gr>}A=bU%w1$zP$ V*\s!5K*>IG#XqB#OV#T$lT\㹴Y=?d$sϾk9>۲9Kz7ۑTyf[џ2#)܆{9s<6ۙ0ryL?WIceZ yMrl] ז67'}OK& Oyr3uаa)tJe?)݃A Y愑haD͛ #QIHSy#ua%ā8%kSP7/ϥBp"6xIr wQL6JMeVN3OqwD M<Z8мi0š$|4{'Ф39&), #*|E>c%;%Yiq;x.dl@:"1[|`mx3Q~3Y;N ,dIخgk7my>Ct4$N ɯr6z ~ W|qm3dkGh2~:#\[  qͅ1Ja KJ`(9qKTjpKwS~\FnY Iܲͺ=_;U8E|IkFkǨ|!֩2Vŭ?<(kC\Oew܎K1Vlq"5U{*’xhƆ t6;rX7Y8p8-5a83i}&ʡ \K?7h-yq~1Y+aԩ\s׳8],4|~, ˊ5CI\*'z]smWs5VXo$:SǴ]kOp|h>6UvZj'sy1<f+X9,rq^<2`H##C9ap&A)|'ߗH>EO&i N5O~qĚVU$SkZKЧc8ARq #È&FhwuAQ& #cYaa!ʹā$(i{Zs -/2p2 c~?}?˭fO_R=x; op>eE9ѷUzw"]uUWW sYV? ByZaQ.1 ᡬkn/ #j<䯛ܞq&nl(FVOk~g5w9]޾wZ:Z﮴{Kʯ+ݕǔSi |MSXU(wBg_)r=Vر]<ʟscl3m2[Mj%oC.̯3+&B۫I~n[w_%qfufS|=tgv"H^dIY^[-?+Ґyٜ (-| ,gy`{nNر26&Xv/q&ڹG,¬L y8/VX,jY'TCS0xF.9273 p%qsa ?W$~Zi[E=.9zKlԄjn'~ȰfBΰnkzN:LLQ/qG8'5%GiyN'`#LxkO(fr }x]'>':}x~B[055"LpfcDm [c1^l8ýws&OcY/xgyX=C{ CNix=Y&kYA Ϧ1*{f=qoϼђI.5ϗVVfI9; Qq>ht5bsQ[FدS${FkKZK` tt?hqə.r, 9dCm5l.#G~\y!G:"'goZ8i-χpQ6=Mo3838kxʸN3>EC֏'8_[IponMnwoN׾y0s|0 2{' }#MӺdSۙ=n;;̶$ ﲃj&!~yY,-`Ad8+ۜ}t @g_5 ݲ0%HG89ɞ+xB鬞}LQ @rm|be i#,Oݧqݜ$6i DE}sstzܕ7Tcg$8"oޠC68D aC+cm{8HZkIS݃B`m>;+֪TX5uLZ5=D~%aD͒ #{=OG<| (+ȹ|D9SbI&蹝 _t>a'075,&gEp5~ aNh167n͌~6c`'ilv~1|8x#cv% ՑnV+e9ꄳ0QAՓ0KcKٻ{ρ|_]${M3rAmd]-3ƤrP0Mnn P[Q2WnUPg/u9=%])7wD7X} \w,gMO[~#p ەm]/ YMr`Zhu W6(Ɖ1 㕊kuڜ0_F40BFm'#cS`uF:h*H'5 # v6ӹo1د>9Ċr vk ֐64-J.x80dHÙɣ9`;Mp!1.̪@ W8p7\xX Ή+ 4'5I*8r!}S(FƧ}kRgۄ##.">ܯ°;vP Ϛpvڻ_a=Fv#.6oUpi7n4N$q%qvy\ǵqassI8vWq; }Rp^>z-ās#i̯T\l \HI)0:q#5B #xxKbBYv^g,诌{>&oh3BːRžt Z>B83ބM > CؐƑ\݉cF< 3~%grV˟8n\'ٱșZ2{;'NC̏ό8)v E' dlN\ñ81#B#)V¹<!0?)`"8G]! #Ս~k{Ezi lukNܓQ;/$qcXSl>7a9ZM1>}Ye==/ TbJaDaM7y``rW9 K%j`)ܟv:S`Jb7KcDXIXsuKˆ-Fhw4rǥouځCGa,Xw]ÃoXapcFudػX36{3/nnaMVq6 OȶˆB|&;"C|׬c6P_F{Swl~GǏf+Wژ Wќ͏mac˵9؎pC8g-\=BCȱfmAy,A~AՑ4&Oq܋eEZKK}pEV6gܮ<>Eǎx!{>.Sn[gX{"b5LQkq܃v~ر븎3sv:En<[*`Φ n:i}KSpwN>g:fȓ?8ME]Ywvƶ;Rmƶr\)ԶW<;Aw }|tݹ*FwCwcT*}asWH_KW5M*ꂰ{蛤gvQI2FnmWȱgF~8_=30Vx?{r~µ9Ʃ rMf k+koܜׁ$=;Fm,9Z?>Bln =rcts*0sC]aIzZqNϫ[;Wo;S-E\2\SþtpozId 외řPnsҕcu$]&4f~ ޟ<7T3#ʔ]!]IR8c_F,0B -MKU* |CvKO#}U$`D˾hf. oN?OzzhDnw "|9u/Za&^3Nñf\ʤr˳!O9Iv$ UzU*c0^Kk51t1F\!|U> #~%aD͒ #v7<#{O`7D6̋so+ln?(pNmvmֆ,${e!~}{'U`~}16z;LoLmFPFruɆ< ~;+lOhuIG܋^'joYiqgy[Z߮m>M^3xGV.YvVčUI:σ4v6O:ʱ 8m2nH jQTta\S}1wp'W C4.ޣ3N$Y8p;-nOT'=wo9݇]N19ALg|}4O)\w }nYa۰Oz9[^]Y/$8Lm!5l'pX?V\$EJЋb8:&Eg^%aDM # l\)ľ# S`^RY``nQ$V=0Nq'f`qMZ3śǬYt~>@U׊sl?g8Ϸq65{ 9G\/65ۈ)7.tO~V⛓>et$}(~8f.TiB7! {9~m6A푤O̅x'5Iҍ)w9D۽Q.ʟ6gkö(=e9~<87}fl,%t_{=0;dG/zgƵML&560'ΤAgq[,<|^ěqke߸x1oϿ X^gs/pqp'qOrÇ]+9U__Fߦ`$jS6F= S`d0{zt?>}Va;>Ȱ%jcC~]+Yx ,?]q1tƛ7'󱕄_އJ_0Wޗ6<^p-m)b8K}+.ܞ5K*8r}SǁR`T6ȍ(F#tIyAq-lOf۟cKa>4φG66x2J|w;U=Mqބ8g| a8&Kÿ-=@:xZ,&O ]#ou}R7L'3C&iқ z:?F[mn~fNwm @SחQ~rvsjf4 u09k.K0SMfFބ6q_9II9{e 2D?s>LM]á#kqE,nzO7ę<5Ao '_|5&c|au!/q#8DX=2\ ӽ7$$Ϛ1? vE!g;]+~svL]1Zq0Mveloڦ)ν)yr;3wY˥ )yT3#?āꘄJukns0fIڽXstB2w#KR`dʙ)FnCꘄmYc`unnz-Nh{j|?dY R fRo+?z)MavOMa9;e u&mY^{xe&k3r8=")X!t+{N|ޏ=KEɪ^ߍ;?.[˯uRGvf;$d]8sKʗ^זyВϗIg16N;#>w8d 0evܩCJŜ)Gt"/~\qH2j MpO+{#Lガ7G gvjmvxā~EY~.r?M-5yY8 xQ;-­Q2-s5%4͎<+rgG~rb̎zQauMvT?I$F<,'GE_xpߚ8K; 1v[.AZ\xP>YqA)q1/BpU;i=? ŵ)pT(eE8pj_(2b˻p'g6X #1Wre7+ t^f +<ͯaI/6mjjK,B&M^٘ C>\әkq͊WVuVʕk[t?=v=5xAfSnf݆7skeOSshͣlZƘ@הEu?}tͨ]0RZ;VP_Ɔr\d7FYYc>(*^qp9},3Opd+t|oC.N}㤫[3{y~9a6G/þlnw3c?IQr9[ Rp?j3 |D} oāt.m:|@sㄹ#'<9RQl$p;= 12՜Iחk.38Zȁcmu]N BocG8m/[&5jpAoim#g`yEϾ;z^ܘfNYG{FrNK,, A feeding fix Procedure easily corrects tongue-tie woes   By JENNIFER GISH , Staff writer Click byline for more stories by writer. First published: Tuesday, July 22, 2008 It wasn ’ t the experience Katie Sacco imagined when she decided to nurse her newborn son. Jake Sacco ’ s feedings were taking 45 minutes - three times as long as they should. She felt like she was constantly breast-feeding the baby, getting only an hour break between her son ’ s feedings. She ’ d nurse, then shower. Nurse, then eat. The pediatricians who examined Jake at the hospital after his birth had told her they thought he might have "tongue tie," an anomaly in which the frenulum, a small piece of tissue connecting the bottom of the tongue to the floor of the mouth, extends farther toward the tip of the tongue than normal, preventing him from lifting his tongue very far up or out past his gums. Sometimes, tongue-tied babies have a slightly forked or dimpled tongue. The hospital could have corrected the problem at the time, but Sacco and her husband were reluctant to authorize the procedure until they ’ d talked to their own pediatrician, never having heard of the condition and not realizing it might cause problems with Jake ’ s feedings. I thought it was odd that it took such a long time (to nurse), says Sacco, who also noticed her son biting down rather than simply latching. Still, the first-time mom from Glenville thought maybe the marathon and occasionally painful breast-feeding sessions were just the way it was. When it took Jake longer than average to regain the weight infants lose after birth, she decided to see a specialist. About two weeks after her son was born, Sacco sat amazed in Dr. Sara Scheid ’ s office at Capital Region Ear, Nose and Throat in Slingerlands. After having some numbing medicine spread under his tongue, the normally wide-eyed infant dosed as Scheid took a pair of medical scissors and clipped the front of the frenulum just enough to give Jake ’ s tongue greater freedom to move. His mouth barely bled, and he didn ’ t require any medication for pain. The procedure was tougher for Sacco to watch than it seemed to be for her son to go through, but she was stunned at the immediate results. I nursed him right in the exam room, Sacco says, and within a week she noticed that Jake was gaining weight. Tongue tie affects about one in every 4,000 children, Scheid says, adding that she corrects cases of tongue tie a couple times a month on average. It ’ s most often detected early on by pediatricians during exams or by lactation consultants when breast-feeding babies have problems latching on to the breast. If not resolved in infancy, tongue tie can sometimes lead to speech problems, such as being unable to make the "TH" sound because the tongue can ’ t move in the necessary way. Dentists also tend to recognize tongue tie because the children have trouble cleaning food from the backs of their mouths. Early on, mothers of tongue-tied babies may have bleeding or pain during nursing. Sometimes, in cases where tongue tie goes undetected, mothers figure the nursing difficulties are their fault and abandon breast-feeding for the bottle, which tends to be easier for tongue-tied babies to drink from because the Page 1 of 2 Albany, N.Y.: Timesunion.com - Print Story 9/2/2008 http://timesunion.com/ASPStories/storyprint.asp?StoryID=705545 -xylTUt)]@ Đ D ZiZ& El&KD)("q5F#J5F!qI4r+{3/GyC{9H]f6ysfdk#f"M4sQTX"?Atmꗵs4oj$b^]ԣom`^nN5Ռ=IK,uc^.?e]7m\K[w*>n krH9p{QoxzNFk{Z?rק_-cng[S6%:{!VFZ$WC o{sKn9ZA-:,%bɿӽ#t&՚"?v#.m2ťtA㉺22%|x& 2XZk]S}@ܘC^a+r~OoL/MmGGY{` è˫[ >qV\ y'qfs>ȶ@h>9D/5B ClJl=,ѵvwR{ ]K#Y~NSї:݅v< Wd>zHj?uFGu@/t0hQ`=\uŮrWv++G _W?dza|mm\O+1@sc9Xw/1;>B̸H(k1X_=nϤ'[kԊue@u~ [lBJ=\ݠ=˘8PہqUЗg<-@K{޸Lsj'.[BƵ~8ڑ`,>]67R5Rߨ0+ATsb#ō:?߃@cY/['n(?ܦ骧F[ۀީð$\t ;X~+>u.s}=l rmĿ?H}Uoh} yRuseP?JV_7&ĺ<5>Y3 ~'+ ?!!!!!!!!!!!!f_CBBBBBBB e8hMicrosoft Office Document Image Writer 11.03.2175.00 2008:09:02 10:22:09  E EEE(16Z2[/ E0|1<S&{{Dxx Uy` rՋ#,h%Yh jKFtMe$ : Fg*IrD_YĴTmCcik#6 VJ.hF1!Ns7wc-:s}7[-Ü{qkivPs /}2N3$$*8^U=ةЉ q 2-v(/: w1BbGN?t*\7M2IR+)J( y*:8,ě_RۂrE~2|B2Ab(^FO˳zii RRERe!ΎvBܘf|7]湅1Y 1[䝹ݟk/mr[j)"F̉~ i8^~d1qG}+Ge;^EƎa)o]ޟƪ{GK<,yw[WU0zו7ҶLM!l^w=VfAmx)Ouk [ ׋0'OǏ"j?6Vٷes[ңQr>\v˓wv~?nK1[ԍ; ͈f?TXr'4חU爻PakwmROeg.:.7KĊ&23U>q%s#,1n@)K/gmh̶˿YP)_7f:̨R+:9(cA/zz,=E}:}5f+a淒Vxz~v=y~zz9+ݶWB_(9XMt׮J.?qѸ|nb1b矖{SG~<:ƪ,uLџVǝpjZCGWG#Wp[_ٟ/jzC翬pnfw^uuW~tb orH5)ټGw">-3CRIp"ZmcEr8G1-Sy*=Xu.j,u.SZw|ZE2G)ȳB򑖔%Z^Tz9iǒp'](ut$\[A-KHC㷵x#Gzft>+ͩJw]gQ`Ҝ:\62NSJW ޫeN=PaN8B1@H|*aD] #C#66I]#)0r`yښĻÖV8 0yx%`|w/ X;sjkl凫7¸1-1ą-L9VO??DFҜfOÛYB]3ǟŤ9fOyN|'Ŝ5Mjxstqf|*aDݛ #qIȖYs?H>⼉ W$l e]{bi|e9pq܆~tz4<ĸBAc6 c(cS`l+1K_u)I-].ڄ=(/Ώu늁VZI0&xuJ|0[%ҼTr?܉D`.u,>~0Iݷ|$a?y,FO!`I# E}uWZKp"$lzS5F8Y%{'tj_ZT'9E.,_5ߢqEʱC5_wXI,|eHy^/~] >W^ko!+0Wx'w$?v,yCeg:ۋ-w8l+,s+ęnp%z[Vϧe-&/\뗍VøxIku0:؇\#EG<P{v\++3m\5_]YFK8Rp_|ѿ٘ ߯m): zuۤeZXpS^;骂trѣ]F{m,>(>RӡK׼+W~75x.fg^Rk4[0ҵ<[<`<0OA~gnoF,:{ҋClf_6ى˻˃Y [Ss{h"s9a914 BD:3@9+yfe&IO.':16$7"L]Α!/=MGV(Ґ.·2 HӨ5nHz 7OI2 '}?\OeW-pn?+:6&Ot%k/ #HߙߧflȎ٦ Rw" ڮ?r6gik|٢5V蘏1i>E@È?~IQ_al8;HQ evͅiKz^k=7W ?܋5^1\t<7|,]#r % q#%ۯ'R:'—ɋ..$Q?D04C?{v,ߏqޫGV 7ɍxIx'Jvl|M;Ml㗄%I=$NuOR`>_u;՘8FЁ! #ҝNqvˆs=}812~A %e˃F j13ƚU:a =8 P{9cS-FM`i#xI(sr6o#S%pNs) .y7]5WT9bp$\H&I_G;M %?HfT:Go~0>==_3,:.zB[{S^qs snέr߇Qv!t [>K?Y:s 1]ZRنCv?Z]Av'̷+祿r?e4K$596e~t&L}?]^-͕K.,-9mO 2M/o؂qNm)eT/i0nƩNa:|+kv?{Vv}nI/&űUn/ mLKtgJǻߘ6&ą}ͼޜ ƣZ\<o"\.Ё ڙ e {'8YO!6ƧZ'!Ac ? ;fRX;8aYƨ-2,]O<6m<cI?ݖAOO,zr׍~}+o0Жu݇gG:+ (0a{CNgvY0n?vTaG(\=Ki};6_xJH]uyŎ" ݇ vTcnB uAj\+\(Gؓ7'՘8cမJ֪b_1q .\C4(}(xQ.c[9~gn7(dAX=CYz8k$#r '.᡺*Vҭ8I0_P/wlky9;ဏ?bln]ߎs'fܤ0ut wv˨>^q)tgi/5rW5m<7H?O "|P٥螕NNyc;C׶$!s~x[_- qͰPņOvԱA;gV,,hnipple is smaller and the milk flows through more easily without the need for so much suction. "You do blame yourself a lot. You kind of feel like ‘ I set out to do this and everyone says it ’ s a natural thing, ’ " Scheid says. ``A lot of them are very anxious and very concerned, and I try to reassure them that this is something that ’ s easily fixed. ’ ’ Jake is now an alert 3-month-old, who sticks his tongue out mimicking his mother and easily gulps down milk during feedings. Sacco, who can nurse her son within 15 minutes, is happy she continued to breast- feed, an experience that is everything she hoped it would be. Jennifer Gish can be reached at 454-5089 or by e-mail at jgish@timesunion.com. Page 2 of 2 Albany, N.Y.: Timesunion.com - Print Story 9/2/2008 http://timesunion.com/ASPStories/storyprint.asp?StoryID=705545 ' xOHTQƿ7369M9CMP$T,4pJM@0 TVaTPAJ[ "wn[ganZvQnfOw<}νYIIIvJ?yHR W72W^9iڶDnRow(2~h@p]&- !efG;H/Fw^j4=?sRM`Rdլ#}6OV6od:edqkN]COS _B_B.@0:/'n߆Wh'3=˽} {m4Ab뻽VoLkƢg$ yϠ#vh2n>K~Ra؞ 0,~Rkſ{3h &j53^݋h3LC9 V |\w s- At չƜ~'I_b;kuE/U={6W(,'9_/߾3_ɚkիqo_{^T;Կ r[Microsoft Office Document Image Writer 11.03.2175.00 2008:09:02 10:22:09  t[ tt(16z2{/nu1lpxࡱ> Root EntryI NdqrvorsQblcu4szKeiub3mf2g8I I CONTENTSprop2 # mX]0,Å :+0h08@T B prop2B prop3   DICT  $  $ VyOOh0@(08  Oh+'0d0prop3 AuvsxjatP0udblw1Aaq5eubr5h8I I CONTENTSpSummaryInformation(I I CONTENTS8@\ SMahoney Rp@"Verdana?p?pwPwJCw܊*sw| @ - ex>~wx~w?p?pw0 Pwfdw!.T*sw @l (ϟf*sw @`  xwdv% TTQ}AEA