[optimal] Re: nursing and FA

  • From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
  • To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
  • Date: Fri, 25 Oct 2013 09:51:55 -0700

Oh, this I have to see. Hopefully, breast milk not in vivo..... or maybe?

Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937   FAX (415) 600-6563

From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Cynthia VandenHoven
Sent: Friday, October 25, 2013 8:44 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: nursing and FA

Ethan asked "...has anyone tried illuminating Fluorescein-laden breast milk 
with 500 nm light ?

You could try doing this for milk expressed at certain intervals after IVFA, to 
try and get a ballpark for the safety margin."

Sounds like a Scientific Session study to me!

Cynthia

On Fri, Oct 25, 2013 at 4:41 AM, Ethan Priel 
<prieleye@xxxxxxxxxxxxxxxx<mailto:prieleye@xxxxxxxxxxxxxxxx>> wrote:

Paula, has anyone tried illuminating Fluorescein-laden breast milk with 500 nm 
light ?

You could try doing this for milk expressed at certain intervals after IVFA, to 
try and get a ballpark for the safety margin.

Just sayin',


Ethan

From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> 
[mailto:optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>] On 
Behalf Of Paula Morris
Sent: 22 October, 2013 23:09

To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: nursing and FA

12 to 18 hours is probably all.  How old is the infant and does it have a 
healthy weight for its age?

Your pt should express after the FSA, and discard that milk.  To be safe, she 
could discard the next, but after that, there should be little Fluorescein in 
the breast milk.

We have done FSA procedures before on infants that are premature - small 
amounts of Fluorescein shouldn't have a big impact on a baby - unless they have 
serious allergy issues.

And of course, a hospitalized infant should not be exposed to light therapy for 
at least 12 hours after significant exposure to fluorescein.

We have followed this procedure for years and have not heard of any negative 
repercussions.

Paula


From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> 
[mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Darrin Landry, CRA, OCT-C
Sent: Tuesday, October 22, 2013 3:00 PM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] nursing and FA


As my grandaughter is graduating high school this year, it has been a long time 
since I've had to deal with nursing infants.

Having said that, we have a severe PDR patient who is nursing, and really needs 
a fluorescein (per MD).

Does anyone have a protocol for how long the infant should not be nursed after 
the angiogram? The plan is to have the patient pump and stock up, but for how 
many days?

Any help is appreciated!!!



Darrin

Darrin Landry, CRA, OCT-C

Consultant
Bryson Taylor Inc.
Ophthalmic Consultants and Training
www.brysontaylor.com<http://www.brysontaylor.com/>
phone 207-838-0961<tel:207-838-0961>
www.brysontaylorpublishing.com<http://www.brysontaylorpublishing.com/>



--
Cynthia VandenHoven
Hospital for Sick Children
Department of Ophthalmology and Vision Sciences
416-813-6523
cynthia.vandenhoven@xxxxxxxxxxx<mailto:cynthia.vandenhoven@xxxxxxxxxxx>
cynthia.vandenhoven@xxxxxxxxx<mailto:cynthia.vandenhoven@xxxxxxxxx>

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