just had a random thougt that maybe the pain the pumps have caused you is setting upa cycle that when you pump you are stressed/anxious even if its not something you are concious of? and not getting let down for that reason?? Just an idea,completely different situation but I know when I was back at work when I went to express I had trouble just thinking aout the workload I had to go back to at times and m ability to express was hampered.

I hope you can get on top of this, maybe PM Barb? or speak to the hospital LC if you have a good relationship with them