The docs did not think that it was thrush. W's butt is almost all cleared up, I am on a dairy free diet for a week and will slowly reintroduce it to see if that had something to do with the rash.
I have some of the Madela shells that I have been using and I have been using the nipple cream for the last few days. We have had a hard few days but we are working thru it. W has been lazy while nursing and has been cluster feeding in the evening a lot. I have also been using the pump for a few min before nursing at the suggestion of one of the LC's to help pull out the nipple.
We are not giving up yet, the benefits are to good for me and the baby.