Re: severe/oversupply/oald-need advice-ready to give up
with all of mommal's sage words. If you can hand express just enough to cover what your baby needs while at work, it would be best for your oversupply. If you need to pump, I would still only pump just enough to cover bottles for the next day. For the plugs, you can firmly massage your breasts when you have a minute here and there throughout the day, and hand express just enough to get comfortable. Hand expression never worked well for me, but when my OS was at it's worst I could just lean over the sink, give my breasts a squeeze, and milk would shoot out. A brief massage followed by hand expression or giving a quick squeeze over the sink doesn't require set up or clean up so it's quick and can be done whenever you use the washroom or just have a minute in between patients/projects/whatever and will help prevent plugs as well as ease the discomfort.
You can also put cabbage leaves in your bra to help with the engorgement. I used cold compresses, which were wonderful relief, but that would be much more difficult at work.
Do you do anything for your baby's gas throughout the day? I had significant OS but really insane OALD, and while my baby spewed huge amounts of spit up it was the gas that actually bothered him. I had to give him a tummy massage and bicycle his legs between every single feeding, then give him a warm bath followed by more leg bicycling every evening. Sometimes he needed a couple of baths on his really bad days. This really helped him get more comfortable and resulted in much less screaming in the evenings for us.
I'm sorry that you are struggling. It does get better, but it sometimes takes awhile. My supply didn't fully regulate until 6-7 months, but things did start improving a lot before that. Just stick with the blocks that work best for you and your daughter, nurse frequently while you are together, and express as little as possible otherwise.
K. Sophia - Mama to my little lactivore, the amazing Mr. X (11/10).