Can chilled breast milk mix with expressed breast milk immediately ?

NELSON VENUS CHILDREN FOUNDATION Am Nelson Tebusweke, male aged thirty (32) years old. Am an Afrikaan by tribe and come from the central part of the country, Uganda. I am an Orphan and a Medical Doctor by profession, i'm born again Christian by faith. My family background, academic achievements, working experience and community services have all helped me work towards my goals. I enjoy reading, making friends and listening to music. To relax, I enjoy football and athletics. I also rekindled my childhood passion for Volleyball recently. More still, Nelson is talented at singing and dancing, and with this I have led and trained different dance groups at school. I am a self-motivated and determined individual who prays until something happens (PUSH). Nelson is a caring and compassionate person who never rests until I see someone hurting around me being helped with the little capacity I could have, through encouraging and praying for them. I do not indulge and entertain any unbecoming behaviors whether privately or publicly-thus am morally upright and honest. I sleep not more than six hours at night because of my desire to expertly meet my tasks and goals. Through different life experiences and challenges I have met, I have learnt to be hardworking, patient and persistent in achieving my goals in life. I aim at respecting all secrets confided in me because I interact with very many people who are accountable to me. The youths in my village approach me easily, they trust me as I show them respect and never discriminate amongst any. Inspiring other children in the foundation to search for knowledge kindles my own quest to understand the world and the people around me. To me, fearless is not absence of fear. Fearless is having doubts. Lots of them. To me, fearless is living inspite of those things that scare you to death. This quote was written by a young song writer named Taylor swift and it is my motto for everything. I basically come from a parentless nuclear family. I have five (5) siblings of which three (3) are boys, two (2) are girls and am the second last born. My mum died when I was eight (8) years old in 1992 at the age of 44 and Dad died in 1996 when he was 54 years of age. They both passed away because of HIV-AIDS, and they left eight (8) orphans. By then our eldest brother-George Baskerville Kafero had just finished University with a bachelor’s Degree in Civil Engineering at Dar el salaam University. Actually, Dad died with a strong heart because much of his last days he toiled so much to keep George at school so that when he passes on (Dad), his son would take care of the young ones. Unfortunately, after Dad’s death, tragedy knocked again at our house door claiming another life. By then we were all looking up to Dad’s heir (George) for support. Little did we know that he had also contracted the virus while at University. Just after Dad’s burial, our eldest brother luckily got a job and started working. Few months later, he started falling sick. At first everyone at home was praying so hard that God could help out and protect our only source of help by then. Because he had been with the virus and no one had known about it, when signs and symptoms manifested, they deteriorated him so fast. The only money he had saved from his new job had to be used to pay his expensive medical bills and this forced almost all us out of school because we did not have any other financial help, but to use the little that was available to see our brother live some more time (as if money could buy life for our brother). Because we had gotten enough agony when we lost our parents, we could not afford losing another dear one. After a long struggle of treatment Schedules, the devil was still at work. We painfully and shockingly lost our dear brother in 1998 at the age of 30years.The whole family became sabotaged and split up because we did not have anyone to hold us by hand. Three of us –me, my little sister and my elder brother, who were still in school, were taken to the village to stay with our grandmother-called Miss Nansubuga Stella-aged 70yearsLife transition was not easy for us and the world seemed closed for us. Thank God-HE proved the devil is always a loser, and there came our aunt who did not have much money but promised to try what she could, to keep us in school. She struggled with her promise, but failed out with one of us (little sister) because her income source had gotten almost depleted. While in the village in 1999, our third born –Catherine Namuddu, fell sick too and passed away due to HIV-AIDS. My whole family was being reduced one by one. This marked the turning point in my life. It affected my school grades slightly and life proved a hustle for me because of what was happening to my family. But the determination I had kept me going no matter what. I had to find a way to embrace the seemingly irreconcilable contrasts in my life. I then gave my life to Jesus as my lord and savior because I realized it was only God who could save the day. I prayed to God to have mercy over my family and he heard my plea. Thank God since then HIV-AIDS is a story in my family. This tragedy boosted my zeal to study hard, finish and help out people suffering with HIV-AIDS mostly the vulnerable children. I think everyone should live their life fearless and be able to pursue anything they have their mind set on. I never think someone should be able to pull you down, everyone is worth it. No matter what brings you down, you must get back up, brush yourself off and move on. Although education plays a significant role in my life, I have involved in many other activities. As part of my goals persuasion I have experienced in project management and report writing, I have gained invaluable team working, time management and presentation skills-where I produced a report which was commended by a number of Tutors and Lecturers at school. I was selected to attend a workshop on the study “The prevalence and treatment of malaria and Tuberculosis in children” at Makerere University in 2008, this enhanced my problem solving ability and adapting my knowledge to new challenging situations beyond the scope of my school work . I have organized and taught a continuous medical education (CME) on physical disabilities for other medical workers at my work place. Further utilizing my organizational and team working skills, I was elected to lead the physiotherapy department at work and emerged as the employee of the month during that time. The knowledge I have in ICT gives me a valuable insight into the rapidly developing technological world, which has enhanced my inter-personal and communication skills as I interact with my community members. I attended training in management of Rugby Injuries. I belong to the Uganda National Physiotherapy Association. In addition to, I volunteered at a Non-government organization-COMBRA, for children with disabilities, where I trained children with physical malformations to perform skills of daily living. I have also managed to offer voluntary services to people in my village through outreaches on health education and sensitization with my colleagues. Still, I have involved in the community general cleaning as a volunteer. I have also participated in sensitization of my community in blood donation services as a member of the Uganda Red Cross, for people who would be saved due to lack of blood .At High school; I was a member of the Scripture Union club and Horticulture club where I served as a volunteer still. Depending on the big numbers of children in my community whose parents died of the VIRUS, this pushed me to collect and take care of them, and i called this charity care my name; (NELSON VENUS CHILDREN FOUNDATION) And we are forty in number (40), and we do believe God will make away for us, AMEN and AMEN. My major dream is, to see Nelson Venus Children Foundation (NVCF) becoming a home far away from home for the HIV/AIDS vulnerable children in Uganda; Please help me not to chase after wind. When I started the foundation, I had saved off some money to cater for their school fees and the food. This forced me out of the full-time contract job to look for a part time job. This left me with not enough pay as a part time worker which can only cater a few of school and food expenses, We need A HELPING HAND, so this donation will be of great help to US in terms of health for the children, school fees, build a school, and food for the children. Health care services in my area are still poor, so when am given help financially and I finish project I would go back and give more help. It is exhilarating and inspiring to consider how many lives am going to save after finishing this children foundation. I have always prayed to God that one day I see the light at the end of the tunnel, as I committed my life to helping others and advancing society’s level of understanding. Thank you very much for giving me a ray of hope that life can have a meaning. May the good lord bless you Amen. Yours faithfully, NELSON TEBUSWEKE CALL/WHATSAPP +27634643174

You should only mix at the same temperature, see this article from Kellymom which is a known excellent resource when it comes to breastfeeding http://kellymom.com/bf/pumpingmoms/milkstorage/milkstorage/ You can see the comment "Avoid adding warm milk to a container of previously refrigerated or frozen milk – cool the new milk before combining"

actually i am not sure but i think it is can because that is what i did sometimes. but most of the time if the chilled bm not enough, will wait for baby to finish it first then i pour the ebm in. but if you do decide to mix direct or into the same bottle then u cannot chill any leftovers year, because its very hard to count to time already

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You should mix milk at the same temperature. So if you have some in her fridge, then you express a second lot, put that in the fridge for a while too. Once the second lot is cold, then mix them.

I’ll store the freshly expressed bm into the fridge first until it’s chilled. Then only mix them together..

Both need to be same temperature before mixing. Hence pls chilled your Freshly expressed BM before mixing

I chilled the expressed breast milk to the same temp as the chilled one, then I pour them tgt.

Should chill the expressed milk first. Can only mix milk of the same temperature :)

I directly mix the newly expressed with those in the fridge immediately