Re: Occasional manual pump and feeding sugg.?
I have a Avent Isis pump that I bought at Toys R Us. It was about $45. I have since found them on ebay new in package for around $35 including shipping. It works great for me. I have not heard good things about the medela manuals, but their electrics are great.
For bottles, we use the playtex nursers with the drop in liners. The liners can be expensive, but Ds has only had around 30 bottles in his entire first year, so it was not a big deal to me.
We also had to use a nipple shield for a few weeks. I would wait to introduce a bottle until you wean off the nipple shield. The additional nipple may add to the issues you are having. Good luck!