I never could get shit from the manual. Uncoordinated?
all the seals sealed correctly? i freaked out a few times because i wasn't getting anything and thought maybe my supply was plummeting, but then realized one of the rubber seals shifted so it wasn't getting enough suction. it would pull my nipple into the flange (is that what that thing is called?) like it was supposed to, but i'd get less than an ounce in over 20 minutes. once i figured out the issue i was back to getting 4-5 ounces in less than 15 minutes.
to answer the OP: i love my medela manual. highly recommend it.