Ok, I'll try to explain this as best I can. 
My client makes changes to their site from within Contribute (CS4 I believe) and she can publish those changes just fine. I can refresh the page and see her changes right way but she cannot. I had her turn off IE cache from internet options. So, IE should be getting the latest version of the page each time she goes to it, howerver, it's still showing the old version. When she goes back into Contribute it shows the old version of the page as well until she clicks "Edit" and then it brings in the latest version.
Can anyone help me with this?? I'm stumped.
Thanks,
Matt