Oh, Linda... That does not sound too good... The situation is painful and is potentially detrimental for everyone involved - kids, staff, hospital itself. Agree with Liz's suggestions BUT - that may depend on the hospital structure and affiliation and it just may happen (disclaimer alert - I am only stipulating, as no information was given to support my assumptions) that by hiring this particular neonatologist the hospital was looking into some support from MJ. Nothing unheard of :(. Would joining ABM help? Don't know, as we are most probably dealing with a case of industry supported fanaticism and fundamentalism, thus the probability of such docs coming out the "artificial milks dark side" is pretty low. But never say never, we can always try "therapy" by ABM and/or SOBr. Said that - may be promoting ABM and SOBr to other doctors in the hospital will work better and more efficiently? Meanwhile, while trying to work through the administrative channels, may be it can be a good idea to assess what allies do you have in the hospital - other neonatologists? pediatricians? GI docs? What about your community? Is your hospital affiliated with any University? Am I right assuming that you have only SCN? What about doing grand rounds on the topic? As long as your department of pediatric chief will go for it... Or even having the "supplementation debate" with one of the many great speakers that we do have in ABM. That can be an interesting event BTW, I would like to a fly on the wall for this one ;D. Talking seriously - this is exactly the reason why we started to work on the ABM's speakers bureau project. And if any of your community docs is a member of the AAP's SOBr - they can even apply for the 2015 Breastfeeding Lectureship grant (the deadline is in February) and then bring a lecturer INTO THE COMMUNITY hopefully without interference of the hospital. As we speak neonatologists are literally lining up to participate in this project of promoting the use of human milk in NICUs. Journal clubs, nursing conferences, breastfeeding coalition meetings, utilizing the IL AAP chapter (do you need contact info?) - all can serve as alternative avenues for education and promotion of the "breastfeeding force". Another opportunity (in addition to the above active-aggressive measures) is to utilize the passive-aggressive approach as well. Evidence based medicine is on your side and while nobody wants anything negative to happen in your nursery - it can be worth it to review data the past several years and to compare it with the data after (if the worst will come to worst) the changes were made. Again, nobody want anything bad to happen and you will be doing everything possible to prevent problems, BUT - if anything will even try to go not as good as it should be - document, document, document. I'd bet it will be a lot of even better suggestions on and off the list. Keep us updated and (going along the Star Wars theme in this post ;D) may be LactNet force be with you! Alla -- Alla Gordina, MD, IBCLC, FAAP General Pediatrics Breastfeeding Medicine Adoption and Foster Care Medicine Global Pediatrics and Family Medicine NJ Breastfeeding Medicine Education Initiative NJ Chapter Breastfeeding Co-Coordinator, American Academy of Pediatrics Satellite Symposia Sub-Committee Chair, Academy of Breastfeeding Medicine *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome