Dear Joyce: You are probably correct in your assumption that there is something amiss in this situation. There are even cases (albeit rare) where mothers have introduced toxic agents deliberately through their breastmilk. My concern for you is that you are covered from any legal liability. As an LLL leader, you probably are not a "mandated reporter." However, if you tell this woman's doctor about what you suspect, you could open yourself up for a lawsuit for defamation of character (or something similar). From what I understand, Munchausen can be difficult to treat and is usually treated with extensive psychotherapy and sometimes cameras are rigged to catch the perpetrator "in the act." The woman's dr. probably can't help and you'll be unnecessarily exposing yourself to risk. You might consider contacting your local "at-risk child" hotline (usually listed in the yellow pages). They might be able to give you some more specific information about how to proceed in your area and what local reporting statutes are. I'm a bit behind reading my mail. I hope I haven't been repetative. Your concern for this woman and her children is admirable. Kathy Kendall-Tackett