I have some knowledge of WIC Programs throughout the US and do not know of any WIC Programs that have lawyers or LC's that can accompany a mother to her physician appointments. In some programs there may be interaction between lactation support folks and the MD's in the community but not in the sense that they would be comfortable or have the time to go to an appointment. In my experience WIC tries to educate the participant so that she can have the information and lobby for her own needs. WIC is a nutrition education program, not a home visiting program. There may be some mechanism in the health department that would allow a public health nurse to go with her to her appointment. This is regional in availability. The public health nurse would have to buy into the lactation management recommendations that you have identified, so that she can lobby the MD for this treatment. I don't envy that Mom-I've been judged "a hysterical mother" by a physician and it isn't a uplifting experience! I was right, by the way, and didn't ever see him again. Linda J. Inglis BS, IBCLC Breastfeeding Coordinator Best Start Social Marketing Tampa, FL "Loving Support makes Breastfeeding Work"