C.P.
I would suggest you meet with Dr. Perkins at Pediatric Health Care on Fletcher near USF. She has been helpful in the past when we've decided not to jump to antibiotics or continue bfing past two years. Delayed vacs were not an option for us since my son attends preschool. I hope you find the right doc for your family.
You might also find the moms at mothering.com have a suggestion for you.
-C.