I have to be honest - I too didn't see the MCHN with baby number 2. With baby 1 she told me:
- at 2 weeks that I would never be able to bf without nipple shields due to flat nipples. 2 weeks later she was astounded that I was bfing just fine without nipple shields since having DS's tongue-tie snipped
- at 9 months she told me I needed to wean DS. No reason - just do it.

I wonder why I never went back