Oh and about the Ped, I have always been honest with them. I listen to what they have to say and then thank them for the information. I say we will consider it. Most often, that is sufficient. If not, I start shopping for a new Ped. Remember that doctors provide a service and are paid for that service. This is YOUR child to be raised and cared for YOUR way.
The Ped we have now is super great (we've moved too much, therefore had many peds!) and I can really talk to her. Her stance is, I want you to vac them, but you have to do it in a way and timeframe that works for your family.