6. ER

24 year old, mother of two and now 16 weeks with a third. Bipolar. Her doctor told her to stop taking her antidepressants (the kind of doctor who would tell her she'd go to hell for drinking a glass of wine during pregnancy). She complied (most of us like to think of ourselves as not needing to take any medications). Depressed moms don't make good moms. Now suicidal and infanticidal, she was seen hitting herself on her abdomen as hard as she could. Tackled by police as she tried to leave the ER. I was consulted regarding the need to hospitalize her against her will to monitor for possible placental abruption. No bleeding, no cramping, normal ultrasound; I said no.