According to authors Suzy Spencer and Suzanne O'Malley, who investigated her story in great detail, it was during a phone call Dr. Saeed made to Rusty during the breaking news of the killings that Saeed first learned that she was not being supervised full-time. Yates's first psychiatrist, Dr. Eileen Starbranch, says she was shocked to disbelief when, during an office visit with the couple, they expressed a desire to discontinue her medications so she could become pregnant again. She warned and counseled them against having more children, and noted in the medical record two days later: “Apparently patient and husband plan to have as many babies as nature will allow! This will surely guarantee future psychotic depression.” Nevertheless, Yates became pregnant with her fifth child, Mary, only 7 weeks after being discharged from Dr. Starbranch's care on January 12, 2000.