Lydia Fairchild went into labor with her third child while a court-appointed observer stood in the delivery room, watching. The state had accused her of welfare fraud and was already threatening to take her two older children. The moment the baby arrived, a DNA test would be run right then and there, with witnesses. That test would also say Lydia was not the mother.
Everyone in the room had watched the baby come out of her body. The DNA said something else, and as far as anyone knew, DNA did not make mistakes.
A twin in the neck
The explanation starts with vanishing twin syndrome. It sounds like a streaming thriller, but it's a real medical condition. Its most famous pop-culture moment comes in My Big Fat Greek Wedding, when Andrea Martin's aunt character welcomes newcomers to the family with the story of a lump on her neck that grew during menopause: "Inside the lump, he found teeth and a spinal column." It was her twin.
Real life can top the movie. In 2015, a 26-year-old woman from Indiana had surgery to remove a tumor deep in her brain. It turned out to be a fetiform teratoma, a growth that was in effect her embryonic twin, and surgeons found bone, hair and teeth inside it. Her surgeon had seen only one other like it in 7,000 to 8,000 brain tumors. The patient, a hero of dark medical comedy, called it "the evil twin sister who has tortured me for 26 years."
A twin living rent-free in a sibling's brain is extremely rare. A vanishing twin is not. The syndrome is a very early miscarriage in a pregnancy that began with more than one fertilized egg, usually before the 12th week. One embryo fails, typically because of genetic abnormalities, and it may be absorbed by the surviving embryo and by the mother. It can't be predicted, prevented or treated, and it almost always slips by unnoticed. At most there's a little spotting or cramping, which is normal in any pregnancy.
Counting the roommates
In spontaneous pregnancies, meaning those conceived without fertility treatment, the first ultrasound usually comes around week 12, long after any vanished twin is gone. IVF pregnancies get scanned from about week six and often involve transferring several embryos. So doctors catch the syndrome far more often: by one estimate, in 7 to 36 percent of IVF multiple transfers. Experts suspect it's just as common in spontaneous pregnancies, and nobody looks early enough to see it. The risk jumps when the mother is 30 or older, and 30 is now the median age for an American woman to have her first child. A lot of people may have started life with a little roommate.
Lion, snake and goat
Homer's Iliad describes a monster that is "a thing of immortal make, not human, lion front and snake behind a goat in the middle and snorting out the breath of the terrible flame of bright fire." The Greeks called it the chimera. That beast is myth. Human chimeras, people carrying two completely different lines of DNA, are real.
Some people become chimeras through an organ or bone marrow transplant, which leaves the donor's DNA riding shotgun in their cells. Some mothers carry microchimerism, a tiny souvenir of pregnancy that can be as little as one fetal cell for every 500,000 of their own. And some people absorbed a vanished twin in the womb. That's called tetragametic, or fusion, chimerism, and it's what happened to Lydia Fairchild.
Fusion chimerism rarely shows on the outside. Sometimes it causes patchy skin pigmentation or two different-colored eyes. Only about 100 cases have been documented, because almost nobody finds out unless they're forced to. Still, some experts put the rate of human chimerism closer to 10 percent of the population.
Lydia Fairchild gave birth while a court-appointed observer watched, and the DNA test still said she was at best the baby's aunt. Parts of her body carried the DNA of a twin she absorbed in the womb.
Swab after swab
Hair, skin, saliva and blood tests had all ruled Lydia out as the mother of her two older children. When the newborn's test showed she was at best the baby's aunt, even the state had to admit she wasn't cheating the test. Lydia couldn't eat for days. "I know these are my kids. I know I carry these kids. I know I gave birth to these kids." In court, she remembered, the prosecutor opened by saying "we would like to put these children in separate guardianships." As she put it: "I had no lawyer. It was me against the state with DNA evidence."
Then attorney Alan Tindell took her case. He dug into medicine and genetic testing and found Karen Keegan. Tests done before Keegan's kidney transplant had shown she wasn't the mother of her own kids. The National Institutes of Health studied her and found a textbook case of fusion chimerism. Tindell pushed for DNA testing across Lydia's whole body. Back came the swabs and test tubes: hair, skin, blood, the inside of her cheek. Again and again, the results said she was not the mother. Finally, someone swabbed her cervix. By then, half the courthouse had apparently had a look. This time the answer was clear: Lydia Fairchild was the biological mother of all three of her children.
She isn't the only one. A man tangled up in a legal fight with a fertility clinic gave a sample that everyone agreed was his. The two children born from it came back as genetically his nephews, not his sons.
The gold standard, with an asterisk
DNA paternity tests first went on sale in 1988. A decade later, Maury Povich turned them into daytime ratings gold: "Dana, Sarah is your child." Later came "Cody, you are the father." Today Walgreens sells a paternity kit for $29.99. That's remarkable for a molecule first discovered in the 1860s, by the Swiss chemist Friedrich Miescher. Rosalind Franklin took the X-ray photographs that led Watson and Crick to the double helix. They won the Nobel Prize. She got nothing and died young of ovarian cancer. In The Double Helix, published after her death, Watson admitted they had gotten their hands on her work by irregular means.
DNA is still a mystery we've barely begun to decode. Humans share about 44 percent of their genes with bananas. Most marmosets are chimeras, and so are some sea anemones, corals and sea sponges. If one in 10 people really carries a second set of genetic blueprints, the gold standard of evidence can depend on which part of the body gets swabbed.
