She's Her Own Twin
abcnews.go.com
abcnews.go.com
As for the people doing the genetic test, weren't they a little surprised that even if she wasn't the kids Mom, she was their aunt? Why didn't they think to suggest the authorities look at the mitochondrial DNA. Without a mitochondrial DNA mismatch the states aggressiveness is completely unfounded.
I'm so confused by the ineptitude of the medical and genetic professionals in this case. I'm also confused by the state, if the birthing doctor and father were to vouch, shouldn't that imply a less aggressive and more thoughtful investigation is in order?
Couldn't they extract an egg from each ovary and do a DNA test?
Chimerism is a possible explanation but vanishingly unlikely. Two identified cases, ever (i.e. none before this).
This is news because it's exceptional.
The smoking gun in this case that there was not a scam, but something more going on is the fact that she was her kids aunt.
Chimerism is well-studied because it's biologically interesting, but most social/medical professionals are not expected to come across human chimerism in their whole career.
Chimerism not often documented in humans and the other possibilities (e.g. surrogacy scam) are hugely more probable explanations.
As an aside, this fact was of great annoyance to me when I was younger, as the child of two pathologists trying to watch the tv show House. If you're not familiar, it's a medical mystery show with a genius misanthrope doctor named House who diagnoses people with extremely rare diseases, almost killing them in the process.
It was a regular occurrence for one of my parents to walk through the room while I was watching the show, in the first 5 minutes, and throw out, "they obviously have x (vasculitis, chimerism, etc.)," thus ruining the rest of the episode for me. Of course, they never actually watched the show, since from their perspective it was just an incompetent medical team torturing some patient.
I can watch an episode of House and anticipate "they obviously have lupus", which makes me feel intelligent and satisfied even though I can see they are planting obvious clues from the very start which a diagnostician would be mind-numbingly stupid to ignore.
The same with the headline of this article. It's designed that way. In reality, you don't get to read the headline or watch the episode before making a clinical decision.
Regarding House: in mid-series episodes, I believe they occasionally subvert this by planting clues for the wrong thing. At least, I enjoyed being wrong in those episodes.
If you go as far as that, why wouldn't you test mitochondrial DNA? Using Ocamm's razor myself, I will speculate that she wasn't able to get a very good lawyer.
1. Mitochondrial DNA is less apt than regular DNA to accurately identify motherhood since it has a low mutation rate.
2. The mitochondria would still come from the chimeric cells which still are a generation away from the mother's cells.
3. If you have have considered the possibility of chimerism, there are much simpler tests - e.g. the tests that they did do.
And isn't testing for mitochondrial DNA fairly simple/cheap?
Even if it's now possible/cheap, that's a recent development.
mtDNA is good for finding your (maternal) ancestral group, less so for your immediate relatives.
(well I come form a country where the judicial system is inquisitory, not accusatory, so maybe I'm biased in my point of view)
http://en.wikipedia.org/wiki/Chimera_(genetics)#Humans gives an earlier case and references http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.149..., which states blood type chimerism occurs in 8% of twins, 21% of triplets.
So, chimerism in the broad sense isn't that rare. I have no idea whether that is different from what is described here, but I would think it isn't. Those blood cells have to come from somewhere.
Chimerism also occurs as a result of organ transplants.
It's very rare but not THAT rare.
I would argue Occam's Razor decides against such a large conspiracy and, instead, points to problems with the test.
Awareness of chimerism has risen a lot in the last decade, and if you learned about it yourself in the last 10 years, it might have been due to followup coverage from this and similar cases.
And while this 2006 article describes it as a 'rare' condition ("only 30 documented cases worldwide"), in fact the more scientists look the more they find it. There's since been evidence that on a small scale, cells pass from mother-to-child and child-to-mother in the womb, and these cells are still present in blood or brain decades later... meaning almost everyone might be a chimera.
http://www.nytimes.com/2013/09/17/science/dna-double-take.ht...
I would have thought that if the father is saying she's the mother, she's saying she's the mother, she has the birth certificates saying that she's the mother, witnesses to the births like her parents and there is no person missing those children or claiming to be the real mother it would be reasonable to consider the possibility it is an edge case even if you still thought fraud was more likely.
Caseworkers don't Google extreme scenarios regarding obscure words ("chimerism") that they've probably never heard of before. Apparently, neither the mother nor her own obstetrician nor her lawyer came up with this theory, either, for quite a while, so who's fault is that? (The people with the most at stake couldn't find the magic research promptly, either.)
It wasn't until after the 2002 paper about the Keegan case, and then other media coverage of this Fairchild case, and then followup stories/dramas and more recent research, that people outside of research had any idea anything like this could happen. No, low-level state caseworkers are not going to come up with the idea themselves. And the fact they kept running tests, including monitoring a live-birth-and-immediate-DNA-test, and deferring final judgement, indicates that the system was entertaining the possibility that this was an edge case.
There's some serious hindsight bias in the know-it-all criticisms here.
Long ago I was pretty skeptical of the absurdly high confidence levels in forensic DNA testing because they made a number of very basic assumptions, which chimerism (among other things) show to be wrong, at a rate within the population which is higher than the reported confidence rate.
Egg extraction is a very intrusive and painful procedure.
The social services people deal with thousands of people, and develop fairly rigid procedures designed to address more common issues, like people committing fraud. They are also legitimately concerned for the child's welfare, because they can be held accountable when things go wrong.
Testimony of the doctor and father aren't necessarily reliable. Who's to say the baby delivered was the baby birthed by the doctor? Who's to say that the father did't have two pregnant partners (happens often)?
I can think of a scenario besides chimerism where this could happen: in vitro fertilization using eggs donated from another woman. But if someone has the means to have access to IVF, it strikes me as implausible that she'd try to scam welfare. Such implausibility should have occurred to the government agents on the case as well.
We can shake our heads at how the machine we all fund chews people up and spits them out, and try to improve that machine, the better solution is to eliminate an entire class of "chewing" through simply eliminating means-testing and having something like a basic income.
Also, I can see the postion of the govt. officials. You have some training in a technique, but you are not an expert. By all accounts the technique is infailable. Here is a person whose account differs from the data.
Your a priori on this being clever fraud rather than a little known, one in several billion case is high.
I think the officials were doing their job. It was a complex case and it went up to a complex level (courts, judges, expert witnesses).
What I didn't like is the threat (We can take them away). I think we should have techniques to out fraud without threatening people who have not proven to be guilty.
No, this doesn't make any sense. A surrogate mother doesn't RAISE the children she gives birth to. That would just make her a regular mother. Why would they take away her children when no one has come forward to claim them? There's no crime. It's not illegal for your DNA to not match your childrens' DNA.
Because you have no idea where the genetic mother could have come from, anywhere in the world (and given vitrification, anywhen), the absence of evidence doesn't show much. What do you do, put up an ad in the classifieds: 'are you missing two embryos? please cal 911'?
As the other commenter says, this is an interesting failure mode which it's not clear you can do much about without allowing many other severe failures: it's much more likely that it's an extreme fraud which has beat detection thus far than chimerism, which makes the actual chimeras go through a lot to prove the latter, but if you loosen the standards, then what...?
Taking them away solves nothing. In fact, it's inhuman to the point of insanity. It's also financially nonsensical, since the cost of children in care is dramatically higher than social assistance, and quite likely to get worse (because of the impact on the kids of being torn from their mother).
A system not operated by idiots would have suggested a quick and cheap compromise, such as making the kids legally hers by adoption.
Yes, so? Stealing someone's kids is OK if you then bring them up while, of course, on welfare?
The _only_ evidence to the contrary turned out to be wrong, and it was proven wrong when she was observed giving birth.
Otherwise, even if she had stolen the kids, the government action was insane. As I already pointed out, it costs social services a lot more to break up a functioning family than it costs to provide enough support to keep it together.
Also, it is a MUCH more likely explanation than chimerism.
If government thinks she is surrogate - they must prove it. And DNA test just gives a fact and not a proof.
If the mother was chimeric, she would be chimeric with a 'twin' from the same (grand)mother and father. Therefore her 'twin' chimera would share 50% of her DNA, as any regular sibling.
This would be identifiable on a DNA test as a close relative: she would be genetically equivalent to an aunt rather than a mother.
It's also surprising that they had to test the thyroid when the gametic cell line is the important one (wikipedia suggests they tested her cervix).
They got lucky with the thyroid test in the Boston (Keegan) case. The chimeric cells can be anywhere, in any proportions. (There's no guarantee the complete thyroid, or complete ovary is a single genome... so the 'luck of the stick' could change the results.)
Assuming each chromosome of a pair has an equal chance of being passed on (someone else got info on what, if anything, is known to change these odds?). So there are 2 x 2^23 possible chromosome sets. While the odds are low, it's entirely possible that two siblings with the same parents would have less than 50% of their DNA in common.
In the case of a chimeric individual, if they already were below 50% DNA in common, then the children they produce might appear as only distantly related, nieces and nephews at best.
Assuming chromosomes are inhereted whole, the probability that siblings share less than 25% DNA - the equivalent of one further generation away - is 0.00531 (0.5% chance).
But chromosomes are not inherited whole - they recombine. This hugely reduces the probability even from that start point.
[1] http://www.psychologytoday.com/articles/201303/the-you-in-me
Bureaucrat B: Thank you for bringing this to our attention. We will now completely fuck up their lives.
In this case the bureaucrats, as you call them, were faced with someone who appeared to be attempting to defraud the government. She insisted (rightly) that they were her children, but initially the DNA evidence pointed to that being a lie. They asked about them being her sister's children (suggesting she was the aunt), she denied this. They inquired about surrogacy, in vitro, etc. She insisted that the children were conceived normally and delivered by her. Once the latter was proven, the DNA still didn't match which left the surrogacy angle (which presented a risk that she'd defrauded someone else). She'd likely get assistance if it had been surrogacy (but she kept the kids legitimately) or in vitro with donated eggs and above board, but she kept insisting (because she was right) that it wasn't, which left the investigators in a bind. The facts didn't match the claims.
It's unfortunate that she happened to get caught up in all of this when she was totally innocent of any wrongdoing or attempted fraud, but given the odds of chimerism the bureaucrats were not wrong to investigate further. Now that the condition is known and understood hopefully this will be resolved more quickly for future chimeras.
In the absence of any complaint from any interested party, the default action should not be "break up this family and parcel out the kids to foster homes where they're more likely to be abused and will definitely cost the government more." We should have less empathy for powerful and stupid bureaucrats and more empathy for their victims. This is especially so now that they have total surveillance powers over us, so our every private expression can be misconstrued by cretins to justify any action they'd like to take.
Was this not clear in the article? They didn't believe the children were hers. That was the entire premise of the government's involvement after the initial exams.
If someone comes to you with a story that completely contradicts all evidence ("I didn't do it, I just look exactly like the guy that did and happen to have the same name and live in the same house.") you wouldn't believe them. The story contradicted the physical evidence. Her pregnancy and delivery only confused it because it indicated that, rather than the children being abducted, in vitro was probably being used (again, there was no reason to suspect chimerism given its rarity and extreme obscurity at the time). Labs repeatedly showed that the children were not hers. In 999,999 cases out of a million they would have been correct, that she was conducting some sort of fraud.
This isn't totalitarianism. That'd be, they found the DNA didn't match and took the kids from her and the father that instant, locked her up and even after the discovery of chimerism kept her imprisoned for fraud and refused to allow visitation with her children. This was an unfortunate case that ended well (though stressful throughout).
http://www.nytimes.com/2005/05/10/health/10bloo.html?pagewan...
It's been muddied over the years, Tyler has since said he never claimed to be chimeric.
A lawyer for the prosecution heard of a human chimera in New England, Karen Keegan, and suggested the possibility to the defence...
Which restores a little bit of one's faith in humanity.
More info (I coud’t find a source with better formatting): http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/G/Ger...
So I can identify with the frustration of the two women in the story.
(I can't help but wonder if sexism plays a part here. I am also female. Questioning my sanity seems like a more PC thing to do than dismiss as "girls are too stupid to come up with any good ideas.")
Is the problem that people don't believe you had a particular disease to begin with?
My official diagnosis is "atypical cystic fibrosis." Cystic fibrosis is quite deadly and when I was active on various CF lists, no one believed me that I was, in fact, getting well. That seems to be the issue in a nutshell: That no one believes it can be done, much less by a former homemaker and mom.
I have a long list of credibility problems. Listing them here would not help my credibility. I intentionally lowered my profile because being more open about things was only attracting really ugly personal attacks. It was all downside, no upside.
I have actually made some progress on some of the things I think need to be solved in order to move forward on, someday, helping people. But I find it maddeningly frustrating the degree to which I simply am not taken seriously most of the time, by most people.
https://en.wikipedia.org/wiki/Chimera_%28genetics%29#Tetraga...
But I did think it interest if not distressing to that the authorities could witness a birth and totally discard her as being the mom because of a test.
Hopefully it drops the hint about all sciences, just when we think we know something there is always something else
For those who haven't read it, he's a flight surgeon who hates flying, but since he's attached to a bomber squadron, he's required to get a certain amount of flight time a month to get flight pay. He hates flying, so he bribes the guy in charge of the flight log to just say he got his flight time. The problem, is the plane he was officially on (but not on in reality) crashed killing everyone onboard. This is the official record for the government, and since the official record says he's dead, he must have died.
This causes all sorts of problems when people in the bureaucracy notice that he's not dead. Instead of accepting that their records don't match reality so the records are wrong, they reason that reality doesn't match their records so reality must be wrong. His wife realizes that it's financial beneficial for her if she acknowledges his death, so she pretends he's dead as well.
It's a brilliant satire on government bureaucracy and how members of the bureaucracy take it as being fact, and until I read this story about the woman murdering her twin in the womb, it was hilarious to me. Now it's a bit more frightening.
What the article says: In human biology, a chimera is an organism with at least two genetically distinct types of cells -- or, in other words, someone meant to be a twin. But while in the mother's womb, two fertilized eggs fuse, becoming one fetus that carries two distinct genetic codes -- two separate strands of DNA.
The question is: Which baby ate the other and whom do we charge with murder?
(the "/s" tag does not fit here -- someone clue me as to what kind of tag I need here, k? thx.)
I realize humor is a big risk on hn. But, for me, it seems to be a big risk anywhere. (shrug)
Thx.
If you believe that the "person" starts as soon as the chromosomes of the two parents mix, you probably have some strong religious views, but then try to inform yourself how much such "persons" become destructed all the time and question who made the world to be so:
http://www.pregnancyloss.info/info-howcommon.htm
During the first week: "It is estimated that 3 out of 4 eggs that are fertilized (..) either do not attempt to implant or fail at implantation."
Do you call those "murders" too? If you do, by whom? If not, why do you call that other cell behavior, where the two sets continue to grow together (note: both sets continue to live!) a murder?
And under different definition of the person (which I prefer, as something that has to have "a personality" to be considered as a person) there was always only one person: the woman that has different DNA in different organs of her. The joining of the different cells happened before a functional organism existed, and since then, it's only one.
https://en.wikipedia.org/wiki/Thymus
First, T cells undergo "Positive Selection" whereby the cell comes in contact with self-MHC expressed by thymic epithelial cells; those with no interaction are destroyed. Second, the T cell undergoes "Negative Selection" by interacting with thymic dendritic cell whereby T cells with high affinity interaction are eliminated through apoptosis (to avoid autoimmunity), and those with intermediate affinity survive.
See also https://en.wikipedia.org/wiki/V%28D%29J_recombination
V(D)J recombination, also known as somatic recombination, is a mechanism of genetic recombination in the early stages of immunoglobulin (Ig) and T cell receptors (TCR) production of the immune system. V(D)J recombination takes place in the primary lymphoid tissue (the bone marrow for B cells, and Thymus for T cells). V(D)J recombination nearly randomly combines Variable, Diverse, and Joining gene segments in vertebrate lymphocytes, and because of its randomness in choosing different genes, is able to diversely encode proteins to match antigens from bacteria, viruses, parasites, dysfunctional cells such as tumor cells, and pollens.