No one envied Susan Hyde’s schedule. The 29-year-old mother of three young girls spent a typical week trying to eke out a paycheck and be with her children as much as she could. Working the overnight shift as a paramedic three days a week at Cook Children’s Medical Center, in Fort Worth, made that difficult. Not that Susan complained. Her girls were her life. She kept detailed baby books that showed every stage of their development. Even if she had just come home from a night shift, she would stand in front of her house, exhausted, waiting for the school bus with her daughters. Most evenings, she would give them a bath and sing songs like “You Are My Sunshine.” She treated the girls to Chuck E. Cheese’s for their birthdays, did craft projects with them, and took them shopping for clothes she could hardly afford. Her energy amazed those around her. “People would always say, ‘I don’t know if I could do that,’” said her mother, Patricia Andersen.
Susan’s routine was further complicated by her daughters’ medical issues. Six-year-old Heather had been diagnosed with attention deficit hyperactivity disorder and had been seen by doctors for breathing and blood sugar problems. Four-year-old Amy had been tentatively diagnosed with cystic fibrosis, a disease that affects the lungs and digestive system. Beth, who was almost three, was being treated for seizures and breathing problems and was often put in a wheelchair when she and her mother left the house.
In December 2006 Susan told doctors at Cook Children’s that Beth was suffering from abnormal stools, a frequent cough, and recurrent pneumonia—all symptoms of cystic fibrosis. Statistically, the odds of two half siblings—Amy and Beth have different fathers—being diagnosed with the rare and fatal genetic disease were remote; all three of the parents would have to be carriers, and even then each child would have only a one in four chance of developing CF. But the doctors’ fears seemed to be confirmed by a “sweat test,” which showed that Beth had elevated levels of chloride. Susan tried to look on the bright side of this devastating news. If doctors had an explanation for Beth’s symptoms, perhaps they could alleviate them.
But the little girl’s other problems worsened. Later that month, Susan wheeled Beth into Cook Children’s complaining that she had experienced an increasing number of seizures and would often turn blue. A physician team that included a pulmonologist, an infectious-disease specialist, a cardiologist, and a neurologist couldn’t pinpoint the cause of the attacks. Confounded, they admitted Beth to the hospital and hooked her up to an electroencephalogram ( EEG) machine to monitor seizure activity.
Meanwhile, questions were mounting about Beth’s cystic fibrosis diagnosis. A genetic screening test showed that Beth had no cystic fibrosis mutations, a result that didn’t rule out CF but certainly lessened the possibility. In fact, Beth’s pulmonologist, Karen Schultz, began to wonder if Beth really had all these problems. Perhaps, she thought, Beth’s problem was her mother, who Schultz was concerned had been misreporting Beth’s symptoms. To test this theory, Beth’s hospital room was equipped with a hidden video camera. (The girls’ names have been changed to protect their identities.)
During Beth’s weeklong stay, from December 28, 2006, to January 4, 2007, Susan visited whenever she had a free moment, rushing between home, work, and Beth’s bedside. Beth didn’t have any seizures on camera. Nor did the camera capture any strange behavior on Susan’s part. Then, just as Beth was due to be released, Susan told the nurses that Beth had had a seizure in the bathroom—when the girl had been disconnected from the EEG and was out of the camera’s range.
Susan had also made a curious remark a few days earlier. She told the nurses that she had seen Beth on a video screen at the security area near the emergency room. That was odd. The video monitor tracking Beth’s stay was located not at the easily accessible security area but in a separate, secure room. No one was sure how Susan knew about the monitoring, just as no one was sure if Susan had taken Beth into the bathroom to fake a seizure off camera. But now, it seemed, the suspicion was mutual.
Schultz and her colleagues weren’t alone in their skepticism of Susan. Since 2000, when Heather was first brought to the hospital with mysterious symptoms, a series of health professionals had crossed paths with Susan and suspected that something wasn’t quite right. Susan brought her daughters to numerous hospitals for a bewildering variety of ailments that doctors often could find no evidence of. She gave medical histories that didn’t seem to add up.
All of this came to a head roughly a year and a half after Beth’s admission to Cook Children’s, when Susan found herself in court, fighting to keep her children. During the proceedings, more than eight thousand pages of medical documents were introduced, dating as far back as the nineties (some of them tracked Susan’s own medical history). The paper trail of doctors’ uncertainties ran through hundreds of visits the family had made to physicians and emergency rooms. The evidence the jury heard was grim and, at times, lurid. Prompted by Susan’s reports of a host of symptoms and maladies, doctors had subjected the three girls to a staggering number of tests and medications and even a surgery.
Attorneys for the Department of Family and Protective Services painted a portrait of Susan that was in stark contrast to her image as a selfless parent. This Susan Hyde was someone else entirely, a mother who, for reasons perhaps not known even to her, had falsified a series of medical ailments that turned her daughters into pharmaceutical pincushions. The list of medications the girls had been prescribed was daunting: Phenobarbital, Klonopin, Albuterol, Atrovent, Xopenex, Tobramycin, Pulmicort, Trileptal, Flovent, and Adderall, to name a few.
Matthew Cox, a pediatrician at Children’s Medical Center in Dallas who assesses child abuse and neglect, had not treated or examined the girls but reviewed their records