Children of all ages wandered around them, each bearing the scars of a catastrophic event. The oldest, a girl of about 14, walked with such severe scoliosis that her torso was practically bent to the side. Two boys, twins judging by their identical features, had feet so severely deformed that they had to drag themselves across the floor.
The youngest child had toes fused into shovel-shaped growths. Another child’s skull was so deformed that Garrett wondered how his brain could function. Yet it worked. The children talked, participated in household chores, and demonstrated awareness and personality, despite their severe physical disabilities.
Garrett spent three hours administering tests with parental consent, filling his notebook with increasingly disturbing observations. Each child had numerous abnormalities. Some suffered from skeletal deformities associated with dislocation of organs, which, given their history, were unacceptable for their survival.
Others showed symptoms of illnesses he had only heard of in the most obscure medical textbooks. The parents, though cooperative, seemed resigned, as if they had long ago accepted that their children would never be normal. As night fell, and Garrett was about to leave, his mother asked him a question that would haunt him for years.
Could medicine explain why God had cursed them this way? The doctor had no answer. He had seen many things in his career, but nothing had prepared him for a family where genetic catastrophe seemed to be the rule, not the exception. Dr. Garrett returned to his office, obsessively wondering how such a relationship could have come about.
In the following weeks, he interviewed the parents individually, uncovering stories that were case studies in medical incompetence. His mother, whom he listed in his notes as Sarah Pennington, was born in Cincinnati, Ohio, in 1871. Medical records from the Cincinnati Children’s Hospital, which Garrett later obtained through correspondence, confirmed the diagnosis made at age three.
Primordial dwarfism, a condition so rare that fewer than twenty cases have been recorded in the American medical literature, was a constantly evolving case. Doctors examined every aspect of his development, discovering that while his mental abilities seemed normal, his body refused to grow beyond the size of a small child.
By age 12, he had reached his final height of 1.19 meters (4 ft 1 in). The records also revealed a darker side to his life. Her family, unable to cope with their daughter’s curiosity and cruelty, eventually entrusted her to a religious charity at age 15. This Louisville, Kentucky-based organization operated a home for people with disabilities or those unable to support themselves.
It was there, in 1888, that Sarah met the man who would become her husband. According to county records, his name was Benjamin Caldwell, and his medical history was equally peculiar. Benjamin was born in 1865 to a family
