During Mia’s time as an art student in New York City, Joseph Ryan, a wealthy Manhattan lawyer, spotted a young Mia on the subway and was struck by her resemblance to his wife. He and his wife Madeleine offered Mia ten thousand dollars to serve as a surrogate for them—they’d been unable to conceive a child for many years. Mia, desperate for money to pay her art school tuition, accepted their offer, became pregnant, and was soon moved into a private studio apartment and lavished with gifts and attention. After her brother’s death, Mia wrote the Ryans a note telling them she’d lost the baby, left nine hundred dollars to pay them back for all of her medical appointments, and ran away in the night to San Francisco, where she soon thereafter gave birth to Pearl.