The nature of this mistake is never revealed as Paul never shares any scenes with Sarah and instead becomes embroiled in a storyline with Dorian Lord and the Cramer family.
Aunt Betsy, an eccentric old spinster, has very specific ideas on what a "real Cramer" should be and feels that almost all the women in the family have abdicated their power and self-esteem to men.
A seemingly agreeable young man with his life in order, Paul is soon targeted for ruin by Dorian and her partner in crime David Vickers.
With Paul out of Betsy's favor, Dorian and David are free and clear to use Carlotta Vega's ward Adriana Colón to gain control of the Cramer wealth once and for all.
Paul, meanwhile, begins exhibiting shadier behavior, like working with Dr. William Long, then-Chief of Staff of Llanview Hospital, to sell organs on the black market, and blackmailing Jennifer Rappaport for sex using a tape of Rex Balsom and Jen's mother Lindsay in bed.
Paul's December 30, 2003 visit to his estranged secret wife Babe Carey on All My Children[3] ultimately leads to an extensive "baby switch" crossover storyline in 2004.
Paul stages a crash with his MEDEVAC helicopter and takes Babe's son for Kelly, who is desperate for a child to save her marriage after miscarrying her own.