Singer Jesy Nelson recently shared an emotional update regarding the complications she is experiencing in her pregnancy with twin babies. Former Little Mix singer Jesy, who is having twins with partner Zion Foster, announced that she has been diagnosed with pre-twin-to-twin transfusion syndrome (pre-TTTS). The condition, which is present in pregnancies involving twins with a shared placenta, has serious risks involved and needs intense medical supervision. As Nelson embarks on this difficult journey, her story enlightens us about a rare but dangerous condition many expectant parents may not know much about.
Twin-to-twin transfusion syndrome is a rare but dangerous condition that arises in monochorionic twin pregnancies, in which identical twins share a single placenta. The placenta supplies the developing babies with oxygen, nutrients, and blood flow, but in TTTS, there is an imbalance of blood vessels that interconnect the twins, and thus the vital resources are not evenly distributed. One twin, or the donor twin, shares excess blood with the other, referred to as the recipient twin. This leads to one baby becoming malnourished and possibly anemic, and the other in danger of heart problems due to too much blood.
Nelson described her diagnosis in a heartfelt Instagram video, explaining that she is currently in the pre-stage of TTTS and undergoing frequent monitoring. "I am being scanned twice a week, and each time, things have gotten a little worse," she shared, expressing her fears and hopes for the health of her babies.
If left untreated, TTTS can have devastating consequences. Medical research indicates that:
TTTS usually advances in stages, beginning with minimal changes in fluid levels and worsening as one twin continues to get an unequal share of blood. In extreme cases, fetal laser surgery, referred to as the Solomon technique, can be employed to divide the blood vessels and balance the twins.
Identical twins may develop differently, and their own unique form of placental sharing can have a dramatic effect on pregnancy risk. Jesy Nelson's twins are considered monochorionic diamniotic (mono/di), which means they share a placenta but have two amniotic sacs. This is the type of pregnancy in about 70% of identical twin pregnancies and carries an increased risk of complications like TTTS, umbilical cord entanglement, and growth restriction.
Conversely, dichorionic diamniotic (di/di) twins both have a separate placenta and amniotic sac, which greatly diminishes the threat of TTTS. Twin pregnancy type is normally identified by early ultrasound, with physicians being able to track future complications from inception.
Twin pregnancies, even without the presence of TTTS, entail a variety of health risks to the mother as well as infants:
Over 60% of twin pregnancies end in premature delivery, with birth usually taking place before 37 weeks. Premature infants can have immature organs and need neonatal intensive care (NICU) assistance to assist with breathing, feeding, and infection fighting.
Pregnant women with multiples are at increased risk of having high blood pressure during pregnancy. This, if left untreated, can result in preeclampsia, a serious complication of pregnancy that can result in damage to organs, preterm labor, and in some cases, maternal or fetal death.
Pregnant women carrying multiples are twice as likely to experience anemia, a condition where the body does not produce enough healthy red blood cells. This can lead to fatigue, dizziness, and complications during delivery.
According to John Hopkins Medicine, multiple birth babies are twice as likely to have congenital abnormalities compared to single births. These can include heart defects, neural tube defects, and gastrointestinal issues.
When twins have to share a placenta, they are more likely to have polyhydramnios (excess amniotic fluid) or oligohydramnios (not enough amniotic fluid). Both result in distress to the babies during fetal development and can result in premature labor.
Twins are at increased risk of excessive postpartum hemorrhage because their uterus is larger and there are greater blood supply needs.
Jesy Nelson's openness about her challenging experience is raising awareness for TTTS, a condition that few individuals—let alone expectant mothers and fathers—might be aware of. Through her tearful video, Nelson stressed the significance of knowing about twin pregnancies aside from the thrill of having multiples. "We had no idea that this type of thing occurs when you're having twins. We just desperately want to make people aware of this because there are so many people who aren't aware."
Her case reminds us of the intricacies involved in twin pregnancy and the significance of early identification and medical management. For mothers carrying twins, frequent ultrasounds and vigilance can become a life-and-death issue for early detection and better outcomes of both babies.
Through constant medical attention and care, she and her partner Zion Foster remain positive and get ready for their babies to be born. In other parents whose situations are no different, the story of Nelson highlights awareness, medical progress, and emotional encouragement in handling complicated pregnancies.
The expecting parents of twin siblings are advised to discuss TTTS screening and possible interventions with their physicians to give their babies the best chance.
Credit: AP
Illinois Governor JB Pritzker has once again claimed that US President Donald Trump is "suffering from dementia," an allegation the White House has strongly denied.
Speaking to CNN, Pritzker said Trump is "a different man" than he was a decade ago.
"Look, the man is continually suffering from dementia," Pritzker said. "I don't think he really understands what he's saying."
He added that Trump often makes statements without fully thinking them through.
"This is a man who has threatened to jail the mayor of Chicago, the governor of Illinois. He regularly threatens to go after people and, indeed, has used the Department of Justice to go after people," Pritzker said.
According to Pritzker, Trump has "concepts in his head" that he tends to blurt out without careful consideration.
He also urged people to compare Trump's public appearances from 2015 and 2016 with his recent speeches and press conferences.
"I really think that there's something genuinely wrong with him," Pritzker said.
However, Pritzker acknowledged that he is not medically qualified to diagnose the president.
'I'm Not a Doctor,' Pritzker, while criticizing what he described as Trump's increasingly disjointed speech patterns.
He said the way Trump "puts words and sentences together... they are almost divergent in the same sentences."
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Trump, who became the oldest US president in history after turning 80 this year, has faced growing public scrutiny over his health.
Recent public appearances have prompted speculation after observers noted swollen ankles, bruising on his hands, verbal slips and occasional episodes in which he appeared drowsy during meetings and international summits.
Some physicians have also publicly expressed concerns about the president's physical and cognitive health, although none have diagnosed him with dementia.
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A recently released book, Regime Change: Inside the Imperial Presidency of Donald Trump, claims the president's medical condition is among the administration's most closely guarded subjects.
Written by The New York Times White House correspondent Maggie Haberman and investigative reporter Jonathan Swan, the book is based on more than 1,000 interviews conducted over three years.
According to the authors, Trump now prefers shorter public appearances, seated events and staying close to the White House, unlike his extensive travel schedule during the 2024 presidential campaign.
The book also describes Trump as more of a "homebody" during his second term and claims staff members observed that he was sleeping less while spending early morning hours watching television, speaking on the phone and posting on Truth Social.
The White House dismissed the claims made in the book.
"President Trump's sharpness, unmatched energy, and historic accessibility stand in stark contrast to what we saw during the last administration when Democrats and the legacy media intentionally covered up Joe Biden's serious mental and physical decline from the American people," White House spokesperson Davis Ingle told the Daily Mail.
"President Trump is the sharpest and most accessible President in American history who is working nonstop to solve problems and deliver on his promises."
Meanwhile, Trump has also repeatedly rejected allegations of cognitive decline or other serious health issues.
His most recent annual physical examination concluded that he is "in excellent health."
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A 42-year-old woman in the UK recently shared the story of her decade-long battle with a parasitic brain infection called neurocysticercosis. Lowri Denman took a 3-month trip to India in 2007. Three years later, she passed a meter-long tapeworm that left her horrified. Years later, her health worsened in the worst way imaginable.
Despite avoiding meat on her trip, Denman picked up the infection after she ate pork that contained microscopic tapeworm eggs.
After the doctor gave her a clean bill of health, she began experiencing headaches and seizures. A doctor's consultation and several diagnostic tests revealed that she had 38 parasites in her brain. After confirming her neurocysticercosis diagnosis, her treatment ensued to which she responded well. She spent a few years in good health.
But after some time, she developed swellings on her brain around the parasites that caused various new symptoms in her body. She ended up quitting her job and moved with her parents for medical care.
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Treatment, medication, and psychological stress affected her physical appearance and mental well-being. She experienced paranoia, psychosis, severe anxiety, and panic attacks. She also spent six weeks in a neuropsychiatric hospital.
After years of recovery, Lowri regained normalcy and returned to work in 2022. Her case turned out to be rare, went on to be discussed by many experts in the UK and the US.
Lowri did not have any surgery to remove the parasites from her brain. The parasites have now calcified in her brain. She will remain on epilepsy medication for the rest of her life.
Lowri is now determined to spread awareness about the disease using her experience.
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Neurocysticercosis is a parasitic brain infection that also affects the spinal cord. It is caused by the larval stage of the pork tapeworm, Taenia Solium. It is the leading cause of acquired epilepsy in several underdeveloped and developing nations.
Neurocysticercosis occurs when a person swallows tapeworm eggs, usually through food or water contaminated with feces from someone carrying the adult tapeworm. The eggs then hatch in the body, travel through the bloodstream, and form cysts in the brain.
The symptoms of neurocysticercosis depend on the basis of the size and number of the cysts. They include:
Its prevention includes maintaining good hand hygiene, ensuring proper sanitation and sewage disposal, consuming thoroughly cooked pork, and identifying and treating people who carry the adult tapeworm. Preventing pigs from accessing human feces is also a preventative measure.
Although neurocysticercosis is uncommon in many developed nations; it still occurs, especially in people who have lived or traveled to regions where the parasite is endemic.
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At least 17 US states have reported cases of watery diarrhea, nausea and fatigue caused by the parasite Cyclospora cayetanensis.
According to the US Centers for Disease Control and Prevention (CDC), 145 people aged between five and 86 contracted the parasite between May 1 and June 16.
Twenty of those infected have been hospitalized. The infections have been reported across 17 states, with the highest number of cases recorded in New York.
"Local, state and federal (CDC, FDA) public health authorities are investigating several clusters of cases in more than one state. Investigations to identify potential sources are ongoing," the CDC said in its update on the outbreak.
New York has reported the highest number of cases, with between 31 and 80 infections, according to The Independent. Illinois and Texas have each reported between 11 and 30 cases. Other affected states include:
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Cyclospora infections usually increase during the summer months, and the CDC considers May 1 through August 31 to be the peak cyclosporiasis season. No deaths have been reported in the current outbreak.
As of June 16, the CDC had also recorded 45 travel-related cases of cyclosporiasis among people who became ill after consuming contaminated food or water outside the United States.
Three of those patients were hospitalized, but no deaths have been reported.
Health officials believe the current outbreak is linked to contaminated food consumed within the United States. Most of the affected patients had not travelled outside the country before becoming ill.
The officials are still working to identify the specific food item responsible for the outbreak.
Cyclospora cayetanensis is a parasite that leads to the illness Cyclosporiasis -- a form of food poisoning.
One can get a Cyclospora infection from contaminated food or water. It causes watery diarrhea and other intestinal symptoms.
A Cyclospora infection can be mild or very serious, and may last weeks or months. It is typically treated with antibiotics.
People with weakened immune systems, such as those with HIV/AIDS or cancer, are more at risk of severe disease.
Symptoms of cyclosporiasis usually start within a week of exposure (eating or drinking contaminated food or water) and include:
While it is not yet fully understood how Cyclospora gets into food and water, individuals can prevent cyclosporiasis by not consuming food or water that may be contaminated with feces.
The US CDC advises people to take measures to prevent the foodborne illness such as:
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