Imagine this. A young teenager, 17, years old, who is fully developed. Now imagine this, the same teenager has a fully developed extra set of limbs and a pelvis. That extra set of pair is attached with chest artery. But, how can this happen?

While it is extremely rare, and has a chance of less than one case occurring per 100,000 births. Such things do happen. This is called parasitic twin.

What Is A Parasitic Twin?

It is an extremely rare type of cojoined twin where a baby is born with an underdeveloped twin attached to its body. This condition is also known as vestigial twins. The condition is very closely related to conjoined twins, where babies are connected at birth and share organs. However, the main difference is that in conjoined twins, there are two developed babies, whereas in parasitic twins, only one is fully developed, other one is underdeveloped and non functional.

In such a case, the twin who is developed is medically known as the autositic or the dominant twin. The dominant twin is healthy in most aspect but may have extra tissue, organs, or limbs from the parasitic twin.

The parasitic twin may be attached with the dominant twin through several places. The common joints are at the head, torso, chest, pelvis, buttocks, or back. In these cases, the parasitic twin is not alive and they die either in the womb or during the childbirth.

Doctors Remove Parasitic Twin

Now, let's go back to the case we referred to, where a young teenager had an extra pair of limbs attached to chest. The teenager who has not been named is from Uttar Pradesh's Unnao neighbourhood, and was treated in AIIMS, Delhi. The team of doctors successfully removed the extra set of limbs from his body.

Dr Asuri Krishna, who led the team of specialist who surgically removed the extra limbs told the BBC that only 40 to 50 cases of parasitic twins have been documented in world medical literature, and in those cases, the surgery had been attempted on children. The doctor said that without much medical literature to guide them, the team of doctors depended on "intuition, skill and knowledge".

The doctor shared that the child had two fully formed legs, buttocks and external genitalia, which weighed around 15kg "protruding from his abdomen".

How Was The Surgery Performed?

The doctor shared that first they identified how interconnected the parasitic and host twins were. The doctors took scans and found that parasitic twin was attached to the teen's breastbone. The blood was being supplied from a vessel in his chest. However, "there wasn't much connection with other main organs like the liver or kidneys," said Dr Krishna. The team also found a large cyst in the teen's abdomen.

Then the surgery was performed in two stages. In the first stage, the parasitic twin was removed. Then the cystic mass was extracted from the surrounded area. The entire surgery was completed in two and a half hours and the team of doctors included radiologists, anaesthetists, and plastic surgeons.

The biggest challenge was when the teen's blood pressure dropped as 30 to 40% of his blood flowed to the parasitic twin, however, the doctors were prepared for it and they stabilized him.

This common pregnancy drug could be linked to cancer. Wes Streeting has been urged to launch a public inquiry into a miscarriage drug called Diethylstilbestrol, which, reports say has "ruined and devastated" the lives of countless women. On Monday, the Health Secretary Streeting met victims of the pregnancy drugs, which has been linked to cancer, early menopause and infertility.

What Is Diethylstilbestrol?

Diethylstilbestrol, commonly known as DES, is a synthetic form of female hormone estrogen, which was prescribed to thousands of pregnant women from 1940 to 1970s.

The drug was used to prevent miscarriage, premature labor and complications of pregnancy. This was also used to suppress breast milk production, as an emergency contraception and to treat symptoms of menopause.

What Is The DES Controversy?

In 1971, Diethylstilbestrol (DES) was linked to a rare cancer of the cervix and vagina known as clear cell adenocarcinoma, prompting US regulators to advise that it should no longer be prescribed to pregnant women. Despite this, the drug continued to be given to expectant mothers across parts of Europe until 1978. DES has also since been associated with other cancers, including breast, pancreatic and cervical cancers, The Telegraph reported.

Campaign group DES Justice UK (DJUK) is now urging Health Secretary Wes Streeting to order a public inquiry and introduce an NHS screening programme to identify people who may have been exposed to the drug before birth.

Victims described DES as “one of the biggest pharmaceutical scandals this country has ever seen,” warning that “the impact of this terrible drug cannot be underestimated as it has ruined and devastated so many lives,” according to The Telegraph.

In November, Streeting acknowledged that the “state got it wrong” and issued an apology to those affected. He also advised anyone who believes they may have been exposed to DES to speak to their GP.

Susie Martin, 55, from Manchester, whose mother was prescribed DES during pregnancy, told The Telegraph she has undergone between 20 and 30 operations as a result of the drug’s effects.

“The impact of this terrible drug cannot be underestimated as it has ruined and devastated so many lives, including my own,” she said. “The physical and emotional pain has been unbearable. I live with a constant fear that I will need more surgery or develop cancer—and I am far from the only one.”

Calling DES a “silent scandal,” Martin said she hopes the government’s engagement will lead to concrete action. “While I welcome Mr Streeting meeting us, it will only matter if he commits to meaningful steps for victims of this shameful chapter in British medical history, including a screening programme and a full statutory public inquiry,” she added.

What Is Happening With The DES Victims?

The Telegraph reported that compensation schemes have been set up for DES victims in the US and Netherlands, however, UK does not have one yet.

"There are harrowing accounts of harm caused by the historic use of Diethylstilbestrol (DES). Some women and their relatives are still suffering from the associated risks of this medicine which have been passed down a generation, and haven’t been supported. The Secretary of State has been looking seriously at this legacy issue and carefully considering what more the government can do to better support women and their families who have been impacted. NHS England has alerted all cancer alliances to this issue so that healthcare professionals are aware of the impacts of DES and the existing NHS screening guidance which sets out the arrangements for those who show signs and symptoms of exposure,” said a Department of Health and Social Care spokesman to The Telegraph.

The World Health Organization (WHO)'s Montreal meeting focused on wearable technology like smartwatches and activity trackers as a reliable source of health tracking. The meeting discussed that wearables could in fact generate objective real-time data, which helps governments design targeted and evidence-based health interventions.

Physicians in the Montreal meetings discussed that wrist-worn devices are more reliable than traditional self-reported surveys. This is because the self-reported surveys could underestimate the levels of physical inactivity.

“Metrics such as step count, moderate-to-vigorous physical activity and sedentary time directly correlate with cardiovascular disease, diabetes and mental health outcomes. Having population-level data allows for early and preventive strategies,” said Dr Venkat Nani Kumar, consultant in internal medicine.

WHO Montreal Meeting: How Have Doctors Reacted The Shift To Wearables?

Doctors in India have welcomed this shift to wearable devices as a better way to generate data and make policies. Dr Kiran Madhala, professor at Gandhi Medical College, Secunderabad, said WHO’s shift reflects rapid advances in artificial intelligence and digital health tools, calling it a progressive step towards improved monitoring of physical activity worldwide.

City-based doctors also underlined the need for inclusive validation of devices. “Wearables must recognise varied movement patterns and step equivalents, especially in ageing populations,” a physician said, while stressing the importance of data privacy and ethical use of health information.

WHO Montreal Meeting: What Are Wearable Health Devices?

As per a 2022 study published in JMIR MHealth and UHealth, wearables refer to devices that are worn by individuals. In health care field, they assist with individual monitoring and diagnosis. Wearables are “seamlessly embedded portable computers...worn on the body," notes another 2018 study published in Telematics Informatics.

A 2018 study published in the journal Sensors noted that wearable health devices are increasingly helping people to better monitor their health status both at an activity/fitness level for self health tracking and at a medical level providing more data to clinicians with a potential for earlier diagnostic and guidance of treatment.

WHO Montreal Meeting: What Are Some Examples Of Wearables?

Blood Pressure Monitor

This is a blood pressure monitor that consists of a cuff that is placed in upper arm with a digital display that provides real time reading of systolic and diastolic blood pressure.

Glucose Monitoring Device

This device estimates your glucose levels in every few minutes. It can be worn in upper arm, with a phone sensor connected to measure readings. It also includes real time glucose alarms to make informed decisions.

Wearable ECG Monitor

ECG patches are interconnected with smartphones, where one can see their readings. They not only measure electrocardiograms, but also detect any abnormalities.

Fitness Tracker

Smartwatches or fitbits that could be worn on your wrist. They help track real time data of your health, steps, heart rate, calorie consumptions, and even sleep patterns. It can also help keep track of oxygen levels.

Integrated Activewear

These activewears come with microscopic sensors to safeguard wearer's body or assist them in reaching their fitness objective.

Epilepsy affects more than 15 million people in India, yet it remains one of the most misunderstood neurological conditions. Despite being a treatable brain disorder, fear, stigma and long-standing myths continue to delay diagnosis and care, especially in smaller towns and rural areas. Doctors say this lack of awareness often causes more harm than the condition itself.

According to the World Health Organization (WHO), nearly 50 million people worldwide live with epilepsy, making it one of the most common neurological disorders. The WHO also estimates that up to 70 per cent of people with epilepsy can live seizure-free if properly diagnosed and treated. Yet, in low- and middle-income countries, almost three-fourths of patients do not receive the treatment they need.

What Really Happens During a Seizure

Dr Madhukar Bhardwaj, Director and Head of Neurology at Aakash Healthcare, explains that epilepsy occurs due to a sudden disturbance in the brain’s electrical activity. “A seizure happens when the brain’s electrical signals stop working normally for a short time,” he says.

This can cause a wide range of symptoms, from jerking movements and falling unconscious to staring spells or brief confusion. “Some seizures last just a few seconds and may go unnoticed, while others can be severe,” Dr Bhardwaj adds.

Breaking Dangerous and Persistent Myths

Despite medical clarity, myths around epilepsy remain deeply rooted. Dr Bhardwaj points out that many people still believe epilepsy is caused by ghosts, black magic, or divine punishment. “Others think it spreads by touch or that people with epilepsy cannot study, work or get married,” he says.

One of the most dangerous misconceptions is putting an object into a person’s mouth during a seizure. “This is completely false and can seriously injure the patient,” Dr Bhardwaj warns. Doctors stress that epilepsy should be treated like any other chronic condition, such as diabetes or high blood pressure, not as a social taboo.

Understanding the Real Causes of Epilepsy

Dr Neha Kapoor, Associate Director and Head of Neurology at Asian Hospital, says epilepsy does not have one single cause. “In many cases, we are unable to find an exact reason,” she explains. However, known causes include genetic factors, head injuries from accidents, brain infections like meningitis, strokes, and other forms of brain damage.

In children, epilepsy may result from lack of oxygen at birth or abnormal brain development before birth. Dr Kapoor also clarifies a common misunderstanding: “Stress, lack of sleep, and alcohol can trigger seizures, but they are not the root cause of epilepsy.”

Why Epilepsy Often Goes Undiagnosed

Not all seizures look dramatic, which leads to frequent delays in diagnosis. “Not all seizures involve shaking,” says Dr Praveen Gupta, Chairman at Marengo Asia International Institute of Neuro and Spine (MAIINS). “Some look like daydreaming or sudden confusion, which is why epilepsy is often missed.”

Dr Gupta notes that many patients reach specialists very late due to fear and misinformation. “With timely treatment, most people with epilepsy can live completely normal lives,” he says.

Advanced Treatment and Surgical Options

Nearly 70 per cent of epilepsy patients can control seizures with regular medication, according to doctors. For those who do not respond to medicines, known as drug-resistant epilepsy, advanced treatment options are now available in India.

“Epilepsy surgery is being used successfully,” Dr Gupta explains. “We carefully identify the part of the brain causing seizures and treat it safely. This can greatly reduce or even stop seizures.” He adds that modern surgical and neuro-robotic techniques are changing outcomes and offering renewed hope.

Addressing Sexual Health and Quality of Life

Epilepsy can also affect aspects of life that are rarely discussed, including sexual health. Dr Vineet Malhotra, Principal Consultant at SCM Healthcare, says seizures, stress and some anti-seizure medications may impact energy levels, hormones and sexual desire in men.

“However, these issues are manageable,” Dr Malhotra says. “With counselling, lifestyle changes and medication adjustments, patients can lead healthy, active and fulfilling lives.”

Doctors agree that awareness, early diagnosis and breaking myths are key to ensuring epilepsy is treated as what it truly is, a manageable medical condition, not a social label.