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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.
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.
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".
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.
Credit: AI
What if staying younger has less to do with expensive anti-aging products and more to do with spending time appreciating the culture. A new study suggests that regular cultural outings may be linked to slower biological aging.
Expect an unexpected addition to the list of healthy lifestyle habits. Researchers recently found that older adults who frequently visited museums, theaters, cinemas, concerts, and art galleries physically functioned as if they were about three years younger than those who didn’t take part in such activities.
Published in the Journal of Epidemiology and Community Health, the researchers say that cultural interaction appears to be associated with a younger physiological age, although the study does not prove that cultural activities directly contribute to slow aging.
The study analyzed data from 1,899 adults aged 50 years and older who participated in the English Longitudinal Study of Ageing. Participants reported how often they:
Researchers also assessed 10 health indicators, including:
These measures were combined to ascertain each participant's physiological age.
People who participated in cultural activities every few months or more had an average physiological age of 66.9 years, compared with 69.9 years among those with lower levels of cultural engagement, a difference of roughly three biological years.
The researchers also found that every one-point increase in a person's cultural engagement score was associated with approximately a 31-day reduction in physiological age, even after accounting for income, employment, and chronic health conditions.
Although the study wasn't designed to identify a direct cause, the researchers suggest several possible explanations that can help reduce biological age. Cultural activities may help:
Interestingly, the researchers noted that the association between cultural engagement and slower aging was comparable to the benefits seen with frequent physical activity, highlighting that healthy aging may involve much more than exercise alone.
The latest findings add to a growing body of research suggesting that spending time on cultural activities may benefit both the brain and the body as people age.
Previous studies have found that older adults who regularly visit museums, art galleries, theaters, concerts, and similar cultural spots may have a lower risk of dementia, experience slower cognitive decline, and even live longer than those who rarely engage in such activities.
For example, a 2019 study published in The BMJ reported that adults over 50 who participated in cultural activities every few months or more had a 31% lower risk of death during a 14-year follow-up compared with those who never took part.
Another study from University College London found that frequent museum visits were associated with a reduced risk of developing dementia over the following decade.
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The growing trend of medical tourism or cosmetic tourism has become increasingly popular in the age of social media. The dramatic before-and-after results, the thrill of returning home with a new look, and a quenched wanderlust have only contributed to this trend.
While the appeal is evident, we cannot help but ignore the risks and complications one can face while traveling overseas for a cosmetic procedure. On World Plastic Surgery Day, take a look at what you are in for if you are planning to fly off for a procedure.
One of the biggest reasons why people travel abroad for cosmetic procedures is the cost. Procedures like liposuction, tummy tucks, breast enhancement, rhinoplasty, and dental veneers can cost almost 30% to 70% less in some countries than in the United States, United Kingdom, or Australia.
Many cosmetic packages also come with other attractive deals like luxury recovery packages, airport transfers, and hotel stays, combined vacation and surgery experiences, among others.
For some patients, these deals make cosmetic procedures more affordable and convenient. However, lower prices do not always necessarily mean lower quality. But the concern is that patients do not adequately evaluate the standards of clinics before they travel.
Also read: Plastic Surgery Myths Debunked: Experts Explain Cosmetic vs Reconstructive Surgery
Here are some risks and complications that one ought to be aware of before booking those flight tickets.
Patients who fly home too soon may experience wound breakdown, excessive swelling, or bleeding that requires urgent medical attention.
Dr Banodkar says, “Unqualified practitioners, who perform these procedures, may not be adequately trained; they might cause a permanent scar on the skin, or they might even cause a simple infection of the skin that can result in sepsis.”
Every surgery carries the possibility of asymmetry, scarring, implant problems, or the need for revision surgery due to unqualified or unskilled practitioners. This could incur hidden costs of corrective surgeries.
Dr. Pravin Banodkar, Consultant Dermatologist, Saifee Hospital, Mumbai, told HealthandMe, “There are hidden costs of any corrective treatment which can obviously be much more than what is actually spent for the procedure.”
Many cosmetic procedures require multiple follow-up visits, wound checks, suture removal, and monitoring complications.
Patients returning home shortly after surgery may have limited access to the operating surgeon. Local doctors may also be unfamiliar with the exact techniques or implants used, making management more challenging.
Also read: How Reconstructive Plastic Surgery Transforms Lives After Trauma And Cancer
Dr Banodkar explains, “Many times, the people who are not trained don't know how to manage complications, and as a result, they are unable to diagnose the problem. Due to this, the adverse effects of the procedure will only increase.”
If complications occur, seeking compensation or legal action across international borders can be difficult and expensive, as medical regulations, malpractice laws, and patient protections vary widely between countries.
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For years, the word "cancer" filled people with fear. Many still believe that a cancer diagnosis means the end. As an oncologist practicing in a Tier-2 city, I see every day that this is no longer true.
With early detection and modern treatment, cancer is now often curable. And the best part: you no longer need to travel to metros to get world-class care.
Cancer found early is cancer that can be treated easily.
- Breast cancer detected early has a survival rate of over 90%
- Cervical cancer can be prevented with a simple HPV vaccine and regular screening
- Oral, colon, lung, and prostate cancers also respond far better when caught before they spread
The problem: Most patients still come to us when symptoms become severe.
My request to you: Don’t wait. If there is a lump, persistent cough, bleeding, or unexplained weight loss for more than 2-3 weeks, please see a doctor. A 15-minute screening can add years to your life.
Also read: New Painless Brush Test Detects Oral Cancer In Just 60 Minutes With Over 90% Accuracy
Earlier, patients from smaller cities had only two options: travel repeatedly to big metro hospitals or settle for limited local treatment. Both were exhausting.
That has changed.
Today, most Tier-2 cities now have comprehensive cancer centers with:
CT/MRI/PET scans, advanced pathology labs, chemotherapy daycare, radiation therapy, and experienced cancer surgeons.
This means diagnosis, surgery, chemotherapy, immunotherapy, and follow-up can all happen close to your home, with family support and at a lower cost.
Chemotherapy is still important, but it’s no longer the only option.
1. Targeted Therapy: Medicines that attack only cancer cells based on genetic testing. Fewer side effects.
2. Immunotherapy: Boosts your own immune system to fight cancer. Giving great results in lung cancer, kidney cancer, and blood cancers.
3. Advanced Radiation: Delivers precise radiation to the tumor while protecting healthy organs.
4. Minimally Invasive Surgery: Keyhole and robotic surgeries mean smaller cuts, less pain, faster recovery. Even elderly patients can now safely undergo surgery.
Also read: Cancer Kills Over 26,000 Daily; Cases to Hit 35 Million by 2050, Says WHO Report
Myth 1: "Cancer always causes pain in the beginning"
Fact: Most early cancers are painless. Don’t wait for pain.
Myth 2: "Surgery makes cancer spread"
Fact: This is false. Surgery is often the most curative treatment when done on time.
Myth 3: "Alternative therapies can cure cancer"
Fact: Diet, yoga, and wellness help with strength and side effects. But they cannot replace doctor-prescribed treatment. Delaying proven treatment reduces your chances of cure.
A cancer diagnosis will change your life, but it does not have to end it. Across Tier-2 India, I am seeing patients go back to work, celebrate birthdays, and live full lives after cancer.
The key is 3 things: Awareness, Early Check-ups, and Trusting Modern Medicine. If you or a loved one has symptoms, please consult an oncologist early. Treatment closer to home is now possible, effective, and affordable. Cancer can be fought. And it can be won.
By Dr. Vikas Talreja, Oncologist, Regency Health, Kanpur
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