Sunday, March 12, 2017

Almost home! Twins born conjoined at the sternum have a party to celebrate moving to rehab facility near their home 3 months after risky separation surgery

It was one of the riskiest separation surgeries ever performed.


But now – three months later doctors have described Eva and Erika Sandoval digestive tract, uterus, liver, bladder, pelvislegs and the third-the girls leave the hospital in Palo Alto. On Friday, the hospital published a photo of the twins two years eating cake at a party celebration, while ready to move to a rehabilitation center at UC Davis in Sacramento, his hometown near Antelope. They will remain there for several weeks before finally being able to home. ' Erika and Eva are really great, ' said the child surgeon Gary Hartman, MD, Professor of surgery at Stanford University School of medicine, who led a team of 50 people that they separated the twins on 17 hours of operation and continue to recovery. ' the girls had grown only in terms of personality,' he said. "They are very interesting and talkative. ' at a farewell partythe hospital March 6, parents art and Aida Sandoval excited. '" I'm on the Moon ', says Aida. ' It is still surreal to see them apart, knowing that they still like two individual body. Now just hope their next chapter to begin, and indescribable anticipation. ' Eva run out of kids Packard on Thursday, March 9 after a three-month period of drugs that their doctors monitored the condition of the injured place of separation.For a while, the plastic surgery team think he might need a skin graft, but the wound is healing well now Eva, and you do not have to graft.Erika healed more quickly, allowing you to download older Packard on February 13, when he left the hospital for the first time since separation. However, Erika is not to be entered into on 4 March to overseesome vomiting which is continuously for several days. In addition to this a bump in the road for the last few months, the two girls have received physical therapy and at Packard children help them to learn new patterns of movement are suitable for their individual body. They have also participated in the play therapy to help them adapt psychologically to separation. ' Girls don't seem to have a problem of adjustment, ' says child psychiatrist Packard Michelle Goldsmith, MD, who has worked with the sisters. ' The second rolling properly. happens very ' healing process even has its share of moments of light, said Aida.' The other day, Eva said "walk", and I told him "walk". I told him, you have feet and her sister have the other foot. And then I pointed out to him that he has one foot, and Erika had the other foot. He pointedto the Erika across the room and said, ' Erika take! Erika took my feet! ' At UC Davis children's Hospital, the nanny of twins focus on helpingmothers and nurses home care learn to keep them safe at home andcontinue to build skills that girls still needed, such as eating by mouth. As a baby, Erika and Eva required feeding tubes. They still receive the majority of nutrients through a nasogastric tube. UC Davis team will also use special equipment to enhance mobility of girls. Before theseparation, the anatomy of the twins is like two people at the sternum, gradually merging almost to one below the diaphragm. They have a total of three legs, one of which is not possible to always functional. The third phase of the matting used as part of a surgical reconstruction of the Erika, which means that each of the twins now have one leg. The second girl is now sitting on his own for a brief period and willhave to learn how to use a custom wheelchair to move. Since each lack pelvic bone on the side without legs, it is not clear whether they will be able to receive false feet in the future. But whether or not to use a prosthesis, physical and occupational therapy will help them get more independence. "Increase Your functional mobility is going to be very important that they continue to adapt to their new bodies," said Kelly Andrasik, an expert in occupational therapy that has workedwith the twins at Packard Children's. ' Special equipment offering inpatient rehabilitation as Davis is really going to help them with this. ' Erika and Eva will continue to receive regular check-ups with Hartmanand the caregivers of children who went to the Packard deer. ' they performed very well and ready to go, ' said Hartman. ' It is a great thing for everybody on our team see. ' The girl, in antelope, Californiabegan their journey to the operation for many years, since they began to suffer countless infections, Erika become dangerously weak. On 6 December, in one of the risky separation surgery jam






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