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Conjoined twin, Anias and Jadon McDonald, joined at the head successfully separated in epic surgery -Veteran surgeon almost stopped half-way through marathon op

&Tab;&Tab;<div class&equals;"wpcnt">&NewLine;&Tab;&Tab;&Tab;<div class&equals;"wpa">&NewLine;&Tab;&Tab;&Tab;&Tab;<span class&equals;"wpa-about">Advertisements<&sol;span>&NewLine;&Tab;&Tab;&Tab;&Tab;<div class&equals;"u top&lowbar;amp">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;<amp-ad width&equals;"300" height&equals;"265"&NewLine;&Tab;&Tab; type&equals;"pubmine"&NewLine;&Tab;&Tab; data-siteid&equals;"109460728"&NewLine;&Tab;&Tab; data-section&equals;"1">&NewLine;&Tab;&Tab;<&sol;amp-ad>&NewLine;&Tab;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;<&sol;div><h4><strong><span style&equals;"color&colon;&num;1a0303&semi;">The McDonald twins&comma; 13-month-old Anias and Jadon&comma;  conjoined at the head&comma; finally separated in surgery performed at Children’s Hospital at Montefiore Bronx&comma;  NY <&sol;span><&sol;strong><&sol;h4>&NewLine;<h4><strong><span style&equals;"color&colon;&num;1a0303&semi;">Veteran neurosurgeon&comma; Dr James Goodrich led team that performed 20-hour op which they almost stopped half-way through&comma; because the boys shared a lot more brain tissue than expected<&sol;span><&sol;strong><&sol;h4>&NewLine;<p><span style&equals;"color&colon;&num;1a0303&semi;"><strong>Anias still in surgery on Friday morning&comma; faces physical disabilities&comma; <&sol;strong><strong>Jadon out of surgery and doing well<&sol;strong><&sol;span><&sol;p>&NewLine;<div id&equals;"articleIconLinksContainer"> <img class&equals;"alignnone size-full wp-image-83245" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;happy-faces-anias-and-jardon-before-surgery2&period;jpg" alt&equals;"Happy faces&comma; Anias and Jardon before surgery2&period;jpg" width&equals;"634" height&equals;"357" &sol;><&sol;div>&NewLine;<h6><strong>Happy twins&colon; &&num;8216&semi;Cool&&num;8217&semi; Anias and &lpar;rumbustious&rpar; Jadon McDonald before their surgery<&sol;strong><&sol;h6>&NewLine;<div>&NewLine;<p>Conjoined 13-month-olds Jadon and Anias McDonald were successfully separated Friday morning after more than 16 hours of surgery at the Children’s Hospital at Montefiore Medical Center in The Bronx&comma; New York&period;<br &sol;>&NewLine;Anias and Jadon are recovering after their life-threatening operation on Thursday&period; This procedure is so rare that it was only the 59th craniopagus separation surgery in the world&comma; since 1952&period;<br &sol;>&NewLine;According to their surgeon&comma; Dr James Goodrich&comma; it is incredible they made it this far&period;<br &sol;>&NewLine;The twin boys w born via cesarean section last September near Chicago&comma; Illinois&period;<br &sol;>&NewLine;were attached by the crown of the head&period; Their parents Nicole&comma; 31&comma; and Christian McDonald&comma; 37&comma; believe they are perfect<br &sol;>&NewLine;Based on national statistics for craniopagus twins&comma; Anias and Jadon have defied significant odds to come this far and made it to 13 months&period; Around 40 per cent are stillborn&comma; with a third of survivors succumbing within 24 hours of birth&period; If they survive beyond that point&comma; there is still an 80 per cent risk&comma; craniopagus twins would die before the age of two if they are not separated&period;<&sol;p>&NewLine;<p><img class&equals;"alignnone size-full wp-image-83255" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;nicole-and-christian-chat-with-their-conjoined-twins-anias-and-jardon2&period;jpg" alt&equals;"Nicole and Christian chat with their conjoined twins Anias and Jardon2&period;jpg" width&equals;"634" height&equals;"476" &sol;><&sol;p>&NewLine;<h6><strong>Nicole and Christian McDonald made the brave decision to go for the risky surgical procedure to give their boys a shot at normal life<&sol;strong><&sol;h6>&NewLine;<p>Brave parents&comma; Nicole and Christian&comma; made the tough decision to go for the surgery despite the possibility of death or long-term brain damage for one or both of their twin sons&period;<br &sol;>&NewLine;Dr&period; James Goodrich&comma; a neurosurgeon who specializes in the separation of twins conjoined at the cranium&comma; led the operation&period; Their parents Nicole and Christian&comma; sat in the waiting room the whole time&period;<br &sol;>&NewLine;At 3 a&period;m&period;&comma; he informed the McDonald  family of the actual separation &OpenCurlyDoubleQuote;Well&comma; we did it&comma;” said Goodrich&comma; a veteran of six previous separation surgeries&period;<br &sol;>&NewLine;However by 6 a&period;m&period;&comma; the boys were still undergoing surgery to reconstruct their skulls&period;<br &sol;>&NewLine;Jadon was the first of the boys to be finished&period; He was wheeled out of the operating room around 7&colon;40 a&period;m&period; on a stretcher&comma; and taken to the pediatric intensive care unit where he was reunited with his teary&comma; overcome parents&comma; Nicole and Christian&period;<br &sol;>&NewLine;As of 8 a&period;m&period;&comma; Anias was still undergoing surgery&period;<br &sol;>&NewLine;Half way through the operation&comma; the veteran neurosurgeon and his team contemplated stopping the procedure altogether when they discovered the boys shared far more brain tissue than they had expected &&num;8211&semi; despite using 3-D imaging for the pre-op preparations&period;<&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<div id&equals;"share-pictures-1" class&equals;"share-pictures-overlay"><img class&equals;"alignnone size-full wp-image-83249" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;anias-and-jardon-in-surgery3&period;jpg" alt&equals;"Anias and Jardon in surgery3&period;jpg" width&equals;"634" height&equals;"357" &sol;><&sol;div>&NewLine;<h6 class&equals;"share-pictures-overlay"><strong>A<&sol;strong><strong>nias and Jadon went through marathon surgery &comma; beginning early Thursday morning to late Friday morning to separate the brain tissue that conjoined them at birth<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<p class&equals;"imageCaption"> <img class&equals;"alignnone size-full wp-image-83251" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;jardon-mcdonald-recuperating-after-surgery1&period;jpg" alt&equals;"Jardon McDonald recuperating after surgery1&period;jpg" width&equals;"634" height&equals;"499" &sol;><&sol;p>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<h6><strong>Jadon &lpar;pictured&rpar;&comma; is recovering in his ward on Friday&period; His twin&comma; <strong>A<&sol;strong><strong>nias was still in surgery late on Friday morning since he was more affected by the separation of their brain tissue<&sol;strong><&sol;strong><&sol;h6>&NewLine;<p><img class&equals;"alignnone wp-image-83489" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;anias-mcdonald1&period;jpg" alt&equals;"Anias McDonald1&period;jpg" width&equals;"583" height&equals;"955" &sol;><&sol;p>&NewLine;<h6><strong>Anias &lpar;pictured&rpar;&comma; now out of surgery  also recovering in his ward on Friday&period; <&sol;strong><&sol;h6>&NewLine;<p>Hardest hit by the surgery is Anais&period; reports have it that with every cut&comma; his heart rate and blood pressure plummeted&period; Eventually the team found an opening and successfully separating the boys&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">As of late Friday morning&comma;  while Jaden is recovering relatively well&comma; Anias was still in surgery&period; There is the possibility he could face severe physical issues&comma; later&period;<br &sol;>&NewLine;Relieved mom&comma; Nicole&comma; Friday was on Facebook with an explanation and details for the thousands of people that have followed the family&&num;8217&semi;s journey&period;<br &sol;>&NewLine;&&num;8216&semi;The overall atmosphere was one of celebration mixed with uncertainty&comma;&&num;8217&semi; she explained&period;<br &sol;>&NewLine;&&num;8216&semi;Anias really got rocked in this procedure&period; It really now is up to God in terms of how he recovers&period;&&num;8217&semi;<br &sol;>&NewLine;She said&colon; &&num;8216&semi;I keep picturing Anias smiling behind his right middle finger in his mouth&period; Twenty four hours ago he was so rambunctious&&num;8230&semi;full of life&period; God please give me my baby back&period;&&num;8217&semi;<&sol;p>&NewLine;<p class&equals;"mol-para-with-font"><img class&equals;"alignnone size-full wp-image-83321" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;doctors-have-placed-tissue-expanders-into-the-boys-heads-ahead-of-the-surgery-to-stretch-their-skin1&period;jpg" alt&equals;"Doctors have placed tissue expanders into the boys' heads ahead of the surgery to stretch their skin1&period;jpg" width&equals;"780" height&equals;"438" &sol;><&sol;p>&NewLine;<h6 class&equals;"mol-para-with-font"><strong>Mom Nicole with Anias and Jadon&period; In the last few months doctors had placed tissue expanders in the boys&&num;8217&semi; head to make it easier to separate them&comma; creating enough skin to stitch each head back up<&sol;strong><&sol;h6>&NewLine;<p class&equals;"mol-para-with-font">But it wasn&&num;8217&semi;t all contemplative as she reports on Jadon&colon; &&num;8216&semi;Jadon is such a rock star&period; They said he hardly batted an eye through the whole procedure in terms of maintaining his vitals&period;<br &sol;>&NewLine;&&num;8216&semi;It&&num;8217&semi;s a bit surreal to sit here and type this&&num;8230&semi;I should feel so happy&&num;8230&semi;TWO SEPARATE BABIES&excl;&excl;&excl;&&num;8230&semi;and yet I ache with the uncertainty of the future&period;<br &sol;>&NewLine;Describing a celebratory atmosphere mixed with uncertainty Nicole wrote<br &sol;>&NewLine;&&num;8216&semi;I didn&&num;8217&semi;t cry until the surgeon&&num;8217&semi;s left the room&period; I was barely able to even utter the words &&num;8220&semi;thank you&&num;8221&semi; because of the pit that still sits heavy in my stomach&period; We are standing on the brink of a vast unknown&period;&&num;8217&semi;<br &sol;>&NewLine;They boys were born via cesarean section last September<strong><br &sol;>&NewLine;<&sol;strong>They boys were born via cesarean section last September near Chicago&comma; Illinois&period;<br &sol;>&NewLine;They were attached by the crown of the head&period; Nicole and Christian who also have a 3-year-old son Aza&comma; insisted the boys were perfect as they were&period;<br &sol;>&NewLine;To give their twin boys a chance to lead a normal life&comma; they have traveled to Montefiore Hospital in the Bronx&comma; New York&comma; for a rare and expensive surgery performed by one of the world&&num;8217&semi;s most esteemed surgeons&comma; who will separate their heads &&num;8211&semi; cost&comma; &dollar;2&period;5 million&period;<&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img"><&sol;div>&NewLine;<p class&equals;"imageCaption"><strong><img class&equals;"alignnone size-full wp-image-83274" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;parents-nicole-and-christian-in-white-as-the-twins-are-prepped-for-their-surgerythursday1&period;jpg" alt&equals;"Parents Nicole and Christian &lpar;in white&rpar; as the twins are prepped for their surgery&comma;Thursday1&period;jpg" width&equals;"634" height&equals;"357" &sol;><&sol;strong><&sol;p>&NewLine;<h6 class&equals;"imageCaption"><strong>Parents&comma; Nicole and Christian McDonald &lpar;in white&rpar; with the surgeons as the prep the boys for the theater on Thursday in Montefiore Hospital&comma; NY<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">The operation started at 7&period;15am on Thursday morning&period;<br &sol;>&NewLine;&&num;8216&semi;I could almost keep them like this&comma;&&num;8217&semi; Nicole told <a class&equals;"" href&equals;"http&colon;&sol;&sol;www&period;cnn&period;com&sol;2016&sol;10&sol;13&sol;health&sol;mcdonald-conjoined-twins-to-separate&sol;index&period;html" target&equals;"&lowbar;blank" rel&equals;"nofollow">CNN<&sol;a> before the operation&comma; admitting that she had become attached to the boys this way&period;<br &sol;>&NewLine;She said she knew this was for the best&comma; but the fear that something could go wrong during surgery was excruciating&period;<br &sol;>&NewLine;&&num;8216&semi;This is so hard&period; I&&num;8217&semi;m not going to sugarcoat it&comma;&&num;8217&semi; she said&period;<br &sol;>&NewLine;Anias and Jadon&comma; who have a three-year-old brother Aza&comma; are technically called &&num;8216&semi;craniopagus twins&&num;8217&semi; &&num;8211&semi; a phenomenon that occurs just once in every 2&period;5 million births&period;<br &sol;>&NewLine;Based on national statistics&comma; it is astonishing they made it to 13 months&period;<br &sol;>&NewLine;Around 40 per cent of craniopagus twins are stillborn&period;<br &sol;>&NewLine;Of those that survive&comma; a third die within 24 hours of birth&period;<&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<h6 id&equals;"share-pictures-6" class&equals;"share-pictures-overlay"> <img class&equals;"alignnone size-full wp-image-83247" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;nicole-and-christian2&period;jpg" alt&equals;"nicole-and-christian2" width&equals;"634" height&equals;"634" &sol;><&sol;h6>&NewLine;<h6 class&equals;"share-pictures-overlay"><strong>Proud parents&comma; Nicole and Christian McDonald <&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<p> <img class&equals;"alignnone size-full wp-image-83307" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;older-brother-anza-with-anias-and-jardon&period;jpg" alt&equals;"Older brother Anza with Anias and Jardon&period;jpg" width&equals;"634" height&equals;"357" &sol;><&sol;p>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<h6 class&equals;"imageCaption"><strong>Nicole and Christian gave up their jobs and life in their town near Chicago&comma; Illinois&period; They moved to the Bronx with older son Aza&comma; seen here playing with his brothers&comma; to give their twins a fighting chance&period;<&sol;strong><&sol;h6>&NewLine;<p class&equals;"imageCaption"> The operation was performed by Dr James Goodrich&comma; a neurosurgeon who specializes in separating conjoined twins at the head has it&&num;8217&semi;s own pitfalls for the conjoined twins&period; In this case&comma; one or both of the boys may suffer developmental complications&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">&&num;8216&semi;We know that is definitely a real possibility&comma; but we&&num;8217&semi;re still going to love our boys&comma;&&num;8217&semi; Christian said before the surgery&period;<br &sol;>&NewLine;For instance&comma; it is now clear Anias will likely suffer more severe disabilities than his twin brother&period;<br &sol;>&NewLine;The team has spent months practicing and planning their strategy using a physical 3D model of the boys&&num;8217&semi; heads&comma; plus computerized 3D modeling&comma; where they can look at different scenarios&period; The difficult process will be separating the tangled veins the boys share&comma; not dissimilar to that in this diagram<br &sol;>&NewLine;Dr Oren Tepper&comma; a plastic surgeon&comma; was in the room to reconstruct the skulls and stitch each head closed&period; Doctors have spent the last few months placing tissue expanders in the boys&&num;8217&semi; head to make it easier to separate them&comma; leaving enough skin to stitch each head back up&period;<strong> <img class&equals;"alignnone size-full wp-image-83290" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;surgery-in-progress1&period;jpg" alt&equals;"Surgery in progress1&period;jpg" width&equals;"780" height&equals;"438" &sol;><&sol;strong><&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<div class&equals;"overlay-icon mobile-gallery">&NewLine;<h6 class&equals;"imageCaption"><strong> Dr James Goodrich &lpar;seated&rpar; led the team in the surgery to  separate the twins&period; It was successful&period; Now they will spend 72 hours in intensive care&comma; then months in a rehab center<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<p class&equals;"imageCaption"><strong><img class&equals;"alignnone size-full wp-image-83288" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2016&sol;10&sol;neurosurgeon-dr-james-goodrich-performed-the-surgery1&period;jpg" alt&equals;"neurosurgeon-dr-james-goodrich-performed-the-surgery1" width&equals;"634" height&equals;"466" &sol;><&sol;strong><&sol;p>&NewLine;<h6 class&equals;"imageCaption"><strong><strong> Dr James Goodrich &lpar;in green&rpar;&comma;  separated the twins conjoined at the head<&sol;strong><&sol;strong><&sol;h6>&NewLine;<p class&equals;"imageCaption"> &&num;8216&semi;This is about as complicated as it gets&comma;&&num;8217&semi; Dr Goodrich told CNN &&num;8216&semi;I know the vascular system we have to go through is complex&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">&&num;8216&semi;It&&num;8217&semi;s big&period; It&&num;8217&semi;s doable&comma; but it&&num;8217&semi;s going to be tedious&period;&&num;8217&semi;<br &sol;>&NewLine;But even despite the state-of-the-art technology&comma; they were not prepared for the 5x7cm brain tissue the boys shared&comma; that they had to separate&period;<br &sol;>&NewLine;They will now spend 72 hours in intensive care&comma; then months in a rehab center&period;<br &sol;>&NewLine;According to Dr Goodrich&comma; their speech skills will not be affected&comma; given that he is dealing with the back of the brain&comma; but there is a chance they will struggle with movement&period;<br &sol;>&NewLine;He told CNN&colon; &&num;8216&semi;They have no back control because they&&num;8217&semi;ve never sat up&period; They&&num;8217&semi;ve never crawled&period;&&num;8217&semi;<br &sol;>&NewLine;The family has health insurance&comma; which covers a significant amount of the &dollar;2&period;5 million surgery&period;&comma; leaving a shortfall of  &dollar;100&comma;000&comma; to donate&comma; visit their <a class&equals;"" href&equals;"https&colon;&sol;&sol;www&period;gofundme&period;com&sol;xm56uxxu" target&equals;"&lowbar;blank" rel&equals;"nofollow">GoFundMe<&sol;a> page&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;

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