An Impossible Choice

A mere 1 in 200,000 births results in conjoined twins.
 
A case study of 22-month-old conjoined girls from East Africa, published in The New England Journal of Medicine, reveals how in wealthy countries, the option of surgery still poses an agonizing dilemma.
 
At home, both would likely have died. Twin A’s congenital heart disease deemed her unlikely to survive with or without the surgery; Twin B could live only if separated.
 
“How do you look at Twin A and say we’re going to save your sister?” asked MassGeneral Hospital for Children surgeon Allan Goldstein, who ultimately operated, saving Twin B.
 
NPR Goats and Soda

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