Nick Kam

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Conjoined twins and legal conundrums

Neutral Milk Hotel – Two Headed Boy

Two-headed boy
All floating in glass
The sun it is past
Now it’s blacker than black
I can hear as you tap on your jar

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Let’s Do It

 

The Dutch in old Amsterdam do it
Not to mention the Fins
Folks in Siam do it – think of Siamese twins

Via Cole Porter.

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Double Fine

The good folks over at Double Fine, makers of such titles as Brutal Legend, Stacking, and the soon to kickstart Double Fine Adventure, have been using the logo above since 2000. That’s 2HB from the Double Fine Action Comics by Scott C. Take a look around their website for some point and click adventure fun!

Tim Schafer, founder of Double Fine, with a stuffed 2HB!

Via doublefine.com.

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Personhood and Separation

The following is the next installment in a series of posts which began with the piece, Half Guilty.

At the end of last year, media outlets around the world lit up with news of the birth of conjoined twins in Brazil. The boys, Jesus and Emanuel, exhibit dicephalic parapagus conjoining, the same union as Americans Brittany and Abigail Hensel. They differ in that the share only one set of vital organs. Doctors credit the Hensel twins’ dual set of organs with their success into adulthood. Questions of separation, as always, abound.

Whenever conjoined twins come along, it’s interesting to note how  journalist and doctors comment on their individuality. A few examples below:

“A Brazilian baby was born with two heads, named Jesus and Emanuel, but appears to be in good health, according to doctors.” — International Business Times

“Despite all the problems we have as a small interior hospital we managed to save both mother and baby, which was our aim.” — Hospital director Claudionor Assis de Vasconcelos

“They are being monitored by specialists to see how they develop.” — BBC News

In the first two quotes, the commentator refers to the twins in the singular. In the latter quote the writer uses the plural pronoun “they” to signify their duplicative personhood.

The teratologist Saint-Hilaire noted that conjoined twins were given separate names, indicating their individuality, as springing from the practice of baptizing children on their heads. A body with well-formed two heads was therefore baptized once on each head and each received a name.

As science and medicine evolved, so did our longevity. While most conjoined twins would die in infancy 100 years ago, with the advent of modern medicine and an appreciable understanding of conjoinment (Chang and Eng Bunker could have been easily separated), conjoined twins can survive well past infancy and into adulthood. This allows us to appreciate the separate personalities that conjoined twins take on as the grow older, giving credence to the argument that there are in fact two individuals present in one entangled body.

One could argue then that under this logic a person exhibiting multiple personality disorder should be granted personhood for every personality in their brain. Regardless of the fact that multiple personality disorder lacks the physical component of conjoinment, the difference lies in the fact that multiple personality disorder, at least in theory, is curable.

“But wait!” the skeptic shouts, “conjoined twins can be separated!” A brilliant segue indeed.

Simultaneously with the news of Jesus and Emmanuel’s births came the news of the possibility of separation.  “A lot of work is needed, in terms of scans and tests, before doctors will know if they can separate them or not, and just how organs and blood vessels are shared and linked. It takes quite a while before they can decide how feasible [separation] is.” – Patrick O’Brien, a spokesman for the UK’s Royal College of Obstetrician and Gynaecologists. Later, doctors would reveal that separating the twins is  not an option because they share a set of organs. Attempting to separate them would be to kill one if not both of them (see Jodie and Mary).

Days before the birth of Jesus and Emmanuel, Chilean conjoined twins Maria Paz and Maria Jose (pictured above) made their way into the news. When the girls were 10-months old, doctors assessed their conjoinment and determined that separation was feasible. The 20-hour surgery took place and doctors deemed it a success. A week later on December 18, 2011, the news dropped: “A 10-month-old girl who was surgically separated from her conjoined twin died Sunday after suffering general organ failure, said the director of a Chilean children’s hospital.”

Despite all the science, all the innovation, and all the careful planning, their success became a failure with the death of one of the twins. They “were so preoccupied with whether they could that they didn’t stop to think if they should.” Alice Dreger is a bio-ethicist who continues to ask the question: should we separate conjoined twins? When conjoined twins come along, doctors’ first instinct is to wonder if they can be separated to give them a better chance at a “normal life.”

The thinking goes that we want people to be able to live the most normal life possible and conjoinment stands inapposite to that goal. But Dreger rebuts this assertion; perhaps conjoinment is what’s normal for them. For all the risk and possible little reward (rendering one as less than the Platonic ideal, reducing mobility in both twins, risking death), why does science encourage dangerous separation procedures? Instead, why not reconsider normal and accept that perhaps their conjoinment, their entanglement is the norm for these twins. If they can live full lives together, why are we so eager to rip them apart?

For Jesus and Emmanuel, separation is not an option. But the fact that doctors talk in terms of separation indicates that there is more than one person contained in these conjoined twins’ body, for it always takes two to tango.

Via MSNBC and BBC News.

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Doug Stanhope on Conjoined Twins

Via Deadbeat Hero (2004).

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(Conjoined) Twinned Rainbows

The following is the next installment in a series of posts which began with the piece, Half Guilty.

Using computer simulations, a Google software engineer (Iman Sadeghi) and a professor of computer science at UCSD (Henrik Wann Jensen) have explained the rare phenomenon of twinned rainbows where the primary bow of a rainbow splits into two. The repercussions of their findings:

We ended up pushing the edge of rainbow science.

Via CNN.

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Conjoined Twins as Legal Actors (III)

The following is the next installment in a series of posts which began with the piece, Half Guilty.

“Their brains are recording signals from the other twin’s visual field,” [Dr. Douglas Cochrane] cautiously concluded. “One might be seeing what the other one is seeing.”

 

A twin may be the instigator, but singling out one for punishment often doesn’t work. “When one gets in trouble and you try to discipline her, the other one kicks in and starts defending her sister,” says [their mother, Felicia] Simms. “I’ve just gotten to the point where if they don’t change their attitude when you talk to them the first time they both go into time out. How do you not?” she asks. “It’s just come down to?.?.?.?you can’t discipline one without disciplining the other. It’s just impossible.”

From Macleans.

Additional coverage at the NY Times.

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Perceptual Delusional Bicephaly

 

Brad Pitt and Edward Norton, Fight Club

The following is the next installment in a series of posts which began with the piece, Half Guilty.

One afternoon in October 1980, a 39 year-old man entered the Royal Melbourne Hospital suffering from a self-inflicted gunshot wound to the head. Doctors were able to extract .22 caliber bullet fragments from the man’s left frontal lobe and evacuate a intracerebral blood cot, saving the man’s life. Over the next few days, the man’s condition improved and doctor’s were able to interview him. Doctor’s would later diagnose the man with schizophrenia. It was signficant that two years prior, the man’s wife died in a car accident in which he was the driver.

The man described having a second head on his shoulder that would antagonize him at night. He believed the head belonged to his wife’s gynecologist, who, he suspected, his wife was having an affair with prior to her death. He claimed the head belonging to the gynecologist was trying to take over his body by dominating his normal head. Additionally, he said that he could hear the voices of Jesus and Abraham conversing with each other. These voices were confirming that he did indeed have two heads, while the gynecologist’s head had been telling him that it was the “king pin” and that it was going to take his wife away from him.

After three weeks of nightly torment from his phantom head,  the man decided to do something about it. He first considered removing the second phantom head with an axe. But with the proximity of his own head to a swinging axe blade, he chose a different tact. The man fired six shots in total, the first at the phantom head. The man thought the first bullet nearly took the second head off, leaving it hanging by a thread. He fired the second bullet through the roof of his own mouth. He then fired four more shots, one of which appears to have gone through the roof of his mouth and three of which missed. He said that he felt good at that stage, and that he could not feel the other head any more. He then passed out.

During his interview with doctors the man explained his motivations for his unorthodox behavior:

“The other head kept trying to dominate my normal head, and I would not let it. It kept trying to say to me I would lose, and I said bull-shit. ‘I am the king pin here,’ it said and it kept going on like that for about three weeks and finally I got jack of it, and I decided to shoot my other head off.”

Years later, the man was admitted to the hospital again, suffering from seizures as a result of alcohol abuse. Doctors interviewed him about his previous psychological delusions:
Q. Could you see the other head?
A. Yes.
Q. You felt it, or you could see it?
A. I could see it.
Q. And the voices were coming from the other head?
A. From that head and my own head too.
Q. Whose voice was it?
A. It was the voice of my wife’s doctor.
Q. What was he saying to you?
A. He had an affair with my wife and he reckoned he was going to take her off me and all that kind of talk and I got antagonistic towards him and I decided to do something about it and I shot myself.
Q. Since that episode have you had anything like that?
A. Not really. I have not heard any voices for about two years, ever since I shot myself and I haven’t had any ideas that I have two heads again. When I shot myself it fixed it up.

Via David Ames, Self Shooting of a Phantom Head, British Journal of Psychiatry 145:193-194 (1984).

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The Sklar Brothers on Beer Commercials and Conjoined Twins

Jokes.com
The Sklar Brothers – Beer Commercial
comedians.comedycentral.com
Jokes Joke of the Day Funny Jokes

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A Conjoined Twin Doll of Your Very Own

Found at Tangents in Fort Bragg, CA

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Dicephalic Parapagus Conjoined Twins

Dicephalic Parapagus Conjoined Twins
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