today I'm looking at some of the most unique medical conditions and surgeries caught on camera some of these I've never even heard of they're so rare also huge thanks to ship station for sponsoring this video let's get started daa is a small agricultural town in Northwest India 13-year-old Shrea lives here with her extended family but 18 months ago Shrea found herself at the center of a medical mystery one evening she sat here and complained her ear was hurting when I checked I found ant when I look inside my patient's ears using anoscope I find unique
things a lot of times it's pieces of cotton from using Q-tips which I tell them not to put deep inside their ears but there have been insect parts or even insects that I've seen inside people's ears so that's not totally unusual Shrea had been sleeping on the floor and in the summer ants are common after that more and more ants were appearing it was painful and itchy not only is it painful and itchy but you're going to hear the ants moving around in there it can drive a person mad MRI and CT scans were taken
as Dr talania searched for somewhere within the soft tissue or bone around Sha's ear where an ant may have laid eggs like in the UST station tuo but incredibly the scans showed nothing unusual then after nearly 8 months just as suddenly as they first appeared the ants vanished in that time about a thousand ants had been removed from sh's ear I don't know why they aren't coming anymore when I read all the medical science books no one knows why and how the ants entered her ears in the first place there must be some kind of
hygiene issue where the ants were able to enter the ear and they sat in some sort of crevice behind a part of the ear and were able to lay some eggs and when those eggs were hatching the ants were coming out the dilva family never misses an opportunity to get together they're excellent musicians and dancers but it's something in their Gene that truly sets them apart oh polya 14 members of the dilva family have six fingers on each hand and six toes on each foot they must have some kind of Gene that encodes for this
Anna Carolina she has six J my son has six wow today the family's celebrating the arrival of a baby boy his father alandro has six fingers it's got to be some kind of dominant gene because it's being passed on it seems like every member of the family so it's some kind of autosomal dominant gene so like his older brother he had a 50% chance of inheriting the six finger Jean let's count them 1 2 3 4 5 and six my brother is going to have six fingers got to love the ultrasound probe the dilva family's
hands are all fine and functional and they find six fingers can be an asset the coolest thing about having six fingers is being able to hold a lot of things at once yeah I can't imagine that being a major detriment in any way really maybe for things designed for people with five fingers like gloves like it might be complicated to find a set of gloves so you might have to use mittens let's take a minute and talk about chip station Del leading web-based order management and shipping software it's designed to make retailers lives Easier by
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right let's get back to these conditions 17-year-old worku lives in Addis Ababa Ethiopia she looks like a typical teenager but has spent much of her life hiding an unusually rare physical condition worku was born with an extra set of arms and legs limbs from a parasitic twin that died in her mother's womb okay so when they say parasitic twin the reason they say it that way it sounds like there's some kind of illness going on but what's in reality has happened is you had an underdeveloped or nonfully developed twin happen inside your body or on
the outside of your body that didn't have any organs and essentially is surviving off of the energy and lifeblood off the single body worku grew up thinking her body was normal although her parents insisted she cover herself with long dresses worku was 11 years old when she found out that her body was different during a school sports class that's got to be difficult if you're the only one in your class experiencing something like this you're going to feel like an outlier and and you're going to need support from your friends and family and maybe even
medical professionals The Cure Hospital in Attis Ababa is Ethiopia's leading Children's Hospital it specializes in treating common deformities like cleft pallet but doctors there had never taken on a case as complex as workus I mean in many cases this is a surgical procedure that can be done and would probably help the individual significantly if not for anything the muskus skeletal support remember carrying excess weight of Limbs on your body is not comfortable for the biomechanics of walking let alone standing after 3 weeks of tests the doctors decided they could operate the limbs of the parasitic
twin would be amputated surgery of this kind had never been attempted in Ethiopia the only option that you have for treating this problem is surgery yeah it's surgery with an amputation and then some kind of embolization of the arteries to prevent the person from bleeding out so we have to do as many Imaging studies as we can to be able to document in our minds exactly what the anatomy is as close as possible that's why a lot of times when patients request a CT scan and MRI we have to agree that the reason we're doing
these scans is for the purpose of getting surgery because in many instances getting an MRI to get a diagnosis doesn't help you in any way other than making a diagnosis for the surgeon we started first with the rudimentary arms because we thought that would be easier and actually that came off as easy as it possibly could have then we moved down to the lower part which is where the pelvis was where we were going to remove her uh legs and this was a little bit more challenging I can imagine this being challenging cuz you got
to navigate the host or patients organs and circulatory system remember her body has been feeding these limbs blood rich in oxygen so that there's these extra arteries that need to be severed but you also need to make sure you're not severing arteries that could be also contributing to her health and sometimes with uh patients that have what they're referring to as a parasitic twin they can have one of these like fully inside their body and sometimes we can't even know if this is what's known as a Teratoma which is a type of tumor that has
all different types of cell lines in it hair fingernails bones Etc or is it truly a parasitic twin I used to work in a plastic packaging Factory operating an extruder machine an extruder machine grinds and melts plastic materials to create tubing plastic sheets and films I was assisting the machine operator my hand was dragged into the cylinder I held my arm and screamed I could feel the tip of my fingers inside it it was an agonizing moment the night shift called me and explained that they had a case where they were likely to amputate so
in many instances when you have a hand injury especially a crush injury unless you have a super subspecialized hand surgeon you will just go forward with the amputation even in in rers here uh in the Northeast if you have a patient with a bone injury of the hand you generally don't call the General orthopedist you call a hand surgeon Dr brandow planned to surgically insert Carlos's left hand inside his abdomen to allow his body to regrow torn flesh and nerve tendons we made an incision on the side of his abdomen this created a space in
between the skin and muscle to tuck his hand where it would connect with live tissues creating a neovascularization we have seen this happen with uh burn patients before I haven't seen this happen with a trauma situation like this for 6 weeks Carlos endured the physical and mental anguish of having the affixed hand I just don't understand the purpose of this outside of growing the skin because what if the bones are broken and crushed what is the goal here the abdomen fat and skin got attached to his hand and created vascular links here we can see
the X-ray of Carlos's open and closed hands we notice the mobility of the remaining fingers now the thumb which is almost in its entirety has reasonable movement today I can feel all fingers separately it's a bit hard to move them because they are all joined but I can move them one at a time but I have faith that it will look like a normal hand in the future I mean I'm sure that there's other hand specialist surgeons that could probably change the at least the appearance of this hand and to make it more functional in
instances like this by the way you don't just also do surgery you also work with a not just a physical therapist but an occupational therapist because you need to make use of the hand and occupational therapy focuses on those fine motor movements like buttoning a shirt Brazil in 2009 a pair of healthy twin brothers were born here Ator and artor but in a one in 200,000 chants they were conjoined at the waist so conjoined twins can happen in different parts of the body you can be joining the lower portion of the spine the longer portion
of the spine the head even the upper body we used to use the term siamese twins because of a case that occurred in sayam which is now Thailand by the way we've moved away from that and are now calling them conjoin twins because they're literally attached and in most cases surgical separation is an option this can get quite complicated in certain instances because some of these twins actually share organs or blood vessels and if these are vital organs that you can't split or separate that obviously becomes more problematic and the surgery becomes more dangerous surgeons
prefer to separate conjoined twins before their first birthday but Artur and Ator were too weak and didn't have enough skin to cover their wounds for the past 5 years the boys have endured 15 procedures intended to grow extra skin using silicon expanders and finally they've grown enough extra skin for the operation to proceed in their abdomen they share one liver the large and small intestines there is only one bladder and one set of genitals so this is going to be tough because the liver maybe you can separate um this the intestines maybe you could separate
but bladder what do you do haor will have a permanent catheter so he can urinate as well as a colostomy bag a catheter is going to allow for the passage of urine the colostomy bag is going to act as directum and essentially store stool that you can empty although the operation is over Dr khil knows that recovery is going to be a major hurdle Ator is alert and has been responding well even managing small conversations with his parents but Ur is weak and is fighting a fever sadly Ur had a very severe inflammatory syndrome he
wasn't responding well to any medication and he passed away which happens in a lot of these cases unfortunately two years have passed since Ator and artor were separated this skateboard was made by my father look it's just a board and he covered it in foam he looks like he's developing well in terms of his muscular structure his verbal skills his recovery is surprising he's a child that almost has a normal life he has a physical disability but it doesn't keep him from so he does have a normal life maybe a unique life but a normal
life click here for the most unbelievable stories from the ER and don't forget to visit shipstation.com drmike to begin your 60-day free trial as always stay happy and healthy
