Erika and Eva Sandoval, of Antelope, California, were born joined at the lower chest and upper abdomen a type of conjoined twin called omphalo-ischiopagus twins. While their heart and lungs are separate they share some lower some anatomical structures including a liver, bladder and two kidneys . In an effort to allow the 2-year-old girls to live independently of one another surgeons and other physicians are performing surgery to be separate the toddlers today. The medical staff who will work on the surgery at Lucile Packard Children’s Hospital Stanford, which is part of Stanford University, anticipate that there is a 70 percent chance that both girls survive the arduous operation. “It’s hard to see the numbers and find comfort on the odds. But as you know from the beginning our girls have superseded the doctors expectations of life and will continue to show us their strength,” parents Aida and Arturo wrote online earlier this year. The procedures are expected to take around 18 hours with 50 medical staff attending to the girls, according to Lucile Packard Children’s Hospital Stanford. “This surgery is complex in terms of enabling a good quality of life for the girls after the separation,” lead surgeon Dr. Gary Hartman, Division Chief of Pediatric Surgery at Lucile Packard Children’s Hospital, said in a statement last week. Conjoined twins are exceedingly rare and occur between every 1 in 30,000 to 1 in 200,000 live births, according to the hospital.
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American Medical Response, which provides ambulance services across Multnomah County, isn’t required to trek out to stranded hikers on trails. The new training OKs firefighters to give pain medication as soon as they reach injured citizens in remote places, instead of delaying treatment. “Instead of just a cookie-cutter (response), ‘I see this, I must do this,’ they know ‘I see this, now I understand why I need to put oxygen on this person,’” explained Adams, whose position is equivalent to a fire station captain. The training module was accredited by Mount Hood Community College, which allowed for the class to be taught off site at Sandy and Corbett Fire Departments. Tuition for the class cost $1,350 each, plus $265 for textbooks, $100 for state-required background checks and $225 for other fees. Corbett’s Fire Board covered their firefighters’ tuition costs upfront. Adams said the school was a great partner, keeping costs low even as IV prices top $3 per needle. http://youtube.com/watch?feature=kp&v=Pf7JuJcVzQUShe described IV insertion as half science, half artform. “You have to get over the ‘Oh, I don’t want to hurt you,’” she said. medical interview scenario questions and answers“These poor guys, they turn into pin cushions.” The newly-certified Corbett firefighters include Seth Grover, Duane Redfield, Robbie Russell, Rick Wunsch and Tim Downing, according to a press announcement. Corbett Fire has 38 total firefighters, all unpaid volunteers.
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