and forbearance they showed for each other until shortly
before their death. They bore each other's trials and petty maladies
with the greatest sympathy, and in this manner rendered their lives far
more agreeable than a casual observer would suppose possible. They both
became Christians and members or attendants of the Baptist Church.
Figure 31 is a representation of the Siamese twins in old age. On each
side of them is a son. The original photograph is in the Mutter Museum,
College of Physicians, Philadelphia.
The feasibility of the operation of separating them was discussed by
many of the leading men of America, and Thompson, Fergusson, Syme, Sir
J. Y. Simpson, Nelaton, and many others in Europe, with various reports
and opinions after examination. These opinions can be seen in full in
nearly any large medical library. At this time they had diseased and
atheromatous arteries, and Chang, who was quite intemperate, had marked
spinal curvature, and shortly afterward became hemiplegic. They were
both partially blind in their two anterior eyes, possibly from looking
outward and obliquely. The point of junction was about the
sterno-siphoid angle, a cartilaginous band extending from sternum to
sternum. In 1869 Simpson measured this band and made the distance on
the superior aspect from sternum to sternum 4 1/2 inches, though it is
most likely that during the early period of exhibition it was not over
3 inches. The illustration shows very well the position of the joining
band.
The twins died on January 17, 1874, and a committee of surgeons from
the College of Physicians of Philadelphia, consisting of Doctors
Andrews, Allen, and Pancoast, went to North Carolina to perform an
autopsy on the body, and, if possible, to secure it. They made a long
and most interesting report on the results of their trip to the
College. The arteries, as was anticipated, were found to have undergone
calcareous degeneration. There was an hepatic connection through the
band, and also some interlacing diaphragmatic fibers therein. There was
slight vascular intercommunication of the livers and independence of
the two peritoneal cavities and the intestines. The band itself was
chiefly a coalescence of the xyphoid cartilages, surrounded by areolar
tissue and skin.
The "Orissa sisters," or Radica-Doddica, shown in Europe in 1893, were
similar to the Siamese twins in conformation. They were born in Orissa,
India, September, 1889, and were the resul
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