In most respects, Kendra and Maliyah were good candidates for the operation. For conjoined twins of their type, the success rate is about 63 percent.
But when Erin and Jake shared their hopes with Dr. Meyers, she gently discouraged them. No one had ever tried separating twins who depended on a single kidney, she explained. Such a procedure would pose unprecedented challenges for Maliyah, who lacked her own organ. If the girls were separated, she would need dialysis until she recovered from the operation-and then a kidney transplant.
"I'd give both my kidneys if it would help her," Erin said.
Dr. Meyers assured her that one would be enough. "You might be the perfect donor," she said. "Unfortunately, that's not an option right now." Infants did not do well on dialysis, and Maliyah's body was too small to accommodate an adult organ.
"When will she be big enough?" Jake asked.
The doctor's answer made the couple's hearts sink: "Let's see how she's doing in four or five years."
If caring for newborn twins is challenging, handling two babies who share a lower body is even harder. "Holding them, trying to balance their little heads, I was overwhelmed," says Erin.
Everyday tasks were daunting. The girls required feeding tubes for several months. They had trouble sleeping because one would roll onto the other or hit her with a flailing hand. Strangers made cruel remarks. When either girl came down with a cold, so did the other. They spent their first birthday in the ICU with respiratory infections. During each crisis, Erin worried that she was neglecting her older daughter, Courtney.
But the family adjusted. Erin found a way to prop the twins in their crib so they slept better. She made clothes by sewing pairs of dresses together. When the girls could no longer fit in a regular car seat, the couple had a special one built. Friends and relatives helped with chores and babysitting.



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