"We" died of natural causes at age eight in June 2007, not long after being acquired by Nutra Pharma.Two-headed farm animals sometimes travel with animal side shows to county fairs. Most notably, The Venice Beach Freakshow supposedly houses the largest collection of two-headed specimens in the world, including over 20 two-headed animals that are alive. Many museums of natural history contain preserved two-headed animals. The Museum of Lausanne in Lausanne, Switzerland, and the Ripleys Believe It Or Not! museum in Gatlinburg, Tennessee, have collections of preserved two-headed animals. A very well preserved 2-headed lamb is on display in Llanidloes museum in Wales. A live two-headed turtle named Janus can be seen at the Natural History Museum in Geneva, Switzerland. Anatomy and fitness
In cases where multiple heads are fully developed and non-parasitic, they share control of the organs and limbs, though the specific structure of the connections varies. Animals often move in a disoriented and dizzy fashion, with the brains "arguing" with each other; some animals simply zig-zag without getting anywhere. Snake heads may attack and even attempt to swallow each other. Thus, polycephalic animals survive poorly in the wild compared to normal monocephalic animals. Most two-headed snakes only live for a few months, though some have been reported to live a full life and even reproduced, with the offspring born normal. A two-headed black rat snake with separate throats and stomachs survived for 20 years. A two-headed albino rat snake named "We" survived in captivity for 8 years.
Management
The extreme rarity of the disease limits the surgical opportunities to practice the complex closure required in these patients. For this reason, patients have the best outcomes when the bladder closures are performed at high volume centers where surgical and nursing teams have extensive experience in caring for the disease. The highest volume center in the United States, and the world, is the Johns Hopkins Hospital in Baltimore, Maryland; they have seen over 1300 exstrophy patients in the past 50 years.Upon delivery, the exposed bladder is irrigated and a non-adherent film is placed to prevent as much contact with the external environment as possible. In the event the child was not born at a medical center with an appropriate exstrophy support team then transfer will likely follow. Upon transfer, or for those infants born at a medical center able to care for bladder exstrophy, imaging may take place in the first few hours of life prior to the child undergoing surgery.Primary (immediate) closure is indicated only in those patients with a bladder of appropriate size, elasticity, and contractility as those patients are most likely to develop a bladder of adequate capacity after early surgical intervention.Conditions that are absolute contraindications despite bladder adequacy include duplication of the penis or scrotum and significant bilateral hydronephrosis. Surgery
Modern therapy is aimed at surgical reconstruction of the bladder and genitalia. Both males and females are born with this anomaly. Treatment is similar.