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86-619: Mary and Eliza Chulkhurst (or Chalkhurst ), commonly known as the Biddenden Maids (1100–1134), were a pair of conjoined twins supposedly born in Biddenden , Kent, England, in the year 1100. They are said to have been joined at both the shoulder and the hip, and to have lived for 34 years. It is claimed that on their death they bequeathed five plots of land to the village, known as the Bread and Cheese Lands . The income from these lands

172-499: A brief career in music before being sent to live in a convent; and Rita and Cristina of Parodi of Sardinia , born in 1829. Rita and Cristina were dicephalus tetrabrachius (one body with four arms) twins and although they died at only eight months of age, they gained much attention as a curiosity when their parents exhibited them in Paris. Several sets of conjoined twins lived during the nineteenth century and made careers for themselves in

258-471: A broadside featuring a woodcut of the twins and a brief history of their alleged story was sold outside the church at Easter, the first recorded mention of the names "Eliza and Mary Chulkhurst", and clay replicas of Biddenden cakes were sold as souvenirs. A Short but Concise account of Eliza and Mary Chulkhurst who were born joined together by the Hips and Shoulders In the year of our Lord 1100 at Biddenden in

344-474: A close examination of Biddenden documents, the editors describing Hasted's conclusions as "very obscure and unsatisfactory" and questioning why the names "Eliza and Mary Chulkhurst" should have been added to the design of cakes granted by a family named Preston, but no significant research into the tradition was carried out. As the annual dole grew larger the Easter distribution became increasingly popular. In 1808

430-425: A common skin bridge or by a common liver bridge. The type of twins formed depends on when and to what extent abnormalities of the node and streak occurred. Misexpression of genes, such as goosecoid , may also result in conjoined twins. Goosecoid activates inhibitors of BMP4 and contributes to regulation of head development. Over- or underexpression of this gene in laboratory animals results in severe malformations of

516-751: A line of succession going back to Augustine of Canterbury , the "Apostle to the English", who was sent to England by Pope Gregory the Great and arrived in 597. From the time of Augustine until the sixteenth century, the archbishops of Canterbury were in full communion with the Roman Catholic Church and usually received the pallium from the Pope . During the English Reformation , King Henry VIII broke communion with Rome and became

602-553: A man "double in his upper, but single in his lower half—having two heads, two chests, four hands, but one body and two feet like an ordinary man." According to Theophanes the Confessor , a Byzantine historian of the 9th century, around 385/386 AD, he writes that "in the village of Emmaus in Palestine , a child was born perfectly normal below the navel but divided above it, so that it had two chests and two heads, each possessing

688-424: A number of successful separations throughout history, in many cases, the surgery results in the death of one or both of the twins, particularly if they are joined at the head or share a vital organ. This makes the ethics of surgical separation, where the twins can survive if not separated, contentious. Alice Dreger of Northwestern University found the quality of life of twins who remain conjoined to be higher than

774-478: A number of years before the arrival of the first Christian mission to England. He permitted the preaching of Christianity. The first archbishop of Canterbury was Saint Augustine of Canterbury (not to be confused with Saint Augustine of Hippo ), who arrived in Kent in 597 AD, having been sent by Pope Gregory I on a mission to the English. He was accepted by King Æthelbert , on his conversion to Christianity, about

860-603: A precedence of honour over the other bishops of the Anglican Communion. He is recognised as primus inter pares , or first amongst equals. He does not, however, exercise any direct authority in the provinces outside England, except in certain minor roles dictated by Canon in those provinces (for example, he is the judge in the event of an ecclesiastical prosecution against the archbishop of Wales). He does hold metropolitical authority over several extra-provincial Anglican churches , and he serves as ex officio bishop of

946-415: A ratio of 3:1. Two possible explanations of the cause of conjoined twins have been proposed. The one that is generally accepted is fission , in which the fertilized egg splits partially. The other explanation, no longer believed to be accurate, is fusion , in which the fertilized egg completely separates, but stem cells (that search for similar cells) find similar stem cells on the other twin and fuse

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1032-570: A short time before going on to a successful singing career in the United States, and it was known from their case that such twins were capable of surviving to adulthood. Jan Bondeson (1992 and 2006) proposed that, while the names "Eliza and Mary Chulkhurst" are not recorded in any early documents and are likely to have been a later addition, the existence of the twins and the claimed 1100 year of birth cannot be dismissed. Although mediaeval chronicles are unreliable, he noted multiple reports in

1118-405: A sword and that some priests believed that the blood that had flowed between them signified wars between their progeny (confrontations did occur between Banu al'Abbas and Banu Ummaya ibn 'Abd Shams in the year 750 AH). The Muslim polymath Abū al-Rayhān al-Bīrūnī described conjoined twins in his book Kitab-al-Saidana . The English twin sisters Mary and Eliza Chulkhurst , who were conjoined at

1204-557: A vital organ. Omphalopagus twins John Nelson and James Edward Freeman (Johnny and Jimmy) were born in Youngstown, Ohio, on April 27, 1956. The boys shared a liver but had separate hearts and were successfully separated at North Side Hospital in Youngstown, Ohio, by Bertram Katz. The operation was funded by the Ohio Crippled Children's Service Society. Recent successful separations of conjoined twins include that of

1290-485: Is Lambeth Palace . He also has an apartment within the Old Palace , next to Canterbury Cathedral which incorporates some 13th-century fabric of the medieval Archbishop's Palace. Former seats of the archbishops include: Since 1900, the following have served as archbishop of Canterbury: From 1660 to 1902, all the archbishops of Canterbury died in office. In 1928, two years before his death, Randall Davidson became

1376-563: Is also a president of Churches Together in England (an ecumenical organisation). Geoffrey Fisher , 99th archbishop of Canterbury, was the first since 1397 to visit Rome, where he held private talks with Pope John XXIII in 1960. In 2005, Rowan Williams became the first archbishop of Canterbury to attend a papal funeral since the Reformation. He also attended the inauguration of Pope Benedict XVI . The 101st archbishop, Donald Coggan ,

1462-552: Is commonly supposed. Lori and George Schappell and Abby and Brittany Hensel are notable examples. The first recorded separation of conjoined twins took place in the Byzantine Empire in the 900s. One of the conjoined twins had already died, so the doctors of the town attempted to separate the dead twin from the surviving twin. The result was briefly successful, as the remaining twin lived for three days after separation. The next recorded case of separating conjoined twins

1548-582: Is the senior bishop and a principal leader of the Church of England , the ceremonial head of the worldwide Anglican Communion and the bishop of the diocese of Canterbury . Justin Welby was enthroned as archbishop of Canterbury at Canterbury Cathedral on 21 March 2013, and announced his resignation, to take effect at a later date, in November 2024. Welby is the 105th person to hold the position, as part of

1634-615: The Chair of St. Augustine . A gospel book believed to be directly associated with St Augustine's mission survives in the Parker Library, Corpus Christi College , University of Cambridge, England. Catalogued as Cambridge Manuscript 286 , it has been positively dated to 6th-century Italy and this bound book, the St Augustine Gospels , is still used during the swearing-in ceremony of new archbishops of Canterbury. Before

1720-635: The Chronicon Scotorum , the Annals of the Four Masters and the Annals of Clonmacnoise of a pair of conjoined sisters born in or around 1100, although all three are records of Irish history and none mention Kent as the location. He concluded that the case of Christine McCoy, who survived for eight hours following the death of her polypagus twin Millie, shows that the claimed six hours between

1806-544: The English and Welsh order of precedence , the archbishop of Canterbury is ranked above all individuals in the realm, with the exception of the sovereign and members of the royal family . Immediately below him is the lord chancellor and then the archbishop of York. The archbishop of Canterbury awards academic degrees, commonly called " Lambeth degrees ". The archbishop of Canterbury's official residence and office in London

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1892-522: The food rationing of the 1940s and early 1950s, the cheese was replaced by cocoa. Distribution of cheese resumed in 1951.) A wrought iron village sign showing the Biddenden Maids was erected on Biddenden village green in the 1920s. The tradition of the dole continues to the present, and every Easter Monday tea, cheese and bread are given to local widows and pensioners through the windows of Biddenden's former workhouse. All those eligible for

1978-638: The head of the church . Thomas Cranmer , appointed in 1533, was the first Protestant archbishop of Canterbury and would become one of the most important figures in the development of Anglicanism . The archbishop is appointed by the British monarch on the advice of the prime minister of the United Kingdom , however in practice candidates are chosen by the Crown Nominations Commission , a Church of England body. Currently

2064-515: The performing arts , though none achieved quite the same level of fame and fortune as Chang and Eng . Most notably, Millie and Christine McCoy (or McKoy), pygopagus twins, were born into slavery in North Carolina in 1851. They were sold to a showman , J.P. Smith, at birth, but were soon kidnapped by a rival showman. The kidnapper fled to England but was thwarted because England had already banned slavery. Smith traveled to England to collect

2150-583: The "five great sees" (the others being York , London , Durham and Winchester ), the archbishop of Canterbury is ex officio one of the Lords Spiritual of the House of Lords . He is one of the highest-ranking men in England and the highest ranking non-royal in the United Kingdom's order of precedence . Since Henry VIII broke with Rome , the archbishops of Canterbury have been selected by

2236-657: The "mother church" of the worldwide Anglican Communion. The Report of the Commissioners appointed by his Majesty to inquire into the Ecclesiastical Revenues of England and Wales (1835) noted the net annual revenue for the Canterbury see was £19,182. The archbishop of Canterbury exercises metropolitical (or supervisory) jurisdiction over the Province of Canterbury , which encompasses thirty of

2322-512: The 103rd archbishop; and Rowan Williams (born 1950), the 104th archbishop. In addition to his office, the archbishop holds a number of other positions; for example, he is joint president of the Council of Christians and Jews in the United Kingdom. Some positions he formally holds ex officio and others virtually so (the incumbent of the day, although appointed personally, is appointed because of his office). Amongst these are: The archbishop

2408-475: The 1990s. Notes References Sources Conjoined twins Conjoined twins , popularly referred to as Siamese twins , are twins joined in utero . It is a very rare phenomenon, estimated to occur in anywhere between one in 50,000 births to one in 200,000 births, with a somewhat higher incidence in southwest Asia and Africa. Approximately half are stillborn , and an additional one-third die within 24 hours. Most live births are female, with

2494-548: The 5th and 6th centuries Britannia began to be overrun by pagan , Germanic peoples who came to be known collectively as the Anglo-Saxons . Of the kingdoms they created, Kent arguably had the closest links with European politics, trade and culture, because it was conveniently situated for communication with continental Europe . In the late 6th century, King Æthelberht of Kent married a Christian Frankish princess named Bertha , possibly before becoming king, and certainly

2580-534: The Afternoon; also about 500 Quartern Loaves and Cheese in proportion, to all the poor Inhabitants of the said Parish. In the 1820s, a new account of the Biddenden Maids was published, which claimed that a gravestone marked with a diagonal line near the rector's pew in Biddenden church was the sisters' burial place. In 1830 it was noted that Biddenden was becoming thronged by visitors every Easter, "attracted from

2666-631: The Bread and Cheese Lands were glebe (land intended for the use of the parish priest), and attempted to take control of the lands. The case of the Bread and Cheese Lands was brought before the Committee for Plundered Ministers , who eventually found in favour of the charity in 1649. Horner brought the case before the Court of the Exchequer in 1656 but again without success, and the charity continued to own

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2752-524: The County of Kent, commonly called The Biddenden Maids The reader will observe by the plate of them, that they lived together in the above state Thirty-four years, at the expiration of which time one of them was taken ill and in a short time died; the surviving one was advised to be separated from the body of her deceased Sister by dissection, but she absolutely refused the separation by saying these words—"As we came together we will also go together,"—and in

2838-649: The English (British since the Act of Union in 1707) monarch. Since the 20th century, the appointment of archbishops of Canterbury conventionally alternates between Anglo-Catholics and Evangelicals . The most recent archbishop, Justin Welby is the 105th holder of the office. He was enthroned at Canterbury Cathedral on 4 February 2013. As archbishop he signs himself as + Justin Cantuar . On 12 November 2024 he announced his decision to resign. There are currently two other living former archbishops: George Carey (born 1935),

2924-552: The Falkland Islands . As of 2024 the archbishop has four suffragan bishops: The archbishops of Canterbury and York are both styled as "The Most Reverend"; retired archbishops are styled as "The Right Reverend". The archbishop is, by convention, appointed to the Privy Council and may, therefore, also use the style of " The Right Honourable " for life, unless later removed from the council. In formal documents,

3010-558: The Toccis to learn to walk on their own). They are said to have disliked show business. In 1886, after touring the United States, the twins returned to Europe with their family. They are believed to have died around this time, though some sources claim they survived until 1940, living in seclusion in Italy. Conjoined twins have been the focus of several works of fiction, including: Archbishop of Canterbury The archbishop of Canterbury

3096-442: The adjacent towns and villages by the usage, and the wonderful account of its origin, and the day is spent in rude festivity". The large crowds were increasingly disorderly, and churchwardens on occasion had to use their staffs to hold back the mob. As a result, the distribution of the dole was moved from the church to the workhouse , but the crowds continued to cause problems. In 1882 Biddenden's rector applied for authority to abandon

3182-504: The age of eight, three days after being admitted for treatment of a severe chest infection. Infants Rose and Grace Attard, conjoined twins from Malta, were separated in the United Kingdom by court order Re A over the religious objections of their parents, Michaelangelo and Rina Attard. The twins were attached at the lower abdomen and spine. The surgery took place in November 2000, at St Mary's Hospital in Manchester . The operation

3268-417: The annual dole are given a Biddenden cake, and they are sold as souvenirs to visitors. The cakes are baked so hard as to be inedible, to allow better preservation as souvenirs; they are baked in large batches every few years and kept until the stock runs out. Historically, the loaves used were of the archaic quartern loaf size, but this particular part of the tradition ended when Biddenden's last bakery closed in

3354-573: The annual dole from the Bread and Cheese Lands. It is recorded that in 1605, the custom that "on that day [Easter] our parson giveth unto the parishoners bread, cheese, cakes and divers barrels of beer, brought in there and drawn" was suspended on account of a visit from Charles Fotherby , the Archdeacon of Canterbury , owing to previous ceremonies having caused "much disorder by reason of some unruly ones, which at such time we cannot restrain with any ease". In 1645, rector William Horner claimed that

3440-627: The annual dole, and goes on to say that despite the antiquity of the events described, he has no doubt as to their authenticity. As with all accounts of the tradition prior to 1790 the author does not mention their alleged birth in 1100, or the name of Chulkhurst; these details first appeared in a broadside published in 1790. The Antiquarian Repertory of 1775 says that the sisters had lived "as tradition says, two hundred and fifty years ago". Drawings of Biddenden cakes from this period show that they featured an image of two women, possibly conjoined, but no names, dates or ages. Historian Edward Hasted , in

3526-557: The archbishop fills four main roles: In the last two of these functions, he has an important ecumenical and interfaith role, speaking on behalf of Anglicans in England and worldwide. The archbishop's main residence is Lambeth Palace in the London Borough of Lambeth . He also has lodgings in the Old Palace, Canterbury , located beside Canterbury Cathedral , where the Chair of St Augustine sits. As holder of one of

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3612-577: The archbishop of Canterbury is not always used in formal documents; often only the first name and see are mentioned. The archbishop is legally entitled to sign his name as "Cantuar" (the Latin for Canterbury). The right to use a title as a legal signature is only permitted to bishops, peers of the Realm and peers by courtesy. Justin Welby as archbishop of Canterbury usually signed as " +Justin Cantuar: ". In

3698-569: The archbishop of Canterbury is referred to as "The Most Reverend Forenames , by Divine Providence Lord Archbishop of Canterbury, Primate of All England and Metropolitan". In debates in the House of Lords, the archbishop is referred to as "The Most Reverend Primate, the Archbishop of Canterbury". "The Right Honourable" is not used in either instance. He may also be formally addressed as "Your Grace" or, more informally, as "Archbishop". The surname of

3784-411: The back (pygopagus), lived from 1100 to 1134 (or 1500 to 1534) and were perhaps the best-known early historical example of conjoined twins. Other early conjoined twins to attain notice were the "Scottish brothers", allegedly of the dicephalus type, essentially two heads sharing the same body (1460–1488, although the dates vary); the pygopagus Helen and Judith of Szőny , Hungary (1701–1723), who enjoyed

3870-632: The break with papal authority in the 16th century, the Church of England was an integral part of the Western European church . Since the break the Church of England, an established national church , still considers itself part of the broader Western Catholic tradition (although this is not accepted by the Roman Catholic Church which regards Anglicanism as schismatic and does not accept Anglican holy orders as valid) as well as being

3956-426: The brothers' fame and the rarity of the condition, the term Siamese twins came to be associated with conjoined twins. There are two hypotheses about the development of conjoined twins. Partial splitting of the primitive node and streak may result in the formation of conjoined twins. These twins are classified according to the nature and degree of their union. Occasionally, monozygotic twins are connected only by

4042-470: The case of the Biddenden Maids from a teratological perspective. He suggested that they had in fact been pygopagus (twins joined at the pelvis). Pygopagus twins are known to put their arms around each other's shoulders when walking, and Ballantyne suggested that this accounted for their apparently being joined at the shoulders in drawings. The pygopagus Millie and Christine McCoy had lived in Britain for

4128-410: The ceremony; the Archbishop of Canterbury permitted the distribution of bread, cheese and Biddenden cakes to continue, but abolished the free beer in an effort to combat the problem of unruly crowds. In 1900, antiquarian George Clinch investigated the Biddenden Maids in detail. Examining the costumes of the figures on the Biddenden cake moulds, he concluded that the style of dress depicted dated from

4214-401: The church with the exception of the two archbishops—serves as Canterbury's provincial dean , the bishop of Winchester as chancellor , the bishop of Lincoln as vice-chancellor, the bishop of Salisbury as precentor , the bishop of Worcester as chaplain and the bishop of Rochester as cross-bearer . Along with primacy over the archbishop of York , the archbishop of Canterbury also has

4300-439: The church; it was moved to the church porch. By 1770, it is recorded that the annual dole took place immediately after the afternoon Easter service. The annual income from the Bread and Cheese Lands had risen to 20 guineas (about £3,700 in 2024), and a huge quantity of food was distributed each year. By this time as well as the dole of bread, cheese and beer, hard bread rolls known as "Biddenden cakes", moulded into an image of

4386-402: The conjoined twins was "a vulgar tradition" arising from a misinterpretation of the image, while influential historian Robert Chambers accepted that the legend could be true but believed it unlikely. Throughout most of the 19th century little research was carried out into the origins of the legend. Despite the doubts among historians, in the 19th century the legend became increasingly popular and

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4472-400: The deaths of the Biddenden Maids is plausible, and agreed with Ballantyne's proposal that the idea that the twins were joined at the shoulder is a later misinterpretation of the figures on the Biddenden cake. He also pointed out that although there is no recorded version of the legend prior to 1770, there would have been no possible motive for the villagers of the eighteenth century to fabricate

4558-562: The evidence pointed to the twins having existed but that they had lived in the 16th century, rather than the early 12th century as generally claimed. They are not, however, mentioned in any journals or books from the period. This points against their having lived in the 16th century; the case of Lazarus and Joannes Baptista Colloredo (1617 – after 1646) had prompted great interest in conjoined twins, and conjoined sisters surviving to adulthood in south-east England would have been widely noted. In 1895, surgeon J. W. Ballantyne considered

4644-403: The first voluntarily to resign his office. All his successors except William Temple (who died in office in 1944) have also resigned their office before death. All those who retired have been given peerages : initially hereditary baronies (although both recipients of such titles died without male heirs and so their titles became extinct on their deaths), and life peerages after the enactment of

4730-405: The first successful operation to separate craniopagus twins (conjoined at the head), which resulted in long-term survival for both. The larger girl was reported in 1963 as developing normally, but the smaller girl was permanently impaired. In 1957, Bertram Katz and his surgical team made international medical history performing the world's first successful separation of conjoined twins sharing

4816-518: The followers of religions and cultures." Delegates said that "the deepening of moral values and ethical principles, which are common denominators among such followers, would help strengthen stability and achieve prosperity for all humans." It has been suggested that the Roman province of Britannia had four archbishops, seated at Londinium (London), Eboracum ( York ), Lindum Colonia ( Lincoln ) and Corinium Dobunnorum ( Cirencester ). However, in

4902-526: The forty-two dioceses of the Church of England, with the rest falling within the Province of York . The four Welsh dioceses were also under the province of Canterbury until 1920 when they were transferred from the established church of England to the disestablished Church in Wales . The archbishop of Canterbury has a ceremonial provincial curia , or court, consisting of some of the senior bishops of his province. The bishop of London —the most senior cleric of

4988-973: The girls and brought with him their mother, Monimia, from whom they had been separated. He and his wife provided the twins with an education and taught them to speak five languages, play music, and sing. For the rest of the century, the twins enjoyed a successful career as "The Two-Headed Nightingale" and appeared with the Barnum Circus. In 1912, they died of tuberculosis , 17 hours apart. Giacomo and Giovanni Tocci , from Locana , Italy, were immortalized in Mark Twain 's short story "Those Extraordinary Twins" as fictitious twins Angelo and Luigi. The Toccis, born in 1877, were dicephalus tetrabrachius twins, having one body with two legs, two heads, and four arms. From birth they were forced by their parents to perform and never learned to walk, as each twin controlled one leg (in modern times, physical therapy allows twins like

5074-523: The head region, including duplications, similar to some types of conjoined twins. Conjoined twins are typically classified by the point at which their bodies are joined. The most common types of conjoined twins are: Other, less common types of conjoined twins include: Surgery to separate conjoined twins may range from very easy to very difficult depending on the point of attachment and the internal parts that are shared. Most cases of separation are extremely risky and life-threatening. Though there have been

5160-457: The lands and to operate the annual Easter dole. Witness statements from these cases mention that the lands had been given by two women "who grew together in their bodies", but do not give any name for the women. In 1681, the "disorder and indecency" of the annual dole led to the threat of intervention by the Archbishop of Canterbury . The distribution of the dole ceased to be conducted inside

5246-440: The last 50 years (i.e. since 1748) and that the figures were intended to represent "two poor widows, as the general objects of a charitable benefaction". While he mentioned a legend that the figures represent two conjoined twins who died in their 20s and bequeathed the Bread and Cheese Lands to the parish, he dismissed it as "a vulgar tradition". Hasted's arguments were largely accepted by influential historian Robert Chambers , and

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5332-409: The legend of the Biddenden Maids. This account states that the twins were joined at the hip only, rather than at both the hip and the shoulder, and that they lived to a relatively old age. The article explicitly states that their names were not recorded, and that they were known only as the "Maids of Biddenden". The anonymous author recounts the story of their bequest of the lands to the parish to support

5418-513: The operation could be fatal to one or both. Their complex case was accepted only because technologically advanced graphical imagery and modeling would allow the medical team to plan the risky surgery. However, an undetected major vein hidden from the scans was discovered during the operation. The separation was completed but both women died while still in surgery. In 2019 Safa and Marwa Ullah were separated at Great Ormond Street Hospital in London, England. The twins, born January 2017, were joined at

5504-437: The original moulds, as the designs Clinch examined are strikingly different to the earliest surviving drawings of Biddenden cakes, published in 1775. Writing in the early 1930s, William Coles Finch explains the confusion over the dates, saying "the old-fashioned numeral five is so frequently taken as a one". He lamented the quality of the Biddenden cake then being produced, compared to that of former years. Coles Finch stated that

5590-433: The reign of Mary I (1553–1558), a date roughly consistent with the "two hundred and fifty years ago" reported in 1775, and concluded that the tradition had originated in the 16th century. He suggested that the "1100" date on Biddenden cakes had originally read "1500", and explained the absence of names on prints of 18th century Biddenden cakes as an engraving error. It is likely that the cake moulds examined by Clinch were not

5676-437: The resulting income allowed the annual dole to expand considerably, providing the widows and pensioners of Biddenden with cheese, bread and tea at Easter and with cash payments at Christmas. Biddenden cakes continue to be given to the poor of Biddenden each Easter, and are sold as souvenirs to visitors. According to tradition Mary and Eliza Chulkhurst, or Chalkhurst, were born to relatively wealthy parents in Biddenden , Kent, in

5762-531: The senses. One would eat and drink but the other did not eat; one would sleep but the other stayed awake. There were times when they played with each other, when both cried and hit each other. They lived for a little over two years. One died while the other lived for another four days and it, too, died." In Arabia, the twin brothers Hashim ibn Abd Manaf and 'Abd Shams were born with Hashim's leg attached to his twin brother's head. Legend says that their father, Abd Manaf ibn Qusai , separated his conjoined sons with

5848-712: The separation of Ganga and Jamuna Shreshta in 2001, who were born in Kathmandu, Nepal , in 2000. The 97-hour surgery on the pair of craniopagus twins was a landmark one which took place in Singapore; the team was led by neurosurgeons Chumpon Chan and Keith Goh. The surgery left Ganga with brain damage and Jamuna unable to walk. Seven years later, Ganga Shrestha died at the Model Hospital in Kathmandu in July 2009, at

5934-681: The separation to go ahead. The surgery utilized a team of more than 100 including bio engineers, 3D modelers and a virtual reality designer. The separation was completed in February 2019 following a total of 52 hours of surgery over three separate operations. As of July 2019, both girls remained healthy and the family planned to return to their home in Pakistan in 2020. The Moche culture of ancient Peru depicted conjoined twins in their ceramics dating back to 300 CE. Writing around 415 AD, St. Augustine of Hippo , in his book, City of God , refers to

6020-437: The sisters left five pieces of land in the Biddenden area comprising around 20 acres (8 ha) in total to the local church, with the income from these lands (claimed to have been 6 guineas per annum at the time of their death) to provide an annual dole of bread, cheese and beer to the poor every Easter. Henceforward, the lands were to be known as the Bread and Cheese Lands. The churchwardens of Biddenden continued to maintain

6106-410: The sisters were not known, and early drawings of Biddenden cakes do not give names for the sisters; it is not until the early 19th century that the names "Mary and Eliza Chulkhurst" were first used. Edward Hasted , the local historian of Kent, has dismissed the story of the Biddenden Maids as a folk myth, claiming that the image on the cake had originally represented two poor women and that the story of

6192-526: The sisters, were thrown to crowds from the church roof. The Biddenden cakes were flat, hard and made of flour and water, and were described as "not by any means tempting"; one writer in 1860 described one as "a biscuit plaque". Although it is known that the charity had been in operation as early as 1656, an anonymous article in The Gentleman's Magazine in August 1770 is the earliest recorded account of

6278-729: The space of about Six Hours after her Sister's decease she was taken ill and died also. By their will they bequeath to the Churchwardens of the Parish of Biddenden and their successors Churchwardens for ever, certain Pieces or Parcels of Land in the Parish of Biddenden, containing Twenty Acres more or less, which now let at 40 Guineas per annum. There are usually made, in commemoration of these wonderful Phenomena of Nature, about 1000 Rolls with their Impression printed on them, and given away to all strangers on Easter Sunday after Divine Service in

6364-646: The story was generally treated as a folk myth. A letter to the British Medical Journal in 1869 pointed out that surnames were not in use in Kent in the 12th century, and that in older styles of English handwriting the 1 and 5 characters could easily be confused, and suggested a correct birthdate of 1500. The Biddenden Maids were occasionally mentioned in pieces on conjoined twins, particularly after Chang and Eng Bunker proved that conjoined twins could live to an advanced age and lead relatively normal lives. Notes and Queries magazine called in 1866 for

6450-588: The story. In 1907, the Chulkhurst Charity was amalgamated with other local charities with similar purposes, to form the Biddenden Consolidated Charity, still functioning as a registered charity. The Bread and Cheese Lands were sold for housing, expanding the charity significantly to provide Biddenden pensioners and widows with bread, cheese, and tea at Easter, a cash payment at Christmas, and distribute Biddenden cakes. (During

6536-416: The third volume of The History and Topographical Survey of the County of Kent published in 1798, dismissed the legend of the Biddenden Maids. He claimed that the Bread and Cheese Lands were the gift of two women named Preston (although he elsewhere described the lands as having been "given by persons unknown"). Hasted stated that the Biddenden cakes had only begun to be moulded with the imprint of two women in

6622-450: The top of the head with separate brains and a cylindrical shared skull with the twins each facing in opposite directions to one another. The surgery was jointly led by neurosurgeon Owase Jeelani and plastic surgeon Professor David Dunaway. The surgery presented particular difficulties due to a number of shared veins and a distortion in the shape of the girls' brains, causing them to overlap. The distortion would need to be corrected in order for

6708-614: The twins together. Conjoined twins share a single common chorion , placenta , and amniotic sac in utero , but so do some monozygotic but non-conjoined twins. Chang and Eng Bunker (1811–1874) were brothers born in Siam (now Thailand) who traveled widely for many years and were known internationally as the Siamese Twins. Chang and Eng were joined at the torso by a band of flesh and cartilage, and by their fused livers. In modern times, they could easily have been separated. Due to

6794-410: The village of Biddenden was thronged with rowdy visitors every Easter. In the late 19th century historians investigated the origins of the legend. It was suggested that the twins had genuinely existed but had been joined at the hip only rather than at both the hip and shoulder, and that they had lived in the 16th rather than the 12th century. In 1907, the Bread and Cheese Lands were sold for housing, and

6880-399: The villagers considered the then-current cake to be unleavened bread . In almost all drawings and Biddenden cake designs, the twins are shown as conjoined at both the hip and the shoulder. Although such a fusion is theoretically possible, in that twins fused at one point may form a secondary fusion elsewhere, no case of a viable double fusion has ever been documented. Clinch believed that

6966-435: The year 1100. The pair were said to be conjoined at both the shoulder and the hip. They grew up conjoined, and are said to have "had frequent quarrels, which sometimes terminated in blows". At the age of 34, Mary Chulkhurst died suddenly. Doctors proposed to separate the still-living Eliza from her sister's body but she refused, saying "as we came together we will also go together", and died six hours afterwards. In their wills,

7052-463: The year 598. It seems that Pope Gregory, ignorant of recent developments in the former Roman province, including the spread of the Pelagian heresy , had intended the new archiepiscopal sees for England to be established in London and York. In the event, Canterbury was chosen instead of London, owing to political circumstances. Since then the archbishops of Canterbury have been referred to as occupying

7138-484: Was controversial because Rose, the weaker twin, would die as a result of the procedure as her heart and lungs were dependent upon Grace's. However, if the operation had not taken place, it was certain that both twins would die. Grace survived to enjoy a normal childhood. In 2003, two 29-year-old women from Iran, Ladan and Laleh Bijani , who were joined at the head but had separate brains (craniopagus), were surgically separated in Singapore, despite surgeons' warnings that

7224-616: Was several centuries later, in Germany, in 1689. The first recorded successful separation of conjoined twins was performed in 1689 by Johannes Fatio . Around this same time Dr. Böhm of Gunzenhausen separated his own children, a pair of omphalopagus or xiphopagus twins; the feebler twin died four days later, but the healthier one was still alive and well at age five, when the case was reported. In 1955, neurosurgeon Harold Voris (1902-1980) and his team at Mercy Hospital in Chicago performed

7310-649: Was the first to attend a papal inauguration, that of Pope John Paul II in 1978. Since 2002, the archbishop has co-sponsored the Alexandria Middle East Peace process with the Grand Mufti of Egypt . In July 2008, the archbishop attended a conference of Christians, Jews and Muslims convened by the King of Saudi Arabia at which the notion of the "clash of civilizations" was rejected. Delegates agreed "on international guidelines for dialogue among

7396-410: Was used to pay for an annual dole of food and drink to the poor every Easter. Since at least 1775, the dole has included Biddenden cakes, hard biscuits imprinted with an image of two conjoined women. Although the annual distribution of food and drink is known to have taken place since at least 1605, no records exist of the story of the sisters prior to 1770. Records of that time say that the names of

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