Health & fitness
I was overjoyed to be expecting twins – then ‘one turned into cancerous lump that could kill my unborn baby’
LARA Eastwood and her fiancé Daniel Turner were overjoyed when they discovered they were expecting twins.
But the couple’s world came crashing down at their eight-week scan when they were told they had lost one of their babies.
In a further cruel twist one month later, Lara, 36, and Daniel 43, were delivered the devastating news that the dead foetus hadn’t dissolved.
Doctors said they were experiencing a twin molar pregnancy – when there is a problem with the fertilised egg which means the baby and placenta don’t develop in the way they should.
Lara was told she should terminate but her nurse’s intuition kicked in and she fought for a second opinion.
She was then diagnosed with a partial molar pregnancy with a co-existing twin – where the egg is fertilised by two sperm which results in three sets of chromosomes instead of the usual two.
Her doctor told her there are just 44 cases in the world.
Lara decided to continue with her pregnancy – despite the risk that the lump of tissue from the dead placenta can develop into cancer, putting her and her unborn child at risk.
Now, 36 weeks along, Lara won’t know if one or both of them is impacted until the birth.
Lara, a nurse from Nottingham, said: “If I hadn’t been medical and hadn’t looked after patients with molar pregnancies then I think I would have made the decision to terminate.
“It was only because of my stubbornness and my instinct.
“Hopefully I’ll get a healthy baby and it will all be worth it.”
Lara and Daniel, a physiotherapist, were excited when they found out they were expecting twins in February 2024 – after suffering three losses.
Lara started to experience bleeding and pain but her scans continued to look fine and showed two heartbeats.
The couple – who have a son Oliver, three – went for their eight-week scan just after Easter and were told one of their twins had passed away.
“I was grieving the one that was gone,” Lara said.
“I didn’t want to eat. But I was very conscious that you can’t not eat because you’ve got another one.
“It was such a conflict of emotions.”
It was my decision to carry on and put myself and the baby at risk
Lara Eastwood
At 12 weeks, Lara went for another scan ready to try to put the loss behind her and focus on growing her remaining baby.
“I went into the room and knew something was wrong straight away,” she said.
“I heard the word molar thrown around.
“The dead one was still there – it hadn’t been dissolved. I knew what that potentially meant.”
Lara was aware of molar pregnancies from her experience as a nurse.
She was given three options – to terminate the very next day, medically terminate in a week, or “bury her head in the sand”.
Lara wanted a second opinion as she didn’t want to give up, having now experienced four losses.
The next week she had a call from the doctor who told her it was a twin molar pregnancy.
“I said, ‘It can’t be – mine had a heartbeat’,” she said.
“In molar pregnancies, it just looks like a cell. It looks like a mass of tissue. And mine looked like a baby.”
Lara pushed back explaining that she had heard a heartbeat on four scans – which she said wouldn’t have been possible if it was a molar pregnancy.
She was referred to a specialist, who thought it could be a partial molar pregnancy with a co-existing twin – which forms a triploidy with 69 chromosomes.
Lara said: “My doctor found 44 case reports of this in the world. It’s beyond rare.”
Lara had a CVS – where a needle is inserted into the placenta to remove tissue – in May 2024 which confirmed her diagnosis.
Due to the procedure, she had a one in 50 chance of losing her living baby – including in the two weeks following it.
‘I FEEL TOTALLY ROBBED’
“I can’t tell you how I even functioned,” she said.
“It just felt that wherever I went, it was more s*** news.
“Now we know it is a partial molar, it can develop into cancer.”
Usually the placenta would be removed and sent off for testing. But as Lara was still carrying a live baby, her case was more complicated.
She said: “I have got endometriosis. In five pregnancies, I have lost four babies.
“I asked, ‘Is there a chance I can continue?’ – and he said yes.
“It was my decision to carry on and put myself at risk.
“I can live with myself if this baby doesn’t make it. I’ve given it the best possible chance to get here.”
What is a molar pregnancy?
A MOLAR pregnancy is a rare complication that happens by chance.
It is when there is a problem with a fertilised egg, which means a baby and a placenta do not develop in the way they should after conception.
Molar pregnancies may seem regular at first, but they cannot develop into a healthy baby.
They can be complete, when a sperm fertilises an empty egg that contains no genes from the woman and no parts of the baby form.
Or they can be partial, when two sperm fertilise the egg at the same time, so there is one set of female chromosomes and two sets of male chromosomes, and there may be some tissue that looks like a foetus.
Despite early signs of a baby, it cannot fully develop or survive.
In rare cases, a twin pregnancy will show a normal developing baby and a molar pregnancy at the same time.
For many women, it is possible for the pregnancy to continue. But if you have complications, it may not be able to. Speak to your doctor.
Source: NHS and Cancer Research UK
Lara has been monitored closely and is now nearly at 36 weeks, but she still hasn’t bought anything for the baby.
“We won’t know if this baby is going to have anything wrong with it until I deliver,” she said.
“It’s been the most horrendous pregnancy. I feel totally robbed.”
Lara may be able to deliver naturally as her baby is at the bottom and has moved the dead placenta to the side, but a decision on whether she will have a C-section has not yet been made.
After giving birth, the placentas will be sent off to a specialist centre to be tested.
Lara will also be monitored with urine and blood checks to see if she has any signs of cancer.
If there is, she would then need chemotherapy for four to six months.
This type of cancer is very treatable and most women survive, but like any form of the disease, it carries life-changing risks.
“It’s just a scary thing,” Lara said. “If the tissue is gone then my body has dissolved it.”
Lara hopes to raise awareness of the rare pregnancy so others can understand it.
She also wants to support others going through pregnancy loss and has started the organisation Roaring Rainbows.
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Health & fitness
Watch as woman, 28, plagued by giant skin growth undergoes life-changing surgery on The Bad Skin Clinic
WATCH as a woman with a massive keloid protruding from her neck finally gets the skin growth removed.
Olivia, a 28-year-old nurse, grappled with the growing keloid over the course of four years.
Starting out as a spot, it gradually swelled to the size of a satsuma and left Olivia feeling increasingly self conscious.
“It can be exhausting, trying to constantly be brave, and trying to hide it,” she said.
“It’s my face, this is what everyone sees!
“Often at the end of the day the tears may come, it makes you sad,” an emotional Olivia reflected.
Not only that, the nurse was constantly catching her seat belt or face mask on the growth, which at times became unbearably itchy.
After years of emotional and physical discomfort, Olivia decided to visit consultant dermatologist Dr Emma Craythorne about finally having the keloid removed.
The nurse’s story features in a brand new episode of The Bad Skin Clinic, as the first instalment of the seventh series airs tonight.
The new series will see Dr Craythorne help patients with a number of growths and skin ailments.
“When a skin disease affects the face it can be devastating,” the dermatologist said.
“Not just physically, but also emotionally and socially.”
Though Olivia was desperate to have her keloid removed to improve her self-confidence, the specialist nurse also visited Dr Craythorne for practical reasons.
The growth had gotten so large it has started to impact her work supporting patients with learning disabilities, as well as her everyday activities.
“My keloid… it really does get in the way. I often get my seatbelt rubbing on it.
“If I’m trying to wear masks or PPE at work, I’m quite uncomfortable with it,” the nurse explained.
Olivia’s keloid also got unbearably itchy at times, leaving her in a frenzy of scratching.
“I’m always rubbing it,” she said.
“It’s like an itch and I can’t stop doing it.”
In an initial consultation at the clinic, Dr Craythorne confirmed that Olivia’s growth was indeed a keloid.
To Olivia’s surprise, Dr Craythorne pointed out that the growth could have been triggered by something as inconspicuous as a small acne spot on her neck.
“Essentially the cells that we have responsible for making a scar are called ‘fibroblasts’,” she explained.
“If you cut yourself, or you have an injury, they start repairing that wound, and then once the injury is healed over, it stops repairing.
“But in somebody who has a tendency to keloids, those fibroblasts don’t stop making scar tissue. So in your case this a genetically-inherited tendency.
“I suspect you might have even had a spot, like an acne spot or something like that. Something really little, and that’s been enough to provoke this response.”
Olivia got yet another surprise when the dermatologist revealed that she would be able to remove through surgery that very same day.
“I know you don’t want it there, but it’s grown in such a beautiful way and does not seem to be going deep into the skin nearby,” Dr Craythorne told the nurse.
“This is a really nice keloid that should get a good outcome from surgery.”
Not expecting to go into surgery that day, Olivia was happy at the idea having the keloid removed and at the same time anxious about the surgery.
“I’m sh****** myself,” she told the dermatologist as she arrived at the theatre, prepped and ready for her op.
QUICK WORK
After injecting the keloid to numb it, Dr Craythorne started making slow and precisely incisions to the keloid with her scalped, which she told Olivia was “fairly superficial”.
“We’re not having to really dig deep down into the skin to find all the roots of it,” the dermatologist explained.
“This is where my yoga and Pilates comes into play,” she joked as she manoeuvred herself around Olivia to get to the keloid from different angles.
Dr Craythorne sliced the little “spud” all the way off before long and stitched up Olivia’s neck, asking the nurse to move her chin to make sure the skin wouldn’t pull.
What are keloid scars?
A keloid scar is a raised scar left on the skin after a wound has healed.
They usually appear a few weeks to years after damaging or injuring your skin, such as after a cut, burn or acne.
Keloid scars are usually raised, hard, smooth and shiny.
They can be skin colour, pink, red, purple, brown, or darker than the skin around them.
You’re most likely to get them on your chest, shoulders, chin, neck, ears and lower legs.
A keloid scar can grow for months or years and become bigger than the original wound.
While it’s growing, it may feel itchy or painful. This usually stops once it’s finished growing.
Speak to a GP if you think you have a keloid scar and it’s bothering you.
They may be able to improve how it looks and getting treatment early can stop the scar from growing.
Source: NHS
“Welcome to your new face,” she told a beaming Olivia, handing her a mirror.
Following the op, Dr Craythorne reflected: “When somebody has something that’s different about their face, it has an effect on them.
“Our face is so important to us in terms of communication, in terms of breathing, in terms of speaking, in terms of touch, all of these things.
“But also crucially, it’s a point of contact that people look at, so it’s not the same as having a lump growing somewhere else.
“When it’s right in the middle of your face, it has an impact in all of those ways.”
CONFIDENCE BOOST
Olivia was back at the London clinic two weeks post-op for a check-in.
“I’m just looking forward to showing Dr Emma how my face is getting on.
“Colleagues have mentioned how great things are looking, I even had someone at the chip shop say ‘ooh your thing’s gone!’,” the nurse said.
“Honestly, I feel like people are actually looking at me and talking to me as opposed to looking down at my neck,” Olivia told the dermatologist.
“My lanyard, it’s not getting stuck, it’s just sliding on…seatbelts… even like a bag, I can wear it on this side.
“Before I could never wear a bag this way. All these kinds of things, I’m so so happy,” Olivia went on.
Olivia’s surgery also boosted her self-confidence.
“I feel so pretty,” she said.
“Having it gone is literally life-changing for me. I’m so much more confident, I’m not conscious when I’m taking pictures or even when I’m walking around.
“I’m not really trying to cover my face anymore.
“My life now is amazing. I’m feeling great, really confident, really happy. Just excited for the future!”
The Bad Skin Clinic airs on Really on Tuesdays at 9pm and is available to stream on discovery+.
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Health & fitness
New body scan phone app ‘reveals if you’re at risk of heart disease, stroke or diabetes in just 30 seconds’
A NEW smartphone app can tell you if you’re at risk of heart disease, stroke or diabetes, experts say.
MyBVI is an at-home body scan tool that analyses your health in as little as 30 seconds.
It uses two photos to reveal your body fat, visceral fat, waist-to-hip ratio, waist-to-height ratio and waist circumference – without the need for a tape measure.
Using artificial intelligence (AI) and taking into account your age and gender, this then produces a body volume index (BVI) figure from zero to 20, which determines your likelihood of future health problems.
Generally, the higher the number, the higher your chances of falling ill.
A BVI score below 13 is considered low risk, while figures above 13 indicate an increased risk.
The technology is 23 per cent more accurate than body mass index (BMI) which relies on weight and height alone, scientists claim.
Inventor Richard Barnes said: “With MyBVI, users simply take two images with their smartphone or tablet from the comfort of their home, and within seconds, they receive their measurements.
“It considers where fat is distributed on the body, and how that impacts health, rather than just on total weight.
“Anyone can do it. And the images are never stored or used, ensuring complete privacy.
“BVI is a predictive risk indicator for three of the most significant diseases in global healthcare – diabetes, cardiovascular disease (which encompasses heart disease and stroke) and high blood pressure.”
Developer Select Research hopes it can help ease the burden on medical staff by allowing patients to submit images from home, eliminating the need for GP or other clinic visits.
How to do the body scan
- Get someone to hold your phone or tablet vertically and stand in front of them.
- Stand facing forwards, with your arms held out straight at a 45-degree angle for the first picture.
- For the second photo, stand exactly side-on with your feet together and your arms straight down. Don’t look at the camera.
- You should receive your results a few seconds later.
Those deemed high-risk can then be monitored, “enabling cost-effective preventive care and earlier diagnosis”.
It should also reduce the chances of ‘false positives’ for obesity, particularly in patients with muscular builds, ethnic minorities and women, according to the team.
Richard said: “The government now has an opportunity to fulfil its promise of creating a future-ready NHS by adopting a more accurate understanding of body composition and its impact on health.
“BVI accurately identifies more than four out of five patients who might be at risk of heart disease, stroke or type 2 diabetes – marking a 23 per cent improvement over BMI and outperforming manual measurements.
“These findings indicate that BVI is a more effective risk indicator than BMI, which was created in 1835 and is outdated and inaccurate when assessing individual health.
“After 18 years of development, we’ve created an app that offers more comprehensive body measurements that lowers the cost of entry and could become a new medical standard.
“It offers a more comprehensive approach, with detailed data on total body fat, visceral fat, waist-to-hip ratio, waist-to-height ratio, waist circumference and BVI.
“Maintaining good health is important for everyone, so it’s crucial that people have access to accurate tools like MyBVI to make the right decisions about their health.”
It could serve as a powerful screening tool for identifying metabolic syndrome
Researchers
MyBVI is free to download but requires a £3.99-a-month subscription to unlock “premium benefits”.
It presents data on a graph to help users understand how their body changes over time.
The app predicts someone’s metabolic syndrome risk and severity.
A study published in the European Heart Journal – Digital Health found it to be more accurate than BMI.
“The tool offers a more precise alternative to other measures of disease risk, like BMI and waist-to-hip ratio,” the researchers said.
“It could serve as a powerful screening tool for identifying metabolic syndrome.”
Metabolic syndrome can lead to a heart attack, stroke, diabetes, liver disease, and other serious health problems.
People with metabolic syndrome typically have apple-shaped bodies, meaning they carry a lot of their weight around their middle.
The science behind body volume index
BVI helps people understand their body composition.
Total body fat
Body fat, also known as adipose tissue, helps store energy in our bodies and is essential for our wellbeing.
But in excess, it can also lead to the development of many diseases, including heart disease, high blood pressure, and stroke.
Visceral fat
Visceral fat, also known as intra-abdominal fat, is the fat found on the inside of your abdomen and around your organs.
Too much of it is linked to type 2 diabetes, fatty liver disease and some forms of cancer.
Waist-to-hip ratio
Waist-to-hip ratio measures the difference between the waist circumference and the hip circumference, and determines how much fat is stored on the waist, hips and buttocks.
Waist-to-height ratio
Someone’s waist-to-height ratio is obtained by dividing their waist size by their height.
Waist and hip circumference
The waist is measured in a horizontal line, halfway down the side of the body between the pelvic bone and the bottom of the ribcage.
The hip circumference is measured at the widest point of the buttocks.
Source: BVI
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