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Beyond the Diagnosis: Living with Sickle Cell Disease -By Udeh Chekwubechuwu Emmanuella

You are not behind, you are not less, you are still becoming, still unfolding, still growing in ways that are not always visible and even on the days it feels heavy, you are still here, you’re still living, you’re still trying, you’re still moving forward in your own way, because this is not the end of your story.

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Sickle cell

Behind every hospital visit is a story of endurance,unseen battles and the will to keep living.

“I have sickle cell disease”
The doctor’s voice was calm, too calm. His words felt like they were tearing something open inside me.
I just sat there, still. My hands were cold, and my thoughts were moving fast for my body to keep up.

Am I going to die?
Is this how my life ends before it even really begins?
Is everything I know about my life about to fall apart right here?

I didn’t say any of it out loud. It stayed inside me, heavy, pressing against my chest.
Then slowly, things started to make sense but in a painful way. The constant sickness, the unexplained pain, the days my body just refused to cooperate while others kept going. I always thought I was just “different.” Now I understood why.

And yet, there was love.
My parents never made me feel like I was a burden. They stood by me in ways I didn’t even fully understand then. My mother carried worry in silence, but it showed in everything she did. My father was quiet, steady, always present, especially on the hard days.

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Back then, I didn’t understand their fear, but now I do.
Later, I got to find out that my mother had known about my condition before I did. And when it was finally confirmed, something in her broke quietly. Not the loud kind of breaking, but the kind where someone is trying to stay strong while everything inside them is falling apart.
During that same period she lost a pregnancy Not just a child, but something deeply personal taken by a truth no mother is prepared for.
She never told me. She carried it alone, thinking it would protect me from more pain.
But at 16, there was no more hiding.
I remembered the hospital room clearly, the silence felt heavy like it was sitting on all of us. At some point, she asked me to step outside while she spoke with the doctors.

I stood in the corridor trying not to break. I knew my mother well, she feels everything deeply. So I stayed strong, not because I was okay, but because I didn’t want her to fall apart because of me.

When she came out, I saw it on her face even before she spoke.
She held me and kept saying I would be fine. But I could feel the fear between us, even without words.

Then, back inside the consultation room, the doctor asked me something I’ll never forget:
“Have you ever known someone who has died from sickle cell disease?”

“Yes.”

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That was all I could say.
Something in me just sank. Not loudly. Just a quiet collapse I had to hold back. I bit my lip so hard just to keep myself from breaking right there.

I stayed still on the outside.
But inside, I was falling apart.
And moments like this, quiet and heavy, are not rare.

They reflect the reality of many people living with sickle cell disease. Young people who, at some point, sat in a hospital room and heard words that changed everything for them.

But the truth is this: ‘Sickle cell is not a death sentence’.
Yes, it brings deep uninvited pain. The kind that settles into the bones and doesn’t go easily. Days when even breathing feels heavy. Days when life just has to stop.
And sometimes, it brings more serious complications,Infections, severe anemia, damage to bones and even stroke!!!.

But even with all this, life didn’t stop.
What many people don’t see is what happens in the silence,
the long nights when sleep disappears and pain takes over, when the world is quiet, but the body is not. Nights filled with silent tears, clenched fists, and prayers for relief.
No applause. No audience, just getting through it.
And then morning comes, and somehow hopes rise.

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They wipe their faces, try to steady themselves and step into the day like nothing happened. They smile, they talk, they show up.
And nobody really knew what the night was like.
But that quiet strength, that unseen resilience, it’s all real.
Because anyone who can go through that kind of pain and still stand the next day, is not weak.

They are warriors, strong in ways you can’t really explain. Resilient in ways that are not easy to break.
And still, life continues.
There are mornings after the pain, small victories, laughter, progress, even if it’s
slow.
People living with sickle cell learn to live differently, but they still live.
They learn discipline early, folic acid and Paludrine become part of their everyday routine, not out of fear, but just to help them stay okay. They learn their limits, they learn how to listen to their bodies.

And in all of this, they grow. They are not just patients, they are people with stories, struggles, and lives that are still unfolding.
What people don’t always see is how much it takes just to keep going, to smile even when it hurts, to show up even when it would be easier not to, to keep trying when life feels slow or unfair, but they still do.
They go to school, chase their dreams, and they keep moving. Not because it’s easy, but because they refuse to give up.

Therefore, sickle cell disease is not a death sentence.
It is a condition, a difficult one yes, but it’s not the end of life.
It doesn’t erase dreams, it doesn’t cancel purpose, it simply means life unfolds differently, in ways most people may never fully understand.

Because beyond the hospital visits and quiet battles, there is still life happening, efforts, hopes, even on the hardest days.

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And yes, maybe that’s what people need to sit with, that strength is not always visible.
Sometimes it is just surviving a day no one else saw, sometimes it is getting through moments that almost broke you, without anyone knowing.

To those living with it, you are seen.
Not defined by your condition, not reduced by your struggles, not measured by what you cannot do on certain days.

You are not behind, you are not less, you are still becoming, still unfolding, still growing in ways that are not always visible and even on the days it feels heavy, you are still here, you’re still living, you’re still trying, you’re still moving forward in your own way, because this is not the end of your story.

It never was.

Emmanuella Chekwubechukwu Udeh
Department of Mass Communication
University of Maiduguri, Borno State.

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