Changing the way we think about what’s possible in life with sickle cell

A columnist reflects on the fruits of progress in sickle cell advocacy

Written by Dunstan Nicol-Wilson |

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One of the hardest things about growing up with sickle cell disease wasn’t the pain. It was the limitations — not just those imposed by the condition itself, but also from other people’s expectations.

Like many patients, I grew up hearing what I couldn’t do. The conversations weren’t always malicious. Most people thought they were being realistic, trying to prepare me for a difficult future. But over time, those messages began to shape the way I saw myself. I started to wonder whether my dreams were realistic. I questioned my ambitions. I hesitated before taking opportunities because I’d spent years hearing that my condition would ultimately decide what my life looked like.

For a long time, I believed some of those limitations myself. Living with sickle cell disease can be exhausting. It demands so much of you physically, emotionally, and mentally. There are moments when simply getting through the day feels like an achievement. In those moments, it can be difficult to imagine a future beyond survival.

But advocacy has given me perspective, one of its greatest gifts. Over the years, I’ve had the opportunity to meet patients from around the world. I’ve heard their stories, followed their journeys, and celebrated their achievements. And what I’ve seen has completely changed the way I think about what’s possible.

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I’ve met people building careers, raising families, traveling the world, leading organizations, creating change, and achieving goals that many people once believed were out of reach for someone living with sickle cell disease. Every time I see one of those stories, I’m reminded of something important: People continue to find ways to build meaningful lives despite the challenges.

That’s not because sickle cell disease has become easy or the challenges have disappeared. It’s what resilience looks like. It’s not about pretending things aren’t difficult. It’s about choosing to keep moving forward anyway.

When I look at my life, there are countless moments that younger versions of me never would’ve believed were possible. It’s not because I lacked ambition, but because I lacked examples.

Representation matters. Sometimes seeing someone else succeed is enough to make you believe that success is possible for you, too. That’s one of the reasons I’m optimistic about the next generation of sickle cell patients. Many of us grew up feeling isolated. We didn’t always see people who looked like us, lived like us, or shared our experiences, so we often heard more about limitations than possibilities.

Today’s generation is growing up with something different. They’re growing up with examples. They can see adults with sickle cell disease building careers, traveling, getting married, becoming parents, pursuing higher education, and creating fulfilling lives. That matters.

I often think about how many patients were told they might not live beyond a certain age. How many were discouraged from pursuing their goals? How many were made to feel that sickle cell disease would define every aspect of their future? Yet here we are. We are still here. We are living longer than many expected. We are achieving things that once seemed impossible. We are proving that a diagnosis does not determine the value of a life.

Of course, sickle cell disease remains unpredictable. It can take so much from us. Some days are incredibly difficult, and simply surviving feels like enough.

Embrace the days when your health allows you to do more. Make the most of them. Travel if you can. Rest when you need to. Pursue your goals. Spend time with people you love. Build a life that feels meaningful to you.

While sickle cell disease may influence your journey, it doesn’t get to define your destination. If there’s one thing I’ve learned from living with this condition, it’s that other people don’t get to decide what’s possible for your life — not doctors, not strangers, not society, and certainly not people who have never lived a day in your shoes.

Hold on to your own reality. Believe in your own potential. Because somewhere, someone is looking at your life and seeing proof that their future can be bigger than they imagined. And perhaps that is one of the most powerful forms of advocacy there is.


Note: Sickle Cell Disease News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Sickle Cell Disease News or its parent company, Bionews, and are intended to spark discussion about issues about sickle cell disease.

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