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Ask Dr. Craig!: Sickle Cell Disorder

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BellaNaija is pleased to announce a new column for our special readers – ‘Ask Dr. Craig!Dr. Craig is a BellaNaija columnist and one of the doctors who writes for BN Doctors’ Lounge {Get familiar here}. The idea behind ‘Ask Dr. Craig!’ is for BN readers to get quick sharp answers to niggling medical issues that they have. This does not in anyway mean that readers should not go to their doctors. However, sometimes you just need a human face to give answers to those fast, burning medical concerns our readers have.

Send your questions for Dr. Craig to features(at)bellanaija(dot)com stating your full name and where you are writing from. (Your name will never be published) The editor reserves the right to edit submissions for content brevity and clarity. We regret that we cannot provide individual answers to questions sent in and cannot state at which exact date answers would be published.
We hope that people will find help by reading and sharing. We look forward to reading your emails and tweets with questions for Dr. Craig.

**

Dear Dr. Craig
Last year I met and fell in love with a wonderful woman and things have gotten quite serious between us. I have always known my genotype is AS since I was in secondary school and for this reason I made sure that I tactfully asked for the genotype of every girl I found myself interested in long before feelings got involved. This time however love snuck up on me and took me by surprise, and before I knew it I had fallen head over heels. As you have probably guessed, I just found out that the love of my life is AS too.

My heart loves her and I know she loves me in return. She is everything I have ever dreamed of and more and every day I am grateful to God for bringing her into my life. I want more than anything to spend the rest of my life with her. On the other hand my head is screaming caution! I have a close relative who has Sickle cell and I have seen what pain he has had to endure. I don’t want to have children with Sickle Cell Disease.

Is there anything that I can do?

Confused-and-in-love.
Maitama, Abuja

Dear Confused-and-in-love,

First of all, let me congratulate you on finding this kind of love that you describe. It is indeed a wonderful thing to be in love! I’m terribly sorry to hear that you are in this dilemma, but not to worry, I will do my best to provide you with all the information you need.

Sickle cell disorder is a blood disease that affects people of Afro-Caribbean and Asian origin and is predominant in areas that are prone to Malaria. In sickle cell disease, red blood cells that under normal circumstances can flow easily through the blood vessels tend to clump together and form abnormal shapes which restrict blood flow and can lead to vital tissues and organs being deprived of blood and oxygen.

The normal genotype AA, is responsible for the ‘doughnut’ shape of our red blood cells which makes it easy for the blood to flow through even the tiniest blood vessels. This type of blood however is very prone to severe forms of malaria. It is thought that over many years, a mutation occurred in the genes of the people living in the malaria belt and this genetic mutation conferred protection from malaria on those that had it. This mutation is the AS carrier trait. However, when two carriers marry, it was observed that while some of their children had the normal genotype AA, some had the protective mutation AS, and some others got the genotype SS and developed a condition known as Sickle cell disease.


For a couple who are both carriers of the Sickle cell trait, the probability of having a child with the normal AA genotype is 1 in 4. This means that for every pregnancy, there is a 25% chance that the child would be AA.

The probability of having a child with the carrier state genotype AS is 2 in 4. This means that for every pregnancy, there is a 50% chance that the child would be AS.

The probability of having a child with the diseased genotype SS is also 1 in 4. This too means that for every time the wife gets pregnant, there is a 25% chance that the baby would be SS.

The thing with probability however, is that it is just like throwing dice. One man can throw the dice ten times and get 6 each time, while another can throw the same dice ten times and get 1 all through. In the same way, a couple may be fortunate enough to have all their children born AA, while some will get a mixture of AA and AS or AA, AS and SS, and some also can unfortunately have all the children born to them being SS.

Counselling aims to give couples such as yourself and your girlfriend all the information that is available as well as outlining all the possible options that are open to you in a clear and unbiased way. The couple is then encouraged to carefully weigh each option with their own personal circumstances, beliefs and convictions and make a decision for themselves.

These are all the options that are available to you:

Get married and have no children
A good number of people, especially in the western world are choosing to get married and not have any children. Whereas in Africa children are seen as a completion to the marriage and are essential for keeping the family name alive, couples in Europe, Asia and the Americas are increasingly comfortable with limiting the scope of their marriage to the companionship that being together brings.

Get married and adopt
Some people choose to adopt children instead of having any of their own. Adoption is commoner in the west, and in some places like Hollywood has actually become a fad, with stars like Brangelina having adopted many children from all over the world. Adoption services are possible in Nigeria through the many orphanages here.

Get married and throw the dice
The odds of having a healthy child without any intervention are seemingly good. Three out of four. This means that there is a 75% chance that every given pregnancy could be either AA or AS. The other 25% is the likelihood of the baby being born SS. For some people these odds are good enough and they go ahead to marry and have children in the hope that the odds would be in their favour.

It is important to make clear again at this point that there will be couples who take this route and are fortunate enough to have all their children healthy (AA or AS), or have a mixture of AA, AS and SS. However, there are also couples who unfortunately go ahead to have all their children born with the disease.

Prenatal diagnosis
Some people don’t like leaving things to chance and may feel that the 25% chance of things going wrong is too much of a gamble for them. In prenatal diagnosis, the couple throw the dice but are able to know before the baby is born what its genotype will be.

Doctors are able to take some samples from your baby while still in its mother’s womb (at this stage it is called a foetus) and determine what the genotype is. There are two ways of doing this; Amniocentesis and Chorionic Villus Sampling.
Amniocentesis is a test to look at the fluid (amniotic fluid) that surrounds your baby. Amniotic fluid has cells and other substances that can give clues about the health of the foetus.

To do this a needle is gently passed through the abdomen and into the womb and a sample of the fluid surrounding the foetus is collected and is sent to the lab for analysis. Amniocentesis is done around 16 weeks of pregnancy and the results of the test can be expected at around week 20.

Chorionic Villus Sampling is a test done to collect samples of a tissue called Chorionic Villi from the placenta. The chorionic villi are small finger shaped projections on the surface of the placenta that have the same genetic material as those found in the foetus. To do this, a small tube is passed through the vagina and in through the cervix into the womb and small portions of chorionic villi are collected and sent for analysis. The doctor will use ultrasound to guide the tube to the right spot for collection. This can also be done by passing a needle through the abdomen. Chorionic Villus Sampling is done between the 10th and 12th weeks and results of the test can be expected at around week 14.

Prenatal diagnosis seeks to give the patients forehand knowledge of their baby’s genotype. For those whose foetus’ are diagnosed as having the SS gene, there is the option of having a Voluntary Termination of Pregnancy (VTOP). The choice of which test to use to achieve prenatal diagnosis and how quickly in the course of the pregnancy the results can be made available is important at this point, because some people find that they may need some extra time to reach a decision as to whether or not to have an abortion and the risks associated with VTOPs increase significantly the farther along the pregnancy is.

It is important to state here that not all couples decide to terminate the pregnancy, and some decide to keep the baby and go on to prepare themselves to take on whatever challenges may arise. The decision to have VTOPs is not one to be taken lightly however; as there is no guarantee as to how many VTOPs a couple may have to do before they get a positive diagnosis. The temperament of the wife, the existence of a strong support system and the convictions of the couple are all factors that need to be considered.

Pre implantation Genetic Diagnosis (PGD)
The aim of PGD is to ensure that couples have the best chance of having healthy children of their own. To do this the doctors will collect a number of the wife’s eggs (around 6-10) and fertilize them in the lab with her husband’s sperm (just like they do in IVF treatments). The fertilized eggs (embryos) are allowed to develop for three days and then one or two cells are removed from each embryo. The genetic material from the cells are tested and the genotype of each embryo is determined. Only those embryos that are AA are retained and the rest discarded.

Up to two AA embryos are then implanted into the wife’s womb and if the pregnancy is successful, the genotype of the baby will be AA.

So if Prenatal diagnosis allows the dice to roll and then tells you what number you have thrown, Pre Implantation genetic diagnosis ensures that your dice are programmed to throw a six every time.

This procedure for some may be quite pricey, (much more than conventional IVF) and is sadly not readily available in most centres across Africa. It is gaining widespread acceptance in most parts of Europe and in America. In some parts of Europe, however, questions have arisen about the ethical considerations attached to this procedure with the inevitable discarding of otherwise normal embryos seen as playing God and the not so distant possibility of some parents seeking to employ PGD to determine the colour of their son’s eyes or the size of their daughter’s hips.

Break up
For some couples, the amount of time, energy, emotions and finances required to have healthy children is seen as too demanding. They opt to go their separate ways and try to find love elsewhere.

I would advice that you and your girlfriend both examine these six options thoroughly and maybe do some of your own research on them as well. Send her the link to this article and schedule some alone time where you both can have an honest and open discussion on what would be best for you both as well as your future children.

For more information contact: Sickle Cell Foundation, Lagos Nigeria. www.sicklecellfoundation.com

Disclaimer: This column is written for patient education. It is not intended to diagnose or prescribe treatment and does not replace the advice of your physician. It in no means attempts to cover the full medical scope of this condition.

Photo Credit: nhlbi.nih.gov| factsanddetails.com | midlamminiatures.co.uk | orgsites.com | sogi.net.au |ramsayhealth.co.UK | cervif.com

__________________________________________________________________________________________________
David Olamide Craig is a Physician, Pastor, Photographer, Poet and Playwright. He graduated Bachelor of Medicine and Bachelor of Surgery from the University of Ibadan and holds a Masters in Occupational Health from the Institute of Occupational and Environmental Medicine, University of Birmingham. He is passionate about healthy living and sustainable energy. When he is not seeing patients, Dr. Craig spends his time stretched out on his favourite couch, reading books, magazines, and blogs. Find him on Twitter @RevDrCraig

David Olamide Craig is a Pastor, Physician, Sex Educator and Relationship counsellor. Follow him @RevDrCraig or visit www.surulerelove.com

69 Comments

  1. kiki

    June 24, 2014 at 1:53 pm

    he is so fine

    • Laide

      June 24, 2014 at 2:03 pm

      I know right…bn please , for the sake of all of us planning to go to heaven, stop using dr Craig’s picture abeg.

    • Mz Socially Awkward....

      June 25, 2014 at 5:03 pm

      HAHAHAHAHAHAHA!!! *Singing* – “I want to live Eternal Life, God save my soul; I want to live Eternal Life, God save my soul!”

      Not the point of the article, I know but couldn’t resist… 🙂

    • Monsignor

      June 26, 2014 at 5:08 pm

      So if I do PGD I can determine how gorgeous my children will be? Hmmm. Can you doctors do that really? Almond shaped eyes like her mother, sweet chocolate brown complexion like mine, hourglass figure like my mother, great breasts like my mother-in-law and good curly bouncy hair like my cousins in Greece!
      I think I’ve just created the perfect child.

      Sounds outrageous right? Is it any more outrageous than attempting to play God with genotype?

    • iba

      June 24, 2014 at 3:31 pm

      I agree what a fine fine piece of speciemen.
      Guys the average Nigerian couple do not have the money for these sort of procedure or the mind to terminate early pregnancy. We need to do all within our power to halt this disease. Until a treatment is found, you need to be wise about your choice of partner and what you intend to do when you pair with a fellow AS. Its not an easy choice but we are no longer ignorant like some of our elders of yonder days. We have education, enough awarness of this disease, and its our choice to keep procreating and bringing forth children with sickle cell.

    • jcsgrl

      June 24, 2014 at 3:59 pm

      You guys should leave this guy alone naa…see harassment. Bia umu nwanyi a respect yaself on this platform jare. Read the article and comment on the content not the writer…he he he he

  2. foo fighters

    June 24, 2014 at 2:02 pm

    I got some questions Doc…. Are you single, Do you speak in tongues, what are your plans for the next 5 years; you may wanna adjust them for the cause I’m gonna feature in it…. ok bye

    • 1 + The One

      June 24, 2014 at 2:31 pm

      LOL

    • iba

      June 24, 2014 at 3:33 pm

      Hahaha @foo fighters. This doctor must be warding off temptations in real life. LOL
      I love girls that go for the kill. hehehe

    • iyke

      June 24, 2014 at 3:46 pm

      Blue eyed criminal, Jeremy Meeks has got almost 40,000 likes from ladies drooling over him…until they saw his teeth …..
      Ladies, be careful what you wish for! lol

    • Jane Public

      June 24, 2014 at 4:24 pm

      You are a very very mean someborri. That Double entendre can only come from someone who knows him. As someone who knows him too (sister’s friend) I will take offence. You guys can hit me up if you want his number

    • Mz Socially Awkward....

      June 25, 2014 at 5:08 pm

      “Do you speak in tongues”??? El- flipping OH – El!!!!! Kai, una dey plenty wey wan confuse this innocentia looking Doc…

      & @JaneP, you lost me. Double entendre in what sense, re Iyke’s comment? I’m such a tatafo…

  3. MOIII

    June 24, 2014 at 2:16 pm

    THIS LADIES ON THIS BLOG,NA WA…..

    ANY WAY DOCTOR GOOD INITIATIVE

  4. Mia

    June 24, 2014 at 2:17 pm

    This is so informative, thanks BN please keep up the good work. Its such a hard thing dealing with AS/AS relationships especially when the partners are not mentally and emotionally strong.

  5. Shoogah

    June 24, 2014 at 2:18 pm

    This is the best write up about this issue that I have ever read. Most writers come off with biased statements, I appreciate that he was very informative and I learned a lot. Thank you Dr. Craig. God bless you.

  6. baboushka

    June 24, 2014 at 2:21 pm

    BN please stop posting fine doctors photos I barely read the post lol! Dr Toh fine!!!

  7. Call me Gorgeous...

    June 24, 2014 at 2:22 pm

    I m about to lose my mind..youve been gone for so long…I’m running out of time…I NEED A DOCTOR…DOCTOR…DOCTOR CRAIG PRECISELY!!!

    • Craig

      February 2, 2019 at 2:53 pm

      Call me on 08025200314

  8. BB

    June 24, 2014 at 2:28 pm

    lolz. Laide ur comment almost doubled me over! BN shei you are hearing o. Pls play fair and if you want this articles to have the highest “medical and educative” impact please REMOVE this picture but if thats not ur objective u can leave it there. Meanwhile I now understand why those UAE men where deported from (isnt it) Saudi. That being said, ‘So-confused’ i feel ur pain, but please be careful what you decide each choice you make would weigh heavy on your conscience and ur relationship with your maker – i believe there is one existent. The issue of love is NOT in anyway trivial and even more so is the issue of pain, drained finances, wasted emotions and even abortion. DONT delve into it for love alone. That word…

  9. Iyke

    June 24, 2014 at 2:31 pm

    Hola @ Craig ..Greates Uite!
    #myopinion
    As someone who doesn’t believe in the soul mate notion, I will choose the break up option…It’s a damn thin line between love and hate especially when the complications begin to rear its head.
    If I really love her, I should be kind enough to let her go and find love with another brother.

  10. ay

    June 24, 2014 at 2:37 pm

    I didnt read a word on this post…but I have a very important question….

    Is Dr Craig married??? cos I’ve already picked out my wedding gown

  11. @edDREAMZ

    June 24, 2014 at 2:54 pm

    a.k.a EDWIN CHINEDU AZUBUKO said…
    .
    Nobi scope them say make una come do here abeg ladies, lmaooo…. This guy go dey feel himself shah…..
    .
    .
    ***CURRENTLY IN JUPITER***

  12. natty

    June 24, 2014 at 2:58 pm

    Nice !! thanks for the information DR Craig, I never knew I had so many options

  13. Blue

    June 24, 2014 at 3:12 pm

    @Iyke…I second your opinion. when the problems starts, love will not show its face. I have a friend whose husband has an 8 year old from a previous relationship. the child actually looks 4. when I heard the story, I felt like giving both the hubby and his ex-wife a dirty slap. this is because, despite knowing their status, they went ahead, got married, kept doing IVF after IVF when kids didn’t come after 6 years of marriage(God knew what he was doing o!) by the time the result of the 4th IVF came positive, (like God saying, okay, suit yourself, I don try) the couple were already living apart for 2 weeks. they never came back together, the child was born, now suffering the parents’ ignorance. Crisis everyday, even with the doting of 2 mums and a dad. extremely brilliant child, I’ve never seen an 8 year old with such mature mind that you’ll want to cry when she talks.
    So, I think couples shouldn’t think of themselves alone when making these decisions.

    Now, girls! girls!! common…stop drooling over Dr’s looks……lol!

  14. slice

    June 24, 2014 at 3:13 pm

    if the dr is taking questions: in your educated opinion, how risky is prenatal diagnosis? is there any chance of real danger to the embryo when you remove that cell for testing.

    and yes, you are phine

    • slice

      June 24, 2014 at 4:54 pm

      i actually meant to ask about preimplantatn diagnosis

  15. jejzyjog

    June 24, 2014 at 3:16 pm

    He is the late iconic TV presenter Yinka Craig’s son… He went to UI. Very smart lovely guy. Ladies thank me later and yea i have his digits *Yimu*

    • iba

      June 24, 2014 at 3:37 pm

      Wow is he? His dad was fantastic. See now i love him twice over. Seriously (jokes apart) his dad was brilliant…

    • Anonymous

      June 24, 2014 at 4:52 pm

      Oh And his dad had sickle cell so this will be a topic important to him.

    • Mz Socially Awkward....

      June 25, 2014 at 5:12 pm

      I didn’t know that. Must have been a hard test for the family whenever he had a crises.

  16. chic

    June 24, 2014 at 3:20 pm

    Imagine the pains your offspring will have to endure, imagine the amount of money you would have to spend to ensure you don’t give birth to a sickler. Please remember the biblical injunction- “thou shall not Kill”. Scientist might call that child a foetus but you and i know it that it is a child that deserves to live

    Please break up with that girl. you will find another love and I know she will too UNLESS YOU ARE A TRUST FUND BABY.

  17. LagosOcrazy

    June 24, 2014 at 3:32 pm

    nice piece
    lagosocrazy.blogspot.com/

  18. randommer

    June 24, 2014 at 3:35 pm

    LMAO – these BN babes na wah. But Dr. Craig you sef, you too fine – how you go put this kain picture for here? If you’re single, I’m single too! According to the bride price app, my bride price go cause war for Africa and I have gap tooth hahha.

  19. VocalCords

    June 24, 2014 at 3:37 pm

    Ok…to be fair, I did read the entire article and it was extremely informative. However, what’s with putting up that fine brother’s picture up there?a sister needs to concentrate at work.. Jeez! do you want me to start faking all sorts of ailments. This subject is extremely sensitive but I think its unfair to your unborn
    children. You’ll find out that love is really a decision so be absolutely sure before you make that commitment.

    On a final note, Dr Craig is so fineeeeee!!! *fanning self*

  20. VocalCords

    June 24, 2014 at 3:39 pm

    Before I forget, where do you worship again, Dr Pastor Craig

    • Jane Public

      June 24, 2014 at 4:24 pm

      My friend will you go to church to worship God or drool at man. kai

    • slice

      June 24, 2014 at 4:55 pm

      she can do both :). pls share his number already

  21. o

    June 24, 2014 at 3:51 pm

    Hello, Slice. I am not a doctor but i did PND when pregnant. From what i read, there’s a small chance of miscarriage, about 2% or so. however this rarely happens. Generally you are advised to have about 2days bed rest after the PND and stay off sex for about the same time. For me tho, the pain was so much i had about 5 days bed rest. At the end of the day,it was worth it when i got the news my baby is AS.

    • Dee

      June 24, 2014 at 4:13 pm

      Congrats

    • slice

      June 24, 2014 at 5:04 pm

      congrats dear. and thanks for sharing your experience

  22. Dee

    June 24, 2014 at 3:56 pm

    Adoption or pre implantation diagnosis sound best to mr if one has the resources and you are sure that is the love of your life. Both options are best for couples that know they would still be happy even if they end up not having kids. This is coming from someone with Sickel Cell, I have seen many people marry someone just because they’ve finally found AA and then in a few years they have the kids and they are miserable .

  23. KEMI

    June 24, 2014 at 4:04 pm

    KAI! WHAT I CAN DO WITH DR CRAIG’S LIPS! I AM NOT BEING RUDE BUT I DID NOT READ THE ARTICLE ! I WAS JUST STARING AT DR’S PICTURE. I DIDNT “HEXPERERT” IT

  24. Eniola

    June 24, 2014 at 4:12 pm

    First of all, Sickle cell is not a disorder!!! it is a disease. Google sickle cell disorder and you will only find that on Bella naija.

    please correct this.

    • slice

      June 24, 2014 at 4:53 pm

      actually, i did and i found it in many other places 🙂

    • Eniola

      June 25, 2014 at 3:32 pm

      My Point is, Sickle cell is not a disorder. It is a disease! there is a difference “Dr” Craig

    • Ama

      October 13, 2014 at 9:17 pm

      It is a genetic disorder-

  25. oyaga

    June 24, 2014 at 4:39 pm

    Thank you oo @ Eniola.

    Please these thirsty girls need to shut the hell up and take several seats.

    The Dr is just ok, nothing breathtaking. Y’all be behaving like harlots *In Philo’s voice*

    • slice

      June 24, 2014 at 5:37 pm

      before speaking they say make sure it is true, it is necessary and it is kind. hmm esp on your talk about him being just there. not true, not necessary and definitely not kind.

  26. o

    June 24, 2014 at 4:58 pm

    @ Dee,
    I totally feel you and agree with you. I also live with the Sickle Cell condition and truth is most AA guys sef i met when single weren’t ready to commit for fear of taking care of a sickly wife, the stress, cost and burden. However i met my husband who is AS and he loved me and my sickled cells. It was a battle to convince my mum, most ppl thought i was crazy. When i got pregnant i went for the PND, (Chorionic Villi Sampling), it was done at 12/13weeks of pregnancy and to God be the glory my baby is AS. Now i have a 7yr old and we are happy. do i want more children? yes! but we have opted to stop at one and probably adopt later.

    I know not everyone can do this but you need to think it through. I always said I would rather marry an AS man, adopt and be happy rather than someone that is AA just because science dictates I must and be miserable.

    • Mz Socially Awkward....

      June 25, 2014 at 5:19 pm

      Awwwww! Lovely story and I pray you and your family flourish, adopted kids et al! 🙂

    • Y K

      June 27, 2014 at 6:51 pm

      Great to hear of someone who actually went through a PND. Glad your daughter’s fine.

    • iba

      June 30, 2014 at 1:24 am

      Thanks for sharing. You are a brave brave woman.

  27. VocalCords

    June 24, 2014 at 5:21 pm

    Ooh Plueeeze, shut it already oyaga. Lets see your picture first before you start saying he is just ok.(jealous much). We ladies are just having a good time and its not just about the looks but a combination of brain and looks(gerrit now?) No need for name calling, we just appreciating… *Hisses and slams door*

  28. Anike

    June 24, 2014 at 7:06 pm

    Hi @o am glad your worked out. My cousin SS got married to an AS man 5 years ago. Now this guy had been on her case for 6 years before they got married. She initially didn’t want to date him cos of his genotype but eventually turned to him when her 2 AA bfs left her.
    Anyway, 5 years down the line and 2 SS kids later, the husband has said he wants out of the marriage.
    I believe people like saying they can deal with stuff before they actually SEE the stuff if you understand what i mean.
    Taking care of a sickler is no joke AT ALL. I have been there. Its sooo draining and their pain is so much its not fair in any way to risk bringing a child into the world with that condition.
    If you know you don’t have money to do Prenatal diagnosis (+ liver to be aborting if need arises) and PGD please break up.

    Sometimes, Love is not enough

    • Dee

      June 24, 2014 at 7:45 pm

      No one is advocating the trial and error method and it sounds like that is what your cousin did. Preimplantation diagnosis eliminates abortions which is why I believe it is the best option beside adoption for willing couples. Ultimately the important thing is to do one’s research before making a choice and be sure you have the resources for whatever option you choose. I live with it and would never advocate for anyone to bring children into this world to suffer especially since it is avoidable. The problem with most Nigerians is that rather than make an informed decision they prefer to have “faith” . There is nothing wrong with having faith as a Christian but I believe you shouldn’t do that with another person’s destiny (the child)

  29. Dee

    June 24, 2014 at 7:56 pm

    I will advice you to forget about each other and move one. I am advising you as a patient bcos living with SCD is not easy and crisis attack are just too much to handle. I wouldn’t you to experience that much of stress and pain.

  30. Teris

    June 24, 2014 at 8:04 pm

    very well written article. thanks.

  31. Bola Coker

    June 25, 2014 at 10:46 am

    There has been a tremendous amount of research that has gone into sickle cell and medication can help you manage it better. I have been on hydroxyurea and I have not been symptomatic in years! Also removing of infarcted spleen can also reduce the number of crises you have.

    It’s difficult to deny yourself love because someone may or may not increase your chances of having offsprings with sickle cell! I’ve never agreed with that! The options Dr. Craig stated are apt! Who says marrying someone with a more compatible blood type will ensure health children? It’s all by God’s grace!

  32. myss ayanfeoluwa

    June 26, 2014 at 11:33 am

    This is very educative i must confess! I have a friend that is SS, i know what it means to be an SS cos i lived in her house when i was in school. It is traumatic! believe me…. She is one of the lucky SS sha. She got pregnant for her AA boyfriend but the guy later took to his heels when she gave birth to the baby and had to be flown abroad bcos she had kidney disorder. He dint come back for her but now, she is married to another guy.*lucky her shey?* Her younger bro was going to marry an AS like himself but at some point, because of his sister’s condition his head screamed ‘caution’. If u want to do any of the options that you have here, please THINK IT THROUGH!!! Don’t bite more than you can chew!!! Love has NEVER been enough! Hmmmmmmmmm! I can not but notice d pisure attached to this article * i dint say anything ooo*hehehehehehehehe!

  33. adelegirl

    June 30, 2014 at 11:00 am

    Dear Ask Dr Craig?Bell Naija, I see no mention of the “new” genotype classification- AC. Could you please elucidate on this and if the implications of two AC genotypes procreating are the same as two AS genotypes procreating?

    • adelegirl

      June 30, 2014 at 11:38 am

      Sorry, that was supposed to be “Dear Ask Dr Craig/Bella Naija”

  34. sumbor

    July 3, 2014 at 1:18 pm

    wow!this is so educating,I’m As and i have a baby for a guy who is As too,though we are seprated but i don’t know my daughter’s genotype cus i’m scared besides she rarely fall ill except for malaria,cold and catarrh.

  35. yeancah

    July 3, 2014 at 4:24 pm

    yeah Dr craig.. shed more light on the AC genotype as i’m one is there anything we need to looked for in potential partners…..

    meanwhile Dr craig is so foine… never missed Am express during his late Dad’s days.. bless his soul

  36. Bode Scott

    July 4, 2014 at 5:50 am

    A way to completely treat Sickle cell patients is the get the bone marrows of their healthy siblings who happens to be AA. This bone marrow is given to SS sibling and the genotype finally changes to AS. The procedure is pricey just like PGD but it is well worth it. Both proceedures usually go for around 10 to 15 thousand dollars to be specific.

  37. Tumwijukye

    July 7, 2014 at 9:00 pm

    Hahahaha, the Article is Great. Now i suggest BN can use my Photo for this Forum so people can read the articles and leave the Dr. Craig alone. What do u think?

  38. ruth

    March 16, 2015 at 7:55 pm

    Please doctor, can you explain SS+F and what is the risk of a pregnant woman with SS+F genotype?

  39. Ini

    August 18, 2015 at 7:33 pm

    Please, what are the risks associated with pregnancy for a woman living with SCD?

  40. ADEWALE

    August 29, 2015 at 10:52 am

    PLZ SIR WHAT TYPE OF BLOOD GENOTYPE IS CC WHAT IS THE EFFECT OF THAT GENOTYPE

  41. ADEWALE

    August 29, 2015 at 10:53 am

    PLZ SIR WHAT TYPE OF BLOOD GENOTYPE IS CC WHAT IS THE EFFECT OF THAT GENOTYPE .

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