Diaries of a Doctor in the TropicsI woke up on a beautiful Monday morning with my usual zeal and drive to make it to work before resumption. Of course I had to observe my morning prayers, a quick shower and a light breakfast as I set out on my 30 minutes drive to work. I enjoy the drive because it gives me an opportunity to reflect on my past and clear my head for what lies ahead in the nearest future. So while driving, I had a flashback of this memorable experience as an emergency room doctor working so hard to meet up with the high influx of patients.Shortly, Akinoluwa a 13 year old boy was rushed in with severe bone pains in both upper and lower extremities. Of course it took me no time to make a diagnosis of vaso-occlusive crisis in a known sickle cell disease patient. The poor boy’s parents and siblings were quite devastated by his condition especially being an only male child. As for me, the real work of the day had just begun so resuscitative measures were taken with prompt response, fortunately my team and I were are to stabilize the boy after a long battle.Sickle cell disease belongs to a group of inherited blood disorder in which there is deformation of the red blood cells preventing it from delivering oxygen to other cells throughout the body. Its effect is multi systemic with affectation of some key organs like the bones, liver, spleen and some times the heart. There is a higher prevalence in black than Caucasians with short life expectancy. The condition occurs when two couples whose genotype carries the sickle cell traits deliberately or indeliberatly decide to have children despite genetic counselling. Unfortunately a lot of kids like Akinoluwa suffer complications of the condition leaving them various forms of disabilities, delay of developmental milestones, slow education, long period of hospitalization and occasionally death in extreme cases.Akinoluwa got better after receiving 2 weeks of treatment at the intensive care unit. On the day of discharge his parents approached me loads of thanks and handful of gratitude, the mom went further to purchase some groceries which were received under due protocol. I further told them I was only doing my job and that Akinoluwa was a promising child with a bright future awaiting him. I further counselled the parents to monitor him closely and avoid triggers as much as possible.