At a glance
The Green family didn't know much about sickle cell disease (SCD) when their son AJ was born. Despite his first pain crisis at 8 months old, AJ became an accomplished singer and SCD advocate, refusing to let the condition impede his journey.
Pam Green's story
When AJ was born in 1992, there was a real lack of information and education about newborn screening and sickle cell disease (SCD). They just told us he was having a phenylketonuria (PKU) shot and then the doctor actually called on the telephone and gave us his results. It wasn't really something back then that they talked about. They just said that he has to have a PKU shot. We didn't know then that it was newborn screening.
The doctor told us that the newborn screening showed that AJ has SCD. I have sickle cell trait and my husband has the trait. I didn't really know anything about, or anybody with, the actual disease. But when the doctor said the word 'disease' I started crying because I knew that couldn't be good. At that time, of course, I was devastated. I went to the computer and looked it up and saw what could happen to him and what was down the line for him.
AJ had his first sickle cell crisis at about 8 months. We didn't really know what to expect with a crisis, but the early newborn screening test was helpful because we knew he had SCD. When he had his first painful sickle cell crisis, we would never have known to take him to the hospital. We probably would have just thought he was crying to be crying and put a bottle in his mouth. We knew something had to be wrong with him and we didn't take it lightly.
We took him to the hospital, and they said that he was having a crisis in the top of his foot. It was important to have the newborn screening done so that we knew to watch for these things. If we hadn't had the newborn screening done, we wouldn't have known what was going on with him and sought appropriate care right away.
It's important for parents to get newborn screening to know if there's anything wrong with the child. If it's sickle cell, it just makes you aware of what's going on with the child, things to look for (if they're dehydrated, not getting enough water, if they're crying a lot from pain) because you don't know that they're hurting, they can't tell you.
AJ Green's story
AJ, an accomplished singer and sickle cell disease advocate, has accomplished more than most people his age and doesn't let his condition keep him from reaching his goals. In addition to performing for two U.S. presidents, Clinton and Obama, the Grammy-hopeful has shared the stage with Elton John, the Canadian Tenors, Jason Mraz, and Rob Thomas, and sang a duet with Jennifer Hudson.
He continues to be a strong advocate for the community in his efforts to "put sickle cell on the map" by raising awareness of the condition so that someday it will receive as much attention as other high profile disease states such as cancer. He has spoken with the kids at the Sickle Cell Disease Association of Mobile, Alabama, and joined up with Remington College's "3 Lives" blood drive campaign, which raises awareness for minority blood donors and encourages people to donate blood.
Lessons learned
"For the most part I have been able to meet all my goals, but I always strive for bigger goals in life so everything's not complete just yet. My first aspiration was to be known as a singer and also as an advocate for sickle cell disease. I try to be that inspiration, you know. It's not as bad as people try to make it seem. I mean, it is, but it's not. People don't have to be afraid of it; they don't have to be held down by it. Try to find triumph in the situation." —AJ Green
CDC would like to thank AJ and Pam for sharing their personal story.