Thirty-three percent of the Commonwealth of Dominica suffers from some form of sickle cell disease. Kellyn George 鈥�10 represents one of those people personally, but she represents all of them in her day-to-day work.
By Maureen Harmon
It was a relatively normal summer evening in 2010 for Kellyn George 鈥�10. She had just gotten home from an eight-hour shift at work and was feeling a little sluggish. Nothing terribly abnormal, she thought. Within hours, though, George was on the floor of her apartment in massive pain. She reached out to her boyfriend at the time, who came and carried her down six flights of stairs to take her to the hospital. George was hemorrhaging, though she wouldn鈥檛 learn that until she woke up from a coma at the hospital five days later.
Right around the same time, an eight-year-old boy in George鈥檚 home village in the Commonwealth of Dominica suffered similar symptoms鈥攁 sharp decrease in hemoglobin levels. He died. Both George and the little boy had sickle cell disease, an inherited blood disorder that affects the red blood cells and prevents them from carrying oxygen throughout the body. 鈥淥ur situation was the exact same,鈥� says George. 鈥淚t was a normal day, and by the end of the day it was a crisis.鈥� But there was one major difference: George鈥攚hose family has known since her birth that she had sickle cell disease鈥攔eceived care in the U.S. The little boy鈥攚hose family may or may not have even been aware of his condition鈥攚as treated in Dominica, without the same technologies, treatments, and sickle cell education.
The boy鈥檚 death haunted George, so when she returned to Dominica a year later, she started to do research into sickle cell disease within the Dominica population. What she learned startled her: 33 percent of the small island population carried some sort of sickle cell disease鈥� anything from sickle cell anemia to sickle cell trait. What was more startling: the newborn screening that she was lucky to receive in the late 鈥�90s had been decommissioned to some level, so many people from Dominica were unaware that they had the genetic disorder. 鈥淩emember,鈥� says George, 鈥渋t鈥檚 a small island population鈥� there鈥檚 always a resource strain. So some things get put on the back burner.鈥�
Even so, it didn鈥檛 sit right with her. Having the disease herself, facing death, and knowing a little boy had died when there was a chance he didn鈥檛 have to prompted George to take action. Within a year, the Sickle Cell Cares Foundation was born.
"If you are aware of what challenges you face early on," says George, "you're better equipped."
鈥淚 had the opportunity to travel to London, attend various functions, including an award ceremony at Buckingham Palace,鈥� says George. That recognition led to a number of networking opportunities for George and the Foundation, and those opportunities turned into partnerships. She became a One Young World Ambassador. She forged partnerships with neighboring islands. She partnered with other regional organizations for sickle cell disease, including CAREST, the Caribbean Association for Research on Sickle Cell and Thalassemia. 鈥淭hat puts us in touch with the sickle cell units of Jamaica, which is considered the premier sickle cell research and treatment institute in the Caribbean,鈥� says George.
In 2015, George received the Queen鈥檚 Young Leaders Award, a program that 鈥渃elebrates and supports exceptional young people from across the British Commonwealth for taking the lead in their communities and using their skills to transform people鈥檚 lives.鈥�
Sometimes George鈥檚 phone rings late at night. At the other end of the line is often a family with questions. 鈥淭hey might say, 鈥楳y daughter is in the hospital. This is what鈥檚 going on. What should I do?鈥欌�� says George. 鈥淚鈥檓 not a doctor or a nurse. So I try not to give medical advice. What I will do is say, 鈥楩rom my experience, if I had to get blood transfusions I would ask the nurses X, Y, and Z.鈥欌��
The Sickle Cell Cares Foundation鈥攂uilt to raise awareness and education around sickle cell disease in Dominica鈥攊s rooted in George鈥檚 experience. She knows her story can help others and is willing to share it at every turn. 鈥淚 talk about it all the time,鈥� she says. Part of her story is recognizing her own journey. Prior to coming to Barry, she knew she carried the disease, but didn鈥檛 know what triggered it. She learned quickly that stress will do it. She knows, too, that if she starts to feel more tired than usual, she needs to rest鈥攏o matter what. She knows her normal hemoglobin level is 7.8 to 8 grams per deciliter, so if she feels off, she proactively asks her doctors to check it. She has a support network鈥攖he boyfriend at the time of her collapse in 2010, for example鈥攚ho know how to speak for her if she is unable to speak for herself.
But her overall goal with the foundation is to speak up鈥攖o share information about the disease in all its forms and help others who suffer. George, who worked as a laboratory research assistant with Dr. Stephanie Bingham in the Biology Department at Barry, is no stranger to digging into research and disseminating information. In its early years, the Foundation was all about educating the healthcare community and the population of her island home. In 2015, George received the Queen鈥檚 Young Leaders Award, a program that 鈥渃elebrates and supports exceptional young people from across the British Commonwealth for taking the lead in their communities and using their skills to transform people鈥檚 lives.鈥�
When COVID-19 hit, things slowed down a bit, as healthcare reprioritized around the pandemic, but George is ramping back up. She recently met with colleagues in Guadalupe to help produce webinars for healthcare professionals to bring information about the latest treatments and therapies鈥� including the promise of gene therapy鈥攖o the table. And, of course, they never stopped their newborn screening program to help families. 鈥淚f you are aware of what challenges you face early on,鈥� says George, 鈥測ou鈥檙e better equipped.鈥�
鈥淲e鈥檙e trying to bring the treatment protocol into the 21st century. We鈥檙e trying to bring it up to date, so our clients, our patients, don鈥檛 have to suffer,鈥� says George. 鈥淭hey can take a proactive approach and reduce mortality rates.鈥�
The next hurdle for the Foundation will be tackling mental health issues around sickle cell disease. 鈥淲e鈥檙e seeing better treatments are available, and people can live longer,鈥� says George. But too often, they have been told their time is limited. 鈥淪o now we are facing issues where those with the disease are having mental health issues because they never aspired to do anything,鈥� says George. 鈥淭hey never went to finish high school. They never went to college. They didn鈥檛 go after that job. They didn鈥檛 get married to that person.鈥�
What started with George has grown to include two staff nurses, two affiliated doctors, a board of six, and an internship program that has ushered 50 interns through the Foundation since 2018. Every year, George estimates, 3,000 people across the country are more knowledgeable about sickle cell disease than the year before.
鈥淲e鈥檙e trying to bring the treatment protocol into the 21st century. We鈥檙e trying to bring it up to date, so our clients, our patients, don鈥檛 have to suffer.鈥�
Today, George is recovering from total hip replacement at the age of 34. 鈥淲hat happens with sickle cell is that clots can form and cut off blood flow to specific areas of the body,鈥� she says. 鈥淭here鈥檚 a really, really tiny vessel, a tiny blood flow system right there around the pelvis area, and it feeds into the femur. Once that area is cut off from receiving nutrients from the blood, your bone starts to degenerate.鈥� Vascular necrosis of the femoral head is the technical term. Foundation staff, interns, and friends think George鈥檚 surgery and recovery would make for some great educational material for their audience. They鈥檝e even suggested she document it through video. As much as George has been open about her experience with sickle cell, she鈥檚 drawing the line here. She鈥檚 fought through a lot of pain in her recovery. And while she鈥檚 willing to talk about the experience with anyone who asks, she plans to keep the day-to-day struggle private. 鈥淧hysical therapy is the most painful thing I鈥檝e ever done in my life. I never, ever imagined that I would have to learn to walk again at 34,鈥� says George. She even put her 35th birthday celebrations on hold. 鈥淚 want to celebrate 35, but I don鈥檛 want to be on crutches.鈥�
George鈥檚 current journey is one of strength and perseverance. But it鈥檚 also a reminder that she lives with a disease that needs constant vigilance. When she recovers from her surgery, she will walk into those 35th birthday celebrations. She鈥檒l take a minute to enjoy the fact that she has lived long past what doctors expected of her. And then she will continue the work that will allow others to do the same.