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Menace In My Blood - my affliction with
sickle cell anaemia
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MY illnesses were a subject of concern in the family and made me an unwilling focus of attention.  Bimpe was more sickly than I
was and would have been the greater focus but she was often not around because her mother was constantly taking her the rounds
of doctors and herbalists in Ibadan, Kano, Jos, Onitsha and other places, in quest of a cure for her many ailments, especially her
abdomen which was distended like that of a pregnant woman.  Bimpe, at six years of age, looked like an old woman who stopped
growing when she was little.  Ever so pale, she walked as if her limbs, which were painfully thin, would collapse under the impact of
her weight—the little she boasted of.  She rarely ever played and on the rare occasions when she was somewhat less ailing, she
sat alone a short distance away, blankly watching her mates.
I scarcely knew Alari ever to say that Bimpe had eaten well, although she seemed to evacuate more than she took in.  Very rarely
she ate like a raven but then she was greatly constipated.  Bimpe had weak control of her bowels and the entire family took
exception to her incontinence.
Anytime I was ill, her mother observed parallels between what obtained in Bimpe’s condition all the time and in mine intermittently:
cadaverous paleness, yellowish tinge of the sclera, bloodless palms and soles, and swollen ‘grinder’ (spleen).
A FEW days after a French language competition we of Oliver International School
participated in at the University of Lagos, I observed blood at the start and at the end of
emptying my bladder.  Two days later, my urine was blood from start to finish.  Ordinarily
my urine was always significantly discoloured, unlike those of others and I was resigned
to it, not knowing why it was so and what I could do to make it appear normal.  Often times
as I urinated out in the street, complete strangers had turned to me, enquiring if I was ill.
I was quite petrified by the sight of the bloody urine and preparatory to plucking up the
courage to go up to Father and inform him of the strange illness, I sought Ajani’s opinion
about the strange phenomenon.  Ajani seemed to know a lot outside our normal school
curricula and in this I could not compete with him.  I could not fathom the source of his
vast knowledge of electronics, designs, fashion and films.  As to the last mentioned,
however, I knew he sneaked out with Babatunde and Alamu to watch Chinese and Indian
films at Rivoli Cinema, a film house not far away from home.
“Ajani, I have a delicate matter to ask you about—can I depend on you to keep it to
yourself?”
“Yes—what is it?”
“I—I discovered blood in my urine three days ago, and this morning it was all blood.”
“Ah, atosi aja niyen !” observed Ajani after a pause.  “It’s nothing to worry about—clears up
in a few days.”
I did worry about it, but it did clear up, and in just three days.  Ajani became something of a
medical genius to me.
I consulted Ajani once again about another trouble I had had for as long as I could
remember, namely, bedwetting.  I was over 11, and still wet my bed.  I had myself
diagnosed that the cause of the problem was no other than—dreams!  If only I could stop
dreaming that I was at the WC, or out in the street, sweetly voiding away, and waking up at
the final instant to discover, to my shame, that I had done it on the bed.  I frequently
opened my eyes to a full bladder and while trying to rouse the energy to get up and void, I
would doze off and then the incriminating dream would lure me to bed-wet.
Ajani’s entire recommendations—early supper, little or no liquid before bedtime, deny
myself breakfast as a punishment of sorts—proved futile; indeed I seemed the more
enuretic.  Shrugging, Ajani assured me it would certainly cease in its own time.
“In its own time!”  I echoed in alarm.
“Yes, that’s for sure,” said Ajani.
“But, but in its own time could mean anytime!”  I was agitated, thinking that I was stuck
with a disease that had no remedy.  “Anytime!”  I repeated, as he remained silent.  “What—
what if I’m 15 and it’s still there!  What if I’m 25 and I still wet my bed!”
“Don’t fret yourself, Ola.  It won’t be as long as all that,” he said.  “A few months from now,
no more.”
Ajani was wrong, dead wrong.  The thing did not clear up in a few months.  On many
occasions the dreams completely fooled me and at other times I would be on the verge of
succumbing when I would suddenly realize it was only a dream, and then I arose.  I
disastrously wet my bed on October 1 1979, the day Shehu Shagari was sworn-in as the
first Executive President of Nigeria—the water was so profuse that it permeated the
mattress and completely drenched Bosun who slept on the lower bunk: it was his waking
up and so hatefully screaming, “Water! Water! Water!” that roused us all.  As I quietly
removed the mattress for drying in the sun I could only think how my mortification at
wetting the bed at nearly 16 was matched by my exquisite enjoyment of the act of
micturition in the dream that elicited it onto the bed.  I could not watch the colourful
swearing-in ceremony for shame and it was a few days before I forgave Bosun for yelling
as if the room was on fire and not bearing with the warm baptism I gave him.
I was already in the university before the whole embarrassment finally ceased.
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PREPARATIONS for our exams reached its climax and finally the day dawned.  Along with the external candidates, most of them our
erstwhile seniors retaking their papers, we sat for Biology, Mathematics and English, which were compulsory subjects.  On the day of the
Economics paper, we were all milling around the Assembly Hall, venue of the exams, waiting to be asked to file in, when I began to have
sensations of pain at my lower back and thighs.  The pains were just being spawned and as the minutes ticked by, they gathered strength.  I sat
on the stone steps leading to the hall, surrounded by mates impatient for the paper to start and have done with.  I reflected that the illness I was
afflicted with had no respect for time or place and no sense of decorum.
The bell signal went off and candidates began to file in past the two police officers who quickly frisked each entrant for anything concealed in
an attempt to commit fraud.  I waited until nearly everyone had entered, stood up—I felt so weary already—and limped into the hall.  Our desks
were arranged in alphabetical order and so I went to sit at my desk in front of Ajani.  I rested my head on the desk.  We still had some minutes
before the paper got under way.  Meanwhile, the officials began to distribute question papers to 120 examinees.
Ajani nudged me from behind, speaking softly, as all communication was forbidden.
“What’s the matter, Ola?  I noticed you limping.”
“Plenty,” I replied, not turning.  “I am having pains in my thighs and back.”
“Ah, that’s bad—what will you do?”
“I—I don’t know.”
I flexed and stiffened my back.  I stretched my legs and massaged my thighs.  The pains were getting worse.  I wanted to scream, but the place
was not apt for it.  I bit down on my lips, and heaved heavily, suddenly short of breath.  I arched my back and danced it round and round, yet the
pains would not be frittered.  Instead the pain at my lower back snaked upwards along my spine and settled at the base of my neck; the pain in
my thighs penetrated down to my knee joints, and diffused downwards to my legs.  The movement of sensation from one spot to another did
nothing to reduce the intensity of pain at the point of its genesis.
It was almost time to start.  The Principal surveyed the hall for the last time.  His eyes came to rest on me.  The invigilator looked at his watch.
“It’s now 1 pm,” said the invigilator.  “You will stop at 3 pm.  Start!”
I could not even hold my biro.  All I wanted to do was to lie on a jagged stony surface and roll mercilessly back and forth until I was bleeding.  
Any other sort of pain was welcome, but not this, oh Lord!
Mr. Alao walked over to my desk.
“What’s the problem, my boy?”
“Pain—I’m having pain,” I replied in between clenched teeth.  Mr. Alao already knew of my infirmities and was not surprised.
“I’m sorry,” he said, “why don’t you go back to the hostel and lie down or something?”
“No, sir, I will go through with this,” I replied, fingering the exam paper.  Economics was one of my best subjects and one I was certain to pass
well.  If only I was not in so much pain …
“Well,” shrugged the Principal, “as you wish.”  He began patrolling round the busy silent hall.
Bending low towards the desk, I picked up the question paper and tried to read the questions.  Reading was difficult—the words simply swam
before my eyes—but not nearly as difficult as understanding what I read.  I picked up my biro and began to draft answers to questions I did not
understand.  Between excruciating pain up and down my spine, thighs and legs, the hand which held the biro made erratic incisions on the
answer sheet and would not write what I willed it.  Tears of frustration fell down my eyes unto the paper, defacing it.  The pain was too much
for me to bear.  I relinquished the biro.  For all the notice my colleagues took of me I might have been far away in Cotonou.  Even Ajani seemed
lost in his concentration upon the task at hand.
I shifted on my sit, twisted to the right and twisted to the left, yet there was no reprieve.  If only I could sleep, or die …  I paused for a  while and
tried once more to write.  My hand galloped over the lines as if it had a mind all its own.
With a Herculean effort, I arose and limped outside the exam hall and sat on the stone steps once again, waiting to recoup my strength for the
return journey to the hostel.  Ordinarily close by, it seemed miles away in my weakened state.  I would take my medications and lie down.
I was still in great pain, still unable to muster the strength to walk back to the hostel when the paper ended.  Dickson it was who carried me on
his back like a baby and deposited me on my bed.  Ajani went in search of a taxi to take me home.  For the rest of the exam period I shuttled
between hospital and school.
A few days after the conclusion of our papers, the school held a valedictory service and banquet in our honour.  Thus we took our exit from
secondary school, our testimonials in hand, not once looking back, but years later to say, ‘Ah, secondary school life was the best.’
menace in my blood - my affliction with sickle cell anemia
menace in my blood - my affliction with sickle cell anemia
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