Jordan & Joshua's Story
Smiling Despite the Pain
You would never know it from their animated personalities and infectious smiles, but Jordan and Joshua Buchannan live every day in pain. The 13-year-old twins not only look alike, act alike, sound alike, and finish each other’s sentences, they were both diagnosed as babies with sickle cell disease.
Both their mother and father have the sickle cell gene, but neither have the disease.
Although the hallmark of this chronic disease is constant pain, there are a number of serious and even life-threatening complications that can result from it, including infection and stroke. “It is not just a blood disorder,” explains Francis Eshun, MD, a hematologist at Phoenix Children’s Hospital. “The complications affect every system of the body.” While there are treatment options for the pain, and ways to prevent complications if they are treated in time, there is no cure for the disease.
“It has been educational,” says Kristine, the boys’ mother. “There's not a lot of information out there about it.”
That may be in part because of its relative rarity. Sickle cell disease affects between 70,000 to 100,000 people in the U.S. and it affects people of all races according to the National Institutes of Health. It is an inherited blood disorder where the red blood cells contain an abnormal type of hemoglobin, which causes the cells to become sickle-shaped, reduces blood flow to tissue, causing pain and damage to the tissue. The average lifespan of someone with sickle cell disease ranges from 23 to 43 years.
Fighting Through to Manage Sickle Cell
In addition to their lifestyle changes, Joshua and Jordan take numerous medications to help manage the disease, including antibiotics and medications that help with breathing, depression, and pain. “The thing about sickle cell is that it is a chronic pain disease,” says Kristine, mother of Joshua and Jordan. “But the number one killer of those with sickle cell is infection.”
Joshua and Jordan have been coming to Phoenix Children’s since they were 5 years old. “Phoenix Children’s is a really nice place. We call it our second house,” Joshua says. We know they are going to give us the medicines we need and the nurses really help you. I love how they protect us and make sure we are not hurting so we are not at the hospital for a long time.”
“There is very little funding for sickle cell disease research and we have not had new therapies for a long time. That has to change.”
– Dr. Francis Eshun
The goal of the Sickle Cell Program, which is part of the hospital’s Center for Cancer and Blood Disorders, is focused on education and prevention; screening children and plugging them into a comprehensive program so complications can be prevented before they arise. “We empower the parents and patients to recognize symptoms. If they can recognize them and get to the hospital on time, these complications can be prevented,” says Dr. Eshun. "The program also screens for stroke risk, the most feared complication of the disease."
According to Dr. Eshun, as patients get older, getting the care they need is difficult because there are very few hematologists who care for adults with sickle cell disease. He would also like to see more funding for research related to the disease. “There is very little funding and we have not had new therapies for a long time,” he says. “That has to change.
Caring and Support are a Family Affair
The twins have three brothers who support and help watch out for the boys. And even though Joshua and Jordan get extra attention, the other boys are not jealous. “It has made us a stronger family,” says Kristine. They not only have the much-needed support of their entire family, but each other to lean on. “If I was going through this without him, I would be sad and lonely,” says Joshua.
The family works to educate others about the disease. Kristine even started her own foundation to raise awareness and provide support to other families. “We have two family members who have died of it,” says Joshua, who talks about becoming a hematologist someday with a specialty in sickle cell disease.
Jordan says they encourage each other when times get tough. “Whenever the nurses say we have to get another shot or something, Joshua is always there to calm me down. If I had to go through this by myself I wouldn’t be able to make it.”