A 360° SCD Hub Family Case Study

Meet Nancy's family —
they didn't know.

A young immigrant family. A newborn flagged with Sickle Cell Disease. And the welcome that turned a frightening diagnosis into a path forward — for the whole family.

Nancy, Marcus, their newborn son, and older son

The story

Nancy and Marcus came to Arizona five years ago, full of plans for a family. Their first son, Daniel, arrived healthy and never showed signs of anything unusual. They assumed their second pregnancy would be the same.

Then a routine newborn screening at the hospital changed everything. Their baby boy, Eli, tested positive for Sickle Cell Disease — a serious, lifelong genetic condition neither parent had known they carried.

"We were terrified," Nancy says. "We didn't know what to do, who to call, or what this meant for our baby — or for the rest of our family."

Where we're from, sickle cell screenings just aren't done routinely. No one had ever talked to us about being carriers. Nobody told us this was even possible. — Nancy, mom of two

Their pediatrician handed them a small, folded card with three words and a phone number on it: "You are not alone." The card was from the Sickle Cell Foundation of Arizona.

A note from SCFA

If you're planning a family — please get screened.

Sickle Cell Disease affects communities globally, but many countries — especially in parts of Sub-Saharan Africa, the Mediterranean, the Middle East, India, and Latin America — don't perform routine sickle cell screening. If you or your partner are from a high-prevalence region and haven't been tested, a simple blood test is the only way to know whether you're a carrier of the sickle cell trait.

Knowing before you plan a family lets you make informed choices, prepare with your doctor, and ensure your child gets early intervention — which dramatically improves outcomes for children born with SCD. Knowledge is not fear. Knowledge is the first step.

What SCFA gave them — for free.

Nancy called the number. Within 48 hours, a Community Health Worker from the Sickle Cell Foundation of Arizona had welcomed them, listened to their story, and walked them step-by-step into the 360° SCD Hub community and app.

Then came the Family Tracker.

Coach Carla showed Nancy how the 360° SCD Hub Family Tracker could hold not just Eli's care plan — but the whole family's health journey. One app. Four people. Real coordination.

Nancy
Nancy
Mom · Caregiver · Account Holder
SCD trait carrier · No symptoms
Nancy tracks for herself
  • Postpartum mood & energy
  • Sleep — finally getting some back
  • Daily movement (walks with the boys)
  • Moments of joy & small wins

"I needed to learn how to settle down a little. Move more. Find more joy. The Hub helps me remember to take care of me, too — not just everyone else."

Marcus
Marcus
Dad · SCD trait carrier
High blood pressure · Stress management
Nancy tracks for Marcus
  • Blood pressure readings — morning and evening
  • Dizziness / lightheadedness episodes
  • Stress, tension, and headache patterns
  • Medication adherence

"Before, he'd mention he felt dizzy and I'd forget by the time we saw the doctor. Now we walk in with a chart. The doctor took us seriously the first time."

Eli
Newborn · Sickle Cell Disease
HbSS · Hematology team established
Nancy tracks for Eli
  • Daily temperature (fever in SCD newborns is an emergency)
  • Feeding patterns & weight gain
  • Hydration cues — wet diapers, fussiness
  • Penicillin prophylaxis & vaccination schedule
  • ER triggers checklist on every entry

"The fever tracker has Coach Carla's red-flag rules built right in. The first time Eli got warm, I knew exactly what number meant 'call the doctor' and what number meant 'go to the ER right now.'"

Daniel
Older brother · Age 4
Sickle Cell Trait — confirmed at follow-up screening
Nancy tracks for Daniel
  • Pediatric appointments & well-child visits
  • Vaccinations
  • School absences & growth milestones
  • Trait-carrier education for when he's older

"We finally got Daniel screened after Eli's diagnosis. He's a trait carrier — that's information we'll share with him when he's old enough to plan a family of his own."

"We're not alone. And we have a plan."

Six months later, Nancy isn't just keeping her family healthy — she's volunteering with the Sickle Cell Foundation of Arizona, welcoming other new parents who walk in with the same fear she felt that first day.

Her message to them: "You are not alone. Start with the Hub. It's free. It's for your whole family. And it will give you back the feeling of being in control."

✨ Join the 360° SCD Hub Family — It's Free