I was an LPN before Sickle cell prevented me from working, so I have experience as a patient and former caregiver. As a patient, it would be so hard to convince healthcare workers that my pain was real. Some refused to really examine my bilirubin levels and know that my red blood cells were hemolyzing or being destroyed. I would be loudly screaming in pain and crying non-stop due to the pain. I've had healthcare workers completely ignore me and even accuse me of just seeking pain medications. Mind you, my hospital visits were quite few and in between be ause I started choosing to deal with my crisis at home rather than tolerate mistreatment and callousness at the hospital. Sometimes, the pain would be so great that I could not manage at home and would unsuccessfully maintain adequate hydration due to my wanting to just have the pain to stop. The last thing on my mind would be my intake of fluids at home. As a caregiver I never wanted another person to experience any of the discrimination and lack of compassion I have gone through. I don't think most healthcare workers realize a kind word, compassion or soft touch works wonders, especially when you are out of your mind in pain. I have found that having a really good relationship and communication with your PCP or Hematologist is quite helpful. Having a care plan established with them is good seeing as if doctors or nurses will not listen to you, they may be more willing to listen to another professional in the field. When at the hospital give them the name of your doctor and phone number to contact them if you have it. If you and your doctor have an established plan and they encourage you to have the hospital contact them if you are in a crisis, do so! Advocate for yourself and utilize the resources your doctors have given you, this is your one life after all. Hope this helps!