<p>During a recent clinical posting, I was privileged to witness a medical mystery from an 8-year-old warrior. He was rushed to the emergency room with an awful amount of pain — but that wasn't all. He had a strange phenomenon that a lot of boys wake up with in adolescence: an erection so painful and stubborn that it became a cry for help.</p><p><br/></p><p>At first, I was very surprised. I mean, how can anyone not be, to see this condition in such a young child? Especially because I had never heard of the condition before.</p><p><br/></p><p>But when the doctor talked to our warrior's caregiver, he explained it as constantly dumping waste materials into a kitchen sinkhole — in this case, sickled red blood cells — which then clog the pipe (blood vessels) and cause the blood to be trapped, resulting in very painful, prolonged erections not relating to sexual arousal.</p><p><br/></p><p>This condition, called priapism, is a very rare complication of sickle cell anaemia, which is mostly triggered in children by lack of sleep, dehydration, or — as in our warrior's case — fever.</p><p><br/></p><p>Sickle cell anaemia is a non-communicable disease that is inherited when both parents carry a recessive sickle cell gene. It causes the red blood cells in the body to change from being round to looking like the letter "C", restricting their free movement in the body and causing blockages in several blood vessels — leading to several complications, including pain.</p><p><br/></p><p>While priapism may seem like a punchline, it is in fact a cry for help — and improper management can lead to very serious complications, such as tissue damage and death. This is why early diagnosis and intervention is necessary for other people like our young warrior.</p><p><br/></p><p>This experience gave me a view on how fast sickle cell anaemia can birth unexpected complications, and how important it is to be ready for them.</p><p><br/></p><p>And while I am being conscious of our warrior's confidentiality, I hope this little piece helps you — just like it helped me — to understand priapism better, and have an idea of how terrible the struggle is for our sickle cell warriors.</p><p><br/></p><p>Because sometimes, the most painful of diseases are the ones we least expect — and the smallest warriors face the biggest battles.</p>
At the end of the month, we give out prizes in 3 categories: Best Content, Top Engagers and
Most Engaged Content.
Best Content
Top Engagers
Most Engaged Content
Best Content
We give out cash prizes to between 7 and 20 community members with the best insights in the past month.
The winners are picked by an in-house selection process.
The winners are NOT picked from the leaderboards/rankings, we choose winners based on the quality, originality
and insightfulness of their content.
Here are a few other things to know for the Best Content track
1
Quality over Quantity — You stand a higher chance of winning by publishing a few really good insights across the entire month,
rather than a lot of low-quality, spammy posts.
2
Share original, authentic, and engaging content that clearly reflects your voice, thoughts, and opinions.
3
Avoid using AI to generate content—use it instead to correct grammar, improve flow, enhance structure, and boost clarity.
4
Explore audio content—high-quality audio insights can significantly boost your chances of standing out.
5
Use eye-catching cover images—if your content doesn't attract attention, it's less likely to be read or engaged with.
6
Share your content in your social circles to build engagement around it.
Top Engagers
For the Top Engagers Track, we award the top 3 people who engage the most with other user's content via
comments.
The winners are picked using the "Top Monthly Engagers" tab on the rankings page.
Most Engaged Content
The Most Engaged Content recognizes users whose content received the most engagement during the month.
We pick the top 3.
The winners are picked using the "Top Monthly Contributors" tab on the rankings page.
Contributor Rankings
The Rankings/Leaderboard shows the Top 20 contributors and engagers on TwoCents a monthly and all-time basis
— as well as the most active colleges (users attending/that attended those colleges)
The all-time contributors ranking is based on the Contributor Score, which is a measure of all the engagement and exposure a contributor's content receives.
The monthly contributors ranking tracks performance of a user's insights for the current month. The monthly and all-time scores are calcuated DIFFERENTLY.
This page also shows the top engagers on an all-time & monthly basis.
Below is a list of badges on TwoCents and their designations.
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