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A change is gonna come
The “A CHANGE GONNA COME” song by Sam Cooke was inspired by various events in his life, most prominently when he and his entourage were turned away from a white-only motel in Louisiana. Cooke felt compelled to write a song that spoke to his struggle and those around him, and pertained to the Civil Rights Movement and African Americans.
Sam Cooke wrote the song in 1963, recorded in January of 1964 in Hollywood, CA, and released the song as a single in December, 1964. He performed it live on ‘The Tonight Show’ with Johnny Carson television show and gave testimony to his struggles (shared and personal) for the civil rights and social justice.
As a little boy, when Sam sang in church, everyone made note that his voice had ‘something special’. His refusal to sing at a segregated concert led to what many have described as one of the first real efforts in civil disobedience.
Sam was not only a great soul-singer but he was a civil rights activist in late 50’s and early 60’s America, where he was given a platform for both his music and his opinions and in the eyes of the society then, this made Sam Cooke a very dangerous man.
Thus, the song – “A Change is Gonna Come” is much more than a civil rights anthem. It’s become a universal message of hope, one that does not age. Generation after generation and people all over the globe have heard the promise of it. It continues to be a song of enormous impact.
I am sure some of you would obviously wonder why this song?
To my mind, Sam Cooke wrote the song for such a time as this in Ghana as we traverse the journey towards three decades of the Fourth Republican dispensation in 2023, with the dire challenges of a HUNG PARLIAMENT and with all the issues of ‘uncertainties’ around the 2022 Budget Statement facing us as a Nation and as a People.
Like Sam Cooke, I am relating the challenges he faced with the civil rights movement to the job uncertainties for our youth amidst several insecurity threats and forms, entrenched positions of the two main parties in the Parliament forcing the populace to question whether we have missed the road to the future promised by the parties since the dawn of the 4th Republic in 1993.
The situation we face now is akin to the period of the intense American Civil Rights confrontations of the sixties, when black as well as coloured lives mattered for little.
You see within all the confusions, denials, strives, hunger, joblessness, lack of amenities for the blacks, unequal pay for same jobs, lack of equal opportunities (not on party lines as we witness now) and no housing facilities for majorities of the blacks, ONE SMALL VOICE with so much hope against dire indiscriminate, police brutalities rose up with just the lyrics of a melodious song: ‘CHANGE IS GONNA COME’- to push for a change.
“I was born by the river, in a little tent
Oh, and just like the river
I’ve been running ever since
It’s been a long
A long time coming
But I know a change gonna come
Oh, yes it will
It’s been too hard living
But I’m afraid to die
‘Cause I don’t know what’s up there
Beyond the sky
It’s been a long
A long time coming
But I know a change gonna come
Oh, yes it will
I go to the movie
And I go downtown
Somebody keep telling me
Don’t hang around
It’s been a long
A long time coming
But I know, a change gonna come
Oh, yes it will
Then I go to my brother
And I say, brother, help me please
But he winds up, knockin’ me
Back now I think I’m able, to carry on
It’s been a long
A long time coming
But I know a change gonna come
Oh, yes it will”
Don’t forget that when Sam Cooke composed the lyrics, he never dreamt beyond the impossibilities to imagine or think, much less, see the election of the first African-American President of the United States of America – Barrack Obama: because he never thought that was going to be the end of the struggles of the black race in America.
It means for us in Ghana, our fight is far more than just a slogan of ‘BREAKING THE EIGHT’ or the ‘GREAT RETURN OF THE JOHN FROM THE WILDERNESS – Baptist’ or a possibility of an ‘ABABASE IN EAGLE CLOTHING’. Indeed, our fight is even more precarious with the possibility of a ‘THIRD FORCE’ of the ‘Bilson’ stock. Thus, what we are faced with has nothing to do with our individual or collective allegiances to the two main political traditions of the 4th Republic. It has, instead, everything to do with how we can be ‘A BETTER NATION AND A PEOPLE’.
It also has everything to do with how our HONOURABLE Members of Parliament continue to conduct themselves in front of TV cameras for not just us as adults but also before our children and their own children and those of the MPs too.
Otherwise, how on earth will an ‘Honourable Member’ so conduct himself ‘dishonourably’ and we all pretend we did not see anything – from the voting for the SPEAKER OF PARLIAMENT; to the whisking away of the Speaker’s Chair; to the rejection of the Government’s Budget Statement; to the inclusion of a budget allocation for the sea defence issues of the Volta Region, especially where ironically, there is an ‘ANLO NEW TOWN’ in a prominent part of the ‘Garden City of Ghana’, Kumasi, where the people are predominantly EWES?
What are we trying to teach our children and their children too? …that lawlessness pays?…for as long as you end up as a Member of Parliament to assume a certain level of immunity? …and from what?
Sam Cooke’s ‘CHANGE IS GONNA COME’ song, no matter how long, should let us all be mindful of the truth of life that NOTHING IS FOREVER and that…”It’s been a long; A long time coming; But I know a change is gonna come; Oh, yes it will.”
I do not want to assume that, there is an existing CODE OF CONDUCT AND ETHICS at the Parliament House for our Honourable Members of Parliament, on how to go about the business of the House, (or if there are sanctions for dishonourable behaviour in the House) or they are kept away from common men and women like the people who voted and or vote for them every four years?
Otherwise, we would institute a monthly ‘BADGE OF DISHONOURABLE MAN / WOMAN’, where the public would be invited to vote on a Member of Parliament who tops the list of dishonouring himself or herself in any particular month with the support of all media houses in the country.
I am not a ‘prophet’, nor would I, for any reason assume such a position on earth, but as long as night follows day, I know a CHANGE WILL COME SOONER THAN LATER in the way our elected officers are conducting ourselves in public life.
On a personal level, I wish we could amend the 4th Republican Constitution that justifies the appointment of a certain percentage of Members of Parliament as Ministers of State so that they could apply themselves solely to the matters of state as MPs. However, a government could be permitted to nominate any MP for a position but not by a stated quota in the Constitution.
Members of Parliament, Ministers of State and other public office holders should always know that they do not occupy these positions of themselves but because of us as Ghanaians; that we vote them into office as MPs and thereafter, get appointed into those public positions because of us, the people and they should never forget that.
They should also be mindful of the impact their actions and inactions have on the general populace so they ought to act RIGHT ALWAYS WITH HONOUR and nothing else.
By Sam Cooke The author is a Land Economist & Appraiser, Event Architect & Planner and Sport Business Consultant
The driver stopped the vehicle at the gate of the large, fenced property along the Nsawam Highway, and Kakraba stepped out to meet the several workers who had gathered to wait for him.
He greeted them and went straight to the point.
“Gentlemen, I am glad to see that you have almost completed the clearing of the land. I’m happy to report that we have concluded all arrangements with Nana Serebour, and construction of the palace will start in a few days.
“I will need you to go and level the ground, and then come back to start this project. Some workers from a construction company will come and join us.
“My plan is to build twenty houses in four months. Then we will do twenty more until we reach two hundred.
“I am relying on you to help me deliver good-quality work to satisfy our clients and, as I have already indicated to you, I will reward you for your work.”
After an hour’s discussion, he closed the meeting and moved to drive away. Wofa Yaw drew closer.
“Director, can you please spare me five minutes? I would like to discuss a small issue.”
“Why, Wofa Yaw? Your wife has threatened to leave you?”
“No, Director. My wife will never leave me. This concerns a young niece of mine.”
“I hope it’s something I can help with. Please sit in the car and let me hear you.”
“Boss, my niece, Beesiwa, is a polytechnic graduate, very beautiful and with very good character.
“Unfortunately, her parents virtually forced her into a relationship with an idiot based in the US, which affected her badly. She has now recovered from that experience and, Boss, I am respectfully asking if you would find a job for her.
“I promise you that you will never regret it.”
“Well, Wofa Yaw, let me meet her and speak with her. I may be able to help, maybe not in the way you expect, but let me meet her.
“I will not be back here for another week, but I will be at the office throughout next week. You can come with her.”
On Monday morning, Wofa Yaw and Beesiwa were seated at the office by nine o’clock. Three young ladies welcomed them warmly, offered them soft drinks and assured them that Kakraba would be there shortly.
They then returned to their desks and sat behind computers with large screens displaying various building designs.
Kakraba walked in and greeted them warmly. After chatting briefly with the three ladies, he ushered Wofa Yaw and Beesiwa into his office.
“Director, this is my niece, Beesiwa. I mentioned her to you when you came to Nsawam.”
“Yes, indeed. Madam Beesiwa, you are very beautiful, just as your uncle said. Wofa Yaw is my colleague.
“We have just started a building project that will take about three to four years. He mentioned that you have a small problem, so I said I would like to meet you and see how I can help.
“So, Beesiwa, please tell me a little about yourself.”
Beesiwa described her childhood, her school experience, her brief work at the bank and the nasty episode with Sammy Abrokwa, which shattered her peaceful life. She also explained how she had been recovering from the experience.
“I am really sorry to hear this,” Kakraba said. “Now, here is what we are going to do.
“We are a small but very busy company. The three ladies out there spend most of the day on site and come back to report on their work in the morning.
“I have three main projects. The big one is an estate project in Nsawam, where your uncle is one of my main colleagues. I need a personal assistant who can take care of my activities, especially when I am not in town.
“Now, we will have to start with trust. Based on what I know about Wofa Yaw, and based on what you yourself have told me, I think we can start on a sound basis.
“So, Wofa Yaw will take you to my home. You can move into one of the four guest rooms.”
“Sir, I have taken some computer lessons, and I have even done graphics and web design,” Beesiwa said.
“Fantastic! I will give you a good phone and a laptop. I will also arrange computer lessons for you.”
“Now, Wofa Yaw, take her home. My sister, Kuukuwa, will meet you and show you around, and then you can return to Koforidua.
“When would you like to start work?”
“Sir, I would like to start today, but I would need to go and bring my things.”
“No problem. Take a taxi to my house, meet my sister, and let me know what you decide.”
Later that day, Kakraba and the three ladies met with some bank officials to conclude the sale of the three buildings at Adabraka.
They closed at five-thirty and, after rewarding the ladies for their hard work, Kakraba got home just after dark.
He was surprised to find Kuukuwa and Beesiwa sitting at the table enjoying supper.
“What’s happening here?” he asked. “Beesiwa, I thought you would return to Koforidua.”
“She changed her mind,” Kuukuwa said. “We went to the mall and bought a few things for her. Then we came back to cook. She has made some nice changes to your bedroom and cooked a couple of interesting dishes. Sit down; we will serve you.”
“Well, I certainly can’t refuse that. It’s been a busy day.
“So, what’s the plan now? Will Beesiwa go to Koforidua tomorrow, gather her things together and come down?”
“No, I will stay here for a while,” Beesiwa replied. “Kuukuwa bought me the things I need, so I may go back next week. I’m ready to start work. What would you like me to start with?”
“Well, you can come to the office tomorrow morning, meet the three girls and get a feel for what we do.
“Since you are living here, at least for now, we can discuss the plans for the next few weeks.
“Sometimes there are gaps when I travel up north. You can take care of things from now. I think the girls would like having someone like you around.”
By Ekow de Heer
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A frequent question following breast surgery is whether human tissue possesses the regenerative capacity to restore an excised organ.
From a strict physiological standpoint, a completely removed breast cannot regrow. Unlike certain organisms that can regenerate complex limbs or organs, adult human tissues—particularly specialised glandular structures—lack the cellular machinery required to rebuild an entire organ after its total surgical removal.
Instead, the body heals the surgical site through processes such as scar tissue formation and re-epithelialisation rather than complete cellular regeneration.
What a mastectomy actually removes
To understand why natural tissue regeneration does not occur, it is important to examine the surgical scope of a mastectomy.
Depending on the type of procedure and the medical reason for surgery, a mastectomy may involve the removal of:
Glandular architecture: The milk-producing lobules and ducts that form the functional core of the mammary gland.
Adipose tissue: The fatty tissue that contributes to breast volume, projection and contour.
Other breast tissue: The extent of tissue removal varies according to the type of mastectomy and the need to achieve appropriate surgical clearance.
Because specialised breast structures are physically removed, the body does not rebuild a complete mammary gland. Instead, healing occurs through tissue repair and scar formation.
Distinguishing residual tissue from “regrowth”
Patients or observers may notice changes in the chest area after surgery, sometimes leading to misconceptions about tissue regeneration.
Skin- and nipple-sparing procedures
Modern breast surgery may preserve the outer skin envelope or, in selected cases, the nipple-areola complex. Small amounts of breast tissue may remain depending on the surgical technique. Any changes in remaining tissue due to hormonal fluctuations represent residual tissue responding to the body, rather than the regrowth of a completely removed breast.
Adipose accumulation
Weight gain after surgery can increase the amount of subcutaneous fat across the chest wall. However, this is part of general body fat distribution and does not represent the regeneration of a mammary gland.
Modern reconstructive pathways
Because a completely removed breast does not naturally regenerate, modern medicine offers reconstructive options aimed at restoring physical symmetry, contour and body image.
The two main approaches are implant-based reconstruction and autologous, or tissue-based, reconstruction.
Implant-based reconstruction
Implant-based reconstruction uses synthetic medical devices, typically filled with silicone gel or saline, to rebuild the breast mound following a mastectomy.
The two-stage process: This approach may begin with the placement of a temporary tissue expander to gradually create space and stretch the surrounding tissues. A later procedure may then be performed to place a permanent implant.
Recovery profile: Implant-based reconstruction generally involves a shorter initial surgery and recovery period compared with procedures that require tissue to be harvested from another part of the body.
Long-term considerations: Breast implants are not lifetime devices and require ongoing medical monitoring. Some patients may need additional procedures over time because of complications or changes in the implant or surrounding tissue.
Autologous or tissue-based reconstruction
Autologous reconstruction uses the patient’s own living tissue to create a new breast mound. Tissue may be transferred from another part of the body, commonly the lower abdomen, using procedures such as a DIEP flap.
Natural look and feel: Because the reconstruction uses living tissue, it can provide a natural warmth, texture and softness. The tissue may also change with the patient’s body weight over time.
Long-term durability: Once healing is complete, autologous reconstruction can provide a long-lasting result without the need to replace an implant. However, some patients may still require further procedures.
Complex surgery: This option usually involves a longer operation and recovery period. In microsurgical procedures, surgeons may need to reconnect tiny blood vessels to establish blood flow to the transferred tissue.
Direct comparison
When choosing between these two reconstructive pathways, patients and their surgical teams must consider several physical, medical and lifestyle factors.
Surgical burden: Implant surgery is generally less invasive, while flap reconstruction involves surgery at both the chest and the donor site.
Foreign material versus native tissue: Implants involve the use of a medical device, while autologous reconstruction uses the patient’s own tissue.
Recovery: The recovery timelines and rehabilitation requirements differ significantly between the two procedures.
Recovery and physical rehabilitation
Recovering from breast reconstruction requires patience, careful pacing and, in some cases, structured physical rehabilitation.
Because implant-based and autologous tissue-flap procedures involve different surgical techniques, their healing timelines and physical therapy milestones can vary considerably.
Understanding these differences is important for patients considering reconstruction, as the choice involves more than restoring physical appearance. It also requires careful consideration of recovery, long-term monitoring, lifestyle and individual medical needs.
Part 2 will examine recovery timelines, physical therapy milestones and other factors patients should consider when choosing between reconstructive options.
By Robert Ekow Grimmond-Thompson
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