Features
Chief of Staff @ 75: Significance

There are many good managers the world over but what makes the managerial skills of the current Chief of Staff special is her unique skills in addressing the challenges that confront her at her current age of 75.
Her style of management is always characterised by patience, accommodation of views even if unpalatable, broad mindedness and motherly love. These are special qualities that have endeared her to personnel in the seat of government under the current political administration in the country.

Many a time, political administrators occupying the position of the Chief of Staff in the seat of government tend to think that they occupy a position that makes them very powerful and unchallengeable, thereby making them turn around as proud people who are sometimes found to look down upon those that are nowhere near them compared to the position of Chief of Staff. The position of Chief of Staff is very important in the sense that whoever occupies this position must be highly alert and ready to work with various segments in the Administration so as to be able to achieve unity of purpose.
BLENDING SEGMENTS TOGETHER
Without the ability to blend various segments together, it becomes difficult to pull various personnel along the common purpose of attaining the goal of the Administration. This is a skill that is required by the occupant of this position to make it possible for the attainment of organisation goals even under very difficult circumstances.
In the case of the current Chief of Staff, Hon. Akosua Frema Osei Opare, she has been able to unify the personnel around her and encouraged them to move ahead in unison. Her unique skills did not come by chance. Her experience as a social worker for the underprivileged in Ghana took her to various parts of the country to carry out NGO activities which were variously aimed at bringing improvement to people in deprived parts of the country.

HARDWORK
In addition, she fought hard to win the seat for Ayawaso West Wyoming and became a Member of Parliament to represent people in the area. Her humility, commitment and dedication to the lives of people as well as openness to all manner of people she came along with endeared her to her constituents. It, therefore, came as no surprise when she was appointed by former President J. A. Kufuor as a Deputy Minister for Manpower, Youth and Employment from 2005 to 2008.
As part of her duties, she took part to ensure that the National Disability Law was developed, worked on and thoroughly discussed before it became law in this country. In this connection, she worked in various segments of society including the hearing impaired and all physically challenged persons as well as others like Albinos. Unknown to many people, she is very accommodative when it comes to opening up to underprivileged.
LAW ON PERSONS WITH DISABILITY
Today, the country can boast of a law for persons with disability. She had to own it as her own baby, running round Parliament, the Ministries as well as engaging other stakeholders in the country. She showed real love to all such people, that is, the underprivileged.
During preparations towards the 2016 elections, which was won by the NPP, she was found to be organising things for the flagbearer of the NPP, Nana Addo Danquah Akufo-Addo. So impressive were her administrative skills such that it came as no surprise that when President Akufo-Addo, having won the 2016 elections, found it necessary to appoint her as the first female Chief of Staff. This position has brought great honour to women in this country and they are all proud of her.
BEAUTIFUL PERSONALITY
In fact if her age had not been announced, it would have been difficult to guess how old she is. Looking at her beautiful personality, one is likely to take her for somebody who is around 50 years. May she continue, with the blessings of God, to remain “evergreen” at all times. What this means is that God has really blessed her with strength and skills that make it possible to go about her duties. It is her coolness of temperament, humility, patience and love for all that have endeared her to all those who come in contact with her. There are many people who are very boastful and proud due to some positions they hold such as being head of institution. In the case of our current Chief of Staff, we are proud of her because of her unique humility, love for the underprivileged and readiness to mingle with other people.
Her duties as government official is characterised by hardwork. She finds herself to be working with a very hardworking president who goes to the office very early and leaves late. She’s capable and is able to cope with all the challenges that come her way as an administrator at the seat of government. She has lived up to expectation and therefore deserves all the praises that come her way. Aside all these, her belief in the Almighty God is firm and does not waver under any circumstance or challenging situations that come her way. As a strong Christian, she believes that being prayerful is good since it is only the Almighty God who helps people to make achievements in life.
DUES
At the age of 75, Madam Frema Osei Opare has fully paid her dues and serves as a good example for young people, especially for women who are coming up.
She has been a source of inspiration not only to women in Ghana but beyond the country. We therefore pray that the Almighty God will bless and continue to guide her in all her endeavours so as to assist the current administration to move the country forward and to a higher pedestal of development.
Contact email/whatsApp address of author:
Pradmat2013@gmail.com (0553318911)
By Dr. Kofi Amponsah-Bediako
Features
Disqualified — Part 5
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
SKIP THE QUEUE, TAP THE NEWS

You can now read the Ghanaian Times and The Spectator newspapers from the comfort of your device via TimesNewsPlus.
Join our WhatsApp Channel: https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27
Features
The biological realities of breast excision – Part 1
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
SKIP THE QUEUE, TAP THE NEWS

You can now read the Ghanaian Times and The Spectator newspapers from the comfort of your device via TimesNewsPlus.
Join our WhatsApp Channel: https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27




