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Emergency national CPR training 

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Chances are that, should someone collapse suddenly at the work place, or at the market place or at a school in my village or at the lorry park, that person will likely perish.  

It is not for lack of sympathy alone but a genuine lack of knowledge in executing Cardiopulmonary Resuscitation (CPR).  The sad thing is that, many people had lost their lives or had become permanently handicapped because they were not fortunate to encounter a seizure in the presence of someone with knowledge on how to perform CPR.  

Health practitioners have declared on numerous occasions that the help a victim obtains, the first few minutes after collapse, is very critical to his or her survival.  It is therefore imperative that CPR training becomes mandatory for every citizen so that in emergency situations, help can be offered to anyone who falls victim to cardio muscular attack.  

I read of a story where a lady fell victim to a cardio muscular attack on a plane. 

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 Fortunately for her, there was a Doctor on the plane and a CPR was performed on her.  The plane then was diverted to the nearest airport for an emergency landing and the lady was transferred to a hospital for further care. 

 Imagine what could have happened if there was no one on the plane who had knowledge about CPR.  The fate of the lady, would have been disastrous.  Life is full of uncertainties and therefore there is an urgent need for this CPR emergency training programme. 

 Although everybody is important, there are certain individuals who if we lose them can seriously affect the fortunes of this country because of the roles they play as well as the investments the state has made in them.  

A carefully planned programme must be put in place by the ministry responsible for health, which in our case is the Ministry of Health.  It should start from the security agencies, then the schools, then groups like drivers’ unions, political parties etc.  

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There should be a deliberate effort to let citizens appreciate the need for knowledge acquisition in how to administer CPR.  The issue of re-training must also be given adequate attention.  

New knowledge that evolves in that field must be incorporated in the training and re-training programme.  Adequate resources must be deployed to ensure that this national effort to make CPR training available to every citizen.   

The approach towards the CPR knowledge training, must be considered as a national emergency so that the whole country will be motivated to get involved.  It must incorporate certain aspects of first aid because there could be instances where a victim who after being revived may still die as a result of loss of blood through bleeding.  

If those who administer CPR possess basic knowledge in first aid, it may go a long way in preventing loss of lives.  We can change things if something goes wrong. We can resolve issues when disagreements happen.  

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When we lose lives, we cannot resurrect them just like what former President Bush once said and was reiterated by our former President Nana Akufo-Addo.  Let us become interested in life sustaining issues as a people so that we are always prepared to deal with life’s health emergencies. God bless. 

By Laud Kissi-Mensah

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A motley of scary issues requiring attention

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I saw a video of two young men mistreating a guy in school uniform. The manner in which a man in a white shirt was stamping on the head of the student on the ground and kicking him, was heart wrenching. It was like a scene from an action movie.

Comments in the video made me to understand that the two people engaged in the dastardly attack on the chap on the ground were teachers. How teachers who had been trained by teacher training institutions could do what they did, defies logic; simply mind boggling.

This brings the issue of screening of would-be teachers to mind. Is there a psychological vetting system in place to identify unsuitable characters like those two teachers so that they are barred from being teachers or are helped to have the right mindset as teachers? We cannot continue to let the status quo remain and expect a different result.

Digitalisation of the economy has brought in its wake a whole lot of ways that seeks to address pertinent socio-economic issues. One of them is the introduction of the TraffiTech-GH system of regulating traffic flow without human intervention.

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This clearly is an innovative way of enforcing compliance which obviously would ensure discipline and therefore safety on our roads. The drivers are raising some issues which are legitimate and must be addressed as soon as possible or should I rather say immediately.

If a Bus Stop is occupied by traders and therefore the drivers cannot stop for passengers to alight or board, they would have no option than to park in the road, blocking traffic flow, which would be an offence that TraffiTech-GH would capture as a violation and punish accordingly, by imposing a fine.

A very sad incident occurred last week resulting in the senseless murder of an uncle and her niece in the Greater Accra Region. The story making the rounds on social media was that, the uncle took a loan from the suspected murderer but failed to honour his obligation to pay back the money.

The suspect accompanied by a lady, went to the residence in the Sakumono area and a heated argument ensued, resulting in the suspect shooting the Uncle and her niece in the process. The first question that came to mind was that “Why did they not allow patience to carry the day?” If it is true that the uncle indeed owed the man, he ought to have maintained a certain demeanor that portrayed a willingness to pay the money and not to enrage the suspect in any way.

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Again, if someone owes you, you do not take the law into your hands by going to confront him with a loaded gun in your pocket. The proliferation of small arms must be given serious attention.

The leaders in the educational sector need to sit up to address the misbehaviour of both students and teachers, especially the teachers who have been sexually harassing students. The fallout, in the recent Obuasi Senior High School (SHS) issue, has been an official statement directing teachers not to ask students to work in their bungalows.

This code has been in the books of the Ghana Education Service (GES) all this while. It is nothing new and so like everything else in this country, the issue is not the lack of laws but the enforcement. What I find surprising is that after breaking this code of ethics, the GES has not sacked the notorious Headmaster who evidence has been established beyond reasonable doubt that he had grossly flouted this regulation, repeatedly. This is a gross failure on the part of leadership, from the ministry level down to the school level. This must not be allowed to repeat itself. God bless.

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The Biological Realities of Breast Excision –Part 2

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​Implant-based reconstruction recovery

​Implant reconstruction is generally less invasive during the initial phase, allowing for a quicker return to baseline daily activities.

​Initial healing window: Most patients resume light, non-strenuous daily tasks within 2 to 4 weeks.

​Activity Restrictions: Heavy lifting, intense upper-body exercises, and high-impact movements are typically restricted for four to six weeks to allow the chest tissues to secure the implant or expander.

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​The expansion phase: If a temporary tissue expander is used, recovery includes periodic office visits over several months where the surgeon gradually adds sterile fluid to stretch the skin.

​Physical therapy focus: Gentle arm and shoulder stretches begin early to prevent stiffness, frozen shoulder, and tight scar tissue formation around the implant pocket.

​Autologous (Tissue-Based) reconstruction recovery

​Autologous reconstruction (such as a DIEP flap) is a more complex, major operation because it involves two distinct surgical sites: the reconstructed chest mound and the donor harvest area (usually the lower abdomen).

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​Initial healing window: Requires a hospital stay of two to five days, with an overall recovery period of six to eight weeks before resuming normal routines.

​Donor site management: Because abdominal muscles or tissues are involved, patients must avoid bending, twisting, or lifting anything heavier than a gallon of milk for at least six weeks to protect the deep facial repairs.

​Mobility milestones: Recovery starts with short, gentle indoor walks immediately after surgery to promote circulation and prevent blood clots, gradually building up distance each week.

​Physical therapy focus: Postural retraining and cautious core re-engagement once the surgeon gives medical clearance, ensuring the abdominal wall heals securely without strain.

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​Essential rehabilitation practices

​Regardless of the chosen surgical path, effective physical therapy incorporates specialised techniques to restore physical freedom:

​Scar mobilisation: Professional massage techniques to soften surgical scars and prevent tight binding of underlying tissues.

​Lymphatic drainage: Gentle massage protocols to reduce swelling and encourage fluid movement through the lymphatic pathways.

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​Let’s pull together everything we have talked about into one simple, easy-to-understand guide.

​Here is a summary of the complete journey-from understanding what breast cancer is and busting myths, to managing emotions and navigating surgery and recovery.

​1. Is surgery a “cure”?

​What it means: A mastectomy (removing the breast) is a powerful tool to take out the local tumor, but it isn’t an automatic, guaranteed cure on its own.

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​The Example: Think of it like pulling a weed out of a garden. You got the main plant out, but if tiny seeds or roots already spread elsewhere in the soil, you still need extra care (like medication) to make sure they don’t grow back.

​2. The cancer’s “personality” (Biomarkers)

​What it means: Not all breast cancers are the same. Doctors test the cancer cells for specific “locks and labels” (like hormones or proteins) to figure out how fast they grow and what medicine will stop them.

​The Example: It’s like figuring out what kind of fuel a car engine takes (gasoline, diesel, or electricity) so you know exactly how to fix or run it.

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​3. Busting common myths

​The Reality: Many rumors about breast cancer are false.

​The facts:

​Men can get breast cancer too (about one per cent of cases) because everyone has a small amount of breast tissue.

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​Most lumps are harmless (like a harmless pebble in your shoe, not a dangerous nail).

​Underwire bras and deodorants do not cause cancer.

​Most people diagnosed (about 85 per cent) have no family history of it, which is why regular checks are vital for everyone.

By Robert Ekow Grimmond-Thompson

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