Features
Hepatitis B wahala
When I first wrote this article, it was dedicated to the memory of Merari Alomele, a true legend. My first editor when I started this column almost a decade ago. There will never be another Alor – humour, wit, relevant information and many more all rolled into one being. Yet who can begrudge The Almighty, He knows best.
July 28 as always, was World Hepatitis Day, and this year’s theme was, “Finding the Missing Millions.” The goal is to create awareness of Hepatitis, find the undiagnosed and link them to care. I will however focus on Hepatitis B today.
These days it is common knowledge that a good way to make quick and easy money in “Sikaman” is to put fear in unsuspecting victims. Mushroom churches hyping witchcraft, herbalists and health professionals diagnosing doom at the least provocation, politicians painting opponents as the devil’s brigade and investment consultants in three-piece suits that will be the envy of Merari’s friend Kofi Kokotako, insisting that you will outlive your current savings unless…Life was much simpler in the “good old days”.
People are screening for Hepatitis B in churches, market places, train stations, fetish shrines and every imaginable and unimaginable place. The most criminal aspect of this is that there is NO PRIOR COUNSELING in many of these situations. Some people in white coats even take advantage of people who test positive for Hepatitis B (the surface antigen) and charge exorbitant fees to “treat” them.
Can you imagine what goes through the minds of people who may test positive at a screening with neither pre nor post test counseling and may have to wait for several hours or days before seeing a doctor? They often enter the consulting room with one foot in the new world. Some would have started a new fast without the element of prayer, a few will be competing with cholera patients for the use of the “small room” and others develop a penchant to pray in tongues that even the apostles at Pentecost would have been envious of.
I know we are not screening enough people at the hospitals but if you need to do any form of screening please ensure that you have people adequately trained to counsel participants before and after the tests. Such a simple thing will reduce the number of people who develop instant diarrhoea, sleeplessness, loss of appetite and generalised anxiety disorder long before their liver will even sense it has a problem.
Yes, Hepatitis B is common in “Sikaman” but not everyone is dying from it. Seek early medical advice and in most cases you will live long enough to enjoy fufu and palm nut soup for many many years to come.
An acute episode of Hepatitis B, like many viral infections may present as:
Loss of appetite
Nausea
Vomiting
Fatigue
Headache
Fever
These symptoms may be followed by jaundice, an abnormal accumulation of the chemical bilirubin in the blood, which causes yellowing of the eyes, skin and body fluids (such as tears), as well as a darkening of the urine.
This sounds almost like malaria, doesn’t it? So you may be harming your liver if you continue to take medication to treat malaria without seeking medical attention.
Your doctor will request for a few tests that will provide information on the stage of your infection and the state of your liver.
Many professionals will just prescribe:
Healthy lifestyle.
Avoid medications that have not been prescribed. Even popping paracetamol tablets at the least hint of pain could be dangerous. Avoid herbal preparations.
Avoid alcohol.
Get adequate rest.
A few may add a vitamin but that may simply be a matter of choice. Many people will be able to fight the virus and clear it from their system. A few others will not succeed on their own and may require further monitoring.
If there is a Hepatitis B, then there must be an A, C et cetera. RIGHT! We get Hepatitis A through the faeco-oral route which means; whenever you are diagnosed with Hepatitis A, you must have directly or indirectly eaten someone’s shit (pardon my language). Ensure you always wash your hands thoroughly with soap and water before eating and keep food and water appropriately.
We contract Hepatitis B and C through similar routes and these include:
Unprotected sexual activity.
Needle sharing (includes drug users).
Sharing of razors and toothbrushes.
Piercing or tattoos.
Transmission from infected mom to infant at time of delivery.
You protect yourself by avoiding the above and also being vaccinated against the virus. You can only be given the vaccine if you test negative for Hepatitis B surface antigen.
People with Hepatitis B, like those with HIV, COVID-19 and many other viral infections may look and feel perfectly well but as carriers, they can spread the infection.
Some good news here, you are unlikely to contract Hepatitis B infection from the following:
Hugging
Kissing
Sneezing
Coughing
Sharing food or drinks
Dear friend, to avoid or fight most viral infections, the drill remains the same, boost your immunity by:
Exercising often and appropriately.
Eating a balanced meal and drinking adequate amounts of water.
Getting rest.
And if a vaccine is available, get vaccinated.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr Kojo Cobba Essel
Health Essentials Ltd/Mobissel/St. Andrews Clinic
(www.healthessentialsgh.com)
*Dr Essel is a Medical Doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.
Thought for the week – “290 million people worldwide are living with viral Hepatitis unaware.” Let us raise awareness so that many more can be tested and receive the necessary care.
References:
Sikaman Palava – The Writings Of Merari Alomele
Primed Patient Education Center – Harvard Medical School
In a country like ours in which we are aware of our challenges, all that is required is focusing on strengthening our institutional processes by making them more robust and transparent. In this regard, investment in digitilisation must be prioritised since the human element to cut corners is inherent in the psyche of some people and therefore cannot be trusted to do the right things out of their own volition.
Enforcement of existing laws and regulations must be reviewed to see what is working, which ones have to be tweaked to be able to address current challenges, and those that have become obsolete and must be discarded.
One issue that needs to be given priority attention is remuneration. A former President is alleged to declare that we pretend to pay workers and they also pretend to work. This indeed sums up the quandary facing government after government. Workers’ salaries are crucial in the fight against corruption. A realistic living wage must be given to workers; otherwise, they will seek avenues to address their personal budget deficit.
On day one, what should engage the attention of government is Energy, making it available and affordable. The industrialisation agenda cannot be successfully executed without power that is readily available, reliable, and affordable. Solar energy must be factored in the quest for affordable and reliable power for industry.
The fuel sector issues must be urgently addressed so that it can impact positively on the transportation sector, which plays a key role in the supply of goods and services. The railway infrastructure plan linking places like Boankra Inland Port to prolong the lifespan of our roads and to fast track distribution of goods from the Capital City to the inland areas of the country should be a top priority item.
A well-structured system linking industry to academia must be quickly established to serve as a catalyst towards the industrialisation drive. Research findings from the universities must be channelled to captains of industry in a timely manner. Effective channels of communication should be established to facilitate shorter product-to-market times.
An effective mechanism for fishing out needy but talented children must be established, as well as a sponsorship package for talented individuals who are needed for certain critical areas of the economy — what I term critical investment in education.
Certain changes must be made in the constitution, particularly the appointment of the heads of certain constitutional bodies or institutions. This is to ensure that the Executive arm of government does not wield too much power to ensure accountability and checks and balances really work.
The Attorney General’s Office must be detached from the Executive arm of government. The Nolle Prosequi provision must also be amended to compel the Attorney General to give an explanation of why he or she is declining to prosecute a particular case or discontinue it. The provision that protects sitting Presidents from prosecution must also be reviewed.
The punishment for some of our laws needs a review. We must review the removal of CJ provision to ensure the independence of the Judiciary.
Above all, there must be a mindset of change, i.e., a paradigm shift from inability to capability. Inferiority complex must give way to a pacesetters mentality, and all will be well. God bless.
NB: KOTOKA INTERNATIONAL AIRPORT TO KOFI BAAKO INTERNATIONAL AIRPORT
BY LAUD KISSI-MENSAH
Join our WhatsApp Channel now!
https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27
Features
The impact of emotional surgery and emotional elysium on neurological and neurosurgical procedures
Abstract
THIS comprehensive review aims to explore the impact of emotional surgery and emotional elysium on neurological and neurosurgical procedures. We examine the scientific literature on these approaches, including their definitions, theoretical frameworks, and applications. Our analysis highlights the potential benefits and risks of these approaches and discusses their implications for practice.
Introduction
Neurological and neurosurgical procedures are complex and delicate, requiring precision and accuracy to achieve optimal outcomes. Emotional surgery and emotional elysium are two innovative approaches that have the potential to enhance the success of these procedures. Emotional surgery involves the use of art and other creative techniques to promote relaxation and reduce stress, while emotional elysium focuses on cultivating positive emotions and promoting emotional well-being.
The Role of Emotional Surgery in Neurological and Neurosurgical Procedures
Emotional surgery has been shown to be effective in reducing anxiety and stress in patients undergoing neurological and neurosurgical procedures. By promoting relaxation and reducing stress, emotional surgery can help patients prepare for procedures, leading to improved outcomes and faster recovery times.
The Role of Emotional Elysium in Neurological and Neurosurgical Procedures
Emotional elysium has been shown to be effective in promoting emotional balance and resilience in patients undergoing neurological and neurosurgical procedures. By cultivating positive emotions and promoting emotional well-being, emotional elysium can help patients cope with the stress and trauma associated with these procedures, leading to improved outcomes and enhanced quality of life.
Benefits of Emotional Surgery and Emotional Elysium
The benefits of emotional surgery and emotional elysium in neurological and neurosurgical procedures are numerous. These approaches can:
- Reduce anxiety and stress: Emotional surgery and emotional elysium can help patients manage anxiety and stress, leading to improved outcomes and faster recovery times.
- Improve emotional regulation: Emotional surgery and emotional elysium can help patients regulate their emotions, leading to improved mental health and well-being.
- Enhance patient experience: Emotional surgery and emotional elysium can improve the patient experience, leading to increased satisfaction and improved outcomes.
Conclusion
In conclusion, emotional surgery and emotional elysium are two innovative approaches that have the potential to enhance the success of neurological and neurosurgical procedures. By reducing anxiety and stress, promoting emotional balance and resilience, and improving patient experience, these approaches can lead to improved outcomes and enhanced quality of life for patients undergoing these procedures.
Recommendations
- Further research is needed: More research is needed to fully understand the benefits and risks of emotional surgery and emotional elysium in neurological and neurosurgical procedures.
- Integration into practice: Emotional surgery and emotional elysium should be considered for integration into practice, as they may offer a valuable tool in the treatment of a range of neurological and neurosurgical conditions.
By exploring innovative approaches like emotional surgery and emotional elysium, we can improve patient outcomes and enhance the quality of life for individuals undergoing neurological and neurosurgical procedures.
BY ROBERT EKOW GRIMMOND-THOMPSON
