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Health Essentials

Independence comes with responsibility

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Sixty-four years of life in a human is quite an achievement especially when you find yourself in a part of the world where you are LUCKY to be born in a hospital, electricity and water are available during your birth and you have a pliable road connecting you to a hospital with a doctor and a nurse.


In those 64 years you would have had bitter exchanges with mosquitoes and you may even have flirted with typhoid and cholera. You will even consider yourself fortunate if you have access to medication whenever you fall ill and count yourself among the privileged few if the medicine you use is affordable.


In many instances God cures us so the healthcare professionals can take the credit. If you have managed to live this long in the midst of herbal concoctions that can cure virtually every disease and whose representatives artfully ply their trade on buses, bus stations and even in the open without fear then I congratulate you on being alive and healthy.


For obvious reasons many of these “pushers” have disappeared or don’t appear to have answer to COVID. Hmmm just when we needed their magic the most.

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Sixty-four years on the other hand in the life of a country may not be that long but it is long enough to provide its citizens with the basic necessities of life; food, shelter, clothing, education, health, electricity and water among others.

64 years for a country is also long enough for leaders and citizens to lovingly neglect their conscience to the extent that a country that may have started fairly well will be found on its knees or maybe even have its face in the mud.


Who is willing to sacrifice for mother Ghana where George Orwell’s Animal Farm seems to be enacted on a daily basis? INDEPENDENCE comes with responsibility and sacrifice and as Ghanaians we have to come to the realization that the places that we admire so much were once like ours or even worse; we need to sacrifice, take pride in our own, treat everyone fairly and ALL of us have to put in our very best to save our motherland.


These past few days I have been thinking about being responsible as individuals.

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Acting responsibly will go a long way to bring order, make us more efficient in all aspects, reduce corruption and make us healthy and wealthy as a nation, and then a few things caught my attention;
Throwing Safety to the dogs
It appears we just do not care about human life. From throwing people in jail without trial to creating death traps with the semblance of hospitals. Road construction is a major area of concern. Walking or driving in town during the day is dangerous but attempting to do the same at night is simply suicidal.


Last weekend as I walked along a pavement, I was totally shocked to find open drains, planks with nails jutting out, slabs not properly fixed and all these had no warning signs. How careless can we get?


In the situation above warning signs should have been all over the place and should have started over 50 metres from the construction site. I am sure someone is in charge of the work going on there and even those directly working on the site can be a little bit responsible. This is the norm rather than an isolated case.

Turning our roads into battlefields
If you are like me and many other Ghanaians you must be fed-up with the “important” people who instead of setting out early for an appointment like the rest of us do, would rather cut it close to the time and resort to blaring their horns, flashing their headlights and quite often may even be escorted by a peace officer. Really aren’t the rest of us who are painfully trudging along while we see the minutes tick away equally important and don’t we often have to work so money can be generated to construct more roads and purchase more cars that will push us off the roads?

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Then you have to contend with commercial bus drivers who believe they are masters of the steering wheel and they also can’t afford to waste 30 seconds for their turn.


Can you imagine how annoying it is to see motor and bicycle riders jump the red-light with impunity and deliver unprintable words in your direction when you dare to complain?


Nobody seems to care when an ambulance with a critically ill person tries to make its way through traffic. Maybe people are tired of giving way only to find out the ambulance is carrying a corpse or is on its way to the market.
It’s almost a fight on the road; morning, afternoon and evening. You are drained by the time you arrive at work and I daresay your best bet is to take it easy and smile in the midst of all the confusion.

Abusing our children in unimaginable ways
The time has come when at the very least all teachers and healthcare professionals should be on the lookout when they come into contact with a child. Our children are suffering not only from sexual abuse but physical as well as verbal ones. Let us look out for tell-tale signs; an extra quiet child, unexplained marks on a child, a child who appears to be scared for no reason.
The boy-child is equally at risk when it comes to sexual abuse. We often make it appear only the females should be protected but there have been stories of ordeals that the male-child goes through. The boy-child in Ghana is slowly becoming an endangered species even when it comes to education. It is time to learn from the experience of the African-American male.

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Fix our healthcare system else we perish together
Nature has a way of warning us years ahead. So COVID-19 made us aware that there can be a time when all borders may be closed and no matter how connected or wealthy you may be you cannot have access to healthcare except what you have grown at home; let us do the needful.


In our current state we can’t even start handpicking any sector or area, we must go for a complete overhaul of every part of our dear country. Fortunately there will be no march past, no speeches and no fanfare this year. Hopefully we will spend all the time reflecting on what we can do for mother Ghana and not the usual what can Ghana do for me or what can I steal from Ghana. Enough is enough.

On Independence Day, I salute all Ghanaians and may we all remember that just us OUR HEALTH IS OUR RESPONSIBILITY, INDEPENDENCE ALSO COMES WITH RESPONSIBILITY.

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/ St Andrews Clinic

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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 – “Our Independence is meaningless unless we take responsibility for everything we do and we all have a common goal of working tirelessly to ensure the prosperity of our nation.”

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Health Essentials

A quest to prolong our health-span

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I have over the past two decades looked beyond mainstream medicine to assess other options that lead to holistic health, and I must say it’s been exciting and revealing but it’s not an easy path.

As I matured and my knowledge expanded, I have changed my opinion on some aspects of wellness and many findings have been humbling. We all continue to learn each day.

I will share some of the life-changing skills that we take for granted. In our quest for wellness there appears to be more questions than answers, but moderation still remains key in our daily lives.

The power of prayer, praise and worship of God cannot be taken out of the equation.

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Ready. Set. Let us do this together.

  1. Strength training is a must for ALL of us
    1. Yes, we all need to dig into the various aspects of exercise; strength training, cardiovascular training, stretches or flexibility training and balance training. If you asked me about a decade ago to pick the king of all exercises, I would naively have answered cardiovascular such as walking, cycling etc. but I am certain now that strength training trumps all and we need to incorporate at least a bit of that in our exercise programme.
  2. Take a short walk after each meal
    1. Many of us (your truly included) after dinner barely get to wash our hands before the miracle of the Lotus Eaters sends us to dreamland. Our fingers will be signaling to rats and cockroaches to come out and party.
    1. Walking a few minutes after eating may hold the key to helping control our blood sugar levels and reduce the spikes in insulin that come with a myriad of issues. At the very least the short walks after eating will add up to increase the energy you expend daily.
  3. Eating your vegetables and proteins before your carbohydrates may be helpful
    1. Well, how true may this be? I suggest it is worth trying. I am not saying clear your plate of all protein before you even take a spoonful of carbohydrate. The fibre will slow the absorption of the sugar for hours and even better, you may feel full after the vegetables and protein and not be able to gobble down the mounds of carbohydrates you had planned to dismantle.
  4. Eat slowly but do not get your boss angry
    1. Eating slowly does not mean spending hours at lunch and courting the displeasure of your superiors. It takes about 20 minutes for your brain to realise you are full so dear friend, take your time to chew and enjoy your food. A meal “downed” in less than 20 minutes may cause you to virtually suffocate when you top up with water. This is a message to myself and all those who like me eat so quickly that Usain Bolt will envy our speed.
  • Eat from small, colourful plates
    • Small colourful plates make an impression on our brains. Since the little food appears loaded on a small plate our brains tend to “believe” it’s a lot of food and we feel full for a strange reason. Put the same amount in a large plate and you are likely to be asking for second servings.
  • By all means make friends
    • The power of social wellness and its role in longevity and an enviable health span is no longer in doubt. By all means make a few good friends and enjoy life! Thank me later.
  • Sleep!
    • Yes, I do agree there are at least seven forms of rest, and they are all equally important BUT start off with sleep and we will gradually rope in all others.
  • Keep your eyes on your numbers
    • I have written and spoken about the miracle of knowing our numbers and keeping them in check; blood pressure, blood sugar, lipids and BMI. Today I suggest you look at your heart rate closely. A low heart rate may be an indicator for staying here on planet earth for a long time. Also keeping glycated haemoglobin (long term blood sugar) low is another feather in the cap of longevity.
  • Appropriate supplementation
    • The golden rule is to get all your nutrients from your food but for many of us that may not be possible hence the need to supplement ( note that supplement overdose does exist)
    • It is ideal to discuss supplementation with your healthcare professional and your discussion should look at probiotics, magnesium glycinate, Vit D3 + K2, a good multivitamin and in some instances creatine or whey Protein. I am in no way suggesting you take all these, each individual is unique and that is why it is crucial to discuss your options with a professional.
  • Make a conscious effort to be HAPPY
    • Happiness affects our entire being in positive ways; smile, say a kind word to someone, be grateful, surround yourself with people who make you happy and not ones who sap your energy, volunteer to support people and by all means get a hobby eg gardening, playing a game etc and the best get news yet; you don’t even have to be good at your hobby to benefit.

We are not waiting for a magical or ideal day to start working on our Health and Wellness, we start today bearing in mind that “the most efficient way to reach our realistic health and wellness goals is to make small healthy choices daily.

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/ Medics Clinic

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(dressel@healthessentialsgh.com)

*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO

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Health Essentials

Acing your doctor’s visit

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A doctor in a consulting room with her patient

Very often we leave the doctor’s office only to remember that we left out a major complaint. Some patients immediately rush back to the consulting room totally oblivious of the privacy that the next patient is entitled to.

They expect that as they walk in, the doctor should ignore the seated or positioned patient and attend to them. That is totally outrageous. Others go home and continue to live with the condition hoping to be healed miraculously.

Most of us will be extremely lucky to spend 15 minutes with our doctor and this time is often much shorter in countries/communities where the doctor-patient ratio is so low that at best it can be described as criminal.

We are now in the second half of 2026, and I highly recommend that you see a doctor not only when you are unwell but as a means to assess your state of wellbeing and take the needed precautions. It is critical that you find a good primary care doctor who is knowledgeable and proactive and will also be able to coordinate specialist care that you may require.

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To make the most out of our time with the doctor we need to PREPARE. If your condition is an emergency, then you do not have the benefit of time to prepare.

A must do!

Kindly ensure your personal hygiene is excellent.

  • Take a good bath and brush your teeth
  • Wear clean clothes that also make undressing easy, especially if you need to expose some areas for inspection/examination.

This may sound ridiculous, but the opposite does happen in real life.

Remember that doctors are human and when you are unkempt you may not get adequate contact with your doctor.

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Research on the symptoms

If you have access to the internet or a book worth its salt you may read about your symptoms or wait to read after your doctor tells you your diagnosis.

Remember that if you need to research on the internet, it is essential that you use a reputable site.

In tune with your complaints

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  1. Write down your complaints/symptoms if you think you may forget.
  2. If you have had a similar problem and have the results of any investigations e.g. Laboratory tests, x-rays, CT scans etc kindly carry them along
  3. Let your doctor know if you react to any drugs.
  4. Be truthful about any medications you have taken for the condition, if you do not remember the names make sure you go with the containers.
  5. If you have any other medical conditions (and medication) make the doctor aware.
  6. Remember to make a note of the following
    1. When did the symptoms/complaint begin?
    1. How long have you had these symptoms?
    1. Is it getting worse?
    1. Does anything make the condition worse?
    1. What makes you feel better?
    1. Is anything related to their onset?
    1. How often does it occur?
    1. How long does it last e.g. in pain conditions as well as rash, allergies etc.
    1. Does anyone else in your family have them?
    1. How do they affect your daily life?
    1. Is it related to work or home?

You may need to modify these slightly when you have skin lesions, swellings etc. This list is by no means exhaustive, and you may not need to find answers to all of them before getting help, but they will definitely help you ace the visit to your doctor.

If your doctor books you for surgery, do not leave his presence without finding out the following:

  1. Will you go home on the same day of the surgery?
  2. Will you need assistance to go home or can you drive unsupervised for instance
  3. What form of anaesthesia will you be given?

Then, if your visit is for a medical examination, do remember that also being aware of disease conditions in your family will help your doctor select the appropriate tests and make the whole experience and time useful.

Finally do not leave your doctor without finding out:

  • How much physical activity/exercise you require; the Almighty “FITT” prescription
  • What you need to eat or avoid.
  • Some basic information regarding SLEEP.

See you in the consulting room soon.

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

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Health Essentials Ltd (HE&W Group)/Medics Clinic

(dressel@healthessentialsgh.com)

*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – “The next big thing in Healthcare in Ghana is the Medics Clinic. Visit https://medicsgroupgh.com/ for more information.”

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References:

  1. www.patientedu.org
  2. www.healthclubsgh.com
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