Health Essentials
Independence comes with responsibility

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.
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.
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?
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.
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
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.”
Health Essentials
…Tips on building a healthy relationship with your superior
A good relationship with your boss is critical for job success and career development. Supervisors have a great influence on your stress level, your team and company culture, and ultimately, whether you succeed or fail in a role.
They are also your best resource for support, problem-solving, and personal development. Building a strong relationship with them can be transformative for your work experience and professional growth, but navigating this connection can be complex.
Here are some key values and characteristics that will help you along the way.
- Be authentic
It is important to be yourself when building any new relationship. Do not be over-the-top trying to impress or kiss up to a manager. Be authentic and try to build a genuine connection with them instead. This will be incredibly helpful when it comes to dealing with personal issues, having difficult conversations, and building trust.
- Be empathetic and respectful
Bosses are human beings with their own professional pressures and personal lives, so it is important to maintain empathy toward them. Strive to get to know them on a personal level; you do not need to be best friends, but knowing the basics, like their family and hobbies, can be meaningful.
Also, help your supervisor look good. Every leader wants a high-performing and successful team. By developing trust, understanding, and excellent communication, you can help your boss achieve their goals.
- Build trust and add value
Showing initiative will win you big points with almost any boss. Whether setting up regular one-on-ones, volunteering for new projects, or offering help, the benefits of this dedication are twofold.
Proactivity makes leaders feel supported-like you are looking out for them. It also provides opportunities for your individual growth.
Whenever possible, add value beyond the limitations of your job description. Whether you have a special interest or extra capacity, find ways to support your team and relieve pressure. – Source:careers.vikingservice.com
..To be continued
Health Essentials
Identifying the geriatric giants & taking appropriate steps

This week I bumped into Deborah, one of my avid readers and I promised her I will be writing this weekend. So Deborah, this is for your reading pleasure and to pick some golden nuggets for the future.
The quest to find the best way to make one’s golden years, happy, exciting, healthy and a time most people look forward to continues unabated. One factor that keeps popping up is the need to grow friendships with people more than 20 years younger than yourself.
Do not take this for granted. It is a form of “social security” since these close friends who are much younger than you will step in to support you in more ways than you can ever imagine.
Some conditions may make life challenging for older adults but knowing these Geriatric Giants helps us to take the necessary steps to reduce our risk.
“Geriatric Giants” refers to a group of chronic health conditions that are common in the elderly, typically 65-year-olds and older.
These conditions quite often co-occur and can impact on the independence, dignity and overall wellbeing and quality of life of an elderly person.
These Geriatric Giants include:
- Impaired Intellect/ Memory (e.g. Dementia)
- one of the major battles we need to deal with is challenges with memory
- Exercise, adopt the Mind Diet, build a great social network and enjoy time outdoors
- Keep reading and solving puzzles for as long as possible
- Instability – leading to much feared falls
- A good reason to indulge in Balance Training and Core Strengthening exercises from today
- Ensure your home is safe; avoid clutter such as cables crisscrossing floors, toys etc. These are all trip hazards and should be avoided
- Many healthy, happy and fun-loving older adults have died soon after a fall with its attendant complications.
- Do whatever it takes to avoid falling
- Immobility (opening the doors to pressure sores, joint stiffness)
- Even when you are unable to move about on your own it is important to get support to change positions as often as possible or get an appropriate mattress or bed that prevents prolonged pressure over any single point.
- Make sure you passively or actively move joints daily.
- Incontinence (urine, faeces or both)
- This is one of the reasons older adults prefer to stay at home and avoid going out to meet friends etc.
- Iatrogenic Disorders – adverse effect of medication
- Quite often most older adults are on several medications and some side effects such as drowsiness may seem to cause more unhappiness and may even lead to falls.
- Inappetite – this may result in poor nutrition
- This may also be linked to loss of teeth thus making chewing very difficult or limited.
- The loss of smell and taste may also reduce the amount of food one may willingly eat.
The power to reduce the impact of the Geriatric Giants starts now and should be a lifetime commitment. It is never too early to start making the appropriate lifestyle modifications, nor is it too late to reduce the impact of the giants on one’s life.
Other conditions that significantly impact on the lives especially of the elderly are:
- Sleep Disorders
- Good sleep has the power to give us energy, improve our thought pattern and even helps us to make good choices.
- Good sleep sets the tone for a healthy life
- Constipation
- This is a challenge that confronts quite a number of older adults.
- Movement, fibre and lots of water go a long way to reduce the stress that frequent constipation generates.
- Fraility
- Muscle loss is real and as we age, we lose a significant percentage of our muscle plus our bones also become brittle.
- Make sure strength training is part of your exercise schedule
- Polypharmacy
- Another headache that needs to be confronted head-on
- Everyone especially older adults need a good primary care physician or a general practitioner who can coordinate all medicines from the different Specialists who may be attending to an elderly person. This ensures that unnecessary medicines are dropped
The goal of care at all times is to optimise the quality of life. As family, professional caregivers and friends we should always show respect so that the dignity of the elderly is preserved at all times. For those of us who are not yet in the age group with such challenges, we need to start the conversation about the type of care we will prefer and take steps to stay healthy and independent for as long as possible. The goal should be a long Healthspan and not just a long Lifespan.
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 (HE&W Group)
(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 – “There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel
By Dr. Kojo Cobba Esse




