Features
Is our God pleased when we improve?
We know that no one is perfect, the proof is so much evident all around us. It’s not hard to notice faults and errors in other people. However, we are often less eager to admit our own faults, our own mistakes. It’s sometimes embarrassing, uncomfortable, even risky. Will others think less of us if we confess to being wrong?
A student once approached his teacher after class to dispute the low score he had received on an essay. Instead of brushing him off, the teacher read the essay again carefully and realised she had undervalued his work, she had made a mistake. After correcting his grade, she not only felt better about herself but made a lasting impression on the student. Rather than resenting her mistake or losing confidence in her abilities, he gained new respect for a teacher who was willing to take responsibility for her errors.
Admitting mistakes is not shameful. It simply means we are learning, that we are now wiser than we were before. Everyone who has achieved anything meaningful, great inventors, scientists, artists, athletes, entrepreneurs; experienced many failures on the path to success. But those failures are only beneficial if we’re willing to accept them as such.
Repentance is not just feeling guilty for having sinned, nor is it mere “forgetfulness,” pushing the sin way back in our minds to conveniently not be reminded of it. It is an attitudinal change and a behavioural change. We repent not only of sins but also of sinning, and we are willing to do whatever is necessary to remove the stain and the pain. We turn to the Saviour. He is the only one who can take away our sins because He paid the price for them.
In true repentance, godly sorrow and suffering are necessary. According to the scriptures, if you haven’t suffered, you haven’t repented. We have all been through the anguish. Sometimes we feel like pounding our head against the wall, wondering how we could be so foolish as to do the sinful things we do. We hurt inside. And it is not just guilt for being caught or feeling the embarrassment for having to confess. It is godly sorrow we are feeling.
Spencer W. Kimball taught: No one can ever be forgiven of any transgression until there is repentance, and one has not repented until he has bared his soul and admitted his intentions and weaknesses without excuses or rationalisations. He must admit to himself that he has grievously sinned. When he has confessed to himself without the slightest minimising of the offence, or rationalising its seriousness, or soft-pedaling its gravity, and admits it is as big as it really is, then he is ready to begin his repentance.
We have a worry these days. Many in this generation seem to be growing up with the carefree attitude “I can sin now, and I can always repent later. Richard G. Scott warned, “The thought of intentionally committing serious sin now and repenting later is perilously wrong. . . Premeditated sin has greater penalties and is harder to overcome” (“Making the Right Choices,” Ensign Magazine, November 1994, 38–39). We must confess and forsake our sins now and not put off our repentance. The prophet Alma warned his people not to procrastinate the day of our repentance. As the old rabbis used to say: You cannot repent the day before you die, because you don’t know what day you will die.
The scriptures teach that forsaking our sins is necessary. The Lord said, “By this ye may know if a man repenteth of his sins — behold, he will confess them and forsake them”. To forsake means to give up, abandon. Indeed, we must abandon all sin as soon as we can, and it might require a lengthy and mighty struggle to rid ourselves of our toughest and most perplexing weaknesses. It is essential, as soon as possible, to expel sin from our lives. That is forsaking.
Sometimes people will sincerely desire to repent and secure Heavenly Father’s complete forgiveness, saying to the Saviour, “Here, Lord. Here is my whole package of sin. Please take it away.” And He does. Then we go back and say, “Wait a minute. Give me some of those sins back; I want to suffer a little more for them!” No. When you have totally repented, you must forsake those sins, forget about them, bury them away, and not bring them up again. Jesus beautifully stated the principle in agricultural terms: “No man, having put his hand to the plough and looking back, is fit for the kingdom of God” (Luke 9:62). In other words, when you have planted your life in a more spiritual furrow, keep your eyes straight ahead and don’t look back to the old sins, the old people, the old places. Someone has suggested that when Satan reminds you of your past, just remind him of his future! Keep your eyes looking ahead and on the Saviour.
I really like some words from Isaiah 54:4: “Thou shalt forget the shame of thy youth.” I am taking those words out of their historical context, but I find the phrase itself profoundly meaningful. We all know that nobody gets through teenage years unscathed. Everyone has problems growing up — some worse than others — but it is imperative that we forget the shame of our youth. Repent, put it behind you, and move on.
Those who are too proud to acknowledge their own imperfections are fooling themselves, and usually nobody else. They are inventing an image that blocks their view of the road to improvement. And they miss the peace that comes from living with honesty, which always means living with imperfection.
When someone admits a mistake, we feel a rush of admiration. We also feel safe acknowledging our own shortcomings and confident that we too can improve. Imagine the effect on a child who learns from observing a parent that when we make mistakes, we own up to them, and we do better next time. How much better that is than pretending that we never make mistakes.
It isn’t until we accept that we are all works in progress that we actually do make progress. It’s a beautiful paradox that we cannot move forward until we admit that we’ve been moving backward. Owning our weakness is, in reality, perhaps the best way to show strength.
Samuel Enos Hagan
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
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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
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