Health Essentials
October and beyond is for breast cancer awareness

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The COVID-19 pandemic has disrupted our lives so much that many diseases were virtually neglected. Unfortunately this has even worsened the deficits we were already battling with. Screening for breast cancer as well as increasing awareness of this cancer dipped. Like many others, Breast Cancer belongs to the group of apparently “neglected diseases” over the past eighteen (18) months or so.
We need to urgently schedule breast screening and support those who can’t afford breast screening due to accessibility or financial challenges. This will help us catch this cancer before it spreads and becomes less treatable.
As the world has put it; IT’S TIME TO RISE…
We need to rise and rally support in Screening, Supporting and Serving in whatever way possible. Look beyond yourself and help save other people.
Yes breast cancer is over a hundred times more common in women, but it may occur also in males with an even poorer outcome due to delays in diagnosing. So this year tell all the males you know to have their breasts examined.
Breasts seem to generate a lot of enthusiasm whenever they are mentioned yet in many developing countries we still struggle with early detection of breast cancer. One would have thought that for something that draws so much attention, we will all do our bit to ensure it remains healthy.
If you do not know what your “normal” breast looks like then you will not be able to tell if changes occur and it may be too late in the day when cancer is detected. Examine your breasts TODAY!
Diagnosing Breast Cancer
Some people know a lot about their breasts and the awareness of breast cancer is so high that the smallest change in their breast is reported to a health professional. In our part of the world ignorance, poverty and fear may delay detection to the point that the breast is sometimes “mutilated” beyond recognition and the odour emanating from the breast could relieve you of your chronic sinusitis before one presents at a hospital. Prior to this some may have tried all sorts of concoctions including applying suspicious herbs and driving away evil spirits.
The following steps may help:
- Physician and/or self-breast exam
- Monthly self-breast examination is highly encouraged in our part of the world and supported by an annual professional breast examination.
- Look out for lumps, changes in breast shape and sizes, skin changes in colour and dimpling,
- Itching of breast (do not panic. This is rarely an indication of breast cancer)
- Nipple discharge or changes
- DO NOT WAIT FOR PAIN IN YOUR BREAST BEFORE TAKING ACTION
- Mammography
- Ultra sound scan of the breasts
- Biopsy – taking out a suspicious growth in the breast and examining
Other tests such as PET CT, MRI and the CT scan will also help detect spread if they are available.
Can you imagine what goes through the mind of someone who is diagnosed of breast cancer that has already spread especially without adequate counselling?
We elicit multiple fears including:
- Fear of surgery
- Fear of death
- Loss of body image
- Loss of sexuality
Statistics that make you cringe
- “A total of one woman is diagnosed of breast cancer worldwide every three minutes”. About two people will have been diagnosed with breast cancer by the time you finish bathing today
- “Breast cancer is the second commonest cancer among women in Ghana. It accounts for 15 per cent of all cancers and 40 per cent of female cancers in Ghana”
- “Majority of breast cancer cases in Ghana are between the ages of 40 and 49 years”
Medical science is unable to pinpoint the cause of breast cancer so our best options are EARLY DETECTION and REDUCING OUR RISK FACTORS. It is also important to extend a helping hand to help cure those diagnosed but who cannot afford treatment, support through information dissemination and emotional support to cope with the diagnoses and side effects of treatment. Take a stand today and if you do not have any ideas you may contact the Cancer Society.
Finally dear reader let’s put the following in action
- Early detection is great so women should do monthly self exam and probably examination by a healthcare professional yearly. Men should make sure we examine our breasts occasionally, the risk is real
- All women should get a baseline mammogram between 35 and 40 years, 40-50 years mammogram every other year and yearly after 50 years. Yes there are arguments about this frequency but after all is said and done it is a safer option
- Exercise regularly
- “BUDDY UP” for breast cancer and get fit together….
- Join a friend or friends to exercise or start a healthy life programme together. You may buddy with a breast cancer survivor, newly diagnosed person with breast cancer or someone without breast cancer. The plan is to work as a team to achieve better results.
- “BUDDY UP” for breast cancer and get fit together….
- Eat a healthy meal with a great portion of fruits, vegetables and omega -3 laden fish. But beware of fats and oil.
- If you intend to start a family, maybe you should before you are 30years and then breastfeed for as long as you can afford to.
- What about donating blood to assist people in need of blood, which may include those battling breast cancer.
- DEFINITELY make sure you alert at least one busy woman, one woman without access to information and one man, that breast cancer is real but a lot can be done when detected early.
Together we can all work to reduce the incidence of advanced breast cancer.
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 – “Screening saves lives. When detected early the five-year survival rate for breast cancer is 99 per cent.”
References:
- www.medicinenet.com/breast_cancer
- Mosby’s Ace the Boards
- www.mayoclinic.com
- www.healthessentialsgh.com
- Unravelling The Essentials of Health & Wealth
Health Essentials
Please! Do not take away my nap

It appears I am stuck in sleep mode; last week we discussed sleep hygiene and now it’s napping. Could it be my brain doing its best to make me understand it needs more sleep?
Many of us developed a love for afternoon naps while in school because it was mandatory to “sleep” after lunch. It may have been a luxury to get restful sleep in one’s junior years but our brains got the message: sleep after lunch to get a boost in energy to prepare you for the rest of the day.
As the years rolled by sleeping after lunch, for instance, has become a mirage but everyone loves a “power nap”. The French do a great job when it comes to their afternoon break.
If you enjoy your naps, you may have experienced that feeling of extending your sleep once you go beyond half an hour. It’s that feeling of no turning back. On the other hand, if you nap for just about 30 minutes you seem to have a new lease of energy.
I love naps whenever I get a chance to squeeze one in, but school had siestas that lasted about an hour so sometimes I love to revisit the days of old. A new research finding is, however, about to trample on that glorious time spent hitting on the snooze button and being at peace with the sheets, chair or even bench or floor in some instances.
We all appreciate that getting enough sleep is key to good health but this study suggests that long daytime naps may not be in your best interest.
The researchers found that long naps in excess of 40 minutes and excessive daytime sleepiness were associated with an increased risk for conditions such as high blood pressure, diabetes, obesity and high cholesterol; collectively referred to as metabolic syndrome.
The research showed that people who napped for less than 40 minutes were not at increased risk for metabolic syndrome. In fact, those who napped less than 30 minutes had a slight decrease in risk.
The findings seem to point accusing fingers at those of us who nap for over 40 minutes; that is when the problems seem to begin. I am sure you can confidently guess what happens when people nap for over 90 minutes; the risk of developing metabolic syndrome increased by as much as 50%.
“The review also found that napping for more than an hour or being overly tired during the day were both linked with a 50 percent higher risk for type 2 diabetes.”
“However, the study only found an association between these factors, and did not prove that excessive sleepiness and long naps actually cause metabolic syndrome or diabetes.”
Is it possible that those of us who nap for long periods of time also avoid physical activity and probably over-indulge in comfort foods, hence increasing the risk for these lifestyle diseases?
One thing is certain, you cannot go wrong with a short nap; it can be extremely satisfying. So while the scientists continue to explain and maybe confirm these findings, let us limit our naps to 30 minutes. If you have extra time take a walk or get some work done.
This may be a reminder that too much of even a good thing may be harmful. Sleeping has great benefits including reducing our risks for developing heart and blood vessel diseases such as stroke, it improves our immunity and also enhances our performance in all spheres of life.
Just as sleeping in excess of 9 hours at a time has been linked with bad outcomes, excessive daytime napping is now getting its “day in court”. Moderation in all things must be key!!
A nap is essential for every individual
A 20-minute nap in the early afternoon may:
• Ease your stress
• Sharpen your memory
• Help you react faster
• Improve your job performance
• Boost your energy
• Lift your mood
• Make you more alert
How long did you nap today?
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERY DAY 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
(dressel@healthessentialsgh.com)
Dr. Essel is a medical doctor with a keen interest in Life Style Medicine, 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 – “Sleep is an important component of our healthy lifestyle, as well as diet and exercise,” says Dr. Tomohide Yamada. “Short naps might have a beneficial effect on our health, but we don’t yet know the strength of that effect or the mechanism by which it works.”
References:
- WebMD News from HealthDay by Robert Preidt
- Extract from “The Importance of Obtaining Adequate Sleep” by Dr. Obo Addy
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Health Essentials
My ten + one tips to better sleep

Sleep comes in different shades. There are those who sleep pretty and hardly move an inch in bed. Then we have those who are virtually at war when in bed and may turn a whole 360 degrees several times in the land of the unknown. Woe betide you if you find yourself in the same “sleep ring” with such a fighter. The most “decorated” ones bring music to sleep and the noise that exudes from their throats, nostrils and mouth could compete with any orchestra except that harmony is often thrown to the wind; those of us who belong to this category know ourselves.
Inspite of all the above, when I am hard pressed to pick one thing that has the greatest impact on one’s health, I will say SLEEP reigns. Too many challenges spring up when we fail to get enough sleep and it’s no wonder that at the doctor’s office we hear many complaints of not being able to sleep.
Most of the time the solution is not in popping pills but the Sleep Hygiene Tips below will go a long way to make a difference in your sleep and subsequently your health.
Sleep hygiene tips
- Create darkness in the room
- Sleep is easier when your room is dark. A bright room may be a challenge especially if you already have a bunter with sleep.
- Have a Regular sleep plan
- Keep to the safe time you go to bed and also time you wake up. Regularity is key.
- Ensure room is cool and well ventilated
- An extremely hot or cold room may keep you awake just tossing and turning. A nice breeze makes sleep even better.
- Wind down or unplug about an hour to bedtime
- Rushing throughout the day and then diving into bed may not be the best remedy for sleep. Slow down, start putting off lights, stop working and maybe spend about 5 minutes meditating or speaking to God.
- Avoid phones, laptops, work in bed/bedroom
- These have no business in your sleep area and should not be in your bed for sure. The glare from lights, the vibrations or sounds from messages and even calls may keep you awake and give you a nightmare with your eyes wide open.
- Exercise
- Exercise and laugh and you will be preparing yourself for a sound sleep. You may exercise anytime of the day but when you struggle a lot with sleep the ideal time may be four to six hours before bedtime. Exercising an hour or two before you sleep may rather keep you alert and awake.
- Watch your food intake; don’t overeat, avoid spicy food and lots of oil
- Gluttony is definitely “sinful” and one of the instant punishments is discomfort and difficulty sleeping. A full stomach at bedtime makes one wish for daybreak. The spices can also cause havoc especially when eaten late. That heartburn will wake you up and keep you sitting and cursing all night.
- Watch what you drink; stimulants may affect your sleep e.g. caffeine, fizzy drinks, alcohol and energy drinks
- If you have trouble with sleep or you do not want your sleep to be disturbed in any way, avoid these 4 clear hours or more before sleep time. ACOHOL deceives you into thinking you will sleep only to wake up early, feeling unrested or making dashes to the washroom.
- Discuss with your doctor when to take some of your prescribed medication
- Sometimes some medications we are on may cause us to wake up several times to urinate and should preferably be taken much earlier in the day. Others keep us alert over several hours.
- Writing your TO DO LIST for the next day relaxes the brain
- The brain sometimes will keep “working” in an attempt not to forget what you need to do the following day. Hack your brain by writing down or typing out your To Do List for the following day and you will be blessed with good sleep.
- Get professional care to diagnose and manage medical conditions
- Sometimes it’s a medical condition that is directly or indirectly depriving us of good sleep and our health professional can help us find and treat this so we can once more enjoy the bliss of the Lotus Eaters. Maybe it could be a medication that is just not right for you.
Popping pills to sleep in most cases will not solve the challenge and should never be our first line of correcting our sleep wars. Adopt these hygiene tips today even if you sleep well and your health will be on the right path. Not even the decorated bedroom trumpeter or the sleep fighter can take your sleep away from you.
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
(www.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 – “ A good laugh and a long sleep are the best cures in the doctor’s book.” – Irish Proverb
You can now read the Ghanaian Times and The Spectator newspapers from the comfort of your device via TimesNewsPlus.
Join our WhatsApp Channel: https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27
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