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Of professionals and good living
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Smiling black woman speaking on smartphone in office
Today, everybody is a professional or claims to be. As such watch repairers, waakye sellers, dog-chain peddlers, way-side preacher men, armed robbers, among others, now call themselves professionals and go away scot free.
In similar manner, we have people who call themselves professional unemployed, and professional students, whatever that means. I’m often surprised why doctors, journalists, teachers and lawyers do not protest.
I am however, tempted to believe that the true professionals are silently protesting by refusing to call themselves professionals because they cannot be unequally yoked with non-professionals who are fighting day and night to appropriate the appellation for themselves.
When ‘professionals’ in the costume of grave-looters, chop-bar operators and city magicians decide to leave Sikaman to work for ‘bread and butter’ in Namibia, Syria or West Germany (better known as Jaamani), there is usually no cause for alarm. Even in certain quarters, their exit is very welcome since certain social problems like burglary, prostitution and unemployment are minimised when they flock away. Also, there will be less mouths to feed. Times are hard!
In polar-opposite stance to this, there is always a hue and cry when recognised professionals, especially doctors and teachers start talking about colour televisions, deep- freezers, video-decks, and portable cars, all of which could be obtained in countries where gold is supposed to be lining street pavements.
In the 70’s, Nigeria (Agege) was the action spot from where even construction- labourers could return home flaunting two- in-one tape recorders, sweet-smelling toilet-soap, economy-size Omo packets, track-suits, black-and-white television sets and many more. Some even came with Lagosian wives and their Yoruba children trailing behind them, grinning happily to be in Sikaman.
In those days it was the teachers who quickly detected the oil-boom. Having got to Nigeria, some even decided to abandon the profession to slave in any menial job if only that could bring in Naira for show in Sikaman.
In the heat of the mass exodus, our classrooms were abandoned while teachers joined the Agege-train. The situation became a national problem as pupils could hardly spell their own names.
Meanwhile, Nigerian classrooms became filled with trained teachers from Sikaman. It was only when Ali Baba (then Nigeria Interior Minister) decided that enough was enough that Sikaman exiles started crying back home. Incidentally, the reputed land of milk-and-honey was not what it used to be. Nigerians had their own problems to solve.
Quite recently, teachers attempted another professional uprising when they started heading for Zambia which many described as the newly-found pasture. Then came the Namibia independence. Sikaman dwellers immediately equated independence with prosperity and began making plans to go and partake of the wealth. Many did go and surely got frustrated. Many were also duped and are still nursing the pain.
Day in day out, intellectuals keep seeking greener pastures. However, some teachers and other professionals who are patriotic enough to stay are making extra incomes by engaging themselves as susu collectors, backyard gardeners, poultry farmers, lotto forecasters, etc. If these are lucrative side- lines, one wonders why there is still the rush to go away to slug it out in strange and at times hostile environment.
The ‘hustle’ in Sikaman is not cheap. However, my colleague BABA ABDULAI, who says he has graduated from the college of the streets with a Doctor of Philosophy degree (PhD) in how to make ends meet, is a native who knows how to survive in hard times without going to Namibia.
Unlike Baba Abdulai, doctors in the golden territory are unable to bear the ‘weather,’ and it is quite disheartening when we hear that many of them are leaving to the United Kingdom, United States, Saudi Arabia and even South Africa.
To some people, this is quite understandable since they contend that some doctors do not want to stay on and be tempted to make ends meet by running abortion clinics. More so, it would be quite difficult for a doctor to work part-time as a city-magician or lotto professor. At least, that is what my pal, Samuel Akwador, of Tema site 14, observes. According to him, the medical profession is a noble one.
The exodus of doctors began way back in 1983. In 1988/89 it became a national headache as they flocked away like cattle- egrets dodging the winter. Today, the doctor-patient ratio is 1:13,000. This means, for every 13,000 people there is only one doctor to do the diagnoses and treatment. This is very alarming because health is indispensable to national development. Indeed, when teachers are running away to other countries it is not as serious as when doctors are packing their stethoscopes and medical brains into briefcases and trotting to the airport. We need the doctors here and something radical must be done to keep them here.
The reasons why our doctors do not want to stay are too obvious to state here. I hear the authorities have taken certain positive steps to make them comfortable. But it appears the doctors want to be VERY comfortable. They want furnished apartments, videos, refrigerators, gas-cookers, portable cars and everything that adds to making a comfortable living.
Somehow, the government can help them in a way, but of course only to the point it can afford to. It is my suggestion that a hire-purchase system be instituted, through which doctors can obtain all the niceties of modern living without first having to pay the huge down-payments demanded by certain hire-purchase outfits. Immediately deposits are demanded for these items, like the 35per cent demanded by some, the very idea takes off as a non-starter.
In addition, the payment for these items must be spread over relatively long periods so that doctors do not feel the pinch when it comes to the economy of take-home pays.
Doctors must, however, be a little patriotic to bear with the situation. Everyone realises that their conditions of service are not too good, and that is why they do not accept postings to the rural areas, for instance. But since no one is living too cosy either, we hope that they will also stay and help build the nation. A little sacrifice will do the trick.
The average modern Gold Coaster born and bred in Sikaman is an adventurous creature. Go to any part of the world and you’ll find Ghanaman diligently slugging it out either in the snow or in hot sweltering weather, earning a decent living.
Go to Guinea and see Ghanaman in the garb of a herbalist, curing the sick of various ailments. He makes the Guinean understand that not all diseases are caused by James Lucifer alias Jimmy Satan. On the contrary, most diseases are caused by kooko which can even attack the human nose and turn it upside down.
That kooko is also the cause of poverty and the internal bleeding of personal back-pocket economies. And that kooko can be cured using the chemistry underlying Sikaman herbal medicine which has been blessed by the gods of Larteh.
And before Ghanaman starts dispensing his herbal concoctions, he must attract the passing crowd with some Sıkaman-originated choreography, akin to a combination of adowa and agbadza, such that the dancer can easily dislocate a shoulder and start crying for his mother.
When the crowd is enough to form a quorum, Ghanaman must perform magic as a side-attraction, and proceed to sell his drugs. The drugs are genuinely made from potent herbs which the Pharmacy Board of Sikaman says it has no confidence in. Believe me, Ghanaian herbalists are practising in neighbouring countries like Guinea, Cote d’Ivoire, Sierra Leone and Benin, while we are discouraging them from practising in Sikaman.
Go to Las Palmas and see Ghanaman as a fisherman. He sails on Korean-owned boats and is forced to eat garlic and raw tuna for radiant health. The garlic is also supposed to protect him against witches. But sometimes, he is not good bedfellows with some Korean crew members, and once in a while a fight breaks out.
The typical Korean is a Kung Fu expert and before displaying a golden dragon data. He must first terrify Ghanaman with a Korean dance which consists of wild arms and leg throwing. But Ghanaman is usually not daunted. Why has he been eating cancer kenkey all years without developing cancer? It mean is a superhuman capable of countering Kun fu side-kicks to the ribs.
Anyhow Ghanaman’s most potent arsenal lies in his fists. If he is a southpaw, it mean left fist is probably insured and can cause damage. When Ghanaman lands a cassava blow and it lands on a Korean chest, it has the effect of a cruise missile. If there is no ceasefire a funeral cannot be ruled out.
Greenland
Go to Alaska and find Ghanaman there. Greenland, Iceland, Brazil, Argentina, Madagascar, everywhere and you’ll find him. He has become an international citizen and is generally lauded for his hardwork, sincerity and honesty.
However, some bad nuts are also condemned and despised.
The world and all its parts and corners are for the human race, and anyone can choose to live anywhere and earn a decent living so long as he doesn’t misconduct himself or become a social misfit and a law unto himself.
Sıkaman for instance accepts foreigners, and we are so liberal that people just come in through our borders and we welcome them with the best palmwine in town and goat light soup. Who cares about passports and visas? Our hospitality is, as it were legendary.
So we have Liberians, Nigerians, Sierra Leoneans, Togolese, Europeans, Americans, Scandinavians and Koreans in Sikaman. And some of them have misinterpreted our overzealous accommodation to mean “foolishness” and are misconducting themselves.
The newspapers carry stories of some unscrupulous Nigerians stealing, defrauding and collaborating with their Sikaman counterparts to rob people. You’ll find some good and law-abiding Liberians around but some other Liberians are in the business of fraud, robbery, money printing, money doubling, anything criminal.
Ghanaian hospitality can no longer be extended to such people. I do not think Ghanaians will be treated kindly either, when they misbehave anywhere in the world. Those who come from outside with the intention of bringing down their evil deeds and to practise them here professionally must be getting ready because Ghanaians are getting fed up with the menace.
These days, you’ll find strange people following you as soon as you emerge from a bank. If you are not careful, they’ll wrestle your briefcase from you and speed away in a waiting taxi.
Someone was just saying that many foreign criminals are flocking to Ghana because in their countries, they are enable to operate either because they are being looked for by the police for offences committed or fear instant justice at the hands of mobs. Ghanaians, it is said, are humanitarian in dealing with criminals.
Well, in some African countries, a thief who is being chased runs directly to the police station in his own interest and begs the officer at the counter to lock him up. Otherwise he’ll be lynched or be burnt to death. In Ghana, it is the opposite. The thieves run far away from the cop stations.
The criminals must reform and stay peacefully in Sikaman or quit. No court case!
This article was first published on Saturday September 5, 1998
The human condition is defined by two absolute, biological bookends: the commencement of complex cellular animation and its ultimate, irreversible cessation.
For centuries, medicine treated life and death as strictly separate states. Today, modern pathology and molecular biology reveal a more profound truth: the mechanisms that allow us to live are the exact same mechanisms that dictate how we die.
Understanding this relationship is no longer just a philosophical pursuit. It is a clinical necessity for managing public health in the 21st century.
Part I: How we live – The mechanics of animation
At its core, biological life is a continuous, high-stakes battle against entropy (the natural tendency of systems to degrade into disorder). To maintain form, consciousness, and function, the human body relies on three fundamental pillars:
1. Cellular respiration and energy production
Every second of human life is powered by the conversion of oxygen and glucose into Adenosine Triphosphate (ATP), the universal energy currency of our cells. This process occurs within the mitochondria.
Without a constant supply of ATP, the microscopic pumps that maintain electrical gradients across our cell membranes fail, causing cellular collapse within minutes.
2. Homeostasis: The balancing act
To survive, the internal environment of the body must remain incredibly stable, regardless of external chaos. This balancing act, known as homeostasis, regulates:
Blood pH: Strictly maintained between 7.35 and 7.45.
Core Temperature: Ideally kept around 37°C (98.6°F).
Electrolyte Balance: Precise ratios of sodium, potassium, and calcium that allow nerves to fire and muscles to contract.
3. The Autonomic Nervous System (ANS)
The ANS acts as the invisible conductor of life, split into two complementary branches:
Part II: How we die – The path of cessation
Death is rarely a singular event; it is a progressive biological cascade. Whether caused by old age, chronic illness, or sudden trauma, the final pathways of mortality generally follow a predictable trajectory.
1. The cellular horizon: Senescence and Apoptosis
Every time a human cell divides, the protective caps at the ends of its chromosomes-telomeres-shorten. Eventually, telomeres become so depleted that the cell can no longer divide safely. It enters senescence (a state of permanent arrest) or triggers apoptosis (programmed cell death). This gradual, systemic loss of cellular renewal is the underlying engine of aging.
2. The clinical cascade of somatic death
When the body can no longer maintain homeostasis, somatic death (the death of the organism as a whole) begins. This occurs in a distinct sequence:
1
Clinical Death
Zero to four minutes
The heart stops pumping blood, and respiration ceases. While breathing and circulation have ended, the body’s tissues still contain residual oxygen and cellular energy reserves. At this stage, resuscitation is often still possible.
2
Brain Death (Infarction)
Four to six minutes
Deprived of fresh oxygenated blood, the brain’s highly sensitive neurons begin to starve. Lacking ATP, the brain cells lose their electrical charge, swell, and begin to burst. Permanent, irreversible neurological damage occurs within minutes.
3
Biological Death
Hours to days
The organs fail entirely. Without central control or blood flow, individual cells throughout the body consume their final energy reserves. Enzymes that once aided digestion begin to break down the body’s own tissues from the inside out, a process known as autolysis.
Part III: The modern collision of life and death
In the modern era, the boundary between how we live and how we die has blurred. Historically, humanity died primarily from infectious diseases and acute trauma. Today, global mortality is dominated by non-communicable, chronic lifestyle diseases.
Modern Pathology: How we live (the cause) how we die (the result)
Cardiovascular disease, chronic stress, poor diet, and lack of sleep keep the sympathetic nervous system hyper-activated, damaging blood vessels .Occlusion of coronary arteries leads to myocardial infarction (heart attack) or ischemic stroke.
Metabolic syndrome over nutrition and physical inactivity overwhelm cellular mitochondria, leading to systemic insulin resistance. Multi-organ failure, chronic kidney disease, and severe vascular complications.
Neurodegenerative Disorders Chronic systemic inflammation and sleep deprivation prevent the brain from clearing metabolic waste. Gradual loss of synaptic connections, leading to dementia and the eventual loss of basic autonomic functions.
Conclusion: The unified theory of health
Ultimately, how we live directly shapes the path of how we die. The micro-choices of daily existence-how we manage emotional stress, the quality of our rest, our communal connections, and our nutrition-either preserve the integrity of our homeostatic systems or accelerate their decline.
True medical advancement is shifting away from merely extending the final, frail stages of biological death. Instead, the focus is turning toward optimising our living years-ensuring that the intricate, beautiful machinery of human animation runs smoothly until its natural, quiet conclusion.
By Robert Ekow Grimmond-Thompson
