Features
Saved by COVID-19
A look at the title of this peace would set minds wondering as to how a deadly pandemic could be a saviour of some sort. In this country handshakes between certain individuals have been of immense interest on account of certain perceived friction between the people involved.
Many years ago Sarfo Gyamfi, then a player of Kumasi Asante Kotoko, refused to shake hands with the Head of State, Flight Lieutenant Jerry John Rawlings, who was shaking hands with players shortly before a football match.
It became a big issue and was the topic for discussion in the media space. I think the player as well as his team later apologised for the embarrassment caused the head of state.
It is an open secret that there is no love lost between the former First Lady, Nana Konadu Agyemang-Rawlings, and Mr Asiedu Nketia, the General Secretary of the National Democratic Congress.
People were, therefore, looking forward to an encounter between Mr Asiedu Nketia and Mrs Agyemang-Rawlings. The expected handshake was as a result of the sad passing of the former President and husband of Nana Konadu Agyemang, Jerry John Rawlings.
The custom of the land demands that people go to greet the bereaved when a spouse passes on and since the former President was the founder of the NDC, it was expected that the leadership of the NDC will go to express their condolences to the spouse of their founder.
The conflicts that have led to the rifts between those people that have become issues of public concern or interest are generally political in nature.
The handshake that people were really looking forward to but may not likely happen was the one between Asiedu Nketia and Mrs Agyemang-Rawlings due to the peculiar personal and political nature. A bit of background story would put things in perspective.
It was the former President who brought Asiedu Nketia into the lime light after the formation of the NDC Party. He favoured him and Asiedu Nketia became close to the former President and his family. It is an open secret that the former President respected a lot the advice of his wife and if you were in the good books of the former First Lady, you were automatically in the good books of the former President.
Asiedu Nketia benefitted immensely in the political arena within the NDC resulting in his becoming the General Secretary of the NDC. All was well between General Mosquito, as the General Secretary is affectionately called in the political arena and Mrs Agyemang-Rawlings until the primaries for the selection of a flag bearer for the NDC was announced and late President Mills decided to seek the mandate of the delegates to lead the party to contest the 2012 elections.
Some members of the party felt the late President Mills, then the incumbent President must be allowed to go unopposed since if contested, it would be a message to the electorate that, indeed, the late President was underperforming as claimed by the opposition New Patriotic Party (NPP).
They feared it would lead to a loss of the election to the NPP in the 2012 elections. Asiedu Nketia then the General Secretary, was with that school of thought. Unfortunately, Mrs Agyemang-Rawlings felt it was time for her to realise her political ambitions and, therefore, decided to contest the incumbent at the primaries.
The majority of the party, led by Asiedu Nketia, fearing the loss of the 2012 elections, tried to persuade the former First Lady but to no avail. That was the beginning of serious problems between Asiedu Nketia and Mrs Agyemang-Rawlings.
Then came the primaries at the Sunyani Stadium for delegates to select who was to become the flag bearer going into the 2012 elections and all hell broke loose. As the former First Lady and her husband, late former President Rawlings, entered the arena where the voting was to take place, the delegates not on their side started hooting at them and they were subjected to an embarrassing moments at the place.
Needless to say, the former First Lady was defeated at the elections and late President Mills became the NDC flag bearer. This embarrassment led to the former First Lady parting ways with the NDC and forming her own party, the National Democratic Party (NDP). Some members of the NDC also left to join her in the NDP.
The last straw to break the camel’s back was when after the elections, Asiedu Nketia commented that the barking dog had been tamed in obvious reference to the former President. The animosity then reached its peak and from then on there was no love lost between Asiedu Nketia and the Rawlingses.
There have been handshake encounters between the former First Lady and former President Mahama which had been speculated by observers to be tension packed and not been the usual cordial greetings with smiles.
People are looking forward to see what would happen when Asiedu Nketia who had “betrayed” the trust of the Rawlingses and even referred to her husband in derogatory terms, encounters Mrs Agyemang-Rawlings; but we may never know due to the no handshake regime currently prevailing as part of the COVID-19 prevention protocol. Asiedu Nketia must surely be thanking and saying to himself “Thank you COVID-19.”
By Laud Kissi-Mensah
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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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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