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The saga of being Ewe… (Part 1)

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I am from the Royal Akornu family of Anyako, which qualifies me to ascend the Aposa Stool. I am exceedingly proud to be Ewe as much as I feel proud to be a citizen of New Juaben. Many of my siblings and I were born in Koforidua and my younger brother is the Ewe Fia of New Juaben.

When my great great grandmother was heavy with her second child, a diviner told her that descendants of the baby would become prominent people and so asked that the child be named SEGBEFIA. No other names were added.

Se (God), gbe (Domain/Kingdom), fia(King). Segbe( God’s Kingdom), thus Segbefia means “King in God’s Domain” or “God’s anointed.” And this is a name I carry with pride, conviction and a chip on my shoulder.

I am, therefore, able to look at the authority in the eye and tell them a piece of my mind, so long as I hurt no one in the process. Truth hurts but edifies. My friends in power, whichever way, know this about me.

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Not too long ago, Hon. Dzifa Abla Gomashie, Member of Parliament for Ketu South, visited the Constituency with Parliament’s Select Committee on Education during which they paid a courtesy call on the Paramount Chief of the area, Torgbui Amenyah Fitih. Torgbui, as is normal for traditional rulers to take advantage of such occasions, asked that government complete an E-Block project in his area.

Then later in a radio interview, the President of the Republic, Nana Addo Dankwa Akufo-Addo was asked what he made of Torgbui’s demand. All the President said was that Torgbui should go complete the project himself. My initial reaction was, “Nonsense.” How could a Head of State of Ghana hold a traditional ruler in such disdain? What did Torgbui do wrong? As far as I know, the high office of President imposes a certain civility and decorum on its occupant.

Would Nana have given the same response if the request was from the Mamponghene, Okyehene, Okuapehene or the Asantehene? Would he? If he would, what would the reaction of the citizens of those traditional areas have been?

I recall a time when Otumfuor Opoku Ware was celebrating an anniversary at the then Kumasi Sports Stadium. A Queenmother asked the then Chairman Rawlings to reactivate the Ashanti Shoe Factory. In his usual rambunctious manner, Rawlings responded that if the people stopped eating cowhides (wélé) there would be raw materials for the factory. Of course, my reaction then was, “Nonsense. Jerry could use a mire diplomatic language.”  Rawlings was lambasted for what they said was an insult to their royalty.

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The truth, however, was that you cannot eat the shoes and still wear them. It has been scientifically proved that wélé has no nutritional value whatsoever.

But Nana’s response seems to be in character with the political tradition he represents. Open, yet subtle dislike for Ewe people, who, in their illogicality are aliens. How they came with such thoughts only they can explain. Remember, when there was an outcry for the people of the coast in the Volta Region after tidal waves swept across the area last year. Dr. Mathew Opoku Prempeh threatened to go on demonstration against any help to the Volta Region because his constituency in Ashanti was also flooded. During the last voter registration, security persons were posted to our eastern border to ward off “aliens” who might want to cross from Togo to register. But a motley group of them were sent to other regions to create a semblance of a nationwide exercise. No one was fooled.

Their target was Ketu South, a constituency that turns out a huge voter roll each time. It beats my mind that people who aspire to rule this country do not know the demography of each district, municipality or metropolis. Even in the face of the seeming security intimidation, Ketu South turned out huge numbers one more time. Hon. K. T. Hammond said at the time that the Ewe were foreigners. I don’t know what it is about Ketu South that gets their goat. Sad, if you asked me.

Then one Abronye was screaming to high heaven that the Ewe contribute nothing to the development of the country and that all the Ewes do is kill. I hope on his day of reckoning he will have evidence of his claim. I wonder how they view the very highly respected Ewe in their fold. Those who readily come to mind are Elizabeth Ohene, Sam Okudzeto, Dr. Nyaho Nyaho-Tamakloe, Dr. Archibald Letsa and Kofi Dzamesi. Dzamesi’s mother is Akyem so he can be considered a child of two worlds. Mr. Yaw Osafo Maafo was also heard saying only people from more economically endowed region of Ghana must be elected to rule the country I am glad he is not the president of this nation and I pray he never gets the chance.

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Before them, Victor Owusu of blessed memory was quoted as saying, “the Ewe were inward looking.” I thought lessons would be learned from these yet our utterances reflect the magnitude of our hatred for others. Is it not true that one who fails to learn from history has the high propensity to repeat same mistakes?

When Miss Amekoafia became the first Miss Ghana at Independence with “a number nine tag,” people of the Volta Region are pejoratively called “Number 9.” Then there is this Ayigbe nomenclature.  There are many Ewe groupings like, Anlo, Ave, Some, Tongu, Ewedome, Akpini etc. but there is no Ayigbe. It comes as a big surprise when some Ewes refer to themselves as Ayigbe. Have we lost our identity as a people? How can you let others tell your story for you? I do not get it.

That the Ewe spread across four countries in our sub-region does not make them stateless. There are people in the north of Ghana who share language and ethnicity with Burkina Faso. There are Akans astride the western border with Côte d’Ivoire, not so? How come the Ewe haters do not notice these? Or the Ewe light is so bright it blinds them from seeing things in their true perspectives?

Personally, I may be detribalised but it does not take away my identity, my language, my culture and my personality. Let none do. We know what happens at enlistment centres, recruitment centres, job placement centres. National unity and cohesion cannot be attained when some people hold claim to more entitlements than others, just because of where they come from or what language they speak. This toxic fantasy of superiority over others must give way to equity and oneness.

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Those who want to turn history on its head must first tell me if the European slave dealers, upon arrival on our shores, already knew Dzogbeawo, Bluawo, Eweawo, Gēawo and Fanteawo.

That the Ewe does not react violently to insults and name-calling is no act of cowardice or fear. It is because of the discipline and fortitude handed down to us by our forebears as our historical narratives have portrayed.

Writer’s email address:

akofa45@yahoo.com

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By Dr. Kofi K. Segbefia

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Disqualified — Part 5

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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.

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“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.”

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“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.

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“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.”

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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.”

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“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.

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“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.

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“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.

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“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.

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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.”

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“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.

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“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

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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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