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Your silence is more than deafening …speak now or forever hold your peace
I have had many people, both friends and otherwise, ask, “Why do you seem as such a different person now in your older age than you were in your youth?”
Usually, I laugh at these questions or insinuations of all kinds because all my life, I have endeavoured to live a very simple life; I guess that as one gets close to the ‘three scores and ten’ stage, one’s general attitude to everything changes, as one begins to question all things, particularly those that one had taken for granted all those years, beginning with not amassing wealth at any cost, especially from questionable sources but more on how one intends to leave this country in a ‘far better state’ than that which was bequeathed to him or her.
As you age, you begin to question yourself over how fairly you have treated others because you know deep down in your hearts of heart, you are most worried about how you will be received back home in the hereafter and equally important, how those you leave behind will be treated according to the weight and depth of your ‘sins’ here on earth or particularly how your children and their children will be treated for your name sake.
That is when you come to full circle to the weight of how badly you treated others, when by just uttering a word, you could have changed their fortunes for the better, and for which they would have been eternally grateful.
You see, the JUDGEMENT or ‘SELF-INTROSPECTION’ begins here on earth before you leave. Sometimes, they manifest in the way and manner you leave:- long sicknesses, accidents of all kind, isolated lives of no-care as you antagonised all those who could have been there for you in your last years, months, weeks, days, hours and moments.
This world isn’t just about YOU amassing riches in any manner and mode, even when the cost of it is denying use of resources to develop facilities like schools, recreation/health centres and better roads for use by the general public.
Funny but it is at this advanced ages that you realise that you had missed the whole essence of your life here on earth: ‘THE PRINCIPLE OF SOMEBODY’S CHILD – The Myth of Fleming – Churchill’. This myth will always serve as the basis for HELPING OTHER PEOPLE’S CHILDREN’.
You see, any child, in our old traditional or village setting ‘belonged’ to somebody and that’s why a whole
village in those days could contribute towards the education of their brightest pupil, irrespective of who the parents were, except that they are members of the same village who cannot afford to educate the child.
They all contribute, knowing that he or she will always come back to the community to support not only his or her parents but the entire community at large.
Even more importantly, the entire village believed in the principle that you never know who would be around at your worst or most critical need or moment: maybe not your own children but ‘SOMEBODY’S CHILD’.
That is why it is always important to do ‘good’ at all times, not pick and choose, because the person to save you at your worst need, wouldn’t be your own child.
If you just can’t help other people’s children, please refuse to be a conduit for denying them use of national resources through corruption, or their share thereof: denying them access to proper education through equal opportunities.
And if you think you can’t help in any way except concentrate on your own core or extended family, at least you could join the ‘unseen faces’ with voices to SPEAK TRUTH TO POWER, thereby ensuring that national resources are judiciously applied for the benefit of all, than just family and friends.
The OLD MAN ABOVE has a great sense of humour, and that is why He uses simple things of the world to confound the proud, self-conceited, hypocritical, arrogant and selfish people, who when they get to power forget, with no sense of appreciation, those people on whose backs and suffering they rode into office with the power of attorney to manage national or state resources for the general good other than themselves, family and friends.
If you are one of those ‘unseen faces’ with a voice to speak truth to power, but are sitting on the ‘fences of life’, pretending what is going on around the rest of the populace does not concern you, then it is a sad reflection of your own life; and you are better off reading the next passage of ‘FIRST THEY CAME’.
‘FIRST THEY CAME’ by Martin Niemöller
First they came for the Communists
And I did not speak out
Because I was not a Communist
Then they came for the Socialists
And I did not speak out
Because I was not a Socialist
Then they came for the trade unionists
And I did not speak out
Because I was not a trade unionist
Then they came for the Jews
And I did not speak out
Because I was not a Jew
Then they came for me
And there was no one left
To speak out for me.
MARTIN NIEMÖLLER (1892-1984), the writer, was a prominent Lutheran pastor in Germany, who emerged as an outspoken public foe of Adolf Hitler, and spent the last seven years of Nazi rule in concentration camps. He is perhaps best remembered for his post-war words, “First they came for the socialists, and I did not speak out…”
The quotation expresses Niemöller’s belief that Germans had been complicit through their silence in the Nazi’s imprisonment, persecution, and murder of millions of people. He felt this to be especially true of the leaders of the Protestant churches.
In 1920, Martin decided to follow the path of his father and began seminary training at the University of Münster. Niemöller enthusiastically welcomed the Third Reich under Adolf Hitler. But a turning point in his political sympathies came with a January 1934 meeting of Adolf Hitler, Niemöller, and two prominent Protestant bishops to discuss state pressures on churches.
At the meeting it became clear that Niemöller’s phone had been tapped by the Gestapo (German Secret State Police). It was also clear that the Pastors Emergency League (PEL), which Niemöller had helped found, was under state surveillance. Following the meeting, Niemöller would come to see the Nazi state as a dictatorship, one which he would oppose till his death years later.
You see, if you become like MARTIN NIEMÖLLER and pretend to not see what has been going on for the past 29 years of the Fourth Republican dispensation of ‘WINNER-TAKES-ALL’ mentality, where once your party goes into opposition, you are denied any fair share of the national cake or opportunities, treated like you do not belong to this country: to the extent others with impunity will dare say to all that “We Are Taking Back Our Nation”, as if to intimate that the rest of us are foreigners.
People’s children have finished university, sometimes with great grades yet cannot be employed because they do not belong or they have been contracted to offer services to this
nation under one regime but the next regime has to pay the bill but refuses to on the premises that, you do not belong to them – is that the kind of an all-inclusive people we want to be governed by? That state resources are only available to ‘them’ not us because we do not belong?
Is that how far back we have retrogressed as a nation and as a people; and worse, those with voices to speak truth to power have faded back into their individual cozy circumstances sponsored by state, under all kind of disguises?
These same voices who were so vociferous during the reign of other governments in the past, the Church, becomes as mute as a popstar who loses his voice – Remember MARTIN NIEMÖLLER’s last stanza of ‘FIRST THEY CAME’ piece: Then they came for me, And there was no one left, To speak out for me.
Need I say more, when we have been more than quiet over the years since 1993 on CORRUPTION, UNFAIR ALLOCATION OF RESOURCES AND SERVICES TO COMMUNITIES, ABANDONED PROJECTS (as if developed by someone’s private resources not state), NEGLECT OF PLACES (because that’s not where we get our most votes from during elections or come from), DENIAL OF OPPORTUNITIES (because our government is out of office).
What about those of us, who do not belong to the two dominant political blocks, WHERE DO WE BELONG IN THE SCHEME OF THINGS?
This is my sequel to Martin Niemöller’s piece: ‘SECOND THEY CAME’
Second they came for the NPP Appointees
And I did not speak out
Because I was not NPP Appointee
Then they came for the NDC Appointees
And I did not speak out
Because I was not NDC Appointee
Then they came for the TUC Executives
And I did not speak out
Because I was not a TUC Executive
Then they came for the UTAG Executives
And I did not speak out
Because I was not a UTAG Executive
Then they came for some GJA Members
And I did not speak out
Because I was not a GJA Member
Then they came for some Radio Presenters
And I did not speak out
Because I was not a Radio Presenter
Then they shot innocent bystanders during General Election
And I did not speak out
Because I was not a bystander
Then they came for me
And there was no one left
To speak for me.
Need I say any more?
By Magnus Naabe Rex Danquah is a land economist & appraiser, events architect & planner, sport business consultant, social commentator and an author
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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