Health Essentials
A NATION MOURNS WHILE BATTLING A PANDEMIC
The year 2020 will always be remembered for the wrong reasons but even in the midst of the chaos there are great lessons that one can learn and many of us will find inner strength that we never knew existed deep within us.
Thursday, November 12, 2020 started beautifully just as most days do then by mid-morning the skies became cloudy and soon after news started trickling in that our former president, Jerry John Rawlings has taken an unexpected trip to his maker. The mood in the country mirrored that of Tuesday, July 24, 2012 when we lost our sitting president Professor J.E.A Mills. This comes at a time when the pandemic is already causing enormous mental health challenges and we need to marshal all the resources available.
Sometimes we are preoccupied with many unnecessary things and never pause to appreciate a person until it is too late. Some people may even be angry because they think things should have followed a different path. That is not ours to determine; it is the sole right of the bearded one above. Whichever group you may belong to, it is your right to express yourself. We all grieve differently and I can assure you there is no right or wrong way to grieve, neither is there a specific grief path that we all need to follow but one thing remains possible, there are healthy ways to cope with pain that in time can renew you and permit you to move on. Time definitely heals many wounds.
Grief is a natural response to loss. It is the emotional suffering that one experiences when someone you love is taken away by death for instance.
Remember these as you grief
- Ignoring your pain will not make it go away faster. It will rather make it worse in the long run. Express your emotions even if it means you have to do it in “private”
- There is no need to be “strong” in the face of loss; crying does not make you a weak person. Feeling sad, frightened or lonely is normal at such a time.
- There is no appropriate period to grieve: for some it may last only a few days while for others it may take over a year. It varies from one individual to another.
- The fact that you are not shedding tears does not mean you are not deeply hurt. You may be equally or even much more affected than someone who is raining tears.
Over 40 years ago, a psychiatrist Elisabeth Kubler-Ross described 5-stages of grief. Definitely many of us were in DENIAL on the morning of Thursday, November 12. Remember we all grieve differently and we may not go through all the stages. Some of us will also not go through grief in the order listed by Kubler-Ross, a fact that she pointed out herself.
- Denial – “this can’t be happening to me”
- Anger – “who is to blame”
- Bargaining – “make this not happen and in return I will…”
- Depression – “I am too sad to do anything”
- Acceptance – “I am at peace with what happened”
Common Symptoms of Grief
- Shock and disbelief
- Sadness – this is probably the most universal symptom
- Guilt – you may regret or feel guilty about what you said or did not say or do
- Anger – even if the loss was nobody’s fault you may experience anger and resent
- Fear – a significant loss may trigger a host of worries and fears. One may feel anxious and even insecure.
- Physical symptoms – grief may go beyond emotions and we may experience inability to sleep, body pains, fatigue and even nausea.
Together we can cope in a healthy way
- Get support
- Seek comfort in people who care about you. Fortunately in our current situation, we have millions of people to share our thoughts, feelings and fears with. This can ease the pain. The media houses are doing a fairly good job at that.
- Draw comfort from your faith – this is a great time to pray, meditate, read words of inspiration from the Bible, Quran etc. it helps to know that there is a superior God whom we can cast our burdens on. Those who do not have a religious leaning may have some challenges in this area.
- Take care of yourself
- Face your feelings instead of avoiding or suppressing them all the time
- Express your feelings in a tangible way – it is refreshing to read or listen to people share their thoughts on radio, television, in newspapers, on facebook, twitter and a host of other avenues. If you do not have access to any of these or it may be inappropriate for you at this time, you may write your feelings down on paper
- Physical health is important – when you feel good physically, you will also feel better emotionally. Combat the sadness and fatigue by eating right, exercising and getting enough sleep. Do not use alcohol or drugs to numb your feelings; you may be asking for trouble.
- Do not dictate how others should feel and neither should they determine what you feel. We all grieve differently.
- Plan ahead for grief “triggers”. It is important to know that we will occasionally find ourselves in the woods even after it appears we have overcome our pain. You may need to be well psyched in certain situations; in our case when the National Anthem is played or sang, when speeches by our departed president are replayed or as factors leading to his demise are “interrogated”
- Remember that all humans grieve and you have done nothing wrong by grieving
When to seek professional help
Time is a great healer of many things including pain. After a while we expect that the intensity of our pain etc should wane. If it does not and we have any of the feelings below then we need to seek urgent professional help.
- Feel like life is not worth living
- Wish you had died with your loved one
- Blame yourself for the loss or failing to prevent it
- Feel numb and disconnected from others for more than a few weeks
- Having difficulty trusting others since your loss
- Are unable to perform your normal daily activities.
Nana Konadu and children, Ghanaians share in your pain and we will continue to pray with you. It is our prayer that God keeps JJ in His bosom. May God bless Ghana.
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 –“Every individual in this universe experiences grief at one stage or the other. Death is the universal truth and no one can avoid it.”
Reference:
- Helpguide.org – “coping with grief and loss – understanding the grieving process”
- www.people-health.com
Health Essentials
Preparing for your golden years; you may have more assets than you think
Ensure to have friends including children much younger than you
AGING can be beautiful, but it definitely comes with its own challenges and learning to embrace the ones we have little or no control over may make life easier and more enjoyable for us.
Changes may include:
1. You do not move as quickly as you used to, and I agree you need to guard against falls.
2. You may lose some hearing.
3. You will need to protect your teeth, and the dentist can help.
4. You are more susceptible to eye diseases and challenges with sight.
5. You may start to shrink; start strength training immediately.
6. You may have ‘senior moments’ -minor forgetfulness.
7. You may look different; hair loss or thinning, greying of hair, skin changes such as sagging, skin tags, changes in nails, belly fat and many others.
8. You may smell different, and this may be due to multiple factors.
9. Urine may leak more than you would like- sometimes even when we cough, sneeze or laugh.
Many of us fret to leave a fortune (money) but I realise focusing on money or assets such as land, buildings and businesses may not be enough. These are extremely necessary though since they tend to make life much more comfortable for you.
When the dust settles, however, having your memory intact (within reasonable limits) and having good social support may be the foundation that cannot be ignored. If your memory fails you or you do not have people who truly care about your wellbeing and will go the extra mile for you over the long haul, then no matter what your financial muscle you may never get anything close to what you would love for yourself.
Taking advantage of the various assets that you may have built over the years means you will be able to even earn money well into your golden years.
ASSETS TO TAP INTO.
At least three assets, Financial, Intellectual and Human Assets may be tapped into.
• FINANCIAL
o Different forms of investments including money, land etc. Quite often this is the focus of most of us while 2 other forms of assets are neglected. DEFINITELY grow your financial assets but DO NOT exclude the others.
o If you are already enjoying “retirement” of a sort and your finances keep you awake at night, do not despair, take another look at your intellectual and human assets that you may have ignored. They may be solid gold!
• INTELLECTUAL
o Knowledge and skills you have developed over years can continue to be useful and earn an income after you retire from your previous job.
o Experiences over the years may serve as a guide to the younger generation and could be an avenue for speaking at events or coaching or mentoring others.
o Unique abilities are always a plus and we all know things that come easily to us when others struggle with same.
o Ideas? These may be golden, and you may be able to share for an income or to enhance your social capital.
• HUMAN
o Values – we often don’t put much emphasis on this, but it definitely opens doors for you or for your descendants.
o Kindness – this is a powerful tool in life that will yield benefits at all costs directly or indirectly. Be Kind!
o Social Contacts /Capital – DO NOT be an island. Expand your network and live a longer more fulfilling life.
As we work on all three forms of ASSETS lets us remember to protect our brain/ memory as much as possible and also spend time with our network of family and friends. In all things ensure you have FRIENDS (including your children) who are much younger than you. This is PRICELESS, I guarantee that.
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 (HE&W Group)
(dressel@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 (1) – “The aging you want tomorrow begins with the choices you make today.” What choices are you making? Time to reflect.
(2) – “Mammograms are key to early detection of breast cancer, and they can also provide clues to heart health. Women who have calcium buildup within the arteries of the breast are at a 51 per cent higher risk for heart disease and stroke than women who do not.”
By Dr Kojo Cobba Essel
Health Essentials
The salt wars will never end!
Salt is useful when taken in moderation
IS SALT ENEMY NUMERO UNO?
I do not have a precise answer to this question but salt is definitely revered in the company of killers.
When heart and blood vessel diseases claim about 18 million lives each year worldwide and hypertension is one of the leading modifiable risk factors (the other factors are uncontrolled diabetes, high cholesterol, obesity, lack of adequate physical activity and cigarette smoking) for heart and blood vessel disease then I leave you to work the math since added salt is very often associated with hypertension.
Not everyone reacts to salt in the same way but for the majority of us anything more than half a teaspoon of salt a day (includes what we cook with, those in our snacks and processed food).
No one is born with a craving for salt, we learn this as we grow and keep eating more salt by the day. Many of us eat much more salt than we need and we are “rewarded” with high blood pressure, heart failure and other inconveniences related to fluid retention.
Do you add extra salt to cooked food? Do meals prepared at home come out of a box or can? Do you eat out of home often? A yes answer to any of the questions could mean you may be having too much salt.
Is it not time to shake off this salt habit? You are probably counting your calories to lose weight and exercising as well so why not watch your salt intake? It could be the cause of your difficulty to control blood pressure.
Salt like many other things is only useful when taken in moderation; we cannot live without it but too much brings a host of troubles. Salt may be obvious as in what we cook with but often times it is hidden. Who would have thought that many processed foods including canned foods such as corned beef, ketchup and some salad dressings contain loads of salt?
Two elements; Sodium and Chlorine make up salt and the sodium is often the centre of controversy. Excess sodium stays in body tissues and holds extra water causing swelling and raising blood pressure.
The elevated blood pressure then puts a strain on the heart. You may be aware that increased blood pressure affects almost all organs and this includes: the eyes, the brain, the kidneys and even the blood vessels.
Invariably people who eat a lot of salt have a high probability of developing hypertension and that may also be another reason for having high blood pressure running through some families.
The answer may be quite simple; most family members have similar eating patterns or tastes so everyone may be prone to an increased-salt diet leading to elevated blood pressure over time.
Many artificial flavours that we use in cooking also contain sodium, so imagine the harm you do when you add some of these flavours to food that you have already added your usual amount of “salt”.
The salt story does not end here. Excess salt intake has been linked with osteoporosis, dementia/forgetfulness and even Alzheimer’s.
It is interesting to watch people eat in restaurants and at home; some people will actually sprinkle salt over their food after almost every bite. People eating in restaurants will use the salt on the table aggressively probably making sure they are recouping every pesewa spent on the meal. Be careful you may be paying more on medication soon.
If your food tastes like there is a salt shortage, thank God and eat as-is. It is an outright CRIME to add salt to already cooked food no matter how bland it may taste. This last statement lays the fact bare; all restaurants that leave extra salt on a dining table are involved in crimes against humanity.
You are not a killer only when you draw a gun or knife to kill, you may use a “slow poison” such as a daily dose of extra salt. We will probably need some human rights activists to help us fight this war. I am really looking forward to the day that salt on restaurant tables will be banned.
No matter how particular you are about the salt content of the food you cook, if food manufacturers and restaurants are not regulated when it comes to the allowed salt content then the battle is only half won.
If we are able to reduce our salt intake to less than half a teaspoon a day (including all the hidden salt), it will be enough to significantly reduce the new cases of hypertension and by extension other heart diseases and complications of hypertension will also be reduced.
This simple act will save our country millions if not billions of Ghana cedis each year.
Reducing Salt Consumption
• Never add salt to cooked food
• Read food labels and avoid those with salt or high salt content (watch sodium)
• Eat a lot of fresh fruits and vegetables; they do not need added salt and they also contain potassium that lowers blood pressure.
• If you need snacks, choose unsalted ones.
• Flavour foods with garlic, onions, fresh herbs and lemon instead of salt
• If you have to add salt to food while cooking, add only sparingly.
Excess salt does not only cause diseases, it also drains our pockets as well as the national coffers as we try to control the damage it has caused. Winning the war against salt needs us to be more proactive; before you put anything in your mouth think about the salt (Sodium) content and make a smart decision.
You could be saving your life and that of others as well as creating wealth just by controlling salt intake.
Now I throw the question back to you; is salt ENEMY NUMERO UNO?
(*salt in this context refers to common salt / table salt etc. Other types of salts MAY have added benefits)
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
*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 – “The taste for salt is not inborn. Saltiness is something we’ve learned and eating salty foods fuels the craving”.
Reference:
1. Health by Choice Not Chance – Aileen Ludington & Hans Diehl
2. Shaking the Salt Habit – Jennifer Nelson & Katherine Zeratsky
By Dr. Kojo Cobba Essel
