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Health Essentials

October and beyond is for breast cancer awareness

The COVID-19 pandemic has disrupted our lives so much that many diseases were virtually neglected. Unfortunately this has even worsened the deficits we were already battling with. Screening for breast cancer as well as increasing awareness of this cancer dipped. Like many others, Breast Cancer belongs to the group of apparently “neglected diseases” over the past eighteen (18) months or so.

We need to urgently schedule breast screening and support those who can’t afford breast screening due to accessibility or financial challenges. This will help us catch this cancer before it spreads and becomes less treatable.

As the world has put it; IT’S TIME TO RISE…

We need to rise and rally support in Screening, Supporting and Serving in whatever way possible. Look beyond yourself and help save other people.

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Yes breast cancer is over a hundred times more common in women, but it may occur also in males with an even poorer outcome due to delays in diagnosing. So this year tell all the males you know to have their breasts examined.

Breasts seem to generate a lot of enthusiasm whenever they are mentioned yet in many developing countries we still struggle with early detection of breast cancer. One would have thought that for something that draws so much attention, we will all do our bit to ensure it remains healthy.

If you do not know what your “normal” breast looks like then you will not be able to tell if changes occur and it may be too late in the day when cancer is detected. Examine your breasts TODAY!

Diagnosing Breast Cancer

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Some people know a lot about their breasts and the awareness of breast cancer is so high that the smallest change in their breast is reported to a health professional. In our part of the world ignorance, poverty and fear may delay detection to the point that the breast is sometimes “mutilated” beyond recognition and the odour emanating from the breast could relieve you of your chronic sinusitis before one presents at a hospital. Prior to this some may have tried all sorts of concoctions including applying suspicious herbs and driving away evil spirits.

The following steps may help:

  • Physician and/or self-breast exam
    • Monthly self-breast examination is highly encouraged in our part of the world and supported by an annual professional breast examination.
    • Look out for lumps, changes in breast shape and sizes, skin changes in colour and dimpling,
    • Itching of breast (do not panic. This is rarely an indication of breast cancer)
    • Nipple discharge or changes
    • DO NOT WAIT FOR PAIN IN YOUR BREAST BEFORE TAKING ACTION
  • Mammography
  • Ultra sound scan of the breasts
  • Biopsy – taking out a suspicious growth in the breast and examining

Other tests such as PET CT, MRI and the CT scan will also help detect spread if they are available.

Can you imagine what goes through the mind of someone who is diagnosed of breast cancer that has already spread especially without adequate counselling?

We elicit multiple fears including:

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  • Fear of surgery
  • Fear of death
  • Loss of body image
  • Loss of sexuality

Statistics that make you cringe

  • “A total of one woman is diagnosed of breast cancer worldwide every three minutes”. About two people will have been diagnosed with breast cancer  by the time you finish bathing today
  • “Breast cancer is the second commonest cancer among women in Ghana. It accounts for 15 per cent of all cancers and 40 per cent of female cancers in Ghana”
  • “Majority of breast cancer cases in Ghana are between the ages of 40 and 49 years”

Medical science is unable to pinpoint the cause of breast cancer so our best options are EARLY DETECTION and REDUCING OUR RISK FACTORS. It is also important to extend a helping hand to help cure those diagnosed but who cannot afford treatment, support through information dissemination and emotional support to cope with the diagnoses and side effects of treatment. Take a stand today and if you do not have any ideas you may contact the Cancer Society.

Finally dear reader let’s put the following in action

  • Early detection is great so women should do monthly self exam and probably examination by a healthcare professional yearly. Men should make sure we examine our breasts occasionally, the risk is real
  • All women should get a baseline mammogram between 35 and 40 years, 40-50 years mammogram every other year and yearly after 50 years. Yes there are arguments about this frequency but after all is said and done it is a safer option
  • Exercise regularly
    • “BUDDY UP” for breast cancer and get fit together….
      • Join a friend or friends to exercise or start a healthy life programme together. You may buddy with a breast cancer survivor, newly diagnosed person with breast cancer or someone without breast cancer. The plan is to work as a team to achieve better results.
  • Eat a healthy meal with a great portion of fruits, vegetables and omega -3 laden fish. But beware of fats and oil.
  • If you intend to start a family, maybe you should before you are 30years and then breastfeed for as long as you can afford to.
  • What about donating blood to assist people in need of blood, which may include those battling breast cancer.
  • DEFINITELY make sure you alert at least one busy woman, one woman without access to information and one man, that breast cancer is real but a lot can be done when detected early.

Together we can all work to reduce the incidence of advanced breast cancer.

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

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(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 – “Screening saves lives. When detected early the five-year survival rate for breast cancer is 99 per cent.”

References:

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  1. www.medicinenet.com/breast_cancer
  2. Mosby’s Ace the Boards
  3. www.mayoclinic.com
  4. www.healthessentialsgh.com
  5. Unravelling The Essentials of Health & Wealth
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Health Essentials

At Easter should Spiritual Wellness be the only form of Wellness?

Every single repetitionof squat is worth the effort

Many of us have already packed our Easter season with so much work and back-to-back programmes we hardly have time to breathe.

The little time we can squeeze out is used to stuff ourselves with food and drinks, but for this season and beyond we may be able to spend five minutes even on extremely busy days to make a difference in our lives so that we can have time to sing, dance and worship God as we remember his unparalleled sacrifice to us.

My-in-laws who reside on the mountain are busy trekking up and dragging their friends and colleagues with them. Any idea why the Kwahus revel in Easter? Has it always been that way or is it a conscious effort to show Ghana and the world what they have?

We all wish our favourite exercis­es will give us the same benefits as all other exercises but the truth is that some exercises are “more equal than others” just as happens in every aspect of life.

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This does not mean if you are unable to perform the most effective exercises, you should exert yourself and cause injury to your body. Re­member, Cobba’s First Law of Exercis­ing is “DO NO HARM”.

These exercises may just help you stay afloat this Easter:

• Squats

• Plank

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• Push-Ups

• Walking & Dancing

Squats

Every single rep (repetition) in this exercise is worth the effort.

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Squats target the quadriceps, hamstrings and gluteals, which in simple language refers to the thigh muscles and buttocks.

It is important to learn the right technique and since it exercises large muscle groups, you are able to burn a lot of calories with squats.

In every exercise session, it is im­portant to work large muscles before the smaller ones.

Steps

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1. Keep feet shoulder width apart

2. Back should be straight (standing posture)

3. Bend knees and lower your rear till your thighs are horizontal.

4. Return to the standing posi­tion

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5. Repeat steps 1-4

6. Remember to stretch the muscles used after the exercise.

If you have difficulty following the steps above, place a chair behind you and with your back straight try to sit on it. Do not let your but­tocks touch the seat, then return to the stand­ing position and repeat. As your technique improves, you may remove the chair.

As one gets stron­ger you may even carry some weights while doing squats but as always start with caution. You may do only 3 reps at a time (properly). Gradually, add some more.

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When to avoid squats

• Severe knee pain irrespective of cause

• Knee injury even if no longer painful (you will need professional supervision)

• Acute back pain (you will later do back slides which is similar to squats and helps strengthen back muscles)

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This exercise benefits almost everyone with a lifestyle disease. Hypertensives (those with high blood pressure) even get a bonus since it causes peripheral pooling of blood and helps to lower the blood pressure over time.

Plank

Arguably, the safest exercise for strengthening abdominal muscles and also has the added benefit of strengthening lower back muscles. Especially for people who sit for long hours (you shouldn’t anyway) this is great news for helping your back.

1. Start by getting into a push-up position

2. Bend your elbows and rest your weight on your forearms and not on your hands

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3. Support your lower body on your toes

4. Your body should form a straight line from shoulders to ankles just like a plank of wood

5. Engage your core (midsec­tion) by sucking your belly button into your spine

6. Hold this position for the prescribed time. This may vary from 5 seconds to 1 minute. Repeat.

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Push-ups (press-ups)

This is probably the first exercise most people try out; well apart from laughter and walking I presume, and everyone is familiar with it.

Go ahead and squeeze a minute a day in there.

Walking & dancing

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Before you set out to exercise your muscles remember to walk at least a minute before you start and a minute after you are done.

You may even walk while in one place, what matters is moving your legs and arms and getting your heart to pump.

Use every opportunity during the day to:

• use the stairs instead of the elevator

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• walk while you talk on your cell phone

• Walk to a colleague’s desk at the office instead of using the phone or sending someone else.

• Pick your own stuff for cooking instead of sitting and getting people to assist with even the trivial errands

• Dance with your heart when­ever you have a chance; during your Christmas programmes, while watch­ing TV and even while you take a shower.

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A min­ute each for Squats, Planks and Push-ups and two minutes of walking every morn­ing, after­noon or eve­ning may just be enough to get you through the season and certainly it will not tamper much with your tight holi­day schedule. Do not forget to smile often, breathe deeply to relax, enjoy some sunshine, pray, praise and wor­ship God and you will be on the right path especially if you keep an eye on your finances and learn to unplug several hours each day.

In my opinion, every aspect of Wellness is important at all times and we should try to keep a balance. Neglecting all other aspects (Physical, Social, Mental, Digital, Financial & Spiritual) and focusing only on Spir­itual Wellness will mean we will not be able to perform at our very best and certainly our Maker needs the best version of us.

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

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Health Essentials Ltd/ Medics Clinic

(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 – “For heart health you need to relax and have fun as well; schedule time for leisure, sing praises to God, laugh often, learn to breathe deeply and maybe get a pet.”

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References:

• The Gym Bible

• www.webmd.com

• 30dayfitnesschallenges.com

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By Dr Kojo Cobba Essel

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Health Essentials

 Hijab (Islamic Veil) as an Act of Worship

Alhamdulillah (all praise is due to Allah), the Creator of the heavens and the earth, the One who guides us to the straight path.

We bear witness that there is no deity worthy of worship except Allah alone, and we testify that Muham­mad (peace and blessings be upon him) is His servant and Messenger.

May Allah’s peace and blessings be upon him, his family, and all who follow him in righteousness until the Last Day.

Introduction

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Dear respected brothers and sisters in Islam, today’s khutbah ad­dresses an essential act of worship that embodies submission, modesty, and obedience to Allah: the “Hi­jab”.

While the Hijab is an explicit command from Allah, it is also a human right protected under local and international laws.

It is imperative that Muslim women are allowed to observe Hijab freely, especially in public institu­tions such as universities, banks, ministries, public health institu­tions, and government agencies.

Definition and Meaning of Hijab

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In Islam, Hijab refers to modes­ty in appearance and behaviour. For women, this includes covering the body, except for the face and hands, in non-revealing clothing (not skin-tight), while for men, it includes covering from the navel to the knees and dressing modestly.

The Hijab extends to lowering the gaze, avoiding indecent speech, and conducting oneself with dignity.

Allah commands:

“And tell the believing women to lower their gaze and guard their private parts and not to display their adornment except that which [ordinarily] appears thereof and to wrap [a portion of] their headcovers over their chests.”

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(Quran 24:31).

Essence of Hijab as an Act of Worship and Modesty

The Hijab is an act of worship rooted in obedience to Allah. It is not a cultural practice but a divine command. Allah says:

“O Prophet, tell your wives and your daughters and the women of the believers to bring down over themselves [part] of their outer garments. That is more suitable that they will be known and not be abused. And ever is Allah Forgiving and Merciful.”

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(Quran 33:59).

The Hijab is a reflection of one’s faith, modesty, and inner character. It shields the individual from immo­rality and contributes to the moral fabric of society.

Lowering the Garments and the Gaze

The Hijab also encompasses low­ering the gaze and maintaining puri­ty in interactions between genders. Allah says:

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“Tell the believing men to lower their gaze and guard their private parts. That is purer for them. In­deed, Allah is Acquainted with what they do.” (Quran 24:30).

By lowering the gaze, both men and women protect themselves from sin and maintain mutual respect.

Social Menace and Immoralities Due to Lack of Hijab

The absence of Hijab in society has led to numerous social issues, including:

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Zina (Adultery and Fornication): Unrestricted interactions and immodesty increase the likelihood of adultery and fornication, which Allah explicitly prohibits:

“And do not approach unlawful sexual intercourse. Indeed, it is ever an immorality and is evil as a way.”

(Quran 17:32).

Exploitation and Objectification:

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When modesty is neglected, individuals, especially women, are objectified and exploited, result­ing in an increase in harassment and sexual abuse, a phenomenon that has plagued many organissa­tions such as Universities, Banks and other public institutions. The introduction of Sexual Harassment Policies with its attendant harsh punishments has done very little in resolving this menace.

By Imam Alhaji Saeed Abdulai

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