Health Essentials
‘One man’s meat…’
The first time I saw someone eat dog meat I was scandalised. I did not understand how that could happen, but it did. And I saw it. We went for a sports festival in one of the towns in the Volta Region in 1964 and food vendors were around selling their stuff. An aroma of barbecue wafted through the air that drew school children to the fire.
A soldier in uniform picked a stick of the khebab, paid for it and sauntered away to enjoy the meat. Just a few moments later, he turned back to the vendor and asked why he sold him dog meat. I wondered how he knew it was dog meat, but it turned out he had eaten it before and knew that taste. I do not want to narrate what happened to the poor guy who sold the meat.
As time went on I found myself eating python meat that same year. This reptile slithered into the thatched roof of a neighbour when its hole was inundated with flood waters of the Keta Lagoon. The big boys in the area caught it, skinned it and we made a meal of the meat. It tasted like chicken, except it had too much fat. I did enjoy it though.
Some cousins and I used to go set traps at a cemetery a mile out of town during weekends to catch rats, which we cooked and feasted on. To us it was to take our minds off the drudgery of academic and house chores all week; an adventure, if you may call it so. We caught and ate doves, water fowls, quails and hawks. Seasonally, we ate migratory birds like gulls and pelicans. Some of these birds had metal rings with inscriptions on their legs. We were after the meat, not the rings.
I could have eaten meat from a monitor lizard if it was not the totem of the Like Clan I belong to. I am told the Like do not eat this reptile and sawfish. Story has it that a great Like ancestor was saved from drowning by a sawfish, thus our prohibition from eating its meat.
Until I became a vegetarian in 1974, I had eaten meat from cat, rabbit, bat, crocodile and tortoise. I recollect a seminar I attended in Kampala, Uganda, in the late 80s. A Ugandan participant invited some of us to his house. As we entered the compound I saw scores of grasscutters scuttling all over and some ran to him as dogs do their masters. In amazement, I asked, “Mr. Okot, what are you doing with these rodents in your home?” He said they were his pets.
When I told him it was the most expensive meat in Ghana, he took a step back from me as if I had landed from another planet. Apparently, East Africans do not eat grasscutter, period!
Only last week, there was this hoopla on the international news channels for a whole day about Kurt Zouma, a former Chelsea defender, now playing for West Ham, molesting a cat in his home. Suggestions were thrown about to the effect that he needed counseling. Of course, cruelty to any animal is against the law in many countries, including England where he plays his football.
I observe the way we treat our domestic animals and it is abhorrent, to say the least. But the question that came to my mind was what would have happened if Kurt Zouma had mercifully killed that cat and feasted on its meat, were he Ewe from Ghana, Togo or Benin? The Crown Court would have handed him a jail term by now. My father had a way of slaughtering a cat the way we do either a goat or chicken, not the way people strangulate the poor feline or drown it in a sack or any other means. Of course, there are many ways to kill a cat, not so?
Back home in Ghana, one group’s delicacy is another’s taboo. There are others who eat anything that has life; anything that moves, actually. There must be varying reasons a certain group of people will not eat certain things. This might be steeped in religion, spirituality or even superstition or myth. Whatever the case, animals must be treated with respect even if we rear them for consumption.
There is this rodent in En-Gedi in Israel. It’s a cross between the rat and the grasscutter. They are so plenty and notoriously destructive to the sparse vegetation in that desert area that the Israeli government does not know how to exterminate them. Unfortunately, because of my commitment not to eat any flesh, let alone take life, there is practically nothing I can do to help Israel. If not, I would set up camp at En-Gedi, trap these rodents and smoke them the way we do bush meat in our parts and ship them in neat packages to Ghana. The boxes would be labelled, “Smoked Meat of the Holy Land of Israel.” You can bet the churches will do the marketing for me.
I sympathise with Kurt Zouma. Africans generally do not respect animals as having the feeling of happiness and pain. We kick and beat our pets at will. It is in our DNA, which is no excuse for cruelty towards them. I watch documentaries on television where people pay thousands of dollars in veterinary bills for their pets like dogs, cats, pigs, birds of all kinds and even reptiles.
Tibetans are a pious, very spiritual Buddhists who are mostly vegetarians. When China invaded this mountain region in the early 50s they ate all their cats and dogs and every other living things that moved. In the Congo area of Africa every living creature there is edible. Insects of all kinds, some roaches, grubs, worms of all types are on the menu.
I once took a friend out for lunch in one restaurant in Accra. When she heard an order from the adjoining table for frog legs, she vowed never to eat in that restaurant any longer. This is largely because in our minds certain things are unimaginable. I recall the renown pathologist, Prof. Agyeman Badu Akosa, said in an interview on national television on the issue of vultures being served as meat that, “It’s just muscle, that’s all.”
Animal rights activists have taken their fights quite well, especially on the poaching of certain species in the wild to near extinction. Rhino, tiger, leopard parts considered medicinal are a million-dollar business in the Far East. In our parts chameleons, parrots, fork-tailed lizards and the left hand of green monkeys are prized commodities.
The understanding and/or otherwise of nature’s balance and the ecosystem brews the ideal ingredient of conflict. Education is needed for the right approach to issues bordering on protecting the species so that as we consume these animals, the scale of the ecosystem is not tilted towards the destruction of the very things that give us life. When “the last tree dies, the last man dies” is the adage, but we forget that animals propagate the seeds of the plants that constitute our forests and give shelter to our wildlife.
By Dr. Akofa K. Segbefia
Health Essentials
Glaucoma – a call to have your eyes checked
As we raise awareness of Glaucoma this week (it should continue all year), the importance of community education to prevent vision loss, regular eye care and early detection of this silent disease is key. The theme “SEE THE FUTURE CLEARLY” puts the whole process into perspective.
What will you do if after years of enjoying the beauty of the world through your eyes, you wake up one day and realize your eyes are failing or have failed you? It could be a major life-changing event. You may even run the risk of causing accidents. Imagine what one goes through during the DUM phase of DUMSOR.
Now imagine life perpetually in DUM. All this could be prevented if you make time to care for your eyes: check your eye pressure and have your sight checked as well.
Glaucoma is a group of eye conditions that damage the optic nerve (nerve of the eye) leading to loss of vision. It is most often but not always associated with an increase in eye pressure.
In Ghana, glaucoma is a leading cause of blindness second only to cataract. Ghana appears to have many challenges with “vision” (note the pun) as we have been identified as the country with the second (some data quote third) highest prevalence rate of glaucoma.
Glaucoma is sometimes referred to as the “silent thief of sight” because it can damage your vision so gradually that you may not notice any loss of vision until the disease is at an advanced stage. The most common type of glaucoma, primary open-angle glaucoma has no noticeable signs or symptoms except gradual vision loss. As always, the key is to be diagnosed early and managed since this can prevent or minimize damage to the optic nerve. Early diagnosis is only possible if we have regular check-ups. I checked my eye-pressures six months ago, what about you?
Isolating the risk factors
1. Age – Anyone can get glaucoma, but it most often occurs in those above forty years.
2. Ethnicity – Africans and African Americans are at an increased risk compared to Caucasians. In high-risk groups it may be necessary to have your eyes checked even in your 20s.
3. Family History/ Genetics – You are at an increased risk if a member of your family has glaucoma.
4. Medical Conditions – Diabetics and people with hypothyroidism are also prone
5. Nearsighted/shortsighted – For this group of people, objects in the distance appear fuzzy without corrective lenses.
6. Prolonged Steroid use – especially if used as eye drops, increases our risk for glaucoma.
7. Other Eye conditions – Severe eye injury, some of which may even cause the eye lens to dislocate. Retinal detachment, eye tumours and some eye infections may also predispose us. Some eye surgeries may occasionally trigger glaucoma.
Recognising the warning signs
It is important to drum home the point that just as in high blood pressure, there may be no warning signs. As stated above, the commonest form of glaucoma will hardly warn you. In some forms of glaucoma, however, we may experience the following:
1. Gradual loss of peripheral (side) vision leading to tunnel vision where one is able to see only objects directly in front of him/her
2. Redness of the eye
3. Blurred vision
4. Halos around lights
5. Severe eye pain is sometimes associated with nausea and vomiting
6. Sudden onset of poor vision especially in low light
Overview of tests available
1. Measuring eye pressure. This is a simple painless procedure. It is often the first line for screening for people with glaucoma.
2. Visual Field Test – your doctor will use this test to determine whether glaucoma has affected your peripheral vision
3. Several other tests are available and include testing for optic nerve damage and measuring corneal thickness.
Treatment options
There is NO CURE for glaucoma, but it can be successfully managed. Our options include eye drops, oral medication or surgery, which reduce pressure in the eye to a level that is unlikely to cause further optic nerve damage.
You may not be able to prevent glaucoma, but you can avoid its complications if diagnosed and its management started early. Talk to your healthcare professional and have eye examinations when necessary.
This is the only way to ensure that you can “…see clearly now the rain is gone. I can see all obstacles in my way” and you will enjoy this great vision for years to come.
Glaucoma is “a silent thief of sight.” This is another reminder that NOT ALL SILENCE IS GOLDEN! Get checked.
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 – “The next big thing in Healthcare in Ghana is the Medics Clinic. Visit https://medicsgroupgh.com/ for more information.”
References:
1. 37 Military Hospital Eye Department infomercials
2. Mosby’s ACE the BOARDS
3. www.mayoclinic.com
By Dr. Kojo Cobba Essel
Health Essentials
Making the most of your visit to the doctor
Very often we leave the doctor’s office only to remember that we left out a major complaint. Some patients immediately rush back to the consulting room totally oblivious of the privacy that the next patient is entitled to. They expect that as they walk in, the doctor should ignore the seated or positioned patient and attend to them. That is totally outrageous. Others go home and continue to live with the condition hoping to be healed miraculously.
Most of us will be extremely lucky to spend fifteen (15) minutes with our doctor and this time is often much shorter in countries/communities where the doctor-patient ratio is so low that at best it can be described as criminal.
We are still in the first quarter of 2025, and I highly recommend that you see a doctor not only when you are unwell but as a means to assess your state of wellbeing and take the needed precautions.
To make the most out of our time with the doctor we need to PREPARE. If your condition is an emergency, then you do not have the benefit of time to prepare.
A must do!
Kindly ensure your personal hygiene is excellent.
- Take a good bath and brush your teeth
- Wear clean clothes that also make undressing easy, especially if you need to expose some areas for inspection/examination.
This may sound ridiculous, but the opposite does happen in real life.
Remember that doctors are human and when you are unkempt you may not get adequate contact with your doctor.
Research on the symptoms
If you have access to the internet or a book worth its salt you may read about your symptoms or wait to read after your doctor tells you your diagnosis.
Remember that if you need to research on the internet, it is essential that you use a reputable site.
In tune with your complaints
- Write down your complaints/symptoms if you think you may forget
- If you have had a similar problem and have the results of any investigations e.g. Laboratory tests, x-rays, CT scans etc kindly carry them along
- Let your doctor know if you react to any drugs
- Be truthful about any medications you have taken for the condition, if you do not remember the names make sure you go with the containers
- If you have any other medical conditions (and medication) make the doctor aware
- Remember to make a note of the following
- When did the symptoms/complaint begin?
- How long have you had these symptoms?
- Is it getting worse?
- Does anything make the condition worse?
- What makes you feel better?
- Is anything related to their onset?
- How often does it occur?
- How long does it last e.g. in pain conditions as well as rash, allergies etc
- Does anyone else in your family have them?
- How do they affect your daily life?
- Is it related to work or home?
You may need to modify these slightly when you have skin lesions, swellings etc. This list is by no means exhaustive, and you may not need to find answers to all of them before getting help, but they will definitely help you ace the visit to your doctor.
If your doctor books you for surgery, do not leave his presence without finding out the following:
- Will you go home on the same day of the surgery?
- Will you need assistance to go home or can you drive unsupervised for instance
- What form of anaesthesia will you be given?
Then, if your visit is for a medical examination, do remember that also being aware of disease conditions in your family will help your doctor select the appropriate tests and make the whole experience and time useful.
See you in the consulting room soon.
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 – “The next big thing in Healthcare in Ghana is the Medics Clinic. Visit https://medicsgroupgh.com/ for more information.”
References:
By Dr. Kojo Cobba Essel
