In the US most patients who require PrEP (HIV Pre-Exposure Prophylaxis) get coverage for Truvada by their insurance companies. Patients with medicaid coverage have copays ranging from $3 - 25, however individuals with commercial insurance may have to pay up to $800 a month towards medication cost. This has proven to be a barrier for … Continue reading Generic Truvada; why it is still not available on the US market?
As the summer enters its full force and many plan their vacations to the beach and other sunny places, I remembered that not all of us are going to be enjoying the sun equally. There are a few who would avoid the sun like the plague, and this is not from fear of skin cancer. … Continue reading Black is beautiful, or is it?
A part of the New Testament, John 8:7 actually suggests .....“He that is without sin among you, let him cast the first stone at her.”... This was after an adulterer was accused and brought to Jesus. In 1 Cor 4:5. Luke 6:37, Matthew 7:1 and James 4:11, Romans 2:1, 14:10, 14:13 Christians are advised and … Continue reading The Bible and Sexuality in Ghana, how does one address the controversies?
Broad street in Philadelphia is this wide swathe of black, running through the middle of the city. A black big motoring vein with asphalt tributaries emptying cars, and people, milling restlessly with a tenacity that hardly ever changes. The City Hall punctuates it, splitting the broad street flow with its imposing gravity defying white columns … Continue reading Musings of a Ghanaian doctor from the home of the Liberty Bell.
Hepatitis C is a global disease with an estimated prevalence rate of about 2.8% worldwide. There are however significant variations in the prevalence rate by country with most low and middle income countries bearing the bulk of the disease burden. Countries with the highest Hepatitis C prevalence ≥5% include Egypt 4.4-15.0%, Gabon 4.9-11.2%, Uzbekistan 11.3%, … Continue reading Global elimination of Hepatitis C, is it achievable with current available technology ?
Most of us have heard of the use of chicken soup to cure common cold or flu symptoms, today I decided to do a literature search to determine if there is any evidence supporting this common recommendation. I can promise you that if chicken soup were produced by a drug company that companies stock will … Continue reading CHICKEN SOUP FOR COLDS AND FLU SYMPTOMS!! DOES IT REALLY WORK ?
Gun violence in the USA and road traffic accidents in Ghana share one thing in common both countries have decided to leave their respective problems in the hand of God. In the past 2 weeks I have been reminded of these two problems by events that brought these age-old problems into the public view. On … Continue reading UNSAFE ROADS IN GHANA AND GUNS IN USA, LET’S LEAVE THE SOLUTION IN GOD’S HANDS!!
Prostate cancer screening always raises a lot of controversy on account various reasons; most notable among these is the nature of the physical exam recommended for screening, digital rectal exam (DRE). On a discussion on digital rectal exam one Ghanaian friend of mine said categorically " there would be no gay probing of my nether … Continue reading PROSTATE CANCER SCREENING, AN ONGOING CONTROVERSY.
As an immigrant from Ghana I have the liberty of blaming all my weight gain on the American diet and a lifestyle with less physical activity. Whilst the kinds of foods we eat play a major role in weight gain physical activity may be a bigger culprit. Over the course of 16 years I have … Continue reading HEALTHY WEIGHT GAIN !! IS THIS AN OXYMORON IN TODAYS WORLD ?
As a physician from Ghana brought up in a very religious family, I must admit that when it comes to gay rights and other issues related to sexual minorities I was as far to the right as anyone could be. My first experience with openly gay individuals was when I came to the United States. … Continue reading How I evolved from a tolerant physician to one with a healthy appreciation of alternate lifestyles
My first HIV patient that I cared for was in Korle-bu Teaching Hospital, Accra, Ghana in the late 1990s. I can still remember the woman in her mid-thirties who we had admitted with symptoms suggestive of meningo-encephalitis; I do not really remember whether I was a house-officer or a final year medical student. I had … Continue reading HIV IN GHANA: PROGRESS AND STAGNATION
Four students have died. One after the other over a ten day period. And the diagnosis is only certain now, after they died. In a country with 5000 doctors, multiple teaching hospitals, a Ministry of Health, and a Health Service, this is not acceptable. Especially if the country has had 60 years to build a … Continue reading Prevention saves lives – Meningitis in a resource constrained setting -by Dr. Teddy Totimeh – A physician in Accra, Ghana