The war on drugs; who won that war?

I first saw her in my clinic seeking care for HIV but when we first met like most patients with her medical condition she was not an ideal patient. The decision to start her on ART Antiretroviral therapy in those days when the only single tablet regimen was Atripla (Tenofovir/Emtrictabine/Efavirenz) was not an easy one …

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HEALTHY ALCOHOL USE; WHERE SHOULD WE DRAW THE LINE ?

Personally I cannot say when I had my first drink because I believe I was just too young to remember. I believe I must have been three or four years old then because it was definitely before I went to any sort of school.   My grandmother who was very influential in my early life believed …

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CHICKEN SOUP FOR COLDS AND FLU SYMPTOMS!! DOES IT REALLY WORK ?

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 …

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HEALTH EQUITY, IS IT REALLY ACHIEVABLE?

As a student in medical school I have a host of memories that I believe would still remain vivid in my mind for ages. One such image is my experience as a 4th year medical student observing an amputation. The consultant orthopedic surgeon gave us a brief history of the patient. The patient was a …

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PROSTATE CANCER SCREENING, AN ONGOING CONTROVERSY.

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 …

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HEALTHY WEIGHT GAIN !! IS THIS AN OXYMORON IN TODAYS WORLD ?

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 …

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How I evolved from a tolerant physician to one with a healthy appreciation of alternate lifestyles

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. …

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HOW LONG MUST A MAN LAST DURING SEX ?

Today I would be talking about a problem that affects a large proportion of men. This is a condition most men have experienced before and concerns women very much since it affects them very directly. I still remember a patient telling me about his experience with premature ejaculation, he was really concerned because he really …

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HIV IN GHANA: PROGRESS AND STAGNATION

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 …

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