In a prior post earlier in the year I wrote on this topic. A closer look at the current global situation suggests that whilst the cost of Hepatitis C (HCV) treatment may appear to be a major barrier there are many nations in the world that have managed to overcome that. In this piece I … Continue reading HEPATITIS C ELIMINATION; WHAT ARE THE BARRIERS?
Over the past two decades the United States has experienced an uncontrollable epidemic of drug related deaths. In 2016 sixty-three thousand Americans died of drug overdoses, two out of three of these deaths were due to opioids. In times like this whilst law enforcement and public health services grapple for solutions most may ask the … Continue reading A Nation in Pain
A recent World Health Organization ranking of the world's health systems puts the United States at number 37 between Costa Rica at 36 and Slovenia, first lady Melania Trump's birth country at number 38. This situation is all the more surprising since the United States spends more than twice as much per capita for health … Continue reading Why the US ranks so low in WHO (World Health Organization) Health System Rankings?
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?
It has become abundantly clear to me that black people in America belong to a different subspecies of Homo sapiens! I have grouped them into a subspecies Homo sapiens blackus, and in my case Sub Subspecies Homo sapiens blackus shitus! How else can anyone explain the spate of calls that are made to cops about … Continue reading Homo sapiens blackus a new human species. How must we handle this new species?
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 … Continue reading The war on drugs; who won that war?
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 … Continue reading HEALTH EQUITY, IS IT REALLY ACHIEVABLE?
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
President Trump declared a National Public Health Emergency this week; in his statement from the Whitehouse he was not talking about HIV or Hepatitis C nor was he referring to the increased incidence of gun violence in the country. The President’s statements focused on a very different Public Health problem, he was talking about America’s high incidence … Continue reading THE OPIOID CRISIS IN AMERICA TODAY – WHAT MUST WE DO AS A NATION ?
Current reports from the International Narcotics Control Board (INCB) suggest that the United States is second on the list of countries with the highest per capita consumption of opioids. Data from 2014 quotes U.S. use of opiates at 700 mg per capita per year. The only country that has a higher per capita use is … Continue reading AMERICA’S LOVE AFFAIR WITH PRESCRIPTION PAIN PILLS
Illinois Senator Dick Durbin introduced the Dream Act in Congress in 2001 due to a story told him by a music teacher about the life of Tereza Lee a Korean girl whose parents had come to the US from Korea through Brazil. This bill unfortunately fell victim to what happens to all of us; life. … Continue reading WORDS CAN KILL, AND DO KILL – THE TRIALS AND TRIBULATIONS OF THE DREAM ACT (DEFERRED ACTION FOR CHILDHOOD ARRIVALS)
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
With the anticipated changes in immigration enforcements in the US. Some healthcare workers are concerned this may affect health outcomes for immigrants. This could further widen disparities in health by race and ethnicity