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?
In the past few years there have been many protests and struggles across this country surrounding the fate of several monuments depicting confederate leaders. One such protest which occurred in the Summer of 2017 was the Unite the Right Protest in Charlottesville, VA. Unfortunately this protest cost 3 lives including that of 32 year old … Continue reading General Robert E Lee, did he shape American history or has this country shaped his legacy?
I rarely have dreams! And on the rare occasions that I have dreamt, I barely remember the contents of my dream! I guess I am not prone to hypnopompic and hypnagogic hallucinations! If I were the Martin Luther King of the 1960’s, my speech would be titled ”I don't have a dream.” And it would … Continue reading Oh no!! another wet dream ?
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.
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!!
Over the years laws on cannabis use have changed. Most of these changes were not based on any strong levels of evidence but were based on social perception. In this article I seek to highlight some of the issues associated with these changes and address the potential benefits of more liberal legislation on cannabis.
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.
Race has been a defining characteristic in America over the years due to historical elements of American society. In the 1600s European settlers in the New World transitioned a system of slavery and indentured servitude into an economic system that enabled them to provide resources such as sugar and cotton to the Old world. This … Continue reading MARTIN LUTHER KING Jr. after 50 years his Dream still lives on
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
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)
Special Order No. 40; I heard of this policy on one of the podcasts that I listen to, and thought that was really smart thinking so I decided to look into its origins. After reading about this I gained a lot of respect and admiration for the late Darryl F Gates, Los Angeles Police Chief 1978 … Continue reading DARRYL F GATES OF BLESSED MEMORY – AN UNLIKELY HERO FOR IMMIGRATION
“Guns don’t kill, people do”, the gun lobby has been touting this mantra for years in the United States whilst our numbers on gun violence continues to rise. Studies however show a very strong correlation between gun ownership and gun violence. Currently in the US research on the impact of guns on homicides and suicides … Continue reading GUNS DON’T KILL, PEOPLE DO !
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