By Dr Paul Bundi Human beings are endowed with remarkable resilience, which can only be broken when they choose to give up. Says Viktor Frankl in his seminal book, Man's Search for Meaning; ''it is a peculiarity of man that he can only live by looking to the future-sub specie aeternitatis. And this is his salvation in thd most difficult moments of his existence, although he sometimes has to force his mind to the task.'' Man's life is primarily driven by the desire for future, the unshakable belief that the future holds promise. We invariably cease to live when we think we have hit a dead end, or that there's nothing more to be had by living. Theoretically, there is no limit to man's achievement, and that is what drives men to wake up and strive day after day. The opposite is spiritual, psychological death, which manifests way ahead of physical death. Lesson? Losing today doesn't mean losing always. You can lose 10 times and win the 11th time. Or, you
From Dr Bundi Karau
Random observations
Was the male species created to suffer, or does the male species bring suffering upon itself?
I watched an animal documentary about lions; how they live in their nations and how they interact with one another. The behavior of males strikes as fatalistic and nihilistic. Male lions spend the day lazying around, mating and fighting. In fact, fighting takes most of their time. They fight for female friends, for territory and for dominance. Most of the fights end up in severe injuries and death.
On the other hand, female lions take care of the pride, do most of the hunting, defend their young and generally groom each other.
Once male lions grow old, they are violently dethroned, ostracized and sometimes killed. Those who manage to escape wallow in hunger, pain and defeat, until hyenas, hunger or old age. If you see one, it's glory days look a distant blur, and it resembles a rained on cat that was once a lion.
Elderly female lions spend their sunset days surrounded by the love of their grand-cubs, and nobody begrudges them anything. They are well protected, and will not be touched by any predator. Their end days are glorious, and they die surrounded by love.
Back home, if you want to see how well this analogy fits in our society, go no further than a medical ward in a public hospital.
I have written about these observations before, but what to do with our male patients occupied our minds whenever we sit to do a mortality and morbidity audit.
1. Our men come to hospital when sickness has ravaged them to a point of no return. Little wonder we have several men who are dependent on oxygen after suffering TB, because they came to hospital only after their lungs failed. You will rarely find a lady needing home oxygen after suffering from TB. They know how to seek care promptly, and follow doctor's instructions to the letter.
2. Our male ward is full of men who have been abandoned by family. They look like a burden that has been offloaded to the hospital. You request a special test, and for the men, there's no family member to follow it up. You end up in circles until either healing or death comes. In the female wards, you order a test that is not in the hospital, and within a day or two, relatives show up and provide the money for the test.
One man, after discharge was demanding to be taken back to his base. He has not paid hospital fees, and can't raise fare back home. By the time you discharge a lady, swarms of relatives come, dress them and even receive them with flowers as they leave the hospital.
3. Most men don't know or even care about their diagnosis. I found a man speaking in fast English in the ward who has been transfused 13 times since 2016. I asked him what the cause of anemia was. He proudly said he didn't know, and he didn't care since the doctor knows. I admonished him that his health is his. I dug into the history. From 2017, doctors have queried vitamin B12 deficiency. The man has been scheduled for Bone Marrow Aspiration to diagnose, but he won't show up until his blood levels dip, then he is admitted for emergency transfusion.
4. When it comes to family, a man needs it more than a woman. Whereas men pretend to build states and big things, the really critical issues in life: health, nutrition, love, nurture are done by women.
You ask most men in the ward if they are married. Most of them divorced or abandoned their wives and married the bottle. And they look the part. Those with functional families won't even land in that ward; they are taken elsewhere. Most women thrive within fsmilies and societies, but I find men living alone in the streets, slums and ghettos, and don't care about themselves.
5. If I look further afield, most problems throughout history are about maleness. Testosterone. The inability to agree and to be led. Fierce territorial fights. Look at Afghanistan, Congo, south Sudan. When men can't agree, they fight and take down everything with them. You will rarely find a conflict in today's world, or even yesterday's, led by a woman.
God created man for dominance. He gave his hormones to ensure he is forceful and domineering.
But the same blessing, when not well utilized, takes down most a man.
Good morning.
Just, but, random observations from a physician who also loves anatomy.
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