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Friday Sermon: Heart Transplant: A Testimony

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By Babatunde Jose

Organ transplantation is certainly one of the “miracles” of modern medicine and one of the most challenging scientific steps of the modern era. The ability to replace, functionally or anatomically, the failing heart has been a revolutionary medical feat and in December 2020 the world marked the 53rd anniversary of the world’s first human heart transplant: And on Sunday 28 March, 2021 our brother Ahmad Olayinka Jose had a successful heart transplant; becoming one of the less than 3500 would be recipients in the year.

Throughout most of history, the heart has been regarded as the seat of human emotion and, consequently, considered to be sacred. Now, human anatomy is much better understood and even though we know that the heart is not the center of emotions, it is however affected by them, alongside stress and many other factors. Nevertheless, the heart is an organ like any other and when some organs, including the heart, fail beyond medical treatment, there is an option to surgically replace them with healthy organs from donors. Hence, transplantation.

Many brilliant and ingenious doctors and surgeons have added their names to the annals of heart transplant history. Doctors such as Dwight Harken (an innovator in heart surgery who introduced the concept of the intensive care unit), Norman Shumway (a pioneer of heart surgery at Stanford University and the first to perform an adult human to human heart transplantation in the United States, 1968), and Christiaan Barnard (a South African cardiac surgeon who performed the world’s first human-to-human heart transplant operation) all dedicated their lives to understanding this incredible organ. Their contribution to the knowledge and practice of heart surgery has changed the outcome for many people with end-stage heart failure. American medical researcher Simon Flexner was one of the first people to mention the possibility of heart transplantation. In 1907, he wrote the paper “Tendencies in Pathology,” in which he said that it would be possible one day by surgery to replace diseased human organs.

The history of heart surgery spans more than a hundred years and has seen many challenges and triumphs, including the treatment of various congenital heart defects, the development of the heart-lung machine, animal, and artificial heart transplantation, and finally, human heart transplantation.

On December 3, 1967, 53-year-old Louis Washkansky received the first human heart transplant at Groote Schuur Hospital in Cape Town, South Africa. The Surgeon, Christiaan Barnard, who trained at the University of Cape Town and in the United States, performed the revolutionary medical operation based on the technique initially developed by a group of American researchers in the 1950s.

The development of immunosuppressant drugs, which help prevent the body’s rejection of transplanted organs, added impetus to the ultimate success of these surgical procedures. Today, the only factor that limits the number of people whose lives are saved by cardiac transplants is the availability of healthy heart donors.

After the first South African transplants in 1967 other transplants were performed around the world however, by June 1970, only 10 survivors could be counted among 160 transplant recipients. But that has changed considerably, though supply of organs remains the most persistent problem in the field of organ transplantation.

Heart transplants are done in people of all ages, even children. A routine heart transplant surgery can be performed in less than four hours, while some complex ones may take seven, eight, nine hours—or more, especially if there is need to remove a heart pump or clean up scar tissue from previous surgeries. Regardless, the basic procedure remains the same. The patient is given general anesthesia and connected to a bypass machine that takes over the heart’s function. Surgeons make an incision in the chest, divide the breastbone, and remove the diseased heart. They sew the donor heart into place and connect it to the remnants of the old heart and the major blood vessels.

But given today’s shortage of available organs, the sickest patients are prioritized for transplants, so, many patients waiting for a heart to become available are already in the hospital on various types of medicine or heart pumps.

United Network for Organ Sharing (UNOS), a private, non-profit organization under contract with the government to manage the organ transplant system in the U.S., allocates newly available hearts based on such priorities as medical urgency. Patients who are hospitalized or dependent on mechanical assist devices to help their heart function are at the top of the list.

About 3,500 people in the U.S. are waiting for a heart, and many will wait more than six months. But some will die before a heart becomes available to them.

Heart transplants would not be possible if it were not for the drugs that prevent people’s bodies from rejecting the transplanted organ. These drugs have vastly improved in the last 15 to 20 years. The drugs can however have adverse effects, including high blood pressure, as well as blood sugar and kidney problems: So, there is a trade-off. One notable advance is that doctors can now tailor an immunosuppression strategy for each patient.

One reason patient can now live longer after transplantation is close monitoring and follow-up, especially in the months after their surgery. This is most intense in the first six months after a transplant, when doctors see patients frequently.

Since the performance of the first human heart transplant in 1967, heart transplantation has changed from an experimental operation to an established treatment for advanced heart disease. Worldwide, about 3,500 heart transplants are performed annually. The vast majority of these are performed in the United States (2,000–2,300 annually).

Now the testimony: We give all thanks to Almighty God for putting a smile on our face today as we make a declaration of the successful heart transplant on our brother Ahmad Olayinka Jose. He was wheeled to the theatre on Sunday 28th March shortly after a matching heart was found. The operation started immediately after he had been fully prepared and placed under anesthesia and intubated. The operation which lasted four hours ended in the early hours of Monday 29th and he was transferred to the ICU. He was gradually extubated from Wednesday 31stand on Thursday April 1st he was fully extubated and started breathing on his own; Allah be praised! On Good Friday, April 2nd, he regained full speech and was able to make phone calls to his loved ones. He also started walking unaided. And behold last Tuesday, April 6, 2021, accompanied by a retinue of medical staff, Yinka went home; a new man albeit with a lot of dos and don’ts and immunosuppressant drugs which he would use for the rest of his life. May Allah make that life a long one. Yinka has lived with a problematic heart for 25 years and ten years ago, after he was given a pacemaker, the doctor warned that he might eventually need a transplant. This is Yinka’s story, a story for another day.

We thank the surgical team and support staff of Atrium Health Carolinas Medical Center, Charlotte, North Carolina, USA for a wonderful job. Most importantly, we thank Almighty God for His mercy. TO GOD BE THE GLORY!

“Our Lord! Give us good in this world and good in the Hereafter and defend us from the torment of the Fire!”(Quran 2:201)

As we start Ramadan 2021 next week, may Allah make it easy for us and accept our fast as acts of worship.

Barka Juma’at and happy weekend

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Open Letter to Global Leadership: Forging New Intergenerational Partnership for Sustainable Governance

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By Tolulope A. Adegoke, PhD

“Sustainable governance in the 21st century requires a new operating system: one where intergenerational partnership is not an aspiration, but an engineered and mandatory feature of all decision-making.” – Tolulope A. Adegoke, PhD

Esteemed Leaders, Heads of State, and Architects of Global Policy,

As we navigate the third decade of the 21st century, our world is suspended between unparalleled technological promise and profound systemic peril. This duality defines our epoch. Yet, within this tension lies a persistent, critical flaw in our global governance model: the exclusion of youth from the formal structures of power and long-term decision-making. This letter posits that this is not merely a representational gap, but the central governance failure of our time. To secure a stable, prosperous, and equitable future, we must enact nothing less than a New Intergenerational Partnership—a binding, structural, and practical commitment to integrate youth into the very heart of political and corporate leadership. The alternative is not stagnation, but a heightened risk of repeated crises and a forfeiture of our collective potential.

Deconstructing the Crisis of Legitimacy and Innovation

Our current systems are hemorrhaging legitimacy among the young. This disillusionment stems from a recognizable pattern: short-term political cycles incentivize policies that harvest immediate rewards while deferring complex costs—ecological, financial, and social—to a future electorate that had no say in their creation. This creates a dangerous democratic deficit.

·         The Foresight Deficit: Young people are not a monolithic bloc, but they are unified as the primary stakeholders in long-term outcomes. Their lived experience—from navigating precarious job markets shaped by automation to mobilizing for climate justice—grants them an intuitive, granular understanding of emerging realities. Excluding this perspective from high-level strategy results in policies that are reactive, myopic, and often obsolete upon implementation. For instance, regulatory frameworks for artificial intelligence or biotechnology crafted without the generation that will be most affected by their societal integration are inherently flawed.

·         The Innovation Imperative: The challenges we face are novel and interconnected. Solving them requires cognitive diversity and a willingness to dismantle legacy paradigms. Youth bring this disruptive ingenuity. They are natural systems thinkers, adept at collaborating across digital networks and cultural boundaries. Their inclusion is not about adding a “youth perspective” as a separate item on an agenda; it is about fundamentally improving the quality of decision-making through necessary cognitive diversity. It is the difference between digitizing an old process and reimagining the system entirely.

A Bilateral Blueprint: Cultivating Capacity and Engineering Access

Bridging the intergenerational divide requires a twin-pillar strategy: one pillar dedicated to rigorous preparation, the other to guaranteed access. One without the other is insufficient.

Pillar One: The Cultivation of “Next-Gen Stewards” Through Ecosystem Reform

We must re-engineer societal institutions to build not just skilled employees, but wise, ethical, and resilient stewards capable of wielding complex responsibility.

1.      Transformative Education Systems: Our educational institutions, from secondary to tertiary levels, must pivot from knowledge transmission to capacity cultivation. Core curricula should be restructured around:

o    Complex Problem-Solving: Using real-world case studies on climate migration, public health, or digital ethics.

o    Civic Architecture: Teaching the mechanics of governance, policy drafting, public finance, and diplomatic negotiation.

o    Ethical Leadership: Embedding philosophy, mediation, and integrity frameworks into all disciplines.

o    Planetary Literacy: Ensuring every graduate understands the core principles of ecological systems and sustainable economics.

2.      Global Mentorship & Fellowship Networks: We propose the creation of a Global Stewardship Fellowship, a publicly and privately funded initiative that places high-potential young adults into year-long, rotating apprenticeships across sectors—spending time in a ministerial office, a multinational corporation’s sustainability division, a UN agency, and a grassroots NGO. This builds empathy, systemic understanding, and a powerful professional network dedicated to the public good.

3.      The “Civic Sandbox”: National and local governments should allocate dedicated “innovation budgets” and regulatory sandboxes for youth-led pilot projects. Whether it’s testing a universal basic income model in a municipality, deploying blockchain for land registry transparency, or piloting a zero-waste circular economy program, these sandboxes provide the critical space for experimentation, managed failure, and scalable success.

Pillar Two: Structural Integration – From Tokenism to Tenured Influence

Preparation must be met with irrevocable access. We must engineer specific, mandated entry points into leadership.

1.      Legislated Quotas for “Next-Gen Leadership Roles”: We advocate for national legislation requiring that a minimum percentage (e.g., 25-30%) of all senior governmental advisory roles, board positions in state-owned enterprises, and diplomatic corps slots be filled by individuals under 35, selected through meritocratic and competitive processes. These cannot be silent roles; they must carry voting rights, budgetary oversight, and public reporting responsibilities.

2.      Mandatory Youth Policy Advisory Panels: Beyond junior minister roles, every major ministry or department should be required to establish a Mandatory Youth Policy Advisory Panel. This formally recognized body, composed of young experts and representatives, would receive all non-classified policy briefings and legislative drafts. Their mandate would be to produce and publish independent, alternative analyses, impact assessments, and recommendations, which would then be formally submitted for official parliamentary or congressional review alongside the government’s proposals. This ensures their expert critique and innovative ideas become a mandatory part of the legislative record and public debate.

3.      Intergenerational Co-Leadership Models: For specific, future-focused portfolios—such as Minister of Digital Transformation, Minister of Climate Resilience, or Minister of Future of Work—we propose a mandatory co-leadership model. One experienced administrator and one appointed youth leader would share the title and decision-making authority, forcing collaborative governance and instant knowledge transfer.

The Cross-Sectoral Dividend: Concrete Solutions Emerge

This structural inclusion is not an isolated political reform; it is the catalyst for unlocking solutions across every sector.

·         Economic Renaissance: Young entrepreneurs are at the forefront of the purpose-driven economy. Their direct influence in economic ministries can redirect investment toward regenerative agriculture, renewable energy micro-grids, and the care economy, creating jobs while solving social problems. They are best positioned to formalize the vast informal sector through inclusive fintech and platform cooperatives.

·         Accelerated Climate & Ecological Restoration: Young leaders treat the climate crisis with the urgency it demands. Their inclusion moves debates from cost distribution to opportunity creation, prioritizing investments in green infrastructure, biodiversity credits, and just transition policies that are both socially fair and ecologically sound.

·         Trust-Based Technological Governance: From data privacy to algorithmic accountability, young digital natives can design governance frameworks that protect citizens without stifling innovation. They can pioneer models for digital public infrastructure, data cooperatives, and civic tech that enhance transparency and rebuild public trust.

·         Social Cohesion and Narrative Renewal: Having often grown up in more diverse societies, young leaders can design immigration policies that are humane and economically smart, craft narratives that counter polarization, and rebuild community fabric through culture and sport, addressing the loneliness and alienation that fuel extremism.

The Imperative for a Global Commitment: From Isolated Action to Collective Norm

This cannot be a piecemeal, nation-by-nation endeavor. The scale of our interconnected challenges demands a synchronized, normative shift.

We therefore call for the immediate development and ratification of a Global Framework for Intergenerational Partnership (GFIP), to be adopted at the United Nations General Assembly. This Framework would:

1.      Establish Clear Metrics: Create a standardized index measuring youth inclusion in legislatures, cabinets, corporate boards, and diplomatic missions, with annual public reporting and peer review.

2.      Create a Financing Mechanism: Launch a dedicated global fund, capitalized by sovereign and private contributions, to finance the Global Stewardship Fellowship, Civic Sandboxes, and youth policy incubators worldwide.

3.      Institute Diplomatic Recognition: Incorporate a nation’s GFIP compliance and performance into international assessments, credit ratings, and partnership considerations, making intergenerational equity a core component of a nation’s global standing.

A Final Word to Two Generations:

To Emerging Leaders: Your mandate is to prepare with relentless rigor. Master the details, but never lose the vision. Cultivate the humility to learn from the past and the courage to redesign the future. Lead with evidence, empathy, and an unwavering commitment to integrity.

To Established Leaders: Your defining legacy lies in the leaders you raise, not just the monuments you build. True statesmanship in this century is measured by your ability to voluntarily share power, to mentor without condescension, and to institutionalize pathways that make your own position, one day, gracefully obsolete in a better system. This is the highest form of patriotism and planetary stewardship.

True leadership is measured not by the monuments it builds, but by the successors it empowers. The urgent task of our time is to forge an unbreakable partnership between experience and vision—to build the scaffolding for the next generation to stand higher than we ever could.

The status quo is a failing strategy. The New Intergenerational Partnership is the pragmatic pathway forward. The time for deliberation has passed; the era of implementation must begin.

Dr. Tolulope A. Adegoke, AMBP-UN is a Doctor of Philosophy (PhD) in History and International Studies, Fellow Certified Management Consultant & Specialist, Fellow Certified Human Resource Management Professional, a Recipient of the Nigerian Role Models Award (2024), and a Distinguished Ambassador For World Peace (AMBP-UN). He has also gained inclusion in the prestigious compendium, “Nigeria @65: Leaders of Distinction”

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In a RUDE World, Organisations Are Learning to Stay CALM

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In an age shaped by volatility, rapid shifts and relentless uncertainty, experts are urging organisations to rethink the very foundations of how they understand and respond to risk. The global business terrain is no longer defined by tidy cycles or predictable patterns.

It has morphed into what analysts now describe as a RUDE world: Random, Unpredictable, Dynamic and Entropic. These forces, once mere academic abstractions, now sit at the heart of every crisis briefing and boardroom conversation.

The consequences of ignoring this reality have been played out repeatedly on the global stage. Companies that cling to reactive strategies find themselves swamped by disruptions that arrive faster and hit harder than anything prior generations endured. Financial shocks, supply chain collapses, cybersecurity breaches and sudden reputational storms have shown that risks rarely stay contained. They jump boundaries, multiply and collide in ways that defy traditional planning.

A growing body of thought argues that the strategic antidote is a CALM response. CALM, which stands for Consistent, Anticipatory, Logical and Measured, offers a deliberate move away from firefighting and towards resilient, disciplined decision making. It urges organisations to stop chasing crises and start building systems that can hold steady even when the world does not.

A new book on the subject crystallises this shift by presenting a panoramic map of organisational exposure: fifty distinct risk categories, grouped into seven interconnected families. Far from being a checklist of threats, this framework functions as a living ecosystem. It invites leaders to stop examining risk as isolated problems and instead see the company as an integrated organism where one failure can cascade into many.

Beyond offering structure, the fifty categories serve as a diagnostic lens that widens an organisation’s field of vision. Each category highlights a particular pressure point, but their real power emerges when viewed together. Patterns surface that no siloed team could detect alone. A technical risk may quietly trigger a reputational issue, which then influences regulatory exposure, which eventually feeds into operational disruption. The framework forces executives to confront an uncomfortable truth: vulnerabilities rarely travel alone. By mapping risks this way, organisations gain an early warning system that sharpens judgment, strengthens preparedness and transforms vague uncertainty into targeted, informed action.

The RUDE characteristics explain why this broader lens is essential. Randomness describes shocks that arrive without pattern, making historical trends all but useless. Unpredictability captures the sudden appearance of new forces, from emerging technologies to cultural shifts, that can upend an industry overnight. The dynamic nature of global systems ensures that a decision made in a single office can send tremors through an entire enterprise. Entropy, the most insidious of the four, reflects internal decay: wasted energy, fading accountability and the slow erosion of organisational purpose.

Each threat finds its counterbalance in the CALM disciplines. Consistency stabilises organisations against random shocks. Anticipation replaces uncertainty with informed foresight. Logic cuts through dynamic complexity with clarity. A measured approach resists the quiet drift into disorder.

The danger of ignoring this interconnectedness is illustrated most clearly in the anatomy of a cybersecurity breach. What begins as a technical problem quickly spirals into a legal battle, a reputational crisis, a financial strain and, ultimately, an internal cultural wound that erodes trust. Treating such a crisis as an IT issue alone blinds organisations to the wider fallout. This fragmentation is the hidden vulnerability of modern business, and it is precisely what the RUDE framework seeks to eliminate.

The authors argue that RUDE creates a shared language for institutions that have long struggled to speak across departmental divides. It exposes the threads that link one risk to another. Most importantly, it embeds foresight into everyday operations, allowing leaders to predict how a small disturbance could morph into a systemic threat.

The message resounding through the research is unequivocal. Risk management can no longer be confined to compliance manuals or crisis playbooks. In a RUDE world, risk is not only a hazard; it is a resource, a source of competitive intelligence and strategic advantage. A mature, integrated risk program becomes less like a brake and more like a steering wheel, guiding organisations with confidence through turbulence that once seemed uncontrollable.

For leaders determined not just to survive disruption but to navigate it with mastery, the shift from RUDE to CALM is emerging as a strategic necessity. The stormy future remains, but with the right framework, it becomes something that can be read, understood and navigated. The waves keep rising, yet the organisation learns how to sail.

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Voice of Emancipation: Can Our Kings Be Trusted?

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By Kayode Emola

For the umpteenth time, it is worth asking ourselves if our traditional rulers can be trusted to serve the interests of the Yoruba people. We recall how Afonja betrayed the Alaafin and sold Oyo-Ile to the Fulani prince Alimi. One would have thought our Yoruba people would have learnt a lot of lessons from that incident, but it feels like we’ve learnt nothing.

Recently, we have seen reports of villagers fleeing their communities in Babanle and other towns of Kwara State circulating on social media. One would have expected the whole world to be outraged, like in the case of the Charlie Hebdo shooting in France in 2015. Where the whole world rallied round the victims of that shooting, but alas, no one seems to be bothered enough to act. By now, we should have witnessed government forces moving into the communities in Kwara State to restore law and order. Giving the villagers succour in the comfort of their own homes.

However, everyone in Nigeria is silent as is it doesn’t affect them directly, emboldening the terrorists to continue their assaults on Yorubaland unchallenged. For other Yoruba people who do not live in the area, they couldn’t be bothered to cry out because danger seems far away in Kwara state and not in the suburban Yorubaland like Oyo, Osun, Ekiti and other places like that.

Truth be told, if we can’t even cry out and be outraged about the numerous deaths that go unaccounted for, who do we expect to cry out on our behalf? The world will stay silent to our plight since we see the decimation of Yorubaland as the norm rather than something to act about.

The worst of it is the recent revelation that two monarchs in Kwara State are directly involved in the kidnapping and killings going on in the communities. The King of Alabe and Babanla is currently in police custody for their roles in terrorist activities going on in their domain. How can we be sure that several other monarchs are not causing similar havoc in their domains?

If two traditional leaders in Kwara are complicit in the atrocities going around them, how many more of our kings and chiefs are involved in criminal activities elsewhere? We have been crying that the Miyeti Allah cattle herders are killing innocent farmers on their own land and destroying their crops.

Instead of the Yoruba traditional leaders banding together, and looking for a lasting solution for their people, they sat on their hands doing nothing. As though if all the people are killed, they will have no subject to rule over.

Obviously, many of our kings and traditional rulers are in bed with these cattle herders, which is why this problem continues to fester. Many of our kings and their kinsmen are themselves the ones inviting the Fulani cattle herders to raise livestock for them, knowing that it is a profitable business.

Every single day, over eight thousand cows are being slaughtered in Lagos State, let alone other Yoruba states, making the trade one of the most profitable businesses outside of crude oil in Nigeria. Had the cattle herders conducted their business like any other businessperson in Nigeria, there wouldn’t have been any reason for clashes and the killings that go with it.

However, the fact that many Yoruba traditional leaders are the ones collecting bribes from these herders to roam the forest and bushes makes the matter a complicated one. How can a king who is entrusted with the safety of lives and properties in his domain be the same one who is endangering them?

Since we now know that many of our kings are themselves the ones putting the lives and properties of our people in peril. I believe it is time to put the spotlight on the custodian of our traditions and culture in check. We need to know those among them who are putting the lives and properties of their communities in danger and call them out.

As such, maybe we can bring some normalcy into our communities and protect the lives and properties of innocent people. If only we could do a statewide evangelism to see which of the kings and traditional rulers are involved with the cattle herders and the terrorists invading Yorubaland. Then we may be able to rid ourselves of the menace that is currently ripping the social fabric of Yorubaland into pieces bit by bit.

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