For many women, the telling sign for breast cancer would be a lump in the breast, but for Matshidiso Tlhaselo, 43, she knew something was wrong when her infant refused her breast milk 15 years ago. It would be 12 years before she was finally diagnosed with stage 3 breast cancer, but the mother of two says she always felt something was wrong with her right breast.
She underwent various tests thereafter, she visited Princess Marina Hospital but the tests showed nothing was wrong with her, but she had discharge from the breast. She went on with her life with the condition.
The drastic decision not to breastfeed her second born could be what saved her life. She recalls that when she had her second child in March 2013 she already knew she didn’t want to breastfeed, primarily because of her first child refusing to suckle. She immediately informed her doctors at Bamalete Lutheran Hospital that she didn’t want to breast feed and she was immediately given tablets she was told would stop her breast milk production.
Five months later though, the milk had not stopped and her right breast had developed a lump-its colour had also changed. Initially she thought it was resultant of her milk ducts clogging from her not breastfeeding. But she woke up to severe pain from the same breast one morning and was rushed to BLH where she was admitted and further tests were conducted. The mammogram showed nothing, as did other tests conducted at the time. She was informed of the results but was told more lab tests will be done at Ootse College, where an X-Ray was done and the results still showed nothing. She was prescribed pain killers and was sent back home.
In September of the same year, just towards the Independence holidays, the lump in her breast was growing bigger such her brother in law advised her to go further and seek medical attention at Bokamoso Private Hospital. In her first consultation, the doctor she saw, after inspecting the growth in her breast referred her to a specialist, but she had to wait until after the holidays before she could see him.
Immediately after the holidays, the specialist at Bokamoso ordered for a biopsy to be done. She asked that it be done immediately, during her first visit. The doctor immediately used a syringe to remove tissue sample from the breast. She had to come back after 7 days for the results.
“I was at work when I received a call from Dr. Alemu’s secretary after those seven days. She told me to hurry to his office. Immediately when I got to his office, I was told that the results showed that the lump was cancerous. My body left me at that moment, it was as if the world turned upside down instantly,” Tlhaselo revealed.
Yet another referral as Dr. Alemu referred her to oncology. Thus her harrowing journey with cancer treatment began. She precisely recalls the date she started chemotherapy, on October 18. She had to do eight circles of chemotherapy, the first four before the lump removal and the last after the surgery.
But for Tlhaselo, her mind was made up-she wanted a total mastectomy.
“I told the doctors that I had done my research, and honestly I felt that I had gone through so much because of the breast and I wanted it removed. I really did not want to chance the cancer recurring.”
In January of 2015, she underwent the surgery to remove her whole right breast. After recovering from the surgery, she went back for her last four rounds of chemo.
“Chemo was very hard. I was counselled about all the side effects, and I had my fair share of them. I lost my hair and went totally bald. I only started regrowing my hair last year around June or July. My white blood cell would drop-one time I had to be admitted because the doctor told me that it was only by God’s grace that I was able to even reach the hospital alive,” Tlhaselo related to Weeked Life.
She likens her days during chemo to pregnancy, but the symptoms are perhaps tenfold worse, for the most part the nausea and vomiting, the general failure to hold anything down and even loss of appetite for up to four days.
“I can never forget how painful chemo was, particularly because of “red devil”, I never want to think back on it because it seemed the worst of all, and made me feel sicker.”
The red devil is an agent of chemotherapy agent used to treat many kinds of cancer, including breast, lung, ovarian, and bladder cancer. It's also often called Doxorubicin, which is the generic name. Adriamycin is its brand name.
Adriamycin/Doxorubicin is often used as part of combination chemotherapy regimens, when treating breast cancer it's often part of a three-part regimen known as ACT, which stands for Adriamycin, Cytoxan, Taxol.
Red devil’s profile of side effects include: low white blood cell count, low red blood cell count, low platelets, hair loss and mouth sores.
Recently, Adriamycin has come under fire because studies show it can have a toxic effect on the heart muscle, leading to heart failure.
After she finished her chemotherapy, she had to endure 6 weeks of radiation, undergoing sessions daily.
Now, almost a year later, she uses a bra insert, albeit in smaller size.
“I had to stuff some things in there for a while before someone hinted to me about breast forms that were available at Marina. They are free for most patients but for some who mostly were treated at private institutions get them at a fee.”
The cancer has not returned, and although she doesn’t believe her life has changed in anyway after the cancer was discovered, she is still on tamoxifen and zoladex
Tamoxifen has been used for over 40 years to treat breast cancers that are hormone-receptor positive. Because breast cancers need the hormone oestrogen (and/or progesterone) to grow, Tamoxifen attaches to the hormone receptor in the cancer cell, blocking oestrogen from attaching to the receptor. This slows or stops the growth of the tumour by preventing the cancer cells from getting the hormones they need to grow.
Zoladex is a luteinizing hormone-releasing hormone (LHRH) agonist. Zoladex works by stopping the ovaries from making oestrogen.
According to the national cancer registry, breast cancer is the third commonest killer cancer after Kaposi sarcoma and cervical cancer in Botswana.
Meanwhile, the Cancer Association of Botswana will hold the 10th Annual Stilletto walk on 28 October to raise breast cancer awareness as well as to raise funds for the cause.
According to Sharon Munyoro, CAB Director said that preparations are well underway for the next stiletto walk which will take place in Railpark.
She said in an interview on Wednesday that during the event, there will also be breast checks, along with the walk. “Instead of P200 we are doing P100 per person, we are working more with accessibility more than anything this year.”
Last year, CAB launched the “Know Your Breast” campaign in Phikwe. This year it will be commemorated and Munyoro said this year Gaborone will also be brought on board.
In terms of the battle against cancer, Munyoro said that Botswana has come a long way. She said that government efforts are showing, especially with the National Cervical Cancer Strategic Prevention Programme being rolled out countrywide. She however feels that the country should have in place cancer guidelines and policies that could help curb cancer.
The greatest challenge with the fight against breast cancer, she said, was mainly getting men on board, as they mostly believe they don’t have breasts and therefore should not do the breast checks or mammograms as women.
“Men are generally hard to deal with whenever any health topic is brought up, they need to change and be more active to seek health facilities.”
The whole of October is reserved for cancer awareness worldwide.
‘The world of marketing is getting confusing,’ this is the sentiment from many marketers who find themselves in the middle of rising digitization and online migration driven by increased connectivity and a pandemic that dictated reduced physical interactions.
According to the Harvard Business Review, customers’ increased discernment, demand for great service experience and the ability to raise ‘a storm’ of complaints online about brands, is reshaping the role of marketing.
In today’s world of brand management, the constant consideration should be agility. This means actually listening to customer sentiment, being flexible with your creative design, messaging, placements and budgets.
Here are a few more pointers to discuss in your 2022 marketing strategy sessions.
Budgeting needs to change: Event based budgeting, allocations based on calendar activities rather strategic impact initiatives, is a thing of the past. If the pandemic taught us anything is that uncertainty for people gatherings is something we need to live with. Furthermore, a lot of this type of marketing is barely linked to specific value beyond brand awareness. It’s time to disrupt yourselves by really evaluating value. In a digitizing world, a marketing budget should be reflective of the overall business direction.
Outdoor is not dead, it just needs creativity: As the world was locked downed due to covid-19, one key consequence was that we were forced to spend more time in doors. As such, many of the billboards had no eyes on them. However, as things
open up, it’s time for brands to challenge billboard companies to create experiential advertising. Like ‘the floating cat’ in Tokyo, a 3-D anamorphic outdoor ad, billboards can be engaging and exciting for those who cross paths with them. Outdoor advertising needs to be reimagined to drive brand ‘stickiness’ in a bold manner.
Thought leadership needs to be genuine: The pressure for relevancy has driven many executives into taking up video and word based content to be seen as authorities and subject matter experts. Begs the question, is it genuine? Does the person you are putting in front of the camera genuinely care to be a source of knowledge and consistently share insights. Thought leaders have an intrinsic drive to share information. It is not just based on one’s position in an organisation. So for 2022, look deeply within for talent that have authentic perspectives they can contribute to public discourse for the benefit of your brand.
Influencers, do you really need them?: This is a question many brand managers have to scratch their heads over every time they go-to-market. In an effort to be seen as a cool and relevant, many brands, large and small have jumped on the influencer bandwagon to drive awareness. The world over influencers have presented brands with a new platform for awareness by using their personalities to market to their followers. Think Kim Kardashian, Mihlali Ndamase, Mjamica, they all have legion of followers who engage with their content on their social media pages. As a brand manager, your job is to be discerning and ensure brand fit. In doing research, look beyond the numbers: audit their historic content type, look into the engagements, do their followers actually engage based on the content subject? Is their tone of engagement relevant to your brand? That is what will answer the question… does your brand need them.
It’s time to take the ROI conversation seriously: This is more of a self-preservation tip. Measuring marketing activity and impact has for many brands been a half-baked approach. For greater impact in 2022, marketing teams need to introspect and fully embrace the technologies. Digital and social media platforms have presented us an opportunity to actually measure our efforts. So insights, listening and automation tools need to be added to your technology stack for you to better reports on your impact. Get closer to sales and service teams, as your efforts often have a direct bearing on their output.
Lastly, remember that visibility needs to lead to action for your marketing to become a value centre.
Modiri Mogende is a Managing Director at Launch Comms, with over 10 years’ experience in media, PR and marketing, he holds a BA and a PgD in Digital Marketing.
More than 40 countries have committed to shift away from coal in pledges made at the COP26 climate summit. Botswana on the other hand has different plans.
Some 850 Kilometres South West of the capital city Gaborone, lies a winding sandy landscape with wind worn- formations on the horizon accompanied by the harsh sun. The Kalahari Desert is conspicuous in the area. Here one finds BORAVAST a cluster of villages; Bokspits, Rappelspan, Vaalhoek and Struizendum.
Although the desert is expected to be barren and brown, green blobs occupy the landscape. These are Mesquite a Prosopis species locally referred to as Sexanana. An invasive tree species that has successfully colonised the area all thanks to its properties that enable it to release a toxin to suppress growth of nearby competing plants.
This has resulted in the replacement of most of the indigenous vegetation in the area, forming dense thorn bushes. Circumstantial evidence suggests that it may also be lowering important fresh-water aquifers and clogging boreholes with its extensive root system. This has seriously led to degraded rangelands and reduced biodiversity.
BORAVAST has found a loophole by clearing the species. The clearance is to generate income for the community whilst also ensuring rehabilitation of the landscape to increase continued flow of ecosystem goods and services, simultaneously promoting of livelihoods.
The BORAVAST community is on a mission to create a backbone for the national economy through the community project as they believe that they have the potential to scale up and produce opportunities for local businesses to participate in the value chain of the national economy.
According to BORAVAST Trust Vice Chairman Gideon Martin: “The project has been dormant since 2015, however during the 2019/20 financial year, the Trust resuscitated the projects operations under the sponsorship of the UNDP (Kgalagadi and Ghanzi Drylands Ecosystem Project).
Local Enterprise Authority (LEA) has also jumped into the band wagon by presenting machinery, office equipment and branding assets worth more than 1 million pula to the BORAVAST Trust. The Department of Forestry has also chipped in with P464 000.To date there are only two operational value chain business being charcoal and fodder production in BORAVAST. Our charcoal product has been tested and competes with coal from Morupule, our fodder is also of high nutritional quality.”
A member of the trust describes the charcoal making process: “Charcoal is made by heating wood from Sexanana to high temperatures in the absence of oxygen. This is done with ancient technology of building a fire in a pit, then bury it in the ground. The result is that the wood partially combusts, removing water and impurities and leaving behind mostly pure carbon.
The tricky part is to maintain the heat at a temperature that is appropriate to avoid the wood turning into ash. It is a tedious and risky process as we also have to be on the look out to contain the fire to avoid wild fires. We sit by the pots hours on end to ensure all goes well on the other hand, Charcoal burning produces large amounts of Carbon Monoxide (CO) which is harmful to us when exposed to very high levels.”
In his blog Kobus Venter an activist states that, “these are signs that governments are trying to regulate the industry by introducing more efficient charcoal-making kilns and establishing plantations to ensure sustainability of the timber source. In Namibia, millions of hectares of encroachment bush is being converted to charcoal and sold to neighbouring South Africa as barbecue charcoal.
South Africa itself (according to the most recent South Africa Yearbook) is plagued with alien plant infestations, totalling more than 10 million hectares, about eight percent (8%) of the country’s land surface area. The rate of spread is alarming and their numbers are projected to double over the next 15 years. More recently Vuthisa Technologies started to convert slashed invasives into charcoal and biochar using Emission Reducing Biochar kilns in a project known as the Vuthisa Biochar Initiative.”
However, charcoal is the primary energy source for urban Africa, but its production is widely informal and unregulated. Consequently, charcoal is entwined with violence against nature through rampant deforestation and violence against vulnerable rural communities, fuelling violent political economies of conflict and extraction.
As they are violently dispossessed of forests and land, communities living in production areas face destruction of their cultural heritage, embodied in nature, and the conditions for economic and political dignity. This undermines possibilities for sustainable peace.
Natural Resource Management in the Kgalagadi landscape is characterized by competition and conflict between conservation goals, economic development and the preservation of livelihoods.
Economic development inevitably leads to trade-offs between land uses, and requires choices to be made between the conversion of forests into anthropogenic land uses such as agriculture, on the one hand, and maintaining natural forests with their inherent ecosystem services.
Botswana to realize its national priorities in environmental management focusing on managing the trade-off between income generation and environmental sustainability. The trade-offs between development and environmental sustainability are becoming more evident in the form of threats to fauna and flora, air pollution and water pollution. Ensuring that sustainable resource extraction levels are within the capacity of the environment to assimilate and regenerate is a key concern.
Global Energy Monitor (GEM) that develops and shares information on energy projects in support of the worldwide movement for clean energy. Has revealed in their 2021 report titled “Deep Trouble; Tracking Global Coal Mine Proposals” that Botswana has 6 Coal Mine Development Projects.
It continues; “The Special Report on 1.5°C by the UN’s Intergovernmental Panel on Climate Change estimates that CO2 emissions from coal use needs to fall 50 to 80% by 2030 to keep warming well below 2°C. If proposed new mines open as intended, the CO2 emissions from combustion will be equivalent to 4,639 Mt a year, a 14% increase over global CO2 emissions in 2020 (34,100 Mt), barring declines elsewhere.
In addition, the mines will leak an estimated 13.5 Mt of methane each year from broken coal seams and surrounding rock strata, based on coal mine depth and the gas content of the coal seam. Combined, the annual greenhouse gas emissions from proposed coal mines will be between 5,000 and 5,800 Mt of CO2-equivalent (CO2e) each year (for CO2e100 and CO2e20, respectively), comparable to the annual CO2 emissions of the United States (5,100 Mt). The build out of new mines, therefore, raises serious concerns about meeting the Paris climate agreement.”
Science continues to confirm the urgency of climate crisis. The main issue now is that the ‘super powers’ are now realising their contribution to climate change and are devising means to halt the repercussions. Now enters the matter of climate justice; those who are least responsible for climate change suffer the ,most, Botswana has not fully utilised her coal reserves and coal production from wood yet the world is about to phase them out. What about the BORAVAST Trust trying to make a living? The question of the day would be whether an energy transition will be possible in the near future considering that Botswana uses her physical wealth ( coal ) to grow her economy?
This book is a true-life story of an African King based in South Africa. The Last Frontier is a resistance stand by Bakgatla Ba Kgafela tribe and its line of Kings from 1885 against a dark force called ‘western democracy’ that is insidiously destroying lives, peoples, nations and threatens to wipe away whole civilizations in Africa.
The story flows through four important episodes of history, beginning in about 1885 when Bechuanaland Protectorate was formed. This section briefly reveals interactions between Kgosi Linchwe 1 and the British Colonial Government, leading to the establishment of Bakgatla Reserve by Proclamations of 1899 – 1904.
The second episode deals with Kgosi Molefi’s interaction with the British Colonial Government in the period of 1929-36. The third episode records Kgosi Linchwe II’s interactions with the British Colonial Government and black elites of Bechuanaland. It covers the period of 1964-66, leading to Botswana’s independence. Kgosi Linchwe ii resisted the unlawful expropriation of his country (Bakgatla Reserve) by Sir Seretse Kgama’s government of 1966 to no avail. He wrote letters of objection (December 1965) to Her Majesty the Queen of England, which are reproduced in this book.
The fourth episode covers the period between Kgafela Kgafela II’s crowning as King of Bakgatla in 2008 to 2021. It is a drama of the author’s resistance to the present-day Botswana Government, a continuation of Bakgatla Kings’ objection against losing Bakgatla country to the Kgama dynasty assisted by the British Government since 1885. The story is told with reference to authentic letters, documents, and Court records generated during the period of 1885-2019. There is plenty of education in history, law, and politics contained in The Last Frontier for everyone to learn something and enjoy.