Welcome to the second edition of SAMHS News magazine for the year 2024. This official publication has a wide readership not only in the SAMHS but the military community at large that is steadily growing. The show and tell for our readers is the name of the game and consistency and continuity is the order of the day. This is the politically, eventful year in our country that might put our democracy to the real test in the past 30 years. It will indeed have great impact in our society and the country at large since the dawn of our democracy. And this hopefully will not distract us from our primary focus as the SAMHS News readers.
Our communication strategy remains constant and steadfast with continuity and consistency despite the anxiety and uncertainties in political transition and national administration. We believe in growth and development as we celebrate 30 years of freedom and democracy. Notwithstanding the previous years of economic and social injustice, pandemic setbacks, optimism should prevail. Winds of change continue to blow through our organisation, with the military parades signalling the change of command at 1 Military Hospital in Thaba Tshwane, this took place on 10 May this year. The Health Awareness Campaigns in 2024 by 1 Military Hospital did not go unnoticed. We will get close and personal in this issue as we introduce and profile the newly appointed Warrant Officer of the SAMHS, Senior Chief Warrant Officer (SCWO) Lindy Filicity Myburgh.
We are paying tribute through the lead story to our fallen hero, Sergeant Mbulelo David Ngubane who tragically lost his life in the line of duty while serving this nation beyond its borders. We will learn about the graduation ceremony of Emergency Military
Medical Care (EMMC) students at School for Medical Health Training, Nursing celebration by Area Military Health Unit Gauteng (AMHU GT) in May as well as the official visit to the Republic of South Africa by the People’s Republic of China in June this month. There are much more interesting stories for our SAMHS News readers in this publication.
Surgeon General has embarked on an annual official oversight visit to SAMHS institutions, Formations and Units in various provinces, as a spell of duty to meet and greet SAMHS members. We will learn more in the next issue of our magazine.
Now that the general election has come and gone and the new administration has set in. We should not be pessimistic anymore but look forward to strengthen our future communication plans and activities beyond the horizons. Winston Churchill once said, “The pessimist sees difficulty in every opportunity. The optimist sees opportunity in every difficulty.”
For more than two decades serving the nation as a soldier and a citizen, I can advocate the changes I have experienced events unfolding whether they were fast or
slow, sufficient or inadequate, welcome or undesirable but the fact remains that there had been remarkable transformation and reform in our organisation and the nation at large. And I can proudly express myself referring to the Bill of Rights enshrined in our Constitution of the Republic of South Africa adopted in 1996. Chapter 2 of the Constitution states clearly in the subsection (1) of the clauses of the Freedom of Expression which I abide by that includes amongst others, freedom of the press and other media; freedom to receive or impart information or ideas. The right in subsection (1) does not extend to propaganda for war.
April 1996 became the turning point of my career and added a new milestone in my military history and experience of more than two decades and that was the year I officially donned the Defence Force uniform as a regular force member and the promulgation and adoption of the current Constitution for all citizens of this country. One may label it as just coincidence but I regard and value that period as the special one dating back to the beginning of my military career and as the defender of the Constitution for the citizens of this country to observe and obey it.
For this reason I feel so indebted and obligated that I should quote the Preamble of the Constitution that was adopted on 08 May 1996 and amended on 11 October 1996 by the Constitutional Assembly.
We, the people of South Africa, Recognise the injustices of our past; Honour those who suffered for justice and freedom in our land; Respect those who have worked to build and develop our country; and Believe that South Africa belongs to all who live in it, united in our diversity.
We therefore, through our freely elected representatives, adopt this Constitution as the supreme law of the Republic so as to-
On behalf of the SAMHS News team and SAMHS Corporate Communication I would like to convey my sincere words of thanks and appreciation to all our readers who have supported us over the years and plead for your continuous support for this publication to develop further, and allow readership to grow as we celebrate 30 years of freedom and democracy.
We are looking forward to meeting you in the next issue.
BestwishesfromSAMHSNews team.
SAMHS members, colleagues and the military community.
Greetings and a warm welcome to our SAMHS News, the publication that communicates health information and news that is related to its target groups.
Firstly, let me convey my sincere condolences to the family, friends and colleagues of Sergeant Mbulelo David Ngubane and all members of the SANDF who tragically lost their lives in the line of duty while serving our nation beyond the borders of the Republic of South Africa, in the Democratic Republic of Congo. On behalf of the SAMHS Command Council and Staff and SAMHS members at large, our heartfelt sympathies goes out to his next of kin. There is no better meaning of patriotism than the one he has portrayed throughout his entire military career.
Surgeon General’s Message
I recently had the opportunity to officiate and extend my congratulations to the newly qualified graduates, specializing in Emergency Military Medical Care at the Military Health Training Formation, in Thaba Tshwane. The School for Military Health Training recently conducted the selection process for the Emergency Care Assistant intake for 2025. As we are on the path to strengthen our operational health system, these young men and women will be at the forefront of providing operational medical support. I would like to encourage more training in this field for SAMHS members as this reinforces our field of military health operations.
The month of June was the youth commemoration period in our country. I call upon young people to strengthen their roles and presence within the organisation and always remember that they are our future. The organisation is constantly rejuvenating its force which will ensure the continuous flow of young, dynamic, dedicated and fit soldiers.
SAMHS geared up for the Presidential inauguration on June 19, 2024, as the nation was also celebrating 30 years of democracy.
This marked the 7th SA democratic general elections since 1994. Heads of States and statesmen around Africa and abroad converged at Union Buildings, east of Pretoria to witness the most prestigious event in the country and our members continued to provide support to a successful inauguration.
As we observe the 67 Minutes International Mandela Day, it is a call to action for individuals, communities and organisations to reflect on Mandela’s values to make a positive impact in their own communities. The Spirit of Utata Nelson Mandela continues to guide us on our path to building a better world. The Project Owethu was initiated in 2023 during the Armed Forces Day in KwaZulu-Natal, with the theme “let’s improve the lives of our people, one community at a time”.
The Area Military Health Formation continues to lead and promote SAMHS social responsibilities by relaunching Project Owethu in various provinces, including Northern Cape, North West, and Eastern Cape. This five-year health project, conducted in conjunction with the Provincial Department of Health, aims to provide free medical assistance to individuals without access to medical facilities who cannot afford medical care.
The Owethu Community Outreach program targets deep rural and marginalized communities, and it aims to support one community at a time while giving hope to our people.
This month of July we will be officiating the Passing-Out Parade of the Military Skills Development System (MSDS) members at SAMHS Training Centre Lephalale, the programme that offers young South African citizens an opportunity to serve in uniform. These members join a unique group of South Africans; instead of a normal job, they chose to serve as defenders of our country, its people and its resources.
I have again commenced with the fact finding mission in various provinces; these official visits began two years ago, but due to unexpected official commitments, we were obliged to pause. So again, we will continue visiting our institutions until the programme is completed. Service delivery to the military community and in bases of military operation in particular plays a critical role for optimum state of combat readiness.
Primary Health Care in Sickbays, Military Health Centers and Hospitals cannot be compromised as they remain the backbone of operational military health care.
Furthermore, our organisation will support African Aerospace and Defence (AAD) Expo from 18 to 22 September 2024 in terms of exhibition and medical support. It is one of South Africa’s largest contributors to the country’s GDP in show years, and is regarded as a national asset. SAMHS will also resume its Academic Days which is a Medical and Scientific Research Conference in October 2024 by our Health Care Professionals (HCPs). This symposium is of vital importance as it enhances the research capability within the SAMHS and most importantly assists our HCPs in keeping abreast with matters relating to healthcare, particularly military healthcare.
Later in October we will host SAMHS Corporate Awards to honour and recognize SAMHS Formations, Units, Institutes and individuals who distinguished themselves in providing excellent military health service.
Senior Chief Warrant Officer (SCWO) Lindy Filicity Myburgh the recently appointed Warrant Officer of the SAMHS was born on 18 March 1975 in Beaufort West, Western Cape. She completed her primary education at A.H. Barnard and her secondary education at Junior Secondary School, before matriculating at Bastiaanse High School in 1992.
SCWO Myburgh joined the military on 01 July 1993, after completing her Basic Military Training, she began her career as an enrolled nurse. Her interest in becoming an instructor led her to remuster from Nursing to Training in 1998. She completed the Junior Non-Commissioned Officer Course in 1998 and became a junior leader in 1999.
Warrant Officer of the SAMHS
Throughout her career, she underwent all promotional and functional Educational Training Development courses, serving in various roles such as instructor, company sergeant major, and drill instructor at the School for Military Training. She also served as the Training Wing Warrant Officer at the SMT and was appointed as the Regimental Sergeant Major (RSM) in 2013. From 2013 to 2014, she acted as Formation Sergeant Major at the Military Health Training Formation on multiple occasions.
In 2015, SCWO Myburgh was accepted into the Joint Warrant Officers Programme (JWOP), a prestigious initiative for senior selected Warrant Officers aimed at enhancing operational-level capabilities. She was elected as the Chairperson of the JWOP, marking the first women and SAMHS member to hold this position at the Warrant Officers Academy, where she achieved second position in the programme.
In 2023, SCWO Myburgh assumed the role of Warrant Officer In Charge at the Warrant Officers Academy, a unit managed by and for Warrant Officers.
In 2024, she was appointed as the Warrant Officer of the South African Military Health Service from 01 May, where she currently serves. Throughout her nearly 31-year career, she has been awarded several medals:
Her hobbies include sports, coaching, reading, and singing. Her motto in life is "Work hard, be committed, and don’t expect anything in return. Good things come to those who work hard."
SCWO Myburgh is married to Anthony Myburgh and is a proud mother of two children, Alwyn and Lohren.
She was appointed as a drill instructor for Junior Courses at the School for Military Training.
In 2016, she was appointed as the Regimental Sergeant Major (RSM) at the Warrant Officers Academy, becoming the first female RSM of the unit and the first SAMHS member to hold this position. During her tenure, she also served as a coach for several Women’s Day Parades.
Sergeant Mbulelo David Ngubane, an Operational Medic (Ops Medic) was born on the 06 November 1985. A second born to his parents Sindiswa Gloria Nightingale Modercai Ngubane. He joined the South African Military Health Service on 1st July 2008 doing his Basic Military Training at the South African Army Combat Training Centre in the Northern Cape.
He became qualified as an Ops Medic in August 2013 and served the organisation mostly on deployment areas whether inside or outside the borders of the Republic of South Africa. He was honoured with the Loyal Service Medal and the Bronze Mandela Medal. His dedication and skills saw him rise to the rank of Sergeant within a few short years. He
The SAMHS lays IqhaweuSergeant Mbulelo David Ngubane to Rest
was known amongst his peers for his unwavering commitment, strategic thinking and compassion.
Staff Sergeant T.F. Mngomezulu from Area Military Health Unit KwaZulu Natal, a colleague and a friend stated “Sgt Mbulelo was more than just a soldier, he was a mentor and friend. He always put the needs of his team first and inspired us to be our best, although he was a junior in age and rank, the lessons I learnt from him are irreplaceable.” He affirmed.
Beyond the battlefield, Sergeant Mbulelo
unborn child “Mbulelo was the rock of our family”. Ongezwa shared. “His love for us was boundless and his pride in his service was matched only by his dedication to us. We miss him deeply and I actually don’t know what I am going to do without him being in our lives”, those were the words that were uttered by the bereaved wife at his funeral.
The SAMHS fraternity converged on the mountains of rural Eastern Cape in a village called Xhora (Elliotdale) harboured in the Amatole District Municipality to celebrate the life of our fallen hero Sergeant Mbulelo David Ngubane as tragedy struck from a mortar attack. He exhibited extraordinary bravery, ensuring the safety of his fellow soldiers before his own life. He answered the call to serve his country with unwavering dedication. Deployed to the volatile, war ravaged region of Sake, in the Democratic Republic of Congo. He stood alongside his in-arms, facing the harsh realities of armed conflict with resilience and courage until his untimely death.
Ngubane was a devoted husband to Ongezwa Lunathi Ngubane, a father to Kwazi Kazimla Ngubane and his
In the quiet embrace of the somber morning of Xhora, amidst the flying flags of the DOD and SAMHS respectively, we gathered not in sorrow but in reverence of Sgt Ngubane. We came together to celebrate the life of a hero who answered the call of duty with unwavering courage and selflessness.
the weight of freedom on his shoulders and sacrificed his tomorrow so that we may have ours.
Mbulelo grew up with a strong sense of duty instilled by both his parents and the community at large. The echoes of his heroism reverberated as the community remembered one of their own who laid down his life for his country in a foreign land. With every
every person he came in contact with. He was a beacon of hope in his community and pillar of strength to those who had an interaction with him.
Chaplain Mononyane gave a touching sermon on how there will always be hope in a time of despair. He stated “Even though we are crying now, there is a light at the end of the tunnel”.
Major General Nsizwa Skosana, Chief Director Military Health Force Support who gave a moving eulogy of the day, and the common thread throughout the whole funeral attested that, Sgt Ngubane was a gentle soul that was loved by many not only by his family but by his community members, colleagues and everyone he had an interaction with. Major General Nsizwa Skosana said that “His sudden passing has deeply saddened us, and left us heart-broken. Today we remember a life well lived, a life of dedication and service to human kind, a compatriot of note”
legacy of courage, dedication, and love will endure, inspiring all who knew him and many who never had the honour. Sergeant Mbulelo Ngubane exemplified the highest values of duty and honor. As we remember his life and sacrifice, we are reminded of the extraordinary courage displayed by him. He is a reminder of the bravery and selflessness exhibited by those in uniform. His sacrifice underscores the harsh realities of war and the profound cost of liberty. While the pain of his loss is immense, the gratitude for his sacrifice is even greater. Sergeant Mbuluelo David Ngubane story is one of heroism, and his legacy will continue to inspire and resonate for years to come.
The Military Command Council and South African National Defence Force members receiving the mortal remains of the late Sgt M.D. Ngubane at the Waterkloof Air Force Base.
The Deputy Director of the Public Health Bureau of the Logistics Support Department of the People's Liberation Army (PLA), Senior Captain (Navy) Wang Zhihui, along with four staff officers, visited the South African Military Health Service (SAMHS) for a working visit from 07 to 10 June 2024.
Working Visit to the Republic of South Africa by the People’s Republic of China Defence Force Delegation
medical ship which will dock in Cape Town from the 22 August 2024 until 29 August 2024. This will offer communities around Cape Town an opportunity to consult with the esteemed doctors. Should the patients require severe medical
the 08 June 2024.The the Acting Officer Commanding 2 Military Hospital Lieutenant Colonel N.Y. Xolile welcomed the delegation to the Mother City. 2 Military hospital, can trace its roots back to 1899 when the Wynberg Camp was declared a military hospital to
The purpose of this working visit was to enrich the long-standing bilateral relations between the two defence forces and pave the way for both Military Health Services to share expertise in military health, exchange medical research, improve training and medical capabilities.
The People’s Republic of China has embarked on a charity mission with the purpose to give medical assistance in Africa and all around the world. They have launched a
intervention, they will be referred to the nearest hospitals. The outreach program is also aiming at working with different schools from surrounding areas on sports and recreation, there will be different sporting programs that will be created for pupils.
This visit commenced in Cape Town meeting 2 Military Hospital and Institute for Maritime Medicine on
receive wounded or sick soldiers, it is one of the best designed institutions of its kind in the world. 2 Mil as it is affectionately known was taken into service in 1979 and is deemed to be a level 3 specialised base. Lieutenant Colonel R. Ismael gave an overview of the hospital.
The delegation then proceeded to Pretoria, where they were warmly welcomed by Chief Director of
Colonel Mpho Pheko chairing the meeting during the Chinese delegation tour at 2 Miliitary Hospital in Cape Town. Photo supplied by 2 Mil Hosp Corp Comm.
Military Health Force Preparation, Major General Mphikeleli Simelane, on behalf of the Surgeon General Lieutenant General Ntshavheni Maphaha at South African Military
Health Service Headquarters on 09 June 2024. Lieutenant Colonel (Dr) Thabo Rampedi presented the South African National Force (SANDF) roles and responsibilities in this proposed
endeavour as this initiative is bringing all Arms of Services and Divisions to work together. This mission is synonymous to the values of the SANDF as it is embedded in this organisation to serve the people. Initiatives of this nature are essential as they restore and create a harmonious relationship between the Defence force and the public. It is through such missions where people will engage and completely know their defence force and what it stands for.
Major General Mphikeleli Simelane leading the SA Military Health Service delegation during the People’s Republic of China Defence Force visit to the SAMHS HQ.
Senior Captain (Navy) Wang Zhihui and Major Geneal Simelane exchanging goodwill gift during their meeting.
On May 15, 2024, the Surgeon General of the South African National Defence Force, Lieutenant General Peter Maphaha, accompanied by the SAMHS delegation, officially visited the Area Military Health Unit North West, the Military Veterinarian Institute, and the North West University Biokinetics Centre at the Potchefstroom campus. This visit was aimed at meeting and greeting SAMHS members while also exploring the conditions of the military medical centres and health institutions. Military health service delivery is critical for maintaining the SANDF's state of combat readiness.
Surgeon General’s Roadshow Highlights Commitment to Excellence in
Military Health Care
the facilities and engaging with the medical staff, he reinforced the message that the health readiness of military personnel are of utmost importance. The roadshow served as both a morale booster and an operational review, ensuring that the SAMHS continues to meet the standards required for effective military service.
military medical centers and institutions cannot be compromised as our Operational Medics remain the backbone of military health care.”
The Surgeon General’s visit was a reaffirmation of the SAMHS commitment to excellence in military health care. By personally inspecting
Surgeon General and his entourage during the visit to Biokinetics Division at the Centre for Health and Human Performance of the North West University. Photo by Mr Steve Maphakathe
The Surgeon General (SG) of the South African National Defence Force, Lieutenant General Peter Ntshavheni Maphaha and his delegation, including the newly appointed Warrant officer of the South African Military Health Service, Senior Chief Warrant Officer Lindy Filicity Myburgh conducted a transformative three (3) days roadshow visit from 25 to 28 June 2024 in various areas of Limpopo.
Surgeon General’s Transformative Roadshow in Limpopo Province
The visit was part of the SG’s planned official visits, aimed at enabling Surgeon General to personally meet commanders across the country in 2024. The purpose was to understand Units‘ structures, command and control, shortcomings, service delivery matters, human resources, logistical and financial matters including service level agreements and memorandum of agreements with other organizations.
Notably , the visit was aimed for the delegation to get to understand challenges faced by Area Military Health Unit Limpopo (AMHU LP) and the Units medically serviced by AMHU Limpopo.
The visit commenced on Tuesday 25 June 2024 at 91 Ammo Deport and Mookgopong Sickbay in Mookgopong then Proceeded to AMHU LP Head Quarters where the Acting Officer Commanding, Lieutenant Colonel Mutshutshu Florence Nkwe presented challenges that Military Health Centers and sickbays in Limpopo are facing. The delegation ended their day at Army Support Base Limpopo where the SG met with Officers Commanding of all the Units around Polokwane.
On the second day, the team visited the west side of Limpopo starting
Surgeon General and his entourage during their visit to Mookgopong Sickbay in Limpopo Province.
The SG getting the overview of the Pharmacy status in Mookgopong Sickbay.
with Airforce Base Hoedspruit, their journey to Health Centre Hoedspruit. They further went Phalaborwa where the team visited 5 Special Force, 7 South African Infantry Battalion and Phalaborwa and 7 SAI Sickbays.
They concluded their visit at 15 SAI Battalion and Vuwani sickbay in Venda where the Surgeon General‘s Military career began. The visit gave the Surgeon General an opportunity to meet commanders from different units and access status of the SAMHS medical establishments in all the units he visited.
The SG took an opportunity to present his strategic intent to the different commanders in response to their concerns. The Surgeon General’ s intent seeks to improve the service delivery and the conditions within the South African Military Health
Service. He also emphasized the teamwork and collaboration as leaders to improve the SAMHS Service delivery model for the betterment of the military.
He mentioned that “together we can do more “especially with the resources challenges that the SAMHS is currently faced with. He further encouraged all the SAMHS members to put their patience first despite the difficulties they are experiencing on the ground.
The Acting officer Commanding of Area Military Health Unit Limpopo Lieutenant Colonel Nkwe thanked the Surgeon General and his delegation for the “fact finding visit” and assured the Surgeon General that AMHU LP will implement measures for quality assurance align
with the SG ‘s theme “Towards Military Health Excellence”.
Members of AMHU LP were delighted to be visited by the Surgeon General and the Warrant Officer of the SAMHS. The visit gave them hope and motivated them to want to do better with the little they are having most importantly, to provide world class medical support in Limpopo.
Lieutenant Colonel Precious Ncayiyana, a pharmacist at 1 Military Hospital Pharmacy, recently had the honour of presenting her research paper at the 23rd Annual Board of Healthcare Funders (BHF) conference. Held from 4 to 8 May 2024, at the Cape Town International Conference Centre. Her paper, titled "Transforming PublicHealthwithMedicineShelf-Life Extension”,was awarded third place. The research was published in the Southern African Journal of Public Health, a publication dedicated to bridging the gap between academia, policy, and implementation in health systems intervention and reform. The journal features papers that have a notable impact on policy and are based on robust research and operational experience from both academic and non-academic authors in the fields of population health and preventive medicine.
The BHF Annual Conference is one of Africa's largest healthcare conventions.
Lt Col Ncayiyana's
Ground-breaking
Research on Medicine Shelf-Life Extension
Wins Accolade at Healthcare Conference
significant issue in South African public health institutions: the destruction of large quantities of scheduled drugs, which costs taxpayers millions of rands. Many of these drugs, though still effective and stable, are discarded due to their labelled expiration dates. Her research proposes a program to test the stability of these drugs including tablets, capsules, dry powders, and powders for injection and extend their expiration dates by at least 12 months.
The concept of extending drug shelf life is not new according to her research. In 1986, the US Military and the Food and Drug Administration initiated the Shelf Life Extension Program (SLEP) to save costs by testing and extending the shelf life of stable medicines beyond their expiration dates. This program has ensured adequate medical supplies during emergencies.
Implementing a similar program in South Africa could significantly reduce costs for the military and ensure the
maintenance of pharmaceutical stockpiles, which are currently inadequate due to the short expiry dates of medications. This program would be beneficial not only for the military but also for South African citizens by ensuring the availability of essential medicines.
The South African Military Health Service (SAMHS) continues to lead in health research through initiatives such as the Surgeon General Academic Days, where various research papers and innovations are presented. These efforts are instrumental in advancing health research, leading to groundbreaking developments that benefit the organization and save costs.
Lieutenant Colonel Ncayiyana's work epitomises the innovative spirit of SAMHS healthcare professionals and highlights the potential for substantial policy impact and cost savings through the implementation of her proposed shelf-life extension program.
Lieutenant Colonel Precious Ncayiyana, a pharmacist at 1 Military Hospital Pharmacy.
The South African Military Health Service (SAMHS) witnessed a leadership transition at 1 Military Hospital as Maj Gen (Dr) Nsizwa Skosana hands over the symbol of command to the new General Officer Commanding (GOC), Brig Gen (Dr) David Ramaswe on 10 May 2024.
A military change of command parade is a ceremonial event marking the formal transfer of authority and responsibility from one Commander to another. This tradition is steeped in history and pageantry, underscoring the continuity of leadership and the seamless transition of command within the military ranks. The
1 Military Hospital Ushers In The New GOC As Brig Gen Ramaswe Takes On The Baton To
Lead 1 Military Hospital
spectacular event is not only a formal military ritual but also a public display of the disciplined and orderly nature of military institutions.
The outgoing GOC, Maj Gen Skosana has served the SA National Defence Force (SANDF) in various roles, taker doctor
to the former Presidents, Nelson Mandela and Thabo Mbeki. Prior to
historical institution and the biggest of the three Military Hospitals in the country. The hospital boasts battle colours for its courageous role during the 2nd World War.
While addressing the parade, the now Chief Director Military Health Force Support, Maj Gen Skosana reflected on the greatness of 1 Military Hospital including the retired personnel whom also graced the parade. In his address he made
taking the baton of 1 Military Hospital, he led Presidential Medical Unit as the Officer Commanding.
The parade was conducted in a conventional military ceremony to witness Brig Gen Ramaswe as he officially takes over the reins of this
special mentions to both Senior and Junior colleagues. This highlighted his sense of humility and respect for all. However, the outgoing GOC took the opportunity to reprimand, guide and warn, and said: “GOC We have to continue to fight for this hospital;
Major General Nsizwa Skosana handing over the command symbol to the incoming General Officer Commanding of 1 Military Hospital Brigadier General David Ramaswe.
not for glory or legacies but for all the soldiers whose bodies are taking battering for their country to know that there is a place of comfort when our bodies succumb”. He further
reminded those in attendance about the Surgeon General’s clarion call for all to work “Towards Military Health Excellence” in achieving the C SANDF’s “Journey to Greatness”.
The man taking over the reins of the gigantic military hospital is no stranger to the command structures, he led one of the SAMHS specialist units, the Institute for Aviation Medicine designation. Brig Gen Ramaswe echoed the words of the American activist and political philosopher, Martin Luther King Jr: “Of all the forms of inequality, injustice in health is the most shocking and inhumane”. He articulated these words as he pledged to dedicate his medical and leadership experience for the betterment of 1 Military Hospital.
Brig Gen Ramaswe is a patriotic diplomatic doctor who has participated in various SANDF deployments and peace support missions across the African continent. Additionally, he has represented the SANDF on international assignments in Germany and Washington D.C., USA.
His loyal service awarded him with numerous decorations and awards, accentuating his commitment and outstanding contributions to the military and medical fraternity.
Brig Gen Ramaswe and Maj Gen Skosana exchanging gifts during their Change of Command Parade.
Brigadier General David Ramaswe taking the salute during the Change of Command Parade as he takes the office.
AudacesServamus-Latin phrase meaning Serving the Brave, however it goes without saying that one has to be braver to serve the ones in the front line. It takes ordinary men and women who are not only brave but humanitarians at heart to dedicate their lives to saving lives even under severe the extreme circumstances. Every day
SAMHS Welcomes Newly Qualified Operational Care Practitioners
we are presented with choices and only a few choose other people’s livelihood over their own and this is what sets them apart from the rest.
The members of the South African National Defence Force (SANDF) answered this high calling by doing a course in Diploma and Higher Certificate in Emergency Medical Care (EMC) respectively. The Directorate Emergency Military Medical Care embarked on a training plan to address the shortage and attrition of operational medics. For the first time in history of this course, the directorate extended the invitation to the Chief of SA Army to allow the members who are airborne force qualified to apply for this course. The reason for this is to fulfil the mandate of 7 Medical Battalion Group which is to render medical support to the Airborne and
Special Forces. The directorate’s intent is to train 100 students per annum and wish to continue involving members from other services within the SANDF.
On 18 April 2024 the Surgeon General (SG) of the SANDF Lieutenant General Peter Maphaha welcomed these brave soldiers into the SAMHS during the Graduation Ceremony. held at the Military Health Training Formation.
In his speech he promised to provide them with all that they require in order for them to do their jobs diligently and effectively. “You are a unique and special kind of paramedics, you chose to dedicate your lives into serving your country and for that, I want you to never underestimate yourselves” said the SG. The graduates were proclaimed qualified Operational Emergency Care Practitioners and conferred with the Operational Medical badges.
Lieutenant General Peter Maphaha celebrating success with the proud graduates of the Emergency Medical Care graduates.
Graduating on top of the class of the Diploma in EMC, Lance Corporal T.K. Hlungwana, a facilitator at School for Military Health Training whose humanitarian spirit saw her choosing a life of being a medical care giver. Her biggest challenge in this course was swimming and she emphasizes the importance of team work. “I would not have made it without the assistance I received from my classmates” said Hlungwane. One of the students who echoed this is Private S.G. Shabangu, he came top as he cum lauded his Higher Certificate. He was curious about what actually happens to the soldiers who were injured in the
battlefield and it is this curiosity that sparked an interest in him joining the Military Health Service. Shabangu advised that for one to do this course, they need to start with fitness preparations and face their fears and phobias.
which serves as a satellite for the University of Johannesburg. After achieving this milestone, the Diploma qualified graduates can now register with the Health Professions Council of South Africa (HPCSA) as paramedics while the ones who hold the Higher Certificate can register as Emergency Care Assistance. Acting
Director EMMC Lieutenant Colonel
Mathe Lesenyeho explained what separates the EMMC from the civilian EMC. “In the military we offer military electives such as Clinical Assessment and Treatment of Minor Ailments (CATMA) which is basically about primary health care, vocational module this is where Emergency Medical Care practitioners are transformed into Operational Emergency Care Practitioners. This teaches them how to integrate with the SA Army at Platoon as well as MTG level”.
The graduations of this kind are very vital as they are central in ensuring the SG’s intent towards military health excellence.
The courses that were presented are a Diploma and Higher Certificate in EMC at School for Military Health Training
The Emergency Medical Care graduates eagerly waiting for their certificates after a successful completion of their studies.
Lance Corporal T.K. Hlungwana one of the high achievers of the Diploma in Emergency Care congratulated by the Surgeon General.
In the strategic move to bolster Military Health Service, the General Officer Commanding Area Military Health Formation, Brigadier General Mcebisi Mdutywa, has spearheaded a proactive and dynamic effort aiming to ensure that all position within the Area
Proactive Effort to Enhance Military Healthcare Services
Military Health units are filled and that the structure is expanded to meet the growing demands on military healthcare services.
Brigadier General Mdutywa recognizes the critical importance of having a equipped healthcare personnel to provide essential medical support to military personnel and their families.
By expanding the unit’s capacity and capabilities to provide a top notch healthcare services that align with the highest standards of military and also working towards expanding the structure of Area Military Health Formation and its Units. This includes assessing the current needs and demands for military healthcare services, identifying areas for growth
and development, and implementing strategic plans to enhance the capacity and capabilities of the healthcare personnel under his command.
By ensuring that all vacant positions are adequately staffed and that the structure of the Area Military Health Units is expanded as needed, Brigadier General Mdutywa demonstrated a strong commitment to providing highquality healthcare services to military personnel and their families. Their proactive approach to personnel management and structural development is essential in meeting the evolving healthcare needs of the military community and ensuring that all members receive the care and support they require.
Brigadier General Mdutywa and the
Brigadier General Mcebisi Mdutywa together with the Area Military Health Units delegation during the Military Base Hospital Gqeberha visit.
preparation for the anticipated opening. This proactive approach is essential to ensure that the hospital is well prepared to handle any potential challenges or emergencies.
During his visit to the Area Military Health Unit Eastern Cape, he engaged in fruitful talks with the Eastern Cape Department of Health, exploring opportunities for collaboration and cooperation in the healthcare sector. The meeting was attended by Department of Health Chief Finance Officer Mr Msulwa Daca, as well as representatives from his department. The discussions focused on sharing resources, expertise, and best practices to enhance the delivery of healthcare services in the region. As the discussions progressed and concrete plans are put into place, collaborative efforts between the Department of Defence and Eastern Cape Department of Health are poised to yield tangible benefits for both
The partnership will mark a significant step towards improving the health and wellbeing of communities in the Eastern Cape. By leveraging the strengths of both the military and civilian healthcare sectors, the collaboration aims to address healthcare challenges and improve access towards to quality healthcare services. The initiative also underscores the South African National Defence Force commitment to enhancing its healthcare services and fostering partnerships that benefit the broader community. By prioritizing the filling of vacant positions and strategically expanding the healthcare teams under their command, Brigadier General Mdutywa is actively working towards enhancing the overall effectiveness and efficiency of military healthcare services. Their dedication to ensuring the well-being of military personnel and their families is commendable and reflects a commitment to excellence in
The successful implementation of this collaborative effort is expected to have a post positive impact on the healthcare landscape in the Eastern Cape, serving as a model for future partnerships between the military and civilian healthcare sectors.
General Officer Commanding engaging in fruitful talks with the Eastern Cape Department of Health, exploring opportunities for collaboration and cooperation in the healthcare sector.
Captain Neliswa Leticia Simelane hails from a small town called Uitenhage in the Eastern Cape. She joined the South African National Defence (SANDF) in 2011. She was selected for the four year Nursing Diploma in the South African Military Health Service (SAMHS). Initially she had opted for the two year Nursing program because it seemed quite daunting for her to study for four years.
Capt Simelane was nominated by her colleagues, students and other members from the private sector who are within the Nursing fraternity for the Mail andGuardianTop200Young SouthAfricanAwardin the education Category. The Award is an initiative that gives recognition to the future
Celebrating Captain Neliswa Simelane’s Impactful Contribution to Education
leaders of South Africa that have a positive impact to our society. The Mail and Guardian Award seeks to recognize nominees that are committed to the development of South Africa in various categories.
On 28 June 2024 Capt Simelane was awarded with the Mail and Guardian
Top 200 Young South Africans in the Education category. She has expressed that the award is meaningful to her life’s journey and one of the biggest accolades or form of recognition that she has ever received. She is absolutely elated to
be able to fly the SAMHS flag high. She further encourages young members to continue doing their best at all times, because they may not know who they are inspiring.
As fate would have it her matric results proved that she was a credible candidate for the four year Nursing Diploma. Which is why she always felt that the journey to becoming a health care professional as a registered nurse chose her. Her interest in Nursing was sparked way before she applied to the SANDF, it began when she was working as data capturer for the Department of
Article by Capt G.K. Malatsi Photographs by SAMHS
Captain Neliswa Leticia Simelane one of the recipients of the Education Award in the Mail&Gurdian 200 Young South Africans.
Health at her nearest community health center. The curiosity grew as she would see patients come into the Community health center receiving the medical health care that they needed. She completed her 4 year diploma in Nursing at the SAMHS Nursing College in 2015 where she formed part of the Student Representative Council for two terms as a Secretary. Thereafter she graduated in 2016 and completed her community service at 1 Military Hospital. She continued to work at 1
studying her Nursing Diploma she had the ability to clarify subject content into simpler terms. This propelled her to enrol at the University of Pretoria for a Bachelor’s degree in Nursing Education and Management. Part of the portfolio in the degree requires students to complete lecturing practicals, Capt Simelane did her practicals at the SAMHS Nursing College. In 2019 she was afforded the opportunity to be part of the Clinical Education and Training (CETU) at 1 Military Hospital.
She thoroughly enjoyed the experience and felt that all her efforts had culminated to this moment, and that’s when she realized her belonging to Nursing College as a lecturer. She applied at the Nursing College and was selected as a lecturer in October 2020. Since she has been lecturing midwifery at the SAMHS Nursing, the College has been able to obtain a 100% pass rate from the 2021 to 2023. In 2023 she had a dual role as a student council and a lecturer.
departments and during this period she still had the zeal to continue with her studies. She had an unquenched passion for teaching that has been a running theme throughout her life. From childhood she would have study groups at school where she assisted other students, even while
from 1 Military Hospital to the Nursing College to be equipped with skills for teaching and learning in order to return to CETU with the skills sets required. Capt Simelane was allocated in Midwifery Section and lectured the 4th year students.
Captain Simelane outlining the Nursing College role to the Chief of the South African National Defence Force at the Johannesburg Rand Easter Show of 2024.
certificates to hardworking personnel honours and celebrates their exceptional efforts and achievements serves as motivation for other members to strive for excellence.
On June 5, 2024, the Surgeon General of the South African National Defence Force, Lieutenant General Ntshavheni
Doing well is more than just a commendable act; it reflects our innermost values and manifests our shared humanity. As the organisation undergoes budget cuts and fiscal limitations, which often contribute to low morale among members, operational readiness can be hampered. Awarding commendation
Commendation Certificates to Lieutenant Colonel Sello Segone and Lieutenant Mamoserwa Molefe, corporate communication officers at the SA Military Health Service Headquarters.
This recognition follows their outstanding meritorious service and commitment as project coordinators for the Rand Easter Show 2024 held at the Johannesburg Expo Centre and the Bloemfontein Show 2024, respectively.
Lieutenant Colonel Segone, the Staff Officer 1 at Area Military Health Formation (AMHF), expressed sincere gratitude, saying, "I am deeply honoured to receive this commendation certificate, and I want to express my heartfelt gratitude to everyone who supported and encouraged me along the way. This recognition means a great deal to me, and I am truly humbled by it. I would like to thank my Director, Colonel Rolphy Phillip Makopo, for this incredible honour and for believing in my abilities.
I also want to acknowledge the hard work and dedication of my colleagues from AMHF, who have been an invaluable source of inspiration and support. I am grateful for the opportunities that have been presented to me, and I am committed to continuing to contribute positively to the SAMHS and especially AMHF. Thank you once again for this honour, and I will continue to strive for excellence in all that I do."
Lieutenant Molefe also shared her sentiments, saying, "I am very excited and happy for this momentous recognition. Our long hours and time away from our families were indeed not in vain, and this is a true reflection of the work that we put in to make every project a success."
Their exemplary performance has inspired their peers and subordinates within the Area Military Health Unit Formations, Military Health Service, and SA National Defence Force to strive for maximum achievement.
The Surgeon General and SSO Corp Comm congratulating the Area Military Health Formation communication functionaries for their hard work.
The 2 Military Hospital Social Work Department held the launch of their Child Protection Week in the main foyer of the hospital on 28 May 2024.
The national theme of “Protecting South African Children, 30 years on and every conversation matters”, was linked to the focus at 2 Military Hospital.
The focus for 2024 is “Medication Safety” with the tag line being “KEEPOUTOFREACHOF CHILDREN”.
The launch was well attended, with representatives from numerous departments and was also attended by a few of the children whose parents are staff members of 2 Military Hospital.
For the past 5 years our programs had matched our focus with macro tendencies such as Covid-19 related child protection strategies, child
Social Work Department Child Protection Week Launch at 2 Military Hospital
abuse, neglect, rape and bullying in schools. Since last year, we had aligned our focus points on our social work case work International Classification of Diseases (ICD10) code tendencies, ward round observations and MPT Professional Team) meetings.
There were numerous speakers from the Social Work Department other disciplines such as paediatrics,
this was evident during the launch held this morning.
A special “THANK YOU” must go out to Lt Col C. H. Radebe, Maj D.B. Heshula, Capt Y.E. Bango, Lt P.G. Koatale, Candidate Officer C. Brooks and Ms M.L. Abrahams – all members of the 2 Military Hospital Social Work Department, for their professionalism and the support they deliver that falls in line with the
pharmacists etc. The Acting Officer Commanding - Lt Col N.Y. Xolilizwe and the SO1 Force Preparation - Lt Col (Dr) R. Ismail, also delivered speeches on child protection and safety.
It is only fair to say that the staff of the 2 Military Hospital Social Work Department “go all out” with everything they are involved in and
Surgeon Generals’ theme of “TOWARDSMILITARYHEALTH EXCELLENCE”.
The Master of Ceremony Lt P.G. Koatale, starts proceedings with the introduction to Child Protection Week 2024.
Area Military Health Unit Gauteng (AMHU GT) nurses observed and celebrated the International Nurse’s Day under the theme “Our Nurses. Our Future. The “EconomicPowerofCare” at Air Force Base Waterkloof Officer’s Mess on May, 17 2024. Its annual observance commemorates the foundational philosopher of modern nursing, Florence Nightingale’s birthday on May, 12. She is affectionately known as “The mother of nursing” or “The lady with the lamp. She came to prominence while serving as a nursing manager and for training of nurses at military camps.
International Nurses Day highlights the important role nurses fulfil in heath care. It is worthy of celebration, commemoration and serves as an opportunity for me as Officer Commanding Area Military Health Unit Gauteng to commend the massive contribution of our nurses to the military and society at large. Nurses
Area Military Health Unit
Gauteng Nurse’s Day Celebration
are more than just they are advocates, mentors,
patients. They provide comfort, support, and hope in times of need, often going above and beyond their call of duty”.
Colonel P.J. Hoffmann, Acting Officer Commanding Area Military
Colonel P.J. Hoffmann further said “May we continue to collaborate, reflect, revise and strategise towards a common goal of increased resources and improved modernised health care systems. Let’s all engage in conversations that are solution oriented and prioritises our clients. Your commitment to service delivery is both remarkable and commendable”.
Air Force Base Waterkloof, Colonel G. J. Engelbrecht representing General Officer Commanding, General E.T. Mokoena extended gratitude and well wishes to the nurses and handed tokens of appreciation to their Unit’s nurses.
In her address, Acting Director Nursing, Colonel T.E. Mohale said “As the Nursing Directorate, we are committed to better the lives of our nurses through Education, Training and Development, Mentorship of young nurses to take over leadership roles and the placement of the right nurses
in the right positions to achieve the organisational goals”.
Principal Nursing College Ga Rankuwa Campus, Mr S.W. Seabelo and Captain L. Le Grange were amongst keynote speakers of the day. SO1 Nursing Area Military Health Unit Gauteng, Lieutenant Colonel S. Shezi led the Nurse’s Pledge and delivered Vote of Thanks expressing gratitude to all internal and external stakeholders, invited guests, planning committee and all the nurses. Nurse’s Day Celebration 2024 Committee presented tokens of appreciation to the Nursing Staff and a new committee was elected for next year’s Nurse’s Day Celebration.
Acting Director Nursing, Colonel T.E. Mohale addressing the members and giving words of encouragement.
In the heart of every military environment lies an unsung hero; the military sickbays. Often overshadowed by the might of tanks and the roar of aircrafts, these medical sanctuaries are the backbone of military health care, providing critical care and saving countless lives. Among many in the South African Military Health Service, one particular sickbay has emerged as a beacon of excellence, setting the gold standard for military medical care.
Rietondale Sickbay on the Right Path Towards Military Health Excellence
the personnel who operate it. Their commitment to centred care makes them a cornerstone of effective and humane healthcare delivery. This is echoed by the military community on SANDF official social media pages.
The true strength of this sickbay lies in its staff; comprising highly motivated patient administration clerks, nurses, doctors, pharmacists, social workers, dietitians and psychologists. The team conducts routine health checks including monitoring blood pressure and conducting pap smears.
principles were adopted by the South African government to improve public service delivery. They are the cardinal pillars of service delivery and strive to build a more inclusive and effective government.
Located in the north of Pretoria in Rietondale, Rietondale sickbay is renowned for its team of dedicated professionals who work tirelessly to ensure the well-being of their clientele. The impact of this sickbay extends beyond its immediate military community but the Military Veterans and VPAs. It offers comprehensive health services, including preventative care, mental health support and referral system to next level of care where needed. Its commitment to excellence is not just about service delivery; it is about the heart and soul of
According to Capt Eric Mathebula, the Nursing Officer in-Charge (NOIC), this primary healthcare facility is deeplyrooted in the Batho Pele principles. He said: “We are mainly guided by the Batho Pele principles, putting our clients first. Every member of the team is deeply committed to the well-being of their patients, often going above and beyond the call of duty. This dedication creates a supportive environment where patients feel valued and cared for, significantly boosting overall health outcomes”. These
What truly sets this sickbay apart is its culture of compassion. “As a healthcare worker, there is one principle you should live by, you must care for your patients. If you care, you are most likely to prioritise that person, treat them with respect and dignity”; Capt Mathebula remarks. This directly responds to the Surgeon General’ s intent which is encapsulated under the slogan “Towards Military Health Excellent”. By combining exceptional personnel and a culture of compassion, this military sickbay stands as a testament to what is possible when excellence in health care is pursued with unwavering dedication. Innovation is at the core of the sickbay’s success. The team continually seeks new ways to improve patient care by building long lasting relations with their patients. Capt Mathebula says: “We know our patients and they know us too”. This enhances the relationship between patients and HCPs whereby follow-ups are easily conducted.
Rietondale Sickbay is situated in Rietondale suburb, which is part of the larger Pretoria area in Gauteng.
The members of Area Military Health Unit Rietondale Sickbay.
After a four-year absence, the South African National Defence Force (SANDF) once again participated in the annual Bloemfontein Show, showcasing their capabilities to the visiting public and school groups. The South African Military Health Service (SAMHS) also participated in the SANDF Exhibition, which took place in Bloemfontein from April 25 to May 4, 2024.
The SANDF exhibition was one of the main attractions at the show, drawing thousands of visitors daily. SAMHS contributed outdoor and indoor exhibitions as part of the larger SANDF display. The Area Military Health Formation, Tertiary Military Health Formation, and Military Health Training Formation participated in the success of Bloem Show.
The School for Military Health Training featured an outdoor display demonstrating ambulance capabilities, with Operational Medical Orderlies conducting Cardiopulmonary Resuscitation demonstrations for the
public. Visitors had the opportunity to observe a trauma patient receiving treatment inside an ambulance with an oxygen mask.
The Dietetics, Nursing, and Oral Health Departments each had interactive displays as part of SAMHS' indoor exhibition. Dieticians provided educational sessions on healthy lifestyles, food groups, and the importance of exercise. Children participated in a color-in competition, with winning artworks displayed throughout the week.
Nursing exhibitions offered blood pressure testing and medical advice on cholesterol, blood sugar levels, diabetes, military nursing, and
cardiovascular diseases. Oral hygienists from 3 Military Hospital demonstrated proper teeth brushing techniques and provided information on extended dental care and the use of dental floss. They distributed toothpaste and toothbrushes during the exhibition.
The Military Veterinary Institute in Potchefstroom showcased its capabilities in an indoor exhibition, highlighting animal hospital services, medicines for military dogs and horses, training equipment, and treatment methods for SANDF's animal units.
A mobile clinic and medical station were set up to handle emergency cases and provide medical support for SANDF members working at the show.
Nursing officer carrying out blood pressure testing to the members of the Bloemfontein community.
Nursing officers and medical officers were deployed to manage this capability.
Each morning, like other Services, SAMHS held a formal roll call parade overseen by Master Warrant Officer
N.M. Louw and Master Warrant Officer O.O. Jumba. The day commenced with scripture reading and prayer by a chaplain, followed by an address from Colonel Herandien, the Military Operations Centre Commander, who recognized outstanding communicators from the previous day with commendation certificates.
During the Bloemfontein Show Prestigious Prize Giving ceremony, the SANDF received three awards: the Central Show Floating Trophy for the largest public sector contribution, the Bloem Show Floating Trophy for the largest exhibitor's input in both private and public sectors, and a Golden Award of Achievement for the 2024 Bloem Show exhibition.
High-ranking military officials visited the SANDF exhibition on April 26 and 27, 2024, inspecting all displays while communicators provided detailed explanations of their disciplines.
At the SANDF Prize Giving function on the final evening of the show, SAMHS was honored with a Silver Certificate for the best SANDF exhibition. Col Herandien awarded SANDF Bloem Show Commendation certificates to several individuals for their outstanding contributions.
The SANDF's participation significantly enhanced the Bloemfontein Show, receiving overwhelmingly positive feedback throughout its duration.
3 Mil Hosp Dieticians provided educational sessions on healthy lifestyles, food groups, and the importance of exercise.
Oral hygienists from 3 Military Hospital demonstrating proper teeth brushing techniques to the little girl.
Military Veterinary orderly taking through the youngster about their scope of work of caring the SANDF animals.
South Africa Ushered in the Seventh Democratically Elected President on 19 June 2024.
INTRODUCTION
Decision fatigue describes how our decisions become worse when we’re asked to make numerous choices. Researchers who subscribe to the idea of willpower believe that, when mental energy is low, the brain adopts a different decision making strategies to preserve resources. We face hundreds of choices every day, from what to eat for lunch to more complicated decisions that involve our emotional, financial, and physical wellbeing. Learning how to manage your decision making can help you avoid feeling drained and conserve your mental energy. A large body of evidence in psychology suggests that judgments and decisions made under intense pressure, distraction, or fatigue tend to be made more heuristically. The distinction between heuristic and non-heuristic decision making can be understood using the classification of judgement and decision emphasized by Kahneman and Egan (2011), whereby his model states that heuristics are mental shortcuts that allows people to solve problems and make judgements quickly and efficiently.
CONCEPTUALIZATION
Decision fatigue is applicable to different disciplines and this made it difficult to come up with a clear conceptualization of this concept. In order to create a common understanding, the following few definitions of
Decision Fatigue
“We are what we repeatedly do, excellence, then is not an act but a habit” Will Durandt
the concept from various studies is
Decision Fatigue: Deteriorating quality of decisions made by an individual after a long session of decision making (Roy Baumeister)
Decision Fatigue: A phenomenon that occurs when a person makes numerous back-to back decisions leading to psychological and emotional exhaustion (Galebovic, 2024)
Decision Fatigue: Psychological phenomenon which can see a person’s decision-making abilities worsen as the quantity of those decisions goes up. (Jenny Darmody, 2022)
When looking at the definitions from numerous studies, they all have certain elements in common. For the purpose of this project it can therefore be concluded that; decision fatigue is a psychological and emotional exhaustion that occurs after a person’s long session of numerous back–to–back decisions resulting in deterioration of quality in decisions made.
DISCUSSION
The concept of decision fatigue was derived from the strength model of self-control posited by Baumeister, Muraven, & Tice, 1998. The concept is also known as ego depletion and is based on the idea that willpower draws upon a limited pool of mental resources, almost like running down battery. Cognate to muscle fatigue after exertion, humans deplete internal resources when performing acts of self-regulation, such as processing information to formulate decision. In addition, with half of all adults possessing at least one chronic condition, decision making is a central facet of day to day chronic disease self-management. Unlike physical fatigue which we are aware of decision fatigue often happens without us knowing. Regardless of how strong you are, your ability to make the best choices can eventually run out due to decision fatigue. Recognizing it can be tricky because it will often feel like a deep sense of weariness. Considerable evidence from various studies suggests that decision fatigue can influence performance of everyday life.
According to Dr Mclean (Psychiatrist, Chief Wellness Officer at Henry Ford Health System), by the time an average person goes to bed they have made over 35 000 decisions and all of those decisions take time and energy, and certainly can deplete us. For example every physician makes repeated decisions about patient care. Such typical decisions involve careful deliberation of the costs, risks, and benefits of a given course of action. An important insight from behavioural theory is that careful consideration of pros and cons in decision making is mentally taxing, leading people to shy away from engaging in cognitively demanding reasoning when tired. Following repeated making, physicians may turn to decision making heuristics, that is, mental shortcuts that allows us to make decisions on the basis of simple rule of thumb. The psychological effects of decision Fatigue can vary, potentially leading to difficulty in making tight decisions, impulse buying, or other avoidance behavior.
As our decision-making and extended focus continues, the brain monitors the body’s energy output closely. When the body fuel resources become significantly depleted, the brains begin to shut down what it considers non-essential services, which unfortunately includes the prefrontal cortex, the area of brain responsible for complex decisionmaking. This mental state can become further compromised by stress, nutritional deficiencies and environmental factors that can mimic psychological disorders such as anxiety, fatigue and depression.
CAUSES OF DECISION FATIGUE
Underlying cause of decision fatigue may have to do with persons stress levels and number of decisions they have to make each day. It is important to take note that decision fatigue can impact or affect anyone regardless of their mental wellness. The weight of decisions also matters. Some people have to take high stake decisions in an environment where lives hang in the balance. There are also business decisions, social interactions and even leisure time all have their own inherent decisions involved that a person must weigh up and
make, either consciously or subconsciously . This therefore implies that every situation is unique and requires its own tailor-made decisions. More complex decisions may deplete individuals’ energy faster. A person with decision fatigue may feel tired, have brain fog, or experience other signs or symptoms of physical or mental fatigue. Decision fatigue hampers the ability of the executive functioning of a human being
Various researchers believe that decision fatigue occurs because our brains function on finite energy resources, meaning that we possess a limited ability to think rationally about complex situations. Even fun and enjoyable choices can become depleting overtime. Decision fatigue can take a toll on senior manager’ well-being, contributing to feelings of overwhelm, burn out, and dissatisfaction with their roles. This is related to their role of constantly being faced with array of difficult choices that demand their attention and cognitive resources.
EFFECTS OF DECISION FATIGUE
Decision fatigue may manifest in few different ways depending on how it affects a person. This in turn makes it difficult for a person to make right decisions.
Impulse Buying
Most people can recognize this in grocery stores, after making a series of decisions in a store a person may less likely to resist these quick deals and items near the checkout. As the day goes by and we are faced with more and more choices, the willpower to put energy into every decision decreases. Decision fatigue may push you into what is called mental shortcut. Eventually, our brains try to look for shortcuts or a way out. This is when you are forced to quickly choose the default option rather than making a well-thought out decision.
Trade-offs
This is decisions between two options, where both options has both positive and negative element. A person experiencing decision fatigue may be reluctant to make such decisions, take longer to make them or simply make decisions that they later regret. You may feel stuck in a decisions-making process, wavering between options unable to decide.
Decision Avoidance
Some people may start to neglect, ignore or avoid decisions altogether when they feel drained. This avoidance behavior may cause a person to simply choose the default and most socially acceptable option, rather than the option that is right for them. Procrastination is another form of decision avoidance, a person puts off making decision for another day or until the need to make the decisions disappears altogether. To avoid trade-offs and the physical and emotional drain decision making causes, fatigued people often take the option readily available.
Over analysis
Overanalyzing your decisions to the point of analysis paralysis. A person will say i just need another little time or think through the options. Instead of analyzing every piece of information to make a decision, the most critical data often will provide a sufficient level of clarity and fidelity, therefore focus the critical data first
HOW TO DEAL WITH DECISION FATIGUE
Though decision fatigue may feel overwhelming and difficult to get through, making decision is a fact of life that has to always take place, we are therefore prone to at some stage experience decision fatigue. However the following assist can assist in dealing with decision fatigue, please take note this are not the only things you can do , but for the purpose of this study this were identified;
Minimize the number of decisions
Try to eliminate little decisions that slowly siphon off your decision making strength. This can be done by delegating some responsibilities. Reduce less important decisions by learning how to meal plan for the week, choosing, or eliminating small decisions altogether. Identify and prioritize critical decisions while automating the less important ones. Make the toughest decisions in the early hours of the day. Try to handle the last impactful decisions at the end of the day.
Do most important things first
Individual self-control muscle is generated after periods of rest, so it is often the strongest thing in the morning. Give
important decisions your full attention early in the day. Brain “resets” after rest is crucial. Take small breaks, sleep well and eat nutritionally balanced diet. Willpower diminishes and decision fatigue increases over the course of the day and science has shown that our impulse control decreases when we are hungry.
Delegate decision-making to others
Allowing others to make decisions without micromanaging can empower them and relieve you of the burden of having to make too many choices. Learn more about delegating. The fewer choices you have to make, the more cognitive power you can hold onto throughout the day.
Rely on daily routine
Converting your daily decisions into habits is a way to work out on autopilot and reserve your energy stores for the rest of your day. Learn how to make schedule. Routine and structure, helps to save time and brings a sense of consistency. Establish clear decisionmaking process, guidelines, and criteria to simplify and standardize the decision-making process.
Take Breaks
Decision fatigue is a form of stress, and taking regular breaks between decisions can help you recover your energy. Take regular breaks to replenish your brain and arrange timely.
CONCLUSION
In conclusion it can be stated that almost all of us have experienced decision fatigue at one time or the other. The basic idea of this discussion is that you only have so much energy for decision making. It can also be deduced from studies conducted that there are psychological costs to making decisions. Although it might feel like it, life doesn’t always demand immediate decisions. No matter how rational and high-minded you try to be, you can’t make decisions after decision without paying a biological price. According to a pioneer of decision fatigue social psychologist Roy Baumeister, the best decision makers are the ones who know when not to trust themselves.
Grips of alcohol. Photo: http:// everydaycounselor.com/the-grip-of-addiction/
On June 12, 2024, F Sgt M. celebrated a significant milestone: ten years and ten days of sobriety. His story is a powerful testament to the idea that recovery is not for the chosen few but for those who choose it. Reflecting on his journey, we see a story that shows struggle, perseverance, and ultimately triumph. It is a testament to the power of resilience, choice, and a human being’s ability to change. His journey began with a childhood filled with support and encouragement from a dedicated single mother. Despite having all the necessary support and opportunities to stay away from negative influences, the desire of fitting in and being seen as
"cool" led to the first encounter with alcohol at the age of 15. In the beginning it seemed harmless, but it set off a chain of events that would deeply impact the years that would follow.
During school trips and outings, drinking was seen as a way to have fun and bond with friends. These early experiences show a common story where the dangers of drinking are overlooked because of the immediate enjoyment and social acceptance it offers. The pattern of drinking worsened when he went to university, where living with friends led to a lifestyle where every cent was spent on alcohol. This lifestyle strengthened the idea that drinking was just a normal part of having fun. Academically, he struggled which led to him being found not competent
and being expelled from university. This shows how alcohol can affect your education and future goals. The difficult academic journey, moving from civil to electrical engineering studies and eventually being kicked out, showed the challenges faced when addiction started to take over.
Military training brought a brief relief from constant drinking, but it was short-lived. The easy access to bars and shebeens, along with financial struggles that came from loan sharks and extended credit from the bars, created an environment which fed his addiction. Making daily drinking part of everyday life. Despite transfers from Cape Town to Pretoria, his drinking habits worsened. Each new environment presented opportunities and reasons for him to drink. His turning point came when his mom confronted him after he received a promotion. She pointed out that his lifestyle and appearance did not match his new role. This was the first time he realised how serious his drinking problem was. This led to him acknowledging for the first time that he was an addict and he needed help.
This moment was important, showing the shift from being controlled by addiction to trying to take control of his life. His treatment journey began at 1Mil. He needed
to be sober for at least 24 hours for him to be admitted, which was difficult to do given the seriousness of his addiction. After three attempts, he successfully entered the program, which included support from social workers, psychologists, psychiatrists, and occupational therapists. It is at 1Mil where he learned valuable life skills such as the 12 steps of recovery and the importance of having a sponsor for accountability and support. He also participated in meetings where he could share his story and hear from others, creating a supportive community.
The skills and strategies he learned have been important for maintaining his sobriety, such as time management skills. He continues to use the lessons and skills he gained at 1Mil, which have been vital in his ongoing sobriety journey. The support from friends, family, and recovery programs played an important role in his journey to sobriety, showing the importance of a strong support network in overcoming addiction.
The real journey began after rehab, recovery was not an instant fix; it needed continuous effort. He still faced cravings, and not everyone forgave him or trusted him, with some waiting for him to relapse. At first, he struggled to fill the spare time that drinking used to take. To
fight this, he tried new activities like running, netball, volleyball, and singing, and he went back to school. Additionally, he had to work on managing his finances better with the assistance of an Occupational Therapist.
Celebrating ten years of sobriety is a big achievement. It shows the countless decisions made every day to stay sober. Over this time, he kept on investing in his journey, committed and dedicated in his sobriety. This journey highlights the importance of choice in recovery it's a path for those who actively choose it, day after day.
For those battling with addiction, this story serves as a powerful reminder that recovery is possible. It offers hope and inspiration to anyone struggling with addiction, showing that with determination, support, and self-awareness, it is possible to rebuild one’s life and achieve lasting
sobriety. The transformation over these ten years stands as a beacon of hope, showing that no matter how deep the struggle is, change is possible and within reach.
In the words of F Sgt M. “It took me 18 years to mess up my life, and my health, lose trust, and lose respect from people around me, therefore I cannot fix it overnight, it will take time. I cannot let those who choose to not forgive me stop me from going forward or hold me back, I hurt them, so I understand”.
His journey to ten years and ten days of sobriety is a testament to his resilience and determination. To mark this milestone, he ran from Durban to Pietermaritzburg.
This journey was more than just about celebrating his sobriety, it showed how he dedicated his life to living a healthier life without alcohol.
A comrades marathon bronze medal. Photo: Twitter/DotCom
World Hypertension Day is celebrated on 17 May 2024, another important day on the health calendar. But what is hypertension and what is the buzz all about?
Blood pressure is literally the force of blood pushing against the walls of blood vessels and is measured using a blood pressure cuff. Hypertension occurs when the blood pressure through these veins is high.
What is normal blood pressure?
A normal blood pressure reading is less than 140/90 mmHg, and hypertension is defined as blood pressure more than 140/90 mmHg.
Symptoms:
Maj (Dr) Marie Schuster from 3 Military Hospital’s Family Medicine Department, says that people with very high blood pressure (180/110 or higher) can experience symptoms including headaches, chest pain, dizziness, buzzing in the ears,
World Hypertension Day
What is a hypertensive crisis?
It is defined by a systolic number higher than 180 mmHg and/or a diastolic number higher than 110 mmHg. If left untreated, it can result in severe complications and ultimately
Risk factors for developing hypertension?
According to Dr Schuster the four main risk factors are the following:
Tobacco use
High blood pressure usually develops over time. It can happen because of unhealthy lifestyle choices, such as not getting enough regular physical activity. Certain health conditions, such as diabetes and having obesity, can also increase the risk for developing high blood pressure.
Dangers of hypertension
If hypertension isn’t treated, it can cause other health conditions and severe illnesses like kidney disease, heart attack and/or failure and stroke.
4 stages of hypertension:
Elevated stage: 120/129 over less than 80
Grade 1 (mild): high blood pressure –140-159 mmHg over 90-99 mmHg
Grade 2 (moderate): high blood pressure – 160 – 179 mmHg over 100109 mmHg
Grade 3 (severe): Hypertensive crisis –Higher than 180 mmHg or diastole higher than 110 mmHg
Physical inactivity
Harmful alcohol use and
Unhealthy diet
The following factors can also play a huge role in hypertension:
Higher age
Gender – more typical in men compared to women
Family history of high blood pressure
Ethnic group – high blood pressure is more common among black people
Excess and unmonitored intake of certain medications such as pain killers
Article by Maj Rina Coetzee, Maj Anien Coetzee, Maj (Dr) Marie Schuster, 3 Military Hospital
and cough medications
Treatment:
What can you do?
Maj Anien Coetzee, Dietician at 3 Military Hospital, says that healthy foods can prevent, lower and even reverse the heart damage caused by Hypertension. Foods like oatmeal, bananas, potatoes, dark chocolate and berries can play a role in lowering ones blood pressure
Treatment of hypertension:
According to Maj Coetzee the treatment of hypertension begins with lifestyle changes:
Maintain a healthy weight: Aim for a BMI between 18,5 and 24,9
Eat healthy: Eating lots of fruit, vegetables, low-fat dairy and less saturated and total fat can help
Reduce sodium: Ideally, try to stay under 1,500 mg of sodium a day, but aim for at least a reduction of 1,000mg per day
Avoid food with high salt content, and also avoid adding salt when eating
Get active: Aim for at least 90 to 150 mins of aerobic and or dynamic resistance exercise per week
Limit alcohol: Drink no more than 1 drinks a day
Stop smoking / tobacco use
Prevention
By adopting a heart-healthy lifestyle, you can not only reduce your high blood pressure, but also prevent or delay the development of Hypertension. A healthy lifestyle can also enhance the effectiveness of blood pressure medications and lower
the risk of heart attack, stroke, heart failure or kidney damage.
Lifestyle modification may lower blood pressure, but is usually not sufficient, and medication will be required, says dr Schuster.
Salt raises your blood pressure. The more salt you eat, the higher your blood pressure. One must aim to eat less than 6g salt a day, which is about a teaspoonful.
Eating a low-fat diet includes lots of fibre, such as wholegrain rice, bread and pasta, and plenty of fruit and vegetables also helps lower blood pressure, and one must aim to eat five portions of fruit and vegetables every day, says Maj Coetzee.
Regular drinking too much alcohol can raise your blood pressure over time. Staying within the recommended levels is the best way to reduce your risk of developing high blood pressure.
Being overweight forces your heart to work harder to pump blood around your body, which can also raise your
for Hypertension
The following foods must be avoided if the patient has a history of high blood pressure: salt, processed meats and other foods, trans fats (fatty meats), alcohol, sugar, canned foods, caffeine, pickles and cheese
Regular check-ups at your local hospital, sickbay or clinic can help early discovery and treatment of Hypertension. If you experience any symptoms or if you’re unsure about your blood pressure readings, don’t postpone, visit your health care facility today!
Multiple Sclerosis: An Overview of the Disease
Multiple Sclerosis (MS) is an autoimmune inflammatory condition. Normally the immune system helps to protect the body by fighting off foreign cells and organisms e.g. infections. In this condition a person’s body develops fighter cells that target their own bodies’ healthy cells.
In MS, the target is the nerve cells that are located specifically within the brain and spinal cord. Nerves in the brain and spinal cord are important to transmit signals to the rest of the body to help with normal function such as movement and feeling. These nerves are surrounded by a protective sheath called myelin, which allows the signals to travel fast within the body. In MS the myelin sheath cells are the primary target and the subsequent damage to the sheaths are referred to as demyelination. The risk factors thought to be involved include genetics, female gender, infections such as Epstein Barr virus and geographical factors.
SymptomsofMS
Patients may present with a variety of symptoms which usually depends on the area affected. If there is involvement of the eye, patients can present with visual symptoms e.g. blurring, poor colour vision or even complete loss of vision. Involvement of brain and spinal cord can cause other symptoms like weakness, numbness, pins and needles, pain, poor balance, urinary symptoms, and fatigue. Heat may cause worsening of symptoms, and some may report symptoms after a hot shower.
MS can present differently and are classified accordingly:
Relapsing remitting MS (RRMS) is where patients develop recurrent episodes of
acute onset of symptoms following which they may recover fully or be left with residual symptoms. This is the commonest form.
Secondary Progressive Multiple Sclerosis (SPMS). These patients start off with RRMS but then develop progressive worsening without having acute relapses.
Primary progressive MS (PPMS). These patients develop symptoms that progressively worsen from onset.
MS is diagnosed clinically by a specialist conducting several tests. Blood tests may be done to exclude other mimics of MS e.g. infections and cancer. Brain and spinal cord MRI imaging is conducted with a contrast agent called gadolinium. These studies identify the demyelinating areas, and the contrast will enhance in some lesions to indicate active/recent disease.
Lumbar puncture is a procedure that drains spinal fluid via a needle inserted in the lumbar region of the spine. This fluid is then sent for tests that help support the diagnosis of MS and exclude other mimics. Visual evoked potentials if available can be done to assess the optic nerves for damage.
Treatment
Once the diagnosis is made, patients are treated according to their presentation. Acute attacks/relapses are treated with large doses of prednisone which aids in reducing inflammation. Long term preventative therapy in reducing relapses and worsening include a variety of disease modifying agents. Within the SANDF, the first line of therapy available is beta interferons which is a subcutaneous injection taken three (3) times per week for the rest of the patient’s life.
Symptomatic therapy is directed as per patient symptoms. e.g. medication for pain, bladder symptoms. Nondrug therapy is very important in rehabilitation and ongoing management, and it involves other disciplines e.g. psychology, physiotherapy, occupational therapy, dietetics and biokinetics.
MS can range from benign (mild/no disability) to severe disability and is difficult to predict outcomes, thus early detection and treatment is of utmost importance as it has shown to aid in reducing the burden of MS.
Major (Dr) Ndivhuwo Khwashaba is a specialist physician and consultant at 1 Military Hospital in the Internal Medicine Department. We have a brief chat with the physician about the dangers of cigarettes, e-cigarettes (vapes) and hookah pipes for World Tobacco Day.
What are the dangers of smoking and secondary smoking?
Smoking poses numerous health risks, including lung cancer, heart disease, stroke and respiratory problems. Secondary smoking or also known as passive smoking can also lead to similar health issues for non-smokers who are exposed to cigarette smoke. The danger of smoking is when the lungs lose their integrity and elasticity and later manifest into “air trapping”. The air trapping may turn into various diseases such as bronchitis or worst case scenario lung cancer.
World Tobacco Day
and smoke than the usual cigarette smoker.
Hookah tobacco and smoke contain
several toxic agents known to cause lung, bladder and oral
A continuous use of smoking can also affect the blood vessels of the body, whereby the vessels can become stiff and hard , thus putting patients at risk for strokes , heart attacks and kidney
developing oral
typical hookah session
cigarette session is that
equivalent to inhaling the smoke of 100 or more cigarettes. Hookah smoke has extremely high levels of harmful chemicals. These include tar, carbon monoxide, heavy metals and cancer causing chemicals called carcinogens.
It is quite scary to realize that hookah smokers are exposed to more carbon monoxide
Vaping has surged in popularity , touted as a safe alternative to traditional smoking. Yet beneath the sleek designs and enticing flavours lies a myriad of health risks often overlooked or underestimated. It brings respiratory concerns. The inhalation of aerosolized chemicals found in ecigarettes can lead to lung inflammation and EVALI a new term to diagnose people with vaping related lung diseases. Dr Khwashaba notes that the long term health implications of vaping remains unknown because research is continuously been done to uncover potential risks , the interplay of various chemicals and their effects on human health. He notes that the cocktails of chemicals poses a risk and safety and it is unknown when heated and inhaled what the real dangers present to the human body
Dr Khwashaba notes that these alternatives may appear as a harmless but the reality and the dangers are quite complex. From respiratory health concerns to nicotine addiction these dangers cannot be overstated. It is imperative for individual to recognize the risks and make informed decisions
It has become a passion, and dedication to maintaining a healthy and active lifestyle.
In a remarkable display of fitness and dedication, Lieutenant Tebogo Kgasi from the streets of Mabopane, North of Pretoria, stole the show at the Bloem Show 2024 with her impressive aerobic prowess. As a self-proclaimed aerobic guru, Lieutenant Kgasi attributes her exceptional physical fitness to her daily attendance of aerobic classes.
The Group Exercise Aerobics session at the Bloem Show 2024 was abuzz with energy and enthusiasm, as members from various units, formations, and divisions gathered to showcase their aerobic skills. Amidst the energetic participants, Lieutenant Kgasi stood out, her infectious enthusiasm and boundless energy drawing attention from the crowd.
Lieutenant Tebogo Kgasi: The Aerobic Guru
"I make it a point to attend aerobics class every day," Lieutenant Kgasi revealed in an exclusive interview. "It's essential for me to stay fit and healthy, not just for my own wellbeing, but also to set an example for
Despite her busy schedule as a Logistics Officer at 3 Military Hospital, Lieutenant Kgasi understands that her position can be demanding but she ensures that she attends Aerobics classes . Her dedication to fitness is a testament to her commitment to promoting healthy lifestyles among her peers and colleagues.
Her passion for aerobics is evident in her approach to the exercise routine. With her military precision and focus, she led the group through a series of high-intensity aerobic moves, her movements fluid and effortless. Her energy was contagious, inspiring others to push themselves to new heights.
The aerobic session at the Bloem Show 2024 served as a fitting platform for Lieutenant Kgasi to showcase her skills, as well as the SAMHS's commitment to promoting fitness and wellness within the military community. By sharing her passion for aerobics, Lieutenant Kgasi is inspiring others to prioritize their health and fitness, ultimately contributing to a healthier and more resilient Military community.
As the SAMHS continues to prioritize the health and well-being of its personnel, Lieutenant Kgasi's example serves as a beacon of inspiration, demonstrating the importance of leading a healthy and active lifestyle. Her dedication to fitness is a testament to the SAMHS's commitment to excellence, and her aerobic prowess is an inspiration to all who have had the privilege of witnessing it.
Lieutenant Kgasi expressed her desire to further her skills by attending instructor course to become a Buddo Jigga qualified instructor. This ambition and drive to excellence in her fitness journey is truly admirable, and it is clear that she is determined to reach her goals and inspire others along the way.
Lieutenant Kgasi's impressive display of aerobic fitness at the Bloem Show 2024 is a paragon of the SAMHS's dedication to promoting healthy lifestyles within the military community.
As an aerobic guru, Lieutenant Kgasi is an inspiration to all, and her commitment to fitness serves as a powerful reminder of the importance of prioritizing one's health and wellbeing.
The retired Brigadier General (Brig Gen) Sidney September Fortuin was born in Barrydale in Western Cape on 22 August 1963. He is the eldest son of Mrs Christina Adams and Mr September Fortuin and one of the ten children who have sadly passed away. Brig Gen Fortuin completed both his primary and secondary schooling in Barrydale where he grew up. He joined the military in 1984 at South African Coloured Corps Maintenance Unit (SACC). He served as a NonCommissioned Officer (NCO) for the first part of his military career. His Unit Commander
Obituary of the Late Brigadier General (Retired) Sidney September Fortuin
recognised the commitment and dedication to his duties and nominated him to be developed as an Officer. In 1991, he underwent Officer
Formative course under the South African Defence Force and completed as one of the top students in class. He rose through the ranks as an Officer until he underwent the Junior Command and Staff Course in 2004. As his career progressed and developed, Brig Gen Fortuin obtained National Diploma in Purchasing Management in 2003.
In 2005, Brig Gen Fortuin successfully completed Senior Command and Staff Programme at War College. It was in 2010 when he completed his Executive National Security Programme (ENSP), a course that prepared him for the next promotion to general staff. On 1st November 2010, he was promoted to a substantive rank of Brigadier General and appointed the General Officer
Commanding General Support Base
Thaba Tshwane. This is where he served the South African Military Health Service until he took an early retirement in 2017.
In his military career, Brig Gen Fortuin remarkable service was acknowledged by the following medals for his dedication and service in the South African National Defence Force:
•GeneralServiceMedal
•Unitasmedal
•Bar20yearservice
•Propatriamedal
•GoodServicemedal(Bronze)
Brig Gen Fortuin received the best student trophy during the Module 8 Course at the Ordnance Service School.
During his leisure time on military courses, he was famously known for his culinary skills, boasting his oxtail potjie and fish braais. Brig Gen Fortuin was a people’s person who could interact gently with anyone from a child to the elder. His hobbies included golf, fishing, gardening and spending time with his loved ones.
Brig Gen Fortuin met his demise on 13 May 2024 at 1 Military Hospital. He is survived by his wife Hayley Fortuin and the only daughter, Sintecia Fortuin.
1 Corinthians 16:13-14
Be on guard, stand firm in the faith, be men of courage, be strong. Do everything in love.
Here are a few things that Paul says to the church, which seems to be a timely word for our day. God had given him a very fruitful time of ministry while there and many people had to come to know Christ. When Paul left the city and traveled to Ephesus, he later received word of trouble the Christians in Corinth were having. It was from there that he wrote several letters of encouragement.
1. Be on your guard- The truth is, if we’re not living aware, we will be taken advantage of, we will be taken off guard, possibly deceived, tricked, or thrown for a loop. The enemy wants nothing more than for us to be asleep in our faith. Let’s stay spiritually awake and aware of what surrounds us. God gives us
discernment for a reason.
Stand firm in the faithThis means to “persist.” Keep standing on, remembering, the Truth of what we have believed, the Truth of what has set us free. We can’t live a watered-down gospel for the world that insists we tone it down a bit. We do not have to waver in our beliefs out of a longing to be accepted from the world.
Be men of courage- Be people of courage and strength. Our world needs men who are willing to walk courageously. We need women who are willing to be brave. May our lives be so brave in a dark world.
4. Be strong- The word used here means “to keep increasing in strength.” Not in our own strength, but in the power of the Spirit of God. He makes our footsteps firm, He makes our way strong.
5. Do everything in love- That pretty much sums it all up. Our calling. Our purpose in this life. Everything we do, all that we say, should be done in love. Pointing others to Him. Love God. Love others. It’s the very love of Christ that compels us, may we walk in a manner worthy of his calling.
We will never be able to agree on everything with everyone, we’re not supposed to, and that’s not really the goal. We should never long to look just like the world, out of the fear that we look too different than those around us.
We should not be persuaded to live in shades of gray because we don’t want to step on any toes. We’re here to be salt. We’re here to be light. We’re here to make a difference, to point others to Christ. And we can be all that God calls us to be-staying strong, standing firm, living aware, walking in love, being people of courage for this is what matters most anyway.
