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28 December 2020 | Story André Damons | Photo Supplied
Dr James Fortein

Dr James Fortein, who had to overcome multiple failures and almost quit his dream, is now a qualified cardiologist after passing his final examination in August 2020.  

Major achievement 
 
Says a proud Dr Fortein: “It is a relief to have qualified as a cardiologist. This is a major achievement for me and my family. I can make a difference in many ways through this qualification. It is a blessing to be entrusted with a gift that can affect humanity.” 

According to him, his journey started in Grade 11 when he had already made the decision to improve his life. However, it was not an easy road. He grew up in a single-parent home with limited resources and role models. An all-inclusive bursary was withdrawn after he obtained a D symbol in Mathematics (higher grade) in Grade 12. Dr Fortein, who at the time wanted to study engineering, was forced to work in retail for a year while he improved his Mathematics mark. 

He called this his ‘gap year’.

On becoming medical doctor

“I registered for a BComm (Human Resource Management) at the University of the Free State.  I enjoyed it and did well. I stayed in House Khayalami, where I met three medical students who inspired me through their hard work and dedication. They are now all UFS-qualified doctors. I attended some of their discussions and later changed my course, applied for Medicine and was accepted,” explains Dr Fortein. 

Overcoming multiple failures

“I never repeated a grade in school. Then I came to Medical School and things changed. There was an increase in time spent studying and a decrease in the marks obtained. I missed a test in Paediatrics in my third year and had to do an oral test. It didn’t go well, and I failed the year. I couldn’t give up and had to regroup and go back to complete my medical studies. The failure had its positive side. I was more confident in my work after that.”

“The failures I experienced during my postgraduate training were more intense.  My situation changed. The failures now affected my wife and children.  I had a full-time job and bills to pay. Failure at this level places unnecessary strain on your family life. You invest so much time and effort into work and studying and then you fail.  It was heart-breaking,” says Dr Fortein.

He was on the verge of depression and wanted to quit after failing the Cardiology Certificate examination twice.

“It was through encouragement from my wife that I picked up the pieces and gave it another try.  Sharing the pain with friends and Cardiology Certificate candidates helped me to get closure and courage to prepare for the exam again.”

He passed the exam in August 2020 after it was postponed from May due to the lockdown. 

What kept him going?

There are factors that helped him to push through. God’s hand was in this process, says Dr Fortein. “Friends and family encouraged me. My focus and determination for a better life drove me to the last leg of the journey. I knew there was untapped potential in me that I had to use.”

News Archive

Stem cell research and human cloning: legal and ethical focal points
2004-07-29

   

(Summary of the inaugural lecture of Prof Hennie Oosthuizen, from the Department of Criminal and Medical Law at the Faculty of Law of the University of the Free State.)

 

In the light of stem cell research, research on embryo’s and human cloning it will be fatal for legal advisors and researchers in South Africa to ignore the benefits that new bio-medical development, through research, contain for this country.

Legal advisors across the world have various views on stem cell research and human cloning. In the USA there is no legislation that regulates stem cell research but a number of States adopted legislation that approves stem cell research. The British Parlement gave permission for research on embryonic stem cells, but determined that it must be monitored closely and the European Union is of the opinion that it will open a door for race purification and commercial exploitation of human beings.

In South Africa the Bill on National Health makes provision for therapeutical and non therapeutical research. It also makes provision for therapeutical embryonical stem cell research on fetuses, which is not older than 14 days, as well as for therapeutical cloning under certain circumstances subject to the approval of the Minister. The Bill prohibits reproductive cloning.

Research on human embrio’s is a very controversial issue, here and in the rest of the world.

Researchers believe that the use of stem cell therapy could help to side-step the rejection of newly transplanted organs and tissue and if a bank for stem cell could be built, the shortage of organs for transplants would become something of the past. Stem cells could also be used for healing of Alzheimer’s, Parkinson’s and spinal injuries.

Sources from which stem cells are obtained could also lead to further ethical issues. Stem cells are harvested from mature human cells and embryonic stem cells. Another source to be utilised is to take egg cells from the ovaries of aborted fetuses. This will be morally unacceptable for those against abortions. Linking a financial incentive to that could become more of a controversial issue because the woman’s decision to abort could be influenced. The ideal would be to rather use human fetus tissue from spontaneous abortions or extra-uterine pregnancies than induced abortions.

The potential to obtain stem cells from the blood of the umbilical cord, bone-marrow and fetus tissue and for these cells to arrange themselves is known for quite some time. Blood from the umbilical cord contains many stem cells, which is the origin of the body’s immune and blood system. It is beneficial to bank the blood of a newborn baby’s umbilical cord. Through stem cell transplants the baby or another family member’s life could be saved from future illnesses such as anemia, leukemia and metabolic storing disabilities as well as certain generic immuno disabilities.

The possibility to withdraw stem cells from human embrio’s and to grow them is more useable because it has more treatment possibilities.

With the birth of Dolly the sheep, communities strongly expressed their concern about the possibility that a new cloning technique such as the replacement of the core of a cell will be used in human reproduction. Embryonic splitting and core replacement are two well known techniques that are associated with the cloning process.

I differentiate between reproductive cloning – to create a cloned human embryo with the aim to bring about a pregnancy of a child that is identical to another individual – and therapeutically cloning – to create a cloned human embryo for research purposes and for healing human illnesses.

Worldwide people are debating whether to proceed with therapeutical cloning. There are people for and against it. The biggest ethical objection against therapeutical cloning is the termination of the development of a potential human being.

Children born from cloning will differ from each other. Factors such as the uterus environment and the environment in which the child is growing up will play a role. Cloning create unique children that will grow up to be unique individuals, just like me and you that will develop into a person, just like you and me. If we understand this scientific fact, most arguments against human cloning will disappear.

Infertility can be treated through in vitro conception. This process does not work for everyone. For some cloning is a revolutionary treatment method because it is the only method that does not require patients to produce sperm and egg cells. The same arguments that were used against in vitro conception in the past are now being used against cloning. It is years later and in vitro cloning is generally applied and accepted by society. I am of the opinion that the same will happen with regard to human cloning.

There is an argument that cloning must be prohibited because it is unsafe. Distorted ideas in this regard were proven wrong. Are these distorted ideas justified to question the safety of cloning and the cloning process you may ask. The answer, according to me, is a definite no. Human cloning does have many advantages. That includes assistance with infertility, prevention of Down Syndrome and recovery from leukemia.

 

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