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21 April 2023 | Story EDZANI NEPHALELA | Photo CHARL DEVENISH
Magdalene de Koker
Magdalena de Koker accepts a posthumous degree on behalf of her late son, Mervin Hershel van Wyk.

A grieving mother brought tears to the eyes of almost everyone present during a graduation ceremony at the University of the Free State (UFS) on Thursday 20 April, when she took to the stage to accept her late son’s posthumously awarded master’s degree.

The usually festive and jovial graduation spirit inside the Callie Human Centre at the University of the Free State’s Bloemfontein Campus turned sombre in a matter of seconds as Magdalena de Koker ascended the stage to receive her son Mervin Hershel van Wyk’s degree. The Faculty of Theology and Religion student had been on track to receive a Master of Theology degree with a specialisation in Church History and Polity, but passed away before his graduation ceremony. The posthumous degree awarding honoured Van Wyk’s memory and acknowledged his family’s support throughout his academic journey.

“My emotions are conflicted,” De Koker said. “I feel a sense of pride for my son’s accomplishments, and eagerly anticipated celebrating his graduation. However, the profound loss of my son has left me devastated. Instead of being a spectator, cheering him on from the audience, I now find myself standing in his place on stage, wearing unfamiliar shoes, unsure where the toe or heel lies.” 

His legacy lives on

Before closing the ceremony Professor Bonang Mohale, Chancellor of the UFS, said he cried because this degree had to be conferred posthumously. 

“This is sad, tragic, and regrettable,” Prof Mohale said. “We all pray and hope that our children will bury us. Mama, we pray that you get peace by acknowledging the current trauma and pain, so that there can be some acceptance in order to start the process of healing. And with that process of healing comes forgiveness. The wonderful thing about forgiveness is that it allows more healing. May the good Jehovah be with the family and the whole clan. When we pray, we say ‘Thy will be done’. Thank you, in the wake of your pain, for making the time to be with this greater family of Kovsies.” 

Dr Eugene Fortein, Senior Lecturer in Church History and Polity, said his late student was an inspiration to many. “He firmly believed that God cared about the suffering of the impoverished and oppressed, and that justice would be served to those often overlooked. These convictions fuelled his involvement in politics, unafraid to use his Christian beliefs to advocate for change through protests. His trial sermon last year from Amos 5 – ‘But let justice roll on like a river, righteousness like a never-failing stream’ – embodied his unwavering conviction that justice and righteousness were integral to his faith.” 

Van Wyk’s passing is huge a loss for his family, friends, and the UFS and South African academic communities. His dedication and commitment to his studies serve as an inspiration to all those who knew him. The UFS community mourns the loss of a talented student and scholar, but his legacy will continue to live on through his contributions to the field of theology.

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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