Friday, October 31, 2014

Dead Man Walking: What I Mean When I Talk About Walking

There is a hill just outside the gate to my apartment compound. Every day, when I walk up the hill, I experienced a tightness in my chest. It's not similar to the heart attack pain I had two months ago, more like a soreness I could feel. It's like the heart is informing me, "hey, this part is dead, dude."

I didn't tell anyone because I didn't want to get all these people worried and they might try to stop me from walking. I know I need the exercise, with my life expectancy now severely reduced - which I must say is part of the plan anyway. So, no one will stop me from doing at least walking. It's just a small fucking hill anyway - around 200m on a steep incline - and if I did detect any real problems, I'd call a cab and go to the emergency room.

Anyway, for the past few days and especially today, that tightness as I climbed the slope was gone. I feel fine, no pain or soreness or whatever. To celebrate, I walked even further today. Usually I walk between 4-6km in one hour, twice a day, almost every day unless it's raining. On a normal day, that's 8-12km of walking.

I have discovered such things as a war memorial just behind my apartment complex, a pack of stray dogs that constantly bark at and ambush me in the beginning but less so now, an international school, a Chinese school, miles of graveyards, some killer views of KL, a fucking palace, training centers as well as grilled fish places.

Today, I decided to explore a bit more and discovered a fucking park. I was living and walking right next to a park and I never knew it existed!

So I walked in, had a chat with the groundskeepers and walked through the thing. Next time I'm walking, I'll explore the full breadth of the space.

I was also cleared for swimming two days ago, when I did my stress test. My fitness level is 10.7 out of a possible 12. This means I can do most things except deep sea diving, skydiving, mountain climbing and those types of stuff. I can run, swim, and do heavy farming.

So, yesterday I went and swam 20 laps for 500m. It was a great workout and sleep was really good. I'm going swimming again today, if I can squeeze the time, but just to relax. I will only do 20 laps around 3 times a week. Can't overexert myself or I might die.

Walking, though, is something I can do every day.

Since the heart attack two months ago, I have lost 15kg. I am halfway to my goal - losing 30kg. Next week, I will go for cardiac rehab's physiotherapy where I hope to learn some weight training techniques and limitations for heart patients such as myself. I also want to know whether it's safe for me to do crunches.

If I develop my muscles, my weight loss will slow down as I build more healthy mass. But more muscle mass means a faster weight loss in the long run.

I'm not doing this for aesthetic reasons. I'm an ultra-handsome bastard as it is. I need to shed the weight and the fat percentage in order to deal with my disease. Life expectancy is the game. Ejection fraction, METS, blood cholesterol levels are all numbers I need to manage and improve.

Not all my doctors will tell me everything. That pissed me off, but since I have access to loads of data from US-based studies, I am okay for now. I know that I won't live that long, but whatever time I have left, I want it to be on my terms.

So that's why I walk, and keep on walking.

Wednesday, October 29, 2014

Happy 60th Day Anniversary of Almost Dying

Aku baru habiskan dekat 12 jam kat Pusat Perubatan UM, sempena ulangduabulan aku kena sakit jantung. Pagi tadi, aku pergi cardiac rehab untuk stress test.

Stress test ni dia lekatkan benda kat badan ko pastu dia suruh ko lari atas treadmill, sampai ko takleh lari dah.

Dia ada enam level dan dia bagi markah based on ko punya fitness level. Maximum markah 12. Setiap level bagi ko keupayaan untuk buat sesuatu aktiviti. Contohnya, pada level 12, ko boleh menyelam di laut dalam.

Markah aku ialah 10.7. Ini bermakna aku boleh berlari pantas, berenang (yay!) dan membuat 'heavy farming'. Bila aku tanya 'heavy farming' tu apa (sebab dalam kepala aku, aku fikir macam bawak traktor besar atau harvester yang banyak gigi tu), rupanya, mencangkul dan menggali lubang.

Aku tanya doktor, "Buat apa saya nak gali lubang?" Tapi aku paham, soalan sebegini amat relevan untuk majoriti pengidap sakit jantung yang rata-rata tua dan daripada golongan petani.

Aku direkomen oleh Dr Anees di cardiac rehab untuk menyertai latihan fizikal di gym cardiac rehab - sesuatu yang memang aku nak. Gym dan satu lagi, occupational therapy.

Aku AMAT suka team cardiac rehab aku, sama ada doktor-doktornya, nurse-nurse yang friendly dan jugak ahli-ahli baru dalam team aku - Cik Yasmin (Physiotherapy) dan Cik Siti (Occupational Therapy). Aku rasa diorang amat okay.

Kemudian, selepas lunch, aku pergi check INR level aku. Aku terpaksa menunggu selama lebih enam jam. Sambil-sambil tu, aku maki hamun kat Twitter semua kelemahan sistem kat PPUM terutama selepas mamat yang datang 30 minit SELEPAS aku dapat jumpa doktor dan balik SEJAM sebelum aku. Aku komplen kat admin staff kot, lepas tu dapat muka sindir. Aku fikir seseorang perlu menyusun semula sistem menunggu kat PPUM.

Jumpa je doktor, dia terus macam, "Sorry for the long wait" atau something like that. Aku terus bagitau dia kepincangan sistem tu, dengan peluang menyediakan kemudahan untuk orang naik wheelchair, etc, etc.

Tapi, aku tau dia bukan nak dengar sangat pun, dan aku perlukan dia punya prescription je. Bestnya doktor ni, dia selesaikan dua masalah aku sekali gus. Aku patut test INR aku tetiap minggu, dan cara diorang pastikan ini terjadi ialah dengan hanya bagi aku Warfarin untuk satu minggu. Maksudnya, kalau aku tak pergi test, aku boleh mati terus.

Tapi, doktor ni bagi aku Warfarin dua bulan terus. Aku AMAT gembira. Aku tau aku kena monitor INR aku dan ejas dosage Warfarin. Aku boleh test INR kat luar, dan aku sebenarnya tak perlu ejas dosage warfarin sebab tahap INR aku sekarang tepat pada kadar yang dikehendaki. Maksudnya, kalau aku maintain pemakanan aku tanpa tambah sayur hijau or anything, aku boleh gunakan itu sebagai variable dan dosage Warfarin sebagai constant.

Aku happy balik dengan PPUM - sebenarnya sudah menjadi hospital kegemaran aku. Aku masih rasa sistem menunggu di Klinik Perubatan perlu diperkasakan, sebab kesian nurse dan doktor yang kerja macam orang nak gila, tapi patient masih nak mati tunggu sampai enam jam.

Bukan salah medical staff, dan sepatutnya team yang bukan medical staff patut handle administration dan focus on management and operational workflow issues. Sebagai separa management consultant yang suka memberitahu orang dan kompeni diorang di mana diorang salah, ini memang kerja yang aku buat, biasanya free sebab takde sapa nak bayar budak Melayu paya yang bagitau diorang how much their system sucks.

Anyway, di hujung pengembaraan ke PPUM ni, aku naik teksi dengan cardiology consultant. Mamat ni kaya, sebab seluar dia sahaja dah dalam lingkungan 600 atau seribu. Kemeja dia tak kurang 400. Tie dia kualiti tinggi dan fresh. Mamat yang tie kotor biasanya ada satu atau dua tie sahaja.

Aku borak cerita pasal queue yang cam haram tu. Dia terperanjat sebab biasanya 30 minit je. Aku explain, jadi teruk sebab last week pada hari klinik INR, ada Deepavali. So, untuk minggu tu, double trouble lerrr.

Lepas dia blah, aku dengan drebar teksi je dalam kereta. Drebar teksi tu tanya pasal apa aku borak dengan mamat doktor tu tadi. Aku cerita pasal penyakit aku, etc, etc.

Drebar: Abang sakit jantung? Sakit macam mana tu bang? Kalau abang terperanjat, abang mati ke?

Aku: Takde la camtu. Jantung aku, ada damage kat laluan LAD... errr... kat salah satu urat dia, ada block. So jantung tu dah mati. 1/3 jantung aku dah mati.

Drebar: Separuh jantung abang dah mati?

Aku: Tak. Satu pertiga.

Drebar: Suku jantung abang mati?

Aku: Tak. Satu pertiga.

Drebar: Habis, kalau bukan separuh, bukan suku, berapa banyak yang mati? Jantung abang hidup lagi ke?

Aku: Satu pertiga la. 1/3. One over three. Kalau ko beli kek bulat, ko bahagi tiga, ko ambik salah satu potongan, itu satu pertiga la.

Drebar: Jadi, kalau kita ambik kek pound, atau kek kat Starbucks, kita kerat dua?

Aku: Aaaa...ko pusing sini bro. Ko pusing kiri sini.

Lepas tu aku senyap. Maleh dah nak layan.




Saturday, October 25, 2014

60 Days After

Next week, two months on the dot from the time I had my heart attack, I will be back at the hospital for an echo stress test. It's a cardiac rehab thing where the doctors will see how my heart moves and functions while I'm exercising.

I hope to get some information from this - particularly how much I can push myself in my daily exercise. The past two months, I took to climbing stairs and then switching to walking.

I started doing 30 minute walks, then I got bored so I did 40 minute walks. Then that became boring as well so I did hour-long walks. Now, I'm doing it twice a day and found out my speed and stamina have increased.

That hour-long walk now takes 40 minutes. I now have to walk further to meet my 60 minute target. I think I want to run, but it is not safe and I could have a heart attack, a stroke or an embolism if I do it wrong or over-exert myself. I also want to know whether I can go swimming again, but walking works for me.

One of these days, maybe tomorrow, I'll write about my walking adventures. They're pretty dumb and interesting, like Jiro Takiguchi and his comic book.

The 60 days also saw a huge change in my lifestyle. First up, no cigarettes. I quit smoking cold turkey and have never had a single stick since the day I got a heart attack.

I reformatted my diet. I asked my sister - a control and health freak - to set up a system for me. I took the system and improved it for my own use. Her recipe to make soup, I have altered to include things I need, such as tomatoes due to my meds not allowing me to have vegetables.

Oh yeah, the doctors found blood clots in my heart, which is potentially life-threatening. So they prescribed Warfarin for me. Warfarin is very sensitive to many things so I had to get rid of leafy green vegetables which formed a large part of my diet. I also stopped taking garlic, western herbs, soy products and a bunch of other stuff.

I also cannot drink cranberry juice, or I might die of brain hemorrhage. It's fucking serious. My friends and family members save for my sister will never be able to understand all this. In some cases, they're dumb. In others, they're delusional or in denial. Also, there is an anti-knowledge culture in our society.

Each person's medical condition is different, but for most people out there, these are just broad categories. "He has hart disease." "Oh? DUUUUUUUUUUH What colour pill does he take?" "She has diabetes? Does she take injections or does she take pills? Are they gonna cut off her foot?"

It doesn't help that most of the medical fraternity in Malaysia do not explain. Thank God for Google.

I'm always pissed off with our dumb society and our stupid people. This is what got me sick in the first place. That and cigarettes and an extremely unhealthy diet. But mostly it was idiots.

After the heart attack, in these two months, I have had a few days when I felt sorry for myself but for the most part, I felt lucky. My sister kept on bugging me about it. "You don't realise how lucky you are."

I had the strength and presence of mind to go to the hospital. We did reach the ER on time. I responded to the anti-thrombolytic agent they injected in me (probably Heparin) as an emergency treatment, I responded to medication, my arteries were okay with the angiogram and angioplasty. I was not allergic to anything. The list goes on.

In terms of my mental well-being, I am quite okay. I'm confident I can keep my cholesterol level low, that I can keep on not smoking, and maintaining my exercise regime. I believe I can get my heart to function better after six months.

In fact, I want to increase the intensity of my exercise regime, and I want to go longer. I want to check out the newly refurbished public gym at Bangsar Sports Complex. I'll have to wait for Wednesday to find out from the doctors.

Mesej Untuk Beruk Atau Biawak

Aku tengah sibuk menyusun kembali hidup aku lepas kena sakit jantung dan takleh buat mende sangat selama dua bulan.

Sambil aku menulis tiga novel serentak dan satu skrip filem, aku nak rehat kejap dan cakap pasal tabiat pemakanan sihat yang mak bapak kat Malaysia - terutamanya mak bapak Melayu - memang gagal segagal-gagalnya.

Tabiat makan mula kat rumah. Mula dengan mak bapak ko, dan kalau ko dah membiak dan ada anak, tanggungjawab tu jatuh pada ko. Malangnya, kebanyakan orang yang kahwin dan membiak sebenarnya tak cukup matang untuk bertanggungjawab atau memikul tanggungjawab menjaga dan membesarkan budak.

Aku kata macam ni sebab pengetahuan pasal pemakanan yang paling basic, diajar di sekolah rendah, PUN DIORANG TAK INGAT. Aku amat terperanjat dengan tahap pengetahuan kebanyakan mak bapak yang sama tahap dengan beruk. Kalau bagi anak ko kat beruk, aku rasa budak tu lagi sihat.

Takkanlah Rosmah nak bagitau semua orang, "Makan fast food tu tak bagus, tak sihat. Banyak garam, lemak tepu, lemak pondan (trans fat) dan gula. Tak caya, tengok saya ni."

Aku perhatikan banyak mak bapak bila bagi anak-anak dia makan, dia bagi ikut apa budak tu suka makan. Kalau budak tu suka McDonald's, dia sumbat McD. Kalau budak tu suka makan mentega, dia sumbat mentega.

Pasal apa diorang ni tak tegah atau halang anak-anak diorang makan macam babi?

Sebabnya, mak bapak jenis camni takde emotional maturity - kematangan emosi. Diorang nak anak-anak diorang suka diorang, sebab diorang sebenarnya tak tahu dan tak pernah rasa kasih sayang. Kebanyakan keluarga yang aku perhatikan secara teliti, hanya bersama sebab alasan-alasan yang amat cetek dan superficial. Diorang bukan sayang pun anak diorang tu.

Keluarga yang tidak bersama sebab emosi atau perasaan, tetapi sebab ingin menjaga imej sendiri. Inilah sebab kita nampak mak dan bapak yang jauh lebih pentingkan bagaimana orang lain melihat diorang sebagai mak bapak atau sama ada anak-anak diorang sukakan diorang atau tak. Basically, selfish, stupid, immature motherfuckers.

Bagi aku, keluarga yang asyik sumbat bebudak dalam kelompok diorang dengan makanan tanpa memikirkan damage jangka panjang adalah keluarga yang pentingkan diri sendiri dan sepatutnya dimusnahkan, atau ditempatkan di zoo.

Jadi, aku cuma nak bagi satu peringatan, kepada semua pembiak - kalau ko dah bawak satu manusia ke dalam dunia ni yang satu hari nanti akan berdepan dengan kesakitan, kematian dan kesedihan, ko bertanggungjawab untuk paling kurang bagi diorang cukup bekalan ilmu dan basis untuk menghadapi semua ini.

Kalau tak, ko beruk. In fact, beruk train anak dia cukup untuk survive dalam hutan. Ko tak. Jadi ko lebih teruk daripada beruk. Ko reptilia. Biawak.

Friday, October 17, 2014

Bahan Makanan Bunuh Diri Untuk Manusia Biasa Dan Pesakit Jantung Yang Ambik Warfarin

Untuk manusia biasa yang mahu mengelak sakit jantung/stroke, jangan makan:

1. SEMUA jenis fast food. No exceptions.

- Semua fast food kaya dengan saturated fat, trans fat dan garam atau gula. Aku tau, sebab aku pernah makan semua jenis fast food.
- Makan fast food macam McDonald's dan KFC, Domino's dan Pizza Hut  menaikkan risiko sakit jantung, stroke, kencing manis, darah tinggi, liver failure, buah pinggang dan AIDS, kalau suka ke belakang McD atau KFC dan main toron jubur pondan sambil tak pakai kondom.

2. SEMUA jenis makanan yang dihidangkan di kedai mamak.

- Sama je dengan fast food. Minyak dia entah berapa kali guna dan dipanaskan semula - meningkatkan jumlah trans fat dan bahan-bahan carcinogenic.
- Teh tarik tu cuma gula, lemak dan lemak lagi. Pastu ada air sikit dengan serbuk teh yang entah mana dia lancapkan.
- Mi goreng mamak tu aku rasa kalori dia cukup untuk tiga hari kot.
- Roti canai ada minyak banyak gila sebab setiap kali dia tebar dan goreng, dia letak minyak banyak.

3. SEMUA hidangan tradisional Melayu, India, Cina, Indonesia. SEMUA.

- SEMUA cara masak buatkan hidangan tradisional ni banyak lemak, garam dan akhirnya akan bunuh ko. Nak makan, kena ubah cara masak.
- Hanya cara masak aku yang boleh mengekalkan 85% rasa masakan tradisional, dan menjadikannya sihat.

4. SEMUA jenis kuih.

- aku amat suka kuih. Untuk satu jangka masa panjang, aku percaya kelebihan orang Melayu hanya pada kuih yang hebat. Sekarang aku sedar, kaum lain pun cam puki je - tak bayar utang dengan aku sebanyak 30K. Pui. Superior apa, camtu?
- Anyway, semua jenis kuih tak sihat. Karipap ke, kuih bakar ke, tepung bunga ke, semua aku dah haramkan untuk diri aku sendiri. Harap korang ikut sama.


Pantang Larang Warfarin

Dan untuk mereka yang sedang mengambil ubat Warfarin - biasanya pesakit jantung - ini ialah senarai bahan makanan yang tak boleh makan jugak(perlu diingat, Warfarin bertindakbalas dengan Vitamin K):

1. Herba Mat Salleh

- 100g Basil ada 2143% jumlah keperluan harian Vitamin K. Atau, untuk setiap sudu besar, atau 5g basil, ada 107% keperluan harian untuk Vitamin K. Yang lain - thyme, marjoram, sage pun ada kandungan vitamin K yang tinggi.
- Ini bermakna aku terpaksa melepaskan resipi grill aku dan bertukar ke rempah dan herba Asia.

2. Serbuk dan Rempah Kari/Rempah Jenis Pedas

- WHAAAAAT? Takpe. Satu sudu besar rempah kari/paprika ada 7% keperluan harian Vitamin K. Serbuk cili ada 11% setiap sudu besar.
- Ini bermakna aku perlu mengawal jumlah rempah yang aku makan. Aku biasa gunakan satu sudu besar rempah untuk masak kari yang tahan satu hari (dua kali makan). Okay kot.

3. Sayur-sayuran Berdaun Hijau,.

- dengan kandungan vitamin K yang amat tinggi (lebih 1000% keperluan harian untuk bayam, kale, atau beberapa ratus peratus keperluan harian untuk yang lain), memang takleh makan.

4. Sayur Salad Mat Salleh

- Pun takleh makan.

5. Soya dan barang makanan diperbuat daripada soya

- aku amat sukakan tempe. Takleh makan.
- Takleh minum air soya
- Takleh makan taugeh - tapi aku takde la suka mana taugeh
- tauhu takleh, barang makanan vegetarian berasaskan soya, takleh. tau foo far takleh.

Nak tau nilai dia semua, klik kat sini.

Basically, banyak gila la benda takleh makan sebab tengah makan Warfarin.

Apa yang aku boleh makan sekarang amat-amat terhad, untuk at least 6 months. Kalau tak, aku mungkin mati sebab stroke.

Wednesday, October 15, 2014

Warfarin and Peace

So I went for my INR check today. INR is International Normalised Ratio. It measures how fast our blood clots.

A value of 1 is normal human. A value of 2 means it takes twice the time for the blood sample to clot than normal. A value of 0.5 means it clots in half the time. So on and so forth.

I have this condition called left ventricular thrombus, that developed perhaps after 1/3 of my heart died. After the heart attack, my blood probably went to a hypercoagulable state to prevent the heart walls from rupturing. Now, blood clots have formed in the dead region of my heart.

If the blood clot becomes bigger, and if it is dislodged from the heart, the damn thing can travel to my brain and cause a stroke, hopefully killing me instantly if that happens. Or it could go elsewhere and create many problems.

The standard treatment is either surgery or meds. Meds are usually warfarin and aspirin - a concoction usually separated. Blablabla.

Anyway, Warfarin is sensitive to many things, including vitamin K which is found in leafy green vegetables. Leafy green vegetables are a major part of my diet, my system. I had a fucking system and Warfarin ruined everything.

So I had my INR levels checked and it was 1.2 - way below the targeted 1.8-2.0. So the doc told me to stop eating leafy vegetables.

I had a bit of an argument with the young doctor.

Me: So, wait, you are increasing the dosage based on this reading, correct? So if Vitamin K is a factor, and Warfarin dosage is a factor, if I maintain the Vitamin K levels, all we need to do is adjust the Warfarin dosage, correct?

Doctor: NOOOOOOOOOOOOOOOooooooooOOOOOOO.

And so on and so forth. Basically, the doctor disagreed and told me to stop eating vegetables. Meanwhile, I was trying very hard not to be a dick.

But anyway, I'll take the doctor's word for it. I now have increased my Warfarin dosage and have given up leafy green vegetables for the next six months.

Now, I need to make sure I don't lose out on the vitamins. However, I can'y take supplements because Warfarin forbids it.

So, for each of these, I'll be upping:

Vitamin A - carrots (I hate carrots)
Vitamin B - oats, etc (covered)
Vitamin C - tomatoes, oranges
Vitamin D - I walk on most mornings
Vitamin E - I use a bit of oil
Vitamin K - minute amounts from whatever, probably garlic and ginger I use as seasoning

Oh well. That's it for now. And that's it for salads until mid-March, hopefully. I don't want to be on Warfarin forever.


Saturday, October 11, 2014

Some Wanking Before Writing

The ugly topic of depression rears its ugly head once more. I want to talk about depression for heart patients.

First of all, it is quite common and a lot of my medical friends try to cheer me up because it is very easy to fall into a state of despair and self-pity once you get a serious illness. Also, some people might find it great to embody the identity of the disease. To become Lord Myocardial Infarction, Esq. It's all about ego. And attention.

However, I don't believe people can be cheered up with fluff or kind words. I believe the only thing that can be useful to get people out of the rut is the truth.

Two days ago, after I saw the cardiologist, I was on the brink. It was a shock to find out that my heart is worse than I thought and the fact that I have to take Warfarin to prevent strokes or embolism threw my carefully constructed dietary system into disarray.

Mentally, I was a mess. I didn't know what I had, why Warfarin was necessary, how did my heart get damaged so much when I went to the hospital quickly, etc, etc.

The past few days, I collected lots of info and harassed all doctor friends within talking distance. In an effort to make sense of it all.

I have found my peace with God a few years ago. I am okay with anything God throws at me. I am  not resisting the MI, the angiogram, the angioplasty, the stent, the slow recovery process, the meds, the  Warfarin. No none of those are in contention. I just want to make sure that I have done all that is humanly possible and know all that is possible for a human to know about my condition.

I am not a lazy ass motherfucker who treats God as my bitch, to leave it all up to God. Cause that's bullshit - regardless whether you believe in a higher power or not. But until the minute I die, I will not stop to do all I can. And all I can is a lot of stuff. Actually, all any of us can do, is a lot of stuff. Don't give me any excuses.

So anyway, I was in a state, but I kept on going. And one of my friends came through. After asking about these alternatives to Warfarin (there are three, new drugs in use since last year or so), I found out the name of my condition, common treatments and later on, I will find the survival rate.

Finding a name means I now have a thing to refer to. It would speed up my reading of the medical journals and other stuff. I felt relieved. I am not scared of death at all. Everybody dies and heart disease is preferable to cancer. I pushed myself these past two weeks and I think I will recover just fine, with all capabilities intact. I just won't be running a marathon or skydiving or bungee jumping anytime soon. Oh, and it seems I'll never ride a roller coaster.

I have a name for my condition. I know what it is. I know that humanity has encountered it before. That there exists a protocol to deal with it. Somewhere, there is a mortality rate, but that can wait.

Right now, I feel so good and free, I'm going to start writing a brand new book tomorrow. I mean, seriously, I'm writing a book.

See, to me, I don't get out of depression with anything other than the truth.

The Numbers of Death

Since the medical people don't tell you everything, I've been doing some reading on my own. Basic stuff that all heart patients and their family should know.

90% of people who survived after a few days of their first heart attack can make a full recovery. 10% will die in the first year, usually in the first 3-4 months.

I'm still alive after more than a month so my chances look good. BUT - they found some blood clots in the section of my heart that is dead. This could cause strokes or embolism, which means automatic death. Or worse.

1/3 of my heart is dead. The human heart pumps at 60-70% capacity or ejection rate. Mine is 41%. There have been people who have lost half their heart and survived for over 40 years, there are people who have lost just 15% capacity and died.

There is no way the heart can regenerate, so the thing that pisses me off is when people ask me whether I have recovered. It's not the flu or a toothache. My heart will never recover the part that is now dead. It's gone. Goodbye. Adios. The only thing that can be done is to make the other parts of the heart stronger so they can compensate.

Here's a risk - a majority of heart patients may find their heart to increase in size. A bigger heart is stronger at pumping, but may suffer from arrhythmia.

When you have had a heart attack, you will take certain meds forever. Forever. Forever ever? Forever-EVER!

This is usually anti-platelets like aspirin and/or clopidogrel (brand Plavix) and in severe cases, the dreaded Warfarin. There are ACE inhibitors and beta blockers, statins, etc.

You need to be able to trust your doctor. My doctors are okay, but they don't give all information. No one in the public healthcare system will tell you all the information because either they don't know/don't have it or they simply don't think you need to know. I need to know. I deal with massive amounts of information. So be prepared to conduct your own research.

Cardiac rehab may help, if you're in a First World country. It has been shown to reduce risk of another heart attack or dying from boredom. I have yet to try out Malaysia's public healthcare cardiac rehab programmes but initial meetings with the team seems okay.

Heart disease costs money. Not so much as cancer, but be prepared to spend for procedures, meds, etc.


Death, Warfarin, Famine, Pestilence

I have been collecting information about my condition and got segued looking into healthcare protocols and procedures. Can't help it - part of my work is assessing organisations.

First of all, there's an information gap. Serious gaps in information that I would need. These are not gaps in info the doctors need to treat patients, but simply the type of info I wish was there for me. It's a selfish thing.

For example, how many people have the same condition here in Malaysia? What is the mortality rate? How long do I have to live - a rough estimate is fine? How about morbidity - how do we determine what I can or cannot do? How long do I have to wait when given a number? I Googled and read up studies on every single drug they give me, but what if an old pakcik was prescribed a risky med and does not have Internet access to know that eating something together with the drug could cause a brain hemorrhage?

I haven't done much but what I encountered when I ask some questions or give some small suggestions is how defensive some people working in the medical industry are. This is understandable. Humans are defensive. And I should just shut up.

Especially when given the fact that I can't afford private hospitalisation. Being poor, I should just take it up the ass. And I'm not a Datuk or Tan Sri who can get in IJN. Even if I can, I don't have the money to pay for it. And I don't think my condition is special enough to warrant free healthcare at IJN, for research purposes. At least I hope it's not.

The thing is, I'm not even criticising individuals or even doctors. I just believe some of the system can be improved. It is an administration and management issue, which is not an ailment unique to just hospitals but is prevalent everywhere in Malaysia.

I would have been happy if the nurses told me, "You HAD an appointment at 11am, but you will only see the doctor after 4pm or so. Now go fuck yourself and come back at 4pm." AND if the doctors just told me, "hey, you know what? You lost a third of your heart. There are people who lost half their heart to whatever and they are unfortunately still alive 40 years later. Then again, there are people who died two weeks after their first heart attack. Badum-tish! The stats according to people who get treated here would be 546 of 1098 patients with similar conditions die within the first two years. Here's a chart. Good luck. Now fuck off."

Studies, stats and the rest are unavailable, unless conducted by pharmaceutical companies to prove or disprove the effectiveness of their or competitors' drugs. But there are independent studies.

For example, the drug I am on right now - Warfarin (formerly rat poison) - is used to treat severe heart conditions, DVT, etc, etc. A doctor friend only mentioned Warfarin as treatment for DVT - deep vein thrombosis - but further reading showed that it is used for severe cases of heart problems.

Warfarin also significantly increases the mortality risk of traumatic injuries in both elderly and younger patients.

These studies and stats, numbers and figures are unavailable in Malaysia - except through the internet - and it's not the doctors' fault. This thing can be made available with better management and administration.

However, it is impossible to expect this kind of coordination when you have to wait 5-6 hours to see a doctor, if you are not really, really dying.

Some systems work very well, even the non-emergency cases. The pharmacy at UMMC, for example, is reasonably fast on certain times of day.

Oh well. Just wanking.

Friday, October 10, 2014

Death and Bullshit

Last night, as I sat down and wrote about the bad diagnosis I received yesterday, my chest felt tight, I was exhausted and generally in extremely low spirits.

The condition of my heart is worse than I expected. There are also complications that put me at risk to either a stroke or the House condition - the medical problem TV doctor Gregory House faced in his origin.

The doctor prescribed a new drug for me - Warfarin. Warfarin was used previously as rat poison. It stops blood clots from forming and for the next six months, this is what the doctors will try to do. I'm already on two other types of blood thinners and Warfarin will be a third drug to function similarly.

The doctor looked very grave, as if predicting my death within a few years. Even his apology sounded to me a bit sarcastic, but I knew he was just telling the truth.

Warfarin is one of the drugs I was hoping to avoid. If taken with the wrong dosage, I could end up with a brain hemorrhage. There are also many types of food that reacts with Warfarin, especially cranberry juice, green leafy vegetables, alcohol, and a bunch of other stuff.

I have to go to the lab every week to get my blood coagulation ratio thing. They need to test how fast my blood clots to adjust the Warfarin to the required target level. The rule then is that I need to make damn sure my intake of green leafy vegetables is consistent at all times.

This means I need a vegetable schedule. Perhaps four (4) heads of butterhead lettuce a week, with one head per day, sawi (choy sam) - maybe one RM2 bunch and three stalks of bok choy a day for two days.

Once I decide on the vegetable schedule, this is what greens I will eat for the next six months with absolutely no changes whatsoever.

This means I won't eat out at all. I won't go to any of your stupid weddings or events. I won't go to parties or travel anywhere I can't replicate my vegetable intake. Not that I go now anyway.

In fact, I have regulated my vegetable intake so far. It's just so fucking bad when you actually have to do it.

I'm dealing with all this, so I have a favour to ask from friends, family or anyone interested in talking to me - do not try to proselytize or convince me to become a devout follower of your stupid religions.

I have long ago accepted wherever God wants to throw me. Heaven, hell, limbo - it is not for me to judge and certainly not for you, who are all inferior to me. I have never met anyone smarter than myself and you are all stupid. Why should I listen to stupid people?

I don't believe in miracle cures that can be whipped up in the kitchen, I don't trust homeopathy, no matter where they're from, and I especially hate anything and everything that comes out of Saudi Arabia and treated as if it's some sort of magic bullshit thing.

I don't believe in magic metal bracelets, enchanted volcanic rock medallions, sacred pieces of paper with Arabic script written by the mouth of a man with no arms or legs, water infused with spiritual incantations, super magic incense, or any type of thing that was not studied by various medical and scientific organisations and are now dispensed by modern clinics or hospitals around the world - preferably First World.

I do not believe that bribing God with extra super duper prayers or fasting or reading a book will accomplish anything. I do not believe in a point system devised by modern Muslims who all believe that the concept of  'good deeds' and 'bad deeds' to determine whether you go to heaven or hell can be quantified.

It is believed by some that if you do as God tells you, you get points. The more points you score, the more you can offset your negative points, accumulated when you are doing bad things. In the end, on Judgment Day, these points are calculated and regardless of anything else, you will go to hell or heaven based on these points.

It's as if someone who lies, cheats or steals can offset his or her bad deed points with a string of combo good deed points during Ramadan. Or a wife beater, a murderer, a child rapist can get away from eternal damnation by following certain dietary restrictions.

In the immortal words of Chris Rock, "On Judgment Day, I refuse to believe that my diet will come into question. Hey, God, I killed a bunch of kids, but I ate right!"

The point system is immensely corrupt and bears a striking resemblance to the practice of the Catholic Church in the past of selling pieces of paper to 'forgive' sinners. The similarity lies in the view that sin can be quantified, and as if God has to adhere to some sort of system.

What if God says fuck you, and all your deeds, you going to hell, fucker! No amount of praying or pretending to be pious to other people will save you then.

I would appreciate it if no one tries to talk about the afterlife to me. None of you have ever been there so everything you tell me is a fucking lie.

I've made peace with God years ago. So take your bullshit, roll them up real tight, spit polish it and stick it up your ass.

Thursday, October 9, 2014

Bad News

So I went to UMMC for my follow up and a check at the results of my MRI. After more than five hours of grueling waiting in a system that barely works, I didn't get to see my previous attending physician and I also did not get the news I wanted.

Instead, I was told of some rather bad news concerning my health and my heart. This means I am on new medication in addition to whatever I have now for the next six months.

This new medication requires I don't change whatever diet I will be on as soon as I start. It is extremely sensitive to multiple types of food and reacts with certain things that contain certain minerals.

What this means is I can never, ever, deviate from my diet plan. It means I can't go anywhere on earth where I can't replicate what I eat every day. This rules out any travel plans for the next six months, including going back home to Kuantan.

I can't have cheat days, I can't have people bringing me food, I can't eat out without doing the math and balancing whatever I eat. Well, basically what I'm doing already, but firmly, for the next six months or so.

I need to go to the lab every week and have my blood tested.

This is what I have to do. The alternative is death. Or worse. Seriously, but not THAT seriously. These are the things I'm dealing with right now - an extremely fragile balance in the numbers game of the chemicals in my body.

There are certain ratios that I need to balance and if it's too low, I might get a heart attack and die. Too high, I might damage my brain and die. Frankly, I'd rather face a firing squad.

So, I know what is happening. I know what I need to do and how to do it. I might not emerge from this alive or unscathed. So, in the event of my death in the next few weeks, here are my official last words: FUCK OFF AND DIE.

Wednesday, October 8, 2014

Generation Stupid

For years, I've been telling people how bemused I am when Malaysians think I'm gay. Funnily enough, some people thought that this means I am insecure about my sexuality, and that my 'trigger' or my 'button' is when my masculinity is questioned.

I don't blame them, because they are idiots living in a stupid world of faux machismo. Also, they have no concept of complex ideas and are only attuned to simple, base emotions. This is important, as any campaign or work of commercial art requires you to boil down your messages to its empirical values. We're talking ad or political campaigns, films, books, songs, etc.

Like in Animal Farm, complex political ideals are simplified to the most basic - "four legs good, two legs bad". Malaysian film producers have long said that "Malaysians are stupid". This is both true and false. It's not about them being stupid or smart - it's about mental and emotional maturity. This maturity I define as being able to understand complex, subtle thoughts or emotions - something that comes with a developed sense of empathy.

The Malaysian audience or Malaysians in general are insular, selfish and ultimately low in empathy. We, as a people, don't care about other people - only what other people think about us. It is all in relation to ourselves. It's all about me.

Somebody dies, has a heart attack, wins the Nobel Prize, loses the Olympic gold medal, whatever, and the first reactions from Malaysians are always to the tune of "I can't believe this is happening to me!"

When MH370 and MH17 happened, some people even said how this COULD have involved them, hoping to get a piece of the attention. They said "I could have been on that plane! Mememememememe!" Or "I knew someone who was on that plane!" Or "I knew someone who could have been on that plane!" Or simply "I don't know how to respond, how to feel!"

First of all, are you in any way part of the search and rescue mission for MH370? Are you part of Malaysia's team of air crash investigators tasked to the MH17 case? If you are, then how you should feel is driven with a sense of purpose and duty, all the while maintaining calm and keeping all other emotions in check. That's how you should feel, if you are in any way involved.

If you are not part of the ones doing work, you can do everyone else a favour by shutting the fuck up and sticking your father's penis up your butthole. Fucking selfish motherfuckers. It's not about you, it's never been about you, and it will never be about you.

This, to me, goes to show how far the rabbit hole goes - extremely shallow. So, if you want to do anything that involves communication - ad campaigns, political bullshit, films, books, songs (modern pop songs are usually base emotions or situations, while some classics are delightfully layered and nuanced), you should:

1. Keep it simple
2. Show the audience how this is about them

Because in the end, Malaysians are fucking pondans.

Tuesday, October 7, 2014

State of the Attack

Some of my doctor friends asked me about depression. One of the side effects of heart disease or low blood pressure is depression.

I have none of that, but I do get angry a whole lot more. Just, extremely pissed off. I feel like I'm 23 again, with a whole bunch of anger, and fear.

I sneaked a look at my MRI results and while my attending physician will discuss what the numbers mean to me, I found out already how much of my heart is dead. This part will never regenerate, but there is hope to strengthen other parts of the heart to compensate for the muscle tissue I lost.

Been reading up on the condition and what I can do to help ease collaterals along. Collaterals is a medical term referring to smaller vessels branching off the main arteries on the heart - the RCA, LAD and LCX (that's right coronary artery, left anterior descending artery and left circumflex artery - the circumflex portion of the left coronary artery).

I was, for a time, walking around with two blocked arteries and one of them had a 90% blockage. The only reason it could accumulate that much is because for a time, the load of that artery was perhaps shared by collaterals, and I had quite a bit.

According to my cardiac rehab doctor, collaterals are created when we exercise, so all those exercise sessions I did probably saved my life by creating the collaterals. All that cardiovascular exercise - so that's why it's called cardiovascular.

The idea behind strengthening other parts of my heart work in the same way. My heart is now weak, though I do not feel any different unless I exert myself - there is a slight tightness of the chest that goes away after I force myself through the activity.

I began my exercise regime, post-discharge from the hospital, sporadically. I went up the stairs five floors up after the first week, 8 floors up the second week and 11 floors on the third week.

The doctors told me to stop because it is too much, according to their expert view. I don't feel as if it's too much, but I'll listen to my doctors for now.

After I decided to forego my stair-climbing, I opted for walks. I started a couple of weeks ago with short walks within the compounds of my apartment. Then, I went outside and walked for half an hour. Today, I walked for 40 minutes non stop, on various types of inclinations (I live beside a cemetery with many small and big hills).

A lot of the research I've done on food, I wrote in Bahasa Malaysia here because I found a distinct lack of info and literature in BM. There is a wealth of it in English, but almost none in BM, so, I've been recording and translating what I've found.

A note - almost ALL Malay and Indonesian cuisine are unhealthy. Either high in salt, fat or just fucking dumb. Chinese cuisine is also high in sodium, for example General Tso's Chicken, fat - all types of great tasting crab dishes - or just spiked in MSG. I forego all MSG and all soy sauce, oyster sauce, etc.

Now, Indian cuisine - I don't trust it. Chapatti might SEEM like a good alternative, but some cook it with ghee - extremely high in saturated fat. Same goes with dhal - how the fuck do I know what they put in there? Indian cuisine also treats vegetables as if they need to torture it or add stuff to make it unhealthy.

The only cook I can trust is myself. I have been cooking almost 90% of my meals since I've been discharged from the hospital to ensure I know EXACTLY what the fuck I'm putting into my body.

I have lost 11kg since my cardiac event on Aug 29. Watching what I eat, I hope to lose 30kg eventually, within a year. I have the perfect motivation - I eat kuih and I die. This is also one of those numbers I can work on.

I'm so fucking bored sometimes, without a goal I can work on. Putting a 30kg goal on losing weight and going for a 12-months deadline works for me. I also know the percentage of my heart capacity, so I can work on that, as well as my cholesterol level, liver functions, BP, etc. These numbers keep me sane.

Smoking is another issue. The first few weeks without cigarettes, I was right as rain. Now, I'm feeling the effects of withdrawal, which has contributed to my anger. I'm just really pissed off most of the time.

It's like, I understand now that there is not much time left, and people who dilly-dally or just be stupid for no reason just pisses me off because they're wasting my time and my life.

Meditation has helped. Eckhart Tolle's teachings keep me balanced and centered. I still don't trust people and I see no reason why I should do otherwise. People always try to manipulate or fool you. They lie, they cheat, they steal. They pretend. I don't like people.

Two days from now, I'm seeing my attending physician. He's a cardiologist. I hope to gain more info on my condition and see what else I can do. I have some numbers and I want to do better at them.

Sunday, October 5, 2014

Karangan Keprihalan: Sushi, Lucy dan Raya Haji di Midvalley

Hari yang penuh untuk aku. Aku pergi makan sushi, menonton wayang Lucy, dan secara keseluruhan, menyambut hari raya haji di Midvalley Megamall.

Aku bermula dengan sarapan, kemudian aku mendapatkan teksi melalui EasyTaxi dan mendapat confirmation pada 10.50. Sambil menunggu teksi, aku check apa wayang yang main hari ni. Pada 10.53am, aku dapati Lucy ada show pukul 11.40am. Aku beli tiket melalui Maybank2U dalam masa 5 minit dan kemudian bergegas turun untuk masuk ke dalam teksi yang membawa aku ke Midvalley

SUSHI

Semalam, aku rasa macam nak makan sushi. Ini sebab aku nak dapatkan asid lemak Omega 3 dengan semua kelebihan dia. Of course, ini disebabkan sakit jantung aku dan maklumat yang aku kumpul untuk memastikan aku tak kena serangan sakit jantung atau angin ahmar lagi sepanjang aku hidup. Jadi, sampainya di Midvalley, aku bergegas ke Sushi King.

Jam tangan aku - jenama Polo (murah!) - menunjukkan aku masuk ke restoran Sushi King pada pukul 11am. Aku ada setengah jam saja untuk makan tengahari sebelum bergegas ke GSC untuk menonton Lucy. Sebelum pergi menonton Lucy, aku perlu mendapatkan bekalan Omega 3 dahulu!

Setakat ni, sumber Omega 3 aku ada dua - tuna dalam tin dan benda yang dicampurkan dalam susu kacang soya aku, menjadikannya kaya dengan Omega 3 dan 6. Dia cakap la. Standard pantauan makanan kat Malaysia ni aku tak confident sangat. Aku boleh botolkan air paip, pastu cakap ini air ada vitamin, hantu pontianak dan kote rimau. Bukan Kementerian Kesihatan ada ujian untuk tentukan sama ada terdapat kote rimau dalam air tu.

Malangnya, tuna dalam tin dituduh oleh beberapa website rujukan aku sebagai berisiko kandungan mercury yang sederhana tinggi. Sumber paling bagus masih salmon.

Malah, tilapia dan keli (juga hampir semua jenis ikan tempatan) ada kandungan lemak tepu yang tinggi. Penyediaan dan cara masakan di Malaysia pula menjadikan hampir semua jenis ikan tak selamat, terutama kalau digoreng dalam minyak kelapa sawit.

Seterusnya, aku nak berenti minum susu kacang soya sebab dia ada phytoestrogen. Aku nak minum low-fat milk sahaja atau skim milk lepas ni. Phytoestrogen memang boleh merendahkan kolesterol untuk lelaki, tetapi bagi aku, apa-apa yang ada nama estrogen melibatkan penumbuhan tetek atau pengecutan batu pelir.

Masalah aku yang lebih besar - secara umumnya, aku tak suka makan ikan. Ini masalah psikologi sejak kecil dan tak akan dibincangkan di sini.

Namun, menghadapi kemungkinan mati beragan jika tidak menangani kebencian aku pada rasa dan tekstur ikan, aku memberanikan diri pergi ke Sushi King setelah mendapati menunya menyenaraikan kandungan kalori untuk setiap jenis hidangan.

Ini penting sebab aku sedang menguruskan pemakanan aku dengan bantuan dietitian UMMC. Aku diberitahu, untuk berat badan aku, aku perlu makan lebih 2000 kalori sehari. Jadi dalam 600-700 kalori untuk satu hidangan besar atau aku juggle supaya tak lebih 2200 kalori sehari.

Satu hidangan nigiri sushi ada 96 kcal:




Kalau dibandingkan, scallops ada kurang kalori (81):


Dan memeranjatkan, Sushi UDANG ada kurang kalori (78kcal) berbanding sushi salmon:



Aku mula musykil dengan data Sushi King, terutama bila aku dapati hidangan Edamame mereka menyenaraikan jumlah kalori yang betul (147kcal, setara dengan jumlah yang diterbitkan saintis di laman web), dan ia lebih tinggi daripada semua yang lain, walaupun antara benda paling sihat boleh kau order kat Sushi King:



Tapi, sebab Raya Haji, aku pun makan edamame, sushi salmon tu, sushi scallops dan yang ini:


Chuka Kurage atau ampai-ampai jeruk antara sushi paling aku suka, walaupun tak sihat sangat.

Jadi, hari ni, aku makan sushi sebagai hidangan tengahari dengan jumlah kalori -yang didakwa oleh Sushi King - 496 kalori. Campur air teh hijau takde gula yang aku minum, aku rasa ada la 500 kalori lebih sikit kot.

Kesilapan ramai manusia, terutama Melayu, ialah fikir kau kena tambah item dalam pemakanan ko. Oh, minyak ikan bagus? Kita makan ikan banyak-banyak, on top of apa kita makan hari-hari! 

Atau: Oats bagus? Kita makan oats on top of apa kita makan hari-hari!

Ini nama dia: bodoh. Benda-benda tu untuk ganti apa sampah yang kita makan setiap hari. Kalau makan ikan bagus sebab ada asid lemak Omega 3, maka kita sepatutnya tukar ayam atau daging yang kita makan dengan ikan.

Kalau oats bagus, maka kita jangan makan nasi, sebaliknya ganti dengan oats. Kalau madu atau agave nectar bagus, buang semua gula dan pakai agave nectar SAHAJA. Aku dah buang SEMUA gula dan garam kat rumah aku, termasuk semua jenis sos dan kicap. Yang ada sebagai sumber gula hanya organic agave nectar yang mahal (RM30 untuk 340ml or something), jadi kalau aku nak pakai pun sayang. Sumber garam hanya fleur de sel atau French Sea Salt SAHAJA yang harganya dalam empat kali ganda harga garam biasa (RM8++ sebotol, boleh tahan setahun atau dua tahun, jadi takde le mahal sangat pun muahahaha).

Masalah aku yang tak suka rasa dan tekstur ikan aku atasi semasa makan sushi mentah ni dengan menggunakan wasabi. Aku letak wasabi kat ikan dan aku kunyah, telan, sebelum aku rasa loya dengan tekstur ikan.

Aku rasa, aku boleh makan salmon, tapi kena ada rempah.

Kemudian, aku fikir, "Daripada makan sushi tetiap hari sampai bankrupt, baik aku beli minyak ikan je."

Malangnya, pada masa itu aku terpaksa bergegas ke GSC untuk menonton Lucy

LUCY

Aku sempat sampai ke panggung pada tepat jam 11.40 pagi, kalau mengikut jam Polo aku (bermakna, aku sampai tepat 11.34 pagi, sebab jam tu cepat 6 minit). Ambik tiket kat kaunter, terus masuk - inilah sebabnya aku suka beli kat rumah je tiket.

Di sebelah kiri aku ada sepasang beruk, dan jauh di tengah barisan juga ada sepasang beruk. Beruk-beruk ini asyik bercakap pada beberapa ketika semasa wayang ditayangkan. Ini menyebabkan aku marah! Jadi aku toleh ke kanan, dan menjerit, "SHHHHHHH!!!" sebanyak dua kali sebelum si celaka-celaka yang tidak diajar oleh mak bapak mereka bagaimana nak ada adab tu senyap, tapi hanya untuk sekejap.

Untuk pasangan beruk di sebelah kiri aku, aku menggunakan taktik menjeling dengan pandangan orang gila. Aku berjaya menakutkan mereka dengan renungan kegilaan aku, yang seolah-olah berkata - "Mak bapak ko tak ajar ko adab ya? Tapi mak bapak aku campak aku dalam hutan dan aku dibesarkan oleh SYAITAN JADI KALAU KO NAK MAMPUS MASUK LUBANG JUBUR NERAKA HARI NI, KO BERCAKAP LAGILAH DALAM PANGGUNG, DASAR PUKIMAK ANAK ANJING TAK RETI BASA!"



Filem Lucy ditulis dan diarah oleh Luc Besson. Premis dia agak straightforward dan sedikit lemah. Lucy (Scarlett Johansson) terperangkap dalam situasi yang mendedahkannya kepada sejenis dadah yang menyebabkan otaknya diteroka sampai 100%. Sambil dia meneruskan pengembaraan dengan kemampuan dan bakat baru sebagai seorang yang bijak dan ada kuasa luarbiasa, Morgan Freeman memberi kuliah dan menerangkan teori yang tak betul ini.

Teori manusia menggunakan 10% kemampuan otak hanyalah satu dongeng moden yang tidak diambil serius oleh sesiapa kecuali Luc Besson, Tony Wong (dalam babak-babak awal komik HK terjemahan Dewata Raya) dan mereka yang mahu percaya pada potensi diri sendiri.

Selaras dengan itu, keseluruhan filem Lucy ialah satu power fantasy atau igauan kuasa (?) bagi penonton yang mahu percaya mereka boleh jadi lebih bagus dengan hanya satu dadah yang istimewa.

Bagi aku, sebagai seorang omega-level genius, Lucy tidak mengambil tindakan yang pandai sangat. Dia boleh menidurkan semua orang dalam satu bilik dengan tahap penerokaan otak yang lebih rendah, jadi kenapa dia memilih untuk menggunakan cara lain untuk menangani musuh pada babak lain (mengapungkan mereka)? Ini mesti kes Luc Besson nak buat babak yang dia rasa cool dan popular.

Lagi satu, Lucy membuat kesilapan dengan tidak membunuh Mr Jang lakonan Choi Min-Sik pada awal filem, sebaliknya, memenjarakan pelakon itu selama 15 tahun, kemudian membebaskannya semata-mata supaya dia boleh melakukan sumbang mahram dengan anak perempuannya. Eh, itu filem lain.

Ye, ko tak paham lawak di atas sebab Choi Min-Sik dulu berlakon jadi Oh Dae Su dalam OldBoy

Tak, Lucy patut bunuh je mamat tu bila ada peluang. Tapi takpelah, sebab kalau tak, babak ketiga filem ni takde adegan aksi dan hanya ada Morgan Freeman bagi kuliah pasal ilmu biologi berdasarkan dongeng yang dah lama dibuktikan palsu.

Lakonan Scarlett Johansson, buah hati pengarang jantung aku (yang sudah luka), sebenarnya agak biasa sahaja. Lakonan Scarjo dalam Captain America: The Winter Soldier lebih best, sebab dalam Lucy, dia cuba mengKeanuReeveskan diri - dan bukan Keanu Bill and Ted, tetapi Keanu The Day the Earth Stood Still.

Apapun, Lucy membuktikan Scarlett Johansson mampu memikul hampir keseluruhan filem berseorangan, jadi aku harap si celaka-celaka kat Hollywood boleh luluskan filem Black Widow yang best.

Morgan Freeman macam dia buat episod Through the Wormhole je. Interchangeable dengan sesiapa yang ada suara best.

Lucy ialah filem yang okay, dan memenuhi keinginan ramai orang yang ada fikiran, "Sebenarnya, aku power, aku ada potensi, cuma aku takde dadah boleh bukak semua kehebatan aku." Fikiran sebegini ada dalam setiap manusia yang umurnya 8 tahun ke bawah. Namun, sesetengah orang sampai ke tua pun akan cuba meyakinkan orang bahawa dia akan buat lagi best "Kalau aku betul-betul serius".

Ini semua melancap tak tentu pasal dan cubaan ego untuk jaga air muka. Setiap kali ko buat sesuatu, kalau kau tak buat dengan sepenuh kekuatan dan kebolehan (setaraf dengan bayaran), maka ko akan mati dalam keadaan rugi.

100% All the way, all the time. Tengok macam aku ni. Sampai sakit jantung sebab intense sangat. Dan kacak.

Anyway, abis tengok Lucy, aku ke farmasi untuk membeli minyak ikan.

Raya Haji di Midvalley

Sampai ke farmasi, aku tengok ada promosi - kalau aku beli minyak ikan dengan harga RM205, aku akan ada bekalan untuk 10 bulan (300 kapsul).



Tetapi, aku tak sure benda ni bagus sangat. Aku nak cuba je dalam 2-3 bulan dulu dan consult doctor aku, kalau ada perubahan.

Promoter kat situ cuba jual aku minyak ikan dengan evening primrose oil. Aku cakap, itu untuk perempuan. Dia balas, lelaki pun boleh jugak maa.

Ye la, boleh jugak, kalau aku nak besarkan tetek. Dan dapat kanser tetek. Kimak punya promoter. Aku paling menyampah orang cuba bagi aku maklumat palsu atau menipu aku. Akulah minda terhebat abad ke-21 ni, berani ko nak sabotaj aku dengan besarkan tetek aku?

Lepas tu dia cuba suruh aku makan minyak ikan dua kapsul sekali gus. Nampak sangat tamak haloba, betina ni.

The American Heart Association mencadangkan pesakit jantung makan 1 gram DHA/EPA sehari. 

Ini bermakna SATU pil (1000mg atau 1gm minyak ikan) sudah cukup untuk keperluan sehari. Tak payah lah nak ngengada makan banyak sangat.

Lepas tu, aku beli multivitamins, sebab dengan kawalan pemakanan yang aku jalankan sekarang, aku dah kurangkan gila babi jumlah makanan dan jenis makanan yang aku makan. Ada kemungkinan aku tertinggal apa-apa zat atau vitamin, juga menambah risiko kehilangan nutrien ialah pemakanan serat tinggi aku yang mengeluarkan banyak minyak daripada tubuh.

Kalau aku makan kurang minyak, dan minyak yang masuk pun banyak terbuang, aku mungkin kekurangan vitamin E. Jadi aku beli multivitamin untuk memastikan kandungan vitamin aku okay.

Selepas beli benda-benda ni, aku beli bawang, badam, halia pastu balik rumah. Aku dah tak tahan dikelilingi ramai orang. Dulu pun aku menyampah dengan manusia ni semua, terutama kalau ramai-ramai.

Jadi, Selamat Hari Raya Haji untuk semua orang, tak kira ko sambut ke tak. Kalau aku mati dan tak sempat mintak maaf, ketahuilah, aku tak pernah rasa bersalah atau nak mintak maaf sebab aku tak pernah menganiaya sesiapa dalam hidup aku, kecuali sorang budak yang aku terpecah thermos dia masa umur aku 15 tahun pastu taknak bayar. Apapun, point is: aku tak mintak maaf dan aku tak maafkan sesiapa yang pernah buat dajal dengan aku. Kalau sempat, aku balas. Kalau tak sempat, then what to do? No Sympathy for Mr Vengeance.

Tuesday, September 30, 2014

Almanak Masakan Bumi dan Langit: Boddhisativa Membuka Jalan

Lupa nak cakap. Abang aku pernah makan oats untuk Quaker Oats challenge. Dia disuruh makan 10 sudu quaker oats sehari, minimum.

Hasilnya? Tak silap aku kolesterol darah turun dan tekanan darah turun sampai terlebih.

Aku pun pernah mengamalkan diet oats. Maksudnya, aku tak makan nasi, aku makan oats untuk sarapan, makan tengahari dan makan malam. Aku makan macam bubur, dengan lauk biasa. Hasilnya (dengan exercise setiap hari), aku turun 17kg dalam masa kurang tiga bulan.

Jadi, aku amat percaya pada pemakanan serat tinggi. Kali ni aku nak kongsi tips untuk makan makanan serat tinggi, sebab aku tengok ramai Melayu takleh nak tetapkan sendiri cara nak makan suka ati dia. Dia kena ada orang cakap.

Okay:

1. Oats
Aku beli instant je

- kalau nak makan oats, kena makan LEBIH DARIPADA 10 sudu sehari. 10 Sudu ni kaut masa oats tu kering, bukan lepas dia dah kembang.
- Ko boleh makan macam bubur dengan lauk biasa
- atau ko boleh buat cam aku - aku letak lima sudu dalam gelas tinggi yang tahan air panas, aku campur susu rendah lemak atau susu soya. Aku makan dan hirup, dua minit habis. Aku buat dua kali - lepas sarapan dan makan malam.
- Lepas makan oats, minum satu atau dua gelas air kosong.

2. Psyllium husk



- ambik dua sudu psyllium husk, campur satu sudu madu, dua sudu apple cider vinegar, curah air, kacau, teguk terus telan. One shot.
- Kalau ko biar psyllium husk tu dalam air, dia kembang dan jadi gel. Ko nak dia kembang dalam perut.
- Lepas makan psyllium husk, minum satu atau dua gelas air kosong. Kalau tak, ko mati beragan.

3. Buah-buahan

Aku pilih pear dan epal untuk kandungan serat yang tinggi.


- aku dah tak makan SEMUA kek dan SEMUA kuih. Jadi, pencuci mulut aku ialah buah-buahan yang kurang manis sahaja. Aku makan tiga-empat biji sehari.
- Aku masukkan buah-buahan dalam salad

4. Sayur-sayuran

Ini cruciferous vegetables. Sila google


- Aku gandakan sayur yang aku makan.
- Aku tukar cara masak sayur supaya minimumkan minyak dan garam. Jadi, bila jumlah sayur yng dimakan digandakan, aku takdela menggandakan jumlah minyak dan garam. Common sense kan?
- Kalau aku malas memasak sayur, aku makan salad. Butterhead lettuce, romaine lettuce, green and red coral, rocket (yang ni tak sedap!) ni semua jenis sayur mat salleh yang tak payah masak. Basuh dan sumbat sahaja.
- Kos? Seikat sawi kat supermarket ialah RM2. Seikat Bok choy ialah RM0.99. Butterhead lettuce? RM4-5 untuk satu kotak, setiap kotak ada dua (satu butterhead lettuce atau one head boleh buat salad cukup untuk seorang makan dua kali sehari, kalau campur sayur dan buah lain)
- sayur agak murah, jadi gunakan dengan bijak.

Selain makanan serat tinggi, aku juga ada beberapa bahan makanan yang aku letak sebagai prioriti:

1. Bawang putih



- bawang putih yang dihiris atau direnyuk akan mengalami tindakbalas yang menghasilkan hidrogen sulfida. Hidrogen sulfida melembutkan urat dalam badan dan melancarkan perjalanan darah.
- tindakbalas penghasilan hidrogen sulfida dalam bawang putih akan berkurangan atau hilang sepenuhnya jika bawang putih diproses atau dimasak.
- Oleh itu, bawang putih harus dimakan mentah.
- Hidrogen sulfida menyebabkan bau telur tembelang, jadi selepas makan, kentut akan berbau super busuk.
- Untuk melawan bau kentut hidrogen sulfida, aku makan halia. Kentut akan berbau sedap atau tidak berbau langsung.
- bawang putih juga ada sejumlah antioxidant yang bagus.

2. Badam



- badam atau almonds (sebutan: Om-mon, "L" tidak disebut. ) ada banyak benda bagus dalam dia. Lemak tak tepu dalam badam akan menurunkan LDL-cholesterol, dan vitamin E bertindak sebagai anti-oxidant yang menyihatkan badan.
- badam juga kaya dengan zinc dan magnesium, bersama riboflavin (vitamin B2 ). Zinc membantu menawal perasaan. Magnesium melancarkan peredaran darah dan vitamin B menurunkan tekanan perasaan. Kombo ini bagus untuk jantung.
- Perlu diingat, badam ni kalori dia sedikit tinggi. So, sehari ko patut makan suku cawan sahaja. Lebih kurang setengah genggam atau satu genggam je lah. Jangan makan banyak sangat, nanti kang mati sebab benda lain dalam dia.
- Badam jugak kaya serat terlarut (soluble fibre) dan membantu kita berasa kenyang tanpa makan benda lain.
- Beli badam yang baked/panggang sahaja, jangan beli salted, honey roasted, or whatever. Kalau beli badam jenis lain tu, baik la ko pergi makan McDonalds, balik rumah, pastu terjun bangunan.


Monday, September 29, 2014

Almanak Masakan Bumi dan Langit: Sejuk Mata Pedang, Dingin Hati

Pakcik teksi yang datang ke rumah aku aritu cerita masalah dia untuk jaga makan selepas kena sakit jantung ialah memenuhi jemputan kenduri tanpa makan hidangan kenduri yang semuanya membunuh orang.

Aku rasa, pakcik tu nak makan benda-benda tu, dan tekanan sosial hanyalah alasan supaya dia boleh makan benda masin, manis dan berlemak tanpa rasa bersalah.

Bagi aku, senang aje - aku tak makan kat kenduri atau event, tapi makan kat rumah. Aku tak peduli la orang ingat aku kurang ajar ke, whatever ke, tapi aku taknak makan makanan sampah tu semua.

Aku masih ingat rasa masin dan rasa lemak (umami) paru-paru lembu goreng, kulit ayam KFC yang masin dan rangup, juga rasa teh tarik, semua jenis kek, biskut, nasi lemak, sup ekor dan semua makanan manusia biasa.

Tapi bila aku dah lepaskan makanan tu semua, maksudnya aku tak boleh makan lagi dah. Dia macam bila aku dah cut off sesetengah orang yang backstab aku, mati hidup balik pun aku takkan peduli pasal diorang.

Aku cuma simpan memori rasa makanan tu setiap satu. Kira cerai talak tiga (sehingga sampai masa manusia boleh buat jantung pakai 3D printer).

Takdela rasa mengidam ke apa langsung, kecuali garam. Aku dulu makan benda-benda masin. Maggi, kicap, perencah tu semua aku balun. Sekarang jumlah garam aku dah dikurangkan ke tahap dua sudu teh sehari sahaja.

Memasak sendiri memberi aku peluang mencuba pelbagai jenis rempah untuk rasa yang berbeza. Esok aku nak cuba memasak daging panggang (steak) tanpa gunakan kunyit - hanya pakai rempah mat salleh.

Yang aku terasa kadang-kadang cuma nak isap rokok. Hari ni, genap 31 hari aku tak hisap rokok. Aku masih ingat peparu yang penuh asap dan hembusan yang penuh cool dan bergaya.

Aku rasa nak isap rokok bila aku menunggu. Rupanya, selama ni aku isap rokok bila aku tunggu atau takde mende nak buat. Selagi aku bergerak dan kehidupan/kewujudan aku ada tujuan, aku tak rasa pun nak isap rokok.

So, aku rasa perubahan gaya hidup aku takde le membebankan pun. Takde la seksa drama pondan ke apa ke. In fact, aku suka experiment dengan resepi baru.

Jadual tidur aku dah berubah. Sekarang aku tidur pukul 12 dan bangun pukul 7 pagi. Ini penting sebab aku baca pasal kadar imbangan melatonin dalam badan dan kesan berjaga malam. Tidur malam lagi bagus daripada tidur siang, sebab kadar cahaya yang kita terima. Bila aku tidur malam, aku buat bilik aku segelap yang mungkin, tanpa cahaya luar.

Ada experiment yang dijalankan termasuk di Korea Selatan mencadangkan bahawa ketika tidur, cahaya yang terang mengganggu laluan saraf antara mata dan otak, walaupun kelopak mata tertutup. Ini akan mengacau rembesan hormon, kawalan suhu badan dan banyak lagi fungsi badan yang dikawal oleh otak tidak sedar dan sistem saraf kita.

Cara paling bagus ialah dengan memaksimakan REM sleep (rapid eye movement) atau 'tidur bermimpi'. Ini boleh dicapai dengan tidur selama setengah jam setiap tiga jam, sepanjang hari dan malam. Selepas seminggu dua, badan dan otak kita akan masuk fasa 'tidur bermimpi' selepas hanya 3-4 minit terlelap. Hasilnya, kita tidak hanya masuk fasa REM sleep sekali sehari, tetapi banyak kali.

Tidur bermimpi atau REM sleep mengeluarkan serotonin otak. Serotonin otak diperlukan untuk kekal waras dan berfungsi sebagai manusia. Ada juga serotonin perut, dan ini dirembeskan hanya oleh perut selepas makan. Serotonin otak dan serotonin perut tidak bercampur dan hanya dirembeskan di kawasannya sahaja.

Tiga minggu selepas aku terkena serangan sakit jantung, aku sudah turun 10kg dan tak turun lagi. Ini disebabkan aku tidak mampu menjalankan senaman yang lebih intensif. Sepatutnya aku tunggu beberapa bulan, tapi aku fikir aku mampu bersenam dengan lebih gila.

Aku dapat rasakan kekuatan aku kembali. Aku sudah boleh naik tangga 11 tingkat (22 flights of stairs, around 230 steps) tanpa rasa sakit dada atau kepenatan melampau.

Aku perlu rujuk cardiac rehab untuk senaman yang lebih intensif. Aku nak pergi berenang, atau tengok Gym baru kat Sports Center DBKL, tapi nanti kang mati pulak tengah pool.

Aku harap cardiac rehab kat UMMC bagus dengan maklumat yang terperinci. Aku selama ni rasa pengetahuan aku pasal nutrition lagi bagus, tapi itu sebab aku seorang yang angkuh dan bongkak. Aku dah book appointment dengan diorang pada minggu pertama October ni.

Aku yakin, kalau aku boleh buat cardio workout yang lebih intensif, aku boleh buang air dan lemak daripada badan dan turun lagi 17 kilo dalam masa dua bulan saja. Tapi sekarang aku sabar je lah.

Yang penting, kalau kau atau sesiapa nak tukar gaya hidup sebab sakit atau saja gatal, ko kena ada hati yang tiada belas kasihan.

EDIT: Satu lagi benda takleh makan sampai bila-bila - SEMUA JENIS KUIH. Sejuk mata pedang, dingin hati!

Almanak Masakan Bumi dan Langit: Hikmat Serat Tinggi

Aku mengamalkan pemakanan serat tinggi sebab aku dah nak mampus. Apa maksud serat tinggi dan kenapa aku pilih benda alah ni? Aku nak turunkan kolesterol, sebab penyakit jantung aku akan bunuh aku kalau kolesterol aku tinggi. Atau lebih teruk lagi, kalau kolesterol tinggi (dan kalau aku isap rokok dan hidup dengan stress tinggi), aku mungkin kena stroke. Kena stroke lagi teruk daripada mati. Aku lebih suka mati daripada kena stroke.

Serat terbahagi kepada TIGA jenis:

1. Serat larut (soluble fibre)

- oats, buah limau, kekacang, psyllium husk
- serat larut mengeluarkan kolesterol, menambah kandungan air dalam usus kecil dan melembutkan taik.
- memerlahankan pencernaan, menarik air masuk ke usus
- serat larut ni biasanya daripada dinding tumbuh-tumbuhan.

2. Serat tak larut (insoluble fibre)

- bijirin penuh/perang, buah-buahan, sayur-sayuran.
- serat tak larut menambah jisim taik dalam usus.
- mengenyangkan
- menjadi bahan pelawas

3. Kanji kental (resistant starch)

- bijirin, buah, sayur, etc.
- bila sesetengah makanan berkanji dimasak dan dibiarkan sejuk, ada yang akan menghasilkan kanji lebih kental. Ini sekarang dikira serat jugak.

Manusia patut makan 38g serat sehari, tapi biasanya purata global dalam 14g sahaja. Jadi, apa saja serat ko makan sekarang, ko kena gandakan. Untuk panduan, sekeping roti wholemeal ada 2g serat. Takleh la makan 20 keping terus, sebab bersama dengan serat dalam roti tu ada gula, garam, lemak, etc.

So kalau nak pemakanan serat tinggi ni kena pandai la.

Pasal apa? Well,

Khasiat serat tinggi berdasarkan penyakit:

1. Penyakit jantung

- pemakanan serat tinggi menurunkan kolesterol.
- walaupun tiada kajian conclusive antara penyakit jantung dan kandungan serat dalam makanan, penurunan kolesterol memang disahkan bila kita makan makanan serat tinggi.
- menambah 10g serat dalam pemakanan sehari, setiap hari, akan menurunkan risiko sakit jantung sebanyak 15% dalam tujuh tahun pertama selepas kena sakit jantung.

2. kencing manis (type-2)

- serat tak menaikkan kadar gula dalam darah seperti karbohidrat biasa atau gula, jdi makanan serat tinggi bagus untuk pesakit kencing manis dan mereka yang nak mengelak kencing manis.
- makanan serat tinggi mengenyangkan, jadi kawalan jumlah makanan yang dimakan lebih senang.

3. Barah

- makanan serat tinggi menurunkan risiko sesetengah barah seperti barah usus.
- makanan erat tinggi juga kaya antioxidant

4. Gemuk

- orang gemuk kena makan makanan serat tinggi.

Okaylah. Aku nak pergi tengok Detective Conan ni. Esok aku tulis pasal psyllium husk dan cara makan oats.


Sunday, September 28, 2014

Almanak Masakan Bumi dan Langit: Neraca Hidup dan Mati

Sambil-sambil aku tengok Detective Conan ni, aku nak bagi tips umum pasal pemakanan sama ada untuk orang yang nak mati macam aku, sakit jantung, etc, juga untuk orang yang nak kuruskan badan.

Simple je, kalau nak kuruskan badan - makanan (tenaga) yang masuk dalam badan mesti kurang daripada jumlah tenaga yang digunakan. Defisit ini akan diambil daripada simpanan lemak, protein, etc.

Takde makanan ajaib atau benda yang dijual dek MLM yang mampu menguruskan ko, melainkan racun rumpai yang boleh mematikan ko terus, bes pekat atau asid pekat yang boleh mencairkan organ dalaman ko, atau bahan radioaktif yang menukarkan ko jadi beruk.

Benda paling penting yang orang tak peduli ialah portioning. Masa aku kat hospital dulu, aku selalu perasan pasal berapa banyak makanan dia bagi aku mengikut sukatan yang agak tepat.

Contohnya, satu sajian nasi ialah dua sudu besar sahaja. Satu hari, manusia biasa patut makan 6-7 sajian bijirin atau nasi (7 X 2 sudu besar nasi = 14 sudu besar nasi).

Nak kira dengan lebih jelas, macam ni la. Satu suku (1/4 cawan) beras kering akan mengembang jadi satu cawan nasi. Satu cawan (bukan mangkuk) nasi ialah dua sajian.

Jumlah keperluan manusia berlainan, bergantung ko dengar daripada siapa, dan negara mana, kementerian mana, bangsa apa, etc.

Bagi aku, aku ikut hospital punya kira campur USFDA punya recommendation. Satu kali makan, nasi dia bagi satu mangkuk. Bukan mangkuk besar, tapi mangkuk kecil/sederhana. Jadi aku ingat jumlah ni, dan aku ikut.

Aku pakai penyukat 3/4 cawan beras perang (12/4 cawan atau 3 cawan nasi) untuk cukup nasi selama satu hari atau dua kali makan. Ini bermakna setiap makan tengahari dan makan malam, aku makan satu setengah cawan nasi.

Campur dengan karbohidrat aku dapat daripada roti wholemeal (sarapan) dan oats (snacks and fillers), aku mencapai 300gm - lebih kurang US FDA DRV (Daily Reference Value) untuk keperluan karbohidrat aku, tolak sedikit.

Protein. Aku beli dada ayam (tanpa tulang, tetapi berkulit) dalam lingkungan berat 500-550gm. Setiap satu peket setengah kilo ada DUA dada ayam. Setelah membuang kulit dan lemak, aku kira SATU dada ayam ialah seberat 180-200gm.

Kalau aku makan dengan nasi, aku boleh masak 200gm daging ayam ini (bersama bawang dan mungkin lobak) untuk dua kali makan (lunch + dinner). Jadi, pengambilan protein aku kekal 180-200gm sehari.

Pada hari aku tidak makan nasi, aku ada dua pilihan:

1. Makan banyak sayur salad sebagai hidangan utama dengan sokongan sup ayam.

2. Bakar ayam sebagai hidangan utama dengan sokongan salad

Pilihan satu mengehadkan pengambilan protein aku pada 180-200gm sehari, sebab sup yang sama aku boleh makan dua kali.

Pilihan kedua menggandakan pengambilan protein aku sebab aku akan bakar dua dada ayam sehari. 400gm protein sehari.

Oh, ya. Aku juga tidak mengambilkira protein yang aku ambil pada waktu pagi melalui Ayam Brand Tuna in Mineral Water. Itu dalam 50gm kot.

Protein penting sebab inilah makanan yang buat kita rasa kenyang lebih lama. Kajian saintis makanan menunjukkan protein menyebabkan manusia rasa kenyang dan kadangkala, gembira. Protein yang tidak digunakan mungkin dihantar ke buah pinggang atau hati, jadi terlebih makan protein boleh merosakkan organ dalaman. Lebih-lebih lagi kalau makan protein berlemak dan ada asid urik yang banyak.

Karbohidrat menentukan tenaga kita pada masa itu. Malah, ada kajian menggunakan adik-beradik kembar menunjukkan yang pemakanan karbohidrat bijak memastikan kita sentiasa ada tenaga sepanjang hari. Namun, tenaga yang tidak digunakan akan disimpan sebagai lemak.

Masuk bab susu, keju, krim, etc.

Ada kajian baru dari Denmark yang mengatakan pengmbilan susu dan keluaran tenusu akan mengurangkan jumlah lemak dalam badan kita, sebab kalsium dalam susu dan keluaran tenusu akan membawa minyak dan lemak lain keluar dari badan melalui saluran taik.

Aku tak percaya sangat. Mungkin ada betulnya, jadi, baik ambik pil kalsium. Kalau ambik terlebih, kang takut kena batu karang pulak.

So, apa aku buat ialah, aku beli low fat milk yang ada sterol, dan aku consume dalam 2 carton a week. That's 2L of low fat milk a week. Aku pilih low fat milk sebab fresh milk ada saturated fat. Ada orang cakap fresh milk is better, tapi kalau lagi bagus pun, aku tolak semua saturated fat. Fuck off.

Yang lainnya, aku pakai soy milk.

Soy milk bagus, tapi ada masalah.

Soy milk yang aku pakai ialah SoyFresh yang ada letak Omega 3 dan 6. Ada pengawet, tapi dah takleh lari dah ni.

Susu soya amat bagus untuk tubuh dan jantung, tapi dia ada satu kelemahan. Susu kacang soya ada isoflavones dan ini menyerupai kesan hormon estrogen dalam badan. Malah, isoflavones juga dipanggil phytoestrogen.

Risiko pengambilan susu kacang soya yang melampau (belum dibuktikan secara sahih) ialah: kanser payudara untuk perempuan, kekurangan sperma bagi lelaki.

Jadi, dah takleh lari sebab aku gunakan susu low fat atau susu kacang soya untuk makan oats. Jadi aku alternatekan. Minggu ni aku minum susu kacang soya. Minggu depan aku minum low-fat milk dengan sterol.

Pergi ke sayur.

Makanlah banyak sayur dan buah-buahan, tapi jangan lupa - sayur dan buah juga ada kalori dan gula. Satu lagi risiko makan benda-benda mentah yang sihat ni ialah kecacingan.

Selepas dua minggu aku keluar hospital dan makan sayur segar sahaja, aku mula gatal bontot - tanda ada cacing dalam perut. Aku beli Zentel, satu hari je settle.

Tapi aku tau, setiap dua-tiga bulan, sebab aku makan banyak makanan mentah, risiko terdedah pada telur cacing mungkin meningkat. Aku ready dengan Zentel je lah.

Gula dalam buah kena jaga. Kat hospital, aku diberi tiga servings of buah sehari. Ini lebih kurang setengah betik, setengah cantaloupe, atau whatever yang ada la.

Kat luar hospital, sebab aku dah eliminate kebanyakan sugar intake aku, aku boleh benarkan lebih banyak buah. Setiap hari, aku makan 4 biji buah yang tak manis sangat. Biasanya: 1 pear atau epal waktu pagi. 1 oren atau pear selepas lunch. 1 oren atau pear/epal selepas dinner. 1 apa buah aku nak makan, 2 jam sebelum aku tidur.

Kalau aku buat mixed salad, aku akan pakai 3 biji buah - epal hijau, pear, oren. Dengan satu butterhead lettuce, bila campur, salad campur ni boleh dimakan sampai kenyang sebanyak dua kali. Jadi, bila aku buat salad campur ni, aku tak makan buah selepas meal.

Itu je lah kot, benda dalam kepala otak aku sambil tengok Detective Conan ni. Jumpa lagi esok pasal benda-benda lain pulak. Kalau aku masih hidup la.


Almanak Masakan Bumi dan Langit: Memasak Sambil Mencarut (Panduan Memasak Sihat... Sambil Mencarut)

Pagi tadi, aku naik teksi dari TMC. Aku borak dengan pakcik teksi tu dan dia pun beritahu dia kena sakit jantung macam aku jugak tahun lepas.

Aku pun mula bukak cerita pasal pemakanan dan cara memasak yang sihat. Malangnya, pakcik tu nampak cam tak tau langsung apa kebenda yang dia kena elak dan camana nak masak masakan yang walaupun takdele sedap tahap dewa, tapi jauh lagi sedap daripada 99% masakan kat KL ni.

So, aku jemput pakcik drebar tu ke apartment aku untuk dengar kuliah tengahari. Dia jemput diri sendiri untuk makan tengahari. Aku tak kisah, walaupun aku mulanya syak pakcik ni gay sexual predator ke, tabligh ke, MLM ke, gila atau kesunyian. Aku rasa, dia sebenarnya lapar. Mungkin pokai.

Tapi, point dia bukan pasal aku nak berlagak baik dan canang berapa kilo pahala aku ari ni, tapi aku nak maki pasal pengetahuan common sense Melayu pasal pemakanan sihat memang rendah. Korang ni bodoh ke apa?

Aku fikir, ini disebabkan tahap ilmu orang Melayu dalam pemakanan sihat ni hampir tiada disebabkan makanan dan masakan kita semua jenis nak bunuh orang dan kalau kita dengar Dr M maki Melayu, dia cakap Melayu ni pemalas. Dalam hal ni, malas nak ambik tahu sebab rasa diri sendiri takkan sakit selagi bagi makan hantu raya. Fuck off.

Aku nak maki Melayu banyak benda, tapi ari ni aku gunakan skil carutan aku untuk cakap pasal pemakanan dan cara masakan yang sihat, terutama untuk orang sakit jantung.

1. Pemilihan bahan makanan/masakan

Pergi mampus benda-benda ni:

- kulit dan lemak ayam
- minyak kelapa sawit (lemak tepu)
- minyak kelapa (lemak tepu)
- mentega (lemak tepu)
- marjerin (aku tak peduli diperbuat daripada minyak zaitun ke, minyak cap kapak ke, minyak bijik kelentit mak kau - buang semua)
- dengan terhapusnya mentega dan marjerin, maka ko tak boleh makan semua jenis kek, biskut dan sesetengah jenis roti. Kah kah kah kah! Padan muka!
- lemak dan semua jenis organ dalaman semua jenis binatang termasuk lembu, kambing, ayam, bebiri, unta, gajah, ular, whatever. SEMUA jenis organ dalaman sekarang dah jadi off-limits. Termasuk kepala udang atau kepala sotong.
- garam biasa. Gunalah Garam Perancis sama ada dari laut atau bukit.
- ais krim
- gula
- kopi
- teh
- minuman coklat
- minuman malt
- SEMUA jenis daging yang diproses (burger, hot dog, cold cuts, daging cincang yang tidak dicincang sendiri)
- KURANGKAN ATAU TOKSAH MAKAN LANGSUNG: Apa-apa benda yang ditinkan, dibotolkan atau diawet. Fuck off semuanya. Semua benda yang diawet menggunakan sama ada bahan kimia cam kimak (antaranya propelene glycol atau anti-freeze), garam, atau gula. Aku makan gak, Ayam Brand Tuna in Water, tapi aku kurangkan. Aku jugak makan Smuckers Sugar Free jam, tapi aku kurangkan.
- Kurangkan atau toksah makan langsung nasi putih, roti putih. Fuck off. Jangan makan. Makan, mati terus.
- kurma. Fuck off kurma. Kurma ada kandunganj gula tinggi. Aku was-was, so dalam lima tahun ni, aku makan dalam 5 biji kurma sahaja. Itupun sebab member bawak. Lepas kena sakit jantung ni, fuck off kurma. Sesapa offer aku kurma, aku bagi German Suplex on the spot.

Summary: Jangan beli bahan makanan yang ada lemak tepu/saturated fat, garam, gula, bahan pengawet. Basically, jangan beli bahan-bahan yang fun. Beli barang yang buatkan kau rasa macam ko penjaga kem tahanan Jerman Perang Dunia Kedua.

Sebaliknya, BELILAH:

- buah-buahan omputih. Buah-buahan Melayu ni tak sihat sangat. Durian, nangka, cempedak semua ada kandungan gula tinggi. Aku paling suka nangka, tapi aku sedang cuba memastikan aku tak dapat kencing manis, jadi aku elakkan terus. Benda yang was-was ni, kita elakkan. Memandangkan buah-buahan dengan kandungan gula melampau boleh memudaratkan, aku elakkan terus. Pergi mampus. Aku tak beli. Tak mampus pun (lagi) kalau tak makan.
- sayur-sayuran cruciferous. Erm. Susah nak explain. Beli je la sayur bebanyak.
- dada ayam. Jangan lupa buang semua kulit dan lemak dia.
- daging tanpa lemak Australia/New Zealand. Aku makan daging import je, yang takde lemak. Bahagian lembu yang takde lemak, cuts dia dipanggil: tenderloin. Harga memang paling mahal antara semua daging, tapi sebab tu aku makan daging sekali seminggu je pun. Daging tempatan, walaupun cut sama (tenderloin = batang pinang), lemak dia still banyak. Aku pernah proses batang pinang dua kilo kat dapur mak aku. Aku tau la bahaya dia. Kalau dah sakit jantung tu, beli daging Australia je la. Fuck off daging tempatan. Biar orang tak kena sakit jantung/stroke pergi makan daging tempatan.
- beras perang
- oats
- rolled oats
- steel-milled oats
- badam
- psyllium husk
- roti wholemeal
- low-fat milk with sterol (sterol ni macam klorofil la. Kalau tak mampu, makan rumput tu ha).
- agave nectar. Dulu aku makan madu. Sekarang aku dah beralih ke agave nectar sebab glycaemic index dia rendah dan rasa manis dia lebih intense.
- apple cider vinegar (terbukti boleh menurnkan kolesterol)
- bawang putih
- bawang merah
- halia (khasiat bawang putih, merah dan halia serta cara memakan akan dibincangkan dalam entry akan datang)


Summary: Aku mengamalkan diet Sekolah Kung Fu Serat Tinggi. Kelebihan pemakanan macam ni ialah penurunan kolesterol dalam darah dan penjagaan kadar indeks glycaemic yang sederhana. Tujuan besarnya ialah mengelak serangan sakit jantung lagi, ataupun stroke, sambil memastikan aku tak dapat kencing manis.

2. Hikmat Masakan Orang Nak Mampus

Kalau dah sedar diri nak mampus, jangan goreng atau masak makanan macam dulu. Aku cadangkan EMPAT jurus masakan SAHAJA:

A. Rebus
B. Bakar
C. Kukus
D. Gaul (Salad)

A. Rebus

Ini termasuk tumis air. Resepi semua ada kat beberapa post kat bawah blog ni. Rebus je semua. Simple. Senang. Sihat. SSS. Asses.


Sekadar Hiasan


Basically, untuk sayur: tumis bawang putih, masukkan air, masukkan garam Perancis (sikit je), masukkan sayur, tunggu 5-10 minit. Abis.

Untuk sup ayam: tumis bawang merah dan halia, masukkan air, garam, bunga lawang, dada ayam, tunggu 5-10 minit.

Pakai jurus merebus ni,buat kari, kurma pun boleh.

B. Bakar

Aku baru beli grill. Bukan grill la, tapi double-sided pan. Brand Happycall.

Ari ni aku masak apa orang Kuantan panggil grilled chicken breast with aubergine, button mushroom and onion. Orang KL panggil: ayam panggang dengan cendawan dan terung.

Nak pakai grill ni ada trick dia, kalau nak kekalkan sihat.

Pertama sekali, masukkan minyak yang ko pakai (untuk grill, aku pakai minyak zaitun) dalam spray bottle.





Ini memastikan, bila ko pakai minyak ni, ko tak pakai lebih. Biasa kalau Melayu masak, dia main tuang je. Tak boleh tuang. Tuang = beruk. Manusia pakai spray je minyak tu. Lagipun, minyak zaitun mahal. Aku beli RM40 untuk 1L kot. Pakaila sikit-sikit acah-acah je.

Tip ni aku tengok kat satu show Oprah Winfrey dulu. Tapi bukan dia je pakai. Gordon Ramsay pun ada tip nak buat vinaigrette pakai botol lebih kurang camni. 

Lepas spray, ko pakai pastry brush atau food brush:



Ni untuk ratakan minyak kat sesuatu permukaan, jadi lepas spray dua tiga kali, dah boleh sapu. Takyah nak spray sampai lima belas kali. Baik tuang je terus.


C. Kukus

Semua benda yang ko boleh kukus, ko kukus je.

D. Gaul (Salad)

Ni paling senang untuk orang pemalas macam aku.

Ambik butterhead lettuce, campak buah yang dipotong, letak dua sudu besar apple cider vinegar dan gaul. Settle. Makan terus. Tak abis? Simpan, makan esok.

Apa benda susah sangat? Pergilah mampus.

Aku ada banyak lagi benda nak share, tips and tricks yang aku dah cuba serta kumpul sejak sebulan aku kena sakit jantung itu hari. Tapi setakat ni dulu la.

Sumber: Semua maklumat yang aku kongsi kat sini aku kumpul daripada kajian asli aku, lebih 20 jam dokumentari pasal pemakanan dan cara memasak sihat di YouTube (kebanyakannya terbitan BBC), juga wikipedia dan jurnal kesihatan tentang sesetengah bahan makanan. Kajian pemakanan sentiasa dijalankan dan penemuan baru akan diumumkan setiap hari oleh saintis. Untuk keterangan lanjut, sila tanya doktor. Aku bukan doktor. Aku pesakit. Nutritionist kat Malaysia ni agak gagal la. Semua tak tau apa yang aku tau. Google pun malas diorang ni. 

Saturday, September 27, 2014

The Day That Was

So I started the day today quite happy and ended it quite relieved, though the middle part was large patches of boredom punctuated by moments of sheer terror.

In the morning, the courier service delivered this to me:

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That's a Happycall double-sided pan that I use as a stove top grill. My reformatting of my food intake after the heart attack on Aug 29 means a few drastic changes:

1. Fuck salt.

- I only use salt sparingly, and have gotten rid of table salt. Now I use French sea salt, but I was told that mountain rock salt is better, especially the yellow or pink ones. Will investigate.

Salt and minerals have a huge impact on heart disease as well as heart attacks. This is a no-compromise issue. regulation of my salt intake is extremely important.

Therefore, I don't eat out at fast food restaurants with the likes of you apes anymore. I stay home and eat like an ape. With lots of vegetables and fruits.

2. Fuck oil

- I minimise oil, even to the extent I pour high quality olive oil into a spray bottle and use that to grease pans and flavour my food.

So, a grill was necessary, and I got one. Happycall double sided pan is cheap. I tried it today with my own grilled chicken recipe, and the result was sublime. I will share the recipe with you idiots later.

Anyway, as I was enjoying my grilled chicken, I SMSed a doctor friend about this recurring headache I've been having for the past three days.

His response?

"Get yourself to the emergency room now."

Wait, no, that's not it. Let me open my SMS history.

"Pergi emergency. Takut bleed."

I was like, what the fuck?

So I called him and got the low-down. I was on blood thinning medication since my heart attack. That's a day short of a month ago. Blood-thinning medication can cause intracranial bleeding, or bleeding inside my skull, like, on the brain.

Symptoms would include headaches and dizziness, etc, etc. Point is, I should get my ass to the emergency room now for a CT Scan of my brain.

Me: Aren't there any other possible scenarios than internal bleeding on my brain?

Dr Friend: You ask me, that's what I would recommend. Just get a CT scan.

So, I had lunch, took a shower and then got myself to UMMC. While UMMC was excellent when I had my heart attack on AUg 29, the sheer fact that I looked nowhere near dying meant the whole ordeal took six hours.

This includes 45-minutes to one hour of waiting to see a proper doctor and three hours of waiting for the results. Level of service and professionalism by UMMC staff still very commendable and it was a pleasure dealing with them again.

Anyway, long story short, I had a CT scan and five different blood tests, all of which confirms that I am quite healthy and my brain is in pristine condition.

I had to pay close to RM400, but it was a relief to know that I did not have a stroke and that my brain can still be used to watch porn, with the aid of some painkillers.

I informed my doctor friend and he said a few things that covered his rash diagnosis earlier. I would have made fun of him, but I appreciate the fact that there's no intracranial bleeding in my head and that my doctor friend helped when I asked for information.

So I went home quite happy, then called my mother to explain the situation to her. She, of course, doesn't listen - preferring instead to be in cahoots with my other sister in Kuantan by putting me on speakerphone so everyone could eavesdrop on our conversation.

I was so pissed off, I slammed the phone. I don't talk to people who do not listen, and I HATE sneaky people who think they're smarter than me. I am the greatest mind of the 21st Century.