Sunday, December 21, 2008

ma...eh?

Radiology Report.

Patient: Female 61 years 2 months

Radiology report: Abdomen/Pelvic CECT
CT 7 mm slice thickness with 1.5 pitch from the dome of diaphragm till the symphysis pubis.

Findings:
There is short segment luminal narrowing with a mass seen arising from the wall of rectosigmoid colon.
There is loss of normal clear margin of the serosa.
There is streakiness of the pericolonic fat.
There is still a plane between the rectosigmoid lesion and the bladder.
There is no enlarge pelvic nodes.
No fluid or air seen within the uterus.
No loculated fluid collection in the pelvis.
Hypodense liver lesion in segment 6.
No dilated intrahepatic duct. No gall bladder stone.
CBD not dilated.
No focal lesion in the pancreas and spleen.
There is staghorn calculus on the right side.
Small cortical renal cyst on the left kidney. No hydronephrosis.
No enlarge pareaaortic paracaval node.
No lung nodules in the lung bases.
No pneumoperitoneum.

IMP: Rectosigmoid mass with liver lesion.
This represent cancer rectosigmoid colon stage D
Right staghorn calculus.

Gribbles Pathology Report.

Clinical History

Ca sigmoid colon.

MACRO

Specimen designated --- Sigmoid colon.

Four fragments of irregular greyish brown tissue measuring 1.8cm in aggregate diameter. Sectioned and entirely submitted in one block.

MICRO

Section shows fragments of tissue composed of malignant epithelial cells forming closely packed glands and nfiltrating the stroma. The tumour cells are pleomorphic, columnar in shape, have vesicular nuclei with prominent nucleoli and eosinophilic cytoplasm. There is increased mitotic activity. Histologic grade - moderately differentiated. Areas of ulceration and necrosis are seen. Tumour necrosis is seen in the lumen of some of the glands.

Sigmoid colon biopsy: Adenocarcinoma, moderately differentiated, infiltrating.
______________________________________________________________

Wished Biology interest me when I was in Form 4. And I got on to do medicine. Guessed I chickened out when I took the easier Social Science class instead. But what's the point, out of 110 or so of us from back then, only 2 got to be doctors. Looking back, there are a million and one things I wished I could have done differently. But what's the point, apart from unnecessary heartaches and that bitter feeling of being stupid.

And it won't helped Ma a bit now. We had done and will be doing all we can to ensure her full recovery and make her as comfortable as possible. All she need right now is the gift from Allah The Merciful, The Compassionate. He is the One Who Determines.

Oh Allah, The Merciful and The Compassionate.
Please take care of me Ma as she had taken care of us from birth.
Please protect her from harm as she had protected us from birth.
Please rid her of all her ailments, rid her of her pains and sufferings.
Please give her courage and strength to face these tests of Yours.
Please protect her from evil, by things seen and unseen.
Please pave the way for us her children to be able to assist.
To offer financial assistance.
To offer our energy.
To offer our time and help Ma be better again.
Please Oh Allah, The Merciful, The Compassionate.

Friday, December 19, 2008

sports illustrated...eh?

This is one of the sports that get me a tad delusional. Yeah, they are all talented girls alright. If you think that being able to swim around in circles in unison with one another or in a group is actually a talent. Maybe I'm putting me foot in me mouth. But what do I know, as a guy who's into contact sports.

Foot in me mouth?


Hmmm...maybe it's a sport after all, especially when they have twins Bia and Branca Feres in their sport. Am getting delusional.


morons...eh?


I dunno. Reckon that dude from those many years ago in the American automobile heartland had had enough of using his hands to indicate where he's going. And so he created the turn signal lights. Them lights did all the signaling right or left since, and his right hand could then get busy with that sheila next to him. Unfortunately some drivers don't only fail to use their brains but the turn signals as well because they expect everyone else to know where they're going. Turn signals are definitely the most underutilised device on a car, thanks to them assholes. Yet signaling is one of the most important actions you can take as a driver, warning other drivers of your impending moves to minimise nasty surprises. There's only one Nostradamus, stupid! Failing to signal may be the cause of quite a few accidents, and is probably a big source of road rage as well. Not to mention traffic gridlocks.

We seem to be getting more and more of them moronic drivers. And some drive flashy cars that could cost few hundred thousand ringgits, with stylish indicators and all. But the lever is never utilised. Don't let me start on them souped up Kancils zigzagging between lanes without signaling because the drivers thought they were still mat rempits on motorcycles. You can only shake your head in disbelief sometimes. You almost run into them some other times. Hopefully you don't run into them. If I were to run into one of them morons, I'll make sure they die. And should I know where their parents and siblings live, I'll hound them down and if the chance present itself, I'll run them over as well and make sure the whole litter get buried in the same hole. Never let inferior genes evolve. Darwin couldn't agree more.


I dunno. Maybe for every pack of diapers purchased, they got them stickers. And since each household purchased 2 packs a week, the neighbourhood is littered with them stickers. And soon the whole fucking postcode is sticking them stickers on their cars. So the stickers tell us to be mindful and watchful because they got babies on board. I can certainly live with that. Babies are cute anyways and I can tolerate them anytime. But when the cars they're in are driven by moronic parents, here I draw the line. Don't give me an excuse to run you over because I'll make sure you're dead. And if those precious cargo of yours, the ones your stickers keep telling me to be mindful and watchful of, didn't follow your footsteps, I'll place it in the middle of the road so that some crazy express bus driver high on amphetamine could run it over. And bad genes won't go about evolving unnecessarily.

Wednesday, December 17, 2008

unkindest price cut...eh?

It was the unkindest cut

VALLEY VIEW
By Datuk Shahrir Abdul Samad

I refer to the Valley View comment by Tommy Lee entitled Can’t stomach high food prices – Traders and hawkers getting away with it due to lack of clear guidelines in StarMetro on Dec 15.

First, I acknowledge Lee’s right to lament the higher cost of cooked food in Kuala Lumpur compared with his hometown Penang.

I am happy to note that he will no longer patronise the nasi kandar shop because he “nearly choked when the bill came to RM10.10.”

Since nasi kandar originates from Penang, Lee will certainly be a more authoritative commentator on the taste and price of nasi kandar than a Klang Valley-bred resident.

However, I have to respond to his assertion that “the government is hardly doing anything to get food prices down other than getting the big merchants like Giant and Tesco hypermarkets to lower their prices.”

For the record, it is true that both Giant and Tesco were the earliest of hypermarkets and supermarkets to participate in the Price Reduction Campaign organised by the Domestic Trade and Consumer Affairs Ministry.

I officiated at the Giant campaign on Oct 20 and at that of Tesco two days later.

Since then, Carrefour and Jusco, local hypermart Mydin, other local supermarket chains such as The Store, Econsave, UO Superstore, Tunas Manja and Sunshine, and the smaller retail chains like 99 Speedmart and Terus Maju have joined in the Price Reduction Campaign.

Even D’mart, a chain of retail stores operated by the Felda Cooperative in several Felda schemes all over peninsular Malaysia, has participated in the Price Reduction Campaign.

Consequently, Lee’s assertion is only true from the perspective of someone who lives and works (and eats!) in the Klang Valley.

Participants of the campaign located at the margins of the Klang Valley, and what more of those smaller local enterprises located in Pahang or the Felda schemes, will not be appreciated by Lee.

It is not that The Star reporters were not invited to each launching of the campaign. They were. But I can understand the fact that since the campaign was launched in the last week of October and is now almost two months old, it has since become less newsworthy.

Thus, what has happened following the involvement in the campaign of Giant and Tesco may well have escaped Lee’s attention. But it is no excuse for him to claim that the government is “hardly doing anything”!

Lee further asserts that my reply is “most amusing”. This is in connection with my explanation that the full impact of declining raw material prices will be felt in the first quarter of next year.

Lee claims that I had the “audacity to ask consumers to be patient with the current high cost of goods” and adds an emotional twist by asking: “How can one be patient when your baby is crying because she is hungry?”

This is a paragraph which is the unkindest cut of all.

Does Lee really want the reader to believe that the ministry’s Price Reduction Campaign has not gone beyond Giant and Tesco when he should know that what he asserts is patently false.

In fact, just the day before Lee’s article appeared in StarMetro, I was in Penang, his hometown, to launch the Sunshine supermarket group’s participation in the campaign.

What pleased me was that the prices set by the supermarket group were very competitive with those set by the earlier participants of the campaign.

The ministry will eventually publish the prices of selected food items of all participating retailers in its website and the price information will be on a district-by-district basis.

It is hoped that such information will not only allow a consumer to be better informed but may well encourage competition among the participating retailers for the consumer’s benefit.

I read Lee’s article right down to his parting shot: “Mr Minister, spare us the excuses and get the whip cracking.”

Lee has adroitly complained of my inaction over prices but the examples he gave of high prices were mostly of cooked food although he did include that of the trousers pressing service.

He argued that “the government should seriously consider some price control initiative if it has the welfare of people at heart. You can never, never find shopkeepers or hawkers who would voluntarily lower the prices of goods unless there is pressure from the government.”

I worry that Lee wants me to crack the whip, i.e. use force or the threat of force, against shopkeepers and hawkers.

At almost every press conference after launching the Price Reduction Campaign at a participating retailer, I will explain that the ministry has no legal power to get retailers to reduce their prices and all the participating retailers are doing so purely on a voluntary basis to cut their own margins and supported by their suppliers.

Thus, it has been voluntary all this while, rebutting Lee’s claim that they will “never, never” do so!

However, I agree with Lee that the problem is with the prices of cooked food. All the examples cited by him are cooked food (char koey teow, chicken rice, wantan noodles, nasi kandar, cup of tea) rather than of fresh and manufactured food items.

His decision not to ever again patronise the nasi kandar restaurant is one way to protest against the high price of nasi kandar.

To expect the federal government to “crack the whip” against the hawkers is unrealistic since it means government intervention right down the supply chain beyond retailing.

Furthermore, the hawkers know that there will always be customers even if they raise their prices.

The local authorities may have more influence than my federal ministry over the food hawkers in state-owned hawker complexes.

Currently, licences are issued for the purpose of health control. Perhaps, the privilege of location can include the additional and voluntary adhering to reasonable prices.

As a journalist, Lee is expected to be better informed than his readers of events and even of the country’s laws and governmental structure. This is because it is expected that what he writes is well-informed, fair and accurate.

He has no excuse not to know that the Price Reduction Campaign has been voluntary and in spite of the ministry not having the necessary legal powers to “crack the whip” beyond the limited range of price-control items, the campaign has been successful in bringing down prices of manufactured food items.

He has also has no excuse not to know that the campaign has gone beyond the “big merchants” and has reached not only the margins of the Klang Valley (to Banting and Kapar, for example) but also to the rural Felda schemes.

He absolutely has no excuse to take my remarks out of context and then use them arbitrarily to justify his unhappiness with the price and taste of Klang Valley’s cooked food.

I can appreciate his longing for the taste and price of Penang food. However, since he writes for StarMetro through the Valley View column, which presumably has to be helpful and useful for readers in the Klang Valley, Lee should refrain from half-truths and distortions.

Being snide also does not help in Lee’s battle against his homesickness while he is expected to explore and highlight life and its highs and lows in the Klang Valley.

Note: Datuk Shahrir Abdul Samad is the Minister of Domestic Trade & Consumer Affair
______________________________________________________

Hmmm...I thought this piece is about Lorena 'the unkindest cut' Bobbit. Wishful thinking.

Political speak is too predictable. Always a long-winded nothingness. Did I detect ample hints of sarcasm there too, Datuk? Is that the way to make us believe the government is actually doing something? A few widely publicised events? That we already bloody aware of, thank you. We want to know them steps and measures that are to be undertaken so that our confidence in you do not dip. So your Ministry don't have the necessary power to go against blatant profiteering? Why bother having Kementerian Perdagangan Dalam Negeri dan Hal Ehwal Pengguna when all that is needed is for us to boycott shops and hope things can get really rosy? You peeps make them rounds during them festivities and check on chicken and chillies and long beans and then do what? Rally for increase pay?

With all the supermarkets and wet markets Price Redundant Campaigns you had to officiate, who's writing this piece of shit? You got your own 4th floor lackeys?

How people changed. Where's that guy who left the Backbenchers' Club for something he believed in? How belief changed.

I don't have a craving for some Penang exotic food spreads or Kelantan or French. I don't have the time nor money to travel more than 50 metres on a weekday just to satisfy me palate. I just need some basic food that can fill me guts and give me the strength to survive another day. I just need to have access to a price list of some basic food items. A list of errant shopkeepers will help. If you can list all them good guys, why not them bad ones as well. If I'm a bad paymaster, me name will be splashed all over the financial system. Why can't an errant shopkeeper be shamed as well.

I can't shake off this feeling that this government which is elected by the people doesn't have the people as their priority. To reduce the price of fuel, they think about the losses that could be faced by the kiosk operators. True, they are people too but what about them gains when price increases. Why are contractors compensated when time is bad? Business is always a calculated risk. That is why you either do well or go bust. It all depends on how you manage your capital, manage the prevailing economic situation and how well you predict future trends and costs. Not everybody can do that well or at all. The better ones survive and evolve into bigger entities. Good on them, pats on their backs. But when them failures came running to the government and being compensated, where's the element of hard work and good management? It's like telling me to get me butt involve in a government project and if my cut fell below my expectation, it's me prerogative to ask for compensation. And I'll be well compensated. In the process the government and all its MLCs are being taken hostage by business peeps and cronies in lopsided deals and the money that is meant for improving our lives is being channeled into a few pockets. Is everybody in the government machinery that gullible, do not read law? Or do they have some other vested interests? Government peeps, especially those of the praying kind, you must've heard and read the oft quote, you're what you eat. And your children are what they eat. Can you ensure that they are eating food that is meant for them? And can you yorself too for that matter? Halal is not good enough. It must also not from sources that deprive others of their rights.

So can I have a government project or two, Datuk Minister? No? Meant for cronies? Oh, I thought so.

Datuk Minister, spare us some change and get us them whipped cream crackers.





Monday, December 15, 2008

jom bodoh...eh?

I dunno. Reckon that's why God created us differently and then spread us as far as possible from each other so that nobody could easily get on each others' nerves. But being humans, we wanna prove to the Almighty that we're a tad cleverer than His other beings, His plans. We got out of our caves, we created things, we explored the world and we started to get on each others' nerves.

I dunno. Reckon some peeps are born just to go to them Jom Heboh carnivals. Then they die. And if they behaved themselves at them carnivals and didn't miss their Asar and Maghrib, they'd go to heaven. But if they leered at too many cleavages, thought about grasping the many butts on offer, with them g-strings showing 3 inches above the belt, and took home too many freebies, reckon they got to open the door to the red hot room without a view.


So imagine if 17 of these peeps who were born to Jom Bodoh for eternity came to visit one of their clansperson in a 30 bed ward at the Hospital Sultanah Aminah, whose bed unfortunately was next to me mother's. Taking turns being photographed with the sick girl as though she just won the Juara Lagu. Was expecting them to do the naughty on the bed and on the floor at any moment and have their acts recorded on their mobiles and later bluetooth to the whole fucking world but by then everybody from the other beds were looking at them with annoyed sympathy. I haven't seen so much grapes and so many apples since that summer of '86 at that German sounding farm in Adelaide. And the poor girl was to have her vermiform appendix removed the next day. Reckon another half of the clan would be coming over to collect them freebies later.

Reckon that's why God created that many levels of heaven and hell. He knew humans just love to get on each others' nerves, even there.

Saturday, December 13, 2008

crisis...eh?

Financial crisis explained.

Now you know your bank sucks. And you'll die dry.

Saturday, December 6, 2008

pretty in pink...eh?

All me life playing rugby, the jerseys I had ever wore were black shorts with yellowish orange top and white shorts with reddish maroon top. And them were proud moments those many many moons ago. Especially when worn against fave opponents King George V. Ah...those were them days, when we just live life.

Been following the French Top 14 awhile now. And the team that never cease to amaze me is the Stade Francais, the only team from the north. A very stylish team at that. Just look at them kits and you know what I meant. Imagine a group of 15 men, almost all 6 footer with an average weight of 90kgs charging down at you, in pink kits.















Hey, you're hard! Damn!