2nd SUPERVISORY MEETING

It was yesterday at 1430 hour. I brought the print out. My feeling about it...

VLED

VERY LOW ENERGY DIET .. abrv. VLED. @ VERLY LOW CALORIE DIET

Got a chance to attend a talk by Dr Anthony R Leeds, at the Faculty of Medicine and Health Science, UPM.

VLED is a total diet replacement with an energy content between 450 kcal to 800 kcal, in the form of fortified liquid meals which provide vitamin, mineral, trace elements, essential fatty acieds requirement on a daily basis. This source of food usually administered over 12 - 16 weeks period, however recent guideline from UK National Institute for Clinical Excellence indicates this should be limited to 12 weeks.

This idea of VLED far back in 1920. It has faced an initial problem with the use of low quality and insufficient protein and inadequate vitamin & mineral supply. However has been corrected in early 1970s. The approach of VLED base on theory, where once body achieved a greater energy deficit than a low energy diet, this will result in greater rate of weight loss. Due to energy requirement is differ from each indivual rate of weight loss ~1.5 kg/week and ~2 kg/week for women and men respectively.

Follow up study for a minimum a year shown a significantly and dramatically drop in body weight after 6 month of VLED diet. However, this drop started to gain back another 10 kg and reach the same weight as those having other program (diet+exercise, drug therapy). The end point, VLED resulted the same as diet+exercise and drug therapy.

This regimen of diet is definately for short term as in
-preparation for bariatric and also other surgery
-where a clinical conditions limit control of energy intake pr energy utilisation such as in osteoarthritis.
-where best current therapeutic practice has failed to achieve desired outcomes such as in type 2 diabetes mellitus.

Personally, there is a doubt about this approach in T2DM management as this VLED kind of neglecting the actual cause of T2DM; physical inactivity and visceral obesity. Myself I'm still so much believe the best approach is lifestyle modification (diet and exercise). However, as the speaker also stated .. this VLED is for short term usage hence this regimen of diet might be able to give somehow an encouragement and motivation to those trying to reduce weight. Have to make sure, any patient undergoing this VLED is well informed about the weight gain after the significant loss.

Not to forget, the weight loss is due to very low energy intake hence body might switch its metabolic condition into hunger state, resulted in lower BMR., which is not so good. In any condition, exercise, need to be incorporated as muscle need to be activated. Weight loss due to VLED is a general weight loss meaning to say, body will loose both lean and fat mass. Loosing lean mass (muscular part) could lead to sarcopenia. Again, contradict to what shld be achieved in T2DM management.

Dr Anthony R Leeds

GYM HOUR

Have you ever went to the gym, and found out a gym member "USING" one particular bench or work out station for about an hour? Well .. I saw this today.
Was at the free weight area, about an hour before the peak hour, the here was one hamba Allah ni .... he was sitting on the multi function bench (basically for chest press n squat)..as usual this guy .. always with hand phone. He already on the phone when I reached there ... with his not so nice voice ... been talking like he was in his own personal room.

The clock ticking .. people came and left .. but he .. emm .. not even moved from that bench. Been talking on the phone (LOUD) ... for aboout 50 mins!

OMG .. definate I tag him as SELFISH! .. for 50 mins he was on the phone .. so many people can use that bench .. Gosh .. I really cant think of this situation .. WHT he talking there .. blocking others from using that bench.

Well .. 50 mins! gone .. then he resume his work out .. with that guided bench he did bench press with 15kg ... and gosh .. he can moan like having sex .... Guided/supported chest press with 15kg .. yet .. the moan like he was doing free weight chest press for 80kg .. come on! ..

He did moan as well for 22lbs biceps curl ... aiyooo .. wat la wei ... (hint) ..

The bench that Mr Moaning used

Another member ... a quiet person ... never seen him talk ... not that he mute I guess.. just the way he is ..

This fella ... put his towl on the incline chest press ... did one set .. then left for few minutes ... no one could use the bench till he really done his work out .. dushh ... wasting time and SELFISH too.

And one more thing .. this particular "mute" member ... always dimply left the weights he use everywhere .. nevere returned to where he took it. Adoiii ..

The bench that Mr Mute used

Whenever in the gym

1) Please be considerate .. other member paying the same fees as you do.

2) Please please return the weights accordingly (some PTs dont return the weight too sometimes)

3) Reduce/control your moaning .. :P .. keep it and show it to your partner that you enjoying the intimate session ... BUT not when working out in the gym.

ANOTHER WEEK GONE

PROPOSAL
==========

Almost done.. gonna email it to my supervisor on Monday then arrange the 2nd supervisory meeting ... finalized everything then could proceed with ethic approval application.

Need a model for some photo shoot and video recording .. any taker?

MOVIE
======

Watched Sex and The City on the weekend night .. midnite show .. and did it alone .. it was great .. 2 things ...

1. Great to be able to go out for midnite show alone and still enjoying it.

2. Great movie .. really touch my heart with the friendship bond which being potrayed in the movie ... how 4 of them always there when they needed each other. Wonder if I could have that kind of friendship bond ... pray to God .. Amiin ..

Both pics curi from google

PERFORMING ARTS
=================

Watched worskhop performace title "The EDGE" at KLpac .. would like to say thank you to Murni for spending time with me there. :-)

Well dont forget our next appoinment ... Ismail: The Last Days. I'm really looking forward for this one. Glad I had read the book about former deputy premier of Malysia. (entry about the book dated February 24 2007).

BOOK
=====

I got this book from KINO on Thursday. Gonna love this book too. Same author for the book about Tun Ismail, The Reluctant Politician. By Dr Ooi Kee Beng. It is actually a compilation of his articles publised somewhere else about current political situation in Malysia.

Lost In Transition: Malaysia under Abdullah.

The latest book in my posession

The author (curi from jeff Ooi's)

GROCERRIES
===========

A weekly grocerries at my favorite place ... a weekend activity .. I like this place as it is near my aunty's place .. as going back to my aunty's also my weekend activity .. hence this particular supermarket become one of my favorite place to shop for my grocerries.

A point I wanna share here is ... sometimes the cashier might do mistake.. such as key in or scan the item double ... emm regardless purposely or mistakenly ... so do make it a habit to check bill everytime make payment, especially if buying more than one for the same item.

Today, she scanned my DHA gold eggs twice .. 1st .. she already key in the quantity (2) .. then for the second rack.. she scanned it again .. hence become 3 racks of eggs, where by .. I only took 2. Luckily I checked my bill, so I got back my RM4.85 which being extra charged on me.

So which supermarket am pointing at .. emmm

YEAH .. NOW I GOT IT

Been waiting for almost two weeks. Finally I got it today ... yeah ... now eager to make use of it ...

The book
Oh yeas . it comes with demo CD

The online purchasing statement.

# Item ID Description Qty Price Total---------------------------------------------------------------------------

1 9780736037839 The Scientific and Clinical Appl 1 91.00 91.00

ication of Elastic Resistance Book/CD Package

Shipping & Handling 19.50

Tax 0.00

Total 110.50

Note: Order is in U. S. dollars w/ international shipping.

So, this 352 pages book cost me RM 357.41

SEKOLAH KU SYURGA KU

Sound familiar? Sekolah Ku Syurga Ku ... My School is My Paradise .. was it?? hahahaha some might say yes .. some might say My School is My Hell .. anyway .. for me My School was My Paradise .. refer to secondary schooling time ..

Well after few years left studying life ... now back to school ..

This is the place where I will be spending my time untill end of 2010.

CASA IMPIAN versi KANTOR

Bosan dengan susun atur benda-benda kat pejabat .. lantas terfikir nak menyusunnya semula .. terfikir-fikir .. patutkah mmenyertai CASA IMPIAN errr ke CASA IDAMAN .. haha .. atau perlukan menggunakan khidmat Eric Leong ... emmm jawapannya .. TIDAK .. TIDAK .. untuk bilik sekangkang kera dah juga segala perabot kitar semula .. (recycle yea ... ) cukup la sekadar mendapatkan khidmat pakar runding hiasan dalaman diri sendiri namaya ..

Kekusaman yang jelas dan nyata ... kerusi tamu walaupun tidak pernah ada tamu ..
Rak buku recyle.... tali leher yang sudah laam tidak diusik...
Sungguhlah bersepah ..
Bosan sungguh meja-meja ini ...
Susahnya nak mencapai gelas dan sudu di atas kabinet besi .. tingkap yg jarang sangat dibuka dek kerana pemandangan yang tidak seindah mana di luar sana ...

Bosannnn....

Makanya ... Digagahkan diri ini menolak dan menarik ke sana sini .. lalunya .. selepas beberapa hari bekerja keras (keras ke?) dapatla jua menikmati ruang kerja dengan susun atur perabot yang baru.

Masih lagi pintu yang sama .. namun rak buku usang sudah dialihkan .. menutupi dinding kaca ..
Sesiapa yang pinjam buku .. pulangkan ye ...
Ruang di antara dua meja .. emm persediaan bagi menyambut bulan Ramadan lagi dua bulan ... emmm
"Browsing station" ...
Working/Study station ...

Kiddie corner ... :-)

Dapur mini yang .. senang nak capai gelas sudu bagai ... cerek dah ada .. emm nak beli hot plat rasanya .. nanti boleh masak .. emmm