Monday 29 July 2019

Beef Dendeng


This week I'm into soy sauce, so here's another great-with-rice dish.



Beef Dendeng

Ingredients

1kg fresh beef
30 pcs shallots – coarsely blended
2 pcs yellow onion – finely blended
3 inches ginger – finely blended
2 bulb garlic – finely blended
½ cup dried chilli paste
½ cup chilli sauce
¾ cup sweet soy sauce
1 tsp tamarind paste
3 tbsp sugar
1 tsp salt / to taste
1 ½ cup cooking oil


Directions

Boil the beef for atleast 30 minutes or until it is tender. Remove it and let it sit for 5 minutes. Keep the broth. Cut against the grain into ½ cm-thick slices (otherwise it would feel like chewing a mouthful of rubber bands later).

Bash the beef slices thin with a pestle and a thick cutting board.  Lay the piece of meat on a cutting board, pound one side with the mortar until it thins out. This process is to tenderize a tougher cut of meat by breaking up some of those tough muscle fibres and stretching them out. Start pounding on the outer edge and work your way in to the middle.

Marinade the beef with sweet soy sauce. Mix thoroughly to ensure that it is evenly coated, cover and let it sit for 30 minutes.

Deep fry the marinated beef in batches until dark and slightly crispy for about 1 minute. Make sure to keep it in a single layer while frying. Set aside.

In the same wok, using the same cooking oil, sauté the garlic and ginger until aromatic for about 5 minutes. Add in the shallot and yellow onion then continue to sauté until the oil separates.

Stir in the chilli paste and continue to cook until the oil separates again. Season with sugar, salt, tamarind paste and chilli sauce. Stir to combine well.

Add in the fried beef and stir to coat. Lower the heat and let it simmer for 30 minutes, stirring occasionally until the sauce is thickened. If it is too dry then add in a ½ cup of the beef broth.

Note: It’s best when it has rested for a day!







Hello, I am back!


Hello, I am back! I’ve been away from the blog since last year and the reason for my temporary hiatus is because I was ill.

I was diagnosed with Graves’s disease in early 2018 and what a journey I've had. I was in hospital for nearly a week. My thyroid was very over-active.

Thyroid is a small, butterfly-shaped gland in our neck, along the front of our windpipe. It makes hormones that help control many parts of our metabolism, like how fast our heart beats and how fast we burn calories. Women are more likely to have a problem with their thyroid than men.

I call it a battle because to me, that is what it was. At its worst I thought I was going to die but thanks to my incredibly supportive family especially my husband that I am still here.

I have always been quite healthy. I am a person with loads of energy. It all started when I noticed a significant change in my entire body. Friends and family commented on how much weight I had lost. I had been trying to lose weight but had not realised how much I’d lost. My clothes were becoming too lose and despite a good diet I kept on losing weight until I was 10kg less than I had always been. It was unbelievable considering I had never been able to shed any weight on previous occasions.

Getting home from work, from the moment I would sit or lay down, I knew I wasn't doing anything else for the rest of the day. I had absolutely no energy to do anything. I was exhausted all the time, even if I slept really well the night before. My energy levels were sinking at a dramatic rate. What had been a mere breeze became an impossible task. In fact there were times I just didn't want to get up and go to work.

I had a constant really low mood, feeling cold and I kept on losing weight, despite eating a lot more.

I started to feel light headed and nauseous. Sleeping became uncomfortable. Waking in the middle of the night with cramp in my legs. I thought it may have been something viral or it’s my diabetes.

My hair started thinning, turning to straw and breaking easily. It came out in huge amounts when I combed it. I was horrified at the thought of losing my hair. I also felt my hair was growing very slowly.

I couldn't believe in such a short space of time how unwell I became. I also find it a struggle to walk up one set of stairs. Leg muscles hurting when I climbed the steps at home.

I was out of breath from panicking and couldn’t stand up as the muscles in the backs of my legs were shaking violently. I felt so sick and dizzy. My husband suspected low sugar.

After about a month I started to get more and more tired and slower in my thinking. I started finding it harder and harder and just trying to manage day to day tasks became a challenge. I just thought all these symptoms were normal for me and never really questioned them or linked them in any way. Nobody thought it was a medical problem – a working mum juggling with house chores was extremely exhausting but you just have to get on with it. So that’s what I did for another 3 weeks – soldiered on.

I was foggy in the head. I couldn’t concentrate for very long and my memory was dreadful. Sometimes I would stop speaking in the middle of a sentence because I’d forgotten what I was saying. I couldn’t even form sentences properly and forgot words. 

I had strange episodes of feeling like my body was shutting down. My skin was so dry that I had to apply a moisturiser all over, every day. But moisturizing made no difference. I just went from myself to feeling like I was aging superfast. My nails were weak and breaking.

Despite having the most supportive and understanding family, no-one knew what I really felt like. The last thing I wanted was my family to worry about my health. I had never felt so alone.

I didn’t tell anyone outside my family how I was feeling. I did not see my mother and sibling for a few months. I pushed myself to keep looking and behaving normally. I had a family to look after. Some days my energy would suddenly sap to a massive low and I’d have to just stop what I was doing - too tired to even finish washing the dishes.

I was miserable, had no interest in my blog or even cleaning the house, let alone anything that I used to enjoy. I went about my day, going through the motions but not really being there. I didn’t care and I wasn’t bothered.

I felt like I wasn't part of my life anymore - just like I was watching from the sidelines.

I was bad tempered a lot of the time. I made everyone's life a misery with my mood swings which can turn at the blink of an eye. I didn't enjoy anything and I couldn't laugh at anything. I had no interest and felt like I was going mad.

Then I started to have a sharp pain in my upper abdomen. I thought I was having a reflux again. So the doctor put me on the highest dosage of reflux med he could prescribe. He then sent me home after telling me to rest and it would go away. Unfortunately, it didn’t and it only got worse when a few days later I started having heart palpitations and a hand tremor for which I decided to consult another doctor.
He suggested for me to go for ECG to check for signs of heart disease. The test came back positive and he told me to see a heart specialist at Gleneagles but I told him that I need to consult my husband first and asked him to prescribe something to slower my heart beat.

Three weeks later I thought I was dying.  My symptoms were debilitating and included vomiting and diarrhoea, trouble with my breathing and heart palpitations that felt like I was having a heart attack.

Then I started to have that sharp pain in my upper abdomen again then I decided to see the doctor again.  He did not know what to do as he was the one who prescribed the highest dosage of reflux med earlier but the med did not seems to work for me because the pain were getting a lot worse again. He also said that there were so many things that didn’t make sense. He eventually arranged urgent referral to KPJ to undergo endoscopic.

After putting up with these symptoms for a month then it wasn't until mid May of 2018 when I decided to go to KPJ and undergo endoscopic to figure out what was going on with me but the result came back negative. There’s nothing wrong with my abdomen.

The doctors then decided to do a full workup of blood tests as they suspected I had thyroid issues.  Once the results came in, I was told that my thyroid was so bad. It showed that I was hyperthyroid. They explained I had Graves' disease and the  condition, the symptoms I was experiencing, why I was feeling the way I was and that I'd need medication every day.

I felt relieved that there was an actual diagnosis and it had not all been in my imagination. However, I was feeling more and more ill. My heart beat was well over 150 just sitting in my doctor’s office.

Due to my bad conditions, the doctor had to put me in the ICU right away. I had several ‘thyroid storms’ where my body just collapsed which can be fatal. I was treated with highest dosage of Carbimazole and Propranolol for months.

In my case, the side effect of the medications were severe skin rashes, muscle and joint paint, changes in the way things taste and decrease in the normal numbers of blood cells in the bloods. I was constantly scratching which affected my sleep and warm weather worsened the itch. I was treated with antihistamines, painkillers and given a big bag of calamine lotion to apply on my skin. Every evening, I have to add 1 cup of baking soda to a big bucket of lukewarm water and soak in it for at least 30 minutes.

The doctor also recommended that thyroid blood tests are carried out every week and overall it did take some time and adjustments to find the correct dose to keep me in the normal zone. I really hope I can stay on the dose I am currently taking.

He said I was fortunate that my Thyroid Eye Disease (TED) was very mild.

In the first three weeks it didn't seem like the tablets were working, in fact I felt like I was feeling worse than before. I went back to the doctor who said that the tablets take a while to kick in. After about six weeks I was starting to feel the difference.

And then I was given three options:- an operation to remove some of my thyroid, medication, or radio active iodine. I have always had the utmost respect for the medical profession so I asked for the doctor’s opinion. He favoured the second option because he said my overactive thyroid was reacting well to the medication I had been taking for weeks and at the moment he claim there’s no reason to remove it.

I have been treated for more than a year now but getting the balance right wasn’t easy. It took about months for it to stabilise.

I decided to focus my energies away from feeling sorry for myself and into getting well again. Getting my iron levels back up slowed my hair loss. Now,my hair is in much better condition, doesn’t fall out so readily and new hair is growing back. My weight has not really gone back to normal though. More than anything I’m warm.

It is sometimes annoying having this condition, tablets every day. My kitchen cupboard still looks like a pharmacy and I am still undergoing a blood test every two weeks to check my thyroid’s hormone levels and also to check my white cell count. However, the most annoying thing about having to have a lot of blood tests is that I have very useless veins so it usually takes them numerous attempts to take the blood. It does suck but life could be worse.

I can't say I feel 100% better because I don't, but I feel so much better and I am still working on building up my energy reserve. 

When I got my diagnosis I was shocked at how many people did not know about the condition. I had to explain it all to them which have in a way inspired me to write about my experiences with hyperthyroidism.

Now I am able to manage the daily struggle I have with the support of my family but I do find it hard to tell people how I feel about it and what it is really like to have it.

I have so much appreciation for my life now. I do have times where I feel like no one understands that I have days where I feel tired. I am very lucky that it’s not cancer and that although it won’t get better it’s probably not going to kill me either.

We all want to be happy and live a long and healthy life. Sometimes things don't work out the way we planned. Sometimes life gets in the way.

People fight everyday and sometimes we really don't know what a person is truly going through. You have no idea what people are thinking and the obstacles they face. So don't be too quick to judge. Everyone is dealing with a battle of their own. But if you let it consume you then you allow it to win. Accept your struggles and find peace with it. You are lucky that you are alive and that you can fight for another day. Smile at everyone you meet and do not let anything get in the way of you living your life to the fullest. You deserve all of the happiness that this world has to offer.

The end result is that my stomach is flatter and my boobs have gone down a bra size.

My regular doctor was always very attentive and I was never made to feel I was wasting his time. Having a caring doctor who understood, took time to talk, answered my questions and had the patience to help me through my nightmare, I can never thank him enough.

Despite the improvements I never quite regained my old self. Sometimes there is forgetfulness, the fogged brain and difficulties with concentration and I have never quite got over the tiredness. My hand would also fall asleep if I sat in one position for very long.

It hasn't been an easy journey but I've managed to carry on working and still enjoy life.It has made me the person I am today.


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