Nusantara Street Food Series : Otak- otak Ikan (Fish Brains)

Western Indonesia Fish Brains

500 gr ikan yg sudah d’haluskan (tenggiri/gabus/kakap)

2 butir putih telur

140 gr tepung sagu/tapioka

300 ml santan kental (masak kemudian tunggu dingin)

10 gr maizena

secukupnya garam,merica,gula

bumbu halus :

5 siung bawang putih

8 btr bawang merah

daun bawang iris halus (bila suka)

Campur ikan yg sudah d’haluskan dengan putih telur, garam, gula, merica. Kalo menggunakan blender tambahkan es batu kecil2 bikinan kulkas itu 5-6biji blender bersama adonan

Sesudah adonan ikan kalis, masukan bumbu halus & daun bawang, aduk rata. Tuang santan, tambahkan sagu & maizena aduk rata kembali

Bungkus 1sdm adonan dengan daun pisang, semat pake lidi. Kemudian bakar sampai matang


Going Wider

A wide angle lens can be a powerful tool for exaggerating depth and relative size in a photo. However, it’s also one of the most difficult types of lenses to learn how to use. This page dispels some easy techniques for taking full advantage of the unique characteristics of a wide angle lens.
Fullframes and 35mm Film
  • Ultra-Ultra Wide 12-16mm
  • Ultra Wide 17-21mm
  • Wide 24-35mm
  • Normal 40-58mm

Get Close, Compositional Line & The Sky
How To Use (U)WA Lens (10)
01. Get Close & Include something(s) of interest in the foreground otherwise you will get vast expanses of nothing. In landscape this can mean going low to include foreground flowers for example or getting really close to rocks so that you can see the rock grain.
02. Look for strong compositional lines as this will add drama to your shots. This happens naturally with wide lenses anyway so you are just working with the natural perspective of the lens.
03. Look for interesting skies / back gound as ultra-wides capture wide expanses of sky and emphasis the lines in the cloud formations. You get a lot more things in the background, so you might want to be careful with what you frame in the backgrounds. Spend a bit of time to look at what’s in the background, does it mess with the overall aesthetic of your image? Is it too busy or too sparse? It’s a lot harder to decide what background to include because an ultra wide will see a lot more of it. Sometimes it isn’t about picking what background to put in the frame but rather what looks fine. The amazing effect that you get from an ultra wide can also be the most prohibitive to getting good photos.
04. Try to keep the camera as level as possible when photographing buildings.
05. A polarising filter in clear weather can add more colour, and Neutral Density graduation filters can add a lift in cloudy weather.
06. Move in close: The closer you are to your subject, the more dramatic your images will be. Yes, I mean right up close and personal.
07. Look out for your feet and other extraneous bits that might intrude, like legs of tripods, due to the much wider FOV
08. Use a tripod for landscape shots
09. Exposure Problems
  • Look for scenes with low dynamic range. “Magic hour light” and other “interesting weather light” is best, of course, but wide-angle works surprisingly well for “boring light” — for example overcast, noonday or front-lit sunlight: the inherent richness of the scene can greatly make up for the lack of interest in the lighting. Wide-angle is great for winter photography: snow cancels out (sometimes reverses) the usual brightness difference between sky and ground.
  • Expose for maximal dynamic range, then correct in post-processing. Use as low ISO as you can, if shooting in JPG, use the low-contrast setting, shoot in RAW if you’re up to it, and expose just below the point where you lose the highlights. Then restore tonal balance in post-processing. If you shot at ISO100 or ISO200, there are at least two or three stops of room to pull up the tones without boosting noise badly enough for it to be distracting in even quite large prints or introducing other major gremlins. If you shot in RAW, you’ll have a few aces up your sleeve in post-processing: more about that below.
  • Bracket. Shoot two (or sometimes more) frames at different exposure values off a tripod and merge them in post-processing. Below, I’ll describe a ridiculously simple way to do this that usually looks much more natural than complicated and labor-intensive masking techniques (like the one that I describe in my Layers and Masks post-processing lesson).
010. Focusing Problems
  • Auto-focus for close-up situationals, zone focus for the rest.
  • Stop down as far as you can. Use a tripod whenever possible: this means you’ll be able to stop down to f/11 or below. Often it’s better to go all the way to f/22, despite the slight diffraction-caused softening this causes. The wider the lens, the less you’ll need to stop down — but even on the widest rectilinear currently available, f/16 isn’t overkill. If you don’t have a tripod, use a monopod. If you don’t have that, bump up the ISO up to 800 (exposure constraints permitting). The extra noise will matter far less than the better overall sharpness. If you still can’t stop down, shoot the picture anyway: if the composition works, nobody will care about the technical trade-offs.
  • Identify the visual center, and focus on that. That’ll be whatever the eye settles on after wandering around in the frame — and if it’s soft, the picture won’t look right.
  • If you want infinity to be sharp, focus on infinity. If you’re stopped down to f/16 or f/22, you have some room to pull back, but otherwise, don’t trust hyperfocal shooting. Even though the calculated hyperfocal distance for the Sigma 12-24 wide-open at 12 mm is about 2 meters, that will leave infinity noticeably soggy.
  • If you have to choose, focus behind rather than in front of the subject. If you have enough resolution to outline an object, it’ll be perceived as sharp. This means that you can get away with more softness in the foreground, where detail is generally bigger, than the background, where detail is small — sometimes “infinitely” small.

(U)WA on the Streets of Amsterdamn, see how WA lense distorted background & powerfull use of close focusing

Waiting List for Heart Surgery


Heart diseases, as the most common cause of death in Indonesia and worldwide, have always been considered by the public and healthcare policy makers.


Complicated task by CV anesthesiology, preparing patient for open heart surgery

Consequently, increasing the number of heart surgery centers has become an indicator of healthcare extension. Almost all of healthcare managers place the expansion of heart centers at the top of their career priorities.


Hand wash for all team member, preventing post operative infection leading to sepsis


This issue is usually supported by national politicians, e.g. members of parliament and city council, beyond the people’s concern. Therefore, purchasing and launching highly developed technologies has become a touchstone to assess politician’s capacities. It varies from an ordinary clinic to the most advanced open-heart surgery and imaging facilities, such as catheterization labs.


Need for Specialized Medical Team

Despite this progress, waiting time is regarded as an appropriate determinant in evaluating healthcare quality, heart surgery prognosis



Ability for mentally & physically adapt to high medical standart

In countries with general health insurance coverage, waiting time limits healthcare access and decreases inpatient payment. Consequently, they will have more sources for providing state surgical or hospital services. Of course, it can harm people’s health and cause inadequate use of elective services


Ready even they’re not ready

Besides being an important factor influencing patient satisfaction, waiting time is a quality measure for outpatient services. Keijzers et al. assumed that waiting time, staff motivation and patient education are more effective on patient satisfaction than specialized team provision. Several scholars believe the time assigned by physicians to patients’ visit is more satisfying than waiting time for receiving services . Waiting time is an expression of hospital services accessibility and a measure for hospital performance.



The smallest Cardiac OR in the world (?)

Solans-Domenech et al. mentioned about an increasing pressure for the implementation of an equitable and patient needs-based system to rationing surgery. They also assumed that national official data on waiting lists for Spain and Catalonia do not allow conclusive lessons to be learned, regarding the impact that the austerity measures are having on waiting times for patients.


One of the proposed solutions for decreasing the need to elective surgeries is the substitution of public financing by private methods. When the public services are in poor condition, or private services are strong and choosing of the providers could be done by patients, this is useful. We should consider that increasing private insurance coverage can cause more demand and give the opposite result


In our country, Indonesia, the long list of non arguable cardiac surgical patient have ben a long talk. More than 6 months, even almost one year considered as an irreasonable time,. Few more heart centre have been built, the outcome was significantly “different” due to different capability.


But the bottom line is, that we has been out numbered by the patient.


My photo on Lens Culture

What we have to deal with, is the government, the decision making of all condition rehardless the humanitarian system in Indonesia.

Hungry for more surgeon, more cardiac centre.