Cook fettucini according to package directions. Drain the noodles. Put the cottage cheese in a strainer and let it drain for 5 to 10 minutes until most of the liquid is gone. Place the cooked fettucini, cottage cheese, sour cream, 35% cream, garlic and worcestershire sauce in a casserole. Add salt and pepper and tabasco sauce. Add the green onions. Mix well. You may add shrimps if you want. Spread the parmesan cheese on top. Cook in a 350 degrees oven for 25 minutes. Serve with a garlic bread.