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41,444 members
Oct 15, 2010

First Blockage - Orange Mishap and Unwelcome Consequences

This topic is about someone who experienced their first ileostomy blockage after eating an orange, which led to a hospital stay and some significant life changes. The blockage caused severe pain and a sleepless night, resulting in a hospital visit where they received morphine and were monitored overnight. Unfortunately, during this time, they also tore some abdominal scar tissue. After taking two days off work, their temporary employer dismissed them, citing unfitness for the job, despite being aware of their medical history and upcoming surgeries. They have been advised to apply for Centrelink assistance due to the need for further operations that will keep them out of work.

Here are some helpful insights and advice:

1. The person is already receiving Centrelink Newstart Allowance with a medical certificate and is now applying for a Carer’s Allowance for their husband. They are also scheduled for a "Job Capacity Assessment" and are gathering medical paperwork.

2. They enjoy eating fruits like oranges, mandarins, mangoes, cherries, and corn, and are seeking advice on which foods to avoid to prevent future blockages.

3. Dietary tips to prevent blockages:
- Avoid eating citrus fruits in whole segments. Instead, slice oranges thinly with the peel on or opt for canned mandarin segments with membranes removed.
- Fresh raw pineapple is often reported to cause blockages. It is recommended to avoid or limit it, though cooked pineapple in small amounts, like on pizza, is usually tolerated.
- Be cautious with high-fiber skins, tough membranes, and whole kernels like corn. Chew them thoroughly and introduce them slowly into your diet.

4. Managing an active blockage:
- Some surgeons suggest drinking mineral oil to help the obstructed output pass through more easily.
- A pediatric enema inserted gently into the stoma has been used by some, but this should only be done after consulting with medical professionals.

5. Employment rights in Australia:
- If not employed as a casual worker, one cannot be terminated solely for illness when covered by medical certificates. Employers must provide three written warnings for performance issues before dismissal.
- Wrongful dismissal can be challenged.

6. Navigating Centrelink:
- Request the hospital to arrange an appointment with the on-site Centrelink liaison officer to expedite claims.
- Provide dismissal paperwork to access immediate Newstart payments, then transition to Sickness or Disability Support Pension as needed.
- Frequent visits or calls to Centrelink can help speed up processing.
- When applying for a Carer’s Allowance, submit all medical evidence at once.

7. Additional financial assistance:
- Early release of superannuation is possible on medical grounds. Solicitors experienced with ulcerative colitis or Crohn’s disease claims can assist.

8. Emotional support:
- Blockages are very painful but can often be prevented with a careful diet and thorough chewing. Community members offer encouragement to stay strong and not let employers’ actions affect self-worth.
See full discusison
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