At wangarratta station

 
  woodford Chief Commissioner

I was waiting at Wang station yesterday after spending the night in the hospital, not long after the north bound XPT went through, B61 and C501 went through going north.

At 1353 a north bound freight went through hauled by 4 near identical loco,s this was hauling at least 55 hopper cars, I counted 52 but did not start counting till at least 6 cars had gone through.

woodford

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  Valvegear Dr Beeching

Location: Norda Fittazroy
You stay out of hospitals, and keep reporting for us, woodford! I hope all is well with you.
  woodford Chief Commissioner

You stay out of hospitals, and keep reporting for us, woodford! I hope all is well with you.
Valvegear
Many thanks for your concern, I had mild chest pain for some days, and had an argument with "Nurse on Call" at 0100 in the moring as I did NOT want to go to Emergency and she was insisting and calling an ambulance. I was sure it was digestive tract related, but after waiting and bit of thought, I thought it better to be "safe than sorry". Emergency in Wangaratta cleared me of all heart and circulatory issues and said I was suffering from GORD (Gastro Oeosophagal Reflux Disease, ie stomach acid getting into ones oesophagus. Note 1) Apparently quite common  when one is over 40. It can usually be managed without surgery by...........

Avoiding trigger foods, in my case these are most (not all) breads (Note 2), anything battered, salad rolls (see bread), and other foods I have yet to pin down, interestingly steak sandwidges are quite OK, as is chocolate and sweet biscuits.
Instead of three main meals, lots of smaller snacks through out the day
Eating ones evening meal 3 to 4 hours prior to going to bed
Make sure all food is chewed throughly and swallow food in small quantities, ie swallow a mouthfull a little bit at a time.
Take an anti acid such as Myalanta

I am also ordering in some Complan, this is a british product to make "shakes" milk or otherwise, its specficly designed to be used by anyone that cannot eat solid foods. Its relatively expensive ($34 for 455gms and 60gms per shake) but each 1/2 litre milk shake is a complete meal replacement. I have lived on just this for 6 weeks, 3 decent sized shakes a day with no issues. It does taste a little odd (the shakes were 600ml of milk a couple of table spoons of Complan. Ovaltean and Dextrous) But I soon found it very tasty.

Note 1: This damage by the acid of your osphphagus is irritated by certain foods, causing chest pain.

Note 2: This is THE most common symptom, the internet is FULL of enquiries of why someone is having trouble swallowing bread.

woodford
  mikesyd Chief Commissioner

Location: Lurking
AKA Heartburn - been there too woodford - once on a flight to Singapore even. A few chewy Mylanta does the trick, one good burp and its all fixed.
  justarider Chief Train Controller

Location: Stuck on VR and hoping for better.
@woodford welcome to the old farts club.

I find copius amounts if beer helps.

Be well
John

EDIT: ignore my flippancy. follow @7334 good advice.
be well soon.
  potatoinmymouth Chief Commissioner

You stay out of hospitals, and keep reporting for us, woodford! I hope all is well with you.
Many thanks for your concern, I had mild chest pain for some days, and had an argument with "Nurse on Call" at 0100 in the moring as I did NOT want to go to Emergency and she was insisting and calling an ambulance. I was sure it was digestive tract related, but after waiting and bit of thought, I thought it better to be "safe than sorry". Emergency in Wangaratta cleared me of all heart and circulatory issues and said I was suffering from GORD (Gastro Oeosophagal Reflux Disease, ie stomach acid getting into ones oesophagus. Note 1) Apparently quite common  when one is over 40. It can usually be managed without surgery by...........
woodford
Ah, you said the magic words: chest pain...

Been there, done that with family, and it's incredibly frustrating though understandable from the health system's point of view.

Stay well, woodford.
  woodford Chief Commissioner

AKA Heartburn - been there too woodford - once on a flight to Singapore even. A few chewy Mylanta does the trick, one good burp and its all fixed.
mikesyd
Unfortunately its more than heartburn, I have great difficulty swallowing some foods, battered fish is one. What happens it appears to stick in my esophagus under my breast bone, while the pain level is not to bad, its EXTREMELY unpleasent, its obvious to any one around me I am in a good bit of distress. its got to the stage i am starting to avoid eating, which is why I am ordering the complan. It will provide me with all the vitamins and minerals and enough protein, fibre and fats to keep me healthy inspite of my low food intake.

The doctor at the Wangaratta said I should get a Gastrosocopy done, apparently they sedate one with a mild opiate and put an endoscope down ones throat to see what is going on. I will get this done as soon as the weather warms up a bit  more (latter next week), I will then be able to ride my Greenspeed Magnum down to my Doctors.


PS: to drasticly improve my fitness I have installed some gym equipment (I am used to working in a decent gym)
I have Landice L9 tread mill, a Teknogym exite stepper, a high rise water rower and a Bodyworx hacksqaut machine. For my upper body I have a 30cm speed ball and some hand weights. I have chosen this set up to improve my lower body and back strength and flexibility, My phsyotherapist has told me at my current poor fitness level to avoid doing much until the weather warms as working on cold weak muscles is asking for trouble. So I will start (VERY slowly) a progam mid october. Note: I work the treadmill at least twice a week and even that small bit is doing me a great deal of good.

woodford
  7334 Chief Commissioner

Location: In the workshop wondering why I started 7334 in the first place
AKA Heartburn - been there too woodford - once on a flight to Singapore even. A few chewy Mylanta does the trick, one good burp and its all fixed.
Unfortunately its more than heartburn, I have great difficulty swallowing some foods, battered fish is one. What happens it appears to stick in my esophagus under my breast bone, while the pain level is not to bad, its EXTREMELY unpleasent, its obvious to any one around me I am in a good bit of distress...........

The doctor at the Wangaratta said I should get a Gastrosocopy done, apparently they sedate one with a mild opiate and put an endoscope down ones throat to see what is going on. I will get this done as soon as the weather warms up a bit  more (latter next week), I will then be able to ride my Greenspeed Magnum down to my Doctors.


.
woodford
woodford
Been there, seen that, bugger your Greenspeed Magnum and the temperature, go get it checked out.

It's probably nothing serious but in my case it was dead set serious.  

This is a bit rich not to mention extremely presumptuous coming from someone you do not even know but please GET IT CHECKED OUT  RIGHT BLOODY NOW
  The Vinelander Minister for Railways

Location: Ballan, Victoria on the Ballarat RFR Line
Avoiding trigger foods, in my case these are most (not all) breads (Note 2), anything battered, salad rolls (see bread), and other foods I have yet to pin down,

Note 2: This is THE most common symptom, the internet is FULL of enquiries of why someone is having trouble swallowing bread.

woodford
woodford

Just as I was sitting down to supper to read this with a THICK slice of still warm, freshly baked home made wholemeal bread with lashings of margarine...(can't eat butter anymore), covered with strawberry jam.  Wink

Mike.
  woodford Chief Commissioner

AKA Heartburn - been there too woodford - once on a flight to Singapore even. A few chewy Mylanta does the trick, one good burp and its all fixed.
Unfortunately its more than heartburn, I have great difficulty swallowing some foods, battered fish is one. What happens it appears to stick in my esophagus under my breast bone, while the pain level is not to bad, its EXTREMELY unpleasent, its obvious to any one around me I am in a good bit of distress...........

The doctor at the Wangaratta said I should get a Gastrosocopy done, apparently they sedate one with a mild opiate and put an endoscope down ones throat to see what is going on. I will get this done as soon as the weather warms up a bit  more (latter next week), I will then be able to ride my Greenspeed Magnum down to my Doctors.


.
woodford
Been there, seen that, bugger your Greenspeed Magnum and the temperature, go get it checked out.

It's probably nothing serious but in my case it was dead set serious.  

This is a bit rich not to mention extremely presumptuous coming from someone you do not even know but please GET IT CHECKED OUT  RIGHT BLOODY NOW
7334
I no longer drive these days and I cannot get anyone to drive me on short notice so its the Magnum or nothing. It takes me around 1H15m to get to Euroa. Monday to Wednesday next week are looking good temp wise (Note 1), I should be able to get an appointment on one of those days.

One of the problems of living in remotish rural areas is getting specialist medical help, these are few and far between. There is visiting specialists, but these are usually book out months in advance, eg the heart specialist the visits Euroa was booked out to Febuary next year in July, the earliest I could get an appointment is 2nd week in October and thats in Seymour. If I believe something could be serious I call an Ambulance, the crews have made it ULTRA clear they do NOT mind this.

I have been holding back on the digestive tract problems for sometime now is my doctor has told me they would be quite wary of treating another illness until the problem with my heart has been completely sorted.
Note: Readers may be amazed by this but my heart problem does not bother me at all. The treatment for it is Frusemide, Spiractin and Rampril 2,5mg (Note 2), these de water your blood and makes it easier on the heart. There appears to be no sign of any limitations. I can ride my trike OK, pedalling up hills for short periods I have no signs of any stress inspite of an out put in the 300 to 400watt range, The trike is electricly assisted, I only need to pedal up steep hills, pedalling time going down to Euroa would be in the 6 to 10 minute range, all in short bursts, in a 1H 15m trip.

Note 1: The reason for a reasonable temp is required is it means a can leave earlier. on the early days of next week it is projected to be 15c by 0900. That means I can be on the road by then and be back in Violet Town by 1300.

Note 2: I need to be carefull on the Rampril, the 2.5mg is a VERY small dose but if its increased which is usual it drops my blood pressure to much (Note 3). I higher dose putting my blood pressure in the 95/50 region (my normal pressure with the medication is 105/64. 95/50 is WAY to low.

Note 3: I have measured my own blood pressure for years is I suffer from the "white coat syndrome". My blood pressure ALWAYS measuring high at the doctors surgery.

woodford
  woodford Chief Commissioner

I Will pass on some info which may give readers I better idea in my life style choices. I suffer from Post Traumatic Stress Disorder. This is an extremely serious mental illness. Unlike most mental illness's PTSD is triggered be certain events called stressors. I lived in Hell for years and that leaves an permanent scar on ones mind. On the whole I live for today, tomorrow does not exist. This is common in anyone that is suffering a VERY serious illness and knows one day tomorrow will not come.

Inspite of this I will fight for today, the bar---ds are NEVER going to grind this "little black duck" down.

woodford
  The Vinelander Minister for Railways

Location: Ballan, Victoria on the Ballarat RFR Line
I lived in Hell for years and that leaves an permanent scar on ones mind.

Inspite of this I will fight for today, the bar---ds are NEVER going to grind this "little black duck" down.

woodford
woodford

Hell Question

  woodford Chief Commissioner

I lived in Hell for years and that leaves an permanent scar on ones mind.

Inspite of this I will fight for today, the bar---ds are NEVER going to grind this "little black duck" down.

woodford

Hell Question
The Vinelander
It started around 15 years ago. I started the get really black depressions when I was alone amongst people, like on a train, these continued for some time and I was told by a chinese herbal medical naturopath that I was heading for a serious breakdown. I warned the manager of the control room when I worked, what was happening and went on with life some time after that (quite  few months) I was looking after Western Victoria at work when one of the guys past behind me and "Hello Lindsay", my mind then just crashed into a small heap and I found it almost impossible to make any kind of decision. I sat there for over an hour not being able to do anything with a constant though in mind I MUST get out and see some greenery. I managed to pull my mind together enough to tell the shift leader I needed to go out side. I went down to the exhibition gardens and laid there for a couple hours, then went back to the control room and told the manager I had had it. After that I found I suffered from the following.

I had great difficulty making some decisions, this was quite unpredictable, though decison relating to people were hopeless.

No one could put ANY pressure on me , if they tried I would simply freeze.

I could not stand being around people.

Any unfair treatment would send me into what I may call an insane rage. I regarded this as VERY serious as there was the disticnt possibilty I could hurt some one.

When I did anything if the path to the goal was clear and nothing went wrong I was OK. If anything went wrong or I had not made up my mind on alternatives. when it went wrong or I came the junction of the two alternatives my mind would simply freeze and I would take anything from 1 to 6 hours to recover. I remember a number of times sitting in my vehicle 500 metres short of a road junction with my mind in chaos unable to do anything.

This varied greatly, when I was doing manual work I liked everything was great.

My friends and family avoided me like the plague, people who knew me at the time said I looked terrible.

One unusual aspect of this is I knew right from the beginning I had a serious mental illness, something almost unknown in the mental health world. I also knew what I was suffering from was NOT depression.

I was VERY lucky as my GP at the time was a new doctor and they teach the newer doctors about mental health he diagnosed my with Stress Induced Depression and said there was no known treatment or drugs that would do any good. I just had to go somewhere where I was comfortable. Around 5 years latter this diagnosis was confirmed as PTSD by a member of the Vietnam Veterans Councilling Service, who also confirmed there was no known treatment.

I lived my life (and I still do this) NOT doing ANYTHING I could not easily get out of. I avoided contact with authoritarian figures and I would simply NEVER put myself in a position  where someone MAY verbally attack me as this would trigger a violent rage.

For all of this period I could only sleep around 2 hours a night.

I lived on my own funds for nearly 18 months and not go near Centrelink as my financial advisor was trying to get me todo.
When he final asked why I would not go, I told if they question me, its almost certain that I will violently attack them and I WILL NOT PUT MYSELF IN THAT POSITION.
He rang the local Centrelink (Ballarat) told them he was sending around someone with a serious problem and theyb gave me no problems. It being quite clear I was NOT the first person with serious problems they had struck.

I found it not to difficult to run across fellow suffers, the all said it would be many years before I would be any good.

I had  a major breakdown only a couple of years ago. I have been told I MUST avoid these like the plague, each break down damaging my mind more.

All this seriously limits what I can do, I do not like living like this but there is NO choice and as I said before the Bar---ds are NEVER going grind me down completely.

woodford
  woodford Chief Commissioner

I thought i would update readers, as this is turning to be a sort of blog on my health.

After a great deal of discomfort after eating breakfast I called "Nurse on Call" again. they had a Doctor ring me, after good question and answer session, the doctor diagnosed the issue as "esophageal spasm". She said its not serious but it is known to create extreme discomfort in its suffers. She said to see my doctor as there are medications that can help. Best treatment is to work out which foods cause the problem. Eat soft foods when ever possible. Avoid both cold and very hot foods as both will trigger the disorder. Chew everything ultra thoroughly. Sipping a peppermint before eating is known to help as does chewing a couple of Myalanta's 30 mintutes before meals.- and final do NOT under any circumstances lie down after a meal.

The cause of the disorder is unknown, only in extreme cases where managing what you eat/medications do no work is surgery advised.

So woodford needs to change his diet always a fun thing at anytime, changing long held habits is always a challenge.  So it looks like porridge for breakfast (I like porridge), moist mashed foods for main meals, fried or steamed fresh fish. poached or scrambled eggs, interestingly I have found chocolate is OK as is cheese. Its possible mince steak will also be OK. Finish the day with a complan milk shake.
Anyone have any sugestions for recipes for warm soft moist foods, sugestions will be greatly apreciated.

woodford
  DirtyBallast Chief Commissioner

Location: I was here first. You're only visiting.

Anyone have any sugestions for recipes for warm soft moist foods, sugestions will be greatly apreciated.

woodford
woodford
Shepherd's pie? Or, any pie for that matter, including apple or lemon meringue pie for dessert. The frozen ones you buy in a box from your local supermarket are perfectly acceptable.

I'm glad cheese is ok for you; accompany it with a Port or two for a nightcap maybe?
  Lockspike Assistant Commissioner

Anyone have any sugestions for recipes for warm soft moist foods, sugestions will be greatly apreciated.

woodford
woodford
Woodford, Do you know about Impossible Pie? Similar to quiche but no mucking about with pastry, it makes its own base during baking; Google it for a recipe, there are many variations.
  YM-Mundrabilla Minister for Railways

Location: Mundrabilla but I'd rather be in Narvik
I thought i would update readers, as this is turning to be a sort of blog on my health.

After a great deal of discomfort after eating breakfast I called "Nurse on Call" again. they had a Doctor ring me, after good question and answer session, the doctor diagnosed the issue as "esophageal spasm". She said its not serious but it is known to create extreme discomfort in its suffers. She said to see my doctor as there are medications that can help. Best treatment is to work out which foods cause the problem. Eat soft foods when ever possible. Avoid both cold and very hot foods as both will trigger the disorder. Chew everything ultra thoroughly. Sipping a peppermint before eating is known to help as does chewing a couple of Myalanta's 30 mintutes before meals.- and final do NOT under any circumstances lie down after a meal.

The cause of the disorder is unknown, only in extreme cases where managing what you eat/medications do no work is surgery advised.

So woodford needs to change his diet always a fun thing at anytime, changing long held habits is always a challenge.  So it looks like porridge for breakfast (I like porridge), moist mashed foods for main meals, fried or steamed fresh fish. poached or scrambled eggs, interestingly I have found chocolate is OK as is cheese. Its possible mince steak will also be OK. Finish the day with a complan milk shake.
Anyone have any sugestions for recipes for warm soft moist foods, sugestions will be greatly apreciated.

woodford
woodford
Sorry Woodford no recipe suggestions but I wish you well.
  ElliotProvis Junior Train Controller

Location: Melbourne, Victoria
Thank you for sharing all of your private stories with us @woodford. People don’t say it enough, but hearing those stories is really important in giving others the courage to overcome their own darknesses. It saves lives. So thank you Smile
  woodford Chief Commissioner

Thank you for sharing all of your private stories with us @woodford. People don’t say it enough, but hearing those stories is really important in giving others the courage to overcome their own darknesses. It saves lives. So thank you Smile
ElliotProvis
Thanks, it is apreciated, you simply CANNOT let these darkness's defeat one, you have to fight to the end.

Note: I have NEVER had a problem talking to people about my PTSD, another point is the Vietnam Veterans Councilling Service told me a simply CANNOT allow a problem to stew in my mind, if I have ANY concerns i MUST talk to some one about it. This being a much bigger problem for me as I live alone.

woodford
  woodford Chief Commissioner

Every cloud has a silver lining, One thing this is getting me to look is my real nutrition requirements. It is certain I will soon have far better eating habits nutrition wise, inspite of having a much lower food intake. This can only be a GOOD THING.

The problem appears to be confined to most/not all grain based food,(note 1) I was talking to my local chemist about this and she said it nearly sounded like an allergic reaction.

Note 1: Any grain based product with a hard rough texture, bread crust, crisp batter, Corn flakes, Vita Brits, Weeties.  
I need to try Vita Brits with hot milk as this completely changes there texture and its the hard rough texture that's the problem.
Anything soft and smooth is no problems at all, eg Cheddar cheese, custard, ice cream, white chocolate, minced steak based spagetti sauce, etc.

woodford
  Lockspike Assistant Commissioner

Thank you for sharing all of your private stories with us @woodford. People don’t say it enough, but hearing those stories is really important in giving others the courage to overcome their own darknesses. It saves lives. So thank you Smile
Thanks, it is apreciated, you simply CANNOT let these darkness's defeat one, you have to fight to the end.

Note: I have NEVER had a problem talking to people about my PTSD, another point is the Vietnam Veterans Councilling Service told me a simply CANNOT allow a problem to stew in my mind, if I have ANY concerns i MUST talk to some one about it. This being a much bigger problem for me as I live alone.

woodford
woodford
Hey Woodford,  
Thank you for your many contributions to RP. You have recently laid your soul bare in a way in which few of us would, where even in a well moderated forum such as RP, harsh things can and have been said.
I believe I now better understand the position from which you sometimes expound.
Good on you for not giving up; I think you are brave and I wish you well.

Illegitimi non carborundum!

Cheers
Lockspike
  woodford Chief Commissioner

Thank you for sharing all of your private stories with us @woodford. People don’t say it enough, but hearing those stories is really important in giving others the courage to overcome their own darknesses. It saves lives. So thank you Smile
Thanks, it is apreciated, you simply CANNOT let these darkness's defeat one, you have to fight to the end.

Note: I have NEVER had a problem talking to people about my PTSD, another point is the Vietnam Veterans Councilling Service told me a simply CANNOT allow a problem to stew in my mind, if I have ANY concerns i MUST talk to some one about it. This being a much bigger problem for me as I live alone.

woodford
Hey Woodford,  
Thank you for your many contributions to RP. You have recently laid your soul bare in a way in which few of us would, where even in a well moderated forum such as RP, harsh things can and have been said.
I believe I now better understand the position from which you sometimes expound.
Good on you for not giving up; I think you are brave and I wish you well.

Illegitimi non carborundum!

Cheers
Lockspike
Lockspike
"Illegitimi non carborundum!"

I like that, a mock latin phrase (Illegitimi actual means unlawfull)

"Dont let the barstards grind you down"

woodford
  woodford Chief Commissioner

An update on my progress.

I went to the doctor on Monday he arranged for a gastroscopy to be done at Shepparton Emergency. They though are hopeless, now the actual setup is very good, the problem is its no where NEAR big enough to service Shepparton and its surrounding area and it (Shep Emergency) is overloaded to hell. I rang up to see if I could get a time for an appointment and the told me the could not give me one and I CANNOT get over there at a moments notice, so goodness knows whats going to happen. Luckily it may not be required.

The problem looks like its going to be GERD (Gastroesophageal reflux disease) caused be not eating correctly. Over the last number of days I have completely changed my eating habits, before it was relatively large single course meals eaten fairly quickly. Now its each meal is a number  of small courses prepared and eaten over time. Food is now taken in small amounts and chewed throughly (Note:EVERY source i came across said this was THE FIRST thing to do) Mylanta is taken before every meal (Doctors recommendation). I have had little trouble since commencing this. It does mean more work in planning and preparing meals but the this is turning out to be probably nearly best thing I could do.

Two other things have come up from almost all research sources and that it is to improve fitness and lose some weigh (Note: this I am doing, I have so far lost 25kgms since April), this will almost certainly get rid of the problem for ever.

Note: all sources stated it is usual for most suffers to be able to manage they way out of GERD without perscription medicines.

woodford

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