The quiet heroism of the @RNLI - whose lifeboat crews & lifeguards have saved nearly 150k lives since its foundation in 1824 – deserves our total respect, not the hate of late.
Take this week in St Agnes, North Cornwall, one over-excited dog, & this 300 foot cliff... 😱 (1/n)
On Wed evening, the waves were high & the atmosphere wild.
Kids and adults alike were shrieking with delight in the surf.
Rupert the dog, a golden retriever, was pretty intoxicated himself as he chased a ball along the coastal footpath... (2/n)
Owners Katie & James watched in horror as Rupert chased his ball straight over the cliff edge.
“We shouted for him to stop but before we knew it, he went for it and tumbled head over tail down the cliff face," said Katie. (3/n)
😱😱😱
Local @RNLI area manager Steve Instance, here on the beach, told me there have been many casualties over this clifftop - none have survived the drop.
Rupert had almost certainly perished. (4/n)
The St Agnes @RNLI lifeboat was scrambled at 8.33pm and launched just 8 minutes later.
Volunteer lifeboat helm, Tom Forehead, said, “With a fall of that nature, it’s fair to say we were expecting the worst."
But... (5/n)
The hapless hound, who had just plummeted 300 feet into the sea, was alive!
"We were delighted to find Rupert frightened but OK. He was tucked in the back of the small cave on the beach, so two of our crew waded over to him and brought him back to the lifeboat." (6/n)
This story is shared with permission & @RNLI are keen to stress that dog owners should keep dogs on leads on cliff paths (& that, if your dog falls, don't attempt to reach it but call 999 & ask for the Coastguard). (7/n)
But the point for me is this.
Every day, on our coastlines and inland, *thousands* of volunteers are doing their bit to keep our waters safe for people in peril and even, occasionally, the odd kamikaze dog.
People like Jill here, in St Agnes (8/n)
Or like Steve, whose Cornish parents were both volunteer lifeguards, and who became one himself when aged only 16.
You don't do this for fame or riches or glory. You do it because you want to help people in need & in danger. (9/n)
The @RNLI, in short - this remarkable network of volunteers, fundraisers, unpaid lifeguards & lifeboat crews who risk their lives to save others - are the absolute best of us. The kindest, most decent, most admirable best of us.
If anyone felt like supporting true bravery not keyboard warriors, proper kindness not Twitter cynicism, decency not racism, love not hate.... you can donate to the @RNLI here.
92% of their donations comes from ordinary members of the public 💙 (ends)
Last comment - the official @RNLI verdict on Rupert is that he is clearly not a normal dog, he's a cat dog.
Last, last comment.
During WW2, my dear granddad was a doctor on a Royal Naval destroyer defending the North Atlantic convoys. His ship once rescued the crew of a torpedoed German U-boat.
I still remember him telling me, as a child: "They were souls in the sea. So we helped."
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Dismayed to see you sharing such a misleading & potentially deeply frightening video, Kim.
If someone is in 'unspeakable pain' at the end of life, they should see a palliative care doctor like me - & I can promise you there is always something I can do for your pain. (1/n)
If they don't see a palliative care doctor like me - because we are such an appallingly under-resourced service (if only the committee cared as much about *this* issue as they do AD) - then that person is being failed unforgivably. They are not receiving appropriate care. (2/n)
However, when I see patients in such extreme pain they wish to die, there is a vast armoury of drugs & interventions I can deploy to help them.
There is no upper limit to the doses of drugs I can prescribe - the right dose is the dose they need to address their symptoms. (3/n)
🧵/ This heartbreaking case highlights why so many doctors like me have begged @NHSEngland & @DHSCgovuk to stop endangering NHS patients by substituting doctors with non-medically trained PAs
We've been dismissed & smeared as "toxic bullies".
Please read this thread & decide.
When Pauline Marking, 77, started vomiting blood & went to A&E in severe abdominal pain, her family had no idea she was treated by a PA, not a doctor.
The PA independently treated & discharged Pauline, with no doctor oversight.
They diagnosed her as having a nosebleed.
In fact, her symptoms were caused by a femoral hernia, from which Pauline died 2 days later.
According to the coroner, the PA had “a lack of understanding of the significance of abdominal pain”.
No steps were taken by either the PA or the dept to clarify the PA's role.
3 years after Putin invaded Ukraine, I spent 24 hours with combat medics on the Ukrainian frontline.
Their courage, compassion, dedication & skill are astounding.
Please read (@guardian link below) & please never stop standing up for Ukraine 🇺🇦
This is Viktoriia Kovach, former obstetrician, now Chief Medical Officer of the Third Assault Brigade. She told me how Russian troops violate the Geneva Conventions, targeting doctors & patients:
"If a medical team tries to evacuate them, they will be hunted and killed, too.”
This is Mykola, trapped on the battlefield by drones for 3 days with a tourniquet on his leg. The necrotic limb was impossible to save.
After emergency stabilisation surgery, he told me all he wanted was to come back to fight for his country, his land, his home, his people.
🧵/ I agonised over whether to write this piece in today's Sunday Times.
Whipped-up emotion, hate & vitriol now dominate discussions of assisted dying on here - appallingly.
We have to be able to converse in good faith - & concerns should not be dismissed as "noise". (1/n)
I was honoured, daunted & apprehensive about being called to give evidence to Kim Leadbeater's bill committee.
I am not anti assisted dying at all. But - based on my years of experience in palliative care - I am painfully aware of the need to get the safeguards right. (2/n)
Most of those on the committee were sincere, well-informed & very keen to learn more from the array of experts giving evidence over 3 days of testimony. I found this incredibly heartening.
Today, a devastating report from the @theRCN, based on the testimony of over 5000 NHS nurses, has rightly catapulted the national shame that is NHS 'corridor care' into the headlines once more. (1/n)
This winter, nurses describe being forced to give care in corridors, cupboards, toilets, car parks & hospital gyms on a daily basis – locations without lifesaving equipment such as oxygen & bedside monitors, meaning that patients are “routinely coming to harm” or dying. (2/n)
Their collective testimony paints a picture of horrific overcrowding, of Dickensian squalor. Patients waiting for hours soaked in urine or excrement, or being vomited on by other patients. Dead bodies on corridors not being discovered for hour. (3/n)
Rather, it is the replacement of doctors with PAs in multiple different safety-critical settings, despite their radically shorter & more superficial training (a 2 year course, not a 5 year medical degree; no post-grad medical training). 2/n
So many of us are staggered by @NHSEngland & @gmcuk's complacency about the risks of PAs in settings such as cancer clinics, senior registrar on-call rotas for specialties as complex as haematology & even paediatric surgery clinics, decide whether a child gets an operation. 3/n