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'I was given a choice – keep my legs or keep my life' – the sepsis patient who lived

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Farmer Marshall Wylie thought nothing of it when he cut his arm, sorting wood in August 2023.

And he thought even less of it when he felt ill over the next 48 hours.

But the following week, he said he clinically died due to sepsis.

He can remember a bright light and his mother telling him he was "going to be okay" and well as seeing his old dogs.

Warning: This article contains some graphic images of hands and feet with sepsis.

The doctor branded the County Tyrone man a "complete and utter miracle".

Marshall told BBC NI he had "never, ever heard of sepsis", but it left him with a choice: keeping his legs, or his life.

Now, he is supporting an awareness campaign aimed at his fellow farmers, being launched at the Balmoral Show by the NI Agri-Rural Health Forum and the Farm Safety Partnership.

Like many farmers, Marshall had other jobs that helped pay the bills.

And in August 2023, at one of them, he cut his arm while moving dumped wood.

He thoroughly washed the "wee scratch", put plenty of iodine on it and covered it with a dressing.

"And I never thought anything more of it."

The next day, as part of his agricultural contracting work, he gathered 500 bales of silage for two neighbours.

Warning: This article contains extremely graphic images of the effects of sepsis which some readers may find distressing.

By that evening, he began to feel that something was "brewing".

"And being a typical farmer, you know, it's a flu, heck, well, nothing to worry about."

But he was in the early stages of sepsis, something he had never heard of or thought about.

"The amount of times you get a cut when you're in the farming business – I've opened myself and the blood ran out of me and you never think about it."

However as a nurse, his wife Karen suspected sepsis as soon as she saw him.

But that was days later – she had been staying in Belfast on overnight shifts and Marshall had not mentioned the cut or feeling unwell.

At 5:25 on the Friday after he was admitted to hospital, Marshall was declared clinically dead.

But he came back – with an incredible memory of his mother, who died in 2017.

"I can remember this lovely bright light.

"And my mother come to me and she says to me: 'You're going to be all right'.

"My old dogs were there. She says, 'you're going to be all right, you're going to be okay'.

"A few weeks later, I came out of the coma."

He said the doctor told him he was a miracle.

By then, sepsis had left his skin mottled and peeling as if it had been "burned from the inside".

Parts of his fingers on both hands had turned black.

His ears and his lips had blackened too, but his lower legs shocked him.

"When I looked at my legs, my legs were black. You'd have thought they were barbecued."

"The disease was coming on up into my system, and if it had gone up any further, they would have had to take above the knee, but the surgeons were great.

"We had a long road of recovery, but at the same time, we had a lot of prayers being said."

More than 30,000 people around the world joined a page online, offering prayers for Marshall.

Sepsis is a life-threatening reaction to infection anywhere in the body.

Instead of fighting the bacteria or virus that is making you ill, the immune system turns on itself, damaging internal organs and potentially causing death.

Dr Ron Daniels, who heads up the charity Sepsis UK, said it was a "huge problem" that should not be underplayed.

"Across the UK, sepsis is estimated to affect 245,000 people every year, which is more people than suffer heart attacks in a year.

"Of those 245,000, about 48,000 people die."

Sepsis can affect people of any age and symptoms can be similar to flu or a chest infection.

That can make it difficult for even the most experienced health professional to spot.

Marshall spent more than nine months in several hospitals and was eventually fitted with prosthetic limbs.

Within three weeks, he was up and walking, in defiance of medical predictions.

When he thinks of what his wife and son went through, the tears are never far away.

"I remember Aaron one day broke down in front of me, and I said: 'What's wrong, son?' He says, 'you were always out on the yard working, you're always out doing things, Mum and I never saw you'.

"He says, ''we very nearly lost you', and I was in tears.

"At the end of the day, it's an impact on the whole family and friends."

Marshall has told his story to anyone who will listen, including a farmer friend from New Zealand who came to visit while he was adapting to life without his legs.

After returning home, his friend became ill after getting a scratch.

His wife immediately thought of Marshall and they went to hospital.

The man was transferred to Christchurch and his life was saved.

"I thought, holy smoke. I've got a second chance to go out and help people."

And his advice to anyone feeling unwell after a minor cut?

Farmers are at particular risk of developing sepsis due to incidents on the farm, but are also notoriously reluctant to seek healthcare.

Dr Daniels said their innate "resilience" can often mean they arrive at hospital in a more advanced condition that would otherwise be the case.

"The first thing is to trust your instinct – you cannot sleep off sepsis.

"So if you're worried someone is deteriorating with an infection, then it's access healthcare in the best way you can, and just ask, could it be sepsis?"

The charity has called for greater public awareness of the key symptoms.

Dr Daniels said every hour in delay seeking treatment reduces a sepsis patient's chance of survival by 1-2%.

"A majority of people do survive sepsis, but about half of sepsis survivors suffer life-altering consequence for as long as a year or more after their original illness.

"And this might mean that they can't return to work, can't look after the children, or the grandchildren. This can be life-changing."

Getting the timing right, he said, will improve outcomes.

Sepsis has been identified as a 10-year priority for the NHS in England, but it is up to each of the devolved administrations to decide their own approach.

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/cgjp2w03v10o?at_medium=RSS&at_campaign=rss

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Cuba has run out of diesel and oil, energy minister says

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Cuba has completely run out of diesel and fuel oil, the country's Energy Minister Vicente de la O Levy has said.

In an interview with state-run media, de la O Levy said there were limited amounts of gas available, but that Cuba's energy system was in a "critical" state as a US-led blockade of oil to the country squeezed supply.

Scattered protests against power cuts broke out in the capital Havana on Wednesday, the Reuters news agency reported.

The US this week reiterated its offer of sending $100m (£74m) in aid to the country in exchange for "meaningful reforms to Cuba's communist system".

"The sum of the different types of fuel: crude oil, fuel oil, of which we have absolutely none; diesel, of which we have absolutely none – I am being repetitive – the only thing we have is gas from our wells, where production has grown," de la O Levy said.

Under the US blockade, parts of Havana have been plunged into 20 to 22-hour blackout periods, he continued.

He also acknowledged that the situation in the country had been "extremely tense".

Hospitals have been unable to function normally, while schools and government offices have been forced to close. Tourism, an economic engine for Cuba, has also been impacted.

Cuba normally relies on Venezuela and Mexico to supply oil to its refinery system. However, the two countries have largely cut off supplies since US President Donald Trump threatened tariffs on countries that send fuel to Cuba.

Last week, US Secretary of State Marco Rubio said Havana had rejected a US offer of humanitarian aid worth $100m (£74m), a claim Cuba denied.

The US State Department repeated its offer on Wednesday, saying the humanitarian assistance would be distributed in coordination with the Catholic Church and "reliable" humanitarian organisations.

It continued: "The decision rests with the Cuban regime to accept our offer of assistance or deny critical living-saving aid and ultimately be accountable to the Cuban people for standing in the way of critical assistance."

Washington's blockade on the country ramped up in early May when the US targeted senior Cuban officials in a wave of sanctions accusing them of committing "human rights abuses".

Cuban Foreign Minister Bruno Rodriguez called the sanctions "illegal and abusive".

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/cd7pyrj0vx7o?at_medium=RSS&at_campaign=rss

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A pothole has burst my tyre – what now and how do I claim?

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So you've hit a pothole and blown a tyre – what now?

This despairing question has been echoed by many a motorist – often accompanied by stories of drivers having as much difficulty navigating claims as they did steering around the crater-filled surfaces in the first place.

Now a BBC investigation has revealed three in four claims for pothole compensation are being turned down.

So how can you claim, and what are the challenges in doing so?

A pothole is a depression in a road surface – often caused by ground water or wear and tear.

When water gets into cracks in the road, it leads to potholes forming, especially when it freezes and expands.

According to the RAC motoring organisation, there are currently more than one million potholes across the UK. However, the number will vary depending on the season.

It estimates that, on average, there are about six potholes per mile on council-controlled roads in England and Wales.

Meanwhile, the Asphalt Industry Alliance (AIA) – the industry body that oversees road surfacing – warned in March that the cost of fixing all the potholes on local roads in England and Wales would be an estimated £18.6bn.

Take a drive into the town of Netherfield in Nottinghamshire, and you'll soon realise why signs like the below exist.

Resident Reg Patterson said the bumpy roads had become "part of the local environment".

"It's not very good," the 68-year-old added. "There have been some humorous signs around the local area, which are quite entertaining I think.

"In the last few weeks there has been a few temporary repairs I'd say. I think, generally, they're not very good at all."

Fellow Netherfield neighbour Georgina Swann described the state of the roads as an "absolute nightmare".

"There's a Facebook group that's dedicated to potholes around the area," the 57-year-old added.

"The council needs to do more. It's affecting people's cars.

"Last time there was a local election, one of the big things was potholes. Nothing's been done. It's just awful."

Swann's frustration has been echoed by other pothole protesters in Nottinghamshire when they gathered outside County Hall earlier this year.

In response, leader of the Reform UK-run council, Mick Barton, said fixing the roads was one of his top priorities when he unveiled two JCB machines for filling in potholes.

Across the county and much further afield, potholes have been causing headaches on and off the road, and also became the subject at the top of many voters' agenda as they headed to the polls earlier this month.

But as the problem of potholes is widening, what can you do to stop a nasty bump in the road becoming a bigger hit to your wallet?

Our BBC investigation found over 146,000 claims were submitted for pothole-inflicted vehicle damage over the past five years.

Figures – obtained through freedom of information requests – show councils across Britain have paid out about £13.5m in response to claims. However, this only covers a fraction of the total number of claims submitted.

Out of 207 local authorities that hold the information, 147 told us of the number of pothole claims received in the last five years and the ones that were successful. On average, these councils paid out 24% of pothole claims.

Back in Netherfield, further along Victoria Road, Mick Hampshire is four decades into his career as a mechanic.

He estimates he sees about five customers coming in every week after hitting a pothole – in his 40 years, he said he had never had to replace so many suspension struts, coil springs and new tyres.

"We have seen vehicles coming back with snapped coil springs again," he said.

He then shows me under a lifted car in his garage.

"When they're going over a pothole… what's that?" he said, while rapping the bottom of the vehicle with his fist.

"That's a fuel tank. Cars bottom in and it's hitting the fuel tank, which is potentially a sitting time bomb.

"I'm potentially seeing it now when lives are being put at risk, and the roads are a seriously dangerous place to be on."

Nadia Kerr, a solicitor at the firm Fletchers, has worked in the field of personal injury and highway claims for many years.

She said most of the claims she used to deal with related to crashes between cyclists and drivers. More recently, the focus has shifted to pothole claims.

"There has been an increase," Kerr added. "The state of the roads, we all know, is dreadful.

"Even though the local authorities are complying with the local policy, the number of incidents that are on the road are increasing and increasing."

However, the route to a successful claim is not always straightforward.

"You really need to know what you're doing and you need to find an expert in the field, because lots of people give up along the process," Kerr said.

"As soon as the local authority denies a claim, they tend to just advise there's nothing else you can do and they will close the file."

The quickest way for a council to dismiss a claim is by saying they did not know it was there to begin with, Kerr said.

"The best you can do as a road user is report the defects you can see," she added.

"As soon as they're reported, the local authority are on notice that they are there and they need some attention; and if they fail to have that attention… and then an accident happens, then they are much less likely to rely on that defence to avoid paying compensation."

To report a pothole in England or Wales, enter the postcode of the road where you found the pothole on the GOV.UK website.

In Northern Ireland, you can report potholes by marking them on a map and in Scotland, you can report potholes by selecting the relevant local council here.

Kerr said third-party apps like FixMyStreet or Fill That Hole were more accessible to road users. But there's a catch.

"The problem is that not all local authorities will accept reports from those apps," she said.

"Sometimes they require to set up an account, a login, a password, by which time in my opinion some people give up the task of reporting a pothole."

According to the solicitor, there are a number of reasons why a claim might be turned down.

"The local authority would often argue that they followed their processes and their policies, that they inspected the stretch of the highway as frequently as they needed to comply with their policy and that they reacted promptly to any problems," Kerr said.

"What we try and find is a number of reports from the members of the public that the council will not have acted on.

"We often see challenges when a defect has been seen but the local authority do not think it's problematic enough that it ought to be repaired, so we challenge that, providing evidence of measurements of the location."

A Nottinghamshire County Council spokesperson said: "Each claim is investigated based on the evidence provided to determine whether the council has adhered to its policy and the requirements of the Highways Act 1980, the legal framework in place to deal with the management and operations of the road network in England and Wales.

"If the council can evidence that it has adhered to its policy, the claim will be repudiated, however if it is found the council has not adhered to its policy and is found to be legally liable for the incident, then the claim will be settled."

Local authorities have also had to deal with a rise in fake or exaggerated pothole damage claims, due to the cost-of-living crisis driving a rise in fraud.

The insurance group Zurich Municipal, for example, has previously said it had detected a rising number of fraudulent claims made against councils worth millions.

A Department for Transport spokesperson added: "We're backing local councils with a record £7.3bn to fix potholes and are already seeing results, with 15% more prevention works carried out in 2025 compared to 2024."

Sarah Gray, from Sherwood in Nottingham, said she would be left hundreds of pounds out of pocket once she got her blue Peugeot 308 repaire

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/c5yxx7e84kmo?at_medium=RSS&at_campaign=rss

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E-gate access to be expanded at UK airports to include younger children

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Children aged eight and nine returning to the UK from abroad will be able to use e-gates at airports and other re-entry points from 8 July, the Home Office has announced.

They need to be at least 120cm (3ft 11in) tall so they can be seen by the biometric scanners and must be accompanied by an adult.

By lowering the minimum age from ten, the government believes up to 1.5 million additional children will be able to use e-gates.

More than 290 e-gates in the UK and at juxtaposed ports, where border checks take place on the continent, are involved.

Minister for Migration and Citizenship Mike Tapp said more families would "experience a swifter and smoother journey home… this summer holiday season".

E-gates are designed to speed up passenger border checks through a digital passport scan.

Those in the UK will be available to Britons as well as citizens of EU states, Australia, Canada, Iceland, Japan, Liechtenstein, New Zealand, Norway, Singapore, South Korea, Switzerland and the US, and members of the Registered Traveller Service.

Border Force Director General Phil Douglas said the new measure allowed "highly skilled officers to focus on intercepting those who pose a threat to the UK".

Karen Dee, Chief executive of AirportsUK, the trade body for UK airports, called it a "welcome development".

"It will give more families the ability to take advantage of this technology, speeding up the border process and reducing waiting times for many," she said.

"Airports work very hard with border authorities to ensure the UK's front door is both secure and welcoming, with those coming home and visiting enjoying a smooth experience."

The e-gates are installed across 13 airports in the UK: Birmingham, Bristol, Cardiff, East Midlands, Edinburgh, Gatwick, Glasgow, Heathrow, London City, Luton, Manchester, Newcastle and Stansted.

They are also available in juxtaposed ports in Brussels and Paris.

E-gates are part of the government's Electronic Travel Authorisation (ETA) scheme which rolled out in February, providing digital permission for people to arrive in the UK.

Under the new system, travellers from visa-free countries like Canada and Australia now require an ETA to arrive in Britain at a cost of £20.

Digital passport checks caused long disruptions at some airports in Europe, including Italy and Portugal, in recent months, leading to warnings that new passport scanning systems could cause major delays over the summer.

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📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/c89300l2934o?at_medium=RSS&at_campaign=rss

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