Jockey rushed to hospital and racing delayed after 'nasty' parade ring incident at Punchestown
Jake Coen required medical attention after being unseated before the first race at Punchestown on Saturday but was 'conscious and talking'.
Racing at the Irish track was delayed while the jumps jockey was treated.
Coen was set to ride the Gordon Elliott-trained Arch Empire in the 2m novice hurdle, but the horse was withdrawn after unseating its rider.
The medical crew on-track were quick on the scene and Coen, who was booked for two more rides on Saturday, was taken to hospital for further assessment.
Taking to X, the IHRB confirmed the slight delay, which lasted around 10 minutes, while Dr Jennifer Pugh, Irish Racing's chief medical officer, provided an update.
'Jake Coen has been stood down following a fall on the way to the start of race one at Punchestown,' she said in a brief statement.
'Jake has been transferred to Tallaght University Hospital for further assessment but was conscious and talking leaving the racecourse.'
Racing TV presenter Kevin O'Ryan said: 'Jake is moving everything and he is talking and fully conscious, which he has been from the word go.
'He has been taken to Tallaght Hospital as a precautionary measure. But he is fully conscious and moving everything after that nasty incident.'
Coen's other rides on Saturday will now go elsewhere while he is treated.
It is not currently clear whether he will return to take his further four rides on Sunday.
Hashtags
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
The Guardian
2 hours ago
- The Guardian
‘We need some hope': can a rural hospital on the brink survive Trump's bill?
When her severely allergic toddler, Josie, began gasping for breath in the middle of the night, Krissy Cunningham knew there was only one place she could get to in time to save her daughter's life. For 74 years, Pemiscot Memorial hospital has been the destination for those who encounter catastrophe in Missouri's poorest county, a rural stretch of farms and towns in its south-eastern Bootheel region. Three stories of brown brick just off Interstate 55 in the town of Hayti, the 115-bed hospital has kept its doors open even after the county's only Walmart closed, the ranks of boarded-up gas stations along the freeway exit grew, and the population of the surrounding towns dwindled, thanks in no small part to the destruction done by tornadoes. For many in Pemiscot county, its emergency room is the closest available without taking a 30-minute drive across the Mississippi river to Tennessee or the state line to Arkansas, a range that can make the difference between life and death for victims of shootings, overdoses or accidents on the road. In the wee hours of one spring morning, it was there that Josie received the breathing treatments and a racemic epinephrine shot that made her wheezing subside. 'There is no way I would have made it to one of the farther hospitals, if it wouldn't have been here. Her airway just would have closed off, and I probably would have been doing CPR on my daughter on the side of the road,' recalled Cunningham, a nurse who sits on the hospital's board. Yet its days of serving its community may be numbered. In May, the hospital's administration went public with the news that after years of struggling with high rates of uninsured patients and low reimbursement rates from insurers, they may have to close. And even if they do manage to navigate out of their current crisis, Pemiscot Memorial's leaders see a new danger on the horizon: the 'big, beautiful bill' Republicans pushed through Congress earlier this month, at Donald Trump's request. Centered around an array of tax cuts as well as funds for the president's mass deportation plans, the bill will mandate the largest funding reduction in history to Medicaid, the federal healthcare program supporting low-income and disabled Americans. That is expected to have ripple effects nationwide, but will hit particularly hard in Pemiscot county and other rural areas, where hospitals tend to have frail margins and disproportionately rely on Medicaid to stay afloat. 'If Medicaid drops, are we going to be even collecting what we're collecting now?' asked Jonna Green, the chairwoman of Pemiscot Memorial's board, who estimated 80% of their revenue comes from Medicaid as well as Medicare, another federal health program primarily for people 65 and older. 'We need some hope.' The changes to Medicaid will phase in beginning in late 2026, and require enrollees to work, volunteer or attend school 80 hours a month, with some exceptions. States are also to face new caps on provider taxes, which they use to fund their Medicaid programs. All told, the non-partisan Congressional Budget Office forecasts that 10 million people nationwide will lose their healthcare due to the bill, which is nonetheless expected to add $3.4tn to the federal budget deficit through 2034. Trump carried Missouri, a midwestern state that has veered sharply away from the Democratic party over the past three decades, with more than 58% of the vote last November. In Pemiscot county, where census data shows more than a quarter of residents are below the poverty line and the median income is just over $40,000 a year, he was the choice of 74% of voters, and Republican lawmakers representing the county played a notable role in steering his tax and spending bill through Congress. Senator Josh Hawley publicly advocated against slashing the healthcare program, writing in the New York Times: 'If Republicans want to be a working-class party – if we want to be a majority party – we must ignore calls to cut Medicaid and start delivering on America's promise for America's working people.' He ultimately supported the bill after a $50bn fund to help rural hospitals was included, but weeks later introduced legislation that would repeal some of the very same cuts he had just voted for. 'I want to see Medicaid reductions stopped and rural hospitals fully funded permanently,' the senator said. Jason Smith, whose district encompasses Pemiscot county and the rest of south-eastern Missouri, oversaw the crafting of the measure's tax provision as chairman of the House ways and means committee, and has argued they will bring prosperity rural areas across the state. Like others in the GOP, he has said the Medicaid cuts will ferret out 'waste, fraud and abuse', and make the program more efficient. It's a gamble for a state that has seen nine rural hospitals close since 2015, including one in a county adjacent to Pemiscot, with a further 10 at immediate risk of going under, according to data from the Center for Healthcare Quality and Payment Reform policy group. The Missouri Budget Project thinktank estimates that the bill will cost 170,000 of the state's residents their health coverage, largely due to work requirements that will act as difficult-to-satisfy red tape for Medicaid enrollees, while the cap on provider taxes will sap $1.9bn from the state's Medicaid program. 'There's going to be some really hard conversations over the course of the next five years, and I think that healthcare in our region will look a lot different than what it does right now,' said Karen White, CEO of Missouri Highlands Health Care, which operates federally qualified health centers providing primary and dental care across rural south-eastern Missouri. She forecasts 20% of her patients will lose Medicaid coverage through 2030. As the bill was making its way through Congress, she contacted the offices of Smith, Hawley and Missouri's junior senator, Eric Schmitt, all politicians she had voted for, asking them to reconsider cutting Medicaid. She did not hear back. 'I love democracy. I love the fact that we as citizens can make our voices heard. And they voted the way that they felt they needed to vote. Maybe … the larger constituency reached out to them with a viewpoint that was different than mine, but I made my viewpoint heard,' White said. Spokespeople for Schmitt and Smith did not respond to requests for comment. In response to emailed questions, a spokeswoman for Hawley referred to his introduction of the legislation to partially stop the Medicaid cuts. Down the road from the hospital lies Hayti Heights, where there are no businesses and deep puddles form in the potholes and ditches that line roadways after every thunderstorm. Mayor Catrina Robinson has a plan to turn things around for her 500 or so residents, which involves bringing back into service the water treatment plant that is the town's main source of revenue. But that is unlikely to change much without Pemiscot Memorial. 'Half of those people that work at the hospital, they're my residents. So how they gonna pay their bills? How they gonna pay their water bill, how they gonna pay their light bill, how they gonna pay rent? This is their source of income. Then what will they do?' Robinson said. Trump's bill does include an array of relief aimed at the working-class voters who broke for him in the last election, including tax cuts on tips and overtime pay and deductions aimed at senior citizens. It remains to be seen if whatever financial benefits those provisions bring to the workers of Pemiscot county will outweigh the impact of the stress the Medicaid cuts place on its healthcare system. 'The tax relief of server's tips and all that, that's not going to change the poverty level of our area,' said Loren Clifton, the hospital's administrative director. 'People losing their healthcare insurance absolutely will make it worse.' Work can be found in the county's corn, wheat, soybean and rice fields, at a casino in the county seat Caruthersville and at a shipyard along the banks of the Mississippi . But Green questions if those industries would stick around if the hospital goes under, and takes with it the emergency room that often serves to stabilize critical patients before transferring them elsewhere. 'Our community cannot go without a hospital. Healthcare, employment, industry – it would devastate everything,' Green said. The board is exploring partnerships with other companies to help keep the hospital afloat, and has applied for a federal rural emergency hospital designation which they believe will improve their reimbursements and chances of winning grants, though that will require them to give up other services that bring in revenue. For many of its leaders, the stakes of keeping the hospital open are personal. 'This is our home, born and raised, and you would never want to leave it. But I have a nine-year-old with cardiac problems. I would not feel safe living here without a hospital that I could take her to know if something happened,' said Brittany Osborne, Pemiscot Memorial's interim CEO. One muggy Wednesday morning in July, Pemiscot's three county commissioners, all Republicans, gathered in a small conference room in Caruthersville's courthouse and spoke of their resolve to keep the hospital open. 'It's 50-50 right now,' commissioner Mark Cartee said of the hospital's chances of survival. 'But, as long as we have some money in the bank of the county, we're going to keep it open. We need healthcare. We got to have a hospital.' They were comparatively sanguine about the possibility that the Medicaid work requirements would harm the facility's finances down the line. 'We got a guy around here, I guess he's still around. He's legally blind but he goes deer hunting every year,' commissioner Baughn Merideth said. 'There's just so much fraud … it sounds like we're right in the middle of it.' A few blocks away, Jim Brands, owner of Hayden Pharmacy, the oldest in the county, had little doubt that there were those in the county who took advantage of Medicaid. He also believed that fewer enrollees in the program would mean less business for his pharmacy, and more hardship overall. 'Just seeing this community, the situation it's in, the poverty, we've got to get people to work. There are a ton of able-bodied people that could work that choose not to,' he said. 'To me, there's got to be a better way to weed out the fraud and not step on the toes of the people who need it.'
Daily Mail
4 hours ago
- Daily Mail
Anne Nolan, 74, admits she has 'anxiety about dying' after her breast cancer battle as she gives health update: 'I don't want to die, I love being here'
Anne Nolan has admitted she has 'anxiety about dying' as she discussed her battle with breast cancer. The Irish singer, 74, was first diagnosed with cancer in 2000 and then two decades later revealed she had been diagnosed with stage three breast cancer. Cancer has significantly affected the Nolan family after they lost Bernie in 2013 and Linda in January of this year, while Coleen and Brian have both battled the disease. Giving an update on her health, Anne revealed she is officially cancer-free and is feeling 'really well' but told how the disease still has a massive impact on her life. Anne said she still struggles with health anxiety and is always fearful about her cancer returning as she discussed the emotional toll it has on her. 'When you have cancer, it's one of those things that you kind of live with it for the rest of your life,' she told The Mirror. 'You could kind of get a little bruise or a lump somewhere and you think, ''Oh my god, is that cancer?'' It can always come back.' Anne was diagnosed with breast cancer during Covid and was put on anti-anxiety medication because of how the 'horrendous' time - when she had to be hospitalised alone due to social distancing restrictions - affected her. 'I still have anxiety but it's not as bad, I have anxieties about dying, it is about the cancer coming back as well,' she admitted. 'I don't want to die, I love being alive, I love being here.' Five years on from her 2020 cancer battle and Anne received a letter with her latest test results, but she pushed the letter to one side after being consumed by fear. She said she didn't know how she would 'handle' any bad news, but thankfully, after finding the strength to read the letter, Anne found out she was officially cancer-free. Anne admitted she cried after reading the news and was overwhelmed with relief, though her emotions were conflicted as she couldn't help but think about her late siblings Bernie and Linda. Anne still deals with some neuropathy - where nerves are damaged - in her feet her chemotherapy but is no longer taking any medication, apart from occasional anti-anxiety tablets. Giving an update on her health, Anne revealed she is officially cancer-free and is feeling 'really well' but told how the disease still has a massive impact on her life as she deals with anxiety She said she is now able to do most things and is now focusing on spending time with her children Amy, 44, and Alex, 37, and three grandchildren Vinny, 15, Ryder, 13, and Navaeh, 10. Anne's cancer update comes just days after her brother Brian revealed he was given the all-clear amid his prostate cancer battle. Brian, 70, was diagnosed with stage two prostate cancer just three days after his sister Linda died on January 15, 2025, following a 20-year breast cancer battle. He became the fifth of the Nolan siblings to battle the disease, and he shared during an appearance on Loose Women that he was given the all-clear in a positive update. Brian underwent surgery for the cancer, which involved doctors removing his prostate gland, and he gave fans his health update during a live TV appearance earlier this month. 'There have been developments. I'll start at the beginning. So I had the operation, it's called a RALP, which means it's a robotic-assisted laparoscopic prostatectomy,' he explained. 'To make a long story short, my cancer was in the prostate gland, so they offered me a radical operation, which drew the whole cancer out. 'I was basically in the hospital for 18 hours and I got the all clear last Tuesday that the cancer is completely gone and my bloods are back to normal.' His sister Coleen, 60, appeared on the Loose Women panel alongside him as he shared the news and she has now praised his strength for speaking on live TV about his health. 'I'm so proud of him, because, since being diagnosed, he's done so much to raise awareness of the condition,' she wrote in her Mirror column. 'Brian, I'm in awe of you and so impressed that you can go on live telly and talk so calmly and eloquently about this important subject.' Brian initially went to his doctor after noticing he was needing to use the toilet a lot more, which started affecting his sleep and day-to-day life. After blood tests he was told his PSA levels had risen, and he was then sent for an MRI scan before being told that they had found something. Prostate-specific antigen (PSA) levels, measured in nanograms per milliliter (ng/mL), are a blood test used to screen for prostate cancer, with higher levels potentially indicating prostate problems, though not necessarily cancer. Brian initially kept his diagnosis a secret from his sisters because they were grieving the loss of their sibling Linda. Amid his own struggles, he spent 28 hours sitting by Linda's bedside in her final days. Appearing on Loose Women in March, Coleen shared: 'He went through all of this, none of us knew, at the same time organising everything for Linda. 'Brian and Annie took control of the whole thing. At not one moment did I think something was up with Brian.' While Brian added: 'It was a conscious decision, we'd been through too much with Linda and Bernadette. 'We've been through so much with cancer. I left it three or four days and I told you [his siblings] all individually.' Brian described his diagnosis as 'like being hit by a train' and said he thought the worst when he was first diagnosed. 'I just want cancer to leave us alone,' Brian heartbreakingly told The Mirror. 'You start plunging into the abyss of: ''I'm going to die''.' Brian's sisters have a history of cancer, with Coleen and Anne both receiving diagnoses as well as Bernie and Linda passing away from the disease. Bernie Nolan, the second youngest of the family and lead vocalist in the Nolans group, tragically died in 2013 at just 52 years old after battling breast cancer. Linda was diagnosed with stage three breast cancer in 2005 before getting the all-clear in 2006 - but in 2017 she was diagnosed with a form of incurable secondary cancer in her hip, which spread to her liver in 2020. Three years later, she shared the news that the cancer had spread to her brain, with two tumours discovered on the left side of her brain which left her struggling with her speech and balance. Linda tragically passed away on January 15, 2025, aged 65 following a 20-year breast cancer battle and suffering from double pneumonia. Coleen was told she had skin cancer in 2023 while Anne has also battled the disease twice. WHAT IS PROSTATE CANCER? How many people does it kill? More than 11,800 men a year - or one every 45 minutes - are killed by the disease in Britain, compared with about 11,400 women dying of breast cancer. It means prostate cancer is behind only lung and bowel in terms of how many people it kills in Britain. In the US, the disease kills 26,000 men each year. Despite this, it receives less than half the research funding of breast cancer and treatments for the disease are trailing at least a decade behind. How many men are diagnosed annually? Every year, upwards of 52,300 men are diagnosed with prostate cancer in the UK - more than 140 every day. How quickly does it develop? Prostate cancer usually develops slowly, so there may be no signs someone has it for many years, according to the NHS. If the cancer is at an early stage and not causing symptoms, a policy of 'watchful waiting' or 'active surveillance' may be adopted. Some patients can be cured if the disease is treated in the early stages. But if it is diagnosed at a later stage, when it has spread, then it becomes terminal and treatment revolves around relieving symptoms. Thousands of men are put off seeking a diagnosis because of the known side effects from treatment, including erectile dysfunction. Tests and treatment Tests for prostate cancer are haphazard, with accurate tools only just beginning to emerge. There is no national prostate screening programme as for years the tests have been too inaccurate. Doctors struggle to distinguish between aggressive and less serious tumours, making it hard to decide on treatment. Men over 50 are eligible for a 'PSA' blood test which gives doctors a rough idea of whether a patient is at risk. But it is unreliable. Patients who get a positive result are usually given a biopsy which is also not fool-proof. Scientists are unsure as to what causes prostate cancer, but age, obesity and a lack of exercise are known risks.
Daily Mail
15 hours ago
- Daily Mail
Woman lashes Spirit Airlines for refusing to let her fly because she'd just had cosmetic surgery
A Spirit Airlines passenger filmed himself arguing with staff who denied her boarding because she'd just had cosmetic surgery - even though she had a doctor's note. Shataria Banks traveled from Texas to Florida for the procedure - whose details she has refused to share for privacy reasons - but was unable to return home on Wednesday. She captured video of her confrontation at the Spirit Airlines desk in the Miami airport. After the agent told her she was not allowed to fly, Banks asked 'Do you all have that policy online before you book?' The agent replied, 'We have procedure that I have to follow... it's about your safety.' Banks continued to ask what policy was in place that allowed them to deny her despite having approval from her doctor. 'Well, we don't have it in writing—verbatim—from their spirit supervisor,' she told CBS Miami. 'It was just how I was treated on top of them just neglecting what my doctor said. 'Even though you all have my medical clearance, even though my doctor's— you all are still restricting me to fly.' She did not specify what type of cosmetic surgery she had, but does appear to be walking around with a drainage bag around her waist. 'I am writing this letter to request a flight assistance certificate for my patient. After a thorough assessment, I confirm that my patient can travel by air,' Bank's doctor's note said. Spirit Airlines told their agent complied with company policy. 'The safety and well-being of our Guests is our top priority. Our records show the agents followed our procedures and consulted with a designated on-call medical professional via our vendor MedLink to verify the Guest's fitness to travel,' the spokesperson said. 'The medical professional at MedLink was informed of the Guest's documentation and advised that the Guest was not fit to travel based on their condition at the time and in the interest of their safety. The Guest was ultimately issued a refund for the flight.' Spirit staff likely worried that if Banks had suffered a surgery-related medical issue while in mid-air, they could be held liable. Banks said she respects the need for safety but believes a clearer policy needs to be in place. 'I'm not saying that they can't deny their travelers and they're looking out for their safety, but have something in place, because everybody don't have money to waste for a new flight. I never want to fly with them, ever, ever,' she said.
