
A terrifying medical episode in a distant anchorage assessments liveaboards Miranda Baker and Elliot Russo – however reveals the power of the cruising neighborhood
Friday night, 21 February, 2025, and we’re anchored inside a reef lagoon in a distant a part of Raja Ampat, West Papua, Indonesia. The doorway to the lagoon is slender, and uncharted. It’s the kind of strategy that wants daylight and two folks to navigate: one on the bow directing the course, the opposite steering.
This isn’t new to us. Elliot and I’ve been dwelling aboard our 1985 Mason 48, Fortaleza, for 4 years and in that point we’ve wiggled our manner out and in of some tight spots. By way of trial, and a few unmentionable errors which have left us grateful Fortaleza is metal hulled, we’ve developed our personal reef navigation indicators to speak from the bow to the cockpit, in addition to a capability to forgive one another’s swearing.
Elliot’s Kiwi/Aussie. I’m British/Kiwi. We met in New Zealand, and Covid lockdown had us transfer in collectively on our third date. Fairly shortly we purchased Fortaleza earlier than spending 9 lengthy, filthy months dwelling aboard in a boatyard, refitting her with the capability to be self-reliant for lengthy intervals of time. We rewired, replumbed, re-rigged. We added photo voltaic, a watermaker and a sail plan for nearly each eventuality.
The ambition was to spend 5-10 years exploring the world in a westerly path till we ran out of cash. We had no actual plan, besides to stay off-grid, keep away from marinas, discover distant magnificence and do a number of diving. We left New Zealand in June 2023 and, sailed by means of Niue, Tonga, Fiji, New Caledonia, Australia, Tasmania and up into Indonesia, clocking up over 14,500 life-changing miles and hooking our dwelling into a whole bunch of anchorages. This one, in Raja Ampat, like many we’ve frolicked in, is extraordinarily remoted.
Fortaleza is a metal hulled 48ft Mason in-built Auckland in 1985, and had a nine-month refit for distant cruising. Photograph: Miranda Baker & Elliot Russo
Sudden occasions
We’re about 125km from the closest city, Sorong, and the closest boats exhibiting on our devices are round 70km away. Weeim, the close by island, is actually simply thick jungle with a small longboat fishing village on the furthest finish.
We’re solely right here for an evening, a stopover on our manner south, again to the towering karst rock formations and magic of Misool, after three months exploring northern Raja Ampat. We left our earlier anchorage early so we might arrive with good daylight and intend to depart once more as quickly as there’s sufficient mild to have the ability to navigate our manner by means of the reef.
We anchor. We snorkel. We eat dinner. We play Uno. We go to mattress. It’s sizzling in Indonesia, and muggy – even at evening it may be 30°C contained in the boat, so Elliot decides to sleep within the saloon. Life is nice, regular – for us.
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Till, at round 1230, Elliot wakes up and might’t transfer his proper aspect. His leg and his arm are unresponsive. It crosses his thoughts he could also be having a stroke. As a result of he’s an fool, he doesn’t wake me up. However after some time, when he regains some motion, he makes his method to the toilet to search out aspirin – you realize, for the key stroke he thinks he’s having.
At round 0130 I get up, irritated by his rummaging round. But it surely shortly turns into clear that issues usually are not good. What follows is a blur of suppressed panic and a mad fumbled search of the boat for aspirin.
We’ve got an in depth medical equipment, the whole lot from OxyContin to injectable morphine and antibiotics. But it surely’s aspirin that saves stroke sufferer’s lives and the one drugs we aren’t carrying is aspirin. Accepting this, surrounded by cartons of each different drug we might carry, is, to place it mildly, devastating.

In search of empty anchorages, right here in Northland, New Zealand. Photograph: Miranda Baker & Elliot Russo
Calm in a disaster
Understanding nothing medical might be performed, we flip our consideration to discovering assist. Ultimately we discover an e-mail handle for our insurance coverage firm however then Elliot begins to have a second episode. This one is worse. His mouth falls slanted sideways and he appears to be like totally confused and terrified as he tries to talk however can’t kind phrases.
Elliot is my rock. He’s the calm one of many two of us, wise, unflappable. The one individual I want in any disaster is Elliot. However it’s Elliot who’s in disaster. There’s a horrific dawning that from this second what I do issues and I want to carry it collectively.
Elliot and I’ve sailed 1000’s of miles. Like most cruisers we’ve moved fairly slowly, selecting our moments to keep away from the worst of predictable climate, however we’ve nonetheless hit our share of drama and made our share of unhealthy selections. My first correct multi-day passage alongside New Zealand’s north island gave us an unforecasted 40 knots on the nostril for 12 hours of washer hell that had me Googling the value of llama farms as a substitute life plan.

Arriving at Deal Island, Bass Strait, Tasmania. The couple sail two-handed. Photograph: Miranda Baker & Elliot Russo
Elliot, who had beforehand crewed a ship from Hobart to Picton by means of the Roaring Forties with no bimini or autopilot, was solely bothered by our slowed SOG. Regardless of the ocean state, he might nonetheless eat, and sing alongside badly to Tracy Chapman. He nearly appeared pleased. I simply puzzled if I used to be actually lower out for this life.
Earlier in the identical journey, beneath leaden skies on a quick broad attain, we’d T-boned an enormous, submerged tree at 8 knots. We thought we’d hit a whale. Elliot was usually unfazed. At that night’s anchorage he jumped within the water to swim on the hull and, grinning, reported again that he was glad we had been metal, we’d solely misplaced slightly paint.
Elliot grew up in Sydney round water, messing round on Hobie Cats, however was late to yachting, finishing his Offshore Yachtmaster in his late 40s and crewing on different folks’s boats all around the globe. There’s nothing he can’t flip his hand to. Fortaleza is the primary boat he’s owned and he is aware of each inch of her. Each wire, nut, bolt, splice, spare half, valve and hose clip.
I might be anxious. Twice, sleep disadvantaged, I’ve woken Elliot up, mid-ocean, satisfied we’re about to sail into one other boat, solely to be gently reassured that what I imagined to be a looming mast mild is in actual fact a star.
However regardless of this we’re a great workforce. We’ve managed to efficiently sail our tiny dwelling throughout oceans. Being out of sight of land, flying our monumental turquoise gennaker, with only a good breeze and one another for firm, is a supremely pleased expertise for us. However on this distant lagoon at the hours of darkness, half the workforce is in deep trouble, and I have to focus.

Off Ribbon Reef No10 in Australia’s Nice Barrier Reef. Diving and snorkelling is a favorite exercise. Photograph: Miranda Baker & Elliot Russo
Out of vary
We’re out of vary of cell protection so I can’t name anybody, however Starlink connects us to the web. I start messaging our insurance coverage firm’s emergency workforce on Whatsapp. A medic helps me assess Elliot, and we agree he’s having a stroke.
I give them our co-ordinates. They are saying they’re organising a helicopter and reassure me I’m not by myself, however neither factor feels true, and it happens to me that the individual I’m texting at their desk most likely doesn’t grasp the remoteness of the place we’re. It additionally happens to me that within the three months we’ve been in Raja Ampat I haven’t seen a single helicopter. The state of affairs looks like a whirling, terrifying fairground experience I can’t get off.

Anchored beside Josh and Kat on SV Phoenix at Wofoh Island, Raja Ampat. Josh was one among two volunteers who saved Fortaleza. Photograph: Miranda Baker & Elliot Russo
I realise that if assist does arrive we’d have to be prepared, so I begin packing up the boat. I deliver useful issues in from the cockpit, seize fishing gear from on deck. Exterior the darkness feels suffocating. The air continues to be and oppressively sizzling, thick and gluey. There’s not a single mild, anyplace. I whisper quiet prayers to the sky.
I take a deep breath and return downstairs. Elliot appears horribly damaged. He appears to be like up and his new face mouths ‘Sorry’ at me repeatedly. I ponder if he would possibly die. Bizarrely, he’s making an attempt to do admin, shifting cash between accounts on his telephone, jabbing on the display screen along with his left hand. I ponder if he thinks he would possibly die too. He’s clearly determined for me to be OK if issues worsen.
Reaching out
At 0345 the insurance coverage firm texts to inform me there isn’t any helicopter. Regardless of already understanding this, I really feel my abdomen lurch with nausea. The advisor tells me to Mayday for assist. I seize the radio, take a deep breath and say as calmly and clearly as I can “Mayday, Mayday, Mayday, that is crusing vessel Fortaleza, crusing vessel Fortaleza”. My phrases appear to echo right into a void.
Elliot and I wait, eyes locked on one another, however there’s no response. I attempt once more, prepared the silence to be damaged. However there’s nothing. Nobody is listening. And that is the second that nearly breaks me. I’ve a sensation of freefalling by means of a weightless, airless house. There isn’t a one on the market.

Refuelled and shipshape in Vuda, Fiji earlier than their passage to New Caledonia. Photograph: Miranda Baker & Elliot Russo
At round 0400 Elliot begins to regain some sensation in his limbs and his face begins to morph slowly again to regular. His proper aspect is weakened however very slowly he is ready to transfer. He shifts from the couch to mattress and tries to relaxation. Alarmingly, I’m instructed by textual content to wake him each half-hour to verify he’s respiration and coherent. As an alternative, for the subsequent few hours, I test each 10 minutes, sitting on the mattress beside him, holding my breath, determined to listen to his.
The insurance coverage firm texts to say they’re making an attempt exhausting to boost the native search and rescue in Sorong. Maybe as a response to feeling so totally alone, I begin speaking aloud to myself “Shut the hatches”. “Pack a bag”. “Toothbrushes”.
“Padlock the lockers”. “Passports”. “Be sure that the fuel is off.” “It’ll be OK, it’ll be OK, it’ll be OK.” I’m undecided it will likely be.
I ship a panicked textual content message to the one native individual I do know within the area, Wick, the proprietor of the marina in Sorong, 125km away. I briefly hesitate earlier than I press ship, involved it may be impolite to wake him up at such an hour, then really giggle out loud at my Britishness. My textual content says: “Wick. Miranda right here. I’m sorry. I don’t know who else to succeed in out to. Elliot appears to have had a stroke. I’m alone and I don’t know what to do. Please assist.” and I connect our location.

Making ready for evening watch, within the Coral Sea on the way in which from New Caledonia to Australia. Photograph: Miranda Baker & Elliot Russo
Securing the boat
The day begins to daybreak at 0600 and the sunshine brings consolation. The blackness of evening had been intensifying the sensation of isolation. I’m instructed contact has been made with search and rescue. They will come by boat from Sorong. They are going to be with us… in 9 hours. They want a couple of hours to get their workforce collectively after which they estimate that the journey will take six extra.
Crying with aid, I wake Elliot to inform him assistance is coming. It’s 9 hours away however it’s one thing. It’s hope. Elliot will get up and begins making an attempt to get the boat organised, and I discover myself shouting angrily at him to lie down.
With out talking we each know we have now a number of severe issues. There’s Elliot’s well being, clearly. However there’s additionally our dwelling, Fortaleza. Our complete life’s possessions are right here with us on this boat. She has safely carried us throughout oceans to among the most stunning locations on earth.
She is greater than a ship to us, she is the third member of our little workforce. Even when we get rescued, the concept of leaving Fortaleza inside this reef with none concept of how, or when, we are able to get again to her, or whether or not she’ll nonetheless be floating or useful once we do, is an enormous supply of further anxiousness. So many situations run by means of our heads, none of them good.

Miranda has gone from whole novice to crusing 14,500 miles. Photograph: Miranda Baker & Elliot Russo
At 0700 Wick calls. He’s woken to see my textual content message . “Miranda, I’m going to try to provide help to. What do you want?” I chunk my cheek and take a look at to not blub.
I’ve had an concept. I ask Wick if he might go to the marina and see if anybody there can be ready to hitch the search and rescue boat out to the place we’re, after which sail Fortaleza again to Sorong.
What looks as if moments later Wick calls me once more and says he has two volunteers, Josh (already a great buddy from one other boat) and Albert (who we had met simply as soon as in passing). With no second’s second thought, they’re coming to avoid wasting Fortaleza for us.
After I inform Elliot this we each, lastly, permit ourselves to burst into sobbing, ugly tears of aid. It adjustments the whole lot. Our valuable dwelling, and the whole lot we personal, goes to be secure. Now we are able to simply give attention to Elliot.

Two nights in hospital in Sorong. Photograph: Miranda Baker & Elliot Russo
Assistance on scene
The SAR workforce leaves Sorong with Josh and Albert at 0900. Assist is definitely coming. I silently thank the deities I pleaded with through the evening.
Elliot begins Googling his signs and we diagnose him with a TIA. By now he’s just about again to bodily normality however there’s a severe risk an precise stroke might comply with. He wants aspirin urgently. I get a textual content from Josh telling me the SAR boat isn’t carrying any.
I begin recording brief operational movies for Josh and Albert who will probably be taking good care of our dwelling. Each boat is exclusive, Fortaleza has her secrets and techniques and quirks. I information them by means of the right way to begin the engine, the switchboard, composting bathroom, bilge pumps, Starlink, gas, energy.
Round 1100 I see two guys approaching in a dugout fishing boat. One is sporting what appears to be like like a unexpectedly selfmade police shirt. Initially – drained, overwhelmed, and admittedly just a bit bit busy – I’m suspicious. They begin to board Fortaleza uninvited and I ponder if, on prime of the whole lot else, I’m now coping with pirates.

After two nights in hospital in Sorong, the couple had been medivac’d by Lear Jet to a Singapore ICU. Photograph: Miranda Baker & Elliot Russo
The policeman’s enamel are beetlejuice purple, he speaks no English however smiles lots. Ultimately, we set up that they’re from the closest village and have been despatched by the regional chief of police to attend with us till the SAR arrives. It’s extremely touching. I thank them however ship them away – there’s actually nothing that they’ll do.
At 1500 I get a textual content from Josh saying the rescue crew is 20 minutes away. I really feel myself beginning to shake. Half an hour later the SAR boat is in sight. It will possibly’t come by means of the reef into the lagoon however units down a purple inflatable and we watch folks clamber into it. Quickly afterwards we’re being boarded by a workforce of medics and SAR employees in addition to Josh and Albert. By no means in my life have I been happier to see different people. I can’t cease hugging them. I’m not the one individual liable for all of it.
The medics assess Elliot whereas I give Josh and Albert a whistlestop tour of Fortaleza. They’re optimistic and assured and calm and sort and great. I do know what they’re doing for us is gigantic. They’ve a 20-hour in a single day sail forward of them on a ship they don’t know. It’s a second of generosity we are able to by no means repay.
Inside 10 minutes we’re waving goodbye from the inflatable, on our manner out of the reef to the SAR boat and a six-hour voyage to Sorong. We’ve got been rescued.
On board, Elliot is laid on a gurney and placed on oxygen.
I make my method to the again of the boat because the engines begin roaring, and watch Fortaleza behind us, anchor already up, making her manner slowly out of the reef.

Stern to an empty Wofoh Island. Raja Ampat enthralled for 3 months’ cruising. Photograph: Miranda Baker & Elliot Russo
Put up script
Weeks later, Elliot is miraculously effectively; bodily absolutely restored. He was recognized as having had a stroke from a beforehand undiagnosed gap in his coronary heart. Specialists are baffled by his restoration, given he didn’t get any aspirin for nearly 36 hours. In the end it was the crusing neighborhood in Sorong who dug by means of their medical kits to search out us some – delivered to the hospital, with hugs, by Wick.
Fortaleza continues to be in Indonesia’s tropical deluges, being brilliantly effectively cared for in Tampa Garam, Wick’s marina. We intention to regroup quickly; get our little workforce again collectively, and proceed on with our journey.
Classes discovered
There are a lot of classes from our expertise. Some for us but in addition, I hope, that the broader crusing neighborhood would possibly profit from.
Starlink – With out it I’d have needed to set off our EPIRB. Having the ability to talk with people by textual content was very important. We’re additionally going to put money into a Garmin inReach.
Aspirin – Since listening to our story many cruisers have messaged telling us they’ve purchased aspirin to have on board. However aspirin ought to NEVER be administered to an individual struggling a suspected stroke with out medical recommendation. If the stroke is definitely not a blood clot however a mind bleed, with very related signs, aspirin could make issues a lot worse and will even kill your affected person (I solely discovered this after our incident).
Insurance coverage – Get it: no excuse. Not solely are we coated for an eye-watering invoice upwards of AU$140,000, the emergency response was fast and excellent.
Mayday – In lots of people’s minds a Mayday is a cure-all, a certainty of assist. It isn’t. Have methods of alerting your emergency to land.
Channel 16 – Even when we had different boats anchored round us, I doubtless wouldn’t have been in a position to elevate them on VHF. Cruisers, as a rule, don’t sleep with their radios on. In Indonesia Ch16 is commonly a rowdy channel – we’ve even heard karaoke over it. We wish to work with different cruisers to open unused channels in several areas, which we are able to all depart on in a single day. I’d love to listen to from anybody eager to assist us develop this concept.
Contact numbers – Have emergency contact numbers famous someplace apparent. I needed to scroll by means of infinite emails to search out our insurance coverage firm’s contact particulars and it was extremely irritating.
Medical equipment – We’ve got an intensive medical equipment, primarily based on NZ’s Cat 1 Offshore necessities. There’s a lot in there, with a number of unpronounceable labels. At some point, bored in the course of the Pacific, I wrote the makes use of of every medicine on the seen going through edge of every field. Whereas I didn’t discover what I wanted, I did save an enormous period of time by not having to work out what every drugs was for.
People are superior – Kindness appears to return as an equal and reverse pressure to horrible occasions. The crusing neighborhood particularly is extraordinary. The love, help and assist we obtained from whole strangers, in addition to associates, has been actually humbling.
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