2:07pm
Mr Myers refers to Dr Jennifer Loughanne's note for the Child N event - 'asked to see - desat - unsettled - got upset - looked mottled, dusky, sats [down to 40%] [moved to] 100% O2
'On my arrival, 40% O2, screaming'.
Mr Myers says it is "plainly not an air embolus", disagreeing with Dr Evans.
He says Dr Bohin said it was a painful stimulus. He said there was no sign of injury or blood.
2:19pm
Mr Myers says both experts put "poor opinions" forward.
He refers to the first event of June 15, 2016, in the morning, at 7.15am.
He says there is no evidence of anyone seeing Letby coming in and causing harm to Child N.
He says the prosecution created the narrative Child N was sabotaged in advance the previous night by Letby before she left at the end of her shift.
He refers to nurse Jennifer Jones-Key's note for the June 14-15 shift. He says in evidence, Jennifer Jones-Key said Child N first deteriorated at 1am, and remained at that condition through the rest of the night. Mr Myers says that "is an end to the sabotage theory", as Child N became unwell several hours into that night shift.
2:24pm
Mr Myers says Dr Bohin did not accept that from 1am to 7.15am, there had been a gradual process of deterioration.
He refers to the 7.15am event. He says Jennifer Jones-Key referred to more desaturations 'from 7am'. He say she remembered being in the nursery, feeding a baby, and Letby came in for her shift, and Letby came into the nursery, the alarm sounds, and Letby walks over.
He says there is "no indication or sensible opportunity" for Letby to cause this collapse for Child N. He says it is a continuation of the "mounting problems" for Child N which began at 1am.
2:29pm
Mr Myers says there is a question for when the blood is seen on Child N, before or after intubation. He says it is hard to see that if the attack happened at 7.15am, that blood would only be seen by a doctor at 8.05am.
2:35pm
Mr Myers says it would be "reckless" if a doctor embarked on intubation for Child N while seeing there was blood in the way.
2:39pm
Mr Myers refers to the third count for Child N, later in the day at 2.56pm on June 15, 2016.
He says the details of the event are clear, and while most of the five or six doctors described swelling, 'only' Dr Satyanarayana Saladi noted blood. He says it is right that a 3ml blood aspirate is collected. He says the defence observe it's surprising, given Child N's haemophilia, there is not more.
He says it is "unclear" what the cause of the swelling is, and could be a consequence of what had gone on that morning.
2:49pm
Mr Myers says there are no signs of a wound found on Child N, and he was "well inspected" by doctors.
He says at 7.40pm, Child N desaturated when medical personnel arrived to transport him, and he was prepared for theatre as doctors had been unable to intubate. Mr Myers says it was not surprising Child N's condition was poor given the 'long day' he had had.
He says a tertiary unit doctor was able to intubate first time successfully after Child N's desaturation.
Alder Hey consultant anaesthetist Dr Francis Potter was asked to give evidence. Mr Myers said he had told the court his interest was paediatric intensive care, and he had experience with airway problem resolution. He said the intubation was managed with 'relative ease'. He said Dr Potter had been "surprised" there had been difficulties in intubating Child N as he said the Countess of Chester Hospital team was "pretty competent".
He says Dr Bohin "comes to the rescue [of the prosecution]" by not agreeing with the opinion of Dr Potter. He said Dr Bohin said the drugs given to Child N would have reduced the swelling. He said it was a disagreement between the two prosecution witnesses.
2:51pm
Mr Myers says he will begin the case of Child O in the remaining 10 minutes [to be continued tomorrow]. He outlines the events for Child O.
2:59pm
Child O was one of three triplet brothers - Child P being another of the triplets.
Mr Myers says he will start with June 22-23, for the night shift with designated nurse Sophie Ellis. The final note 'Abdo looks full slightly loopy. Appeared uncomfortable after feed.Reg Mayberry reviewed. abdo soft, does not appear in any discomfort on examination.'
He says an examination took place, but no note was made by Dr Mayberry
He asks why Letby is blamed for Child N being unwell at 1am after Letby had finished at 8pm the previous night, whereas for Child O Letby is blamed for Child O being unwell at 1pm when Child O had been unwell at 8am.
He asks why there was no record of a doctor's examination after Sophie Ellis had noted a doctor reviewed Child O, when Letby was blamed for noting a doctor review for Child I when there was no record of a doctor's examination.
I assume this is where today ends! I don’t usually post these, but today is the first day I’ve not just followed along in the thread which is a testament to all of you that have committed to posting these updates daily! I figured as I had to go to the standard to read them I might as well post them for thread continuity.
The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more, is…
www.chesterstandard.co.uk
