UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #3

[merrypason]

I find this interesting in light of her FB searches

At 5.21am, Letby recorded a conversation between herself, the attending doctor, and Child H's parents.

On October 5, 2015, the prosecution say Letby searched for the mum of Child H, the father of Children E and F, and the mother of Child I. It was her day off.

Why didn't she search for the father of Child H? Just the mother? Because she met both parents. I will go back to see if there was similar with the others where she met both parents but only searched for one...

 

[kittythehare]

My basic understanding is that intubation is an invasive procedure....i.e. inserting a tube into a patient's trachea. The natural body responses, e.g. gag reflex, cough reflex will fight the presence of the tube, therefore sedation/paralytic drugs are required.

Maybe one of the medical bods can confirm or tell me to "move on"!

Dead right.

 

[elliefant]

11:19am

Child I, by late September, had diminshed clinical concerns, and no breathing problems.

For what the prosecution say was the first attempt, Letby was on a 'long day' shift (8am-8pm) on September 30. She was Child I's designated nurse in room three.

According to Child I's mum, Letby expressed concern about the child and indicated Child I would be reviewed by a doctor.

When she made a nursing note, Letby "reversed the concern", and said it was the mum who had raised a concern about the abdomen, saying it was "more distended to yesterday" and Child I was "quiet...not on monitor but nil increased work of breathing”.



11:26am

A review took place at 3pm - over an hour after these notes. Child I appeared mottled in colour with a distended abdomen and prominent veins.

A feeding chart showed 35mls was given to Child I when asleep, but Letby had recorded Child I as "handling well and waking for feeds".

At 4pm, Letby recorded feeding Child I 35mls of expressed breast milk via the NGT.

An emergency crash call was called at 4.30pm as Child I had vomited, desaturated, her heart-rate had dropped and she was struggling to breathe.

Her airway had to be cleared and she was given breathing support, and Child I was transferred to room 1.

Recap: Prosecution opens trial of Lucy Letby accused of Countess of Chester Hospital baby murders

THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…

www.chesterstandard.co.uk

 

[JosieJo]

"On October 5, 2015, the prosecution say Letby searched for the mum of Child H, the father of Children E and F, and the mother of Child I. It was her day off."

It's becoming more difficult not to look at this as looking at her alleged victims ..but we will see

 

[kittythehare]

I find this interesting in light of her FB searches

At 5.21am, Letby recorded a conversation between herself, the attending doctor, and Child H's parents.

On October 5, 2015, the prosecution say Letby searched for the mum of Child H, the father of Children E and F, and the mother of Child I. It was her day off.

Why didn't she search for the father of Child H? Just the mother? Because she met both parents. I will go back to see if there was similar with the others where she met both parents but only searched for one...

I am wondering whether parents were targets and if so why. That is an inane comment of mine. They're anonymous. Cannot be sleuthed.
The gaps in the timeline bothering me too, searching for periodicity but not finding it.

 

[elliefant]

11:27am

An x-ray at 5.39pm revealed a "massive amount of gas in her stomach and bowels" and her lungs appeared "squashed" and "of small volume".

The prosecution say air had been injected into the NGT to give a 'splinted diaphragm'.

11:29am

A doctor recorded Child I had suffered a 'respiratory arrest' at 4.30pm, struggling to breathe, she was pale and distressed, and the abdomen was 'distended and hard'.

The NGT was aspirated and produced 'air+++ and 2mls of milk', after which Child I improved.

The prosecution says this is at odds with the 35mls of milk Child I was fed with at 4pm.

11:30am

The prosecution say "removed from the orbit of Lucy Letby," Child I's condition improved.


11:32am

Child I continued to improve and was in nursery room 2 on the night of October 12 by a designated nurse different to Letby. Letby was looking after a baby in room 1.

Child I was being bottle fed every 4 hours, and at 1.30am took a 55ml bottle of breast milk.

At 3am, the designated nurse left the nursery temporarily and said she asked either Letby or another colleague to listen out for Child I.

Recap: Prosecution opens trial of Lucy Letby accused of Countess of Chester Hospital baby murders

THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…

www.chesterstandard.co.uk

 

[kittythehare]

so very easy to kill a helpless baby..
Very disturbing








Judith Moritz

@JudithMoritz
·
2m

Jury told that the first time Lucy Letby attacked baby I, she injected air into the baby through her nasogastric tube.

 

[kittythehare]

Baby I still
On the 2nd occasion, Lucy Letby wasn't baby I's designated nurse. She was standing in the doorway of the darkened room and commented that baby I looked pale. The designated nurse turned on the light and saw that baby I appeared at the point of death and was not breathing.
JMBBC

 

[elliefant]

11:36am

The designated nurse, records show, helped another colleague with something in room 1.
The prosecution say it is more likely the nurse would have asked Letby to look out for Child I.

Upon the designated nurse's return to room 2, Letby was "standing in the doorway of the room" and Letby said Child I "looked pale".
The designated nurse switched on the light and saw Child I was "at the point of death". She later recalled the child was breathing about 'once every 20 seconds'.

The prosecution says the jury should consider how Lucy Letby could see a child was looking pale when the room was darkened at 3.20am, with minimal lighting.

11:39am

The prosecution say the nurse's recollection is right, as Lucy Letby made a note at the end of her shift at 8.10am:

'[Child I] noted to be pale in cot by myself at 03:20hrs … apnoea alarm in situ and had not sounded. On examination [Child I] centrally white, minimal shallow breaths followed by gasping observed.'

Recap: Prosecution opens trial of Lucy Letby accused of Countess of Chester Hospital baby murders

THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…

www.chesterstandard.co.uk

 

[Tortoise]

11:27am

An x-ray at 5.39pm revealed a "massive amount of gas in her stomach and bowels" and her lungs appeared "squashed" and "of small volume".

The prosecution say air had been injected into the NGT to give a 'splinted diaphragm'.

11:29am

A doctor recorded Child I had suffered a 'respiratory arrest' at 4.30pm, struggling to breathe, she was pale and distressed, and the abdomen was 'distended and hard'.

The NGT was aspirated and produced 'air+++ and 2mls of milk', after which Child I improved.

The prosecution says this is at odds with the 35mls of milk Child I was fed with at 4pm.

11:30am

The prosecution say "removed from the orbit of Lucy Letby," Child I's condition improved.


11:32am

Child I continued to improve and was in nursery room 2 on the night of October 12 by a designated nurse different to Letby. Letby was looking after a baby in room 1.

Child I was being bottle fed every 4 hours, and at 1.30am took a 55ml bottle of breast milk.

At 3am, the designated nurse left the nursery temporarily and said she asked either Letby or another colleague to listen out for Child I.

Recap: Prosecution opens trial of Lucy Letby accused of Countess of Chester Hospital baby murders

THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…

www.chesterstandard.co.uk

"The NGT was aspirated and produced 'air+++ and 2mls of milk', after which Child I improved.

The prosecution says this is at odds with the 35mls of milk Child I was fed with at 4pm."

This is the kind of info I'm struggling to make sense of. Can anyone explain for me what it means was going on please.

 

[Marantz4250b]

so very easy to kill a helpless baby..
Very disturbing



Judith Moritz
@JudithMoritz
·
2m

Jury told that the first time Lucy Letby attacked baby I, she injected air into the baby through her nasogastric tube.

It's clearly not though as, if guilty, it took her four attempts in one case and several attempts in others.

 

[Billandben]

"The NGT was aspirated and produced 'air+++ and 2mls of milk', after which Child I improved.

The prosecution says this is at odds with the 35mls of milk Child I was fed with at 4pm."

This is the kind of info I'm struggling to make sense of. Can anyone explain for me what it means was going on please.

The nurse documented or was meant to administer 35mls of milk through a tube into the stomach.

But after the child was found in extremis, they tried to draw back out of the stomach tube, and they got lots of air and just a small amount of milk- There should not have been lots of air

The inference being someone put the air there and that's what led to the deterioration

 

[elliefant]

11:42am

The registrar was called to the unit at 3.23am. On arrival, he saw nurses giving Child I full CPR. The notes suggest he had to reposition the ETT.

A consultant doctor administered adrenaline, intubated and ventilated Child I.

An X-ray showed gross gaseous distention throughout the bowel and signs of chronic lung disease of prematurity (CLD).

Child I, the prosecution say, had the same problem that she had when Letby had fed her on September 30.

The medical team felt that the abdominal distention had affected her ability to expand the chest and in turn caused desaturation.

Both nursing and medical staff commented on a bruised like discolouration to the right of the sternum. They assumed this was the result of chest compressions.

The category of nursing care was raised a level.
"Ironically," the prosecution say, Letby was made the designated nurse, as she was more qualified.


11:43am

Medical notes showed the ETT had been "displaced" and, at 4.25am, the NGT was "curled in the oesophagus", which the prosecution say would have prevented release of the pressure created by excess air in the stomach.

Recap: Prosecution opens trial of Lucy Letby accused of Countess of Chester Hospital baby murders

THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…

www.chesterstandard.co.uk

 

[MadeleineMaxwell]

I'm sure this has been asked before but LL had worked there since she qualified in 2011, working on the basis that all the charges are true, why start 2015?

There's so much that doesn't make sense including the clusters/gaps.

 

[infinit]

Question to those in the medical field. If you take what the Prosecution say at face value, are these things that could potentially occur due to a breakdown in training or her following the procedures she was meant to? Or would you have to go out of your way for this to be happening over and over?

 

[Mrs Goodcat]

I know this is a bit of a long stretch and know nothing of medical equipment or procedures, but was just wondering if the medical equipment where the babies died was checked for faults. Also why was this nurse unsupervised. Surely if her training was incomplete she needed to be? I would have thought every move in a neonatal ward would be subject to constant scrutiny? Someone has to have been in charge of Lucy Letby. We have not heard about them. Were they checking her understanding of procedures? Somehow I wonder if this was mismanagement although keeping an open mind.

 

[1345]

The prosecution says the jury should consider how Lucy Letby could see a child was looking pale when the room was darkened at 3.20am, with minimal lighting.

I think this is very interesting, if she was only interested in killing them, then why bring attention to the fact the baby was approaching death. If she had said nothing the baby may have been dead within minutes.

Maybe a way to get the thrill of action, be a saviour, and the Facebook aspect is getting an "emotional high".

 

[Tortoise]

The nurse documented or was meant to administer 35mls of milk through a tube into the stomach.

But after the child was found in extremis, they tried to draw back out of the stomach tube, and they got lots of air and just a small amount of milk- There should not have been lots of air

The inference being someone put the air there and that's what led to the deterioration

Thank you, so is the implication that it was a lie that 35mls of milk had been fed to the baby?

 

[elliefant]

11:45am

For what the proseution say was the third attempt, Letby had responsibility for Child I on the night of October 13.

Both Letby and a doctor recorded Child I had increasing abdominal distension, discolouration to the right and sensitivity to touch between 5am and 5.55am.

The X-ray taken at 6.05ams showed widespread gaseous distention sufficient to splint the diaphragm. This prevented her from breathing properly.

Child I had the same problem as before.


11:47am

At 7am, CPR was required as Child I had a 'significant desaturation'.

The doctor recorded, at 7.10am: "desaturating again despite good AE (air entry), chest wall movement and negative cold light (i.e. no pneumothorax) … at about 7.45am HR (heart rate) below 60. CPR initiated… [various boluses given] … capnography positive. Chest wall movement and equal AE noted…”

The prosecution says Child I was "brought back from the brink of death right at the end of the shift, at 7.58am".


11:48am

Letby noted at 8.43am:
"At 05:00hrs abdomen noted to be more distened (sic) and firmer in appearance with area of discolouration spreading on right hand side. Veins more prominent … gradually requiring 100% oxygen. Blood gases poor as charted …. nil obtained from NG tube throughout. Continued to decline. Re intubated at approx. 07:00 – initially responded well … resuscitation commenced as documented in medical notes. Night and day staff members present”

That was, the prosecution say, the third attempt at murder.


11:49am

Child I was transferred to Arrowe Park Hospital. She had an episode of bradycardia and desaturations after which she quickly stabilised.

The prosecution say once again, a child had recovered quickly out of the care of Letby.

Child I was transferred back to the Countess of Chester Hospital on October 17.

Recap: Prosecution opens trial of Lucy Letby accused of Countess of Chester Hospital baby murders

THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…

www.chesterstandard.co.uk

 

[infinit]

I think this is very interesting, if she was only interested in killing them, then why bring attention to the fact the baby was approaching death. If she had said nothing the baby may have been dead within minutes.

Maybe a way to get the thrill of action, be a saviour, and the Facebook aspect is getting an "emotional high".

I would be assuming that perhaps she was caught in the doorway on her way out of the room. And if the other nurse was to go in and see the baby was not breathing, it would be even more strange for her to say nothing. That's obviously on the assumption that the Prosecution are correct.