UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #6

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merrypason said:
"The nurse says she had to manage without the chart. Afterwards Lucy Letby asked her how she'd done it. She said "I knew the doses as I’d worked there for a long time. I think it’s worth having those doses in your head, and I recommended to Lucy that she learn them""
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I wonder how that went down with LL!
 
This gave me a chuckle, in the tweets yesterday morning



Imagine it'll be a fairly challenging morning technology wise. A witness is giving evidence via live link from Switzerland - there's an interpreter translating to French and back at that end. Already issues with an echo on the audio.

Another interpreter has just arrived in court in Manchester. Prosecution and judge currently debating how many are needed

It's now been settled that as everyone understands English, no interpreter is actually needed...
 

Consultant paediatrician Dr Elizabeth Newby is describing how she treated an alleged victim, Child D. She says D as born in good condition but needed help with breathing shortly afterwards. By the evening she needed to have a tube in her windpipe to help….

…but by the next morning D was well enough for the breathing tube to be removed. D was able to breathe on her own in air. Dr Newby “felt it was likely that there was an element of infection” as D’s mothers waters broke early and there was a delay in her having a C section birth
 
Music2022 said:
I feel very sad for baby D, if the doctors didn’t leave her mum for so long, and done a c section sooner maybe she would’ve been in a better condition at birth and things would’ve taken a different turn. - either not been around LL if she’s guilty, or not had the breathing issues / suspected infection generally if that’s what killed her.
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From what I gathered when I looked at the condition they suspected initially from the X-rays (from a few days ago on the live feed) Baby D had something really common in full term babies that is very very rarely fatal. Most just need that push on cpap and are fine within 48hrs. I don’t get the impression at all from the witnesses the last few days that baby D was actually ill enough to be collapsing at all let alone dying so quickly.
 
Dcflag said:
From what I gathered when I looked at the condition they suspected initially from the X-rays (from a few days ago on the live feed) Baby D had something really common in full term babies that is very very rarely fatal. Most just need that push on cpap and are fine within 48hrs. I don’t get the impression at all from the witnesses the last few days that baby D was actually ill enough to be collapsing at all let alone dying so quickly.
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Yeah it was TTN but I wonder if she had infection on top of that.
 

She says the discolouration might be related to meningococcal disease in older children, but “I know that couldn’t apply to neonates because you don’t se meningococcal disease babies.”

Cross examined by Ben Myers KC, defending Ms Letby, Dr Newby agrees that after birth D’s “condition was consistent with an infection of some sort.”
 
Music2022 said:
Yeah it was TTN but I wonder if she had infection on top of that.
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While there was a delay in antibiotics she presumably was on antibiotics for a good 12 hours before she died? The delay is clearly not optimal, but given the surprise from the medical professionals that she fatally collapsed, it just makes me feel like if it had been infection related, it would have to be something unexpected/rare. I get the impression no one really knew what to think about her death. For me, baby D is one of the clearer arguments for a non natural death.
 
Dcflag said:
While there was a delay in antibiotics she presumably was on antibiotics for a good 12 hours before she died? The delay is clearly not optimal, but given the surprise from the medical professionals that she fatally collapsed, it just makes me feel like if it had been infection related, it would have to be something unexpected/rare. I get the impression no one really knew what to think about her death. For me, baby D is one of the clearer arguments for a non natural death.
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She was born at 4pm, given antibiotics at 7.30pm on the 20th, collapsed at 1.30am, 3am and 3.45am on the 22nd, and died at 4.25am.

So she'd had 30 hours on antibiotics.
 
"A senior doctor has said she was "very surprised" to receive two emergency call-outs to a previously "stable" baby on the morning of the girl's death.

Dr Newby told the court that Child D needed assistance with her breathing shortly she was born but was clinically stable the following day."

10% extract

www.bbc.co.uk

Lucy Letby trial: Senior doctor 'surprised' by emergency call-outs

Nurse Lucy Letby denies murdering seven babies and attempting to murder 10 others.
www.bbc.co.uk
 

Court now hearing from Dr Dewi Evans, a paediatric expert instructed by the prosecution. Nicholas Johnson KC is asking him what he says about his review of the medical notes relating to Child D. @BBCNWT

Asked about “mottling” seen on Child D’s body the first time she collapsed, Dr Evans says “its very significant and extraordinarily unusual. This is not something that happens out of the blue.”

Asked about D’s condition immediately before her collapse, Dr Evans says “Her condition could not have been better. Her condition was entirely consistent with a baby recovering from early onset pneumonia. She was doing exceptionally well and was clinically very satisfactory.”

But Dr Evans says D was “recovering” from early onset pneumonia, not that she had “recovered” from it.

Dr Evans [is] asked what would have happened if pneumonia had caused D’s death. “You find increased amounts of clinical input would not lead to improvement.. in D’s case none of this happened. She got better.”
 

Ben Myers KC, defending, asks Dr Evans why he thinks this. Dr Evans gives 5 reasons. 1. D’s collapse was rapid and v striking. 2. The presence of discolouration on D’s body “a pattern experienced [nurses and doctors] had never seen before and never since and it came and went..

3. Attempts to resuscitate D were unsuccessful. 4. The presence [at post mortem] of air in D’s blood vessels and 5. None of the other issues, eg pneumonia were relevant.

“What we have in [D’s] case is a full house of clinical characteristics consistent with her having suffered an air embolism, ie air has been injected into her.” says Dr Evans.
 
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