UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #19

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  • #621
It"s the opposite of unhealthy. What good is a nurse, or any health professional, if they're moping around after a baby dies? Your job is to care for your patients. Feeling some sadness for the parents is enough. For example, I went to one baby funeral and that was enough for me, too sad. But that's just normal empathy, I wasn't grieving.
I imagine a health care worker has to learn to suppress those emotions while working to help their patients. A nurse who breaks down and cries when seeing patients suffering is not going to be helpful, just as an ambulance person must not be squeamish when seeing injuries that would make most of us faint. Maybe they reflect on it later, though?
 
  • #622
I'm wondering (thinking out loud, really) but did something change in the way these sheets we produced or distributed at the time of the earliest ones she had which meant it was easier for her to keep hold of them if she does indeed have some sort of compulsive issue going on? I mean something like more of them being printed - maybe changing from a central one posted on a board to giving out individual copies? Perhaps a change in the way they were disposed of or something?
Still pretty sure the assumption that these are from the specific period is wrong, rather these are all the ones the police found in the search and that they are just the standard handover sheets that every nurse gets and most occasionally find they still have in a pocket when they get home. The only thing odd here is that she still had them going back years. Doesn't sound like they were all filed but at the bottom of bags, in boxes and shoved into cupboards all over the place.

From what we've heard previously, some people remember to bring them back to work and dispose of them there, some shred at home - looked like she maybe had a shredder for such a purpose and had used it for bank statements, but either didn't intend, didn't think or didn't get round to shredding these.
 
  • #623
Wow
What a day!

Im still in the middle of this flood of very interesting posts, I don't want to miss a single one :)

I agree that it was "me" and "I" mainly but I don't begrudge her that.

It is her day after all, she came out of the shadow and spoke at last.

She is on her own and probably terrified looking at the faces of the Jury.

Kudos to her parents for always supporting her, sitting just behind her.

Well, the real battle will start with Prosecution.

Today was just introduction and IMO she had the right to express her feelings and cry a little over her "Fate".
Didn't she ask Fate to decide about life and death of the Babies?
(in her texts)

Following days with Prosecutors mean the "kid gloves" of today will be taken off.

It will be her "time of trial", but also "time of trial" for Prosecution.

JMO
 
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  • #624
The thing is, her colleagues even said they were concerned about her. Dr B suggested she have some time off. She didn’t want to do that. If she was that upset and it impacted her that badly, why did she not do that? It was heard it effected the whole team and another colleague even said she didn’t want to watch/think about things like that (or words similar) as she got enough of it from work.
It’s really worrying, that a nurse so invested with searches, memory boxes, funerals and handover sheets, claims to have been upset etc, but just wouldn’t step back and appeared to be quite arrogant when her own colleague friend suggested it earlier on between babies A-D. The “I know how I feel people should respect that” comment.

Did she though? Did she actually truly know how she felt? Because the evidence from her colleagues seems to be in conflict with what she has stood on the stand today and said. Understandably they were concerned, I’ve been concerned just reading it!
Her PTSD could easily be an accumulation of all these tiny infant deaths and collapses around that time and refusing to actually step back and properly address with it, progressing then onto being arrested at 6am in her pyjamas.

I honestly cannot get my head round it at all. Just so really, really odd.
JMO
I agree. I do think that if one is affected by mh issues as a result of trauma one doesn’t necessarily have a awareness of it. I thought that might be a potential factor in some of her weird encounters. Like when she was talking about the memory box. I have long thought allot of the oddness we have noted might be her not realising her own limits, having malfunctioning coping skills, or otherwise. Nothing which necessarily says “guilty”.
 
  • #625
I imagine a health care worker has to learn to suppress those emotions while working to help their patients. A nurse who breaks down and cries when seeing patients suffering is not going to be helpful, just as an ambulance person must not be squeamish when seeing injuries that would make most of us faint. Maybe they reflect on it later, though?

People usually offload to a colleague, friend or the poor spouse/partner! I don't think many cry though, at least not in my experience. It 's not suppressing emotions really, you just put your professional hat on.
 
  • #626
The thing is, her colleagues even said they were concerned about her. Dr B suggested she have some time off. She didn’t want to do that. If she was that upset and it impacted her that badly, why did she not do that? It was heard it effected the whole team and another colleague even said she didn’t want to watch/think about things like that (or words similar) as she got enough of it from work.
It’s really worrying, that a nurse so invested with searches, memory boxes, funerals and handover sheets, claims to have been upset etc, but just wouldn’t step back and appeared to be quite arrogant when her own colleague friend suggested it earlier on between babies A-D. The “I know how I feel people should respect that” comment.

Did she though? Did she actually truly know how she felt? Because the evidence from her colleagues seems to be in conflict with what she has stood on the stand today and said. Understandably they were concerned, I’ve been concerned just reading it!
Her PTSD could easily be an accumulation of all these tiny infant deaths and collapses around that time and refusing to actually step back and properly address with it, progressing then onto being arrested at 6am in her pyjamas.

I honestly cannot get my head round it at all. Just so really, really odd.
JMO
I absolutely get why she might not want to do that; she's single, lived alone in a big house (big for one person), the vast majority of people she knew she knew through work as she lived miles away from where she grew up and her whole life seemed to revolve around work and the social contacts which arose through it.

She seemed to have a very busy social diary outside of work, meals, pub quiz team, concerts, salsa dancing, etc. I get the impression that she's not the type who has much experience of spending time on her own (and probably fears it) and if that's the case then I completely understand why she wouldn't want to take time off. It's not necessarily an indication of heartlessness or being self centred.
 
  • #627
I don't think that's what marynnu is suggesting at all, more that nurses need to have that distance in order to allow them to effectively continue doing the professional job they do. Death is an inevitable part of a nurse's job in a NNU and elsewhere. Sadness over a baby's death is normal, I don't think anyone is saying otherwise. Fixation isn't and I do think we're dealing with a degree of fixation here.

Also, and I genuinely mean no disrespect here to you or anyone else, but this idea that everyone loves babies to the degree that you think they do is very subjective thinking on your part. It's no more true to say that than it is to say that nurses in general love all their patients. They don't because they can't! It would paralyse them!

All they can do is do their best by them, regardless of their ages, whilst they're in their care.

Exactly, thank you.
 
  • #628
If that’s what I wrote then mission failed. I was trying to give an example of how one might not be able to help those feelings and resulting attachments until one has attained a certain level of experience.
On the contrary, the younger nurses have the benefit of having 'family integrated care' at the heart of their learning scheduales. Unlike older and more senior nurses who had to learn and lead that cultural shift.
 
  • #629
Why would you assume? Because as a nurse I have stated it is not right to be so overly completely invested to such a degree?

I’ll give you an example. I had a patient who was very unwell and a colleague was a designated nurse and got to know the family well. Long-term palliative care. When the patient died, my colleague was understandably very upset and so was the wider team. Loss is never easy for nurses, and undoubtedly hard for their families, regardless of patient group.

The family gave a card to the whole team, chocolates and an invite to the funeral to the nurse who they had undoubtedly built good rapport with.

Then could you imagine, if you had that one nurse that became overly so invested in the practice of memory boxes, persistent various searches on social media of patients and families like an obsession or found to have DOZENS of handover sheets in their home.

You would not think that was a problem? As a nurse, I would have a problem with my colleague doing that. In the teams I have worked with, seniors have also made this clear; you can be a good nurse with empathy and compassion, you get to the know the families.
However, this is not healthy and whilst I completely respect the views of parents and loved ones families (I have been a patient and also the caregiver of patients); the over investment into patients lives like this is concerning and is one that fitness to practice panels also take a dim view on.

If my child had died and I had very little rapport with a nurse who had barely even known my child in the short time they were there-I would not be ok with this; I would be completely creeped out.
IMO
Why would I assume? Because I only had that one comment to go on and I have plenty of experience that it does happen and no one is particularly concerned about it and I'd assume if you were a nurse, you'd have encountered it even more than someone who just knows a few medical professionals and sick people.

"...seniors have also made this clear; you can be a good nurse with empathy and compassion, you get to the know the families. However, this is not healthy..." - I'm a little unclear what you'r saying here? Are you saying seniors say you *can* do this but *you* think it's unhealthy, or do you need to rephrase?

Then could you imagine,
  • if you had that one nurse that became overly so invested in the practice of memory boxes, - I got the impression the prosecution was trying to push that idea, but I never really heard evidence to put LL's investment into context in comparison to other nurses on the team (a common theme), so couldn't say...
  • persistent various searches on social media of patients and families like an obsession - Looking at the actual volume and significance of the searches, it feels like we're talking about someone remembering a previous patient, perhaps after weeks or months of not thinking about them, searching to see where they're at these days, and then perhaps searching other patients that were brought to mind at the same time - we KNOW we're not talking about daily searches or even weekly searches for the patients involved as the numbers are too low.
  • or found to have DOZENS of handover sheets in their home. - I think this is a sign that they sometimes bring sheets home and they don't get around to disposing of them securely, a bit of a leap to say it indicates any kind of obsession. Hoarding behaviour, possibly.
So yeah, doesn't seem like anything more than what I've encountered several times through friends and relatives, and there doesn't seem to be much sign that she had any struggles with her job, a few acute periods immediately following deaths as you might expect, but nothing major until the accusations started flying.
 
  • #630
I entirely accept that. It's perfectly plausible.

So is my suggestion.

I simply don't know what the answer is here, but giving more weight to one rather than the other isn't the done thing, in my opinion.

This woman is on trial for her life, essentially. It's only just outside of my lifetime where a conviction would see her facing an appointment with Mr Pierrepoint and his length of hemp. As it is, if convicted her life is ruined because she'll never be released - if it isn't already ruined, I might add. I'm questioning everything I can because if she is convicted I'd like to be absolutely sure that she's actually guilty. She's clearly a bit odd but being a bit odd isn't synonymous with being a murderer and, as I think I've mentioned previously, being a bit different from what society considers "normal" is more common than most of us are led to believe.

There are so, so many "unknowns" ad "WTF's" in this case it absolutely makes my head spin, quite frankly.
That's fair enough. I think in the end, to quote Dr Marnerides, it's down to not just whether something is possible but whether it's probable. Like you say it may well be possible that LL has some undiagnosed MH condition that results in selective hoarding of handover sheets, but whether it's probable is another thing entirely.
 
  • #631
Unhealthy to expect in all and every situation. I think it would take years to Gain that level of professionalism. It really is against the innate tendency because everyone loves babies. I think a young nurse especially will be vulnerable to opening herself up without thinking of protecting herself should the worse happen Later down the line. If you condemn her for it your obviously not helping her in that situation. I couldn’t say to a NNU nurse if she was affected by something like that “just deal with it”.

You're talking as if this person had just walked in off the street. She was a 25-year-old woman who had obtained a paediatric nursing degree and had been working as a qualified nurse for 4 years when all this kicked off. By this time she'd have developed coping skills. If she hadn't she'd be in big trouble.
 
  • #632
On the BBC lunchtime news bulletin, the reporter stated that LL "spoke quietly." Would you call that subjective? He appears to have got away with it, though, so I think it was fine.
Good question.
I would hazard a guess that claiming someone "spoke quietly" in comparison to everyone else who also spoke, is not entirely subjective.
After all - the volume a person speaks can be measured, and directly compared with what would be considered the average.
 
  • #633
You're talking as if this person had just walked in off the street. She was a 25-year-old woman who had obtained a paediatric nursing degree and had been working as a qualified nurse for 4 years when all this kicked off. By this time she'd have developed coping skills. If she hadn't she'd be in big trouble.
It takes ten years more or less to develop the skill set that enables one to call oneself an experienced professional. In the evidence it has been suggested that this was the first time she had had to deal with this number of deaths. Was this the learning curve? or was it a testing ground for the efficacy of her then set of coping skills? And whether or not they worked or just made it worse.
 
  • #634
I really do think it’s unforgiving to suggest that all NNU nurses have zero feelings for babies once they have left the unit Especially when it comes to something as impactful as a death. we have heard evidence that says the entire unit was affected by the deaths in essence their grieving process was dealt with on the unit as they are within their rights to be affected ted by it. Lucy letby s didn’t end at the unit which is my point. I really Do think it is an exceptionally tall order to expect all people to just forget about it and potentially unhealthy.
I don't think Mary was suggesting that. I think it's worth noting too that Baby A died within 90 minutes of LL first setting eyes on him, at shift changeover.
 
  • #635
There was allot of speculaction about why some handover notes were found in certain places. This is her statements regarding that aspect.

“A photo of a Morrisons bag is shown to the court. It was recovered from Letby's home. It was Letby's 'work bag'.

An 'Ibiza bag' replaced the Morrisons bag for Letby. It was used for taking her uniform to work, her lunchbox, work documents and shoes.

The Morrisons bag had 31 handover notes, 17 relating to babies in the indictment.

Letby says she did not know when, how they came to be in her bag. She says they came in "by mistake" as part of her general pattern of behaviour.”

 
  • #636
Dbm double post
 
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  • #637
Unhealthy to expect in all and every situation. I think it would take years to Gain that level of professionalism. It really is against the innate tendency because everyone loves babies. I think a young nurse especially will be vulnerable to opening herself up without thinking of protecting herself should the worse happen Later down the line. If you condemn her for it your obviously not helping her in that situation. I couldn’t say to a NNU nurse if she was affected by something like that “just deal with it”.
The worst didnt happen "later down the line", it happened within 90 minutes of her seeing Baby A for the first time ever!

And no, not everybody loves babies, some are indifferent to them, and a tiny minority (thankfully) of people harm them.

JMO
 
  • #638
Why would I assume? Because I only had that one comment to go on and I have plenty of experience that it does happen and no one is particularly concerned about it and I'd assume if you were a nurse, you'd have encountered it even more than someone who just knows a few medical professionals and sick people.

"...seniors have also made this clear; you can be a good nurse with empathy and compassion, you get to the know the families. However, this is not healthy..." - I'm a little unclear what you'r saying here? Are you saying seniors say you *can* do this but *you* think it's unhealthy, or do you need to rephrase?

Then could you imagine,
  • if you had that one nurse that became overly so invested in the practice of memory boxes, - I got the impression the prosecution was trying to push that idea, but I never really heard evidence to put LL's investment into context in comparison to other nurses on the team (a common theme), so couldn't say...
  • persistent various searches on social media of patients and families like an obsession - Looking at the actual volume and significance of the searches, it feels like we're talking about someone remembering a previous patient, perhaps after weeks or months of not thinking about them, searching to see where they're at these days, and then perhaps searching other patients that were brought to mind at the same time - we KNOW we're not talking about daily searches or even weekly searches for the patients involved as the numbers are too low.
  • or found to have DOZENS of handover sheets in their home. - I think this is a sign that they sometimes bring sheets home and they don't get around to disposing of them securely, a bit of a leap to say it indicates any kind of obsession. Hoarding behaviour, possibly.
So yeah, doesn't seem like anything more than what I've encountered several times through friends and relatives, and there doesn't seem to be much sign that she had any struggles with her job, a few acute periods immediately following deaths as you might expect, but nothing major until the accusations started flying.
I can appreciate your input, although I have been on the thread for a while and that is not my only comment re my job/experience.

Regarding my point;

"...seniors have also made this clear; you can be a good nurse with empathy and compassion, you get to the know the families. However, this is not healthy..." - I'm a little unclear what you'r saying here? Are you saying seniors say you *can* do this but *you* think it's unhealthy, or do you need to rephrase?

I’m sorry if you felt this wasn’t clear, I’ll rephrase it;
I’m saying, senior members of staff will make clear you can be a good nurse with empathy and compassion, getting to know the family etc.
BUT when I say however *this* is not healthy; I am referring to that in which we have heard in evidence; the defendants professional conduct.

There is a big difference in being a good nurse and caring for your patient (and building good rapport with their family); and crossing that professional boundary. That is not ok. They teach you this as part of the ethical obligation as a nurse.

First and foremost you are their nurse.
Secondly, even if building rapport and have been given chocolates you are still the nurse. When it crosses outside of this to the point you are investing yourself to someone who is not your patient or you are not actually that involved in their care and don’t actually know the patient that well- but keep going against your senior, won’t step back or take time off to rest from grief or anything else; then it becomes a problem.

If you ask any senior member of nursing staff (or even her colleagues witness testimonies), when you are unable to do this, it then concerning. Hoarding confidential patient information demonstrates that IS a struggle with her job. Confidentiality is the very essence of her working as a nurse. Consider how you might feel if you found out your babies confidential information (whether they had died or not) was found amongst all the other 250 found at her home? Does that fit the norm of a nurse?

It is the basic principles of nursing where if they are not upheld by those within the profession; it becomes a conflict of interest and causes all sorts of messy internal investigations. As we are seeing. This is exactly why.


IMO and in my experience.
 
  • #639
I don't think Mary was suggesting that. I think it's worth noting too that Baby A died within 90 minutes of LL first setting eyes on him, at shift changeover.
The degree of impact on her would be relative to her most recent exposure to any death On the NNU. If it came out of nowhere and sucker punched her woefully unprepared psych I would expect it to be a reoccurring memory Ie impactful.

everybody who is worth A damn loves babies imo and in my personal preference.
 
  • #640
That's fair enough. I think in the end, to quote Dr Marnerides, it's down to not just whether something is possible but whether it's probable. Like you say it may well be possible that LL has some undiagnosed MH condition that results in selective hoarding of handover sheets, but whether it's probable is another thing entirely.
Again; like you say, it may be possible that LL was hoarding these as an aid to, or trophy to murder, but is it probable?

I don't think there is enough evidence to show that either of our hypothesis are more probable than the other.
 
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