UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #21

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  • #361
11:06am

Letby said she took a photo of the card at 3.40am one morning in the nursing station, while she was at work. She says there was "nothing unusual" about that.
Mr Myers now turns to the case of Child G, a baby girl born on May 31, 2015 at 23 weeks + 6 days gestation, weighing 1lb 2oz at Arrowe Park.
The court hears Child G was cared for in the early part of her life at Arrowe Park, being transferred to the Countess on August 13.

 
  • #362
  • #363
11:06am

Letby said she took a photo of the card at 3.40am one morning in the nursing station, while she was at work. She says there was "nothing unusual" about that.
Mr Myers now turns to the case of Child G, a baby girl born on May 31, 2015 at 23 weeks + 6 days gestation, weighing 1lb 2oz at Arrowe Park.
The court hears Child G was cared for in the early part of her life at Arrowe Park, being transferred to the Countess on August 13.



What card?:confused:
 
  • #364
[/QUOTE]
..That is a normal pattern of behaviour for me."
Asked why Letby had taken a picture of a thank-you card written by the family of Child E and F, Letby replies: "It was something I wanted to remember - I quite often take photos of cards...I receive."
Now is the perfect point for Myers to bring out the evidence of all the cards she's photographed unrelated to this trial ? Surely? Come on Myers.. show us the receipts...
 
  • #365
11:10am

The events are on September 7, 2015, involving Child G projectile vomiting and having a desaturation. She was transferred to Arrowe Park between September 8-16, returning to the Countess.
Two projectile vomits, a self-resolving apnoea and a desaturation for Child G take place on September 21.
The second incident, a desaturation, also took place on September 21. Lucy Letby says she called for help in this incident. Child G's monitor was off.

11:11am

Letby says she recalls Child G at the time: "She stood out as a baby who had complex needs, and was a very premature baby.
"We all got to know [Child G] and her family quite well."
She says she would have cared for Child G "many times" during her time at the Countess of Chester Hospital.

11:15am

A shift rota for September 6-7 is shown. Lucy Letby was the designated nurse for a baby in room 1. Child G was in room 2, being looked after by another nurse.
Letby says she was in room 1 with colleague Alisa Simpson shortly before Child G vomited.
"My memory is Alisa and myself were sat at the nursing station - we had been there for a few minutes...we heard [Child G]'s monitor [alarm] going off, and heard a retching sound.
"We both immediately went in there and found [Child G] vomiting and struggling to breathe."
No-one else was in the nursery room, Letby tells the court

 
  • #366
"We all got to know [Child G] and her family quite well."
Anyone remember this text after baby G's second collapse?

LL: “It’s hard isn’t it. When mum came in today she was like oh I’m so pleased you’ve got her which I thought was a little strange as I don’t know her that well, but wonder if she just felt reassured to have a nurse.”

 
  • #367
Told her what though? There were no mistakes being made that anyone knew of. And it would be totally inappropriate for a doctor to start such a conversation with a nursing colleague in any case.
His concerns.
He wished he went straight to the police but i would think the 1st port of call would be talking with her.
 
  • #368
11:17am

Nursing notes by the designated nurse for Child G, written retrospectively, are shown to the court.
They include 'Abdomen full but soft with no discolouration. Aspirates minimal, partial digested milk....short period of straining/uncomfortable at start of night when having cuddles with dad...Nurse L Letby taken over care following vomit/apnoeic episode at 0200'

11:19am

A feeding chart is shown for 45ml of breast milk at 2am, via the naso-gastric tube.
An acidity test showed 'pH 4' for Child G.
Mr Myers asks if the chart showed the stomach had been aspirated prior to the feed. Letby: "No."

11:22am

Lucy Letby's notes for 2am onwards: '[Child G] had large projectile milky vomit at 0215. Continued to vomit++. 45mls milk obtained from NG tube with air++. Abdomen noted to be distended and discoloured. Colour improved few minutes after aspirating tube, remained distended but soft...'
Letby says she has no memory of, and had not been asked to do the, caring for Child G prior to this incident.

 
  • #369
  • #370
11:29am

A nursing duties chart for the neonatal unit on September 7 is shown to the court.
Letby's first entries are recorded at 2am, carrying out observations and giving a feed for the room 1 designated baby, a process which would take "a matter of minutes", Letby tells the court. She says she was then with Ailsa Simpson for a few minutes.
The court hears, at 2am, Letby's nursing colleague had administered the feed for Child G, as recorded in her nursing note: 'Nurse L. Letby taken over care following vomit/apnoeic episode after 02.00 feed'.
At the time of the event, Child G was seen 'vomiting from her mouth and nose' and 'struggling to breathe'. Letby says she observed this on her arrival.
Child G's abdomen was 'quite firm and distended and red'.
Letby says room 2 would always have lighting on, as a high dependency unit needed to have lights on to be safe, to observe babies.
"We were both quite shocked...we could see vomit on the chair and on the floor - we were very shocked by that."
Letby adds that babies don't vomit like that and it wasn't something she had seen before.
A crash call was put out.

 
  • #371
Letby says room 2 would always have lighting on, as a high dependency unit needed to have lights on to be safe, to observe babies.
oh my goodness. Is this preparation for what's to come?

Remember baby I was in room 2 the night the lights were off, and LL spotted her looking pale in the dark.
 
  • #372
11:34am

Letby says the vomit on September 21 was a "forceful vomit", but not as significant as the one on September 7.
Letby tells the court Child G needed further breathing support and Child G was intubated later that morning.
Letby says she recalled Child G had further desaturations and required intubation, but the problems with oxygen saturation continued. Letby says she does not know why they continued.
She says she confirmed giving care to Child G. She improved after being reintubated.

 
  • #373
This card seemed to pop up out of nowhere a couple of weeks ago. I don't think it was very well covered at the time.
Thanks. I only know about Baby's I's card. Was there another?
 
  • #374
Now is the perfect point for Myers to bring out the evidence of all the cards she's photographed unrelated to this trial ? Surely? Come on Myers.. show us the receipts...
[/QUOTE]

Yep ...obviously there wasn't any of these "many" cards she claimed she took photos of
 
  • #375
oh my goodness. Is this preparation for what's to come?

Remember baby I was in room 2 the night the lights were off, and LL spotted her looking pale in the dark.
So she's only remembering now that the lights were actually on?
 
  • #376
So she's only remembering now that the lights were actually on?
This might actually lead to a prosecution rebuttal witness to testify to the standard practice when the defence case finishes. Because it wasn't even known to be something she would claim, I don't think.
 
  • #377
Is Lucy making this up as she goes along now that she has heard the prosecution evidence MOO
 
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  • #378
This might actually lead to a prosecution rebuttal witness to testify to the standard practice when the defence case finishes. Because it wasn't even known to be something she would claim, I don't think.
TBF she hasn't actually said it in relation to Baby I yet, but if they were always on, it stands to reason they would be for Baby I too. JMO
 
  • #379
Some testimony about baby I/lighting in nursery 2 [note she is currently giving evidence about baby G not baby I]

Nurse Hudson's testimony:

'The main light for the room was switched off but the light in the corridor was on. So you were able to do things in the room and have enough light to see where your patients were and where the equipment was.'


--

It was put to her that it would have been impossible to recall the exact lighting on the day in question.
She said she "couldn't claim for it to be precise, but it has been an image that has been imprinted on my brain for quite some time".


--

LL's police interviews:

For the October 13 incident, she did recall that incident. She said she put on the light when she entered the room with nurse Ashleigh Hudson and noted Child I looked pale.

Lucy Letby, in a subsequent police interview, said...

For the October 13 incident, Letby agreed it would have been difficult to see if Child I was pale without the lights being on.
She thought she and Ashleigh Hudson had been at the doorway when noting Child I was pale. She could not recall if there was a prior examination. She said “maybe I spotted something that Ashley wasn’t able to spot” because she was “more experienced than Ashley”. She said there was still light coming into the room from the corridor and there would be some natural light.

 
  • #380
TBF she hasn't actually said it in relation to Baby I yet, but if they were always on, it stands to reason they would be for Baby I too. JMO
It seems she forgot to tell Ben Myers KC, when he was cross-examining nurse Hudson. Her memory is improving with time.
 
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