One thing I’m unclear on is when dr bohin reviewed the work done by dr evans with regards to causes of death.
Was she brought in just before the trial began to review all the conclusions as at that time? Or was she brought in one /two years before trial to review the conclusions ?
Given that dr evans has changed his opinion for various cases between various reports , I would be interested to know how dr Bohin’s reviews and conclusions compare to dr evans’. For example , where dr E writes a report which reaches a particular conclusion , has dr bohin looked at that report and pointed out something else in the evidence , which dr evans didn’t spot and so dr evans changes his opinion? Or has dr bohin always agreed with whatever conclusions dr evans’ report at the time reached?
Just interested in how the roles of dr evans and dr bohin fit together and have worked in practice to shape the current charges and arguments
All the experts said the air on June 12th could have been put there deliberately - Professor Arthurs, Dr Evans and Dr Bohin. None of them have said they no longer think that, but at the same time none of them say it caused his death, because his abdomen was noted to be soft and not distended all day on the day of his death.
Mr Myers says the 2019 report said Dr Evans raised a possibility of deliberate injection of air from June 12 via the naso-gastric tube.
Dr Evans, reflecting on that report, said: "
Can't rule it out".
He tells the court: "However the air went in, it would have been insufficient to splinter the diaphragm on the 12th, as he would've collapsed and died on the 12th."
The air which had gone in was 'insufficient' to cause a collapse. There was 'nothing to suggest' the excess air was enough on June 12.
He says the two events on June 12 and 13 "are quite different" in the way they happened.
He adds that in coming to his conclusion for this case he is not relying solely on his opinions, but taking in other clinical evidence and reports.
"That is what doctors do, we do it all the time." in what Dr Evans says is a "complicated case"
Recap: Lucy Letby trial, Tuesday, November 1
Dr Bohin says her role was not to 'rubber-stamp' anything, but to come to her own conclusions and see whether they agreed with that of Dr Evans.
Recap: Lucy Letby trial, Tuesday, November 1
Asked to explain a build-up of gas in Child C’s abdomen detected on a X-ray on
June 12 –
the day before his fatal collapse – Dr Bohin said air could have accumulated via respiratory support he was receiving. The alternative explanation is a
deliberate introduction of air down a fitted nasogastric tube, she said.
- https://www.chesterstandard.co.uk/news/23096234.lucy-letby-trial-murder-accused-nurse-told-police-found-babys-lingering-death-quite-hard/
For
Child C, the defence say it is accepted that someone had injected air as a "theoretical possibility", but that is "a very long way from proving what has taken place". Mr Myers said the jury would have to look at the practicalities of that, and consider alternative explanations. Child C was "subject to a variety of complications" due to being born premature, the jury is told. "We say, for a starting point, he should have been at a unit providing more specialist care." The defence say pathology identified acute pneumonia in Child C.
The defence suggest a structural blockage could have caused distention.
Lucy Letby trial recap: Prosecution finishes outlining case, defence gives statement
Professor Arthurs,
asked by the prosecution about a bowel obstruction, says if the bowel was blocked at a particular point, it would give a 'marker' of where the obstruction was.
He says the image shows no such marker, and as bowel obstructions are a 'common clinical occurrence', it would be diagnosed and babies would go to theatre for an operation.
He says
there is no evidence of a bowel obstruction on the imaging, on the clinical notes, or in an autopsy.
Referring to the possibility of a twisted bowel, which he says 'can happen in small babies' and result in a blockage. He says that is often a surgical emergency, and would be documented as such, and found post-mortem if there is such a finding.
Recap: Lucy Letby trial, Friday, November 11
Dr Marnerides – podcast - baby c was the next case the doctor examined. A post-mortem carried out at the time concluded that baby c died from pneumonia and in fact when Dr Marnerides initially reviewed the case in 2019 he agreed with this, but later
he changed his mind, after reading more medical reports. He told the court that baby c did have pneumonia but
he was stable and responding to treatment and his collapse was therefore unexpected. He also said baby c’s tummy had ballooned. He concluded that
baby c died as a result of having an excessive quantity of air injected into his stomach and that air had led him to being unable to breathe and suffering a cardiac arrest. His final view was that baby c died with pneumonia not from pneumonia.
The Trial of Lucy Letby, Episode 26: Unnatural Causes? - The Mail
