UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #23

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  • #221
I would just say that it's standard practice everywhere to Xray after intubation.
I would expect the same, this of the first ETT was X-Rayed it would be good evidence that it was not at higher risk of dislodging. Notwithstanding, I have read that they still can, but IMO it would support Dr J’s testimony if he checked the placement of ETT-1.
 
  • #222
Just curious if all that is included even if the parents are unmarried?
Yes, this is filled out by the family so the information is what they want the unit to know about them. It says father/ partner/ support person. (Covers all bases!)
 
  • #223
Just reposting this transcript from the podcast re Baby F, as it wasn't reported in as much detail in any written reports, and with Baby F coming up soon , I think Johnson may revisit this aspect:

8am – LL finishes night shift

8.47am –
LL: "Did you hear what F's sugar was at 8am?"
Nurse: "No?"
LL: "1.8"
Nurse: "S***!!!!", now I feel awful but leaving it three hours didn’t seem excessive and it was only two and a half hours
LL: "Something isn't right if he is dropping like that with the amount of fluid he’s had and being 1.65kg, don’t think you needed to do it sooner, got to think of his poor heels too"
Nurse: "Exactly, he’s had so much handling. No something not right. Heart rate and sugars."
LL: "Dr Gibbs came so hopefully they will get him sorted. "He is a worry though."
Nurse: "Hope so. He is a worry."
LL: "Hope you sleep well, let me know how F is tonight please."
Nurse: "I will hun".

--
Blood sugar records from Prof Hindmarsh's evidence (Aug 4th-5th)
5.5 (11.32pm)
0.8 (1.54am)
2.3 (2.55am)
1.9 (4.02am)
2.9 (5am)
1.7 (8.09am)

"For the 5am reading, the blood sugar reading signature has the initials 'LL'."


As Tortoise pointed out in their original post. LL and the nurse are referring to a 3 hour period where Baby F's blood sugars weren't checked which appears to be after LL's 5am reading. In addition LL appears to be suggesting that it was because they had to think about Baby F's "poor heels" (ie. presumably they would be sore if they kept taking blood from there)

If guilty, it looks like LL may have encouraged the other nurse not to test for a few hours as LL's 5am reading made it look like the blood sugar had risen, and they had to think about his "poor heels"


Sources :
Tortoise's original post
Dr Hindmarsh's evidence
Daily Mail Podcast
 
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  • #224

The Trial of Lucy Letby: Episode 35, The Gang of Four​




In this episode Caroline and Liz explain what happened in court when the prosecution began questioning Lucy Letby for the first time.
I like following their YT video discussions, because they are non-biased and informative; motivated me to delve deeper into the narrative projected in earlier mainstream tabloids.
 
  • #225
I would expect the same, this of the first ETT was X-Rayed it would be good evidence that it was not at higher risk of dislodging. Notwithstanding, I have read that they still can, but IMO it would support Dr J’s testimony if he checked the placement of ETT-1.

I think it's very problematic. If memory serves me, I think the first tube was size 2. This is the smallest you can use and is avoided if possible, not least of all because you can't get a suction catheter down, and of course they're more prone to moving. It's a tricky thing to secure them just enough while not narrowing the lumen at all. And I've personally seen a fair few ET tubes pulled out by even the tiniest baby!
All JMO.
 
  • #226
So, SE feeds baby-c at 11pm (I did not find a time given of how long this took)
Sophie Ellis's nursing note -

"The note provides observations for Child C from the night shift. It adds: 'First feed of 0.5mls given at 23.00"
Recap: Lucy Letby trial, Friday, May 5 - defence continues

0.5mls was a trophic feed and would not take very long.

So, LL had at most 6 minutes to walk to room-1 open baby-c’s incubator and inflict harm she is accused of, or less if SE left room-1 after 11.09 pm.

Six minutes sounds like more than enough time to inject air into his nasogastric tube. IMO
 
  • #227
All MOO, but it's a well-known phenomenon around Cluster B/NPD folks that they love to ruin special events. They just can't resist. Speaking from personal experience, my NEX (Narcissistic ex) never missed an opportunity to destroy birthdays, holidays and celebrations. And that applies to all shades of NPD people, from overt malignant to covert 'vulnerable' Narcs. I can totally see LL (if guilty) being driven to spoil these milestones, IMO.
Interesting.Thanks! I wasn't aware of that.
 
  • #228
First of all, that^^^ new story is very hard to believe. She now claims she was in nursery two, feeding and changing nappies, while her co-workers were across the hall in nursery one, answering an EMERGENCY code to resuscitate a baby. :rolleyes:

Knowing what we know about Nurse Letby and her amazing skills during a medical crisis, and her strong pull towards such incidents, are we to believe she stayed across the hall and continued changing nappies?

No, that is a good try at explaining her answers, but it didn't go down like that. She did not make quick, impulsive answers. She had her notes available and was not confused about which case was which case. Here is what we know about her police interview about baby K;
https://www.itv.com/news/granada/20...n-waiting-for-baby-to-self-correct-trial-told
Letby told detectives at Cheshire Police she only recalled Child K because she was a “tiny baby” and the Countess of Chester did not usually take babies of her gestation and weight.

She said she had no recollection of the tube slipping and agreed that designated nurse Joanne Williams would not have left Child K unless she was stable and her ET (endotracheal tube) was correctly positioned.

Mr Johnson said: “She stated she would have raised the alarm if Dr Jayaram had not walked in and if she had seen the saturations dropping or that the tube had slipped.

Miss Letby thought it possible that she was waiting to see if (Child K) self-corrected. She explained that nurses don’t always intervene straightaway if levels were not ‘dangerously low’.”

LL upon reflection with greater clarity about the particular baby, and event in question- recalled being present during baby-K resuscitation attempts, she did not deny that in her testimony. And, adds just prior to that event she was feeding a baby in another room. That was her testimony as far as I have gathered- am I correct?

I am not debating what she said to the police because, I can understand, and accept that a nurse without ulterior motives, could have difficulty distinguishing between memories of multiple events involving multiple babies, within a short time frame…many years prior. IMO it would be very unusual, if not suspicious…if she recalled everything with photographic memory.
 
  • #229
How many of those babies in the study collapsed and died with purplish rashes and blue raised veins?
You would have to contact the primary researchers to ascertain that information, that is not something I have time to do in your behalf sorry.

However, I am sure you could find a multitude of primary research papers that elaborate on such clinical signs. Not to mention those on NEC with similar.
 
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  • #230
First of all, that^^^ new story is very hard to believe. She now claims she was in nursery two, feeding and changing nappies, while her co-workers were across the hall in nursery one, answering an EMERGENCY code to resuscitate a baby. :rolleyes:

Knowing what we know about Nurse Letby and her amazing skills during a medical crisis, and her strong pull towards such incidents, are we to believe she stayed across the hall and continued changing nappies?

No, that is a good try at explaining her answers, but it didn't go down like that. She did not make quick, impulsive answers. She had her notes available and was not confused about which case was which case. Here is what we know about her police interview about baby K;
https://www.itv.com/news/granada/20...n-waiting-for-baby-to-self-correct-trial-told
Letby told detectives at Cheshire Police she only recalled Child K because she was a “tiny baby” and the Countess of Chester did not usually take babies of her gestation and weight.

She said she had no recollection of the tube slipping and agreed that designated nurse Joanne Williams would not have left Child K unless she was stable and her ET (endotracheal tube) was correctly positioned.

Mr Johnson said: “She stated she would have raised the alarm if Dr Jayaram had not walked in and if she had seen the saturations dropping or that the tube had slipped.

Miss Letby thought it possible that she was waiting to see if (Child K) self-corrected. She explained that nurses don’t always intervene straightaway if levels were not ‘dangerously low’.”
How do you know she had ‘all her notes with her’ during the police interviews, and at which stage of interviews - since she was arrested more than once.

And, how do you know she was not at all confused, if you didn’t ask her personally?
You state a lot of your own opinions, very persuasively I would add, as given facts.
 
  • #231
What exactly is the cause of this?

Are such people born with some brain abnormalities?
Or is it the result of upbringing or some trauma?

Because it seems to me it is the manifestation of hatred/malice towards others or self hatred.

Or maybe such people feel somehow threatened by others or don't think their needs are are met?

Is it unhappiness, feeling of disillusionment with life in general? :rolleyes:

Is there a cure for this terrible condition?

JMO
In my experience with my (ex) friend who ticks all the boxes for NPD, she was nearly always angry about something. Or with someone (including me). Not defensive, just angry. Especially if things didn't happen the way she wanted them to. She could put on a sweet smiley demeanour, but it never lasted long. I never knew her in her youth, as she is from another country. She did sometimes speak of her family, but with no affection. eg "my sister didn't like me because I was the beautiful one"!! She told so many lies, and I tried to believe them. Eventually I stopped listening to her lies and tall tales, and managed to detach myself. I really don't know if it is just her nature, or if there is some reason for the way she is. But I don't believe that her family were any different or worse than most.
 
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  • #232
How do you know she had ‘all her notes with her’ during the police interviews, and at which stage of interviews - since she was arrested more than once.

And, how do you know she was not at all confused, if you didn’t ask her personally?
You state a lot of your own opinions, very persuasively I would add, as given facts.
re. baby A police interview -
Letby was allowed to look through the case notes, and was asked if she remembered the specific shift.

Recap: Lucy Letby trial, Wednesday, October 26

She hasn't said she was confused about the babies or didn't have the notes, and her barrister has not advanced a complaint about that on her behalf. It's not really for us to look for issues with the way in which she was interviewed that she hasn't raised. IMO
 
  • #233
Right, if we look at each individual case, brick by brick, we can come up with an alternative explanation, for each one.

And that would be reasonable if there were a couple of unexplained collapses. But we are looking at 22 separate incidents, each one on days that Nurse Letby was on duty.

What are the chances that so many healthy babies would suddenly and surprisingly collapse in such a short time?

We cannot just look at these individually and try to rationalise an alternative explanation , one by one. Doing so nullifies the big picture, which is where the real mystery lies.

Enquirer, does it make sense that there was a huge spike in mysterious collapses, involving three separate types of injuries---air embolisms, internal wounds and insulin poisonings? Various babies having various combinations of these kinds of injuries, sometimes back to back to back nights.

The collapses happened randomly and routinely, but never on Nurse Letby's week long vacations.

Either the defendant was responsible OR a group of co-workers and consultants and even parent's of victimised babies got together and framed her ?
IMO - the deterioration of unwell premature babies - could be explained by a combination of medically explainable explanations based on pathological processes and/or non-sinister iatrogenic reasons.

Which is why it is essential to scrutinise each case individually. Conversely, evaluating the cases overall on collective patterns, and attributing an individuals presence as a common denominator - leads to bias and oversights IMO
 
  • #234
Right, if we look at each individual case, brick by brick, we can come up with an alternative explanation, for each one.

And that would be reasonable if there were a couple of unexplained collapses. But we are looking at 22 separate incidents, each one on days that Nurse Letby was on duty.

What are the chances that so many healthy babies would suddenly and surprisingly collapse in such a short time?

We cannot just look at these individually and try to rationalise an alternative explanation , one by one. Doing so nullifies the big picture, which is where the real mystery lies.

Enquirer, does it make sense that there was a huge spike in mysterious collapses, involving three separate types of injuries---air embolisms, internal wounds and insulin poisonings? Various babies having various combinations of these kinds of injuries, sometimes back to back to back nights.

The collapses happened randomly and routinely, but never on Nurse Letby's week long vacations.

Either the defendant was responsible OR a group of co-workers and consultants and even parent's of victimised babies got together and framed her ?
Fact: They were not healthy babies most were oxygen dependent and vulnerable d/t to prematurity +\- other conditions. That statement is misleading.
 
  • #235
re. baby A police interview -
Letby was allowed to look through the case notes, and was asked if she remembered the specific shift.

Recap: Lucy Letby trial, Wednesday, October 26

She hasn't said she was confused about the babies or didn't have the notes, and her barrister has not advanced a complaint about that on her behalf. It's not really for us to look for issues with the way in which she was interviewed that she hasn't raised. IMO
You just have an answer for everything haha

Salute!
Never give up :)
 
  • #236
Not sure that applies to searching for parents of a twin who has died just hours before. They'd still be visiting the surviving baby. Not exactly hard to know how they're doing IMO.
I would agree with that viewpoint, that would be odd.
 
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  • #237
Just reposting this transcript from the podcast re Baby F, as it wasn't reported in as much detail in any written reports, and with Baby F coming up soon , I think Johnson may revisit this aspect:

8am – LL finishes night shift

8.47am –
LL: "Did you hear what F's sugar was at 8am?"
Nurse: "No?"
LL: "1.8"
Nurse: "S***!!!!", now I feel awful but leaving it three hours didn’t seem excessive and it was only two and a half hours
LL: "Something isn't right if he is dropping like that with the amount of fluid he’s had and being 1.65kg, don’t think you needed to do it sooner, got to think of his poor heels too"
Nurse: "Exactly, he’s had so much handling. No something not right. Heart rate and sugars."
LL: "Dr Gibbs came so hopefully they will get him sorted. "He is a worry though."
Nurse: "Hope so. He is a worry."
LL: "Hope you sleep well, let me know how F is tonight please."
Nurse: "I will hun".

--
Blood sugar records from Prof Hindmarsh's evidence (Aug 4th-5th)
5.5 (11.32pm)
0.8 (1.54am)
2.3 (2.55am)
1.9 (4.02am)
2.9 (5am)
1.7 (8.09am)

"For the 5am reading, the blood sugar reading signature has the initials 'LL'."


As Tortoise pointed out in their original post. LL and the nurse are referring to a 3 hour period where Baby F's blood sugars weren't checked which appears to be after LL's 5am reading. In addition LL appears to be suggesting that it was because they had to think about Baby F's "poor heels" (ie. presumably they would be sore if they kept taking blood from there)

If guilty, it looks like LL may have encouraged the other nurse not to test for a few hours as LL's 5am reading made it look like the blood sugar had risen, and they had to think about his "poor heels"


Sources :
Tortoise's original post
Dr Hindmarsh's evidence
Daily Mail Podcast
Your take is interesting- The impression I get from this exchange, is that LL is highlighting that the designated nurse should have checked sooner, and then transitions into supporting her colleague by stating reasons not to feel so bad about not checking sooner. Which, was after the fact, and thus wouldn’t have changed the outcome.
 
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  • #238
I think it's very problematic. If memory serves me, I think the first tube was size 2. This is the smallest you can use and is avoided if possible, not least of all because you can't get a suction catheter down, and of course they're more prone to moving. It's a tricky thing to secure them just enough while not narrowing the lumen at all. And I've personally seen a fair few ET tubes pulled out by even the tiniest baby!
All JMO.
That is very interesting, thank you for sharing your insight - I was not aware of this.
 
  • #239
re. baby A police interview -
Letby was allowed to look through the case notes, and was asked if she remembered the specific shift.

Recap: Lucy Letby trial, Wednesday, October 26

She hasn't said she was confused about the babies or didn't have the notes, and her barrister has not advanced a complaint about that on her behalf. It's not really for us to look for issues with the way in which she was interviewed that she hasn't raised. IMO
I appreciate your reply @Tortoise - but, it does not answer my original post querying a proposed fact. I appreciate, that would take a lot of time neither of us have freely, otherwise I would have attempted to answer it myself.
 
  • #240
Your take is interesting- The impression I get from this exchange, is that LL is highlighting that the designated nurse should have checked sooner, and then transitions into supporting her colleague by stating reasons not to feel so bad about not checking sooner. Which, was after the fact, and thus wouldn’t have changed the outcome.
Feel free to interpret it as you wish. As the prosecution are about to cross examine LL on this case soon, I thought it might be helpful to re-post the transcript and possible "if guilty" scenario.
 
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