12:53pm
Mr Johnson says the second deterioration happened at 11.30am, and CPR was required.
One female doctor said Child P was "vigorous" and fighting the ventilator, something which was unusual as it would not fit the sign of a baby fighting infection.
Mr Johnson says Child P was being sabotaged - blood tests excluded infection for Child P.
An x-ray at 11.57am showed a pnemothorax and air in the bowel. Just after noon, a female doctor saw several nurses including Letby, and told the people there the transport team would be there soon.
The doctor said: "I was thinking out loud" - and, Mr Johnson says, Letby replied "He's not leaving here alive is he?"
This is something which was not disputed by the defence, and Letby had said in cross-examination it was said out of concern.
In police interview, Letby said she could not remember saying that, Mr Johnson adds.
12:56pm
Letby had agreed in cross-examination it was "not the done thing" to say such a thing, then she had said she couldn't remember saying it.
Mr Johnson says it was not disputed she had said it, the question was "Why?"
NJ: "She was controlling things - she was enjoying what was going on and happily predicting what was going to happen - she was 'playing god'."
The female doctor had said: "Don't say that." in response.
The comment was "highly unusual" and "shocking", the female doctor said.
1:01pm
Child P's 12.28pm collapse should be thought in the context of Child K, Mr Johnson says.
Two doctors had taken a break when a shout for help happened at this time. When they returned, Lucy Letby was in the room. A doctor said it looked like Child P had "dislodged his ET Tube".
Mr Johnson says if the tube was blocked, it had done so in a short period of time, having only been put in hours earlier.
Mr Johnson says this collapse happened "at the precise moment" the two doctors had left the room, and Letby was present, and the ET Tube dislodged in Child K, when Letby was present, doing nothing. He says the jury should take that all into account.
He says the jury can also take account of Letby's remark "He's not getting out of here alive is he?" made shortly before this collapse.
Mr Johnson says the ET Tube was not blocked, Letby had dislodged it. Child P was reintubated and further resuscitation efforts began.
Dr Bohin said the pnemothorax was a contributory factor in the collapse of Child P, but not the overall cause.
1:03pm
Dr Stephen Brearey reviewed the circumstances of Child P's death, and regarded the events that day as "exceptional", and could not find a cause.
A doctor could not identify any cause as to what had gone on. He thought it 'highly unlikely' the death was complications over the pnemothorax'.
The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more, is…
www.chesterstandard.co.uk
Dan O'Donoghue
@MrDanDonoghue
·
20m
Mr Johnson quotes evidence of a doctor, who cannot be named - she told the jury that Ms Letby had remarked that Child P was not going to leave the hospital alive, while they were waiting on an emergency transport. The doctor found this comment 'highly unusual'
Dan O'Donoghue
@MrDanDonoghue
·
20m
Mr Johnson said Ms Letby said what she did as she 'knew what was going to happen', he said she was 'controlling things and was happily predicting something she knew was going to happen…she in effect was playing god'
