UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #27

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  • #681
Sorry just came bk lol

Child C

Original pathology:
The cause of death was ‘widespread hypoxic/ischaemic damage to the heart/myocardium’ due to lung disease, with maternal vascular under perfusion as a contributary factor.

I have seen many murder trials, where the pathologists findings changed at some point. Sometimes from suicide to murder, or from natural causes to murder. It is not unusual.

From what I understand, Pathologists often change their decisions, after getting more information. They look at the autopsy results but do not always have the same info of the resuscitation events or the info about other goings on at the unit.
 
  • #682
  • #683
3:27pm

Dr Gibbs said efforts to intubate were unsuccessful due to swollen vocal cords.
Sophie Ellis said she got upset at the situation, after Child C's mother arrived, as it was "overwhelming" and she had not been in that kind of situation before. Lucy Letby said to her: "Do you want me to take over?" Sophie Ellis said yes, left room 1 for a short break, then went to look after babies in room 2.
Dr Katherine Davis said "even the smallest, sickest babies" would respond to resuscitation, but Child C did not. Dr Gibbs said he could not find anything that would allow to restart long after resuscitation had stopped, and could not understand that from a natural disease process.
The mother said, in an agreed statement, she recalled CPR being performed on Child C, and the heart rate had fallen unexpectedly and rapidly. She says she did not grasp the gravity of the situation and was shocked when asked by a nurse if she wanted a priest. She asked if Child C was going to die - the nurse, described to be in her mid 20s, replied "Yes, I think so".
The father of Child C said a nurse, who he later believed to be Letby [based on her picture appearing in the newspaper] had said to the parents in the family room 'you've said your goodbyes now, do you want to put him in here?', referring to a basket for Child C. He said Child C's mother said "He's not dead yet", and the nurse then backtracked.
Letby had accepted she had made searches for Child C's parents on Facebook 10 hours after, but could not remember doing so, or why. She questioned whether she was the nurse who said the 'you've said your goodbyes...' comment, and did not recall saying it. She said she was very sad for the parents.
In evidence, she said she did not recall any specific contact with the parents. She said the search for the parents were as they were 'very much on her mind' at that time, as 'you don't forget' events like those which had happened to Child C.

"The mother said, in an agreed statement, she recalled CPR being performed on Child C, and the heart rate had fallen unexpectedly and rapidly. She says she did not grasp the gravity of the situation and was shocked when asked by a nurse if she wanted a priest. She asked if Child C was going to die - the nurse, described to be in her mid 20s, replied "Yes, I think so".
The father of Child C said a nurse, who he later believed to be Letby [based on her picture appearing in the newspaper] had said to the parents in the family room 'you've said your goodbyes now, do you want to put him in here?', referring to a basket for Child C. He said Child C's mother said "He's not dead yet"
, and the nurse then backtracked.
Letby had accepted she had made searches for Child C's parents on Facebook 10 hours after, but could not remember doing so, or why. She questioned whether she was the nurse who said the 'you've said your goodbyes...' comment, and did not recall saying it. She said she was very sad for the parents.
In evidence, she said she did not recall any specific contact with the parents. She said the search for the parents were as they were 'very much on her mind' at that time, as 'you don't forget' events like those which had happened to Child C."


I am glad the judge included this ^^ info---He could have bypassed it, as it is not medical evidence , etc....but I think it is highly relevant in terms of her odd demeanour when around grieving parents. What nurse would ever ask a devastated parent to go ahead and put their precious dying baby into the basket, before their last breath?
 
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  • #684
Experts were very clear from the very beginning.

And as the Judge said - they are witnesses not advocates.

JMO
Yes, the medical experts were meant to be witnesses, not advocates. Was there any doubt about how they did that? Only the jury can decide. They saw everything. We didn't.
 
  • #685
To be strictly correct, none of the witnesses made any accusations of anything. That is specifically what the judge has pointed out to the jury.

The doctor said he had been "concerned" about Ms Letby going back on shift because he had "already expressed concerns to senior management over the association between nurse Letby and the deaths we'd seen on the unit".

Dr Brearey said he had called Karen Rees, the duty executive senior nurse, to report his concerns, explaining that he "didn't want nurse Letby to come back to work the following day or until all this was investigated properly".

Dr Brearey told the court that "further conversations" had taken place the following week and the decision had been taken to remove Ms Letby from frontline nursing duties - placing her in a clerical role instead.


Dr Brearey said he and his colleagues had been trying to "escalate appropriately" and had needed "executive support" to decide the "correct plan of action going forward".

The doctor added: "It's not something anyone wanted to consider, that a member of staff is harming babies.

He said with every "unusual" episode of baby collapse between June 2015 and June 2016 there had been "increasing suspicion" about Ms Letby, which led him to eventually escalate his concerns and request she be taken off shift.


THOSE ^^^LOOK LIKE ACCUSATIONS, IMO


Dr Jayaram said: "Jo had told me she was going to the labour ward and she told me that Lucy Letby was babysitting, keeping an eye on things.
"At this point, in mid-February, we were aware as a team of a number of unexpected and unusual events and we were aware of an association with Lucy Letby.

Dr Jayaram replied: "As I walked up, I saw Lucy Letby standing by the incubator and the ventilator. She didn't have her hands in the incubator.
"I saw her and then I looked up at the monitor and [Child K's] sats [blood oxygen levels] were in the 80s and they continued to drop.
"The ventilator was not alarming and the incubator was not alarming and the monitor is set to alarm when the sats drop below 90%.
"I recall saying 'what's happening?' and Lucy looked and said something along the lines of 'she is having a desaturation'."


The consultant said he noticed there was no chest movement with the infant.

The prosecution allege Ms Letby deliberately dislodged the infant's breathing tube shortly before consultant Dr Jayaram walked in the nursery room.
Mr Astbury asked: "Any more conversation between the two of you?"
Dr Jayaram said: "We switched into professional mode.
"It didn't really make sense to me why the tube became dislodged. It had been secured and [Child K] was not a vigorous baby.

THAT TESTIMONY APPEARS TO IMPLY THAT HE THOUGHT NURSE LETBY WAS IN THE PROCESS OF HARMING THAT BABY, IMO
 
  • #686
Yes, the medical experts were meant to be witnesses, not advocates. Was there any doubt about how they did that? Only the jury can decide. They saw everything. We didn't.
I don't care about conspiracy theories.
They bore me to death.

I believe in scientific approach and respect educated people.
Those who gained their knowledge through hard work and many sacrifices.
I always listen to them carefully.

And I respect medics whose work is to help those who suffer.

And who tried to find the cause of torturous deaths of Babies.
Babies who were entrusted to this hospital by parents.

My Opinion!!!
 
  • #687
I don't care about conspiracy theories.
They bore me to death.

I believe in scientific approach and respect educated people.
Those who gained their knowledge through hard work and many sacrifices.
I always listen to them carefully.

And I respect medics whose work is to help those who suffer.

And who tried to find the cause of torturous deaths of Babies.
Babies who were entrusted to this hospital by parents.

My Opinion!!!
You think I was suggesting a conspiracy theory?

Not at all. I just want to know the truth, as much as anyone else.
 
  • #688
To be strictly correct, none of the witnesses made any accusations of anything. That is specifically what the judge has pointed out to the jury.
I think we need to make a distinction between 'witnesses' and 'medical experts.'

My post you replied to was concerning the doctors and colleagues who made accusations against LL. I was not speaking about the medical experts, but about some of her medical colleagues.

For example, Dr Brearey and Dr J, made serious accusations in their testimony.
 
  • #689
So the original pathologist worked at Alderhey for 27 years.
Imo he's been disrespected & undermined.
If anyone would have a correct cause of death I'm sure it would be him given that that was his job.
He gave a cause of death for baby C so how was that classed as unexplained at the start of the investigation?
I don't think the original pathologists is being disrespected. At the time, he made his conclusion based on the information available to him. he did not consider non-natural causes. We now have a lot more clinical information and know that baby c did not die of pneumonia, as that would look like a much more gradual decline with increased need of oxygen support over time. It would not look like a sudden collapse. The defence could have called the original pathologist as a witness. I'm thinking the reason they didn't is they wanted to avoid Johnson asking him whether he would still make the same conclusion given the extra clinical.information we have now.
 
  • #690
Yes, the medical experts were meant to be witnesses, not advocates. Was there any doubt about how they did that? Only the jury can decide. They saw everything. We didn't.
Yes, but there is a difference between the medical experts hired to be investigators to find the truth, and her doctor colleagues, who testified to what they saw and experienced while working with the defendant. JMO
 
  • #691
Yes, but there is a difference between the medical experts hired to be investigators to find the truth, and her doctor colleagues, who testified to what they saw and experienced while working with the defendant. JMO
That's interesting. You think there's a difference in quality of evidence between those two sets of people?
 
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  • #692
That's interesting. You think there's a difference in quality of evidence between those two sets of people?
No, not at all. But there is a difference because hired medical experts are unbiased and only going on medical facts they are given. They do not know the defendant.

The medical colleagues experienced the tragic events and have worked with and known personally, the defendant.

The hired medical experts have experienced none of the above. So they are two different types of witnesses. No difference of quality, IMO.
 
  • #693
10:44am

He says nurses were asked about staffing levels.
The court had heard from one nurse: "Sometimes there were more babies [on the unit] than there were meant to be". 2015-2016 "was a busy period" with more babies with higher acuity.
Staff "were giving up breaks" to provide care.
"It was always quite busy," said another nurse.
Dr Stephen Breary accepted nursing levels were lower than the gold standard guidelines. He added their levels were similar to other neonatal units, and staffing levels were better than those around Cheshire units. The court heard the other units did not have the mortality levels.

10:48am

The judge says the jury should consider if sub-optimal care was a factor in the collapses of the babies. He says in a few cases, it is accepted there was sub-optimal care.
He said Letby accepted herself that sub-optimal care played little or no part in most of the babies' cases.
He says [defence barrister] Benjamin Myers KC repeatedly suggested that doctors "had gone out of their way" to "damage" the defendant by blaming her for sub-optimal failures in care. He says she "did nothing to harm any baby".
He says it is up to the jury to find who is telling the truth and who is "reliable".
He adds he is not going to put a single document up for the jury to look at, as they have all the documents.

So glad breary got that point in about every neonatal unit being stretched. The thing about the BAPM guidelines is you actually have to have the funds to implement them.
 
  • #694
The judge refers to Dr Sandie Bohin, and her evidence for Child A.
He says the defence accused her of lacking independence, and "enthusiastically supported" Dr Evans' evidence. She repeatedly denied this assertions, and said her views were her own. The judge says it is up to the jury to assess the validity of the defence's assertions.
Gosh, we are only on day one of summing up, jury are going to have a stack of these 'assertions' to rule out. Can you imagine how many people would have to be lying to the jury for LL to be telling the truth.
 
  • #695
How is it disrespectful to the original pathologist, when he would have been looking for natural causes of a baby who died on a neonatal unit? This wasn't a baby who died at home, where there was any possibility, within usual realms, of deliberate harm.

The experts agree with him that he died with pneumonia, but say he did not die from it. His medical records show it was being treated and was improving, there was no deterioration, and it is not an adequate explanation because he started to show signs of self-recovery, hours after CPR stopped - which is also why the defence are not going with pneumonia and are saying 'bowel obstruction', even though the experts have ruled that out.

It was classed as unexplained, as indeed were all the deaths in this case, with or without post-mortems done, because the treating doctors have said it was not expected.
No, not at all. But there is a difference because hired medical experts are unbiased and only going on medical facts they are given. They do not know the defendant.

The medical colleagues experienced the tragic events and have worked with and known personally, the defendant.

The hired medical experts have experienced none of the above. So they are two different types of witnesses. No difference of quality, IMO.
I agree no difference in quality, they talk a shared language when it comes to neonatal medicine which is how the whole sorry mess came to ahead in the first place. Funny how every doctor, involved or independent could see the same things and that makes them ' in a conspiracy'
 
  • #696
Slightly random question: all of the babies who died had death certificates issued which gave the cause of death as various things amounting to natural causes.

In order to then bring criminal charges for murder , does the prosecution have to first get the death certificates reissued with a different cause of death (either whatever the experts say is now the cause of death, or something generic like “homicide” or even “pending”? ).
 
  • #697
Gosh, we are only on day one of summing up, jury are going to have a stack of these 'assertions' to rule out. Can you imagine how many people would have to be lying to the jury for LL to be telling the truth.
On paper it looks that way, yes, but in reality I'm not so sure. If I was watching someone give evidence, and I had processed what they were being accused of the first time I heard it, if no proof was being offered for an attack and it looked to me to be unfounded, I wouldn't need to re-process it a second or third time during speeches or deliberations.

Anyone can assert anything about anyone, but there has to be a foundation for it.

Imagine a defence case where there were no alternative expert opinions, but accepting the evidence of the prosecution's expert witnesses would spell doom for the defendant's case before the trial had even started. Or a doctor whose evidence is fatal for the defendant, if true. It only leaves one line of attack, for there to be a defence - lack of reliability and integrity - which must be planned before the witness has even set foot in court and offered up their evidence, irrespective of the credentials or character of the witness.

As a juror I think I would have already processed the idea that scores of witnesses had lined up over so many months, without any sensible motive, to in some way offer false testimony, for the defence case to stand up.

JMO
 
  • #698
True that. And with the opening speeches the jury had a 'rough cut' of where both the defence and prosecution were going so when hearing the other witnesses, they must have been listening with caution, deciding as they went along whether the witness accounts seemed genuine and robust.
My frustration the closing speech was that it didn't feel like it was backed with decent evidence. It ended up looking like a cheap toy from pound-stretcher. The box looks great, it promises all the great features of the leading brand but essentially when you take it out of the box it doesn't work properly and then you realise you just wasted a ton of money on packaging. Jmo
 
  • #699
The bit where she came in the room and told the parents you’ve said your goodbyes now is somewhat interesting.
Possibly it was a long time and she thought the baby was definitely dead by then and assumed it would be time to take him, but then again how would she be so certain the baby will have died by then?
 
  • #700
The bit where she came in the room and told the parents you’ve said your goodbyes now is somewhat interesting.
Possibly it was a long time and she thought the baby was definitely dead by then and assumed it would be time to take him, but then again how would she be so certain the baby will have died by then?
This incident is simply mind boggling o_O

Plus others with unholy excitement in family room with dead/dying children.

Words simply fail me.
Only severe mental disturbance can explain such behaviour IMO.

JMO
 
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