I wonder how that went down with LL!
UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #6
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This gave me a chuckle, in the tweets yesterday morning
Imagine it'll be a fairly challenging morning technology wise. A witness is giving evidence via live link from Switzerland - there's an interpreter translating to French and back at that end. Already issues with an echo on the audio.
Another interpreter has just arrived in court in Manchester. Prosecution and judge currently debating how many are needed
It's now been settled that as everyone understands English, no interpreter is actually needed...
Imagine it'll be a fairly challenging morning technology wise. A witness is giving evidence via live link from Switzerland - there's an interpreter translating to French and back at that end. Already issues with an echo on the audio.
Another interpreter has just arrived in court in Manchester. Prosecution and judge currently debating how many are needed
It's now been settled that as everyone understands English, no interpreter is actually needed...
I’m not at Manchester Crown Court today, please do follow
@MerseyHack
for live coverage of the Lucy Letby trial
I’m at #Manchester Crown Court for the continuing trial of the nurse Lucy #Letby. She denies murdering 7 babies at the Countess of #Chester Hospital in 2015/16. She also denies the attempted murder of 10 other babies. Updates here,
@BBCNWT and BBC on line.
Consultant paediatrician Dr Elizabeth Newby is describing how she treated an alleged victim, Child D. She says D as born in good condition but needed help with breathing shortly afterwards. By the evening she needed to have a tube in her windpipe to help….
…but by the next morning D was well enough for the breathing tube to be removed. D was able to breathe on her own in air. Dr Newby “felt it was likely that there was an element of infection” as D’s mothers waters broke early and there was a delay in her having a C section birth
LadyEdgeworth
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Grrr my work blocks twitter! I'll just have to wait for the end up day write up if one is available
Dr Newby was called in to see D at 2am the following day as D had had a “profound desaturation”. [very sudden loss of oxygen levels in blood]. She was called in because D had been so stable and then had deteriorated.
Dr Newby describes unusual discolourations (“bruised areas”) on D’s abdomen. “We didn’t know what to make of them, to be honest. It was quite unusual. We felt it must be related to infection.”
From what I gathered when I looked at the condition they suspected initially from the X-rays (from a few days ago on the live feed) Baby D had something really common in full term babies that is very very rarely fatal. Most just need that push on cpap and are fine within 48hrs. I don’t get the impression at all from the witnesses the last few days that baby D was actually ill enough to be collapsing at all let alone dying so quickly.
Yeah it was TTN but I wonder if she had infection on top of that.
She says the discolouration might be related to meningococcal disease in older children, but “I know that couldn’t apply to neonates because you don’t se meningococcal disease babies.”
Cross examined by Ben Myers KC, defending Ms Letby, Dr Newby agrees that after birth D’s “condition was consistent with an infection of some sort.”
While there was a delay in antibiotics she presumably was on antibiotics for a good 12 hours before she died? The delay is clearly not optimal, but given the surprise from the medical professionals that she fatally collapsed, it just makes me feel like if it had been infection related, it would have to be something unexpected/rare. I get the impression no one really knew what to think about her death. For me, baby D is one of the clearer arguments for a non natural death.
She was born at 4pm, given antibiotics at 7.30pm on the 20th, collapsed at 1.30am, 3am and 3.45am on the 22nd, and died at 4.25am.
So she'd had 30 hours on antibiotics.
Mr Myers asks Dr Newby about notes relating to D the night before she collapsed showing that efforts to take her off CPAP (continuous positive airway pressure) were unsuccessful because D deteriorated when this happened.
Dr Newby agrees with Mr Myers that “ a baby who is unwell can have resistance to infection - to keep running at a certain level and then deteriorate very rapidly.”
"A senior doctor has said she was "very surprised" to receive two emergency call-outs to a previously "stable" baby on the morning of the girl's death.
Dr Newby told the court that Child D needed assistance with her breathing shortly she was born but was clinically stable the following day."
10% extract
www.bbc.co.uk
Dr Newby told the court that Child D needed assistance with her breathing shortly she was born but was clinically stable the following day."
10% extract
Lucy Letby trial: Senior doctor 'surprised' by emergency call-outs
Nurse Lucy Letby denies murdering seven babies and attempting to murder 10 others.
www.bbc.co.uk
Court now hearing from Dr Dewi Evans, a paediatric expert instructed by the prosecution. Nicholas Johnson KC is asking him what he says about his review of the medical notes relating to Child D. @BBCNWT
Asked about “mottling” seen on Child D’s body the first time she collapsed, Dr Evans says “its very significant and extraordinarily unusual. This is not something that happens out of the blue.”
Asked about D’s condition immediately before her collapse, Dr Evans says “Her condition could not have been better. Her condition was entirely consistent with a baby recovering from early onset pneumonia. She was doing exceptionally well and was clinically very satisfactory.”
But Dr Evans says D was “recovering” from early onset pneumonia, not that she had “recovered” from it.
Dr Evans [is] asked what would have happened if pneumonia had caused D’s death. “You find increased amounts of clinical input would not lead to improvement.. in D’s case none of this happened. She got better.”
Dr Evans says his conclusion in Child D’s case is that death was caused by an injection of air into her bloodstream.
Ben Myers KC, defending, asks Dr Evans why he thinks this. Dr Evans gives 5 reasons. 1. D’s collapse was rapid and v striking. 2. The presence of discolouration on D’s body “a pattern experienced [nurses and doctors] had never seen before and never since and it came and went..
3. Attempts to resuscitate D were unsuccessful. 4. The presence [at post mortem] of air in D’s blood vessels and 5. None of the other issues, eg pneumonia were relevant.
“What we have in [D’s] case is a full house of clinical characteristics consistent with her having suffered an air embolism, ie air has been injected into her.” says Dr Evans.
Dr Evans agrees with the defence that D was in a state of very poor health when she went to the neonatal unit.
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