UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #8

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  • #461
10:59am

At 5.30am, Child G had a profound desaturation.
"Her heart rate dropped to 60[bpm] and her oxygen [saturation] to 40% - which is unusual" when Child G was on a ventilator.
Dr Ventress wondered if the problem was the ventilation equipment, so moved to manual breathing support via a Neopuff device.
Child G was then reattached to a ventilator, before the ventilator was changed.
A 'large leak' remained, which meant the issue was unlikely to be with the ventilator.
The 'large leak', Dr Breary says, he cannot explain, for a pre-term baby.
He says Dr Ventress was getting chest movement from Child G on the Neopuff device.
"It's perplexing and I can't think of a natural cause why that would happen."


11:05am

Child g had another profound desaturation at 6.05am and the decision was made to reintubate Child G.
The heart rate increased but the oxygen saturation levels remained low, despite further breathing support, with 100% oxygen ventilation and increased respiratory pressure.
Those levels were "low" in the context of those support measures being applied, Dr Breary says.
'Thick secretions ++ in mouth' were noted, with a blood clot at the end of the ETT.
The oxygen saturation levels fell to 17%, with the heart rate down to 70bpm, and 'poor chest movement'.
Dr Breary tells the court a heart rate under 100bpm was cause for concern.
He was called in urgently, the clinical note adds.
The naso-gastric tube was aspirated and 100mls was aspirated from Child G.
"This seemed surprising" as Child G had been fed 45mls every three hours, and Child G "had already had a large vomit which covered the cot and the area around the cot".
"It seems abnormal and I can't explain where that [aspirate] would have come from."

 
  • #462




https://twitter.com/MrDanDonoghue
I'm back at Manchester Crown Court for the trial of Lucy Letby. The nurse is charged with murdering seven babies and attempting to murder 10 others between 2015 and 2016. Court was suspended for the majority of last week due to a juror illness, sitting due to resume at 10.30am.


2:22 AM · Dec 12, 2022

Dan O'Donoghue

Dr Stephen Breary is the first witness called today, he is giving evidence on the case of Child G. Ms Letby is accused of attempting to murder the premature girl three times at the Countess of Chester Hospital in September 2015.


Dr Breary tells the court that in the first few days of September 2015 Child G was improving and he had 'no concerns'. He added 'everything was moving in the right direction'


Dr Breary is now taking the court through his clinical notes on Child G from September 6/7. The consultant was received an emergency call to attend the infant in the early hours of Sept 7 after she had projectile vomited...he said this was 'not something I have witnessed before'



Child G stabilised briefly after being intubated and placed on a ventilator but at 5.30am she had a profound desaturation. Dr Breary said: 'It's perplexing and I can't think of a natural cause why that would happen.'

An X-Ray was carried out on Child G later that morning, Dr Breary tells the court that in that scan there 'didn’t seem to be anything new that would explain the symptoms'
 
  • #463
11:11am

The plan was to paralyse Child G, via a medication bolus, to allow for better ventilation, and to repeat a blood gas reading, and continue with morphine for sedation.
Child G was 'nil by mouth' and IV fluids were to be given. Standard medicine to treat neonatal sepsis was also to be administered.
The parents were 'about to be updated'.
Dr Breary said at the time they were not sure whether there was a problem with Child G's gut, given the large aspirate and large vomit, which was why the baby girl was 'nil by mouth'.
An x-ray taken showed lungs of 'chronic lung disease', which was "known previously" and would not explain what had happened that night.
The abdomen had 'generalised gaseous distention' - "but nothing which would indicate obstruction", and nothing which would indicate NEC, a gastro-intestinal disease.

11:17am

A note from Dr Breary recorded, for the abdomen x-ray - 'gaseous abdomen, no perforation'.
Dr Breary's note adds, at 5.30am, 'compensated metabolic acidosis'.
Dr Breary says this is an 'error on my part', given the pH readings, from a 'long night'.
The note concludes Child G's case 'will need discussion with Arrowe Park Hospital/Liverpool Women's Hospital' if her condition continued as it was.


 
  • #464
11:21am

Dr Breary tells the court Child G had an MRI scan following these events which "looked worse than previous scans". It was "still uncertain" what the long-term prognosis would have been since then, but since then Child G had developed dystonia, quadraplegic cerebral palsy, "as a result of brain damage in early life", which causes the muscles in the body to be stiff and have limited function.
Child G required further feeding support mechanisms, so the food Child G has is less likely to aspirate [into other parts of the body] and be prone to chest infections.
Child G was greatly dependent on the care of her parents. Dr Breary adds: "I have great respect for everything they [the parents] have done for the last six/seven years."

11:23am

Ben Myers KC, for Letby's defence, is now asking Dr Breary questions.
Dr Breary confirms he was the neonatal lead at the Countess of Chester Hospital for 2015-2016, and continued to hold that position until 2020.
He said he would spend more time dealing with neonatal issues. Some of it would involve administration and management, but also development.
Mr Myers says at the time of Child G's events, Dr Breary believed infection was the most likely cause.
Dr Breary says his initial impression was that it was infection.


 
  • #465
11:35am

Mr Myers says one of the problems was with oxygenation, and the ventilator was changed, but that did not resolve the problem with oxygenation. Dr Breary agrees.
Mr Myers refers to the ETT being removed at 6.10am, which was 'the same tube' being used for both ventilators.
When the tube was removed, the blood clot was found, and that could have had an impact on oxygen saturation levels.
Dr Breary said it would not block it completely. He adds the blood gas results prior to that would not show that to be the case.
"It might have a small degree of influence," but he said it would not have a huge impact, and in his experience he had not come across such an event, given that pressures are involved in the tube.
Mr Myers refers to the aspirates found - he asks if there is any reference to milk/fluid aspirates on the note. Dr Breary confirms the type of aspirate is not shown.
Mr Myers asks if Dr Breary knew what the contents of that 100mls was.
"The only other possibility if it is not stomach contents is if it's blood, and I certainly don't recall 100mls of blood."
He said it would not be air, it would be recorded as fluid.
He says the process of aspirating from the NGT, if it's just air, then that would be 'not significant and not recorded'.
Mr Myers refers to Dr Ventress's recollection to court, that the '100mls' aspirated could have been air, although she was not 100 per cent sure, and if it was fluid, she would have recorded that.
Dr Breary said he wouldn't be 100 per cent, but if it was not air, that would be recorded.
Mr Myers says the 100mls aspiration is not documented on Dr Breary's note.
Dr Breary says in retrospect, he was concentrating on Child G's care, and it would have been easier, if knowing what was to come, to have recorded it on his notes.
The prosecution rise to clarify about the blood clot, saying if that blood clot had blocked the tube, would the equipment have detected that. Dr Breary said the equipment would have given off an alarm.

 
  • #466
I don't believe the random urge is ever just carried out on just any baby. Usually it is carried out upon one's own child, OR a child one is the express caregiver to, in order to gain the sympathy and intense attention of others. That can only happen if there is a strong connection with oneself and the targeted victim.

Something about these particular children made them suitable targets in the perpetrators mind. I am not really sure how that played out---but it may have just been simple things like access, and which room and which opportunities presented themselves?


By "not just any random baby", I meant that there were babies that were in her care that she had easy accesss to that she apparently didn't target, in favour of allegedly targetting other babies that she wasn't the designated nurse for. Of course, if guilty, that may be to do with not wanting it to look too obvious by targetting her own designated babies, or wanting to be in room 1 to recreate the circumsatnces of the first known death. But some babies she allegedly targeted repeatedly regardless of whose designated babies they were or which room they were in so it seemed to be more about those specific babies rather than where they were or how easily accessible they were. It just seems ot suggest that, if guilty, that there was something more going on than just wanting to target a baby in line with Factitious disorder imposed on another (FDIA).
 
  • #467
11:41am

Dr David Harkness, who has previously given evidence during the trial, is being recalled to give evidence in the case of Child G.

11:43am

He "vaguely" recalls the care of Child G, mainly from refreshing his memory by looking at clinical notes taken at the time.
He tells the court Child G was "quite stable" with a small amount of oxygen support, and the most amount of support was via feeding, but she was not far off going on to bottle feeds each time.
The feeds were 'greater than normal' to help Child G gain weight, as she was, at 1.985kg, a little underweight, and it was so Child G could go home without requiring naso-gastric tube feeds.
Dr Harkness confirms 'things were going in the right direction, generally', for Child G.


11:47am

For September 7, 2015, Dr Harkness notes the observations at the time of the event.
He said he was on a day shift and was informed of the 'sudden desaturation' during the handover.
He said sepsis 'was the most common' thing to think about whenever a baby has a desaturation, so Child G would have been treated for that.
Chest x-rays were also a common test to carry out.


 
  • #468
By "not just any random baby", I meant that there were babies that were in her care that she had easy accesss to that she apparently didn't target, in favour of allegedly targetting other babies that she wasn't the designated nurse for. Of course, if guilty, that may be to do with not wanting it to look too obvious by targetting her own designated babies, or wanting to be in room 1 to recreate the circumsatnces of the first known death. But some babies she allegedly targeted repeatedly regardless of whose designated babies they were or which room they were in so it seemed to be more about those specific babies rather than where they were or how easily accessible they were. It just seems ot suggest that, if guilty, that there was something more going on than just wanting to target a baby in line with Factitious disorder imposed on another (FDIA).
I understand, and I agree that it is quite a riddle, trying to figure why some specific babies would be targeted 2 and 3 times, and others would be cared for normally. Baffling and horrid at the same time. :(

I agree that it could be something as basic as wanting to be in room 1, for accessibility and logistics reasons. And then feeling need to change it up, and purposely choose babies not in her immediate care, to avoid suspicion.

And also someone would likely choose the weakest, or most premature infants, so it could look more like it occurred naturally.

But even with that riddle, I still think it is quite possible that the underlying motive is that seen with FDIA----the compulsive, overwhelming, irrational need to get sympathy and attention from physicians and coworkers, etc, by creating fatal circumstances surrounding one's helpless patients.
 
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  • #469
11:56am

The oxygen levels for Child G were "still dropping every now and then", with the heart dropping also, and she was "not doing particularly well with her breathing, despite being ventilated".
During the daytime observation, the mean blood pressure for Child G was "low", despite being on medication to increase that, which Dr Harkness says was "worrying".
Child G's heart rate was 200bpm, which was high, and the urine output was very low.
The blood test taken for sepsis "was not an exact science"; the readings were "not alarming" but "difficult to take in isolation", the court hears.

12:02pm

Among the 9am plan for Dr Harkness on his notes, was 'discuss with tertiary centre' - as Child G was "so unwell".
A follow-up note from 10am showed Child G's blood pressure had risen to a normal level, a low carbon dioxide level, and the blood gas reading showed a high pH number of 7.646 and a high lactate number.
The plan was to decrease the ventilation support and repeat the blood gas in 30 minutes.
Dr Harkness says Child g was "incredibly sick", had stabilised by 10am, but still "incredibly sick and we were worried about her at that time".
He says the situation had improved but Child G needed a lot of support and was "not out of the woods at that point".
He said the blood test was inconclusive, and could not recall why aspirations was on his list, and there was nothing on his record that could 'conclusively' say it was sepsis or some other diagnosis.


 
  • #470
12:08pm

Mr Myers, for Letby's defence, asks Dr Harkness if he agrees that a sudden deterioration for Child G is 'not uncommon'.
Dr Harkness says it is "very rare" in a stable, term baby.
Mr Myers refers to Dr Harkness's statement to police in 2018, in which he said for September 7, 2015, at 9am: [Child G] had a deterioration - which is not uncommon'
Dr Harkness says in his years of subsequent experience, he has seen considerably fewer sudden collapses.
At the time of the statement in 2018, he had had seven years experience.
He says as a point of generalisation, it was "not uncommon", but in term babies, it was 'uncommon', now he has had further years of experience and context.
Mr Myers says in Dr Harkness's statement to police, the deterioration 'was no surprise to him' as it was relatively common, as there was a risk of infection in such babies.
Dr Harkness says with further years, he has seen it "less and less", and would no longer hold that view.
He says at the time, he felt it was relatively common, from his time in Chester.

 
  • #471
12:25pm

The court is resuming after a short break.
Senior nurse Christopher Booth is now being called to give evidence. He was employed at the Countess of Chester Hospital in 2015, and would sometimes be employed as a shift leader in the neonatal unit.
He confirms he recalls Child G was an "extremely premature baby" who was approaching her 100th day milestone.
He said: "We knew her well, we knew her family well."
He says Child G was making good progress and establishing feeds, sometimes via a naso-gastric tube and sometimes by bottle.
Philip Astbury asks if there was anything Mr Booth can recall about the time approaching Child G's 100th day.
He says it is a big milestone for babies on the unit.
He tells the court: "We do make a big thing about it - it's an important event, we make banners for the family, one of the staff members brings in a cake for the family to celebrate."

 
  • #472
12:08pm

Mr Myers, for Letby's defence, asks Dr Harkness if he agrees that a sudden deterioration for Child G is 'not uncommon'.
Dr Harkness says it is "very rare" in a stable, term baby.
Mr Myers refers to Dr Harkness's statement to police in 2018, in which he said for September 7, 2015, at 9am: [Child G] had a deterioration - which is not uncommon'
Dr Harkness says in his years of subsequent experience, he has seen considerably fewer sudden collapses.
At the time of the statement in 2018, he had had seven years experience.
He says as a point of generalisation, it was "not uncommon", but in term babies, it was 'uncommon', now he has had further years of experience and context.
Mr Myers says in Dr Harkness's statement to police, the deterioration 'was no surprise to him' as it was relatively common, as there was a risk of infection in such babies.
Dr Harkness says with further years, he has seen it "less and less", and would no longer hold that view.
He says at the time, he felt it was relatively common, from his time in Chester.

That^^^ could be a problem, the way Dr Harkness initially answered the police questioning how common 'deterioration' is in a newborn.

His answer is reasonable, but could still create juror doubt. I guess the most important thing for the jurors now would be to have the state and the defense supply statistics to answer that question objectively.
 
  • #473
12:30pm

Mr Booth is shown the shift layout for the September 6-7 night shift, in which he was looking after a baby in one of the neonatal unit rooms that night.
He recalls, from his memory and what he has read from his statement, a call being put out when Child G had a "sudden deterioration", and her "colour was poor", at 3-3.15am.
He said he was not aware of the projectile vomiting incident earlier that night, and that was ascertained later.
He said he was there to help in the resuscitation efforts, having been 'quite peripheral' in the incident.

12:32pm

"A verbal call to seek assistance" was made at 3-3.15am. Mr Booth entered the nursery and saw Child G was being given breaths via a Neopuff device and oxygen support.
He says Lucy Letby was there along with another nurse, and a senior house officer, and an urgent call for the consultant Alison Ventress was put out.
'Rescue breaths' were being given to Child G. Mr Booth says he cannot recall who was administering these. He recalls after 10 minutes, it was "prudent" to move Child G into nursery room 1, which had more suitable equipment and was "more suitable" to treat "sicker babies".

12:34pm

He tells the court he assisted in the transfer of Child G to room 1.
He recalls he was aware of more apnoea episodes for Child G that night, but as he was happy with who was looking after Child G, he 'took a step back' from personal invovlement.
He says Lucy Letby was among the dedicated nursing staff for Child G.

12:37pm

Mr Myers KC, for Letby's defence, says he has no questions to ask of Christopher Booth.

12:43pm

Nicholas Johnson KC, for the prosecution, recalls medical expert Dr Dewi Evans to give evidence, for Child G.
Mr Johnson reminds the jury this part of the case is for the first attempted murder charge on Child G (of three; the other two allegedly taking place on September 21, 2015).

12:47pm

The court hears Dr Evans has written several reports in respect of this case, the most recent being in September 14, 2022.
Mr Johnson refers to a report Dr Evans made in May 2018.
Child G was born at Arrowe Park Hospital on May 31, 2015, and two weeks later was examined via a cranial ultrasound to identify if there was any bleeding on the brain.
Dr Evans says this is carried out routinely, and the absence of any bleeding on the brain was a very encouraging sign.
The court hears Child G had been born "exceptionally early".
Dr Evans said in his report that gestational age of 23 weeks and six days was "at the limits of viability".

12:50pm

Dr Evans explains the type of IV access that was given to very premature babies such as Child G.
A follow-up ultrasound on June 30 showed no bleeding on the brain for child G, and was "very satisfactory", Dr Evans explains.
Child G was transferred to the Countess of Chester Hospital in August 2015. At the time of her discharge, Dr Evans said she was "stable", with known chronic lung disease which required oxygen breathing support, and CPAP.
Dr Evans: "It was the standard management of babies when they have chronic lung disease."

12:52pm

For the first couple of weeks at the Countess, Child G required 28-31% oxygen.
A follow-up ultrasound showed "nothing concerning", and Child G had normal observations, requiring medicines which were common for premature babies, such as Gaviscon and supplemental sodium and iron.
"All was well and her oxygen saturation was 95% which was very satisfactory".

12:58pm

Dr Evans says Child G's observations were "very satisfactory" at the Countess of Chester Hospital in early September 2015.
Child G's condition was getting "even better" with oxygen breathing support being weaned off.



 
  • #474
Talking of "demeanour" -
it reminds me of a humble electrician working looong hours in hospital morgue, I bet never complaining of overtime.
So hard working and dedicated.

Yes, the the "morgue rapist" and "bedsit murderer" - caught, umm..., about 30 years later.

David Fuller.

I believe that we can never know what others are up to judging simply by appearances or even usual behaviour.
After all, "secret life" seems to be the domain of criminals.

Moo

Well this I agree to because also people took to the streets in protest when Harold Shipman their beloved local GP was first arrested. Jimmy Savile was knighted by the Queen, gave marriage guidance counselling to Prince Charles, had the keys to a prison, and was given free access to hospitals as well as having a huge hit TV show.

However, there is a difference, they are men, not women, who abused and exploited their positions of trust to gratify something demonic. That is not usually a trait of women. Time will tell. We have time to see how this all unfolds. I am curious to see. I'm still a fence sitter.

For now, LL's persona is being with-held, possibly deliberately, so we have no picture of her character, she's a blank slate. Which is quite interesting as she's also so incredibly 'neutral' in every aspect of appearance.

What interests me about that is my knowledge of psychological processes - that when one is presented with a neutral blank person, all thoughts, feelings, and ideas one makes about that person are in fact 'assumptions' or 'projections' or 'fantasies' or 'narratives' in terms of psychodynamics. It's unusual to be presented with such a blank object in such a case.

We will hear a lot more about her in the months to come but the only thing we have thus far as clues is her text messages and we all know how texts can be hard to word in the best tone etc.

My only real point in any of this is anyone saying she's benefited from being 'beautiful' or 'attractive' or 'charming' or 'white western woman' then I personally don't agree. IMO she's so middle of the road Plain Jane averagely normal it's almost unbelievable and god forbid she hasn't perpetrated these crimes then her life is absolutely destroyed.

Just my thoughts. IMO JMO. I believe in justice and truth and it will come out, no doubt.
 
  • #475
double post
 
  • #476
I've seen this reference to LL's "studying for years" more than once now and I really don't get why that would be seen as a reason for her not have commited the alleged crimes. Especially bearing in mind that over 50% of young people in the UK go to university now, and "study for years". That doesn't mean none of them are capable of commiting "henious acts"

And the working long shifts... it's part of the job. It doesn't set her apart from any of the other nurses or doctors working at the hospital . Could none of them be guilty of this kind of crime either, just because they work long shifts? It wouldn't be unprecedented for a nurse or doctor to have worked long shifts, studied for years AND commited horrible crimes against the patients they were supposed to be looking after.

As for her being a decent all round person who nobody has a bad word to say about. We have no idea if that is the case and you could say that a doctor saying that she stood over a baby doing nothing as their oxygen level dropped, and a shift supervisor sayig how they had to repeatedly tell her to leave the room that a recently bereaved family were in, is hardly nobody having a bad word to say about her. We don't tend to hear any negative stories in the press from people who knew the acccused, unless they're found guilty. Maybe there are no negative stories about LL, maybe there are. We don't know at this stage and unless she's found guilty we may never do.

Only reason I say that is usually criminally minded people don't have the emotional, psychological, mental capacity to stick with one thing and follow it through for years and years. Not because they're stupid. Many are way above average intelligence. They often get bored quickly, they move on quickly, they're on the lookout for getting their needs met in the next place. There is a lot to be said for the emotional fortitude and psychological stability of anyone who studies hard at school, then college, then university, then gets a good job, then works hard every day. Who knows... we shall see but having a solid track record is not the usual sign of a criminal in any context. There are other contexts.

As for being a decent person, we don't know enough just now but when the story first broke there were a few comments in the mainstream media that she was lovely, friendly, normal etc - neighbours, colleagues, and ex boyf family if I recall correctly (sorry can't quote links), may be mistaken of course. Obv any new stories would be held back now and we will find out more. Certainly new stuff is creeping out from colleagues, notable the manager having to ask her several times or whatever it was. We shall see.

I'm a fence sitter for now. I believe in truth and justice and that we will see that in this case undoubtedly.
 
  • #477
Well this I agree to because also people took to the streets in protest when Harold Shipman their beloved local GP was first arrested. Jimmy Savile was knighted by the Queen, gave marriage guidance counselling to Prince Charles, had the keys to a prison, and was given free access to hospitals as well as having a huge hit TV show.

However, there is a difference, they are men, not women, who abused and exploited their positions of trust to gratify something demonic. That is not usually a trait of women. Time will tell. We have time to see how this all unfolds. I am curious to see. I'm still a fence sitter.

For now, LL's persona is being with-held, possibly deliberately, so we have no picture of her character, she's a blank slate. Which is quite interesting as she's also so incredibly 'neutral' in every aspect of appearance.

What interests me about that is my knowledge of psychological processes - that when one is presented with a neutral blank person, all thoughts, feelings, and ideas one makes about that person are in fact 'assumptions' or 'projections' or 'fantasies' or 'narratives' in terms of psychodynamics. It's unusual to be presented with such a blank object in such a case.

We will hear a lot more about her in the months to come but the only thing we have thus far as clues is her text messages and we all know how texts can be hard to word in the best tone etc.

My only real point in any of this is anyone saying she's benefited from being 'beautiful' or 'attractive' or 'charming' or 'white western woman' then I personally don't agree. IMO she's so middle of the road Plain Jane averagely normal it's almost unbelievable and god forbid she hasn't perpetrated these crimes then her life is absolutely destroyed.

Just my thoughts. IMO JMO. I believe in justice and truth and it will come out, no doubt.
When you wrote about this Shipman guy and ppl protesting in the street on his behalf I immediately thought of the almost identical situation in my country -
when a well known and highly respected boys' choir conductor was accused of SA against the boys.

This shows how twisted criminals are good at creating their "official image" fooling those around them.

Oh, and I would not differentiate between men and women.

And I also believe in Truth and Justice :)

Moo
 
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  • #478
1:02pm

The observation for the shift of September 6-7 is shown to the court.
The respiration rate is 'normal', with readings normally marked, in the three-hourly observations up to 2am. He says he is not sure why the individual readings have a cross and circle marked for the hourly observations afterwards, but suspects that is because Child G was on ventilation support.
The oxygen saturation readings are "very stable" up to 2am, with the baby girl's readings "as stable" as they were in previous days.
A mixture of medications is recorded on the intensive care chart for 4am onwards.


 
  • #479
Only reason I say that is usually criminally minded people don't have the emotional, psychological, mental capacity to stick with one thing and follow it through for years and years. Not because they're stupid. Many are way above average intelligence. They often get bored quickly, they move on quickly, they're on the lookout for getting their needs met in the next place. There is a lot to be said for the emotional fortitude and psychological stability of anyone who studies hard at school, then college, then university, then gets a good job, then works hard every day. Who knows... we shall see but having a solid track record is not the usual sign of a criminal in any context. There are other contexts.

As for being a decent person, we don't know enough just now but when the story first broke there were a few comments in the mainstream media that she was lovely, friendly, normal etc - neighbours, colleagues, and ex boyf family if I recall correctly (sorry can't quote links), may be mistaken of course. Obv any new stories would be held back now and we will find out more. Certainly new stuff is creeping out from colleagues, notable the manager having to ask her several times or whatever it was. We shall see.

I'm a fence sitter for now. I believe in truth and justice and that we will see that in this case undoubtedly.
BBM

The job with the highest amount of psychopaths is CEO. One of my earlier examples, Russell Williams had 23 years in the air force and was extremely well regarded, respected and was trusted to fly Queen Elizabeth.

The one thing I learned during my degree was that the idea most serial killers are outwardly "crazy" or creepy is not true. Some people will work hard to get into careers which come with a lot of respect as they like the feeling of it.
 
  • #480
2:06pm

The trial is now resuming following a lunch break.
Dr Dewi Evans will continue to give evidence.

2:12pm

Dr Evans agrees that Child G was in a satisfactory condition, prior to the events of September 7, 2015.
Dr Alison Ventress's notes from the early hours of September 7 are shown to the court, describing Child G's projectile vomit at 2.35am, purple and distended abdomen, and increased oxygen requirement. 'Red in face and purple all over'.
Dr Ventress noted Child G had 'gone apnoeic and dusky', and upon additional breathing support, the oxygen saturation levels went up and the baby girl was taken to nursery room 1.


 
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