Just copying over BBC Tweets for the morning
https://twitter.com/MrDanDonoghue
I'm back at Manchester Crown Court this morning where Lucy Letby's murder trial is due to resume. Court hasn't sat since mid-December, first due to the Christmas break and secondly due to juror absences. We're first expecting to hear from medical experts in relation to Child G.
Prosecutor Nick Johnson is on his feet and is reminding the jury of the circumstances of Child G. Ms Letby is accused of attempting to murder the infant three times at the Countess of Chester Hospital in September 2015
The prosecution alleges Ms Letby overfed Child G with milk through a nasogastric tube or injected air into the same tube. The nurse denies all charges.
Medical expert Dr Dewi Evans, who was asked to review the case by Cheshire Police, is now in the witness box
Dr Evans is taking the court back over an incident from 21 September 2015. At around 10:20am, Child G projectile vomited twice and her blood saturations fell to 30%. Dr Evans says this is 'very, very low and life threatening'
The court is shown Ms Letby's nursing note from that morning: 'At 10.15 x2 large projectile milky vomits, brief self resolving apnoea and desaturation to 35% with colour loss. NG tube aspirated'. Letby had given Child G a feed at 9am, the note recorded.
Dr Evans says in his professional opinion, Child G was given 'far more milk during her NG feed' than the planned 40ml. He said 'if you had been given 40ml of milk then it would not explain how she had two large projectile vomits and still 30ml of milk left in her stomach'
He says in his conclusion, Child G had received an 'excessive amount of milk' and 'that caused this episode'
Ben Myers KC, defending, puts it to Dr Evans that this was a 'relatively brief and self resolving event'. He disagrees, saying it was 'much worse than that'. Mr Myers quotes a doctor who was present at the time and described it in that way, Dr Evans disagrees with that assessment
Dr Sandie Bohin, who reviewed Dr Evans' findings, is now in the witness box
Dr Bohin agrees with Dr Evans' assessment, she says that the 'feed at 9am that was given via a NG tube was in excess of 40ml'. She says it is a matter of 'simple arithmetic' - given the amount of milk (30ml) left in her stomach and the two projectile vomits
Dr Bohin says the events of 21 September were 'strikingly similar' to another vomiting event on 7 September, she says they were 'almost identical'
Mr Myers, defending, is taking the court through Child G's medical notes from the days and weeks after 21 September which show further vomiting events. He puts it to Dr Bohin that there 'is a pattern of large vomits'
Dr Bohin says the 'difference is these were not projectile vomits that caused her to be clinically compromised'
Mr Myers pulls up a note from 15 October which notes Child G had 'projectile vomit quite large in size'...Dr Bohin says she has reviewed many of Child G's feeding records and says she 'missed' that incident of projectile vomiting
Prosecution is now reading a summary of Ms Letby's police interview in relation to Child G. On the infant's collapse on 21 September, she had a 'vague' recollection of that day - 'which was a busy shift'
Ms Letby said there 'had been no issue with her 9am feed' and could not remember the vomits recorded in her notes
Ms Letby said she 'had not overfed or administered air to Child G and denied intentionally harming her'
Asked about making numerous Facebook searches for Child G's mum, she said she 'couldn't remember having done that'
That brings to an end the case of Child G. We're now moving on to Child H. Ms Letby is accused of attempting to murder the infant, twice at the Countess of Chester Hospital in September 2015.
Court having a 10minute break - after which statements from the parents of Child H, who survived, are due to be read. Both parents are in court.
Happy to be back at it!
www.herefordtimes.com
