UK - Nurse Lucy Letby, murder of babies, 7 Guilty of murder verdicts; 8 Guilty of attempted murder; 2 Not Guilty of attempted; 5 hung re attempted #36

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  • #881
An open mind is always a positive trait to possess and I agree with your argument re whether or not the conviction is safe .
I also think while experts are arguing the toss of whether statistics and certain aspects of the medical evidence were factually presented to the jury your average Joe Public is going to assume this means Lucy is innocent or at the very least wasn't given a fair trial .

But to me this is not a black and white affair .There is a grey area. By this I mean the sum of all evidence. The balance of probabilities. How much of the other evidence do we disregard and put it down as morbid fascination . Is the definition of morbid fascination defined within the scope of the individuals lust for the macabre . Does this personality trait allow us to just excuse behaviour as a hobby .surely we could debate that all serial killers have morbid fantasies . Or does the inclusion of this type of behaviour point towards a person whom was present being more guilty than a person whom was present that doesn't have this fascination.

I don't know every last detail of the case but in my mind .The families have been through enough without experts looking at the case as some form of peer review paper study . I don't think their interest is solely based on proving a condemned woman innocent tbh

I feel letby implicated herself towards a guilty verdict by having such a seemingly fanatic interest in the dead babies files and families and her alleged collection of "mementos " or trophies whichever label you want to put on them ,Gave the medical theories weight . Her actions and lack of emotion towards the babies deaths in court and beforehand also lend credence to her guilt .

I personally cannot understand how the only time she shed a tear was when her doctor lover spoke and it speaks volumes as to what was her priority which was to gain attention from this man .Did she kill the babies so she could be around this doctor more often than was permitted if things were running smoothly? Lucy seems quite immature. Creating drama to see a person whom we lust after is not unheard of in the realms of teenage behaviour. Did Lucy just step this behaviour up a notch ?

I'm interested in the findings of the current investigation into the hospital in Liverpool. I think the outcome of this may sway the public opinion as to whether they think Lucy is guilty or innocent.

In the absence of compelling medical evidence does all the other factors of the case stack up to a guilty verdict . The babies died when they should have survived. Did babies die when Lucy stopped working there or when she was moved to another area of the hospital or when she went on holiday ? There is many ways of summing up a person's guilt . You don't have to prove the medical evidence is 100% bona-fide. You just have to prove the person is guilty beyond reasonable doubt and Lucy imo left little to doubt
<modsnip - not approved sources>

I've been looking hard to disconfirm my priors but the harder I look, the more I'm convinced that her conviction is not only unsafe but that she is not guilty beyond a reasonable doubt on the evidence they used to convict her.
 
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  • #882
There was massive gastric dilation and ballooning of the stomach when child C died.



Nick Johnson KC says baby C had massive gastric dilation and ballooning of the stomach when he collapsed.
He asks: "For some reason a heart rate was restored and he clung to life for a further five hours plus.

Lucy Letby trial live: I did not enjoy seeing babies in distress, nurse says

Mr Johnson says Child C came off CPAP 12 hours before his collapse, and "did so well" after kangaroo care he was put on to Optiflow, a 'much less invasive method of breathing support, and his NG Tube had been aspirated shortly before his collapse, and no air was found.
Dr Marnerides described "massive" gastric distention, using the word "ballooning".

NJ: "She started the interview process by lying about where she was and the reasons for being in room 1"
Child C had "massive ballooning of the stomach" and "it's obvious what happened" even without the context of the other cases.
NJ: "It's as plain as the nose on your face that Lucy Letby must have injected air down the nasogastric tube [into Child C].
"It was one of her favourite ways of trying to kill children in this case."

Recap: Lucy Letby trial, June 21 - prosecution closing speech

Dr George Kokai carried out a post-mortem examination for Child C. He noted a distended colon, which Dr Marnerides said was "not an abnormality". He said the potential complication was a twisted colon that would lead to "obvious" symptoms of pain.
There was evidence of "acute pneumonia". Dr Marnerides said one could die of pneumonia or with pneumonia. He said the former was plausible, but upon hearing further clinical evidence, he reviewed his opinion. He said babies dying of penumonia experience gradual deterioration, which was not the case here. He said he revisited the cause of death, viewing images of a distended stomach, and no evidence of NEC.
Prof Arthurs said the small bowel was dilated. Dr Marnerides observed a dilated stomach and bowel, and noted Child C had been off CPAP for over 12 hours. No air had been obtained from aspirates before the collapse. He had never known CPAP belly being the cause of an arrest in a baby in his years of experience.
He said, in his opinion, the cause of Child C's collapse was of excessive air administered into the stomach via the naso-gastric tube.

Recap: Lucy Letby trial, July 3 - judge's summing up

The various counts and the mechanism alleged for the babies concerned, are set out in the table below.

Count Baby Charge Date of death/collapse Mechanism

3 - C - Murder - 14 June 2015 - Air via nasogastric tube

https://www.judiciary.uk/wp-content/uploads/2024/07/R-v-Letby-Final-Judgment-20240702.pdf
In Dr Evan’s court transcript for baby c- he said he believed air had been injected into baby c by NGT and it could be seen on the Xray, at that point he was unaware until in court that the xray was from the 12th- he then had to back track
 

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  • #883
She had her chance while being on the stand during the trial.

It was the time to discuss and explain everything.
To defend herself, to show her point of view,
to convince the Jury of her innocence.

To clarify issues concerning the notes, documents taken home, FB searches, behaviour towards parents, dead Babies
and many, many other things.8

It is privilege to be able to show one's perspective to Jurors,
to fight for good name.

To fight for non guilty verdict.

I don't think LL took adequate advantage of this.
The Jurors weren't convinced by her.

JMO
You say she never took adequate advantage to show her perspective and convince the jury of her innocence. But what could she have done differently *if* it turns out she's actually not guilty? Not much, I would imagine. I don't think there's much anyone falsely accused of being a multiple child murderer could do on the stand during a trial to demonstrate their innocence. Not when 1) The only medical experts are called by the prosecution and in the eyes of most jurors this surely amounts to a bias given that they're completely unqualified to assess it 2) The admissibility of a statistical abomination of a chart that surely swayed said jurors as it still continues this day to sway people in spite of a whole raft of admonitions not to give any special credence to 'coincidences' since these 'coincidences' were entirely constructed out of incomplete data and indeed could be constructed to frame you or me or anyone else as responsible for a random spike in deaths. Which is what we're trying to determine. I don't think there's anything anyone could do in those circumstances to convince people of their innocence. Which is why such evidence is less important than direct or medical evidence or clear errors like the statistical basis for her investigation. An innocent person disputing or getting their timings mixed up of events which occurred years before is not 'lying' simply because the prosecution characterises it as so.
 
  • #884
so where does the cliam that she was on duty come form as i have 2 sources to say she wasnt

i certanly take issue with Dr. Evens as he contradicted himself in interviews several times

its also rather odd for an expert witness to contact the police and ask to be involved in the case its normal that the police contact the expert not the other way around
Seriously, your points do not seem to make any sense. Try and take the advice other posters have offered instead of making a show of yourself.

Its not even in contention that Letby had the means and plenty of opportunity to harm baby C.
 
  • #885
In Dr Evan’s court transcript for baby c- he said he believed air had been injected into baby c by NGT and it could be seen on the Xray, at that point he was unaware until in court that the xray was from the 12th- he then had to back track
That's got nothing to do with his opinion on baby C's cause of death.

And it was his opinion that the air seen on the 12th wasn't sufficient to cause death.

He tells the court: "However the air went in, it would have been insufficient to splinter the diaphragm on the 12th, as he would've collapsed and died on the 12th."
The air which had gone in was 'insufficient' to cause a collapse. There was 'nothing to suggest' the excess air was enough on June 12.
He says the two events on June 12 and 13 "are quite different" in the way they happened.
Mr Myers said that it was Dr Evans's view, a couple of months ago, there was deliberate harm on June 12.
"That was a possibility, yes it was."
Recap: Lucy Letby trial, Tuesday, November 1
 
  • #886
You say she never took adequate advantage to show her perspective and convince the jury of her innocence. But what could she have done differently *if* it turns out she's actually not guilty? Not much, I would imagine. I don't think there's much anyone falsely accused of being a multiple child murderer could do on the stand during a trial to demonstrate their innocence. Not when 1) The only medical experts are called by the prosecution and in the eyes of most jurors this surely amounts to a bias given that they're completely unqualified to assess it 2) The admissibility of a statistical abomination of a chart that surely swayed said jurors as it still continues this day to sway people in spite of a whole raft of admonitions not to give any special credence to 'coincidences' since these 'coincidences' were entirely constructed out of incomplete data and indeed could be constructed to frame you or me or anyone else as responsible for a random spike in deaths. Which is what we're trying to determine. I don't think there's anything anyone could do in those circumstances to convince people of their innocence. Which is why such evidence is less important than direct or medical evidence or clear errors like the statistical basis for her investigation. An innocent person disputing or getting their timings mixed up of events which occurred years before is not 'lying' simply because the prosecution characterises it as so.
What could she have done differently?

I would suggest not changing what has already been agreed evidence when testifying.

Maybe also, not changing her version of events from what she had previously told police.

When there was a difficult question that might inferior guilt, maybe don't decide that you can't recall.

Maybe don't give a version of events for what happened in one trial and then decide that you can't remember anything about the shift in another trial.

Is it any wonder that every single juror that listened to Letbys testimony across 2 trials decided she was a lair. Or have they all got it wrong?


She misled the jury on multiple occasions. If Letby was innocent she wouldn't need do any of this. The truth doesn't need to be manipulated and adjusted. She was lying

I think I've got more chance of winning the lottery every week than Letby getting out.
 
  • #887
There was massive gastric dilation and ballooning of the stomach when child C died.



Nick Johnson KC says baby C had massive gastric dilation and ballooning of the stomach when he collapsed.
He asks: "For some reason a heart rate was restored and he clung to life for a further five hours plus.

Lucy Letby trial live: I did not enjoy seeing babies in distress, nurse says

Mr Johnson says Child C came off CPAP 12 hours before his collapse, and "did so well" after kangaroo care he was put on to Optiflow, a 'much less invasive method of breathing support, and his NG Tube had been aspirated shortly before his collapse, and no air was found.
Dr Marnerides described "massive" gastric distention, using the word "ballooning".

NJ: "She started the interview process by lying about where she was and the reasons for being in room 1"
Child C had "massive ballooning of the stomach" and "it's obvious what happened" even without the context of the other cases.
NJ: "It's as plain as the nose on your face that Lucy Letby must have injected air down the nasogastric tube [into Child C].
"It was one of her favourite ways of trying to kill children in this case."

Recap: Lucy Letby trial, June 21 - prosecution closing speech

Dr George Kokai carried out a post-mortem examination for Child C. He noted a distended colon, which Dr Marnerides said was "not an abnormality". He said the potential complication was a twisted colon that would lead to "obvious" symptoms of pain.
There was evidence of "acute pneumonia". Dr Marnerides said one could die of pneumonia or with pneumonia. He said the former was plausible, but upon hearing further clinical evidence, he reviewed his opinion. He said babies dying of penumonia experience gradual deterioration, which was not the case here. He said he revisited the cause of death, viewing images of a distended stomach, and no evidence of NEC.
Prof Arthurs said the small bowel was dilated. Dr Marnerides observed a dilated stomach and bowel, and noted Child C had been off CPAP for over 12 hours. No air had been obtained from aspirates before the collapse. He had never known CPAP belly being the cause of an arrest in a baby in his years of experience.
He said, in his opinion, the cause of Child C's collapse was of excessive air administered into the stomach via the naso-gastric tube.

Recap: Lucy Letby trial, July 3 - judge's summing up

The various counts and the mechanism alleged for the babies concerned, are set out in the table below.

Count Baby Charge Date of death/collapse Mechanism

3 - C - Murder - 14 June 2015 - Air via nasogastric tube

https://www.judiciary.uk/wp-content/uploads/2024/07/R-v-Letby-Final-Judgment-20240702.pdf
Cheers T, remember allot of that exact wording now. even that bit from Dr E about the air on the 12th not being enough. I don't mean to be a bother but im wondering if you could please give me a refresh on the lie as per NJ "she started the interview process by lying" even a shortened version would do to refresh.

Reading that letby final judgement brought back allot of horrible feelings for me.
 
  • #888
That's got nothing to do with his opinion on baby C's cause of death.

And it was his opinion that the air seen on the 12th wasn't sufficient to cause death.

He tells the court: "However the air went in, it would have been insufficient to splinter the diaphragm on the 12th, as he would've collapsed and died on the 12th."
The air which had gone in was 'insufficient' to cause a collapse. There was 'nothing to suggest' the excess air was enough on June 12.
He says the two events on June 12 and 13 "are quite different" in the way they happened.
Mr Myers said that it was Dr Evans's view, a couple of months ago, there was deliberate harm on June 12.
"That was a possibility, yes it was."
Recap: Lucy Letby trial, Tuesday, November 1
So there is evidence of potential
deliberate harm by another staff member according to the expert witness.
 
  • #889
Cheers T, remember allot of that exact wording now. even that bit from Dr E about the air on the 12th not being enough. I don't mean to be a bother but im wondering if you could please give me a refresh on the lie as per NJ "she started the interview process by lying" even a shortened version would do to refresh.

Reading that letby final judgement brought back allot of horrible feelings for me.
I'd have to listen to @CS2C 's recording of her police interviews again to refresh my memory, but it may have something to do with this -

Letby is asked why she did not remember Child C in police interview. Letby says she remembered once provided with further details.

Recap: Lucy Letby trial, May 18 - prosecution cross-examines Letby
 
  • #890
So you judge peoples worth based on their appearance?
Affect, I’d say. Body language. Every second article calls Lucy “a nerd”. The article about her and BB in prison calls her odd. I see similarity in Breary. Mainly - these three men, Evans, Breary, Jay put themselves in the middle of the case, out into the limelight. They are celebrities. Fame has consequences.
 
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  • #891
So there is evidence of potential
deliberate harm by another staff member according to the expert witness.
Or there is the possibility she went in on her day off, as she was prone to do, living in the hospital grounds.

Letby says she has been to the unit on days off, such as finishing documentation that hasn't been done in the day, or seeing colleagues who have been on a course.
Letby says a record would be made as the swipe data would record her entrance, as the only way she could get into the unit.

She had looked at Child G's charts, and accepts she was not on duty at that time. Letby said she had been in to finish some documentation.
Mr Johnson tells the court this was a "big day for" Child G, as it was her 100th day. Letby said: "Yeah she's declining bit by bit".
Mr Johnson says there is no record of Letby entering the unit.
He suggests Letby does not need a pass to gain entry to the unit.
Letby says she would need a pass to swipe in, and accepts: "Unless another colleague opened the door for me."
Letby adds if she had a legitimate reason to enter the unit, she would have entry accepted.
Letby is asked why she entered the unit at around 11pm, not earlier that day.
Letby: "It's quieter at night - I don't know, I can't say why I've gone in at night."

Recap: Lucy Letby trial, May 18 - prosecution cross-examines Letby

But another explanation given was CPAP belly.
 
  • #892
I'd have to listen to @CS2C 's recording of her police interviews again to refresh my memory, but it may have something to do with this -

Letby is asked why she did not remember Child C in police interview. Letby says she remembered once provided with further details.

Recap: Lucy Letby trial, May 18 - prosecution cross-examines Letby
was it to do with her account on what she could recall? think she made out she didnt remember anything but she kind of remembered more than what she should have if she didnt remember anything at police interview. to do with sophie ellis saying she was in the room but she grew more insistent on not being in there? kinda muddy really.
 
  • #893
RIGHT, and that is my point. He tried to base the entire verdict upon his interpretation of the medical reports. But everyone agrees that it is not cut and dry. No one can 100% determine if it was natural or malicious in most of these cases.

So we must look at the circumstantial evidence as well. And if the medical doctors cannot say with 100% certainty because they disagree with each other, then what other facts do we have?

If these were ALL natural deaths, why do all of them happen when one particular employee is present? Why do they not happen when she is away?

And if they are all natural deaths, why is one particular employee falsifying her medical logs and trying to create false timelines surrounding some of these deaths?

Why did she call the parents of one of the victims dishonest when they claim their baby was screaming and bleeding at 9 pm? They had evidence to corroborate those claims but Letby doubled down and continued to call them 'either lying or mistaken.' But they were being truthful and that is a big problem for Lucy.

It's a problem because Shoo-Lee says it is a natural death, but 4 other well respected medical experts say it appears to be a malicious death. And if the jury has to decide if it is malicious or natural, and they look at the nurse who was caring for the victims, and they see that she was deceitful and was lying about the circumstances of the deaths, then that is very suspicious.

Especially if there were 27 incidents, and the nurse behaved suspiciously and dishonestly in many of those 27 incidents.

That is Shoo-Lee's opinion about the tube but it is not a proven fact.

And yet it does not really matter because the jury looked at 27 charged incidents and only decided guilt upon the ones that seemed beyond a reasonable doubt.

But that is exactly the problem. They didn't study the whole case. They don't know all of the circumstances.

Just looking at medical reports do not tell the whole truth of the matter. No one can 100% agree by looking at the reports.

Just like in a suicide case. A medical examiner can lean one way or another. But they cannot always know for sure if it was suicide or homicide. That's why they also investigate the surrounding circumstances---any notes left behind?---a troubled life? ---depression or terminal illness maybe?

It's the same thing here with the medical reports. Shoo-Lee cannot with 100% certainty prove that none were malicious actions. And the prosecution cannot 100% prove, just by the medical reports, that none were natural deaths.

So they need to take the investigation into the other circumstances into account as well. If you realise that there was a spike in unexplained, unexpected collapses, that all had odd things in common, that were highly unusual.

And the usual things they tested for in natural deaths did not show up as a common denominator here. But there was one common denominator in one specific employee that was always ever present. AND that employee left some very incriminating notes which seemed to be emotional confessions. And that same employee was found to have falsified some of her medical logs in order to distance herself from some of the incidents. And even lied about some of the logs and timelines, and was sometimes saying things that were in direct conflict with other witness testimonies.

When you look at the whole big picture, and stack up each brick, brick by brick, a wall of guilt is formed, imo.

In the trial we heard hundreds of her texts and DMS to friends and family and coworkers. They were very revealing. We read some of her journal writings, which were also very revealing. If you add it all together, you can see sh has much in common with other Munchausen by Proxy suffers. IMO

You are right. In a well-known case of MA, a young pregnant woman’s death was first deemed “a suicide”. It is only when the police later looked at the camera, they saw her BF leaving.

So in LL’s case, there was no camera to watch her or anyone else. There was no way to trace insulin in that unit. All that existed in terms of technology were card swipes data, and even here LE made a mistake.

And Dr. Jay, who a year ago absolutely remembered when he loooked at his watch, suddenly claims memory loss a year later. Which is scary because all this case is based on subjective opinion of two doctors, and a “professional” trial consultant that was openly proud on how many colleagues he put behind bars. Plus, the information provided by the hospital.

So, fourteen people, neonatologists, consulted by Europe, China, Singapore, Canada, US, WHO…wouldn’t you trust them? This is what “experts” are for. They earned their bread and butter by studying and working hard. They go to COCH. They look through the papers, the information, look at the sanitary state of the unit, they can assess the quality of the work of the doctors and nurses of NICU. And they say, substandard care. They pull out the case when Dr. Jay chose the wrong size of the endotracheal tube. Guess what, they are neonatologists, I trust them. They find out that Dr. Breary lacerated the baby’s liver. Somehow we’ve never heard about it before, have we? They say, colleagues, have you thought of antiphospholipid sybdrome? (No, the colleagues have not, they were chasing Lee’s sign…)

BTW, i don’t feel good at pointing out Dr. Jay’s and Dr. Breary’s mistakes. Every human is error-prone. And the more people work, the more mistakes they make. Statistics.

But why do they deny the same statistic factors in case of Lucy? She was picking up shifts, young, unmarried, eager to buy a house. And if we can wonder if drs. Breary and Jay are “klutzy”, maybe Lucy didn’t have good dexterity. It happens. Perhaps she wasn’t the best nurse, even.

But between saying that she might have not been the best nurse and accusing her of being a killer, there is a huge step.

And here is where my issue lies. The two doctors relied on their feelings. Not on data. It was way post factum. Mostly, Dr. Jay trusts his emotions. Maybe he has sixth sense. Or maybe he erroneously believes he has it. I can’t tell. Personally I suspect that he misinterprets LL’s body language, but… I wasn’t there.

My feeling: the situation was unclear but the public’s opinion had been primed by the media calling Lucy “the killer nurse” before the second trial. That was beyond the pale. This in itself invalidates the case.

Not my place to advise the barristers what to do, but …Dewi Evans is a huge liability. JMO.

Perhaps Dr. Breary and Dr. Jay have to be separated, professionally. It might be the case of a “shared belief” where one follows the other.

As to Lucy. Trace back all the statements, all the witnesses, all changes in depositions, all memory lapses, plus, the relationships in the unit. It is not enough to say that something was thrown out of PCA. If it was, one can’ use it now.
 
  • #894
Or there is the possibility she went in on her day off, as she was prone to do, living in the hospital grounds.
RSFB

Sorry, we can’t accuse people without any proof. “It is possible she went on her day off” is a subjective opinion.
 
  • #895
Doctors, not murder investigators.

Saying what they said is massively unprofessional and an utter insult to everyone involved in the investigation. They should be ashamed, quite frankly. Their professional bodies should be having words, quite honestly.
Agreed, what they’ve done is actually far outside the realms of professionalism. If you believe in the cause, you submit the evidence to the correct professional bodies, you don’t hold press conferences. JMO

The specialists in the trial originally are all also “top doctors”. It’s worth pointing out that reviewing notes and results, particularly if you don’t work in the healthcare system the patients are in, is a long way away from being the doctors dealing with the patients and moreover sadly for doctors to be chairs of committees, and academics, and college presidents, often actually means they’ve given up clinical commitments and on calls to a degree, because there isn’t time to fulfill everything - the most clinically apt physician is usually the one dealing with patients frontline day in day out, and they can spot unusual patterns of behaviour - it’s striking to me how many times a strange rash is mentioned in eye witness cases - if these rashes were simply sepsis or cardiac arrest - they’d be very familiar to nursing and medical staff. JMO

At the countess of Chester, the years before letby started working, there were 2 or 3 deaths a year, this spiked to 13 in the period letby worked, 17 if you include 4 transferred out. All on her watch, or connected to it.

I find it improbable that, that year, all the doctors suddenly forgot or stopped caring about how to care for babies, the infrastructure suddenly crumbled that year, etc the medical staff genuinely believed letby was related to these deaths / whether by incompetence or malice, and wanted her removed from duties (from which point the excess spikes stopped) - they were threatened with GMC, forced to apologise etc it wasn’t like it was an easy option for them, they truly believed she was involved. And if there was a common factor in a quad to quintupling of deaths, whether it’s a person or a certain piece of equipment, it’s owed to patients and their families that is investigated - however unpleasant for an individual. Same way paediatric burn presentations - however plausible - all have to be investigated as potential abuse, even though that might be stressful and unfair for the poor parent who just happened to be in the room at the time! The point is, you’re protecting children.

The other striking thing is, nowhere is it really mentioned in any of the deaths, that these were seriously poorly babies, expected to pass away that shift or already knife edge for a shift or two - in my experience in healthcare, it’s rare a death completely takes you by surprise, you usually know someone is very poorly and deteriorating, especially if there is consistent bedside presence from nurses and daily ward rounds. Of course random incidents do occur, but that’s a minority. All JMO.

As to motive, do we ever know why serial killers do what they do? Some are open, others never reveal their motives. At a basic level, it obviously gratifies them in ways a normal person can’t understand - power, control, the sense of ownership over a life.
 
  • #896
RSFB

Sorry, we can’t accuse people without any proof. “It is possible she went on her day off” is a subjective opinion.
I'm not accusing her, the CPS didn't deem the event to be criminal activity.

A hypothetical crime with a hypothetical answer based on her own words.
 
  • #897
Just think of it. About ten years ago, they were told that their tiny babies didn't make it. Huge grief, but as everyone, they had to cope. Moved on, probably. Then, in 2018, they were told that there was a murderer...a nurse. They had to go through the inquest, remember the nurse, their kids, their deaths... again. Horrible, right? Then the first trial in 2020 ending in a hung jury. Then a retrial in 2023. I assume that most of them were present. Lucy was convicted.
RSBM

This isn't what happened.

Letby's first trial started in 2022 and ended in 2023 with 14 convictions.

She was retried on one count for baby K in 2024 and was convicted, bringing the total to 15.
 
  • #898
Really feeling for the parents of the murdered babies, having to continue to be subjected to this abhorrent nonsense.

Utterly appalling.
 
  • #899
i find it hard to belive that raw sewage would have no affect on the health of a premature baby
you have been REPEATABLY TOLD that their was NO evidence of infection causing any deaths. The 'sewage' evidence was in fact PITIFUL and actually made me wonder whether Letby had deliberately blocked a sink to try to blame stuff on.
 
  • #900

This is pretty serious. MOO, a layman’s one.

These were complicated pregnancies, premature babies; and one wishes the consultants had the chance to look at the OB (delivery) side of the hospital. These days children are seldom born breech, much less footling breech; it is an indication for a C-section. God only knows how such things can even happen. Anyhow, lots of antepartum complications, sick babies, that damning verdict about substandard care.

Specifically, about the doctor inserting the wrong size tube (the one who was so good at remembering the time, if I am not mistaken): “the consultant didn’t understand the basics of resuscitation, air leak, mechanical ventilation and how equipment that were commonly used in the unit work, e.g., Neopuff and capnograph.”

Another case, “likely a preventable death”. The doctor did not respond to surveillance warning about S.maltophilia and did not treat the baby with antibiotics. (That was a pathogen that grew in her enfotracheal tube). WOW! I wonder who that doctor was.

The C-peptide situation is interesting. I would recommend people to read about. The way I understand the explanation of the experts: Yes, low level of C-peptide can indicate exogenous insulin, but not in preterm infants. Less than 30 weeks; I would guess, the baby had underdeveloped pancreas (that produces both insulin and C-peptide). But the explanation about persistent hypoglycemia is more interesting and requires attentive reading.

I understand that it is all hard to interpret given that it is such a busy unit. But, if the consultant doesn’t understand the basics of resuscitation, maybe it is easy to understand why he accused the nurse of killing babies? Not because he wanted to cover up own inadequacy, but because he sincerely didn’t realize that he was that bad?

All I can say, again, as a layperson, whoever allowed that NICU to be level II made a big mistake. And perhaps this is where the NHS and the COCH’s administration were wrong: they pushed for certifying as level II the NICU that was not equipped to work as such.
 
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