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Moreover JMO but if a child is sick with pneumonia, there is evidence they are doing poorly before they have a collapse or cardiac arrest - many cases of infection were reviewed and screened out from being brought as criminal charges. This was a baby the existing investigators did not feel had a well explained collapse. JMO but consistent unexplained collapses on a single caregiver is a huge red flag for abuse and absolutely deserves the weight it was given in court - that is a recognised red flag in multiple guidelines in child health.
Also just my own opinion on Shoo Lee, many may disagree, but I don’t think anyone had really heard of shoo Lee or even his paper before he started arranging press conferences. It was already discussed at length in the trial that a) even in shoo Lee paper only 10% of air embolus cases had a rash b) other features of the diagnosis were related to refractory resus or abrupt onset c) air was found in the vascular tree of some babies on scans without good alternate cause. Thus the Lee paper was not the sole guide by which air embolism was suspected, and the appeal review was clear about this hence why it was rejected. But shoo Lee could not leave alone and had to stage this ridiculous intervention “to clear his name” when he was never a pivotal part of the process, it’s really quite cringeworthy to myself. One really has to be careful with non practising, titular, individuals - he has specifically gone for illustrious credentials on his self assembled panel (no selection bias there right?) because he knows what appeals to the lay person. They aren’t experts in the way the countess was run, they haven’t convinced me why this spike in poor care occurred 2015-2016 only, they aren’t experts in the state of the nhs, they never met or cared for the babies alive - the number of times an in person review changes your impression from what’s on paper…in all aspects of life. I may not agree with all the tv conduct of the other doctors at all either but that doesn’t change that my gut is to go with the people who knew the unit and felt something inexplicable was happening. For me personally shoo Lee just is really just trying to give himself some relevance, despite Court processes already examining and dismissing his “new evidence”, he’s turned to the court of public opinion.
I am not sure what mrsa has to do with the Letby cases and that may be my ignorance - did babies have positive blood cultures with mrsa? Again even if so the collapses described don’t clinically fit with sepsis.
I am fairly sure if one wanted, one could assemble 14 experts to say the cases selected couldn’t exclude murder, easily enough. The medical evidence wasn’t the only evidence used to convict Letby and much of it, with the totality of various testimonies, texts, notes, swipe data etc, she was found guilty across a number of deaths. In my heart I’m comfortable that thT is the right decision - and doesn’t mean there were poor systems or understaffing at the CoC, just that in a functioning system she wouldn’t have got away with it for as long.
Will be interesting to see what further charges will be brought etc
All JMO
as linked in my other post, respectfully, colonisation of an ET tube is absolutely not the same as pneumonia or systemic infection - Ventilator associated pneumonia is insanely difficult to diagnose as linked in my OP and I am intrigued to hear why you should be so certain when global medical entities cannot find decent sensitive and specific criteria after decades of attempts - it truly isn’t so simple.If Dr. Shoo Lee doesn’t want his study to be used for nefarious reasons, doesn’t want his name to be linked with the conviction he obviously doubts, how is it “me, me, me?” And, he brought a huge panel of doctors, each of whom can speak for themselves. One is a well-known one from Harvard. It is what’s called “teamwork.”
If we start accusing Dr. Lee of being “me, me, me”, of Dr. Ravi Jay’s name pops up again. He uses “me” all the time on TV, but that’s not the problem…
Recently, Dr. Jay compared his current situation to past experience of being in a personally abusive relationship. On TV, no less. Dude, I wanted to say, you are not the victim here, don’t even compare yourself to these parents!
Worse, IMHO. After the trial Drs Jay and Breary were posturing as the whistleblowers persecuted by NHS. Think of it. I support NHS; I think it is a good system. But, NHS is struggling financially, and does need help. Drs. R@J, employed by it, IMHO, don’t seem to care about its sustainability nor the future of free healthcare in the UK. It is all so self-serving. (Here. I said it). I understand the feelings of the Brits. I, too, would stand for imperfect, but fair system. But, remember what brought the eminent Canadian neonatologist there. He came to get his answers in a true crime case.
Now about nosocomial infections. We know about them. Staph aureus, the famous pest of delivery and maternity wards. (Pseudomonas aeruginosa is an overkill, though. Nasty stuff.)
However, the question is not about nosocomial infections. The question is that if it was shown to colonize a very preemie baby’s ETT, it was likely in her tracheobronchial tree. That called for antibiotics in a frail baby with low immunity, but it was missed. (Like, Staph aureus is often in a maternity ward, but if you see it around the navel of the neonate, you give antibiotics).
Same with Streptomonas maltophilia. The problem is not that it is film-forming. The problem is that mortality rate from it is close to 38% and antibiotics should have been immediately prescribed. Yet no one caught it but they blamed Lucy for the baby’s death.
Moreover JMO but if a child is sick with pneumonia, there is evidence they are doing poorly before they have a collapse or cardiac arrest - many cases of infection were reviewed and screened out from being brought as criminal charges. This was a baby the existing investigators did not feel had a well explained collapse. JMO but consistent unexplained collapses on a single caregiver is a huge red flag for abuse and absolutely deserves the weight it was given in court - that is a recognised red flag in multiple guidelines in child health.
Also just my own opinion on Shoo Lee, many may disagree, but I don’t think anyone had really heard of shoo Lee or even his paper before he started arranging press conferences. It was already discussed at length in the trial that a) even in shoo Lee paper only 10% of air embolus cases had a rash b) other features of the diagnosis were related to refractory resus or abrupt onset c) air was found in the vascular tree of some babies on scans without good alternate cause. Thus the Lee paper was not the sole guide by which air embolism was suspected, and the appeal review was clear about this hence why it was rejected. But shoo Lee could not leave alone and had to stage this ridiculous intervention “to clear his name” when he was never a pivotal part of the process, it’s really quite cringeworthy to myself. One really has to be careful with non practising, titular, individuals - he has specifically gone for illustrious credentials on his self assembled panel (no selection bias there right?) because he knows what appeals to the lay person. They aren’t experts in the way the countess was run, they haven’t convinced me why this spike in poor care occurred 2015-2016 only, they aren’t experts in the state of the nhs, they never met or cared for the babies alive - the number of times an in person review changes your impression from what’s on paper…in all aspects of life. I may not agree with all the tv conduct of the other doctors at all either but that doesn’t change that my gut is to go with the people who knew the unit and felt something inexplicable was happening. For me personally shoo Lee just is really just trying to give himself some relevance, despite Court processes already examining and dismissing his “new evidence”, he’s turned to the court of public opinion.
I am not sure what mrsa has to do with the Letby cases and that may be my ignorance - did babies have positive blood cultures with mrsa? Again even if so the collapses described don’t clinically fit with sepsis.
I am fairly sure if one wanted, one could assemble 14 experts to say the cases selected couldn’t exclude murder, easily enough. The medical evidence wasn’t the only evidence used to convict Letby and much of it, with the totality of various testimonies, texts, notes, swipe data etc, she was found guilty across a number of deaths. In my heart I’m comfortable that thT is the right decision - and doesn’t mean there were poor systems or understaffing at the CoC, just that in a functioning system she wouldn’t have got away with it for as long.
Will be interesting to see what further charges will be brought etc
All JMO