Lucy Letby Case #43

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I had an endocopy without sedation which is a fairly hefty tube and it wasnt pleasant. I gagged a fair bit and was sick a couple of times so plenty of throat trauma but I didn't bleed so goodness knows what force or poking is needed to make it bleed with feeding tube. Which I've also had and its alot smaller
Actually breaks your heart thinking about it doesn’t it, thank you for your reply. Seems very likely that was the method she used along with the mothers statement of the baby screaming😔xx
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If it was a NG or OG feeding tube she was referring to then no it wouldn't be possible. She used some other instrument to cause the bleeding.
Ah okay thanks Deleted 💔💔💔💔 doesn’t even bare thinking about how xx
 
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Actually breaks your heart thinking about it doesn’t it, thank you for your reply. Seems very likely that was the method she used along with the mothers statement of the baby screaming😔xx
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Ah okay thanks Deleted 💔💔💔💔 doesn’t even bare thinking about how xx
I just feel the anger rise whenever I think of these little details. She's a monster.
 
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Actually breaks your heart thinking about it doesn’t it, thank you for your reply. Seems very likely that was the method she used along with the mothers statement of the baby screaming😔xx
It's truly awful. I don't think see can have seen the babies as people more like things or possessions. It's the only way I can get my head round hurting such small babies when every fibre of you usually wants to protect them. I can't even deal with hearing parents leaving their baby to cry instead of cuddling them up.
 
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Baby E is always soooo upsetting to read about. All the babies suffered but what she did to baby E was evil and barbaric. Makes me feel sick even thinking about it. Poor Baby E’s parents having to live with the knowledge that someone inflicted trauma like that on your baby 😭 Evil witch.
 
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We certainly missed a lot from the pathologist. Evidence is extremely strong. Just how does anybody thinking she’s NG explain this? Because some crank says they had a virus that only effected Letby’s shifts?
IMG_5300.jpeg
 
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Sorry if this has already been mentioned but did anyone see the Black Mirror episode (Loch Henry) with all the Bergerac video tapes?!
 
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2:20pm

The trial judge clarifies a matter from this morning, and says during the cross-examination of Prof Arthurs, it was said that gas could be recirculated in the body in the event of vigorous resuscitation.

He continues with the case of Child F. He says a nurse was "really happy" with Child F from 10pm-1am. There was "no way of knowing" who had got the bags out of the fridge.

Prof Peter Hindmarsh says the bag administered at 12.25am had insulin in.

Dr Harkness attended the unit that night and noted Child F had vomits and tachycardiac, with a heart rate of 200bpm, but otherwise well. Prof Hindmarsh said these were signs of hypoglycaemia.

Doses of dextrose and salt water were administered.
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2:32pm

Kate Bissell and band 4 nurses said they had never added anything to a TPN bag.

Dr Gibbs said the fall in Child F's blood sugar level was 'unexpected'.

At 10.30am, a new long line was to be inserted in Child F, as instructed by Dr Satyanarayana Saladi, with the removal of the old one.

The fluids were stopped while the line was replaced, and Child F's blood sugar level rose. A new TPN bag, from the stock bags in the fridge - of which there were about five - was hung up at noon. Fluids resumed.

Child F's blood sugar levels remained low in the afternoon after dextrose boluses at 3pm and 5pm.
The TPN bag was stopped at 7pm.
 
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"She said it was something for her to remember, as was a photo of her shift pattern."

Have we heard that she took a photo of her shift pattern? I get why one may take a photo of their rota so they have it close to hand, but the way Goss has worded it makes it sound like she took the photo of her shift pattern as another 'trophy' alongside the card
Not heard that before today. All part of her photo diary 😐
 
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11:02am

The judge says shift leader and designated nurse for Child D in room 1 on June 21-22, was Caroline Oakley.

Letby was designated nurse for two other babies in room 1.

Child D was on 'nasal CPAP in air', with 'satisfactory' gases.

The readings for 7.30pm-12.30am were all normal and she was 'happy' with Child D, who was "breathing beautifully in air".

Aspirates found had 'minimal importance to them' as Child D was not being fed at this time.

Caroline Oakley said she assumed she began an infusion at 1.25am, being the designated nurse, but the writing on the infusion note was not hers.

One of the nurses on duty was aware Caroline Oakley had been on her break, and checked Child D, who was fine.

While she was at her computer, she was alerted to alarms, and found the monitor was showing Child D was desaturating at 1.30am.

She recalled Letby was there.

She noted Child D had a rash on her trunk and arms, and was 'not a normal rash' - like a 'mosaic', like 'vessels of blood meeting with each other'.

She had not seen anything like it before, she said.

She said 'her trunk and legs went a mottling colour, and it was odd'.

She discussed it with Dr Andrew Brunton.

Child D settled and discolouration 'seemed to disappear and dissipate'.

Caroline Oakley said the rash was 'different to mottling' and it was 'an unusual rash'.

She "had an episode but responded very quickly".

Another senior nurse said she had a limited memory of events. she remembered Child D being stiff and having a rash on her trunk, which was an 'odd, unusual rash'.
This has made me shudder, absolutely horrifying 😢
 
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The judges summing up of the insulin cases may well be crucial to the verdict. Prosecution said she ‘taunted’ the police about whereabouts of TPN bag after the incident and LL was not aware later tests would show presence of synthetic insulin. Even LL accepts bag / bags tampered with .
 
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2:40pm

The judge details how the insulin blood sample was taken to the laboratory in Liverpool and analysed, and the results came back showing an 'undetectable' level of insulin C-Pep compared to a high level of insulin.

It was suggested that the sample be referred for further tests, but Child F had recovered by this stage, so the sample was stored for seven days before being disposed of.

Prof Hindmarsh said the increased blood sugar readings for Child F during the afternoon were consistent with them following fresh bolus administrations of dextrose.

The blood glucose had 'started to rise spontaneously' between 10.30am-noon, Prof Hindmarsh said, during the time the fluids were not being administered.

He said the difference between the blood glucose levels on a heel wick and a plasma sample would be about 10-15%. He said the dangers of low blood sugar include confusion, seizures, brain damage and in serious cases, death.
 
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Off topic but mentioned earlier as a bigger scandal than LL

That’s mad. They prescribed opioids to people over years and years when they weren’t required. Can someone in that line of work explain what may have taken place here? Why were they doing this?

Also I bet Letbers will be annoyed that this investigation happened before she got caught. Would’ve given extra ammo to the conspiracy lot.
 
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Off topic but mentioned earlier as a bigger scandal than LL

This is local to me, and I've also both worked for (in OPMH to boot) and been treated as a patient by the Trust that owns the site. Honest to duck, none of it is a surprise. There have been so many avoidable deaths and scandals with Southern Health NHSFT this won't be the last that crops up, by far.
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That’s mad. They prescribed opioids to people over years and years when they weren’t required. Can someone in that line of work explain what may have taken place here? Why were they doing this?

Also I bet Letbers will be annoyed that this investigation happened before she got caught. Would’ve given extra ammo to the conspiracy lot.
It's primarily a hospital for Older People's Mental Health services, including wards for dementia. Easy to silence people if they don't make sense to tell anyone about it.
 
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2:52pm

The judge says the court had heard the most likely cause of insulin administration was for it to be administered intravenously. Prof Hindmarsh says the most likely way for this was via an infusion, at a rate of 1.2 units per hour, and calculated that 0.6ml of insulin - a clear fluid - was added. He says the same amount would have been needed to have been added to the stock bag.

He concluded that the only explanation was for Child F to have received bags contaminated with insulin.

Dr Evans concluded Child F had received exogenous insulin via the TPN bag from before 01.54am to before 7pm. Dr Bohin agreed, and said two bags must have been contaminated with insulin.

When interviewed, Letby remembered Child F as the surviving twin of Child E. She agreed her signature was for a TPN bag, and could not remember if she had administered the TPN bag or not. The bags were kept at the top of the fridge, the insulin at the bottom.

Letby said medication would not be added to a TPN bag. She agreed the blood sugar level for Child F at 1.54am was "dangerously low", and denied harming Child F or giving him any insulin.

Letby, in evidence, said she believed her nursing colleague had hung up the TPN bag. She confirmed she did not know about c-peptide at that time. She knew adding insulin was "life threatening" to a child like Child F.

She said Facebook searches for the parents was because the twins were on her mind.
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2:59pm

The judge refers to the case of Child G, born in a tertiary unit, and was "very premature", weighing just under 1lb 3oz. She was "at the margins of survival" when born. On August 13, Child G was transferred to the Countess of Chester Hospital, and was "stable".

Letby said she remembered Child G, who had "a lot of problems". The prosecution case is Letby deliberately overfed Child G.

Dr Stephen Brearey first reviewed Child G on August 22, and the general trend was one of improvement for the baby girl. She was "stable and well", with desaturations self-correcting. The oxygen requirement was "continuing to come down".

For September 6-7, the night shift, Child G was the only baby in room 2, and Letby had a baby in room 1.
 
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Been dipping in and out of this thread. Makes me feel sick especially as I had a preemie baby years ago. I hope she gets the book thrown at her and never sees the light of day again.
 
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It’s been said before but I really think the insulin babies will be the key to her being found guilty. It can’t be explained away.
 
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