Lucy Letby Case #44

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Imagine being some poor old schmuck at these salsa classes, paired up with this weak-jawed wonder who regales you of tales from Cockington and her hobby collecting paper. Then, years later, you see her face on the news for this trial 👽
 
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12:33pm

Paediatric neuroradiologist Dr Stavros Stivaros provided agreed evidence in which he said Child M had shown signs of brain damage, likely caused by the collapse on April 9, 2016.

Professor Owen Arthurs viewed radiographic images for Child M and said they could not support or refute an air embolus.

Dr Dewi Evans concluded there were no concerns for Child M prior to the collapse, save for one bilous aspirate for which he was put nil by mouth.

He did not believe that caused the collapse, as Child M's stomach was empty.

He believed a noxious substance or air was administered to Child M's circulation [ie intravenously], and could not explain a natural cause for Child M's rapid recovery, ruling out infection.

He said, taking into account Dr Jayaram's description of the skin discolouration, the cause for Child M's collapse was an air embolus.

In cross-examination, he accepted there was no imperical research for how air dissipated in the body following a collapse, and based it on physiology, that cardiac massage would dissipate it.

He said if the air goes around the abdominal area, it would result in skin discolouration, and if it heads towards the brain, it can cause neurological damage.

He said 'very little air' is required to cause collapse.

Dr Sandie Bohin said Child M had no markers of infection.

She had to find some way to explain how a baby previously well suddenly collapsed, and had prolonged resuscitation for which he almost did not make it, then recovered rapidly.

She said the skin discolouration seen by Dr Jayaram was "compatible" with air embolus.

She said the actual volume to cause a baby to collapse and die is unknown.

She said if it was a small volume, it would "take some minutes" to get to Child M in this case, as he was on a slow infusion.

In cross-examination, Dr Bohin accepted most babies die in the case of air embolus, but it was "not inevitable".

She could not think of an alternate medical cause from her differential diagnosis.

She said the type of cardiac arrest suffered by Child M was "incredibly unusual".
 
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12:36pm

The judge refers to the case of Child N, born on June 2, 2016 at the Countess of Chester Hospital.

He says the prosecution case is Child N had three unexpected collapses in June 2016, that are all attributable to inflicted trauma by Letby, and were acts carried out with the intention to murder him.

The defence case is Letby did not harm Child N, that there are inconsistencies in the accounts, and the jury cannot be sure Letby intended to murder Child N.

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12:39pm

Child N had 'intermittent grunting' and it was recorded at 3.10pm on June 2 that he had a desaturation to 67% for a minute, and was crying, as recorded by nurse Caroline Oakley.

He was placed in a hot cot and reviewed by Dr Anthony Ukoh.

The nurse said she had no recollection of events other than that in her notes.

There was nothing to suggest the naso-gastric tube was moved after it was placed, or that there were difficulties placing it on Child N.
 
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Morning gang, another day closer to justice for the babies and their families 🤞🏻 🤍

I’m a Glaswegian (south side). As a child I used to call Childline from the phone box and tell them my mum was hitting me (she wasn’t, I was just a drama queen). 😂 I never called the police though, that would’ve put the fear of god in me haha.
That was my daughters war cry ‘I’m calling Childline’, don’t know if she actually done it 😬
 
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Do we think she actually went to Salsa or was that code for her dates with No Name?
 
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That was my daughters war cry ‘I’m calling Childline’, don’t know if she actually done it 😬
Middle daughter used to say this all the time. I used to hand her the phone lol.

She never contacted them as far as I know 🤭
 
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Just to clarify - as far as it’s been reported, LL and the Dr had not met until around the timings of the last 5-6 babies as he was in a rotational training post and moved to the CoCH around this time. It sounds like the messaging started almost as soon as they met - initially via Facebook, as we’ve heard.
 
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12:46pm

For the night of June 2-3, Christopher Booth was the designated nurse for Child N.

Letby had messaged a colleague to say they had a baby with haemophilia, and in evidence, said staff were panicked by this.

The prosecution say Letby was messaging a colleague 'constantly' from 8pm while feeding a baby in a nursery which was a two-handed job.

She refuted a suggestion, in cross-examination, she had force-fed her designated baby at the time, saying the note of the feed must have happened at a different time.

Dr Jennifer Loughanne reviewed Child N and saw he was 'pink and well perfused', and consideration was given to starting enteral feeds.

Christopher Booth had no concerns as he went on his break.

He handed over care to a nurse when he went on his break at 1am, but cannot remember who.

The other colleagues cannot recall caring for Child N.

Child N had a deterioration to 40% at 1.05am - "a significant desaturation", and Child N was "screaming", Dr Loughanne had noted.

She said she had no direct recollection of that, and said she would not usually have written that word.

At 2am, Child N had recovered was settled, and was asleep.

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12:48pm

Christopher Booth recorded there had been no further episodes for Child N following that desaturation.

The baby remained nil by mouth.

The prosecution case is Letby sabotaged Child N in some way to cause the collapse.

Letby said she had no memory and did not know Child N had collapsed.

She said she did not believe it was a collapse which required resuscitation.

She denied using the absence of Christopher Booth as an opportunity to sabotage Child N.

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12:56pm

Letby referred to an "active life" in messaging on June 13, planning a holiday.

The prosecution say the second and third events for Child N happened on June 15, 2016.

There had been no concerns for Child N on June 14 at handover for the night shift, by nurse Jennifer Jones-Key.

At 1am, Child N was 'pale, mottled and very veiny', with slight abdominal distention.

He was reviewed by a doctor, who observed mottling, a potential sign of sepsis, but was otherwise normal.

On further observation, Child N had five minor desaturations which had resolved, and the mottling had gone.

Child N's oral feeds were stopped, and he was given antibiotics and glucose.

The defence say these were signs of Child N deteriorating.

At 7.15am, Child N had another desaturation.

The prosecution say Letby, who had arrived early for her day shift, did something to cause the collapse.

Letby said she had gone to see Child N as she had had him for the previous day shift.

The 'profound desaturation' caused Child N's heart rate to be affected.

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12:59pm

A male doctor had been called to attend Child N and recorded a desaturation to 48%.

He decided to move Child N to nursery room 1, and attempted to intubate.

He saw blood which prevented him from seeing the airway.

The back of Child N's throat "looked unusual" with swelling, and he was not sure where the blood was coming from.

He made three unsuccessful attempts to intubate, and suction 'did not clear the view enough', and he said he did not want to inflict mechanical trauma.

He remembered Letby was helping with the attempted intubation.

A chest x-ray confirmed no pulmonary haemhorrhage.
 
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Just to lighten the mood for a minute, one trivial thing that has stuck with me because of how utterly cringeworthy it is, was when she signed off that text about going to salsa with ‘Hasta Luego!’ I don’t know why but it really irritated me. Also, and I know you guys addressed it at the time, but seriously how many 25 year olds have you known to go to bloody Salsa classes?! Am I just being small minded here, who the hell would go to Salsa classes at 25?!
It’s like she’s doing things what she thinks a 25yr old would be like (cause she’s a demon trying to blend in) - and she’s so bleepin way off the mark. Salsa dancing, the tragic house decor, big hauls from matalan, kitten heels, I bet she wore white jeans when they wernt fashionable. Like no

Makes me think of the film Donnie Darko when the freaky rabbit thing Frank says “why are you wearing that stupid human suit” to Donnie
 
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Just to lighten the mood for a minute, one trivial thing that has stuck with me because of how utterly cringeworthy it is, was when she signed off that text about going to salsa with ‘Hasta Luego!’ I don’t know why but it really irritated me. Also, and I know you guys addressed it at the time, but seriously how many 25 year olds have you known to go to bloody Salsa classes?! Am I just being small minded here, who the hell would go to Salsa classes at 25?!
Lol I totally agree. It’s the kind of thing Middle Aged couples do in a bid to spice up their sex life. Or lecherous men who want to prey on beige basic witches
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I have to say I’m actually struggling to keep up with the summing up now. I think my brain has reached peak Forgetby. Pity that poor jury
 
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I wonder what Letby is making of this week. It's the first time the whole series of events have been discussed without any bias.
Can anyone who's been to court this week description how she appeared? (Sorry if this has been shared already, I haven't caught up fully).
 
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Oh wow looks stunning!! Would love to tour all around Scotland in a camper van.

It's somewhere i have never visited yet. Defo on the bucket list 😍
I live on the west coast of Scotland, it really is a stunning place. I can thoroughly recommend it!
 
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I feel like the judge's summing up is really backing the prosecution's case. I know he's unbiased but reading all this after BNE's closing statement and BM's confusing blather, I can't see how anyone could find her NG.
 
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I live on the west coast of Scotland, it really is a stunning place. I can thoroughly recommend it!
I have connections to the rockcliffe/kippford area, can’t wait to get back there over the summer 😍
 
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