Lucy Letby Case #6

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No it says ‘how will things ever be like they used to’ under neath that says ‘they can’t’ (replying to her self) Then it moves on to ‘I did this’ ‘i killed them on purpose’
Depends how you read that bit. I read it as 'how can things ever be the same' and 'they did this'
 
Depends how you read that bit. I read it as 'how can things ever be the same' and 'they did this'
To be honest I don’t think there is much point in us speculating about this. The note will already have been throughly forensically examined regarding handwriting style, meaning of words, if one writer, writing tool used etc., so trying to decipher anything further from a photo isn’t going to compare.
She’s admitted to writing it so she, or her legal counsel, can give their explanation later in the trial.
 
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Depends how you read that bit. I read it as 'how can things ever be the same' and 'they did this'
purple flows together ‘how will things ever be like they used to (?) *next line* ‘they can’t’ then it moved onto green ‘I did this.’ ‘I killed them on purpose because I am not good enough’

not sure where your seeing how can things ever be the same but the bits I have underlined are what I am referring too.
 

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purple flows together ‘how will things ever be like they used to (?) *next line* ‘they can’t’ then it moved onto green ‘I did this.’ ‘I killed them on purpose because I am not good enough’

not sure where your seeing how can things ever be the same but the bits I have underlined are what I am referring too.
It’s so difficult to know for sure what is means. It’s all so contradictory. ‘I’m evil’ ‘I killed them’ but then ‘why me’ ‘can things every be the same’

I feel like we only really hear about serial killers who revel in everyone knowing what they’ve done. But maybe some are ashamed when they’re caught?
 
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At the end of the day nobody gives a crap what we all think, it’s down to that small group of jurors unfortunately and they’re in the unenviable position of remaining impartial when for all we know they’re all Tattlers in real life and are gagging to get on the thread and protest her innocence/ guilt.
 
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Nah I had a patient this morning called Lucy and wrote Letby instead of her surname 🙈🙈🙈🙈 there's a new mistake 🤣🙈 off to bed now 😂
 
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Nah I had a patient this morning called Lucy and wrote Letby instead of her surname 🙈🙈🙈🙈 there's a new mistake 🤣🙈 off to bed now 😂
Imagine if you saw your nurse do that you’d tit your pants!!🙈🙈 I saw a lady on TikTok today who’s got a section booked and the baby will be going into nicu because the lady has had to take morphine throughout pregnancy so baby will be monitored/treated for NAS and she was so upset with the current news of LL she was terrified for her baby to go into nicu. Really sad.
 
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To be honest I don’t think there is much point in us speculating about this. The note will already have been throughly forensically examined regarding handwriting style, meaning of words, if one writer, writing tool used etc., so trying to decipher anything further from a photo isn’t going to compare.
She’s admitted to writing it so she, or her legal counsel, can give their explanation later in the trial.
agreed. it will have been analysed within an inch of its life by handwriting experts etc.

the use of first person is still interesting to me but i don’t think we’ll ever get full answers about the note really: it could be a confession, it could be a therapy exercise, it could be a stream of consciousness role play, it could be the manipulative writings of an intelligent woman who knew what words to use to confuse matters. i think the explanation the defence gives will be it was some kind of therapy exercise but we’re never really going to know imo. it all comes down to interpretation.
 
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I hear you but at the sane time there must be flimsy evidence as why would anyone guilty want this to go to trial ? You'd plead guilty and take a sentence. She's either nuts and is a massive risk taker hoping she would be found innocent or she is innocent, but I don't believe that this is huge misfailing of the NHS either... and why is it lasting 6 months? That is a HUGE amount of trial time that's not that common which again makes me believe it's not that straightforward. I don't know at this point what to believe
If she is guilty (&I’m so on the fence I really don’t know but probably leaning slightly more towards not...) then she might’ve pleaded not guilty knowing there’s no concrete evidence. As in no ones actually witnessed her harming the babies. No cctv. Not that we know so far anyway. Maybe she doesn’t want to go to prison & be known as a baby murderer. If she is guilty, I can see why she would plead innocent
 
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About the TPN bag... few points first of all...

- bespoke bags come from pharmacy, labelled for the baby, titrated based on their blood results.
- stock bags kept in the NICU, used if needed until bespoke bags are ready.
- they are ran through a plastic line (giving set) into the blood stream, either peripherally (cannula) or centrally (in this case, long line).
- changing bags without changing the giving set is poor practice in neonates.
- moving a bag and line from a peripheral access point (cannula) to a central access point (in this case, long line) is a big no no. High risk of introduction bugs into a central vein.
- however, bags can happily be moved from a central access point to a peripheral.
- TPN contains dextrose (sugar) at a concentration of 10%.
- Dextrose bags can be given separately, at higher concentrations.

Onto the case...

- LL attached a TPN bag to baby's long line on her night shift. This is the one they suspect was contaminated. Let's call it Bag A. It is unclear if this was a bespoke bag or a stock bag.
- 11am. Day staff. LL is off shift. Babies blood sugars are poor. Dextrose is commenced via the long line instead, to fix the low blood sugars. I assume this Dextrose is high concentration. High concentration dextrose MUST be given centrally.
- 11am. Bag A is moved to a peripheral line meantime. It contains other nutrients so cannot be stopped completely. Bag A now cannot be moved back to a long line, as it has been flowing through a peripheral line. Hence the comment, they were inserting a new long line.
- the Dextrose infusion increased baby's blood sugar, but the contaminated TPN (Bag A) counteracted this, as it was still running peripherally.
- 4pm. A new TPN bag arrives from pharmacy. Let's call this Bag B.
- 6pm. Blood sugars remain low. They stop TPN altogether. They replace all fluids with Dextrose only.
- 7.30pm. Blood sugars are finally normal.

If only the threads were full of useful information like this instead of people arguing like we're actually the jury 🙄
 
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If only the thread were full of useful info like this rather than people thinking they're actually talking to members of the jury trying to sway their opinions 🤔



If only the threads were full of useful information like this instead of people arguing like we're actually the jury 🙄
people can talk about what they want🤣
 
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people can talk about what they want🤣
Yeah I get that's kind of the point of a discussion forum but at this many threads in as many days its kind of a waste of energy to try to convince anyone of an opinion different than their own when we know so little yet...!
 
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It would be an automatic life sentence for even one murder conviction. I think in these circumstances she would get a Whole Life term, effectively life without parole. Only a very few murders get this sentence, Jeremy Bamber being one.
Who also claims his innocence to this day
 
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About the TPN bag... few points first of all...

- bespoke bags come from pharmacy, labelled for the baby, titrated based on their blood results.
- stock bags kept in the NICU, used if needed until bespoke bags are ready.
- they are ran through a plastic line (giving set) into the blood stream, either peripherally (cannula) or centrally (in this case, long line).
- changing bags without changing the giving set is poor practice in neonates.
- moving a bag and line from a peripheral access point (cannula) to a central access point (in this case, long line) is a big no no. High risk of introduction bugs into a central vein.
- however, bags can happily be moved from a central access point to a peripheral.
- TPN contains dextrose (sugar) at a concentration of 10%.
- Dextrose bags can be given separately, at higher concentrations.

Onto the case...

- LL attached a TPN bag to baby's long line on her night shift. This is the one they suspect was contaminated. Let's call it Bag A. It is unclear if this was a bespoke bag or a stock bag.
- 11am. Day staff. LL is off shift. Babies blood sugars are poor. Dextrose is commenced via the long line instead, to fix the low blood sugars. I assume this Dextrose is high concentration. High concentration dextrose MUST be given centrally.
- 11am. Bag A is moved to a peripheral line meantime. It contains other nutrients so cannot be stopped completely. Bag A now cannot be moved back to a long line, as it has been flowing through a peripheral line. Hence the comment, they were inserting a new long line.
- the Dextrose infusion increased baby's blood sugar, but the contaminated TPN (Bag A) counteracted this, as it was still running peripherally.
- 4pm. A new TPN bag arrives from pharmacy. Let's call this Bag B.
- 6pm. Blood sugars remain low. They stop TPN altogether. They replace all fluids with Dextrose only.
- 7.30pm. Blood sugars are finally normal.
Thanks for this. The discussion about the bag was really confusing me.
 
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I haven’t caught up with todays thread yet. So don’t know if we are still on the subject of moving to days and the grievance procedure. However, I fell asleep last night going over it all in my brain and trying to come up with something logical. Any way here are my thoughts….

I think it could be a possibility that letby heard whispers about what people were suggesting of her. At this point while staff were perhaps concerned, they hadn’t actually taken any action officially to voice their suspicions, equally, I doubt early on anyone thought it was deliberate, just rumours flying around and Lucy got wind of them. I think it’s possible, Lucy then thought duck I need to do something about this.

She went to her seniors with a grievance complaint FIRST! not repeating anything like ‘staff think babies are dying because of me’ , but that staff are bullying her, victimising her, to essentially take back control of the situation and change the narrative in her favour. So should anyone approach management with such crazy allegations she had already planted some seeds of doubt that people had it in for her.

From here management probably chatted with Letby, ensured her they would look into the bullying, suggested she moved to days so to move her away from the night staff, in a way of supporting her ( and are now only saying it’s because of their suspicions because for some wild reason they think that looks better on them 🤦‍♀️) .

They were probably approached around this time also with the night staff concerns, but as she had already got in there with a bullying complaint they thought that was more likely of two, and even supported her complaint. I mean it really is hard to comprehend anyone let a alone a nurse would intentionally harm a baby. She now thinks she has the upper hand, laid low for a little while (I think there was a three month break after baby K), then got cocky again. I don’t think is out of the realms of possibility. Of course the above scenario would only work if she were guilty. Because another thing that doesn’t make sense is why Lucy then carried on harming babies during the day if she thought they were onto her? Surely she would have been suspicious of this sudden change to day shifts and would just stop. She isn’t a stupid person, she is a nurse. If she is guilty she could have stopped but she didn’t, and surely she wouldn’t carry on knowing they were on to her. The only logical explanation I can come to is that they moved her to days to get away from the victimisation (or that’s what they told her, like the two investigations were running a long side one another), I mean they would have to give her explanation wouldn't they?

Anyway just a thought 💭 hope I make sense 🙃
 
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I thought they were required to report it to the police as a result of the RCPCH review as they made a recommendation to conduct a thorough external independent review of each death - was the external body not the police? Maybe I have it wrong though that’s what I took from it.
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I believe this is referring to an investigation by HSIB, not the police. HSIB are the Healthcare Safety Investigation Branch. Usually things are referred to them rather than the police because a) it is incredibly rare that mistakes are malicious, normally these things are unfortunately competency based and b) the average police offer knows next to nothing about the intricacies of healthcare, and as we’re learning here on tattle, you need to know quite a bit of medical stuff in order to make sense of these cases. HSIB is lead by people who are qualified and very experienced in the area they’re investigating.

I’ve been interviewed by HSIB twice (I want to state I was not at fault in either case. But because the investigation is very thorough they interview everyone that was involved) so if anyone had any particular questions I can try and answer
 
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