I would've thought so...my mum 'got out of it' as she has dyslexia and needs help with reading/writing. She literally made herself sick with worry. We replied asking for her to be excused. They didn't request any medical evidence although it was a good few years back. I think they can and most often will ask for proof of disability though.
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I just went to post thinking we were still on thread 5 and it's onto 6 already 
. Man these threads move fast.
I am finding all the discussion and debate really fascinating though. So many different points of view and some professional opinions about the case is really giving food for thought. I am keen to see what the expert has to say next week as we still haven't really heard anything yet beyond the opening statements and they gave such little info really.
. Man these threads move fast.I am finding all the discussion and debate really fascinating though. So many different points of view and some professional opinions about the case is really giving food for thought. I am keen to see what the expert has to say next week as we still haven't really heard anything yet beyond the opening statements and they gave such little info really.
Not really sure what they mean by the binding. You wouldn’t add anything to TPN as it’s sterile and made by pharmacy. I’m guessing they are just making a clear point that insulin should not have been in the bag and it would be impossible to even mistakenly be in the bag - so purposely added. I can’t quite keep up with trying to understand the points made about the bag and the defence saying it was a 2nd bag and LL wasn’t on shift. Contamination perhaps? And incompetence by not changing the lines. It’s hard to keep up after a shift!
She definitely hung one of the insulin containing TPN bags, I read that somewhere.
I’d like to ask: Why would a lowered blood sugar prompt a TPN bag change? Why, if they suspected something was wrong with the first bag, as they must have if they changed it, why would they not test that bag?
I understand why you might bring it home accidentally, but I don't know why you'd hang on to it once you've realised? Unless she's just that disorganised.
Test the bag how exactly? And for what? I doubt the first conclusion they’d jump to when his blood sugar dropped would be that someone must be trying to murder the poor thing by putting insulin into the TPN bag tbf
I noticed on the pics of her house that sold it didn’t seem cluttered which I imagined it would have been to be able to keep old bits of papers that you shouldn’t have 2 years later
There's also a possibility she used a long acting insulin in the bag. Something like Toujeo has a half life of 18 hours. You'd still get hypos long after the contaminated bag came down this way.
Note the 3 possible explanations.
I think it was persistently low blood sugar despite injections of dextrose. It’s not really clear if the bag was changed for this reason or if it was changed for another reason but you’re right you’d think it would be tested. Or is this just one of many other failures.
I follow a midwife who talked about this case and she said she has ‘taken handover sheets home 100s of times’.
Someone further up the thread said they’d tested the second (replacement) bag that had been hung.
I did read in one of the court updates that, because of low blood sugar, they’d tested the babies insulin levels (not unexpected) and they were sky high.
Maybe that’s what prompted testing of the/a TPN bag. I’ve not read that anywhere myself but, then, there is so much information.
Especially if you know you are under investigation.
For a short period of time I did consider the possibility she has these to remind her of the names because she was in the process of whistleblowing. I know, I can’t believe I am writing this either. Just with some of the notes found, and names of colleagues etc.
did she say what she did with them? The consensus on here is that you would take them back for confidential waste asap. Not keep hold of them which is what Lucy appears to have done.
What are the three possible explanations?
Would they keep long acting insulin on a NICU?
A low blood sugar reading wouldn’t result in a TPN change. The patient would have TPN bloods done every day to check they were receiving the correct electrolyte’s, glucose etc. That’s why it has to be prescribed each day and made up by pharmacy.
A low blood sugar would be corrected by giving a glucose bolus. If for any reason they needed to stop the TPN infusion then the child would be put on IV fluids as no further TPN would be available for that child. Well, not until pharmacy had made a new bag up. If the medical team had concerns about the TPN then the bag should have been sent back to pharmacy and an incident report filled out. Hope that kinda makes sense.
Yes happens. But it’s the handovers with names of some of her victims. If defence says she was found with 100s of handovers from years of practice then yeh she’s scatty and has no concern of patient confidentiality etc. But it’s too coincidental (in my opinion) that it is particular babies.
I’m thinking about those families and little lives lost tonight more than ever.
Just wanted to take a moment to remember all the babies lost and taken too soon 
#waveoflight
#waveoflightMaybe the house was emptied for the sale pics, but it is very minimalistic. Especially considering the defence said she scribbles a lot of things down and keeps them. I wonder whereabouts the things were found because I imagine a table piled high with junk. I forgot about the colleagues names, my first thoughts was she was trying to get her story straight and work out who knows what etc.
What does everyone think of the statement bellow from the defence made about other bits of notes found in the house. I am not sure what to make of this.
"On some of the notes were phrases such as “Why/how has this happened – what process has led to this current situation. What allegations have been made and by who? Do they have written evidence to support their comments?"
Surely though to sell the house you’d clean it up before taking pics of it to attract buyers.
It’s crazy how often this happens and how many people innocently admit they’ve done it too. Suppose this case will highlight the risk of it so people can get into good practice of putting such things in the confidential waste bins. Never in my life have I taken home anything from the hospital that contained patient identifiable information! Huge no no - I’m sure it’s a sackable offence in many trusts.
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