Lucy Letby Case

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Using insulin is a common way that medical professionals have murdered. I’ve never worked in a medical setting but don’t you have to document any medicine or any medical equipment that is taken from storage, could that be a way they pinpointed her?
It's not locked away with the likes of Oramorph that needs singing out and is checked daily, so will of been stored in a bog standard medicine cupboard so is easily accessible. Only documented on a paitens kardex upon administering (if obviously prescribed and indicated)
 
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Only controlled drugs usually are locked away and signed for in a seperate book. The trust I work for and many more you don’t sign out insulin, although you’d document that it’s been given on patients’ medication administration sheets within their notes at the time it’s prescribed etc.
They may make changes to the security of insulin from now on if that’s the babies cause of death 😔
 
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That sounds right, babies would need IV glucose for low blood sugars levels but insulin itself lowers blood sugar levels if they’re too high say if someone was diabetic. So wouldn’t be given along with the IV glucose.
That’s a good point. Insulin is to bring sugars down!
Are there any medical people on here who can say when you would use insulin for a baby?
 
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I know when my youngest was born any babies under 4'9 automatically went to neo natal (my son was 4'10) so he did have his bloods checked every few hrs but I'm sure they wanted to see them rising if anything? My sons were 'unusually good' so was out within 24 hrs of having him.
 
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They may make changes to the security of insulin from now on if that’s the babies cause of death 😔
I was thinking that myself, not sure how it would work in community where it’s always 1 nurse for insulin, controlled drugs etc as we are lone workers in that setting.

The nursing profession is based on elements of trust and being of good character to uphold the nursing reputation but I guess these people would obtain it by other means if the intent is there.
 
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She could have brought the insulin into work with her? This happened over a one year period so surely stock checks of medication would flag up that it was being used form their stores.
 
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That’s a good point. Insulin is to bring sugars down!
Are there any medical people on here who can say when you would use insulin for a baby?
Exactly and if you give too much - to any age of person it would lower blood sugars to a level of unconsciousness/death unless given IV/IM glucose to bring it back up in time.
 
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It's going to be interesting the next couple of months to hear the prosecutions case & hear what evidence they've got against her.
Just because she was on shift for every instance a child died , proving that she had physically done something to every child to the jury will be difficult.
 
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That’s a good point. Insulin is to bring sugars down!
Are there any medical people on here who can say when you would use insulin for a baby?
Neonatal hyperglycemia. Typically affects infants with low birth weights but instead of giving it like you would an adult with a pen you would have a sliding scale where you test sugars regularly and adjust infusion. It’s been a while since I’ve been on nnu so I’ll be a out of date with my knowledge but know enough
 
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Neonatal hyperglycemia. Typically affects infants with low birth weights but instead of giving it like you would an adult with a pen you would have a sliding scale where you test sugars regularly and adjust infusion. It’s been a while since I’ve been on nnu so I’ll be a out of date with my knowledge but know enough
Thanks. I’m sure they’ll give more details during the trial but it sounds like some of these babies may have been receiving insulin as part of their treatment then?
 
That’s a good point. Insulin is to bring sugars down!
Are there any medical people on here who can say when you would use insulin for a baby?
This is a classic “not a doctor but” BUT I have a diabetic cat who I have to administer insulin to twice daily. He is similar in weight to that of a newborn baby and I have to check his blood levels VERY carefully before administering his dosages because being cat sized, an overdose of even quite a small level can be potentially lethal and if he’s having a good day, I have to either miss a dose or give him significantly less. (Cats can also randomly stop being diabetic because cats are holes, this means checking his blood sugar a lot because even the fraction I have to give him could cause death if he didn’t need it)

So what I’m saying is, administering insulin to a newborn even in small amounts could be absolutely lethal very quickly. I don’t know if many people who aren’t diabetic realise but those tiny bottles insulin comes in are only 2.5mls (there are some bigger ones) and 2.5mls can last for a good couple of weeks. The amounts a small human or animal needs is absolutely minuscule.
 
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Thanks. I’m sure they’ll give more details during the trial but it sounds like some of these babies may have been receiving insulin as part of their treatment then?
Potentially? You have to have a 2nd nurse check when you change the infusion rates and it would be signed. I feel like in nnu environment you’d notice someone changing pump rates without a 2nd checker. You can also look back at the pump history to see if the rates were changed and what time. Be interesting to see the evidence!
 
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If they can specifically say insulin, then it's obviously been found in pathology/autopsy reports. If the babies weren't prescribed it then it's very hard to explain why it was found if that was the case. If it had been prescribed, it's more possible for human error.
 
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Someone above said it all sounds circumstantial so far (sorry can't remember who and my phone wont quote today for some reason).

Don't forget this is just the opening statement saying why they think the jury should find her guilty once they have seen all the evidence. The evidence itself will be much more in depth. Must be a lot to state though if they think even the opening statement will take 2 days, as in Star's trial, all 3 barristers did their opening statements in less than a day
 
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Someone above said it all sounds circumstantial so far (sorry can't remember who and my phone wont quote today for some reason).

Don't forget this is just the opening statement saying why they think the jury should find her guilty once they have seen all the evidence. The evidence itself will be much more in depth. Must be a lot to state though if they think even the opening statement will take 2 days, as in Star's trial, all 3 barristers did their opening statements in less than a day
I'm surprised there isn't a maximum length for an opening statement. After all, it's meant to be an introduction. It seems strange to spend 2 days talking about what you're going to talk about.
 
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