I'd have thought that 'prewitnessing' an injection to be a very serious breach of safety protocols. It is unlikely this was a 'one off' and suggests tolerance of poor adherence to due process in the unit. A huge risk factor for poor outcomes in this very complex and technically demanding speciality.
The number of interventions tell me baby not doing well at all. One wonders how such a frail little human can even survive such an endocrine rollercoaster. It could be the way you are presenting it but I don't get a sense of competence. I could be more specific but too late today. I feel sad for the babies & Lucy.
Sadly, you have hit the nail on the head. It is well known in the medical literature that each time you perform an invasive procedure on a neonate you reduce the chance that they survive to discharge. A couple of procedures can reduce their survivability by more than 50%. So many of these babies who were already premature and severely underweight - that they were intubated several times, kept on CoCH's neonatal unit in circumstances where they should have been transferred and unfortunately died, is a sad indictment not on the nurse, but on the doctors and hospital management who made these decisions
Infection control at fault? Estates at fault? Directors at fault? Never will that ever be the case. It was the RN on duty wasnt it. Criminal negligence yes but i fail to link LL to it.
I don't recall any testimony given in court by Letby. She's been convicted on her journal in which she described herself as evil but out of context. She never wrote about ending the lives of premature babies. Anyone?
I'm wondering if the Down's syndrome tests were ever made public? My son has Downs and has some health issues including T1 diabetes. Apparently these kind of blood glucose problems and thyroid issues are far more common with DS, but I don't know at what age they start. Obviously this child was very poorly indeed, as as said elsewhere here, the number of interventions was very intensive.
I do question the skill of one doctor who stated he didn’t realise the ‘Relevance’ of changing colour in a crashing/dying neonate and did not consider it ‘significant’ to document
Is that clinically sound
Apparently it is acceptable and just as worryingly admissible in court as witness to murder
Yes, who was the locum doctor, did he (the article in the Daily Mail says "he") have any involvement in the trial, and had Lucy been one of the nurses who had expressed concerns about his capabilities?
You mentioned in your article that the ‘tiny’ amount of insulin administered to Baby F over 24hrs was potentially 5units. I just wanted to put this into perspective: I’m an adult and I give myself on average 7units of basal insulin administered over a 24hr period via an insulin pump. That means that ‘tiny’ dose is huge!! Plus once the insulin as been stopped it remains in the system between 4-5hrs.
The phone order for Baby E was initially wrong at 0.5U/kg/hr. Perhaps this was made up in a syringe for a driver but not used & accidently used for Baby F later? Also calculating these are difficult and should be double checked (horrific pre signing just to get off the computer).
In my experience in coronary care, a lot of nurses have trouble with these 3 prong calculations. Also if the syringe drives cannula tissued the insulin might continue to be absorbed for hours. So many errors possible. All the holes in the Swiss cheese lined up.
Am confused about some confusion about when and how many bags were used, when prepared and attached. and when NGT was stopped and when lipids were begun. Do you have a clearer view
I have been pondering this for a while, in light of the fact that Lucy's defense were quite subdued, but . . . Is it possible her defense team always had an appeal as the main strategy?
I think there needs to be closer scrutiny of what the unnamed nurse did and didn't do....What was her experience, was she on the unit staff, or an Agency/Bank nurse?
Is she a doctors wife as some commentary suggested? Why was she allowed to remain anonymous? In the bigger scheme of things, could she have been considered a suspect in a fair investigation?
A tissued TPN or Glucose infusion site in an adult is extremely painful, goodness knows how much pain a tiny neonate would be experiencing. Also it could potentially be a source of infection or even necrosis. I doubt that was even considered in the assessment of cardiovascular risk factors and instability.
With sugars over 9, why was 15% Dextrose continued? Why wasn't an abdominal xray done, when it should have been?
There's clearly loads wrong with this neonates care
One other possible factor contributing to these premature babies health problems has to do with massive 5G and other wireless transmitting facilities atop of hospitals and installed in street lamps outside .
"There’s nothing like real-life stories of coming back from the dead, like this tiny infant did when they got him away from the tower and transformer outside is hospital room! (…drives home the point too…)
This came in an email entitled “Humans, Bees, and Wildlife in 2023” :
Babies are being killed by hospitals
A correspondent in North Carolina sent me this account a few days ago of a healthy newborn who was irradiated nearly to death by the hospital environment:
“After many more days in the NICU, being irradiated 24/7, the baby developed a staph infection near his tiny fingernail. The infection began spreading down his finger and they were talking about amputating his finger. By then, I had been working for days to persuade his mother to have him transferred to Duke Regional, a smaller hospital in the northern part of Durham, and finally she asked to transfer him. My reason is that I knew that Regional had much lower RF levels based on her prior visit there during early contractions when she had stayed overnight and background radiation levels in the room were between 0.003 and 0.01. (Durham Regional is in a less affluent part of town, with lower-tech overall.) They transferred the baby by helicopter and the baby's health improved immediately. Within 48 hours of being transferred away from the high radiation at Duke Medical, the rash improved dramatically, the jaundice scores declined, and the staph infection began to improve.
“The radiation levels at Regional were about a thousand times lower than at Duke Main. Also at Duke Regional there were no visible 5G poles or roof arrays outside the baby's windows. The baby recovered fully there and is home now.”
I'd have thought that 'prewitnessing' an injection to be a very serious breach of safety protocols. It is unlikely this was a 'one off' and suggests tolerance of poor adherence to due process in the unit. A huge risk factor for poor outcomes in this very complex and technically demanding speciality.
The number of interventions tell me baby not doing well at all. One wonders how such a frail little human can even survive such an endocrine rollercoaster. It could be the way you are presenting it but I don't get a sense of competence. I could be more specific but too late today. I feel sad for the babies & Lucy.
Sadly, you have hit the nail on the head. It is well known in the medical literature that each time you perform an invasive procedure on a neonate you reduce the chance that they survive to discharge. A couple of procedures can reduce their survivability by more than 50%. So many of these babies who were already premature and severely underweight - that they were intubated several times, kept on CoCH's neonatal unit in circumstances where they should have been transferred and unfortunately died, is a sad indictment not on the nurse, but on the doctors and hospital management who made these decisions
Totally agree
They have a lot to answer for not only with the babies but with Lucy and everyone involved
But they are too big and too qualified to be guilty. Isnt it.
I feel its a whitewash and RN Letby shouldnt be held up us the prime and only reason for these young uns to have perished. Certainly not by murder.
They may never have survived with or without the interventions. No one will ever know. Rest in peace little guys.
As soon as it became public about the raw sewage in the unit my bias became this was sepsis
I hold that opinion to this day
Infection control at fault? Estates at fault? Directors at fault? Never will that ever be the case. It was the RN on duty wasnt it. Criminal negligence yes but i fail to link LL to it.
What a clinical mess.
So many opportunities for error.
How could any reasonable person, even medical illiterates like the judge, the jury, the media hacks not see this?
I don't recall any testimony given in court by Letby. She's been convicted on her journal in which she described herself as evil but out of context. She never wrote about ending the lives of premature babies. Anyone?
A simple explanation is NEC (or sepsis) with a long line (presume PICC line?) that was infiltrated and not delivering glucose.
In other words, these premature babies were tortured to death. When will this horror “healthcare” stop?
I'm wondering if the Down's syndrome tests were ever made public? My son has Downs and has some health issues including T1 diabetes. Apparently these kind of blood glucose problems and thyroid issues are far more common with DS, but I don't know at what age they start. Obviously this child was very poorly indeed, as as said elsewhere here, the number of interventions was very intensive.
the hospital has previous, interestingly the report criticised the PM’s lack of thorough procedure.
https://www.dailymail.co.uk/news/article-4518212/Baby-deaths-Countess-Chester-Hospital-probed.html
I now wonder who was the Locum
Was that person involved in the trial at all
I do question the skill of one doctor who stated he didn’t realise the ‘Relevance’ of changing colour in a crashing/dying neonate and did not consider it ‘significant’ to document
Is that clinically sound
Apparently it is acceptable and just as worryingly admissible in court as witness to murder
It just beggars belief on so many levels
Yes, who was the locum doctor, did he (the article in the Daily Mail says "he") have any involvement in the trial, and had Lucy been one of the nurses who had expressed concerns about his capabilities?
You mentioned in your article that the ‘tiny’ amount of insulin administered to Baby F over 24hrs was potentially 5units. I just wanted to put this into perspective: I’m an adult and I give myself on average 7units of basal insulin administered over a 24hr period via an insulin pump. That means that ‘tiny’ dose is huge!! Plus once the insulin as been stopped it remains in the system between 4-5hrs.
The phone order for Baby E was initially wrong at 0.5U/kg/hr. Perhaps this was made up in a syringe for a driver but not used & accidently used for Baby F later? Also calculating these are difficult and should be double checked (horrific pre signing just to get off the computer).
In my experience in coronary care, a lot of nurses have trouble with these 3 prong calculations. Also if the syringe drives cannula tissued the insulin might continue to be absorbed for hours. So many errors possible. All the holes in the Swiss cheese lined up.
Reading up on insulin infusion rates for neonates should be 0.01-0.05U/kg/hr. All these units are very configuring.
Am confused about some confusion about when and how many bags were used, when prepared and attached. and when NGT was stopped and when lipids were begun. Do you have a clearer view
I have been pondering this for a while, in light of the fact that Lucy's defense were quite subdued, but . . . Is it possible her defense team always had an appeal as the main strategy?
I think there needs to be closer scrutiny of what the unnamed nurse did and didn't do....What was her experience, was she on the unit staff, or an Agency/Bank nurse?
Is she a doctors wife as some commentary suggested? Why was she allowed to remain anonymous? In the bigger scheme of things, could she have been considered a suspect in a fair investigation?
A tissued TPN or Glucose infusion site in an adult is extremely painful, goodness knows how much pain a tiny neonate would be experiencing. Also it could potentially be a source of infection or even necrosis. I doubt that was even considered in the assessment of cardiovascular risk factors and instability.
With sugars over 9, why was 15% Dextrose continued? Why wasn't an abdominal xray done, when it should have been?
There's clearly loads wrong with this neonates care
Dear LawHealthandtech do you have an email address I can send you something re baby F?
One other possible factor contributing to these premature babies health problems has to do with massive 5G and other wireless transmitting facilities atop of hospitals and installed in street lamps outside .
Check out:
https://open.substack.com/pub/yolandapritamhari/p/the-legacy-of-broken-brains
"There’s nothing like real-life stories of coming back from the dead, like this tiny infant did when they got him away from the tower and transformer outside is hospital room! (…drives home the point too…)
This came in an email entitled “Humans, Bees, and Wildlife in 2023” :
Babies are being killed by hospitals
A correspondent in North Carolina sent me this account a few days ago of a healthy newborn who was irradiated nearly to death by the hospital environment:
“After many more days in the NICU, being irradiated 24/7, the baby developed a staph infection near his tiny fingernail. The infection began spreading down his finger and they were talking about amputating his finger. By then, I had been working for days to persuade his mother to have him transferred to Duke Regional, a smaller hospital in the northern part of Durham, and finally she asked to transfer him. My reason is that I knew that Regional had much lower RF levels based on her prior visit there during early contractions when she had stayed overnight and background radiation levels in the room were between 0.003 and 0.01. (Durham Regional is in a less affluent part of town, with lower-tech overall.) They transferred the baby by helicopter and the baby's health improved immediately. Within 48 hours of being transferred away from the high radiation at Duke Medical, the rash improved dramatically, the jaundice scores declined, and the staph infection began to improve.
“The radiation levels at Regional were about a thousand times lower than at Duke Main. Also at Duke Regional there were no visible 5G poles or roof arrays outside the baby's windows. The baby recovered fully there and is home now.”