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Lucy Letby: Difference between revisions
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“Please note that the insulin assay performed at RLUH is not suitable for the investigation of factitious hypoglycaemia. If exogenous insulin administration is suspected as the cause of hypoglycaemia, please inform the laboratory so that the sample can be referred externally for analysis.”}} | “Please note that the insulin assay performed at RLUH is not suitable for the investigation of factitious hypoglycaemia. If exogenous insulin administration is suspected as the cause of hypoglycaemia, please inform the laboratory so that the sample can be referred externally for analysis.”}} | ||
*'''The test results seem to indicate very high levels of insulin: 4657 pmol/L is about four times a dangerously high level in an adult. While, yes, this is what you might expect a murderer to try to do — | *'''The test results seem to indicate very high levels of insulin''': 4657 pmol/L is about four times a dangerously high level in an adult.<ref>There is plenty of online angst about whether the level recorded was abnormally high or ''absurdly'' high, such that such a level had never been witnessed in medical history: let’s go with abnormally high.</ref> While, yes, this is what you might expect a murderer to try to do — | ||
*'''Both babies recovered''': You might expect premature babies registering such high insulin levels — that is like four times a critical level for an adult — might have caused a fuss at the hospital. But not only did the babies make a full recovery — | *'''Both babies recovered''': You might expect premature babies registering such high insulin levels — that is like four times a critical level for an adult — might have at least caused a fuss at the hospital. But not only did the babies make a full recovery, with no record of hypoglycemic coma, but — | ||
*'''No-one even noticed the high insulin tests until 2018''': That is, three years ''after'' the babies made a full recovery. | *'''No-one even noticed the high insulin in their tests until 2018''': That is, three years ''after'' the babies made a full recovery. If you are looking for a [[res ipsa loquitur]] about these events, can we suggest that this is as indicative of negligence in the clinical staff administering the test, or the self-professed unreliability of the tests for detecting factitious insulin. | ||
If you are looking for a [[res ipsa loquitur]] about these events, can we suggest that | |||
====Texas sharpshooter==== | ====Texas sharpshooter==== | ||