- In 2017, Mr Lawler, aged 79 at the time, has a history of back problems, including back surgery with metal implants and suffers from pain in his leg.
- His GP recommends to consult a physiotherapist.
- As waiting lists are too long, Mr Lawler sees a chiropractor shortly after his 80th birthday who calls herself ‘doctor’ and who he assumes to be a medic specialising in back pain.
- The chiropractor uses a spinal manipulation of the neck with the drop table.
- There is no evidence that this treatment is effective for pain in the leg.
- No informed consent is obtained from the patient.
- This is acutely painful and brakes the calcified ligaments of Mr Lawler’s upper spine.
- Mr Lawler is immediately paraplegic.
- The chiropractor who had no training in resuscitation is panicked tries mouth to mouth.
- Bending the patient’s neck backwards the chiropractor further compresses his spinal cord.
- When ambulance arrives, the chiropractor misleads the paramedics telling them nothing about a forceful neck manipulation with the drop and suspecting a stroke.
- Thus the paramedics do not stabilise the patient’s neck which could have saved his life.
- Mr Lawler dies the next day in hospital.
- The chiropractor is arrested immediately by the police but then released on bail.
- The expert advising the police is a prominent chiropractor.
- One bail condition is not to practise, pending a hearing by the GCC.
- The GCC decide not to take any action.
- The police therefore release the bail conditions and she goes back to practising.
- The interim suspension hearing of the GCC is being held in September 2017.
- The deceased’s son wants to attend but is not allowed to be present at the hearing even though such events are normally public.
- The coroner’s inquest starts in 2019.
- In November 2019, a coroner rules that Mr Lawler died of respiratory depression.
- The coroner also calls on the GCC to bring in pre-treatment imaging to protect vulnerable patients.
- The GCC announce that they will now continue their inquiry to determine whether or not chiropractor will be struck off the register.
The son of the deceased is today quoted stating that the GCC “seems to be a little self-regulatory chiropractic bubble where chiropractors regulate chiropractors.”
I sympathise with this statement. On this blog, I have repeatedly voiced my concerns about the GCC – see here, for instance – which I therefore do not need to repeat. My opinion of the GCC is also coloured by a personal experience which I will quickly recount now:
A long time ago (I estimate 10 – 15 years), the GCC invited me to give a lecture and I accepted. I do not remember the exact subject they had given me, but I clearly recall elaborating on the risks of spinal manipulation. This was not too well received. When I had finished, a discussion ensued in which I was accused of not knowing my subject and aggressed for daring to ctiticise chiropractic. I had, of couse, given the lecture assuming they wanted to hear my criticism. In the end, I left with the impression that this assumption was wrong and that they really just wanted to lecture, humiliate and punish me for having been a long-term critic of their trade.
I therefore can fully understand of David Lawler’s opinion about the GCC. To me, they certainly behaved as though their aim was not to protect the public, but to defend chiropractors from criticism.