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Sandra Nette filed the lawsuit on Thursday, June 12, 2008 claiming her chiropractor triggered a stroke that has left her paralyzed and disabled. While some studies say the neck manipulation procedure is safe,others point to a risk that it can tear arteries in the neck,or send clots into the brain. Sandra Nette's lawyer Daryl Wilson wants anyone else in Alberta who has suffered problems after a chiropractic neck adjustment to join in on the lawsuit. An undated file photo of Sandra Nette, obtained by CTV News.

Alta. woman launches massive chiropractic lawsuit

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CTV News: Avis Favaro on the class action suit
An Alberta woman helped launch a landmark lawsuit after services performed by a chiropractor allegedly caused her to have a stroke.
CTV Newsnet: Avis Favaro discusses the chiropractic class action suit
Avis Favaro with details on a chiropractic class action law suit.

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Date: Fri. Jun. 13 2008 4:28 PM ET

An Alberta woman is at the forefront of a landmark lawsuit after a neck adjustment she received from her chiropractor allegedly triggered a massive stroke that has left her paralyzed and disabled.

The class-action suit -- filed by Sandra Nette and her husband David Nette on Thursday in Edmonton -- is asking for more than $500 million in damages for the alleged victim, and for anyone in the province who alleges they have been treated or harmed by chiropractors who deliver "inappropriate and non-beneficial adjustments."

The suit, the first of its kind in Canada, names:

  • the couple's chiropractor, Gregory John Stiles;
  • The Alberta College and Association of Chiropractors; and
  • The Alberta Ministry of Health and Wellness.

The Nettes charge that by allowing chiropractors to use "ineffective" and "dangerous" neck adjustments, the ministry has "placed an uncontrolled public health risk into the primary health care marketplace."

The statement of claim contains allegations that haven't been proven in court. No statement of defence has been filed.

According to the suit, Sandra Nette had been going to her Edmonton-area chiropractor for several years, for what her husband described as preventative maintenance. She claimed she had no specific health complaints and was healthy at the time.

When driving home after her last appointment on Sept. 13, 2007, Nette recalled she felt dizzy and was experiencing vision loss. She pulled over to the side of the road and called her husband, who took her to Edmonton's Royal Alexandra Hospital.

Doctors there determined she suffered multiple strokes as a result of a tear to both vertebral arteries in the upper part of her neck, according to the lawsuit. She required surgery and then was taken to the University of Alberta Hospital.

"The doctor at the time, I will never forget it, (looked) at me and the first words out of his mouth after doing the MRI results were simply: 'chiropractor, right?'" Dave Nette told CTV News. "I was absolutely shocked. I had not put that together that there could be any connection."

Dave Nette claims his wife, who was 40 at the time of her stroke, was in perfect health. "Never did drugs, a non smoker... Always maintained perfect weight," he said. "From diet to fitness I would have to say that certainly my wife is and was ... in better shape than myself."

Sandra Nette was in hospital from Sept. 2007 to March 2008, after which she was moved to Glenrose Rehabilitation Hospital in Edmonton. There, nine months after her stroke, she needs 24-hour-a-day care.

Through rehabilitation she has regained some of the function in one arm and can communicate by pressing a speech-synthesizing touch pad.

David Nette said, as alleged in the lawsuit, that his wife wants her story made public because, as she alleged in the lawsuit, she said she was never fully warned that a stroke could be a rare complication of neck adjustments.

"We want the word to get out," he told CTV News.

Some studies, however, say the procedure is safe. The chiropractic community, including the Canadian Chiropractic Association, has always maintained the risk of stroke or serious injury from chiropractic neck manipulation is very small.

According to the association, published reports to date put the risk at between one or two out of one million treatments.

Nevertheless, neck adjustments have been under considerable scrutiny for over a decade, since the death of 22-year-old Laurie Mathiason, who suffered a fatal stroke after a chiropractic neck treatment in Saskatoon.

Alberta's Minister of Health and Wellness Ronald Liepert declined to comment on the lawsuit because the case is before the courts. Alberta, along with Saskatchewan and Manitoba, are the only provinces that partially cover chiropractic services.

The Chiropractic Association in Alberta has also declined to comment, saying it would be "inappropriate" to respond at this time.

Based on a report from CTV medical correspondent Avis Favaro and producer Elizabeth St. Philip

Comments are now closed for this story

dave cwiklewich
said

The individual that this accident happened to is my sister. I can attest to what Dave says that she had perfect health, and 8 months before my wife and were in Mexico with them. Sandra is a wonderful sister and person, this treatment has to end...

Frank B
said

I have been going to a chiropractor for over 20 years. I walk and without pain because of them. They have helped me live a mobile and productive life. Chiropractors have helped me live a normal life. I am so thankful for their existance. They did for me what doctors couldn't. Twenty years and only gratitude.


Kevin M.
said

Although this is a very unfortunate incident, causality has not been proven here. Let's assume the treatment procedure was responsible...this patient was attending treatment for several years...

Regarding regulations, the comments regarding these are steeped in ignorance.

DC's are highly regulated as are the proceedures they employ, including manipulative therapies.
Informed consent relative to treatment risk must be provided to the patient by the doctor.
If the patient has any side-effects from therapy, that should be documented and the situation monitored.
Skilled DC's can alter their therapy to accomidate particular need.
True some medical proceedures are inherently riskier but much more necessary.
What about the risk of dying from general anesthesia from elective surgical proceedures?
1:100,000


Michael Maxwell
said

In the opinion reading, "targeting medical field". It is not a matter of degrading another profession. An appropriate perspective is important and unfortunately this is not offered by the media, a lawyer, or the family of a patient involved in such a tragedy (who was inappropriately told this tragedy was caused by a neck manipulation). An informed Doctor should have known that the liklihood of bilateral (i.e. both sides) tearing of a vertebral artery is far below that of a congenital weakness of the arterial wall. He or she should also know that symptoms of occult stroke are neck pain and headache, and any movement in rotation and extension (i.e. shoulder check while driving a car) may have caused the exacerbation of the symptoms leading to gross event of stroke.


Denise
said

Well now, I have experience in this, and I have to say I feel for this woman. I received a chiropractic treatment several years ago, and I noted on the form that I had suffered a stroke in 1990 (in my early 20's). The chiropractor told me that it was very important to be careful doing anything around my neck due to that. So, he's cracking away and he gives my neck a good solid twist. I told him that it really hurt and I didn't want him doing it again. I went back one more time, and reminded him about the pain from the neck crack, and what does he do? He tried to crack it again! I walked out on the spot.

Well, four years later, I still suffer from extreme vertigo whenever I turn my head to the right or tilt it back to any degree. Needless to say, I have NEVER gone back to him or ANY other chiropractor.

And by the way, if so many people go to them every day as Ian mentioned, maybe he should be asking himself WHY they go so often. Perhaps because the only thing that's being treated is the symptoms and not the actual conditions that they're suffering from...


Windsor Woman
said

I routinely visited a chiropractor for several years as part of a treatment plan for a shoulder injury, however I remained leery at all times when the chiropractor wanted to perform a neck adjustment, as I was aware of the risks, however "minimal", and failed to see the connection to my shoulder injury. I eventually ceased attending altogether when a friend's wife experienced a stroke following such an "adjustment", her life forever altered as a result...

Al
said

Do yourself a favour and read the book "Spin Doctors". It reveals the truth about chiropactic.

David
said

You can tell which individuals are Chiropractor's defending their profession and targetting MD's or in general medical field. I go to a Chiropractor myself and know the risk (small) but have found some Chiropractors shouldn't be practicing. A few apples just like every other profession...

John Adams
said

A recent study titled "Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study" indicated "increased risks of VBA stroke associated with chiropractic and PCP (primary care physician) visits is likely due to patients with headache and neck pain from VBA dissection seeking care before their stroke" and they "found no evidence of excess risk of VBA stroke associated chiropractic care compared to primary care."

Strokes are a horrible thing as anyone who has had a family member or friend affected by one can attest. However chiropractic manipulation, although often negatively portrayed in the media, is a safe and effective alternative/adjunct to medical interventions such as medication or surgery.
I would encourage everyone to read the above mentioned paper (Spine. 2008 Feb 15;33(4 Suppl):S176-83) authored by Dr. David Cassidy and make an informed opinion about spinal manipulation and use of chiropractic.

4th year chiropractic intern


Lisa
said

The amount is so high because she is trying to start a CLASS ACTION suit. There is no way one plaintiff would ever get that much in Canada! Any award in a class action is obviously slip between the plaintiffs.


Tammy
said

To the second year Med Student....QUIT NOW!!!


angela
said

It isn't about the money -- it's about getting the word out. It's about making a statement. Obviously she'd never get even a fraction of that. She's making a point.

Besides, do you know how expensive it is to be a quadrapalegic that needs 24/7 care? It's not all covered by your provincial plan and you need to still buy your supplies. You lose your income. You lose your ability to take care of your kids and that requires extra money to have someone come help. Add that up over what could be another 50 years of life and it's not cheap.

Besides, she's just making a point. Maybe people will listen.


Ann Ackerley
said

I had in-laws who were both chiropractors, I have 40 years experience in nursing ...

Alternative medicine saved my life. It would show good sense if Drs. admitted there have been other therapies in the world before medicine. Some are quite afraid of other therapies and use every opportunity to undermine and destroy the reputation of other therapies. Too bad there is so much fear!!! Ann A.


think about it
said

Chiropractic care is important, at least to me. Considering that the spinal cord, the largest nerve in the body, is protected by vertebrea. These shift with movement, lifting and other stresses. If the signal cannot exit the spinal cord due to compression of other nerves and such, the end result is that the organ which receives its signal from that nerve will under-perform.

I work as a Paramedic and I must say that chiropractic care is allowing me to continue lifting my numerous patients multiple times per day. However, like any other health care treatments, it's not for everyone.


PG
said

G. Are you suggesting that chiropractic manipulation is safer and less risky than stenting in re-establishing flow to the coronaries?

One needs to look not only at the risk of performing a procedure, but also at the risk of NOT performing it.
I suspect the risk of not performing coronary stenting is far greater than that of not performing neck manipulations.

Chiropractors have long and erroneously used the relative risk argument in comparing mainstream practice to their own treatments to mislead patients.

They should definitely be seen as an asset in our health care system but not before they regulate themselves to greater accountability and credibility...

CG
said

...I have complete confidence in my chiropractor; neck manipulations cured migraine like headaches that plagued me for years, something a physiotherapist failed to do. After 35 working as a mechanic a monthly visit to my chiropractor keeps me upright and functional.



Rebecca
said

Wow, that is very scary, I would be very mad about that!!!


RRO
said

... I have gone for chiropractic help in the past and when you go you sign a waiver which warns you of the possible problems associated with readjustments, and the list included stroke and paralysis....

I know MANY people who have benefited in shear quality of life terms because of chiropractic health. Myself included. They are dedicated professionals who want to help people...

Amanda
said

I know any time I've been to a chiropractor I've had to sign waivers to prevent them from being sued and was made aware of the risks...


Chris
said

What is important is that people are being hurt! The before and after photos speak volumes! I hope she improves even more and regains use of her paralyzed body over time.



Andrew
said

I've been going to a chiropractor for many years now, and my chiropractor has been a huge benefit. I've also seen 100's of doctors in my lifetime. Some good and some terrible, some drug pushers and some not, some trained well and some not. Yet for every bad Doctor one doesn't sue the entire industry.

Unfortunately people aren't robots so like everything else in life its buyer beware. Always do your research before putting your life in anyone's hands and know that with everything there are always risks.

I'm very sorry to hear about this woman's story but there is still a greater chance of getting a stroke from drug complications then there is from Chiropractic Care.


Doug
said

David

Why else would you go to a chiropractor - what would your solution be to solve pain and discomfort. your comments are ridiculous and insensitive.

I do however avoid neck adjustments.


Ry
said

$500 million?

No worries, Alberta's Cabinet Ministers can cough that up easily from their provincial wallet. I'd go for $5 billion!


RRor
said

It's pretty easy to say you shouldn't sue when you are able to live a normal life! Live this woman's life for a week and you'll soon change your tune.

You go to someone for help and become a parapalegic you should have the right to be compensated to be able to provide for your care.


Jaj
said

I'm a 2nd year medical student and I am having a hard time imagining a connection between chiropractor and stroke.


MTA
said

The risk of stroke with neck adjustment is small. But the risk is also small when a cop uses a taser. Still, we only want taser used as a last resort, in an extreme emergency. Why do chiropractors use this risky procedure even when there's risk and when the patient really doesn't need it? It's not like there was any emergency.


Lynda Hollohan
said

When you go to the chiropractor here in Ontario you have to sign a waver outlining all the risks involved...

Andrew in BC
said

It is well past the time that we can sue for malpractice in this country ... Darn right we should be like the US in this area for you know that the doctors in the States won't have an off day for fear of going bankrupt. And for their side of it the doctors are paid handsomely for taking the risk...

G
said

Wow, the risk of stroke associated with inserting heart stints to treat heart disease...~1%

The risk of injury from a chiropractic treatment way way way less!!!

The risk of complications from prescribed drugs...far far greater than 1%

Should you be made aware of the risks?...absolutely! Should you be made a aware of alternatives to the treatments any doctors sell?...ABSOLUTELY!!!



Liz
said

Yes, it is true that neck manipulation has been known to cause complications and patients receiving care from chiroprators are expected to sign a waiver for that procedure. The risk is "very small" according to chiroprators - but it still keeps happening. Is there really any reason that chiropractors and all other practitioners should not be held accountable for their practice and the safety of their patients? How much will it cost this family to keep her in 24-hour care until she dies, perhaps up to 50 years from now? Who is anyone to say what the life of a young mother and wife is worth? Not very much according to some of the responses.
We are very complacent in Canada ... Are we so afraid of "the American Way" that we give the message to health providers -- it's okay, we won't hold you responsible and you won't have to pay for the damage ... because it really isn't very nice to sue anyone. Canadians are NICE people.


GM
said

... I go to a chiro and before my first adjustment I signed a waiver explaining the risk of possible stroke however small. She's given me various streches to perform and the headaches I used to get have almost completely gone away...

Les
said

It cannot be disputed that suffering from a stroke has been very tragic for this woman. However, a direct link between her chiropractic treatment and the stroke has not yet been proven....
In fact, let's put this issue the proper context: 8700 people die each year in Canada as a direct result of human error or "medical mistakes" in hospitals while in the care of conventional physicians and nurses. In total, medical mistakes account for almost 24,000 deaths each year, making it the third leading cause of death in adults in Canada after cancer and heart disease.


Ian
said

It's amazing how closed minded people can really be. For every hundred people that disagree with chiropractic care, I can show you the same number of happy people that go to Chiropractors everyday...

Nicole
said

...For the person who thinks chiropractic is pseudoscience, give your head a shake because today's graduates requires a Bachelor's and then attend 4 years of chiropractic college taking more hours in neurology and xray (to name a few) than MD's. They obviously don't study pharmacology like MD's but could hardly be considered quacks.

Kevin in NB
said

I used to have these neck adjustments also even though I had my concerns about their safety and validity. I thought I would never have this done but neck pain forced me to reconsider. One neck adjustment (the last one I had) actually caused serious swelling in my upper spine and left me in a state of pain that was indescribable. I will NEVER go back to any chiropractor again.


DTB
said

...My heart goes out to this young woman..God Bless you


BLT
said

Really unfortunate story, but it's also one that's easy to sensationalize... Things go wrong no matter what kind of medicine you're practicing and no matter how many safeguards are in place.



Eric B
said

I absolutely agree with the basics of this lawsuit. Chiropractic at its core is nothing more than a pseudoscience that was created out of erroneous beliefs of the human nervous and immune system...

David
said

Why anyone would go to a chiropractor anyway is beyond me. There practice does not solve the problem only relieves the discomfort or pain for awhile...

M. Cameron
said

$500 million is quite a lot, even if this were an American lawsuit.


David
said

Wow. That would really suck. I've been to some really good chiropractors but I've also been to a couple that i think caused a disk herniation. I think I'll stick to physiotherapy from now on.


Fred N.
said

If it is determined that the Chiropratic care was the cause, in whole or in part, then that is 1 case in millions of adjustment across Canada. Compare that with the thousands of deaths and injuries that are caused by malpractice of the medical establishment.


Wake Up People
said

Sorry for the trouble. Get'em!!

Jim



jackie
said

Unless this woman lives in a cave, everyone should know by now that neck adjustments by Chiropractors are a risk...

Mamad
said

.... Canada should not be like the US in this matters. Maybe next time someone in the street accidentally steps on my foot I should sue them for 1 billion.


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