Coronial
WAcommunity

Inquest into the Death of Dingle

Deceased

Penelope Dingle

Demographics

34y, female

Date of death

2005-08-25

Finding date

2010-07-30

Cause of death

complications of metastatic rectal cancer

AI-generated summary

Penelope Dingle died of metastatic rectal cancer on 25 August 2005. She was diagnosed with localised rectal cancer in February 2003 when a potential surgical cure was possible. However, she rejected mainstream treatment (surgery, chemotherapy, radiotherapy) based on advice from a homeopath, Francine Scrayen, who claimed she could cure the cancer using homeopathy alone. The deceased delayed seeking proper medical treatment for approximately 12 months while experiencing rectal bleeding and pain. Scrayen maintained excessive contact with the deceased (over 100 consultations), convinced her that pain was psychological, discouraged pain medication, and even advised against emergency surgery in October 2003. By the time emergency surgery was performed for bowel obstruction on 12 October 2003, the cancer had metastasised to liver, lungs, bones, and surrounding organs, making the condition incurable. The coroner found the deceased's decisions were based on misinformation and non-science-based advice. Contributing factors included her husband Dr Peter Dingle's support for alternative medicine and his failure to intervene, and advice from complementary practitioners offering unproven treatments. The coroner referred Dr William Barnes and Dr Igor Tabrizian to the Medical Board of Western Australia and made recommendations regarding regulation of alternative medicine practitioners.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

colorectal surgerygeneral practiceoncologygeneral medicine

Error types

diagnosticcommunicationdelay

Clinical conditions

rectal cancermetastatic cancerbowel obstructioncachexiauncontrolled pain

Procedures

colonoscopyMRI scanemergency surgery for bowel obstruction

Contributing factors

  • delay in diagnosis and treatment of rectal cancer due to reliance on homeopathic treatment
  • homeopath's assertion that cancer could be cured by homeopathy alone
  • homeopath's discouragement of appropriate pain management
  • homeopath's advice against surgery even in emergency circumstances
  • homeopath's minimisation of patient's pain as psychological rather than physical
  • husband's support for alternative medicine and failure to intervene
  • medical practitioners offering alternative treatments that added confusion
  • patient's initial reluctance for chemotherapy and radiotherapy due to fertility concerns and misinformation
  • excessive unhealthy dependence on homeopath
  • isolation from family members who might have questioned treatment

Coroner's recommendations

  1. Commonwealth and State Departments of Health should review the legislative framework relating to complementary and alternative medicine practitioners and practices with a view to ensuring no mixed messages are provided to vulnerable patients and that science-based medicine and alternative medicine are treated differently
  2. Medical Board of Western Australia should finalise its document on Complementary Alternative and Unconventional Medicine if not already done and ensure it is promulgated to the profession and complied with
Full text

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