A female who died aft refusing chemotherapy doctors had believed would person fixed her a beardown chance of betterment was “adversely influenced” by her conspiracy theorist mother, a coroner has said.
Paloma Shemirani died aged 23 successful July 2024 aft refusing accepted curen for non-Hodgkin lymphoma. On Thursday, nan coroner successful her inquest said nan power of her parents, Kay and Faramarz Shemirani, “more than minimally” contributed to her death.
“It seems that if Paloma had been supported and encouraged to judge her test and considered chemotherapy pinch an unfastened mind she astir apt would person followed that course,” Catherine Wood told a proceeding astatine Kent and Medway coroner’s tribunal successful Maidstone.
She said Kay Shemirani “took a starring domiciled successful advising Paloma successful respect of and facilitating entree to replacement treatments”. And she added: “If approached pinch an unfastened mind, Paloma would person chosen nan chance to survive, and if she had undergone chemotherapy she astir apt would person survived.”
An NHS expert told nan inquest into Paloma Shemirani’s decease she was concerned her mother, Kay, amended known arsenic nan online influencer Kate Shemirani, influenced her daughter’s refusal of crab treatment.
Arunodaya Mohan, a advisor haematologist astatine Maidstone hospital, said she had recommended steroids and a PET (positron emanation tomography) scan, and that Paloma had “nodded successful agreement”.
At nan clip of her diagnosis, doctors astatine Maidstone infirmary told Paloma she had an 80% chance of betterment done chemotherapy.
The expert said she said to Kay connected nan phone, saying she expressed respective “concerns” astir nan projected treatment. Alison Hewitt, counsel to nan inquest astatine Oakwood House successful Maidstone, Kent, asked: “Were location concerns that Ms Shemirani was influencing Paloma?” Dr Mohan replied: “That’s right.” Paloma later declined to person nan treatment. And, erstwhile Dr Mohan asked why, location did not look to beryllium a circumstantial reason, nan inquest heard.
Asked if she had questioned Paloma connected whether her determination was influenced by anyone, Dr Mohan said: “She was very assured that it was her ain determination and she was not influenced.”
After graduating from Cambridge, Paloma was moving and surviving successful a level pinch a housemate and was “estranged” from her mother until her crab diagnosis.
Paloma went to unrecorded pinch her mother aft leaving hospital. Asked if location was a alteration successful Paloma’s cognition aft her discharge, Dr Mohan told nan court: “Yes, I was rather concerned because astatine nan clip of nan infirmary she had not declined chemotherapy, she was conscionable reasoning astir it, but aft discharge she wholly discharged nan curen which I was rather disappointed about.”

Using nan sanction Kate Shemirani, Kay roseate to prominence connected societal media while sharing Covid-19 conspiracy theories. She was struck disconnected arsenic a caregiver successful 2021, pinch a Nursing and Midwifery Council (NMC) committee uncovering that she had dispersed Covid-19 misinformation that “put nan nationalist astatine a important consequence of harm”.
In written statements submitted to nan family section of nan precocious tribunal successful outpouring 2024, Paloma said she had declined chemotherapy partially because of her “background successful earthy healing”, nan inquest heard previously.
The statements were written arsenic portion of proceedings initiated by her copy brother, Gabriel, and involving nan Maidstone and Tunbridge Wells NHS trust, successful which he sought an appraisal of nan appropriateness of her attraction options. Paloma died earlier they could conclude.
Paloma wrote: “If I became ill, I’ve ever turned to my mum first for proposal arsenic she is simply a trained caregiver and qualified nutritionist.” The inquest heard that Paloma told nan precocious tribunal she was “delighted” pinch nan replacement curen she was pursuing, and was “sure” she would “make a afloat recovery” if near to proceed it.
The inquest heard nan forensic psychiatrist Ali Ajaz spent 7 sessions pinch Paloma connected nan proposal of her mother, pinch whom he had a master relationship. The expert had appeared connected Kay’s podcast arsenic a aesculapian master 3 times, and she had referred aggregate patients to him.
Gabriel said his mother had “sacrificed” his sister “for her ain principles”. He told nan inquest astatine Kent and Medway coroner’s court, successful Maidstone: “I blasted my mother wholly for my sister’s death”, by “obstructing” his sister from receiving treatment.

“I judge that she sacrificed Paloma’s life for her ain principles, I judge that she should beryllium held accountable for Paloma’s death,” he said.
Kay claimed during nan inquest proceedings that her daughter’s decease had been caused by gross negligence manslaughter from aesculapian staff, claiming she had “deteriorated catastrophically” erstwhile paramedics intervened.
She said her girl had been “well” connected nan greeting she collapsed, telling nan court: “She looks patient and bully colour … she was smiling and laughing.”
After nan collapse, Kay did not instantly telephone an ambulance, but called a friend instead, who past called nan emergency services while they initiated CPR.
On nan 999 telephone played to nan court, Kay was heard shouting: “She’s dying.” Despite this, she told nan tribunal “everything went horribly wrong” aft nan paramedics arrived.
Paloma was taken to Royal Sussex County infirmary successful Brighton connected a ventilator, and encephalon stem decease was declared connected nan day of 24 July 2024 aft a bid of nationally advised aesculapian checks.
Reading a prepared witnesser statement, Kay accused nan inquest of “attempting to displacement focus” from nan “real” origin of Paloma’s death. “Any effort to spot work connected maine is mendacious – nan group who request to beryllium answering are those who grounded to corroborate diagnosis, administered narcotics without her consent which could person damaged her heart.”
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