Following her discharge from the hospital
Kowalczyk sought treatment at a chiropractor. The chiropractor did not have access to her medical history, which included records of migraines and joint hypermobility. Assistant coroner for Gateshead and South Tyneside, Leila Benyounes, found it likely that Kowalczyk had an undiagnosed connective tissue disorder that made her more vulnerable to arterial dissections.