Dozens of patients left permanently injured after spinal cord stimulators were implanted to treat chronic back pain say government continues to ignore their pleas to have the devices removed, leaving them trapped in pain, disability and prolonged legal limbo.
The affected patients are victims of neurosurgeon Dr. Thabo Rowland, who inserted the spinal cord stimulators during procedures carried out after referrals from the public health system. Dr. Rowland has since been cited in multiple lawsuits alongside the government and health authorities, with patients accusing him of negligence and of implanting devices that were allegedly not properly authorized for use in Botswana.
Instead of relief, patients say the stimulators triggered devastating and irreversible complications. These include severe mobility problems, loss of bladder control, neurological impairment, chronic pain, sexual dysfunction and, in some cases, strokes. Several patients have since been forced into early medical retirement, losing their livelihoods and independence.
Correspondence seen by this publication shows that some victims have written directly to senior government offices in desperation after failing to secure help from the Ministry of Health. In their letters, they describe how the devices inserted by Dr Rowland years ago continue to cause daily suffering, while local specialists either decline or delay removing them.
Although the Ministry of Health has stated in writing that neurosurgeons exist locally who are capable of assessing and managing the removal of spinal cord stimulators, patients say this assurance has not translated into real action. They complain of endless referrals, repeated assessments and instructions to ‘wait’, while their conditions steadily worsen.
‘We were referred by government doctors to the doctor who implanted these devices,’ said one affected patient. ‘Now the same system says help is available, but nothing is being done.’
Court records from an ongoing High Court case question whether the Ministry of Health conducted proper due diligence before referring patients to Dr. Rowland and before allowing the importation and use of the spinal cord stimulators he implanted. The lawsuits further allege that at least one of the devices inserted by Dr. Rowland was not registered with the national medicines regulator, meaning its safety, quality and effectiveness were unknown at the time of implantation.
According to the court documents, patients were not given meaningful alternatives or second opinions before undergoing surgery by Dr. Rowland, and many only later discovered that the devices implanted in their bodies were potentially unlawful. Some victims reportedly underwent as many as seven procedures funded by government, yet emerged significantly worse off than before the interventions.
Dr. Rowland is cited as a defendant in the lawsuits, accused of failing to exercise due care and professional diligence when inserting the spinal cord stimulators. Government, meanwhile, is accused of failing to protect patients by referring them to the doctor without ensuring that the devices he used were lawful, safe and properly regulated.
For a brief period, hope emerged when authorities explored sending patients abroad for specialist treatment. A small number were taken to India, where some stimulators were removed. However, many others were left behind. Subsequent correspondence from senior government offices indicated that further overseas treatment would not be funded, with patients advised instead to pursue pain management and counselling.
Victims argue that such advice ignores the root cause of their suffering. ‘Pain management cannot fix a device that was implanted and that continues to damage our bodies,’ said another patient. ‘We need these stimulators removed.’
Patients say delays in both court proceedings and medical intervention are compounding their misery.
‘We are fighting the doctor who implanted these devices, the government that referred us to him, and a system that now refuses to undo the damage,’ said one victim. ‘All we are asking for is to have these stimulators removed.’