Know Thy Enemy: Recognising and Managing Severe Asthma

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🖋 𝒮𝒲𝒜𝒩𝒦 Dispatch | 6 February 2025
A Taxonomy of Medical Incompetence: The Patterns of Eosinophilic Asthma They Refused to Learn

📍 Filed From: Flat 22, 2 Periwinkle Gardens, London W2
✒️ Author: Polly Chromatic
🗂 Filed Under: Eosinophilic Asthma · Clinical Illiteracy · Respiratory Misclassification · Diagnostic Sloth · SWANK Medical Archive · Archive of Airborne Disdain

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🧬 To the Clinicians Who Confused Pride for Practice:

Glen Peache, Sarah Newman, Eric Wedge-Bull, Kirsty Hornal, Rhiannon Hodgson, Fiona Dias-Saxena, Rachel Pullen, Milena Abdula-Gomes, Samira Issa
Cc: Annabelle Kapoor, aaforbes@gov.tc, alsmith@gov.tc
Bcc: Laura Savage, Simon O’Meara, Philip Reid, Gideon Mpalanyi, Nannette Nicholson

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I. 𝒫𝓇𝑒𝓁𝒾𝓂𝒾𝓃𝒶𝓇𝓎 𝒪𝒷𝓈𝑒𝓇𝓋𝒶𝓉𝒾𝑜𝓃𝓈

Eosinophilic Asthma is not “complex.” It is merely chronically mismanaged by those who approach medicine as if diagnostic uncertainty were a form of charm.

To require a patient to research, document, and demand treatment for a respiratory disorder while gasping for air is not a lapse in judgment. It is clinical misconduct, gift-wrapped in arrogance.

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II. 𝒫𝒶𝓉𝓉𝑒𝓇𝓃𝓈 𝒴𝑜𝓊 𝒲𝑜𝓊𝓁𝒹 𝒦𝓃𝑜𝓌 𝒾𝒻 𝒴𝑜𝓊 𝒲𝑒𝓇𝑒 𝒜𝒸𝓉𝓊𝒶𝓁𝓁𝓎 𝒯𝓇𝒶𝒾𝓃𝑒𝒹:

• Persistent Inflammation:
  Unlinked to pollen, pets, or other folklore triggers.

• Treatment Resistance:
  Inhaled corticosteroids fail. Biologics are met with your blank stares.

• Frequent Exacerbations:
  Not episodes, not flare-ups—institutionally manufactured suffocation.

• Comorbidities Ignored:
  Nasal polyps, AERD, sinus inflammation—none of which appear in your paperwork but all of which inflame the lungs.

• Eosinophilic Evidence:
  Documented in blood and sputum. Refused in clinic.

• Non-Allergic Triggers:
  Chlorine, cleaning products, bureaucrats. The usual culprits.

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III. 𝒪𝓅𝓉𝒾𝓂𝒶𝓁 𝑀𝒶𝓃𝒶𝑔𝑒𝓂𝑒𝓃𝓉 (Not That You Asked):

• Proper Diagnostics:
  FeNO, blood eosinophils, sputum cytology—science, not vibes.

• Correct Treatment:
  Mepolizumab. Benralizumab. Not “come back when it gets worse.”

• Comorbidity Integration:
  ENT referrals. Not safeguarding referrals.

• Environmental Adjustment:
  Avoid bleach. Avoid disbelief. Avoid clinicians who sigh when you speak.

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IV. 𝒞𝑜𝓃𝒸𝓁𝓊𝓈𝒾𝑜𝓃

Your ignorance has been noted. Your omissions archived.
This isn’t advocacy. It’s autopsy.

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Polly Chromatic
Breathing in spite of institutional sabotage.
📍 Flat 22, 2 Periwinkle Gardens, London W2
🌐 www.swankarchive.com
📧 director@swanklondon.com
© SWANK London Ltd. All Airways Monitored.

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